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Breno Zampieri Lima M, Giovana Pereira Daniel T, Tayaná Oliveira Bitencourt H, Carlos Junior Alcantara L, Haddad R, Kashima S, Carolina Elias M, Giovanetti M, Coccuzzo Sampaio S, Nanev Slavov S. Molecular frequency of human gemycircularvirus (GCYV) dna among blood donors from the Brazilian Amazon. Transfus Clin Biol 2024; 31:123-126. [PMID: 38280666 DOI: 10.1016/j.tracli.2024.01.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2023] [Revised: 01/22/2024] [Accepted: 01/23/2024] [Indexed: 01/29/2024]
Affiliation(s)
- Marlon Breno Zampieri Lima
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Thuany Giovana Pereira Daniel
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | | | - Luiz Carlos Junior Alcantara
- Instituto Rene Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Minas Gerais, Brazil; Climate Amplified Diseases And Epidemics (CLIMADE), Americas, Brazil
| | - Rodrigo Haddad
- Campus Ceilandia, University of Brasília, Brasília, Federal District, Brazil
| | - Simone Kashima
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | | | - Marta Giovanetti
- Instituto Rene Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Minas Gerais, Brazil; Sciences and Technologies for Sustainable Development and One Health, Universitá Campus Bio-Medico di Roma, Rome, Italy
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Iani FCDM, de Campos GM, Adelino TER, da Silva AS, Kashima S, Alcantara LCJ, Sampaio SC, Giovanetti M, Elias MC, Slavov SN. Metagenomic Analysis for Diagnosis of Hemorrhagic Fever in Minas Gerais, Brazil. Microorganisms 2024; 12:769. [PMID: 38674713 PMCID: PMC11052305 DOI: 10.3390/microorganisms12040769] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2024] [Revised: 04/02/2024] [Accepted: 04/06/2024] [Indexed: 04/28/2024] Open
Abstract
Viral hemorrhagic fever poses a significant public health challenge due to its severe clinical presentation and high mortality rate. The diagnostic process is hindered by similarity of symptoms across different diseases and the broad spectrum of pathogens that can cause hemorrhagic fever. In this study, we applied viral metagenomic analysis to 43 serum samples collected by the Public Health Laboratory (Fundação Ezequiel Dias, FUNED) in Minas Gerais State, Brazil, from patients diagnosed with hemorrhagic fever who had tested negative for the standard local hemorrhagic disease testing panel. This panel includes tests for Dengue virus (DENV) IgM, Zika virus IgM, Chikungunya virus IgM, yellow fever IgM, Hantavirus IgM, Rickettsia rickettsii IgM/IgG, and Leptospira interrogans IgM, in addition to respective molecular tests for these infectious agents. The samples were grouped into 18 pools according to geographic origin and analyzed through next-generation sequencing on the NextSeq 2000 platform. Bioinformatic analysis revealed a prevalent occurrence of commensal viruses across all pools, but, notably, a significant number of reads corresponding to the DENV serotype 2 were identified in one specific pool. Further verification via real-time PCR confirmed the presence of DENV-2 RNA in an index case involving an oncology patient with hemorrhagic fever who had initially tested negative for anti-DENV IgM antibodies, thereby excluding this sample from initial molecular testing. The complete DENV-2 genome isolated from this patient was taxonomically classified within the cosmopolitan genotype that was recently introduced into Brazil. These findings highlight the critical role of considering the patient's clinical condition when deciding upon the most appropriate testing procedures. Additionally, this study showcases the potential of viral metagenomics in pinpointing the viral agents behind hemorrhagic diseases. Future research is needed to assess the practicality of incorporating metagenomics into standard viral diagnostic protocols.
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Affiliation(s)
- Felipe Campos de Melo Iani
- Laboratory of Virology, Ezequiel Dias Foundation (FUNED), Belo Horizonte 30510-010, MG, Brazil; (F.C.d.M.I.); (T.E.R.A.); (A.S.d.S.)
| | - Gabriel Montenegro de Campos
- Blood Center of Riberirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto 14051-140, SP, Brazil; (G.M.d.C.); (S.K.)
| | - Talita Emile Ribeiro Adelino
- Laboratory of Virology, Ezequiel Dias Foundation (FUNED), Belo Horizonte 30510-010, MG, Brazil; (F.C.d.M.I.); (T.E.R.A.); (A.S.d.S.)
| | - Anielly Sarana da Silva
- Laboratory of Virology, Ezequiel Dias Foundation (FUNED), Belo Horizonte 30510-010, MG, Brazil; (F.C.d.M.I.); (T.E.R.A.); (A.S.d.S.)
| | - Simone Kashima
- Blood Center of Riberirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto 14051-140, SP, Brazil; (G.M.d.C.); (S.K.)
| | - Luiz Carlos Junior Alcantara
- Instituto Rene Rachou, Fundação Oswaldo Cruz, Belo Horizonte 30190-002, MG, Brazil; (L.C.J.A.); (M.G.)
