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Oropouche Virus (OROV) in Pregnancy: An Emerging Cause of Placental and Fetal Infection Associated with Stillbirth and Microcephaly following Vertical Transmission 妊娠期奥罗普切病毒(OROV):垂直传播后与死胎和小头畸形相关的胎盘和胎儿感染新病因
Pub Date : 2024-09-09 DOI: 10.3390/v16091435
David A. Schwartz, Pradip Dashraath, David Baud
Oropouche virus (OROV) is an emerging arbovirus endemic in Latin America and the Caribbean that causes Oropouche fever, a febrile illness that clinically resembles some other arboviral infections. It is currently spreading through Brazil and surrounding countries, where, from 1 January to 1 August 2024, more than 8000 cases have been identified in Bolivia, Brazil, Columbia, and Peru and for the first time in Cuba. Travelers with Oropouche fever have been identified in the United States and Europe. A significant occurrence during this epidemic has been the report of pregnant women infected with OROV who have had miscarriages and stillborn fetuses with placental, umbilical blood and fetal somatic organ samples that were RT-PCR positive for OROV and negative for other arboviruses. In addition, there have been four cases of newborn infants having microcephaly, in which the cerebrospinal fluid tested positive for IgM antibodies to OROV and negative for other arboviruses. This communication examines the biology, epidemiology, and clinical features of OROV, summarizes the 2023–2024 Oropouche virus epidemic, and describes the reported cases of vertical transmission and congenital infection, fetal death, and microcephaly in pregnant women with Oropouche fever, addresses experimental animal infections and potential placental pathology findings of OROV, and reviews other bunyavirus agents that can cause vertical transmission. Recommendations are made for pregnant women travelling to the regions affected by the epidemic.
奥罗普切病毒(OROV)是拉丁美洲和加勒比地区流行的一种新出现的虫媒病毒,会引起奥罗普切热,这是一种发热性疾病,在临床上与其他一些虫媒病毒感染相似。从 2024 年 1 月 1 日至 8 月 1 日,玻利维亚、巴西、哥伦比亚和秘鲁已发现 8000 多例病例,古巴也首次发现病例。美国和欧洲也发现了感染奥罗普切热的旅行者。此次疫情中出现的一个重要情况是,有报告称感染了奥罗莫病毒的孕妇出现流产和死胎,其胎盘、脐血和胎儿体器官样本的奥罗莫病毒 RT-PCR 检测呈阳性,而其他虫媒病毒检测呈阴性。此外,有四例新生儿出现小头畸形,其脑脊液中的 OROV IgM 抗体检测呈阳性,而其他虫媒病毒检测呈阴性。本通报探讨了奥罗莫病毒的生物学、流行病学和临床特征,总结了2023-2024年奥罗普切病毒疫情,描述了报告的奥罗普切热孕妇垂直传播和先天感染、胎儿死亡和小头畸形病例,讨论了奥罗普切病毒的实验动物感染和潜在的胎盘病理学发现,并回顾了可导致垂直传播的其他布尼亚病毒病原体。对前往受疫情影响地区的孕妇提出了建议。
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引用次数: 0
Unveiling the Impact of Human Herpesviruses-Associated on CNS Infections: An Observational Study 揭示人类疱疹病毒相关病毒对中枢神经系统感染的影响:观察研究
Pub Date : 2024-09-09 DOI: 10.3390/v16091437
Caio Cesar L. B. Barrionuevo, Pedro P. A. Baptista, Ewerton F. da Silva, Bernardo M. da Silva, Cássia da L. Goulart, Sabrina A. de Melo, Valderjane A. da Silva, Lara Laycia A. de Souza, Rossicleia L. Monte, Fernando F. Almeida-Val, Pablo Vinícius S. Feitoza, Michele de S. Bastos
Human Herpesviruses (HHVs) play a significant role in neurological diseases such as encephalitis and meningitis, adding significant morbidity. This study aims to retrospectively analyze the effect of HHVs on patients with neurological symptoms, focusing on the Herpesviridae family’s contributions to central nervous system (CNS) infections. Methods: This retrospective cohort study included 895 patients suspected of viral CNS infections, utilizing molecular diagnosis via qPCR to identify HHVs in cerebrospinal fluid (CSF) samples. This was conducted at a reference tertiary care hospital for infectious diseases in the western Brazilian Amazon from January 