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NESTED PCR ON HPV SCREENING IN CERVICAL SMEARS FROM ASYMPTOMATIC PATIENTS 巢式PCR对无症状患者宫颈涂片HPV筛查的影响
Pub Date : 2010-01-17 DOI: 10.17525/VRR.V15I1.40
F. Nascimento, G. Vasconcelos, M. Rosa, Maria Diva Paes de Lima Ferreira, L. Oliveira
This study evaluated the nested- PCR technique in HPV cervical infection from 19 women who presented negative result for HPV when they were tested by single PCR assay. The outcome indicated a high sensibility of this approach to detect HPV. DOI:  http://dx.doi.org/10.17525/vrr.v15i1.40
本研究评价了巢式PCR技术对19例宫颈HPV感染的检测结果。结果表明,这种方法检测HPV具有很高的敏感性。DOI: http://dx.doi.org/10.17525/vrr.v15i1.40
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引用次数: 0
GUINEA PIG (CAVIA PORCELLUS) CAN BE OR NOT USED AS AN EXPERIMENTAL MODEL TO STUDY HEPATITIS A VIRUS INFECTION 豚鼠(cavia porcellus)可以或不可以作为研究甲型肝炎病毒感染的实验模型
Pub Date : 2010-01-17 DOI: 10.17525/VRRJOURNAL.V15I1.34
F. M. C. Araujo, R. Marchevsky, S. M. Lima, L. M. Martins, C. Hooper, V. Paula, L. Gaspar, M. Freire, M. A. Pinto
Priorities for new hepatitis A virus (HAV) vaccine include  the existence of susceptible animal models to perform studies of infectivity, pathogenesis, humoral and cellular immunity, cytokine responses, antiviral drugs and vaccine efficacy. Previous study demonstrated that guinea-pigs (Cavia porcellus) appeared useful for studying some aspects of HAV pathogenesis and for testing safety of vaccines. The experimental infection was studied in twelve guinea-pigs inoculated intraperitoneally; four of them with the Brazilian HAV wild strain (HAF-203 accession: GenBank AF268396) (group 1); four received HAF-203 strain adapted to FRhK-4 cells (group 2) and, four uninfected animals inoculated only with medium 199 (group 3). One animal of each group was killed on days 14, 28, 42 and 56 postinoculation. All parameters investigated were normal, including liver histology, serum ALT/AST levels  and absence of RNA HAV in feces or liver samples. The seroconversion, at days 28  and 56 (group 1) confirmed HAV inoculation. However, anti-HAV titer alone did not guarantee immunity or predict susceptibility. We were unable to establish a guinea-pig as model of HAV. DOI:  http://dx.doi.org/10.17525/vrrjournal.v15i1.34
新型甲型肝炎病毒(HAV)疫苗的重点包括存在易感动物模型,以进行感染性、发病机制、体液和细胞免疫、细胞因子反应、抗病毒药物和疫苗功效的研究。先前的研究表明,豚鼠(Cavia porcellus)似乎有助于研究甲肝病毒发病机制的某些方面和测试疫苗的安全性。对12只豚鼠进行腹腔接种实验感染研究;其中4例为巴西HAV野生株(HAF-203加入:GenBank AF268396)(第1组);4只接种适应FRhK-4细胞的HAF-203菌株(2组),4只未感染的动物只接种培养基199(3组)。接种后第14、28、42和56天,每组处死1只动物。肝脏组织学、血清ALT/AST水平、粪便或肝脏样本中未见RNA HAV,各项指标均正常。第28天和第56天(1组)的血清转化证实了甲肝接种。然而,单凭抗甲肝滴度并不能保证免疫或预测易感性。我们无法建立豚鼠作为甲肝模型。DOI: http://dx.doi.org/10.17525/vrrjournal.v15i1.34
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引用次数: 3
DENGUE HEMORRHAGIC FEVER IN THE STATE OF CEARÁ, BRAZIL, 2005 2005年巴西cearÁ州的登革出血热
Pub Date : 2010-01-17 DOI: 10.17525/VRRJOURNAL.V15I1.37
E. Daher, R. S. A. Lima, D. Brunetta, G. B. S. Junior, R. Puster, K. L. S. Abreu, A. Garcia, S. M. Araújo, S. Silva, R. Neto
