Latent Infection

潜伏感染
  • 文章类型: Journal Article
    背景:HCMV在移植受者中引起严重的临床并发症,并可能导致移植物排斥。成功的肾移植在很大程度上依赖于CMV感染的早期预防和诊断。然后在移植前及时进行预防性治疗。尽管大多数急性HCMV感染的肾排斥病例无症状,并且在一到两年后发生,本研究的目的是通过检查东印度队列中的具体临床参数,了解晚期HCMV感染对肾排斥反应的影响.方法:在这项研究中,240名患者在移植后进行了为期五年的研究,他们的数据是从印度东部当地的大都会医院收集的。移植后HCMV阳性和阴性患者均使用潜伏感染的临床参数和病毒载量进行了研究。结果:在研究人群中,发现79名移植后患者为HCMV阳性。其中,13例(16.45%)患者在不到2年内出现肾排斥反应。移植(早期排斥)和22(27.84%)患者在2年后发生肾排斥反应。从操作日期(延迟拒绝)。关于HCMV感染的临床参数评估显示,在早期排斥病例中,发热(p-0.035)和尿路感染(p-0.017)突出,但是在后期的拒绝中,血尿(p-0.032),糖尿病(p-0.005),和肌酐水平变化(p<0.001)与尿路感染(p-0.047)有关。结论:这项研究提供了监测潜伏性CMV感染的有价值的见解,并强调了降低肾脏排斥率的理解以及该领域进一步研究的必要性。
    Background: HCMV causes severe clinical complications in transplant recipients and may lead to graft rejection. Successful renal transplantation heavily relies on the early prevention and diagnosis of CMV infections, followed by prompt prophylactic treatment before transplantation. Despite the majority of renal rejection cases with acute HCMV infections being asymptomatic and occurring one to two years later, the objective of this research was to comprehend the effect of late HCMV infection on renal rejection by examining specific clinical parameters in the Eastern Indian cohort. Method: In this study, 240 patients were studied for five years following transplantation, and their data were collected from the local metropolitan hospital in Eastern India. Both HCMV-positive and -negative post-transplant patients were investigated using the clinical parameters and viral loads for latent infection. Results: Within the studied population, 79 post-transplant patients were found to be HCMV positive. Among them, 13 (16.45%) patients suffered from renal rejection within less than 2 yrs. of transplantation (early rejection) and 22 (27.84%) patients suffered from renal rejection after 2 yrs. from the operation date (late rejection). Assessment of clinical parameters with respect to HCMV infection revealed that in early rejection cases, fever (p-0.035) and urinary tract infection (p-0.017) were prominent, but in late rejection, hematuria (p-0.032), diabetes (p-0.005), and creatinine level changes (p < 0.001) were significant along with urinary tract infection (p-0.047). Conclusions: This study provides valuable insights into monitoring latent CMV infections and highlights the understanding of reducing renal rejection rates and the need for further research in this field.
