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“Systematic review of HHV-6 and febrile seizures: Should the ER include it in the viral panel?” “对HHV-6和热性惊厥的系统回顾:急诊室是否应将其纳入病毒检查小组?”
IF 1.4 Q4 INFECTIOUS DISEASES Pub Date : 2025-11-01 DOI: 10.1016/j.jcvp.2025.100233
Valerie Foy , Shaina Gagadam

Background

Human herpesvirus 6 (HHV-6), particularly subtype B, is a common viral infection in childhood and the cause of roseola infantum. Beyond its dermatologic effects, HHV-6B is an important yet often underrecognized contributor to febrile seizures in young children presenting to the emergency department (ED).

Objective

This systematic review aims to examine the virology, epidemiology, and clinical features of HHV-6 infection in children, focusing on neurologic manifestations, while evaluating current ED diagnostic practices and the potential role for HHV-6 testing in pediatric febrile seizures.

Methods

Following PRISMA guidelines, a comprehensive search of PubMed and Embase databases identified studies published up to September 2025 on HHV-6 virology, dermatologic findings, neurologic complications, and ED management in pediatric patients. Inclusion criteria focused on HHV-6′s role in febrile seizures and the utility of rapid molecular diagnostics in the ED. Search terms included keywords related to HHV-6, febrile seizures, and pediatric emergency care. Two reviewers independently performed full-text reviews and extracted data.

Results

Primary HHV-6B infection affects most children by age two, with up to 30 % of first febrile seizures in this group attributed to the virus. While mostly self-limited, HHV-6B is disproportionately associated with complex febrile seizures and febrile status epilepticus. Emerging rapid diagnostic tools offer opportunities for targeted testing in select high-risk populations but are costly.

Conclusions

HHV-6B is an underrecognized cause of febrile seizures in pediatrics. Selective screening for complex or prolonged seizures may enhance improve long-term outcomes. Until stronger evidence emerges, clinicians should interpret HHV-6B results within the broader clinical context.
人类疱疹病毒6 (HHV-6),特别是B亚型,是儿童时期常见的病毒感染,也是婴儿红疹的病因。除了它的皮肤效应,HHV-6B是一个重要的,但往往被低估的贡献者热性癫痫发作的幼儿呈现到急诊科(ED)。目的本系统综述旨在探讨儿童HHV-6感染的病毒学、流行病学和临床特征,重点关注神经学表现,同时评估当前ED的诊断方法和HHV-6检测在儿童热性惊厥中的潜在作用。方法:根据PRISMA指南,对PubMed和Embase数据库进行全面检索,确定截至2025年9月发表的关于HHV-6病毒学、皮肤病学发现、神经系统并发症和儿科患者ED管理的研究。纳入标准侧重于HHV-6在热性惊厥中的作用以及快速分子诊断在急诊科中的应用。搜索词包括与HHV-6、热性惊厥和儿科急诊相关的关键词。两名审稿人独立进行全文审查并提取数据。结果HHV-6B原发感染影响大多数2岁儿童,该组中高达30% %的首次发热性惊厥归因于该病毒。虽然大多数是自限性的,但HHV-6B与复杂的热性惊厥和热性癫痫持续状态不成比例地相关。新兴的快速诊断工具为选定的高危人群提供了有针对性的检测机会,但费用昂贵。结论shhv - 6b是一种未被充分认识的儿科热性惊厥病因。对复杂或长时间癫痫发作进行选择性筛查可提高长期预后。在更有力的证据出现之前,临床医生应该在更广泛的临床背景下解释HHV-6B的结果。
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引用次数: 0
Impact of dried blood spot vs. venous sample collection on SARS-CoV-2 antibody test results in the CLSA serological study of older Canadians 在加拿大老年人里昂证券血清学研究中,干血斑与静脉标本采集对SARS-CoV-2抗体检测结果的影响
IF 1.4 Q4 INFECTIOUS DISEASES Pub Date : 2025-11-01 DOI: 10.1016/j.jcvp.2025.100236
Jiacheng Chen , Yuan Yu , Steven J. Drews , W. Alton Russell

Background

Participant-collected dried blood spots (DBS), which can be returned using regular mail, are convenient for collecting samples for population serology studies. The impact of DBS sampling on assay performance remains unclear.

Objective

We estimated the impact of using DBS samples on estimates of population SARS-CoV-2 antibody levels within a study of older Canadians.

