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  1. Article: Altering Compositional Properties of Viral Genomes to Design Live-Attenuated Vaccines.

    Pereira-Gómez, Marianoel / Carrau, Lucía / Fajardo, Álvaro / Moreno, Pilar / Moratorio, Gonzalo

    Frontiers in microbiology

    2021  Volume 12, Page(s) 676582

    Abstract: Live-attenuated vaccines have been historically used to successfully prevent numerous diseases caused by a broad variety of RNA viruses due to their ability to elicit strong and perdurable immune-protective responses. In recent years, various strategies ... ...

    Abstract Live-attenuated vaccines have been historically used to successfully prevent numerous diseases caused by a broad variety of RNA viruses due to their ability to elicit strong and perdurable immune-protective responses. In recent years, various strategies have been explored to achieve viral attenuation by rational genetic design rather than using classic and empirical approaches, based on successive passages in cell culture. A deeper understanding of evolutionary implications of distinct viral genomic compositional aspects, as well as substantial advances in synthetic biology technologies, have provided a framework to achieve new viral attenuation strategies. Herein, we will discuss different approaches that are currently applied to modify compositional features of viruses in order to develop novel live-attenuated vaccines.
    Language English
    Publishing date 2021-06-30
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2587354-4
    ISSN 1664-302X
    ISSN 1664-302X
    DOI 10.3389/fmicb.2021.676582
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Effect of mismatch repair on the mutation rate of bacteriophage ϕX174.

    Pereira-Gómez, Marianoel / Sanjuán, Rafael

    Virus evolution

    2015  Volume 1, Issue 1, Page(s) vev010

    Abstract: Viral mutation rates vary widely in nature, yet the mechanistic and evolutionary determinants of this variability remain unclear. Small DNA viruses mutate orders of magnitude faster than their hosts despite using host-encoded polymerases for replication, ...

    Abstract Viral mutation rates vary widely in nature, yet the mechanistic and evolutionary determinants of this variability remain unclear. Small DNA viruses mutate orders of magnitude faster than their hosts despite using host-encoded polymerases for replication, which suggests these viruses may avoid post-replicative repair. Supporting this, the genome of bacteriophage ϕX174 is completely devoid of GATC sequence motifs, which are required for methyl-directed mismatch repair in
    Keywords covid19
    Language English
    Publishing date 2015-09-10
    Publishing country England
    Document type Journal Article
    ZDB-ID 2818949-8
    ISSN 2057-1577
    ISSN 2057-1577
    DOI 10.1093/ve/vev010
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: One-year monitoring SARS-CoV-2 RNA surface contamination in hospitals reveals no correlation with organic material and negative pressure as a limiting factor for contamination.

    Pereira-Gómez, Marianoel / Arce, Rodrigo / Ferla, Diego / Simón, Diego / Salazar, Cecilia / Perbolianachis, Paula / Costábile, Alicia / Fajardo, Alvaro / Aldunate, Fabián / Nin, Nicolás / Hurtado, Javier / Iraola, Gregorio / Moreno, Pilar / Moratorio, Gonzalo

    Heliyon

    2023  Volume 9, Issue 3, Page(s) e13875

    Abstract: Understanding transmission routes of SARS-CoV-2 is crucial to establish effective interventions in healthcare institutions. Although the role of surface contamination in SARS-CoV-2 transmission has been controversial, fomites have been proposed as a ... ...