- Climate Amplified Diseases and Epidemic (CLIMADE), Brasilia 70070-130, DF, Brazil
| | - Sandra Coccuzzo Sampaio
- Laboratory of Cell Cycle (LECC), Center for Scientific Development (CDC), Butantan Institute, São Paulo 05585-000, SP, Brazil; (S.C.S.); (M.C.E.)
| | - Marta Giovanetti
- Instituto Rene Rachou, Fundação Oswaldo Cruz, Belo Horizonte 30190-002, MG, Brazil; (L.C.J.A.); (M.G.)
- Climate Amplified Diseases and Epidemic (CLIMADE), Brasilia 70070-130, DF, Brazil
- Department of Science and Technology for Humans and the Environment, University of Campus Bio-Medico di Roma, 00128 Rome, Italy
- Laboratório de Arbovírus e Vírus Hemorrágicos, Instituto Oswaldo Cruz, Rio de Janeiro 21040-900, RJ, Brazil
| | - Maria Carolina Elias
- Laboratory of Cell Cycle (LECC), Center for Scientific Development (CDC), Butantan Institute, São Paulo 05585-000, SP, Brazil; (S.C.S.); (M.C.E.)
| | - Svetoslav Nanev Slavov
- Laboratory of Cell Cycle (LECC), Center for Scientific Development (CDC), Butantan Institute, São Paulo 05585-000, SP, Brazil; (S.C.S.); (M.C.E.)
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Rós FA, da Costa PNM, Milhomens J, de La-Roque DGL, Ferreira FU, de Matos Maçonetto J, de Oliveira Menezes Bonaldo CC, de Carvalho JV, Palma PVB, El Nemer W, Covas DT, Kashima S. Age-related Morphofunctional Changes in Sickle Cell Mice Bone Marrow Mesenchymal Stromal Cells. Hematol Oncol Stem Cell Ther 2024; 17:120-129. [PMID: 38560971 DOI: 10.56875/2589-0646.1115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2023] [Accepted: 08/13/2023] [Indexed: 04/04/2024] Open
Abstract
BACKGROUND AND OBJECTIVES Bone marrow mesenchymal stromal cells (BM-MSCs) are key elements of the hematopoietic niche and participate in the regulatory mechanisms of hematopoietic stem cells (HSCs). Hematological diseases can affect MSCs and their functions. However, the dysregulations caused by sickle cell disease (SCD) are not fully elucidated. This work explored changes in BM-MSCs and their relationship with age using sickle cell mice (Townes-SS). MATERIALS AND METHODS BM-MSCs were isolated from Townes-SS, and control groups 30- and 60-day-old Townes-AA and C57BL/6 J. RESULTS The BM-MSCs showed no morphological differences in culture and demonstrated a murine MSC-like immunophenotypic profile (Sca-1+, CD29+, CD44+, CD90.2+, CD31-, CD45-, and CD117-). Subsequently, all BM-MSCs were able to differentiate into adipocytes and osteocytes in vitro. Finally, 30-day-old BM-MSCs of Townes-SS showed higher expression of genes related to the maintenance of HSCs (Cxcl12, Vegfa, and Angpt1) and lower expression of pro-inflammatory genes (Tnfa and Il-6). However, 60-day-old BM-MSCs of Townes-SS started to show expression of genes related to reduced HSC maintenance and increased expression of pro-inflammatory genes. CONCLUSION These results indicates age as a modifying factor of gene expression of BM-MSCs in the context of SCD.
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Affiliation(s)
- Felipe A Rós
- Blood Center of Ribeirão Preto - Ribeirão Preto Medical School, University of São Paulo, 2501 Tenente Catão Roxo Avenue, 14051-060, Ribeirão Preto, São Paulo, Brazil
- Laboratory of Medical Investigation in Pathogenesis and Directed Therapy in Onco-Immuno-Hematology (LIM-31), Department of Hematology and Cell Therapy, Hospital das Clínicas da Faculdade de Medicina da Universidade de Sao Paulo, Sao Paulo, 01246-000, Brazil
| | - Péricles N M da Costa
- Blood Center of Ribeirão Preto - Ribeirão Preto Medical School, University of São Paulo, 2501 Tenente Catão Roxo Avenue, 14051-060, Ribeirão Preto, São Paulo, Brazil
| | - Jonathan Milhomens
- Blood Center of Ribeirão Preto - Ribeirão Preto Medical School, University of São Paulo, 2501 Tenente Catão Roxo Avenue, 14051-060, Ribeirão Preto, São Paulo, Brazil
| | - Débora G L de La-Roque
- Blood Center of Ribeirão Preto - Ribeirão Preto Medical School, University of São Paulo, 2501 Tenente Catão Roxo Avenue, 14051-060, Ribeirão Preto, São Paulo, Brazil
| | - Fernanda U Ferreira
- Blood Center of Ribeirão Preto - Ribeirão Preto Medical School, University of São Paulo, 2501 Tenente Catão Roxo Avenue, 14051-060, Ribeirão Preto, São Paulo, Brazil
| | - Juliana de Matos Maçonetto