Dengue is the most common cause of arboviral disease in the world. The aim of this study was to evaluate the clinical manifestations, laboratory features and outcome of dengue hemorrhagic fever. This is a retrospective study including 49 consecutive patients with dengue hemorrhagic fever in Fortaleza, Brazil, between February and August 2005. Statistical analysis was performed through the software SPSS 10.0 for windows. Patients’ mean age was 34.8±16.8 years; 59.2% were female. The main clinical signs and symptoms at admission were: fever (95.9%), headache (91.8%), myalgia (87.8%), abdominal pain (77.5%) and asthenia (73.5%). Hemorrhagic manifestations were present in 29 (59.2%) patients, including petechia (32.7%), gingival bleeding (18.4%), epistaxis (12.2%), echimosis (12.2%) and melena (12.2%). The tourniquet test was positive in 3 of 11 patients (27.2%). Platelets count at admission was 82,644±53,147/mm³. All patients presented platelets < 100,000/mm 3 . There was significant difference between admission and hospital discharge platelets count (82,644±53,147 vs. 146,081±88,999/mm³, p < 0.001). There was significant decrease between admission and hospital discharge haemoglobin and hematocrit (13.5±1.9 vs. 12.7±1.5/mm³, P = 0.002 and 41.0±5.9% vs. 38.6±4.8%, p = 0.001, respectively). All patients received venous hydration with saline solution. The mean infusion used was 2,513±1,065 mL daily. Four patients (8.1%) received blood transfusions and 9 (18.3%) platelets transfusions. Two patients died (4.1%) due to hypovolemic shock. Dengue is an endemic disease in emergent countries, with potential fatal outcome. Signs and symptoms suggestive of dengue hemorrhagic fever must be known by any physician in order to institute early adequate treatment. DOI:  http://dx.doi.org/10.17525/vrrjournal.v15i1.37
登革热是世界上最常见的虫媒病毒性疾病。本研究的目的是评估登革出血热的临床表现、实验室特征和转归。这是一项回顾性研究,包括2005年2月至8月在巴西福塔莱萨连续49例登革出血热患者。采用SPSS 10.0 for windows软件进行统计分析。患者平均年龄34.8±16.8岁;59.2%为女性。入院时主要临床症状为:发热(95.9%)、头痛(91.8%)、肌痛(87.8%)、腹痛(77.5%)、乏力(73.5%)。29例(59.2%)患者出现出血表现,包括瘀点(32.7%)、牙龈出血(18.4%)、鼻出血(12.2%)、瘀斑(12.2%)和黑黑(12.2%)。11例患者中止血带试验阳性3例(27.2%)。入院时血小板计数为82,644±53147 /mm³。所有患者血小板均< 100,000/mm 3。入院与出院时血小板计数有显著差异(82,644±53,147 vs. 146,081±88,999/mm³,p < 0.001)。入院和出院时血红蛋白和红细胞压积显著降低(分别为13.5±1.9比12.7±1.5/mm³,P = 0.002和41.0±5.9%比38.6±4.8%,P = 0.001)。所有患者均给予生理盐水静脉补水。平均每日输注2513±1065 mL。输血4例(8.1%),输血小板9例(18.3%)。2例(4.1%)患者死于低血容量性休克。登革热是新兴国家的一种地方病,具有潜在的致命后果。任何医生都必须了解提示登革出血热的体征和症状,以便及早进行适当的治疗。DOI: http://dx.doi.org/10.17525/vrrjournal.v15i1.37
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引用次数: 2
COMPARATIVE STUDY OF THE CLASTOGENIC ACTION OF BOVINE HERPESVIRUS 1 (BOHV-1) IN PRIMARY AND ESTABLISHED CELL CULTURES 牛疱疹病毒1型(bohv-1)在原代和已建立细胞培养物中致裂作用的比较研究
Pub Date : 2010-01-17 DOI: 10.17525/VRR.V15I1.38
E. Rocha, Luciano Belloti, D. L. Pavão, Karen G. Damasco, R. Harakava, M. F. Alves, R. F. Gonçalves, M. D’Angelo