Study Design

Analyzing data from 3 796 participants who provided DBS samples and 3 457 participants who provided venous samples, we estimated the impact of sample collection modality on odds of testing positive for anti-nucleocapsid antibodies (Anti-N) or for antibodies to the SARS-CoV-2 spike protein (Anti-S) using the Elecsys Anti-SARS-CoV-2 and Anti-SARS-CoV-2 S immunoassays. We used inverse probability of treatment weighting to control for differences between participants who provided DBS or venous samples, including sample collection date and participants’ age, vaccination status, and geographic location.

Results

Compared to venous samples, DBS samples were less likely to be Anti-N positive (weighted risk ratio [RR]: 0.30, 95 % confidence interval [CI]: 0.25–0.36) and less likely to be Anti-S positive (RR: 0.83, 95 % CI: 0.80–0.86). We estimate that using DBS for all participants would have underestimated seropositivity for anti-N antibodies (2.48 % using DBS; 8.32 % using venous) and anti-S antibodies (42.7 % using DBS; 51.6 % using venous).

Discussion

In population serology studies, DBS samples should only be used instead of venous blood draws when the impact on assay performance is well-characterized and appropriate adjustments are used to derive population seropositivity estimates.
参与者采集的干血斑(DBS)可通过普通邮件返回,便于收集人群血清学研究的样本。DBS取样对分析性能的影响尚不清楚。目的:在一项针对加拿大老年人的研究中,我们估计了使用DBS样本对估计人群SARS-CoV-2抗体水平的影响。研究设计分析了提供DBS样本的3 796名参与者和提供静脉样本的3 457名参与者的数据,我们使用Elecsys Anti-SARS-CoV-2和Anti-SARS-CoV-2 S免疫测定,估计了样本收集方式对抗核衣壳抗体(Anti-N)或抗SARS-CoV-2刺突蛋白(Anti-S)抗体检测阳性几率的影响。我们使用治疗加权逆概率来控制提供DBS或静脉样本的参与者之间的差异,包括样本收集日期和参与者的年龄、疫苗接种状况和地理位置。结果与静脉标本相比,DBS标本抗- n阳性的可能性较低(加权风险比[RR]: 0.30, 95%可信区间[CI]: 0.25 ~ 0.36),抗- s阳性的可能性较低(RR: 0.83, 95% CI: 0.80 ~ 0.86)。我们估计,对所有参与者使用DBS会低估抗n抗体(使用DBS的比例为2.48%,使用静脉的比例为8.32%)和抗s抗体(使用DBS的比例为42.7%,使用静脉的比例为51.6%)的血清阳性。在人群血清学研究中,只有当DBS样本对检测性能的影响得到充分表征,并且使用适当的调整来得出人群血清阳性估计时,才应该使用DBS样本来代替静脉血。
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引用次数: 0
Systemic reactogenicity is a correlate of MF59 adjuvant-moderated immunogenicity in influenza vaccinated children 流感疫苗接种儿童的全身反应原性与MF59佐剂调节的免疫原性相关
IF 1.4 Q4 INFECTIOUS DISEASES Pub Date : 2025-11-01 DOI: 10.1016/j.jcvp.2025.100234
Charlotte Switzer , Chris P. Verschoor , Eleanor Pullenayegum , Pardeep Singh , Mark Loeb

Background

Adjuvanted influenza vaccine induces more robust antibody responses, but is associated with more adverse events following vaccination. Prior work has examined the link between vaccine reactions and immunogenicity in adults, but little is known about the association between reactogenicity and postvaccination antibody responses in children, particularly regarding adjuvanted influenza vaccine. This study examines the relationship between reactogenicity and immunogenicity in children vaccinated against influenza, and the immunomodulatory effects of the adjuvant.

Methods

We conducted a secondary analysis of data from a cluster-randomized trial of children aged 6 to 72 months from Canadian Hutterite colonies. Participants received either a trivalent MF59-adjuvanted vaccine (aTIV) or a quadrivalent non-adjuvanted vaccine (QIV). Reactogenicity was measured using a composite score based on local, systemic, and respiratory reactions recorded within five days post-vaccination. Immunogenicity was assessed by measuring hemagglutination inhibition (HAI) titers before and four weeks after vaccination. Linear mixed models were used to evaluate associations between reactogenicity scores and post-vaccination log-transformed HAI titers.