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  • 文章类型: Journal Article
    马红球菌最近在各种动物中被发现,包括反刍动物.几项研究强调了携带pVAPN的菌株的出现,与多个脓肿隔离,反刍动物的肝脏和肺部。流行病学证据强烈表明,携带pVAPN的菌株在反刍动物中具有致病性。本研究旨在通过实验性感染在山羊中复制该疾病。静脉给药pVAPN-haroringstrain(Yokkaichi),携带pVAPA的菌株(ATCC33701),和pVAPN固化菌株(Yokkaichi_P-),每个为1.0×107CFU/头,在24个月大的山羊中进行(每组n=1)。在观察期间,用Yokkaichi或ATCC33701处理的山羊表现出体温和白细胞计数的短暂增加,从给药那天起体重下降。相反,用Yokkaichi_P-处理的山羊在这些值中没有显着变化。Yokkaichi处理的山羊在给药后11到14天抗VapN抗体滴度增加>10倍,而其他两只山羊的抗VapA和VapN抗体滴度没有变化。给药后28天收获的器官的病理尸检分析显示,在大体检查中没有特征性病变。然而,接种菌株(vapN阳性R.equi)仅从横开一处理的山羊的气管支气管淋巴结中回收。免疫组织化学检测到气管支气管淋巴结中的VapN阳性反应,尽管在反刍动物中没有明显的化脓性病变,但仍可确认潜伏感染。总的来说,这项研究强调了由携带pVAPN的菌株诱导的淋巴结潜伏感染,尽管没有明显的病理表现。
    Rhodococcus equi has recently been identified in various animals, including ruminants. Several studies have highlighted the emergence of pVAPN-harboring strains, isolated from multiple abscesses, in the liver and lungs of ruminants. Epidemiological evidence strongly suggests that pVAPN-harboring strains are pathogenic in ruminants. This study aims to replicate the disease in goats through experimental infection. Intravenous administration of the pVAPN-harboring strain (Yokkaichi), pVAPA-harboring strain (ATCC33701), and pVAPN-cured strain (Yokkaichi_P-), each at 1.0 × 107 CFU/head, was conducted in 24-month-old goats (n = 1 per group). During the observation period, goats treated with Yokkaichi or ATCC33701 exhibited transient increases in body temperature and white blood cell count, alongside a decrease in body weight from the administration day. Conversely, goats treated with Yokkaichi_P- displayed no significant changes in these values. The Yokkaichi-treated goat demonstrated a >10-fold increase in anti-VapN antibody titers from 11 to 14 days postadministration, whereas the other two goats exhibited no variation in anti-VapA and VapN antibody titers. Pathological autopsy analysis of organs harvested 28 days postadministration revealed no characteristic lesions on gross examination. However, the inoculated strain (vapN-positive R. equi) was exclusively recovered from the tracheobronchial lymph node in the Yokkaichi-treated goat. Immunohistochemistry detected a VapN-positive reaction in the tracheobronchial lymph node, confirming latent infection despite the absence of dramatic suppurative lesions seen in ruminants. Overall, this study highlights the latent infection in lymph nodes induced by the pVAPN-harboring strain, despite the absence of overt pathological manifestations.
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  • 文章类型: Journal Article
    慢性弓形虫感染诱导脑内CD8+T细胞(bTr),但是这些细胞的保护功能和分化线索仍然不确定。这里,我们使用弓形虫潜伏感染的小鼠模型,导致有效的CD8+T细胞介导的寄生虫控制.由于抗体消耗方法,我们发现外周循环CD8+T细胞对于慢性期的脑寄生虫控制是可有可无的,表明CD8+bTr能够防止脑寄生虫再激活。我们观察到保留标记CD69,CD49a,和CD103在整个感染过程中由大脑寄生虫特异性CD8+T细胞依次获得,并且大多数CD69/CD49a/CD103三阳性(TP)CD8+T细胞也表达Hobit,与组织居住相关的转录因子。该TP子集以CD4T细胞依赖性方式发展,并在慢性期与有效的寄生虫控制有关。与抗原加工(TAP)介导的主要组织相容性复合物(MHC)I类呈递相关的转运蛋白的条件失效表明,谷氨酸能神经元和小胶质细胞呈递寄生虫抗原可调节CD8bTr向TP细胞的分化。单细胞转录组分析表明,对脑炎的抵抗力与CD8bTr的茎样亚群的扩增有关。总之,寄生虫特异性大脑驻留的CD8T细胞是一种功能异质性区室,可在弓形虫潜伏感染期间自主确保寄生虫控制,并且其分化由神经元和小胶质细胞MHCI呈递形成。需要更详细地了解这种常见寄生虫的局部T细胞介导的免疫监视,以利用大脑驻留的CD8T细胞来增强对慢性脑感染的控制。