    Abstract Understanding transmission routes of SARS-CoV-2 is crucial to establish effective interventions in healthcare institutions. Although the role of surface contamination in SARS-CoV-2 transmission has been controversial, fomites have been proposed as a contributing factor. Longitudinal studies about SARS-CoV-2 surface contamination in hospitals with different infrastructure (presence or absence of negative pressure systems) are needed to improve our understanding of their effectiveness on patient healthcare and to advance our knowledge about the viral spread. We performed a one-year longitudinal study to evaluate surface contamination with SARS-CoV-2 RNA in reference hospitals. These hospitals have to admit all COVID-19 patients from public health services that require hospitalization. Surfaces samples were molecular tested for SARS-CoV-2 RNA presence considering three factors: the dirtiness by measuring organic material, the circulation of a high transmissibility variant, and the presence or absence of negative pressure systems in hospitalized patients' rooms. Our results show that: (i) There is no correlation between the amount of organic material dirtiness and SARS-CoV-2 RNA detected on surfaces; (ii) SARS-CoV-2 high transmissible Gamma variant introduction significantly increased surface contamination; (iii) the hospital with negative pressure systems was associated with lower levels of SARS-CoV-2 surface contamination and, iv) most environmental samples recovered from contaminated surfaces were assigned as non-infectious. This study provides data gathered for one year about the surface contamination with SARS-CoV-2 RNA sampling hospital settings. Our results suggest that spatial dynamics of SARS-CoV-2 RNA contamination varies according with the type of SARS-CoV-2 genetic variant and the presence of negative pressure systems. In addition, we showed that there is no correlation between the amount of organic material dirtiness and the quantity of viral RNA detected in hospital settings. Our findings suggest that SARS CoV-2 RNA surface contamination monitoring might be useful for the understanding of SARS-CoV-2 dissemination with impact on hospital management and public health policies. This is of special relevance for the Latin-American region where ICU rooms with negative pressure are insufficient.
    Language English
    Publishing date 2023-02-18
    Publishing country England
    Document type Journal Article
    ZDB-ID 2835763-2
    ISSN 2405-8440
    ISSN 2405-8440
    DOI 10.1016/j.heliyon.2023.e13875
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: One-year monitoring SARS-CoV-2 RNA surface contamination in hospitals reveals no correlation with organic material and negative pressure as a limiting factor for contamination

    Pereira-Gómez, Marianoel / Arce, Rodrigo / Ferla, Diego / Simón, Diego / Salazar de la Torre, Cecilia / Perbolianachis, Paula / Costábile, Alicia / Fajardo, Alvaro / Aldunate, Fabián / Nin, Nicolás / Hurtado, Javier / Iraola, Gregorio / Moreno, Pilar / Moratorio, Gonzalo

    Heliyon. 2023 Mar., v. 9, no. 3 p.e13875-

    2023  

    Abstract: Understanding transmission routes of SARS-CoV-2 is crucial to establish effective interventions in healthcare institutions. Although the role of surface contamination in SARS-CoV-2 transmission has been controversial, fomites have been proposed as a ... ...

    Abstract Understanding transmission routes of SARS-CoV-2 is crucial to establish effective interventions in healthcare institutions. Although the role of surface contamination in SARS-CoV-2 transmission has been controversial, fomites have been proposed as a contributing factor. Longitudinal studies about SARS-CoV-2 surface contamination in hospitals with different infrastructure (presence or absence of negative pressure systems) are needed to improve our understanding of their effectiveness on patient healthcare and to advance our knowledge about the viral spread. We performed a one-year longitudinal study to evaluate surface contamination with SARS-CoV-2 RNA in reference hospitals. These hospitals have to admit all COVID-19 patients from public health services that require hospitalization. Surfaces samples were molecular tested for SARS-CoV-2 RNA presence considering three factors: the dirtiness by measuring organic material, the circulation of a high transmissibility variant, and the presence or absence of negative pressure systems in hospitalized patients' rooms. Our results show that: (i) There is no correlation between the amount of organic material dirtiness and SARS-CoV-2 RNA detected on surfaces; (ii) SARS-CoV-2 high transmissible Gamma variant introduction significantly increased surface contamination; (iii) the hospital with negative pressure systems was associated with lower levels of SARS-CoV-2 surface contamination and, iv) most environmental samples recovered from contaminated surfaces were assigned as non-infectious. This study provides data gathered for one year about the surface contamination with SARS-CoV-2 RNA sampling hospital settings. Our results suggest that spatial dynamics of SARS-CoV-2 RNA contamination varies according with the type of SARS-CoV-2 genetic variant and the presence of negative pressure systems. In addition, we showed that there is no correlation between the amount of organic material dirtiness and the quantity of viral RNA detected in hospital settings. Our findings suggest that SARS CoV-2 RNA surface contamination monitoring might be useful for the understanding of SARS-CoV-2 dissemination with impact on hospital management and public health policies. This is of special relevance for the Latin-American region where ICU rooms with negative pressure are insufficient.
    Keywords RNA ; Severe acute respiratory syndrome coronavirus 2 ; fomites ; health services ; hospitals ; longitudinal studies ; patients ; public health ; SARS-CoV2 RNA ; Ct value ; Organic material dirtiness ; ATP measurements ; Negative pressure system ; Variant of concern
    Language English
    Dates of publication 2023-03
    Publishing place Elsevier Ltd
    Document type Article ; Online
    Note Use and reproduction
    ZDB-ID 2835763-2
    ISSN 2405-8440
    ISSN 2405-8440
    DOI 10.1016/j.heliyon.2023.e13875
    Database NAL-Catalogue (AGRICOLA)

