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AI-Powered Identification of Human Cell Surface Protein Interactors of the Hemagglutinin Glycoprotein of High-Pandemic-Risk H5N1 Influenza Virus. 高流行风险H5N1流感病毒血凝素糖蛋白人细胞表面蛋白相互作用物的人工智能鉴定
IF 3.5 3区 医学 Q2 VIROLOGY Pub Date : 2025-12-17 DOI: 10.3390/v17121638
Christian Poitras, Benoit Coulombe

H5N1 is a highly pathogenic avian influenza virus of major global concern. Since 2023, it has circulated widely among wild and farmed birds, with increasing spillover into mammals, including minks, seals, and cattle, and sporadic infections in humans in Chile, the UK, and the USA. The risk of a future pandemic is considered high because ongoing viral evolution could enable efficient human-to-human transmission. The hemagglutinin (HA) glycoprotein is the principal determinant of host range, mediating viral attachment and entry through interactions with sialylated glycans and potentially additional host surface proteins. Here, we developed an artificial intelligence (AI)-based pipeline integrating structural modeling, protein-protein interaction prediction, and biological filtering to identify human cell surface proteins with high likelihood of interacting with H5N1 HA. These interactions may contribute to viral entry and tropism and therefore represent promising candidates for experimental validation and therapeutic targeting. Our findings highlight the utility of AI-driven pipelines in accelerating the discovery of host factors relevant to pandemic influenza viruses.

H5N1是一种引起全球重大关注的高致病性禽流感病毒。自2023年以来,它在野生和养殖鸟类中广泛传播,并越来越多地蔓延到哺乳动物,包括水貂、海豹和牛,并在智利、英国和美国的人类中出现零星感染。未来大流行的风险被认为很高,因为正在进行的病毒进化可能使有效的人际传播成为可能。血凝素(HA)糖蛋白是宿主范围的主要决定因素,通过与唾液化聚糖和潜在的其他宿主表面蛋白的相互作用介导病毒的附着和进入。在这里,我们开发了一种基于人工智能(AI)的管道,集成了结构建模、蛋白质相互作用预测和生物过滤,以鉴定与H5N1 HA相互作用可能性高的人类细胞表面蛋白。这些相互作用可能有助于病毒进入和向性,因此代表了实验验证和治疗靶向的有希望的候选者。我们的研究结果强调了人工智能驱动的管道在加速发现与大流行性流感病毒相关的宿主因子方面的效用。
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引用次数: 0
Learning from the COVID-19 Pandemic-Through Sharing and Collaboration. 从COVID-19大流行中学习——通过共享和协作。
IF 3.5 3区 医学 Q2 VIROLOGY Pub Date : 2025-12-17 DOI: 10.3390/v17121633
Julian W Tang

During the COVID-19 pandemic (which some argue is still ongoing), I led three Special Issues (SIs) that were designed to cover the talking points that arose amongst many practitioners and researchers: (1) How can we maintain our usual diagnostic services in the face of an ongoing pandemic [...].

在2019冠状病毒病大流行期间(有些人认为疫情仍在持续),我主持了三个特别问题(si),旨在涵盖许多从业者和研究人员之间出现的讨论要点:(1)面对持续的大流行,我们如何保持我们通常的诊断服务[…]。
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引用次数: 0
Context-Specific Diversity of Antimicrobial Functions of Interferon-Stimulated Genes. 干扰素刺激基因抑菌功能的环境特异性多样性。
IF 3.5 3区 医学 Q2 VIROLOGY Pub Date : 2025-12-17 DOI: 10.3390/v17121635
Munesh K Harioudh, Saumendra N Sarkar

Interferon-stimulated genes (ISGs) were initially discovered for their role in antiviral functions. However, recent studies show evidence of a diverse and context-specific regulatory function of these genes in antiviral and antibacterial protection. The molecular mechanisms of such activities vary depending on the pathogen, cell type, isoform, and species. In this review, we summarize the context-specific functions of several prominent and well-known ISG families, including OAS, IFITs, ISG15, viperin, ADAR1, and Mx proteins. We provide examples of distinct enzymatic or regulatory mechanisms that are employed by these ISGs to carry out their diverse functions, including nucleic acid sensing, RNA degradation, translation inhibition, membrane remodeling, etc.

