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Pathogenesis and virulence of coronavirus disease: Comparative pathology of animal models for COVID-19. 冠状病毒疾病的发病机制和毒力:COVID-19动物模型的病理学比较。
IF 5.5 1区 农林科学 Q1 IMMUNOLOGY Pub Date : 2024-12-01 Epub Date: 2024-02-16 DOI: 10.1080/21505594.2024.2316438
Natalie M Kirk, Yuying Liang, Hinh Ly

Animal models that can replicate clinical and pathologic features of severe human coronavirus infections have been instrumental in the development of novel vaccines and therapeutics. The goal of this review is to summarize our current understanding of the pathogenesis of coronavirus disease 2019 (COVID-19) and the pathologic features that can be observed in several currently available animal models. Knowledge gained from studying these animal models of SARS-CoV-2 infection can help inform appropriate model selection for disease modelling as well as for vaccine and therapeutic developments.

能够复制严重人类冠状病毒感染的临床和病理特征的动物模型在新型疫苗和疗法的开发中发挥了重要作用。本综述旨在总结我们目前对 2019 年冠状病毒病(COVID-19)发病机制的理解,以及在目前可用的几种动物模型中可以观察到的病理特征。从研究这些 SARS-CoV-2 感染动物模型中获得的知识有助于为疾病建模以及疫苗和疗法开发选择适当的模型提供依据。
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引用次数: 0
Norepinephrine may promote the progression of Fusobacterium nucleatum related colorectal cancer via quorum sensing signalling. 去甲肾上腺素可通过法定人数感应信号促进与核酸镰刀菌相关的结直肠癌的进展。
IF 5.2 1区 农林科学 Q1 IMMUNOLOGY Pub Date : 2024-12-01 Epub Date: 2024-05-09 DOI: 10.1080/21505594.2024.2350904
Xinhao Du, Zhenzhen Tang, Li Yan, Ling Zhang, Qiao Zheng, Xianghao Zeng, Qing Hu, Qian Tian, Lanfan Liang, Xinyu Zhao, Jun Li, Ming Zhao, Xiangsheng Fu

Fusobacterium nucleatum (F. nucleatum) is closely correlated with tumorigenesis in colorectal cancer (CRC). We aimed to investigate the effects of host norepinephrine on the carcinogenicity of F. nucleatum in CRC and reveal the underlying mechanism. The results revealed that both norepinephrine and bacterial quorum sensing (QS) molecule auto-inducer-2 (AI-2) were positively associated with the progression of F. nucleatum related CRC (p < 0.01). In vitro studies, norepinephrine induced upregulation of QS-associated genes and promoted the virulence and proliferation of F. nucleatum. Moreover, chronic stress significantly increased the colon tumour burden of ApcMin/+ mice infected with F. nucleatum (p < 0.01), which was decreased by a catecholamine inhibitor (p < 0.001). Our findings suggest that stress-induced norepinephrine may promote the progression of F. nucleatum related CRC via bacterial QS signalling. These preliminary data provide a novel strategy for the management of pathogenic bacteria by targeting host hormones-bacterial QS inter-kingdom signalling.

核叉杆菌(F. nucleatum)与结直肠癌(CRC)的肿瘤发生密切相关。我们旨在研究宿主去甲肾上腺素对核分枝杆菌在 CRC 中致癌性的影响,并揭示其潜在机制。结果发现,去甲肾上腺素和细菌法定量传感(QS)分子自动诱导因子-2(AI-2)均与F. nucleatum相关CRC的进展呈正相关(p 在体外研究中,去甲肾上腺素诱导QS相关基因上调,促进F. nucleatum的毒力和增殖。此外,慢性应激通过细菌 QS 信号传导,明显增加了感染 F. nucleatum 的 ApcMin/+ 小鼠的结肠肿瘤负荷(p p F. nucleatum related CRC)。这些初步数据为通过靶向宿主激素-细菌 QS 部门间信号来管理病原菌提供了一种新策略。
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引用次数: 0
Chlamydia psittaci: A zoonotic pathogen causing avian chlamydiosis and psittacosis. 鹦鹉热衣原体:引起禽类衣原体病和鹦鹉热的人畜共患病原体。
IF 5.5 1区 农林科学 Q1 IMMUNOLOGY Pub Date : 2024-12-01 Epub Date: 2024-12-02 DOI: 10.1080/21505594.2024.2428411
Jiewen Wang, Buwei Wang, Jian Xiao, Yuqing Chen, Chuan Wang