Results

In adjuvanted vaccinees, higher systemic reactogenicity scores were associated with increased antibody titers for A/H1N1 and B/Victoria, relative to nonadjuvanted vaccinees (β: 0.38, 95 % CI: 0.17 to 0.60; and (β: 0.44, 95 % CI: 0.24 to 0.64 respectively). Higher systemic reactogenicity in nonadjuvanted vaccinees correlated with reduced post-vaccination antibody titers for A/H1N1 (β:0.36, 95 % CI:0.54 to -0.18) and B/Victoria (β:0.37, 95 % CI:0.54 to -0.20). Respiratory reactogenicity was positively correlated with immunogenicity in responses to A/H3N2 in the adjuvanted group (β: 0.78, 95 % CI: 0.13 to 1.43). Local reactogenicity was associated with A/H1N1 immunogenicity, but showed no significant interaction with vaccine formulation (β: 0.25, 95 % CI: 0.04 to 0.47).

Conclusions

Systemic reactogenicity in adjuvanted vaccinees showed positive correlations with immunogenicity, whereas reactogenicity contributed to blunting of antibody responses in nonadjuvanted vaccinees. We found that stronger systemic reactions correlate with improved immune responses in the adjuvanted group against all vaccine strains save A/H3N2, which warrants further investigation. Our study finds that reactogenicity is a modest biomarker for vaccine immunogenicity, and that the increased reactogenicity of the adjuvanted vaccine is associated with enhanced immune responsiveness, which may predict greater vaccine effectiveness.
背景:佐剂流感疫苗可诱导更强的抗体应答,但在接种后与更多不良事件相关。先前的工作已经研究了成人疫苗反应与免疫原性之间的联系,但对儿童疫苗反应原性与疫苗接种后抗体反应之间的关系知之甚少,特别是关于佐剂流感疫苗。本研究探讨儿童接种流感疫苗的反应原性和免疫原性之间的关系,以及佐剂的免疫调节作用。方法我们对来自加拿大huterite殖民地的6至72个月儿童的集群随机试验数据进行了二次分析。参与者接受三价mf59佐剂疫苗(aTIV)或四价非佐剂疫苗(QIV)。使用基于接种后5天内记录的局部、全身和呼吸反应的综合评分来测量反应原性。免疫原性通过测定疫苗接种前和接种后四周的血凝抑制(HAI)滴度来评估。使用线性混合模型来评估反应性评分与接种后对数转换的HAI滴度之间的关系。结果在接种佐剂疫苗的人群中,与未接种佐剂疫苗的人群相比,更高的系统反应原性评分与更高的A/H1N1和B/Victoria抗体滴度相关(β: 0.38, 95% CI: 0.17 ~ 0.60; β: 0.44, 95% CI: 0.24 ~ 0.64)。非佐剂疫苗接种者较高的全身反应原性与疫苗接种后A/H1N1抗体滴度(β:0.36, 95% CI:0.54至-0.18)和B/Victoria抗体滴度(β:0.37, 95% CI:0.54至-0.20)降低相关。A/H3N2佐剂组呼吸反应原性与免疫原性呈正相关(β: 0.78, 95% CI: 0.13 ~ 1.43)。局部反应原性与A/H1N1免疫原性相关,但与疫苗制剂无显著相互作用(β: 0.25, 95% CI: 0.04 ~ 0.47)。结论佐剂疫苗接种者的全身反应原性与免疫原性呈正相关,而非佐剂疫苗接种者的全身反应原性与抗体反应钝化有关。我们发现,在佐剂组中,更强的全身反应与对除A/H3N2以外的所有疫苗株的免疫反应改善相关,这值得进一步研究。我们的研究发现,反应原性是疫苗免疫原性的适度生物标志物,佐剂疫苗反应原性的增加与免疫反应性的增强有关,这可能预示着更大的疫苗有效性。
