{"title":"Epidemiologic Characteristics of SARS-CoV-2 Omicron BA.5.1.3 Variant and the Protection Provided By Inactivated Vaccination.","authors":"Taoyuan Li, Shaorong Wu, Jiaxiong Tan, Zhengyi Huang, Lijun Li, Wenzhi Luo, Yayun Wu, Jun Lyu, Xujing Liang","doi":"10.1089/vim.2023.0050","DOIUrl":"10.1089/vim.2023.0050","url":null,"abstract":"<p><p>Omicron variants have become the dominant SARS-CoV-2 variants due to their increased transmissibility and immune-escape ability. An outbreak of the Omicron variant BA.5.1.3 occurred in August 2022 in Sanya, China. Studying Omicron variants can promote the understanding of them and further contribute to managing the SARS-CoV-2 prevalence. This retrospective study analyzed the data of 258 patients with asymptomatic or mild SARS-CoV-2 admitted to the First Cabin Hospital of Sanya, China, between August 14 and September 4, 2022. The 258 patients comprised 128 males and 130 females with a mean age of 36.6 years and mean length of medical observation (LMO) of 10.1 days. Multiple linear regression analysis indicated that LMO was positively and negatively associated with age (<i>p</i> = 0.036) and vaccination status (<i>p</i> = 0.004), respectively. A Cox proportional-hazards model revealed that age (hazard ratio [HR] = 0.99, <i>p</i> = 0.029) and vaccination (HR = 1.23, <i>p</i> = 0.023) were risk and protective factors for LMO, respectively. Causal mediation analysis indicated that vaccination suppressed the effect of prolonging LMO caused by increasing age. Recovery times became longer with increasing age, which could be counterbalanced by vaccination. The present results indicate that vaccination interventions, even those developed through inactivated approaches, can still provide protection against Omicron variants.</p>","PeriodicalId":23665,"journal":{"name":"Viral immunology","volume":" ","pages":"544-549"},"PeriodicalIF":2.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10160710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Viral immunologyPub Date : 2023-10-01Epub Date: 2023-07-24DOI: 10.1089/vim.2023.0015
Yogita Gupta, Manoj Baranwal, Bhupendra Chudasama
{"title":"Immunoinformatics-Based Identification of the Conserved Immunogenic Peptides Targeting of Zika Virus Precursor Membrane Protein.","authors":"Yogita Gupta, Manoj Baranwal, Bhupendra Chudasama","doi":"10.1089/vim.2023.0015","DOIUrl":"10.1089/vim.2023.0015","url":null,"abstract":"<p><p>Zika virus infections lead to neurological complications such as congenital Zika syndrome and Guillain-Barré syndrome. Rising Zika infections in newborns and adults have triggered the need for vaccine development. In the current study, the precursor membrane (prM) protein of the Zika virus is explored for its functional importance and design of epitopes enriched conserved peptides with the usage of different immunoinformatics approach. Phylogenetic and mutational analyses inferred that the prM protein is highly conserved. Three conserved peptides containing multiple T and B cell epitopes were designed by employing different epitope prediction algorithms. IEDB population coverage analysis of selected peptides in six different continents has shown the population coverage of 60-99.8% (class I HLA) and 80-100% (class II HLA). Molecular docking of selected peptides/epitopes was carried out with each of class I and II HLA alleles using HADDOCK. A majority of peptide-HLA complex (pHLA) have HADDOCK scores found to be comparable and more than native-HLA complex representing the good binding interaction of peptides to HLA. Molecular dynamics simulation with best docked pHLA complexes revealed that pHLA complexes are stable with RMSD <5.5Å. Current work highlights the importance of prM as a strong antigenic protein and selected peptides have the potential to elicit humoral and cell-mediated immune responses.</p>","PeriodicalId":23665,"journal":{"name":"Viral immunology","volume":" ","pages":"503-519"},"PeriodicalIF":2.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9856137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Viral immunologyPub Date : 2023-10-01Epub Date: 2023-08-29DOI: 10.1089/vim.2023.0058
K P Mishra, Mrinalini Singh, Deepika Saraswat, Somnath Singh
