Journal of Medical Virology最新文献

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Diagnostic performance of dried blood spot hepatitis C virus core antigen testing for hepatitis C screening: A systematic review and meta-analysis 用于丙型肝炎筛查的干血斑丙型肝炎病毒核心抗原检测的诊断性能:系统回顾和荟萃分析
IF 6.8 3区 医学
Journal of Medical Virology Pub Date : 2024-10-21 DOI: 10.1002/jmv.70018
Ana Treviño-Nakoura, Daniel Sepúlveda-Crespo, José M. Bellon, Helena Codina, Rafael Amigot-Sánchez, Marta Quero-Delgado, Pablo Ryan, Isidoro Martínez, Salvador Resino
{"title":"Diagnostic performance of dried blood spot hepatitis C virus core antigen testing for hepatitis C screening: A systematic review and meta-analysis","authors":"Ana Treviño-Nakoura,&nbsp;Daniel Sepúlveda-Crespo,&nbsp;José M. Bellon,&nbsp;Helena Codina,&nbsp;Rafael Amigot-Sánchez,&nbsp;Marta Quero-Delgado,&nbsp;Pablo Ryan,&nbsp;Isidoro Martínez,&nbsp;Salvador Resino","doi":"10.1002/jmv.70018","DOIUrl":"https://doi.org/10.1002/jmv.70018","url":null,"abstract":"<p>Dried blood spot (DBS) sampling is increasingly used for hepatitis C virus (HCV) screening. HCVcAg testing offers a faster and more streamlined approach to diagnosing HCV infection. We conducted a systematic review and meta-analysis to assess the diagnostic performance of the Abbott ARCHITECT HCV Ag assay for screening active HCV infection using DBS samples. Eight studies (<i>n</i> = 1229) were selected among all published studies available up to October 4, 2024, in different databases with a search strategy registered (PROSPERO: CRD42022363975). The gold standard method was the HCV PCR test. Data were analyzed using the MIDAS module in STATA with a random effects model. Combined diagnostic accuracy measures were as follows: sensitivity 85%, specificity 100%, positive likelihood ratio (PLR) 233.1, negative likelihood ratio (NLR) 0.15, and summary receiver operating characteristic (SROC) 0.99. Likelihood ratios and Fagan's nomogram suggested that the HCVcAg assay with DBS samples can confirm or rule out active HCV infection with over 92% accuracy in high-prevalence settings (≥5%). However, in low-prevalence settings (≤1%), a confirmatory test must be required for positive results. The ability of the test to identify people without HCV infection was high regardless of HCV prevalence, with an error rate of less than 3%. This meta-analysis is subject to limitations, particularly due to the number of included studies and significant heterogeneity among them. HCV screening using the Abbott ARCHITECT HCV Ag assay with DBS samples showed excellent diagnostic performance, but its external validity may be limited when HCV prevalence is low (≤1%).</p>","PeriodicalId":16354,"journal":{"name":"Journal of Medical Virology","volume":null,"pages":null},"PeriodicalIF":6.8,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142451783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prognostic significance of plasma cytomegalovirus (CMV) DNA load in immunocompetent patients with CMV pneumonia: A retrospective cohort study 免疫功能正常的 CMV 肺炎患者血浆巨细胞病毒 (CMV) DNA 负载的预后意义:一项回顾性队列研究
IF 6.8 3区 医学
Journal of Medical Virology Pub Date : 2024-10-21 DOI: 10.1002/jmv.70019
Özge Aydın Güçlü, Ezgi Demirdöğen, Esra Kazak, Nilüfer Aylin Acet Öztürk, Merve Nur Yıldız, Orkun Eray Terzi, Aslı Görek Dilektaşlı, Ahmet Ursavaş
