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Virion-Independent Extracellular Vesicle (EV)-Dependent Transmission of SARS-CoV-2 as a Potential New Mechanism of Viral RNA Spread in Human Cells. 病毒非依赖型细胞外囊泡(EV)依赖的SARS-CoV-2传播作为病毒RNA在人细胞中传播的潜在新机制
IF 3.5 3区 医学 Q2 VIROLOGY Pub Date : 2026-01-22 DOI: 10.3390/v18010145
Nergiz Ekmen, Ali Riza Koksal, Dong Lin, Di Tian, Paul Thevenot, Sarah Glover, Srikanta Dash

The concentration of extracellular vesicles (EVs) in the peripheral blood of COVID-19 patients is increased. Nevertheless, their potential role in the transmission of infection remains unclear. This study was performed to determine whether EVs produced by the sub-genomic replicon system developed in Baby Hamster Kidney (BHK-21) cells could transfer SARS-CoV-2 replicon RNA, leading to the establishment of a viral replication system in human cells. Purified EVs from the SARS-CoV-2 sub-genomic replicon cell line BHK-21 were cultured with a naive human cell line. The success of EV-mediated transfer of SARS-CoV-2 replicon RNA and its productive replication was assessed using G-418 selection, a luciferase assay, immunostaining, and Western blot. We found that the A549 cell line cultured with EVs isolated from SARS-CoV-2 BHK-21 replicon cells developed G-418-resistant cell colonies. SARS-COV-2 RNA replication in A549 cells was confirmed by nano luciferase, Nsp1 protein. SARS-CoV-2 RNA replication causes massive morphological changes. Treatment of cells with the FDA-approved Paxlovid demonstrated a dose-dependent inhibition of viral replication. We isolated two human epithelial cell lines (gastrointestinal and neuroblastoma) and one vascular endothelial cell line that stably support high-level replication of SARS-CoV-2 sub-genomic RNA. Viral elimination did not revert the abnormal cellular shape, vesicle accumulation, syncytia formation, or EV release. Our study's findings highlight the potential implications of EV-mediated transfer of replicon RNA to permissive cells. The replicon model is a valuable tool for studying virus-induced reversible and irreversible cellular reprogramming, as well as for testing novel therapeutic strategies for SARS-CoV-2.

新冠肺炎患者外周血细胞外囊泡(EVs)浓度升高。然而,它们在感染传播中的潜在作用仍不清楚。本研究旨在确定由小仓鼠肾(BHK-21)细胞发育的亚基因组复制子系统产生的ev是否能够转移SARS-CoV-2复制子RNA,从而在人细胞中建立病毒复制系统。从SARS-CoV-2亚基因组复制子细胞系BHK-21中纯化的ev与幼稚人细胞系一起培养。通过G-418选择、荧光素酶测定、免疫染色和Western blot评估ev介导的SARS-CoV-2复制子RNA转移的成功及其有效复制。我们发现,用SARS-CoV-2 BHK-21复制子细胞分离的ev培养的A549细胞系产生了抗g -418的细胞菌落。纳米荧光素酶Nsp1蛋白证实了SARS-COV-2 RNA在A549细胞中的复制。SARS-CoV-2 RNA复制引起大量形态变化。用fda批准的Paxlovid治疗细胞显示出对病毒复制的剂量依赖性抑制。我们分离了两种人类上皮细胞系(胃肠道和神经母细胞瘤)和一种血管内皮细胞系,它们稳定地支持SARS-CoV-2亚基因组RNA的高水平复制。病毒消除不能恢复异常的细胞形状、囊泡积聚、合胞体形成或EV释放。我们的研究结果强调了ev介导的复制子RNA向允许细胞转移的潜在意义。复制子模型是研究病毒诱导的可逆和不可逆细胞重编程以及测试新治疗策略的重要工具。
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引用次数: 0
Genetic Diversity of SARS-CoV-2 in Kazakhstan from 2020 to 2022. 2020 - 2022年哈萨克斯坦SARS-CoV-2遗传多样性分析
IF 3.5 3区 医学 Q2 VIROLOGY Pub Date : 2026-01-21 DOI: 10.3390/v18010138
Altynay Gabiden, Andrey Komissarov, Aknur Mutaliyeva, Aidar Usserbayev, Kobey Karamendin, Alexander Perederiy, Artem Fadeev, Ainagul Kuatbaeva, Dariya Jussupova, Askar Abdaliyev, Manar Smagul, Yelizaveta Khan, Marat Kumar, Temirlan Sabyrzhan, Aigerim Abdimadiyeva, Aidyn Kydyrmanov

