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Paradoxically Greater Persistence of HIV RNA-Positive Cells in Lymphoid Tissue When ART Is Initiated in the Earliest Stage of Infection 当在感染的早期阶段开始抗逆转录病毒治疗时,淋巴组织中HIV rna阳性细胞的矛盾性更强
Pub Date : 2022-03-11 DOI: 10.1093/infdis/jiac089
E. Kroon, S. Chottanapund, S. Buranapraditkun, C. Sacdalan, D. Colby, N. Chomchey, P. Prueksakaew, S. Pinyakorn, R. Trichavaroj, S. Vasan, S. Manasnayakorn, C. Reilly, E. Helgeson, Jodi L Anderson, C. David, Jacob J. Zulk, M. de Souza, S. Tovanabutra, A. Schuetz, M. Robb, D. Douek, N. Phanuphak, A. Haase, J. Ananworanich, T. Schacker
Abstract Starting antiretroviral therapy (ART) in Fiebig 1 acute HIV infection limits the size of viral reservoirs in lymphoid tissues, but does not impact time to virus rebound during a treatment interruption. To better understand why the reduced reservoir size did not increase the time to rebound we measured the frequency and location of HIV RNA+ cells in lymph nodes from participants in the RV254 acute infection cohort. HIV RNA+ cells were detected more frequently and in greater numbers when ART was initiated in Fiebig 1 compared to later Fiebig stages and were localized to the T-cell zone compared to the B-cell follicle with treatment in later Fiebig stages. Variability of virus production in people treated during acute infection suggests that the balance between virus-producing cells and the immune response to clear infected cells rapidly evolves during the earliest stages of infection. Clinical Trials Registration: NCT02919306.
在Fiebig 1型急性HIV感染中开始抗逆转录病毒治疗(ART)限制了淋巴组织中病毒库的大小,但不影响治疗中断期间病毒反弹的时间。为了更好地理解为什么减少的储存库大小没有增加反弹时间,我们测量了RV254急性感染队列参与者淋巴结中HIV RNA+细胞的频率和位置。与Fiebig晚期相比,在Fiebig晚期开始抗逆转录病毒治疗时,在Fiebig 1期检测到更多的HIV RNA+细胞,并且与在Fiebig晚期治疗的b细胞卵泡相比,在t细胞区检测到更多的HIV RNA+细胞。在急性感染期间接受治疗的人群中病毒产生的变异性表明,在感染的早期阶段,病毒产生细胞和清除受感染细胞的免疫反应之间的平衡迅速演变。临床试验注册:NCT02919306。
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引用次数: 2
Evolution of resistance to antibiotics in Neisseria meningitidis: any reasons for concern? 脑膜炎奈瑟菌对抗生素耐药性的演变:有什么值得关注的理由吗?
Pub Date : 2022-03-10 DOI: 10.1093/infdis/jiac095
M. Taha, A. Deghmane
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引用次数: 1
Reply to Kao and Liaw. 回复高和刘。
Pub Date : 2022-03-04 DOI: 10.1093/infdis/jiac081
Valeria Ochoa, F. Erra Díaz, E. Ramírez, María Clara Fentini, M. Carobene, J. Geffner, L. Arruvito, F. Remes Lenicov
{"title":"Reply to Kao and Liaw.","authors":"Valeria Ochoa, F. Erra Díaz, E. Ramírez, María Clara Fentini, M. Carobene, J. Geffner, L. Arruvito, F. Remes Lenicov","doi":"10.1093/infdis/jiac081","DOIUrl":"https://doi.org/10.1093/infdis/jiac081","url":null,"abstract":"","PeriodicalId":22572,"journal":{"name":"The Indonesian Journal of Infectious Diseases","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75535488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Infants Younger Than 6 Months Infected With SARS-CoV-2 Show the Highest Respiratory Viral Loads 6个月以下感染SARS-CoV-2的婴儿呼吸道病毒载量最高
Pub Date : 2022-03-04 DOI: 10.1093/infdis/jiac080
Chih-Ching Kao, Y. Liaw