{"title":"Prognostic significance of plasma cytomegalovirus (CMV) DNA load in immunocompetent patients with CMV pneumonia: A retrospective cohort study","authors":"Özge Aydın Güçlü,&nbsp;Ezgi Demirdöğen,&nbsp;Esra Kazak,&nbsp;Nilüfer Aylin Acet Öztürk,&nbsp;Merve Nur Yıldız,&nbsp;Orkun Eray Terzi,&nbsp;Aslı Görek Dilektaşlı,&nbsp;Ahmet Ursavaş","doi":"10.1002/jmv.70019","DOIUrl":"https://doi.org/10.1002/jmv.70019","url":null,"abstract":"<p>Cytomegalovirus (CMV) pneumonia, often presented as pneumonitis, is characterized by respiratory failure and large interstitial infiltrates visible on chest radiographs. This retrospective cohort study investigates the predictive significance of plasma CMV DNA load on the short- and long-term mortality among immunocompetent patients diagnosed with CMV pneumonia. The study included 61 immunocompetent patients suspected of having CMV pneumonia, treated with intravenous ganciclovir after positive CMV DNA results from bronchoalveolar lavage or plasma. Our multivariate Cox regression analysis identified several independent predictors of mortality. Having idiopathic pulmonary fibrosis (IPF) significantly increased the risk of in-hospital mortality (HR: 7.27, 95% CI: 1.62–32.52, <i>p</i> = 0.009), as did shorter durations of antiviral therapy (HR: 0.90, 95% CI: 0.84–0.97, <i>p</i> = 0.005) and higher CMV DNA levels (&gt;3870 IU/mL; HR: 9.63, 95% CI: 2.32–39.98, <i>p</i> = 0.002). High CMV DNA levels (&gt;5154 IU/mL) were also predictors of 30-day mortality (HR: 9.39, 95% CI: 2.20–40.01, <i>p</i> = 0.002). For 1-year mortality, the presence of IPF (HR: 2.96, 95% CI: 1.08–8.06, <i>p</i> = 0.034), hypersensitivity pneumonia (HP) (HR: 4.30, 95% CI: 1.57–11.78, <i>p</i> = 0.005), shorter duration of total antiviral therapy (HR: 0.95, 95% CI: 0.93–0.99, <i>p</i> = 0.010), and higher CMV DNA levels (&gt;327 IU/mL) (HR: 3.36, 95% CI: 1.33–8.47, <i>p</i> = 0.010) were identified as independent determinants. The study reveals that IPF increases short and long-term mortality risks, while HP increases long-term mortality. Extended antiviral treatment duration results in a 10% reduction in in-hospital mortality for each additional day of treatment. Furthermore, elevated viral loads are associated with higher mortality rates, highlighting the necessity for careful monitoring.</p>","PeriodicalId":16354,"journal":{"name":"Journal of Medical Virology","volume":null,"pages":null},"PeriodicalIF":6.8,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jmv.70019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142451784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Macrophages can transmit coxsackievirus B4 to pancreatic cells and can impair these cells 巨噬细胞可将柯萨奇病毒 B4 传播到胰腺细胞,并损害这些细胞
IF 6.8 3区 医学
Journal of Medical Virology Pub Date : 2024-10-18 DOI: 10.1002/jmv.70009
Inès Vergez, Magloire Pandoua Nekoua, Gustav Arbrandt, Jacob Westman, Enagnon Kazali Alidjinou, Didier Hober
{"title":"Macrophages can transmit coxsackievirus B4 to pancreatic cells and can impair these cells","authors":"Inès Vergez,&nbsp;Magloire Pandoua Nekoua,&nbsp;Gustav Arbrandt,&nbsp;Jacob Westman,&nbsp;Enagnon Kazali Alidjinou,&nbsp;Didier Hober","doi":"10.1002/jmv.70009","DOIUrl":"https://doi.org/10.1002/jmv.70009","url":null,"abstract":"<p>Macrophages are suspected to be involved in the pathogenesis of type 1 diabetes. The role of macrophages in the transmission of coxsackievirus B4 (CVB4) to pancreatic cells and in the alteration of these cells was investigated. Human monocytes isolated from peripheral blood were differentiated into macrophages with M-CSF (M-CSF macrophages) or GM-CSF (GM-CSF macrophages). M-CSF macrophages were inoculated with CVB4. M-CSF and GM-CSF macrophages were activated with lipopolysaccharide and interferon (IFN)-γ. Human pancreatic beta cells 1.1B4 were inoculated with CVB4 derived from M-CSF macrophages or were cocultured with CVB4-infected M-CSF macrophages. The antiviral activity of synthetic molecules in macrophage cultures was evaluated. Activated macrophages were cocultured with CVB4-persistently infected 1.1B4 cells, and the specific lysis of these cells was determined. Our study shows that CVB4 can infect M-CSF macrophages, leading to the release of interleukin-6 and tumor necrosis factor-α and later IFN-α. M-CSF macrophage-derived CVB4 can infect 1.1B4 cells, which were then altered; however, when these cells were cultured in medium containing agarose, cell layers were not altered. Fluoxetine and CUR-N373 can inhibit CVB4 replication in macrophage cultures. Supernatants of activated M-CSF and GM-CSF macrophage cultures induced lysis of CVB4-persistently infected 1.1B4 cells. The cytolytic activity of activated GM-CSF macrophages was higher towards CVB4-persistently infected 1.1B4 cells than mock-infected 1.1B4 cells. In conclusion, macrophages may play a role in CVB4 infection of pancreatic cells, and are capable of inducing lysis of infected pancreatic cells.