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Infectious disease 1. Asymptomatic seminal infection of herpes simplex virus: impact on male infertility. J Biomed Res, 2013,27(1):51-55 Seyed Hamidreza Monavaria, Mostafa Salehi Vazirib, Mohammadali Khalilic, Mahmoud Shamsi- Shahrabadib, Hossein Keyvanib, Hamidreza Mollaeib, Mehdi Fazlalipourb a Department of Virology and Anti -Microbial Resistant Research Center, Tehran University of Medical Sciences, Tehran 1417613151, Iran; b Department of Virology, Tehran University of Medical Sciences, Tehran 1417613151, Iran; c Research and Clinical Center of Infertility, Yazd 8916877391, Iran. Abstract: In more than half of infertile men, the cause of their infertility is unknown. Several studies revealed the role of viral infections in male infertility. The aim of the present study was to determine the prevalence of herpes simplex virus-1 (HSV-1) and HSV-2 in semen from asymptomatic infertile male patients, and its association with altered semen parameters. A total of 70 semen samples were collected from infertile men who attended the Research and Clinical Center for Infertility in Yazd, Iran. Semen analysis and diagnostic real-time PCR using specific primers and probes for HSV-1 and HSV-2 DNA were performed. Comparison of semen parameters between virally in-fected and non-infected samples were performed with independent t-test and Mann-Whitney test. Semen analysis showed that infertile men fell into two groups, the male factor group and the unexplained group. HSV-1 and HSV-2 DNA was detected in 16 (22.9%) and 10 (14.3%) of 70 semen samples, respectively. All HSV-positive samples had abnormal semen parameters (the male factor group). Although HSV infection was not associated with sperm motility and morphological defects, it was correlated with lower sperm count in the seminal fluid. The findings suggest that asymptomatic seminal infection of HSV plays an important role in male infertility by adversely af-fecting sperm count. http://www.jbr-pub.org/ch/reader/view_abstract.aspx?file_no=JBR130108&flag=1 2. Development of Leishmania vaccines: predicting the future from past and present experience. J Biomed Res, 2013,27(2):85-102 Joshua Muli Mutisoa,b, John Chege Machariaa, Maria Ndunge Kiioa, James Maina Ichagichua, Hitler Rikoia, Michael Muita Gicherub a Department of Tropical and Infectious Diseases, Institute of Primate Research, Karen, Nairobi 24481 -00502, Kenya; b Department of Zoological Sciences, Kenyatta University, Nairobi 43844 -00100, Kenya. Abstract: Leishmaniasis is a disease that ranges in severity from skin lesions to serious disfigurement and fatal systemic infection. Resistance to infection is associated with a T-helper-1 immune response that activates macrophages to kill the intracellular parasite in a nitric oxide-dependent manner. Conversely, disease progression is generally associated with a T-helper-2 response that activates humoral immunity. Current control is based on chemotherapeutic treatments which are expensive, toxic and associated with high relapse and resistance rates. Vaccination remains the best hope for control of all forms of the disease, and the development of a safe, effective and affordable antileishmanial vaccine is a critical global public-health priority. Extensive evidence from studies in animal models indicates that solid protection can be achieved by immunization with defined subunit vaccines or live-attenuated strains of Leishmania. However, to date, no vaccine is available despite substantial efforts by many laboratories. Major impediments in Leishmania vaccine development include: lack of adequate funding from national and international agencies, problems related to the translation of data from animal models to human disease, and the transition from the laboratory to the field. Furthermore, a thorough understanding of protective immune responses and generation and maintenance of the immunological memory, an important but least-studied aspect of antiparasitic vaccine development, during Leishmania infection is needed. This review focuses on the progress of the search for an effective vaccine against human and canine leishmaniasis. http://www.jbr-pub.org/ch/reader/view_abstract.aspx?file_no=JBR130203&flag=1 3. Prevalence and trends of aminoglycoside resistance in Shigella worldwide, 1999-2010. J Biomed Res, 2013,27(2):103-115 Bing Gua,b, Xing Kea,b, Shiyang Pana,b, Yan Caoa,b, Ling Zhuangc, Rongbin Yud, Huimin Qianc, Genyan Liua,b, Mingqing Tonga,b a Department of Laboratory Medicine, the First Affiliated Hospital, Nanjing Medical University, Nanjing, Jiangsu 210029, China; b National Key Clinical, Department of Laboratory Medicine, Nanjing, Jiangsu 210029, China; c Department