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Global Prevalence and Cancer Risk of Epstein-Barr Virus and Human Papillomavirus Coinfection in Breast Cancer: A Systematic Review and Meta-Analysis. eb病毒和人乳头瘤病毒合并感染乳腺癌的全球患病率和癌症风险:系统综述和荟萃分析
IF 3.5 3区 医学 Q2 VIROLOGY Pub Date : 2025-12-08 DOI: 10.3390/v17121592
Abdelrahman A Karen, Albara S Elkhalaf, Omar Tluli, Omar Sorour, Abdulnaser Fakhrou, Mohammed Imad Malki, Karim Nagi

Background: Breast cancer (BC) is the most frequently diagnosed malignancy and a dominant cause of cancer mortality among women worldwide. Alongside established risk factors, recent studies highlight oncoviruses like Epstein-Barr virus (EBV) and human papillomavirus (HPV) as potential contributors. However, their role and association with BC development is still debatable.

Study design and methods: This systematic review and meta-analysis involved two distinct approaches: one assessing the worldwide prevalence of EBV and HPV coinfection in BC patients and another investigating the association between such coinfection and BC risk. A systematic search across PubMed, Scopus, Web of Science, and Embase was conducted up to 5 May 2025. Studies using PCR to detect both viruses in breast tissue samples were included. Random-effects models were used to estimate pooled prevalence and odds ratios with 95% confidence intervals.

Results: Out of 307 non-duplicate records, 16 studies were found to be eligible for quantitative analysis. The pooled prevalence of EBV/HPV coinfection among BC patients was 14% (95% CI: 12-16%; I2 = 91.0%). Prevalence varied by region, ranging from 6% in South America to 22% in the Middle East. In addition, a general trend towards increasing EBV/HPV coinfection prevalence among women with BC over time was detected. Moreover, analyzing case-control studies to investigate the relationship between EBV/HPV coinfection and the risk of BC, the pooled odds ratio was 5.87 (95% CI: 2.31-14.93; I2 = 0%, p = 0.91).

Conclusion: Our analysis shows that EBV and HPV coinfection prevalence varies by region and appears to be rising over time among women with breast cancer. Additionally, the strong statistical association between coinfection and breast cancer risk suggests a potential role for these oncoviruses in disease development, highlighting the possible preventive value of EBV and HPV vaccination.

背景:乳腺癌(BC)是世界范围内最常见的恶性肿瘤,也是女性癌症死亡的主要原因。除了已知的风险因素,最近的研究强调,像eb病毒(EBV)和人乳头瘤病毒(HPV)这样的癌病毒也是潜在的致病因素。然而,它们的作用和与BC发展的关系仍有争议。研究设计和方法:本系统综述和荟萃分析涉及两种不同的方法:一种评估EBV和HPV合并感染在BC患者中的全球患病率,另一种调查这种合并感染与BC风险之间的关系。在PubMed, Scopus, Web of Science和Embase上进行了系统搜索,直到2025年5月5日。使用聚合酶链反应检测乳腺组织样本中这两种病毒的研究包括在内。随机效应模型用于估计合并患病率和比值比,置信区间为95%。结果:在307份非重复记录中,有16份研究符合定量分析。BC患者中EBV/HPV合并感染的总患病率为14% (95% CI: 12-16%; I2 = 91.0%)。流行率因区域而异,从南美洲的6%到中东的22%不等。此外,随着时间的推移,在患有BC的妇女中发现了EBV/HPV合并感染患病率增加的总体趋势。此外,通过分析病例对照研究来调查EBV/HPV合并感染与BC风险之间的关系,合并优势比为5.87 (95% CI: 2.31-14.93; I2 = 0%, p = 0.91)。结论:我们的分析表明EBV和HPV合并感染的患病率因地区而异,并且随着时间的推移在乳腺癌女性中呈上升趋势。此外,合并感染与乳腺癌风险之间的强大统计关联表明,这些癌病毒在疾病发展中具有潜在作用,突出了EBV和HPV疫苗接种可能的预防价值。
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引用次数: 0
Varicella Zoster Virus and Stroke: An Intricate Relationship. 水痘带状疱疹病毒和中风:一种复杂的关系。
IF 3.5 3区 医学 Q2 VIROLOGY Pub Date : 2025-12-08 DOI: 10.3390/v17121591
Achilleas Livieratos, Lars Erik Schiro, Charalambos Gogos, Georgios Ntaios, Karolina Akinosoglou

Varicella Zoster Virus (VZV), responsible for chickenpox and herpes zoster, has emerged as a significant contributor to cerebrovascular disease. Mounting evidence indicates that VZV reactivation may precipitate ischemic and hemorrhagic stroke through mechanisms of viral vasculopathy, immune evasion, and vascular inflammation. While antiviral therapy remains the cornerstone of treatment, several adjunctive regimens exhibit encouraging results in controlling endothelial inflammatory response. This targeted review synthesized findings from 31 studies, including clinical cohorts, in vitro models, and pathological analyses, to evaluate the relationship between VZV and stroke, with emphasis on treatment management beyond antivirals. Evidence demonstrates that VZV antigens are frequently detected within cerebral arteries, where they induce transmural inflammation, endothelial dysfunction, and thrombosis, thereby increasing stroke risk, particularly in the weeks following herpes zoster. Adjunctive therapies such as corticosteroids, statins, and resveratrol show promise in mitigating vascular inflammation, though clinical validation is limited. Preventive measures, especially zoster vaccination, significantly reduce herpes zoster incidence and may lower subsequent stroke risk, yet global uptake remains insufficient. Collectively, the data underscore the need for improved diagnostic tools, combination treatment strategies, and expanded vaccination programs to address the substantial public health burden of VZV-associated stroke.