</p>","PeriodicalId":16354,"journal":{"name":"Journal of Medical Virology","volume":null,"pages":null},"PeriodicalIF":6.8,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jmv.70009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142449197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Sansure® Human Papillomavirus DNA Diagnostic Kit offers excellent reproducibility performance for the detection of high-risk HPV Sansure® 人类乳头瘤病毒 DNA 诊断试剂盒在检测高危 HPV 方面具有出色的重现性。
IF 6.8 3区 医学
Journal of Medical Virology Pub Date : 2024-10-18 DOI: 10.1002/jmv.29961
Jean-Luc Prétet, Alice Baraquin, Pui Yan Jenny Chung, Line Puget, Sharonjit K. Dhillon, Yuliya Tkachenka, Killian Jacquot, Quentin Lepiller, Davy Vanden Broeck, Marc Arbyn
{"title":"The Sansure® Human Papillomavirus DNA Diagnostic Kit offers excellent reproducibility performance for the detection of high-risk HPV","authors":"Jean-Luc Prétet,&nbsp;Alice Baraquin,&nbsp;Pui Yan Jenny Chung,&nbsp;Line Puget,&nbsp;Sharonjit K. Dhillon,&nbsp;Yuliya Tkachenka,&nbsp;Killian Jacquot,&nbsp;Quentin Lepiller,&nbsp;Davy Vanden Broeck,&nbsp;Marc Arbyn","doi":"10.1002/jmv.29961","DOIUrl":"https://doi.org/10.1002/jmv.29961","url":null,"abstract":"<p>Cervical cancer screening is a cornerstone of cervical cancer elimination. Detection of high-risk human papillomavirus (hrHPV) is recommended as the first step in screening provided that the assay used has been adequately validated. The Sansure® Human Papillomavirus DNA Diagnostic Kit is a new assay designed to detect HPV16, HPV18 and 13 other HPV in aggregate. The study aimed to evaluate the intra- and interlaboratory reproducibility of the assay according to international guidelines. Five hundred and fifty cervical residual cell samples from women attending cervical cancer screening were selected from the biobank of the HPV National Reference Centre in Belgium and used in this study. After DNA extraction, HPV was tested using the Sansure® Human Papillomavirus DNA Diagnostic Kit. The lower 95% confidence limit around the general reproducibility of this assay should be greater than or equal to 87%, with <i>κ</i> ≥ 0.50. Five hundred and thirty-three samples had valid results. The Sansure® Human Papillomavirus DNA Diagnostic Kit demonstrated an excellent intra-laboratory reproducibility of 93.8% (95% confidence interval [CI]: 91.4–95.7, <i>κ</i> = 0.85). The interlaboratory reproducibility was 93.4 (95% CI: 91.0–95.4, <i>κ</i> = 0.84). Intra and interlaboratory reproducibility were also excellent at the genotype level. Excluding HPV53 single infection samples from the analyses also resulted in excellent agreement. These data show that the Sansure® Human Papillomavirus DNA Diagnostic Kit is highly reproducible.</p>","PeriodicalId":16354,"journal":{"name":"Journal of Medical Virology","volume":null,"pages":null},"PeriodicalIF":6.8,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jmv.29961","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142451188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Male and female human papilloma virus infection and assisted reproductive technology outcomes: A comprehensive assessment from prevalence in semen to obstetric outcomes 男性和女性人类乳头瘤病毒感染与辅助生殖技术的结果:从精液中的流行率到产科结果的全面评估
IF 6.8 3区 医学
Journal of Medical Virology Pub Date : 2024-10-17 DOI: 10.1002/jmv.70011
