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Epidemiology of Hepatitis B and C Infections in Al-Anbar/Iraq and Correlation Between Viral Load and Liver Function. 伊拉克安巴尔省乙型和丙型肝炎感染的流行病学及病毒载量与肝功能的相关性
IF 1.1 Q4 VIROLOGY Pub Date : 2025-06-26 eCollection Date: 2025-01-01 DOI: 10.1155/av/9970549
Mohammed A Hamad, Ala'a F Habeeb, Nabaa A Muhammed, Rawaa A Muhammed

Aims: Hepatitis B (HBV) and C (HCV) represent a menacing health problem worldwide and its risk of contamination and transmission by routine activities and contact with infected patients and its remarkable adverse effects and presence of silent carriers. The diagnosis developed with the developing techniques using more specific techniques. The aim is to study the epidemiology and molecular detection of HBV and HCV in the Anbar governorate (Fallujah and Amiriyah) and the correlation between the viral load of HBV and HCV on liver functions. Materials and Methods: A cohort of 5463 tested for HBV viral infection and 5873 tested for HBV viral infection patients' information were collected from units in Fallujah and Amiriyah Hospitals as well as private laboratories who sent for HBV or HCV detection from 15th January 2021 to 20th November 2021 using a questionnaire and diagnosed with rapid tests, the positive results subjected for testing with ELISA and samples tested using q-PCR techniques. Findings: Among the studied cohort, the prevalence of HBV infections was high compared to HCV, with the highest impact in females and the ages of young adults (29-30 years). Furthermore, viral loads were high in HCV-infected patients compared to HBV. Finally, liver enzymes (ALP, AST, and ALT) were significantly high in HCV-infected patients compared to HBV. Conclusion: The study concluded that females have a higher rate of infection with higher progression of the HBV and more morbid liver enzymes. The highest affected age groups are the highest communicational and economic activity group of young adults with elevated impact on the liver with HCV viral load increasing.

目的:乙型肝炎(HBV)和丙型肝炎(HCV)是世界范围内的一个严重的健康问题,其污染和传播的风险是通过日常活动和与受感染患者的接触,以及其显著的不良反应和沉默携带者的存在。诊断随着技术的发展而发展,使用了更具体的技术。目的是研究安巴尔省(费卢杰和阿米里耶)HBV和HCV的流行病学和分子检测,以及HBV和HCV病毒载量与肝功能的相关性。材料和方法:从费卢杰和阿米里耶医院以及私人实验室收集了5463例HBV病毒感染检测和5873例HBV病毒感染患者信息,这些患者于2021年1月15日至2021年11月20日期间使用问卷进行HBV或HCV检测,并通过快速检测进行诊断,阳性结果采用ELISA检测,样品采用q-PCR技术检测。研究结果:在研究队列中,HBV感染的患病率高于HCV,在女性和年轻人(29-30岁)中影响最大。此外,与HBV相比,hcv感染患者的病毒载量较高。最后,与HBV相比,hcv感染患者的肝酶(ALP、AST和ALT)显著升高。结论:女性HBV感染率高,病程进展快,肝酶病变多。受影响最大的年龄组是交际和经济活动最多的青壮年群体,随着HCV病毒载量的增加,对肝脏的影响增加。
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引用次数: 0
The Possible Mechanistic Basis of Individual Susceptibility to Spike Protein Injury. 刺突蛋白损伤个体易感性的可能机制基础。
IF 1.4 Q4 VIROLOGY Pub Date : 2025-06-24 eCollection Date: 2025-01-01 DOI: 10.1155/av/7990876
Matthew Halma, Paola Vottero, James Thorp, Tina Peers, Jack Tuszynski, Paul Marik

Injury from spike protein, whether induced by COVID-19 infection or vaccination, constitutes a significant health concern for numerous individuals. Considerable heterogeneity exists in individual responses to both COVID-19 infection and vaccination, despite the latter being principally more controlled and consistent than the wide variety of infection circumstances. This review explores the possible mechanisms by which the spike protein contributes to cellular and systemic damage, highlighting the importance of understanding these processes for developing effective diagnostics and treatments.

