zoonotic pathogen

人畜共患病原体
  • 文章类型: Journal Article
    艰难梭菌作为医疗保健相关感染的主要原因具有重要的临床重要性。症状从轻度腹泻到严重结肠炎,和可能危及生命的并发症.主要与MLST序列类型(ST)8相关的艰难梭菌核糖核酸型(RT)002是在人类中发现的最常见的RT之一。本研究旨在调查ST8/RT002的537个艰难梭菌基因组的遗传特征。为此,我们对298个艰难梭菌菌株进行了测序,这些菌株代表了一个新的欧洲基因组集合,来自德国的菌株,丹麦,法国和葡萄牙。针对由通过Enterobase可获得的1,437个ST8基因组组成的全局数据集对这些序列进行分析。我们的结果显示了所研究的ST8基因组之间紧密的遗传相关性,一系列不同的抗菌素耐药性(AMR)基因和多种可移动元素的存在。值得注意的是,pangenome分析揭示了一个开放的基因组结构。ST8显示相对低的总体变化。因此,在不同的一个卫生部门发现了克隆分离株(人类,动物,环境和食物),时间段,和地理位置,表明谱系的稳定性和普遍的环境来源。重要的是,这种稳定性并不妨碍AMR基因的获得,强调这种细菌对不同选择压力的适应性。尽管只有2.4%(41/1,735)的研究基因组来自非人类来源,比如动物,食物,或环境,我们确定了9个跨部门核心基因组多位点序列分型(cgMLST)簇。我们的研究强调了ST8作为艰难梭菌的突出谱系的重要性,在一个健康的背景下具有重要意义。此外,这些发现强烈支持需要继续对非人类样本进行监测和调查,以更全面地了解艰难梭菌的流行病学.
    Clostridioides difficile has significant clinical importance as a leading cause of healthcare-associated infections, with symptoms ranging from mild diarrhoea to severe colitis, and possible life-threatening complications. C. difficile ribotype (RT) 002, mainly associated with MLST sequence type (ST) 8, is one of the most common RTs found in humans. This study aimed at investigating the genetic characteristics of 537 C. difficile genomes of ST8/RT002. To this end, we sequenced 298 C. difficile strains representing a new European genome collection, with strains from Germany, Denmark, France and Portugal. These sequences were analysed against a global dataset consisting of 1,437 ST8 genomes available through Enterobase. Our results showed close genetic relatedness among the studied ST8 genomes, a diverse array of antimicrobial resistance (AMR) genes and the presence of multiple mobile elements. Notably, the pangenome analysis revealed an open genomic structure. ST8 shows relatively low overall variation. Thus, clonal isolates were found across different One Health sectors (humans, animals, environment and food), time periods, and geographical locations, suggesting the lineage\'s stability and a universal environmental source. Importantly, this stability did not hinder the acquisition of AMR genes, emphasizing the adaptability of this bacterium to different selective pressures. Although only 2.4 % (41/1,735) of the studied genomes originated from non-human sources, such as animals, food, or the environment, we identified 9 cross-sectoral core genome multilocus sequence typing (cgMLST) clusters. Our study highlights the importance of ST8 as a prominent lineage of C. difficile with critical implications in the context of One Health. In addition, these findings strongly support the need for continued surveillance and investigation of non-human samples to gain a more comprehensive understanding of the epidemiology of C. difficile.