Giorgia Carullo, Sara Uceda Renteria, Ludovica Basili, Davide Marinello, Giorgia Di Stefano, Irene Mondini, Maíra Casalechi, Mattia Volpi, Stefania Noli, Antonia Valzano, Annapaola Callegaro, Paolo Vercellini, Edgardo Somigliana, Marco Reschini, Paola Viganò
{"title":"Male and female human papilloma virus infection and assisted reproductive technology outcomes: A comprehensive assessment from prevalence in semen to obstetric outcomes","authors":"Giorgia Carullo,&nbsp;Sara Uceda Renteria,&nbsp;Ludovica Basili,&nbsp;Davide Marinello,&nbsp;Giorgia Di Stefano,&nbsp;Irene Mondini,&nbsp;Maíra Casalechi,&nbsp;Mattia Volpi,&nbsp;Stefania Noli,&nbsp;Antonia Valzano,&nbsp;Annapaola Callegaro,&nbsp;Paolo Vercellini,&nbsp;Edgardo Somigliana,&nbsp;Marco Reschini,&nbsp;Paola Viganò","doi":"10.1002/jmv.70011","DOIUrl":"https://doi.org/10.1002/jmv.70011","url":null,"abstract":"<p>Infertility, affecting approximately 16% of the global population, has led to increased reliance on reproductive medicine. The impact of human papillomavirus (HPV) infection in one or both partners on outcomes of Assisted Reproduction Technologies (ART) remains unclear. This prospective cohort study aimed to evaluate prevalence and effects of HPV infection in subjects and couples candidates to ART. A total of <i>n</i> = 510 men and <i>n</i> = 246 women were included and <i>n</i> = 145 couples (<i>n</i> = 290 individuals) had both partners enrolled in the study. The HPV semen infection rate was 17% (95% CI: 14–20) with HPV-42, HPV-16, HPV-53 and HPV-51 as the most frequently detected genotypes. In women, 26% (95% CI: 21–32) tested HPV-positive in cervical swabs. In 6% (95% CI: 3–11) of the couples, both partners were positive but only three couples shared the same genotypes (HPV-16; HPV-39, HPV-51, and HPV-42; HPV-31). Follicular fluids were positive in 20% (95% CI: 11–33) of samples, showing genotype discrepancies with cervical tests. Semen treatment could not completely eliminate the virus in positive samples but reduced the positivity to one-third. No significant differences in semen and embryological variables, clinical pregnancy and live birth rates, neonatal and obstetrics outcomes were observed in subjects with positivity in semen or cervix compared to respective negative groups. Cumulative live birth rates per oocyte retrieval in couples where both partners were negative or both were positive did not differ, being 37% (95% CI: 28%–47%) and 44% (95% CI: 19–73), respectively. In conclusion, HPV testing should not be considered a prerequisite for accessing ART treatments. Robust inferences for natural fertility cannot be made using our findings, as the ART setting does not fully reflect natural conditions.</p>","PeriodicalId":16354,"journal":{"name":"Journal of Medical Virology","volume":null,"pages":null},"PeriodicalIF":6.8,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jmv.70011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142449097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
LAMP-based electrochemical platform for monitoring HPV genome integration at the mRNA level associated with higher risk of cervical cancer progression 基于 LAMP 的电化学平台,用于监测与宫颈癌进展风险较高相关的 mRNA 水平 HPV 基因组整合情况
IF 6.8 3区 医学
Journal of Medical Virology Pub Date : 2024-10-17 DOI: 10.1002/jmv.70008
Nasim Izadi, Johana Strmiskova, Milan Anton, Jitka Hausnerova, Martin Bartosik
{"title":"LAMP-based electrochemical platform for monitoring HPV genome integration at the mRNA level associated with higher risk of cervical cancer progression","authors":"Nasim Izadi,&nbsp;Johana Strmiskova,&nbsp;Milan Anton,&nbsp;Jitka Hausnerova,&nbsp;Martin Bartosik","doi":"10.1002/jmv.70008","DOIUrl":"https://doi.org/10.1002/jmv.70008","url":null,"abstract":"<p>Human papillomaviruses (HPVs) represent a diverse group of double-stranded DNA viruses associated with various types of cancers, notably cervical cancer. High-risk types of HPVs exhibit their oncogenic potential through the integration