* Corresponding Author: Yung-Po Liaw, PhD, ORCID: 0000-0003-2046-4964 Department of Public Health and Institute of Public Health, Chung Shan Medical University, Taichung 40201, Taiwan Department of Medical Imaging, Chung Shan Medical University Hospital, Taichung, Taiwan Medical Imaging and Big Data Center, Chung Shan Medical University Hospital, Taichung, Taiwan Chung Shan Medical University No. 110, Sec. 1, Jianguo N. Rd., South District, Taichung City 40201, Taiwan, (TEL) +886 4 36097222 #11838 or +886 4 36097501, (FAX) No Fax liawyp@csmu.edu.tw
*通讯作者:刘永宝,博士,ORCID:40201台中市中山医科大学公共卫生系与公共卫生研究所,台中市中山医科大学附属医院台湾医学影像科,台中市中山医科大学附属医院台湾医学影像与大数据中心,台中市建国北路1段110号,台中市40201,(电话)+886 4 36097222 #11838或+886 4 36097501;(传真)不传真liawyp@csmu.edu.tw
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引用次数: 0
Group B Streptococcus invasive infections in women of childbearing age, France, 2012 - 2020 : GBS CC-17 hypervirulence in intrapartum infections. 2012 - 2020年法国育龄妇女B族链球菌侵袭性感染:产时感染中的GBS CC-17高毒力
Pub Date : 2022-03-02 DOI: 10.1093/infdis/jiac076
C. Plainvert, Yasmina de Saint Salvy-Tabet, N. Dmytruk, A. Frigo, C. Poyart, Asmaa Tazi
Group B Streptococcus (GBS) is the leading cause of neonatal infections and an important pathogen in pregnancy. However, the features of pregnancy-associated infections are poorly reported. We analyzed 336 cases of GBS invasive infections in women aged 18 to 50 years old, including 242 (72.0%) pregnancy-associated infections. In pregnancy, most cases were intra-amniotic infections (55.8%), occurred preterm (61.3%) and were associated to obstetrical and neonatal complications (81.7%). The GBS clone CC-17 (18.8% of the cases) was overrepresented intrapartum (35.2%; OR = 5.1, 95% CI 1.6-19.3). This work highlights the burden of GBS and of the CC-17 clone infections during pregnancy.
B群链球菌(GBS)是新生儿感染的主要原因,也是妊娠期的重要病原体。然而,妊娠相关感染的特征报道很少。我们分析了336例18至50岁女性的GBS侵袭性感染,其中242例(72.0%)为妊娠相关感染。妊娠期以羊膜内感染为主(55.8%),发生早产(61.3%),伴有产科和新生儿并发症(81.7%)。GBS克隆CC-17(18.8%的病例)在产时被过度代表(35.2%;Or = 5.1, 95% ci 1.6-19.3)。这项工作强调了妊娠期间GBS和CC-17克隆感染的负担。
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引用次数: 0
Novel Hepatic Schistosomula Antigens as Promising Targets for Immunodiagnosis and Immunoprotection of Schistosomiasis japonica. 新型肝血吸虫抗原在日本血吸虫病免疫诊断和免疫保护中的应用前景
Pub Date : 2022-03-02 DOI: 10.1093/infdis/jiac077
N. Hou, X. Piao, Ning Jiang, Shuai Liu, Pengfei Cai, Bing Liu, D. McManus, Qijun Chen
Antigens of migrating schistosomula are promising candidates as schistosomiasis vaccine targets, since immune attack on hepatic schistosomula would interrupt the parasites life cycle and reduce egg burden on the host. Here, we report a collection of Schistosoma japonicum schistosomula proteins (SjScP), which are highly expressed in hepatic schistosomula. We found that a number of these SjScPs were highly antigenic and could effectively stimulate humoral immune responses in both human and other mammalian hosts. In particular, SjScP25, SjScP37, SjScP41, SjScP80, SjScP88 showed high potential as biomarkers for schistosomiasis immunodiagnosis. Furthermore, we demonstrated that immunization with several of the recombinant SjScPs were able to protect mice from S. japonicum challenge infection, with SjScP25 generating the most protective results. Our work represents a group of novel schistosome immunogens, which may be promsing schistosomiasis japonica diagonosis and vaccine candidates.