2015 to December 2022, focusing on the Herpesviridae family’s clinical repercussions and of Cytomegalovirus in CNS infections. Results: The findings revealed that 7.5% of the analyzed samples tested positive for HHVs, with Human Cytomegalovirus (HCMV) and Epstein–Barr Virus (EBV) being the most prevalent. A significant association was found between HHVs and neurological diseases such as encephalitis and meningitis, especially among people living with HIV/AIDS (PLWHA), highlighting the opportunistic nature of these viruses. The study underscores the critical role of CSF analysis in diagnosing CNS infections and the complexity of managing these infections in HIV patients due to their immunocompromised status. Conclusions: The results emphasize the need for comprehensive diagnostic approaches and tailored treatment strategies for CNS infections in immunocompromised individuals. The study calls for ongoing research and advancements in clinical practice to improve patient outcomes facing CNS infections, particularly those caused by HHVs.
人类疱疹病毒(HHV)在脑炎和脑膜炎等神经系统疾病中发挥着重要作用,并增加了大量发病率。本研究旨在回顾性分析 HHVs 对神经系统症状患者的影响,重点研究疱疹病毒科对中枢神经系统(CNS)感染的贡献。研究方法这项回顾性队列研究纳入了 895 名疑似中枢神经系统病毒感染的患者,通过 qPCR 进行分子诊断,以确定脑脊液 (CSF) 样本中的 HHVs。这项研究于 2015 年 1 月至 2022 年 12 月在巴西亚马逊河西部的一家传染病参考三级医院进行,重点研究疱疹病毒科的临床反响以及巨细胞病毒在中枢神经系统感染中的作用。结果研究结果显示,7.5% 的分析样本对巨细胞病毒检测呈阳性,其中以人类巨细胞病毒(HCMV)和爱泼斯坦-巴尔病毒(EBV)最为普遍。研究发现,HHVs 与脑炎和脑膜炎等神经系统疾病有明显关联,尤其是在艾滋病毒/艾滋病感染者(PLWHA)中,这凸显了这些病毒的机会性。这项研究强调了 CSF 分析在诊断中枢神经系统感染中的关键作用,以及由于 HIV 患者的免疫功能低下,管理这些感染的复杂性。结论:研究结果表明,对于免疫功能低下者的中枢神经系统感染,需要采用全面的诊断方法和有针对性的治疗策略。该研究呼吁继续开展研究并改进临床实践,以改善中枢神经系统感染(尤其是由 HHV 引起的感染)患者的治疗效果。
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引用次数: 0
Serologic Cross-Reactivity between the Mumps Virus Vaccine Genotype A Strain and the Circulating Genotype G Strain 流行性腮腺炎病毒疫苗基因型 A 株与流行基因型 G 株之间的血清交叉反应性
Pub Date : 2024-09-08 DOI: 10.3390/v16091434
Sabaparvin Shaikh, Michael Carpenter, Lisa Lin, Jasmine Rae Frost, Elizabeth McLachlan, Derek Stein, Paul Van Caeseele, Alberto Severini
Recent mumps outbreaks have been observed in vaccinated young adults due to the mumps virus (MuV) of genotype G, whereas the current vaccine is a mixture of two genotype A strains. These outbreaks could be attributed to waning vaccine immunity or the antigenic differences between the HN and F glycoproteins in the vaccine and circulating MuV. These glycoproteins are essential targets for the immune system, and antigenic variations may reduce the recognition of mumps antibodies, rendering the population susceptible to the MuV. We established stable cell lines expressing the MuV glycoproteins to study cross-reactivity between genotype A and genotype G. Cross-reactivity between the genotypes was evaluated via immunofluorescence using patient sera from vaccinated individuals, infected individuals, and vaccinated individuals infected with genotype G. Titer ratios showed that the vaccinated individuals exhibited a titer 3.68 times higher for the HN protein and 2.3 times higher for the F protein when comparing genotype A with genotype G. In contrast, the infected individuals showed a lower titer for genotype A compared with genotype G, at 0.43 and 0.33 for the HN and F proteins, respectively. No difference in titer ratio was observed for individuals vaccinated and subsequently infected with mumps. These findings suggest that antigenic variations between the two genotypes may potentially result in immune escape of the circulating strain, resulting in individuals susceptible to the MuV.
