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热带新加坡地区患者呼出的飞沫样本中的甲型和乙型流感病毒。

Influenza A and B Viruses in Fine Aerosols of Exhaled Breath Samples from Patients in Tropical Singapore.

机构信息

Infectious Diseases Translational Research Program, Department of Microbiology and Immunology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117545, Singapore.

Research Office, National Centre for Infectious Diseases, Singapore 308442, Singapore.

出版信息

Viruses. 2023 Sep 30;15(10):2033. doi: 10.3390/v15102033.

Abstract

Influenza is a highly contagious respiratory illness that commonly causes outbreaks among human communities. Details about the exact nature of the droplets produced by human respiratory activities such as breathing, and their potential to carry and transmit influenza A and B viruses is still not fully understood. The objective of our study was to characterize and quantify influenza viral shedding in exhaled aerosols from natural patient breath, and to determine their viral infectivity among participants in a university cohort in tropical Singapore. Using the Gesundheit-II exhaled breath sampling apparatus, samples of exhaled breath of two aerosol size fractions ("coarse" > 5 µm and "fine" ≤ 5 µm) were collected and analyzed from 31 study participants, i.e., 24 with influenza A (including H1N1 and H3N2 subtypes) and 7 with influenza B (including Victoria and Yamagata lineages). Influenza viral copy number was quantified using reverse transcription-quantitative polymerase chain reaction (RT-qPCR). Infectivity of influenza virus in the fine particle fraction was determined by culturing in Madin-Darby canine kidney cells. Exhaled influenza virus RNA generation rates ranged from 9 to 1.67 × 10 and 10 to 1.24 × 10 influenza virus RNA copies per minute for the fine and coarse aerosol fractions, respectively. Compared to the coarse aerosol fractions, influenza A and B viruses were detected more frequently in the fine aerosol fractions that harbored 12-fold higher viral loads. Culturable virus was recovered from the fine aerosol fractions from 9 of the 31 subjects (29%). These findings constitute additional evidence to reiterate the important role of fine aerosols in influenza transmission and provide a baseline range of influenza virus RNA generation rates.

摘要

流感是一种高度传染性的呼吸道疾病,通常在人群中爆发。关于人类呼吸活动(如呼吸)产生的飞沫的确切性质及其携带和传播甲型和乙型流感病毒的潜力,人们仍不完全了解。我们的研究目的是描述和量化来自自然患者呼吸的呼出气溶胶中的流感病毒脱落,并确定它们在热带新加坡大学队列参与者中的病毒感染力。使用 Gesundheit-II 呼气采样装置,从 31 名研究参与者中收集并分析了两个气溶胶大小分数(“粗”> 5 µm 和“细”≤5 µm)的呼出呼吸样本,即 24 名患有甲型流感(包括 H1N1 和 H3N2 亚型)和 7 名患有乙型流感(包括维多利亚和 Yamagata 谱系)。使用逆转录定量聚合酶链反应(RT-qPCR)定量流感病毒拷贝数。通过在 Madin-Darby 犬肾细胞中培养来确定细颗粒级分中流感病毒的感染性。呼出流感病毒 RNA 生成率范围分别为每分钟 9 至 1.67×10 和 10 至 1.24×10 流感病毒 RNA 拷贝,对于细和粗气溶胶分数。与粗气溶胶分数相比,甲型和乙型流感病毒在细气溶胶分数中更频繁地被检测到,其病毒载量高 12 倍。从 31 名受试者中的 9 名(29%)的细气溶胶分数中回收了可培养的病毒。这些发现构成了额外的证据,再次强调了细气溶胶在流感传播中的重要作用,并提供了流感病毒 RNA 生成率的基线范围。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/601c/10612062/f0e4d3321905/viruses-15-02033-g001.jpg

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