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  1. Article ; Online: Human T-lymphotropic virus type 1 and antiretroviral therapy: practical considerations for pre-exposure and post-exposure prophylaxis, transmission prevention, and mitigation of severe disease.

    O'Donnell, Jake S / Jaberolansar, Noushin / Chappell, Keith J

    The Lancet. Microbe

    2024  Volume 5, Issue 4, Page(s) e400–e408

    Abstract: Human T-lymphotropic virus type 1 (HTLV-1) is a retrovirus associated with substantial risk of secondary (often life-threatening) disease for the estimated 10 million to 20 million people infected globally. Despite a clear need, no HTLV-1-specific ... ...

    Abstract Human T-lymphotropic virus type 1 (HTLV-1) is a retrovirus associated with substantial risk of secondary (often life-threatening) disease for the estimated 10 million to 20 million people infected globally. Despite a clear need, no HTLV-1-specific vaccine or antiretroviral therapy has been developed to date. Instead, existing public and primary health-care interventions inadequately focus on infection prevention and management of secondary diseases. In this Personal View, we discuss the evidence that exists to support the sensitivity of HTLV-1 to antiretroviral therapies approved by the US Food and Drug Administration for the treatment of HIV-1, how this sensitivity is affected by clinically relevant virological and immunological features, and additional practical considerations for the use of antiretroviral therapies in the context of HTLV-1.
    MeSH term(s) United States/epidemiology ; Humans ; Human T-lymphotropic virus 1 ; Post-Exposure Prophylaxis ; HIV Infections/drug therapy ; HIV Infections/prevention & control ; HIV-1
    Language English
    Publishing date 2024-01-18
    Publishing country England
    Document type Journal Article ; Review
    ISSN 2666-5247
    ISSN (online) 2666-5247
    DOI 10.1016/S2666-5247(23)00359-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: HTLV-1 reverse transcriptase homology model provides structural basis for sensitivity to existing nucleoside/nucleotide reverse transcriptase inhibitors.

    Tardiota, Nicolas / Jaberolansar, Noushin / Lackenby, Julia A / Chappell, Keith J / O'Donnell, Jake S

    Virology journal

    2024  Volume 21, Issue 1, Page(s) 14

    Abstract: The human T-lymphotropic virus type 1 (HTLV-1) infects millions of people globally and is endemic to various resource-limited regions. Infections persist for life and are associated with increased susceptibility to opportunistic infections and severe ... ...

    Abstract The human T-lymphotropic virus type 1 (HTLV-1) infects millions of people globally and is endemic to various resource-limited regions. Infections persist for life and are associated with increased susceptibility to opportunistic infections and severe diseases including adult T cell leukemia/lymphoma and HTLV-1-associated myelopathy-tropical spastic paraparesis. No HTLV-1-specific anti-retrovirals have been developed and it is unclear whether existing anti-retrovirals developed for treatment of human immunodeficiency virus (HIV) have efficacy against HTLV-1. To understand the structural basis for therapeutic binding, homology modelling and machine learning were used to develop a structural model of the HTLV-1 reverse transcriptase. With this, molecular docking experiments using a panel of FDA-approved inhibitors of viral reverse transcriptases to assess their capacity for binding, and in turn, inhibition. Importantly, nucleoside/nucleotide reverse transcriptase inhibitor but not non-nucleoside reverse transcriptase inhibitors were predicted to bind the HTLV-1 reverse transcriptase, with similar affinity to HIV-1 reverse transcriptase. By strengthening the rationale for clinical testing of therapies such as tenofovir alafenamide, zidovudine, lamivudine, and azvudine for treatment of HTLV-1, this study has demonstrated the power of in silico structural biology approaches in drug design and therapeutic testing.
    MeSH term(s) Adult ; Humans ; Human T-lymphotropic virus 1 ; Nucleotides ; Reverse Transcriptase Inhibitors/pharmacology ; Molecular Docking Simulation ; Paraparesis, Tropical Spastic
    Chemical Substances Nucleotides ; Reverse Transcriptase Inhibitors
    Language English
    Publishing date 2024-01-10
    Publishing country England
    Document type Journal Article
    ZDB-ID 2160640-7
    ISSN 1743-422X ; 1743-422X
    ISSN (online) 1743-422X
    ISSN 1743-422X
    DOI 10.1186/s12985-024-02288-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Integrated molecular and immunological features of human T-lymphotropic virus type 1 infection and disease progression to adult T-cell leukaemia or lymphoma.