干扰素刺激基因(ISGs)最初是因其抗病毒功能而被发现的。然而,最近的研究表明,这些基因在抗病毒和抗菌保护中具有多种和特定环境的调节功能。这些活动的分子机制因病原体、细胞类型、同种异构体和物种而异。在这篇综述中,我们总结了几个著名的ISG家族,包括OAS, IFITs, ISG15, viperin, ADAR1和Mx蛋白的上下文特异性功能。我们提供了不同的酶或调节机制的例子,这些isg被用来执行其不同的功能,包括核酸传感,RNA降解,翻译抑制,膜重塑等。
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引用次数: 0
Evidence from COVID-19 Patients and Murine Studies for a Continuing Trend Towards Targeting of Nasopharyngeal Ciliated Epithelial Cells by SARS-CoV-2 Omicron Sublineages. 来自COVID-19患者和小鼠研究的证据表明,SARS-CoV-2组粒亚谱系持续倾向于靶向鼻咽纤毛上皮细胞。
IF 3.5 3区 医学 Q2 VIROLOGY Pub Date : 2025-12-17 DOI: 10.3390/v17121631
Agnes Carolin, Cameron R Bishop, Kexin Yan, Branka Grubor-Bauk, Mark P Plummer, Bing Tang, Michael Leitner, Eamon Raith, Simon C Barry, Christopher M Hope, Wilson Nguyen, Daniel J Rawle, Andreas Suhrbier

We describe RNA-Seq analyses conducted on nasopharyngeal swabs collected from 37 patients admitted to an Australian intensive care unit from October 2022 to August 2023. During this time, the dominant omicron sublineage infections broadly progressed from BA.5 to BA.2-like, to XBB-like, then XBC, consistent with global trends. Viral load and patient metadata correlations indicated this cohort was broadly representative of severe COVID-19 patients. Human gene expression analyses were complicated by the large range (>5 log) and variability in viral reads. Nevertheless, the comparison of XBC and BA.5 samples that had comparable viral read counts, revealed differentially expressed genes and a cellular deconvolution signature that indicated increased targeting of ciliated epithelial cells by XBC. To obtain more evidence for increased targeting of ciliated epithelial cells by the later omicron sublineage viruses, a series of mouse strains were infected with a BA.5 or a XBB isolate. Increased infection of the nasal turbinates and ciliated epithelial cells by XBB was demonstrated by viral titrations and immunohistochemistry, respectively. Compared with previous lineages, the omicron lineage showed increased targeting of ciliated epithelia in the upper respiratory tract, with the data presented herein suggesting this trend continued for the omicron sublineages.

我们描述了对从2022年10月至2023年8月入住澳大利亚重症监护病房的37名患者收集的鼻咽拭子进行的RNA-Seq分析。在此期间,主要的组粒亚谱系感染从BA.5到ba .2样,到xbb样,然后是XBC,与全球趋势一致。病毒载量和患者元数据相关性表明,该队列广泛代表了重症COVID-19患者。人类基因表达分析由于病毒读取的大范围(bbb50 log)和变异性而变得复杂。然而,比较具有相似病毒读取计数的XBC和BA.5样本,发现差异表达的基因和细胞反褶积特征表明XBC增加了对纤毛上皮细胞的靶向性。为了获得更多证据证明晚期组粒亚谱系病毒增加了对纤毛上皮细胞的靶向性,我们用BA.5或XBB分离物感染了一系列小鼠菌株。病毒滴定和免疫组织化学分别显示XBB对鼻鼻甲和纤毛上皮细胞的感染增加。与以前的谱系相比,组粒谱系显示上呼吸道纤毛上皮的靶向性增加,本文提供的数据表明,这一趋势在组粒亚谱系中继续存在。
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引用次数: 0
TSWV Infection Differentially Reshapes the Symbiotic Microbiome of Two Frankliniella Thrips Species. TSWV感染对两种富兰克林蓟马共生微生物群的不同重塑
IF 3.5 3区 医学 Q2 VIROLOGY Pub Date : 2025-12-16 DOI: 10.3390/v17121625
Eeshita Mandal, Nuttapol Noirungsee, Terd Disayathanoowat, Eui-Joon Kil

