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CfDNA as a surrogate marker for COVID-19 severity in patients with influenza-like symptoms with and without SARS-CoV-2 infection in general practice: a prospective cohort study. CfDNA作为普通医疗中伴有和不伴有SARS-CoV-2感染的流感样症状患者COVID-19严重程度的替代标志物:一项前瞻性队列研究
IF 4 3区 医学 Q2 VIROLOGY Pub Date : 2025-12-01 DOI: 10.1186/s12985-025-03016-x
Dorothea Dehnen, Suzan Botzenhardt, Ekaterini Giagkou, Kira Enders, Katharina Hoeter, Perikles Simon, Elmo W I Neuberger

Background: Cell-free DNA (cfDNA) has emerged as a relevant biomarker reflecting disease severity in hospitalised COVID-19 patients, correlating with respiratory failure and mortality. However, its utility has not yet been evaluated in general practitioner setting.

Methods: A prospective single-centre, two-arm, parallel, longitudinal cohort study conducted in a German general practice with four doctors between 8/2021 and 4/2022.

Participants: Sixty-one outpatients with flu-like symptoms participated: 31 (10 men, 21 women) tested SARS-CoV-2 positive (COVID group); 30 (12 men, 18 women) were controls (control group). The groups were demographically similar.

Primary outcome measures: Comparison of cfDNA levels between groups at day 0, 7 and 14.

Secondary outcome measures: Correlations between cfDNA levels and laboratory and clinical parameters like blood counts, respiratory rate and oxygen saturation.

Results: cfDNA levels did not differ significantly between groups (F [1, 59] = 1.538, p = 0.22): day 0: mean (± standard deviation) = 14.45 (± 6.24) ng/ml (COVID group) vs. 11.32 (± 4.79) ng/ml (control group); day 7: 14.46 (± 6.57) ng/ml vs. 12.53 (± 6.67) ng/ml; day 14: 12.94 (± 6.66) ng/ml vs. 12.93 (± 7.02) ng/ml. However, at t0, the integrity index was significantly lower in the COVID group (t0: 0.30 [±- 0.15] vs. 0.41 [± 0.1]; p = 0.0127) increasing at t1 (0.38 [± 0.17]; p = 0.008) and at t2 (0.42 [± 0.22]; p < 0.001).

Conclusion: Unlike hospitalised patients, cfDNA levels did not differ significantly between outpatient groups. Therefore, a decision on the need for hospitalisation based on clinical and serological factors is still required. The significantly lower integrity index of the SARS-CoV-2 infected individuals indicates that their DNA kinetics differ from those of individuals infected with other respiratory pathogens.

Trial registration: German Clinical Trials Register: DRKS00024722, Registration date: 10 March 2021.

背景:无细胞DNA (cfDNA)已成为反映住院COVID-19患者疾病严重程度的相关生物标志物,与呼吸衰竭和死亡率相关。然而,它的效用尚未评估在全科医生设置。方法:在2021年8月至2022年4月期间,在德国一家全科医院进行了一项前瞻性单中心、双臂、平行、纵向队列研究,共有4名医生参与。参与者:61例有流感样症状的门诊患者:31例(男性10例,女性21例)检测为SARS-CoV-2阳性(COVID组);30例(男12例,女18例)为对照组。这些群体在人口统计学上是相似的。主要结局指标:第0、7和14天各组间cfDNA水平的比较。次要结局指标:cfDNA水平与血球计数、呼吸频率和血氧饱和度等实验室和临床参数之间的相关性。结果:cfDNA水平组间差异无统计学意义(F [1,59] = 1.538, p = 0.22):第0天:平均值(±标准差)= 14.45(±6.24)ng/ml (COVID组)vs. 11.32(±4.79)ng/ml(对照组);第七天:14.46(±6.57)ng / ml和12.53(±6.67)ng / ml;14天:12.94(±6.66)ng / ml和12.93(±7.02)ng / ml。然而,在t0时,COVID组的完整性指数明显较低(t0: 0.30[±- 0.15]比0.41[±0.1],p = 0.0127),在t1(0.38[±0.17],p = 0.008)和t2(0.42[±0.22])时升高。因此,仍然需要根据临床和血清学因素决定是否需要住院治疗。SARS-CoV-2感染个体的DNA完整性指数显著降低,表明其DNA动力学与其他呼吸道病原体感染个体不同。试验注册:德国临床试验注册:DRKS00024722,注册日期:2021年3月10日。
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引用次数: 0
Molecular characterization of BCoV infecting vaccinated and non-vaccinated cattle in Thrace district Türkiye and isolation of field strains. 色雷斯地区接种疫苗和未接种疫苗牛BCoV感染的分子特征及野外菌株的分离。
IF 4 3区 医学 Q2 VIROLOGY Pub Date : 2025-12-01 DOI: 10.1186/s12985-025-03010-3
Semaha Gul Yilmaz, Aysun Yilmaz, Gizem Karadag, Nuri Turan, Juergen Richt, Huseyin Yilmaz

Background: Bovine coronavirus (BCoV) causes neonatal calf diarrhea (CD), winter dysentery in young cattle (WD), and respiratory system infections in cattle of all ages worldwide. The aim of this study was the detection, isolation, and investigation of the frequency, and molecular characterization of circulating BCoVs in cattle in the Thrace district of Türkiye. It was also aimed to determine genotypes and variants to include in vaccine and vaccination strategies.