    Chronic Toxoplasma gondii infection induces brain-resident CD8+ T cells (bTr), but the protective functions and differentiation cues of these cells remain undefined. Here, we used a mouse model of latent infection by T. gondii leading to effective CD8+ T cell-mediated parasite control. Thanks to antibody depletion approaches, we found that peripheral circulating CD8+ T cells are dispensable for brain parasite control during chronic stage, indicating that CD8+ bTr are able to prevent brain parasite reactivation. We observed that the retention markers CD69, CD49a, and CD103 are sequentially acquired by brain parasite-specific CD8+ T cells throughout infection and that a majority of CD69/CD49a/CD103 triple-positive (TP) CD8+ T cells also express Hobit, a transcription factor associated with tissue residency. This TP subset develops in a CD4+ T cell-dependent manner and is associated with effective parasite control during chronic stage. Conditional invalidation of Transporter associated with Antigen Processing (TAP)-mediated major histocompatibility complex (MHC) class I presentation showed that presentation of parasite antigens by glutamatergic neurons and microglia regulates the differentiation of CD8+ bTr into TP cells. Single-cell transcriptomic analyses revealed that resistance to encephalitis is associated with the expansion of stem-like subsets of CD8+ bTr. In summary, parasite-specific brain-resident CD8+ T cells are a functionally heterogeneous compartment which autonomously ensure parasite control during T. gondii latent infection and which differentiation is shaped by neuronal and microglial MHC I presentation. A more detailed understanding of local T cell-mediated immune surveillance of this common parasite is needed for harnessing brain-resident CD8+ T cells in order to enhance control of chronic brain infections.
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  • 文章类型: Journal Article
    背景:慢性/潜伏病毒感染可能加速免疫老化,特别是艾滋病毒感染者(PLWH)。我们对整个生命周期中的慢性/潜伏病毒感染进行了表征,并研究了它们与白细胞端粒长度(LTL)的关系。
    方法:参加CARMA队列研究的参与者被随机选择,包括0至>60岁之间的每个十年的n=15,对于每个性别,和每个艾滋病毒状况。巨细胞病毒(CMV),EB病毒(EBV)人类疱疹病毒8(HHV-8),单纯疱疹病毒1(HSV-1),和HSV-2感染进行血清学测定;HIV,丙型肝炎(HCV),和乙型肝炎(HBV)自我报告。使用单色多重qPCR测量LTL。病毒数量之间的关联,LTL,和社会人口统计学因素使用序数logistic和线性回归模型进行评估。
    结果:该研究包括187名PLWH(105名女性/82名男性)和190名HIV阴性参与者(105名女性/84名男性)。年龄从0.7到76.1岁不等。与艾滋病毒一起生活,年纪大了,女性与携带更多慢性/潜伏性非HIV病毒有关。有更多的感染反过来又与较短的LTL相关。在多变量分析中,年龄较大,与艾滋病毒一起生活,女性仍然独立地与感染更多相关,同时有3-4种病毒(vs.0-2)与较短的LTL相关。
    结论:我们的结果表明,持续性病毒感染在PLWH和女性中更为普遍,这些可能会导致免疫老化。这是否与以后生活中的合并症有关仍然是一个重要的问题。
    Chronic/latent viral infections may accelerate immunological aging, particularly among people living with HIV (PLWH). We characterized chronic/latent virus infections across their lifespan and investigated their associations with leukocyte telomere length (LTL).
    Participants enrolled in the CARMA cohort study were randomly selected to include n = 15 for each decade of age between 0 and >60 y, for each sex, and each HIV status. Cytomegalovirus (CMV), Epstein-Barr virus (EBV), human herpesvirus 8 (HHV-8), herpes simplex virus 1 (HSV-1), and HSV-2 infection were determined serologically; HIV, hepatitis C (HCV), and hepatitis B (HBV) were self-reported. LTLs were measured using monochrome multiplex qPCR. Associations between the number of viruses, LTL, and sociodemographic factors were assessed using ordinal logistic and linear regression modeling.
