首页 > 最新文献

The Journal of Infectious Diseases最新文献

英文 中文
Increased diversity and introduction of multi-drug resistant strains of Neisseria gonorrhoeae following cessation of COVID-19 pandemic-related travel restrictions: an observational genomic epidemiological study 停止COVID-19大流行相关旅行限制后淋病奈瑟菌多样性增加和多重耐药菌株的引入:一项观察性基因组流行病学研究
Pub Date : 2026-02-10 DOI: 10.1093/infdis/jiag097
Rosa C Coldbeck-Shackley, Erin Flynn, Arshdeep Kaur Mudhar, Mona L Taouk, George Taiaroa, Charlotte Bell, Trisha J Rogers, Caitlin A Selway, Lito Papanicolas, Mark Turra, Lex E X Leong
Background National and international travel drives the spread of antimicrobial resistance in high-priority pathogens, including Neisseria gonorrhoeae. Border closures and travel restrictions in response to the COVID-19 pandemic had wide-reaching impacts on infectious disease epidemiology, including the transmission and genomic diversity of N. gonorrhoeae. However, less is known about N. gonorrhoeae population structures in the years following lifting of pandemic restrictions. Methods This study analysed N. gonorrhoeae genomic data collected for routine public health surveillance in South Australia, Australia, and contextual sequences from Victoria, Australia, before and after the cessation of COVID-19 interstate and international travel restrictions. Results N. gonorrhoeae was highly clonal during periods with restricted travel, and genomic diversity markedly increased after restrictions were removed, possibly driven by increased transmission and the introduction of new strains. Conclusions Routine genomic surveillance is an important public health tool for the monitoring of N. gonorrhoeae, especially the introduction and spread of antimicrobial resistant strains.
国内和国际旅行推动了包括淋病奈瑟菌在内的高度重点病原体的抗微生物药物耐药性传播。为应对COVID-19大流行而关闭边境和限制旅行对传染病流行病学产生了广泛影响,包括淋病奈瑟菌的传播和基因组多样性。然而,在取消大流行限制后的几年中,对淋病奈瑟菌种群结构的了解较少。方法本研究分析了澳大利亚南澳大利亚州常规公共卫生监测中收集的淋病奈瑟菌基因组数据,以及澳大利亚维多利亚州在COVID-19州际和国际旅行限制停止前后收集的背景序列。结果淋病奈瑟菌在限制旅行期间具有高度克隆性,限制解除后基因组多样性显著增加,可能与传播增加和新菌株的引入有关。结论常规基因组监测是监测淋病奈瑟菌,特别是耐药菌株的传入和传播的重要公共卫生手段。
{"title":"Increased diversity and introduction of multi-drug resistant strains of Neisseria gonorrhoeae following cessation of COVID-19 pandemic-related travel restrictions: an observational genomic epidemiological study","authors":"Rosa C Coldbeck-Shackley, Erin Flynn, Arshdeep Kaur Mudhar, Mona L Taouk, George Taiaroa, Charlotte Bell, Trisha J Rogers, Caitlin A Selway, Lito Papanicolas, Mark Turra, Lex E X Leong","doi":"10.1093/infdis/jiag097","DOIUrl":"https://doi.org/10.1093/infdis/jiag097","url":null,"abstract":"Background National and international travel drives the spread of antimicrobial resistance in high-priority pathogens, including Neisseria gonorrhoeae. Border closures and travel restrictions in response to the COVID-19 pandemic had wide-reaching impacts on infectious disease epidemiology, including the transmission and genomic diversity of N. gonorrhoeae. However, less is known about N. gonorrhoeae population structures in the years following lifting of pandemic restrictions. Methods This study analysed N. gonorrhoeae genomic data collected for routine public health surveillance in South Australia, Australia, and contextual sequences from Victoria, Australia, before and after the cessation of COVID-19 interstate and international travel restrictions. Results N. gonorrhoeae was highly clonal during periods with restricted travel, and genomic diversity markedly increased after restrictions were removed, possibly driven by increased transmission and the introduction of new strains. Conclusions Routine genomic surveillance is an important public health tool for the monitoring of N. gonorrhoeae, especially the introduction and spread of antimicrobial resistant strains.","PeriodicalId":501010,"journal":{"name":"The Journal of Infectious Diseases","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146160438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Recurrent Plasmodium falciparum parasitemia and drug resistance mutations during intermittent preventive treatment of malaria in pregnancy in Uganda 乌干达妊娠期疟疾间歇预防治疗期间复发性恶性疟原虫寄生虫病和耐药性突变