Coronavirus disease 2019 (COVID-19), caused by SARS-CoV-2, has had major social and economic consequences worldwide. Whole genome sequencing (WGS) is essential for genomic monitoring, enabling tracking of viral evolution, detection of emerging variants, and identification of introductions and transmission chains to inform timely public health responses. Here, we compile and harmonize SARS-CoV-2 genomic data generated by multiple laboratories across Kazakhstan together with publicly available sequences to provide a national overview of genomic dynamics across successive epidemic waves from 2020 to 2022. We analyzed 4462 genomes deposited in GISAID (including 340 generated in this study), of which 3299 passed Nextclade quality filters, and summarized lineage turnover across major phases (pre-VOC, Alpha, Delta, Omicron BA.1/BA.2, Omicron BA.4/BA.5, and a later recombinant-dominant period). Sequencing intensity varied markedly over time (0.60‱ of confirmed cases during Delta vs. 11.57‱ during the Omicron BA.5 wave), suggesting that lineage diversity and persistence may be underestimated. Pre-VOC circulation included ≥12 Pango lineages with evidence of multiple introductions and sustained local transmission, including a Kazakhstan-restricted B.4.1 lineage that emerged in Nur-Sultan/Astana and disappeared after April 2020. The Tengizchevroil oilfield outbreak comprised B.1.1 viruses with phylogenetic support for ≥three independent introductions. Alpha and Omicron waves were characterized by repeated introductions and heterogeneous origins, whereas Delta was dominated by AY.122 with an additional distinct AY.122 cluster; a notable BF.7 local transmission event was observed during BA.5. We also highlight locally enriched non-lineage-defining mutations. Overall, recurrent importations and variable local amplification shaped SARS-CoV-2 dynamics in Kazakhstan, while interpretation is constrained by strongly time-skewed sequencing.

由SARS-CoV-2引起的2019冠状病毒病(COVID-19)在全球范围内造成了重大的社会和经济后果。全基因组测序(WGS)对于基因组监测至关重要,能够跟踪病毒进化,检测新出现的变异,识别引入和传播链,从而及时为公共卫生反应提供信息。在这里,我们将哈萨克斯坦多个实验室生成的SARS-CoV-2基因组数据与公开的序列进行汇编和协调,以提供2020年至2022年连续流行波的基因组动态全国概况。我们分析了沉积在GISAID中的4462个基因组(包括本研究生成的340个),其中3299个通过了Nextclade质量过滤器,并总结了主要阶段(pre-VOC, Alpha, Delta, Omicron BA.1/BA)的谱系更替。2、欧米克隆BA.4/BA;5,然后是重组主导期)。测序强度随着时间的推移而显著变化(在Delta期间占确诊病例的0.60‰,在Omicron BA.5浪潮期间占11.57‰),表明谱系多样性和持久性可能被低估了。前voc循环包括至少12个Pango谱系,有证据表明多次引入和持续的当地传播,包括在努尔苏丹/阿斯塔纳出现的哈萨克斯坦限制的B.4.1谱系,并在2020年4月后消失。tengizchevil油田的爆发包括B.1.1病毒,系统发育支持至少三个独立的引入。α波和Omicron波具有重复引入和异质起源的特征,而Delta波以AY.122为主,并有一个明显的AY.122簇;在BA.5期间观察到显著的BF.7本地传播事件。我们还强调了局部丰富的非谱系定义突变。总体而言,反复输入和可变的本地扩增形成了哈萨克斯坦SARS-CoV-2的动态,而解释受到强烈时间倾斜测序的限制。
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引用次数: 0
Transmembrane Domain Length of Influenza a Virus M2 Does Not Determine Its Non-Lipid Raft Localization. 甲型流感病毒M2的跨膜结构域长度不决定其非脂质筏定位
IF 3.5 3区 医学 Q2 VIROLOGY Pub Date : 2026-01-21 DOI: 10.3390/v18010134
Rashid Manzoor, Kosuke Okuya, Reiko Yoshida, Hiroko Miyamoto, Ayato Takada