最近在接种疫苗的青壮年中发现了流行性腮腺炎疫情,这是由于基因型为 G 的流行性腮腺炎病毒(MuV)引起的,而目前的疫苗是两种基因型为 A 的毒株的混合物。这些疫情爆发的原因可能是疫苗免疫力下降或疫苗中的 HN 和 F 糖蛋白与流行的 MuV 之间存在抗原差异。这些糖蛋白是免疫系统的重要靶标,抗原变异可能会降低腮腺炎抗体的识别能力,使人群对 MuV 易感。我们建立了表达 MuV 糖蛋白的稳定细胞系,以研究基因型 A 和基因型 G 之间的交叉反应。滴度比显示,基因型 A 与基因型 G 相比,接种者的 HN 蛋白滴度高出 3.68 倍,F 蛋白高出 2.3 倍。接种疫苗和随后感染流行性腮腺炎的人的滴度比没有差异。这些研究结果表明,两种基因型之间的抗原变异可能会导致循环株的免疫逃逸,从而使个体对腮腺炎病毒易感。
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引用次数: 0
Vesicular Stomatitis Virus Detected in Biting Midges and Black Flies during the 2023 Outbreak in Southern California 2023 年南加州疫情爆发期间在咬人蠓和黑蝇中检测到水泡性口炎病毒
Pub Date : 2024-09-07 DOI: 10.3390/v16091428
Stacey L. P. Scroggs, Dustin A. Swanson, Taylor D. Steele, Amy R. Hudson, Lindsey M. Reister-Hendricks, Jessica Gutierrez, Phillip Shults, Bethany L. McGregor, Caitlin E. Taylor, Travis M. Davis, Nadine Lamberski, Kristen A. Phair, Lauren L. Howard, Nathan E. McConnell, Nikos Gurfield, Barbara S. Drolet, Angela M. Pelzel-McCluskey, Lee W. Cohnstaedt
Vesicular stomatitis (VS) is a viral disease that affects horses, cattle, and swine that is transmitted by direct contact and hematophagous insects. In 2023, a multi-state outbreak of vesicular stomatitis New Jersey virus (VSNJV) occurred in California, Nevada, and Texas, infecting horses, cattle, and rhinoceros. To identify possible insect vectors, we conducted insect surveillance at various locations in San Diego County, CA, including at a wildlife park. CO2 baited traps set from mid-May to mid-August 2023 collected 2357 Culicoides biting midges and 1215 Simulium black flies, which are insect genera implicated in VSNJV transmission. Insects were pooled by species, location, and date, then tested for viral RNA. Nine RNA-positive pools of Culicoides spp. and sixteen RNA-positive pools of Simulium spp were detected. Infectious virus was detected by cytopathic effect in 96% of the RNA-positive pools. This is the first report of VSNJV in wild-caught C. bergi, C. freeborni, C. occidentalis, S. argus, S. hippovorum, and S. tescorum. The vector competency of these species for VSNJV has yet to be determined but warrants examination. Active vector surveillance and testing during disease outbreaks increases our understanding of the ecology and epidemiology of VS and informs vector control efforts.
