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IF 1.9 4区 医学 Q4 IMMUNOLOGY Pub Date : 2025-03-03 DOI: 10.1111/1348-0421.13135

Cover photograph: Heatmaps of correlations between different mediators in serum of etiological groups. Microbiol Immunol: 69:174-181. Article link here

封面照片:病因组血清中不同介质之间的相关性热图。微生物学免疫学》:69:174-181。文章链接
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引用次数: 0
An Atypical Kappa-Class Chaperone-Usher Fimbriae of a Human Enterotoxigenic Escherichia coli Strain Shows Multi-Host Adherence and Distinct Phylogenetic Feature 人类肠毒性大肠埃希氏菌株的一种非典型 Kappa-Class 伴孢子-胞膜具有多宿主黏附性和独特的系统发育特征。
IF 1.9 4区 医学 Q4 IMMUNOLOGY Pub Date : 2025-03-02 DOI: 10.1111/1348-0421.13208
Hiharu Inoue, Yoshihiko Tanimoto, Dongming Zheng, Erika Ban-Furukawa, Miyoko Inoue, Yuko Omori, Yoshihiro Yamaguchi, Taro Tachibana, Hisashi Aso, Weiping Zhang, Eriko Kage-Nakadai, Yoshikazu Nishikawa, Takayuki Wada

The pathogenesis of enterotoxigenic Escherichia coli (ETEC) involves the colonization of hosts by colonization factors (CFs) and the secretion of enterotoxins. CFs, especially chaperone-usher fimbriae, mediate bacterial adhesion to host cells, with extensive genetic diversity observed among isolates. One ETEC strain, O169YN10, possessed a unique plasmid (pEntYN10) encoding three CFs, CS6, and two novel homologs of CS8 and F4 (CS6O169, CS8O169, and F4O169). In this study, F4O169 was found to play a major role in adhesion to multiple hosts, including human, bovine, and porcine epithelial cells, whereas the other two CSs were less functional. Inhibition assays using antibodies showed that FayG1, one of the two major paralogous adhesins of F4O169, directly contributes to human cell adhesion. Despite the established function of FayG1, the FayG2 protein was not detected under the in vitro conditions. Comparative genomics revealed that FayG1 and FayG2 share low homology with other E. coli strains isolated from hosts, suggesting sporadic emergence from an unknown origin.

肠毒性大肠埃希氏菌(ETEC)的致病机制包括定植因子(CFs)在宿主体内的定植和肠毒素的分泌。定殖因子,尤其是合子推力缘膜,介导细菌粘附到宿主细胞,在分离菌株中观察到广泛的遗传多样性。一株名为 O169YN10 的 ETEC 菌株拥有一个独特的质粒(pEntYN10),编码三种 CFs,即 CS6 以及 CS8 和 F4 的两个新型同源物(CS6O169、CS8O169 和 F4O169)。本研究发现,F4O169 在粘附多种宿主(包括人、牛和猪上皮细胞)时发挥了主要作用,而其他两个 CS 的功能较弱。使用抗体进行的抑制试验表明,F4O169 的两个主要同源粘附蛋白之一 FayG1 直接参与了人类细胞的粘附。尽管 FayG1 的功能已经确定,但在体外条件下却检测不到 FayG2 蛋白。比较基因组学发现,FayG1 和 FayG2 与从宿主体内分离出来的其他大肠杆菌菌株同源性较低,这表明它们是零星出现的,来源不明。
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引用次数: 0
Analysis of the Functional Role of TIMM29 in the Hepatitis B Virus Life Cycle TIMM29在乙型肝炎病毒生命周期中的功能作用分析
IF 1.9 4区 医学 Q4 IMMUNOLOGY Pub Date : 2025-02-16 DOI: 10.1111/1348-0421.13206
Limia Abueldahab, Yadarat Suwanmanee, Nelly Muriungi, Eriko Ohsaki, Masami Wada, Shihoko Kimura-Ohba, Keiji Ueda

