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Volume 218, Issue 1, 1 July 2018
EDITORIAL COMMENTARIES
Risk of HIV Acquisition During Pregnancy and Postpartum: A Call for Action
Understanding Human-Derived Antibodies Generated by Polymorphic Malaria Vaccine Against Merozoite Surface Protein 2
REVIEW ARTICLE
Mosquito Saliva: The Hope for a Universal Arbovirus Vaccine?
Mosquito saliva facilitates arboviral infection by taking advantage of the host’s innate and adaptive immune responses to saliva. This provides a rationale for creating “universal” vaccines against mosquito salivary proteins, rather than against the viruses contained within the saliva.
MAJOR ARTICLES AND BRIEF REPORTS
HIV/AIDS
Increased Risk of HIV Acquisition Among Women Throughout Pregnancy and During the Postpartum Period: A Prospective Per-Coital-Act Analysis Among Women With HIV-Infected Partners
The risk of human immunodeficiency virus type 1 (HIV-1) acquisition by women per condomless sex act was 3-fold and 4-fold higher during late pregnancy and the postpartum period, respectively, relative to the nonpregnant period. Enhanced HIV-1 prevention and testing strategies are needed during pregnancy and the postpartum period.
Immunogenicity and Immunological Memory Induced by the 13-Valent Pneumococcal Conjugate Followed by the 23-Valent Polysaccharide Vaccine in HIV-Infected Adults
In adults with treated human immunodeficiency virus infection, receipt of 23-valent pneumococcal polysaccharide vaccine 12 months after receipt of 13-valent pneumococcal conjugate vaccine (PCV13) enhanced PCV13 immunogenicity but reduced the number of PCV13-induced polysaccharide-specific immunoglobulin M–expressing memory B cells.
PATHOGENESIS AND HOST RESPONSE
Human Immunization With a Polymorphic Malaria Vaccine Candidate Induced Antibodies to Conserved Epitopes That Promote Functional Antibodies to Multiple Parasite Strains
Human immunization with a polymorphic malaria vaccine candidate, MSP2, induced functional cross-reactive antibodies targeting conserved epitopes. This contrasts with naturally acquired antibodies, which target polymorphic epitopes, mediating immune escape. Findings reveal potential to overcome antigenic diversity for effective malaria vaccines.
Pivotal Role of Preexisting Pathogen-Specific Antibodies in the Development of Necrotizing Soft-Tissue Infections
This study highlights the relevance of preexisting pathogen-specific antibodies for restricting rapidly spreading necrotizing soft-tissue infections caused by Streptococcus pyogenes, as well as the potential beneficial effect of intravenous immunoglobulin–based therapy for ameliorating the severity of these devastating infections.
Repetitive Aerosol Exposure Promotes Cavitary Tuberculosis and Enables Screening for Targeted Inhibitors of Extensive Lung Destruction
Repetitive aerosol exposure in the rabbit tuberculosis model generated a greater number of cavities and increased lung damage than when the same inoculum was given once. The model was used to test an anti–MMP-1 drug, cipemastat, as a host-directed therapy.
Tumor Necrosis Factor-α Is Required for Mast Cell-Mediated Host Immunity Against Cutaneous Staphylococcus aureus Infection
Dampening of IL-2 Function in Infants With Severe Respiratory Syncytial Virus Disease
A reduced ability to produce IL-2 and a limited response to this cytokine may affect the function of CD4+ T cells in RSV-infected infants.
VIRUSES
Risk of HPV-16/18 Infections and Associated Cervical Abnormalities in Women Seropositive for Naturally Acquired Antibodies: Pooled Analysis Based on Control Arms of Two Large Clinical Trials
Using data from PATRICIA and Costa Rica Vaccine trials, the risk of detecting a new HPV-18 infection and associated lesions was compared between women HPV seropositive and seronegative at enrollment. High HPV-18 naturally acquired antibodies were associated with partial protection.
Efficacy, Immunogenicity, and Safety of a 9-Valent Human Papillomavirus Vaccine: Subgroup Analysis of Participants From Asian Countries
The 9vHPV vaccine was efficacious, immunogenic, and well-tolerated in Asian participants from 2 international, randomized clinical trials. Data support 9vHPV vaccination programs in Asia.
Increases in Human Papillomavirus Vaccination Among Adolescent and Young Adult Males in the United States, 2011–2016
Temporal trends in human papillomavirus vaccine coverage were assessed among 2011–2016 National Health and Nutrition Examination Surveys participants aged 9–26 years. Coverage substantially increased among males, but minimal gains were observed among females. Coverage remains below national targets.
Divergent preS Sequences in Virion-Associated Hepatitis B Virus Genomes and Subviral HBV Surface Antigen Particles From HBV e Antigen-Negative Patients
PreS mutations, detected in released viral genomes, did not affect HBsAg expression in HBeAg-negative chronic HBV-infected patients. In these patients, HBsAg is presumably derived from the integrated DNA. This HBsAg source should be considered for novel antiviral strategies.
A Microneedle Patch for Measles and Rubella Vaccination Is Immunogenic and Protective in Infant Rhesus Macaques
Microneedle (MN) patches containing measles and rubella (MR) vaccine induced comparable immune responses to subcutaneous injection in infant rhesus macaques and protected them from measles challenge. Use of MN patch vaccines could help to increase MR vaccination coverage rates.
Genetic Analysis of Reemerging GII.P16-GII.2 Noroviruses in 2016–2017 in China
This study provides the strong evidence in tracing the evolutionary origin and elucidating its evolutionary dynamics of the reemerging GII.P16/GII.2 noroviruses, and illustrates the mechanism behind its predominance.
Clinical Signs and Blood Test Results Among Humans Infected With Zoonotic Simian Foamy Virus: A Case-Control Study
Zoonotic simian foamy virus (SFV) establishes persistent infections in humans. A case-control study of Cameroonian hunters showed the absence of clinical signs and the presence of hematological abnormalities in SFV-infected humans, half of whom had mild or moderate anemia.
PARASITES
Glucose Uptake in the Human Pathogen Schistosoma mansoni Is Regulated Through Akt/Protein Kinase B Signaling
Functional analysis of activated Akt/protein kinase B in Schistosoma mansoni revealed that Akt regulates the expression and evolution of the glucose transporter SGTP4 at the parasite surface and concomitant glucose uptake in schistosomules and adult worms.
BACTERIA
Tissue Metabolic Changes Drive Cytokine Responses to Mycobacterium tuberculosis
Our study reveals that human tissue challenged with mycobacterial antigens induces differential expression of genes that regulate multiple metabolic pathways. We demonstrate that variable expression of these metabolic genes influences the cytokine response of immune cells stimulated by Mycobacterium tuberculosis.