水泡性口炎(VS)是一种影响马、牛和猪的病毒性疾病,通过直接接触和食血昆虫传播。2023 年,新泽西州水泡性口炎病毒(VSNJV)在加利福尼亚州、内华达州和得克萨斯州多州爆发,马、牛和犀牛受到感染。为了确定可能的昆虫载体,我们在加利福尼亚州圣迭戈县的多个地点(包括一个野生动物园)进行了昆虫监测。从 2023 年 5 月中旬到 8 月中旬设置的二氧化碳诱饵捕集器收集了 2357 只咬蠓和 1215 只黑蝇,这些昆虫属与 VSNJV 传播有牵连。昆虫按种类、地点和日期汇集,然后进行病毒 RNA 检测。检测到九个 RNA 阳性的 Culicoides spp.昆虫池和十六个 RNA 阳性的 Simulium spp.昆虫池。在 96% 的 RNA 阳性池中,通过细胞病理效应检测到了传染性病毒。这是首次报告在野生捕获的 C. bergi、C. freeborni、C. occidentalis、S. argus、S. hippovorum 和 S. tescorum 中发现 VSNJV。这些物种对 VSNJV 的病媒能力尚未确定,但值得研究。在疾病爆发期间积极开展病媒监测和检测,可增加我们对 VS 生态学和流行病学的了解,并为病媒控制工作提供信息。
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引用次数: 0
ddPCR for the Detection and Absolute Quantification of Oropouche Virus 用于检测和绝对定量奥罗普切病毒的 ddPCR
Pub Date : 2024-09-07 DOI: 10.3390/v16091426
Elena Pomari, Andrea Matucci, Silvia Accordini, Rebeca Passarelli Mantovani, Natasha Gianesini, Antonio Mori, Concetta Castilletti
Background: Oropouche virus (OROV) is a segmented RNA virus belonging to the genus Orthobunyavirus in the family Peribunyaviridae. Herein, an in-house droplet digital PCR (ddPCR) assay was used for the detection and quantification of OROV. Methods: The ddPCR reaction was assessed as duplex assay using the human housekeeping gene RPP30. Limit of detection (LoD) analysis was performed in whole blood, serum, and urine. The assay was executed on a total of 28 clinical samples (whole blood n = 9, serum n = 11, and urine n = 8), of which 16 specimens were tested positive at the routine molecular diagnostics (endpoint and real-time PCRs). Results: The LoD of the ddPCR performed using 10-fold serial dilution of OROV detected up to 1 cp/µL in all the biological matrices. Compared to the routine molecular diagnostics, the ddPCR assay showed 100% sensitivity for whole blood and serum and 75% for urine, highlighting higher positive rate of ddPCR. Conclusion: We have established a quantitative RNA detection method of OROV with high sensitivity and specificity based on ddPCR. This test is capable of quantitatively monitoring the viral load of OROV and can contribute, in addition to laboratory diagnosis, to shed light on the pathogenesis, filling in the knowledge gaps of this neglected disease and to the vector control programs.
