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Volume 217, Issue 12, 15 June 2018
EDITORIAL COMMENTARIES
Mycobacterium tuberculosis and HIV Coinfection Brings Fire and Fury to Macrophages
Quantifying the Aftermath: Recent Outbreaks Among People Who Inject Drugs and the Utility of Phylodynamics
Now Is the Time to Quickly Eliminate Barriers Along the Hepatitis C Cascade of Care
Searching for a Serological Correlate of Protection for a CMV Vaccine
MAJOR ARTICLES AND BRIEF REPORTS
HIV/AIDS
High Turnover of Tissue Macrophages Contributes to Tuberculosis Reactivation in Simian Immunodeficiency Virus-Infected Rhesus Macaques
The rhesus macaque model of SIV and Mtb co-infection demonstrated that destruction of lung tissue macrophages promoted the transition from latent to reactivated Mtb. This was reflected by increased monocyte turnover that may be a predictive biomarker of Mtb reactivation.
Recent and Rapid Transmission of HIV Among People Who Inject Drugs in Scotland Revealed Through Phylogenetic Analysis
An outbreak of HIV among people who inject drugs in Scotland follows similar recent outbreaks in Greece, Romania, Ireland, and the United States. Phylodynamic analysis demonstrates the infections are tightly linked genetically and the effective reproductive number remains above 1.
No Effect of Pegylated Interferon-α on Total HIV-1 DNA Load in HIV-1/HCV Coinfected Patients
Total HIV-1 DNA was quantified in HIV-1/HCV coinfected patients receiving pIFN-α treatment. Total HIV-1 DNA remained stable before, during, and after pIFN-α treatment, which questions the benefit of pIFN-α as an immunotherapeutic agent for reducing the HIV-1 reservoir.
VIRUSES
Evaluation of the Xpert HCV Viral Load Finger-Stick Point-of-Care Assay
This study demonstrated 100% sensitivity and specificity of the Xpert HCV VL FS test compared to the Abbott RealTime HCV Viral Load assay. This assay can detect active infection from a finger-stick sample in 1 hour, allowing single-visit HCV diagnosis.
Pathological Cerebrospinal Fluid Findings in Patients With Neuralgic Amyotrophy and Acute Hepatitis E Virus Infection
There is a paucity of data on extrahepatic manifestations of hepatitis E virus infection. This study describes the role of hepatitis E in patients with neuralgic amyotrophy and the associated pathological cerebrospinal fluid findings.
Hepatitis D Viremia Among Injection Drug Users in San Francisco
Hepatitis D viremia was present in 35.6% of injection drug users from San Francisco who had active hepatitis B virus infection. A novel hepatitis D virus quantitative microarray antibody assay demonstrated excellent performance characteristics in this population.
Epitope-Specific Humoral Responses to Human Cytomegalovirus Glycoprotein-B Vaccine With MF59: Anti-AD2 Levels Correlate With Protection From Viremia
Human cytomegalovirus (HCMV) glycoprotein B (gB) generates a prodigious polyclonal antibody response in vivo. Patients with antibodies that detect antigenic domain 2 display reduced viraemia post transplant - levels of which are boosted in recipients of a recombinant gB vaccine.
Susceptibility of HLA-E*01:03 Allele Carriers to Develop Cytomegalovirus Replication After Living-Donor Kidney Transplantation
Cytomegalovirus (CMA) causes serious complications after transplantation. Genetic biomarkers are required for an improved individualized CMV-associated risk management. This study introduces HLA-E*01:03 allele carrier status, independent of CMV high-risk status, in transplant recipients as a prognostic factor for CMV infection after transplantation.
Patterns of Interindividual Variability in the Antibody Repertoire Targeting Proteins Across the Epstein-Barr Virus Proteome
We found that healthy adults mount antibody responses targeting the full spectrum of the Epstein-Barr virus life cycle, that mucosal exposure to proteins can be influenced by smoking, and that a proportion of adults display antibody patterns that may predispose them to disease risk.
Analyzing the Human Serum Antibody Responses to a Live Attenuated Tetravalent Dengue Vaccine Candidate
Here we provide qualitative measures of the magnitude and epitope specificity of the neutralizing antibody responses to live-attenuated tetravalent dengue vaccine (TDV). This information will be useful for understanding the performance of TDV in clinical trials and for identifying correlates of protective immunity.
NLRP3 Inflammasome Activation Mediates Zika Virus–Associated Inflammation
This study shows that Zika virus, an emerging flavivirus, triggers NLRP3 inflammasome–mediated interleukin 1β production via interaction with NLRP3 and generation of reactive oxygen species, through action of the virus-encoded nonstructural protein 5.
Ribavirin Had Demonstrable Effects on the Crimean-Congo Hemorrhagic Fever Virus (CCHFV) Population and Load in a Patient With CCHF Infection
Deep-sequencing analysis of Crimean-Congo hemorrhagic fever virus (CCHFV) from a patient with autochthonous infection identified ribavirin-mediated antiviral mutagenic activity in the CCHFV population. These findings support the continued evaluation of ribavirin as an antiviral therapy for CCHFV-infected patients.
Use of a Scalable Replicon-Particle Vaccine to Protect Against Lethal Lassa Virus Infection in the Guinea Pig Model
Lassa fever is a viral zoonosis with a high annual case number in West Africa. A vaccine candidate comprising particles that replicate only in the first cells encountered conferred complete protection in a small-animal model.
PARASITES
Additional Screening and Treatment of Malaria During Pregnancy Provides Further Protection Against Malaria and Nonmalarial Fevers During the First Year of Life
This study examined the potential benefits of malaria in pregnancy preventive strategies in infants and showed, that enhanced screening and treatment, in addition to standard intermittent preventive treatment with sulfadoxine-pyrimethamine, may provide additional protection against malaria and nonmalarial fevers in early infancy.
BACTERIA
Pulmonary Colonization Resistance to Pathogens via Noncanonical Wnt and Interleukin-17A by Intranasal pep27 Mutant Immunization
IL-17A is the key factor for clearing extracellular bacteria; thus, a Th17-based vaccine could induce a Th17 response, followed bacterial burden reduction. Δpep27 vaccination induced IL-17A via Wnt signaling and inhibited pulmonary colonization, providing a novel protection against respiratory infections.
Adaptation of Bordetella pertussis to the Respiratory Tract
The Bordetella pertussis gene expression profile during respiratory infection of mice differs significantly from transcriptional profiles of in vitro–cultured Bvg+ or Bvg- bacteria. Our study suggest that virulence-repressed genes may be more important during infection than previously assumed.
PATHOGENESIS AND HOST RESPONSE
Interleukin-7 Unveils Pathogen-Specific T Cells by Enhancing Antigen-Recall Responses
IL-7 supports host immunity in lymphopenic and immunosuppressed patients and expands tumor-reactive T cells for adoptive immunotherapy. Here, we report that IL-7 also enables the accumulation of clinically relevant pathogen-reactive T cells from TB-, CMV-, and Candida albicans-infected individuals.