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The role of T cells in influenza infection and vaccination. T细胞在流感感染和疫苗接种中的作用。
IF 4 3区 医学 Q1 Medicine Pub Date : 2026-02-05 DOI: 10.1016/j.virs.2026.02.005
Yuxuan Li, Chenxi Zhu, Yi Wang, Heather Miller, Kamel Benlagha, Maria G Byazrova, Alexander Filatov, Lu Yang, Chaohong Liu

Influenza virus infections cause significant illness or death every year, becoming a serious health risk. Currently, influenza vaccines mainly induce responses to antibodies against specific strains, but they do not effectively induce effective T cell-mediated immunity. Humoral immunity relies on the production of antibodies that bind to surface proteins (such as hemagglutinin and neuraminidase) to combat the virus. These antibodies envelope the virus to prevent it from invading cells and also label the virus for phagocytic cells to clear. T cell-mediated immunity relies on cytotoxic cells to kill infected cells to combat the virus. Cytotoxic T cells rely on viral proteins on the surface of infected cell to recognize them. This enables the detection of more viral proteins, such as internal proteins like nucleoproteins. A better understanding of the mechanism by which T cells combat influenza is helpful for vaccine development. In this review, we elaborate on the role of T cells in enhancing anti-influenza immune defense. In addition, we explore the possibility that new influenza vaccines can induce such T cell responses.

流感病毒感染每年造成重大疾病或死亡,成为严重的健康风险。目前,流感疫苗主要诱导对特定毒株抗体的应答,但它们不能有效诱导有效的T细胞介导免疫。体液免疫依赖于与表面蛋白(如血凝素和神经氨酸酶)结合的抗体的产生来对抗病毒。这些抗体包住病毒以防止其入侵细胞,并标记病毒以便吞噬细胞清除。T细胞介导的免疫依靠细胞毒性细胞杀死被感染的细胞来对抗病毒。细胞毒性T细胞依靠感染细胞表面的病毒蛋白来识别它们。这样就可以检测到更多的病毒蛋白质,比如核蛋白等内部蛋白质。更好地了解T细胞对抗流感的机制有助于疫苗的开发。在这篇综述中,我们阐述了T细胞在增强抗流感免疫防御中的作用。此外,我们探索新的流感疫苗可以诱导这种T细胞反应的可能性。
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引用次数: 0
GP38 is a structural component of Crimean-Congo hemorrhagic fever virus particles. GP38是克里米亚-刚果出血热病毒颗粒的结构成分。
IF 4 3区 医学 Q1 Medicine Pub Date : 2026-02-05 DOI: 10.1016/j.virs.2026.02.006
Heya Na, Guibo Rao, Lu Peng, Jiang Li, Manli Wang, Zhihong Hu, Sheng Cao, Xi Wang
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引用次数: 0
Integrated multiplex PCR and metatranscriptomics reveal upper-lower airway microbial landscapes in pediatric respiratory infections. 综合多重PCR和亚转录组学揭示了儿童呼吸道感染的上下气道微生物景观。
IF 4 3区 医学 Q1 Medicine Pub Date : 2026-02-05 DOI: 10.1016/j.virs.2026.02.001
Peilan Wei, Lu Zhang, Qingtao Hu, Airu Zhu, Zhen Zhuang, Zhaoyong Zhang, Shengnan Zhang, Jiantao Chen, Xinyi Xiong, Bin Qu, Yuanyuan Zhang, Lei Chen, Zhiwei Xu, Zhao Chen, Qier Zhong, Xindan Xing, Xinxin Li, Jingjing Gao, Yifang He, Guifei Xie, Juan Shang, Xiaoke Guo, Jiaxin Jiang, Yongxia Shi, Jingxian Zhao, Yanqun Wang, Jincun Zhao, Yingkang Jin