Hepatitis B virus (HBV) causes chronic hepatitis B, which can progress to liver cirrhosis and hepatocellular carcinoma. HBV has complex interactions with various cell organelles and proteins that ensure effective progeny virus production. We previously reported that a mitochondrial protein, TIMM29, should regulate the HBV life cycle through interactions with the HBV preS1 protein. Here, we established Halo-TIMM29wt-, Halo-TIMM29:∆99–192-, and Halo-TIMM29:92–194-expressing cells using TIMM29-knockout HB611 (TIMM29KO/HB611) cells, a stably HBV-producing cell line based on Huh6 cells. We found that HBV antigen expression and replication were downregulated in cells stably expressing full-length TIMM29, but not in those expressing TIMM29 deletion mutants. On the other hand, in the case of TIMM29-knockout C4 (TIMM29KO/C4), which is a human NTCP-expressing HepG2 cell line that is competent for HBV infection and amplification, these phenomena were not reproduced, except in full-length TIMM29 (Halo-TIMM29wt)-expressing cells. Using gene expression microarrays, we identified downregulation of ARRDC3 and BASP1 in TIMM29KO/HB611 and TIMM29KO/C4. It was suggested that TIMM29 localized at the mitochondrial inner membrane served as a signaling hub, orchestrating the activation of ARRDC3 and BASP1 expression to restrict HBV transcription. The expression of TIMM29 mutants in TIMM29KO/HB611 and TIMM29KO/C4 cells suggested that ARRDC3 was dependent on the HBV preS1-binding region of TIMM29 (amino acids 99–189). In contrast, BASP1 expression varied according to cell type, indicating additional regulatory mechanisms. Thus, this study should significantly advance our understanding of TIMM29-mediated inhibition of HBV amplification and lead to improvements in antiviral strategies and therapeutic interventions against HBV.

乙型肝炎病毒(HBV)引起慢性乙型肝炎,可发展为肝硬化和肝细胞癌。HBV与各种细胞器和蛋白质有复杂的相互作用,确保有效的子代病毒产生。我们之前报道了一种线粒体蛋白TIMM29通过与HBV preS1蛋白的相互作用来调节HBV的生命周期。在这里,我们使用timm29敲除的HB611 (TIMM29KO/HB611)细胞(一种基于Huh6细胞稳定产生hbv的细胞系)建立了表达Halo-TIMM29wt-、Halo-TIMM29:∆99-192-和Halo-TIMM29:92-194的细胞。我们发现HBV抗原的表达和复制在稳定表达全长TIMM29的细胞中下调,而在表达TIMM29缺失突变体的细胞中则不下调。另一方面,在TIMM29敲除C4 (TIMM29KO/C4)的情况下,除了全长TIMM29 (Halo-TIMM29wt)表达细胞外,这些现象没有重现,TIMM29敲除C4 (TIMM29KO/C4)是一种表达人ntcp的HepG2细胞系,能够感染和扩增HBV。通过基因表达芯片,我们发现了TIMM29KO/HB611和TIMM29KO/C4中ARRDC3和BASP1的下调。研究表明,定位于线粒体内膜的TIMM29作为一个信号中枢,协调激活ARRDC3和BASP1的表达来限制HBV转录。TIMM29突变体在TIMM29KO/HB611和TIMM29KO/C4细胞中的表达表明,ARRDC3依赖于TIMM29的HBV pres1结合区(氨基酸99-189)。相反,BASP1的表达随细胞类型的不同而变化,表明有其他的调控机制。因此,这项研究将显著促进我们对timm29介导的HBV扩增抑制的理解,并导致针对HBV的抗病毒策略和治疗干预的改进。
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引用次数: 0
Supersulfides: A Promising Therapeutic Approach for Autoinflammatory Diseases 超硫化物:一种有前途的治疗自身炎症性疾病的方法。
IF 1.9 4区 医学 Q4 IMMUNOLOGY Pub Date : 2025-02-16 DOI: 10.1111/1348-0421.13205
Tianli Zhang, Touya Toyomoto, Tomohiro Sawa, Takaaki Akaike, Tetsuro Matsunaga