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引用次数: 0
The immunogenicity of recombinant zoster vaccination in patients with secondary immunodeficiencies: a literature review 重组带状疱疹疫苗对继发性免疫缺陷患者的免疫原性:文献综述
IF 1.4 Q4 INFECTIOUS DISEASES Pub Date : 2025-10-07 DOI: 10.1016/j.jcvp.2025.100231
Stascha I. Kuipers , Marjolein Knoester , Carin L.E. Hazenberg , Debbie van Baarle , Marieke van der Heiden
Herpes zoster (HZ), caused by reactivation of the varicella zoster virus, is characterized by painful rashes and severe complications. Immunocompromised individuals are at greater risk of developing HZ. Vaccination with the novel recombinant adjuvanted zoster subunit vaccine (RZV) proved highly effective in older adults and is considered safe in patients with secondary immunodeficiencies. This review summarizes the current evidence on efficacy and immunogenicity of RZV in patients with secondary immunodeficiencies and identifies factors associated with reduced immunogenicity.
RZV is highly immunogenic in patients with HIV and most haematological malignancies. Reduced responsiveness has been observed in patients with solid tumours, chronic lymphocytic leukaemia, non-Hodgkin B-cell lymphoma, autologous haematopoietic cell transplants, and solid organ transplants. Reduced response is associated with Rituximab and post-transplantation immunosuppressive treatments, as well as immunosuppressive effects of solid tumours and chemotherapy. Future research should investigate whether personalised vaccination schedules, guided by biomarkers for immune function and treatment and/or transplantation schedules, may improve RZV responsiveness.
带状疱疹(HZ)是由水痘带状疱疹病毒再激活引起的,其特征是疼痛的皮疹和严重的并发症。免疫功能低下的个体患HZ的风险更大。事实证明,新型重组佐剂带状疱疹亚单位疫苗(RZV)在老年人中非常有效,并且被认为对继发性免疫缺陷患者是安全的。本文综述了目前关于RZV对继发性免疫缺陷患者的疗效和免疫原性的证据,并确定了与免疫原性降低相关的因素。RZV在HIV和大多数血液恶性肿瘤患者中具有高度免疫原性。在实体肿瘤、慢性淋巴细胞白血病、非霍奇金b细胞淋巴瘤、自体造血细胞移植和实体器官移植患者中观察到反应性降低。反应降低与利妥昔单抗和移植后免疫抑制治疗以及实体瘤和化疗的免疫抑制作用有关。未来的研究应该调查在免疫功能生物标志物和治疗和/或移植计划的指导下,个性化的疫苗接种计划是否可以改善RZV反应性。
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引用次数: 0
Performance of dried blood spot sampling in quantifying hepatitis B DNA in Vietnam 干血点取样在越南乙型肝炎DNA定量分析中的应用
IF 1.4 Q4 INFECTIOUS DISEASES Pub Date : 2025-10-06 DOI: 10.1016/j.jcvp.2025.100230
Manh-Tuan Ha , Duyen Thi-My Nguyen , Tuan-Anh Nguyen

