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Molecular Analysis of Hepatitis B Virus in Mothers-Children Pairs 母子对乙型肝炎病毒的分子分析
Pub Date : 2021-05-01 DOI: 10.26420/AUSTINJINFECTDIS.2021.1045
Chatzidaki, C. Perdikogianni, E. Galanakis, D. Paraskevis, I. Iliopoulos, G. Sourvinos, E. Kouroumalis
ackground: Vertical transmission of Hepatitis B Virus (HBV) is the primary infection source for infants, but little is known on the proportion of children that have acquired HBV from their mothers. Objective: We investigated the relationship of HBV sequencing in HBVpositive children and their mothers and explored the HBV phylogenetic tree. Methods: Serum-extracted HBV-DNA from 38 individuals (13 children paired to nine mothers, 16 unpaired infected children) was amplified by polymerase chain reaction and the target region HBV surface glycoprotein (amino acids 40-171) was directly sequenced. Following editing and alignment of these sequences, phylogenetic tree analysis was performed using the neighbourjoining and maximum-likelihood methods. Results: Analysis was successfully performed in 29 subjects (23 children and six mothers), including six mother-child pairs. All individuals were infected by genotype D. Subgenotype adw3 prevailed (21, 72.4%), followed by ayw2 (4, 13.8%) and ayw3 (4, 13.8%). Among six mother-child pairs, three had identical and three had different subgenotypes. Phylogenetic analysis revealed that HBV sequences from three children did not cluster with their siblings suggesting a different source of infection. Conclusion: Our findings suggest that HBV subgenotypes in infected children may not be identical to their mothers’ and point to non-vertical HBV transmission in childhood.
背景:乙型肝炎病毒(HBV)的垂直传播是婴儿的主要感染源,但从母亲那里获得HBV的儿童比例知之甚少。目的:研究乙肝病毒阳性儿童及其母亲HBV序列的关系,探索HBV的系统发育树。方法:采用聚合酶链反应扩增38例(13例与9例母亲配对的儿童,16例未配对的感染儿童)血清HBV- dna,并直接测序靶区HBV表面糖蛋白(氨基酸40-171)。在对这些序列进行编辑和比对后,使用邻近和最大似然方法进行系统发育树分析。结果:29名被试(23名儿童和6名母亲)成功分析,包括6对母子。所有个体均感染d基因型,以adw3亚基因型为主(21.72.4%),其次为ayw2(4.13.8%)和ayw3(4.13.8%)。在6对母子中,3对具有相同的亚基因型,3对具有不同的亚基因型。系统发育分析显示,来自三名儿童的HBV序列与他们的兄弟姐妹没有聚类,表明感染源不同。结论:我们的研究结果表明,感染儿童的HBV亚基因型可能与其母亲不同,并指向儿童时期的非垂直HBV传播。
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引用次数: 0
Development of Computed Tomography Image Processing Procedure for the Diagnosis of Human Respiratory Infectious Diseases: COVID-19 用于诊断人类呼吸道传染病COVID-19的计算机断层扫描图像处理程序的开发
Pub Date : 2021-05-01 DOI: 10.26420/AUSTINJINFECTDIS.2021.1047
M. Boopathi, D. Khanna, R. Vennila, R. Rajan, T. Maidili, S. Pooja, K. Jothimeena, A. Aarthi, R. Megala, P. Venkatraman
Computed Tomography (CT) is a non-invasive method to give CT images of every part of the human body without superimposition of end-to-end structures. Some issues in measurements with CT are limiting too few parameters like quantum noise, beam hardening, X-ray scattering by the patient, and nonlinear partial volume effects. Image processing with Adobe Photoshop, ImageJ, and Origin software have been used to achieve good quality images for numerical analysis. Statistical functions permit to investigate the general characteristics of a human respiratory infections disease. Using Automatic Diagnosis system, differentiation in diseases can be filtered out with the help of CT images. Data can be analyzed from the CT images to distinguish between a human respiratory infections disease, a common disorder like Major Depression (MD) or Obsessive-Compulsive Disorder (OCD) and a normal lung.