{"title":"Development of ELISA-Based Assay for Detection of SARS-CoV-2 Neutralizing Antibody.","authors":"K P Mishra, Mrinalini Singh, Deepika Saraswat, Somnath Singh","doi":"10.1089/vim.2023.0058","DOIUrl":"10.1089/vim.2023.0058","url":null,"abstract":"<p><p>Infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) stimulates the plasma B cells to secrete specific antibodies against the viral antigen. However, not all antibodies can prevent the virus from entering the cells. The subpopulation of antibodies which blocks the entry of the virus into host cells is termed neutralizing antibodies (NAbs). The gold standard test for the detection of NAbs is the viral plaque reduction and neutralization test; however, various other methods can also be utilized to detect NAbs. In this study, we have developed an Enzyme Linked Immunosobent Assay (ELISA)-based protocol for rapid detection of SARS CoV-2 NAb by inhibiting the binding of the spike protein receptor-binding domain to angiotensin converting enzyme 2 and compared it with cPASS neutralizing antibody kit, which was approved by the Food and Drug Administration (FDA). The results obtained suggest that the in-house ELISA developed for the detection of NAbs against SARS-CoV-2 is rapid and reliable. Compared to FDA-approved GenScript's cPass assay, the specificity and the sensitivity of the in-house-developed ELISA kit were 100% (95% confidence intervals of 69.15-100.00) and 96% (95% confidence intervals of 86.29-99.51), respectively. Thus, the ELISA protocol developed to test the neutralizing activities of antibodies is rapid, which requires a BSL-2 infrastructure facility and can be easily performed. It has very high potential applications in the rapid screening of NAb against SARS-CoV-2.</p>","PeriodicalId":23665,"journal":{"name":"Viral immunology","volume":" ","pages":"495-502"},"PeriodicalIF":2.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10485860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Differential Reactivation of Cytomegalovirus and Epstein-Barr Virus in Patients with B Cell Lymphoma.","authors":"Yuki Hatayama, Kanako Watanabe, Hitomi Ichikawa, Koji Kawamura, Tetsuya Fukuda, Toru Motokura","doi":"10.1089/vim.2023.0053","DOIUrl":"10.1089/vim.2023.0053","url":null,"abstract":"<p><p>Although cytomegalovirus (CMV) and Epstein-Barr virus (EBV) are considered latent viruses, their reactivation occurs in immunosuppressed conditions. We previously reported that CMV and EBV are reactivated in patients receiving immunosuppressive therapy and/or chemotherapy. This retrospective, single-center study aimed to determine the frequency of viral reactivation and clinical characteristics of patients with B cell lymphoma (B-ML) receiving chemotherapy. Twenty-four patients (mean age 73 years, range 40-87 years; male-to-female ratio, 15:9) with diffuse large B cell lymphoma (<i>n</i> = 15), follicular lymphoma (<i>n</i> = 8), or mantle cell lymphoma (<i>n</i> = 1) were enrolled. Serum CMV and EBV DNA levels were analyzed using quantitative real-time polymerase chain reaction in patients with B-ML receiving chemotherapy. We determined the cumulative reactivation of each virus and analyzed the relationship between viral reactivation and clinical characteristics. Three patients experienced relapse or refractory (R/R) disease and the others had <i>de novo</i> lymphomas. The frequencies of CMV and EBV reactivations were 54.2% and 37.5%, respectively. CMV reactivation occurred significantly earlier during chemotherapy courses in R/R patients than in <i>de novo</i> patients (<i>p</i> = 0.0038), while EBV reactivation was frequently found before treatment. Baseline serum levels of soluble interleukin-2 receptor were higher (4318.0 vs. 981.1 U/mL, <i>p</i> = 0.010) and hemoglobin levels were lower (11.1 vs. 13.0 g/dL, <i>p</i> = 0.0038) in patients with EBV reactivation than in those without reactivation. These findings were not observed in patients with CMV reactivation. CMV reactivation was associated with iatrogenic immunosuppression, whereas EBV reactivation was related to immunosuppression by lymphoma, indicating that the mechanisms of these viral reactivations differed.</p>","PeriodicalId":23665,"journal":{"name":"Viral immunology","volume":" ","pages":"520-525"},"PeriodicalIF":2.