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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 : 2026-02-01 Epub 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 1367 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 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
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 : 2026-02-01 Epub 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 : 2026-02-01 Epub 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
Systematic evaluation of HSV-1 Δ34.5Δ47 as a dual-function platform for attenuated HSV-1 vaccine and heterologous antigen delivery. HSV-1 Δ34.5Δ47作为减毒HSV-1疫苗和异源抗原递送的双重功能平台的系统评价。
IF 4 3区 医学 Q1 Medicine Pub Date : 2026-02-01 Epub Date: 2026-01-23 DOI: 10.1016/j.virs.2026.01.002
Ziyu Wen, Haohang Wang, Yu Liao, Shunran Li, Minjuan Shi, Mingting Cui, Jun Qian, Caijun Sun

Herpes simplex virus type 1 (HSV-1) causes lifelong latent infection and is associated with severe diseases, including herpes simplex encephalitis, neonatal herpes, and no licensed vaccine is currently available for this pathogen. Here, we systematically evaluated an attenuated HSV-1 platform with deletions in ICP34.5 and ICP47 genes (HSV-1 Δ34.5Δ47) for application as a dual-function vaccine. This construct, generated by BAC-galK recombination, showed attenuated replication in vitro. Notably, it elicited robust humoral and cellular immune responses in mice, and provided complete protection against lethal challenge with virulent HSV-1 McKrae strain through both corneal and genital tract infection routes. To assess its utility for heterologous antigen delivery, we engineered a recombinant HSV-1 Δ34.5Δ47-N, which expresses the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) nucleocapsid (N) protein. This recombinant virus retained the protective efficacy against HSV-1 and induced robust N-specific immune responses. Passive serum transfer and in vivo T-cell depletion studies demonstrated that humoral immunity was sufficient to mediate protective immunity against HSV-1 challenge. Safety assessment revealed no detectable viral mRNA or pathological lesions in the brains of immunized animals. These findings support HSV-1 Δ34.5Δ47 as a safe and versatile platform for both HSV-1 prophylaxis and heterologous antigen delivery.

1型单纯疱疹病毒(HSV-1)引起终身潜伏感染,并与严重疾病相关,包括单纯疱疹脑炎、新生儿疱疹,目前尚无针对该病原体的许可疫苗。在这里,我们系统地评估了ICP34.5和ICP47基因缺失的减毒HSV-1平台(HSV-1 Δ34.5Δ47)作为双功能疫苗的应用。该构建体由BAC-galK重组产生,体外复制能力减弱。值得注意的是,它在小鼠中引起了强大的体液和细胞免疫反应,并通过角膜和生殖道感染途径提供了完全的保护,抵御致命的HSV-1 McKrae毒株的攻击。为了评估其在异源抗原递送中的效用,我们设计了一种重组HSV-1 Δ34.5Δ47-N,表达严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)核衣壳(N)蛋白。该重组病毒保留了对HSV-1的保护作用,并诱导了强大的n特异性免疫反应。被动血清转移和体内t细胞消耗研究表明,体液免疫足以介导对HSV-1攻击的保护性免疫。安全性评估显示,在免疫动物的大脑中没有检测到病毒mRNA或病理病变。这些发现支持HSV-1 Δ34.5Δ47作为HSV-1预防和异源抗原递送的安全和通用平台。
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引用次数: 0
Current status of dengue fever epidemics and vaccine development. 登革热流行现状及疫苗研制。
IF 4 3区 医学 Q1 Medicine Pub Date : 2026-02-01 Epub Date: 2026-01-21 DOI: 10.1016/j.virs.2026.01.001
Shiqi He, Dongying Fan, Yuqing Guo, Yuheng Guan, Ziyang Sheng, Na Gao, Jing An

Dengue fever, an acute mosquito-borne infectious disease caused by dengue virus (DENV), is primarily endemic in tropical and subtropical regions. In recent years, the global incidence of dengue has increased dramatically. Since 2023, widespread outbreaks have been reported across numerous countries in the Americas, Asia and Africa. According to the World Health Organization, more than 5 million dengue cases were reported globally in 2023, while the number surged to over 14 million cases with more than 10,000 deaths in 2024-marking the highest global burden ever recorded. A similar upward trend has been observed in China, which experienced its largest dengue outbreak in a decade in 2024, with Guangdong Province accounting for the majority of domestically reported cases. These epidemiological patterns highlight the rapid expansion of dengue transmission, driven by climate change, accelerated urbanization and increased human mobility. In this context, vaccine development has become a public health priority. To date, two vaccines-Dengvaxia and Qdenga-have been licensed for clinical use. Six other vaccine candidates are currently in clinical trials, among which the tetravalent live-attenuated vaccines TV003/TV005 are considered the most promising. Despite considerable advances in dengue vaccine research, significant challenges remain, including the need to elicit balanced immune responses against the four serotypes and to reduce the risk of antibody-dependent enhancement (ADE). Taken together, this review systematically summarizes recent global and regional trends in dengue fever and the current progress in dengue vaccine development, collectively offering a valuable resource for informing prevention and control strategies.

