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Childhood Cytomegalovirus Infection: Case Series and Literature Review 儿童巨细胞病毒感染:病例系列和文献综述
Pub Date : 2017-07-24 DOI: 10.4172/2161-0517.1000168
T. Alemayehu, W. Abebe, Daniel Hailu
Introduction and objectives: Early life Cytomegalovirus infection is an under-recognized disease. Infection can present as congenital, perinatal or acquired forms. Though mostly asymptomatic, it can lead to fatal complications. Case presentation: The clinical presentations of four Ethiopian children with acute Cytomegalovirus infections are reviewed. Three had neonatal disease while one had an acquired infection. Two of the neonatal infections involved preterm deliveries while all three presented with persistent direct hyperbilirubinemia. Serologic tests were used to diagnose their infections. Discussion: Childhood Cytomegalovirus infections involve multiple organs. Viral DNA detection and serologic tests are utilized to diagnose infection at different ages of childhood. Treatment was provided to one of our patients based on existing recommendations while the other three did not receive anti-viral drugs. Conclusions: Early diagnosis and management of pediatric Cytomegalovirus infections will prevent long-term hearing and neurologic disabilities.
前言和目的:早期巨细胞病毒感染是一种未被充分认识的疾病。感染可表现为先天性、围产期或获得性形式。虽然大多数情况下没有症状,但它可能导致致命的并发症。病例介绍:临床表现的四个埃塞俄比亚儿童急性巨细胞病毒感染的审查。其中三人患有新生儿疾病,一人患有获得性感染。两例新生儿感染涉及早产,而三例均表现为持续的直接高胆红素血症。血清学检测用于诊断感染。讨论:儿童巨细胞病毒感染累及多个器官。病毒DNA检测和血清学检测用于诊断儿童不同年龄的感染。我们根据现有的建议对其中一名患者进行了治疗,而其他三名患者没有接受抗病毒药物治疗。结论:儿童巨细胞病毒感染的早期诊断和处理可预防长期的听力和神经功能障碍。
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引用次数: 1
Rhino-Orbito-Cerebral Mucormycosis: Neglected Mycoses in Childhood Malignancies 鼻眶脑毛霉菌病:儿童恶性肿瘤中被忽视的真菌病
Pub Date : 2017-07-20 DOI: 10.4172/2161-0517.1000167
T. Alemayehu
Background: Rhino-orbito-cerebral mucormycosis is an invasive fungal infection affecting mainly the immunecompromised population. Untreated, it is a fatal disorder. Case details: An 8 year old Ethiopian boy under care for Pancytopenia due to aplastic anemia developed bilateral maxillary swelling while on treatment for febrile neutropenia. He had bilateral nasal discharge mixed with blood, stuffiness, high grade fever and a soft palate ulcer. Diagnosis was made clinically and using paranasal sinus imaging. Conclusion: Early diagnosis of Rhino-orbito-cerebral mucormycosis in patients at risk can prevent disfigurement, bacterial super-infection, invasion to contiguous structures and death.
背景:鼻眶脑毛霉菌病是一种侵袭性真菌感染,主要影响免疫功能受损人群。未经治疗,这是一种致命的疾病。病例详情:一名8岁埃塞俄比亚男孩因再生障碍性贫血引起的全血细胞减少症接受治疗,在接受发热性中性粒细胞减少症治疗时出现双侧上颌肿胀。他有双侧鼻腔分泌物,伴有血液、闷热、高烧和软腭溃疡。诊断是临床和使用鼻窦成像。结论:对高危患者进行鼻眶脑毛霉菌病的早期诊断,可以预防畸形、细菌超感染、侵犯邻近结构和死亡。
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引用次数: 1
In Vitro Antagonistic Potential of Trichoderma harzianum for Biological Control of Fusarium moniliforme Isolated from Dioscorea rotundata Tubers. Virol-mycol 6:166 哈茨木霉对圆形薯蓣分离的念珠镰刀菌的体外拮抗潜力。Virol-mycol 6:166
Pub Date : 2017-07-03 DOI: 10.4172/2161-0517.1000166
Gwa Vi, N. Ao
Studies were conducted in vitro to determine the antagonistic potential of Trichoderma harzianum for biological control of Fusarium moniliforme isolated from rotted Dioscorea rotundata tubers. The experiments were performed at Advanced Plant Pathology Laboratory, Federal University of Agriculture, Makurdi, Nigeria. Fungi organisms isolated and identified from the rotted white yam tubers were Botryodiploidia theobromae, Aspergillus flavus, Aspergillus niger, Aspergillus ochraceus, Fusarium moniliforme, Fusarium oxysporum, Penicillium purpurogenum and Pestalotia sp. Pathogenicity tests done confirmed F. moniliforme as one of the organisms responsible for the rot in yam tubers in this location. The antagonist was introduced same time with the pathogen, two days before the inoculation of the pathogen and two