Supersulfides are molecular species characterized by catenated sulfur moieties, including low-molecular-weight and protein-bound supersulfides. Emerging evidence suggests that these molecules, abundantly present in diverse organisms, play essential roles far beyond their chemical properties, such as functions in energy metabolism, protein stabilization, and antiviral defense. Recent studies highlight their regulatory effects on pattern-recognition receptors (PRRs) and associated signaling pathways–such as nucleotide oligomerization domain-like receptor signaling, toll-like receptor signaling, and type I interferon receptor signaling–critical for innate immunity and inflammatory responses. Dysregulation of these pathways is implicated in a heterogeneous group of autoinflammatory diseases, including inflammasomopathies, relopathies, and type I interferonopathies, respectively. Notably, both endogenous and synthetic supersulfide donors have recently shown promising inhibitory effects on PRR signaling, offering their potential as targeted therapies for managing autoinflammatory conditions. This review summarizes the fundamental biology of supersulfides and typical autoinflammatory diseases, focusing on their roles in innate immune and inflammatory responses, while exploring their therapeutic potential in these diseases.

超硫化物是一种以链状硫基团为特征的分子物种,包括低分子量和蛋白质结合的超硫化物。新出现的证据表明,这些分子大量存在于各种生物体中,其重要作用远远超出其化学性质,如能量代谢、蛋白质稳定和抗病毒防御等功能。最近的研究强调了它们对模式识别受体(PRRs)和相关信号通路(如核苷酸寡聚化结构域样受体信号传导、toll样受体信号传导和I型干扰素受体信号传导)的调节作用,这些信号通路对先天免疫和炎症反应至关重要。这些通路的失调与异质组自身炎症性疾病有关,分别包括炎性肌病、炎性病变和I型干扰素病变。值得注意的是,内源性和合成超硫化物供体最近都显示出对PRR信号的抑制作用,这为治疗自身炎症提供了潜在的靶向治疗方法。本文综述了超硫化物和典型自身炎症性疾病的基础生物学,重点介绍了它们在先天免疫和炎症反应中的作用,并探讨了它们在这些疾病中的治疗潜力。
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引用次数: 0
Hypoxia-Inducible Factor 1 Alpha Potentiates Lipopolysaccharide-Induced Expression of IL-13 and IL-33 in Mast Cells Under Hypoxia 低氧诱导因子1 α增强脂多糖诱导肥大细胞IL-13和IL-33的表达。
IF 1.9 4区 医学 Q4 IMMUNOLOGY Pub Date : 2025-02-13 DOI: 10.1111/1348-0421.13202
Norika Chiba, Tomokazu Ohnishi, Tetsuya Matsuguchi

Lipopolysaccharide (LPS) is an exacerbating factor for allergic airway inflammation at least partly due to the activation of mast cells (MCs). LPS stimulates MCs to express both pro-inflammatory and type 2 cytokines, among which interleukin (IL)-13 is essential for the generation of allergic diseases. LPS also induces the expression of “alarmins” such as IL-25, IL-33, and thymic stromal lymphopoietin (TSLP) from various cell types including epithelial cells, and increased serum IL-33 levels were reported to correlate with disease severity of asthma. MCs reside in peripheral tissues where the oxygen concentration is significantly lower than that in the air and further decreased by inflammation and bronchoconstriction in asthma. However, the effects of hypoxia on LPS-induced cytokine expression in MCs have not been fully elucidated. Here we show that LPS induces Il4, Il6, Il13, Il33, Tnf, and Tslp mRNAs in MCs. Notably, hypoxia robustly enhanced expressions of Il13 and Il33, but not the other cytokines in LPS-stimulated MCs. We also found that this promotive effect is dependent on the presence of hypoxia-inducible factor (HIF) 1α protein. Our study will provide new insight on the role of MCs in the LPS-associated pathogenesis of allergic diseases.

