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Strategies for the successful implementation of viral laboratory automation. 成功实施病毒实验室自动化的策略。
Pub Date : 2012-01-01 Epub Date: 2012-11-30 DOI: 10.2174/1874357901206010115
Cristóbal Avivar

It has been estimated that more than 70% of all medical activity is directly related to information providing analytical data. Substantial technological advances have taken place recently, which have allowed a previously unimagined number of analytical samples to be processed while offering high quality results. Concurrently, yet more new diagnostic determinations have been introduced - all of which has led to a significant increase in the prescription of analytical parameters. This increased workload has placed great pressure on the laboratory with respect to health costs. The present manager of the Clinical Laboratory (CL) has had to examine cost control as well as rationing - meaning that the CL's focus has not been strictly metrological, as if it were purely a system producing results, but instead has had to concentrate on its efficiency and efficacy. By applying re-engineering criteria, an emphasis has had to be placed on improved organisation and operating practice within the CL, focussing on the current criteria of the Integrated Management Areas where the technical and human resources are brought together. This re-engineering has been based on the concepts of consolidating and integrating the analytical platforms, while differentiating the production areas (CORE Laboratory) from the information areas. With these present concepts in mind, automation and virological treatment, along with serology in general, follow the same criteria as the rest of the operating methodology in the Clinical Laboratory.

据估计,所有医疗活动的70%以上与提供分析数据的信息直接相关。最近发生了重大的技术进步,这使得以前无法想象的数量的分析样品可以处理,同时提供高质量的结果。同时,引入了更多新的诊断方法-所有这些都导致了分析参数处方的显着增加。工作量的增加使实验室在保健费用方面承受了巨大压力。临床实验室(CL)的现任经理必须检查成本控制和定量配给——这意味着临床实验室的重点不是严格的计量,就好像它纯粹是一个产生结果的系统,而是必须集中于其效率和功效。透过应用再造准则,本处的重点必须放在改善本处的组织和运作方法上,并着重于整合技术和人力资源的综合管理范畴的现行准则。这种重新设计是基于巩固和整合分析平台的概念,同时将生产区域(CORE实验室)与信息区域区分开来。考虑到这些目前的概念,自动化和病毒学治疗以及血清学一般遵循与临床实验室其他操作方法相同的标准。
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引用次数: 8
The invisible enemy - how human papillomaviruses avoid recognition and clearance by the host immune system. 看不见的敌人——人类乳头瘤病毒如何避免被宿主免疫系统识别和清除。
Pub Date : 2012-01-01 Epub Date: 2012-12-28 DOI: 10.2174/1874357901206010249
Agnieszka K Grabowska, Angelika B Riemer

Human papillomavirus (HPV) needs to persist in squamous epithelia for a certain amount of time to complete its reproductive cycle. Therefore, the virus has evolved multiple immune evasion strategies. The interplay of these immune evasion mechanisms with the host immune system decides whether a HPV infection is cleared or becomes persistent. Clearance of HPV-induced lesions is mediated by a cellular immune response, consisting of both cytotoxic T lymphocyte and T helper cell responses. Persistent HPV infection, on the other hand, is the single most important risk factor for the development of HPV-associated premalignant lesions and HPV-driven cancers. This article reviews the immune evasion mechanisms employed by high-risk HPVs to escape host immune recognition and attack.

人乳头瘤病毒(HPV)需要在鳞状上皮中持续一定的时间才能完成其生殖周期。因此,病毒进化出多种免疫逃避策略。这些免疫逃避机制与宿主免疫系统的相互作用决定了HPV感染是被清除还是持续存在。清除hpv诱导的病变是由细胞免疫反应介导的,包括细胞毒性T淋巴细胞和T辅助细胞反应。另一方面,持续的HPV感染是HPV相关的恶性前病变和HPV驱动的癌症发展的最重要的危险因素。本文综述了高危hpv逃避宿主免疫识别和攻击的免疫逃避机制。
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引用次数: 0
Evidence and impact of human papillomavirus latency. 人乳头瘤病毒潜伏期的证据和影响。
Pub Date : 2012-01-01 Epub Date: 2012-12-28 DOI: 10.2174/1874357901206010198
Patti E Gravitt

