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智利社区获得性肺炎患者与非患者中环状病毒的检测

Cyclovirus detection in Chilean adults with and without community-acquired pneumonia.

作者信息

Prades Yara, Pizarro Rolando, Ruiz Mauricio, Moreno Cristian, Avendaño Luis F, Luchsinger Vivian

机构信息

Programa de Virología, ICBM, Facultad de Medicina, Universidad de Chile, Santiago, Chile.

Servicio Clínico, Hospital de Enfermedades Infecciosas Dr. L. Córdova, Santiago, Chile.

出版信息

J Med Virol. 2021 Aug;93(8):4786-4793. doi: 10.1002/jmv.27080. Epub 2021 Jun 2.

Abstract

Cycloviruses (CyV) (genus Cyclovirus, family Circoviridae) are nonenveloped DNA viruses. The first report in humans was in 2010 and research has focused only on disease-associated human sample detection. The only HuACyV (CyCV-ChileNPA1, HuACyV10) reported in the Chilean population was in children (3.3%) with an acute respiratory infection. Its detection in respiratory samples from adults, with/without respiratory disease remains unknown. The aim of this study was to detect HuACyV10 in adults with and without respiratory disease. HuACyV10 was studied in nasopharyngeal swabs from 105 hospitalized adults with community-acquired pneumonia (CAP) and 104 adults without respiratory symptoms. Total nucleic acids were extracted, and viral rep and cp gene fragments were amplified by real-time polymerase chain reaction. HuACyV10 was detected in 19.05% adults with CAP and in 0.96% asymptomatic adults, being significantly higher in adult CAP than asymptomatic (n = 1) ones (p = 0.0001). C values were between 26.7 and 39.6, and the median was 34.1 for rep and 33.8 for the CAP in adults CAP (p = 0.68), and 35.7 and 36.0, respectively, in the asymptomatic case. HuACyV10 detection in CAP adults concentrated in the Autumn-Winter season of the Southern hemisphere. The only asymptomatic adult with HuACyV10 was detected in the Spring-Summer period. In this first report of HuACyV10 in respiratory samples from adults, detection was significantly higher in CAP than in asymptomatic adults. As the sensitivity of both rep and cp genes was similar, both can be applied for detecting HuACyV10. It would be advisable to investigate the pathogenic role of HuACyV10 in adult respiratory infections. ​.

摘要

环病毒(CyV)(环病毒属,圆环病毒科)是无包膜的DNA病毒。2010年首次在人类中被报道,且研究仅集中于与疾病相关的人类样本检测。在智利人群中报道的唯一人类环病毒(CyCV-智利NPA1,HuACyV10)是在患有急性呼吸道感染的儿童中(3.3%)。在有或无呼吸道疾病的成人呼吸道样本中其检测情况仍未知。本研究的目的是在有和无呼吸道疾病的成人中检测HuACyV10。对105例因社区获得性肺炎(CAP)住院的成人和104例无呼吸道症状的成人的鼻咽拭子进行了HuACyV10研究。提取总核酸,并通过实时聚合酶链反应扩增病毒复制酶(rep)和衣壳蛋白(cp)基因片段。在19.05%的CAP成人和0.96%的无症状成人中检测到HuACyV10,CAP成人中的检出率显著高于无症状成人(n = 1)(p = 0.0001)。成人CAP中rep基因的Cq值在26.7至39.6之间,中位数为34.1,cp基因的中位数为33.8(p = 0.68),无症状病例中rep和cp基因的Cq值分别为35.7和36.0。CAP成人中HuACyV10的检测集中在南半球的秋冬季节。唯一检测到HuACyV10的无症状成人是在春夏季节。在关于成人呼吸道样本中HuACyV10的这一首次报道中,CAP中的检出率显著高于无症状成人。由于rep和cp基因的敏感性相似,两者均可用于检测HuACyV10。建议研究HuACyV10在成人呼吸道感染中的致病作用。

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