Despite widespread use of multiple PCR, a substantial proportion of pediatric acute respiratory tract infections (ARTIs) lack identifiable pathogens and are classified as unknown etiology. The microbial characteristics and clinical relevance of these cases remain unclear. In this study, we compared the airway microbiomes of PCR-positive and PCR-negative ARTIs and examined their relationships with sampling site and disease severity. A total of 514 hospitalized children with ARTIs were enrolled. Nasopharyngeal swabs (NS) and bronchoalveolar lavage fluid (BALF) samples were tested using a 22-target multiplex PCR panel and subsequently stratified by pathogen status for pooled metatranscriptomic sequencing to profile active microbial communities, viral genotypes, and antibiotic resistance genes. PCR identified common respiratory pathogens in 77.0% of NS and 54.1% of BALF samples. Metatranscriptomic analysis showed that PCR-negative pools displayed markedly lower viral activity and comparatively higher bacterial transcript abundance, with notable enrichment of Pseudomonas. Microbial signatures differed between upper and lower airway samples and across clinical severity, with severe cases demonstrating increased bacterial burden and Pseudomonas enrichment, whereas mild infections exhibited relatively stronger viral signals. Under current thresholds, antibiotic resistance genes were detected in patient pools but not in healthy controls. Overall, PCR-negative pediatric ARTIs exhibited distinct, bacteria-enriched microbial profiles. Integrating metatranscriptomics with PCR enhances pathogen characterization and reveals site- and severity-related microbial patterns that may support diagnostic evaluation and clinical management.

尽管广泛使用多重PCR,但相当大比例的儿童急性呼吸道感染(ARTIs)缺乏可识别的病原体,被归类为病因不明。这些病例的微生物特征和临床相关性尚不清楚。在这项研究中,我们比较了pcr阳性和pcr阴性ARTIs的气道微生物组,并检查了它们与采样地点和疾病严重程度的关系。共有514名急性呼吸道感染住院儿童被纳入研究。使用22靶点多重PCR检测鼻咽拭子(NS)和支气管肺泡灌洗液(BALF)样本,随后按病原体状态分层,进行汇总的亚转录组测序,以分析活跃的微生物群落、病毒基因型和抗生素耐药基因。在77.0%的NS和54.1%的BALF样本中,PCR检出常见呼吸道病原体。超转录组学分析显示,pcr阴性池的病毒活性明显降低,细菌转录物丰度相对较高,假单胞菌富集显著。微生物特征在上、下气道样本和不同临床严重程度之间存在差异,重症病例表现出细菌负担增加和假单胞菌富集,而轻度感染表现出相对较强的病毒信号。在目前的阈值下,在患者池中检测到抗生素耐药基因,但在健康对照中未检测到。总的来说,聚合酶链反应阴性的儿科ARTIs表现出独特的细菌富集微生物谱。将超转录组学与PCR相结合可以增强病原体特征,揭示与部位和严重程度相关的微生物模式,从而支持诊断评估和临床管理。
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引用次数: 0
Development of a stable replicon system of a pangolin merbecovirus for antiviral screening. 用于抗病毒筛选的稳定穿山甲梅贝病毒复制子系统的建立。
IF 4 3区 医学 Q1 Medicine Pub Date : 2026-02-05 DOI: 10.1016/j.virs.2026.02.004
Chun-Guang Wu, Jian-Hua Wang, Bo Zhu, Jing Chen
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引用次数: 0
Nuclear translocation of Sp100A suppresses multiple DNA viruses and limits HSV-1 lytic replication in vivo. Sp100A的核易位抑制多种DNA病毒并限制HSV-1在体内的裂解复制。
IF 4 3区 医学 Q1 Medicine Pub Date : 2026-02-05 DOI: 10.1016/j.virs.2026.02.003
Yilei Ma, Weidong Li, Jialing Li, Xiao Zhang, Xiuyan Guo, Zhu Li, Yunsheng Xu, Pei Xu

Sp100 (Speckled protein 100 kDa), a key component of promyelocytic leukemia (PML) nuclear bodies, plays a pivotal role in intrinsic and innate immunity. The predominant isoform, Sp100A, has been shown by our previous studies to shuttle between subcellular compartments to enhance innate immunity against RNA viruses and to circulate between cells via extracellular vesicles (EVs) to restrict herpes simplex virus 1 (HSV-1) spread. This study investigates the biological significance of the cyto-nuclear shuttling of Sp100A, a key component of PML nuclear bodies, in antiviral defense against DNA viruses, particularly herpes simplex virus 1 (HSV-1). We demonstrate that Sp100A effectively inhibits multiple DNA viruses in vitro, with its antiviral activity being critically regulated by phosphorylation at the S188 site (a nuclear import-mimicking mutant, S188D, is active, while the S188A mutant is not). Furthermore, DNA virus infection and type I IFN significantly induce Sp100A secretion via extracellular vesicles (EVs), which confers broad, non-IFN-mediated antiviral protection between cells. In a murine model, Sp100A expression significantly reduced HSV-1 lytic replication and clinical signs, but did not impair latency establishment or reactivation potential. These findings underscore the critical role of Sp100A's dynamic shuttling in antiviral defense, showing its activity is specifically restricted to the lytic phase of HSV-1. Sp100A's multifaceted antiviral properties highlight its potential as a novel therapeutic target for combating DNA virus infections.

