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  1. Article ; Online: PANDAS

    Sheila Knupp Feitosa de Oliveira

    Jornal de Pediatria, Vol 83, Iss 3, Pp 201-

    uma nova doença? PANDAS: a new disease?

    2007  Volume 208

    Abstract: ... over the actual existence of this new pediatric disease. The name of this new disease, supposedly ... a etiopatogenia, tratamento e profilaxia de PANDAS. FONTES DOS DADOS: Revisão de literatura científica através do ... MEDLINE no período de 1989 a 2006. SÍNTESE DOS DADOS: Os critérios diagnósticos para PANDAS foram ...

    Abstract OBJETIVO: Apresentar as bases diagnósticas e analisar as evidências que têm sido apontadas para a etiopatogenia, tratamento e profilaxia de PANDAS. FONTES DOS DADOS: Revisão de literatura científica através do MEDLINE no período de 1989 a 2006. SÍNTESE DOS DADOS: Os critérios diagnósticos para PANDAS foram estabelecidos há quase 10 anos, mas ainda há muita controvérsia sobre a real existência desta nova doença pediátrica. A escolha deste nome para uma nova doença, supostamente de origem pós-estreptocócica, baseia-se no acrônimo de P (pediátrico, porque ocorre em crianças), A (auto-imune), N (neuropsiquiátrico), D (doença), A (associada) e S (Streptococcus). Os tiques e os sintomas obsessivo-compulsivos são as principais manifestações clínicas da doença e surgem após infecções estreptocócicas, provavelmente por mecanismos auto-imunes. Apesar de estes sintomas neuropsiquiátricos serem comuns na coréia reumática, também de etiologia pós-estreptocócica, em PANDAS faltam os movimentos clássicos da coréia e as outras manifestações de febre reumática. As possibilidades de terapia antimicrobiana e imunológica estão sendo pesquisadas e demonstram viabilidade de uso em alguns casos. CONCLUSÕES: Pesquisas ainda são necessárias para responder à pergunta-título. Enquanto isso não ocorre, a identificação de casos de tiques e transtorno obsessivo-compulsivo em crianças deve considerar a possibilidade de PANDAS, buscando a evidência de infecção estreptocócica precedendo os episódios. OBJECTIVE: To establish the diagnostic criteria for PANDAS and to analyze the existing evidence regarding its etiopathogenesis, treatment and prophylaxis. SOURCES: Review of the scientific literature through a MEDLINE search carried out between 1989 and 2006. SUMMARY OF THE FINDINGS: The diagnostic criteria for PANDAS were established nearly 10 years ago, but a lot of controversy still exists over the actual existence of this new pediatric disease. The name of this new disease, supposedly of poststreptococcal etiology, derives from an acronym that stands for pediatric autoimmune neuropsychiatric disease associated with streptococcal infection. Tics and obsessive-compulsive symptoms are the major clinical signs of the disease, which develop after streptococcal infections, probably through autoimmune mechanisms. Even though these neuropsychiatric symptoms are common in rheumatic chorea, whose etiology is also poststreptococcal, the classic choreiform movements and other symptoms of rheumatic fevers are absent in PANDAS. The use of antimicrobial and immunologic therapy has been investigated and considered feasible in some cases. CONCLUSIONS: Further research is still necessary in order to answer the question posed in the title of this article. In the meantime, the identification of tic disorders and obsessive-compulsive disorders in children should include the possibility of PANDAS, seeking to provide evidence of previous streptococcal infection.
    Keywords PANDAS ; estreptococos ; coréia ; febre reumática ; tiques ; transtorno obsessivo-compulsivo ; streptococci ; chorea ; rheumatic fever ; tics ; obsessive-compulsive disorder ; Pediatrics ; RJ1-570 ; Medicine ; R ; DOAJ:Pediatrics ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
    Language English
    Publishing date 2007-06-01T00:00:00Z
    Publisher Sociedade Brasileira de Pediatria
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: A new canine distemper virus lineage identified from red pandas in China.