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  • 文章类型: Journal Article
    长期以来,旋毛虫被认为是阿根廷唯一的旋毛虫。然而,自2004年以来,各种旋毛虫物种,包括包囊的巴哥尼旋毛虫和不列颠旋毛虫,以及未包囊的假旋毛虫,在该国被发现。本研究旨在从阿根廷自然感染的美洲狮中鉴定出物种水平的旋毛虫ML。为此,每个来自科尔多瓦的美洲狮的肌肉组织样本,Neuquén,和圣克鲁斯省分别使用人工消化技术进行了分析。通过ESV区的PCR扩增以及随后的COI基因的PCR扩增和测序,对单个肌肉幼虫进行了毛毛虫的DNA提取和分子鉴定。形态分析显示肌肉幼虫具有与旋毛虫属一致的特征。PCR显示每个肌肉幼虫的约127bp的单个条带。来自每个分离物的COI基因的PCR扩增产生309bp条带。线粒体COI基因的测序证实了该寄生虫为T.patagoniensis。本研究记录了来自阿根廷的PumaConcolor中的新出现。包括在科尔多瓦和内乌肯省的Pumaconcolor中首次发现T.patagoniensis。这些发现扩大了对阿根廷巴塔哥尼氏菌分布的有限了解。
    Trichinella spiralis was long considered the sole Trichinella species in Argentina. However, since 2004, various Trichinella species, including the encapsulated Trichinella patagoniensis and Trichinella britovi, as well as the unencapsulated Trichinella pseudospiralis, have been detected in the country. The present study aimed to identify Trichinella ML at the species level from cougars naturally infected from Argentina. To this end, muscle tissue samples from one cougar each from Córdoba, Neuquén, and Santa Cruz Provinces were individually analysed using the artificial digestion technique. DNA extraction and molecular identification of Trichinella species were conducted on individual muscle larvae by PCR amplification of the ESV region and subsequent PCR amplification and sequencing of the COI gene. Morphological analysis revealed muscle larvae with characteristics consistent with Trichinella genus. PCR revealed a single band of approximately 127 bp for each individual muscle larva. PCR amplification of the COI gene from each isolate generated a 309 bp band. Sequencing of the mitochondrial COI gene confirmed the identity of the parasite as T. patagoniensis. The present study documents new occurrences of T. patagoniensis in Puma concolor from Argentina, including the first detection of T. patagoniensis in Puma concolor from Córdoba and Neuquén Province. These findings expand the limited knowledge of T. patagoniensis distribution in Argentina.
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  • 文章类型: Journal Article
    一个健康概念认识到不同生态系统之间不可分割的相互作用及其对人类的影响,动植物健康。抗菌素耐药性(AMR)是一个主要的健康问题,如果不采取适当的措施,预计会造成灾难。要了解印度南部大都市的AMR景观,进行了开放排水沟的宏基因组分析。数据表明,2022年1月,大环内酯类抗生素在该市贡献了40.1%的最高耐药性,其次是氨基糖苷-24.4%,四环素-11.3%和林可胺-6.7%。赋予大环内酯类抗生素耐药性的23SrRNA基因突变是耐药性的主要原因,患病率为39.7%,其次是具有突变的16srRNA,赋予对氨基糖苷类抗生素的抗性-22.2%,带有突变的16SrRNA赋予对四环素衍生物的抗性-9.2%,和具有突变的23SrRNA赋予对林可沙胺抗生素的抗性-6.7%。在赋予大环内酯类抗生素耐药性的23SrRNA基因中最普遍的抗菌素耐药性基因(ARG)突变存在于包括大肠杆菌在内的多种病原体中,空肠弯曲杆菌,鲍曼不动杆菌,肺炎链球菌,铜绿假单胞菌,淋病奈瑟菌,肺炎克雷伯菌和幽门螺杆菌。城市中的大多数地理位置都显示出AMR的类似景观。考虑到人类的流动性和人为活动,这样的AMR景观在其他地区也可能很常见。数据表明,病原体正在进化并获得抗生素抗性基因,以逃避不同宿主中多种主要药物类别的抗生素。该研究的结果不仅与更广泛的了解耐药景观有关,而且对于确定耐药药物类别也很重要。获得耐药性和开发靶向特定途径的新药的机制。这种监测方案可以扩展到其他发展中国家的地区,以评估和解决抗菌素耐药性问题。
    One Health concept recognizes the inextricable interactions of diverse ecosystems and their subsequent effect on human, animal and plant health. Antimicrobial resistance (AMR) is a major One Health concern and is predicted to cause catastrophes if appropriate measures are not implemented. To understand the AMR landscape in a south Indian metropolitan city, metagenomic analysis of open drains was performed. The data suggests that in January 2022, macrolide class of antibiotics contributed the highest resistance of 40.1% in the city, followed by aminoglycoside- 24.4%, tetracycline- 11.3% and lincosamide- 6.7%. The \'mutations in the 23S rRNA gene conferring resistance to macrolide antibiotics\' were the major contributor of resistance with a prevalence of 39.7%, followed by \'16s rRNA with mutation conferring resistance to aminoglycoside antibiotics\'- 22.2%, \'16S rRNA with mutation conferring resistance to tetracycline derivatives\'- 9.2%, and \'23S rRNA with mutation conferring resistance to lincosamide antibiotics\'- 6.7%. The most prevalent antimicrobial resistance gene (ARG) \'mutations in the 23S rRNA gene conferring resistance to macrolide antibiotics\' was present in multiple pathogens including Escherichia coli, Campylobacter jejuni, Acinetobacter baumannii, Streptococcus pneumoniae, Pseudomonas aeruginosa, Neisseria gonorrhoeae, Klebsiella pneumoniae and Helicobacter pylori. Most of the geographical locations in the city showed a similar landscape for AMR. Considering human mobility and anthropogenic activities, such an AMR landscape could be common across other regions too. The data indicates that pathogens are evolving and acquiring antibiotic resistance genes to evade antibiotics of multiple major drug classes in diverse hosts. The outcomes of the study are relevant not only in understanding the resistance landscape at a broader level but are also important for identifying the resistant drug classes, the mechanisms of gaining resistance and for developing new drugs that target specific pathways. This kind of surveillance protocol can be extended to regions in other developing countries to assess and combat the problem of antimicrobial resistance.