The concern about the transmission of infectious diseases by the use of biotechnologies, like in vitro fertilization (IVF), has been increasing. The aim of this study was to verify the clastogenic alterations in the DNA of Madin-Darby Bovine Kidney (MDBK) and Bovine Oviduct Epithelial Cells (BOEC) infected or not with bovine herpesvirus 1 (BoHV-1), for 24 hours, by the use of the Comet Assay or Single-Cell Gel Electrophoresis (SCGE). The nuclear change was evaluated by measuring the extent of DNA damage, where it was possible to observe 1.7% of level II comet and 2.1% of level IV in the BOEC group “in situ“. However, in BOEC infected by the virus the damages observed were 13.8% comet level I, 0.6% level III and 1.2% level IV. The MDBK cells not infected group showed displayed 1.9% level II and the infected group 26% level I, 12.3 % level II and 6.1 % level III. All groups, regardless if they were infected or not by the virus, were considered positive by the comet assay, maybe because there has not been virus association with the cell DNA. The number of comets detected in the BOEC “in situ” corresponds to spontaneous mutations that use to be present in organisms with failure of DNA repair.  In vitro established and primary cells show greater failure frequency in DNA repair mechanisms, and may present more mutations. Therefore, in vitro models provide better conditions to mimic  in vivo conditions. These data have demonstrated that not always the IVF problems are due to pathogens infection. DOI:  http://dx.doi.org/10.17525/vrr.v15i1.38
使用生物技术(如体外受精)传播传染病的问题日益引起人们的关注。本研究的目的是通过彗星试验或单细胞凝胶电泳(SCGE)验证感染或未感染牛疱疹病毒1 (BoHV-1)的马丁-达比牛肾(MDBK)和牛输卵管上皮细胞(BOEC) DNA在24小时内的破胚性改变。通过测量DNA损伤程度来评估核变化,在BOEC组中,有可能观察到1.7%的II级彗星和2.1%的IV级彗星“原位”。然而,在病毒感染的BOEC中,观察到的损害为彗星I级的13.8%,0.6%的III级和1.2%的IV级。未感染组的MDBK细胞为1.9%的II级,感染组为26%的I级,12.3%的II级和6.1%的III级。所有的组,不管他们是否被病毒感染,彗星试验都认为是阳性的,可能是因为病毒与细胞DNA没有联系。在BOEC“原位”检测到的彗星数量与DNA修复失败的生物体中存在的自发突变相对应。体外建立的细胞和原代细胞在DNA修复机制中表现出更大的失败频率,并可能出现更多的突变。因此,体外模型为模拟体内条件提供了更好的条件。这些数据表明,试管婴儿问题并不总是由病原体感染引起的。DOI: http://dx.doi.org/10.17525/vrr.v15i1.38
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引用次数: 0
THE USE OF HOMOLOGOUS AND HETEROLOGOUS ANTIGENS IN HEMMAGLUTINATION-INHIBITION (HI) TEST FOR DETECTION OF ANTIBODIES AGAINST NEWCASTLE DISEASE VIRUS IN VACCINATED AND EXPERIMENTALLY INFECTED PIGEONS (Columba livia) 利用同种抗原和异种抗原的血凝抑制(HI)试验检测接种和实验感染鸽子的新城疫病毒抗体
Pub Date : 2010-01-17 DOI: 10.17525/VRR.V15I1.41
Jaqueline Raymondi Silva, A. A. Pinto, A. O. T. Carrasco
Newcastle Disease (ND), caused by Newcastle Disease Virus (NDV) is one of the most devastating diseases of the domestic fowl. Domestic pigeon (Columba livia) are related as host and disseminating of ND to poultry and wild birds, but some aspects of epidemiology are still unclear. In this study, conventional microtiter hemagglutination inhibition (HI) test was performed to evaluate the antibodies production of experimentally infected pigeons with a pathogenic strain of NDV and vaccinated pigeons with live vaccine strains LaSota and Ulster. The tests were performed using two different antigens to evaluate the possible differences between the results. The