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  5. Article ; Online: One-year monitoring SARS-CoV-2 RNA surface contamination in hospitals reveals no correlation with organic material and negative pressure as a limiting factor for contamination

    Marianoel Pereira-Gómez / Rodrigo Arce / Diego Ferla / Diego Simón / Cecilia Salazar / Paula Perbolianachis / Alicia Costábile / Alvaro Fajardo / Fabián Aldunate / Nicolás Nin / Javier Hurtado / Gregorio Iraola / Pilar Moreno / Gonzalo Moratorio

    Heliyon, Vol 9, Iss 3, Pp e13875- (2023)

    2023  

    Abstract: Understanding transmission routes of SARS-CoV-2 is crucial to establish effective interventions in healthcare institutions. Although the role of surface contamination in SARS-CoV-2 transmission has been controversial, fomites have been proposed as a ... ...

    Abstract Understanding transmission routes of SARS-CoV-2 is crucial to establish effective interventions in healthcare institutions. Although the role of surface contamination in SARS-CoV-2 transmission has been controversial, fomites have been proposed as a contributing factor. Longitudinal studies about SARS-CoV-2 surface contamination in hospitals with different infrastructure (presence or absence of negative pressure systems) are needed to improve our understanding of their effectiveness on patient healthcare and to advance our knowledge about the viral spread.We performed a one-year longitudinal study to evaluate surface contamination with SARS-CoV-2 RNA in reference hospitals. These hospitals have to admit all COVID-19 patients from public health services that require hospitalization. Surfaces samples were molecular tested for SARS-CoV-2 RNA presence considering three factors: the dirtiness by measuring organic material, the circulation of a high transmissibility variant, and the presence or absence of negative pressure systems in hospitalized patients' rooms.Our results show that: (i) There is no correlation between the amount of organic material dirtiness and SARS-CoV-2 RNA detected on surfaces; (ii) SARS-CoV-2 high transmissible Gamma variant introduction significantly increased surface contamination; (iii) the hospital with negative pressure systems was associated with lower levels of SARS-CoV-2 surface contamination and, iv) most environmental samples recovered from contaminated surfaces were assigned as non-infectious.This study provides data gathered for one year about the surface contamination with SARS-CoV-2 RNA sampling hospital settings. Our results suggest that spatial dynamics of SARS-CoV-2 RNA contamination varies according with the type of SARS-CoV-2 genetic variant and the presence of negative pressure systems. In addition, we showed that there is no correlation between the amount of organic material dirtiness and the quantity of viral RNA detected in hospital settings. Our findings suggest that ...
    Keywords SARS-CoV2 RNA ; Ct value ; Fomites ; Organic material dirtiness ; ATP measurements ; Negative pressure system ; Science (General) ; Q1-390 ; Social sciences (General) ; H1-99
    Subject code 360
    Language English
    Publishing date 2023-03-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Delayed lysis confers resistance to the nucleoside analogue 5-fluorouracil and alleviates mutation accumulation in the single-stranded DNA bacteriophage ϕX174.

    Pereira-Gómez, Marianoel / Sanjuán, Rafael

    Journal of virology

    2014  Volume 88, Issue 9, Page(s) 5042–5049

    Abstract: ... Pereira-Gomez, and R. Sanjuán, J. Virol. 86:: 9640-9646, 2012, doi:10.1128/JVI.00613-12). Here, we found ...