水痘带状疱疹病毒(VZV),负责水痘和带状疱疹,已成为脑血管疾病的重要贡献者。越来越多的证据表明,VZV再激活可能通过病毒血管病变、免疫逃避和血管炎症的机制促成缺血性和出血性中风。虽然抗病毒治疗仍然是治疗的基石,但一些辅助方案在控制内皮炎症反应方面显示出令人鼓舞的结果。这项有针对性的综述综合了31项研究的结果,包括临床队列、体外模型和病理分析,以评估VZV与卒中之间的关系,重点是抗病毒药物以外的治疗管理。有证据表明,VZV抗原经常在脑动脉内被检测到,在那里它们会引起跨壁炎症、内皮功能障碍和血栓形成,从而增加中风的风险,特别是在带状疱疹后的几周内。辅助治疗如皮质类固醇、他汀类药物和白藜芦醇显示出减轻血管炎症的希望,尽管临床验证有限。预防措施,特别是带状疱疹疫苗接种,可显著降低带状疱疹发病率,并可能降低随后的中风风险,但全球的普及程度仍然不足。总的来说,这些数据强调了改进诊断工具、联合治疗策略和扩大疫苗接种计划的必要性,以解决vzv相关中风带来的巨大公共卫生负担。
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引用次数: 0
Mycoviruses in Entomopathogenic Fungi. 昆虫病原真菌中的分枝病毒。
IF 3.5 3区 医学 Q2 VIROLOGY Pub Date : 2025-12-08 DOI: 10.3390/v17121593
Matheus da Silva Camargo, Sam Edwards, Maressa O Henrique, Urja Solanki, Tae Young Shin, Bo Huang, Henrik H De Fine Licht, Marcio C Silva-Filho, Augusto Schrank, Robert H A Coutts, Ioly Kotta-Loizou

Mycoviruses are widely distributed among different groups of filamentous fungi. An awareness of infections caused by mycoviruses was highlighted in the 1980s and 1990s, when the impact of these agents on phenotypes of agriculturally and medically important fungi was reported. However, for entomopathogenic fungi, mycovirus research has only expanded significantly in the last 15 years. Due to the agricultural importance of these fungi, reflected in their use at the forefront of biological control strategies, recent studies have extensively described novel viruses and their effects on their hosts in terms of altered morphological, phenotypical, and ecological characteristics. To summarise the historical progress of mycovirology and recent discoveries, here we describe the state of the art in the study of mycoviruses associated with entomopathogenic fungi. We have limited the review to the occurrence of mycoviruses in fungi of the genera Beauveria, Cordyceps, Entomophthora, Metarhizium, and Trichoderma and have compiled an inventory of the viruses reported to infect these entomopathogenic genera, as well as a comprehensive review of the biological effects described with respect to infection by mycoviruses in fungi that are relevant to the biological control of insects. Finally, we have outlined possible research scenarios in the light of recent discoveries in the field of mycovirology, such as the use of mycoviruses as virulence modulating factors: the main character sought in biological pest control.

分枝病毒广泛分布于丝状真菌的不同类群中。在20世纪80年代和90年代,当这些制剂对农业和医学上重要的真菌的表型的影响被报道时,对由分枝病毒引起的感染的认识得到了强调。然而,对于昆虫病原真菌,分枝病毒的研究在过去15年才有了显著的扩展。由于这些真菌在农业上的重要性,反映在它们在生物防治策略的前沿,最近的研究从形态、表型和生态特征的改变方面广泛描述了新型病毒及其对宿主的影响。为了总结真菌病毒学的历史进展和最近的发现,我们在这里描述了与昆虫病原真菌相关的真菌病毒研究的最新进展。本文综述了白僵菌属、虫草属、虫霉属、绿僵菌属和木霉属真菌中出现的分枝病毒,并编制了一份报告,列出了感染这些昆虫病原属的病毒,并对真菌中与昆虫生物防治相关的分枝病毒感染的生物学效应进行了全面的综述。最后,根据最近在真菌病毒学领域的发现,我们概述了可能的研究方案,例如利用分枝病毒作为毒力调节因子:生物害虫控制的主要特征。
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引用次数: 0
Innovative Nurse-Led Community Health Centre-Corrections Partnership for Hepatitis C Testing and Treatment in Victoria, British Columbia. 创新型护士领导的社区卫生中心-不列颠哥伦比亚省维多利亚丙型肝炎检测和治疗矫正伙伴关系。
IF 3.5 3区 医学 Q2 VIROLOGY Pub Date : 2025-12-06 DOI: 10.3390/v17121590
Marion Selfridge, Tamara Barnett, Lesley Munro, Kiffer Card, Sarah Nishimura, Adam Beaumont, Catherine Clarke, Kellie Guarasci, Karen Lundgren, Katie Besko, Anne Drost, Chris Fraser

People who are incarcerated experience a high rate of hepatitis C (HCV) worldwide, and HCV micro-elimination in prisons is an effective strategy to support treatment. In Victoria, British Columbia, administrative barriers limited HCV testing and treatment at Vancouver Island Correctional Centre (VIRCC), and people who were HCV RNA+ were lost to follow up. Cool Aid Community Health Centre (CACHC) is an inner-city, primary care clinic that serves a marginalized population. The CACHC HCV nurse coordinator with the VIRCC nurse held HCV testing 'blitzes' at VIRCC and offered phlebotomy for screening and pre-treatment bloodwork. Clients who tested HCV RNA+ were started on HCV treatment and if discharged before completion, CACHC followed them in the community. A retrospective chart review was conducted to identify all clients who accessed HCV testing and treatment through the VIRCC partnership. To date, 230 clients were tested: 49 tested HCV antibody+, 11 tested HCV RNA+, and 10 started on treatment (6 SVR). Case management and consultation with the nurse coordinator and VIRCC nurse supported treatment starts for an additional 18 clients (14 SVR). This pragmatic and innovative approach to HCV care with people who are incarcerated demonstrated effective HCV testing and treatment. CACHC and VIRCC have established closer relationships and reduced barriers to reach and maintain continuity with this target population.