登革热是一种由登革热病毒引起的急性蚊媒传染病,主要在热带和亚热带地区流行。近年来,登革热的全球发病率急剧上升。自2023年以来,美洲、亚洲和非洲的许多国家报告了广泛的疫情。根据世界卫生组织的数据,2023年全球报告的登革热病例超过500万例,而2024年这一数字飙升至1400多万例,死亡人数超过1万人,这是有史以来最高的全球负担。中国也出现了类似的上升趋势,该国在2024年经历了十年来最大规模的登革热疫情,广东省占国内报告病例的大多数。这些流行病学模式突出表明,在气候变化、城市化加速和人类流动性增加的推动下,登革热传播迅速扩大。在这种情况下,疫苗开发已成为公共卫生的优先事项。迄今为止,已有两种疫苗——dengvaxia和qdenga获准用于临床。其他6种候选疫苗目前正在进行临床试验,其中四价减毒活疫苗TV003/TV005被认为是最有希望的。尽管登革热疫苗研究取得了相当大的进展,但仍然存在重大挑战,包括需要引起针对四种血清型的平衡免疫反应,并减少抗体依赖性增强(ADE)的风险。总而言之,本综述系统地总结了登革热最近的全球和区域趋势以及登革热疫苗开发的当前进展,共同为预防和控制战略提供了宝贵的资源。
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引用次数: 0
Single-cell transcriptomic analyses of HSV-1 reactivation from latently infected tree shrew and mouse trigeminal ganglia reveal differing molecular and cellular processes. 潜伏感染的树鼩和小鼠三叉神经节中HSV-1再激活的单细胞转录组学分析揭示了不同的分子和细胞过程。
IF 4 3区 医学 Q1 Medicine Pub Date : 2026-02-01 Epub Date: 2026-02-12 DOI: 10.1016/j.virs.2026.02.009
Yunshuang Ye, Erlin Wang, Mengqiu Yin, Shiqing Zou, Guijun Chen, Liping Yang, Nigel W Fraser, Xia Cao, Xinglou Yang, Jumin Zhou

Herpes simplex virus type 1 (HSV-1) infects over 70% of the population and establishes lifelong latent infection with periodic reactivation in humans, resulting in various related diseases. However, the molecular and cellular events underlying the transition of HSV-1 from latency to reactivation remain poorly understood. In this study, we used bulk RNA sequencing and single-cell transcriptomic analyses to dissect the cellular and molecular events of HSV-1 latency-reactivation transition in infected trigeminal ganglia (TG) in both mouse and tree shrew infection models. We found that mice exhibited fluctuating host gene responses during the acute phase and relatively quiescent latency, whereas tree shrews displayed a relatively mild acute phase and active latency characteristics. Single-cell analysis revealed that HSV-1 infects TG neuronal subpopulations expressing growth hormone and pituitary hormones. Importantly, we observed that HSV-1 latency in tree shrew TGs exhibited inhibition of cellular autophagy function, while HSV-1 latency in mice was accompanied by the attenuation of monocyte-related immune surveillance. Given that infected cell protein 0 (ICP0) has autophagy inhibitory activity, we further investigated the role of this viral protein in tree shrew models using an ICP0-deficient HSV-1 strain. Notably, the mutant virus could not undergo spontaneous reactivation from latency. These findings support the hypothesis that ICP0 may be essential for spontaneous reactivation by inhibiting autophagy in vivo.