days after the inoculation of the pathogen. Plates were incubated for 192 hours and measurements of mycelial radial growths were done at intervals of 24 hours beginning from the third day of inoculation. The results of in vitro dual culture interactions between T. harzianum and F. moniliforme showed that T. harzianum has potentials to significantly (P ≤ 0.05) inhibit the growth of F. moniliforme irrespective of the time of introduction of antagonist and duration of incubation. Mean Percentage growth inhibition was highest (58.70%) when the antagonist was introduced 2 days before inoculation of the pathogen, followed by (52.54%) introduction of the antagonist same time with the pathogen while the least percentage growth inhibition (34.33%) was recorded when T. harzianum was introduced 2 days after inoculation of F. moniliforme. Minimum inhibition concentration showed moderately effective to effective control depending on the time of introduction of the antagonist. In conclusion, biological control agents should be used since they are biodegradable, eco-friendly, less expensive and target specific. The introduction is done before the arrival of pathogenic organisms in order to achieve highest level of effectiveness in controlling post-harvest rots causing organisms.
研究了哈茨木霉对从腐烂的盾叶薯蓣块茎中分离出的串珠镰刀菌的拮抗作用。实验在尼日利亚马库尔迪联邦农业大学高级植物病理学实验室进行。从腐烂的白薯块茎中分离鉴定出的真菌有:黑曲霉、黄曲霉、赭曲霉、串珠镰刀菌、尖孢镰刀菌(Fusarium oxysporum)、紫原青霉(Penicillium purpurogenum)和Pestalotia sp.。致病性试验证实,串珠镰刀杆菌是造成该地区马铃薯块茎腐烂的微生物之一。拮抗剂在接种病原体前两天和接种病原体后两天与病原体同时引入。培养板培养192小时,并从接种第三天开始每隔24小时测量菌丝径向生长。研究表明,无论拮抗剂的引入时间和孵育时间如何,哈茨霉和串珠镰刀菌的体外双培养相互作用结果均表明,哈茨霉具有显著抑制串珠镰刀豆生长的潜力(P≤0.05)。当在接种病原体前2天引入拮抗剂时,平均生长抑制百分比最高(58.70%),其次是与病原体同时引入拮抗剂(52.54%),而当在接种念珠藻后2天引入哈齐亚木时,记录的生长抑制百分比最低(34.33%)。根据拮抗剂的引入时间,最小抑制浓度显示出适度有效到有效的控制。总之,应该使用生物控制剂,因为它们是可生物降解的、环保的、便宜的和靶向性的。引入是在病原生物到来之前进行的,以便在控制收获后引起腐烂的生物方面达到最高水平的有效性。
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引用次数: 13
Metadichol and infectious diseases: One process many diseases, many possible cures 双重酒精和传染病:一种治疗多种疾病的方法,多种可能的治疗方法
Pub Date : 2017-05-18 DOI: 10.4172/2161-0517-C1-019
G. S. Anusuya
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引用次数: 1
Risk of Human papilloma virus in causing cervical cancer and the recent advancement in vaccination as a preventive measure 人乳头瘤病毒引起子宫颈癌的风险及预防接种的最新进展
Pub Date : 2017-05-18 DOI: 10.4172/2161-0517-C1-020
Limin Chen
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引用次数: 48
In vitro Broad Antiviral Function against HBV, HSV, H3N2 Replication byBaicalin and Oroxylin A-7-O-ÃÂ-D-Glucoside 黄芩苷和Oroxylin A-7-O抗HBV, HSV, H3N2复制的体外广泛抗病毒功能-ÃÂ-D-Glucoside
Pub Date : 2017-04-13 DOI: 10.4172/2161-0517.1000165
Duopeng An, Jun Li, Z. Guan, Xiang Wang, Shui Yu, Yun-Yi Zhu, Hai Huang, Xiaoyuan Yang, Jiyang Li
Flavonoids have been previously shown to possess anti-viral activities In vitro. Oroxylin A-7-O-β-D-glucoside (OAG), a flavonoids produced by microbial conversion, and its substrate baicalin, were assayed for antiviral function against hepatitis B virus (HBV), herpes simplex virus type 2 (HSV-2) and influenza A virus (H3N2). Incubation with 100 μg/ml OAG or baicalin for 9 days reduced human HBV-transfected liver cell line HepG2 2.2.15 secretion of Hepatitis B surface antigen (HBsAg) by 83.17%, and 47.175%, respectively, and Hepatitis B e antigen (HBeAg) by 27.35%, 25.56% respectively. OAG and baicalin inhibited HSV-II-induced cell death in a concentration dependent manner (ranging from by 75% and 62.5%, respectively at 12.5 μg/ml and 50%, 37.5%, respectively at 6.25 μg/ml). OAG (100 μg/ml) and biacalin (50 μg/ml) also effectively inhibited H3N2-induced toxicity in MDCK by 62.5% and 50%, respectively. In summary, OAG and baicalin could inhibit several viruses In vitro and OAG was more potent than baicalin. OAG may represent a candidate antiviral with broad activity against HBV, HSV-2 and H3N2 infection.