Pub Date : 2026-02-10 DOI: 10.1093/infdis/jiag074
Jimmy Kizza, Thomas Katairo, Abel Kakuru, Bienvenu Nsengimaana, Trevor Esilu, Innocent Wiringilimaana, Francis D Semakuba, Inna Gerlovina, Nicholas Hathaway, Jessica Briggs, Stephen Tukwasibwe, Steven M Kiwuwa, Moses R Kamya, Joaniter I Nankabirwa, Grant Dorsey, Philip J Rosenthal
Background Intermittent preventive treatment with monthly sulfadoxine-pyrimethamine (IPTp-SP) is recommended during pregnancy in malaria-endemic countries. However, widespread resistance of Plasmodium falciparum to SP has compromised its efficacy, and the alternative dihydroartemisinin-piperaquine (DP) is under study. Potential selection of drug resistance is important. Methods We sequenced 1377 samples collected from pregnant women enrolled in a trial comparing monthly SP, DP, and DP+SP for IPTp in Busia, Uganda and with asymptomatic parasitemia at the time of IPTp administration. We characterized known markers of drug resistance and assessed the 28-day cumulative risk of recurrent parasitemia, with genotyping to distinguish recrudescence from new infections. Results Among 771 samples collected on the day IPTp was initiated, the prevalences of 5 resistance mutations in P. falciparum dihydrofolate reductase (PfDHFR) and dihydropteroate synthase (PfDHPS) were nearly 100%, and the PfDHFR I164L and PfDHPS A581G mutations, associated with high-level resistance, had combined prevalence of 26.5%. The cumulative risks of recurrent parasitemia (SP 57.8%, DP 4.1%, DP+SP 3.9%), symptomatic malaria (SP 9.3%, DP 1.1%, DP+SP 0.3%), and recrudescent parasitemia (SP 40.1%, DP 2.0%, DP+SP 0.8%) were all significantly greater in the SP arm, with risks greatest in primigravidae. In the IPT-SP arm, the combined prevalence of the PfDHFR I164L and PfDHPS A581G mutations increased significantly from 24.9% at initiation of IPTp to 35.2% after receipt of IPTp-SP. Infection with mutant parasites was associated with non-significant increases in risks of recrudescence. Conclusions IPTp-SP had poor antimalarial preventive efficacy and selected for increased drug resistance, questioning the value of this intervention.
背景:在疟疾流行国家,建议在怀孕期间每月使用磺胺多辛-乙胺嘧啶(IPTp-SP)进行间歇性预防治疗。然而,恶性疟原虫对SP的广泛耐药性削弱了其疗效,目前正在研究替代双氢青蒿素-哌喹(DP)。潜在的耐药性选择很重要。方法:我们对1377例孕妇样本进行了测序,这些孕妇参加了一项试验,比较了乌干达布西亚(Busia)孕妇每月接受IPTp治疗时的SP、DP和DP+SP,以及接受IPTp治疗时的无症状寄生虫病。我们描述了已知的耐药标志物,并评估了28天寄生虫病复发的累积风险,通过基因分型来区分复发和新感染。结果在启动IPTp当日采集的771份样本中,恶性疟原虫二氢叶酸还原酶(PfDHFR)和二氢叶酸合酶(PfDHPS) 5种耐药突变的检出率接近100%,其中与高耐药相关的PfDHFR I164L和PfDHPS A581G突变检出率为26.5%。复发性寄生虫病(SP 57.8%, DP 4.1%, DP+SP 3.9%)、症状性疟疾(SP 9.3%, DP 1.1%, DP+SP 0.3%)和复发性寄生虫病(SP 40.1%, DP 2.0%, DP+SP 0.8%)的累积风险在SP组均显著高于原鸟组,其中原鸟组风险最大。在IPTp- sp组中,PfDHFR I164L和PfDHPS A581G突变的总患病率从IPTp开始时的24.9%显著增加到接受IPTp- sp后的35.2%。感染突变寄生虫与复发风险无显著增加相关。结论IPTp-SP抗疟预防效果较差,选择耐药较多,其干预价值值得质疑。