Influenza A virus expresses three envelope proteins, hemagglutinin (HA), neuraminidase (NA), and matrix protein 2 (M2). Of these, HA and NA associate with lipid rafts, whereas M2 remains in the peri-raft region. One reason for the lipid raft association of HA and NA is that they possess longer transmembrane domains (TMDs) (27 and 29 amino acids, respectively) than that of M2 (19 amino acids). Moreover, M2 localizes in the peri-raft region, despite the presence of some lipid raft-targeting features. Therefore, we introduced amino acid insertions into the N-terminal region of M2 to increase the TMD length to 22, 25, and 27 residues, and evaluated these M2-TMD mutants for their association with lipid rafts and impact on virus replication. Confocal microscopy, immunoprecipitation, and cell cytotoxicity assays showed that the cell surface expression and cytotoxic potential of M2-TMD mutants were comparable to those of wildtype M2. Based on the Triton X-100 solubility assay and colocalization analysis between lipid rafts and M2-TMD mutants, we found that the mutant proteins largely remained localized in non-raft domains. Importantly, an increase in M2-TMD length negatively influenced viral replication. These findings suggest that M2-TMD length is optimized for its proper function and does not determine its association with lipid raft domains.

甲型流感病毒表达三种包膜蛋白,血凝素(HA)、神经氨酸酶(NA)和基质蛋白2 (M2)。其中,HA和NA与脂筏相关,而M2则停留在脂筏周围区域。HA和NA的脂筏关联的一个原因是它们具有比M2(19个氨基酸)更长的跨膜结构域(TMDs)(分别为27和29个氨基酸)。此外,尽管存在一些脂质筏靶向特征,M2仍局限于筏周区域。因此,我们在M2的n端区域引入氨基酸插入,将TMD长度增加到22、25和27个残基,并评估了这些M2-TMD突变体与脂筏的关联以及对病毒复制的影响。共聚焦显微镜、免疫沉淀和细胞毒性实验表明,M2- tmd突变体的细胞表面表达和细胞毒性潜力与野生型M2相当。基于Triton X-100溶解度测定和脂筏和M2-TMD突变体之间的共定位分析,我们发现突变蛋白在很大程度上仍然定位在非筏结构域。重要的是,M2-TMD长度的增加对病毒复制产生了负面影响。这些发现表明,M2-TMD长度优化了其适当的功能,而不是决定其与脂质筏结构域的关联。
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引用次数: 0
Clinical, Demographic, and Virological Predictors of Hospital Admission in Patients with Acute Viral Respiratory Infections: A Retrospective Observational Study. 急性病毒性呼吸道感染患者入院的临床、人口学和病毒学预测因素:一项回顾性观察研究。
IF 3.5 3区 医学 Q2 VIROLOGY Pub Date : 2026-01-21 DOI: 10.3390/v18010135
Karolina Akinosoglou, Nikolaos Theofanis, Konstantinos Asimos, Michail Michailidis, Despoina Papageorgiou, Eleni Polyzou, Charalambos Gogos

Background: Viral respiratory tract infections (RTIs) frequently lead to emergency department (ED) presentations and hospital admissions, particularly among older adults and individuals with underlying health conditions. Identifying patients at increased risk for hospitalization is essential for optimizing triage and resource allocation. This study aimed to determine independent demographic, clinical, and virological predictors of hospital admission among adults presenting with confirmed viral RTIs.

Methods: A retrospective cohort study was conducted at a tertiary hospital between September 2022 and May 2024. Adult patients with molecularly confirmed viral RTIs were included. Demographic, clinical, and microbiological data were extracted from electronic medical records. Predictors of admission were assessed using univariate and multivariate logistic regression.

Results: Among 311 patients, 147 (47.3%) required hospitalization. Hospitalized patients were significantly older and more likely to present with fever, cough, tachypnea, dyspnea, chest pain, comorbidities, and lower or mixed respiratory tract infections (all p < 0.001). In multivariate analysis, older age, fever, cough, and lower or mixed RTIs were strong independent predictors of admission. Several viral pathogens, including human rhinovirus, non-SARS-CoV-2 coronaviruses, influenza A, and parainfluenza virus, were associated with reduced odds of hospitalization.

Conclusions: Age, comorbidity burden, and lower respiratory tract involvement are key determinants of hospitalization in viral RTIs. Integrating clinical and virological data may improve risk stratification and guide ED triage during seasonal and emerging respiratory virus activity.

