Picornaviridae Infections

Picornaviridae 感染
  • 文章类型: Journal Article
    鼻病毒(RV)是儿童急性呼吸道感染(ARI)的主要原因。RV病毒载量(VL)、RV/病毒共检测和疾病严重程度,不完全理解。我们研究了2011-2013年使用PCR小组鉴定为住院或门诊患者的RV-ARI≤21岁的儿童和青少年。RVVL根据周期阈值(CT)值进行分层,高(≤25),中间(26-32)和低(>32)。进行了调整后的分析,以评估RVVL和RV/病毒在入院时的作用。需氧量,PICU护理,和逗留时间的长短。在1,899名RV-ARI儿童中,78%有慢性合并症,24%有RV/病毒共检。单次RV与RV/病毒共检测与较高的VL(24.74vs26.62CT;p=0.001)和年龄较大(14.9vs9.5个月;p=0.0001)相关。RV/病毒共同检测的频率与RV负荷成反比:低32%;中等28%,高VL的19%,p=0.0001。基础条件与所有临床结果独立相关,高VL与PICU护理,和单一RV-ARI住院几率较高。总之,单一RV与RV/病毒共检测与较高的VL和年龄相关。潜在的疾病,而不是RV负荷或RV/病毒共检,一致预测更差的临床结果。
    Rhinoviruses (RVs) are a leading cause of acute respiratory infections (ARI) in children. The relationship between RV viral loads (VL), RV/viral-co-detections and disease severity, is incompletely understood. We studied children and adolescents ≤21 years with RV-ARI that were identified as inpatients or outpatients using a PCR panel from 2011-2013. RV VL were stratified according to cycle threshold (CT) values in high (≤25), intermediate (26-32) and low (>32). Adjusted analyses were performed to assess the role RV VL and RV/viral codetections on hospital admission, oxygen requirement, PICU care, and length of stay. Of 1,899 children with RV-ARI, 78% had chronic comorbidities and 24% RV/viral co-detections. Single RV vs RV/viral co-detections was associated with higher VL (24.74 vs 26.62 CT; p = 0.001) and older age (14.9 vs 9.5 months; p = 0.0001). Frequency of RV/viral co-detections were inversely proportional to RV loads: 32% with low; 28% with intermediate, and 19% with high VL, p = 0.0001. Underlying conditions were independently associated with all clinical outcomes, high VL with PICU care, and single RV-ARI with higher odds of hospitalization. In summary, single RV vs RV/viral co-detections were associated with higher VL and older age. Underlying diseases, rather than RV loads or RV/viral co-detections, consistently predicted worse clinical outcomes.
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  • 文章类型: Journal Article
    在这项研究中进行了在韩国鉴定的阿奇病毒(AiV)的全基因组序列(WGS)分析。使用Sanger和纳米孔测序,AiV的8228个核苷酸长的基因组序列(OQ121963)被确定并确认属于基因型A。OQ121963的全长基因组由一个编码单个多蛋白的7296nt开放阅读框(ORF)组成,和5'UTR(676nt)和3'UTR(256nt)在5'和3'端,分别。ORF由前导蛋白(L)组成,结构蛋白P1(VP0,VP1和VP3),和非结构蛋白P2(2A,2B,和2C)和P3(3A,3B,3C,和3D)。5'UTR的二级结构分析仅鉴定了茎环C(SL-C),而不是SL-A和SL-B。通过MegAlignPro分析AiV基因组的可变区,并使用迄今为止已知的16个AiV全基因组通过SimPlot分析再次确认。在整个地区中,结构蛋白P1区与参考序列AB040749(起源于日本;基因型A)的氨基酸同一性最低(96.07%),而在非结构蛋白区域P2和P3中,在3D区域中确认了最高的氨基酸同一性(98.26%)。此外,OQ121963的WGS的系统发育分析表明,与JX564249(起源于台湾;基因型A)的同源性最高(96.96%),与DQ028632(起源于巴西;基因型B)的同源性最低(90.14%)。因此,本研究中进行的OQ121963的完整基因组鉴定和AiV的系统发育分析提供了有用的信息,可以改进AiV的诊断工具和流行病学研究.