Background

Sampling is a crucial step in quantifying HBV DNA. In some situations, dried blood spot (DBS) sampling is required. This study aimed to validate the accuracy of HBV DNA quantification from DBS samples and to evaluate the stability of HBV DNA levels under practical storage conditions.

Materials and Methods

We collected paired serum and DBS samples from HBV DNA-positive cases and HBV DNA-negative controls (1:1 ratio). The validity of DBS samples in HBV DNA quantification was determined using serum results as a gold standard.

Results

The study analyzed 100 paired DBS and serum samples from both cases and controls. It reported relatively high sensitivity (86.7%) and specificity (97.6%) for DBS samples in detecting HBV DNA levels greater than 2000 IU/mL. A strong linear regression correlation was found between HBV DNA levels in DBS and serum samples, with an R² of 0.8679 (p < 0.001) and the regression equation y = 0.9095x - 0.7792. The mean difference in HBV DNA levels between DBS and serum was 1.28 ± 0.78 log10 IU/mL. Notably, differences in HBV DNA levels in DBS samples remained insignificant after 14 days of storage at both 4°C and room temperature (p>0.05), indicating stability under various storage conditions.

Conclusion

This study demonstrates that DBS samples are effective for identifying patients eligible for treatment and remain stable at room temperature for at least 14 days, supporting their feasibility in real-world settings. The use of DBS samples for monitoring hepatitis B treatment response and optimizing the elution process presents promising research opportunities.
背景:采样是定量HBV DNA的关键步骤。在某些情况下,需要进行干血斑(DBS)取样。本研究旨在验证DBS样品中HBV DNA定量的准确性,并评估HBV DNA水平在实际储存条件下的稳定性。材料与方法以1:1的比例采集HBV dna阳性和HBV dna阴性对照的血清和DBS样本。以血清结果作为金标准,确定DBS样品在HBV DNA定量中的有效性。结果本研究分析了来自病例和对照组的100对DBS和血清样本。据报道,DBS样本检测HBV DNA水平高于2000 IU/mL的灵敏度(86.7%)和特异性(97.6%)相对较高。DBS中HBV DNA水平与血清样本呈强线性回归相关,R²为0.8679 (p < 0.001),回归方程为y = 0.9095x - 0.7792。DBS与血清中HBV DNA水平的平均差异为1.28±0.78 log10 IU/mL。值得注意的是,在4°C和室温下保存14天后,DBS样品中HBV DNA水平的差异仍然不显著(p>0.05),表明在各种保存条件下都是稳定的。结论DBS样品可有效识别适合治疗的患者,并在室温下保持至少14天的稳定性,支持其在现实环境中的可行性。DBS样本用于监测乙型肝炎治疗反应和优化洗脱过程提供了有前途的研究机会。
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引用次数: 0
Prognostic value of inflammatory markers including neutrophil to lymphocyte ratio, platelet to lymphocyte ratio, mean platelet volume, platelet distribution width, and red blood cell distribution width in viral hepatitis: A systematic review and meta-analysis 中性粒细胞与淋巴细胞比值、血小板与淋巴细胞比值、平均血小板体积、血小板分布宽度和红细胞分布宽度在病毒性肝炎中的预后价值:一项系统综述和荟萃分析
IF 1.4 Q4 INFECTIOUS DISEASES Pub Date : 2025-08-12 DOI: 10.1016/j.jcvp.2025.100229
Peyvand Parhizkar Roudsari , Shayan Shojaei , Parisa Firoozbakhsh , Alireza Azarboo , Saeed Mirmoosavi , Ali Moradi , Faeze Abbaspour , Asma Mousavi , Hanieh Radkhah

Background

Hematological markers offer valuable and cost-effective tools for hepatitis prognosis and treatment customization due to their role in inflammatory responses. Hence, this study seeks to explore the prognostic potential of inflammatory markers including neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), mean platelet volume (MPV), platelet distribution width (PDW), and red blood cell distribution width (RDW) in viral hepatitis patients.

Methods

We conducted a systematic search in online databases of PubMed, Web of Science, Scopus, and Cochrane for related articles following PRISMA guidelines. Our endpoint was to evaluate the association between NLR, PLR, MPV, PDW, and RDW with fibrosis and cirrhosis outcomes in patients with hepatitis B and C. The analysis used the "meta" package in R, employing Hedges' g to calculate the standardized mean difference (SMD) and 95 % confidence intervals (CI). A P value less than 0.05 was considered statistically significant for all data analyses

Results

Thirty-seven studies were ultimately included in the analysis. PLR was higher in mild fibrosis (SMD = -0.48, 95 % CI: -0.90; -0.06), with no significant differences observed by hepatitis type. Both MPV and RDW were higher in advanced fibrosis (MPV: SMD = 0.36, 95 % CI: 0.19; 0.53, RDW: SMD = 0.32, 95 % CI: 0.14; 0.50), and they were significantly increased in advanced hepatitis C fibrosis. PDW was higher in advanced fibrosis (SMD = 0.32, 95 % CI: 0.02; 0.61), significantly in hepatitis B. In cirrhotic versus non-cirrhotic patients, MPV (SMD = 0.22, 95 % CI: 0.07; 0.38) and RDW (SMD = 1.35, 95 % CI: 0.62; 2.08) were higher in the cirrhotic group, while PLR (SMD = -1.15, 95 % CI: -2.16; -0.15) was higher in the non-cirrhotic group. NLR showed no significant difference between mild and advanced fibrosis or between cirrhotic and non-cirrhotic groups.