    O'Donnell, Jake S / Hunt, Stewart K / Chappell, Keith J

    The Lancet. Haematology

    2023  Volume 10, Issue 7, Page(s) e539–e548

    Abstract: The human T-lymphotropic virus type 1 (HTLV-1) retrovirus infects 10-20 million people globally, with endemic regions in southwestern Japan, the Caribbean basin, Africa, and central Australia. HTLV-1 is associated with lifelong infection and immune ... ...

    Abstract The human T-lymphotropic virus type 1 (HTLV-1) retrovirus infects 10-20 million people globally, with endemic regions in southwestern Japan, the Caribbean basin, Africa, and central Australia. HTLV-1 is associated with lifelong infection and immune suppression, resulting in a range of serious sequalae, including adult T-cell leukaemia or lymphoma (ATLL) in 5% of cases. To date, there are no preventive or curative treatments for HTLV-1 and treatment outcomes for ATLL remain generally poor. Depending on the disease subtype, overall survival is 8-55 months. Recent advancements in the past decade have identified genetic, molecular, and immunological events occurring throughout the lives of individuals infected with HTLV-1 and of those who progress to ATLL. In addition, updated guidelines for clinical management have been published. With the aim of focusing research efforts on the development of treatments for both HTLV-1 infections and ATLL, we have conceptualised a four-step disease model for HTLV-1-associated ATLL: (1) viral exposure, (2) establishment of chronic infection, (3) cellular transformation and evolution, and (4) disease presentation and management. For each stage we describe the clinical features, molecular and immunological factors involved, potential biomarkers of disease progression, and the therapeutic applicability of individual targets. We also discuss emerging concepts and novel treatment approaches. Our hope is that this model will promote research interest and guide the testing of new treatments for this neglected virus and its associated rare cancer.
    MeSH term(s) Adult ; Humans ; Leukemia-Lymphoma, Adult T-Cell ; HTLV-I Infections/complications ; Human T-lymphotropic virus 1 ; Disease Progression ; Lymphoma/complications
    Language English
    Publishing date 2023-04-12
    Publishing country England
    Document type Journal Article ; Review
    ISSN 2352-3026
    ISSN (online) 2352-3026
    DOI 10.1016/S2352-3026(23)00087-X
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Chronic SARS-CoV-2, a Cause of Post-acute COVID-19 Sequelae (Long-COVID)?

    O'Donnell, Jake S / Chappell, Keith J

    Frontiers in microbiology

    2021  Volume 12, Page(s) 724654

    Abstract: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the cause coronavirus disease 2019 (COVID-19). Most individuals recover from SARS-CoV-2 infection, however, many continue to experience a cluster of persistent symptoms for months following ... ...

    Abstract Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the cause coronavirus disease 2019 (COVID-19). Most individuals recover from SARS-CoV-2 infection, however, many continue to experience a cluster of persistent symptoms for months following resolution of acute disease; a syndrome that has been named Long-COVID. While the biological cause, or causes, of Long-COVID have not yet been confirmed, the main proposals have centred around either virus-induced autoimmunity or virus-induced tissue dysfunction. However, an alternative suggestion that a latent chronic infection could be responsible for the symptoms of Long-COVID has received minimal attention despite recent findings that SARS-CoV-2 genetic material and infections are detected in some individuals months following resolution of respiratory disease. Here we discuss literature supporting the possibility that Long-COVID occurs as a result of chronic SARS-CoV-2 infections.
    Language English
    Publishing date 2021-08-02
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2587354-4
    ISSN 1664-302X
    ISSN 1664-302X
    DOI 10.3389/fmicb.2021.724654
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Geographic patterns of koala retrovirus genetic diversity, endogenization, and subtype distributions.

    Blyton, Michaela D J / Young, Paul R / Moore, Ben D / Chappell, Keith J

    Proceedings of the National Academy of Sciences of the United States of America

    2022  Volume 119, Issue 33, Page(s) e2122680119

    Abstract: Koala retrovirus (KoRV) subtype A (KoRV-A) is currently in transition from exogenous virus to endogenous viral element, providing an ideal system to elucidate retroviral-host coevolution. We characterized KoRV geography using fecal DNA from 192 samples ... ...

    Abstract Koala retrovirus (KoRV) subtype A (KoRV-A) is currently in transition from exogenous virus to endogenous viral element, providing an ideal system to elucidate retroviral-host coevolution. We characterized KoRV geography using fecal DNA from 192 samples across 20 populations throughout the koala's range. We reveal an abrupt change in KoRV genetics and incidence at the Victoria/New South Wales state border. In northern koalas,
    MeSH term(s) Animals ; Endogenous Retroviruses/genetics ; Evolution, Molecular ; Gammaretrovirus/genetics ; Genetic Variation ; New South Wales ; Phascolarctidae/virology ; Retroviridae Infections/transmission ; Retroviridae Infections/veterinary ; Retroviridae Infections/virology ; Victoria
    Language English
    Publishing date 2022-08-09
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 209104-5
    ISSN 1091-6490 ; 0027-8424
    ISSN (online) 1091-6490
    ISSN 0027-8424
    DOI 10.1073/pnas.2122680119
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Fighting Ebola: A Window for Vaccine Re-evaluation?