在世界范围内,被监禁者丙型肝炎(HCV)发病率很高,在监狱中微量消除HCV是支持治疗的有效战略。在不列颠哥伦比亚省的维多利亚州,行政障碍限制了温哥华岛惩教中心(VIRCC)的丙型肝炎病毒检测和治疗,HCV RNA+的人丢失了随访。酷援社区卫生中心(CACHC)是一个市中心的初级保健诊所,为边缘人群提供服务。CACHC HCV护士协调员与VIRCC护士在VIRCC进行了HCV检测“闪电战”,并提供了用于筛查的静脉切开术和治疗前血液检查。检测HCV RNA+的患者开始接受HCV治疗,如果在完成前出院,CACHC将在社区跟踪他们。进行回顾性图表审查,以确定通过VIRCC合作伙伴关系获得HCV检测和治疗的所有客户。迄今为止,230例患者接受了检测:49例检测HCV抗体+,11例检测HCV RNA+, 10例开始治疗(SVR为6)。对另外18名病人(14名SVR)进行病例管理和咨询,由护士协调员和VIRCC护士支持治疗。这种对在押人员进行丙型肝炎病毒护理的务实和创新方法证明了丙型肝炎病毒检测和治疗的有效性。CACHC和VIRCC建立了更密切的关系,减少了接触这一目标人群并保持连续性的障碍。
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引用次数: 0
Getting to the Point: A Community-Designed, Low-Barrier Hepatitis C Testing and Treatment Program for People Who Inject Drugs in Rural America. 直奔主题:针对美国农村注射吸毒者的社区设计、低屏障丙型肝炎检测和治疗项目。
IF 3.5 3区 医学 Q2 VIROLOGY Pub Date : 2025-12-06 DOI: 10.3390/v17121589
Amanda N Perry, Elizabeth Eccles, Shoshana H Bardach, Alastair Huntley, Ryan Fowler, David de Gijsel

Background: People who inject drugs (PWID) have a higher risk of contracting hepatitis C (HCV) than the general population, but these individuals are often poorly served by traditional healthcare systems. The elimination of HCV as a threat to public health relies on the treatment of this population. Novel care models designed with input from PWID may help to better align care to the needs of PWID.

Methods: We designed and implemented a community-based, point-of-care testing program for HCV delivered by a syringe service program, combined with facilitated access to a healthcare provider, care navigation, and financial incentives. We collected participant demographics and drug use patterns, testing and treatment history, and communication preferences. Descriptive analyses include the number of people tested between 15 October 2021 and 1 February 2025, their seropositivity rate, and the number who completed pre-treatment laboratory tests, completed treatment and achieved cure by sustained virologic response (SVR12) by 1 August 2025.

Results: The program engaged 464 unique individuals, of whom 98 (21.1%) had a known diagnosis of HCV. Of 389 unique individuals who underwent point of care (POC) HCV antibody (Ab) testing, including 31 with a known prior diagnosis of HCV, 97 (24.9%) had a positive result. Of 439 unique individuals who underwent POC HIV Ab testing, only 1 had a positive result. Of 164 individuals with either a positive POC HCV Ab test or a known HCV diagnosis, 66 completed pre-treatment laboratory tests, identifying 52 viremic participants. Of those, 35 started and completed treatment. Among those who completed treatment, 9 (25.7%) achieved SVR12, 3 (8.6) failed to achieve SVR12, and 23 (65.7%) had outstanding laboratory orders for SVR12 determination.

Conclusions: An incentivized, community-based, point-of-care testing program with facilitated linkage to care successfully engaged a high-risk population in HCV and HIV testing and treatment. However, substantial attrition occurred at each step of the care cascade, particularly at SVR12 determination. Additional strategies are needed to optimize retention throughout the entire care cascade.