Methods: For this purpose, a total of 47, including 12 integrated and 35 small-scale farms located in the Thrace district bordering European Union, were visited. A total of, 281 samples, consisting of 189 nasal/oropharyngeal and 92 fecal swabs were collected from calves exhibiting diarrhea and respiratory signs. RNA was extracted from samples and SYBR-Green real-time RT-PCR was performed. Phylogenetic and heatmap analyses were made using the sequences obtained from RT-PCR. Virus isolation was performed in HRT-18 cells using trypsin.

Results: BCoV RNA was detected in 22.06% (62/281) of swabs collected from calves under 6 months with enteric and/or respiratory signs. Detection rates were 21.69% (41/189) in nasal/oropharyngeal and 22.82% (21/92) in fecal swabs. The virus was identified in 95.7% (45/47) of sampled farms. Statistical analysis showed no significant association between BCoV positivity and the vaccination status of animals. Phylogenetic studies of S1 gene region have indicated that the samples detected in the Thrace district were clustered within the GIb subgroup along with European strains (97.6-100%, nucleotide similarity). These samples also exhibited high nucleotide similarity with HECV-4408 from human CoVs (98.28-99.14%) and DcCoV-HKU23 from other animal CoVs (97.85-99.14%). Despite being collected from distinct regions and years, two field isolates exhibited complete nucleotide identity. BCoV was successfully isolated from both nasal/oropharyngeal and fecal swabs.

Conclusions: This study indicates that BCoV remains a health concern in calves in Türkiye, with isolates clustering in the GIb subgroup alongside European strains. Strengthening biosecurity and regular monitoring should remain priorities; collecting immunologic and field-effectiveness data will help guide the development of regionally updated vaccination strategies. A One Health approach that combines full-genome sequencing with epidemiological studies would help assess zoonotic potential.

背景:牛冠状病毒(BCoV)引起新生牛犊腹泻(CD)、小牛冬季痢疾(WD)和全世界所有年龄牛的呼吸系统感染。本研究的目的是检测、分离、调查 rkiye色雷斯地区牛中循环bcov的频率和分子特征。它还旨在确定基因型和变异,以纳入疫苗和疫苗接种战略。方法:为此目的,共访问了位于与欧盟接壤的色雷斯地区的47个农场,包括12个综合农场和35个小规模农场。共有281份样本,包括189份鼻/口咽拭子和92份粪便拭子,来自有腹泻和呼吸体征的犊牛。从样品中提取RNA,进行SYBR-Green实时RT-PCR。利用RT-PCR获得的序列进行系统发育和热图分析。用胰蛋白酶在HRT-18细胞中分离病毒。结果:在有肠道和/或呼吸体征的6月龄犊牛拭子中检出BCoV RNA的比例为22.06%(62/281)。鼻/口咽拭子检出率为21.69%(41/189),粪便拭子检出率为22.82%(21/92)。95.7%(45/47)的养殖场检出病毒。统计分析显示,BCoV阳性与动物疫苗接种状况无显著相关性。S1基因区系统发育研究表明,在色雷斯地区检测到的样品与欧洲菌株一起聚集在GIb亚群(97.6-100%,核苷酸相似性)。这些样本也与人类冠状病毒的HECV-4408(98.28-99.14%)和其他动物冠状病毒的DcCoV-HKU23(97.85-99.14%)具有很高的核苷酸相似性。尽管从不同的地区和年份收集,但两个野分离株表现出完全的核苷酸同源性。成功地从鼻/口咽拭子和粪便拭子中分离出BCoV。结论:本研究表明,BCoV仍然是基耶牛的一个健康问题,分离株与欧洲菌株一起聚集在GIb亚群中。加强生物安全和定期监测仍应是优先事项;收集免疫学和实地有效性数据将有助于指导制定更新的区域疫苗接种战略。将全基因组测序与流行病学研究相结合的“同一个健康”方法将有助于评估人畜共患病的可能性。
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引用次数: 0
Decoding cross-talk between Mpox and HIV: insights from transcriptomics and network-based analyses. 解码Mpox和HIV之间的串扰:来自转录组学和基于网络的分析的见解。
IF 4 3区 医学 Q2 VIROLOGY Pub Date : 2025-12-01 DOI: 10.1186/s12985-025-03026-9
Saurav Kumar Mishra, Tabsum Chhetri, Sneha Roy, Aamal A Al-Mutairi, Adino Asmare Aragaw, Emad Rashad Sindi, Magdi E A Zaki, John J Georrge

Background: At present, the Monkeypox virus (MPXV) outbreak has become a significant public health concern, and its severity is increasing based on different clades globally, which, combined, are leading to severe complications. However, it was observed that MPXV infection was highly expressed in individuals with Human Immunodeficiency Virus (HIV), and the mechanism of cross-talk has not been explored.