    The whole-genome sequence (WGS) analysis of Aichivirus (AiV) identified in Korea was performed in this study. Using Sanger and Nanopore sequencing, the 8228-nucleotide-long genomic sequence of AiV (OQ121963) was determined and confirmed to belong to genotype A. The full-length genome of OQ121963 consisted of a 7296 nt open reading frame (ORF) that encodes a single polyprotein, and 5\' UTR (676 nt) and 3\' UTR (256 nt) at 5\' and 3\' ends, respectively. The ORF consisted of leader protein (L), structural protein P1 (VP0, VP1, and VP3), and nonstructural protein P2 (2A, 2B, and 2C) and P3 (3A, 3B, 3C, and 3D). The secondary structure analysis of the 5\' UTR identified only stem-loop C (SL-C) and not SL-A and SL-B. The variable region of the AiV genome was analyzed by MegAlign Pro and reconfirmed by SimPlot analysis using 16 AiV whole genomes known to date. Among the entire regions, structural protein region P1 showed the lowest amino acid identity (96.07%) with reference sequence AB040749 (originated in Japan; genotype A), while the highest amino acid identity (98.26%) was confirmed in the 3D region among nonstructural protein region P2 and P3. Moreover, phylogenetic analysis of the WGS of OQ121963 showed the highest homology (96.96%) with JX564249 (originated in Taiwan; genotype A) and lowest homology (90.14%) with DQ028632 (originated in Brazil; genotype B). Therefore, the complete genome characterization of OQ121963 and phylogenetic analysis of the AiV conducted in this study provide useful information allowing to improve diagnostic tools and epidemiological studies of AiVs.
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  • 文章类型: Journal Article
    鼻病毒C(RV-C)感染气道上皮细胞,是人类急性呼吸道疾病的重要原因。询问RV-C介导的疾病的机制,动物模型是必不可少的。为此,最近在野生型(WT)小鼠中报道了RV-C感染,然而,滴度没有持续。因此,对小鼠RV-C感染的要求尚不清楚.值得注意的是,先前的工作涉及人类钙黏着蛋白相关家族成员3(CDHR3)和干扰素基因刺激因子(STING)作为病毒摄取和复制的必需宿主因子,分别。这里,我们报道,即使人(h)和鼠(m)CDHR3直系同源物具有相似的组织分布,氨基酸序列同源性有限。Further,而RV-C可以在小鼠肺上皮1型(LET1)细胞中复制并产生感染性病毒,我们观察到hSTING表达后dsRNA阳性细胞的频率和强度显着增加。基于这些发现,我们试图评估hCDHR3和hSTING对小鼠体内RV-C感染的影响。因此,我们开发了hCDHR3转基因小鼠,并利用腺相关病毒(AAV)将hSTING递送至鼠气道。随后用RV-C15攻击这些小鼠显示,与任一WT小鼠相比,在表达hCDHR3和hSTING的小鼠感染后24小时,滴度明显更高。或单独使用hCDHR3或hSTING的小鼠,表明更有效的感染。最终,这种小鼠模型可以进一步工程,以建立一个强大的体内模型,概述病毒动力学和疾病。
    Rhinovirus C (RV-C) infects airway epithelial cells and is an important cause of acute respiratory disease in humans. To interrogate the mechanisms of RV-C-mediated disease, animal models are essential. Towards this, RV-C infection was recently reported in wild-type (WT) mice, yet, titers were not sustained. Therefore, the requirements for RV-C infection in mice remain unclear. Notably, prior work has implicated human cadherin-related family member 3 (CDHR3) and stimulator of interferon genes (STING) as essential host factors for virus uptake and replication, respectively. Here, we report that even though human (h) and murine (m) CDHR3 orthologs have similar tissue distribution, amino acid sequence homology is limited. Further, while RV-C can replicate in mouse lung epithelial type 1 (LET1) cells and produce infectious virus, we observed a significant increase in the frequency and intensity of dsRNA-positive cells following hSTING expression. Based on these findings, we sought to assess the impact of hCDHR3 and hSTING on RV-C infection in mice in vivo. Thus, we developed hCDHR3 transgenic mice, and utilized adeno-associated virus (AAV) to deliver hSTING to the murine airways. Subsequent challenge of these mice with RV-C15 revealed significantly higher titers 24 h post-infection in mice expressing both hCDHR3 and hSTING-compared to either WT mice, or mice with hCDHR3 or hSTING alone, indicating more efficient infection. Ultimately, this mouse model can be further engineered to establish a robust in vivo model, recapitulating viral dynamics and disease.