背景:注射吸毒者(PWID)感染丙型肝炎(HCV)的风险高于一般人群,但这些人往往得不到传统卫生保健系统的良好服务。消除作为公共卫生威胁的丙型肝炎病毒依赖于对这一人群的治疗。根据PWID的输入设计的新型护理模式可能有助于更好地将护理与PWID的需求结合起来。方法:我们设计并实施了一个以社区为基础的、由注射器服务项目提供的HCV即时检测项目,并结合了与医疗保健提供者的便利接触、护理导航和经济激励。我们收集了参与者的人口统计数据、药物使用模式、检测和治疗史以及沟通偏好。描述性分析包括2021年10月15日至2025年2月1日期间接受检测的人数、血清阳性率,以及到2025年8月1日完成治疗前实验室检测、完成治疗并通过持续病毒学反应(SVR12)实现治愈的人数。结果:该项目涉及464名独特的个体,其中98名(21.1%)已知HCV诊断。在389名接受护理点(POC) HCV抗体(Ab)检测的独特个体中,包括31名已知先前诊断为HCV的个体,97名(24.9%)呈阳性结果。在439名接受POC HIV Ab检测的独特个体中,只有1人呈阳性结果。在164例POC HCV Ab检测阳性或已知HCV诊断的个体中,66例完成了治疗前实验室检测,确定了52例病毒血症参与者。其中,35人开始并完成了治疗。在完成治疗的患者中,9例(25.7%)达到SVR12, 3例(8.6)未达到SVR12, 23例(65.7%)有未完成的SVR12检测指令。结论:一个激励的、以社区为基础的护理点检测项目,促进了与护理的联系,成功地使高危人群参与了HCV和HIV的检测和治疗。然而,在护理级联的每一步都发生了大量的损耗,特别是在SVR12的测定中。需要额外的策略来优化整个护理级联的保留。
{"title":"Getting to the Point: A Community-Designed, Low-Barrier Hepatitis C Testing and Treatment Program for People Who Inject Drugs in Rural America.","authors":"Amanda N Perry, Elizabeth Eccles, Shoshana H Bardach, Alastair Huntley, Ryan Fowler, David de Gijsel","doi":"10.3390/v17121589","DOIUrl":"10.3390/v17121589","url":null,"abstract":"<p><strong>Background: </strong>People who inject drugs (PWID) have a higher risk of contracting hepatitis C (HCV) than the general population, but these individuals are often poorly served by traditional healthcare systems. The elimination of HCV as a threat to public health relies on the treatment of this population. Novel care models designed with input from PWID may help to better align care to the needs of PWID.</p><p><strong>Methods: </strong>We designed and implemented a community-based, point-of-care testing program for HCV delivered by a syringe service program, combined with facilitated access to a healthcare provider, care navigation, and financial incentives. We collected participant demographics and drug use patterns, testing and treatment history, and communication preferences. Descriptive analyses include the number of people tested between 15 October 2021 and 1 February 2025, their seropositivity rate, and the number who completed pre-treatment laboratory tests, completed treatment and achieved cure by sustained virologic response (SVR12) by 1 August 2025.</p><p><strong>Results: </strong>The program engaged 464 unique individuals, of whom 98 (21.1%) had a known diagnosis of HCV. Of 389 unique individuals who underwent point of care (POC) HCV antibody (Ab) testing, including 31 with a known prior diagnosis of HCV, 97 (24.9%) had a positive result. Of 439 unique individuals who underwent POC HIV Ab testing, only 1 had a positive result. Of 164 individuals with either a positive POC HCV Ab test or a known HCV diagnosis, 66 completed pre-treatment laboratory tests, identifying 52 viremic participants. Of those, 35 started and completed treatment. Among those who completed treatment, 9 (25.7%) achieved SVR12, 3 (8.6) failed to achieve SVR12, and 23 (65.7%) had outstanding laboratory orders for SVR12 determination.</p><p><strong>Conclusions: </strong>An incentivized, community-based, point-of-care testing program with facilitated linkage to care successfully engaged a high-risk population in HCV and HIV testing and treatment. However, substantial attrition occurred at each step of the care cascade, particularly at SVR12 determination. Additional strategies are needed to optimize retention throughout the entire care cascade.</p>","PeriodicalId":49328,"journal":{"name":"Viruses-Basel","volume":"17 12","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12737676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145866278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Epidemiological Surveys of Yam Fields in Côte d'Ivoire Revealed the First Detection of YMMV and Evidence of Episomal Badnavirus. 对Côte科特迪瓦甘薯地的流行病学调查首次发现了YMMV和Episomal badnavvirus。
IF 3.5 3区 医学 Q2 VIROLOGY Pub Date : 2025-12-05 DOI: 10.3390/v17121586
Maïmouna M Koné, Justin S Pita, Cyrielle Ndougonna, Daniel H Otron, Mariam Combala, Guy R Eboulem, William J-L Amoakon, Bekanvié S M Kouakou, Angela O Eni, Fatogoma Sorho, Fidèle Tiendrébéogo

Yam (Dioscorea spp.) is a major staple food, contributing significantly to food security and income generation for millions of people worldwide. In 2019, surveys were conducted across the seven agro-ecological zones (AEZs) of Côte d'Ivoire, the third highest producer of yam globally, to ascertain the current status of viral diseases. In the 324 fields surveyed, a total of 1242 yam leaf samples were collected and tested for the presence of Potyvirus yamtesselati (yam mosaic virus, YMV), Potyvirus yamplacidum (yam mild mosaic virus, YMMV), Cucumovirus CMV (cucumber mosaic virus, CMV), and the badnaviruses using PCR, RT-PCR, and RCA followed by Sanger or MinION sequencing. The incidence of yam viral disease varied across the AEZs, with the lowest mean incidence observed in yam farms within the AEZ VII (71.95%) and the highest in AEZ V (88.15%). Viral disease symptom severity was moderate across the country, with more severe symptoms identified in AEZs II and VI. The virus screening revealed a potyvirus detection rate of 35.83% in all the AEZs. YMMV infection (25.12%) is the most prevalent in the samples, followed by YMV infection (15.61%). RCA-MinION sequencing revealed the presence of badnaviruses belonging to the T15 episomal groups K8, K9, and K5. Also, the use of this technique enabled the amplification and sequencing of four full-length episomal badnaviruses, namely Dioscorea bacilliform AL virus in group K8 and Dioscorea bacilliform RT virus in group K5. CMV was not detected in all the samples. It is noteworthy that 22.13% of mixed infections were detected in asymptomatic samples. This study revealed the first occurrence of YMMV in all the AEZs of Côte d'Ivoire. Of the yam species, Dioscorea alata was more widespread (78.03%) than Dioscorea cayenensis-rotundata (21.92%) in the visited fields. Also, D. alata had a highest incidence of YMMV (23.67%) infection than Dioscorea cayenensis-rotundata, while D. cayenensis-rotundata registered the highest incidence of YMV (15.84%) infection compared to D. alata. Phylogenetic analysis of representative of the various viruses detected in the country revealed that the sequences have high diversity for each virus species. This study revealed that viruses infecting yam are widespread and occur in mixed infection, which poses a real threat to yam production in Côte d'Ivoire.