    Wang, Ruichen / Wang, Xiaohu / Zhai, Junqiong / Zhang, Pian / Irwin, David M / Shen, Xuejuan / Chen, Wu / Shen, Yongyi

    Transboundary and emerging diseases

    2021  Volume 69, Issue 4, Page(s) e944–e952

    Abstract: ... suggest that the analyzed strains belong to a new CDV lineage, which we designate as Asia-6. Our finding ... the genomes of CDV isolated from the lungs of two dead red pandas in China. Histopathological and ... to fatal diseases in a wide range of carnivore species. Based on the sequences of the haemagglutinin (H ...

    Abstract Canine distemper virus (CDV) is a highly contagious virus that causes multi-systemic, sub-clinical to fatal diseases in a wide range of carnivore species. Based on the sequences of the haemagglutinin (H) gene, CDV strains have been classified into 18 major genetic lineages. In this study, we characterized the genomes of CDV isolated from the lungs of two dead red pandas in China. Histopathological and immunohistochemical analyses revealed damage due to viral infection in these lungs. The two strains showed a deep genetic distance from the other 18 recognized lineages (>4.6% at nucleotide level and >5.0% at amino acid level). The maximum clade credibility tree of the H- gene sequences showed that they belonged to an independent clade and had diverged a relatively long time ago from the Asia-4 lineage (since 1884). These results suggest that the analyzed strains belong to a new CDV lineage, which we designate as Asia-6. Our finding indicates that CDV infections in wildlife in China are complex and are a threat to endangered carnivores.
    MeSH term(s) Animals ; Carnivora ; China/epidemiology ; Distemper/epidemiology ; Distemper Virus, Canine/genetics ; Dog Diseases ; Dogs ; Hemagglutinins, Viral/genetics ; Phylogeny
    Chemical Substances Hemagglutinins, Viral
    Language English
    Publishing date 2021-11-12
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2414822-2
    ISSN 1865-1682 ; 1865-1674
    ISSN (online) 1865-1682
    ISSN 1865-1674
    DOI 10.1111/tbed.14370
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Identification of a novel circovirus in blood sample of giant pandas (Ailuropoda melanoleuca).

    Dai, Ziyuan / Wang, Hao / Feng, Zhanghao / Ma, Li / Yang, Shixing / Shen, Quan / Wang, Xiaochun / Zhou, Tianji / Zhang, Wen

    Infection, genetics and evolution : journal of molecular epidemiology and evolutionary genetics in infectious diseases

    2021  Volume 95, Page(s) 105077

    Abstract: ... GPCV was a putative new species within genus Circovirus based on the species demarcation criteria ... nucleic acid in the blood sample from giant pandas. According to these methods, the complete genome sequence ... giant pandas was identified. The GPCV genome is 2090 bp in size and reveals two putative ambisense ...

    Abstract The members of the family Circoviridae are considered to be one of the smallest autonomously replicating viruses that are classified into two genera, Circovirus and Cyclovirus. Circoviruses have been found in a variety of vertebrates, but whether they infect endangered protected animals has not been studied in much detail. Here, viral metagenomics and PCR methods were used to detect and verify viral nucleic acid in the blood sample from giant pandas. According to these methods, the complete genome sequence of a novel circovirus, the giant panda associated circovirus (GPCV) from the blood sample of three giant pandas was identified. The GPCV genome is 2090 bp in size and reveals two putative ambisense open-reading frames, encoding the major structural capsid protein and the replication associated protein, respectively, the latter having two predicted introns. Pairwise sequence comparison and phylogenetic analyses indicated GPCV was a putative new species within genus Circovirus based on the species demarcation criteria of the International Committee on the Taxonomy of Viruses. It is the first time that circovirus has been identified from blood sample of giant pandas. These efforts will contribute to future analyses to illuminate the evolutionary relationships between classified and newly identified members of the family Circoviridae.
    MeSH term(s) Animals ; Circoviridae Infections/blood ; Circoviridae Infections/veterinary ; Circoviridae Infections/virology ; Circovirus/classification ; Circovirus/genetics ; Female ; Genome, Viral ; Male ; Ursidae
    Language English
    Publishing date 2021-09-08
    Publishing country Netherlands
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2037068-4
    ISSN 1567-7257 ; 1567-1348
    ISSN (online) 1567-7257
    ISSN 1567-1348
    DOI 10.1016/j.meegid.2021.105077
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: PANDAS: a new disease?