Vectoring tomato spotted wilt virus (TSWV) by two well-known thrips species, Frankliniella occidentalis Pergande and F. intonsa Trybom (Thysanoptera: Thripidae), is facilitated in different ways. Symbiotic bacteria positively influence thrips fitness, but the interaction between these bacteria and tospovirus inside the thrips' body remains unknown. Metagenomic profiling of symbionts in nonviruliferous and viruliferous Frankliniella thrips was performed to elucidate the interactions between symbiotic bacteria and the virus. A total of 97 operational taxonomic units (OTUs) were identified by profiling the microbes, where Proteobacteria was the most abundant phylum, with a high richness in Serratia spp. F. occidentalis showed lower variation in bacterial diversity between nonviruliferous and viruliferous treatments than F. intonsa. RT-qPCR validation for Serratia and Escherichia revealed opposite abundance patterns between the two thrips species. In contrast, Enterobacteriaceae and Pantoea showed similar patterns with higher abundance in nonviruliferous conditions. Wolbachia was detected exclusively in F. intonsa, with a higher bacterial titer in the viruliferous sample. Our findings suggest that TSWV association may influence the abundance of different bacterial symbionts within the thrips' body, potentially via induction of antimicrobial peptides in response to viral invasion, and to our knowledge this is the first report addressing this tripartite interaction. These findings improve our understanding of how virus-symbiont association contributes to thrips vector competence.

以两种著名的蓟马(Frankliniella occidentalis Pergande和F. intonsa Trybom)为媒介传播番茄斑点枯萎病毒(TSWV)提供了不同的途径。共生细菌对蓟马的适应性有积极的影响,但这些细菌与蓟马体内的腺病毒之间的相互作用尚不清楚。为了阐明共生细菌与病毒之间的相互作用,对无病毒和有病毒的富兰克林蓟马进行了宏基因组分析。通过对病原菌的分析,共鉴定出97个可操作分类单元(OTUs),其中变形菌门(Proteobacteria)是最丰富的门,在沙雷氏菌中丰富度较高。沙雷氏菌和埃希氏菌的RT-qPCR验证结果显示,两种蓟马的丰度模式相反。相比之下,肠杆菌科和泛菌科表现出相似的模式,在非病毒条件下丰度更高。沃尔巴克氏体仅在金鼠中检测到,在病毒样品中有较高的细菌滴度。我们的研究结果表明,TSWV关联可能会影响蓟马体内不同细菌共生体的丰度,可能是通过诱导抗微生物肽来响应病毒入侵,据我们所知,这是第一篇关于这种三方相互作用的报道。这些发现提高了我们对病毒-共生体关联如何促进蓟马病媒能力的理解。
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引用次数: 0
Cardiac Tissue Damage in a Female Animal Post-COVID Model: Relevance of Chemokine-Mediated Inflammation. 雌性动物covid后心脏组织损伤模型:趋化因子介导的炎症的相关性
IF 3.5 3区 医学 Q2 VIROLOGY Pub Date : 2025-12-16 DOI: 10.3390/v17121629
Silvia Flaj-Prados, Esperanza Herradón Pliego, Carlos Goicoechea Garcia, Eva M Sánchez-Robles, Lars Arendt-Nielsen, César Fernández-de-Las-Peñas, Visitación López-Miranda