Chlamydia psittaci is an obligate intracellular gram-negative bacterium with a unique biphasic developmental cycle. It is a zoonotic pathogen with a wide range of hosts and can cause avian chlamydiosis in birds and psittacosis in humans. The pathogen is transmitted mainly through horizontal transmission between birds. Cross-species transmission sometimes occurs and human-to-human transmission has recently been confirmed. This review provides an updated overview of C. psittaci from the perspective of both avian chlamydiosis and psittacosis. We include the aspects of genotype, host-pathogen interaction, transmission, epidemiology, detection and diagnosis, clinical manifestation, management, and prevention, aiming to provide a basic understanding of C. psittaci and offer fresh insights focused on zoonosis and cross-species transmission.

鹦鹉热衣原体是一种细胞内革兰氏阴性细菌,具有独特的双相发育周期。它是一种人畜共患病原体,宿主广泛,可导致鸟类衣原体病和人类鹦鹉热。病原体主要通过鸟类之间的水平传播。有时也会发生跨物种传播,最近还证实了人与人之间的传播。本综述从鸟类衣原体病和鹦鹉热的角度对鹦鹉热进行了最新概述。内容包括基因型、宿主与病原体的相互作用、传播、流行病学、检测和诊断、临床表现、管理和预防等方面,旨在提供对鹦鹉热的基本认识,并重点就人畜共患疾病和跨物种传播提供新的见解。
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引用次数: 0
The twin-arginine translocation system is vital for cell adhesion and uptake of iron in the cystic fibrosis pathogen Achromobacter xylosoxidans. 双精氨酸易位系统对囊性纤维化病原体木糖氧化无色杆菌的细胞粘附和铁的摄取至关重要。
IF 5.5 1区 农林科学 Q1 IMMUNOLOGY Pub Date : 2024-12-01 Epub Date: 2024-10-29 DOI: 10.1080/21505594.2023.2284513
S M Hossein Khademi, Cecilia Sahl, Lotta Happonen, Åke Forsberg, Lisa I Påhlman

Achromobacter xylosoxidans is an emerging pathogen that causes airway infections in patients with cystic fibrosis. Knowledge of virulence factors and protein secretion systems in this bacterium is limited. Twin arginine translocation (Tat) is a protein secretion system that transports folded proteins across the inner cell membranes of gram-negative bacteria. Tat has been shown to be important for virulence and cellular processes in many different bacterial species. This study aimed to investigate the role of Tat in iron metabolism and host cell adhesion in A. xylosoxidans. Putative Tat substrates in A. xylosoxidans were identified using the TatFind, TatP, and PRED-Tat prediction tools. An isogenic tatC deletion mutant (ΔtatC) was generated and phenotypically characterized. The wild-type and ΔtatC A. xylosoxidans were fractionated into cytosolic, membrane, and periplasmic fractions, and the expressed proteome of the different fractions was analysed using liquid chromatography-mass spectrometry (LC-MS/MS). A total of 128 putative Tat substrates were identified in the A. xylosoxidans proteome. The ΔtatC mutant showed attenuated host cell adhesion, growth rate, and iron acquisition. Twenty predicted Tat substrates were identified as expressed proteins in the periplasmic compartment, nine of which were associated with the wild type. The data indicate that Tat secretion is important for iron acquisition and host cell adhesion in A. xylosoxidans.