Methods: This study employed a network-based methodology to examine the role of differentially expressed genes (DEGs) in HIV and monkeypox (Mpox) infections. The commonly shared DEGs in Mpox and HIV were examined, followed by their functional enrichment, co-expression, transcriptional factor, potential correlation with disease, and promising drug-associated network. Additionally, the docking analysis was accomplished to gain the interaction site of the compound towards these target genes.

Results: The GEO datasets of Mpox and HIV were examined, wherein a total of 570 Mpox and 642 HIV DEGs were identified. Among them, 41 DEGs were common, and functional enrichment and pathway analysis revealed their involvement in vital biological functions and pathways. Further, the PPI and co-expression analysis of these genes was conducted, which revealed 8 key genes or hub genes, which included SOCS3, NFKBIA, IFIT1, CCNB2, PLK3, PTGS1, ZFP36L2, and RGS16. Moreover, transcription factors (TFs) and miRNAs of the hub genes were also examined, which offered new insight into potential therapeutic targets. The gene-disease network also revealed several other diseases linked to the common and hub genes. Subsequently, the docking analysis revealed that the selected compound actively bound to the target genes and could be a potential lead to combat this.

Conclusions: This study unveils the shared mechanism between HIV and Mpox based on the hub genes perspective, offering new insights into co-infection and highlighting potential possibilities for simultaneous therapeutic intervention in both diseases.

背景:目前,猴痘病毒(MPXV)暴发已成为一个重大的公共卫生问题,其严重程度正在全球范围内根据不同的分支而增加,这些分支加在一起导致严重的并发症。然而,观察到MPXV感染在人类免疫缺陷病毒(HIV)个体中高表达,其串扰机制尚未探讨。方法:本研究采用基于网络的方法来检测差异表达基因(DEGs)在HIV和猴痘(Mpox)感染中的作用。我们检测了Mpox和HIV中共有的deg,然后分析了它们的功能富集、共表达、转录因子、与疾病的潜在相关性以及有希望的药物相关网络。此外,通过对接分析获得了化合物与这些靶基因的相互作用位点。结果:对Mpox和HIV的GEO数据集进行了检测,共鉴定出570个Mpox和642个HIV deg。其中共有41个基因,功能富集和通路分析显示它们参与重要的生物学功能和通路。进一步对这些基因进行PPI和共表达分析,发现8个关键基因或枢纽基因,包括SOCS3、NFKBIA、IFIT1、CCNB2、PLK3、PTGS1、ZFP36L2和RGS16。此外,还检测了枢纽基因的转录因子(TFs)和mirna,为潜在的治疗靶点提供了新的见解。基因-疾病网络还揭示了与普通基因和中心基因有关的其他几种疾病。随后,对接分析显示,所选择的化合物与靶基因积极结合,可能是对抗这种情况的潜在先导物。结论:本研究基于枢纽基因的视角揭示了HIV和Mpox之间的共同机制,为共同感染提供了新的见解,并强调了两种疾病同时治疗干预的潜在可能性。
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引用次数: 0
Characterization of a Sabin-like type 2/3 recombinant poliovirus with a triple nucleotide deletion in the VP1 region isolated from sewage. 从污水中分离的具有VP1区三核苷酸缺失的sabin样2/3型重组脊髓灰质炎病毒的特性
IF 4 3区 医学 Q2 VIROLOGY Pub Date : 2025-11-28 DOI: 10.1186/s12985-025-03014-z
Jie Lin, Lei Zhou, Chenglin Zhu, Jichen Li, Wei Zhang, Shuangli Zhu, Dongyan Wang, Xiaolei Li, Hui Zhu, Qian Yang, Tianjiao Ji, Jinbo Xiao, Lan Yang, Kaitao Xiao, Kexin Shao, Yong Zhang, Dongmei Yan

Nucleotide (nt) deletions in the VP1 region of poliovirus are extremely rare. However, as early as 2012, we detected a natural type 2 poliovirus strain in sewage, originating from the Sabin 2, which exhibited such deletions. Whole-genome analysis revealed that the virus genome is 7,436 nt in length, with three nucleotide deletions in positions 16-18 of the VP1 region (2,497-2,499 nt), resulting in a deletion of the amino acid at position six of the VP1 capsid protein. Notaly, the missing amino acids are not located at known attenuation or neutralization sites. In addition, the important attenuated sites at positions 481 and 2,909 remained unchanged. Only one substitution was observed at the known neutralizing antigen site: VP3-61 (Arg to Lys) on NAg3a. Recombinant analysis showed that the virus is a type 2/3 recombinant virus, with the crossover site located between nucleotides 6,981 and 7,439, spanning the 3Dpol region and the 3' untranslated region (UTR). The protein structure simulation showed that VP1 capsid protein of the PV-2 deletion variant was very similar to Sabin 2. In the VP1 region, the PV-2 deletion variant has only a triple nucleotide deletion, with no other mutations, indicates that the virus was in an early stage of evolution before being isolated from sewage. Furthermore, this variant is only a type 2/3 recombinant, not recombined with other non-polio enteroviruses, suggesting a short transmission and circulation time of the virus in the population. Therefore, we speculate that the nucleotide deletion in VP1 region of poliovirus may occur in the early evolutionary stage. Although the virus has not yet spread widely among humans, these findings highlight the importance of continuous environmental monitoring of poliovirus.