黄酮类化合物在体外已被证明具有抗病毒活性。研究了微生物转化制备的黄酮类化合物Oroxylin a -7- o -β-D-glucoside (OAG)及其底物黄芩苷对乙型肝炎病毒(HBV)、单纯疱疹病毒2型(HSV-2)和甲型流感病毒(H3N2)的抗病毒作用。100 μg/ml OAG或黄芩苷孵育9 d后,人乙肝病毒转染的肝细胞株HepG2 2.2.15分泌的乙型肝炎表面抗原(HBsAg)分别降低83.17%、47.175%,乙型肝炎e抗原(HBeAg)分别降低27.35%、25.56%。OAG和黄芩苷抑制hsv - ii诱导的细胞死亡呈浓度依赖性(12.5 μg/ml时分别为75%和62.5%;6.25 μg/ml时分别为50%和37.5%)。OAG (100 μg/ml)和biacalin (50 μg/ml)对h3n2诱导的MDCK毒性的抑制作用分别为62.5%和50%。综上所述,OAG和黄芩苷对多种病毒均有体外抑制作用,且OAG的抑制作用强于黄芩苷。OAG可能是一种对HBV、HSV-2和H3N2感染具有广泛活性的候选抗病毒药物。
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引用次数: 1
A trivalent protein subunit vaccine for the treatment of Genital Herpes disease and subclinical infection in a pre-clinical model 在临床前模型中治疗生殖器疱疹和亚临床感染的三价蛋白亚单位疫苗
Pub Date : 2017-04-10 DOI: 10.4172/2161-0517.C1.016
Sita Awasthi
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引用次数: 0
Molecular Detection of a Begomovirus Species on Chaya (Cnidoscolusacontifolia) from Madhya Pradesh, India which is Distantly Related to SriLankan Cassava Mosaic Virus 印度中央邦Chaya(Cnidoscolusacontifolia)上一种与斯里兰卡木薯花叶病毒有亲缘关系的Begomovirus的分子检测
Pub Date : 2017-03-14 DOI: 10.4172/2161-0517.1000164
S. K. Snehi, Anita Singh Purvia, G. Gupta, S. S. Parihar, vinod k. singh
The natural occurrence of a Begomovirus associated with severe mosaic disease on Chaya (Cnidoscolus acontifolia) has been detected by PCR from Madhya Pradesh, India. The Begomovirus showed highest nucleotide sequence identities and distinct phylogenetic relationships of coat protein gene (CP) with several isolates of Sri Lankan Cassava Mosaic Virus (SrLCMV). To the best of our knowledge, this is the first report of SrLCMV infecting Cnidoscolus acontifolia, and it is a new host of Begomovirus from India.