背景:氧化木糖无色杆菌是一种可引起囊性纤维化患者气道感染的新兴病原体。对这种细菌的毒力因子和蛋白质分泌系统的了解是有限的。双精氨酸易位(Tat)是一种蛋白质分泌系统,可在革兰氏阴性菌的细胞膜内转运折叠蛋白。它已被证明对许多不同细菌物种的毒力和细胞过程很重要。本研究旨在探讨Tat在木犀草铁代谢和寄主细胞粘附中的作用。方法:利用TatFind、TatP和PRED-Tat预测工具对木索酸a中推测的Tat底物进行鉴定。产生了一个等基因tatC缺失突变体(ΔtatC)并进行了表型表征。将野生型和ΔtatC木犀草分为细胞质、膜和质周三个部分,采用液相色谱-质谱联用(LC-MS/MS)分析不同部分的蛋白组表达。结果:在木犀草蛋白质组中共鉴定出128个推测的Tat底物。ΔtatC突变体显示宿主细胞粘附、生长速率和铁获取减弱。20个预测的Tat底物被鉴定为质周室的表达蛋白,其中9个与野生型相关。结论:木犀草的Tat分泌在铁获取和宿主细胞粘附中起重要作用。
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引用次数: 0
Ctr9 promotes virulence of Candida albicans by regulating methionine metabolism. Ctr9 通过调节蛋氨酸代谢促进白色念珠菌的毒力。
IF 5.5 1区 农林科学 Q1 IMMUNOLOGY Pub Date : 2024-12-01 Epub Date: 2024-09-24 DOI: 10.1080/21505594.2024.2405616
Jiyeon Park, Shinae Park, Jueun Kim, Yong-Joon Cho, Jung-Shin Lee

Candida albicans, a part of normal flora, is an opportunistic fungal pathogen and causes severe health issues in immunocompromised patients. Its pathogenicity is intricately linked to the transcriptional regulation of its metabolic pathways. Paf1 complex (Paf1C) is a crucial transcriptional regulator that is highly conserved in eukaryotes. The objective of this study was to explore the role of Paf1C in the metabolic pathways and how it influences the pathogenicity of C. albicans. Paf1C knockout mutant strains of C. albicans (ctr9Δ/Δ, leo1Δ/Δ, and cdc73Δ/Δ) were generated using the CRISPR-Cas9 system. To investigate the effect of Paf1C on pathogenicity, macrophage interaction assays and mouse survival tests were conducted. The growth patterns of the Paf1C knockout mutants were analyzed through spotting assays and growth curve measurements. Transcriptome analysis was conducted under yeast conditions (30°C without serum) and hyphal conditions (37°C with 10% FBS), to further elucidate the role of Paf1C in the pathogenicity of C. albicans. CTR9 deletion resulted in the attenuation of C. albicans virulence, in macrophage and mouse models. Furthermore, we confirmed that the reduced virulence of the ctr9Δ/Δ mutant can be attributed to a decrease in C. albicans cell abundance. Moreover, transcriptome analysis revealed that metabolic processes required for cell proliferation are impaired in ctr9Δ/Δ mutant. Notably, CTR9 deletion led to the downregulation of methionine biosynthetic genes and the cAMP-PKA signaling pathway-related hypha essential genes, which are pivotal for virulence. Our results suggest that Ctr9-regulated methionine metabolism is a crucial factor for determining C. albicans pathogenicity.