无论是由COVID-19感染还是由疫苗接种引起的刺突蛋白损伤,对许多人来说都是一个重大的健康问题。个体对COVID-19感染和疫苗接种的反应存在相当大的异质性,尽管后者基本上比各种感染情况更受控制和一致。这篇综述探讨了刺突蛋白导致细胞和全身损伤的可能机制,强调了了解这些过程对于开发有效的诊断和治疗的重要性。
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引用次数: 0
A Prospective Study of Immune Response After COVID-19 or Vaccination and Correlation Between Avidity Index and Neutralizing Capacity. COVID-19或疫苗接种后免疫反应及亲和指数与中和能力相关性的前瞻性研究。
IF 1.1 Q4 VIROLOGY Pub Date : 2025-06-16 eCollection Date: 2025-01-01 DOI: 10.1155/av/2265813
Emma Löfström, Anna Eringfält, Arne Kötz, Wanda Christ, Stefan Kunkel, Johan Tham, Jonas Klingström, Johan Undén

Background: Serological response is an important aspect of COVID-19, especially for evaluation of vaccine effect and risk of severe infection. The gold standard to assess this is analysis of neutralization capacity, but such assays are not widely available, with antibody levels often used as an approximation of the neutralizing ability. Avidity index is a measure of antibody function and avidity maturation contributes to long-lasting immunity. Objectives: To evaluate if the avidity index gives a better estimation of the neutralizing ability compared with anti-spike IgG levels and to compare the immune response between infection and vaccination against SARS-CoV-2. Study Design: Serum samples from prospectively included patients with either PCR-confirmed COVID-19 or COVID-19-naïve after vaccination were analyzed for anti-spike IgG, avidity index, and neutralizing titer at 1, 3, and 6 months after infection or vaccination. Results: A significant correlation between anti-spike IgG level and neutralization titer was found (Spearmanr s  = 0.88, p < 0.001), but for the avidity index, the correlation was lower (Spearman r s  = 0.62, p < 0.001). Anti-spike IgG level, avidity index, and neutralization titer were significantly higher in the vaccine cohort. Natural infection failed to yield high-avidity antibodies. Over time, the antibody levels and neutralization titer declined in both the vaccine and infection cohorts. Conclusion: Anti-spike IgG levels can be used as an estimation of the neutralizing titer, with the avidity index not contributing to a better estimation. There is a stronger initial immune response after vaccination, compared with natural infection. However, specific antibody levels decline over time, highlighting the importance of vaccine boosters.

背景:血清学反应是COVID-19的一个重要方面,特别是在评估疫苗效果和严重感染风险方面。评估这一点的金标准是对中和能力的分析,但这种分析方法并不广泛使用,抗体水平通常被用作中和能力的近似值。贪婪指数是衡量抗体功能和贪婪成熟有助于持久的免疫。目的:评价亲和度指数是否能比抗刺突IgG水平更好地估计中和能力,并比较感染和接种疫苗对SARS-CoV-2的免疫反应。研究设计:在感染或接种疫苗后1、3和6个月,对前瞻性纳入的pcr确诊COVID-19或COVID-19-naïve患者的血清样本进行抗刺突IgG、贪婪指数和中和效价分析。结果:抗尖峰IgG水平与中和滴度相关性显著(Spearmanr s = 0.88, p < 0.001),而亲和力指数相关性较低(Spearmanr s = 0.62, p < 0.001)。抗刺突IgG水平、贪婪指数和中和滴度在疫苗组中显著升高。自然感染不能产生高亲和力抗体。随着时间的推移,疫苗组和感染组的抗体水平和中和效价都下降了。结论:抗尖峰IgG水平可作为中和效价的估计,而亲和度指数不能较好地估计中和效价。与自然感染相比,接种疫苗后有更强的初始免疫反应。然而,特异性抗体水平随着时间的推移而下降,这突出了疫苗增强剂的重要性。
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引用次数: 0
High-Throughput Sequencing Detects a Viral Complex in Agave Tequilana Plants. 高通量测序检测龙舌兰植物中的病毒复合体。
IF 1.1 Q4 VIROLOGY Pub Date : 2025-05-04 eCollection Date: 2025-01-01 DOI: 10.1155/av/6434701
Rodolfo De La Torre-Almaraz, Héctor Salgado-Ortiz, Mario Salazar-Segura

