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A prospective study to evaluate the clinical specificity of the cobas® MPX test kit for screening for HIV RNA, HCV RNA, and HBV DNA in blood donation samples using the cobas® 6800 system in HBV endemic areas 一项前瞻性研究,评估在 HBV 流行地区使用 cobas® 6800 系统筛查献血样本中 HIV RNA、HCV RNA 和 HBV DNA 的 cobas® MPX 检测试剂盒的临床特异性
IF 1.6 Q4 INFECTIOUS DISEASES Pub Date : 2024-11-07 DOI: 10.1016/j.jcvp.2024.100197
Lei Zhou , Lin Wang , Xiaofang Gong , Xiaochun Liu , Yaxuan Zou , Yingying Wang , Jinfeng Zeng , Liang Zang

Background

Nucleic acid testing (NAT) is widely used for screening blood donors for infectious diseases to enhance transfusion safety. Roche's advanced cobas® MPX assay detects human immunodeficiency virus (HIV), hepatitis C virus (HCV), and hepatitis B virus (HBV) using the cobas® 6800/5800 Systems, based on real-time PCR technology, providing improved sensitivity. This study aims to evaluate the clinical sensitivity and specificity of the cobas® MPX assay and its effectiveness in identifying infected donors in HBV endemic areas, particularly those with occult HBV infection (OBI).

Materials and methods

A total of 12,067 donor samples from the Dalian Blood Center (DLBC, northern China) were tested for HIV, HCV, and HBV using both the cobas® MPX assay on the cobas® 6800 system and the previous generation cobas® TaqScreen MPX test v2.0 on the cobas s 201 system as the reference method. Testing was conducted using individual-donation testing (IDT) and primary pool of six donations (PP6), following the manufacturer's instructions and the operational procedures of the instruments. Samples with inconsistent results underwent repeated confirmation tests.

Results

Cobas® MPX demonstrated 100.00 % overall percent agreement (95 % CI, 99.22 %-100.00 %) for IDT and 99.89 % (95 % CI, 99.82 %-99.95 %) for PP6. Kappa coefficients were 1.0 for IDT and 0.76 for PP6. Cobas® MPX specificity was 100.00 % (95 % CI, 99.22 %-100.00 %) for IDT and 99.99 % (95 % CI, 99.94 %-100.00 %) for PP6. Sensitivity was 100.00 % (95 % CI, 2.50 %-100.00 %) for IDT and 86.67 % (95 % CI, 68.36 %-95.64 %) for PP6. A total of 12 HBV NAT-yield cases were detected by cobas® MPX.