- Blood Center of Ribeirão Preto - Ribeirão Preto Medical School, University of São Paulo, 2501 Tenente Catão Roxo Avenue, 14051-060, Ribeirão Preto, São Paulo, Brazil
| | - Camila C de Oliveira Menezes Bonaldo
- Blood Center of Ribeirão Preto - Ribeirão Preto Medical School, University of São Paulo, 2501 Tenente Catão Roxo Avenue, 14051-060, Ribeirão Preto, São Paulo, Brazil
| | - Julianne V de Carvalho
- Blood Center of Ribeirão Preto - Ribeirão Preto Medical School, University of São Paulo, 2501 Tenente Catão Roxo Avenue, 14051-060, Ribeirão Preto, São Paulo, Brazil
| | - Patrícia V B Palma
- Blood Center of Ribeirão Preto - Ribeirão Preto Medical School, University of São Paulo, 2501 Tenente Catão Roxo Avenue, 14051-060, Ribeirão Preto, São Paulo, Brazil
| | - Wassim El Nemer
- Établissement Français du Sang PACA-Corse, Aix Marseille University, EFS, CNRS, ADES, "Biologie des Groupes Sanguins", F-13005, Marseille, France
| | - Dimas T Covas
- Blood Center of Ribeirão Preto - Ribeirão Preto Medical School, University of São Paulo, 2501 Tenente Catão Roxo Avenue, 14051-060, Ribeirão Preto, São Paulo, Brazil
| | - Simone Kashima
- Blood Center of Ribeirão Preto - Ribeirão Preto Medical School, University of São Paulo, 2501 Tenente Catão Roxo Avenue, 14051-060, Ribeirão Preto, São Paulo, Brazil
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de La-Roque DGL, Santos EV, Oliveira RAM, Slavov SN, Rodrigues ES, Fonseca V, Martins AJ, Giomo DB, Torres PMA, Gentil DCD, Catoia EA, Chiquito NDC, Medeiros APSS, Yamamoto AY, Passos LMR, Calado RT, Barros CRDS, Elias MC, Sampaio SC, Giovanetti M, Junior Alcantara LC, Covas DT, Kashima S. DENV-1 genotype V circulation during the nonepidemic period in the Northeast of São Paulo State endemic area. J Med Virol 2024; 96:e29526. [PMID: 38483059 DOI: 10.1002/jmv.29526] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2023] [Revised: 01/29/2024] [Accepted: 02/29/2024] [Indexed: 04/21/2024]
Affiliation(s)
- Debora Glenda Lima de La-Roque
- Blood Center of Ribeirão Preto, Ribeirão Preto, São Paulo, Brazil
- Medical School of Ribeirão Preto, Ribeirão Preto, São Paulo, Brazil
| | - Elaine Vieira Santos
- Blood Center of Ribeirão Preto, Ribeirão Preto, São Paulo, Brazil
- Butantan Institute, São Paulo, Brazil
| | | | - Svetoslav Nanev Slavov
- Blood Center of Ribeirão Preto, Ribeirão Preto, São Paulo, Brazil
- Butantan Institute, São Paulo, Brazil
| | | | - Vagner Fonseca
- Pan-American Health Organization (PAHO)/World Health Organization (WHO), Brasilia, Brazil
| | | | - Denise Bergamaschi Giomo
- Departamento de Vigilância em Saúde, Divisão de Vigilância Epidemiológica, Ribeirão Preto, Brazil
| | | | | | - Erika Aparecida Catoia
- Departamento de Vigilância em Saúde, Divisão de Vigilância Epidemiológica, Ribeirão Preto, Brazil
| | | | | | | | | | - Rodrigo Tocantins Calado
- Blood Center of Ribeirão Preto, Ribeirão Preto, São Paulo, Brazil
- Medical School of Ribeirão Preto, Ribeirão Preto, São Paulo, Brazil
| | | | | | | | - Marta Giovanetti
- Sciences and Technologies for Sustainable Development and One Health, University of Campus Bio-Medico, Rome, Italy
- Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | | | - Dimas T Covas
- Blood Center of Ribeirão Preto, Ribeirão Preto, São Paulo, Brazil
- Medical School of Ribeirão Preto, Ribeirão Preto, São Paulo, Brazil
| | - Simone Kashima
- Blood Center of Ribeirão Preto, Ribeirão Preto, São Paulo, Brazil
- Medical School of Ribeirão Preto, Ribeirão Preto, São Paulo, Brazil
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5
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Kashima S, Moriichi K, Kamikokura Y, Fujiya M. Gastrointestinal: A case of steroid-refractory chronic diarrhea in a patient undergoing chemotherapy with immune checkpoint inhibitor for lung cancer. J Gastroenterol Hepatol 2024; 39:222-223. [PMID: 37953547 DOI: 10.1111/jgh.16389] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/18/2023] [Revised: 09/25/2023] [Accepted: 10/10/2023] [Indexed: 11/14/2023]
Affiliation(s)
- S Kashima
- Division of Metabolism and Biosystemic Science, Gastroenterology, and Hematology/Oncology, Department of Medicine, Asahikawa Medical University, Asahikawa, Japan
| | - K Moriichi
- Division of Metabolism and Biosystemic Science, Gastroenterology, and Hematology/Oncology, Department of Medicine, Asahikawa Medical University, Asahikawa, Japan