背景:Oropouche病毒(OROV)是一种分段RNA病毒,属于Peribunyaviridae科Orthobunyavirus属。本文采用内部液滴数字 PCR(ddPCR)测定法检测和定量 OROV。方法使用人类看家基因 RPP30 对 ddPCR 反应进行双链检测。在全血、血清和尿液中进行了检测限(LoD)分析。共对 28 份临床样本(全血 9 份、血清 11 份、尿液 8 份)进行了检测,其中 16 份样本在常规分子诊断(终点和实时 PCR)中检测结果呈阳性。结果使用 OROV 的 10 倍序列稀释液进行的 ddPCR 的 LoD 在所有生物基质中均检测到 1 cp/µL。与常规分子诊断相比,ddPCR 检测对全血和血清的灵敏度为 100%,对尿液的灵敏度为 75%,这表明 ddPCR 的阳性率更高。结论我们建立了一种基于 ddPCR 的高灵敏度和高特异性的 OROV RNA 定量检测方法。这种检测方法能够定量监测 OROV 的病毒载量,除实验室诊断外,还有助于揭示发病机制,填补这一被忽视疾病的知识空白,并有助于病媒控制计划。
{"title":"ddPCR for the Detection and Absolute Quantification of Oropouche Virus","authors":"Elena Pomari, Andrea Matucci, Silvia Accordini, Rebeca Passarelli Mantovani, Natasha Gianesini, Antonio Mori, Concetta Castilletti","doi":"10.3390/v16091426","DOIUrl":"https://doi.org/10.3390/v16091426","url":null,"abstract":"Background: Oropouche virus (OROV) is a segmented RNA virus belonging to the genus Orthobunyavirus in the family Peribunyaviridae. Herein, an in-house droplet digital PCR (ddPCR) assay was used for the detection and quantification of OROV. Methods: The ddPCR reaction was assessed as duplex assay using the human housekeeping gene RPP30. Limit of detection (LoD) analysis was performed in whole blood, serum, and urine. The assay was executed on a total of 28 clinical samples (whole blood n = 9, serum n = 11, and urine n = 8), of which 16 specimens were tested positive at the routine molecular diagnostics (endpoint and real-time PCRs). Results: The LoD of the ddPCR performed using 10-fold serial dilution of OROV detected up to 1 cp/µL in all the biological matrices. Compared to the routine molecular diagnostics, the ddPCR assay showed 100% sensitivity for whole blood and serum and 75% for urine, highlighting higher positive rate of ddPCR. Conclusion: We have established a quantitative RNA detection method of OROV with high sensitivity and specificity based on ddPCR. This test is capable of quantitatively monitoring the viral load of OROV and can contribute, in addition to laboratory diagnosis, to shed light on the pathogenesis, filling in the knowledge gaps of this neglected disease and to the vector control programs.","PeriodicalId":501326,"journal":{"name":"Viruses","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142206889","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
Virus Shedding and Diarrhea: A Review of Human Norovirus Genogroup II Infection in Gnotobiotic Pigs 病毒脱落与腹泻:人类诺罗病毒 II 基因组感染非生物饲养猪的综述
Pub Date : 2024-09-07 DOI: 10.3390/v16091432
Charlotte Nyblade, Lijuan Yuan
For nearly twenty years, gnotobiotic (Gn) pigs have been used as a model of human norovirus (HuNoV) infection and disease. Unique in their ability to develop diarrhea and shed virus post oral challenge, Gn pigs have since been used to evaluate the infectivity of several genogroup II HuNoV strains. Nearly all major pandemic GII.4 variants have been tested in Gn pigs, with varying rates of infectivity. Some induce an asymptomatic state despite being shed in large quantities in stool, and others induce high incidence of both diarrhea and virus shedding. Non-GII.4 strains, including GII.12 and GII.6, have also been evaluated in Gn pigs. Again, rates of diarrhea and virus shedding tend to vary between studies. Several factors may influence these findings, including age, dosage, biological host factors, or bacterial presence. The impact of these factors is nuanced and requires further evaluation to elucidate the exact mechanisms behind increases or decreases in infection rates. Regardless, the value of Gn pig models in HuNoV research cannot be understated, and the model will surely continue to contribute to the field in years to come.