1型单纯疱疹病毒(HSV-1)感染超过70%的人口,并在人类中建立终身潜伏感染并周期性再激活,导致各种相关疾病。然而,HSV-1从潜伏到再激活的转化背后的分子和细胞事件仍然知之甚少。在这项研究中,我们使用大量RNA测序和单细胞转录组学分析来解剖小鼠和树鼩感染模型中感染的三叉神经节(TG)中HSV-1潜伏-再激活转变的细胞和分子事件。我们发现小鼠在急性期和相对静止的潜伏期表现出波动的宿主基因反应,而树鼩则表现出相对温和的急性期和活跃的潜伏期特征。单细胞分析显示,HSV-1感染表达生长激素和垂体激素的TG神经元亚群。重要的是,我们观察到HSV-1潜伏期在树鼩TGs中表现出细胞自噬功能的抑制,而小鼠的HSV-1潜伏期伴随着单核细胞相关免疫监视的衰减。鉴于受感染的细胞蛋白0 (ICP0)具有自噬抑制活性,我们利用缺乏ICP0的HSV-1菌株进一步研究了该病毒蛋白在树鼩模型中的作用。值得注意的是,突变病毒不能在潜伏期进行自发的再激活。这些发现支持了ICP0可能通过抑制体内自噬对自发再激活至关重要的假设。
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引用次数: 0
Genomic assembly, rescue, and characterization of a functional pseudorabies virus. 一种功能性伪狂犬病毒的基因组组装、抢救和特征分析。
IF 4 3区 医学 Q1 Medicine Pub Date : 2026-02-01 Epub Date: 2025-11-28 DOI: 10.1016/j.virs.2025.11.010
Hengrui Hu, Xiquan Ke, Han Xiao, Xianfei Shang, Qiran Yin, Jiang Li, Xiangmin Li, Zhihong Hu, Ping Qian, Manli Wang

With recent advances in synthetic biology methods, the genomes of several large DNA viruses have been de novo synthesized and assembled, leading to the functional rescue of the respective viruses. Pseudorabies virus (PRV), a large DNA virus belonging to the family Herpesviridae, causes severe diseases in swine, resulting in significant economic losses to the global pig farming industry. Genome editing is crucial for attenuating virulence and developing safer vaccines for PRV. However, its complex repetitive sequences and extremely high GC-rich genome pose significant challenges for genetic manipulation. In this study, we developed a PRV genome assembly platform using yeast-based transformation-associated recombination (TAR) technology. The genome of a prevalent genotype II variant strain, PRV-GX-2011 (GenBank number PV405324.1), was divided into nine A-level fragments and cloned into vectors via TAR. Subsequently, three B-level fragments were generated by recombining three A-level fragments each. In vitro CRISPR/Cas9-mediated editing was introduced to insert an egfp gene into the non-coding intergenic region between UL23 and UL22 genes. Infectious viruses were rescued by co-transfection of linearized B-level fragments in Vero cells, and an isolated virus, PRV-GX-Syn1, was purified via plaque assay. While PRV-GX-Syn1 exhibited reduced viral titer and smaller plaque size compared to the parental strain, its morphological characteristics remained indistinguishable from the parental virus. In BALB/c mice, PRV-GX-Syn1 caused lethal infection, producing lung pathology comparable to the parental strain. This TAR-based platform offers faster and more flexible genomic modification of PRV, facilitating both basic research and PRV-based vaccine vectors.

随着合成生物学方法的最新进展,几种大型DNA病毒的基因组已被重新合成和组装,从而导致各自病毒的功能拯救。伪狂犬病毒(PRV)是一种大型DNA病毒,属于疱疹病毒科,在猪中引起严重疾病,给全球养猪业造成重大经济损失。基因组编辑对于减毒和开发更安全的PRV疫苗至关重要。然而,其复杂的重复序列和极高的GC-rich基因组为遗传操作带来了重大挑战。在这项研究中,我们利用基于酵母的转化相关重组(TAR)技术开发了一个PRV基因组组装平台。将流行的基因型变异株PRV-GX-2011 (GenBank编号PV405324.1)的基因组分成9个a级片段,并通过TAR将其克隆到载体中。随后,将三个a级片段分别重组,生成三个b级片段。在体外引入CRISPR/ cas9介导的编辑,将egfp基因插入UL23和UL22基因之间的非编码基因间区。通过在Vero细胞中共转染线性化的b水平片段来拯救感染性病毒,并通过空斑实验纯化分离的病毒PRV-GX-Syn1。与亲本病毒相比,PRV-GX-Syn1病毒滴度降低,斑块大小减小,但其形态特征与亲本病毒难以区分。在BALB/c小鼠中,PRV-GX-Syn1引起致死性感染,产生与亲本菌株相当的肺部病理。这个基于tar的平台提供了更快和更灵活的PRV基因组修饰,促进了基础研究和基于PRV的疫苗载体。
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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 : 2026-02-01 Epub 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
GlycoRNAs: Biological functions and novel antiviral targets. GlycoRNAs:生物学功能和新的抗病毒靶点。
IF 4 3区 医学 Q1 Medicine Pub Date : 2026-02-01 Epub Date: 2026-02-14 DOI: 10.1016/j.virs.2026.02.010
Yue Kang, Jian-Jian Ji, Peng Cao
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引用次数: 0
Crimean-Congo hemorrhagic fever: An emerging threat in Europe. 克里米亚-刚果出血热:欧洲新出现的威胁。
IF 4 3区 医学 Q1 Medicine Pub Date : 2025-12-15 DOI: 10.1016/j.virs.2025.12.006
Mohammad Fereidouni, Jens H Kuhn, David B Pecor, Dmitry A Apanaskevich, Kurtesh Sherifi, Jelena Protić, Teodora Karevska, Golubinka Boshevska, María Paz Sánchez-Seco, Anna Papa, Maryam Keshtkar-Jahromi