    Abstract Unlabelled: Rates of spontaneous mutation determine viral fitness and adaptability. In RNA viruses, treatment with mutagenic nucleoside analogues selects for polymerase variants with increased fidelity, showing that viral mutation rates can be adjusted in response to imposed selective pressures. However, this type of resistance is not possible in viruses that do not encode their own polymerases, such as single-stranded DNA viruses. We previously showed that serial passaging of bacteriophage ϕX174 in the presence of the nucleoside analogue 5-fluorouracil (5-FU) favored substitutions in the lysis protein E (P. Domingo-Calap, M. Pereira-Gomez, and R. Sanjuán, J. Virol. 86:: 9640-9646, 2012, doi:10.1128/JVI.00613-12). Here, we found that approximately half (6/12) of the amino acid replacements in the N-terminal region of this protein led to delayed lysis, and two of these changes (V2A and D8A) also conferred partial resistance to 5-FU. By delaying lysis, the V2A and D8A substitutions allowed the virus to increase the burst size per cell in the presence of 5-FU. Furthermore, these substitutions tended to alleviate drug-induced mutagenesis by reducing the number of rounds of copying required for population growth, revealing a new mechanism of resistance. This form of mutation rate regulation may also be utilized by other viruses whose replication mode is similar to that of bacteriophage ϕX174.
    Importance: Many viruses display high rates of spontaneous mutations due to defects in proofreading or postreplicative repair, allowing them to rapidly adapt to changing environments. Viral mutation rates may have been optimized to achieve high adaptability without incurring an excessive genetic load. Supporting this, RNA viruses subjected to chemical mutagenesis treatments have been shown to evolve higher-fidelity polymerases. However, many viruses cannot modulate replication fidelity because they do not encode their own polymerase. Here, we show a new mechanism for regulating viral mutation rates. We found that, under mutagenic conditions, the single-stranded bacteriophage ϕX174 evolved delayed lysis, and that this allowed the virus to increase the amount of progeny produced per cell. As a result, the viral population was amplified in fewer infection cycles, reducing the chances for mutation appearance.
    MeSH term(s) Adaptation, Biological ; Bacteriolysis ; Bacteriophages/genetics ; Bacteriophages/growth & development ; Bacteriophages/physiology ; DNA, Single-Stranded/metabolism ; DNA, Viral/metabolism ; Fluorouracil/metabolism ; Mutant Proteins/genetics ; Mutant Proteins/metabolism ; Mutation Rate ; Mutation, Missense ; Selection, Genetic ; Viral Proteins/genetics ; Viral Proteins/metabolism
    Chemical Substances DNA, Single-Stranded ; DNA, Viral ; E protein, bacteriophage X174 ; Mutant Proteins ; Viral Proteins ; Fluorouracil (U3P01618RT)
    Keywords covid19
    Language English
    Publishing date 2014-02-19
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 80174-4
    ISSN 1098-5514 ; 0022-538X
    ISSN (online) 1098-5514
    ISSN 0022-538X
    DOI 10.1128/JVI.02147-13
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: An evolutionary insight into emerging Ebolavirus strains isolated in Africa.

    Pereira-Gomez, Marianoel / Lopez-Tort, Fernando / Fajardo, Alvaro / Cristina, Juan

    Journal of medical virology

    2019  Volume 92, Issue 8, Page(s) 988–995

    Abstract: On July 19, 2019, the World Health Organization declared the current Ebolavirus (EBOV) outbreak in Congo Democratic Republic (COD) a public health emergency of international concern. To address the potential threat of EBOV evolution outpacing antibody ... ...

    Abstract On July 19, 2019, the World Health Organization declared the current Ebolavirus (EBOV) outbreak in Congo Democratic Republic (COD) a public health emergency of international concern. To address the potential threat of EBOV evolution outpacing antibody treatment and vaccine efforts, a detailed evolutionary analysis of EBOV strains circulating in different African countries was performed. Genome composition of EBOV strains was studied using multivariate statistical analysis. To investigate the patterns of evolution of EBOV strains, a Bayesian Markov Chain Monte Carlo approach was used. Two different genetic lineages, with a distinct genome composition gave rise to the recent EBOV outbreaks in central and western Africa. Strains isolated in COD in 2018 fall into two different genetic clusters, according to their geographical location of isolation. Different amino acid substitutions among strains from these two clusters have been found, particularly in NP, GP, and L proteins. Significant differences in codon and amino acid usage among clusters were found. Strains isolated in COD in 2018 belong to two distinct genetic clusters, with distinct codon and amino acid usage. Geographical diversity plays an important role in shaping the molecular evolution of EBOV populations.
    MeSH term(s) Africa, Central/epidemiology ; Africa, Western/epidemiology ; Amino Acid Substitution ; Bayes Theorem ; Codon Usage ; Disease Outbreaks ; Ebolavirus/genetics ; Ebolavirus/isolation & purification ; Evolution, Molecular ; Genome, Viral ; Hemorrhagic Fever, Ebola/epidemiology ; Hemorrhagic Fever, Ebola/virology ; Humans ; Markov Chains ; Monte Carlo Method ; Nucleocapsid Proteins/chemistry ; Nucleocapsid Proteins/genetics ; RNA-Dependent RNA Polymerase/chemistry ; RNA-Dependent RNA Polymerase/genetics ; Viral Envelope Proteins/chemistry ; Viral Envelope Proteins/genetics
    Chemical Substances Nucleocapsid Proteins ; Viral Envelope Proteins ; envelope glycoprotein, Ebola virus ; nucleocapsid protein, Ebola virus ; RNA-Dependent RNA Polymerase (EC 2.7.7.48)
    Language English
    Publishing date 2019-11-18
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 752392-0
    ISSN 1096-9071 ; 0146-6615
    ISSN (online) 1096-9071
    ISSN 0146-6615
    DOI 10.1002/jmv.25627
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Evaluation of SYBR Green real time PCR for detecting SARS-CoV-2 from clinical samples