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9776753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hepatitis B Virus Envelope Antigen and Hepatitis B Virus Surface Antigen Both Contribute to the Innate Immune Response During Persistent Hepatitis B Virus Infection.","authors":"Jie-Min Zhang, Na-Ling Kang, Lu-Ying Wu, Da-Wu Zeng","doi":"10.1089/vim.2023.0018","DOIUrl":"10.1089/vim.2023.0018","url":null,"abstract":"<p><p>This study aimed to investigate the changes of toll-like receptor 4 (TLR4), proinflammatory cytokine expression, hepatitis B virus surface antigen (HBsAg), and hepatitis B virus envelope antigen (HBeAg) expression as well as innate immune cell percentages in a mouse model of persistent hepatitis B virus (HBV) infection to better understand the innate immune response. Mouse models of persistent HBV infection, HBsAg expression, and HBeAg expression were developed using high-pressure tail-vein injection of recombinant adeno-associated viruses. Enzyme-linked immunosorbent assays (ELISAs) were used to determine the serum proinflammatory cytokine levels. Immunohistochemistry and western blot assays were used to detect TLR4 expression. Flow cytometric analysis was used to assess the percentage of innate immune cells in the whole blood. Persistent HBV infection, HBsAg expression, and HBeAg expression each significantly decreased the expression of TLR4. Persistent HBV infection significantly increased the percentages of T cells and monocytes, whereas it decreased the percentage of natural killer (NK) cells. Persistent HBeAg expression also decreased the percentage of NK cells, whereas persistent HBsAg expression increased the percentage of NK cells. Both persistent HBsAg and HBeAg expression increased the percentage of monocytes. However, both persistent HBsAg and HBeAg expression decreased the percentage of T cells. HBV as well as HBsAg and HBeAg showed similar effects on the expression of TLR4 and proinflammatory cytokines as well as the percentage of monocytes. Persistent HBV infection increased the percentage of T cells and decreased the percentage of NK cells, whereas only persistent HBeAg expression contributed to a decreased percentage of NK cells.</p>","PeriodicalId":23665,"journal":{"name":"Viral immunology","volume":"36 7","pages":"484-493"},"PeriodicalIF":2.2,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10651383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Viral immunologyPub Date : 2023-09-01Epub Date: 2023-07-05DOI: 10.1089/vim.2023.0027
Yueyan Zhang, Guojin Wu, Yuting Yang, Linlin Niu, Yao Zhao
{"title":"Interleukin-4 Promotes Human Metapneumovirus Replication Through the JAK/STAT6 Pathway.","authors":"Yueyan Zhang, Guojin Wu, Yuting Yang, Linlin Niu, Yao Zhao","doi":"10.1089/vim.2023.0027","DOIUrl":"10.1089/vim.2023.0027","url":null,"abstract":"<p><p>Respiratory virus infections are the main causes of pediatric diseases. Human metapneumovirus (hMPV) is an enveloped RNA virus similar to severe acute respiratory syndrome coronavirus type 2, both of which have emerged as important new respiratory viruses. Recent studies have found that interleukin-4 (IL-4) is involved in the replication of a variety of viruses, and its role differs in different viruses. The purpose of this study was to investigate the effect of IL-4 on hMPV and to elucidate its mechanism of action. We found that hMPV infection promoted the expression of IL-4 in human bronchial epithelial cells. The replication of the virus was reduced using small interfering RNA knockdown of <i>IL-4</i> expression, while the addition of exogenous recombinant human IL-4 to IL-4 knockdown cells restored viral replication ability. These results demonstrate that the expression of IL-4 is closely related to the replication of hMPV; moreover, further experiments revealed that IL-4 promotes the replication of hMPV through a mechanism dependent on the Janus kinase/signal transductor and transcription activator 6 signaling pathway. Therefore, anti-IL-4 strategies may be a promising avenue for the treatment of hMPV infection, representing an important breakthrough for children at risk from hMPV infection.</p>","PeriodicalId":23665,"journal":{"name":"Viral immunology","volume":"36 7","pages":"449-457"},"PeriodicalIF":2.2,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10664500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Viral immunologyPub Date : 2023-09-01Epub Date: 2023-07-31DOI: 10.1089/vim.2023.0007
Angela M Fonceca, Jeff Lauzon-Joset, Naomi Scott, Philip A Stumbles, Deborah Strickland, Mark L Everard
