Viruses,
Год журнала:
2025,
Номер
17(4), С. 507 - 507
Опубликована: Март 31, 2025
During
the
COVID-19
pandemic,
severe
acute
respiratory
syndrome
coronavirus
2
(SC2)
infection
was
confirmed
in
various
animal
species
demonstrating
a
wide
host
range
of
virus.
Prior
studies
have
shown
that
ACE2
protein
is
primary
receptor
used
by
virus
to
gain
cellular
entry
and
begin
replication
cycle.
In
previous
studies,
we
demonstrated
human
bat
proteins
can
be
utilized
SC2
viruses
for
entry.
Bats
are
suspected
natural
because
genetic
homology
with
other
coronaviruses.
this
work,
demonstrate
expression
genes
from
common
vampire
(CVB)
(Desmodus
rotundus)
pallid
(PB)
(Antrozous
pallidus),
supports
some
cell
culture.
Two
lines
were
produced,
CVB-ACE2
PB-ACE2,
expressing
these
along
TMPRSS2,
model
previously
established
using
non-permissive
chicken
DF-1
line.
Results
original
Wuhan
lineage
(WA1)
Delta
variant
able
infect
replicate
either
lines.
contrast,
Lambda
Omicron
infected
both
lines,
but
viral
titers
did
not
increase
following
infection.
Viral
detection
immunofluorescence
abundant
spike
(S)
staining
WA1
variants
little
signal
variants.
These
while
CVB
PB
infection,
later
(Lambda
Omicron)
poorly
observations
suggest
more
efficient
adaption
become
less
fit
species.
bioRxiv (Cold Spring Harbor Laboratory),
Год журнала:
2025,
Номер
unknown
Опубликована: Янв. 10, 2025
SUMMARY
The
long-term
effects
of
repeated
COVID-19
vaccinations
on
adaptive
immunity
remain
incompletely
understood.
Here,
we
conducted
a
comprehensive
three-year
longitudinal
study
examining
T
cell
and
antibody
responses
in
78
vaccinated
individuals
without
reported
symptomatic
infections.
We
observed
distinct
dynamics
Spike-specific
humoral
cellular
immune
across
multiple
vaccine
doses.
While
titers
incrementally
increased
stabilized
with
each
booster,
rapidly
plateaued,
maintaining
remarkable
stability
CD4+
CD8+
subsets.
Notably,
approximately
30%
participants
showed
reactivity
to
non-Spike
antigens,
consistent
asymptomatic
Single-cell
RNA
sequencing
revealed
diverse
landscape
phenotypes,
no
evidence
exhaustion
or
significant
functional
impairment.
However,
qualitative
changes
were
infection,
exhibiting
unique
immunological
characteristics,
including
frequencies
Th17-like
cells
GZMKhi/IFNR
Remarkably,
this
group
associated
progressive
increase
regulatory
cells,
potentially
indicating
balanced
response
that
may
mitigate
immunopathology.
By
regularly
stimulating
memory,
boosters
contribute
stable
enhanced
response,
which
provide
better
protection
against
Journal of Pharmaceutical Health Care and Sciences,
Год журнала:
2025,
Номер
11(1)
Опубликована: Янв. 22, 2025
Abstract
Background
Ensitrelvir
is
a
novel
SARS-CoV-2
3-chymotrypsin-like
protease
inhibitor,
similar
to
nirmatrelvir/ritonavir.
Several
case
reports
have
demonstrated
the
efficacy
of
inhibitors
in
treating
prolonged
coronavirus
disease
2019
(COVID-19)
immunocompromised
patients.
Tacrolimus
(TAC)
widely
used
immunosuppressive
agent
whose
blood
level
can
increase
significantly
due
inhibition
cytochrome
P450
3A
(CYP3A)
and
P-glycoprotein
by
Since
ensitrelvir
also
inhibits
CYP3A
P-gp,
elevations
TAC
levels
are
expected.
A
prior
report
observed
an
trough
with
concurrent
administration
ensitrelvir.
However,
no
studies
quantitatively
described
changes
clearances
before
after
when
was
discontinued
mitigate
drug-drug
interaction
(DDI)
risk;
data
on
safe
dosing
protocols
avoid
DDI
during
co-administration
remain
lacking.