Conclusion

Cobas® MPX demonstrated outstanding sensitivity and specificity in screening HIV, HCV, and HBV in routine blood donations, particularly enhancing occult HBV detection in endemic regions.
背景核酸检测(NAT)被广泛用于对献血者进行传染病筛查,以提高输血安全性。罗氏公司先进的cobas® MPX检测法基于实时PCR技术,使用cobas® 6800/5800系统检测人类免疫缺陷病毒(HIV)、丙型肝炎病毒(HCV)和乙型肝炎病毒(HBV),提高了灵敏度。本研究旨在评估 cobas® MPX 检测法的临床灵敏度和特异性,以及它在识别 HBV 流行地区受感染供体(尤其是隐性 HBV 感染(OBI)供体)方面的有效性。材料与方法采用cobas® 6800系统上的cobas® MPX检测法和cobas s 201系统上的上一代cobas® TaqScreen MPX检测法v2.0作为参考方法,对大连血液中心(DLBC,中国北方)的12,067份献血者样本进行了HIV、HCV和HBV检测。检测采用个体捐献检测(IDT)和六次捐献初选库(PP6),按照生产商的说明和仪器的操作程序进行。结果Cobas® MPX在IDT和PP6中的总体一致性分别为100.00%(95% CI,99.22%-100.00%)和99.89%(95% CI,99.82%-99.95%)。IDT 的卡帕系数为 1.0,PP6 为 0.76。IDT 和 PP6 的 Cobas® MPX 特异性分别为 100.00 %(95 % CI,99.22 %-100.00 %)和 99.99 %(95 % CI,99.94 %-100.00 %)。IDT 的灵敏度为 100.00 %(95 % CI,2.50 %-100.00 %),PP6 的灵敏度为 86.67 %(95 % CI,68.36 %-95.64 %)。结论cobas® MPX在常规献血中筛查HIV、HCV和HBV方面表现出了出色的灵敏度和特异性,尤其是在流行地区提高了隐性HBV的检测能力。
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引用次数: 0
A rapid review of the epidemiology and combating strategies of hepatitis C virus infection in Ghana 加纳丙型肝炎病毒感染流行病学和防治策略快速审查
IF 1.6 Q4 INFECTIOUS DISEASES Pub Date : 2024-10-09 DOI: 10.1016/j.jcvp.2024.100195
Marcarious M. Tantuoyir , Muhammed Camara , Marjan Sohrabi , SeyedAhmad SeyedAlinaghi , Zahra Ahmadinejad
The contribution of viral hepatitis including hepatitis C virus (HCV) to morbidity and death is thought to be substantial in Ghana and should be accorded greater attention. Scopus, PubMed, and Web of Science databases were searched, as well as the Google Scholar search engine, for primary studies published from 1995–2023 inclusive. We specifically searched for primary studies as well as studies using both quantitative and qualitative methodologies. The country lacks population-based studies and comprehensive national HCV surveillance systems, making it difficult to estimate the true burden of HCV accurately. The prevalence of HCV infection is estimated to be between 1.75 and 3.4 % in Ghana. The predominant HCV genotype in the country is genotype 2, followed by genotype 1. The prevalence of genotypes 4, 5, and 6 is very low or nonexistent in Ghana. Older age (>50 years), male gender, and HCV genotype 1b are significantly associated with liver fibrosis and cirrhosis leading to hepatocellular carcinoma. Ghana is among the high-prevalence HCV infection countries. There is a high prevalence of cirrhosis among HCV-infected individuals, with older age and genotype 1b associated with an increased risk. Consequently, more efforts are needed to increase awareness and implementation of national guidelines.
在加纳,包括丙型肝炎病毒(HCV)在内的病毒性肝炎对发病和死亡的影响被认为是巨大的,应给予更多关注。我们在 Scopus、PubMed 和 Web of Science 数据库以及 Google Scholar 搜索引擎中搜索了 1995-2023 年间发表的主要研究。我们特别搜索了初级研究以及采用定量和定性方法的研究。该国缺乏基于人群的研究和全面的国家 HCV 监测系统,因此很难准确估计 HCV 的真实负担。据估计,加纳的 HCV 感染率在 1.75% 到 3.4% 之间。加纳的主要 HCV 基因型是基因 2 型,其次是基因 1 型。基因型 4、5 和 6 在加纳的发病率很低或根本不存在。高龄(50 岁)、男性和 HCV 基因型 1b 与肝纤维化和导致肝细胞癌的肝硬化密切相关。加纳是丙型肝炎病毒感染高发国家之一。在感染 HCV 的人群中,肝硬化的发病率很高,年龄越大、基因型 1b 的风险越高。因此,需要做出更多努力,提高对国家指导方针的认识和执行力度。
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引用次数: 0
Serologic evidence of dengue and chikungunya among patients with acute febrile illness in Ghana, 2016 – 2018 2016-2018年加纳急性发热性疾病患者中登革热和基孔肯雅热的血清学证据
IF 1.6 Q4 INFECTIOUS DISEASES Pub Date : 2024-09-29 DOI: 10.1016/j.jcvp.2024.100193
Deborah Pratt , Hayashi Takaya , Abigail Akua Abankwa , Yaw Awuku-Larbi , Stephen Nyarko , Esinam E Agbosu , Magdalene Ofori , Stella Bour , Dennis Laryea , Franklin Asiedu-Bekoe , Toshihiko Suzuki , Shoji Yamaoka , Joseph Humphrey Kofi Bonney

Objective

This study aimed to describe the exposure levels to Dengue and Chikungunya viruses among individuals presenting with febrile illnesses in Ghana between January 2016 to June 2018.

Methods

The study was conducted in health facilities in seven selected regions in Ghana; namely, Ashanti, Greater Accra, Northern, Upper West, Volta, and Western regions. Patients who met the case definition were enrolled in the study. A total of 1105 blood samples were collected from patients from 2016 to 2018 and serological analysis of Dengue and Chikungunya viruses were performed with ELISA IgM and IgG commercial kits (Abcam, Cambridge, UK).

Results

Analysed results indicated that Dengue and Chikungunya viruses showed seropositivity of 62.0 % and 40.0 % respectively. All processed samples tested negative for Dengue and Chikungunya using the Polymerase Chain Reaction (PCR) assay. Greater Accra and Ashanti regions recorded the highest positivity for Chikungunya and Dengue fever viruses respectively.