Sp100(斑点蛋白100 kDa)是早幼粒细胞白血病(PML)核小体的关键成分,在固有免疫和先天免疫中起关键作用。我们之前的研究表明,主要的亚型Sp100A在亚细胞间穿梭以增强对RNA病毒的先天免疫,并通过细胞外囊泡(ev)在细胞间循环以限制单纯疱疹病毒1 (HSV-1)的传播。本研究探讨PML核小体的关键成分Sp100A的胞核穿梭在抗病毒防御DNA病毒,特别是单纯疱疹病毒1 (HSV-1)中的生物学意义。我们证明了Sp100A在体外有效抑制多种DNA病毒,其抗病毒活性受到S188位点磷酸化的关键调控(核进口模拟突变体S188D具有活性,而S188A突变体则没有活性)。此外,DNA病毒感染和I型IFN显著诱导Sp100A通过细胞外囊泡(ev)分泌,从而在细胞间提供广泛的非IFN介导的抗病毒保护。在小鼠模型中,Sp100A表达显著减少HSV-1裂解复制和临床症状,但不影响潜伏期建立或再激活电位。这些发现强调了Sp100A的动态穿梭在抗病毒防御中的关键作用,表明其活性特别局限于HSV-1的裂解期。Sp100A多方面的抗病毒特性突出了其作为对抗DNA病毒感染的新型治疗靶点的潜力。
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引用次数: 0
Advances in human respiratory organoid models for studying the pathogenesis and intervention strategies of COVID-19. 新型冠状病毒肺炎发病机制及干预策略研究的人类呼吸类器官模型进展
IF 4 3区 医学 Q1 Medicine Pub Date : 2026-02-05 DOI: 10.1016/j.virs.2026.02.002
Zeping Shan, Jiarui Li, Zihui Ye, Yuyue Chen, Jie Chen, Yuewen Chen, Xiaofan Wang, Chong Gao, Shibo Jiang, Naru Zhang

Coronavirus Disease 2019 (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), affects multiple organ systems, with the respiratory system being the primary target. Respiratory organoids, which closely mimic the structure and function of the human respiratory tract, have emerged as essential tools for studying SARS-CoV-2 infection. This review summarizes current methods for generating various respiratory organoids, including nasal, tonsil, airway, bronchial, and alveolar organoids, and highlights their application in investigating the mechanism of SARS-CoV-2 infection and evaluating potential therapeutic agents. Meanwhile, this review also introduces respiratory organoid-on-a-chip technology, which can precisely regulate culture conditions and incorporate vascularization and immune cells to enhance physiological complexity, thereby providing crucial support for investigating SARS-CoV-2-induced lung injury, immune responses, and conducting high-throughput drug screening. The aim of this review is to provide valuable insights for further research into the pathogenesis and intervention strategies of COVID-19.

2019冠状病毒病(COVID-19)由严重急性呼吸综合征冠状病毒2型(SARS-CoV-2)引起,影响多器官系统,呼吸系统是主要目标。呼吸类器官与人类呼吸道的结构和功能非常相似,已成为研究SARS-CoV-2感染的重要工具。本文综述了目前各种呼吸类器官的生成方法,包括鼻腔、扁桃体、气道、支气管和肺泡类器官,并重点介绍了它们在研究SARS-CoV-2感染机制和评估潜在治疗剂方面的应用。同时,本文还介绍了呼吸类器官芯片技术,该技术可以精确调节培养条件,整合血管化和免疫细胞,提高生理复杂性,从而为研究sars - cov -2诱导的肺损伤、免疫反应以及进行高通量药物筛选提供重要支持。本文旨在为进一步研究COVID-19的发病机制和干预策略提供有价值的见解。
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引用次数: 0
Genomic Evidence of HMPV Resurgence in Beijing: Clade B2 Triggers the 2024 Winter Epidemic Peak. HMPV在北京卷土重来的基因组证据:分支B2触发2024年冬季流行高峰。
IF 4 3区 医学 Q1 Medicine Pub Date : 2026-02-01 DOI: 10.1016/j.virs.2026.01.006
Lu Kang, Fang Huang, Yi-Mo Deng, Geng Hu, Yiting Wang, Aihua Li, Hui Xie, Xiaofeng Wei, Yuling Han, Ming Luo, Ian G Barr, George F Gao, Liang Wang, Quanyi Wang