脊髓灰质炎病毒VP1区核苷酸(nt)缺失极为罕见。然而,早在2012年,我们就在污水中检测到一种来自Sabin 2的天然2型脊髓灰质炎病毒株,该株表现出这种缺失。全基因组分析显示,该病毒基因组长度为7,436 nt, VP1区域16-18位有3个核苷酸缺失(2,497-2,499 nt),导致VP1衣壳蛋白6位氨基酸缺失。值得注意的是,缺失的氨基酸并不位于已知的衰减或中和位点。此外,481位和2909位的重要衰减位点保持不变。在已知的中和抗原位点上只观察到一个取代:NAg3a上的VP3-61 (Arg to Lys)。重组分析表明,该病毒为2/3型重组病毒,交叉位点位于核苷酸6,981和7,439之间,跨越3Dpol区和3'非翻译区(UTR)。蛋白质结构模拟表明,PV-2缺失变体的VP1衣壳蛋白与Sabin 2非常相似。在VP1区,PV-2缺失变体只有一个三核苷酸缺失,没有其他突变,表明该病毒在从污水中分离出来之前处于进化的早期阶段。此外,该变异仅为2/3型重组,未与其他非脊髓灰质炎肠道病毒重组,表明该病毒在人群中的传播和循环时间较短。因此,我们推测脊髓灰质炎病毒VP1区核苷酸缺失可能发生在进化早期。尽管该病毒尚未在人类中广泛传播,但这些发现突出了对脊髓灰质炎病毒进行持续环境监测的重要性。
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引用次数: 0
Biochemical and functional characterization of orf virus decapping protein OV71. 口蹄疫病毒脱冠蛋白OV71的生化和功能特性。
IF 4 3区 医学 Q2 VIROLOGY Pub Date : 2025-11-27 DOI: 10.1186/s12985-025-03028-7
Mandanda N Mthethwa, Man-Lin Chang, Max R Chang Ishcol, Ying-Fang Chen, Wei-Li Hsu, Guan-Ting Shen, Si-Yi Wu, Meng-Syun Li, Shin-Wu Liu

Background: Nudix enzymes constitute a family of hydrolases that share a conserved Nudix motif, which catalyzes the hydrolysis of nucleoside diphosphates linked to another moiety X. Some members are cellular and viral decapping enzymes that hydrolyze the 5´ cap structure on an mRNA molecule. Unlike vaccinia virus, which encodes two Nudix enzymes, orf virus (ORFV) encodes only a single Nudix-containing gene, ORFV071 (OV71). This study investigates the biochemical properties of recombinant OV71 protein and its role in viral replication.

Methods: In vitro decapping assays using radiolabeled capped RNA substrates were performed to assess OV71 activity in the presence or absence of competitors or metal cations. Electrophoretic mobility shift assays and pulldown assays evaluated the RNA-binding ability of OV71. Decapping-deficient mutant viruses were generated by homologous recombination, and their replication was analyzed using one-step growth curve experiments. Reverse transcription-qPCR quantified host and viral mRNA levels.

Results: OV71 exhibited intrinsic decapping activity, hydrolyzing long capped RNAs to release m7GDP, with optimal activity in the presence of Mn2+. It bound both single- and double-stranded RNA and was expressed early during viral replication. Decapping-deficient mutant viruses replicated poorly in cells. Unlike the vaccinia virus decapping-deficient mutant, which triggers host antiviral responses leading to degradation of viral and host mRNAs as well as rRNAs, an orf virus mutant caused accumulation of host-capped RNAs and a severe reduction in viral mRNAs. Notably, host rRNA remained relatively intact compared to wild-type virus infection.

Conclusion: OV71 is a decapping enzyme that hydrolyzes the cap structure on long capped mRNAs. It binds both single- and double-stranded RNA, suggesting that it may target both RNA species in infected cells. Its decapping activity is critical for efficient orf virus replication. Loss of this activity leads to the accumulation of host-capped mRNAs, a drastic reduction of viral mRNAs, and minimal impact on host rRNAs, indicating a role distinct from that of the vaccinia virus decapping enzymes.