山药(薯蓣属)是一种主要的主食,为全球数百万人的粮食安全和创收做出了重大贡献。2019年,在全球第三大山药生产国Côte科特迪瓦的七个农业生态区(aez)进行了调查,以确定病毒性疾病的现状。利用PCR、RT-PCR和RCA技术,对324块地皮采集的1242份山药叶片样本进行了山药花叶病毒(YMV)、山药轻度花叶病毒(YMMV)、黄瓜花叶病毒(CMV)和badnav病毒的检测,并进行了Sanger或MinION测序。不同经济隔离区的山药病毒病发病率不同,7区山药养殖场平均发病率最低(71.95%),V区最高(88.15%)。全国各地区病毒性疾病症状严重程度均为中等,以ⅱ、ⅵ区症状较重。病毒筛查结果显示,各地区病毒性疾病检出率为35.83%。样本中以YMMV感染最多(25.12%),其次为YMV感染(15.61%)。RCA-MinION测序显示存在属于T15 episomal组K8, K9和K5的坏病毒。此外,利用该技术可以扩增和测序4个全长外生体坏病毒,即K8组的薯蓣杆菌AL病毒和K5组的薯蓣杆菌RT病毒。所有样本均未检出巨细胞病毒。值得注意的是,无症状样本中混合感染检出率为22.13%。本研究发现,在Côte科特迪瓦所有经济特区首次出现YMMV。山药品种中,高山薯蓣(78.03%)分布最广,而圆形山薯蓣(21.92%)分布最广。此外,黄花田鼠YMMV感染率最高(23.67%),黄花田鼠YMV感染率最高(15.84%),黄花田鼠YMV感染率最高(23.67%)。对我国检测到的具有代表性的各种病毒的系统发育分析表明,每种病毒的序列具有很高的多样性。本研究表明,感染山药的病毒分布广泛,并以混合感染的形式出现,对Côte d' ivire的山药生产构成了实际威胁。
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引用次数: 0
Timely Association of RSV Hospitalisation Waves in Children with the Detection of SARS-CoV-2 in the General Population in Eastern Bavaria. 东巴伐利亚州儿童RSV住院浪潮与普通人群中SARS-CoV-2检测的及时关联
IF 3.5 3区 医学 Q2 VIROLOGY Pub Date : 2025-12-05 DOI: 10.3390/v17121584
Alexander Kiefer, Andreas Ambrosch, Benedikt M J Lampl, Fritz Schneble, Kai Rubarth, Stefan Vlaho, Matthias Keller, Michael Kabesch

Background: The Respiratory Syncytial Virus (RSV) season of 2023/2024 was conspicuously different from previous seasons, with an abrupt decrease in hospitalisation rates at the peak of the season, leading to two lower peaks instead of the expected one high peak of hospitalisations. Thus, we investigated whether there was an interference with other virus infection waves in the course of that RSV season.

Methods: We analysed RSV seasons since 2016 in children who were hospitalised due to an RSV infection in Eastern Bavaria and investigated epidemiological features of RSV seasons after the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic at local, regional, and national levels.

Results: Analysing patterns of four RSV seasons prior to and three seasons after the SARS-CoV-2 pandemic, we found that the paediatric RSV hospitalisation wave of the 2023/2024 season was weaker and less pronounced than expected. When we compared detailed local, regional, and national surveillance data of other viral infections, we found that paediatric RSV hospitalisation waves were anticyclical to SARS-CoV-2 infection waves, but not to rhinovirus or influenza waves in the general population.

Discussion: Our data suggests that concomitant SARS-CoV-2 infection waves in the general population may disrupt infection chains of RSV in children and, thus, decrease RSV-associated hospitalisation. This factor should be taken into account when assessing the effects of the upcoming RSV prophylaxis in the future.