Post-COVID cardiac complications have emerged as a significant and persistent clinical concern, yet their underlying mechanisms remain poorly understood. Animal models can act as proxies to investigate the pathophysiology of the human, post-acute sequelae of SARS-CoV-2 infection (PASC). The aim of this experimental study was to evaluate the expression of inflammatory biomarkers in cardiac tissue 28 days after SARS-CoV-2 infection in a female hACE2 mouse model, with a focus on chemokine-mediated immune activation. Twelve female C57BL/6 hACE2 mice were infected with the Omicron variant (BA.1.17 lineage) of SARS-CoV-2, and eleven non-infected mice served as controls. Cardiac tissue was analyzed via Western blot for markers of innate immune activation (TLR4, MyD88, NF-κB) and pro-inflammatory cytokines (IL-6, IL-18, IL-1β, TNF-α, CD11d). Cardiac tissue injury markers (iNOS, PAI-1 and Connexin43) were also analyzed. Compared to non-infected mice, cardiac tissue from infected mice showed significantly higher expression of IL-6 (p = 0.028), indicating an inflammatory state, and CD11d (p = 0.016), suggesting an inflammatory stage accompanied by sustained activation of chemokine-mediated inflammatory signaling. No significant differences in TLR4 (p = 0.340), MyD88 (p = 0.410), NF-κB p65 (p = 0.780), IL-18 (p = 0.548), IL-1β (p = 0.455), and TNF-α (p = 0.125) expressions were observed Similarly, no changes in cardiac damage markers (iNOS: p = 0.4684; PAI-1: p = 0.5345; Connexin 43: p = 0.2879) were found. The results of this experimental study would support the hypothesis of persistent low-grade inflammation as a contributor to post-COVID cardiac sequelae in females that is not accompanied by severe tissue damage, as also observed in clinical studies. This study also reinforces the need for studies evaluating the functional and structural evolution of the myocardium after an acute SARS-CoV-2 infection.

covid - 19后心脏并发症已成为一个重要而持久的临床问题,但其潜在机制仍知之甚少。动物模型可作为研究人类SARS-CoV-2感染急性后后遗症(PASC)的病理生理学指标。本实验研究的目的是评估雌性hACE2小鼠模型感染SARS-CoV-2后28天心脏组织中炎症生物标志物的表达,重点关注趋化因子介导的免疫激活。12只雌性C57BL/6 hACE2小鼠感染了SARS-CoV-2的Omicron变体(BA.1.17谱系),11只未感染的小鼠作为对照。Western blot检测心脏组织的先天免疫激活标志物(TLR4、MyD88、NF-κB)和促炎因子(IL-6、IL-18、IL-1β、TNF-α、CD11d)。心肌组织损伤标志物(iNOS、PAI-1和Connexin43)也进行了分析。与未感染小鼠相比,感染小鼠的心脏组织IL-6 (p = 0.028)和CD11d (p = 0.016)的表达显著升高,表明炎症状态,表明炎症阶段伴随着趋化因子介导的炎症信号的持续激活。TLR4 (p = 0.340)、MyD88 (p = 0.410)、NF-κB p65 (p = 0.780)、IL-18 (p = 0.548)、IL-1β (p = 0.455)、TNF-α (p = 0.125)表达差异无统计学意义。心肌损伤标志物(iNOS: p = 0.4684; PAI-1: p = 0.5345; Connexin 43: p = 0.2879)表达差异无统计学意义。本实验研究的结果将支持临床研究中观察到的假设,即持续的低度炎症是女性covid后心脏后遗症的一个因素,不伴有严重的组织损伤。该研究还强调了对急性SARS-CoV-2感染后心肌功能和结构演变进行研究的必要性。
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引用次数: 0
Study of the Activity of the Staphylococcus aureus Phage vB_SaS_GE1 Against MRSA Clinical Isolates and Its Impact on the Formation of Dual-Species Biofilms with P. aeruginosa. 金黄色葡萄球菌噬菌体vB_SaS_GE1对MRSA临床分离株的活性研究及其对铜绿假单胞菌双种生物膜形成的影响
IF 3.5 3区 医学 Q2 VIROLOGY Pub Date : 2025-12-16 DOI: 10.3390/v17121623
Nino Grdzelishvili, Davit Lazviashvili, Aleksandra Kurowska, Krzysztof Jakub Pawlik, Łukasz Łaczmanski, Elene Kakabadze, Elene Zhuravliova, Nina Chanishvili, Nata Bakuradze