白色念珠菌是正常菌群的一部分,是一种机会性真菌病原体,会给免疫力低下的患者带来严重的健康问题。其致病性与其代谢途径的转录调控密切相关。Paf1 复合物(Paf1C)是真核生物中高度保守的关键转录调控因子。本研究的目的是探索 Paf1C 在代谢途径中的作用以及它如何影响白僵菌的致病性。利用 CRISPR-Cas9 系统生成了白僵菌的 Paf1C 基因敲除突变株(ctr9Δ/Δ、leo1Δ/Δ 和 cdc73Δ/Δ)。为了研究 Paf1C 对致病性的影响,进行了巨噬细胞相互作用试验和小鼠存活试验。通过斑点试验和生长曲线测量分析了 Paf1C 基因敲除突变体的生长模式。为了进一步阐明 Paf1C 在白僵菌致病性中的作用,研究人员在酵母条件(30°C,无血清)和蘑菇条件(37°C,10% FBS)下进行了转录组分析。在巨噬细胞和小鼠模型中,CTR9缺失导致白僵菌毒力减弱。此外,我们还证实,ctr9Δ/Δ突变体的毒力减弱可归因于白僵菌细胞丰度的降低。此外,转录组分析表明,ctr9Δ/Δ突变体细胞增殖所需的代谢过程受损。值得注意的是,CTR9 基因缺失导致蛋氨酸生物合成基因和 cAMP-PKA 信号通路相关的菌丝必需基因下调,而这些基因对毒力至关重要。我们的研究结果表明,Ctr9调控的蛋氨酸代谢是决定白僵菌致病性的关键因素。
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引用次数: 0
Biology and genetic diversity of Candida krusei isolates from fermented vegetables and clinical samples in China. 中国发酵蔬菜和临床样本中克鲁赛念珠菌分离物的生物学和遗传多样性。
IF 5.5 1区 农林科学 Q1 IMMUNOLOGY Pub Date : 2024-12-01 Epub Date: 2024-10-17 DOI: 10.1080/21505594.2024.2411543
Tianhong Zheng, Lingyu Ji, Yi Chen, Chengjun Cao, Jian Bing, Tianren Hu, Qiushi Zheng, Dan Wu, Haiqing Chu, Guanghua Huang

Candida krusei, also known as Pichia kudriavzevii, is an emerging non-albicans Candida (NAC) species causing both superficial and deep-seated infections in humans. This fungal pathogen is inherently resistant to the first-line antifungal drug, fluconazole, and is widely distributed in natural environments such as soil, foods, vegetables, and fruits. In this study, we collected 86 C. krusei strains from clinical settings and traditional fermented vegetables from different areas of China. Compared to C. krusei strains from fermented vegetables, clinical isolates exhibited a higher ability to undergo filamentation and biofilm development, which could facilitate its host colonization and infections. Isolates from fermented vegetables showed higher resistance to several antifungal drugs including fluconazole, voriconazole, itraconazole, amphotericin B, and caspofungin, than clinical strains, while they were more susceptible to posaconazole than clinical strains. Although C. krusei has been thought to be a diploid organism, we found that one-fourth of clinical strains and the majority of isolates from fermented vegetables (87.5%) are triploid. Whole-genome sequencing and population genetic analyses demonstrated that isolates from clinical settings and fermented food are genetically associated, and distributed across a wide range of genetic clusters. Additionally, we found that six nucleotide substitutions at the promoter region of the ABC11 gene, encoding a multidrug efflux pump, could play a critical role in antifungal resistance in this species. Given the ubiquitous distribution of C. krusei strains in fermented vegetables and their genetic association with clinical strains, a One Health approach will be necessary to control the prevalence of this pathogen.