    Pereira-Gómez, Marianoel / Fajardo, Álvaro / Echeverría, Natalia / López-Tort, Fernando / Perbolianachis, Paula / Costábile, Alicia / Aldunate, Fabián / Moreno, Pilar / Moratorio, Gonzalo

    Journal of virological methods. 2021 Mar., v. 289

    2021  

    Abstract: The pandemic caused by SARS-CoV-2 has triggered an extraordinary collapse of healthcare systems and hundred thousand of deaths worldwide. Following the declaration of the outbreak as a Public Health Emergency of International Concern by the World Health ... ...

    Abstract The pandemic caused by SARS-CoV-2 has triggered an extraordinary collapse of healthcare systems and hundred thousand of deaths worldwide. Following the declaration of the outbreak as a Public Health Emergency of International Concern by the World Health Organization (WHO) on January 30th, 2020, it has become imperative to develop diagnostic tools to reliably detect the virus in infected patients. Several methods based on real time reverse transcription polymerase chain reaction (RT-qPCR) for the detection of SARS-CoV-2 genomic RNA have been developed. In addition, these methods have been recommended by the WHO for laboratory diagnosis. Since most of these protocols are based on the use of fluorogenic probes and one-step reagents (cDNA synthesis followed by PCR amplification in the same tube), these techniques can be difficult to perform given the limited supply of reagents in low- and middle-income countries. In order to develop an inexpensive SARS-CoV-2 detection protocol using available resources we evaluated the SYBR Green based detection of SARS-CoV-2 to establish a suitable assay. To do so, we adapted one of the WHO recommended TaqMan-based one-step real time PCR protocols (from the University of Hong Kong) to SYBR Green. Our results indicate that SYBR-Green detection of ORF1b-nsp14 target represents a reliable cost-effective alternative to increase the testing capacity.
    Keywords RNA ; Severe acute respiratory syndrome coronavirus 2 ; World Health Organization ; cost effectiveness ; genomics ; health services ; laboratory diagnosis ; pandemic ; public health ; quantitative polymerase chain reaction ; reverse transcriptase polymerase chain reaction ; viruses ; China
    Language English
    Dates of publication 2021-03
    Publishing place Elsevier B.V.
    Document type Article
    ZDB-ID 8013-5
    ISSN 1879-0984 ; 0166-0934
    ISSN (online) 1879-0984
    ISSN 0166-0934
    DOI 10.1016/j.jviromet.2020.114035
    Database NAL-Catalogue (AGRICOLA)

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  9. Article ; Online: Evaluation of SYBR Green real time PCR for detecting SARS-CoV-2 from clinical samples.

    Pereira-Gómez, Marianoel / Fajardo, Álvaro / Echeverría, Natalia / López-Tort, Fernando / Perbolianachis, Paula / Costábile, Alicia / Aldunate, Fabián / Moreno, Pilar / Moratorio, Gonzalo

    Journal of virological methods

    2020  Volume 289, Page(s) 114035

    Abstract: The pandemic caused by SARS-CoV-2 has triggered an extraordinary collapse of healthcare systems and hundred thousand of deaths worldwide. Following the declaration of the outbreak as a Public Health Emergency of International Concern by the World Health ... ...