Bacteriophage therapy is regarded as a promising alternative for treating and preventing antibiotic-resistant bacterial infections. Methicillin-resistant Staphylococcus aureus (MRSA) is one of the most prevalent and difficult-to-treat pathogens. S. aureus also contributes to the formation of both single- and mixed-species biofilms. Treating biofilms remains a major challenge for antibiotic-based eradication of pathogens, as the biofilm matrix provides a protective barrier for bacteria. The selection of highly active phages targeting S. aureus is therefore crucial for medical applications, given the high prevalence and drug resistance of this pathogen. In this study, S. aureus phage vB_SaS_GE1 (GE1) was isolated and characterized as a potential therapeutic agent. The phage was isolated and propagated, and its host range was determined using standard methods. Whole-genome sequencing and annotation of the phage DNA were performed. A time-kill assay and evaluation of the anti-biofilm activity of the Staphylococcus phage, both alone and in combination with Pseudomonas phage GEC_PNG3 (PNG3) on mixed-species biofilms, were conducted. The results indicated that GE1 is a lytic phage that does not carry virulence-determining genes. The time-kill assay demonstrated sustained lytic activity of GE1 without the emergence of phage-resistant mutants in the tested MRSA strains. Although phage treatment increased biofilm matrix production compared to the control, the viable cell count within the biofilms was reduced. Overall, the characteristics assessed indicate that vB_SaS_GE1 is safe and exhibits strong antibacterial activity against MRSA strains.

噬菌体治疗被认为是治疗和预防抗生素耐药细菌感染的一种有前途的替代方法。耐甲氧西林金黄色葡萄球菌(MRSA)是最普遍和最难治疗的病原体之一。金黄色葡萄球菌也有助于形成单一和混合物种的生物膜。处理生物膜仍然是抗生素根除病原体的主要挑战,因为生物膜基质为细菌提供了保护屏障。因此,考虑到金黄色葡萄球菌的高流行率和耐药性,选择针对金黄色葡萄球菌的高活性噬菌体对于医学应用至关重要。本研究分离到了金黄色葡萄球菌噬菌体vB_SaS_GE1 (GE1),认为其具有潜在的治疗作用。分离培养噬菌体,采用标准方法确定其宿主范围。对噬菌体DNA进行全基因组测序和注释。研究了葡萄球菌噬菌体单独及与假单胞菌噬菌体GEC_PNG3 (PNG3)联合对混合菌种生物膜的抗生物膜活性。结果表明,GE1是一种不携带毒力决定基因的裂解噬菌体。时间杀伤试验表明,GE1具有持续的裂解活性,在测试的MRSA菌株中没有出现噬菌体抗性突变体。虽然与对照相比,噬菌体处理增加了生物膜基质的产量,但生物膜内的活细胞数量减少了。结果表明,vB_SaS_GE1是安全的,对MRSA具有较强的抗菌活性。
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引用次数: 0
Sociodemographic Associations and COVID-19 Symptoms Following One Year of Molecular Screening for SARS-CoV-2 Among Healthcare Workers. 医务人员SARS-CoV-2分子筛查一年后的社会人口学关联和COVID-19症状
IF 3.5 3区 医学 Q2 VIROLOGY Pub Date : 2025-12-16 DOI: 10.3390/v17121622
Viviane Campos Barbosa de Sena, Michelle Oliveira, Rejane Alencar Saldanha, Larissa Vicenza, Tais Hanae Kasai Brunswick, Bernardo Tura, Helena Cramer Veiga Rey, Adriana Bastos Carvalho, Antônio Carlos Campos de Carvalho, Djane Braz Duarte, Dayde Lane Mendonça da Silva, Daniel Arthur Barata Kasal

Background: During the COVID-19 pandemic, high rates of infection with SARS-CoV-2 were reported in healthcare workers (HCWs), among whom asymptomatic individuals had high potential to spread the virus while assisting high-risk patients. This study conducted routine SARS-CoV-2 screening among the staff of a specialized cardiology hospital in Brazil during 2022 and 2023, while also evaluating variables associated with infection and the occurrence of symptoms.