    de Oliveira, Sheila Knupp Feitosa

    Jornal de pediatria

    2007  Volume 83, Issue 3, Page(s) 201–208

    Abstract: ... existence of this new pediatric disease. The name of this new disease, supposedly of poststreptococcal ... Objective: To establish the diagnostic criteria for PANDAS and to analyze the existing evidence ... for PANDAS were established nearly 10 years ago, but a lot of controversy still exists over the actual ...

    Abstract Objective: To establish the diagnostic criteria for PANDAS and to analyze the existing evidence regarding its etiopathogenesis, treatment and prophylaxis.
    Sources: Review of the scientific literature through a MEDLINE search carried out between 1989 and 2006.
    Summary of the findings: The diagnostic criteria for PANDAS were established nearly 10 years ago, but a lot of controversy still exists over the actual existence of this new pediatric disease. The name of this new disease, supposedly of poststreptococcal etiology, derives from an acronym that stands for pediatric autoimmune neuropsychiatric disease associated with streptococcal infection. Tics and obsessive-compulsive symptoms are the major clinical signs of the disease, which develop after streptococcal infections, probably through autoimmune mechanisms. Even though these neuropsychiatric symptoms are common in rheumatic chorea, whose etiology is also poststreptococcal, the classic choreiform movements and other symptoms of rheumatic fevers are absent in PANDAS. The use of antimicrobial and immunologic therapy has been investigated and considered feasible in some cases.
    Conclusions: Further research is still necessary in order to answer the question posed in the title of this article. In the meantime, the identification of tic disorders and obsessive-compulsive disorders in children should include the possibility of PANDAS, seeking to provide evidence of previous streptococcal infection.
    MeSH term(s) Abbreviations as Topic ; Autoimmune Diseases/drug therapy ; Autoimmune Diseases/microbiology ; Autoimmune Diseases/prevention & control ; Child ; Child, Preschool ; Female ; Humans ; Male ; Obsessive-Compulsive Disorder/drug therapy ; Obsessive-Compulsive Disorder/microbiology ; Obsessive-Compulsive Disorder/prevention & control ; Streptococcal Infections/drug therapy ; Streptococcal Infections/prevention & control ; Streptococcal Infections/psychology ; Tics/drug therapy ; Tics/microbiology ; Tics/prevention & control
    Language English
    Publishing date 2007-05-04
    Publishing country Brazil
    Document type Journal Article ; Review
    ZDB-ID 731324-x
    ISSN 1678-4782 ; 0021-7557
    ISSN (online) 1678-4782
    ISSN 0021-7557
    DOI 10.2223/JPED.1615
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: A new canine distemper virus lineage identified from red pandas in China

    Wang, Ruichen / Wang, Xiaohu / Zhai, Junqiong / Zhang, Pian / Irwin, David M. / Shen, Xuejuan / Chen, Wu / Shen, Yongyi

    Transboundary and emerging diseases. 2022 July, v. 69, no. 4

    2022  

    Abstract: ... suggest that the analyzed strains belong to a new CDV lineage, which we designate as Asia‐6. Our finding ... the genomes of CDV isolated from the lungs of two dead red pandas in China. Histopathological and ... to fatal diseases in a wide range of carnivore species. Based on the sequences of the haemagglutinin (H ...