Agave tequilana Weber var. Azul is one of the most economically important species in Mexico because of its use in the production of tequila. Recently, young agave plants in commercial plantations in the state of Jalisco and agave ornamental plants have been observed to have symptoms of yellow streaks and mottle like those caused by viruses. The diversity of symptoms observed in agave and the negative results of the different diagnostic tests indicated the possible presence of different unknown viruses, and so we conducted high-throughput sequencing (HTS) analyses of viral RNA. The bioinformatics analyses showed the complete genomes of isolates of Vitivirus genus, Potexvirus genus, Tepovirus genus, and the partial genome of a Badnavirus genus in mixed infections in agave samples from commercial plots and in ornamental plants. The presence of each virus was confirmed by sequencing and cloning of the RT-PCR products of the capsid protein (CP), using specific oligonucleotides designed from the sequences obtained by HTS. This is the first time to our knowledge that mixed infections of potential novel Vitivirus, Potexvirus, Tepovirus, and Badnavirus genomes have been identified in A. tequilana plants.

龙舌兰韦伯变种Azul是墨西哥最重要的经济品种之一,因为它用于龙舌兰酒的生产。最近,哈利斯科州商业种植园的龙舌兰幼苗和龙舌兰观赏植物被观察到有类似病毒引起的黄色条纹和斑驳的症状。在龙舌兰中观察到的症状的多样性和不同诊断试验的阴性结果表明可能存在不同的未知病毒,因此我们对病毒RNA进行了高通量测序(HTS)分析。生物信息学分析显示,在商业地块和观赏植物龙舌兰混合感染样品中,获得了Vitivirus属、Potexvirus属、Tepovirus属分离株的全基因组和badnavvirus属分离株的部分基因组。利用HTS获得的序列设计的特异性寡核苷酸,对衣壳蛋白(CP)的RT-PCR产物进行测序和克隆,证实了每种病毒的存在。据我们所知,这是第一次在龙舌兰属植物中发现潜在的新型白病毒、斑病毒、铁病毒和坏病毒基因组的混合感染。
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引用次数: 0
Intestinal Form of Human Coronavirus 229E Plays No Role in Peritoneal Sclerosis Pathology in Dialysis Patients. 肠道型人冠状病毒229E在透析患者腹膜硬化病理中无作用
IF 1.1 Q4 VIROLOGY Pub Date : 2025-04-01 eCollection Date: 2025-01-01 DOI: 10.1155/av/2172144
Sirwan Sleman

Infectious peritonitis is found to be a leading factor in the development of viral peritonitis (VP) and encapsulating peritoneal sclerosis (EPS) in patients undergoing peritoneal dialysis (PD) treatment. Bacterial and fungal infections are a major cause of peritonitis in PD patients. Viral infections have rarely been reported in association with peritonitis in PD patients; about 20% of cases are fungal and bacterial culture-negative (so-called sterile peritonitis). Several possible viral causes are reported to cause peritonitis, Coronaviruses are an important virus group that has been found to cause peritonitis in animals (cats), although in human beings these viruses have not been reported to associate with peritonitis. The purpose of this study was to investigate whether the intestinal form of Human 229E coronavirus plays a role in peritonitis and EPS for several peritoneal fluid samples collected from patients with confirmed EPS. Thirty-seven peritoneal fluid samples from 12 patients with histologically confirmed EPS from Manchester University Hospitals were extracted using QIAamp RNA Mini Kit to purify viral RNA. The purified RNA was reverse transcribed and tested using a pan-coronavirus PCR designed to pick up all known human and animal coronaviruses. None of the peritoneal fluid samples was positive, suggesting that active coronavirus infection is not associated with the development of VP in dialysis patients.