Conclusion

This meta-analysis reveals the importance of hematological parameters of MPV, PDW, RDW, and PLR as predictors of viral hepatitis progression. MPV, PDW, and RDW are elevated in advanced fibrosis, while PLR is notably higher in mild fibrosis.
血液学标志物由于其在炎症反应中的作用,为肝炎预后和治疗定制提供了有价值且具有成本效益的工具。因此,本研究旨在探讨炎症标志物在病毒性肝炎患者中的预后潜力,包括中性粒细胞与淋巴细胞比值(NLR)、血小板与淋巴细胞比值(PLR)、平均血小板体积(MPV)、血小板分布宽度(PDW)和红细胞分布宽度(RDW)。方法系统检索PubMed、Web of Science、Scopus、Cochrane等在线数据库,根据PRISMA指南检索相关文章。我们的终点是评估NLR、PLR、MPV、PDW和RDW与乙型肝炎和丙型肝炎患者纤维化和肝硬化结局之间的关系。分析使用R中的“meta”包,使用Hedges' g计算标准化平均差(SMD)和95%置信区间(CI)。P值小于0.05认为所有数据分析均有统计学意义。结果37项研究最终纳入分析。轻度纤维化的PLR较高(SMD = -0.48, 95% CI: -0.90; -0.06),不同肝炎类型间无显著差异。MPV和RDW在晚期丙型肝炎纤维化中均较高(MPV: SMD = 0.36, 95% CI: 0.19; 0.53, RDW: SMD = 0.32, 95% CI: 0.14; 0.50),在晚期丙型肝炎纤维化中MPV和RDW均显著升高。在肝硬化和非肝硬化患者中,肝硬化组的MPV (SMD = 0.22, 95% CI: 0.07; 0.38)和RDW (SMD = 1.35, 95% CI: 0.62; 2.08)更高,而非肝硬化组的PLR (SMD = -1.15, 95% CI: -2.16; -0.15)更高。轻度和晚期纤维化、肝硬化组和非肝硬化组之间NLR无显著差异。结论:本荟萃分析揭示了血液学参数MPV、PDW、RDW和PLR作为病毒性肝炎进展预测因子的重要性。MPV、PDW和RDW在晚期纤维化中升高,而PLR在轻度纤维化中显著升高。
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引用次数: 0
China reports first human case of Mpox: A call for global surveillance for public health and policy 中国报告首例人痘病例:呼吁全球公共卫生和政策监测
IF 1.6 Q4 INFECTIOUS DISEASES Pub Date : 2025-07-16 DOI: 10.1016/j.jcvp.2025.100226
Uthman Okikiola Adebayo , Tolutope Adebimpe Oso , Safayet Jamil , Olalekan John Okesanya , Mohamed Mustaf Ahmed
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引用次数: 0
Performance of an automated platform for CMV, EBV and BKPyV DNA detection and quantification CMV, EBV和BKPyV DNA检测和定量自动化平台的性能
IF 1.6 Q4 INFECTIOUS DISEASES Pub Date : 2025-07-16 DOI: 10.1016/j.jcvp.2025.100228
Yoann Fluhr , Karine Saune , Kevin Oliveira-Mendes , Estelle Raguin , Lila Poiteau , Arnaud Del Bello , Nassim Kamar , Jacques Izopet , Florence Abravanel
Quantification of cytomegalovirus (CMV), Epstein-Barr virus (EBV), and BK polyomavirus (BKPyV) DNA is crucial for diagnosing related infections. The analytical performance of the Altostar® CMV, EBV and BKPyV DNA assays used in the AltoStar® AM16 instrument was assessed.
The Limit of detection was 215 international units/ml (IU/ml) for the CMV assay, 330 IU/ml for the EBV assay and 133 IU/ml for the BKPyV assay. A good concordance was found between the nominal value of the NIBSC standards and the AltoStar® results. Linearity was verified up to 5.7 log10 IU/ml. Intra-assay and inter-assay reproducibility showed low disparity with a standard deviation < 0.27 log10 IU/ml.
The concordance with our previous DNA assays on clinical samples for CMV detection was 95.5% (n = 22), 90.6% for EBV (n = 32) and 92% for BKV (n = 25). The quantitative results were highly correlated.
The Altostar® platform provides accurate quantification for clinical monitoring of CMV, EBV and BKPyV DNA.