of Acute Infectious Disease Prevention and Control, Jiangsu Provincial Center for Disease Prevention and Control,Nanjing, Jiangsu 210029, China; d Department of Epidemiology and Biostatistics, School of Public Health, Nanjing Medical University, Nanjing, Jiangsu 210029, China. Abstract: Shigellosis causes diarrheal disease in humans in both developed and developing countries, and multi-drug resistance in Shigella is an emerging problem. Understanding changing resistance patterns is important in determining appropriate antibiotic treatments. This meta-analysis systematically evaluated aminoglycoside resistance in Shigella. A systematic review was constructed based on MEDLINE and EMBASE databases. Random-effect models or fixed-effect models were used based on P value considering the possibility of heterogeneity between studies for meta-analysis. Data manipulation and statistical analyses were performed using software STATA 11.0. By means of meta-analysis, we found a lower resistance to three kinds of aminoglycosides in the Europe-America areas during the 12 year study period than that of the Asia-Africa areas. Kanamycin resistance was observed to be the most common drug resistance among Shigella isolates with a prevalence of 6.88% (95%CI: 6.36%-7.43%). Comparison of data from Europe-America and Asia-Africa areas revealed that Shigella flexneri resistance was greater than the resistance calculated for Shigella sonnei. Importantly, S higella sonnei has played a significant role in aminoglycoside-resistance in recent years. Similarly, data showed that resistance to these drugs in children was higher than the corresponding data of adults. In conclusion, aminoglycoside-resistant Shigella is not an unusual phenomenon worldwide. Distribution in Shigella resistance differs sharply based on geographic areas, periods of time and subtypes. The results from the present study highlight the need for continuous surveillance of resistance and control of antibiotic usage. http://www.jbr-pub.org/ch/reader/view_abstract.aspx?file_no=JBR130204&flag=1 4. Lactobacillus isolates from healthy volunteers exert immunomodulatory effects on activated peripheral blood mononuclear cells. J Biomed Res,2013,27(2):116-126 Keyi Suna, Chao Xiea Donghua Xua, Xiaofan Yanga, James Tangb, Xiaohui Jia a Department of Microbiology and Immunology, Nanjing Medical University, Nanjing, Jiangsu 210029, China; b Cultech Limited, Unit 2 Christchurch Road, Baglan Industrial Park, Port Talbot, SA12 7BZ, Wales, UK. Abstract: As probiotics in the gut, Lactobacilli are believed to play important roles in the development and maintenance of both the mucosal and systemic immune system of the host. This study was aimed to investigate the immuno-modulatory function of candiate lactobacilli on T cells. Lactobacilli were isolated from healthy human feces and the microbiological characteristics were identified by API 50 CHL and randomly amplified polymorphic DNA (RAPD) assays. Anti-CD3 antibody activated peripheral blood mononuclear cells (PBMCs) were treated by viable, heat-killed lactobacilli and genomic DNA of lactobacilli, and cytokine profiles were tested by ELISA. Isolated lactobacilli C44 and C48 were identified as L. acidophilus and L. paracacei, which have properties of acid and bile tolerance and inhibitor effects on pathogens. Viable and heat-killed C44 and C48 induced low levels of proinflammatory cytokines (TNF-α, IL-6 and IL-8) and high levels of IFN-γ and IL-12p70 in PBMCs. In antiCD3 antibody activated PBMCs, viable and heat-killed C44 increased Th2 cytokine levels (IL-5, IL-6 and IL-10), and simultaneously enhanced Th1 responses by inducing IFN-γ and IL-12p70 production. Different from that of lactabacillus strains, their genomic DNA induced low levels of IL-12p70, IFN-γ and proinflammatory cytokines in PBMCs with or without anti-CD3 antibody activation. These results provided in vitro evidence that the genomic DNA of strains of C44 and C48, especially C44, induced weaker inflammation, and may be potentially applied for treating allergic diseases. http://www.jbr-pub.org/ch/reader/view_abstract.aspx?file_no=JBR130205&flag=1 5. Risk assessment on the epidemics of human infection with a novel avian influenza A (H7N9) virus in Jiangsu Province, China. J Biomed Res, 2013,27(3):163-166 Wendong Liu, Yefei Zhu, Xian Qi, Ke Xu, Aihua Ge, Hong Ji, Jing Ai, Changjun Bao, Fenyang Tang, Minghao Zhou Department of Acute Infectious Disease Control and Prevention, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, Jiangsu 210009, China. Abstract: A novel avian influenza A (H7N9) virus was discovered in February 2013 in China and has resulted in more than 100 comfirmed human infections including 26 fatal cases as of May 