At present, there is no consensus in the scientific community regarding the ability for human papillomavirus (HPV) infections to establish latency. Based on animal studies, a model of papillomavirus latency has been proposed in which papillomaviruses can be retained in the basal epithelial stem cell pool as latent infections and periodically induced to reactivate when the stem cell divides and one daughter cell is committed to terminal differentiation and induction of the viral life cycle. Tissue resident memory T-cells are hypothesized to control these periodic reactivation episodes and thus limit their duration. In this paper, evidence from human studies consistent with this model of papillomavirus latency is reviewed. Given the strong circumstantial evidence supporting a natural history of HPV infection which includes a immunologically controlled latent state, the longer term implications of HPV latency on a highly infected and aging population may warrant a more serious evaluation.

目前,科学界对于人乳头瘤病毒(HPV)感染能否形成潜伏期尚无共识。基于动物研究,提出了一种乳头瘤病毒潜伏期模型,其中乳头瘤病毒可以作为潜伏感染保留在基底上皮干细胞池中,并在干细胞分裂和一个子细胞致力于最终分化和诱导病毒生命周期时周期性地诱导重新激活。假设组织常驻记忆t细胞控制这些周期性的再激活事件,从而限制其持续时间。在本文中,证据从人类研究一致的这种模型乳头瘤病毒潜伏期进行综述。鉴于强有力的间接证据支持HPV感染的自然史,包括免疫控制的潜伏状态,HPV潜伏对高度感染和老龄化人群的长期影响可能需要更认真的评估。
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引用次数: 51
Loss of HPV16 E2 Protein Expression Without Disruption of the E2 ORF Correlates with Carcinogenic Progression. hpv16e2蛋白表达缺失而不破坏E2 ORF与致癌进展相关
Pub Date : 2012-01-01 Epub Date: 2012-12-28 DOI: 10.2174/1874357901206010163
Yuezhen Xue, Diana Lim, Liang Zhi, Pingping He, Jean-Pierre Abastado, Françoise Thierry

Integration of the viral DNA in the cellular genome has been suggested to be critical in carcinogenic progression of HPV-associated cervical neoplasia. This event can be accompanied by disruption of the open reading frame (ORF) encoding the E2 repressor, thus leading to transcriptional up-regulation of the E6 and E7 viral oncogenes. At this stage, it is unclear whether disruption of the E2 ORF is mandatory for carcinogenic progression. We measured E2 RNA and protein expression in clinical samples of various grades of HPV16-associated cervical neoplasia and compared it with the status of the viral genome. RNA extracted from paraffin embedded tissues was hybridized to specific probes and quantified by the NanoString technology. Protein expression was appreciated by immunohistochemistry and the status of viral DNA was determined by in situ hybridization, all performed on serial sections of the same samples. E2 protein was found highly expressed in CIN1, CIN2 lesions where the HPV DNA was highly replicative, while it was decreased in more advanced grade lesions where replication is decreased or lost (CIN3 and SCC). In contrast, E2 transcripts could be elevated even in conditions of no or low expression of the protein, as found in the Caski cell line. Our data demonstrate that integration of the viral DNA in the cellular genome does not always lead to disruption of the E2 ORF and drastic reduction of E2 transcripts, while in contrast, expression of the E2 protein is always drastically reduced.

病毒DNA在细胞基因组中的整合被认为是hpv相关宫颈肿瘤癌变进展的关键。这一事件可能伴随着编码E2抑制因子的开放阅读框(ORF)的破坏,从而导致E6和E7病毒癌基因的转录上调。在这个阶段,尚不清楚E2 ORF的破坏是否是致癌进展的强制性条件。我们测量了不同级别hpv16相关宫颈肿瘤临床样本中E2 RNA和蛋白的表达,并将其与病毒基因组的状态进行了比较。将从石蜡包埋组织中提取的RNA与特异性探针杂交,并利用NanoString技术进行定量分析。免疫组织化学检测蛋白表达,原位杂交检测病毒DNA状态,所有这些都是在同一样品的连续切片上进行的。E2蛋白在HPV DNA高度复制的CIN1, CIN2病变中被发现高表达,而在复制减少或丢失的更高级病变中被发现低表达(CIN3和SCC)。相反,在Caski细胞系中发现,即使在蛋白不表达或低表达的情况下,E2转录本也可以升高。我们的数据表明,病毒DNA在细胞基因组中的整合并不总是导致E2 ORF的破坏和E2转录物的急剧减少,相反,E2蛋白的表达总是急剧减少。
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引用次数: 32
The microRNA Transcriptome of Human Cytomegalovirus (HCMV). 人巨细胞病毒(HCMV)的microRNA转录组。
Pub Date : 2012-01-01 Epub Date: 2012-04-11 DOI: 10.2174/1874357901206010038
Mesfin K Meshesha, Isana Veksler-Lublinsky, Ofer Isakov, Irit Reichenstein, Noam Shomron, Klara Kedem, Michal Ziv-Ukelson, Zvi Bentwich, Yonat Shemer Avni