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  • 文章类型: Journal Article
    马鼻炎A(ERAV)和B(ERBV)病毒是世界范围内分布的呼吸道病原体。当前的研究旨在确定波兰国家螺柱上的马和马驹中ERAV和ERBV的感染频率,并确定获得的病毒内的遗传变异性。针对5'非翻译区的病毒特异性定量RT-PCR测定用于筛选从来自波兰的16个国家马钉的621匹马收集的鼻拭子,包括553匹健康马和68匹呼吸道疾病马。从qRT-PCR阳性样品中扩增并测序部分DNA聚合酶基因。使用系统发育和遗传网络分析对获得的序列进行分析。没有一个鼻拭子ERAV阳性,而在从10匹健康马和1只受呼吸道疾病影响的小马驹收集的11/621(1.78%)样本中发现了ERBV。部分DNA聚合酶基因序列变异性与仅分析波兰序列时收集的单个马和螺柱相关,但是当将波兰和国际序列纳入网络时,原籍国和ERBV序列之间没有相关性。该报告首次在波兰检测到ERBV。
    Equine rhinitis A (ERAV) and B (ERBV) viruses are respiratory pathogens with worldwide distribution. The current study aimed to determine the frequency of infection of ERAV and ERBV among horses and foals at Polish national studs, and to determine genetic variability within the viruses obtained. Virus-specific quantitative RT-PCR assays targeting a 5\' untranslated region were used to screen nasal swabs collected from 621 horses at 16 national horse studs from throughout Poland, including 553 healthy horses and 68 horses with respiratory disease. A partial DNA polymerase gene was amplified and sequenced from the qRT-PCR-positive samples. The obtained sequences were analysed using phylogeny and genetic network analysis. None of the nasal swabs were positive for ERAV, whereas ERBV was found in 11/621 (1.78%) samples collected from 10 healthy horses and one foal affected by respiratory disease. Partial DNA polymerase gene sequence variability was correlated with individual horses and studs from which samples were collected when only Polish sequences were analysed, but there was no correlation between country of origin and ERBV sequence when Polish and international sequences were included in the network. The report presents the first detection of ERBV in Poland.