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  • 文章类型: Journal Article
    产志贺毒素的大肠杆菌(STEC)被认为是世界范围内许多食源性疾病的原因。牛是STEC的主要水库,将微生物从粪便中脱落.血清群STECO91与出血性结肠炎和溶血性尿毒综合征相关。粘附和自聚集基因座(LAA)及其hes基因与STEC的致病性和形成生物膜的能力有关。考虑到STECO91的频繁隔离,生物膜形成能力,以及hes在STEC致病性中的可能作用,我们建议评估STEC形成生物膜的能力,并评估生物膜形成前后hes的表达。所有菌株都被分类为强生物膜形成。hes表达在生物膜形成前后菌株之间表现出变异性,这可能是由于每个菌株携带的其他基因。本研究首次报道了生物膜形成之间的关系,并提出了LAA的分析和诊断,特别是作为STECO91毒力因子,可以阐明这些未知的机制。考虑到HUS没有特定的治疗方法,只有支持性护理,有必要了解STECO91的生存和毒力机制。
    Shiga toxin-producing Escherichia coli (STEC) are recognized as being responsible for many cases of foodborne diseases worldwide. Cattle are the main reservoir of STEC, shedding the microorganisms in their feces. The serogroup STEC O91 has been associated with hemorrhagic colitis and hemolytic uremic syndrome. Locus of Adhesion and Autoaggregation (LAA) and its hes gene are related to the pathogenicity of STEC and the ability to form biofilms. Considering the frequent isolation of STEC O91, the biofilm-forming ability, and the possible role of hes in the pathogenicity of STEC, we propose to evaluate the ability of STEC to form biofilms and to evaluate the expression of hes before and after of biofilm formation. All strains were classified as strong biofilm-forming. The hes expression showed variability between strains before and after biofilm formation, and this may be due to other genes carried by each strain. This study is the first to report the relationship between biofilm formation, and hes expression and proposes that the analysis and diagnosis of LAA, especially hes as STEC O91 virulence factors, could elucidate these unknown mechanisms. Considering that there is no specific treatment for HUS, only supportive care, it is necessary to know the survival and virulence mechanisms of STEC O91.
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  • 文章类型: Journal Article
    UNASSIGNED: Safe handling of biological samples sourced from wild ecosystems is a pressing concern for scientists in disparate fields, including ecology and evolution, OneHealth initiatives, bioresources, geography, veterinary medicine, conservation, and many others. This is especially relevant given the growing global research community and collaborative networks that often span international borders. Treatments to inactivate potential pathogens of concern during transportation and analysis of biospecimens while preserving molecular structures of interest are necessary.
    UNASSIGNED: We provide a detailed resource on the effectiveness and limitations of TRIzol™ Reagent, a product commonly used in molecular biology to inactivate bacterial and viral pathogens found in wild animals.
    UNASSIGNED: By literature review, we evaluate the mode of action of TRIzol Reagent and its main components on bacterial and viral structures. We also synthesize peer-reviewed literature on the effectiveness of TRIzol in inactivating a broad range of infectious bacteria and viruses.
    UNASSIGNED: TRIzol Reagent inactivation is based on phenol, chaotropic salts, and sodium acetate. We find evidence of widespread efficacy in deactivating bacteria and a broad range of enveloped viruses. The efficacy against a subset of potential pathogens, including some nonenveloped viruses, remains uncertain.