巨细胞病毒(CMV)、eb病毒(EBV)和BK多瘤病毒(BKPyV) DNA的定量检测对相关感染的诊断至关重要。评估Altostar®AM16仪器中使用的Altostar®CMV、EBV和BKPyV DNA检测的分析性能。CMV检测限为215国际单位/ml (IU/ml), EBV检测限为330 IU/ml, BKPyV检测限为133 IU/ml。在NIBSC标准的标称值与AltoStar®结果之间发现了良好的一致性。在5.7 log10 IU/ml的线性范围内验证。测定内和测定间重现性差异低,标准差为<;0.27 log10 IU/ml。临床样本CMV检测与既往DNA检测的一致性为95.5% (n = 22), EBV检测为90.6% (n = 32), BKV检测为92% (n = 25)。定量结果高度相关。Altostar®平台为CMV、EBV和BKPyV DNA的临床监测提供准确的定量。
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引用次数: 0
Dengue virus proteins: Dual drivers of pathogenesis and vaccine development 登革病毒蛋白:发病机制和疫苗开发的双重驱动因素
IF 1.6 Q4 INFECTIOUS DISEASES Pub Date : 2025-07-16 DOI: 10.1016/j.jcvp.2025.100227
Haidar Ali , Iffat Saleem , Kashif Abdaal , Mobeen Ur Rashid , Imran Shahid , Sadia Aziz , Jing Yang , Liaqat Ali
This systematic review provides a comprehensive exploration of Dengue virus (DENV), focusing on its history, transmission dynamics, tropism, structural proteins, and potential vaccine development targets. Originating from sub-Saharan Africa, DENV has spread globally, facilitated by Aedes mosquitoes. The review highlights challenges posed by mosquito expansion and climate change on DENV transmission. It delves into DENV tropism, emphasizing interactions with immune cells and tissue-specific infection outcomes. Structural proteins, including Capsid, Pre-Membrane, and Envelope, are examined for their roles in viral assembly and maturation. Targeting strategies for structural proteins, particularly the Envelope protein domain III (EDIII), are discussed in the context of vaccine development. Additionally, non-structural proteins such as NS1, NS3, and NS5 are explored for their contributions to viral replication, host immune modulation and potential as both therapeutic targets and vaccine components. By integrating insights into both structural and non-structural elements of DENV, this review underscores the importance of a multifaceted approach to vaccine design and antiviral development aimed at effectively controlling dengue infection and its associated disease burden.
本文系统综述了登革热病毒(DENV)的历史、传播动力学、向性、结构蛋白和潜在的疫苗开发靶点。登革热病毒起源于撒哈拉以南非洲,在伊蚊的推动下已在全球传播。该综述强调了蚊虫扩张和气候变化对登革热病毒传播构成的挑战。它深入研究了DENV的趋向性,强调了与免疫细胞和组织特异性感染结果的相互作用。结构蛋白,包括衣壳,前膜和包膜,研究了它们在病毒组装和成熟中的作用。在疫苗开发的背景下,讨论了结构蛋白,特别是包膜蛋白结构域III (EDIII)的靶向策略。此外,非结构蛋白如NS1、NS3和NS5在病毒复制、宿主免疫调节中的作用以及作为治疗靶点和疫苗成分的潜力也被探索。通过整合对登革热病毒的结构和非结构因素的见解,本综述强调了以有效控制登革热感染及其相关疾病负担为目标,对疫苗设计和抗病毒药物开发采取多方面方法的重要性。
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引用次数: 0
Frequency and clinical characteristics of human bocavirus in respiratory illnesses across diverse age groups in Lagos, Nigeria 尼日利亚拉各斯不同年龄组呼吸道疾病中人类博卡病毒的频率和临床特征
IF 1.6 Q4 INFECTIOUS DISEASES Pub Date : 2025-06-28 DOI: 10.1016/j.jcvp.2025.100225
Abdul-Azeez A. Anjorin , Oluwaseyi S. Ashaka , Joseph Eyedo , Abdulrauf O. Abdulkareem , Taofeeq A. Balogun , Zainab B. Salami , Kabiru O. Akinyemi