    The study included 187 PLWH (105 female/82 male) and 190 HIV-negative participants (105 female/84 male), ranging in age from 0.7 to 76.1 years. Living with HIV, being older, and being female were associated with harbouring a greater number of chronic/latent non-HIV viruses. Having more infections was in turn bivariately associated with a shorter LTL. In multivariable analyses, older age, living with HIV, and the female sex remained independently associated with having more infections, while having 3-4 viruses (vs. 0-2) was associated with a shorter LTL.
    Our results suggest that persistent viral infections are more prevalent in PLWH and females, and that these may contribute to immunological aging. Whether this is associated with comorbidities later in life remains an important question.
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  • 文章类型: Journal Article
    病毒感染可以调节细胞周期,从而促进病毒复制。劫持和改变细胞周期对于病毒建立和维持潜伏感染很重要。以前,甜菜夜蛾多核多角体病毒(SeMNPV)潜伏感染P8-Se301-C1细胞,比Se301细胞生长更慢,并干扰同源SeMNNPV超感染,已建立。然而,潜伏和重复感染杆状病毒对细胞周期进程的影响尚不清楚.在这项研究中,通过流式细胞术对P8-Se301-C1细胞和SeMNPV或Autographa多核多角体病毒(AcMNPV)感染的P8-Se301-C1细胞的细胞周期进行了表征。结果表明,复制相关基因MCM4、PCNA、和BAF在P8-Se301-C1细胞中下调(p<0.05),P8-Se301-C1细胞的S期长于Se301细胞。用SeMNPV感染的P8-Se301-C1细胞未停滞在G2/M期或影响细胞周期蛋白B和细胞周期蛋白依赖性激酶1(CDK1)的表达。此外,当P8-Se301-C1细胞在用羟基脲和硝唑同步处理后被SeMNPV感染时,光学显微镜和qRT-PCR分析表明,与不同步细胞和S和G2/M期细胞相比,SeMNPV感染的G1期P8-Se301-C1细胞诱导G2/M期阻滞,病毒吸附量和细胞内病毒DNA复制量显著增加(p<0.05)。此外,出芽病毒(BV)的产生和含闭塞体(OB)的细胞在感染后120小时均增加(p<0.05)。CyclinB和CDK1的表达在感染后48小时显著下调(p<0.05)。最后,SeMNPV感染的G1期细胞在G2/M期的停滞增加了BV产生(p<0.05)和含OB细胞的数量。总之,G1期感染和G2/M期阻滞有利于P8-Se301-C1细胞的SeMNPV增殖,从而减轻同源重复感染排除。该结果有助于更好地理解杆状病毒与昆虫细胞周期进程和调控之间的关系。
    Viral infection can regulate the cell cycle, thereby promoting viral replication. Hijacking and altering the cell cycle are important for the virus to establish and maintain a latent infection. Previously, Spodoptera exigua multiple nucleopolyhedrovirus (SeMNPV)-latently infected P8-Se301-C1 cells, which grew more slowly than Se301 cells and interfered with homologous SeMNNPV superinfection, were established. However, the effects of latent and superinfection with baculoviruses on cell cycle progression remain unknown. In this study, the cell cycle profiles of P8-Se301-C1 cells and SeMNPV or Autographa californica multiple nucleopolyhedrovirus (AcMNPV)-infected P8-Se301-C1 cells were characterized by flow cytometry. The results showed that replication-related genes MCM4, PCNA, and BAF were down-regulated (p < 0.05) in P8-Se301-C1 cells, and the S phase of P8-Se301-C1 cells was longer than that of Se301 cells. P8-Se301-C1 cells infected with SeMNPV did not arrest in the G2/M phase or affect the expression of Cyclin B and cyclin-dependent kinase 1 (CDK1). Furthermore, when P8-Se301-C1 cells were infected with SeMNPV after synchronized treatment with hydroxyurea and nocodazole, light microscopy and qRT-PCR analysis showed that, compared with unsynchronized cells and S and G2/M phase cells, SeMNPV-infected P8-Se301-C1 cells in G1 phase induced G2/M phase arrest, and the amount of virus adsorption and intracellular viral DNA replication were significantly increased (p < 0.05). In addition, budded virus (BV) production and occlusion body (OB)-containing cells were both increased at 120 h post-infection (p < 0.05). The expression of Cyclin B and CDK1 was significantly down-regulated at 48 h post-infection (p < 0.05). Finally, the arrest of SeMNPV-infected G1 phase cells in the G2/M phase increased BV production (p < 0.05) and the number of OB-containing cells. In conclusion, G1 phase infection and G2/M arrest are favorable to SeMNPV proliferation in P8-Se301-C1 cells, thereby alleviating the homologous superinfection exclusion. The results contribute to a better understanding of the relationship between baculoviruses and insect cell cycle progression and regulation.
