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Volume 224, Issue 8, 15 October 2021
MEMORIAM
Charles C. J. Carpenter Jr (1931–2020)
EDITORIAL COMMENTARY
Not All Monoclonal Antibodies for Coronavirus Disease 2019 Are Created Equal
MAJOR ARTICLES AND BRIEF REPORTS
COVID-2019
Real-World Clinical Outcomes of Bamlanivimab and Casirivimab-Imdevimab Among High-Risk Patients With Mild to Moderate Coronavirus Disease 2019
This real-world cohort study of 3596 high-risk patients with mild to moderate coronavirus disease 2019 demonstrates similarly low rates of hospitalization after bamlanivimab or casirivimab-imdevimab infusion. The number and type of medical comorbidities influence the risk of hospitalizations after antibody treatment.
Severe Acute Respiratory Syndrome Coronavirus 2 Total and Subgenomic RNA Viral Load in Hospitalized Patients
Severe acute respiratory syndrome coronavirus 2 subgenomic RNA has been proposed as a marker of infectivity in patients with COVID-19. Our analysis of subgenomic RNA transcripts in 185 samples suggests that it is no more useful in determining infectivity than a total RNA copy number threshold.
Naturally Acquired SARS-CoV-2 Immunity Persists for Up to 11 Months Following Infection
A longitudinal serological study of 228 convalescent plasma donors showed that immunological memory is acquired in most individuals infected with SARS-CoV-2 and is sustained in a majority of patients for up to 11 months after recovery.
Detection of Serum Cross-Reactive Antibodies and Memory Response to SARS-CoV-2 in Prepandemic and Post–COVID-19 Convalescent Samples
We demonstrated preexisting cross-reactive anti–SARS-CoV-2 antibodies in prepandemic serum samples from children and young adults, which were likely derived from previous infection with common endemic β-coronaviruses. Promoting this cross-reactive immunity may be an effective strategy against SARS-COV-2 and future novel coronaviruses.
Higher Viral Load Drives Infrequent Severe Acute Respiratory Syndrome Coronavirus 2 Transmission Between Asymptomatic Residence Hall Roommates
Although most carriers of severe acute respiratory syndrome coronavirus 2 are asymptomatic, they are understudied compared with symptomatic patients. Test data from university students revealed a 20% transmission rate between roommates. In those who transmitted infection, viral load was 6.5-fold higher than in those who did not.
Severe Acute Respiratory Syndrome Coronavirus 2 Normalized Viral Loads and Subgenomic RNA Detection as Tools for Improving Clinical Decision Making and Work Reincorporation
SARS-CoV-2 normalized viral loads and sgRNA detection are 2 rapid accessible tools that overcome Ct value and respiratory sample collection variability. They could be easily implemented in routine hospital practice providing a useful proxy for infectivity and COVID-19 patient follow-up.
Distinct Mitochondria-Mediated T-Cell Apoptosis Responses in Children and Adults With Coronavirus Disease 2019
IL-6 and TNF-α components in COVID-19 patient’s plasma induced the mitochondria apoptosis of adult T cells. Activation of autophagy inhibited the apoptotic sensitivity of adult T cells to plasma from COVID-19 patients.
Determinants and Dynamics of SARS-CoV-2 Infection in a Diverse Population: 6-Month Evaluation of a Prospective Cohort Study
In a diverse, ambulatory cohort (548 healthcare workers; 283 nonhealthcare workers), 11.2% tested positive for SARS-CoV-2 over 6-month follow-up. COVID-19 symptom severity correlated with magnitude and trajectory of IgG production. Symptoms lasting ≥ 30 days afflicted one-third of infected participants.
Intersubject Variation in ACE2 Protein Expression in Human Airway Epithelia and Its Relationship to Severe Acute Respiratory Syndrome Coronavirus 2
In primary cultures of human airway epithelia, individual variation in ACE2 protein levels does not correlate with sex or age and has little influence on SARS-CoV-2 replication subsequent to infection.
Persistent SARS-CoV-2 RNA Shedding Without Evidence of Infectiousness: A Cohort Study of Individuals With COVID-19
The majority of participants with mild to moderate COVID-19 continued to shed SARS-CoV-2 from the nasopharynx ≥10 days after symptom onset. However, we did not recover any replication-competent virus from 35 rRT-PCR–positive nasopharyngeal specimens collected ≥10 days after symptom onset.
VIRUSES
Human Antibody Responses Following Vaccinia Immunization Using Protein Microarrays and Correlation With Cell-Mediated Immunity and Antibody-Dependent Cellular Cytotoxicity Responses
Protein microarray responses were assessed for correlations with antibody and cellular immune results. Modified vaccinia Ankara elicited antibodies to 15 Western Reserve proteins; 2 proteins were significantly correlated with increases in neutralizing antibody and may serve as immunogens for future vaccine development.
BACTERIA
Mycobacterium tuberculosis Peptidyl Prolyl Isomerase A Interacts With Host Integrin Receptor to Exacerbate Disease Progression
Mycobacterium tuberculosis encodes for a Peptidyl prolyl isomerase A (PPiA) that is secreted through its N-terminal secretion signal. Secreted PPiA interacts with host integrin via arginine-glycine-aspartic acid motif, resulting in the upregulation of matrix metalloproteinases facilitating intracellular bacillary survival.
Oral Immunotherapy With Human Secretory Immunoglobulin A Improves Survival in the Hamster Model of Clostridioides difficile Infection
The Mosaic mtr Locus as Major Genetic Determinant of Azithromycin Resistance of Neisseria gonorrhoeae—Germany, 2018
Whole genome sequencing of Neisseria gonorrhoeae (NG) samples in 2018 collected within the German Gonococcal Resistance Network revealed the mosaic-like mtr locus as the major genetic determinant for reduced susceptibility to azithromycin predominantly represented by NG-MAST genogroup G12302.
HIV/AIDS
The Complement Pathway Is Activated in People With Human Immunodeficiency Virus and Is Associated With Non-AIDS Comorbidities
The complement pathway is activated in treated people with HIV and is associated with prevalence of non-AIDS comorbidities.
MICROBIOME
Improvement of Gut Diversity and Composition After Direct-Acting Antivirals in Hepatitis C Virus–Infected Patients With or Without Human Immunodeficiency Virus Coinfection
PARASITES
Plasmodium vivax From Duffy-Negative and Duffy-Positive Individuals Share Similar Gene Pools in East Africa
Plasmodium vivax showed lower genetic diversity in Duffy-negative hosts but was not clearly differentiated from Duffy-positive hosts, suggesting between-host transmission. Parasites in Ethiopia and Sudan shared similar clusters, except for Khartoum, possibly due to distance and road density inhibiting gene flow.
Cerebrospinal Fluid Pterins, Pterin-Dependent Neurotransmitters, and Mortality in Pediatric Cerebral Malaria
We hypothesized that central nervous system (CNS) tetrahydrobiopterin deficiency contributes to the pathogenesis of cerebral malaria. Instead, we found cerebrospinal fluid tetrahydrobiopterin was elevated in cerebral malaria relative to other CNS diseases, and increase in tetrahydrobiopterin was associated with survival.