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  • 文章类型: Journal Article
    SARS-CoV-2大流行导致全球病毒基因组监测的规模扩大。然而,潮湿实验室的限制(经济,基础设施,和人员)在许多资源有限的环境中,将新病毒变体序列信息翻译为有意义的免疫学和结构见解,这些见解对于开发具有广泛作用的对策(特别是对于新兴和重新出现的病毒)仍然是一个挑战。这里,我们描述了一个结合废水监测的工作流程,高通量测序,系统发育学,免疫信息学,和病毒衣壳结构建模,用于对废水中鉴定的未培养的小核糖核酸病毒序列进行基因型到血清型表征。具体来说,我们分析了犬小核糖核酸病毒(CanPV),它们是引起犬科全身性感染的未培养且尚未分配的Picornaviridae家族成员。我们分析了2019年10月至2020年3月以及2020年10月至2021年3月期间美国西南部约70万人的118个存档(储存在-20°C)废水(WW)样本。按月将样品汇集成12个两升体积,使用450nm膜过滤器分配(过滤捕获的固体[FTSs]和滤液),随后使用10,000DaMW截止离心过滤器浓缩至2mL(1000X)。对24种浓缩物进行RNA提取,CanPV完整衣壳单重叠群RT-PCR,Illumina测序,系统发育学,免疫信息学,和结构预测。我们在58.3%(14/24)的样品中检测到CanPV,产生了13,824,046个修剪的Illumina读数和27个CanPV重叠群。系统发育和配对同一性分析显示,8个CanPV基因型(基因型差异<14%)属于四个集群,内部发散<20%。相似性分析,免疫信息学,病毒原粒和衣壳结构预测表明,这四个簇可能是不同的血清学类型,预测的簇区分性B细胞表位聚集在围绕5倍对称轴的峡谷的北部和南部边缘。我们的方法允许通过耦合系统发育来对未培养的小核糖核酸病毒序列进行基因型到血清型表征,免疫信息学,和病毒衣壳结构预测。因此,这绕过了一个主要的潮湿实验室相关瓶颈,从而使资源有限的环境从废水来源的基因组数据跃升为制定预防和其他缓解措施所需的有价值的免疫学见解。
    The SARS-CoV-2 pandemic resulted in a scale-up of viral genomic surveillance globally. However, the wet lab constraints (economic, infrastructural, and personnel) of translating novel virus variant sequence information to meaningful immunological and structural insights that are valuable for the development of broadly acting countermeasures (especially for emerging and re-emerging viruses) remain a challenge in many resource-limited settings. Here, we describe a workflow that couples wastewater surveillance, high-throughput sequencing, phylogenetics, immuno-informatics, and virus capsid structure modeling for the genotype-to-serotype characterization of uncultivated picornavirus sequences identified in wastewater. Specifically, we analyzed canine picornaviruses (CanPVs), which are uncultivated and yet-to-be-assigned members of the family Picornaviridae that cause systemic infections in canines. We analyzed 118 archived (stored at -20 °C) wastewater (WW) samples representing a population of ~700,000 persons in southwest USA between October 2019 to March 2020 and October 2020 to March 2021. Samples were pooled into 12 two-liter volumes by month, partitioned (into filter-trapped solids [FTSs] and filtrates) using 450 nm membrane filters, and subsequently concentrated to 2 mL (1000×) using 10,000 Da MW cutoff centrifugal filters. The 24 concentrates were subjected to RNA extraction, CanPV complete capsid single-contig RT-PCR, Illumina sequencing, phylogenetics, immuno-informatics, and structure prediction. We detected CanPVs in 58.3% (14/24) of the samples generated 13,824,046 trimmed Illumina reads and 27 CanPV contigs. Phylogenetic and pairwise identity analyses showed eight CanPV genotypes (intragenotype divergence <14%) belonging to four clusters, with intracluster divergence of <20%. Similarity analysis, immuno-informatics, and virus protomer and capsid structure prediction suggested that the four clusters were likely distinct serological types, with predicted cluster-distinguishing B-cell epitopes clustered in the northern and southern rims of the canyon surrounding the 5-fold axis of symmetry. Our approach allows forgenotype-to-serotype characterization of uncultivated picornavirus sequences by coupling phylogenetics, immuno-informatics, and virus capsid structure prediction. This consequently bypasses a major wet lab-associated bottleneck, thereby allowing resource-limited settings to leapfrog from wastewater-sourced genomic data to valuable immunological insights necessary for the development of prophylaxis and other mitigation measures.