2, 2013. The situation raises many ur-gent questions and global public health concerns. In this study, epidemiologic characteristics of infected human cases in Jiangsu province were analyzed and risk assessment was undertaken based on the information available. Briefly, it is highly unlikely that a pandemic of human infection with avian influenza A (H7N9) virus will happen in Jiangsu Province in the near future. In the end, some measures are recommended to prevent the situation from becoming worse. http://www.jbr-pub.org/ch/reader/view_abstract.aspx?file_no=JBR130301&flag=1 6. Risk for worldwide pandemic of the new H7N9 influenza infection. J Biomed Res, 2013,27(4):339 Viroj Wiwanitkit Chulalongkorn University, Wiwanitkit House, Bangkhae, Bangkok, Thailand http://www.jbr-pub.org/ch/reader/view_abstract.aspx?file_no=JBR130412&flag=1 7. A novel recombinant DNA vaccine encoding Mycobacterium tuberculosis ESAT-6 and FL protects against Mycobacterium tuberculosis challenge in mice. J Biomed Res, 2013,27(5):406-420 Qingtao Jianga, Jing Zhanga, Xia Chena, Mei Xiaa, Yanlai Lua, Wen Qiua, Ganzhu Fenga, Dan Zhaoa, Yan Lia, Fengxia Hea, Guangyong Pengb, Yingwei Wanga a Department of Microbiology and Immunology, Nanjing Medical University, Nanjing, Jiangsu 210029, China; b Division of Infectious Diseases, Allergy and Immunology, Department of Internal Medicine, Saint Louis University School of Medicine, St. Louis, Missouri 63104, USA. Abstract: Mycobacterium tuberculosis 6-kDa early secretory antigenic target (ESAT-6) is a dominant target antigen for cell-mediated immunity in the early phase of tuberculosis. The fms-like tyrosine kinase 3 ligand (FL) that induces potent immune response has been used as an adjuvant in vaccine development. In this study, a new recombinant plasmid (pIRES-epitope-peptides-FL) encoding three T cell epitopes of ESAT-6 and FL was constructed, and the immunogenicity of the DNA vaccine was assessed in C57BL/6 mice immunized with the plasmid DNA vaccine. Additionally, a strategy of intramuscular injection with the DNA vaccine (prime) and intranasal administration of the epitope peptides (boost) was employed to induce higher immune reaction of the mice. The results showed that mice vaccinated with the recombinant plasmid DNA vaccine and boosted with the peptides not only increased the levels of Th1 cytokines (IFN-γ and IL-12), the number of IFN-γ+ T cells and activities of cytotoxic T lymphocytes as well as IgG, but also enhanced protection against Mycobacterium tuberculosis challenge. In conclusion, these data indicate that the novel recombinant pIRES-epitope-peptides-FL plasmid is a useful DNA vaccine for pre-venting Mycobacterium tuberculosis infection. http://www.jbr-pub.org/ch/reader/view_abstract.aspx?file_no=JBR130508&flag=1 8. Preparation and application of polyclonal antibodies against KSHV v-cyclin. J Biomed Res,2013,27(5):421-429 Min Xuea,b, Yuanyuan Guoa, Qin Yana, Di Qina, Chun Lua a Department of Microbiology and Immunology, Nanjing Medical University, Nanjing 210029, P. R. China; b Department of Physiology, Xuzhou Medical College, Xuzhou, Jiangsu, 221000, P. R. China; Jiangsu 223300, China Abstract: We prepared rabbit polyclonal antibodies against Kaposi's sarcoma-associated herpesvirus (KSHV)-encoded v-cyclin (ORF 72) and detected the natural viral protein using these polyclonal antibodies. Three antigenic polypep-tides of v-cyclin were designed and synthesized. A fragment of the v-cyclin gene was cloned into a eukaryotic expression vector pEF-MCS-Flag-IRES/Puro to construct a recombinant vector, pEF v-cyclin. Then, pEF v-cyclin was transfected into 293T and EA.hy926 cells to obtain v-cyclin-Flag fusion proteins. Six New Zealand white rabbits were immunized with KLH-conjugated peptides to generate polyclonal antibodies against v-cyclin. The polyclonal antibodies were then characterized by ELISA and Western blotting assays. Finally, the polyclonal anti-bodies against v-cyclin were used to detect natural viral protein expressed in BCBL-1, BC-3, and JSC-1 cells. The results showed that using the Flag antibody, v-cyclin-Flag fusion protein was detected in 293T and EA.hy926 cells transfected with pEF-v-cyclin. Furthermore, ELISA showed that the titer of the induced polyclonal rabbit anti-v-cyclin antibodies was higher than 1:8,000. In Western blotting assays, the antibodies reacted specifically with the v-cyclin-Flag fusion protein as well as the natural viral protein. The recombinant expression vector pEF-v-cyclin was constructed successfully, and the polyclonal antibodies prepared can be used for various biological tests in-cluding ELISA and Western blotting assays. http://www.jbr-pub.org/ch/reader/view_abstract.aspx?file_no=JBR130509&flag=1