    UNASSIGNED: Available evidence suggests that TRIzol Reagent is effective in inactivating a broad spectrum of bacteria and viruses from cells, tissues, and liquids in biological samples when the matrices are exposed to at least 10 min at room temperature to the reagent. We highlight areas that require additional research and discuss implications for laboratory protocols.
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  • 文章类型: Journal Article
    人五头滴虫是一种毛滴虫原生动物,感染人类和其他哺乳动物的盲肠和结肠。它是一种人畜共患病原体,可导致动物和人类腹泻。作为伴侣动物,感染了人源疟原虫的狗存在将其传播给人类的风险。目前的方法,如直接涂片和聚合酶链反应(PCR),用于人源假单胞菌检测有局限性,包括低检测率和需要专门的设备。因此,迫切需要快速发展,敏感,检测方法简单,便于临床应用。重组酶聚合酶扩增(RPA)已成为一种快速病原体检测技术。在这项研究中,我们开发了一种基于高度保守的SPO11-1基因的侧流试纸(LFD)-RPA方法,通过优化引物来检测人源感染,探针,和反应条件,并评估与十二指肠贾第虫和其他寄生虫基因组的交叉反应性。然后使用LFD-RPA方法测试从长春收集的128个狗粪便样品。结果证实了该方法的高特异性,与其他五种寄生虫没有交叉反应性。该方法的最低检测限为102拷贝/微升,其灵敏度是常规PCR方法的100倍。与使用巢式PCR观察到的阳性率一致,12个样品(共128个)使用这种方法检测为阳性(阳性率,9.38%)。总之,本研究中开发的LFD-RPA方法代表了一种简单而灵敏的检测方法,可以快速检测犬中的人源感染,尤其是在这个领域。
    Pentatrichomonas hominis is a trichomonad protozoan that infects the cecum and colon of humans and other mammals. It is a zoonotic pathogen that causes diarrhea in both animals and humans. As companion animals, dogs infected with P. hominis pose a risk of transmitting it to humans. Current methods, such as direct smears and polymerase chain reaction (PCR), used for P. hominis detection have limitations, including low detection rates and the need for specialized equipment. Therefore, there is an urgent need to develop rapid, sensitive, and simple detection methods for clinical application. Recombinase polymerase amplification (RPA) has emerged as a technology for rapid pathogen detection. In this study, we developed a lateral flow dipstick (LFD)-RPA method based on the highly conserved SPO11-1 gene for detecting P. hominis infection by optimizing the primers, probes, and reaction conditions, and evaluating cross-reactivity with genomes of Giardia duodenalis and other parasites. The LFD-RPA method was then used to test 128 dog fecal samples collected from Changchun. The results confirmed the high specificity of the method with no cross-reactivity with the five other parasites. The lowest detection limit of the method was 102 copies/µL, and its sensitivity was 100 times higher than that of the conventional PCR method. Consistent with the positivity rate observed using nested PCR, 12 samples (out of 128) tested positive using this method (positivity rate, 9.38%). In conclusion, the LFD-RPA method developed in this study represents a simple and sensitive assay that allows for the rapid detection of P. hominis infection in dogs, especially in this field.