| | - Y Kamikokura
- Department of Diagnostic Pathology, Asahikawa Medical University Hospital, Asahikawa, Japan
| | - M Fujiya
- Division of Metabolism and Biosystemic Science, Gastroenterology, and Hematology/Oncology, Department of Medicine, Asahikawa Medical University, Asahikawa, Japan
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de Campos GM, Cella E, Kashima S, Alcântara LCJ, Sampaio SC, Elias MC, Giovanetti M, Slavov SN. Updated Insights into the Phylogenetics, Phylodynamics, and Genetic Diversity of Nipah Virus (NiV). Viruses 2024; 16:171. [PMID: 38399947 PMCID: PMC10892031 DOI: 10.3390/v16020171] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2023] [Revised: 01/05/2024] [Accepted: 01/16/2024] [Indexed: 02/25/2024] Open
Abstract
Nipah virus (NiV), a biosafety level 4 agent, was first identified in human clinical cases during an outbreak in 1998 in Malaysia and Singapore. While flying foxes are the primary host and viral vector, the infection is associated with a severe clinical presentation in humans, resulting in a high mortality rate. Therefore, NiV is considered a virus with an elevated epidemic potential which is further underscored by its recent emergence (September 2023) as an outbreak in India. Given the situation, it is paramount to understand the molecular dynamics of the virus to shed more light on its evolution and prevent potential future outbreaks. In this study, we conducted Bayesian phylogenetic analysis on all available NiV complete genomes, including partial N-gene NiV sequences (≥1000 bp) in public databases since the first human case, registered in 1998. We observed the distribution of genomes into three main clades corresponding to the genotypes Malaysia, Bangladesh and India, with the Malaysian clade being the oldest in evolutionary terms. The Bayesian skyline plot showed a recent increase in the viral population size since 2019. Protein analysis showed the presence of specific protein families (Hendra_C) in bats that might keep the infection in an asymptomatic state in bats, which also serve as viral vectors. Our results further indicate a shortage of complete NiV genomes, which would be instrumental in gaining a better understanding of NiV's molecular evolution and preventing future outbreaks. Our investigation also underscores the critical need to strengthen genomic surveillance based on complete NiV genomes that will aid thorough genetic characterization of the circulating NiV strains and the phylogenetic relationships between the henipaviruses. This approach will better prepare us to tackle the challenges posed by the NiV virus and other emerging viruses.
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Affiliation(s)
- Gabriel Montenegro de Campos
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto 14051-140, Brazil; (G.M.d.C.); (S.K.)
| | - Eleonora Cella
- Burnett School of Biomedical Sciences, University of Central Florida, Orlando, FL 32816, USA;
| | - Simone Kashima
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto 14051-140, Brazil; (G.M.d.C.); (S.K.)
| | - Luiz Carlos Júnior Alcântara
- Instituto Rene Rachou, Fundação Oswaldo Cruz, Belo Horizonte 30190-009, Brazil; (L.C.J.A.); (M.G.)
- Climate Amplified Diseases and Epidemics (CLIMADE), Rio de Janeiro 21341-210, Brazil
| | - Sandra Coccuzzo Sampaio
- Laboratory of Cell Cycle, Center for Scientific Development (CDC), Butantan Institute, São Paulo 05503-900, Brazil; (S.C.S.); (M.C.E.)
| | - Maria Carolina Elias
- Laboratory of Cell Cycle, Center for Scientific Development (CDC), Butantan Institute, São Paulo 05503-900, Brazil; (S.C.S.); (M.C.E.)
| | - Marta Giovanetti
- Instituto Rene Rachou, Fundação Oswaldo Cruz, Belo Horizonte 30190-009, Brazil; (L.C.J.A.); (M.G.)
- Climate Amplified Diseases and Epidemics (CLIMADE), Rio de Janeiro 21341-210, Brazil
- Sciences and Technologies for Sustainable Development and One Health, University Campus Bio-Medico of Rome, 00128 Rome, Italy
| | - Svetoslav Nanev Slavov
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto 14051-140, Brazil; (G.M.d.C.); (S.K.)
- Laboratory of Cell Cycle, Center for Scientific Development (CDC), Butantan Institute, São Paulo 05503-900, Brazil; (S.C.S.); (M.C.E.)