{"title":"<i>In Vivo</i> Evidence of Respiratory Syncytial Virus Persistence in a Subset of Pulmonary Dendritic Cells Following a Primary Infection.","authors":"Angela M Fonceca, Jeff Lauzon-Joset, Naomi Scott, Philip A Stumbles, Deborah Strickland, Mark L Everard","doi":"10.1089/vim.2023.0007","DOIUrl":"10.1089/vim.2023.0007","url":null,"abstract":"<p><p>Respiratory syncytial virus (RSV) causes annual epidemics of infections affecting the whole population. <i>In vitro</i>, it has been shown to infect and persist in human dendritic cells (DCs) for prolonged periods. Initially persistence is associated with low levels of replication before the virus becomes dormant. Reactivation of viral replication can be triggered many months later. Infection of DCs is likely to influence the host's ability to generate effective long-term memory responses. A well-established animal was utilized to confirm that RSV both infects and persists in pulmonary DCs <i>in vivo.</i> Mice were infected with a modified strain of RSV expressing red fluorescent protein (RSV-RFP) when replicating. Clinical symptoms of infection were monitored using weight change and inflammatory cell counts from bronchoalveolar lavage, which correlated with the RSV viral titer (quantitative polymerase chain reaction). Lung tissues were collected at 3, 5, 7, and 21 days postinfection (dpi) to assess leukocyte populations by flow cytometry. Clinical symptoms and RSV viral load peaked at 5 dpi. RSV-RFP was most prevalent in macrophages at 3 dpi and also observed in B cells and DCs. At 21 dpi, RSV-RFP remained evident in a subset of conventional DCs (CD103<sup>+</sup>CD11b<sup>+</sup>) even though both clinical symptoms and pulmonary inflammation had resolved. These results confirm that in this well-established mouse model, RSV persists in lung conventional DCs following resolution of the acute infection. Further work is required to explore whether the virus continues with low-level replication before becoming dormant <i>in vivo</i>, as has been described <i>in vitro.</i></p>","PeriodicalId":23665,"journal":{"name":"Viral immunology","volume":"36 7","pages":"466-474"},"PeriodicalIF":2.2,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10666589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Viral immunologyPub Date : 2023-09-01Epub Date: 2023-07-28DOI: 10.1089/vim.2022.0180
Nermine Magdi Riad, Heba Adel AbdEl Ghaffar, Reem Raied Mansour, Walaa Abdel Fattah, Ahmed Khairy, Ayman Yosry, Naglaa Ali Zayed, Mariam Onsy F Hanna
{"title":"Clinical Significance of Evaluation of Monocytic Receptors in Patients with Hepatitis C Virus Infection.","authors":"Nermine Magdi Riad, Heba Adel AbdEl Ghaffar, Reem Raied Mansour, Walaa Abdel Fattah, Ahmed Khairy, Ayman Yosry, Naglaa Ali Zayed, Mariam Onsy F Hanna","doi":"10.1089/vim.2022.0180","DOIUrl":"10.1089/vim.2022.0180","url":null,"abstract":"<p><p>Monocytes in hepatitis C virus (HCV) infection play a critical role in chronic liver inflammation and fibrosis. We studied circulating monocytes and monocyte receptors in patients with HCV infection who were naive to treatment and those who received direct acting antiviral therapy and achieved sustained virological response. CD64<sup>+</sup> CCR2<sup>+</sup> (M1-like) and CD206<sup>+</sup> CD163<sup>+</sup> CX3CR1<sup>+</sup> (M2-like) monocyte numbers and receptor expression were evaluated by flow cytometry. Higher expression of the monocyte chemokine receptor CCR2 predicted the severity of liver fibrosis, independent of successful treatment and viral clearance (<i>R</i><sup>2</sup> = 0.235, <i>p</i> = 0.002), whereas monocyte CX3CR1 expression was lower in both treated and untreated patients compared with controls (<i>p</i> = 0.011). The expression of the scavenger receptor CD163 was lower in patients with successful treatment (<i>p</i> = 0.005), supporting its role as a marker of treatment response. CD64<sup>+</sup> CCR2<sup>+</sup> (M1-like) and CD206<sup>+</sup> CD163<sup>+</sup> CX3CR1<sup>+</sup> (M2-like) monocyte numbers were not altered with fibrosis progression or treatment response. Our findings reflect the diverse functions of monocytes in liver inflammation, fibrosis, and therapy. However, HCV clearance did not lead to complete monocyte reconstitution. Targeting monocytes and their chemokine receptors bears therapeutic potential to reduce liver fibrosis and improve disease outcome.