Background

Human Bocavirus (HBoV) first described by Allander and colleagues in 2005 is one of the most common viral pathogens causing respiratory diseases. It is a single-stranded DNA virus from the Parvoviridae family that is associated with respiratory and gastrointestinal infections. The prevalence and impact of the HBoV in Lagos, Nigeria, particularly across all age groups, remain underexplored.

Aim

This study aimed to determine the prevalence of HBoV among individuals with respiratory symptoms and its association with disease in Lagos, Nigeria.

Methods

A hospital-based, cross-sectional study was conducted from December 2022 to May 2023 in Lagos. Nasopharyngeal swabs were collected from 400 participants presenting with respiratory symptoms across diverse age groups. The samples were analysed for HBoV DNA using real-time PCR. Demographic and clinical data were recorded, and statistical analysis was performed using SPSS.

Results

The overall prevalence of HBoV was 12.5 % (57/400), with a higher 24.6 % prevalence in participants aged 21–30 years than 8.4 % in those aged ≤10 years. The participants diagnosed with respiratory disease had a significantly greater 20.3 % prevalence of HBoV compared to 8.4 % without respiratory disease (χ²=11.69, p = 0.0006). Fever and runny nose were the most common symptoms among HBoV-positive participants, regardless of respiratory disease status.

Conclusions

HBoV is prevalent in Lagos and contributes significantly to respiratory illnesses across all age groups, with the highest burden observed in young adults. These findings underscore the need for further research on the clinical implications of HBoV and its potential for nosocomial transmission in healthcare settings.
人类bocavavirus (HBoV)于2005年由Allander及其同事首次描述,是引起呼吸道疾病的最常见的病毒性病原体之一。它是细小病毒科的一种单链DNA病毒,与呼吸道和胃肠道感染有关。在尼日利亚拉各斯,特别是在所有年龄组中,HBoV的流行和影响仍未得到充分探讨。目的本研究旨在确定尼日利亚拉各斯有呼吸道症状个体中HBoV的流行情况及其与疾病的关系。方法于2022年12月至2023年5月在拉各斯进行了一项以医院为基础的横断面研究。收集了来自不同年龄组的400名有呼吸道症状的参与者的鼻咽拭子。采用实时PCR对样品进行HBoV DNA分析。记录人口学及临床资料,采用SPSS软件进行统计学分析。结果HBoV的总患病率为12.5%(57/400),其中21-30岁人群的患病率为24.6%,高于≤10岁人群的8.4%。诊断为呼吸系统疾病的参与者的HBoV患病率为20.3%,而未诊断为呼吸系统疾病的参与者的HBoV患病率为8.4% (χ²=11.69,p = 0.0006)。无论呼吸道疾病状况如何,hbov阳性参与者中最常见的症状是发烧和流鼻涕。结论shbov在拉各斯流行,对所有年龄组的呼吸系统疾病都有显著影响,其中年轻人的负担最高。这些发现强调需要进一步研究HBoV的临床意义及其在卫生保健机构中医院传播的可能性。
{"title":"Frequency and clinical characteristics of human bocavirus in respiratory illnesses across diverse age groups in Lagos, Nigeria","authors":"Abdul-Azeez A. Anjorin ,&nbsp;Oluwaseyi S. Ashaka ,&nbsp;Joseph Eyedo ,&nbsp;Abdulrauf O. Abdulkareem ,&nbsp;Taofeeq A. Balogun ,&nbsp;Zainab B. Salami ,&nbsp;Kabiru O. Akinyemi","doi":"10.1016/j.jcvp.2025.100225","DOIUrl":"10.1016/j.jcvp.2025.100225","url":null,"abstract":"<div><h3>Background</h3><div>Human Bocavirus (HBoV) first described by Allander and colleagues in 2005 is one of the most common viral pathogens causing respiratory diseases. It is a single-stranded DNA virus from the Parvoviridae family that is associated with respiratory and gastrointestinal infections. The prevalence and impact of the HBoV in Lagos, Nigeria, particularly across all age groups, remain underexplored.</div></div><div><h3>Aim</h3><div>This study aimed to determine the prevalence of HBoV among individuals with respiratory symptoms and its association with disease in Lagos, Nigeria.</div></div><div><h3>Methods</h3><div>A hospital-based, cross-sectional study was conducted from December 2022 to May 2023 in Lagos. Nasopharyngeal swabs were collected from 400 participants presenting with respiratory symptoms across diverse age groups. The samples were analysed for HBoV DNA using real-time PCR. Demographic and clinical data were recorded, and statistical analysis was performed using SPSS.</div></div><div><h3>Results</h3><div>The overall prevalence of HBoV was 12.5 % (57/400), with a higher 24.6 % prevalence in participants aged 21–30 years than 8.4 % in those aged ≤10 years. The participants diagnosed with respiratory disease had a significantly greater 20.3 % prevalence of HBoV compared to 8.4 % without respiratory disease (χ²=11.69, <em>p</em> = 0.0006). Fever and runny nose were the most common symptoms among HBoV-positive participants, regardless of respiratory disease status.</div></div><div><h3>Conclusions</h3><div>HBoV is prevalent in Lagos and contributes significantly to respiratory illnesses across all age groups, with the highest burden observed in young adults. These findings underscore the need for further research on the clinical implications of HBoV and its potential for nosocomial transmission in healthcare settings.</div></div>","PeriodicalId":73673,"journal":{"name":"Journal of clinical virology plus","volume":"5 3","pages":"Article 100225"},"PeriodicalIF":1.6,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144550047","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}
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Journal of clinical virology plus
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