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7
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Banho CA, de Carvalho Marques B, Sacchetto L, Sepedro Lima AK, Pereira Parra MC, Jeronimo Lima AR, Ribeiro G, Jorge Martins A, dos Santos Barros CR, Carolina Elias M, Coccuzzo Sampaio S, Nanev Slavov S, Strazza Rodrigues E, Vieira Santos E, Tadeu Covas D, Kashima S, Augusto Brassaloti R, Petry B, Gaspar Clemente L, Lehmann Coutinho L, Akemi Assato P, da Silva da Costa FA, Souza-Neto JA, Maria Tommasini Grotto R, Daiana Poleti M, Cristina Chagas Lesbon J, Chicaroni Mattos E, Fukumasu H, Giovanetti M, Carlos Junior Alcantara L, Rahal P, Pessoa Araújo JF, Althouse BM, Vasilakis N, Lacerda Nogueira M. Dynamic clade transitions and the influence of vaccine rollout on the spatiotemporal circulation of SARS-CoV-2 variants in São Paulo, Brazil. Res Sq 2024:rs.3.rs-3788142. [PMID: 38343798 PMCID: PMC10854302 DOI: 10.21203/rs.3.rs-3788142/v1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 02/21/2024]
Abstract
Since 2021, the emergence of variants of concern (VOC) has led Brazil to experience record numbers of in COVID-19 cases and deaths. The expanded spread of the SARS-CoV-2 combined with a low vaccination rate has contributed to the emergence of new mutations that may enhance viral fitness, leading to the persistence of the disease. Due to limitations in the real-time genomic monitoring of new variants in some Brazilian states, we aimed to investigate whether genomic surveillance, coupled with epidemiological data and SARS-CoV-2 variants spatiotemporal spread in a smaller region, can reflect the pandemic progression at a national level. Our findings revealed three SARS-CoV-2 variant replacements from 2021 to early 2022, corresponding to the introduction and increase in the frequency of Gamma, Delta, and Omicron variants, as indicated by peaks of the Effective Reproductive Number (Reff). These distinct clade replacements triggered two waves of COVID-19 cases, influenced by the increasing vaccine uptake over time. Our results indicated that the effectiveness of vaccination in preventing new cases during the Delta and Omicron circulations was six and eleven times higher, respectively, than during the period when Gamma was predominant, and it was highly efficient in reducing the number of deaths. Furthermore, we demonstrated that genomic monitoring at a local level can reflect the national trends in the spread and evolution of SARS-CoV-2.
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Affiliation(s)
- Cecília Artico Banho
- Laboratório de Pesquisas em Virologia, Faculdade de Medicina de São José do Rio Preto; São José do Rio Preto, São Paulo, Brazil
| | - Beatriz de Carvalho Marques
- Laboratório de Pesquisas em Virologia, Faculdade de Medicina de São José do Rio Preto; São José do Rio Preto, São Paulo, Brazil
| | - Lívia Sacchetto
- Laboratório de Pesquisas em Virologia, Faculdade de Medicina de São José do Rio Preto; São José do Rio Preto, São Paulo, Brazil
| | - Ana Karoline Sepedro Lima
- Laboratório de Pesquisas em Virologia, Faculdade de Medicina de São José do Rio Preto; São José do Rio Preto, São Paulo, Brazil
| | - Maisa Carla Pereira Parra
- Laboratório de Pesquisas em Virologia, Faculdade de Medicina de São José do Rio Preto; São José do Rio Preto, São Paulo, Brazil
| | - Alex Ranieri Jeronimo Lima
- Center for Viral Surveillance and Serological Assessment (CeVIVAS), Butantan Institute, São Paulo, Brazil
| | - Gabriela Ribeiro
- Center for Viral Surveillance and Serological Assessment (CeVIVAS), Butantan Institute, São Paulo, Brazil
| | - Antonio Jorge Martins
- Center for Viral Surveillance and Serological Assessment (CeVIVAS), Butantan Institute, São Paulo, Brazil
| | | | - Maria Carolina Elias
- Center for Viral Surveillance and Serological Assessment (CeVIVAS), Butantan Institute, São Paulo, Brazil
| | - Sandra Coccuzzo Sampaio
- Center for Viral Surveillance and Serological Assessment (CeVIVAS), Butantan Institute, São Paulo, Brazil
| | - Svetoslav Nanev Slavov
- Center for Viral Surveillance and Serological Assessment (CeVIVAS), Butantan Institute, São Paulo, Brazil
- University of São Paulo, Ribeirão Preto Medical School, Blood Center of Ribeirão Preto, Ribeirão Preto, SP, Brazil
| | - Evandra Strazza Rodrigues
- University of São Paulo, Ribeirão Preto Medical School, Blood Center of Ribeirão Preto, Ribeirão Preto, SP, Brazil
| | - Elaine Vieira Santos
- University of São Paulo, Ribeirão Preto Medical School, Blood Center of Ribeirão Preto, Ribeirão Preto, SP, Brazil
| | - Dimas Tadeu Covas
- Center for Viral Surveillance and Serological Assessment (CeVIVAS), Butantan Institute, São Paulo, Brazil
- University of São Paulo, Ribeirão Preto Medical School, Blood Center of Ribeirão Preto, Ribeirão Preto, SP, Brazil
| | - Simone Kashima
- University of São Paulo, Ribeirão Preto Medical School, Blood Center of Ribeirão Preto, Ribeirão Preto, SP, Brazil
| | | | - Bruna Petry
- University of São Paulo, Centro de Genômica Funcional da ESALQ, Piracicaba, SP, Brazil
| | - Luan Gaspar Clemente