克鲁塞念珠菌(Candida krusei),又名 Pichia kudriavzevii,是一种新出现的非白色念珠菌(NAC),可引起人类表皮和深部感染。这种真菌病原体本身对一线抗真菌药物氟康唑具有耐药性,并广泛分布于土壤、食物、蔬菜和水果等自然环境中。在这项研究中,我们从中国不同地区的临床环境和传统发酵蔬菜中收集了 86 株克鲁病菌。与发酵蔬菜中的克鲁赛菌株相比,临床分离菌株表现出更强的丝状化和生物膜发育能力,这有利于其在宿主体内定植和感染。与临床菌株相比,发酵蔬菜中的分离菌株对氟康唑、伏立康唑、伊曲康唑、两性霉素 B 和卡泊芬净等几种抗真菌药物的耐药性更高,而对泊沙康唑的敏感性则高于临床菌株。尽管克鲁塞菌一直被认为是二倍体生物,但我们发现四分之一的临床菌株和大多数从发酵蔬菜中分离出来的菌株(87.5%)都是三倍体。全基因组测序和群体遗传分析表明,来自临床环境和发酵食品的分离菌株在遗传上是相关联的,并分布在广泛的遗传集群中。此外,我们还发现,编码多药外排泵的 ABC11 基因启动子区域的六个核苷酸置换可能在该物种的抗真菌耐药性中起到关键作用。鉴于克鲁赛菌株在发酵蔬菜中的普遍分布及其与临床菌株的遗传关联,有必要采用 "一体健康 "方法来控制这种病原体的流行。
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引用次数: 0
Bactericidal and anti-quorum sensing activity of repurposing drug Visomitin against Staphylococcus aureus. 再利用药物 visomitin 对金黄色葡萄球菌的杀菌和抗菌群感应活性。
IF 5.5 1区 农林科学 Q1 IMMUNOLOGY Pub Date : 2024-12-01 Epub Date: 2024-10-19 DOI: 10.1080/21505594.2024.2415952
Ruolan Wu, Yuan Wu, Pingyun Wu, Huilong Li, Pengfei She

With the growing antibiotic resistance in Staphylococcus aureus, it is imperative to develop innovative therapeutic strategies against new targets to reduce selective survival pressures and incidence of resistance. In S. aureus, interbacterial communication relies on a quorum sensing system that regulates gene expression and physiological activities. Here, we identified that Visomitin, an antioxidant small molecule, exhibited bactericidal efficacy against methicillin-resistant S. aureus and its high tolerance phenotypes like intracellular bacteria and persister cells without inducing resistance. Critically, sub-minimal inhibitory concentrations (sub-MICs) of Visomitin could serve as a potent quorum-quencher reducing virulence production (such as haemolysin and staphyloxanthin), along with inhibiting biofilm formation, self-aggregation, and colony spreading of S. aureus. These effects were probably mediated by interfering with the S. aureus accessory gene regulator quorum sensing system. In summary, our findings suggest that Visomitin shows dual antimicrobial effects, including bactericidal effects at the concentrations above MIC and quorum sensing inhibition effects at sub-MICs, which holds promise for treating MRSA-related refractory infections.

随着金黄色葡萄球菌对抗生素的耐药性不断增加,当务之急是针对新靶点开发创新的治疗策略,以降低选择性生存压力和耐药性的发生率。在金黄色葡萄球菌中,细菌间的交流依赖于调控基因表达和生理活动的法定量感应系统。在这里,我们发现了一种抗氧化小分子 Visomitin,它对耐甲氧西林金黄色葡萄球菌及其高耐受表型(如细胞内细菌和顽固细胞)具有杀菌效果,而不会诱导耐药性。重要的是,亚微量抑制浓度(sub-MICs)的 Visomitin 可作为一种强效的法定人数拮抗剂,减少毒力产生(如溶血素和短链黄素),同时抑制金黄色葡萄球菌的生物膜形成、自我聚集和菌落扩散。这些作用可能是通过干扰金黄色葡萄球菌附属基因调节器的法定人数感应系统介导的。总之,我们的研究结果表明,Visomitin 具有双重抗菌作用,包括 MIC 以上浓度的杀菌作用和 MIC 以下浓度的法定量感应抑制作用,有望用于治疗与 MRSA 相关的难治性感染。
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引用次数: 0
Simulating the clinical manifestations and disease progression of human sepsis: A monobacterial injection approach for animal modeling. 模拟人类败血症的临床表现和疾病进展:动物模型的单菌注射法
IF 5.5 1区 农林科学 Q1 IMMUNOLOGY Pub Date : 2024-12-01 Epub Date: 2024-09-01 DOI: 10.1080/21505594.2024.2395835
Xuanwen Ru, Simiao Chen, Danlei Chen, Qingyi Shao, Wenxia Shao, Qing Ye