感染性腹膜炎是腹膜透析(PD)患者发生病毒性腹膜炎(VP)和包封性腹膜硬化症(EPS)的主要因素。细菌和真菌感染是腹膜炎患者腹膜炎的主要原因。PD患者腹膜炎与病毒感染相关的报道很少;大约20%的病例是真菌和细菌培养阴性(所谓无菌腹膜炎)。据报道,几种可能的病毒原因可引起腹膜炎。冠状病毒是一种重要的病毒群,已被发现可引起动物(猫)的腹膜炎,尽管在人类中,这些病毒未被报道与腹膜炎有关。本研究的目的是探讨肠道形式的人229E冠状病毒是否在腹膜炎和EPS确诊患者的腹膜液样本中发挥作用。采用QIAamp RNA迷你试剂盒对12例组织学证实的EPS患者的37份腹膜液样本进行提取,纯化病毒RNA。纯化的RNA被逆转录,并使用pan-冠状病毒PCR检测,该PCR设计用于检测所有已知的人类和动物冠状病毒。腹膜液样本均未呈阳性,提示活性冠状病毒感染与透析患者VP的发生无关。
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引用次数: 0
Genetic Diversity in the Fusion Gene of Respiratory Syncytial Virus (RSV) Isolated From Iraqi Patients: A First Report. 伊拉克呼吸道合胞病毒(RSV)融合基因的遗传多样性:首次报道。
IF 1.1 Q4 VIROLOGY Pub Date : 2025-03-28 eCollection Date: 2025-01-01 DOI: 10.1155/av/8864776
Mohammed Hussein Wali, Hassan Mohammad Naif, Nur Arzuar Abdul Rahim, Muhammad Amir Yunus

Molecular evaluation of the respiratory syncytial virus (RSV) genome is one of the common strategies applied to understand the viral pathogenicity and control its spreading. In this study, we carried out molecular evaluation on the targeted fusion (F) gene region in the RSV-positive samples of Iraqi patients during the autumn and winter of 2022/2023. One hundred and fifty patients with lower respiratory tract infections were screened for RSV using reverse transcription-quantitative polymerase chain reaction (RT-qPCR). Sanger sequencing was performed on the RSV-positive samples targeting 1061 nucleotides (from nucleotide 6168 to 7228 within the RSV genome) and 1000 nucleotides (from nucleotide 6122 to 7121 within the RSV genome) of the F gene region for RSV-A and RSV-B, respectively. The results showed some nucleotide changes within the targeted F gene, which were grouped in distinct clade, closely related to isolates from Austria, Argentine, Finland, and France through phylogenetic analysis. In silico protein modeling using the SWISS-MODEL and I-TASSER web tools based on nonsynonymous changes of amino acid sequence showed some good-predicted models that can be utilized for antiviral screening. In summary, the identified nucleotide variations in the F gene could influence vaccine development as the F protein is the primary target for the major antigen of RSV. Molecular surveillance data of RSV local isolates are also essential for studying new genomic changes and enable the prediction of potential new antiviral agents.

呼吸道合胞病毒(RSV)基因组的分子评估是了解病毒致病性和控制其传播的常用策略之一。在本研究中,我们对 2022/2023 年秋冬季伊拉克患者 RSV 阳性样本中的目标融合(F)基因区域进行了分子评估。我们使用反转录定量聚合酶链反应(RT-qPCR)对 150 名下呼吸道感染患者进行了 RSV 筛查。对RSV阳性样本进行了桑格测序,分别针对RSV-A和RSV-B的F基因区的1061个核苷酸(从RSV基因组中的核苷酸6168到7228)和1000个核苷酸(从RSV基因组中的核苷酸6122到7121)。结果显示,目标 F 基因区发生了一些核苷酸变化,通过系统进化分析,这些基因被归入不同的支系,与奥地利、阿根廷、芬兰和法国的分离株密切相关。根据氨基酸序列的非同义变化,利用 SWISS-MODEL 和 I-TASSER 网络工具进行的蛋白质硅建模显示了一些良好的预测模型,可用于抗病毒筛选。总之,由于 F 蛋白是 RSV 主要抗原的主要靶标,F 基因中已发现的核苷酸变异可能会影响疫苗的开发。RSV 本地分离株的分子监测数据对于研究新的基因组变化和预测潜在的新抗病毒药物也至关重要。
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引用次数: 0
Hepatitis C in North Africa: A Comprehensive Review of Epidemiology, Genotypic Diversity, and Hepatocellular Carcinoma. 北非丙型肝炎:流行病学、基因型多样性和肝细胞癌的综合综述。
IF 1.1 Q4 VIROLOGY Pub Date : 2025-03-24 eCollection Date: 2025-01-01 DOI: 10.1155/av/9927410
Samia Boukaira, Salma Madihi, Hind Bouafi, Zineb Rchiad, Bouchra Belkadi, Abdelouaheb Benani