脂多糖(LPS)是过敏性气道炎症的加重因子,至少部分原因是肥大细胞(MCs)的激活。LPS刺激MCs表达促炎因子和2型细胞因子,其中白细胞介素(IL)-13对过敏性疾病的产生至关重要。LPS还诱导包括上皮细胞在内的各种细胞类型的“警报器”如IL-25、IL-33和胸腺基质淋巴生成素(TSLP)的表达,并且据报道血清IL-33水平升高与哮喘的疾病严重程度相关。MCs存在于氧浓度明显低于空气中的外周组织中,并因炎症和哮喘时支气管收缩而进一步降低。然而,缺氧对lps诱导的MCs细胞因子表达的影响尚未完全阐明。在这里,我们发现LPS诱导MCs中的Il4、Il6、Il13、Il33、Tnf和Tslp mrna。值得注意的是,在lps刺激的MCs中,缺氧显著增强了Il13和Il33的表达,而没有其他细胞因子的表达。我们还发现这种促进作用依赖于缺氧诱导因子(HIF) 1α蛋白的存在。我们的研究将为MCs在lps相关变应性疾病发病机制中的作用提供新的见解。
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引用次数: 0
Serological Evidence of Cetacean Morbillivirus Infection in Common Bottlenose Dolphins in Japan 日本常见宽吻海豚中鲸类麻疹病毒感染的血清学证据。
IF 1.9 4区 医学 Q4 IMMUNOLOGY Pub Date : 2025-02-13 DOI: 10.1111/1348-0421.13207
Kaede Tashiro, Takao Segawa, Kiyotaka Konishi, Fumio Seki, Hiroshi Katoh, Toshiaki Ishibashi, Makoto Takeda, Takuya Itou

This study revealed that 41.9% of wild-born Japanese captive dolphins (18 out of 43 dolphins) have neutralizing antibodies specific to cetacean morbillivirus (CeMV). This finding indicates a widespread yet undetected CeMV infection among wild dolphins in the waters around Japan, occurring without notable epidemic or mass mortality of dolphins.

本研究发现,41.9%的野生日本圈养海豚(43只海豚中的18只)具有鲸类麻疹病毒(CeMV)特异性中和抗体。这一发现表明,在日本周围水域的野生海豚中存在广泛但未被发现的CeMV感染,但没有出现明显的流行或海豚大量死亡。
{"title":"Serological Evidence of Cetacean Morbillivirus Infection in Common Bottlenose Dolphins in Japan","authors":"Kaede Tashiro,&nbsp;Takao Segawa,&nbsp;Kiyotaka Konishi,&nbsp;Fumio Seki,&nbsp;Hiroshi Katoh,&nbsp;Toshiaki Ishibashi,&nbsp;Makoto Takeda,&nbsp;Takuya Itou","doi":"10.1111/1348-0421.13207","DOIUrl":"10.1111/1348-0421.13207","url":null,"abstract":"<p>This study revealed that 41.9% of wild-born Japanese captive dolphins (18 out of 43 dolphins) have neutralizing antibodies specific to cetacean morbillivirus (CeMV). This finding indicates a widespread yet undetected CeMV infection among wild dolphins in the waters around Japan, occurring without notable epidemic or mass mortality of dolphins.</p>","PeriodicalId":18679,"journal":{"name":"Microbiology and Immunology","volume":"69 5","pages":"307-312"},"PeriodicalIF":1.9,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1348-0421.13207","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143414703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Clinical Isolate of Human Parainfluenza Virus 3 (Fukushima/O695/2019) Contains a Mutation in the Serial Guanosines in the RNA Editing Site of the P Gene and Produces an Atypical Number of Nongenomic Guanosine Insertions During RNA Editing 人副流感病毒3 (Fukushima/O695/2019)临床分离株在P基因的RNA编辑位点上含有一系列鸟苷突变,并在RNA编辑过程中产生非典型数量的非基因组鸟苷插入。
IF 1.9 4区 医学 Q4 IMMUNOLOGY Pub Date : 2025-02-11 DOI: 10.1111/1348-0421.13203
Kazuya Shirato, Miyuki Kawase, Reiko Suwa, Masatoshi Kakizaki, Satoko Sugimoto, Yohei Kume, Mina Chishiki, Takashi Ono, Hisao Okabe, Sakurako Norito, Mitsuaki Hosoya, Makoto Ujike, Koichi Hashimoto