Sepsis is defined as life-threatening organ dysfunction caused by a dysregulated host response to infection, with great clinical heterogeneity, high morbidity, and high mortality. At the same time, there are many kinds of infection sources, the pathophysiology is very complex, and the pathogenesis has not been fully elucidated. An ideal animal model of sepsis can accurately simulate clinical sepsis and promote the development of sepsis-related pathogenesis, treatment methods, and prognosis. The existing sepsis model still uses the previous Sepsis 2.0 modelling standard, which has some problems, such as many kinds of infection sources, poor repeatability, inability to take into account single-factor studies, and large differences from clinical sepsis patients. To solve these problems, this study established a new animal model of sepsis. The model uses intravenous tail injection of a single bacterial strain, simplifying the complexity of multibacterial infection, and effectively solving the above problems.

败血症是指宿主对感染的反应失调而引起的危及生命的器官功能障碍,具有临床异质性大、发病率高、死亡率高等特点。同时,感染源种类繁多,病理生理学非常复杂,发病机制尚未完全阐明。理想的败血症动物模型可以准确模拟临床败血症,促进败血症相关发病机制、治疗方法和预后的发展。现有的脓毒症模型仍沿用之前的脓毒症 2.0 建模标准,存在感染源种类多、可重复性差、无法考虑单因素研究、与临床脓毒症患者差异大等问题。为了解决这些问题,本研究建立了一种新的败血症动物模型。该模型采用尾部静脉注射单一细菌菌株的方法,简化了多菌感染的复杂性,有效解决了上述问题。
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引用次数: 0
N-acetylcysteine promotes doxycycline resistance in the bacterial pathogen Edwardsiella tarda. 乙酰半胱氨酸可促进细菌病原体埃德温斯氏菌对强力霉素的耐药性。
IF 5.5 1区 农林科学 Q1 IMMUNOLOGY Pub Date : 2024-12-01 Epub Date: 2024-09-17 DOI: 10.1080/21505594.2024.2399983
Juan Guo, Qingqiang Xu, Yilin Zhong, Yubin Su

Bacterial resistance poses a significant threat to both human and animal health. N-acetylcysteine (NAC), which is used as an anti-inflammatory, has been shown to have distinct and contrasting impacts on bacterial resistance. However, the precise mechanism underlying the relationship between NAC and bacterial resistance remains unclear and requires further investigation. In this study, we study the effect of NAC on bacterial resistance and the underlying mechanisms. Specifically, we examine the effects of NAC on Edwardsiella tarda ATCC15947, a pathogen that exhibits resistance to many antibiotics. We find that NAC can promote resistance of E. tarda to many antibiotics, such as doxycycline, resulting in an increase in the bacterial survival rate. Through proteomic analysis, we demonstrate that NAC activates the amino acid metabolism pathway in E. tarda, leading to elevated intracellular glutathione (GSH) levels and reduced reactive oxygen species (ROS). Additionally, NAC reduces antibiotic influx while enhancing efflux, thus maintaining low intracellular antibiotic concentrations. We also propose that NAC promotes protein aggregation, thus contributing to antibiotic resistance. Our study describes the mechanism underlying E. tarda resistance to doxycycline and cautions against the indiscriminate use of metabolite adjuvants.

细菌耐药性对人类和动物健康都构成了重大威胁。作为消炎药使用的 N-乙酰半胱氨酸(NAC)已被证明对细菌耐药性有不同的、截然不同的影响。然而,NAC 与细菌耐药性之间关系的确切机制仍不清楚,需要进一步研究。在本研究中,我们研究了 NAC 对细菌耐药性的影响及其内在机制。具体来说,我们研究了 NAC 对 Edwardsiella tarda ATCC15947(一种对多种抗生素具有耐药性的病原体)的影响。我们发现,NAC 可以促进 E. tarda 对多西环素等多种抗生素产生耐药性,从而提高细菌的存活率。通过蛋白质组分析,我们证明 NAC 能激活 E. tarda 的氨基酸代谢途径,从而提高细胞内谷胱甘肽(GSH)水平并减少活性氧(ROS)。此外,NAC 还能减少抗生素的流入,同时促进其流出,从而维持较低的细胞内抗生素浓度。我们还提出,NAC 可促进蛋白质聚集,从而产生抗生素耐药性。我们的研究描述了E. tarda对强力霉素产生耐药性的机制,并提醒人们不要滥用代谢物佐剂。
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引用次数: 0
Humoral responses to multiple SARS-CoV-2 variants after two doses of vaccine in kidney transplant patients. 肾移植患者接种两剂疫苗后对多种 SARS-CoV-2 变体的体液反应。
IF 5.2 1区 农林科学 Q1 IMMUNOLOGY Pub Date : 2024-12-01 Epub Date: 2024-05-08 DOI: 10.1080/21505594.2024.2351266
Pin-Xian Du, Shen-Shin Chang, Tzong-Shiann Ho, Hsi-Chang Shih, Pei-Shan Tsai, Guan-Da Syu