- University of São Paulo, Centro de Genômica Funcional da ESALQ, Piracicaba, SP, Brazil
| | - Luiz Lehmann Coutinho
- University of São Paulo, Centro de Genômica Funcional da ESALQ, Piracicaba, SP, Brazil
| | - Patricia Akemi Assato
- São Paulo State University (UNESP), School of Agricultural Sciences, Department of Bioprocesses and Biotechnology, Botucatu, Brazil
| | - Felipe Allan da Silva da Costa
- São Paulo State University (UNESP), School of Agricultural Sciences, Department of Bioprocesses and Biotechnology, Botucatu, Brazil
| | - Jayme A. Souza-Neto
- São Paulo State University (UNESP), School of Agricultural Sciences, Botucatu, Brazil
| | - Rejane Maria Tommasini Grotto
- São Paulo State University (UNESP), School of Agricultural Sciences, Botucatu, Brazil
- Molecular Biology Laboratory, Applied Biotechnology Laboratory, Clinical Hospital of the Botucatu Medical School, Brazil
| | - Mirele Daiana Poleti
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of São Paulo, Pirassununga, São Paulo, Brazil
| | - Jessika Cristina Chagas Lesbon
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of São Paulo, Pirassununga, São Paulo, Brazil
| | - Elisangela Chicaroni Mattos
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of São Paulo, Pirassununga, São Paulo, Brazil
| | - Heidge Fukumasu
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of São Paulo, Pirassununga, São Paulo, Brazil
| | - Marta Giovanetti
- Oswaldo Cruz Foundation, FIOCRUZ, Rio de Janeiro, Brazil
- Climate Amplified Diseases And Epidemics (CLIMADE), Brazil, Americas
- Sciences and Technologies for Sustainable Development and One Health, Universita Campus Bio-Medico di Roma, Italy
| | - Luiz Carlos Junior Alcantara
- Oswaldo Cruz Foundation, FIOCRUZ, Rio de Janeiro, Brazil
- Climate Amplified Diseases And Epidemics (CLIMADE), Brazil, Americas
| | - Paula Rahal
- Laboratório de Estudos Genômicos, Departamento de Biologia, Instituto de Biociências Letras e Ciências Exatas (IBILCE), Universidade Estadual Paulista (Unesp), São José do Rio Preto, Brazil
| | - João Fernando Pessoa Araújo
- Instituto de Biotecnologia, Universidade Estadual Paulista (Unesp), Botucatu, Brazil
- Laboratório de Microbiologia Molecular, Instituto de Ciências da Saúde, Universidade Feevale, Novo Hamburgo, Brazil
| | - Benjamin M. Althouse
- Department of Biology, New Mexico State University, Las Cruces, NM
- Information School, University of Washington, Seattle, WA
| | - Nikos Vasilakis
- Department of Pathology, University of Texas Medical Branch; Galveston, Texas, United States of America
- Center for Vector-Borne and Zoonotic Diseases, University of Texas Medical Branch, Galveston, Texas, United States of America
- Institute for Human Infection and Immunity, University of Texas Medical Branch, Galveston, Texas, United States of America
| | - Maurício Lacerda Nogueira
- Laboratório de Pesquisas em Virologia, Faculdade de Medicina de São José do Rio Preto; São José do Rio Preto, São Paulo, Brazil
- Department of Pathology, University of Texas Medical Branch; Galveston, Texas, United States of America
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8
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Rós FA, Couto SCF, Milhomens J, Ovider I, Maio KT, Jennifer V, Ramos RN, Picanço-Castro V, Kashima S, Calado RT, Barros LRC, Rocha V. A systematic review of clinical trials for gene therapies for β-hemoglobinopathy around the world. Cytotherapy 2023; 25:1300-1306. [PMID: 37318395 DOI: 10.1016/j.jcyt.2023.05.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2023] [Revised: 05/10/2023] [Accepted: 05/17/2023] [Indexed: 06/16/2023]
Abstract
BACKGROUND AIMS Amidst the success of cell therapy for the treatment of onco-hematological diseases, the first recently Food and Drug Administration-approved gene therapy product for patients with transfusion-dependent β-thalassemia (TDT) indicates the feasibility of gene therapy as curative for genetic hematologic disorders. This work analyzed the current-world scenario of clinical trials involving gene therapy for β-hemoglobinopathies. METHODS Eighteen trials for patients with sickle cell disease (SCD) and 24 for patients with TDT were analyzed. RESULTS Most are phase 1 and 2 trials, funded by the industry and are currently recruiting volunteers. Treatment strategies for both diseases are fetal hemoglobin induction (52.4%); addition of wild-type or therapeutic β-globin gene (38.1%) and correction of mutations (9,5%). Gene editing (52.4%) and gene addition (40.5%) are the two most used techniques. The United States and France are the countries with the greatest number of clinical trials centers for SCD, with 83.1% and 4.2%, respectively. The United States (41.1%), China (26%) and Italy (6.8%) lead TDT trials centers. CONCLUSIONS Geographic trial concentration indicates the high costs of this technology, logistical issues and social challenges that need to be overcome for gene therapy to reach low- and middle-income countries where SCD and TDT are prevalent and where they most impact the patient's health.