{"title":"Recurrent Plasmodium falciparum parasitemia and drug resistance mutations during intermittent preventive treatment of malaria in pregnancy in Uganda","authors":"Jimmy Kizza, Thomas Katairo, Abel Kakuru, Bienvenu Nsengimaana, Trevor Esilu, Innocent Wiringilimaana, Francis D Semakuba, Inna Gerlovina, Nicholas Hathaway, Jessica Briggs, Stephen Tukwasibwe, Steven M Kiwuwa, Moses R Kamya, Joaniter I Nankabirwa, Grant Dorsey, Philip J Rosenthal","doi":"10.1093/infdis/jiag074","DOIUrl":"https://doi.org/10.1093/infdis/jiag074","url":null,"abstract":"Background Intermittent preventive treatment with monthly sulfadoxine-pyrimethamine (IPTp-SP) is recommended during pregnancy in malaria-endemic countries. However, widespread resistance of Plasmodium falciparum to SP has compromised its efficacy, and the alternative dihydroartemisinin-piperaquine (DP) is under study. Potential selection of drug resistance is important. Methods We sequenced 1377 samples collected from pregnant women enrolled in a trial comparing monthly SP, DP, and DP+SP for IPTp in Busia, Uganda and with asymptomatic parasitemia at the time of IPTp administration. We characterized known markers of drug resistance and assessed the 28-day cumulative risk of recurrent parasitemia, with genotyping to distinguish recrudescence from new infections. Results Among 771 samples collected on the day IPTp was initiated, the prevalences of 5 resistance mutations in P. falciparum dihydrofolate reductase (PfDHFR) and dihydropteroate synthase (PfDHPS) were nearly 100%, and the PfDHFR I164L and PfDHPS A581G mutations, associated with high-level resistance, had combined prevalence of 26.5%. The cumulative risks of recurrent parasitemia (SP 57.8%, DP 4.1%, DP+SP 3.9%), symptomatic malaria (SP 9.3%, DP 1.1%, DP+SP 0.3%), and recrudescent parasitemia (SP 40.1%, DP 2.0%, DP+SP 0.8%) were all significantly greater in the SP arm, with risks greatest in primigravidae. In the IPT-SP arm, the combined prevalence of the PfDHFR I164L and PfDHPS A581G mutations increased significantly from 24.9% at initiation of IPTp to 35.2% after receipt of IPTp-SP. Infection with mutant parasites was associated with non-significant increases in risks of recrudescence. Conclusions IPTp-SP had poor antimalarial preventive efficacy and selected for increased drug resistance, questioning the value of this intervention.","PeriodicalId":501010,"journal":{"name":"The Journal of Infectious Diseases","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146169722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Efficient sensing of a four-segmented Rift Valley fever virus vaccine candidate by human monocytes 四节段裂谷热病毒候选疫苗的人单核细胞高效检测
Pub Date : 2026-02-10 DOI: 10.1093/infdis/jiag085
Niranjana Nair, Julia Friese, Paul J Wichgers Schreur, Albert D M E Osterhaus, Guus F Rimmelzwaan, Chittappen Kandiyil Prajeeth
The live-attenuated RVFV-4s vaccine against Rift Valley Fever has demonstrated safety and efficacy across multiple animal models and in a phase-I clinical trial. In this study, we examined its impact on innate immune responses and found that RVFV-4s enhances the expression of costimulatory molecules critical for T cell activation, while also triggering proinflammatory responses in primary human monocytes.
针对裂谷热的rvfv -4减毒活疫苗已在多个动物模型和一期临床试验中证明了安全性和有效性。在这项研究中,我们研究了它对先天免疫反应的影响,发现rvfv -4增强了对T细胞活化至关重要的共刺激分子的表达,同时也引发了原代人单核细胞的促炎反应。
{"title":"Efficient sensing of a four-segmented Rift Valley fever virus vaccine candidate by human monocytes","authors":"Niranjana Nair, Julia Friese, Paul J Wichgers Schreur, Albert D M E Osterhaus, Guus F Rimmelzwaan, Chittappen Kandiyil Prajeeth","doi":"10.1093/infdis/jiag085","DOIUrl":"https://doi.org/10.1093/infdis/jiag085","url":null,"abstract":"The live-attenuated RVFV-4s vaccine against Rift Valley Fever has demonstrated safety and efficacy across multiple animal models and in a phase-I clinical trial. In this study, we examined its impact on innate immune responses and found that RVFV-4s enhances the expression of costimulatory molecules critical for T cell activation, while also triggering proinflammatory responses in primary human monocytes.","PeriodicalId":501010,"journal":{"name":"The Journal of Infectious Diseases","volume":"59 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146169725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparative Analysis of High-Dose Dual Therapies in First-Line Helicobacter pylori Eradication: An Inverse Probability of Treatment-Weighted Multicenter Study. 高剂量双重治疗一线幽门螺杆菌根除的比较分析:治疗加权的反概率多中心研究。