Background: The COVID-19 pandemic has led to millions of fatalities globally. Kidney transplant (KT) patients, given their comorbidities and under immunosuppressant drugs, are identified as a high-risk group. Though vaccination remains pivotal for pandemic control, some studies indicate that KT exhibits diminished immune reactions to SARS-CoV-2 vaccines. Therefore, evaluating the vaccine responses in KT, especially the humoral responses against emergent variants is crucial.Methods: We developed a multiplexed SARS-CoV-2 variant protein microarray, incorporating the extracellular domain (ECD) and the receptor binding domain (RBD) of the spike proteins from the variants. This was employed to investigate the collective humoral responses after administering two doses of mRNA-1273 and AZD1222 vaccines in KT under immunosuppressive drugs and in healthy controls.Results: After two doses of either mRNA-1273 or AZD1222, the KT generally showed lower surrogate neutralizing and total antibodies against spike ECD in multiple variants compared to healthy controls. Although two doses of mRNA-1273 induced 1.5-2 fold more surrogate neutralizing and total antibodies than AZD1222 in healthy controls, the KT subjects with two doses of mRNA-1273 generally exhibited higher surrogate neutralizing but similar total antibodies against spike ECD in multiple variants. There were moderate to high correlations between the surrogate neutralizing and total antibodies against spike ECDs.Conclusion: This study offers pivotal insights into the relative vulnerability of KT concerning humoral immunity and the evolving mutations of SARS-CoV-2. Such findings are useful for evaluating vaccine responses and recommending vaccine episodes for KT.

背景:COVID-19 大流行已导致全球数百万人死亡。肾移植(KT)患者因其合并症和服用免疫抑制剂而被确定为高危人群。尽管疫苗接种仍是控制大流行病的关键,但一些研究表明,KT 对 SARS-CoV-2 疫苗的免疫反应较弱。因此,评估 KT 对疫苗的反应,尤其是对新出现变种的体液反应至关重要:方法:我们开发了一种多重 SARS-CoV-2 变体蛋白芯片,其中包含变体尖峰蛋白的胞外结构域 (ECD) 和受体结合结构域 (RBD)。结果发现,在服用免疫抑制药物的 KT 和健康对照组中接种两剂 mRNA-1273 和 AZD1222 疫苗后,体液反应集体发生变化:结果:与健康对照组相比,在接种两剂 mRNA-1273 或 AZD1222 疫苗后,KT 普遍表现出较低的针对多变体尖头 ECD 的替代中和抗体和总抗体。虽然在健康对照组中,两剂mRNA-1273诱导的代偿中和抗体和总抗体比AZD1222高1.5-2倍,但在服用两剂mRNA-1273后,KT受试者在多个变体中普遍表现出较高的代偿中和抗体,但针对尖峰ECD的总抗体与之相似。代偿中和抗体与针对尖峰 ECD 的总抗体之间存在中度到高度相关性:这项研究为了解 KT 在体液免疫方面的相对脆弱性和 SARS-CoV-2 不断演变的变异提供了重要的见解。这些发现有助于评估疫苗反应和推荐 KT 的疫苗接种期。
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引用次数: 0
期刊
Virulence
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