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Affiliation(s)
- Felipe Augusto Rós
- Laboratory of Medical Investigation in Pathogenesis and Directed Therapy in Onco-Immuno-Hematology (LIM-31), Department of Hematology and Cell Therapy, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil; Postgraduate program in Medical Science, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, Brazil.
| | - Samuel Campanelli Freitas Couto
- Laboratory of Medical Investigation in Pathogenesis and Directed Therapy in Onco-Immuno-Hematology (LIM-31), Department of Hematology and Cell Therapy, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil; Fundação Pró-Sangue-Hemocentro de Sao Paulo, São Paulo, Brazil
| | - Jonathan Milhomens
- Center for Cell-Based Therapy, Regional Blood Center of Ribeirão Preto, Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo, Ribeirão Preto, Brazil
| | - Ian Ovider
- Laboratory of Medical Investigation in Pathogenesis and Directed Therapy in Onco-Immuno-Hematology (LIM-31), Department of Hematology and Cell Therapy, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil; Postgraduate program in Medical Science, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, Brazil
| | - Karina Tozatto Maio
- Laboratory of Medical Investigation in Pathogenesis and Directed Therapy in Onco-Immuno-Hematology (LIM-31), Department of Hematology and Cell Therapy, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil; Hospital Israelita Albert Einstein, São Paulo, Brazil
| | - Viviane Jennifer
- Laboratory of Medical Investigation in Pathogenesis and Directed Therapy in Onco-Immuno-Hematology (LIM-31), Department of Hematology and Cell Therapy, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil; Postgraduate program in Medical Science, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, Brazil
| | - Rodrigo Nalio Ramos
- Laboratory of Medical Investigation in Pathogenesis and Directed Therapy in Onco-Immuno-Hematology (LIM-31), Department of Hematology and Cell Therapy, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil; Instituto D'Or de Ensino e Pesquisa, São Paulo, Brazil
| | - Virginia Picanço-Castro
- Center for Cell-Based Therapy, Regional Blood Center of Ribeirão Preto, Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo, Ribeirão Preto, Brazil
| | - Simone Kashima
- Center for Cell-Based Therapy, Regional Blood Center of Ribeirão Preto, Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo, Ribeirão Preto, Brazil
| | - Rodrigo T Calado
- Center for Cell-Based Therapy, Regional Blood Center of Ribeirão Preto, Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo, Ribeirão Preto, Brazil
| | - Luciana Rodrigues Carvalho Barros
- Center for Translational Research in Oncology, Instituto do Câncer do Estado de São Paulo, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil
| | - Vanderson Rocha
- Laboratory of Medical Investigation in Pathogenesis and Directed Therapy in Onco-Immuno-Hematology (LIM-31), Department of Hematology and Cell Therapy, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil; Fundação Pró-Sangue-Hemocentro de Sao Paulo, São Paulo, Brazil; Center for Translational Research in Oncology, Instituto do Câncer do Estado de São Paulo, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil; Churchill Hospital, Department of Hematology, Churchill Hospital, University of Oxford, Oxford, United Kingdom
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9
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de Campos GM, de La-Roque DGL, Lima ARJ, Zucherato VS, de Carvalho E, de Lima LPO, de Queiroz Cattony Neto P, dos Santos MM, Ciccozzi M, Giovanetti M, Haddad R, Alcantara LCJ, Elias MC, Sampaio SC, Covas DT, Kashima S, Slavov SN. Exploring Viral Metagenomics in Pediatric Patients with Acute Respiratory Infections: Unveiling Pathogens beyond SARS-CoV-2. Microorganisms 2023; 11:2744. [PMID: 38004755 PMCID: PMC10672962 DOI: 10.3390/microorganisms11112744] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2023] [Revised: 09/21/2023] [Accepted: 09/22/2023] [Indexed: 11/26/2023] Open
Abstract
The emergence of SARS-CoV-2 and the subsequent pandemic have prompted extensive diagnostic and clinical efforts to mitigate viral spread. However, these strategies have largely overlooked the presence of other respiratory viruses. Acute respiratory diseases in pediatric patients can be caused by a diverse range of viral agents, and metagenomics represents a powerful tool for their characterization. This study aimed to investigate the viral abundance in pediatric patients with acute respiratory symptoms who tested negative for SARS-CoV-2 during the Omicron pandemic wave. To achieve this, viral metagenomics and next-generation sequencing were employed on 96 nasopharyngeal swab samples, which were organized into 12 pools, with each pool consisting of eight individual samples. Metagenomic analysis revealed that the most prevalent viruses associated with acute disease in pediatric patients were respiratory syncytial virus (detected in all pools) and enteroviruses, which are known to cause significant morbidity and mortality in children. Additionally, clinically significant viruses such as mumps orthorubulavirus, human metapneumovirus, influenza A, and a wide array of human herpesviruses (1, 3-7) were identified. These findings highlight the extensive potential of viral metagenomics in identifying viruses other than SARS-CoV-2 that contribute to acute infections in children. Consequently, this methodology should garner clinical attention in terms of differential diagnosis and the development of public policies to address such conditions in the global pediatric population.