Conclusion

Though no detection of Dengue and Chikungunya using molecular tools, the seropositivity suggests the need for an established surveillance for arboviruses to monitor transmission of these pathogens for epidemic preparedness and response.
目标本研究旨在描述2016年1月至2018年6月期间加纳发热疾病患者的登革热和基孔肯雅病毒暴露水平。方法本研究在加纳七个选定地区的医疗机构进行,即阿散蒂、大阿克拉、北部、上西部、沃尔特和西部地区。符合病例定义的患者被纳入研究。从 2016 年到 2018 年,共采集了 1105 份患者血样,并使用 ELISA IgM 和 IgG 商用试剂盒(Abcam,英国剑桥)对登革热和基孔肯雅病毒进行了血清学分析。结果分析结果显示,登革热和基孔肯雅病毒的血清阳性率分别为 62.0% 和 40.0%。使用聚合酶链式反应(PCR)检测法对所有处理过的样本进行了登革热和基孔肯雅病毒阴性检测。大阿克拉地区和阿散蒂地区的基孔肯雅热和登革热病毒阳性率分别最高。结论虽然没有使用分子工具检测出登革热和基孔肯雅热,但血清阳性反应表明有必要建立虫媒病毒监测机制,以监测这些病原体的传播情况,从而为流行病的防备和应对做好准备。
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引用次数: 0
HAART treatment with free provided medications for people living with HIV in Huzhou, China 中国湖州艾滋病病毒感染者免费接受 HAART 治疗
IF 1.6 Q4 INFECTIOUS DISEASES Pub Date : 2024-09-20 DOI: 10.1016/j.jcvp.2024.100191
Xiaofeng Li , Zhaowei Tong , Qingqiu Zeng , Meiling Xu , Bin Shen , Wei Zhang , Yan Zhang , Weihong Wang , Kefeng Qin

Background

For antiretroviral therapy (ART), drug combinations have been freely provided to people living with human immunodeficiency virus (PLWH) for treatment of acquired immunodeficiency syndrome (AIDS)in China. We have systematically analyzed the treatment results in Huzhou, Zhejiang Province.

Methods

Total 724 patients with HIV antibody positive from May 2005 to March 2023 at the age of 40.4±15.4 (15-82) years were treated with free provided drug combinations, including lamivudine (3TC), efavirenz (EFV) and tenofovir (TDF), or drugs at patient's own expense, includingbictegravir (BIC), emtricitabine (FTC) and tenofovir alafenamide (TAF). CD4+ T-cell count and viral load (VL) were detected before and after HAART treatment.

Results

Before and after HAART treatment, CD4+ T-cell count and viral load (VL) were measured. CD4+ T-cell count in 724 PLWH was from 269.2±178.9 to 453.8±243.3 cells/µl (p=0.0001), with 627(86.60%) cases increasing (221.0±204.6 cells/µl), 63(8.70%) decreasing (-96.0±84.1 cells/µl), 54(7.46%) cases no change. At the end of the treatment, 251(34.67%) cases were with CD4+ T-cell count>500.Viral load (VL)in 243 PLWHwas 14,474.4±62769.4 vs. 1,100.3±8513.1 copies/ml (p=0.0011), and with 181(74.49%) cases decreasing (-18,365.3±71,761.1 copies/ml), 14(5.76%) increasing (5,302.3±11,766.8 copies/ml), and 48 (19.75%) no change. Twenty-six patients died during the treatment period. There were no significant differences between results using free provided and paid drug combinations.