背景:病毒性呼吸道感染(RTIs)经常导致急诊科(ED)的出现和住院,特别是在老年人和有潜在健康状况的个体中。识别住院风险增加的患者对于优化分诊和资源分配至关重要。本研究旨在确定确诊病毒性呼吸道感染的成人住院的独立人口学、临床和病毒学预测因素。方法:于2022年9月至2024年5月在某三级医院进行回顾性队列研究。包括分子证实的病毒性呼吸道感染的成年患者。从电子病历中提取人口统计学、临床和微生物学数据。采用单因素和多因素logistic回归评估入院预测因素。结果:311例患者中有147例(47.3%)需要住院治疗。住院患者明显年龄较大,更容易出现发热、咳嗽、呼吸急促、呼吸困难、胸痛、合并症和下呼吸道感染或混合呼吸道感染(均p < 0.001)。在多变量分析中,年龄、发烧、咳嗽和较低或混合rti是入院的独立预测因素。包括人鼻病毒、非sars - cov -2冠状病毒、甲型流感和副流感病毒在内的几种病毒性病原体与住院率降低有关。结论:年龄、合并症负担和下呼吸道受累是病毒性呼吸道感染住院治疗的关键决定因素。整合临床和病毒学数据可以改善风险分层,并在季节性和新出现的呼吸道病毒活动期间指导急诊分诊。
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引用次数: 0
The Introduction of a HuR-Binding Site in the 3' UTR and the CD47 Cytoplasmic Tail Enhances SARS-CoV-2 S-Protein Expression in Cells. 在3' UTR和CD47细胞质尾部引入hur结合位点可增强细胞中SARS-CoV-2 s蛋白的表达
IF 3.5 3区 医学 Q2 VIROLOGY Pub Date : 2026-01-21 DOI: 10.3390/v18010137
Ivan M Pereverzev, Irina A Bakhno, Kristina I Yakovleva, Ilya S Dovydenko, Evgeniya E Burkova

In this study, we constructed plasmids to increase the overall expression level of the SARS-CoV-2 S-protein and its presentation on the cell surface. To this end, we designed a series of plasmid constructs encoding the SARS-CoV-2 S-protein with modifications to its cytoplasmic domain and containing various 5' and 3' untranslated regions. Our results confirmed the critical role of the S-protein cytoplasmic domain in limiting its localization to the cell surface. We confirmed that deletion of the 19 C-terminal amino acids, which contain an endoplasmic reticulum retrieval signal, significantly increased S-protein presentation on the cell surface. Furthermore, introducing the HuR-binding site from the CD47 3' untranslated region and replacing the 19 C-terminal amino acids of the S-protein with the CD47 cytoplasmic tail significantly enhanced total S-protein expression compared to the wild-type S-protein and constructs with the 19-amino-acid deletion. Unfortunately, for the plasmid constructs bearing CD47 elements, their higher surface expression compared to the wild-type S-protein correlated with a high total protein expression level.

在本研究中,我们构建质粒来提高SARS-CoV-2 s蛋白的总体表达水平及其在细胞表面的呈现。为此,我们设计了一系列编码SARS-CoV-2 s蛋白的质粒,对其细胞质结构域进行了修饰,并包含了各种5‘和3’非翻译区。我们的结果证实了s蛋白细胞质结构域在限制其定位到细胞表面方面的关键作用。我们证实,含有内质网检索信号的19个c端氨基酸的缺失显著增加了细胞表面的s蛋白呈递。此外,从CD47 3'非翻译区引入hhr结合位点,并用CD47细胞质尾部替换s蛋白的19个c端氨基酸,与野生型s蛋白相比,显著提高了s蛋白的总表达量,并缺失了19个氨基酸。不幸的是,对于携带CD47元件的质粒构建体,与野生型s蛋白相比,它们的高表面表达与高总蛋白表达水平相关。
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引用次数: 0
Nationwide Genomic Surveillance of Human Respiratory Adenoviruses in 2023-2024: Evidence of Extensive Diversity and Recombination in Russia. 2023-2024年全国人类呼吸道腺病毒基因组监测:俄罗斯广泛多样性和重组的证据
IF 3.5 3区 医学 Q2 VIROLOGY Pub Date : 2026-01-21 DOI: 10.3390/v18010136
Nikita D Yolshin, Anna A Ivanova, Alexander A Perederiy, Irina V Amosova, Tatyana A Timoshicheva, Kirill A Stolyarov, Daria M Danilenko, Dmitry A Lioznov, Andrey B Komissarov