由于对肝脏血吸虫的免疫攻击可以中断寄生虫的生命周期,减轻宿主的虫卵负担,因此迁移血吸虫抗原是血吸虫病疫苗的候选靶点。本文报道了在肝型血吸虫中高表达的日本血吸虫蛋白(SjScP)。我们发现这些sjscp中的许多具有高抗原性,可以有效地刺激人类和其他哺乳动物宿主的体液免疫反应。其中SjScP25、SjScP37、SjScP41、SjScP80、SjScP88作为血吸虫病免疫诊断的生物标志物具有较高的应用潜力。此外,我们证明了几种重组SjScPs免疫能够保护小鼠免受日本血吸虫的攻击感染,其中SjScP25产生的保护效果最好。我们的工作代表了一组新的血吸虫免疫原,它们可能是有希望的日本血吸虫病诊断和疫苗候选物。
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引用次数: 1
SARS-CoV-2 nucleocapsid urine antigen in hospitalized patients with Covid-19 新冠肺炎住院患者尿液中SARS-CoV-2核衣壳抗原的研究
Pub Date : 2022-03-01 DOI: 10.1093/infdis/jiac073
N. Veyrenche, A. Pisoni, S. Debiesse, K. Bollore, A. Bedin, A. Makinson, C. Niel, C. Alcocer-Cordellat, A. Mondain, V. Le Moing, P. Van de Perre, E. Tuaillon
Abstract Background SARS-CoV-2 nucleocapsid antigen (N-Ag) can be detected in the blood of patients with Covid-19. We used a highly sensitive and specific assay to explore the presence of N-Ag in urine during the course of Covid-19, and explore its relationship with the severity of the disease. Methods We studied urine and blood N-Ag using highly sensitive immunoassay in 82 patients with a SARS-CoV-2 infection proven by PCR. Results In the first and second weeks of Covid-19, hospitalized patients tested positive for urinary N-Ag (81.25% and 71.79%, respectively), and blood N-Ag (93.75% and 94.87%, respectively). High urinary N-Ag levels were associated with the absence of SARS-CoV-2 nucleocapsid antibodies, admission in intensive care units, high C-reactive protein levels, lymphopenia, eosinopenia, and high lactate dehydrogenase. A higher accuracy was observed for urine N-Ag as a predictor of severe Covid-19 compared to blood N-Ag. Conclusions Our study demonstrate that N-Ag is present in the urine of patients hospitalized in the early phase of Covid-19. As a direct marker of SARS-CoV-2, urinary N-Ag reflects the dissemination of viral compounds in the body. Urine N-Ag may be a useful marker for disease severity of SARS-CoV-2 infections.
背景在Covid-19患者血液中可检测到SARS-CoV-2核衣壳抗原(N-Ag)。我们采用了一种高度敏感和特异性的检测方法来探索Covid-19病程中尿中N-Ag的存在,并探讨其与疾病严重程度的关系。方法采用高灵敏度免疫分析法对82例经PCR证实的SARS-CoV-2感染患者进行尿、血N-Ag检测。结果住院患者感染新冠肺炎后第1周和第2周尿N-Ag阳性率分别为81.25%和71.79%,血N-Ag阳性率分别为93.75%和94.87%。高尿N-Ag水平与缺乏SARS-CoV-2核衣壳抗体、入住重症监护病房、高c反应蛋白水平、淋巴细胞减少、嗜酸性粒细胞减少和高乳酸脱氢酶有关。与血液N-Ag相比,尿液N-Ag作为严重Covid-19的预测指标具有更高的准确性。结论新冠肺炎早期住院患者尿液中存在N-Ag。尿N-Ag作为SARS-CoV-2的直接标志物,反映了病毒化合物在体内的传播。尿N-Ag可能是SARS-CoV-2感染疾病严重程度的有用标志物。
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引用次数: 3
Response to Cyktor Et Al. 对Cyktor等人的反应。
Pub Date : 2022-02-26 DOI: 10.1093/infdis/jiac070
Martina Bottanelli, D. Ceccarelli, L. Galli, A. Castagna, C. Muccini
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引用次数: 0
Tofacitinib Treatment in Primary Herpes Simplex Encephalitis Interferes With Antiviral Response 托法替尼治疗原发性单纯疱疹脑炎干扰抗病毒反应
Pub Date : 2022-02-26 DOI: 10.1093/infdis/jiac040
M. Krzyżowska, Anders Jarneborn, Karolina Thorn, K. Eriksson, T. Jin