Methods: A prospective cohort study of 94 HCWs with biweekly RT-PCR screening was performed, employing RT-PCR from nasal swabs.

Results: Participants aged 50.9 ± 10.2 years and were predominantly female (85.1%) and non-white (56.4%). The follow-up period was 576.4 ± 185.9 days, and most participants worked in the intensive care unit/emergency department (34%). Although the HCWs with the highest COVID-19 rates before inclusion were technicians/graduates (67.3%) and non-white individuals (57.7%), these groups presented lower infection rates at follow-up (p < 0.001, CI 95% 2.924-27.93; and p = 0.02, CI 95% 0.129-0.859, respectively). The number of asymptomatic cases increased during the study (p = 0.001), and simultaneous infection upsurges occurred in different hospital departments.

Interpretation: These data highlight the association between educational level and the risk of SARS-CoV-2 infection in HCWs. The synchronicity of cases in different hospital departments offers insights about the nosocomial spread of SARS-CoV-2. The increase in the number of asymptomatic infections with repeated infections suggests that regular molecular screening may contribute to increasing the safety of both patients and HCWs in a pandemic context.

背景:在2019冠状病毒病大流行期间,卫生保健工作者(HCWs)的SARS-CoV-2感染率很高,其中无症状个体在协助高危患者的同时传播病毒的可能性很大。该研究在2022年和2023年期间对巴西一家专业心脏病医院的工作人员进行了常规的SARS-CoV-2筛查,同时还评估了与感染和症状发生相关的变量。方法:对94例HCWs进行前瞻性队列研究,每两周进行RT-PCR筛查,采用鼻拭子RT-PCR。结果:参与者年龄50.9±10.2岁,以女性(85.1%)和非白人(56.4%)为主。随访时间为576.4±185.9天,大多数参与者在重症监护室/急诊科工作(34%)。虽然纳入前新冠病毒感染率最高的卫生保健工作者是技术人员/毕业生(67.3%)和非白人(57.7%),但这些群体在随访时的感染率较低(p < 0.001, CI 95% 2.924 ~ 27.93; p = 0.02, CI 95% 0.129 ~ 0.859)。研究期间无症状病例数增加(p = 0.001),不同医院科室同时出现感染高潮。解释:这些数据突出了卫生保健工作者的教育水平与SARS-CoV-2感染风险之间的关联。不同医院科室病例的同步性为SARS-CoV-2的院内传播提供了启示。无症状感染者和重复感染人数的增加表明,在大流行背景下,定期分子筛查可能有助于提高患者和卫生保健工作者的安全性。
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引用次数: 0
Hollow Protein Fibers Templated Synthesis of Pt/Pd Nanostructures with Peroxidase-like Activity. 中空蛋白纤维模板合成具有过氧化物酶样活性的铂/钯纳米结构。
IF 3.5 3区 医学 Q2 VIROLOGY Pub Date : 2025-12-16 DOI: 10.3390/v17121627
Beizhe Huang, Mengting Fan, Yuhan Li, Ting Zhang, Jianting Zhang

Supramolecular proteins have emerged as promising templates for guiding metal ion mineralization into well-defined nanomaterials because of their structural versatility and chemical diversity. However, the precise control of metal ion nucleation on the different reactive sites of protein templates remains challenging. In this study, a genetically engineered hollow tobacco mosaic virus protein fiber (TMVF) with excellent structural stability was employed to achieve selective mineralization of noble metal nanostructures either on its external surface or within its internal channel. Moreover, the Pt/Pd bimetallic nanowire (NW) was also successfully prepared by co-depositing Pt and Pd on the TMVF. The bimetallic NWs demonstrated a peroxidase-like activity, which enabled their application for cholesterol detection by cooperating with cholesterol oxidase.