Pub Date : 2026-01-31 DOI: 10.1093/infdis/jiag059
Qingzhou Kong,Baobao Wang,Bengang Zhou,Hong Lu,Tianlian Yan,Yingying Han,Yanbing Ding,Peiyuan Li,Miao Duan,Kunping Ju,Wenrong Geng,Yuting Guo,Hongyu Zhao,Xiaohui Song,Xiaowei Li,Xin Long,Xiuli Zuo,Yanqing Li,Yueyue Li
BACKGROUNDHigh-dose dual therapy (HDDT) is a promising first-line treatment option for Helicobacter pylori infection. In this study, we aimed to compare the efficacy and safety of different HDDT regimens.METHODSThis multicenter retrospective study included data from 10 centers between January 2022 and January 2025. Inverse probability of treatment-weighted (IPTW) adjustment was used to address the imbalance in variables across groups. The outcomes included the eradication rate, adverse events and adherence.RESULTSA total of 1,665 patients were included, with a full analysis set (FAS) eradication rate of 88.6% and a per-protocol (PP) eradication rate of 89.5% for HDDT. After IPTW adjustment, the eradication rate of vonoprazan-amoxicillin (VA) 14-day based on FAS analysis was 95.1%, which was significantly higher than VA-10 day (88.7%) (P = 0.001), esomeprazole-amoxicillin (EA) (85.1%) (P < 0.001), and tegoprazan-amoxicillin (TA) (87.3%) (P < 0.001). The incidence of adverse events for VA-14 was 8.1%, which was comparable to VA-10 (11.1%) but lower than TA (14.4%) and EA (15.3%) (P = 0.002). Adherence showed no significant difference across groups. High body surface area (BSA) (≥1.80 m²) (OR 1.594, 95% confidence interval [CI], 1.018-2.495, P = 0.041), poor adherence (OR 4.975, 95% CI, 2.753-8.992, P < 0.001), and non-VA-14 treatment regimen were independent risk factors for eradication failure. Factors varied across regimens.CONCLUSIONSHDDT, particularly VA-14, is a competitive first-line option for H. pylori eradication. High BSA and low adherence were risk factors for eradication failure but varied across regimens, highlighting the necessity of personalized adjustment.
背景:高剂量双重治疗(HDDT)是治疗幽门螺杆菌感染的一线治疗选择。在这项研究中,我们的目的是比较不同的HDDT方案的有效性和安全性。方法该多中心回顾性研究纳入了2022年1月至2025年1月期间10个中心的数据。使用治疗加权逆概率(IPTW)调整来解决组间变量的不平衡。结果包括根除率、不良事件和依从性。结果共纳入1665例患者,HDDT的全分析集(FAS)根除率为88.6%,每方案(PP)根除率为89.5%。调整IPTW后,FAS分析vonoprazan-amoxicillin (VA) 14 d的根除率为95.1%,显著高于VA-10 d (88.7%) (P = 0.001)、埃索美拉唑-阿莫西林(EA) (85.1%) (P < 0.001)和替戈拉唑-阿莫西林(TA) (87.3%) (P < 0.001)。VA-14的不良事件发生率为8.1%,与VA-10(11.1%)相当,但低于TA(14.4%)和EA (15.3%) (P = 0.002)。各组间依从性无显著差异。高体表面积(BSA)(≥1.80 m²)(OR 1.594, 95%可信区间[CI], 1.018-2.495, P = 0.041)、依从性差(OR 4.975, 95% CI, 2.753-8.992, P < 0.001)和非va -14治疗方案是根除失败的独立危险因素。这些因素因治疗方案而异。结论ddt,尤其是VA-14,是根除幽门螺杆菌的一线药物。高BSA和低依从性是根除失败的危险因素,但在不同的方案中存在差异,突出了个性化调整的必要性。
{"title":"Comparative Analysis of High-Dose Dual Therapies in First-Line Helicobacter pylori Eradication: An Inverse Probability of Treatment-Weighted Multicenter Study.","authors":"Qingzhou Kong,Baobao Wang,Bengang Zhou,Hong Lu,Tianlian Yan,Yingying Han,Yanbing Ding,Peiyuan Li,Miao Duan,Kunping Ju,Wenrong Geng,Yuting Guo,Hongyu Zhao,Xiaohui Song,Xiaowei Li,Xin Long,Xiuli Zuo,Yanqing Li,Yueyue Li","doi":"10.1093/infdis/jiag059","DOIUrl":"https://doi.org/10.1093/infdis/jiag059","url":null,"abstract":"BACKGROUNDHigh-dose dual therapy (HDDT) is a promising first-line treatment option for Helicobacter pylori infection. In this study, we aimed to compare the efficacy and safety of different HDDT regimens.METHODSThis multicenter