Crimean-Congo hemorrhagic fever (CCHF), caused by Crimean-Congo hemorrhagic fever virus (CCHFV), is endemic in Africa, Asia, and Europe. However, CCHF epidemiology and epizootiology have been poorly defined in Europe. Here, we summarize the current knowledge of CCHFV distribution in (non-Russian) Europe, including countries previously not considered to be at risk. We collected data on CCHF cases, human/vertebrate animal anti-CCHFV seroprevalence, CCHFV vector (Hyalomma tick), and CCHFV isolation from ticks and classified countries into five risk levels using a One Health approach. From 1944 through Feb 2025, more than 2,000 recorded CCHF cases were identified in Europe, mostly from southern/eastern countries/regions, primarily Bulgaria (at least 1,623), Kosovo (at least 339), Ukraine (at least 336), Croatia (at least 200), Albania (at least 146), and Republic of Moldova (at least 60). Albania, Bulgaria, Greece, Kosovo, and Spain were categorized as level 1 (reported CCHF cases, presence of robust surveillance systems). North Macedonia, Portugal, and Ukraine/Crimea were assigned to level 2 (reported CCHF cases in the absence of robust established surveillance). Bosnia and Herzegovina, Croatia, France, Hungary, Italy, Montenegro, Republic of Moldova, Romania, and Slovenia were assigned to level 3 due to evidence of CCHFV circulation in absence of recent CCHF cases. Thirty-four countries were assigned to level 4 (presence of Hyalomma ticks) or level 5 (no data). This work provides information on CCHFV distribution and burden with list of at-risk areas to inform international and local public health agencies to establish or strengthen surveillance systems.

由克里米亚-刚果出血热病毒(CCHFV)引起的克里米亚-刚果出血热(CCHF)在非洲、亚洲和欧洲流行。然而,在欧洲,CCHF流行病学和流行病学定义不清。在这里,我们总结了目前对欧洲(非俄罗斯)CCHFV分布的了解,包括以前未被认为处于危险中的国家。我们收集了关于CCHF病例、人类/脊椎动物抗CCHFV血清阳性率、CCHFV媒介(透明体蜱)和从蜱中分离CCHFV的数据,并使用“同一个健康”方法将国家分为五个风险级别。从1944年到2025年2月,欧洲确认了2000多例记录在案的CCHF病例,主要来自南部/东部国家/地区,主要是保加利亚(至少1623例)、科索沃(至少339例)、乌克兰(至少336例)、克罗地亚(至少200例)、阿尔巴尼亚(至少146例)和摩尔多瓦共和国(至少60例)。阿尔巴尼亚、保加利亚、希腊、科索沃和西班牙被列为1级(报告了CCHF病例,存在健全的监测系统)。北马其顿、葡萄牙和乌克兰/克里米亚被定为2级(在缺乏健全监测的情况下报告了CCHF病例)。波斯尼亚和黑塞哥维那、克罗地亚、法国、匈牙利、意大利、黑山、摩尔多瓦共和国、罗马尼亚和斯洛文尼亚被定为3级,因为有证据表明存在CCHFV传播,但没有最近的CCHF病例。34个国家被划分为第4级(存在蜱虫)或第5级(无数据)。这项工作提供了有关CCHFV分布和风险地区负担的信息,以便为国际和地方公共卫生机构建立或加强监测系统提供信息。
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引用次数: 0
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Virologica Sinica
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