    Abstract The pandemic caused by SARS-CoV-2 has triggered an extraordinary collapse of healthcare systems and hundred thousand of deaths worldwide. Following the declaration of the outbreak as a Public Health Emergency of International Concern by the World Health Organization (WHO) on January 30th, 2020, it has become imperative to develop diagnostic tools to reliably detect the virus in infected patients. Several methods based on real time reverse transcription polymerase chain reaction (RT-qPCR) for the detection of SARS-CoV-2 genomic RNA have been developed. In addition, these methods have been recommended by the WHO for laboratory diagnosis. Since most of these protocols are based on the use of fluorogenic probes and one-step reagents (cDNA synthesis followed by PCR amplification in the same tube), these techniques can be difficult to perform given the limited supply of reagents in low- and middle-income countries. In order to develop an inexpensive SARS-CoV-2 detection protocol using available resources we evaluated the SYBR Green based detection of SARS-CoV-2 to establish a suitable assay. To do so, we adapted one of the WHO recommended TaqMan-based one-step real time PCR protocols (from the University of Hong Kong) to SYBR Green. Our results indicate that SYBR-Green detection of ORF1b-nsp14 target represents a reliable cost-effective alternative to increase the testing capacity.
    MeSH term(s) COVID-19/diagnosis ; COVID-19/epidemiology ; COVID-19 Nucleic Acid Testing/methods ; Clinical Laboratory Techniques/methods ; Humans ; Pandemics ; RNA, Viral/analysis ; Real-Time Polymerase Chain Reaction/methods ; SARS-CoV-2/isolation & purification
    Chemical Substances RNA, Viral
    Language English
    Publishing date 2020-12-04
    Publishing country Netherlands
    Document type Evaluation Study ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 8013-5
    ISSN 1879-0984 ; 0166-0934
    ISSN (online) 1879-0984
    ISSN 0166-0934
    DOI 10.1016/j.jviromet.2020.114035
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: What have we learned from a case of convalescent plasma treatment in a two-time kidney transplant recipient COVID-19 patient? A case report from the perspective of viral load evolution and immune response.

    Aldunate, Fabian / Fajardo, Alvaro / Ibañez, Natalia / Rammauro, Florencia / Daghero, Hellen / Arce, Rodrigo / Ferla, Diego / Pereira-Gomez, Marianoel / Salazar, Cecilia / Iraola, Gregorio / Pritsch, Otto / Hurtado, Javier / Tenzi, Jordan / Bollati-Fogolín, Mariela / Bianchi, Sergio / Nin, Nicolas / Moratorio, Gonzalo / Moreno, Pilar

    Frontiers in nephrology

    2023  Volume 3, Page(s) 1132763

    Abstract: Coronavirus disease 2019 (COVID-19), an infectious disease caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus, can have a wide range of clinical manifestations, ranging from asymptomatic disease to potentially life- ... ...

    Abstract Coronavirus disease 2019 (COVID-19), an infectious disease caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus, can have a wide range of clinical manifestations, ranging from asymptomatic disease to potentially life-threatening complications. Convalescent plasma therapy has been proposed as an effective alternative for the treatment of severe cases. The aim of this study was to follow a two-time renal transplant patient with severe COVID-19 treated with convalescent plasma over time from an immunologic and virologic perspective. A 42-year-old female patient, who was a two-time kidney transplant recipient, was hospitalized with COVID-19. Due to worsening respiratory symptoms, she was admitted to the intensive care unit, where she received two doses of convalescent plasma. We analyzed the dynamics of viral load in nasopharyngeal swab, saliva, and tracheal aspirate samples, before and after convalescent plasma transfusion. The levels of pro-inflammatory cytokines and antibody titers were also measured in serum samples. A significant decrease in viral load was observed after treatment in the saliva and nasopharyngeal swab samples, and a slight decrease was observed in tracheal aspirate samples. In addition, we found evidence of an increase in antibody titers after transfusion, accompanied by a decrease in the levels of several cytokines responsible for cytokine storm.
    Language English
    Publishing date 2023-06-23
    Publishing country Switzerland
    Document type Case Reports
    ISSN 2813-0626
    ISSN (online) 2813-0626
    DOI 10.3389/fneph.2023.1132763
    Database MEDical Literature Analysis and Retrieval System OnLINE

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