Human adenoviruses (HAdVs) are globally distributed pathogens capable of causing a wide range of clinical manifestations, particularly acute respiratory infections. However, their genomic diversity remains insufficiently characterized, with substantial geographic gaps in available sequence data, including for Russia, where only a few complete genomes have been deposited prior to this work. In this study, we analyzed more than 1200 PCR-positive respiratory specimens collected from hospitalized patients within routine surveillance projects and the Global Influenza Hospital Surveillance Network (GIHSN) across plenty of Russian regions during 2023-2024. Virus isolation followed by next-generation sequencing yielded 128 complete HAdV genomes representing species B, C, and D. The dataset included 27 B3, 9 B7, 44 B55, 12 C1, 16 C2, 4 C5, 7 C89, 5 C108, and one D109 genome, as well as three unassigned recombinant viruses with p89h5f5, p5h6f6 and p5h57f6 genomic structures (p, penton base; h, hexon; f, fiber). Phylogenetic analyses of whole genomes and capsid genes revealed extensive variability in immunogenic regions, particularly in species C, and identified clusters within B3 viruses. Notably, HAdV-D109 was identified in Russia, marking only the second reported detection of this genotype worldwide. Together, these findings substantially expand the currently available genomic landscape of HAdVs, highlighting the circulation of diverse and recombinant strains in Russia.

人类腺病毒(HAdVs)是全球分布的病原体,能够引起广泛的临床表现,特别是急性呼吸道感染。然而,它们的基因组多样性仍然没有得到充分的表征,在可用的序列数据中存在很大的地理差距,包括俄罗斯,在这项工作之前,只有少数完整的基因组被沉积。在这项研究中,我们分析了2023-2024年期间在俄罗斯许多地区的常规监测项目和全球流感医院监测网络(GIHSN)中从住院患者收集的1200多例pcr阳性呼吸道标本。病毒分离和下一代测序得到128个完整的hav基因组,分别代表物种B、C和d。数据集包括27个B3、9个B7、44个B55、12个C1、16个C2、4个C5、7个C89、5个C108和1个D109基因组,以及3个具有p89h5f5、p5h6f6和p5h57f6基因组结构(p为penton碱基,h为hexon, f为fiber)的未分配重组病毒。全基因组和衣壳基因的系统发育分析显示免疫原区存在广泛的变异,特别是在C种中,并在B3病毒中确定了聚集性。值得注意的是,在俄罗斯发现了HAdV-D109,这是世界上第二次报告检测到该基因型。总之,这些发现大大扩展了HAdVs目前可用的基因组景观,突出了俄罗斯多样化和重组菌株的循环。
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引用次数: 0
Comprehensive Transcriptomic Profiling Reveals Rotavirus-Induced Alterations in Both Coding and Long Non-Coding RNA Expression in MA104 Cells. 综合转录组学分析揭示轮状病毒诱导的MA104细胞编码和长链非编码RNA表达的改变
IF 3.5 3区 医学 Q2 VIROLOGY Pub Date : 2026-01-20 DOI: 10.3390/v18010129
Xiaopeng Song, Yanwei Wu, Xiaocai Yin, Xiaoqing Hu, Jinyuan Wu, Xiangjing Kuang, Rong Chen, Xiaochen Lin, Jun Ye, Guangming Zhang, Maosheng Sun, Yan Zhou, Hongjun Li

Rotavirus (RV) is the primary cause of severe gastroenteritis in young children, yet the long noncoding RNA (lncRNA) regulatory landscape governing the host response remains largely unmapped. To address this gap, the present study performed an integrated transcriptomic analysis of mRNA and lncRNA expression profiles in RV-infected MA104 cells at 24 h post-infection. Deep sequencing identified 11,919 high-confidence lncRNAs, revealing a massive transcriptional shift: 3651 mRNAs and 4655 lncRNAs were differentially expressed, with both populations predominantly upregulated. Functional enrichment analysis confirmed the strong activation of key innate immunity pathways, including the RIG-I-like receptor, Toll-like receptor, and TNF signaling pathways. Conversely, fundamental metabolic pathways were found to be suppressed. Crucially, the analysis of lncRNA targets highlighted their involvement in coordinating the host antiviral defense, particularly through transregulation. Experimental validation confirmed the significant upregulation of key immune-related mRNAs (OASL and C3) as well as two novel lncRNAs (lncRNA-6479 and lncRNA-4290) by qRT-PCR. The significant upregulation of OASL and C3 was validated at the protein level, confirming the biological relevance of the transcriptomic data. This study provides a foundational, genome-wide resource, identifying novel lncRNA targets for future mechanistic investigation into host-RV interactions.