    Abstract Canine distemper virus (CDV) is a highly contagious virus that causes multi‐systemic, sub‐clinical to fatal diseases in a wide range of carnivore species. Based on the sequences of the haemagglutinin (H) gene, CDV strains have been classified into 18 major genetic lineages. In this study, we characterized the genomes of CDV isolated from the lungs of two dead red pandas in China. Histopathological and immunohistochemical analyses revealed damage due to viral infection in these lungs. The two strains showed a deep genetic distance from the other 18 recognized lineages (>4.6% at nucleotide level and >5.0% at amino acid level). The maximum clade credibility tree of the H‐ gene sequences showed that they belonged to an independent clade and had diverged a relatively long time ago from the Asia‐4 lineage (since 1884). These results suggest that the analyzed strains belong to a new CDV lineage, which we designate as Asia‐6. Our finding indicates that CDV infections in wildlife in China are complex and are a threat to endangered carnivores.
    Keywords Canine morbillivirus ; amino acids ; carnivores ; genes ; genetic distance ; hemagglutinins ; histopathology ; immunohistochemistry ; viruses ; wildlife ; China
    Language English
    Dates of publication 2022-07
    Size p. e944-e952.
    Publishing place John Wiley & Sons, Ltd
    Document type Article
    Note JOURNAL ARTICLE
    ZDB-ID 2414822-2
    ISSN 1865-1682 ; 1865-1674
    ISSN (online) 1865-1682
    ISSN 1865-1674
    DOI 10.1111/tbed.14370
    Database NAL-Catalogue (AGRICOLA)

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  6. Article ; Online: The COVID-19 pandemic and children with PANS/PANDAS: an evaluation of symptom severity, telehealth, and vaccination hesitancy.

    O'Dor, Sarah L / Zagaroli, J S / Belisle, R M / Hamel, M A / Downer, O M / Homayoun, S / Williams, K A

    Child psychiatry and human development

    2022  Volume 55, Issue 2, Page(s) 327–335

    Abstract: ... diagnosed COVID-19 experienced new or worsened psychiatric symptoms, particularly mood lability, OCD, and ... The current study assessed the impact of the COVID-19 pandemic on children with PANS/PANDAS ... of minors with PANS/PANDAS. Caregivers answered questions regarding PANS/PANDAS symptoms, telehealth care ...

    Abstract The current study assessed the impact of the COVID-19 pandemic on children with PANS/PANDAS, a condition characterized by sudden-onset obsessive-compulsive, tic, or restrictive eating symptoms following infection. We conducted an anonymous survey between February and June 2021 of 254 self-reported caregivers of minors with PANS/PANDAS. Caregivers answered questions regarding PANS/PANDAS symptoms, telehealth care, and intention to vaccinate their child against COVID-19. PANS/PANDAS symptoms during COVID-19 infections were assessed when applicable. Children's OCD symptoms and coercive behaviors towards caregivers, along with the caregivers' mental health, relationship satisfaction, and burden, were assessed using standardized questionnaires. A majority of respondents endorsed a negative impact on their child's friendships, relationships with extended family, hobbies, and academic skills due to the pandemic. Children with suspected or diagnosed COVID-19 experienced new or worsened psychiatric symptoms, particularly mood lability, OCD, and anxiety. Telehealth care was the preferred treatment modality if the child had mild symptoms of PANS/PANDAS. A majority of caregivers reported high levels of relationship dissatisfaction and caregiver burden. As expected, these data suggest an overall negative impact of the COVID-19 pandemic on children with PANS/PANDAS and their caregivers.
    MeSH term(s) Child ; Humans ; Pandemics ; Autoimmune Diseases/diagnosis ; Autoimmune Diseases/epidemiology ; Streptococcal Infections/diagnosis ; Streptococcal Infections/epidemiology ; Vaccination Hesitancy ; Obsessive-Compulsive Disorder/diagnosis ; Obsessive-Compulsive Disorder/epidemiology ; Obsessive-Compulsive Disorder/psychology ; COVID-19/prevention & control ; Telemedicine
    Language English
    Publishing date 2022-08-05
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 223895-0
    ISSN 1573-3327 ; 0009-398X
    ISSN (online) 1573-3327
    ISSN 0009-398X
    DOI 10.1007/s10578-022-01401-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: A novel missense mutation in the HSF4 gene of giant pandas with senile congenital cataracts.