retrospective study included data from 10 centers between January 2022 and January 2025. Inverse probability of treatment-weighted (IPTW) adjustment was used to address the imbalance in variables across groups. The outcomes included the eradication rate, adverse events and adherence.RESULTSA total of 1,665 patients were included, with a full analysis set (FAS) eradication rate of 88.6% and a per-protocol (PP) eradication rate of 89.5% for HDDT. After IPTW adjustment, the eradication rate of vonoprazan-amoxicillin (VA) 14-day based on FAS analysis was 95.1%, which was significantly higher than VA-10 day (88.7%) (P = 0.001), esomeprazole-amoxicillin (EA) (85.1%) (P < 0.001), and tegoprazan-amoxicillin (TA) (87.3%) (P < 0.001). The incidence of adverse events for VA-14 was 8.1%, which was comparable to VA-10 (11.1%) but lower than TA (14.4%) and EA (15.3%) (P = 0.002). Adherence showed no significant difference across groups. High body surface area (BSA) (≥1.80 m²) (OR 1.594, 95% confidence interval [CI], 1.018-2.495, P = 0.041), poor adherence (OR 4.975, 95% CI, 2.753-8.992, P < 0.001), and non-VA-14 treatment regimen were independent risk factors for eradication failure. Factors varied across regimens.CONCLUSIONSHDDT, particularly VA-14, is a competitive first-line option for H. pylori eradication. High BSA and low adherence were risk factors for eradication failure but varied across regimens, highlighting the necessity of personalized adjustment.","PeriodicalId":501010,"journal":{"name":"The Journal of Infectious Diseases","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146089164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dynamics of Intact and Defective HIV-1 Proviruses during Decades of Suppressive Antiretroviral Treatment in Young Adults with Perinatal HIV-1. 完整和缺陷HIV-1前病毒的动态在几十年的抗逆转录病毒抑制治疗围产期HIV-1年轻成人。
Pub Date : 2026-01-30 DOI: 10.1093/infdis/jiag045
Priya Khetan,Kunjal Patel,Wendy Yu,Joseph Szewczyk,Adit Dhummakupt,Sandra Burchett,Russell B Van Dyke,Deborah Persaud
BACKGROUNDUnderstanding HIV-1 reservoir dynamics during long-term antiretroviral therapy (ART) in youth with perinatal HIV-1 is essential for ART-free remission strategies.METHODSWe quantified intact and defective HIV-1 proviruses in 201 peripheral blood mononuclear cell samples (PBMCs) from participants ages 17.6-21.2 years in the Pediatric HIV/AIDS Cohort Study (PHACS) Adolescent Master Protocol. Participants were classified as early-suppressed (ES, <1 year of age at virologic suppression (VS)) or late-suppressed (LS, 1-5 years of age at VS) and had maintained VS for up to 20 years. We compared proviral dynamics based on age at and duration of suppression, and sex.RESULTSTwenty-six participants (11 ES and 15 LS) were evaluated. ES participants exhibited significantly lower intact HIV-1 reservoirs compared with LS participants, with 67% of ES samples below detection limits (2.0 copies/106 PBMCs), By 5 years of VS, the ES participants had significantly lower mean intact proviral load (2.0 vs 6.6 copies/106 PBMCs) than LS participants, largely driven by faster clearance of intact proviruses in the first 5 years of VS. Among LS- participants, females had larger intact reservoirs than males (mean: 12.5 vs 4.1 intact copies/106 PBMCs) and exhibited greater increases in defective proviruses over time.CONCLUSIONSAchieving VS by 1 year of age in perinatal HIV-1 infection results in substantially smaller HIV-1 intact reservoirs by age 5, with effects sustained through young adulthood. Additionally, sex-based differences, larger intact reservoirs and increases in defective proviruses in females, underscore the need for tailored ART-free remission and cure strategies for this population.
