关键词: Aspergillosis Co-infection HTLV-1 HTLV-2 Histoplasmosis Paracoccidioidomycosis

来  源:   DOI:10.1016/j.lana.2022.100339   PDF(Pubmed)

Abstract:
UNASSIGNED: Brazil is a country endemic for human T-lymphotropic virus 1 and 2 (HTLV-1 and HTLV-2), systemic mycoses such as paracoccidioidomycosis (PCM) and histoplasmosis (HP), and aspergillosis (AP). The prevalence of HTLV-1/-2 infections in individuals with endemic mycoses in Latin America is unknown; however, an association between HTLV-1 and severe PCM and HP has been observed in Peru. Addressing this knowledge gap, we searched for HTLV-1/-2 antibodies in serum samples sent to the Instituto Adolfo Lutz, São Paulo, Brazil, for systemic mycosis diagnosis.
UNASSIGNED: We used 387 sera from a biorepository that had seropositive results for Paracoccidioides spp. (G1, n=212), Histoplasma capsulatum (G2, n=95), Aspergillus spp. (G3, n=61), and at least two of these fungi (G4, n=19). We searched for the presence of HTLV-1/-2 antibodies using commercial immunoassays: enzyme immunoassay (HTLV-I+II Murex, Diasorin), western blotting (HTLV Blot 2.4, MP Biomedicals), and line immunoassay (INNO-LIA HTLV I/II, Fujirebio). Demographic characteristics were evaluated in each group.
UNASSIGNED: Different regions in São Paulo were sampled. Most samples were from males (76.2%; p=0.001), except for G3, in which no sex bias was detected. Mean age differences were observed between groups: patients with PCM and HP had a similar mean age (42.8 and 42.0 years, respectively), while those with AP and co-fungal infection were older (55.1 and 52.8 years, respectively, (p<0.001). Noteworthy, males were older than females in G1 (p=0.005). Screening detected HTLV-1/2 antibodies in five samples (1.30%; 95% CI: 0.8-1.8%), with two borderline results. HTLV-1/2 was confirmed in two samples: 2/387 (0.52%; 0.063-1.85%): one HTLV-2, male, 42 years, from G1: 1/212 (0.47%; 0.012-2.60%), and one HTLV-1, male, 51 years, from G3: 1/61 (1.64%; 0.042-8.80%).
UNASSIGNED: In the state of São Paulo, HTLV-1 and HTLV-2 seem to circulate in male patients with systemic mycoses, and since HTLV-1 could impact fungal disease severity, the identification of co-infection is important regardless of prevalence.
UNASSIGNED: Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Fundação de Amparo a Pesquisa do Estado de São Paulo (FAPESP), and Instituto Adolfo Lutz.
摘要:
未经评估:巴西是人类嗜T淋巴细胞病毒1和2(HTLV-1和HTLV-2)的流行国家,全身性真菌病,如副角菌病(PCM)和组织胞浆菌病(HP),和曲霉病(AP)。在拉丁美洲有地方性真菌病的个体中HTLV-1/-2感染的患病率是未知的;然而,在秘鲁观察到HTLV-1与重度PCM和HP之间的关联。解决这一知识差距,我们在送往AdolfoLutz研究所的血清样本中搜索了HTLV-1/-2抗体,圣保罗,巴西,用于全身真菌病诊断。
UNASSIGNED:我们使用了来自生物储存库的387份血清,该血清对副球菌属具有血清阳性结果。(G1,n=212),组织胞浆(G2,n=95),曲霉属。(G3,n=61),和这些真菌中的至少两种(G4,n=19)。我们使用商业免疫测定法搜索HTLV-1/-2抗体的存在:酶免疫测定法(HTLV-IIIMurex,Diasorin),蛋白质印迹(HTLV印迹2.4,MP生物医学),和线免疫测定(INNO-LIAHTLVI/II,Fujirebio)。评估每组的人口统计学特征。
UNASSIGNED:对圣保罗的不同地区进行了采样。大多数样本来自男性(76.2%;p=0.001),除了G3,没有检测到性别偏见。观察到两组之间的平均年龄差异:PCM和HP患者的平均年龄相似(42.8和42.0岁,分别),而患有AP和共真菌感染的人年龄较大(55.1和52.8岁,分别,(p<0.001)。值得注意的是,G1期男性年龄大于女性(p=0.005)。筛选检测到5个样本中的HTLV-1/2抗体(1.30%;95%CI:0.8-1.8%),有两个临界结果。HTLV-1/2在两个样本中得到证实:2/387(0.52%;0.063-1.85%):一个HTLV-2,男性,42年,从G1:1/212(0.47%;0.012-2.60%),还有一个HTLV-1男性,51年,从G3:1/61(1.64%;0.042-8.80%)。
未经评估:在圣保罗州,HTLV-1和HTLV-2似乎在患有全身性真菌病的男性患者中循环,由于HTLV-1会影响真菌病的严重程度,无论患病率如何,共同感染的识别都很重要.
UNASIGNED:CoordenaçãdeAperfeiçoamentodePessoaldeNívelSuperior(CAPES),圣保罗议会基金会(FAPESP),阿道夫·卢茨研究所。
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