轮状病毒(RV)是幼儿严重肠胃炎的主要原因,然而控制宿主反应的长链非编码RNA (lncRNA)调控格局在很大程度上仍未被绘制出来。为了解决这一空白,本研究在感染后24小时对rv感染的MA104细胞的mRNA和lncRNA表达谱进行了综合转录组学分析。深度测序鉴定出11,919个高置信度lncrna,揭示了巨大的转录变化:3651个mrna和4655个lncrna差异表达,两种群体都主要上调。功能富集分析证实了关键先天免疫通路的强激活,包括rig - i样受体、toll样受体和TNF信号通路。相反,发现基本代谢途径被抑制。至关重要的是,对lncRNA靶点的分析强调了它们参与协调宿主抗病毒防御,特别是通过转调控。实验证实,qRT-PCR证实了免疫相关的关键mrna (OASL和C3)以及两个新型lncrna (lncRNA-6479和lncRNA-4290)的显著上调。OASL和C3的显著上调在蛋白水平上得到验证,证实了转录组学数据的生物学相关性。这项研究提供了一个基础的全基因组资源,为未来宿主- rv相互作用的机制研究确定了新的lncRNA靶点。
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引用次数: 0
Respiratory Syncytial Virus Positivity Rate and Clinical Characteristics Amongst Children Under 5 Years of Age at the Emergency and Outpatient Settings in Jordan: A Cross-Sectional Study. 约旦急诊和门诊5岁以下儿童呼吸道合胞病毒阳性率和临床特征:一项横断面研究
IF 3.5 3区 医学 Q2 VIROLOGY Pub Date : 2026-01-20 DOI: 10.3390/v18010133
Munir Abu-Helalah, Samah F Al-Shatnawi, Mohammad Abu Lubad, Enas Al-Zayadneh, Mohammad Al-Hanaktah, Mea'ad Harahsheh, Montaha Al-Iede, Ruba Yousef, Mai Ababneh, Toqa AlZubi, Suad Abu Khousa, Mohammad Al Tamimi, Simon B Drysdale

Background: Acute viral respiratory infections are a major cause of morbidity among young children, with respiratory syncytial virus (RSV) being the leading pathogen. In Jordan and globally, most RSV research has focused on hospitalized patients, while data from emergency departments (EDs) and outpatient settings remain limited.

Methods: This cross-sectional study was conducted at two major Jordanian hospitals between November 2022 and March 2023. Children under five years of age presenting to EDs or outpatient clinics with symptoms of acute respiratory infection were enrolled. Nasopharyngeal specimens were tested for RSV, and subtypes (RSV-A and RSV-B) were identified using multiplex RT-PCR.

Results: Of 229 enrolled children, 92 (40.2%) tested positive for RSV, with RSV-B accounting for 81.5% of positive cases. RSV positivity was higher in ED presentations than in outpatient clinics (46% vs. 35%). Wheezing (72.8% vs. 39.4%, p < 0.001) and dyspnea (33.7% vs. 14.6%, p = 0.001) were significantly more frequent among RSV-positive patients. Independent predictors of RSV positivity included non-referred outpatient visits (OR = 15.26), non-referred ED visits (OR = 42.93), younger age, and prior systemic steroid use.

Conclusions: RSV poses a substantial burden in outpatient and ED settings. Identified demographic and clinical predictors may help target high-risk groups for future preventive interventions.

背景:急性病毒性呼吸道感染是幼儿发病的主要原因,呼吸道合胞病毒(RSV)是主要病原体。在约旦和全球,大多数RSV研究都集中在住院患者身上,而来自急诊科和门诊的数据仍然有限。方法:横断面研究于2022年11月至2023年3月在约旦两家主要医院进行。在急诊室或门诊出现急性呼吸道感染症状的5岁以下儿童被纳入研究。对鼻咽标本进行RSV检测,采用多重RT-PCR技术鉴定RSV- a和RSV- b亚型。结果:229名入组儿童中,92名(40.2%)RSV检测呈阳性,其中RSV- b占阳性病例的81.5%。急诊科的RSV阳性高于门诊(46%对35%)。喘息(72.8%比39.4%,p < 0.001)和呼吸困难(33.7%比14.6%,p = 0.001)在rsv阳性患者中更为常见。RSV阳性的独立预测因子包括非转诊门诊就诊(OR = 15.26)、非转诊急诊科就诊(OR = 42.93)、年龄更小和既往系统性类固醇使用。结论:RSV在门诊和急诊科造成了巨大的负担。确定的人口统计学和临床预测因素可能有助于针对高危人群进行未来的预防干预。
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引用次数: 0
Aquatic Animal Viruses and Antiviral Immunity: A Closing Editorial. 水生动物病毒和抗病毒免疫:结束语。
IF 3.5 3区 医学 Q2 VIROLOGY Pub Date : 2026-01-20 DOI: 10.3390/v18010127
Mark P Polinski