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  • 文章类型: Journal Article
    抗生素耐药性的出现是全球健康关注的问题。因此,了解其传播机制对于在“一个健康”方法的背景下实施以证据为基础的策略来解决耐药性至关重要。在发展中国家,卫生系统和获得清洁和安全的水仍然是主要挑战,污染可能会将带有抗生素抗性基因(ARGs)的细菌和噬菌体引入环境。这种污染会增加ARGs和传染性病原体的暴露和社区传播的风险。然而,关于噬菌体介导的ARGs通过环境传播的机制和模式的信息很少。这里,我们使用液滴数字PCR(ddPCR)和宏基因组学方法来分析通过清洁和废水系统传播的ARGs和细菌病原体的丰度。我们发现了一种相对较少研究和罕见的人类人畜共患病病原体,Metschnikovii弧菌,已知通过粪便传播——口腔污染,类似于霍乱弧菌。在来自水源的细菌和噬菌体部分中鉴定了几种抗生素抗性基因。利用宏基因组学,我们在所有样本中检测到几个与四环素和β-内酰胺相关的抗性基因。来自出口废水的环境样品具有高度多样性的ARG,并且含有高水平的blaOXA-48。其他确定的耐药性包括tetA,tetM,和BlaCTX-M9.具体来说,我们证明了blaCTX-M1富集在废水的噬菌体部分中。总的来说,然而,与噬菌体种群相比,细菌群落具有明显更高的抗性基因丰度。总之,该研究强调需要对清洁和废水实施环境监测,以告知在“一个健康”背景下传染病爆发和抗生素耐药性传播的风险。
    The emergence of antibiotic resistance is a global health concern. Therefore, understanding the mechanisms of its spread is crucial for implementing evidence-based strategies to tackle resistance in the context of the One Health approach. In developing countries where sanitation systems and access to clean and safe water are still major challenges, contamination may introduce bacteria and bacteriophages harboring antibiotic resistance genes (ARGs) into the environment. This contamination can increase the risk of exposure and community transmission of ARGs and infectious pathogens. However, there is a paucity of information on the mechanisms of bacteriophage-mediated spread of ARGs and patterns through the environment. Here, we deploy Droplet Digital PCR (ddPCR) and metagenomics approaches to analyze the abundance of ARGs and bacterial pathogens disseminated through clean and wastewater systems. We detected a relatively less-studied and rare human zoonotic pathogen, Vibrio metschnikovii, known to spread through fecal--oral contamination, similarly to V. cholerae. Several antibiotic resistance genes were identified in both bacterial and bacteriophage fractions from water sources. Using metagenomics, we detected several resistance genes related to tetracyclines and beta-lactams in all the samples. Environmental samples from outlet wastewater had a high diversity of ARGs and contained high levels of blaOXA-48. Other identified resistance profiles included tetA, tetM, and blaCTX-M9. Specifically, we demonstrated that blaCTX-M1 is enriched in the bacteriophage fraction from wastewater. In general, however, the bacterial community has a significantly higher abundance of resistance genes compared to the bacteriophage population. In conclusion, the study highlights the need to implement environmental monitoring of clean and wastewater to inform the risk of infectious disease outbreaks and the spread of antibiotic resistance in the context of One Health.
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  • 文章类型: Journal Article
    戊型肝炎病毒(HEV)是世界范围内的公共卫生问题,是一种重要的食物病原体,以其人畜共患潜力而闻名。人类HEV感染病例的增加是由基因型3和4的人畜共患传播引起的,主要是通过食用被污染的,未煮熟或生的猪肉。猪是HEV的主要水库。然而,应该指出的是,其他动物物种,比如牛,绵羊,山羊,兔子,也可能是人类的感染源。由于检测到牛的牛奶和组织中的HEVRNA,食用这些物种的未煮熟的牛奶,肉或内脏也会带来人畜共患HEV感染的潜在风险。禽类HEV感染的家禽也可能出现症状性疾病,尽管禽类HEV不被认为是人畜共患病原体。HEV感染在全球范围内分布,根据受影响的动物种类,患病率不同。采样区域,或繁殖系统。
    Hepatitis E virus (HEV) is a public health problem worldwide and an important food pathogen known for its zoonotic potential. Increasing numbers of infection cases with human HEV are caused by the zoonotic transmission of genotypes 3 and 4, mainly by consuming contaminated, undercooked or raw porcine meat. Pigs are the main reservoir of HEV. However, it should be noted that other animal species, such as cattle, sheep, goats, and rabbits, may also be a source of infection for humans. Due to the detection of HEV RNA in the milk and tissues of cattle, the consumption of infected uncooked milk and meat or offal from these species also poses a potential risk of zoonotic HEV infections. Poultry infected by avian HEV may also develop symptomatic disease, although avian HEV is not considered a zoonotic pathogen. HEV infection has a worldwide distribution with different prevalence rates depending on the affected animal species, sampling region, or breeding system.