    You, Yuyan / Bai, Chao / Liu, Xuefeng / Xia, Maohua / Yin, Yanqiang / Chen, Yucun / Wang, Wei / Jia, Ting / Lu, Yan / Pu, Tianchun / Zhang, Chenglin / Li, Xiaoguang / Wang, Liqin / Xiu, Yunfang / Niu, Lili / Zhou, Jun / Du, Yang / Liu, Yanhui / Xu, Suhui

    Scientific reports

    2021  Volume 11, Issue 1, Page(s) 5411

    Abstract: ... a potential new genetic determinant that could help to predict the risk of cataracts in giant pandas. ... are increasingly prevalent among aging populations of captive giant pandas (Ailuropoda melanoleuca ... of cataract development in order to distinguish between congenital and age-related disease. Here we screened ...

    Abstract Cataracts are a common cause of visual impairment and blindness in mammals. They are usually associated with aging, but approximately one third of cases have a significant genetic component. Cataracts are increasingly prevalent among aging populations of captive giant pandas (Ailuropoda melanoleuca) and it is therefore important to identify genetic determinants that influence the likelihood of cataract development in order to distinguish between congenital and age-related disease. Here we screened for cataract-related genetic effects using a functional candidate gene approach combined with bioinformatics to identify the underlying genetic defect in a giant panda with congenital cataracts. We identified a missense mutation in exon 10 of the HSF4 gene encoding heat shock transcription factor 4. The mutation causes the amino acid substitution R377W in a highly conserved segment of the protein between the isoform-specific and downstream hydrophobic regions. Predictive modeling revealed that the substitution is likely to increase the hydrophobicity of the protein and disrupt interactions with spatially adjacent amino acid side chains. The mutation was not found in 13 unaffected unrelated animals but was found in an unrelated animal also diagnosed with senile congenital cataract. The novel missense mutation in the HSF4 gene therefore provides a potential new genetic determinant that could help to predict the risk of cataracts in giant pandas.
    MeSH term(s) Animals ; Cataract/congenital ; Cataract/veterinary ; Mutation, Missense ; Transcription Factors/genetics ; Ursidae/genetics
    Chemical Substances Transcription Factors
    Language English
    Publishing date 2021-03-08
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2615211-3
    ISSN 2045-2322 ; 2045-2322
    ISSN (online) 2045-2322
    ISSN 2045-2322
    DOI 10.1038/s41598-021-84741-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Severe Psychotic Symptoms in Youth with PANS/PANDAS: Case-Series.

    Pavone, Piero / Parano, Enrico / Battaglia, Chiara / Marino, Silvia / Trifiletti, Rosario Rich / Marino, Simona D / Falsaperla, Raffaele

    Journal of child and adolescent psychopharmacology

    2020  Volume 30, Issue 9, Page(s) 567–571

    Abstract: Objectives: ...

    Abstract Objectives:
    MeSH term(s) Adolescent ; Autoimmune Diseases/complications ; Child ; Female ; Humans ; Italy ; Male ; New Jersey ; Obsessive-Compulsive Disorder/complications ; Psychotic Disorders/therapy ; Quality of Life/psychology ; Streptococcal Infections/complications ; Surveys and Questionnaires ; Tics/etiology
    Language English
    Publishing date 2020-07-17
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 1055410-5
    ISSN 1557-8992 ; 1044-5463
    ISSN (online) 1557-8992
    ISSN 1044-5463
    DOI 10.1089/cap.2020.0050
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: PANDAS/PANS in childhood: Controversies and evidence.