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  • 文章类型: Journal Article
    大多数感染结核分枝杆菌(Mtb)的人被认为处于潜伏结核(TB)感染(LTBI)状态。尽管LTBI无症状且无传染性,即使在感染后几十年,也有发展为活动性疾病的风险。这里,为了表征LTBI期间获得的突变,我们收集并分析了7对日本患者的Mtb基因组,每一对由两名活动性结核病患者组成,他们开始发展活动性疾病的日期相距>3年;其中一人在发展为活动性疾病之前高度怀疑LTBI,而另一个没有。此后,我们将这些基因组与一系列慢性活动性TB感染中的纵向样本对的基因组进行了比较,并结合公开数据.与活动性疾病患者相比,LTBI患者的细菌种群在遗传上更同质,积累的单核苷酸多态性(SNP)更慢。此外,非同义SNP的比例较低,表明LTBI期间的选择压力比活动性疾病更弱.最后,不同的突变谱表明LTBI和活动性疾病之间的突变不同。这些结果表明,在来自LTBI的Mtb群体中,获得负责抗生素抗性和增加的毒力的突变的可能性低于活动性疾病。重要控制潜伏性结核(TB)感染(LTBI)激活是消除结核病的有效策略,了解宿主内的结核分枝杆菌(Mtb)动力学起着重要作用。以前关于慢性活动性疾病的研究报道,Mtb在宿主体内积累了基因组突变,可能导致获得性耐药性和毒力增加。然而,一些报告表明,LTBI期间积累的突变比活动性疾病期间少,但相关风险在很大程度上是未知的。这里,我们分析了LTBI期间宿主内Mtb的基因组动力学。我们的结果在统计学上表明,Mtb在LTBI过程中积累了突变,但是大多数突变是在低选择压力下发生的,导致耐药性和毒力的突变。因此,我们认为LTBI是新的结核病的来源,而不是宿主基因组进化的时期.
    Most people infected with Mycobacterium tuberculosis (Mtb) are believed to be in a state of latent tuberculosis (TB) infection (LTBI). Although LTBI is asymptomatic and not infectious, there is a risk of developing active disease even decades after infection. Here, to characterize mutations acquired during LTBI, we collected and analyzed Mtb genomes from seven Japanese patient pairs, each pair consisting of two active TB patients whose starting dates of developing active disease were >3 years apart; one had a high suspicion of LTBI before developing active disease, whereas the other did not. Thereafter, we compared these genomes with those of longitudinal sample pairs within a host of chronic active TB infections combined with public data. The bacterial populations in patients with LTBI were genetically more homogeneous and accumulated single nucleotide polymorphisms (SNPs) slower than those from active disease. Moreover, the lower proportion of nonsynonymous SNPs indicated weaker selective pressures during LTBI than active disease. Finally, the different mutation spectrums indicated different mutators between LTBI and active disease. These results suggest that the likelihood of the acquisition of mutations responsible for antibiotic resistance and increased virulence was lower in the Mtb population from LTBI than active disease.IMPORTANCEControlling latent tuberculosis (TB) infection (LTBI) activation is an effective strategy for TB elimination, where understanding Mycobacterium tuberculosis (Mtb) dynamics within the host plays an important role. Previous studies on chronic active disease reported that Mtb accumulated genomic mutations within the host, possibly resulting in acquired drug resistance and increased virulence. However, several reports suggest that fewer mutations accumulate during LTBI than during the active disease, but the associated risk is largely unknown. Here, we analyzed the genomic dynamics of Mtb within the host during LTBI. Our results statistically suggest that Mtb accumulates mutations during LTBI, but most mutations are under low selective pressures, which induce mutations responsible for drug resistance and virulence. Thus, we propose that LTBI acts as a source for new TB disease rather than as a period for in-host genome evolution.