Human parainfluenza virus 3 (HPIV3) contains a purine-rich RNA editing site, allowing multiple viral proteins to be produced from a single gene by the posttranscriptional addition of G nucleotides. The Fukushima/O695/2019 (O695) HPIV3 clinical isolate has a G-to-A substitution at the last position of five serial G residues in the RNA editing site. This study evaluates the effects of this substitution in the RNA editing site on the biological character of HPIV3. Our results show that O695 has slightly reduced viral replication compared with viruses with an intact RNA editing site. The number of G nucleotides inserted into the RNA editing site in HPIV3 isolates with an intact RNA editing site was 5 or fewer in most cases, giving a total of 10 serial G bases (5 + 5). In contrast, the number of G nucleotides inserted into the RNA editing site in O695 showed an atypical pattern, with six or fewer in most cases. This resulted in a total of 10 (4 + 6), suggesting the additional insertion of one more nongenomic G to the mRNA of the P gene of O695 compared with viruses carrying no mutations in the RNA editing site. Phylogenetic analysis reveals that mutations in the RNA editing site occur sporadically with various mutation patterns, suggesting that these mutations are routinely selected for during the life cycle of HPIV3.

人副流感病毒3 (HPIV3)含有一个富含嘌呤的RNA编辑位点,允许通过转录后添加G核苷酸从单个基因产生多个病毒蛋白。福岛/O695/2019 (O695) HPIV3临床分离物在RNA编辑位点的五个序列G残基的最后一个位置上有G-to- a替代。本研究评估了RNA编辑位点的这种替代对HPIV3生物学特性的影响。我们的研究结果表明,与具有完整RNA编辑位点的病毒相比,O695略微减少了病毒复制。在大多数具有完整RNA编辑位点的HPIV3分离株中,插入RNA编辑位点的G核苷酸数量为5个或更少,总共有10个序列G碱基(5 + 5)。相比之下,在O695中插入RNA编辑位点的G核苷酸数量呈现非典型模式,大多数情况下为6个或更少。这导致总共10个(4 + 6),这表明与RNA编辑位点没有突变的病毒相比,O695的P基因mRNA上额外插入了一个非基因组G。系统发育分析显示,RNA编辑位点的突变以各种突变模式零星发生,这表明这些突变在HPIV3的生命周期中是常规选择的。
{"title":"A Clinical Isolate of Human Parainfluenza Virus 3 (Fukushima/O695/2019) Contains a Mutation in the Serial Guanosines in the RNA Editing Site of the P Gene and Produces an Atypical Number of Nongenomic Guanosine Insertions During RNA Editing","authors":"Kazuya Shirato,&nbsp;Miyuki Kawase,&nbsp;Reiko Suwa,&nbsp;Masatoshi Kakizaki,&nbsp;Satoko Sugimoto,&nbsp;Yohei Kume,&nbsp;Mina Chishiki,&nbsp;Takashi Ono,&nbsp;Hisao Okabe,&nbsp;Sakurako Norito,&nbsp;Mitsuaki Hosoya,&nbsp;Makoto Ujike,&nbsp;Koichi Hashimoto","doi":"10.1111/1348-0421.13203","DOIUrl":"10.1111/1348-0421.13203","url":null,"abstract":"<div>\u0000 \u0000 <p>Human parainfluenza virus 3 (HPIV3) contains a purine-rich RNA editing site, allowing multiple viral proteins to be produced from a single gene by the posttranscriptional addition of G nucleotides. The Fukushima/O695/2019 (O695) HPIV3 clinical isolate has a G-to-A substitution at the last position of five serial G residues in the RNA editing site. This study evaluates the effects of this substitution in the RNA editing site on the biological character of HPIV3. Our results show that O695 has slightly reduced viral replication compared with viruses with an intact RNA editing site. The number of G nucleotides inserted into the RNA editing site in HPIV3 isolates with an intact RNA editing site was 5 or fewer in most cases, giving a total of 10 serial G bases (5 + 5). In contrast, the number of G nucleotides inserted into the RNA editing site in O695 showed an atypical pattern, with six or fewer in most cases. This resulted in a total of 10 (4 + 6), suggesting the additional insertion of one more nongenomic G to the mRNA of the P gene of O695 compared with viruses carrying no mutations in the RNA editing site. Phylogenetic analysis reveals that mutations in the RNA editing site occur sporadically with various mutation patterns, suggesting that these mutations are routinely selected for during the life cycle of HPIV3.</p>\u0000 </div>","PeriodicalId":18679,"journal":{"name":"Microbiology and Immunology","volume":"69 4","pages":"220-228"},"PeriodicalIF":1.9,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Neurofilament Light Chain: A Potential Diagnostic Biomarker for Rabies 神经丝轻链:狂犬病的潜在诊断生物标志物。
IF 1.9 4区 医学 Q4 IMMUNOLOGY Pub Date : 2025-02-06 DOI: 10.1111/1348-0421.13201
Nayana Siddalingaiah, Lonika Lodha, Manoor Ananda Ashwini, Shubhangi Chandel, Sathya Priya Manuel, Parthipulli Vasuki Prathyusha, Tina Damodar, Sarada Subramanian, Reeta S. Mani