背景:了解围产期HIV-1青少年长期抗逆转录病毒治疗(ART)期间HIV-1病毒库的动态对于制定无ART缓解策略至关重要。方法:我们对来自儿童HIV/AIDS队列研究(PHACS)青少年主方案中17.6-21.2岁参与者的201个外周血单个核细胞样本(PBMCs)中的完整和缺陷HIV-1前病毒进行了定量分析。参与者被分为早期抑制(ES,病毒学抑制时<1岁)或晚期抑制(LS,病毒学抑制时1-5岁),并维持了长达20年的VS。我们比较了基于年龄和抑制持续时间以及性别的前病毒动态。结果共对26例患者进行了评估,其中11例为中西医结合,15例为中西医结合。与LS参与者相比,ES参与者表现出更低的完整HIV-1库,67%的ES样本低于检测限(2.0拷贝/106 PBMCs),到VS的5年,ES参与者的平均完整前病毒载量(2.0拷贝/106 PBMCs)显著低于LS参与者,这主要是由于在VS的前5年,完整前病毒的清除速度更快。12.5 vs 4.1完整拷贝/106 pbmc),并且随着时间的推移,缺陷原病毒的增加幅度更大。结论围产期HIV-1感染在1岁时达到VS,可导致5岁时HIV-1完整库的显著缩小,其影响持续到青年期。此外,基于性别的差异,更大的完整储存库和女性中缺陷原病毒的增加,强调了针对这一人群量身定制的无art缓解和治愈策略的必要性。
{"title":"Dynamics of Intact and Defective HIV-1 Proviruses during Decades of Suppressive Antiretroviral Treatment in Young Adults with Perinatal HIV-1.","authors":"Priya Khetan,Kunjal Patel,Wendy Yu,Joseph Szewczyk,Adit Dhummakupt,Sandra Burchett,Russell B Van Dyke,Deborah Persaud","doi":"10.1093/infdis/jiag045","DOIUrl":"https://doi.org/10.1093/infdis/jiag045","url":null,"abstract":"BACKGROUNDUnderstanding HIV-1 reservoir dynamics during long-term antiretroviral therapy (ART) in youth with perinatal HIV-1 is essential for ART-free remission strategies.METHODSWe quantified intact and defective HIV-1 proviruses in 201 peripheral blood mononuclear cell samples (PBMCs) from participants ages 17.6-21.2 years in the Pediatric HIV/AIDS Cohort Study (PHACS) Adolescent Master Protocol. Participants were classified as early-suppressed (ES, <1 year of age at virologic suppression (VS)) or late-suppressed (LS, 1-5 years of age at VS) and had maintained VS for up to 20 years. We compared proviral dynamics based on age at and duration of suppression, and sex.RESULTSTwenty-six participants (11 ES and 15 LS) were evaluated. ES participants exhibited significantly lower intact HIV-1 reservoirs compared with LS participants, with 67% of ES samples below detection limits (2.0 copies/106 PBMCs), By 5 years of VS, the ES participants had significantly lower mean intact proviral load (2.0 vs 6.6 copies/106 PBMCs) than LS participants, largely driven by faster clearance of intact proviruses in the first 5 years of VS. Among LS- participants, females had larger intact reservoirs than males (mean: 12.5 vs 4.1 intact copies/106 PBMCs) and exhibited greater increases in defective proviruses over time.CONCLUSIONSAchieving VS by 1 year of age in perinatal HIV-1 infection results in substantially smaller HIV-1 intact reservoirs by age 5, with effects sustained through young adulthood. Additionally, sex-based differences, larger intact reservoirs and increases in defective proviruses in females, underscore the need for tailored ART-free remission and cure strategies for this population.","PeriodicalId":501010,"journal":{"name":"The Journal of Infectious Diseases","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146089165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Implementation Does Not Occur in a Vacuum: Sustaining a Comprehensive and Global Vision for HIV Research 实施不会在真空中发生:对艾滋病毒研究保持全面和全球视野
Pub Date : 2026-01-30 DOI: 10.1093/infdis/jiag063
Sara Gianella, Adam Lauring, Roger Paredes, Julio Croda, David Andes, Anne-Catrin Uhlemann, Kara Chew, Kathryn E Stephenson, Joseph A Lewnard, Audrey R Odom John, Daniel T Leung, Cornelius J Clancy, Helen Y Chu, Cynthia L Sears, Jonathan Z Li
Despite transformative advances in antiretroviral therapy, HIV remains a lifelong condition driven by durable viral reservoirs, chronic immune dysfunction, and complex interactions with host biology, co-infections, and aging. While implementation science is essential to ensure that effective interventions reach populations most affected by HIV, implementation cannot succeed in isolation from continued discovery or from the political and social contexts in which care is delivered. This editorial highlights critical gaps in our understanding of sex-based immunologic differences, tissue-specific viral persistence, resistance evolution, and the long-term inflammatory and metabolic consequences of treated HIV—gaps that directly constrain the durability, equity, and scalability of prevention, treatment, and cure strategies. We further emphasize that successful translation depends on stable policy environments, sustained public investment, and trust-based partnerships with affected communities, without which even highly effective biomedical advances fail to achieve impact. Sustained investment across the full translational spectrum—from basic and mechanistic science through clinical, behavioral, and implementation research—is therefore essential. HIV research has repeatedly served as a model system driving advances across immunology, vaccinology, oncology, aging, and pandemic preparedness, underscoring its broader relevance to human infectious diseases.