With an unexpected increase of human metapneumovirus (hMPV) cases in northern China since late 2024, concerns arose whether novel hMPV variants triggered this epidemic. Utilizing the Beijing Respiratory Pathogen Surveillance System (RPSS), we conducted a genomic evolutionary analysis spanning 2014-2024 and revealed genetic information for the strains that caused the high rates of hMPV outbreaks during this period. To clarify the epidemic drivers and evolutionary characteristics of the hMPV strains circulating in Beijing, phylogenetic, population dynamic and mutation analyses were performed using high-quality complete sequences from both this study and publicly available data. A total of 348 high-quality hMPV genomes were obtained by next-generation sequencing (NGS), all of which belonged to four known clades: A2b1, A2b2, B1, and B2. Before 2024, A2b2 predominated in Beijing; however, a shift to clade B2 was observed starting in late 2024. In addition, a phylogenetically independent lineage Ⅰ was identified in this study, accounting for 93.1% of B2 genomes collected since late 2024. Furthermore, we identified several unique nonsynonymous mutations in viruses within lineage I that may have phenotypic implications. Our findings indicate that lineage I of clade B2 was the major cause of the unusual increase in hMPV outbreaks in Beijing in late 2024, with no evidence of an emerging novel variant. Although our data were only restricted to samples from Beijing, the findings are likely representative of the hMPV surge across northern China in 2024, given city's high population density and mobility.

自2024年底以来,中国北方地区的人偏肺病毒(hMPV)病例意外增加,人们开始关注新型hMPV变异是否引发了此次疫情。利用北京呼吸道病原体监测系统(RPSS)对2014-2024年期间的hMPV进行了基因组进化分析,揭示了在此期间引起hMPV高发的菌株的遗传信息。为了阐明北京流行的hMPV毒株的流行驱动因素和进化特征,利用本研究和公开数据的高质量完整序列进行了系统发育、种群动态和突变分析。新一代测序(NGS)共获得348个高质量的hMPV基因组,均属于4个已知分支:A2b1、A2b2、B1和B2。2024年以前,北京以A2b2为主;然而,从2024年底开始观测到向进化枝B2的转变。此外,本研究还发现了一个系统发育独立的谱系Ⅰ,占2024年底以来收集的B2基因组的93.1%。此外,我们在谱系I中发现了几个独特的非同义突变,这些突变可能具有表型意义。我们的研究结果表明,进化支B2的谱系I是2024年末北京hMPV疫情异常增加的主要原因,没有证据表明出现了新的变体。尽管我们的数据仅局限于北京的样本,但考虑到城市的高人口密度和流动性,这些发现可能代表了2024年中国北方地区hMPV的激增。
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引用次数: 0
Enhancing the stability of Influenza A reporter viruses by recoding the gfp gene. 重组gfp基因增强甲型流感报告病毒的稳定性。
IF 4 3区 医学 Q1 Medicine Pub Date : 2026-01-29 DOI: 10.1016/j.virs.2026.01.005
Jing Hu, Jianchao Li, Qifeng Li, Shengqiang Jiang, Ziqian Cao, Hongying Chen

Influenza A virus (IAV) is one of the most important zoonotic pathogens and can cause global influenza pandemics and seasonal influenza outbreaks. Generation of recombinant IAV expressing a fluorescent protein will allow the infection to be easily monitored. In this study, we initially constructed a replication-defective H1N1/ΔPB2-GFP and a replication-competent H1N1/NS-GFP. However, these two reporter IAVs exhibited genetic instability. To stabilize the recombinant viral genome, we recoded the gfp sequence (rGFP) using synonymous codons to mimic the high-NP-binding regions involved in NP-vRNA interaction. This approach resulted in the development of replication-defective H1N1/ΔPB2(300)-rGFP and replication-competent H1N1/NS-rGFP, both of which exhibited enhanced stability in GFP expression. By replacing the HA segment from strain A/mink/China/CY 2017 (H5N1), we also generated a replication-defective H5N1/ΔPB2(300)-rGFP, which showed excellent genetic stability. Using these reporter IAVs, the blocking of virus infection by neutralizing antibodies and antivirals can be rapidly detected by the loss of fluorescent reporter expression. Replication-defective reporter IAVs constructed in this study can only infect and replicate in cells expressing PB2, allowing the possibility of manipulation of highly pathogenic IAV and their related reassortant strains in biosafety level-2 laboratories. Our data highlight the importance of NP-vRNA interaction for the stability of IAV genome, and the reporter IAVs generated using this strategy could be powerful tools for both basic and applied influenza virus research.