of their DNA into the host genome. This integration event contributes significantly to genomic instability and the progression of malignancy. However, traditional detection methods, such as immunohistochemistry or PCR-based assays, face inherent challenges, and thus alternative tools are being developed to fasten and simplify the analysis. Our study introduces an innovative biosensing platform that combines loop-mediated amplification with electrochemical (EC) analysis for the specific detection of HPV16 integration. By targeting key elements like the E7 mRNA, a central player in HPV integration, and the E2 viral gene transcript lost upon integration, we show clear distinction between episomal and integrated forms of HPV16. Our EC data confirmed higher E7 expression in HPV16-positive cell lines having integrated forms of viral genome, while E2 expression was diminished in cells with fully integrated genomes. Moreover, we revealed distinct expression patterns in cervical tissue of patients, correlating well with digital droplet PCR, qRT-PCR, or immunohistochemical staining. Our platform thus offers insights into HPV integration in clinical samples and facilitates further advancements in cervical cancer research and diagnostics.</p>","PeriodicalId":16354,"journal":{"name":"Journal of Medical Virology","volume":null,"pages":null},"PeriodicalIF":6.8,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jmv.70008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142449099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Unusual G3P[10] bat-like rotavirus strains detected in children with acute gastroenteritis in Thailand 在泰国急性肠胃炎患儿中发现异常的 G3P[10] 蝙蝠样轮状病毒株
IF 6.8 3区 医学
Journal of Medical Virology Pub Date : 2024-10-17 DOI: 10.1002/jmv.70014
Nutthawadee Jampanil, Kattareeya Kumthip, Arpaporn Yodmeeklin, Ratana Tacharoenmuang, Yuki Akari, Satoshi Komoto, Shoko Okitsu, Hiroshi Ushijima, Niwat Maneekarn, Pattara Khamrin
{"title":"Unusual G3P[10] bat-like rotavirus strains detected in children with acute gastroenteritis in Thailand","authors":"Nutthawadee Jampanil,&nbsp;Kattareeya Kumthip,&nbsp;Arpaporn Yodmeeklin,&nbsp;Ratana Tacharoenmuang,&nbsp;Yuki Akari,&nbsp;Satoshi Komoto,&nbsp;Shoko Okitsu,&nbsp;Hiroshi Ushijima,&nbsp;Niwat Maneekarn,&nbsp;Pattara Khamrin","doi":"10.1002/jmv.70014","DOIUrl":"https://doi.org/10.1002/jmv.70014","url":null,"abstract":"<p>Rotavirus A (RVA) is the main cause of acute gastroenteritis among children under the age of five globally. The unusual bat-like human RVA strains G3P[10] (RVA/Human-wt/THA/CMH079/05/2005/G3P[10] and RVA/Human-wt/THA/CMH-S015-19/2019/G3P[10]) were detected in children with acute gastroenteritis in 2005 and 2019, respectively, in the same geographical area of Northern Thailand. To elucidate the genetic backgrounds of these unusual or bat-like human RVA strains, the complete genome of these RVA strains was sequenced and phylogenetically analyzed. All eleven genome segments of these G3P[10] strains were genotyped as G3-P[10]-I8-R3-C3-M3-A9-N3-T3-E3-H6, which is closely related to bat G3P[10] RVA strain (RVA/Bat-tc/CHN/MYAS33/2013/G3P[10]) and bat-like human RVA strain (RVA/Human-wt/THA/MS2015-1-0001/2015/G3P[10]). The findings indicate that human G3P[10] RVA strains detected in this study (RVA/Human-wt/THA/CMH079/05/2005/G3P[10] and RVA/Human-wt/THA/CMH-S015-19/2019/G3P[10]) contained all eleven genome segments similar to those of bat RVA strains and appeared to be human RVA strains of bat origin. Phylogenetic analysis revealed that several genome segments of these two RVA strains were also closely related with those of other species in addition to bats and had a zoonotic transmission history. The results of this study supported the roles of interspecies transmission of RVA strains among bats and humans in the natural environment and provided convincing evidence that the evolution of human RVAs was closely interrelated with those of animal RVAs. Continuing surveillance of RVAs in humans and animals is imperative to gain a better understanding of the origin and the evolution of these viruses.</p>","PeriodicalId":16354,"journal":{"name":"Journal of Medical Virology","volume":null,"pages":null},"PeriodicalIF":6.8,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142451227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Risk-stratified management of cervical high-grade squamous intraepithelial lesion based on machine learning 基于机器学习的宫颈高级别鳞状上皮内病变风险分级管理方法