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  • 文章类型: Journal Article
    伯氏柯希菌是一种分布广泛的人畜共患胞内细菌,野生动物,人类和非哺乳动物物种。本系统综述旨在综合南非家畜和野生动物对C.burnetii的研究结果。系统审查协议已在开放社会系统审查基金会注册(https://doi.org/10.17605/OSF。IO/8WS)。遵循PRISMA指南,收集和评估了有关南非感染家畜和野生动物的C.burnetii的相关科学文章。发表的文章来自五个电子数据库,即,谷歌学者,PubMed和ScienceDirect,EBSCO和Scopus。结果显示11项合格研究涉及4种家畜,来自南非七个省的三种野生动物和一种体外寄生虫。在Ceratotheriumsimum(白犀牛)中,伯氏梭菌感染的发生率很高(53.9%),绵羊中等(29.0%),猪低(0.9%)。林波波省(26%)的感染记录最多,其次是夸祖鲁-纳塔尔省(19%),自由州(3%)的感染报告最少。目前的研究发现,在南非,关于感染家畜和野生动物的汉氏芽孢杆菌的流行和分布的研究很少,这是令人担忧的,因为这种细菌是一种重要的人畜共患病原体,具有“一个健康”的重要性。
    Coxiella burnetii is a zoonotic intracellular bacterium that is widely distributed and affects domestic animals, wildlife, humans and non-mammalian species. This systematic review was aimed at synthesizing research findings on C. burnetii in both domestic and wild animals of South Africa. The systematic review protocol was registered with Open Society Foundations of systematic reviews ( https://doi.org/10.17605/OSF.IO/8WS ). PRISMA guidelines were followed to collect and evaluate relevant scientific articles published on C. burnetii infecting domestic and wild animals in South Africa. Published articles were sourced from five electronic databases, namely, Google Scholar, PubMed and ScienceDirect, EBSCO and Scopus. Results showed 11 eligible studies involving four domestic animals, three wild animals and one ectoparasite species from seven provinces across South Africa. The occurrence of C. burnetii infection was high in Ceratotherium simum (white rhinoceros) (53.9%), medium in sheep (29.0%) and low in pigs (0.9%). Limpopo province (26%) had the most recorded infections followed by KwaZulu-Natal (19%) and Free State (3%) had the least reported occurrence of C. burnetii. The current study discovered that there is scarcity of published research on prevalence and distribution of C. burnetii infecting domestic and wild animals in South Africa, and this is of concern as this bacterium is an important zoonotic pathogen of \"One Health\" importance.
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  • 文章类型: Journal Article
    马尔堡病毒(MARV)是一种高致病性丝状病毒,负责多次爆发。包括自2021年以来在西非的三个。虽然目前还没有批准的疫苗或治疗方法可用于预防或治疗由MARV引起的疾病,已鉴定了来自人感染幸存者B细胞的有效中和单克隆抗体(mAb)。一种这样的单克隆抗体,被称为MR191,在攻击后4天和7天给予非人类灵长类动物,可提供针对MARV的完全保护。我们先前证明了表达MR191的腺相关病毒(AAV)的预防性施用能够保护小鼠免受致死剂量的MARV的影响。在本研究中,我们合理地修饰了AAV-MR191编码序列,以提高疗效,并在豚鼠模型中重新评估保护作用.值得注意的是,表达MR191的AAV载体的四种不同变体提供了针对MARV的完全保护,即使AAV在攻击前90天给药。基于优越的表达动力学,我们选择了一个变体,AAV-MR191-io2,并在剂量减少实验中评估其保护功效。最高剂量证明在受到MARV攻击的豚鼠中具有100%的保护作用,而较低的剂量提供了88%的保护。这些数据证实了AAV介导的MR191表达的功效,并支持了这种有希望的MARV对策的进一步开发。
    Although there are no approved countermeasures available to prevent or treat disease caused by Marburg virus (MARV), potently neutralizing monoclonal antibodies (mAbs) derived from B cells of human survivors have been identified. One such mAb, MR191, has been shown to provide complete protection against MARV in nonhuman primates. We previously demonstrated that prophylactic administration of an adeno-associated virus (AAV) expressing MR191 protected mice from MARV. Here, we modified the AAV-MR191 coding sequence to enhance efficacy and reevaluated protection in a guinea pig model. Remarkably, 4 different variants of AAV-MR191 provided complete protection against MARV, despite administration 90 days prior to challenge. Based on superior expression kinetics, AAV-MR191-io2, was selected for evaluation in a dose-reduction experiment. The highest dose provided 100% protection, while a lower dose provided ∼88% protection. These data confirm the efficacy of AAV-mediated expression of MR191 and support the further development of this promising MARV countermeasure.
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