</p>","PeriodicalId":23665,"journal":{"name":"Viral immunology","volume":"36 7","pages":"475-483"},"PeriodicalIF":2.2,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10293733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effects of <i>AIM2</i> and <i>IFI16</i> on Infectious Diseases and Inflammation.","authors":"Zhen Fan, Rui Chen, Wen Yin, Xiaomei Xie, Shan Wang, Chunbo Hao","doi":"10.1089/vim.2023.0044","DOIUrl":"10.1089/vim.2023.0044","url":null,"abstract":"<p><p>Both absent in melanoma 2 (<i>AIM2</i>) and interferon-inducible protein 16 (<i>IFI16</i>) are intracellular innate immune receptors that recognize double-stranded DNA released during pathogenic infection, leading to the assembly of the inflammasome. The assembly of the inflammasome results in the secretion of bioactive interleukin (IL)-1<i>β</i> and IL-18 and induces cell death through an inflammatory process called pyroptosis. Although the <i>AIM2</i> inflammasome is generally harmful in the context of some aseptic inflammatory illnesses, it plays a protective role in infectious diseases. During inflammatory processes, there is competition between <i>IFI16</i> and <i>AIM2</i>. In this review, we explore the impacts of <i>IFI16</i> and <i>AIM2</i> in infectious disease and aseptic inflammation, respectively, and how they compete.</p>","PeriodicalId":23665,"journal":{"name":"Viral immunology","volume":"36 7","pages":"438-448"},"PeriodicalIF":2.2,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10295290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Viral immunologyPub Date : 2023-09-01Epub Date: 2023-08-11DOI: 10.1089/vim.2022.0203
Mengli Xu, Yuqin Li, Meng Cao, Yuewen Su, Zhenghua Ji, Weifang Zhou
{"title":"Expression and Clinical Significance of Peripheral Blood IL-17A, IL-22, Tim-3, and gal-9 in Children with Infectious Mononucleosis.","authors":"Mengli Xu, Yuqin Li, Meng Cao, Yuewen Su, Zhenghua Ji, Weifang Zhou","doi":"10.1089/vim.2022.0203","DOIUrl":"10.1089/vim.2022.0203","url":null,"abstract":"<p><p>To investigate the expression and clinical significance of peripheral blood interleukin (IL)-17A, IL-22, T cell immunoglobulin molecule-3 (Tim-3), and galectin-9 (gal-9) in children with infectious mononucleosis (IM) caused by the Epstein-Barr virus (EBV). Peripheral blood of 54 children with IM (case group) was collected and divided into a liver damage group and a non-liver damage group. During the same period, 20 healthy children were in the control group. IL-17A and IL-22 were measured by enzyme-linked immunosorbent assay. Real-time quantitative polymerase chain reaction was used to measure the mRNA expression of Tim-3 and gal-9. Their correlation with clinical indicators was then analyzed. The IL-17A expression level was higher in the case group than in the control group, while Tim-3, gal-9, and IL-22 were lower than those in the control group. Tim-3 was positively correlated with gal-9, but negatively correlated with IL-17A. Tim-3 and gal-9 were positively correlated with CD4<sup>+</sup>/CD8<sup>+</sup> cells. Conversely, they were negatively correlated with CD3<sup>+</sup>, CD3<sup>+</sup>CD8<sup>+</sup>, white blood cell, lymphocyte (L), alanine transaminase (ALT), aspartate transaminase (AST), glutamyl transpeptidase (GGT), and lactate dehydrogenase (LDH). In the case group, IL-17A was positively correlated with L, GGT, and LDH, but negatively correlated with the natural killer (NK) cell count. IL-17A and IL-22 were positively correlated with CD3<sup>+</sup>, CD3<sup>+</sup>CD8<sup>+</sup>, ALT, and AST, but they were negatively correlated with the ratio of CD4<sup>+</sup>/CD8<sup>+</sup>. In the liver damage group, IL-17A, IL-22, CD3<sup>+</sup>, CD3<sup>+</sup>CD8<sup>+</sup>, immunoglobulin A (IgA), IgG, IgM, L, ALT, AST, GGT, LDH, and <i>α</i>-hydroxybutyrate levels were higher than those in the non-liver damage group. However, Tim-3, gal-9, the ratio of CD4<sup>+</sup>/CD8<sup>+</sup>, and NK were lower than those in the non-liver damage group. IL-17A, IL-22, Tim-3, and gal-9 are involved in the immune pathogenesis of IM caused by EBV infection in children, which may be related to immune liver injury.</p>","PeriodicalId":23665,"journal":{"name":"Viral immunology","volume":"36 7","pages":"458-465"},"PeriodicalIF":2.2,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10305094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}