Rabies is a fatal, acute progressive encephalomyelitis caused by the rabies virus and other Lyssaviruses. Several other clinical conditions can mimic rabies. Antemortem laboratory diagnosis remains challenging and requires multiple or serial sampling for confirmation. Measurement of host-based biomarkers is an emerging area of research in infectious diseases; however, a reliable biomarker for rabies remains elusive. In this study, neurofilament light chain (NfL), an established marker of neuronal injury, has been investigated as a potential diagnostic marker for rabies. NfL levels were measured using the Simoa NfL v2 kit in serum and cerebrospinal fluid (CSF) samples received for routine diagnostic testing from encephalitis cases (rabies, n = 31; other encephalitides, n = 30) and controls (n = 24). The median serum NfL level in the rabies group was significantly higher than that in the control group (adjusted p  < 0.001), as well as the other encephalitides group (adjusted p = 0.024). Furthermore, the median CSF NfL level in the rabies group was significantly higher than that in the other encephalitides group (p < 0.001). There were no significant differences in serum or CSF NfL levels in rabies cases with different clinical presentations, prior vaccination status, or incubation period. These findings demonstrate for the first time that rabies can be differentiated from other causes of encephalitis by extremely high NfL levels.

狂犬病是一种致命的急性进行性脑脊髓炎,由狂犬病毒和其他狂犬病毒引起。其他几种临床症状也可能与狂犬病相似。死前的实验室诊断仍然具有挑战性,需要多次或连续取样进行确认。基于宿主的生物标志物的测量是传染病研究的一个新兴领域;然而,狂犬病的可靠生物标志物仍然难以捉摸。本研究将神经丝轻链(neurofilament light chain, NfL)作为一种已知的神经元损伤标志物,作为狂犬病的潜在诊断标志物进行了研究。采用Simoa NfL v2试剂盒检测脑炎病例(狂犬病,n = 31;其他脑炎患者(n = 30)和对照组(n = 24)。狂犬组血清中位NfL水平显著高于对照组(p < 0.05)
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引用次数: 0
Issue Information – Cover 发行资料-封面
IF 1.9 4区 医学 Q4 IMMUNOLOGY Pub Date : 2025-02-03 DOI: 10.1111/1348-0421.13134