Hepatitis C virus (HCV) is implicated in carcinogenic infections like hepatocellular carcinoma (HCC). Given that no HCV vaccine is currently available, comprehensive epidemiological understanding is crucial for devising effective prevention strategies. In North Africa, existing data on HCV infection and HCV-associated HCC are frequently outdated or limited to specific populations. This systematic review aims to offer new insights into the epidemiology of HCV infection, HCV genotype distribution, and HCV-related HCC in this region. We collected data from electronic databases: PubMed, ScienceDirect, ResearchGate, Google Scholar, and public health reports between 1989 and 2023. We reported the studies carried out in each country in general populations and in groups exposed to HCV infection. Our results show that HCV prevalence varies from 0.5% to 4.61% among the general populations in North African countries. HCV genotype 1 remains the most dominant in the Greater Maghreb region, while genotype 4 is the most dominant in the Nile Valley region. HCC incidence varies between the five countries, and HCV is responsible for 60% of cases, with male dominance. Egypt had the highest number of deaths from HCV-associated HCC. Other factors such as HBV, diabetes, and alcohol use are also responsible for HCC in North Africa. Urban growth and socioeconomic changes have impacted HCV prevalence in the North African region, especially among rural populations, and introduced new risks, such as coinfections and Type 2 diabetes. Here, we propose some recommendations for HCV control and management by patient category in North Africa.

丙型肝炎病毒(HCV)与肝细胞癌(HCC)等致癌性感染有关。鉴于目前没有丙肝病毒疫苗,全面了解流行病学对于制定有效的预防战略至关重要。在北非,关于丙型肝炎病毒感染和丙型肝炎相关HCC的现有数据往往过时或仅限于特定人群。本系统综述旨在为该地区HCV感染流行病学、HCV基因型分布和HCV相关HCC提供新的见解。我们从电子数据库PubMed、ScienceDirect、ResearchGate、b谷歌Scholar和1989年至2023年的公共卫生报告中收集数据。我们报告了在每个国家的一般人群和暴露于HCV感染的人群中进行的研究。我们的研究结果显示,北非国家一般人群的HCV患病率从0.5%到4.61%不等。HCV基因型1在大马格里布地区仍然是最主要的,而基因型4在尼罗河谷地区是最主要的。HCC发病率在五个国家之间有所不同,HCV占60%,以男性为主。埃及的hcv相关HCC死亡人数最多。在北非,乙肝病毒、糖尿病和饮酒等其他因素也是导致HCC的原因。城市增长和社会经济变化影响了北非地区,特别是农村人口中丙型肝炎病毒的流行,并带来了新的风险,如合并感染和2型糖尿病。在此,我们就北非按患者类别控制和管理丙型肝炎病毒提出了一些建议。
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引用次数: 0
SARS-CoV-2 Infection Among Children in Rondônia, Western Brazilian Amazon: SARS-CoV-2 Among Children in Rondônia. 巴西西部亚马逊Rondônia地区儿童SARS-CoV-2感染:Rondônia地区儿童SARS-CoV-2感染
IF 1.1 Q4 VIROLOGY Pub Date : 2025-02-17 eCollection Date: 2025-01-01 DOI: 10.1155/av/6655790
Gil Guibson Mota Amaral, Gabriella Sgorlon, Valcimar Batista Ferreira, Flávia Serrano Batista, Luana da Silva Soares Farias, Luana Soares Barbagelata, Mirleide Cordeiro Dos Santos, Rayssa Layana da Silva Bedran, Deusilene Souza Vieira Dall'Acqua, Najla Benevides Matos

We analyzed 364 children symptomatic or asymptomatic for respiratory symptoms, aged 0.1 month-17 years, selected from primary healthcare units of different municipalities of Rondônia from June 2021 to September 2022. Data were collected from medical and electronic records for epidemiological characterization. The positive cohort (n = 96) was quantified using a real-time (RT) qPCR and sequenced by next-generation sequencing. Whole-genome sequences were obtained, SARS-CoV-2 strains were classified using the Pango system, and the maximum likelihood method was used for phylogenetic analyses. Among the patients, 59.34% (216/364) were male and 40.66% (148/364) were female. Children aged 10-14 years showed the highest rate of SARS-CoV-2 positivity. At the time of collection, 54.12% (197/364) of the patients were not age-eligible for immunization against COVID-19. The unvaccinated group accounted for 34.07% (124/364), with the highest proportion in the age groups of 5-9 and 10-14 years. Most patients exhibited mild symptoms. Seventy-nine high-quality genomes were obtained: Delta variant of concern (VOC) was the most prevalent (most abundant strain: AY.99.2), Omicron VOC was reported in 26 individuals (most frequent subvariant: BA.1.1), and Gamma VOC with 22 cases (12 cases of P.1 strain). The viral load showed a median of 7.26 log10 copies/mL, with a mean symptom duration of 4 days. Most of the cases were from children who were unvaccinated and age-ineligible for immunization and were associated with Delta and Omicron VOCs with an increase in subvariants during the study period.