背景:2023/2024年呼吸道合胞病毒(RSV)季节与以往季节有明显不同,在RSV季节高峰期住院率突然下降,导致住院率出现两个较低的高峰,而不是预期的一个高峰。因此,我们调查了在RSV季节期间是否存在其他病毒感染波的干扰。方法:分析东巴伐利亚州2016年以来因RSV感染住院儿童的RSV季节,调查地方、地区和国家三级严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)大流行后RSV季节的流行病学特征。结果:分析SARS-CoV-2大流行前后4个RSV季节的模式,发现2023/2024季节的儿科RSV住院浪潮较弱且不明显。当我们比较其他病毒感染的详细地方、区域和国家监测数据时,我们发现儿科RSV住院波对SARS-CoV-2感染波具有抗周期性,但对一般人群的鼻病毒或流感波没有抗周期性。讨论:我们的数据表明,普通人群中伴随的SARS-CoV-2感染波可能会破坏儿童呼吸道合胞病毒的感染链,从而减少与呼吸道合胞病毒相关的住院治疗。在评估未来RSV预防的效果时,应考虑到这一因素。
{"title":"Timely Association of RSV Hospitalisation Waves in Children with the Detection of SARS-CoV-2 in the General Population in Eastern Bavaria.","authors":"Alexander Kiefer, Andreas Ambrosch, Benedikt M J Lampl, Fritz Schneble, Kai Rubarth, Stefan Vlaho, Matthias Keller, Michael Kabesch","doi":"10.3390/v17121584","DOIUrl":"10.3390/v17121584","url":null,"abstract":"<p><strong>Background: </strong>The Respiratory Syncytial Virus (RSV) season of 2023/2024 was conspicuously different from previous seasons, with an abrupt decrease in hospitalisation rates at the peak of the season, leading to two lower peaks instead of the expected one high peak of hospitalisations. Thus, we investigated whether there was an interference with other virus infection waves in the course of that RSV season.</p><p><strong>Methods: </strong>We analysed RSV seasons since 2016 in children who were hospitalised due to an RSV infection in Eastern Bavaria and investigated epidemiological features of RSV seasons after the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic at local, regional, and national levels.</p><p><strong>Results: </strong>Analysing patterns of four RSV seasons prior to and three seasons after the SARS-CoV-2 pandemic, we found that the paediatric RSV hospitalisation wave of the 2023/2024 season was weaker and less pronounced than expected. When we compared detailed local, regional, and national surveillance data of other viral infections, we found that paediatric RSV hospitalisation waves were anticyclical to SARS-CoV-2 infection waves, but not to rhinovirus or influenza waves in the general population.</p><p><strong>Discussion: </strong>Our data suggests that concomitant SARS-CoV-2 infection waves in the general population may disrupt infection chains of RSV in children and, thus, decrease RSV-associated hospitalisation. This factor should be taken into account when assessing the effects of the upcoming RSV prophylaxis in the future.</p>","PeriodicalId":49328,"journal":{"name":"Viruses-Basel","volume":"17 12","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12737403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145866291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CRISPR Treatments for AI-Designed Synthetic Viruses: Rapid Programmable Countermeasures for Emerging and Engineered Viruses. 人工智能设计的合成病毒的CRISPR治疗:新兴病毒和工程病毒的快速可编程对策。
IF 3.5 3区 医学 Q2 VIROLOGY Pub Date : 2025-12-05 DOI: 10.3390/v17121588
Douglas P Gladue, Alison O'Mahony

The convergence of artificial intelligence and synthetic biology is innovating and accelerating the design of novel viral genomes, expanding both therapeutic opportunities and dual-use risk. This review articulates a countermeasure strategy for emerging and engineered viruses leveraging the programmable CRISPR modality. Building on mounting in vitro and in vivo evidence that Cas9 degrades DNA viruses (e.g., Orthopoxviruses, HSV-1, ASFV), while Cas13 targets RNA viral genomes (e.g., Influenza A, Dengue, RSV), both leading to reduced viremia, diminished disease burden, and alleviated symptoms. Here, we outline a rapid-response pipeline to position CRISPR-based countermeasures in translational and pandemic-response frameworks, linking real-time sequencing to AI-assisted gRNA selection and multiplexed cassette design to achieve viral targeting efficacy. To minimize resistance and off-target risk, we emphasize multi-gRNA cocktails, continuous genomic surveillance, and adaptive gRNA rotation. We also propose governance mechanisms, such as pre-cleared gRNA repositories, transparent design logs, standardized off-target/safety screening, and alignment with evolving nucleic-acid-synthesis screening frameworks to enable emergency deployment while preserving security. Furthermore, compressing the time from sequence to treatment and complementary to vaccines and small-molecule antivirals, CRISPR represents a technologically agile and strategically essential capability to combat both natural outbreaks and AI-enabled biothreats. Collectively, programmable CRISPR antivirals represent an auditable, rapidly adaptable foundation for next-generation biodefense preparedness.