    Chappell, Keith J / Watterson, Daniel

    PLoS pathogens

    2017  Volume 13, Issue 1, Page(s) e1006037

    MeSH term(s) Ebola Vaccines/immunology ; Ebola Vaccines/therapeutic use ; Hemorrhagic Fever, Ebola/prevention & control ; Humans
    Chemical Substances Ebola Vaccines
    Language English
    Publishing date 2017-01-12
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2205412-1
    ISSN 1553-7374 ; 1553-7366
    ISSN (online) 1553-7374
    ISSN 1553-7366
    DOI 10.1371/journal.ppat.1006037
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: The Next Generation of Influenza Vaccines: Towards a Universal Solution.

    McMillan, Christopher L D / Young, Paul R / Watterson, Daniel / Chappell, Keith J

    Vaccines

    2021  Volume 9, Issue 1

    Abstract: Influenza viruses remain a constant burden in humans, causing millions of infections and hundreds of thousands of deaths each year. Current influenza virus vaccine modalities primarily induce antibodies directed towards the highly variable head domain of ...

    Abstract Influenza viruses remain a constant burden in humans, causing millions of infections and hundreds of thousands of deaths each year. Current influenza virus vaccine modalities primarily induce antibodies directed towards the highly variable head domain of the hemagglutinin protein on the virus surface. Such antibodies are often strain-specific, meaning limited cross-protection against divergent influenza viruses is induced, resulting in poor vaccine efficacy. To attempt to counteract this, yearly influenza vaccination with updated formulations containing antigens from more recently circulating viruses is required. This is an expensive and time-consuming exercise, and the constant arms race between host immunity and virus evolution presents an ongoing challenge for effective vaccine development. Furthermore, there exists the constant pandemic threat of highly pathogenic avian influenza viruses with high fatality rates (~30-50%) or the emergence of new, pathogenic reassortants. Current vaccines would likely offer little to no protection from such viruses in the event of an epidemic or pandemic. This highlights the urgent need for improved influenza virus vaccines capable of providing long-lasting, robust protection from both seasonal influenza virus infections as well as potential pandemic threats. In this narrative review, we examine the next generation of influenza virus vaccines for human use and the steps being taken to achieve universal protection.
    Language English
    Publishing date 2021-01-07
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2703319-3
    ISSN 2076-393X
    ISSN 2076-393X
    DOI 10.3390/vaccines9010026
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Koala retrovirus genetic diversity and transmission dynamics within captive koala populations.

    Joyce, Briony A / Blyton, Michaela D J / Johnston, Stephen D / Young, Paul R / Chappell, Keith J

    Proceedings of the National Academy of Sciences of the United States of America

    2021  Volume 118, Issue 38

    Abstract: Koala populations are currently in rapid decline across Australia, with infectious diseases being a contributing cause. The koala retrovirus (KoRV) is a gammaretrovirus present in both captive and wild koala colonies that presents an additional challenge ...

    Abstract Koala populations are currently in rapid decline across Australia, with infectious diseases being a contributing cause. The koala retrovirus (KoRV) is a gammaretrovirus present in both captive and wild koala colonies that presents an additional challenge for koala conservation in addition to habitat loss, climate change, and other factors. Currently, nine different subtypes (A to I) have been identified; however, KoRV genetic diversity analyses have been limited. KoRV is thought to be exogenously transmitted between individuals, with KoRV-A also being endogenous and transmitted through the germline. The mechanisms of exogenous KoRV transmission are yet to be extensively investigated. Here, deep sequencing was employed on 109 captive koalas of known pedigree, housed in two institutions from Southeast Queensland, to provide a detailed analysis of KoRV transmission dynamics and genetic diversity. The final dataset included 421 unique KoRV sequences, along with the finding of an additional subtype (KoRV-K). Our analysis suggests that exogenous transmission of KoRV occurs primarily between dam and joey, with evidence provided for multiple subtypes, including nonendogenized KoRV-A. No evidence of sexual transmission was observed, with mating partners found to share a similar number of sequences as unrelated koala pairs. Importantly, both distinct captive colonies showed similar trends. These findings indicate that breeding strategies or antiretroviral treatment of females could be employed as effective management approaches in combating KoRV transmission.
    MeSH term(s) Animals ; Evolution, Molecular ; Female ; Genetic Variation/genetics ; Male ; Phascolarctidae ; Queensland ; Retroviridae/genetics ; Retroviridae Infections/transmission ; Retroviridae Infections/virology
    Language English
    Publishing date 2021-09-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 209104-5
    ISSN 1091-6490 ; 0027-8424
    ISSN (online) 1091-6490
    ISSN 0027-8424
    DOI 10.1073/pnas.2024021118
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Analysis of phylogenetic diversity and