Aquatic ecosystems host the planet's greatest animal diversity, and with it, a remarkably varied virosphere [...].

水生生态系统承载着地球上最大的动物多样性,随之而来的是一个非常多样化的病毒圈[…]。
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引用次数: 0
Changing Trends of Respiratory Viruses in Hospitalized Children During and After the COVID-19 Emergency Phase in Yongin, South Korea (2020-22 vs. 2023-24). 韩国龙仁市COVID-19紧急阶段期间和之后住院儿童呼吸道病毒的变化趋势(2020-22年vs. 2023-24年)
IF 3.5 3区 医学 Q2 VIROLOGY Pub Date : 2026-01-20 DOI: 10.3390/v18010130
Joon-Sik Choi, Eun Gyeong Seol, Ji Hyun Lee, Heejung Kim, Kyung Min Choi, Min Jung Kim

The COVID-19 pandemic and subsequent non-pharmaceutical interventions (NPIs) significantly disrupted the epidemiology of pediatric respiratory viruses. This study compared infection patterns among 3658 hospitalized children in South Korea during the pandemic (2020-2022) and the post-emergency phase (2023-2024), following the relaxation of mandatory NPIs. Of 4419 eligible tests, the most frequently detected viruses overall were rhinovirus/enterovirus (HRV/HEV) (27.9%), influenza (14.5%), and respiratory syncytial virus (RSV, 11.9%). The post-emergency phase was marked by a dramatic surge in influenza virus (IFV), which surged dramatically (5.5% → 28.2%), and a more than two-fold increase in adenovirus (ADV) (5.7% → 12.5%) (p < 0.001). (p < 0.001). Conversely, parainfluenza virus (PIV) detection rates declined significantly (15.4% → 11.3%, p < 0.001). Demographically, post-emergency phase patients were significantly older (mean 4.9 vs. 3.5 years) and experienced a shorter hospital stays (3.2 vs. 4.3 days) (p < 0.001). Crucially, age-specific susceptibility shifts were evident. IFV rebounded across all pediatric ages but spiked severely in school-aged children and adolescents, while HRV/HEV demonstrated a clear proportional shift towards older age groups. These results demonstrate a substantial reconfiguration of the pediatric respiratory landscape, necessitating age-stratified surveillance and flexible public health strategies to mitigate the future infectious disease burden.

COVID-19大流行和随后的非药物干预措施(npi)严重破坏了儿童呼吸道病毒的流行病学。该研究比较了韩国3658名住院儿童在大流行期间(2020-2022年)和紧急后阶段(2023-2024年)的感染模式,此前强制npi有所放松。在4419种符合条件的检测中,最常检测到的病毒是鼻病毒/肠病毒(HRV/HEV)(27.9%)、流感(14.5%)和呼吸道合胞病毒(RSV, 11.9%)。紧急情况后阶段的特点是流感病毒(IFV)急剧增加(5.5%→28.2%),腺病毒(ADV)增加了两倍多(5.7%→12.5%)(p < 0.001)。(p < 0.001)。副流感病毒(PIV)检出率明显下降(15.4%→11.3%,p < 0.001)。人口统计学上,急诊后阶段的患者明显更老(平均4.9岁vs 3.5岁),住院时间更短(3.2天vs 4.3天)(p < 0.001)。关键是,年龄特异性的易感性变化是明显的。IFV在所有儿科年龄段均出现反弹,但在学龄儿童和青少年中急剧上升,而HRV/HEV在年龄较大的年龄组中表现出明显的比例转变。这些结果表明,儿童呼吸系统景观的重大重构,需要年龄分层监测和灵活的公共卫生战略,以减轻未来的传染病负担。
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