近二十年来,非生物(Gn)猪一直被用作人类诺如病毒(HuNoV)感染和疾病的模型。Gn 猪具有独特的腹泻和口服病毒后脱落的能力,因此被用来评估几种基因组 II HuNoV 毒株的感染性。几乎所有主要的大流行 GII.4 变异株都在 Gn 猪身上进行过测试,其感染率各不相同。一些变异株尽管在粪便中大量脱落,但却会引起无症状状态,而另一些变异株则会引起高发病率的腹泻和病毒脱落。在 Gn 猪中还评估了非 GII.4 株系,包括 GII.12 和 GII.6。同样,腹泻率和病毒脱落率往往因研究而异。有几个因素可能会影响这些结果,包括年龄、剂量、生物宿主因素或细菌的存在。这些因素的影响是微妙的,需要进一步评估,以阐明感染率增减背后的确切机制。无论如何,Gn 猪模型在 HuNoV 研究中的价值不容低估,该模型在未来几年必将继续为该领域做出贡献。
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引用次数: 0
Retrospective Analyses of Porcine Circovirus Type 3 (PCV-3) in Switzerland 瑞士猪圆环病毒 3 型 (PCV-3) 的回顾性分析
Pub Date : 2024-09-07 DOI: 10.3390/v16091431
Giuliana Rosato, Grace Makanaka Makoni, Àlex Cobos, Marina Sibila, Joaquim Segalés, Hanna Marti, Barbara Prähauser, Frauke Seehusen
Porcine circovirus 3 (PCV-3) has emerged as a significant pathogen affecting global swine populations, yet its epidemiology and clinical implications remain incompletely understood. This retrospective study aimed to investigate the prevalence and histopathological features of PCV-3 infection in pigs from Switzerland, focusing on archival cases of suckling and weaner piglets presenting with suggestive lesions. An in-house qPCR assay was developed for detecting PCV-3 in frozen and formalin-fixed paraffin-embedded tissues, enhancing the national diagnostic capabilities. Histopathological reassessment identified PCV-3 systemic disease (PCV-3-SD) compatible lesions in 19 (6%) of archival cases, with 47% testing positive by qPCR across various organs. Notably, vascular lesions predominated, particularly in mesenteric arteries, heart, and kidneys. The study confirms the presence of PCV-3 in Switzerland since at least 2020, marking the first documented cases within the Swiss swine population. Despite challenges in in situ hybridization validation due to prolonged formalin fixation, the findings indicate viral systemic dissemination. These results contribute to the understanding of PCV-3 epidemiology in Swiss pigs, emphasizing the need for continued surveillance and further research on its clinical implications and interaction with host factors. Our study underscores the utility and limitations of molecular techniques in confirming PCV-3 infections.
猪圆环病毒 3(PCV-3)已成为影响全球猪群的重要病原体,但人们对其流行病学和临床影响的了解仍然不够。这项回顾性研究旨在调查瑞士猪群感染 PCV-3 的流行情况和组织病理学特征,重点是出现提示性病变的哺乳仔猪和断奶仔猪的档案病例。我们开发了一种内部 qPCR 检测方法,用于检测冷冻和福尔马林固定石蜡包埋组织中的 PCV-3,从而提高了国家诊断能力。通过组织病理学重新评估,在 19 例(6%)存档病例中发现了 PCV-3 系统性疾病(PCV-3-SD)兼容病变,其中 47% 的病例在不同器官的 qPCR 检测中呈阳性。值得注意的是,血管病变占多数,尤其是肠系膜动脉、心脏和肾脏。这项研究证实,至少从 2020 年起,瑞士就出现了 PCV-3,这是瑞士猪群中首次出现有记录的病例。尽管由于福尔马林固定时间过长,原位杂交验证面临挑战,但研究结果表明病毒存在系统性传播。这些结果有助于人们了解 PCV-3 在瑞士猪群中的流行病学,强调了持续监测和进一步研究其临床影响以及与宿主因素相互作用的必要性。我们的研究强调了分子技术在确认 PCV-3 感染方面的实用性和局限性。
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引用次数: 0
Evaluation of Commercial RNA Extraction Protocols for Avian Influenza Virus Using Nanopore Metagenomic Sequencing 利用纳米孔元基因组测序评估禽流感病毒的商用 RNA 提取方案
Pub Date : 2024-09-07 DOI: 10.3390/v16091429
Maria Chaves, Amro Hashish, Onyekachukwu Osemeke, Yuko Sato, David L. Suarez, Mohamed El-Gazzar