背景:Nudix酶构成了一个共享保守的Nudix基序的水解酶家族,它催化与另一个x片段连接的核苷二磷酸的水解,一些成员是细胞和病毒的脱帽酶,水解mRNA分子上的5´帽结构。与编码两种Nudix酶的牛痘病毒不同,口蹄疫病毒(ORFV)只编码一个含有Nudix的基因ORFV071 (OV71)。本研究探讨了重组OV71蛋白的生化特性及其在病毒复制中的作用。方法:使用放射性标记的盖顶RNA底物进行体外脱帽试验,以评估OV71在存在或不存在竞争对手或金属阳离子的情况下的活性。电泳迁移率转移和拉下实验评估了OV71的rna结合能力。通过同源重组获得脱衣缺陷突变病毒,并利用一步生长曲线实验对其复制进行了分析。逆转录- qpcr定量宿主和病毒mRNA水平。结果:OV71具有内在脱帽活性,可水解长帽rna释放m7GDP,在Mn2+存在下活性最佳。它结合单链和双链RNA,并在病毒复制的早期表达。脱帽缺陷突变病毒在细胞中复制不良。与牛痘病毒脱冠缺陷突变体不同,牛痘病毒脱冠缺陷突变体触发宿主抗病毒反应,导致病毒和宿主mrna以及rrna的降解,而牛痘病毒突变体引起宿主顶盖rna的积累和病毒mrna的严重减少。值得注意的是,与野生型病毒感染相比,宿主rRNA保持相对完整。结论:OV71是一种脱帽酶,可水解长帽状mrna的帽盖结构。它结合单链和双链RNA,表明它可能针对感染细胞中的两种RNA。它的脱帽活性对有效的口蹄疫病毒复制至关重要。这种活性的丧失导致宿主盖顶mrna的积累,病毒mrna的急剧减少,对宿主rrna的影响最小,表明其作用与牛痘病毒脱帽酶不同。
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引用次数: 0
Application of Probe-Capture metagenomics in rabies diagnosis. 探针捕获宏基因组学在狂犬病诊断中的应用。
IF 4 3区 医学 Q2 VIROLOGY Pub Date : 2025-11-27 DOI: 10.1186/s12985-025-03029-6
Panyan Liu, Zhenfeng Deng, Yingjin Wang, Fengwen Wu, JunSong Peng, Piwei Huang, Yuanli Wang, Jingmao Lao

Background: Rabies, a lethal viral encephalitis caused by Rabies virus (RabV), is transmitted via bites, scratches, or mucosal contact with infected animals, as well as through inhalation of aerosolized particles, ingestion of contaminated raw animal products, or transplantation of infected organs. It's near-universal fatality, diverse transmission routes, and marked clinical variability significantly impede timely diagnosis, highlighting the demand for a rapid and precise diagnostic approach.

Methods: Single-center retrospective case series.

Results: This series reported three rabies cases admitted to the First People's Hospital of Qinzhou: one without identifiable exposure and two with confirmed exposure histories. Clinical presentations were highly variable and diagnostically misleading. Application of Probe-Capture Metagenomics (pc-mNGS) to cerebrospinal fluid and blood samples enabled direct identification of RabV and concurrent detection of coexisting pathogens.

Conclusion: pc-mNGS demonstrates potential as a rapid, economical diagnostic tool capable of detecting RabV in specimens with low viral loads-such as blood and cerebrospinal fluid-from both exposed and unexposed individuals. Simultaneous identification of additional pathogens further supports its diagnostic utility.

背景:狂犬病是由狂犬病毒(RabV)引起的一种致死性病毒性脑炎,通过咬伤、抓伤或与受感染动物的粘膜接触以及吸入雾化颗粒、摄入受污染的生动物产品或移植受感染器官传播。其几乎普遍的致死率、多样化的传播途径和显著的临床可变性严重阻碍了及时诊断,突出了对快速和精确诊断方法的需求。方法:单中心回顾性病例系列。结果:本系列报告了钦州市第一人民医院收治的3例狂犬病病例,其中1例无暴露史,2例有暴露史。临床表现是高度可变和诊断误导。将探针捕获宏基因组(pc-mNGS)应用于脑脊液和血液样本,可以直接鉴定RabV并同时检测共存的病原体。结论:pc-mNGS显示了作为一种快速、经济的诊断工具的潜力,能够在暴露和未暴露个体的低病毒载量标本(如血液和脑脊液)中检测RabV。同时鉴定其他病原体进一步支持其诊断效用。
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引用次数: 0
The virology of Omicron: pathophysiology, immune regulation, and clinical impact of SARS-CoV-2 sub variants. 组粒病毒学:SARS-CoV-2亚型的病理生理、免疫调节和临床影响
IF 4 3区 医学 Q2 VIROLOGY Pub Date : 2025-11-26 DOI: 10.1186/s12985-025-03020-1
Nistha Mishra, Tanya Goel, Nisarg Gangani, Heerak Chugh, Bhavesh Kevadiya, Manisha Tiwari, Snigdha Singh, Jai Gopal Sharma, Ramesh Chandra