在印度中央邦通过PCR检测到一种与严重马赛克病相关的秋海棠病毒在Chaya(Cnidoscolus acontifolia)上自然发生。Begomovirus与斯里兰卡木薯花叶病毒(SrLCMV)的几个分离株具有最高的核苷酸序列同源性和不同的外壳蛋白基因系统发育关系。据我们所知,这是首次报道SrLCMV感染刺突藻,它是来自印度的Begomovirus的新宿主。
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引用次数: 5
New Treatment Regime for Aspergillus Mediated Infections 曲霉介导感染的新治疗方案
Pub Date : 2017-03-08 DOI: 10.4172/2161-0517.1000163
R. Thakur, J. Shankar
Aspergillus species such as A. fumigatus, A. flavus and A. terreus are among the leading opportunistic fungal infections in immunocompromised patients. They are the causative agent of pulmonary or invasive aspergillosis, or various allergic manifestations such as allergic bronchopulmonary aspergillosis (ABPA) [1]. The mortality rate is 60% to 85% in hematopoietic stem cell transplant patients and 22% in patients having solid organ transplant [2]. The emergence of drug resistance Aspergillus species possess a new threat to these individuals. Over the last few years, the use of azole fungicides in agriculture have been increased that lead to emergence of azole resistant Aspergillus species strains [3]. Chowdhary et al. reported the prevalence of triazole resistance environmental isolates of A. fumigatus (4.8% to 7%) over different years [4]. Thus the emergence of resistance Aspergillus species strains and drug toxicity to immunocompromised patients put forward a new challenging task to control Aspergillus infections. To overcome these challenges, adoptive T-cell immunotherapy can play an important role [5]. Recently, studies on Thelper cells have been carried out to protect patients from fungal infections. Studies in mouse and human suggested the importance of TH1 and TH17 cells in controlling invasive aspergillosis and T-helper subset showed promising regime to eliminate invasive Aspergillus infections [6]. Studies in patients demonstrated that the early release of IFN-γ suppress the activation of TH2 T-helper cells and increase the activity of TH1 cells. These TH1 cells showed the promising role in protection against aspergillosis [5]. Further, over the last few years, different methods have been developed for the proliferation or expanding of functionally active or fungal characterized T-helper cells. Along with this, now a day’s more data is available on the use of donor derived T-cells (Virus specific T-cells) associated to viral infections in allogeneic stem cell transplantations, which suggest the negligible severe adverse effects in recipients [7]. However, only few studies have been reported on adoptive T-cell immunotherapy against fungal infections. Perruccio et al. demonstrated the adoptive T-cell immunotherapy in haploidentical stem cell patients having T-cell depleted graft. Study has been performed in patient having invasive aspergillosis and a promising result was observed. Ten recipients of haploidentical stem cell transplant having evidence of invasive aspergillosis received a single dose of 1 × 105 – 1 × 106 donor derived anti-Aspergillus expanded T-cell clones. Within three weeks of infusion of anti-Aspergillus T-cells, CD4+ T-cells have detected in recipients and 9 of 10 recipients also clear the Aspergillus infection within 7.8 ± 3.4 weeks. Further, glactomannan level progressively declined below 1 ng/ml within the measured period of 6 to 12 week of infusion. Whereas in control individuals, who did not receive antiAspergillus T