    Wilbur, Colin / Bitnun, Ari / Kronenberg, Sefi / Laxer, Ronald M / Levy, Deborah M / Logan, William J / Shouldice, Michelle / Yeh, E Ann

    Paediatrics & child health

    2018  Volume 24, Issue 2, Page(s) 85–91

    Abstract: ... with explosive onset obsessive-compulsive disorder and new onset tics, the natural history of this entity, and ... with streptococcal infections (PANDAS) and its later, broader iteration, paediatric acute-onset neuropsychiatric syndrome (PANS ... of the autoimmune hypothesis of PANDAS is lacking, given the heightened attention to this entity and apparent rise ...

    Abstract Since first defined in 1998, paediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS) and its later, broader iteration, paediatric acute-onset neuropsychiatric syndrome (PANS), have garnered significant attention and controversy. The role of streptococcal infection in children with explosive onset obsessive-compulsive disorder and new onset tics, the natural history of this entity, and the role of symptomatic and disease-modifying therapies, including antibiotics, immunotherapy, and psychoactive drugs, are all issues that have yet to be definitively addressed. While definitive proof of the autoimmune hypothesis of PANDAS is lacking, given the heightened attention to this entity and apparent rise in use of this diagnostic category, addressing questions around diagnosis, treatment, and etiology is imperative. In this paper, we review current working definitions of PANDAS/PANS, discuss published evidence for interventions related to this entity, and propose a clinical approach to children presenting with acute symptoms satisfying criteria for PANDAS/PANS.
    Language English
    Publishing date 2018-12-09
    Publishing country England
    Document type Journal Article
    ZDB-ID 2106767-3
    ISSN 1918-1485 ; 1205-7088
    ISSN (online) 1918-1485
    ISSN 1205-7088
    DOI 10.1093/pch/pxy145
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Microglial Dysregulation in OCD, Tourette Syndrome, and PANDAS.

    Frick, Luciana / Pittenger, Christopher

    Journal of immunology research

    2016  Volume 2016, Page(s) 8606057

    Abstract: ... Tourette syndrome, and PANDAS. We also explore new hypotheses as to the potential contributions of microglial ... animal model work are creating new opportunities to elucidate these issues. ... with Streptococcal Infections (PANDAS). The mechanistic details of this pathophysiology, however, remain unclear. Here we focus ...

    Abstract There is accumulating evidence that immune dysregulation contributes to the pathophysiology of obsessive-compulsive disorder (OCD), Tourette syndrome, and Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections (PANDAS). The mechanistic details of this pathophysiology, however, remain unclear. Here we focus on one particular component of the immune system: microglia, the brain's resident immune cells. The role of microglia in neurodegenerative diseases has been understood in terms of classic, inflammatory activation, which may be both a consequence and a cause of neuronal damage. In OCD and Tourette syndrome, which are not characterized by frank neural degeneration, the potential role of microglial dysregulation is much less clear. Here we review the evidence for a neuroinflammatory etiology and microglial dysregulation in OCD, Tourette syndrome, and PANDAS. We also explore new hypotheses as to the potential contributions of microglial abnormalities to pathophysiology, beyond neuroinflammation, including failures in neuroprotection, lack of support for neuronal survival, and abnormalities in synaptic pruning. Recent advances in neuroimaging and animal model work are creating new opportunities to elucidate these issues.
    MeSH term(s) Animals ; Autoimmune Diseases/immunology ; Autoimmune Diseases/physiopathology ; Child ; Disease Models, Animal ; Humans ; Mice ; Microglia/immunology ; Microglia/physiology ; Obsessive-Compulsive Disorder/etiology ; Obsessive-Compulsive Disorder/immunology ; Obsessive-Compulsive Disorder/physiopathology ; Streptococcal Infections/immunology ; Streptococcal Infections/physiopathology ; Tourette Syndrome/immunology ; Tourette Syndrome/physiopathology
    Language English
    Publishing date 2016
    Publishing country Egypt
    Document type Journal Article ; Review
    ZDB-ID 2817541-4
    ISSN 2314-7156 ; 2314-8861
    ISSN (online) 2314-7156
    ISSN 2314-8861
    DOI 10.1155/2016/8606057
    Database MEDical Literature Analysis and Retrieval System OnLINE

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