IF 6.8 3区 医学
Journal of Medical Virology Pub Date : 2024-10-16 DOI: 10.1002/jmv.70016
Zhang Lu, Tian Pu, Li Boning, Xu Ling, Qiu Lihua, Bi Zhaori, Chen Limei, Sui Long
{"title":"Risk-stratified management of cervical high-grade squamous intraepithelial lesion based on machine learning","authors":"Zhang Lu,&nbsp;Tian Pu,&nbsp;Li Boning,&nbsp;Xu Ling,&nbsp;Qiu Lihua,&nbsp;Bi Zhaori,&nbsp;Chen Limei,&nbsp;Sui Long","doi":"10.1002/jmv.70016","DOIUrl":"https://doi.org/10.1002/jmv.70016","url":null,"abstract":"&lt;p&gt;The concordance rate between conization and colposcopy-directed biopsy (CDB) proven cervical high-grade squamous intraepithelial lesion (HSIL) were 64−85%. We aimed to identify the risk factors associated with pathological upgrading or downgrading after conization in patients with cervical HSIL and to provide risk-stratified management based on a machine learning predictive model.&lt;/p&gt;&lt;p&gt;This retrospective study included patients who visited the Obstetrics and Gynecology Hospital of Fudan University from January 1 to December 31, 2019, were diagnosed with cervical HSIL by CDB, and subsequently underwent conization. A wide variety of data were collected from the medical records, including demographic data, laboratory findings, colposcopy descriptions, and pathological results. The patients were categorized into three groups according to their postconization pathological results: low-grade squamous intraepithelial lesion (LSIL) or below (downgrading group), HSIL (HSIL group), and cervical cancer (upgrading group). Univariate and multivariate analyses were performed to identify the independent risk factors for pathological changes in patients with cervical HSIL. Machine learning prediction models were established, evaluated, and subsequently verified using external testing data.&lt;/p&gt;&lt;p&gt;In total, 1585 patients were included, of whom 65 (4.1%) were upgraded to cervical cancer after conization, 1147 (72.4%) remained having HSIL, and 373 (23.5%) were downgraded to LSIL or below. Multivariate analysis showed a 2% decrease in the incidence of pathological downgrade for each additional year of age and a 1% increase in lesion size. Patients with cytology &gt; LSIL (odds ratio [OR] = 0.33; 95% confidence interval [CI], 0.21–0.52), human papillomavirus (HPV) infection (OR = 0.33; 95% CI, 0.14–0.81), HPV 33 infection (OR = 0.37; 95% CI, 0.18–0.78), coarse punctate vessels on colposcopy examination (OR = 0.14; 95% CI, 0.06–0.32), HSIL lesions in the endocervical canal (OR = 0.48; 95% CI, 0.30–0.76), and HSIL impression (OR = 0.02; 95% CI, 0.01–0.03) were less likely to experience pathological downgrading after conization than their counterparts. The independent risk factors for pathological upgrading to cervical cancer after conization included the following: age (OR = 1.08; 95% CI, 1.04–1.12), HPV 16 infection (OR = 4.07; 95% CI, 1.70–9.78), the presence of coarse punctate vessels during colposcopy examination (OR = 2.21; 95% CI, 1.08–4.50), atypical vessels (OR = 6.87; 95% CI, 2.81–16.83), and HSIL lesions in the endocervical canal (OR = 2.91; 95% CI, 1.46–5.77). Among the six machine learning prediction models, the back propagation (BP) neural network model demonstrated the highest and most uniform predictive performance in the downgrading, HSIL, and