Here,
we
which
were
successfully
managed
patient
rheumatoid
arthritis
(RA)
who
received
for
persistent
COVID-19
preemptive
discontinuation
close
monitoring
following
administration.
Case
presentation
An
81-year-old
Japanese
woman
had
been
administered
(1.5
mg
once
daily)
RA
two
courses
remdesivir
moderate
COVID-19.
her
viral
load
remained
high
respiratory
status
deteriorated.
Considering
COVID-19,
initiated
combination
therapy
(day
0).
discontinued,
decreased
from
3.6
ng/mL
1.1
over
five
days.
Subsequently,
re-administered
(0.2
mg),
observing
1.0
day
7.
The
dose
adjusted
daily,
12
14
6.5
3.7
ng/mL,
respectively.
resumed
15.
calculated
t
1/2
33.7,
71.9,
114.6
h
-1
0,
0
2,
2
5,
extended
3.4-fold
its
original
duration
under
treatment.
Conclusions
This
half-life
approximately
3.4-fold,
effect
that
gradually
diminished
7
10
When
patients
receiving
treatment
start
therapy,
reduction
one-third
one-fourth
considered
appropriate.
Clinical Infectious Diseases,
Год журнала:
2024,
Номер
79(6), С. 1404 - 1407
Опубликована: Авг. 8, 2024
Abstract
The
COVID-19
pandemic
witnessed
the
greatest
deployment
of
monoclonal
antibody
(mAb)
therapies
for
an
infectious
disease,
but
all
were
defeated
by
SARS-CoV-2
evolution.
As
new
mAbs
are
developed,
disease
community
needs
stewardship
practices
to
reduce
emergence
resistance.
Biomedicines,
Год журнала:
2025,
Номер
13(1), С. 111 - 111
Опубликована: Янв. 6, 2025
Co-infection
with
Clostridioides
difficile
(C.
difficile)
in
COVID-19
patients
has
emerged
as
a
clinical
challenge
associated
increased
morbidity
and
mortality.
While
both
infections
elicit
systemic
inflammation,
the
interplay
between
inflammatory
markers,
disease
severity,
outcomes
concurrent
C.
infection
remains
poorly
characterized.
This
study
aimed
to
evaluate
status
of
hospitalized
COVID-19,
without
co-infection,
identify
markers
most
predictive
severe
disease.
We
conducted
retrospective
cohort
200
adults
confirmed
whom
92
had
laboratory-confirmed
infection.
Baseline
demographic
data,
comorbidities,
(C-reactive
protein
[CRP],
interleukin-6
[IL-6],
ferritin,
neutrophil-to-lymphocyte
ratio
[NLR],
platelet
count,
albumin,
derived
indices
such
CRP-to-Albumin
Ratio
[CAR]
Prognostic
Nutritional
Index
[PNI])
were
recorded.
Clinical
included
ICU
admission,
need
for
mechanical
ventilation,
length
stay,
in-hospital
Patients
co-infection
significantly
elevated
(CRP,
IL-6,
NLR)
higher
CAR,
alongside
lower
PNI,
compared
those
alone
(p
<
0.001).
Inflammatory
correlated
strongly
severity:
CAR
low
PNI
odds
admission
mortality
Multivariate
analysis
identified
status,
independent
predictors
outcomes.
is
an
intensified
response
worse
Among
evaluated
robust
Timely
recognition
use
targeted
anti-inflammatory
supportive
therapies
may
improve
patient
management.
Future
studies
should
expand
on
these
findings
optimize
care
guide
therapeutic
strategies.
Journal of Antimicrobial Chemotherapy,
Год журнала:
2025,
Номер
unknown
Опубликована: Янв. 13, 2025
Abstract
Background
Persistent
COVID-19
(pCOVID-19)
in
immunocompromised
patients
is
characterized
by
unspecific
symptoms
and
pulmonary
infiltrates
due
to
ongoing
severe
acute
respiratory
syndrome
coronavirus-2
(SARS-CoV-2)
replication.
Treatment
options
remain
unclear,
leading
different
approaches,
including
combination
therapy
extended
durations.