Conclusion

The free provided drug combinations increase CD4+ T-cell count and decrease viral load in PLWH, but about one-fourth of patients are considered as treatment failure. The improvement is needed for the HAART treatment.
背景在中国,人类免疫缺陷病毒感染者(PLWH)可免费接受抗逆转录病毒治疗(ART),以治疗获得性免疫缺陷综合征(AIDS)。我们对浙江省湖州市的治疗效果进行了系统分析。方法2005年5月至2023年3月,共收治724例HIV抗体阳性患者,年龄(40.4±15.4(15-82)岁,接受了免费提供的药物组合治疗,包括拉米夫定(3TC)、依非韦伦(EFV)和替诺福韦(TDF),或患者自费药物,包括比特拉韦(BIC)、恩曲他滨(FTC)和替诺福韦阿酚酰胺(TAF)。在 HAART 治疗前后,检测了 CD4+ T 细胞计数和病毒载量(VL)。结果在 HAART 治疗前后,检测了 CD4+ T 细胞计数和病毒载量(VL)。724 名 PLWH 的 CD4+ T 细胞计数从 269.2±178.9 cells/µl 升至 453.8±243.3 cells/µl(P=0.0001),其中 627 例(86.60%)增加(221.0±204.6 cells/µl),63 例(8.70%)减少(-96.0±84.1 cells/µl),54 例(7.46%)无变化。治疗结束时,251 例(34.67%)CD4+ T 细胞计数为 500。243 例 PLWH 的病毒载量(VL)为(14474.4±62769.4)拷贝数/毫升与(1100.3±8513.1)拷贝数/毫升(P=0.其中 181 例(74.49%)降低(-18,365.3±71,761.1 拷贝/毫升),14 例(5.76%)升高(5,302.3±11,766.8 拷贝/毫升),48 例(19.75%)无变化。26 名患者在治疗期间死亡。结论 免费提供的药物组合可提高 PLWH 的 CD4+ T 细胞计数并降低病毒载量,但约四分之一的患者被视为治疗失败。HAART 治疗需要改进。
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引用次数: 0
Next generation sequencing-based transcriptome data mining for virus identification and characterization: Review on recent progress and prospects 基于下一代测序的转录组数据挖掘用于病毒鉴定和特征描述:最新进展和前景综述
IF 1.6 Q4 INFECTIOUS DISEASES Pub Date : 2024-09-18 DOI: 10.1016/j.jcvp.2024.100194
Mohammadreza Rahimian , Bahman Panahi

Advancements in next-generation sequencing (NGS) technologies and innovative bioinformatics tools have significantly accelerated virus discovery by analyzing of NGS data. This approach provides a cost-effective and efficient method for processing large datasets, allowing for rapid virus detection and identification. Researchers can comprehensively understand virus-host interactions by integrating data mining with other omics data, such as proteomics (the study of proteins) and metabolomics (the study of metabolic processes). Recent progress has significantly enhanced the efficiency and accuracy of virus identification by using a sophisticated NGS data mining approach. This study provides an in-depth discussion of these techniques, offering a detailed overview of workflows and applicable computational methods. Despite these advantages, the virus discovery process through data mining encounters obstacles such as ethical issues, the absence of standardized protocols for virus discovery procedures, and challenges in validation and interpretation. Addressing these obstacles is crucial for fully realizing the potential of NGS data mining in virus research. This review discusses current methodologies, recent advancements, and future directions to overcome these challenges, ultimately contributing to our understanding of viral diversity and virus-host dynamics.

下一代测序(NGS)技术和创新生物信息学工具的进步,大大加快了通过分析 NGS 数据发现病毒的速度。这种方法为处理大型数据集提供了一种经济高效的方法,可快速检测和识别病毒。研究人员可以通过将数据挖掘与蛋白质组学(蛋白质研究)和代谢组学(代谢过程研究)等其他全息数据相结合,全面了解病毒与宿主之间的相互作用。最近的进展是,通过使用复杂的 NGS 数据挖掘方法,大大提高了病毒鉴定的效率和准确性。本研究深入探讨了这些技术,详细介绍了工作流程和适用的计算方法。尽管有这些优势,但通过数据挖掘发现病毒的过程仍会遇到一些障碍,如伦理问题、缺乏病毒发现程序的标准化协议,以及验证和解释方面的挑战。要充分发挥 NGS 数据挖掘在病毒研究中的潜力,解决这些障碍至关重要。本综述讨论了克服这些挑战的现有方法、最新进展和未来方向,最终有助于我们了解病毒多样性和病毒-宿主动态。
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引用次数: 0
Epidemiology of respiratory viruses before and during the COVID-19 pandemic in a tertiary care hospital in Southern Brazil 巴西南部一家三级医院在 COVID-19 大流行之前和期间的呼吸道病毒流行情况
IF 1.6 Q4 INFECTIOUS DISEASES Pub Date : 2024-09-13 DOI: 10.1016/j.jcvp.2024.100190
Veridiana Piva Richter , Fernanda de-Paris , Márcia Rosane Pires , Hugo Bock

Background

Respiratory viral infections affect millions of people worldwide and are life threatening for many of them. The viral seasonality leads to changes in the dynamics of respiratory infections and the importance of monitoring and surveillance of respiratory viruses becomes clearer.

Objectives

This study aims to analyze data from respiratory virus testing at the Hospital de Clínicas de Porto Alegre (HCPA) to evaluate their epidemiology from 2018 to 2021, observing their occurrence and seasonality before and after the onset of the SARS-CoV-2 pandemic.