    Brealey, Jaelle C / Sly, Peter D / Young, Paul R / Chappell, Keith J

    Microbiology (Reading, England)

    2019  Volume 166, Issue 1, Page(s) 63–72

    Abstract: Respiratory syncytial virus (RSV) ... ...

    Abstract Respiratory syncytial virus (RSV) and
    MeSH term(s) A549 Cells ; Bacterial Adhesion/physiology ; Bacterial Proteins/genetics ; Child, Preschool ; Coinfection/microbiology ; Coinfection/virology ; Epithelial Cells ; Genetic Variation ; Humans ; Infant ; Infant, Newborn ; Phylogeny ; Respiratory Syncytial Viruses/classification ; Respiratory Syncytial Viruses/genetics ; Respiratory Syncytial Viruses/isolation & purification ; Respiratory Syncytial Viruses/physiology ; Respiratory Tract Infections/microbiology ; Respiratory Tract Infections/virology ; Streptococcus pneumoniae/classification ; Streptococcus pneumoniae/genetics ; Streptococcus pneumoniae/isolation & purification ; Streptococcus pneumoniae/physiology ; Viral Fusion Proteins/genetics
    Chemical Substances Bacterial Proteins ; G glycoprotein, Respiratory syncytial virus ; Viral Fusion Proteins
    Language English
    Publishing date 2019-11-11
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1180712-x
    ISSN 1465-2080 ; 1350-0872
    ISSN (online) 1465-2080
    ISSN 1350-0872
    DOI 10.1099/mic.0.000870
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Structure and antigenicity of divergent Henipavirus fusion glycoproteins.

    Isaacs, Ariel / Low, Yu Shang / Macauslane, Kyle L / Seitanidou, Joy / Pegg, Cassandra L / Cheung, Stacey T M / Liang, Benjamin / Scott, Connor A P / Landsberg, Michael J / Schulz, Benjamin L / Chappell, Keith J / Modhiran, Naphak / Watterson, Daniel

    Nature communications

    2023  Volume 14, Issue 1, Page(s) 3577

    Abstract: In August 2022, a novel henipavirus (HNV) named Langya virus (LayV) was isolated from patients with severe pneumonic disease in China. This virus is closely related to Mòjiāng virus (MojV), and both are divergent from the bat-borne HNV members, Nipah ( ... ...

    Abstract In August 2022, a novel henipavirus (HNV) named Langya virus (LayV) was isolated from patients with severe pneumonic disease in China. This virus is closely related to Mòjiāng virus (MojV), and both are divergent from the bat-borne HNV members, Nipah (NiV) and Hendra (HeV) viruses. The spillover of LayV is the first instance of a HNV zoonosis to humans outside of NiV and HeV, highlighting the continuing threat this genus poses to human health. In this work, we determine the prefusion structures of MojV and LayV F proteins via cryogenic electron microscopy to 2.66 and 3.37 Å, respectively. We show that despite sequence divergence from NiV, the F proteins adopt an overall similar structure but are antigenically distinct as they do not react to known antibodies or sera. Glycoproteomic analysis revealed that while LayV F is less glycosylated than NiV F, it contains a glycan that shields a site of vulnerability previously identified for NiV. These findings explain the distinct antigenic profile of LayV and MojV F, despite the extent to which they are otherwise structurally similar to NiV. Our results carry implications for broad-spectrum HNV vaccines and therapeutics, and indicate an antigenic, yet not structural, divergence from prototypical HNVs.
    MeSH term(s) Humans ; Henipavirus ; Glycoproteins/metabolism ; Viral Proteins/metabolism ; Henipavirus Infections ; Nipah Virus/metabolism
    Chemical Substances Glycoproteins ; Viral Proteins
    Language English
    Publishing date 2023-06-16
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2553671-0
    ISSN 2041-1723 ; 2041-1723
    ISSN (online) 2041-1723
    ISSN 2041-1723
    DOI 10.1038/s41467-023-39278-8
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