计算机断层扫描(CT)是一种非侵入性的方法,它可以在不叠加端到端结构的情况下给出人体各个部位的CT图像。CT测量中的一些问题限制了很少的参数,如量子噪声、光束硬化、患者的x射线散射和非线性部分体积效应。使用Adobe Photoshop, ImageJ和Origin软件进行图像处理,以获得用于数值分析的高质量图像。统计功能允许调查人类呼吸道感染疾病的一般特征。利用自动诊断系统,可以借助CT图像过滤出疾病的分化。数据可以从CT图像中分析,以区分人类呼吸道感染疾病,一种常见的疾病,如重度抑郁症(MD)或强迫症(OCD)和正常肺。
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引用次数: 0
Failure of BCG Necessitates to the Development of New Novel Vaccine 卡介苗的失效要求研制新型疫苗
Pub Date : 2021-04-23 DOI: 10.26420/AUSTINJINFECTDIS.2021.1044
S. Meena, P. Goutam, Meena Ls
The only vaccine available for the deadly disease tuberculosis is Bacillus- Calmette-Guerin (BCG), which is an attenuated vaccine of Mycobacterium bovis. Although this vaccine boosts immune response but it is effective only for 10-20 years, after this there is need to develop immunity against Mycobacterium tuberculosis H37Rv (M. tuberculosis). As the vaccine is botched to provide sustained effects and to protect against disseminated forms of Tuberculosis (TB), it needs a component to heighten antigen specific immune reactions when used in combination with particular vaccine antigens that can also modulate the immune responses to an antigen to advance them. Adjuvants are the one such factor that can be used in vaccines to crack such problems. Many vaccines are under clinical trials in which subunit vaccine has taken attention because they are safer and can be standardized. There are many adjuvants which have been tested in combinations with BCG to increase the activity of vaccine. Mycobacterial antigen 85 A, B, C, present at outer part of cell wall and have great potential as therapeutic approach towards tuberculosis. MPT64 increases T-cell response in tuberculosis patients but there are less evidence about the role of this secreted mycobacterial protein in patients. ESAT 6 is effective T cell antigen and also pore forming toxin which is crucial for the virulence of bacterium. ESAT 6 separately or in compound form with its chaperone CFP- 10 form, regulates host immune response. They efficiently modify innate and adaptive immune response. This review provides an insight in the direction of the vaccine development on the basis of pre-existing credentials.
唯一可用于致命疾病结核病的疫苗是卡介苗,这是一种牛分枝杆菌的减毒疫苗。虽然这种疫苗可以增强免疫反应,但它的有效期只有10-20年,在此之后需要开发针对结核分枝杆菌H37Rv(结核分枝杆菌)的免疫力。由于这种疫苗不能提供持续的效果,也不能预防播散性结核病,因此它需要一种成分,在与特定的疫苗抗原结合使用时加强抗原特异性免疫反应,这种成分也可以调节对抗原的免疫反应,以促进它们。佐剂是疫苗中可以用来解决这些问题的一种因素。许多疫苗正在进行临床试验,其中亚单位疫苗受到关注,因为它们更安全,可以标准化。有许多佐剂已被测试与卡介苗联合使用以增加疫苗的活性。分枝杆菌抗原85a, B, C,存在于细胞壁外侧,作为结核病的治疗方法有很大的潜力。MPT64增加结核患者的t细胞反应,但关于这种分泌的分枝杆菌蛋白在患者中的作用的证据较少。esat6是一种有效的T细胞抗原,也是一种对细菌毒力起关键作用的成孔毒素。ESAT - 6单独或与其伴侣CFP- 10复合物形式调节宿主免疫反应。它们有效地改变先天和适应性免疫反应。这篇综述在已有证据的基础上为疫苗开发方向提供了见解。
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引用次数: 0
Case Series of Pneumomediastinum in COVID-19 Infection COVID-19感染纵隔肺炎病例系列分析
Pub Date : 2021-04-16 DOI: 10.26420/AUSTINJINFECTDIS.2021.1043
S. Fakhreddine, R. Jaber, E. Skaff, Salim Salloum, A. Maatouk
Introduction: Pneumomediastinum is rare in viral infection of the lung however in COVID-19 patients it is more common. Study Design: Case series of 14 moderate to severe COVID cases complicated by Pneumomediastinum admitted to Saint George Hospital over 4 months. Data was collected retrospectively from medical charts of the patients. Results: Most of the patients were males. Average hospital stay was 15.21 days. Five patients (35.72%) developed pneumomediastinum without any kind of mechanical ventilation during hospitalization. Around 35.72% of the patients were discharged and the average time till death was 8.8 days. Conclusion: Pneumomediastinum can develop without any positive pressure ventilation in COVID-19 infection.