Cover photograph: Cover photograph: Radial SUCRA plot of studied adhesion and biofilm-related genes. The size of nodes represents number of isolates used in the network meta-analysis. Microbiol Immunol: 69:104–113. Article link here

封面图片:封面图片:研究的粘附和生物膜相关基因的径向SUCRA图。节点的大小表示网络元分析中使用的隔离数。中华微生物学杂志(英文版);69:104-113。文章链接
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引用次数: 0
Diagnostic Markers of Severe COVID-19 and Community-Acquired Pneumonia in Children From Southern India 印度南部儿童重症COVID-19和社区获得性肺炎的诊断标志物
IF 1.9 4区 医学 Q4 IMMUNOLOGY Pub Date : 2025-01-15 DOI: 10.1111/1348-0421.13198
Tina Damodar, Lonika Lodha, Sourabh Suran, Namratha Prabhu, Maria Jose, Uddhav Kinhal, G. V. Basavaraja, Vykuntaraju K. Gowda, Reeta S. Mani

COVID-19 severely impacts children in India, with many developing severe pneumonia or multisystem inflammatory syndrome (MIS-C). Concurrently, non-COVID-19 respiratory viruses causing community-acquired pneumonia (CAP) have resurged. These conditions present similarly, challenging accurate diagnosis. This study aims to compare inflammatory markers and clinical parameters in children with severe COVID-19 pneumonia, non-COVID-19 CAP, and COVID-associated MIS-C. We assessed 12 mediators in serum from 14 children with severe COVID-19 pneumonia, 16 with severe non-COVID-19 CAP, and 9 with MIS-C. Clinical characteristics and routine laboratory findings at admission were recorded. Children with MIS-C had significantly higher levels of IL-1RA, IL-8, and TNF compared with those with severe COVID-19 pneumonia; and higher levels of CCL2, HGF, M-CSF, and IL-8 compared with severe non-COVID-19 CAP. GROα levels tended to be higher in severe COVID-19 pneumonia. Clinical presentations were similar, but MIS-C patients had distinct laboratory findings, including lower platelet counts and albumin levels, and higher creatinine and liver enzyme levels. MIS-C exhibited a unique inflammatory profile. IL-8 emerged as a potential biomarker for MIS-C, while increased GROα levels in severe COVID-19 pneumonia merit further exploration. Combining inflammatory markers with routine laboratory parameters may improve the diagnosis and differentiation of these conditions, enhancing patient management.

COVID-19严重影响了印度的儿童,许多儿童发展为严重肺炎或多系统炎症综合征(MIS-C)。与此同时,导致社区获得性肺炎(CAP)的非covid -19呼吸道病毒再次出现。这些情况同样具有挑战性,难以准确诊断。本研究旨在比较COVID-19重症肺炎、非COVID-19 CAP和COVID-19相关misc患儿的炎症标志物和临床参数。我们评估了14例COVID-19严重肺炎患儿、16例非COVID-19严重CAP患儿和9例misc患儿血清中的12种介质。记录入院时的临床特征和常规实验室检查结果。与严重COVID-19肺炎患者相比,misc患儿IL-1RA、IL-8和TNF水平显著升高;CCL2、HGF、M-CSF和IL-8水平高于非COVID-19重症肺炎患者。临床表现相似,但misc患者有不同的实验室结果,包括血小板计数和白蛋白水平较低,肌酐和肝酶水平较高。misc表现出独特的炎症特征。IL-8被认为是misc的潜在生物标志物,而严重COVID-19肺炎中GROα水平的升高值得进一步探索。将炎症标志物与常规实验室参数相结合可以改善这些疾病的诊断和鉴别,加强患者管理。
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引用次数: 0
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Microbiology and Immunology
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