Since its emergence in late 2019, SARS-CoV-2 has evolved into multiple variants with distinct genetic and clinical features. Among them, the Omicron variant (B.1.1.529) and its sublineages BA.2.75, JN.1.8, and KP.2 have shown enhanced transmissibility and immune evasion, while generally exhibiting reduced lower respiratory tract pathogenicity compared to earlier variants, thereby continuing to pose significant challenges to public health. In India, these variants have significantly shaped the trajectory of the pandemic, necessitating focused evaluation of their biological and clinical impact. This review aims to provide a comprehensive study on the virology, pathophysiology, and systemic manifestations of Omicron and its emerging subvariants upto July 2025. We discuss their mechanisms of entry and replication, interaction with ACE2 and TMPRSS2 receptors, and evasion of host immune responses. Particular emphasis is placed on multi-organ involvement beyond the respiratory system, including neuro-respiratory dysregulation, cardiovascular complications, hepatic injury, gastrointestinal disturbances, and renal dysfunction. Furthermore, we evaluate the effectiveness of available vaccines, antiviral therapies, and diagnostic tools, alongside emerging clinical strategies such as vagus nerve stimulation, thermal modulation, and respiratory muscle training. By integrating molecular insights with clinical outcomes, this review highlights the multifaceted and systemic nature of Omicron-induced disease. We underscore the urgent need for variant-specific immunisation, early intervention strategies, and robust genomic surveillance to mitigate long-term sequelae and guide preparedness for future outbreaks.

自2019年底出现以来,SARS-CoV-2已演变成具有不同遗传和临床特征的多种变体。其中,Omicron变体(B.1.1.529)及其亚系BA.2.75、j .1.8和KP.2表现出增强的传播性和免疫逃避,同时与早期变体相比,通常表现出较低的下呼吸道致病性,从而继续对公共卫生构成重大挑战。在印度,这些变异极大地影响了大流行的发展轨迹,因此有必要对其生物学和临床影响进行重点评估。这篇综述旨在提供到2025年7月的Omicron及其新出现的亚变体的病毒学、病理生理学和系统表现的综合研究。我们讨论了它们的进入和复制机制,与ACE2和TMPRSS2受体的相互作用,以及逃避宿主免疫反应。特别强调呼吸系统以外的多器官受累,包括神经呼吸失调、心血管并发症、肝损伤、胃肠道紊乱和肾功能障碍。此外,我们评估了现有疫苗、抗病毒疗法和诊断工具的有效性,以及新兴的临床策略,如迷走神经刺激、热调节和呼吸肌训练。通过将分子研究与临床结果相结合,本综述强调了omicron诱导疾病的多面性和系统性。我们强调迫切需要变体特异性免疫、早期干预策略和强有力的基因组监测,以减轻长期后遗症并指导对未来疫情的准备。
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引用次数: 0
Human herpesvirus 7 induced aseptic meningitis in an immunocompetent adult presenting with unusual neurological symptoms: a case report. 人疱疹病毒7型引起的无菌性脑膜炎在免疫功能正常的成人中表现出异常的神经系统症状:一个病例报告。
IF 4 3区 医学 Q2 VIROLOGY Pub Date : 2025-11-26 DOI: 10.1186/s12985-025-03025-w
Le Cam Anh Nguyen, Pham Mai Anh Nguyen, Thi Hong Nhi Nguyen

Background: Viral meningitis is a frequent cause of central nervous system (CNS) inflammation, typically presenting with headache, fever, photophobia, and neck stiffness. While enteroviruses and herpes simplex virus are the most common etiologies, Human Herpesvirus 7 (HHV-7), a rarely recognized cause, is increasingly implicated in aseptic meningitis, particularly in immunocompetent adults. HHV-7 is a T-lymphotropic virus that primarily affects CD4 + T lymphocytes, and it is globally prevalent, with over 95% of adults seropositive for the virus. Though traditionally associated with mild childhood diseases like exanthems and febrile seizures, HHV-7 has been linked to neurological complications, including meningitis, encephalitis, and myelitis. A 37-year-old Italian female with a 10-year history of vegetarianism and a 2-year history of pap smear-diagnosed Human Papillomavirus (HPV)-associated low-grade squamous intraepithelial dysplasia was admitted for a 3-day history of progressive worsening lower back pain radiating to bilateral posterior lower limbs and soles paresthesia. Physical examination shows bilateral positive Lasegue sign, bilateral pain upon palpation of 4/4 Valleix's points, and absence of ankle reflexes, otherwise intact. Initial blood laboratory investigations reveal mild leukocytosis (10.92 G/L) with normal C-reactive protein (CRP), folate, and cobalamin. Cerebrospinal fluid (CSF) analysis shows 441 white blood cells/mm³, elevated protein (1.073 g/L), and positive Pandy reaction. HHV-7 was detected via CSF polymerase chain reaction (PCR); other bacterial and viral pathogens were negative. Patient demonstrates remarkable recovery after 5 days, along with pain control.

Conclusion: We report a rare case of viral meningitis induced by HHV-7 in a 37-year-old immunocompetent female, whose initial symptoms were unusual, presenting primarily with lower limb pain and numbness. Laboratory tests revealed HHV-7 deoxyribonucleic acid (DNA) in the CSF, confirming the diagnosis of aseptic meningitis. This case emphasizes the importance of considering HHV-7 in the differential diagnosis of viral meningitis, even without classic systemic signs. Despite the absence of specific antiviral therapy for HHV-7, supportive care remains effective. This case adds to the growing evidence on HHV-7 as an under-recognized cause of aseptic meningitis, particularly in immunocompetent individuals.