Avian influenza virus (AIV) is a significant threat to the poultry industry, necessitating rapid and accurate diagnosis. The current AIV diagnostic process relies on virus identification via real-time reverse transcription–polymerase chain reaction (rRT-PCR). Subsequently, the virus is further characterized using genome sequencing. This two-step diagnostic process takes days to weeks, but it can be expedited by using novel sequencing technologies. We aim to optimize and validate nucleic acid extraction as the first step to establishing Oxford Nanopore Technologies (ONT) as a rapid diagnostic tool for identifying and characterizing AIV from clinical samples. This study compared four commercially available RNA extraction protocols using AIV-known-positive clinical samples. The extracted RNA was evaluated using total RNA concentration, viral copies as measured by rRT-PCR, and purity as measured by a 260/280 absorbance ratio. After NGS testing, the number of total and influenza-specific reads and quality scores of the generated sequences were assessed. The results showed that no protocol outperformed the others on all parameters measured; however, the magnetic particle-based method was the most consistent regarding CT value, purity, total yield, and AIV reads, and it was less error-prone. This study highlights how different RNA extraction protocols influence ONT sequencing performance.
禽流感病毒(AIV)是家禽业的重大威胁,需要快速准确的诊断。目前的 AIV 诊断过程依赖于通过实时反转录聚合酶链反应(rRT-PCR)进行病毒鉴定。随后,通过基因组测序进一步确定病毒特征。这两步诊断过程需要数天到数周的时间,但使用新型测序技术可以加快这一过程。我们的目标是优化和验证核酸提取,以此作为第一步,将牛津纳米孔技术(ONT)确立为从临床样本中鉴定和描述 AIV 的快速诊断工具。本研究使用已知 AIV 阳性的临床样本,比较了四种市售的 RNA 提取方案。提取的 RNA 采用总 RNA 浓度、rRT-PCR 测定的病毒拷贝数和 260/280 吸光度比值测定的纯度进行评估。NGS 测试后,评估了总读数和流感特异性读数的数量以及生成序列的质量分数。结果表明,在所有测量参数上,没有一种方案优于其他方案;但是,基于磁性颗粒的方法在 CT 值、纯度、总产量和 AIV 读数方面最为一致,而且不易出错。这项研究强调了不同的 RNA 提取方案如何影响 ONT 测序性能。
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引用次数: 0
Cytomegalovirus Retinitis: Clinical Manifestations, Diagnosis and Treatment 巨细胞病毒视网膜炎:临床表现、诊断和治疗
Pub Date : 2024-09-07 DOI: 10.3390/v16091427
Jing Zhang, Koju Kamoi, Yuan Zong, Mingming Yang, Yaru Zou, Miki Miyagaki, Kyoko Ohno-Matsui
Cytomegalovirus (CMV) retinitis is the most common eye disease associated with CMV infection in immunocompromised individuals. The CMVR may initially be asymptomatic; however, relatively mild vitreous inflammation at the onset may be an important differential point from other diseases in HIV patients. Fundus photography, CD4 T-cell count, and telemedicine could be used to screen and monitor the high-risk population, particularly in resource-limited regions. Retinitis generally starts in the peripheral retina and advances toward the posterior pole, which could develop to the characteristic “pizza pie” appearance marked by central retinal necrosis and intraretinal hemorrhage. CMVR causes vision loss if left untreated, and early antiviral therapy significantly reduces the risk of vision loss. Alongside traditional antiviral treatments, immunotherapies including CMV-specific adoptive T-cell therapy and CMV immunoglobulin (CMVIG) are emerging as promising treatment options due to their favorable tolerability and reduced mortality. This review comprehensively examines CMV retinitis, encompassing the clinical features, differential diagnosis, laboratory tests, and updated treatment strategies to inform clinical management.