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  • 文章类型: Journal Article
    痘病毒(MPXV)的全球流行仍在继续,自2023年6月以来,深圳市发生了局部疫情。在这里,我们使用来自深圳疫情的92条MPXV序列以及来自GISAID和GenBank数据库的可用基因组,分析了2023年MPXV的进化轨迹和特征.92个MPXV的系统发育追踪表明,深圳的MPXV可能具有多种进口来源,建立了两条主要传输链。系统发育关系的组合,流行病学特征,和突变特征支持新谱系C.1.1的出现。加上B.1谱系与A.1谱系不同,C.1.1谱系与C.1谱系不同可能是MPXV的另一个重要进化事件。此外,增加载脂蛋白BmRNA编辑催化多肽样3(APOBEC3)相关突变,错义突变率较高,在MPXV进化过程中,非编码区的突变较少。自B.1谱系以来,MPXV的宿主调节蛋白已经积累了相当多的氨基酸突变,和谱系确定APOBEC3相关突变,其破坏编码病毒先天免疫调节剂的N2L基因已在C.1.1谱系中鉴定。总之,我们的研究为具有特定特征的MPXV的持续进化提供了令人信服的证据.
    The global epidemic of Mpox virus (MPXV) continues, and a local outbreak has occurred in Shenzhen city since June 2023. Herein, the evolutionary trajectory and characteristics of MPXV in 2023 were analyzed using 92 MPXV sequences from the Shenzhen outbreak and the available genomes from GISAID and GenBank databases. Phylogenetic tracing of the 92 MPXVs suggests that MPXVs in Shenzhen may have multiple sources of importation, and two main transmission chains have been established. The combination of phylogenetic relationships, epidemiological features, and mutation characteristics supports the emergence of a new lineage C.1.1. Together with the B.1 lineage diverging from the A.1 lineage, C.1.1 lineage diverging from the C.1 lineage may serve as another significant evolutionary events of MPXV. Moreover, increasing apolipoprotein B mRNA-editing catalytic polypeptide-like 3 (APOBEC3) related mutations, higher rate of missense mutations, and less mutations in the non-coding regions have been shown during MPXV evolution. Host regulation proteins of MPXV have accumulated considerable amino acid mutations since the B.1 lineage, and a lineage-defining APOBEC3-related mutation that disrupts the N2L gene encoding a viral innate immune modulator has been identified in the C.1.1 lineage. In summary, our study provides compelling evidence for the ongoing evolution of MPXV with specific features.
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  • 文章类型: Journal Article
    背景:新出现的人畜共患疾病是由野生或驯养动物与人类之间的跨物种传播事件引起的,蝙蝠是人畜共患病毒的主要储库之一。病毒宏基因组学导致了许多病毒的发现,但是努力主要集中在世界的一些地区和某些病毒家族。
    方法:我们通过收集西班牙不同地区捕获的数百只蝙蝠的粪便,来描述新的picorna样病毒的全长基因组。通过高通量Illumina测序获得病毒序列,并进行系统发育分析以在已知病毒的背景下对它们进行分类。进行线性判别分析(LDA)以基于基因组组成推断可能的宿主。
    结果:我们发现了5个完整或接近完整的基因组,属于小牛科,包括内萨韦林亚科的一个新物种。LDA认为这些是真正的脊椎动物病毒,而不是蝙蝠饮食中的病毒。其中一些病毒与以前在遥远地理区域的其他蝙蝠物种中发现的小核糖核酸病毒有关。我们还发现了一个很可能属于Picornavirales命令中的一个新家族的加尔河病毒基因组,基因组组成分析表明是植物宿主。
    结论:我们的发现描述了伊比利亚半岛中流行的新的picorna样病毒种类和变异,说明了小核糖核酸病毒的广泛地理分布和种间传播性,并为卡氏病毒提供新的宿主。
    BACKGROUND: Emerging zoonotic diseases arise from cross-species transmission events between wild or domesticated animals and humans, with bats being one of the major reservoirs of zoonotic viruses. Viral metagenomics has led to the discovery of many viruses, but efforts have mainly been focused on some areas of the world and on certain viral families.