Study design

In this study, data analysis was divided into four time periods, corresponding to 2018 to 2021. Anonymized patients diagnosed with influenza virus (FLU), human parainfluenza virus (HPIV), human respiratory syncytial virus (HRSV), SARS-CoV-2 virus, or human adenovirus (HAdV) were included. We conducted chi-square goodness-of-fit tests for each virus by year, and a p-value of <0.05 was considered statistically significant.

Results

All analyzed respiratory viruses presented reduced case numbers during the COVID-19 pandemic, except FLU, which showed an increase of four cases in 2021 compared to 2019. For most viruses, the lowest incidence of confirmed cases was found in 2020. Furthermore, when excluding SARS-CoV-2, HRSV presented the most positive cases during the studied period, except in 2020. Besides SARS-CoV-2, the FLU was the only other respiratory virus that recorded deaths. It was also possible to observe that the number of SARS-CoV-2 cases reduced from April 2021.

Conclusions

We observed that most respiratory tract viral infections decreased during the COVID-19 pandemic, and this result may be associated with the public interventions for containing the COVID-19 pandemic. Moreover, the reduction of these other viruses may have resulted from the measures for prevention conducted by HCPA.
背景全世界有数百万人受到呼吸道病毒感染的影响,其中许多人的生命受到威胁。本研究旨在分析阿雷格里港临床医院(HCPA)的呼吸道病毒检测数据,评估 2018 年至 2021 年的流行病学,观察 SARS-CoV-2 大流行前后的发生率和季节性。研究设计在本研究中,数据分析分为四个时间段,分别对应 2018 年至 2021 年。研究纳入了被诊断为流感病毒(FLU)、人类副流感病毒(HPIV)、人类呼吸道合胞病毒(HRSV)、SARS-CoV-2 病毒或人类腺病毒(HAdV)的匿名患者。我们按年份对每种病毒进行了齐次方拟合优度检验,P 值为 <0.05,则认为具有统计学意义。结果所有分析的呼吸道病毒在 COVID-19 大流行期间的病例数都有所减少,只有 FLU 除外,与 2019 年相比,2021 年的病例数增加了 4 例。就大多数病毒而言,2020 年的确诊病例数最低。此外,除 SARS-CoV-2 外,HRSV 是研究期间阳性病例最多的病毒,2020 年除外。除 SARS-CoV-2 外,卡介苗是唯一出现死亡病例的呼吸道病毒。结论我们发现,在 COVID-19 大流行期间,大多数呼吸道病毒感染有所减少,这可能与为遏制 COVID-19 大流行而采取的公共干预措施有关。此外,这些其他病毒的减少可能是由于 HCPA 采取了预防措施。
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引用次数: 0
Performance evaluation of four kits for the detection of neutralizing antibody against SARS-CoV-2 in human serum 检测人血清中 SARS-CoV-2 中和抗体的四种试剂盒的性能评估
IF 1.6 Q4 INFECTIOUS DISEASES Pub Date : 2024-09-13 DOI: 10.1016/j.jcvp.2024.100192
Hui Zhen , Ya Cheng , Qimeng Sun, Ying Zheng, Lili Tian, Chao Shen, Li Li, Jie Gong, Yonggang Chen, Hongping Ba

To evaluate four novel SARS-CoV-2 neutralizing antibody assay kits' application in neutralizing antibodies of population. Questionnaires from the voluntary participating researchers and selected the qualified questionnaires to analyse. For negative and positive coincidence rate, four novel SARS-Cov-2 neutralization antibody assay kits were tested. For within-run and between-run Precision verification study, four serum samples with two high and two low titer neutralizing antibodies were used to analyse. Based on the questionnaires, 175 qualified samples were divided into two groups. (1) negative neutralizing antibodies group: 31 samples had not been infected with the novel SARS-Cov-2 nor received the vaccine within the past one year; (2) positive neutralizing antibodies group: 144 samples were infected by COVID-19. There was 28 negative and 3 positive neutralizing antibodies of the individuals among the 31 negative samples which based on the questionnaires. The negative rates of 28 negative individules tested by GenScript, Vazyme and Hygeianey were 82.14 %, 60.71 % and 17.85 %, while the positive rates of the 147 positive samples were 93.87 %, 95.23 % and 100 %. The within-run coefficient of variations (C·V) of PBNAs, GenScript, Vazyme and Hygeianey were 11.49 %, 9.12 %, 7.97 % and 7.48 %, while the between-run coefficient of variations (C·V) were 21.37 %, 14.21 %, 12.29 % and 11.78 %. Due to the large within-run and between-run coefficient of variations, PBNAs was not suitable for large-scale promotion, while ELISAs could be leveraged for routine monitoring the titer of neutralizing antibodies against SARS-CoV-2.