甲型流感病毒(IAV)是最重要的人畜共患病原体之一,可引起全球流感大流行和季节性流感暴发。产生表达荧光蛋白的重组IAV将使感染易于监测。在本研究中,我们首先构建了复制缺陷型H1N1/ΔPB2-GFP和复制能力型H1N1/NS-GFP。然而,这两种报告型iav表现出遗传不稳定性。为了稳定重组病毒基因组,我们使用同义密码子重新编码了gfp序列(rGFP),以模拟参与NP-vRNA相互作用的高np结合区域。这种方法导致了复制缺陷型H1N1/ΔPB2(300)-rGFP和复制能力型H1N1/NS-rGFP的发展,两者都表现出增强的GFP表达稳定性。通过替换毒株A/mink/China/CY 2017 (H5N1)的HA片段,我们还获得了复制缺陷的H5N1/ΔPB2(300)-rGFP,该基因具有良好的遗传稳定性。利用这些报告基因iav,可以通过丧失荧光报告基因表达来快速检测中和抗体和抗病毒药物对病毒感染的阻断。本研究构建的具有复制缺陷的IAV只能在表达PB2的细胞中感染和复制,这使得在生物安全二级实验室中操纵高致病性IAV及其相关重组菌株成为可能。我们的数据强调了NP-vRNA相互作用对IAV基因组稳定性的重要性,使用这种策略生成的报告IAV可能是基础和应用流感病毒研究的有力工具。
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引用次数: 0
Pseudorabies virus TK protein antagonizes alpha interferon response by interfering with the JAK1-STAT1 interaction. 伪狂犬病毒TK蛋白通过干扰JAK1-STAT1相互作用拮抗α干扰素应答。
IF 4 3区 医学 Q1 Medicine Pub Date : 2026-01-28 DOI: 10.1016/j.virs.2026.01.004
Jingjing Song, Rulan Bai, Dongyue Xing, Chuang Li, Xuan Chen, Feiyang Zheng, Mingyi Lei, Yujin Wang, Yuxin Liu, Jun Tang, Pinghuang Liu, Changyong Cheng, Jin Yuan, Rui Zhang

Pseudorabies virus (PRV), a member of the Alphaherpesvirinae subfamily, is the causative agent of Aujeszky's disease, which severely affects swine health and poses a potential zoonotic risk. PRV can evade the type I interferon (IFN-I)-mediated antiviral response, thus enabling persistent infection, yet the molecular basis for this immune evasion remains unclear. Here, we identify a novel role for thymidine kinase (TK), a key PRV virulence factor, in suppressing IFN-I signaling. Ectopic expression of TK markedly inhibited IFNα-induced transcription and expression of interferon-stimulated genes (ISGs), whereas TK-deficient PRV (PRV-ΔTK) showed increased sensitivity to IFN-I, elevated ISG expression, and reduced replication following IFNα treatment. Mechanistic analyses revealed that TK interacts with both Janus kinase 1 (JAK1) and signal transducer and activator of transcription 1 (STAT1), disrupting the JAK1-STAT1 complex formation and impairing STAT1 phosphorylation and downstream ISG induction. This inhibition is mediated by amino acids 107-212 of TK, a region independent of its catalytic site, and is essential for its immunosuppressive activity. These findings uncover a previously unrecognized function of TK in antagonizing the IFN-I response through interference with JAK1-STAT1 signaling. Beyond its established role in nucleotide metabolism and virulence, this immune evasion function may account for the strong conservation of TK among PRV strains. Collectively, our results expand the understanding of PRV pathogenesis and identify TK as a potential target for antiviral intervention.