人工智能和合成生物学的融合正在创新和加速新型病毒基因组的设计,扩大了治疗机会和双重用途风险。这篇综述阐明了利用可编程CRISPR模式的新兴病毒和工程病毒的对策策略。基于越来越多的体外和体内证据,Cas9可降解DNA病毒(如正痘病毒、HSV-1、ASFV),而Cas13可靶向RNA病毒基因组(如甲型流感、登革热、RSV),两者均可减少病毒血症、减轻疾病负担并缓解症状。在这里,我们概述了一个快速反应管道,将基于crispr的对策定位在翻译和大流行反应框架中,将实时测序与ai辅助gRNA选择和多路盒设计联系起来,以实现病毒靶向效果。为了最大限度地减少耐药性和脱靶风险,我们强调多gRNA鸡尾酒、连续基因组监测和自适应gRNA轮换。我们还提出了治理机制,如预先清除的gRNA存储库、透明的设计日志、标准化的脱靶/安全筛选,以及与不断发展的核酸合成筛选框架保持一致,以实现紧急部署,同时保持安全性。此外,CRISPR缩短了从测序到治疗的时间,是疫苗和小分子抗病毒药物的补充,在技术上灵活,在战略上至关重要,可以应对自然疫情和人工智能引发的生物威胁。总的来说,可编程CRISPR抗病毒药物代表了下一代生物防御准备的可审计、快速适应的基础。
{"title":"CRISPR Treatments for AI-Designed Synthetic Viruses: Rapid Programmable Countermeasures for Emerging and Engineered Viruses.","authors":"Douglas P Gladue, Alison O'Mahony","doi":"10.3390/v17121588","DOIUrl":"10.3390/v17121588","url":null,"abstract":"<p><p>The convergence of artificial intelligence and synthetic biology is innovating and accelerating the design of novel viral genomes, expanding both therapeutic opportunities and dual-use risk. This review articulates a countermeasure strategy for emerging and engineered viruses leveraging the programmable CRISPR modality. Building on mounting in vitro and in vivo evidence that Cas9 degrades DNA viruses (e.g., Orthopoxviruses, HSV-1, ASFV), while Cas13 targets RNA viral genomes (e.g., Influenza A, Dengue, RSV), both leading to reduced viremia, diminished disease burden, and alleviated symptoms. Here, we outline a rapid-response pipeline to position CRISPR-based countermeasures in translational and pandemic-response frameworks, linking real-time sequencing to AI-assisted gRNA selection and multiplexed cassette design to achieve viral targeting efficacy. To minimize resistance and off-target risk, we emphasize multi-gRNA cocktails, continuous genomic surveillance, and adaptive gRNA rotation. We also propose governance mechanisms, such as pre-cleared gRNA repositories, transparent design logs, standardized off-target/safety screening, and alignment with evolving nucleic-acid-synthesis screening frameworks to enable emergency deployment while preserving security. Furthermore, compressing the time from sequence to treatment and complementary to vaccines and small-molecule antivirals, CRISPR represents a technologically agile and strategically essential capability to combat both natural outbreaks and AI-enabled biothreats. Collectively, programmable CRISPR antivirals represent an auditable, rapidly adaptable foundation for next-generation biodefense preparedness.</p>","PeriodicalId":49328,"journal":{"name":"Viruses-Basel","volume":"17 12","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12737548/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145866170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevalence of Antibodies to Japanese Encephalitis Virus and Severe Fever with Thrombocytopenia Syndrome Virus in Wild Boars Captured Across Different Locations in Toyama Prefecture, Japan. 在日本富山县不同地点捕获的野猪中流行性乙型脑炎病毒和发热伴血小板减少综合征病毒抗体的流行
IF 3.5 3区 医学 Q2 VIROLOGY Pub Date : 2025-12-05 DOI: 10.3390/v17121585
Shunsuke Yazawa, Kotoha Yoshida, Kotaro Fujii, Yumiko Saga, Sara Taniguchi, Ryosuke Suzuki, Chang-Kweng Lim, Miki Ishida, Kazunori Oishi, Hideki Tani

Wild boars inhabit fields, hills, and farms across Japan, where they are fed on by numerous arthropods, including mosquitoes and ticks. Consequently, they are frequently exposed to arthropod-borne pathogens. In Toyama Prefecture, blood samples from captured wild boars have long been collected for classical swine fever virus antibody testing, with detailed records kept on the capture locations. In this study, we investigated the prevalence of antibodies against Japanese encephalitis virus (JEV) and severe fever with thrombocytopenia syndrome virus (SFTSV) using 3059 serum samples collected from wild boars over the past six years. A previously developed single-round infectious particles (SRIPs) assay system was employed for the analysis. We also examined the geographic distribution of antibody-positive wild boars. The results showed that antibody positivity rates for both JEV and SFTSV increased annually from 2019 to 2024. Geographical analysis revealed that JEV antibody-positive wild boars were distributed throughout Toyama Prefecture, whereas SFTSV antibody-positive wild boars were concentrated mainly in the northwestern region and along the western prefectural border. These findings suggest that JEV continue to pose an infection risk across the entire prefecture, while SFTSV has been actively spreading in the northwestern area during 2023-2024, raising concern over an increasing risk of human infection.