超分子蛋白质由于其结构的多功能性和化学多样性,已成为指导金属离子矿化成明确的纳米材料的有前途的模板。然而,金属离子成核在蛋白质模板不同反应位点的精确控制仍然具有挑战性。在本研究中,利用具有优良结构稳定性的基因工程中空烟草花叶病毒蛋白纤维(TMVF),在其外表面或内部通道内实现贵金属纳米结构的选择性矿化。通过在TMVF上共沉积Pt和Pd,成功制备了Pt/Pd双金属纳米线(NW)。双金属NWs表现出类似过氧化物酶的活性,这使得它们能够与胆固醇氧化酶合作用于胆固醇检测。
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引用次数: 0
Characteristics and Influencing Factors Among Newly Diagnosed HIV-1 Patients with Non-Marital, Non-Commercial Heterosexual Contact in Lishui, China (2020-2024). 2020-2024年丽水市HIV-1非婚非商业性异性性接触新发患者特征及影响因素分析
IF 3.5 3区 医学 Q2 VIROLOGY Pub Date : 2025-12-16 DOI: 10.3390/v17121626
Jianhua Mei, Jinkai Li, Xiaolei Chen, Liyang Qiu, Haifang Zhang, Jie Yu, Ling Ye, Deyong Zhang, Dongqing Cheng, Xiuying Chen

The increasing proportion of HIV-1 infections transmitted via non-marital non-commercial heterosexual contact (NMNCHC) in China necessitates a deeper understanding of its local characteristics. This study investigated the epidemiological, molecular network, and drug-resistant profiles among 400 newly diagnosed HIV-1 patients infected via non-marital heterosexual contact (NMHC), specifically its non-commercial subtype, in Lishui from 2020-2024. HIV-1 pol gene sequences were analyzed for subtypes, drug resistance mutations, and transmission clusters using phylogenetic and network methods (genetic distance threshold: 0.9%). The overall prevalence of transmitted drug resistance (TDR) was 13.3%, an intermediate level exceeding the national average, driven predominantly by NNRTI resistance (6.3%). High-level resistance to NVP (3.0%) and EFV (2.75%) was observed. CRF08_BC (43.8%) was the dominant subtype. Multivariate analysis identified female gender and higher education as significant risk factors for NMNCHC acquisition. Molecular network analysis incorporated 55.3% of cases, revealing clusters predominantly composed of middle-aged and elderly males, with CRF08_BC and CRF01_AE showing higher NMNCHC transmission risk within networks. These findings underscore an evolving epidemic with significant TDR and highlight the urgent need for targeted interventions, including enhanced resistance surveillance and focused strategies for the concealed NMNCHC population, to curb local HIV-1 transmission.

在中国,通过非婚非商业性异性性接触(NMNCHC)传播的HIV-1感染比例不断上升,有必要对其本地特点进行更深入的了解。本研究调查了2020-2024年丽水市400例通过非婚内异性接触(NMHC)感染的新诊断HIV-1患者(特别是其非商业亚型)的流行病学、分子网络和耐药情况。采用系统发育和网络方法分析HIV-1 pol基因序列的亚型、耐药突变和传播簇(遗传距离阈值:0.9%)。总体传播性耐药(TDR)患病率为13.3%,高于全国平均水平,主要是NNRTI耐药(6.3%)。对NVP(3.0%)和EFV(2.75%)高水平耐药。CRF08_BC(43.8%)为优势亚型。多变量分析发现,女性性别和高等教育程度是NMNCHC获得的重要危险因素。分子网络分析纳入了55.3%的病例,揭示了以中老年男性为主的聚类,CRF08_BC和CRF01_AE在网络内显示出更高的NMNCHC传播风险。这些发现强调了具有重大TDR的不断演变的流行病,并强调迫切需要有针对性的干预措施,包括加强耐药性监测和针对隐蔽的NMNCHC人群的重点战略,以遏制当地艾滋病毒-1传播。
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