use of different antigens had influenced the HI test results for both experimentally infected and vaccinated pigeons. While higher HI titers of experimentally infected pigeons were obtained using LaSota as antigen, the opposite was observed with vaccinated pigeons, where the occurrence of higher titers were observed using Ulster as antigen. Our data suggest that these  aspects should be considered in HI tests procedure, in order to obtain results closer to the real immune response of birds infected with NDV. DOI:  http://dx.doi.org/10.17525/vrr.v15i1.41
新城疫病是由新城疫病毒(NDV)引起的家禽疫病,是对家禽危害最大的疫病之一。家鸽(Columba livia)是ND的宿主,也是ND向家禽和野生鸟类传播的宿主,但流行病学的某些方面仍不清楚。本研究采用常规的微滴血凝抑制(HI)试验来评价新城疫病毒病原株实验感染鸽子和LaSota和Ulster活疫苗接种鸽子的抗体产生情况。使用两种不同的抗原进行测试,以评估结果之间可能的差异。不同抗原的使用影响了实验感染和接种疫苗的鸽子的HI检测结果。使用LaSota作为抗原的实验感染鸽子的HI滴度较高,而接种疫苗的鸽子则相反,使用Ulster作为抗原的实验感染鸽子的HI滴度较高。我们的数据表明,在HI检测程序中应考虑这些方面,以获得更接近NDV感染鸟类真实免疫反应的结果。DOI: http://dx.doi.org/10.17525/vrr.v15i1.41
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引用次数: 3
SEROPREVALENCE OF H3N2 INFLUENZA A VIRUS IN PIGS FROM PARANÁ (SOUTH BRAZIL): INTERFERENCE OF THE ANIMAL MANAGEMENT AND CLIMATIC CONDITIONS 来自paranÁ(巴西南部)猪的h3n2甲型流感病毒血清流行率:动物管理和气候条件的干扰
Pub Date : 2010-01-17 DOI: 10.17525/VRR.V15I1.36
L. Caron, M. G. Joineau, E. Santin, R. Richartz, M. A. Patrício, V. Soccol
Since the beginning of the 20th Century, Influenza can be understood as an illness associated to a viral infection, and its etiological agent can be better characterized. From then on, the swine species has occupied a prominent place in the Influenza epidemiology, for it allows the circulation and replication of viruses of potentially human and avian origin. The aim of the present study was to determine the current seroprevalence for the H3N2 virus subtype in two types of pig-raising systems in the state of Parana-Brazil. The first one represents pig farms, with an adequate health, nutritional, and environmental management; and the second one represents pig runs, without an adequate health, nutritional, and environmental management. To accomplish these aims, 675 blood samples of pigs were analyzed by HI (hemagglutination inhibition) assay and the interference of the pig management and climatic conditions of each region were analyzed. The results showed that 46% of the pig farms are positive, as opposed to 6% of the pig runs; and 20% of the animals on pig farms are serum positive, as opposed to 3% of the animals in pig runs. Likewise, the samples coming from colder areas in Parana presented, as a rule, a high positivity index. The results allow concluding that the virus is present in pig-raising facilities, and the strategies for preventing future epidemics and epizooties must consider the role of swine as an important factor in the epidemiology of influenza. DOI:  http://dx.doi.org/10.17525/vrr.v15i1.36