我们分析了364名有呼吸道症状或无呼吸道症状的儿童,年龄0.1个月-17岁,他们来自Rondônia不同城市的初级卫生保健单位,时间为2021年6月至2022年9月。从医疗和电子记录中收集数据以进行流行病学特征分析。阳性队列(n = 96)采用实时荧光定量pcr (RT)定量,并采用下一代测序技术进行测序。获得全基因组序列,采用Pango系统对SARS-CoV-2菌株进行分类,并采用最大似然法进行系统发育分析。其中男性占59.34%(216/364),女性占40.66%(148/364)。10-14岁儿童的SARS-CoV-2阳性率最高。在收集时,54.12%(197/364)的患者不符合COVID-19免疫接种的年龄条件。未接种组占34.07%(124/364),以5-9岁和10-14岁年龄组比例最高。大多数患者表现出轻微的症状。获得79个高质量基因组,其中Delta变异(VOC)最为普遍(最丰富的菌株:AY.99.2), Omicron变异(最常见的亚变体:BA.1.1) 26例,Gamma VOC 22例(P.1菌株12例)。病毒载量中位数为7.26 log10拷贝/mL,平均症状持续时间为4天。大多数病例来自未接种疫苗和年龄不符合免疫条件的儿童,并且在研究期间与Delta和Omicron挥发性有机化合物的亚变体增加有关。
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引用次数: 0
The Interplay Between Viral Infection and Cell Death: A Ping-Pong Effect. 病毒感染和细胞死亡之间的相互作用:乒乓效应。
IF 1.1 Q4 VIROLOGY Pub Date : 2025-02-03 eCollection Date: 2025-01-01 DOI: 10.1155/av/5750575
Alireza Nourazarian, Hadi Yousefi, Cigir Biray Avci, Behrouz Shademan, Emad Behboudi

Programmed cell death (PCD) is a well-studied cellular mechanism that plays a critical role in immune responses, developmental processes, and the maintenance of tissue homeostasis. However, viruses have developed diverse strategies to bypass or manipulate the host apoptotic machinery to enhance their replication and survival. As a result, the interaction between PCD pathways and viruses has garnered increased interest, leading to many studies being published in recent years. This study aims to provide an overview of the current understanding of PCD pathways and their significance in viral infections. We will discuss various forms of cell death pathways, including apoptosis, autophagy, necroptosis, and pyroptosis, as well as their corresponding molecular mechanisms. In addition, we will show how viruses manipulate host PCD pathways to prevent or delay cell death or facilitate viral replication. This study emphasizes the importance of investigating the mechanisms by which viruses control the host's PCD machinery to gain insight into the evolutionary dynamics of host-pathogen interactions and to develop new approaches for predicting and managing viral threats. Overall, we aimed to highlight new research areas in PCD and viruses, including introduction of new targets for the development of new antiviral drugs to modulate the cellular apoptotic machinery and novel inhibitors of host cell death pathways.