The
purpose
of
this
study
was
assess
the
efficacy
safety
antiviral
therapies
for
pCOVID-19
since
Omicron
surge.
Methods
We
searched
MEDLINE
Scopus
from
1
January
2022
6
August
2024
cohort
studies
case
series
on
nirmatrelvir/ritonavir,
remdesivir,
ensitrelvir
molnupiravir.
Evidence
certainty
rated
using
Grading
Recommendations
Assessment,
Development,
Evaluation
outcomes
viral
clearance,
recurrence/relapse,
mortality,
adverse
events
(AEs)
symptom
resolution.
Results
Thirteen
involving
127
cases
were
included.
very
low.
In
with
at
least
two
direct
agents,
clearance
79%,
a
16%
recurrence
rate.
All-cause
mortality
9%,
6%
while
SARS-CoV-2
positive.
47
cases,
AEs
reported
11%.
Symptom
resolution
ranged
3
days
studies.
one
agent
passive
immunization,
89%,
an
11%
rate
no
deaths.
four
documented
observed.
monotherapy,
100%,
15%
One
death,
unrelated
SARS-CoV-2,
occurred.
12
Conclusions
Based
low
evidence,
combining
immunization
resulted
high
rates
few
recurrences.
occurred
treated
antivirals.
Controlled
are
needed.
npj Genomic Medicine,
Год журнала:
2025,
Номер
10(1)
Опубликована: Янв. 17, 2025
Immunocompromised
patients
struggle
to
adequately
clear
viral
infections,
offering
the
virus
opportunity
adapt
immune
system
in
host.
Here
we
present
a
case
study
of
patient
undergoing
allogeneic
hematopoietic
stem
cell
transplantation
with
521-day
follow-up
SARS-CoV-2
infection
BF.7.21
variant.
Virus
samples
from
five
time
points
were
submitted
whole
genome
sequencing.
Between
first
detection
and
its
clearance,
patient's
population
acquired
34
amino
acid
substitutions
8
deletions
coding
regions.
With
11
receptor
binding
domain
virus'
spike
protein,
15
times
more
abundant
than
expected
for
random
distribution
this
highly
functional
region.
Amongst
them
S:K417T,
S:N440S,
S:K444R,
S:V445A,
S:G446N,
S:L452Q,
S:N460K,
S:E484V
at
positions
that
are
notorious
their
resistance-mediating
effects.
The
substitution
patterns
found
indicate
ongoing
adaptive
evolution.
Infectious Diseases and Therapy,
Год журнала:
2025,
Номер
14(2), С. 447 - 461
Опубликована: Янв. 21, 2025
Predictors
of
coronavirus
disease
2019
(COVID-19)-related
rehospitalization
remain
underexplored.
This
study
aims
to
identify
the
main
risk
factors
associated
with
rehospitalizations
due
severe
acute
respiratory
syndrome
2
(SARS-CoV-2)
reinfections
among
residents
Lombardy,
northern
Italy.
A
retrospective
observational
was
conducted
using
two
linked
administrative
databases
covering
demographic
data,
comorbidities,
hospital
records,
and
COVID-19
data
Lombardy
residents.
The
population
included
patients
hospitalized
for
between
February
2020
August
2021.
Rehospitalization
defined
as
a
second
COVID-19-related
hospitalization
occurring
at
least
90
days
after
first
admission.
Fine-Gray
subdistribution
hazard
model
used
factors,
accounting
death
competing
risk.
Out
98,369
1,
31,
2021,
72,593
were
alive
admission
610
these
(0.8%)
rehospitalized.
higher
observed
in
older
male
multiple
comorbidities.
Renal
failure,
liver
disease,
use
diuretics
significantly
risk,
while
female
biological
sex
lipid-lowering
drugs
lower
is
on
regional
investigate
rehospitalizations.
Through
availability
huge
cohort,
it
provides
groundwork
optimizing
care
individuals
It
underlines
need
patient-management
approaches
that
extend
beyond
initial
recovery.
stresses
importance
ongoing
monitoring
personalized
interventions
those
heightened
not
only
SARS-CoV-2
reinfection
but
also
related