背景:病毒性脑膜炎是引起中枢神经系统(CNS)炎症的常见原因,典型表现为头痛、发热、畏光和颈部僵硬。虽然肠病毒和单纯疱疹病毒是最常见的病因,但人类疱疹病毒7 (HHV-7),一个很少被认识的病因,越来越多地与无菌性脑膜炎有关,特别是在免疫能力强的成年人中。HHV-7是一种T淋巴细胞性病毒,主要影响CD4 + T淋巴细胞,在全球流行,95%以上的成年人对该病毒血清呈阳性。虽然传统上与轻微的儿童疾病有关,如湿疹和发热性癫痫发作,但HHV-7与神经系统并发症有关,包括脑膜炎、脑炎和脊髓炎。一名37岁意大利女性,10年素食史,2年巴氏涂片诊断为人乳头瘤病毒(HPV)相关的低级别鳞状上皮内发育不良史,因3天进行性恶化的腰痛放射到双侧下肢后侧和脚底感觉异常而入院。体格检查显示双侧Lasegue征阳性,双侧4/4 Valleix点触诊疼痛,踝关节无反射,其他部位完好。最初的血液实验室检查显示轻度白细胞增多(10.92 G/L), c反应蛋白(CRP)、叶酸和钴胺素正常。脑脊液(CSF)分析显示441个白细胞/mm³,蛋白升高(1.073 g/L), Pandy反应阳性。采用脑脊液聚合酶链反应(PCR)检测HHV-7;其他细菌和病毒病原体均为阴性。5天后,患者表现出明显的恢复,疼痛也得到了控制。结论:我们报告了一例罕见的由HHV-7引起的病毒性脑膜炎病例,患者为37岁免疫功能正常的女性,其初始症状异常,主要表现为下肢疼痛和麻木。实验室检查显示脑脊液中有HHV-7脱氧核糖核酸(DNA),确认无菌性脑膜炎的诊断。这个病例强调了在病毒性脑膜炎的鉴别诊断中考虑HHV-7的重要性,即使没有典型的全身体征。尽管没有针对HHV-7的特异性抗病毒治疗,支持性护理仍然有效。越来越多的证据表明,HHV-7是一种未被充分认识的无菌性脑膜炎病因,特别是在免疫能力强的个体中。
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引用次数: 0
Characterization of a novel Jumbo phage JP4 with potential to control pathogenic Escherichia coli. 具有控制致病性大肠杆菌潜力的新型巨型噬菌体JP4的鉴定。
IF 4 3区 医学 Q2 VIROLOGY Pub Date : 2025-11-25 DOI: 10.1186/s12985-025-03001-4
Kexin Zhang, Xuemei Wei, He Liu, Bo He, Rui Zhao, Jing Zhou, Jun Deng, Fan Xie, Xu Xiong, Gang Li, Yan Zhao, Jing Wang, Zhenhui Song, Shuguang Lu

Background: Amidst rising antimicrobial resistance, bacteriophage (phage) therapy has re-emerged as a pivotal weapon against multidrug-resistant pathogens. Jumbo phages, distinguished by large genomes, show particular therapeutic promise. Yet current understanding of jumbo phages is still lacking.

Methods: Phage was isolated from domestic sewage. The biological properties of JP4 was characterized via transmission electron microscopy, stability tests, one-step growth curve. The genome of JP4 were elucidated by sequencing and bioinformatics tools. Structural proteins were identified via mass spectrometry. Bactericidal and biofilm eradication activities were evaluated using bacterial turbidity measurements and crystal violet assays, respectively. Statistical significance was determined by using one-way ANOVA in GraphPad Prism.

Results: Phage JP4 has an icosahedral head (approximately 110 nm in diameter) and a contractile tail (about 120 nm in length). JP4 possesses a linear dsDNA genome of 370,741 bp, encoding 738 proteins and 8 tRNAs. Phylogenetic analysis revealed that JP4 is a new member of the Asteriusvirus genus, and shares close evolutionary relationships with Escherichia phage UB. Additionally, mass spectrometry identified four novel structural protein encoding genes of JP4. Phage JP4 exhibited rapid infection cycle, high stability, potent in vitro bactericidal activity, and strong inhibitory effect on E. coli biofilms.

Conclusions: Phage JP4 is a new member of the Asteriusvirus genus. As a lytic jumbo phage with rapid bactericidal activity and strong biofilm degradation capacity, JP4 is a promising therapeutic candidate against E. coli O157:H7 infections. This study provides insights into the diversity and clinical potential of jumbo phages in combating pathogens.