The purpose of the present study was to characterize the microRNA transcriptome (miRNAome) of the human cytomegalovirus (HCMV or HHV5). We used deep sequencing and real time PCR (qPCR) together with bioinformatics to analyze the pattern of small RNA expression in cells infected with low-passage isolates of HCMV as well as in plasma and amniotic fluid. We report here on the discovery of four new precursors and ten new miRNAs as well as eleven microRNA-offset-RNAs (moRs) that are all encoded by HCMV. About eighty percent of the total HCMV reads were perfectly mapped to HCMV miRNAs, strongly suggestive of their important biological role that in large remains still to be defined and characterized. Taken altogether, the results of this study demonstrate the power and usefulness of the combined bioinformatics/biological approach in discovering additional important members of HCMV- encoded small RNAs and can be applied to the study of other viruses as well.

本研究的目的是表征人巨细胞病毒(HCMV或HHV5)的microRNA转录组(miRNAome)。我们采用深度测序和实时PCR (qPCR)技术,结合生物信息学分析了HCMV低传代分离株感染细胞、血浆和羊水中小RNA的表达模式。我们在此报告了四种新的前体和十个新的mirna以及十一个microRNA-offset-RNAs (moRs)的发现,它们都是由HCMV编码的。大约80%的HCMV读取完全映射到HCMV mirna,这强烈表明它们的重要生物学作用在很大程度上仍有待定义和表征。综上所述,本研究的结果证明了生物信息学/生物学结合方法在发现HCMV编码小rna的其他重要成员方面的力量和有效性,并且也可以应用于其他病毒的研究。
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引用次数: 45
Development and evaluation of an enzyme-linked immunosorbent assay for dengue capsid. 登革热衣壳酶联免疫吸附试验的建立与评价。
Pub Date : 2012-01-01 Epub Date: 2012-03-29 DOI: 10.2174/1874357901206010029
Suganya Selvarajah, Udayan Chatterji, Richard Kuhn, Richard Kinney, Subhash G Vasudevan, Philippe Gallay

The astonishing speed with which Dengue has spread across the world and the severity of its infection make Dengue a prime threat to human life worldwide. Unfortunately, to date there are no effective vaccines or treatments against Dengue. Since only a few assays permit rapid and sensitive detection of Dengue, we developed a specific antigen capture enzyme-linked immunosorbent assay (ELISA) for the abundant structural Dengue-2 capsid protein. We showed that the ELISA allows rapid and sensitive detection of Dengue-2 replication in various cell lines including human and mosquito cells. Using anti-capsid antibodies, we demonstrated that the capsid ELISA is as accurate as other well-characterized Dengue assays such as intracellular FACS staining (IFSA) and fluorescent focus (FFA) assays. The capsid ELISA not only represents a useful tool for in vitro basic research, but it may also represent a valuable diagnostic tool for Dengue infection in patients.

登革热在世界各地传播的惊人速度及其感染的严重程度使登革热成为全世界人类生命的主要威胁。不幸的是,迄今为止还没有针对登革热的有效疫苗或治疗方法。由于只有少数检测方法能够快速灵敏地检测登革热,我们开发了一种特异性抗原捕获酶联免疫吸附试验(ELISA),用于检测丰富的结构登革热-2衣壳蛋白。我们发现ELISA可以快速灵敏地检测登革热-2在包括人类和蚊子细胞在内的各种细胞系中的复制。使用抗衣壳抗体,我们证明了衣壳ELISA与其他具有良好特征的登革热检测方法(如细胞内FACS染色(IFSA)和荧光焦点(FFA)检测方法)一样准确。衣壳酶联免疫吸附试验不仅是体外基础研究的有用工具,而且也可能是登革热患者感染的有价值的诊断工具。
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引用次数: 2
Application of molecular diagnostic techniques for viral testing. 分子诊断技术在病毒检测中的应用。
Pub Date : 2012-01-01 Epub Date: 2012-11-30 DOI: 10.2174/1874357901206010104
Fernando Cobo