Abstract Tofacitinib, a Janus kinase inhibitor, is a novel immunosuppressive drug for treatment of rheumatoid arthritis. Herpes simplex virus type 1 (HSV-1) may cause encephalitis during primary infection or following reactivation from a latent state. Long-term tofacitinib treatment may increase the risk of this life-threatening condition. The aim of this study was to investigate the effect of tofacitinib on HSV-1 primary infection using a mouse model. Mice pretreated with tofacitinib were intranasally infected with a clinical strain of HSV-1 and monitored for infection severity and antiviral response. Tofacitinib treatment of HSV-1 primary infection resulted in increased viral loads and worsened clinical outcome. Furthermore, tofacitinib promoted M2 anti-inflammatory phenotype of microglia and infiltrating monocytes, as well as inhibited production of inflammatory and antiviral cytokines by macrophages in vitro. Our findings show that treatment with tofacitinib increases severity of herpes simplex encephalitis in mice, by impairing antiviral response induced by monocytes and microglia.
摘要托法替尼是一种Janus激酶抑制剂,是一种治疗类风湿性关节炎的新型免疫抑制药物。单纯疱疹病毒1型(HSV-1)可在初次感染期间或从潜伏状态重新激活后引起脑炎。长期托法替尼治疗可能会增加这种危及生命的疾病的风险。本研究的目的是通过小鼠模型研究托法替尼对HSV-1原发感染的影响。经托法替尼预处理的小鼠鼻内感染1型单纯疱疹病毒临床毒株,并监测感染严重程度和抗病毒反应。托法替尼治疗HSV-1原发性感染导致病毒载量增加和临床结果恶化。此外,托法替尼在体外可促进小胶质细胞和浸润单核细胞M2抗炎表型,抑制巨噬细胞产生炎症和抗病毒细胞因子。我们的研究结果表明,托法替尼通过削弱单核细胞和小胶质细胞诱导的抗病毒反应,增加了小鼠单纯疱疹脑炎的严重程度。
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引用次数: 1
Cross-neutralizing activity against Omicron could be obtained in SARS-CoV-2 convalescent patients who received two doses of mRNA vaccination 接种两剂mRNA疫苗的SARS-CoV-2恢复期患者可获得对Omicron的交叉中和活性
Pub Date : 2022-02-26 DOI: 10.1101/2022.02.24.22271262
Y. Kurahashi, K. Furukawa, S. Sutandhio, L. H. Tjan, S. Iwata, Shigeru Sano, Y. Tohma, Hiroyuki Ohkita, Sachiko Nakamura, M. Nishimura, J. Arii, T. Kiriu, M. Yamamoto, T. Nagano, Y. Nishimura, Y. Mori
The SARS-CoV-2 variant Omicron is now under investigation. We evaluated cross-neutralizing activity against Omicron in COVID-19 convalescent patients who had received two doses of an mRNA vaccination. Surprisingly and interestingly, after the second vaccination, the subject neutralizing antibody titers including that against Omicron all became seropositive, and significant fold-increases were seen regardless of the subject disease severity. Our findings thus demonstrate that at least two doses of mRNA vaccination to SARS-CoV-2 convalescent patients can induce cross-neutralizing activity against Omicron.
SARS-CoV-2变种欧米克隆目前正在调查中。我们评估了接受两剂mRNA疫苗接种的COVID-19恢复期患者对Omicron的交叉中和活性。令人惊讶和有趣的是,在第二次接种疫苗后,受试者的中和抗体滴度(包括针对Omicron的抗体滴度)全部呈血清阳性,并且无论受试者的疾病严重程度如何,都可以看到显着的倍增。因此,我们的研究结果表明,至少两剂mRNA疫苗接种SARS-CoV-2恢复期患者可以诱导对Omicron的交叉中和活性。
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引用次数: 5
期刊
The Indonesian Journal of Infectious Diseases
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