背景:随着抗菌素耐药性的上升,噬菌体治疗已重新成为对抗多重耐药病原体的关键武器。巨型噬菌体以其大基因组而闻名,显示出特殊的治疗前景。然而,目前对巨型噬菌体的了解仍然缺乏。方法:从生活污水中分离噬菌体。通过透射电子显微镜、稳定性测试、一步生长曲线对JP4的生物学特性进行了表征。利用测序和生物信息学手段对JP4的基因组进行了分析。结构蛋白通过质谱法鉴定。用细菌浊度测定法和结晶紫测定法分别评价其杀菌活性和生物膜根除活性。GraphPad Prism采用单因素方差分析确定统计学意义。结果:噬菌体JP4具有二十面体头(直径约110 nm)和可收缩尾(长度约120 nm)。JP4具有370,741 bp的线性dsDNA基因组,编码738个蛋白和8个trna。系统发育分析表明,JP4是Asteriusvirus属的新成员,与大肠杆菌噬菌体UB具有密切的进化关系。此外,质谱分析还鉴定出4个新的JP4结构蛋白编码基因。噬菌体JP4感染周期快,稳定性高,体外杀菌活性强,对大肠杆菌生物膜有较强的抑制作用。结论:JP4噬菌体是星形病毒属的新成员。JP4作为一种具有快速杀菌活性和强生物膜降解能力的巨型噬菌体,是一种很有前景的治疗大肠杆菌O157:H7感染的候选药物。这项研究提供了对巨型噬菌体在对抗病原体中的多样性和临床潜力的见解。
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引用次数: 0
Molecular docking insights of Nigella sativa compounds as potential antiviral inhibitory agents against the replication-machinery proteins VPg and RdRP in rabbit hemorrhagic disease virus (RHDV). 黑草化合物作为兔出血症病毒复制机械蛋白VPg和RdRP潜在抗病毒抑制剂的分子对接研究
IF 4 3区 医学 Q2 VIROLOGY Pub Date : 2025-11-25 DOI: 10.1186/s12985-025-03007-y
Yousef R Afifi, Tamer A El-Akkad, Omnia A Badr, Shafik D Ibrahim, Ahmed M Serag

The Rabbit Hemorrhagic Disease Virus (RHDV) represents a significant threat to rabbit populations globally, affecting both wild and domesticated rabbits, with mortality rates ranging from 50% to 90%. Despite its severity, there is currently no specific treatment available for RHDV. This study investigates the potential of natural compounds derived from Nigella sativa as antiviral agents against RHDV. Molecular docking analysis was conducted to explore the interaction between eleven compounds from Nigella sativa and the two key proteins of RHDV, viral protein genome-linked (VPg) and RNA-dependent RNA polymerase (RdRP), as key proteins involved in viral replication. Explicit-solvent MD (100 ns, 310 K) was performed for four top complexes (VPg/RdRP with nigellidine and dithymoquinone), tracking backbone/ligand RMSD, radius of gyration, H-bond counts, and per-residue RMSF, with equilibrated frames analyzed by PCA and MM-GBSA. The results revealed successful docking of all compounds from Nigella sativa to both VPg and RdRP proteins. From Nigella sativa compounds, Nigellidine and Dithymoquinone displayed strong interactions with VPg and RdRP and formed various hydrogen bonds and hydrophobic interactions, indicating their potential as inhibitors of viral replication. Interestingly, all ligands demonstrated favorable drug-likeness properties, adhering to Lipinski's Rule of Five and exhibiting desirable pharmacokinetic profiles. Thymohydroquinone and nigellidine displayed the highest lipophilicity, suggesting their potential for efficient tissue penetration and distribution. Complexes remained stable and retained poses, with reduced pocket flexibility, favorable MM-GBSA ΔG_bind, and tighter PCA clustering-supporting sustained binding and pocket stabilization. These findings suggest that compounds from Nigella sativa show promise as natural antiviral agents against RHDV. Nevertheless, additional experimental validation through in vitro and in vivo studies is essential to confirm the effectiveness and safety of these compounds for treating RHDV infection.

兔出血性疾病病毒(RHDV)对全球兔子种群构成重大威胁,影响野生和家养兔子,死亡率从50%到90%不等。尽管它很严重,但目前还没有针对RHDV的特异性治疗方法。本研究探讨了从黑草中提取的天然化合物作为抗病毒药物的潜力。通过分子对接分析,探讨了黑草中11个化合物与RHDV关键蛋白VPg和RdRP之间的相互作用,这两个关键蛋白参与病毒复制。对4个顶级配合物(含奈格列丁和二百里醌的VPg/RdRP)进行显式溶剂MD (100 ns, 310 K),跟踪主链/配体RMSD、旋转半径、氢键计数和每残基RMSF,并通过PCA和MM-GBSA分析平衡框架。结果显示,所有化合物都成功地与黑草VPg和RdRP蛋白对接。Nigella sativa化合物中,Nigellidine和Dithymoquinone与VPg和RdRP表现出较强的相互作用,并形成多种氢键和疏水相互作用,表明它们具有抑制病毒复制的潜力。有趣的是,所有配体都表现出良好的药物相似特性,符合利平斯基的五法则,并表现出理想的药代动力学特征。胸腺对苯二酚和奈格列定表现出最高的亲脂性,表明它们具有有效渗透和分布组织的潜力。配合物保持稳定并保留姿态,降低了口袋灵活性,有利的MM-GBSA ΔG_bind和更紧密的PCA聚类支持持续结合和口袋稳定。这些发现表明,黑草中的化合物有望成为抗狂犬病病毒的天然抗病毒药物。然而,通过体外和体内研究的进一步实验验证对于确认这些化合物治疗RHDV感染的有效性和安全性至关重要。
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引用次数: 0
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