评估四种新型 SARS-CoV-2 中和抗体检测试剂盒在人群中和抗体中的应用。向自愿参与的研究人员发放问卷,并选择合格的问卷进行分析。对四种新型 SARS-CoV-2 中和抗体检测试剂盒进行阴性和阳性重合率测试。在运行内和运行间的精密度验证研究中,使用了四份血清样本,分别含有两个高滴度和两个低滴度的中和抗体。根据调查问卷,175 份合格样本被分为两组。(1)中和抗体阴性组:31 个样本在过去一年内没有感染过新型 SARS-Cov-2,也没有接种过疫苗;(2)中和抗体阳性组:144 个样本感染了 COVID-19。在 31 个阴性样本中,有 28 人的中和抗体为阴性,3 人的中和抗体为阳性。由 GenScript、Vazyme 和 Hygeianey 检测的 28 个阴性个体的阴性率分别为 82.14 %、60.71 % 和 17.85 %,而 147 个阳性样本的阳性率分别为 93.87 %、95.23 % 和 100 %。PBNAs、GenScript、Vazyme 和 Hygeianey 的检出限内变异系数(C-V)分别为 11.49 %、9.12 %、7.97 % 和 7.48 %,而检出限间变异系数(C-V)分别为 21.37 %、14.21 %、12.29 % 和 11.78 %。由于运行内和运行间变异系数较大,PBNAs 不适合大规模推广,而 ELISAs 可用于常规监测 SARS-CoV-2 中和抗体滴度。
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引用次数: 0
Molecular characterization of the genome of a new bunyavirus isolated in 2023 in Huzhou, China 2023 年在中国湖州分离到的一种新型布尼亚病毒基因组的分子鉴定
IF 1.6 Q4 INFECTIOUS DISEASES Pub Date : 2024-08-01 DOI: 10.1016/j.jcvp.2024.100188
Shili Song , Zhang Shen , Deshun Xu

The novel bunyavirus (SFTSV) causes severe fever with thrombocytopenia syndrome (SFTS), which has a high mortality rate and poses a serious threat to public health. To investigate the genomic characteristics of SFTSV strains isolated in Huzhou, China, in 2023, we sequenced SFTSV isolates and constructed a phylogenetic tree, and analyzed their homologies, average genetic distances, and amino acid (aa) mutations using DNAstar and MEGA software. The two SFTSV strains belonged to genotypes A and D. The nucleotide (nt) and aa sequence similarities of the two strains were 96.61% and 98.64%, respectively. The nt and aa sequence homologies with human reference strains of the same genotypes were 94.44% and 97.28%, respectively. The nt and aa sequence homologies with syngeneic tick host reference strains were 94.56% and 97.96%, respectively. The two SFTSV isolates had different mutation rates in the L, M, and S proteins; the M protein exhibited the highest mutation rate. Further investigations of SFTSV are warranted to explore the distributions of its genotypes, as well as its nt and aa mutations.

新型布尼亚病毒(SFTSV)可导致严重发热伴血小板减少综合征(SFTS),该病死亡率高,严重威胁公众健康。为了研究2023年在中国湖州分离到的SFTSV毒株的基因组特征,我们对SFTSV分离株进行了测序,构建了系统发生树,并使用DNAstar和MEGA软件分析了它们的同源性、平均遗传距离和氨基酸(aa)突变。两株SFTSV分别属于基因型A和D,其核苷酸(nt)和aa序列相似度分别为96.61%和98.64%。与相同基因型的人类参考株的 nt 和 aa 序列同源性分别为 94.44% 和 97.28%。与合成蜱宿主参考菌株的 nt 和 aa 序列同源性分别为 94.56% 和 97.96%。两种 SFTSV 分离物的 L、M 和 S 蛋白的突变率不同,其中 M 蛋白的突变率最高。有必要对SFTSV进行进一步研究,以探索其基因型的分布及其nt和aa突变。
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引用次数: 0
Decrease of Tregs cells and increase of exhausted Treg cells as the predictors of COVID19 severity 预测 COVID19 严重程度的因子--Tregs 细胞减少和衰竭 Treg 细胞增加
IF 1.6 Q4 INFECTIOUS DISEASES Pub Date : 2024-08-01 DOI: 10.1016/j.jcvp.2024.100189
Seyed Mehdi Mirniam , Alireza Andalib , Maedeh Radandish , Ramin Sami , Nafiseh Esmaeil

Background

T cells and regulatory T cells (Tregs) play a critical role in viral infectious immunity. Exhaustion of T cells during infection and decreased Tregs both contribute to the exacerbation of the disease. In the present study, we assessed T cells and regulatory T cells of COVID-19 patients and a control group according to the expression of the PD-1 molecule.