    METHODS: We set out to describe full-length genomes of new picorna-like viruses by collecting feces from hundreds of bats captured in different regions of Spain. Viral sequences were obtained by high-throughput Illumina sequencing and analyzed phylogenetically to classify them in the context of known viruses. Linear discriminant analysis (LDA) was performed to infer likely hosts based on genome composition.
    RESULTS: We found five complete or nearly complete genomes belonging to the family Picornaviridae, including a new species of the subfamily Ensavirinae. LDA suggested that these were true vertebrate viruses, rather than viruses from the bat diet. Some of these viruses were related to picornaviruses previously found in other bat species from distant geographical regions. We also found a calhevirus genome that most likely belongs to a proposed new family within the order Picornavirales, and for which genome composition analysis suggested a plant host.
    CONCLUSIONS: Our findings describe new picorna-like viral species and variants circulating in the Iberian Peninsula, illustrate the wide geographical distribution and interspecies transmissibility of picornaviruses, and suggest new hosts for calheviruses.
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  • 文章类型: Journal Article
    明确原因不明的腹泻病例的病因对于对抗肠道感染很重要。在这项研究中,我们的目的是研究犬科病毒(CaKoV)的作用,在狗不明原因的腹泻病例中。从患有腹泻的狗收集总共121个拭子样品。进行样品的分子分析。为此,在序列反应之后,创建了一个系统发育树,并进行了生物信息学分析。在抽样人群中,CaKov的患病率为16.5%(20/121)。细小病毒和冠状病毒的存在,它们是CaKoV阳性犬中常见的病毒制剂,被确定为35%(7/20)和10%(2/20),分别。仅检测到CaKoV的狗的比率为65%(13/20)。CaKoV菌株的系统发育分析聚集在一起,与参考菌株密切相关。关于CaKoV在世界各地狗的不明原因腹泻病例的病因中的作用的研究非常有限。到目前为止,在土耳其,只有一项关于CaKoV的研究。在这份报告中,包括CaKoV的分子特征和流行病学数据,确定了CaKoV在未知原因腹泻病例中的重要性。需要更全面的研究来更好地了解发病机制,流行病学,以及CaKov的生物学,并确定有效的策略来对抗它。
    Clarifying the etiology of diarrhea cases of unknown cause is important in the fight against enteric infections. In this study, we aimed to investigate the role of canine kobuvirus (CaKoV), in cases of diarrhea of unknown origin in dogs. A total 121 swab samples from dogs with diarrhea were collected. Molecular analyses of the samples were performed. For this purpose, after the sequence reaction, a phylogenetic tree was created, and bioinformatics analyses were performed. The prevalence rate of CaKoV in the sampled population was determined as 16.5% (20/121). The presence of parvovirus and coronavirus, which are common viral agents in CaKoV-positive dogs, was determined as 35% (7/20) and 10% (2/20), respectively. The rate of dogs with only CaKoV detected was 65% (13/20). Phylogenetic analysis of CaKoV strains clustered together closely related to reference strains. There are very limited studies on the role of CaKoV in the etiology of diarrhea cases of unknown cause in dogs around the world. So far, only one study has been done on CaKoV in Turkey. In this report which includes molecular characterization and epidemiological data on CaKoV determined the importance of CaKoV in cases of diarrhea of unknown origin. More comprehensive studies are needed to better understand the pathogenesis, epidemiology, and biology of CaKoV and to determine effective strategies to combat it.