Nucleic acid amplification techniques are commonly used currently to diagnose viral diseases and manage patients with this kind of illnesses. These techniques have had a rapid but unconventional route of development during the last 30 years, with the discovery and introduction of several assays in clinical diagnosis. The increase in the number of commercially available methods has facilitated the use of this technology in the majority of laboratories worldwide. This technology has reduced the use of some other techniques such as viral culture based methods and serological assays in the clinical virology laboratory. Moreover, nucleic acid amplification techniques are now the methods of reference and also the most useful assays for the diagnosis in several diseases. The introduction of these techniques and their automation provides new opportunities for the clinical laboratory to affect patient care. The main objectives in performing nucleic acid tests in this field are to provide timely results useful for high-quality patient care at a reasonable cost, because rapid results are associated with improvements in patients care. The use of amplification techniques such as polymerase chain reaction, real-time polymerase chain reaction or nucleic acid sequence-based amplification for virus detection, genotyping and quantification have some advantages like high sensitivity and reproducibility, as well as a broad dynamic range. This review is an up-to-date of the main nucleic acid techniques and their clinical applications, and special challenges and opportunities that these techniques currently provide for the clinical virology laboratory.

核酸扩增技术是目前病毒性疾病诊断和患者管理的常用技术。在过去的30年里,随着临床诊断中几种检测方法的发现和引入,这些技术有了快速但非常规的发展路线。商业上可获得的方法数量的增加促进了世界上大多数实验室使用这一技术。这项技术减少了一些其他技术的使用,如基于病毒培养的方法和临床病毒学实验室的血清学分析。此外,核酸扩增技术是目前几种疾病诊断的参考方法,也是最有用的检测方法。这些技术的引入及其自动化为临床实验室影响患者护理提供了新的机会。在这一领域进行核酸检测的主要目的是以合理的费用及时提供对高质量患者护理有用的结果,因为快速结果与患者护理的改善有关。利用聚合酶链反应、实时聚合酶链反应或核酸序列扩增等扩增技术进行病毒检测、基因分型和定量,具有灵敏度高、重现性好、动态范围广等优点。本文综述了最新的主要核酸技术及其临床应用,以及这些技术目前给临床病毒学实验室带来的特殊挑战和机遇。
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引用次数: 0
Pilot Evaluation of RT-PCR/Electrospray Ionization Mass Spectrometry (PLEX-ID/Flu assay) on Influenza-Positive Specimens. RT-PCR/电喷雾质谱(PLEX-ID/流感测定)对流感阳性标本的初步评估
Pub Date : 2012-01-01 Epub Date: 2012-05-09 DOI: 10.2174/1874357901206010064
Samuel Cordey, Yves Thomas, Patricia Suter, Laurent Kaiser

The PLEX-ID/Flu assay has been recently developed to enable the detection and typing of influenza viruses based on the RT-PCR/electrospray ionization mass spectrometry technology.This novel assay was evaluated for typing performance on 201 positive influenza A or B nasopharyngeal swab specimens (NPS) detected by real-time RT-PCR during the 2010-2011 season. The PLEX-ID/Flu assay detected and characterized 91.3% and 95.3% of all influenza A and B samples, respectively. All non-typeable influenza A and B specimens by the assay showed low viral loads with threshold cycle values ≥ 33. Taken together, and although our results need to be confirmed by further prospective studies, the PLEX-ID/Flu assay detected positively and gave a typing result for 93% of all NPS detected positively by real-time RT-PCR, thus suggesting a potential role for influenza virus surveillance among other techniques.