upgrading groups, with areas under the curve (AUCs) of 0.90, 0.84, and 0.69; sensitivities of 0.74, 0.84, and 0.42; specificities of 0.90, 0.71, and 0.95; and accuracies of 0.74, 0.84, and 0.95, respectively. I","PeriodicalId":16354,"journal":{"name":"Journal of Medical Virology","volume":null,"pages":null},"PeriodicalIF":6.8,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jmv.70016","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142447462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Estimating the proportion of health care workers susceptible to measles infection in a large university hospital in Milan, Italy, 2019−2023 估计 2019-2023 年意大利米兰一所大型大学医院中易感染麻疹的医护人员比例
IF 6.8 3区 医学
Journal of Medical Virology Pub Date : 2024-10-16 DOI: 10.1002/jmv.70015
Alberto Rizzo, M. Mendola, F. Salari, Alessandra Lombardi, M. Longo, Andrea Giacomelli, P. Carrer, Maria Rita Gismondo
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引用次数: 0
Genomic and phenotypic characterization of the Oropouche virus strain implicated in the 2022–24 large-scale outbreak in Brazil 2022-24 年巴西大规模疫情中的奥罗普切病毒株的基因组和表型特征
IF 6.8 3区 医学
Journal of Medical Virology Pub Date : 2024-10-16 DOI: 10.1002/jmv.70012
Elisa de A. N. Azevedo, Alexandre F. da Silva, Verônica G. da Silva, Lais C. Machado, Gustavo B. de Lima, Bruno I. M. Ishigami, Keilla M. Paz e Silva, Mayara M. de O. M. da Costa, Diego A. Falcão, Andreza P. Vasconcelos, Clintiano C. da Silva, Felipe G. Naveca, Matheus F. Bezerra, Tulio de L. Campos, Bartolomeu Acioli-Santos, Marcelo H. S. Paiva, Clarice N. L. de Morais, Gabriel L. Wallau
{"title":"Genomic and phenotypic characterization of the Oropouche virus strain implicated in the 2022–24 large-scale outbreak in Brazil","authors":"Elisa de A. N. Azevedo,&nbsp;Alexandre F. da Silva,&nbsp;Verônica G. da Silva,&nbsp;Lais C. Machado,&nbsp;Gustavo B. de Lima,&nbsp;Bruno I. M. Ishigami,&nbsp;Keilla M. Paz e Silva,&nbsp;Mayara M. de O. M. da Costa,&nbsp;Diego A. Falcão,&nbsp;Andreza P. Vasconcelos,&nbsp;Clintiano C. da Silva,&nbsp;Felipe G. Naveca,&nbsp;Matheus F. Bezerra,&nbsp;Tulio de L. Campos,&nbsp;Bartolomeu Acioli-Santos,&nbsp;Marcelo H. S. Paiva,&nbsp;Clarice N. L. de Morais,&nbsp;Gabriel L. Wallau","doi":"10.1002/jmv.70012","DOIUrl":"https://doi.org/10.1002/jmv.70012","url":null,"abstract":"<p>The <i>Orthobunyavirus oropoucheense</i> species encompasses a group of arthropod-borne zoonotic viruses transmitted by biting midges to animals including humans. Several large-scale human outbreaks caused by the prototype member of this species, Oropouche virus (OROV) have been documented since the 1970s and were primarily confined to the Amazon basin. However, since 2022, more widespread OROV outbreaks have been unfolding in Brazil and across South America, with cases exported to Cuba, Italy, Spain, USA and Germany. In Brazil, the virus has reached and established communitary transmission in all geographic areas of the country. We isolated, characterized the cytopathic effect and recovered the full genome of two OROV isolates from the 2022–24 outbreak detected in patients from the Pernambuco state. Phylogenetic data supports a direct introduction from the Amazonas state, the epicenter of the epidemics in the country. As case counts accumulate in the state mounting evidence is supporting the establishiment of sustained transmission chains. Continued studies are critical to understand the transmission cycle in this region, including the most important vectors and reservoirs, to appropriately deploy control measures.</p>","PeriodicalId":16354,"journal":{"name":"Journal of Medical Virology","volume":null,"pages":null},"PeriodicalIF":6.8,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jmv.70012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142447463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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