自20世纪初以来,流感可以被理解为一种与病毒感染有关的疾病,其病原可以更好地表征。从那时起,猪在流感流行病学中占据了突出的地位,因为它允许可能源自人类和鸟类的病毒传播和复制。本研究的目的是确定巴拉那-巴西州两种养猪系统中H3N2病毒亚型的当前血清流行率。第一个代表养猪场,具有适当的健康、营养和环境管理;第二种是没有适当的健康、营养和环境管理的猪群。为此,采用血凝抑制试验对675份猪的血液样本进行了分析,并分析了猪管理和各地区气候条件的干扰。结果显示,46%的养猪场呈阳性,而养猪场的这一比例为6%;猪场20%的动物血清呈阳性,而养猪场只有3%的动物血清呈阳性。同样,来自巴拉那较冷地区的样本通常呈现出较高的阳性指数。研究结果表明,猪流感病毒存在于养猪场中,预防未来流感流行和动物流行病的策略必须考虑到猪在流感流行病学中的重要作用。DOI: http://dx.doi.org/10.17525/vrr.v15i1.36
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引用次数: 16
FELINE IMMUNODEFICIENCY VIRUS AND ITS RECEPTORS 猫免疫缺陷病毒及其受体
Pub Date : 2010-01-17 DOI: 10.17525/VRR.V15I1.39
B. M. Teixeira, B. Willett, M. Hosie, M. Hagiwara
Feline immunodeficiency virus (FIV) is a lentivirus associated with an AIDS-like syndrome in the domestic cat. The hallmark of the infection is a gradual depletion of CD4+helper T lymphocytes. The FIV enter cells by sequential interaction between its envelope glycoprotein (ENV) and the primary receptors, CD 134, and subsequently with the co-receptor the chemokine recepotrs CXCR4. The expression of those receptors is restricted to activated cells. The FIV possesses a broad tropism for CD4+lymphocytes, CD8+lymphocytes, B lymphocytes and monocyte-derived macrophages. CD4+ cell has the greatest provirus burden during the acute phase of infection but during the chronic phase, asymptomatic stage, B cells bears the major FIV provirus. This change could be the result of the different way that the ENV interacts with its receptors. This review is a brief overview of the interaction between FIV and its receptors. The molecular mechanisms of this relation and the viral cell tropism with disease progression not only did are important to development of vaccine approaches and therapeutic interventions but also to the  understanding of pathogenesis of lentiviruses. DOI:  http://dx.doi.org/10.17525/vrr.v15i1.39
猫免疫缺陷病毒(FIV)是一种与家猫艾滋病样综合征相关的慢病毒。感染的标志是CD4+辅助性T淋巴细胞的逐渐耗竭。FIV通过其包膜糖蛋白(ENV)与主要受体cd134以及随后与共受体趋化因子受体CXCR4的顺序相互作用进入细胞。这些受体的表达仅限于活化的细胞。FIV对CD4+淋巴细胞、CD8+淋巴细胞、B淋巴细胞和单核细胞源性巨噬细胞具有广泛的趋向性。在感染的急性期,CD4+细胞携带的原病毒最多,而在慢性期,即无症状期,B细胞携带的原病毒最多。这种变化可能是ENV与其受体相互作用的不同方式的结果。本文就FIV与其受体的相互作用作一综述。这种关系的分子机制和病毒细胞嗜性与疾病进展不仅对疫苗方法和治疗干预的发展很重要,而且对慢病毒发病机制的理解也很重要。DOI: http://dx.doi.org/10.17525/vrr.v15i1.39
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引用次数: 0
Human T Lymphotropic Virus Type I Infection in Pregnant Women in Rio De Janeiro, Brazil 巴西里约热内卢孕妇感染人类T淋巴细胞病毒I型
Pub Date : 2010-01-17 DOI: 10.17525/VRRJOURNAL.V15I1.35
J. Camara, J. Simonetti, S. R. Simonetti, Rosemary Suely Ribeiro, M. Costa, C. Lopes, H. Schatzmayr, S. Carvalho
Human T lymphotropic virus type I (HTLV-I) is a retrovirus and the transmission occurs from mother to child, by sexual contact or by blood transfusion. This study was performed to evaluate the prevalence ratio of HTLV infection in a group of 389 pregnant women attending at Fernandes Figueira Institute, Fiocruz, in Rio de Janeiro, Brazil. The specimens were screened for HTLV antibodies by ELISA and reactive samples were submitted to a Western Blot (WB) for confirmation. Detection of HTLV-I provirus in DNA from peripheral blood mononuclear cells (PBMC) and breast milk mononuclear cells (BMMC) from the seropositive women, was performed by PCR using