PLEX-ID/Flu检测是最近开发的一种基于RT-PCR/电喷雾电离质谱技术的流感病毒检测和分型方法。对2010-2011年流感季节实时RT-PCR检测的201例甲型或乙型流感阳性鼻咽拭子标本(NPS)的分型性能进行了评估。PLEX-ID/Flu检测分别检测出91.3%和95.3%的甲型和乙型流感样本。所有非分型甲型和乙型流感标本均显示低病毒载量,阈值≥33。综上所述,尽管我们的结果需要进一步的前瞻性研究来证实,但PLEX-ID/Flu测定法对实时RT-PCR检测到的93%的NPS呈阳性,并给出了分型结果,这表明在其他技术中,PLEX-ID/Flu测定法在流感病毒监测中具有潜在的作用。
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引用次数: 13
Characterization of Alternanthera mosaic virus and its Coat Protein. 互花花叶病毒及其外壳蛋白的鉴定。
Pub Date : 2011-01-01 Epub Date: 2011-11-21 DOI: 10.2174/1874357901105010136
Anna A Mukhamedzhanova, Alexander A Smirnov, Marina V Arkhipenko, Peter A Ivanov, Sergey N Chirkov, Nina P Rodionova, Olga V Karpova, Joseph G Atabekov

A new isolate of Alternantheramosaic virus (AltMV-MU) was purified from Portulaca grandiflora plants. It has been shown that the AltMV-MU coat protein (CP) can be efficiently reassembled in vitro under different conditions into helical RNA-free virus-like particles (VLPs) antigenically related to native virus. The AltMV-MU and VLPs were examined by atomic force and transmission electron microscopies. The encapsidated AltMV-MU RNA is nontranslatable in vitro. However, it can be translationally activated by CP phosphorylation or by binding to the TGB1protein from the virus-coded movement triple gene block.

摘要从桔梗马尾草植物中分离纯化了一株新分离的异温共生病毒(AltMV-MU)。研究表明,在不同条件下,AltMV-MU外壳蛋白(CP)可以有效地在体外重组成与原生病毒抗原性相关的无rna螺旋状病毒样颗粒(VLPs)。用原子力和透射电镜对AltMV-MU和VLPs进行了检测。封装的AltMV-MU RNA在体外是不可翻译的。然而,它可以通过CP磷酸化或与病毒编码的运动三重基因块中的tgb1蛋白结合而被翻译激活。
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引用次数: 15
In Vivo Interaction of the Hepatitis Delta Virus Small Antigen with the ELAV-Like Protein HuR. 丁型肝炎病毒小抗原与elav样蛋白HuR的体内相互作用
Pub Date : 2011-01-01 Epub Date: 2011-03-24 DOI: 10.2174/1874357901105010012
Ana Casaca, Margarida Fardilha, Edgar da Cruz E Silva, Celso Cunha

The small and large delta antigens (S-HDAg and L-HDAg, respectively) represent two forms of the only protein encoded by the hepatitis delta virus (HDV) RNA genome. Consequently, HDV relies, at a large extent, on the host cell machinery for replication and transcription. Until now, only a limited number of cellular proteins were identified as S-HDAg or L-HDAg partners being involved in the modulation of the virus life cycle. In an attempt to identify cellular S-HDAg-binding proteins we made use of a yeast two-hybrid approach to screen a human liver cDNA library. We were able to identify HuR, a ubiquitously expressed protein involved in RNA stabilization, as an S-HDAg partner both in vitro and in vivo. HuR was found to be overexpressed and colocalize with HDAg in human hepatoma cells. siRNA knockdown of HuR mRNA resulted in inhibition of S-HDAg and L-HDAg expression.

小型和大型δ抗原(分别为S-HDAg和L-HDAg)代表了丁型肝炎病毒(HDV) RNA基因组编码的唯一蛋白质的两种形式。因此,HDV在很大程度上依赖于宿主细胞机制进行复制和转录。到目前为止,只有有限数量的细胞蛋白被确定为参与病毒生命周期调节的S-HDAg或L-HDAg伴侣。为了鉴定细胞s - hdag结合蛋白,我们使用酵母双杂交方法筛选人肝脏cDNA文库。我们能够在体外和体内鉴定出HuR,一种参与RNA稳定的无处不在的表达蛋白,作为S-HDAg的伴侣。在人肝癌细胞中发现HuR与HDAg过表达和共定位。siRNA敲低HuR mRNA可抑制S-HDAg和L-HDAg的表达。
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引用次数: 3
期刊
The Open Virology Journal
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