Methods

Forty-two COVID-19 patients and 40 controls were enrolled in the study. In COVID-19 patients, blood samples were collected on the first day of their hospitalization. Regulatory T cells (CD4+, CD25+, FOXP3+), CD4+PD-1+, and PD-1+ regulatory T cells were assessed by flow cytometry.

Results

The percentage of CD4+PD-1 + T cells in COVID-19 patients was significantly higher compared to the control group (P < 0.0001). The percentage of PD-1+ regulatory T cells was significantly increased in the patient group compared to the control group (P < 0.0001). However, the Treg percentage was significantly decreased in the patient group compared to the control group (P < 0.0001). The frequency of CD4+PD-1 + T cells, Tregs, and PD-1+ Tregs had acceptable sensitivity and specificity for assisting in the diagnosis of severe/critical COVID-19. The declined Tregs and enhanced CD4+CD25+, CD4+PD-1+, and PD-1 + T cells were associated with disease severity.

Conclusion

The decrease in Tregs and the increase in exhaustion of these cells and T cells play an important role in COVID-19 pathogenesis. These immune parameters could be used as meaningful indicators for assisting in the diagnosis of severe/critical COVID-19.

背景T细胞和调节性T细胞(Tregs)在病毒感染免疫中起着至关重要的作用。感染期间T细胞的耗竭和Tregs的减少都会导致疾病恶化。在本研究中,我们根据 PD-1 分子的表达评估了 COVID-19 患者和对照组的 T 细胞和调节性 T 细胞。COVID-19患者在住院第一天采集血液样本。结果与对照组相比,COVID-19 患者 CD4+PD-1 + T 细胞的百分比显著升高(P <0.0001)。与对照组相比,患者组 PD-1+ 调节性 T 细胞的比例明显增加(P <0.0001)。然而,与对照组相比,患者组的 Treg 百分比明显下降(P < 0.0001)。CD4+PD-1 + T细胞、Tregs和PD-1+ Tregs的频率对辅助诊断重度/危重COVID-19具有可接受的敏感性和特异性。Tregs 的减少和 CD4+CD25+、CD4+PD-1+ 和 PD-1 + T 细胞的增加与疾病的严重程度有关。这些免疫参数可作为有意义的指标,协助诊断严重/危重的 COVID-19。
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引用次数: 0
Otitis media with effusion in patients with COVID-19: A single-center study in China COVID-19患者中伴有渗出的中耳炎:中国单中心研究
IF 1.6 Q4 INFECTIOUS DISEASES Pub Date : 2024-08-01 DOI: 10.1016/j.jcvp.2024.100187
Feifan Li , Weiguo Zhang , Chengfang Chen , Rongjun Man , Huiming Yang , Shudong Yu

Background

The swift global spread of coronavirus disease 2019 (COVID-19), a respiratory ailment primarily marked by pulmonary symptoms, has been linked to the involvement of various organs, including the intestines, kidneys, throat, and ears. Otitis media with effusion (OME), often succeeding an upper respiratory tract infection, mirrors its incidence. As a respiratory infectious disease, it prompts the query of whether the COVID-19 pandemic has spurred an uptick in OME and whether the COVID-19 virus persists in middle ear effusion (MEE) for an extended period.

Methods

To gauge the incidence of OME in the population during the COVID-19 pandemic, a tailored questionnaire was disseminated and subsequently analyzed. Assessing the rise in OME incidence during the pandemic, we compared the proportion of OME cases in the otology outpatient department between pandemic and non-pandemic periods. Statistical analysis involved a t-test. Simultaneously, MEE was collected from patients with COVID-19-associated OME during the pandemic to ascertain the presence of SARS-CoV-2 in MEE via polymerase chain reaction.