巨细胞病毒(CMV)视网膜炎是免疫功能低下者感染 CMV 后最常见的眼病。CMVR 最初可能没有症状,但发病时相对轻微的玻璃体炎症可能是 HIV 患者与其他疾病鉴别的重要依据。眼底摄影、CD4 T 细胞计数和远程医疗可用于筛查和监测高危人群,尤其是在资源有限的地区。视网膜炎一般从周边视网膜开始,向后极发展,可发展成以视网膜中央坏死和视网膜内出血为特征的 "披萨饼 "外观。如果不及时治疗,CMVR 会导致视力丧失,而早期抗病毒治疗可显著降低视力丧失的风险。除了传统的抗病毒治疗外,包括 CMV 特异性收养 T 细胞疗法和 CMV 免疫球蛋白(CMVIG)在内的免疫疗法也因其良好的耐受性和较低的死亡率而成为有前景的治疗选择。这篇综述全面探讨了 CMV 视网膜炎,包括临床特征、鉴别诊断、实验室检查和最新的治疗策略,为临床治疗提供了参考。
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引用次数: 0
Evaluation of Different Formulations on the Viability of Phages for Use in Agriculture 评估不同配方对农业用噬菌体活力的影响
Pub Date : 2024-09-07 DOI: 10.3390/v16091430
Marcela León, Jorge Araya, Mauricio Nuñez, Manuel Arce, Fanny Guzmán, Carolina Yáñez, Ximena Besoain, Roberto Bastías
Bacteriophages have been proposed as biological controllers to protect plants against different bacterial pathogens. In this scenario, one of the main challenges is the low viability of phages in plants and under adverse environmental conditions. This work explores the use of 12 compounds and 14 different formulations to increase the viability of a phage mixture that demonstrated biocontrol capacity against Pseudomonas syringae pv. actinidiae (Psa) in kiwi plants. The results showed that the viability of the phage mixture decreases at 44 °C, at a pH lower than 4, and under UV radiation. However, using excipients such as skim milk, casein, and glutamic acid can prevent the viability loss of the phages under these conditions. Likewise, it was demonstrated that the use of these compounds prolongs the presence of phages in kiwi plants from 48 h to at least 96 h. In addition, it was observed that phages remained stable for seven weeks when stored in powder with skim milk, casein, or sucrose after lyophilization and at 4 °C. Finally, the phages with glutamic acid, sucrose, or skim milk maintained their antimicrobial activity against Psa on kiwi leaves and persisted within kiwi plants when added through roots. This study contributes to overcoming the challenges associated with the use of phages as biological controllers in agriculture.
噬菌体被认为是保护植物免受不同细菌病原体侵害的生物控制剂。在这种情况下,面临的主要挑战之一是噬菌体在植物体内和不利环境条件下的存活率较低。这项研究探讨了如何使用 12 种化合物和 14 种不同配方来提高噬菌体混合物的活力,该混合物对猕猴桃植物中的绿脓杆菌 pv. actinidiae(Psa)具有生物防治能力。结果表明,噬菌体混合物的活力在 44 ℃、pH 值低于 4 和紫外线辐射下会降低。然而,使用脱脂奶、酪蛋白和谷氨酸等辅料可以防止噬菌体在这些条件下的活力下降。同样,实验证明,使用这些化合物可使噬菌体在猕猴桃植株中的存活时间从 48 小时延长到至少 96 小时。此外,实验还观察到,噬菌体在冻干后与脱脂奶、酪蛋白或蔗糖一起制成粉末,并在 4 °C 下保存 7 周后仍保持稳定。最后,含有谷氨酸、蔗糖或脱脂奶的噬菌体对猕猴桃叶片上的 Psa 保持抗菌活性,通过根部添加到猕猴桃植株中时,噬菌体在猕猴桃植株中也能保持活性。这项研究有助于克服在农业中使用噬菌体作为生物控制剂所面临的挑战。
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