尽管抗逆转录病毒治疗取得了革命性的进展,但HIV仍然是一种终身疾病,其驱动因素包括持久的病毒库、慢性免疫功能障碍、与宿主生物学的复杂相互作用、合并感染和衰老。虽然实施科学对于确保有效的干预措施惠及受艾滋病毒影响最严重的人群至关重要,但如果不不断发现或不考虑提供护理的政治和社会背景,实施工作就无法取得成功。这篇社论强调了我们在理解基于性别的免疫差异、组织特异性病毒持久性、耐药性进化以及治疗后hiv的长期炎症和代谢后果方面的重大差距,这些差距直接限制了预防、治疗和治愈策略的持久性、公平性和可扩展性。我们进一步强调,成功的翻译取决于稳定的政策环境、持续的公共投资以及与受影响社区建立基于信任的伙伴关系,没有这些,即使是非常有效的生物医学进展也无法产生影响。因此,从基础和机械科学到临床、行为和实施研究,对整个转化领域的持续投资至关重要。艾滋病毒研究已多次成为推动免疫学、疫苗学、肿瘤学、老龄化和大流行防范等领域进步的模型系统,强调了其与人类传染病的广泛相关性。
{"title":"Implementation Does Not Occur in a Vacuum: Sustaining a Comprehensive and Global Vision for HIV Research","authors":"Sara Gianella, Adam Lauring, Roger Paredes, Julio Croda, David Andes, Anne-Catrin Uhlemann, Kara Chew, Kathryn E Stephenson, Joseph A Lewnard, Audrey R Odom John, Daniel T Leung, Cornelius J Clancy, Helen Y Chu, Cynthia L Sears, Jonathan Z Li","doi":"10.1093/infdis/jiag063","DOIUrl":"https://doi.org/10.1093/infdis/jiag063","url":null,"abstract":"Despite transformative advances in antiretroviral therapy, HIV remains a lifelong condition driven by durable viral reservoirs, chronic immune dysfunction, and complex interactions with host biology, co-infections, and aging. While implementation science is essential to ensure that effective interventions reach populations most affected by HIV, implementation cannot succeed in isolation from continued discovery or from the political and social contexts in which care is delivered. This editorial highlights critical gaps in our understanding of sex-based immunologic differences, tissue-specific viral persistence, resistance evolution, and the long-term inflammatory and metabolic consequences of treated HIV—gaps that directly constrain the durability, equity, and scalability of prevention, treatment, and cure strategies. We further emphasize that successful translation depends on stable policy environments, sustained public investment, and trust-based partnerships with affected communities, without which even highly effective biomedical advances fail to achieve impact. Sustained investment across the full translational spectrum—from basic and mechanistic science through clinical, behavioral, and implementation research—is therefore essential. HIV research has repeatedly served as a model system driving advances across immunology, vaccinology, oncology, aging, and pandemic preparedness, underscoring its broader relevance to human infectious diseases.","PeriodicalId":501010,"journal":{"name":"The Journal of Infectious Diseases","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146101464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Future Directions for NIH HIV Research: A Look Ahead to 2026 美国国立卫生研究院艾滋病研究的未来方向:展望2026年
Pub Date : 2026-01-30 DOI: 10.1093/infdis/jiag062
Geri R Donenberg, Robert W Eisinger
The National Institutes of Health remain committed to ending HIV in the United States by 2030 through a combination of implementation science, public and private partnerships, community engagement, federal agency collaborations, and a comprehensive research portfolio that includes basic science.