Results

Based on the questionnaire data, the estimated OME incidence in the population is approximately 31.4 %. In contrast to the non-pandemic period, the percentage variation in the OME outpatient proportion was 71.4 % (P < 0.05). Among the 61 MEE samples, 13 polymerase chain reaction results were positive, constituting 21.31 %. Nasopharyngeal swabs yielded negative results. Notably, only one patient experienced OME recurrence after 1 month of auripuncture.

Conclusions

COVID-19 can trigger an escalation in OME cases. Even when nasopharyngeal swabs show negative results, SARS-CoV-2 can endure in MEE for an extended duration, suggesting the potential for asymptomatic COVID-19 transmission and recurrence within the population.

背景2019年冠状病毒病(COVID-19)是一种以肺部症状为主要特征的呼吸道疾病,它在全球的迅速传播与肠道、肾脏、咽喉和耳朵等多个器官的受累有关。中耳炎伴积液(OME)通常继发于上呼吸道感染,这也反映了其发病率。作为一种呼吸道传染病,它引发了这样一个疑问:COVID-19 大流行是否导致中耳积液增多,COVID-19 病毒是否长期存在于中耳积液中?为了评估大流行期间OME发病率的上升情况,我们比较了大流行期间和非大流行期间耳科门诊中OME病例的比例。统计分析采用 t 检验。同时,我们还收集了大流行期间 COVID-19 相关 OME 患者的 MEE,通过聚合酶链反应确定 MEE 中是否存在 SARS-CoV-2 病毒。与非疫情流行时期相比,OME 门诊病人比例的变化幅度为 71.4 %(P < 0.05)。在 61 份 MEE 样本中,13 份聚合酶链反应结果呈阳性,占 21.31%。鼻咽拭子结果为阴性。值得注意的是,只有一名患者在耳穿刺 1 个月后出现 OME 复发。即使鼻咽拭子检测结果为阴性,SARS-CoV-2 仍可在 MEE 中持续很长时间,这表明 COVID-19 有可能在人群中无症状传播和复发。
{"title":"Otitis media with effusion in patients with COVID-19: A single-center study in China","authors":"Feifan Li ,&nbsp;Weiguo Zhang ,&nbsp;Chengfang Chen ,&nbsp;Rongjun Man ,&nbsp;Huiming Yang ,&nbsp;Shudong Yu","doi":"10.1016/j.jcvp.2024.100187","DOIUrl":"10.1016/j.jcvp.2024.100187","url":null,"abstract":"<div><h3>Background</h3><p>The swift global spread of coronavirus disease 2019 (COVID-19), a respiratory ailment primarily marked by pulmonary symptoms, has been linked to the involvement of various organs, including the intestines, kidneys, throat, and ears. Otitis media with effusion (OME), often succeeding an upper respiratory tract infection, mirrors its incidence. As a respiratory infectious disease, it prompts the query of whether the COVID-19 pandemic has spurred an uptick in OME and whether the COVID-19 virus persists in middle ear effusion (MEE) for an extended period.</p></div><div><h3>Methods</h3><p>To gauge the incidence of OME in the population during the COVID-19 pandemic, a tailored questionnaire was disseminated and subsequently analyzed. Assessing the rise in OME incidence during the pandemic, we compared the proportion of OME cases in the otology outpatient department between pandemic and non-pandemic periods. Statistical analysis involved a <em>t</em>-test. Simultaneously, MEE was collected from patients with COVID-19-associated OME during the pandemic to ascertain the presence of SARS-CoV-2 in MEE via polymerase chain reaction.</p></div><div><h3>Results</h3><p>Based on the questionnaire data, the estimated OME incidence in the population is approximately 31.4 %. In contrast to the non-pandemic period, the percentage variation in the OME outpatient proportion was 71.4 % (<em>P</em> &lt; 0.05). Among the 61 MEE samples, 13 polymerase chain reaction results were positive, constituting 21.31 %. Nasopharyngeal swabs yielded negative results. Notably, only one patient experienced OME recurrence after 1 month of auripuncture.</p></div><div><h3>Conclusions</h3><p>COVID-19 can trigger an escalation in OME cases. Even when nasopharyngeal swabs show negative results, SARS-CoV-2 can endure in MEE for an extended duration, suggesting the potential for asymptomatic COVID-19 transmission and recurrence within the population.</p></div>","PeriodicalId":73673,"journal":{"name":"Journal of clinical virology plus","volume":"4 3","pages":"Article 100187"},"PeriodicalIF":1.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667038024000127/pdfft?md5=a6c22a287e279a8d6ab27dc174027ab8&pid=1-s2.0-S2667038024000127-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141848063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of clinical virology plus
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