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  • 文章类型: Journal Article
    我们回顾性分析了捷克共和国有免疫能力的人的211个冷冻脑脊液样本,并检测到6个头孢菌素阳性样本。微孢子虫病通常被低估,通常不对患者进行微孢子虫检测,但是,如果不发现和治疗,免疫缺陷和免疫功能正常的患者的潜伏感染会导致严重的并发症。
    We retrospectively analyzed of 211 frozen cerebrospinal fluid samples from immunocompetent persons in the Czech Republic and detected 6 Encephalitozoon cuniculi-positive samples. Microsporidiosis is generally underestimated and patients are not usually tested for microsporidia, but latent infection in immunodeficient and immunocompetent patients can cause serious complications if not detected and treated.
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  • 文章类型: Journal Article
    背景:越来越多的证据表明弓形虫潜伏感染与各种神经精神和行为状况有关。本研究旨在通过一项全面的前瞻性队列研究,探讨弓形虫抗体阳性与神经精神疾病之间的潜在相关性。
    方法:队列研究利用UKBiobank数据库招募了8814名先前未诊断为神经精神疾病的个体。Cox比例风险模型用于研究弓形虫P22抗体血清阳性(P22)与各种类型的神经精神疾病发展之间的关系。
    结果:在人口中,14.65%的弓形虫P22抗体检测呈阳性。弓形虫P22抗体的存在与癫痫有轻微的负相关(HR:0.28;95%CI:0.10-0.77),而与患焦虑症的风险增加呈正相关(HR:1.38;95%CI:1.04-1.83).
    结论:研究样本主要由40至69岁的英国白人组成。尽管我们调整了潜在的混杂因素,可能还有其他未测量的和残留的混杂因素可能影响我们报告的关联.
    结论:研究结果表明,与弓形虫P22相关的焦虑和癫痫的潜在证据的风险增加。然而,我们的分析并没有揭示其他几种神经精神疾病的风险增加,包括阿尔茨海默病,痴呆症,药物滥用障碍,抑郁症,和神经退行性疾病,与P22抗体血清阳性相关。
    BACKGROUND: Accumulating evidence suggests that latent infection with Toxoplasma gondii (T. gondii) is associated with a variety of neuropsychiatric and behavioral conditions. This research aims to explore the potential correlation between T. gondii antibody positivity and neuropsychiatric disorders through a comprehensive prospective cohort study.
    METHODS: The cohort study utilized the UK Biobank database to recruit 8814 individuals with no prior diagnosis of neuropsychiatric disorders. Cox proportional hazards models were employed to investigate the associations between T. gondii P22 antibody seropositivity (P22+) and the development of various types of neuropsychiatric disorders.
    RESULTS: Of the population, 14.65 % tested positive for T. gondii P22 antibody. The presence of T. gondii P22 antibody showed a slight inverse association with epilepsy (HR: 0.28; 95 % CI: 0.10-0.77), while it was positively associated with an increased risk of developing anxiety disorders (HR: 1.38; 95 % CI: 1.04-1.83).
    CONCLUSIONS: The study sample consisted mostly of white British individuals aged 40 to 69 years old. Although we adjusted for potential confounders, there may be other unmeasured and residual confounding factors that could have influenced our reported associations.
    CONCLUSIONS: The findings suggested an increased risk of anxiety and potential evidence of epilepsy associated with T. gondii P22+. However, our analysis did not reveal an increased risk of several other neuropsychiatric conditions including Alzheimer\'s disease, dementia, substance abuse disorders, depression, and neurodegenerative disorders, associated with P22 antibody seropositivity.
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