伪狂犬病毒(PRV)是甲型疱疹病毒亚家族的一员,是奥杰斯基病的病原体,严重影响猪的健康并具有潜在的人畜共患风险。PRV可以逃避I型干扰素(IFN-I)介导的抗病毒反应,从而导致持续感染,但这种免疫逃避的分子基础尚不清楚。在这里,我们发现胸苷激酶(TK),一个关键的PRV毒力因子,在抑制IFN-I信号传导中的新作用。异位表达TK显著抑制IFNα诱导的干扰素刺激基因(ISGs)的转录和表达,而TK缺陷型PRV (PRV-ΔTK)对IFN-I的敏感性增加,ISG表达升高,IFNα处理后复制减少。机制分析表明,TK与Janus kinase 1 (JAK1)和信号转导和转录激活因子1 (STAT1)相互作用,破坏JAK1-STAT1复合物的形成,损害STAT1磷酸化和下游ISG诱导。这种抑制作用是由TK的107-212氨基酸介导的,这是一个独立于其催化位点的区域,对其免疫抑制活性至关重要。这些发现揭示了TK通过干扰JAK1-STAT1信号通路拮抗IFN-I应答的先前未被认识的功能。除了已知的TK在核苷酸代谢和毒力中的作用外,这种免疫逃避功能可能解释了TK在PRV毒株中的强保守性。总的来说,我们的结果扩大了对PRV发病机制的理解,并确定TK是抗病毒干预的潜在靶点。
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引用次数: 0
Characteristics of humoral and T-cell immune responses in people living with HIV after breakthrough SARS-CoV-2 Omicron variant infection during December 2022 to January 2023. 2022年12月至2023年1月突破SARS-CoV-2 Omicron变体感染后HIV感染者体液和t细胞免疫反应特征
IF 4 3区 医学 Q1 Medicine Pub Date : 2026-01-28 DOI: 10.1016/j.virs.2026.01.003
Hai-Bo Ding, Hong Sun, Yong-Hui Feng, Qing-Hai Hu, Qi Wang, Nan Li, Qing-Qing Ma, Wen Tian, Yan-Chun Peng, Jia-Qi Chen, Jin-Li Song, Hua-Lu Cui, Hai-Long Li, Wen-Qing Geng, Tao Dong, Xiao-Xu Han, Hong Shang

Due to inherent immune deficiency, the characteristics of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-specific immune responses in people living with HIV (PLWH) following breakthrough infection with remain incompletely elucidated. A large-sample real-world study was conducted from December 2022 to January 2023, which systematically analyzed immune responses in 1,367 PLWH and 219 people without HIV (PWOH) by evaluating serum IgG antibody levels against SARS-CoV-2 wild-type strain and Omicron variants, neutralizing antibody titers, as well as the features of SARS-CoV-2-specific T-cell responses in this population. The results demonstrated that the breakthrough Omicron infection rate in PLWH (60.6%) was significantly lower than that in PWOH. Meanwhile, PLWH exhibited notably reduced IgG antibody levels against both the wild-type strain and Omicron BF.7 variant, with a concurrent decline in neutralizing antibody titers. However, fully vaccinated PLWH with CD4+ T-cell counts ≥ 200 cells/μL achieved post-infection antibody levels comparable to those of PWOH. Notably, PLWH with CD4+ T-cell counts < 200 cells/μL or unvaccinated PLWH showed obvious impairment in both humoral and cellular immunity. Although PLWH could maintain relatively high levels of SARS-CoV-2-specific antibodies and T-cell responses within six months after infection, the overall intensity of their immune responses remained lower than that of PWOH. Furthermore, while wild-type SARS-CoV-2 vaccines could effectively elevate antibody levels in PLWH, their protective efficacy against Omicron variants was relatively limited. These findings provide important experimental and clinical evidence for formulating exclusive and targeted SARS-CoV-2 vaccination strategies for the PLWH.

由于固有的免疫缺陷,突破性感染后HIV感染者(PLWH)的SARS-CoV-2特异性免疫反应特征尚不完全清楚。2022年12月至2023年1月进行了一项大样本现实世界研究,通过评估针对SARS-CoV-2野生型毒株和Omicron变体的血清IgG抗体水平、中和抗体滴度以及该人群中SARS-CoV-2特异性t细胞反应的特征,系统分析了1,367名PLWH和219名无HIV (PWOH)患者的免疫反应。结果显示,PLWH的突破Omicron感染率(60.6%)明显低于PWOH。同时,PLWH对野生型菌株和Omicron BF.7变体均表现出显著降低的IgG抗体水平,同时中和抗体滴度下降。然而,完全接种CD4+ t细胞计数≥200细胞/μL的PLWH感染后抗体水平与PWOH相当。值得注意的是,CD4+ t细胞计数< 200 cells/μL或未接种疫苗的PLWH在体液免疫和细胞免疫方面均有明显的损害。虽然PLWH在感染后6个月内可以维持相对较高的sars - cov -2特异性抗体和t细胞反应水平,但其免疫反应的总体强度仍低于PWOH。此外,尽管野生型SARS-CoV-2疫苗可以有效提高PLWH的抗体水平,但其对Omicron变体的保护作用相对有限。这些发现为PLWH制定排他性和针对性的SARS-CoV-2疫苗接种策略提供了重要的实验和临床依据。
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引用次数: 0
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Virologica Sinica
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