烟曲霉、黄曲霉和土曲霉等曲霉是免疫功能低下患者中主要的机会性真菌感染。它们是肺部或侵袭性曲霉病的病原体,或各种过敏表现,如过敏性支气管肺曲霉病(ABPA)[1]。造血干细胞移植患者死亡率为60% - 85%,实体器官移植患者死亡率为22%。耐药曲霉的出现给这些个体带来了新的威胁。在过去的几年里,在农业中使用的唑类杀菌剂越来越多,导致了抗唑曲霉菌株[3]的出现。Chowdhary等人报道了不同年份烟曲霉环境分离株对三唑耐药的流行率(4.8% ~ 7%)[b]。因此,耐药曲霉菌种的出现和对免疫功能低下患者的药物毒性对曲霉感染的控制提出了新的挑战。为了克服这些挑战,过继性t细胞免疫疗法可以发挥重要作用。最近,研究人员对Thelper细胞进行了研究,以保护患者免受真菌感染。小鼠和人的研究表明TH1和TH17细胞在控制侵袭性曲霉病中的重要性,t辅助亚群在消除侵袭性曲霉感染方面表现出很好的效果。对患者的研究表明,IFN-γ的早期释放抑制TH2 t辅助细胞的激活,并增加TH1细胞的活性。这些TH1细胞在抗曲霉病方面显示出有希望的作用。此外,在过去的几年中,已经开发了不同的方法来增殖或扩增功能活跃或真菌特征的t辅助细胞。与此同时,在同种异体干细胞移植中使用与病毒感染相关的供体衍生t细胞(病毒特异性t细胞)的数据越来越多,这表明受体bbb的严重不良反应可以忽略不计。然而,关于过继性t细胞免疫治疗真菌感染的研究报道很少。Perruccio等人证明了t细胞耗尽移植的单倍体相同干细胞患者的过继性t细胞免疫治疗。在侵袭性曲霉病患者中进行了研究,并观察到有希望的结果。有侵袭性曲霉病证据的10例单倍体干细胞移植受者接受单剂量1 × 105 - 1 × 106供体来源的抗曲霉扩增t细胞克隆。注射抗曲霉t细胞3周内,受者体内检测到CD4+ t细胞,10例受者中有9例在7.8±3.4周内清除了曲霉感染。此外,在注射6至12周的测量期间,冰霜甘露聚糖水平逐渐降至1 ng/ml以下。而在未接受抗曲霉t细胞克隆的对照组中,13例患者中有6例在诊断后4.8±1.2周内死于曲霉感染,并且在研究期间观察到半乳甘露聚糖水平升高。此外,t细胞的生物工程为治疗免疫功能低下患者的真菌感染开辟了另一种方法。模式识别受体如可溶性(pentaxin -3)和细胞结合受体(Dectin-1)在真菌病原体[9]的识别和消除中起着至关重要的作用。因此,细胞结合受体在t细胞上的工程化消除了MHC代表抗原和快速清除病原体的需要。Kumaresan等人设计了细胞毒性t细胞来对抗曲霉感染。他们将先天免疫细胞受体(Dectin-1)与t细胞连接起来,以改变它们对曲霉真菌的特异性。制备了一种嵌合抗原受体(CAR)在t细胞上表达。Dectin-1是一种存在于先天免疫细胞(如巨噬细胞、中性粒细胞和树突状细胞)上的受体,它能识别真菌细胞壁上存在的β-葡聚糖。Kumaresean等人使用睡美人(SB)转座子/转座酶系统来培养这种细胞。具有这些指定嵌合抗原受体(D-CAR)的t细胞对β葡聚糖具有特异性,从而导致曲霉菌丝[2]的损伤。
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引用次数: 1
Construction and Detection of Recombinant Adeno-Associated Virus Co-Expressing PRRSV GP5, M Proteins and shRNA 共表达PRRSV GP5、M蛋白和shRNA的重组腺相关病毒的构建与检测
Pub Date : 2017-02-15 DOI: 10.4172/2161-0517.1000161
Bin Yang, X. Lan, Y. Qiu
Porcine reproductive and respiratory syndrome virus (PRRSV) is a severe threat to the swine industry and has caused heavy economic losses worldwide. The currently used inactivated and attenuated virus vaccines have several shortcomings, such as unsafety and low protection rate, so it is urgent to develop a new vaccine. To explore and develop a novel vaccine against PRRSV, a bi-functional recombinant adeno-associated virus, expressing ORF5 and ORF6 proteins as well as a short interfering RNA (shRNA) against ORF7, was constructed. The shRNA against ORF7 was inserted into the sequence forward of the U6 promoter of pAAV-U6-IRES-hrGFP, and ORF5 and ORF6 were cloned into the sequence after the CMV promoter. 293T cells that were co-transfected with this vector along with pAAV-RC and pHelper produced a recombinant adeno-associated virus. 293T cells transduced with this recombinant virus expressed GP5 and M proteins, and Marc145 cells transduced with this recombinant virus suppressed the replication of PRRSV. The infective titer of the reconstructed virus was 1.9 × 1010 v.gmL as measured by the dot blotting method, and GP5 and M proteins were detected by western blot. The successful construction of rAAV-shRNA-ORF5-6 paves the way for the development of novel bi-functional vaccines against PRRSV.
猪繁殖与呼吸综合征病毒(PRRSV)是对养猪业的严重威胁,在世界范围内造成了严重的经济损失。目前使用的病毒灭活疫苗和减毒疫苗存在不安全、保护率低等缺点,迫切需要研制新型疫苗。为了探索和开发新的PRRSV疫苗,构建了一种表达ORF5和ORF6蛋白以及ORF7短干扰RNA (shRNA)的双功能重组腺相关病毒。将针对ORF7的shRNA插入到pAAV-U6-IRES-hrGFP的U6启动子前面的序列中,将ORF5和ORF6克隆到CMV启动子之后的序列中。将该载体与pAAV-RC和pHelper共转染293T细胞,产生重组腺相关病毒。转染重组病毒的293T细胞表达GP5和M蛋白,转染重组病毒的Marc145细胞抑制PRRSV的复制。点印迹法检测重组病毒的感染滴度为1.9 × 1010 v.gmL, western印迹法检测GP5和M蛋白。rAAV-shRNA-ORF5-6的成功构建为新型PRRSV双功能疫苗的研制奠定了基础。
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引用次数: 0
期刊
Virology & mycology : infectious diseases
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