纵隔肺炎在肺部病毒感染中很少见,但在COVID-19患者中更为常见。研究设计:14例在圣乔治医院住院4个月以上的中重度COVID合并纵隔气肿病例。回顾性收集患者病历资料。结果:患者以男性居多。平均住院时间15.21天。5例(35.72%)患者在住院期间未使用任何机械通气而发生纵隔气肿。出院率为35.72%,平均死亡时间为8.8 d。结论:COVID-19感染无正压通气可发生纵隔气肿。
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引用次数: 0
Review of the SARS-CoV-2 (COVID-19) Based on Current Evidence 基于现有证据的SARS-CoV-2 (COVID-19)综述
Pub Date : 2021-01-14 DOI: 10.26420/austinjinfectdis.2021.1042
Takele S, Kedir M
The coronaviruses are a group of RNA-containing agents known to cause respiratory illnesses in humans and animals. This virus has caused two largescale pandemics in humans in the past two decades, SARS and Middle East Respiratory Syndrome (MERS). A novel coronavirus (SARS-CoV-2) that causes the disease Coronavirus Disease 2019 (COVID-19) has been isolated from in a seafood and poultry market in the Chinese city of Wuhan in 2019. Cases have been detected in most countries worldwide, and on March 11, 2020, the World Health Organization characterized the outbreak as a pandemic. The virus spreads from person-to-person via close contact, respiratory droplets, or surface contact. The disease is mild in most people, yet may progress to pneumonia, acute respiratory distress syndrome, multi-organ dysfunction, and even death. Treatment is essentially supportive as the role of antiviral agents is yet to be established. At the moment, is known relatively little about COVID-19, except that it is a highly pathogenic and possibly zoonotic agent. Therefore, the objective of this review paper is to summarize the current published evidence on the genomic structure, pathogenesis, epidemiology, clinical characteristics, diagnosis, and prevention of SARS-CoV-2 (COVID-19).
冠状病毒是一组含有rna的病原体,已知会导致人类和动物的呼吸道疾病。这种病毒在过去二十年中导致了两次大规模的人类大流行,即SARS和中东呼吸综合征(MERS)。2019年,在中国武汉市的一个海鲜和家禽市场中分离出了导致2019冠状病毒病(COVID-19)的新型冠状病毒(SARS-CoV-2)。世界上大多数国家都发现了病例,世界卫生组织于2020年3月11日将此次疫情定性为大流行。该病毒通过密切接触、呼吸道飞沫或表面接触在人与人之间传播。这种疾病对大多数人来说是轻微的,但可能发展为肺炎、急性呼吸窘迫综合征、多器官功能障碍,甚至死亡。治疗基本上是支持性的,因为抗病毒药物的作用尚未确定。目前,对COVID-19的了解相对较少,只知道它是一种高致病性和可能的人畜共患病原体。因此,本文的目的是总结目前已发表的关于SARS-CoV-2 (COVID-19)的基因组结构、发病机制、流行病学、临床特征、诊断和预防的证据。
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引用次数: 2
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Austin Journal of Infectious Diseases
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