美国国立卫生研究院继续致力于通过实施科学、公共和私人伙伴关系、社区参与、联邦机构合作以及包括基础科学在内的综合研究组合的结合,到2030年在美国终结艾滋病毒。
{"title":"Future Directions for NIH HIV Research: A Look Ahead to 2026","authors":"Geri R Donenberg, Robert W Eisinger","doi":"10.1093/infdis/jiag062","DOIUrl":"https://doi.org/10.1093/infdis/jiag062","url":null,"abstract":"The National Institutes of Health remain committed to ending HIV in the United States by 2030 through a combination of implementation science, public and private partnerships, community engagement, federal agency collaborations, and a comprehensive research portfolio that includes basic science.","PeriodicalId":501010,"journal":{"name":"The Journal of Infectious Diseases","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146101463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Guiding Lines: Practical and Accessible Approaches For Analyzing Serological Data for Infectious Disease Surveillance. 指导方针:分析传染病监测血清学数据的实用和可获得的方法。
Pub Date : 2026-01-30 DOI: 10.1093/infdis/jiag054
Laura C Steinhardt
{"title":"Guiding Lines: Practical and Accessible Approaches For Analyzing Serological Data for Infectious Disease Surveillance.","authors":"Laura C Steinhardt","doi":"10.1093/infdis/jiag054","DOIUrl":"https://doi.org/10.1093/infdis/jiag054","url":null,"abstract":"","PeriodicalId":501010,"journal":{"name":"The Journal of Infectious Diseases","volume":"282 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146089166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Limited sex-based differences in viral outcomes of ART-treated SIV/SHIV infection 抗逆转录病毒治疗SIV/SHIV感染病毒结局的性别差异有限
Pub Date : 2026-01-30 DOI: 10.1093/infdis/jiag064
Kedan Endrias, Soham Sonawane, Kirk A Easley, Benedicth Ukhueduan, Michelle Lee, Vijayakumar Velu, Rama R Amara, Steven E Bosinger, Mirko Paiardini, Guido Silvestri, Maud Mavigner, Vidisha Singh, Ann Chahroudi
Lentiviral infection of rhesus macaques represents a robust model for HIV persistence and a key system to evaluate HIV cure-directed interventions. How sex impacts viral reservoirs in macaques is unknown. We sought to uncover potential sex differences in viral measurements during antiretroviral therapy (ART) using data from 19 studies conducted at Emory Primate Center. Sex differences in total and intact SIV/SHIV-DNA levels in blood and lymph node CD4+ T-cells were not observed, although subgroup analysis of SIV-infected adult macaques revealed higher reservoir levels in females. Age (adult versus infant) was a significant effect for all viral outcomes studied.
恒河猴的慢病毒感染是HIV持续存在的一个可靠模型,也是评估HIV治疗干预措施的一个关键系统。性别如何影响猕猴体内的病毒储存库尚不清楚。我们利用Emory灵长类动物中心进行的19项研究的数据,试图揭示抗逆转录病毒治疗(ART)期间病毒测量的潜在性别差异。未观察到血液和淋巴结CD4+ t细胞中SIV/SHIV-DNA总水平和完整水平的性别差异,尽管对SIV感染的成年猕猴的亚组分析显示雌性SIV/SHIV-DNA水平较高。年龄(成人与婴儿)对研究的所有病毒结局都有显著影响。
{"title":"Limited sex-based differences in viral outcomes of ART-treated SIV/SHIV infection","authors":"Kedan Endrias, Soham Sonawane, Kirk A Easley, Benedicth Ukhueduan, Michelle Lee, Vijayakumar Velu, Rama R Amara, Steven E Bosinger, Mirko Paiardini, Guido Silvestri, Maud Mavigner, Vidisha Singh, Ann Chahroudi","doi":"10.1093/infdis/jiag064","DOIUrl":"https://doi.org/10.1093/infdis/jiag064","url":null,"abstract":"Lentiviral infection of rhesus macaques represents a robust model for HIV persistence and a key system to evaluate HIV cure-directed interventions. How sex impacts viral reservoirs in macaques is unknown. We sought to uncover potential sex differences in viral measurements during antiretroviral therapy (ART) using data from 19 studies conducted at Emory Primate Center. Sex differences in total and intact SIV/SHIV-DNA levels in blood and lymph node CD4+ T-cells were not observed, although subgroup analysis of SIV-infected adult macaques revealed higher reservoir levels in females. Age (adult versus infant) was a significant effect for all viral outcomes studied.","PeriodicalId":501010,"journal":{"name":"The Journal of Infectious Diseases","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146110020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
New Insights from Perinatal HIV: A Way Forward for HIV Cure Research. 围产期HIV的新见解:HIV治疗研究的前进之路。
Pub Date : 2026-01-30 DOI: 10.1093/infdis/jiag057
Rajesh T Gandhi,Ronald J Bosch,Ann Chahroudi
{"title":"New Insights from Perinatal HIV: A Way Forward for HIV Cure Research.","authors":"Rajesh T Gandhi,Ronald J Bosch,Ann Chahroudi","doi":"10.1093/infdis/jiag057","DOIUrl":"https://doi.org/10.1093/infdis/jiag057","url":null,"abstract":"","PeriodicalId":501010,"journal":{"name":"The Journal of Infectious Diseases","volume":"103 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146072951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
The Journal of Infectious Diseases
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1