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  • 文章类型: Journal Article
    在它们能够产生自己的抗体之前,通过母体IgG抗体的胎盘转移和出生后通过母乳IgA抗体保护新生儿免受感染。鼻病毒(RV)感染在儿童早期非常常见,虽然RV感染通常只会导致轻度的上呼吸道疾病,它们还可能导致严重的下呼吸道疾病,如毛细支气管炎和肺炎。
    我们使用高密度肽阵列来分析婴儿和母体抗体对三种人RV-A16、B52和C11的衣壳和完整蛋白质组序列的反应性。
    确定了许多血浆IgG和母乳IgARV表位,这些表位位于RV衣壳表面和内部的区域,以及几种非结构蛋白。虽然大多数表位被IgG和IgA结合,有几个例子观察到同种型特异性和RV特异性结合.我们还分析了该物种衣壳VP1蛋白特有的62种独特的RV-C蛋白环序列。
    许多RV-C环序列与一岁婴儿的IgG高度结合,表明最近或正在进行的活动性感染,或者,同源RV-C位点之间的交叉反应性水平。
    UNASSIGNED: Before they can produce their own antibodies, newborns are protected from infections by transplacental transfer of maternal IgG antibodies and after birth through breast milk IgA antibodies. Rhinovirus (RV) infections are extremely common in early childhood, and while RV infections often result in only mild upper respiratory illnesses, they can also cause severe lower respiratory illnesses such as bronchiolitis and pneumonia.
    UNASSIGNED: We used high-density peptide arrays to profile infant and maternal antibody reactivity to capsid and full proteome sequences of three human RVs - A16, B52, and C11.
    UNASSIGNED: Numerous plasma IgG and breast milk IgA RV epitopes were identified that localized to regions of the RV capsid surface and interior, and also to several non-structural proteins. While most epitopes were bound by both IgG and IgA, there were several instances where isotype-specific and RV-specific binding were observed. We also profiled 62 unique RV-C protein loop sequences characteristic of this species\' capsid VP1 protein.
    UNASSIGNED: Many of the RV-C loop sequences were highly bound by IgG from one-year-old infants, indicating recent or ongoing active infections, or alternatively, a level of cross-reactivity among homologous RV-C sites.
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  • 文章类型: Journal Article
    尽管鼻病毒在儿童哮喘的恶化中起主要作用,血浆中鼻病毒(RV)RNA的存在,被称为病毒血症,已经在一些研究中进行了调查。该研究的目的是调查哮喘加重时鼻病毒病毒血症的存在,并描述与病毒血症相关的鼻病毒的分子特征。我们进行了一次观察,prospective,八家儿科医院的多中心研究(VIRASTHMA2)。包括因严重恶化而住院的学龄前儿童复发性喘息者(1-5岁)。在鼻拭子和血浆上进行RV/肠病毒(EV)的逆转录聚合酶链反应(RT-PCR)和分子分型。可获得105名呼吸道标本中RV/EVRT-PCR阳性的儿童的血浆标本。36例(34.3%)病毒血症阳性。在等离子体中,28(82.4%)的可分型标本为RV-C,5例(14.7%)为EV-D68,1例为RV-A(2.9%)。在所有情况下,血浆和呼吸道标本的RV/EV类型相同.总之,RV/EV病毒血症在学龄前复发性哮鸣的严重加重中很常见,尤其是在RV-C感染中。
    Although rhinoviruses play a major role in exacerbations of childhood asthma, the presence of rhinovirus (RV) RNA in plasma, referred to as viremia, has been investigated in a few studies. The aim of the study was to investigate the presence of rhinovirus viremia at the time of asthma exacerbation and to describe the molecular characteristics of rhinoviruses associated with viremia. We conducted an observational, prospective, multicenter study in eight pediatric hospitals (VIRASTHMA2). Preschool-aged recurrent wheezers (1-5 years) hospitalized for a severe exacerbation were included. Reverse-transcription polymerase chain reaction (RT-PCR) and molecular typing for RV/enteroviruses (EV) were performed on nasal swabs and plasma. Plasma specimens were available for 105 children with positive RT-PCR for RV/EV in respiratory specimens. Thirty-six (34.3%) had positive viremia. In plasma, 28 (82.4%) of the typable specimens were RV-C, five (14.7%) were EV-D68, and one was RV-A (2.9%). In all cases, the RV/EV type was identical in the plasma and respiratory specimens. In conclusion, RV/EV viremia is frequent in severe exacerbations of preschool recurrent wheezers, particularly in RV-C infections.
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