野猪栖息在日本各地的田野、山丘和农场,在那里它们以许多节肢动物为食,包括蚊子和蜱虫。因此,他们经常暴露于节肢动物传播的病原体。在富山县,长期以来一直收集捕获野猪的血液样本进行猪瘟病毒抗体检测,并保留捕获地点的详细记录。在这项研究中,我们调查了6年来收集的3059份野猪血清中乙型脑炎病毒(JEV)和发热伴血小板减少综合征病毒(SFTSV)抗体的流行情况。采用先前开发的单轮感染颗粒(srip)检测系统进行分析。我们还检查了抗体阳性野猪的地理分布。结果显示,2019 - 2024年,乙脑病毒和SFTSV抗体阳性率均呈逐年上升趋势。地理分析结果显示,乙脑病毒抗体阳性的野猪分布在富山县各地,而SFTSV抗体阳性的野猪主要集中在西北地区和县西部边境。这些结果表明,2023-2024年期间,乙脑病毒在全县持续构成感染风险,而SFTSV在西北地区持续活跃传播,人类感染风险增加令人担忧。
{"title":"Prevalence of Antibodies to Japanese Encephalitis Virus and Severe Fever with Thrombocytopenia Syndrome Virus in Wild Boars Captured Across Different Locations in Toyama Prefecture, Japan.","authors":"Shunsuke Yazawa, Kotoha Yoshida, Kotaro Fujii, Yumiko Saga, Sara Taniguchi, Ryosuke Suzuki, Chang-Kweng Lim, Miki Ishida, Kazunori Oishi, Hideki Tani","doi":"10.3390/v17121585","DOIUrl":"10.3390/v17121585","url":null,"abstract":"<p><p>Wild boars inhabit fields, hills, and farms across Japan, where they are fed on by numerous arthropods, including mosquitoes and ticks. Consequently, they are frequently exposed to arthropod-borne pathogens. In Toyama Prefecture, blood samples from captured wild boars have long been collected for classical swine fever virus antibody testing, with detailed records kept on the capture locations. In this study, we investigated the prevalence of antibodies against Japanese encephalitis virus (JEV) and severe fever with thrombocytopenia syndrome virus (SFTSV) using 3059 serum samples collected from wild boars over the past six years. A previously developed single-round infectious particles (SRIPs) assay system was employed for the analysis. We also examined the geographic distribution of antibody-positive wild boars. The results showed that antibody positivity rates for both JEV and SFTSV increased annually from 2019 to 2024. Geographical analysis revealed that JEV antibody-positive wild boars were distributed throughout Toyama Prefecture, whereas SFTSV antibody-positive wild boars were concentrated mainly in the northwestern region and along the western prefectural border. These findings suggest that JEV continue to pose an infection risk across the entire prefecture, while SFTSV has been actively spreading in the northwestern area during 2023-2024, raising concern over an increasing risk of human infection.</p>","PeriodicalId":49328,"journal":{"name":"Viruses-Basel","volume":"17 12","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12737401/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145866376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Genetic Association Between TMPRSS2 Polymorphisms and COVID-19 Severity in Brazilian Health Workers. 巴西卫生工作者中TMPRSS2多态性与COVID-19严重程度的遗传关联
IF 3.5 3区 医学 Q2 VIROLOGY Pub Date : 2025-12-05 DOI: 10.3390/v17121587
Alysson Fellipe Costa Telles, Bearli Souza Menezes Junior, Cliomar Alves Dos Santos, Maria Rosa Melo Alves, Ludmila Oliveira Carvalho Sena, Rosana Cipolotti

The diversity of clinical presentations and outcomes of COVID-19 suggests the influence of host-intrinsic factors that modulate the infectious process. Therefore, a study was conducted with professionals from a hospital in the state of Sergipe, in the Northeast region of Brazil, aiming to identify in this population the effect of rs12329760 and rs2070788, SNPs of the TMPRSS2 enzyme that facilitates the infectious process. Recruitment of the 363 participants followed a non-probabilistic method using a QR code that led to the Informed Consent Form (ICF) and a clinical-epidemiological questionnaire based on self-reported information on the number of positive tests, the presence/absence of symptoms, and severity. Buccal epithelial cells were collected, DNA was extracted using a silica column, and SNP amplification was performed by qPCR. The data were processed using PSPP software, using chi-squared tests for associations in three statistical genetic models (additive, dominant, and recessive). The results showed that, in this population, rs12329760 did not influence any of the outcomes, while rs2070788 was significant in both the additive and recessive models. The action of the G allele is evident in the most severe cases, and it is associated with increased TMPRSS2 expression and potentially increased viral entry efficiency.

COVID-19临床表现和结局的多样性表明,调节感染过程的宿主内在因素的影响。因此,我们与巴西东北地区Sergipe州一家医院的专业人员进行了一项研究,旨在确定促进感染过程的TMPRSS2酶的snp rs12329760和rs2070788在该人群中的作用。363名参与者的招募采用了一种非概率方法,使用QR码获得知情同意书(ICF)和临床流行病学问卷,该问卷基于自我报告的阳性检测次数、有无症状和严重程度等信息。采集颊上皮细胞,硅胶柱提取DNA, qPCR扩增SNP。使用PSPP软件处理数据,使用卡方检验三种统计遗传模型(加性、显性和隐性)的相关性。结果显示,在该人群中,rs12329760不影响任何结果,而rs2070788在加性和隐性模型中均显著。G等位基因的作用在最严重的病例中是明显的,它与TMPRSS2表达增加和潜在的病毒进入效率增加有关。
{"title":"Genetic Association Between TMPRSS2 Polymorphisms and COVID-19 Severity in Brazilian Health Workers.","authors":"Alysson Fellipe Costa Telles, Bearli Souza Menezes Junior, Cliomar Alves Dos Santos, Maria Rosa Melo Alves, Ludmila Oliveira Carvalho Sena, Rosana Cipolotti","doi":"10.3390/v17121587","DOIUrl":"10.3390/v17121587","url":null,"abstract":"<p><p>The diversity of clinical presentations and outcomes of COVID-19 suggests the influence of host-intrinsic factors that modulate the infectious process. Therefore, a study was conducted with professionals from a hospital in the state of Sergipe, in the Northeast region of Brazil, aiming to identify in this population the effect of rs12329760 and rs2070788, SNPs of the TMPRSS2 enzyme that facilitates the infectious process. Recruitment of the 363 participants followed a non-probabilistic method using a QR code that led to the Informed Consent Form (ICF) and a clinical-epidemiological questionnaire based on self-reported information on the number of positive tests, the presence/absence of symptoms, and severity. Buccal epithelial cells were collected, DNA was extracted using a silica column, and SNP amplification was performed by qPCR. The data were processed using PSPP software, using chi-squared tests for associations in three statistical genetic models (additive, dominant, and recessive). The results showed that, in this population, rs12329760 did not influence any of the outcomes, while rs2070788 was significant in both the additive and recessive models. The action of the G allele is evident in the most severe cases, and it is associated with increased TMPRSS2 expression and potentially increased viral entry efficiency.</p>","PeriodicalId":49328,"journal":{"name":"Viruses-Basel","volume":"17 12","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12737770/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145866198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Viruses-Basel
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