primers for LTR, tax, pol regions. Of the 389 pregnant women tested, four (1%) were HTLV-I seropositive and three were indeterminate in the WB. PCR was done in three of the seropositive cases and HTLV-I provirus was detected in PBMC and BMMC from two of them. Three blood samples (0.8%) that presented WB indeterminate patterns, were negative by PCR. Our data indicate that the frequency of HTLV-I infection among pregnant women is relatively high in Rio de Janeiro and that preventive measures against the vertical transmission of the virus must be adopted in Brazil. DOI:  http://dx.doi.org/10.17525/vrrjournal.v15i1.35
人类I型T淋巴细胞病毒(HTLV-I)是一种逆转录病毒,可通过性接触或输血从母亲传染给儿童。本研究旨在评估在巴西里约热内卢Fiocruz Fernandes Figueira研究所就诊的389名孕妇HTLV感染的患病率。采用ELISA法对标本进行HTLV抗体筛选,反应性标本进行Western Blot (WB)检测。采用PCR方法检测血清阳性妇女外周血单核细胞(PBMC)和母乳单核细胞(BMMC) DNA中的HTLV-I原病毒,引物为LTR、tax、pol区。在接受检测的389名孕妇中,4名(1%)HTLV-I血清阳性,3名WB不确定。对3例血清阳性病例进行PCR检测,其中2例PBMC和BMMC中检测到HTLV-I原病毒。3份血样(0.8%)呈WB不确定型,PCR阴性。我们的数据表明,巴西巴西孕妇HTLV-I感染的频率相对较高,巴西必须采取预防措施防止病毒的垂直传播。DOI: http://dx.doi.org/10.17525/vrrjournal.v15i1.35
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引用次数: 0
HISTOPATHOLOGICAL AND ULTRASTRUCTURAL STUDIES OF LUNG TISSUE OF MICE REINFECTED WITH DENGUE VIRUS SEROTYPES 1 OR 2 登革病毒1型或2型再感染小鼠肺组织的组织病理学和超微结构研究
Pub Date : 2009-11-17 DOI: 10.17525/VRR.V14I2.28
D. Barreto, H. Schatzmayr, C. Takiya, F. C. Jácome, M. Silva, N. Faria, R. Nogueira, O. Barth
Histological and ultrastructural alterations in lung of BALB/c mice reinfected with heterologous DENV by the intravenous route with non-neuroadapted dengue viruses serotypes 1 and 2 were analyzed. The lung samples were processed following the standard techniques of photonic and transmission electron microscopy. Morphological studies showed breakdown of alveolocapilar barrier leading to alveolitis, focal zones of collapse, and intraalveolar hemorrhage. Inside alveolar septa, congested capillaries exhibited neutrophils and platelets. Alveolar capillary endothelial cells exhibited aspects of activation with exuberant phylopodia and intracytoplasmic vesicles and vacuoles. Morphometrical analyses demonstrated an increase of the surface density of interalveolar septa in all reinfected mice while alveolar space density was decreased. All these morphometrical data corroborated the histological features emphasizing the alveolocapilar breakdrown in dengue infected animals. Important is the fact that reinfection leads to intraalveolar fibrogenesis as demonstrated by histomorphometry and ultrastructural studies. DENV particles, antigens and RNA were observed 72 hours post-reinfection in mosquito cells (C6/36) inoculated with sera of the animals. The morphological alterations observed in lungs were similar to the observed in human cases of dengue fever and dengue hemorrhagic fever. The present study demonstrates that the BALB/c mice, during the secondary infection by a heterologous serotype of DENV, develop morphological alterations in lung tissue more severe than those observed in the primary infection.