程序性细胞死亡(PCD)是一种被广泛研究的细胞机制,在免疫应答、发育过程和组织稳态维持中起着关键作用。然而,病毒已经发展出多种策略来绕过或操纵宿主凋亡机制,以增强其复制和存活。因此,PCD途径与病毒之间的相互作用引起了越来越多的兴趣,导致近年来发表了许多研究。本研究旨在概述目前对PCD途径的理解及其在病毒感染中的意义。我们将讨论各种形式的细胞死亡途径,包括凋亡、自噬、坏死坏死和焦亡,以及它们相应的分子机制。此外,我们将展示病毒如何操纵宿主PCD途径来防止或延迟细胞死亡或促进病毒复制。本研究强调了研究病毒控制宿主PCD机制的重要性,以深入了解宿主-病原体相互作用的进化动力学,并开发预测和管理病毒威胁的新方法。总的来说,我们的目标是突出PCD和病毒的新研究领域,包括引入新的靶点,开发新的抗病毒药物来调节细胞凋亡机制和宿主细胞死亡途径的新抑制剂。
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引用次数: 0
Epidemiological, Biological, and Clinical Characteristics of Central Nervous System Enterovirus Infections Among Hospitalized Patients at Ibn Sina University Hospital Center in Rabat: Case Study Report (A Series of 19 Cases). 拉巴特伊本西那大学医院中心住院患者中枢神经系统肠病毒感染的流行病学、生物学和临床特征:病例研究报告(19例)
IF 1.1 Q4 VIROLOGY Pub Date : 2024-11-21 eCollection Date: 2024-01-01 DOI: 10.1155/av/8748295
Chemsdine Echiguer, Ghizlane El Amin, Amal Zouaki, Jalila Zirar, Myriam Seffar, Chafiq Mahraoui, Hakima Kabbaj

Enterovirus can cause central nervous system (CNS) infections ranging from meningitis to severe encephalitis. The aims of our study were to describe and develop the current epidemiological, biological, and clinical aspects of these infections as well as to enrich Moroccan data. This is a retrospective study conducted from January 2021 to March 2023, which included all patients admitted to the hospitals of Ibn Sina University Hospital Center in Rabat (Morocco) with clinical suspicion of CNS infection and positive cerebrospinal fluid (CSF) for enterovirus detected by BioFire® FilmArray® panel meningitis/encephalitis. 1479 CSF were analyzed by multiplex PCR. Enterovirus was detected in 19 patients (1.28%) with a median age of 5 years, predominantly affecting male patients (73.7%) and children (94.7%), especially those aged 2 years and older (68.4%). Fever was the most common symptom (77.8%), followed by headache (66.7%). The seasonal peak of enterovirus detection was also observed. For most patients, the CSF was predominantly lymphocytic (88.2%) with normal glycorrhachia (84.2%) and proteinorachia (73.7%). A notable proportion (10.5%) had a normal CSF cytology. Hyperproteinorachia was found in 26.3% of cases and hypoglycorrhachia in 5.3%. Blood analysis revealed a normal WBC count in 55.6% of cases, hyperleukocytosis in 33.3%, and leukopenia in 11.1%. CRP was elevated in 72.2% of cases. CNS enterovirus infections were particularly present among the pediatric population in this study. The lack of specificity in clinical and biological manifestations may sometimes suggest bacterial etiology. The widespread use of multiplex PCR can therefore provide a reliable and rapid method of detection and diagnosis.

肠病毒可引起从脑膜炎到严重脑炎的中枢神经系统感染。我们研究的目的是描述和发展这些感染的当前流行病学、生物学和临床方面,并丰富摩洛哥的数据。这是一项于2021年1月至2023年3月进行的回顾性研究,纳入了在摩洛哥拉巴特伊本西纳大学医院中心住院的所有临床怀疑中枢神经系统感染且经BioFire®FilmArray®检测脑脊液肠病毒阳性的脑膜炎/脑炎患者。1479例脑脊液经多重PCR分析。检出肠道病毒19例(1.28%),中位年龄5岁,以男性(73.7%)和儿童(94.7%)居多,以2岁及以上人群居多(68.4%)。发热是最常见的症状(77.8%),其次是头痛(66.7%)。同时也出现了肠道病毒检测的季节性高峰。大多数患者的脑脊液以淋巴细胞为主(88.2%),伴正常的糖量(84.2%)和蛋白量(73.7%)。显著比例(10.5%)脑脊液细胞学检查正常。高蛋白血症发生率为26.3%,低糖血症发生率为5.3%。血液分析显示55.6%的患者白细胞计数正常,33.3%的患者白细胞增多,11.1%的患者白细胞减少。72.2%的病例CRP升高。中枢神经系统肠道病毒感染在本研究中特别存在于儿科人群中。临床和生物学表现缺乏特异性有时可能提示细菌性病因。因此,多重PCR的广泛使用可以提供一种可靠和快速的检测和诊断方法。
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