采用非神经适应性1型和2型登革病毒经静脉途径再次感染外源DENV的BALB/c小鼠,观察其肺组织和超微结构的变化。肺样品按照标准的光子显微镜和透射电镜技术进行处理。形态学研究显示肺泡毛细血管屏障的破坏导致肺泡炎、局灶性塌陷和肺泡内出血。肺泡间隔内充血毛细血管内可见中性粒细胞和血小板。肺泡毛细血管内皮细胞表现出丰富的门足和胞浆内囊泡和液泡的激活。形态计量学分析表明,所有再感染小鼠的肺泡间隔表面密度增加,而肺泡间隙密度降低。所有这些形态学数据证实了登革热感染动物的肺泡毛细血管断裂的组织学特征。重要的是,组织形态学和超微结构研究表明,再感染导致肺泡内纤维形成。接种动物血清的蚊子细胞(C6/36)再感染72 h后,观察DENV颗粒、抗原和RNA的变化。在肺部观察到的形态学改变与在登革热和登革出血热病例中观察到的相似。本研究表明,BALB/c小鼠继发性感染DENV时,肺组织的形态学改变比原发性感染时更为严重。
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引用次数: 2
HIV-1 DRUG RESISTANCE ASSESSMENT IN PEDIATRIC PATIENTS 儿科患者Hiv-1耐药性评估
Pub Date : 2009-11-17 DOI: 10.17525/VRR.V14I2.29
S. R. Simonetti, D. Lima, H. Schatzmayr, Bruno R. Simonetti, D. Sztajnbok, M. Lago, J. Simonetti
Twenty-one vertically HIV-1 infected children were assessed for drug resistance genotyping. Eighteen children presented at least one mutation conferring resistance to the nucleoside reverse transcriptase inhibitors, and seven children presented resistance to the non-nucleoside inhibitors. Among them, two children in whom the therapy had been discontinued two to three years before testing presented K101E, K103N, and G190A mutations conferring resistance to all the non-nucleoside drugs available for treatment. Protease gene mutations conferring resistance to at least two to up to twelve drugs were reported in 12 children. Studies in HIV-infected children have a particular meaning, and with antiretroviral therapy becoming more widely available, surveillance of viral resistance regional levels is relevant for treatment guidelines, supporting the rational use of antiretroviral drugs by treatment programs. Additional larger studies are still required to give more information on HIV-1 drug resistance in pediatric patients. DOI: http://dx.doi.org/10.17525/vrr.v14i2.29
对21例垂直感染HIV-1的儿童进行耐药性基因分型评估。18名儿童表现出至少一种突变,对核苷类逆转录酶抑制剂产生耐药性,7名儿童对非核苷类抑制剂产生耐药性。其中,两名在检测前停止治疗2 - 3年的儿童出现K101E、K103N和G190A突变,对所有可用的非核苷类药物产生耐药性。据报道,在12名儿童中,蛋白酶基因突变导致对至少2至12种药物产生耐药性。对感染艾滋病毒的儿童进行研究具有特殊意义,而且随着抗逆转录病毒疗法的日益普及,对病毒耐药性区域水平的监测与治疗指南相关,支持治疗方案合理使用抗逆转录病毒药物。还需要更多更大规模的研究来提供更多关于儿科患者HIV-1耐药性的信息。DOI: http://dx.doi.org/10.17525/vrr.v14i2.29
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引用次数: 0
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