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Affiliation(s)
- Gabriel Montenegro de Campos
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto 14050-190, Brazil; (G.M.d.C.); (D.G.L.d.L.-R.); (V.S.Z.); (S.K.)
| | - Debora Glenda Lima de La-Roque
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto 14050-190, Brazil; (G.M.d.C.); (D.G.L.d.L.-R.); (V.S.Z.); (S.K.)
| | - Alex Ranieri Jerônimo Lima
- Center for Scientific Development (CDC), Butantan Institute, São Paulo 05503-900, Brazil; (A.R.J.L.); (E.d.C.); (L.P.O.d.L.); (P.d.Q.C.N.); (M.M.d.S.); (M.C.E.); (S.C.S.); (D.T.C.)
| | - Victória Simionatto Zucherato
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto 14050-190, Brazil; (G.M.d.C.); (D.G.L.d.L.-R.); (V.S.Z.); (S.K.)
| | - Eneas de Carvalho
- Center for Scientific Development (CDC), Butantan Institute, São Paulo 05503-900, Brazil; (A.R.J.L.); (E.d.C.); (L.P.O.d.L.); (P.d.Q.C.N.); (M.M.d.S.); (M.C.E.); (S.C.S.); (D.T.C.)
| | - Loyze Paola Oliveira de Lima
- Center for Scientific Development (CDC), Butantan Institute, São Paulo 05503-900, Brazil; (A.R.J.L.); (E.d.C.); (L.P.O.d.L.); (P.d.Q.C.N.); (M.M.d.S.); (M.C.E.); (S.C.S.); (D.T.C.)
| | - Pedro de Queiroz Cattony Neto
- Center for Scientific Development (CDC), Butantan Institute, São Paulo 05503-900, Brazil; (A.R.J.L.); (E.d.C.); (L.P.O.d.L.); (P.d.Q.C.N.); (M.M.d.S.); (M.C.E.); (S.C.S.); (D.T.C.)
| | - Murilo Marconi dos Santos
- Center for Scientific Development (CDC), Butantan Institute, São Paulo 05503-900, Brazil; (A.R.J.L.); (E.d.C.); (L.P.O.d.L.); (P.d.Q.C.N.); (M.M.d.S.); (M.C.E.); (S.C.S.); (D.T.C.)
| | - Massimo Ciccozzi
- Unit of Medical Statistics and Molecular Epidemiology, University Campus Bio-Medico of Rome, 00128 Rome, Italy;
| | - Marta Giovanetti
- Instututo Rene Rachou, Fundação Oswaldo Cruz, Belo Horizonte 30190-002, Brazil; (M.G.); (L.C.J.A.)
- Sciences and Technologies for Sustainable Development and One Health, Università Campus Bio-Medico di Roma, 00128 Rome, Italy
| | - Rodrigo Haddad
- Campus Ceilândia, University of Brasília, Federal District of Brazil, Brasília 70910-900, Brazil;
| | | | - Maria Carolina Elias
- Center for Scientific Development (CDC), Butantan Institute, São Paulo 05503-900, Brazil; (A.R.J.L.); (E.d.C.); (L.P.O.d.L.); (P.d.Q.C.N.); (M.M.d.S.); (M.C.E.); (S.C.S.); (D.T.C.)
| | - Sandra Coccuzzo Sampaio
- Center for Scientific Development (CDC), Butantan Institute, São Paulo 05503-900, Brazil; (A.R.J.L.); (E.d.C.); (L.P.O.d.L.); (P.d.Q.C.N.); (M.M.d.S.); (M.C.E.); (S.C.S.); (D.T.C.)
| | - Dimas Tadeu Covas
- Center for Scientific Development (CDC), Butantan Institute, São Paulo 05503-900, Brazil; (A.R.J.L.); (E.d.C.); (L.P.O.d.L.); (P.d.Q.C.N.); (M.M.d.S.); (M.C.E.); (S.C.S.); (D.T.C.)
| | - Simone Kashima
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto 14050-190, Brazil; (G.M.d.C.); (D.G.L.d.L.-R.); (V.S.Z.); (S.K.)
| | - Svetoslav Nanev Slavov
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto 14050-190, Brazil; (G.M.d.C.); (D.G.L.d.L.-R.); (V.S.Z.); (S.K.)
- Center for Scientific Development (CDC), Butantan Institute, São Paulo 05503-900, Brazil; (A.R.J.L.); (E.d.C.); (L.P.O.d.L.); (P.d.Q.C.N.); (M.M.d.S.); (M.C.E.); (S.C.S.); (D.T.C.)
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10
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Slavov SN, Lima ARJ, Ribeiro G, de Lima LPO, Barros CRDS, Marqueze EC, Martins AJ, Martininghi M, Palmieri M, Caldeira LAV, da Silva FEV, Cacherik G, Nicolodelli AL, Kashima S, Giovanetti M, Alcantara LCJ, Sampaio SC, Elias MC. Epidemiological and Genomic Analysis of Asymptomatic SARS-CoV-2 Infections during the Delta and Omicron Epidemic Waves in São Paulo City, Brazil. Viruses 2023; 15:2210. [PMID: 38005887 PMCID: PMC10675288 DOI: 10.3390/v15112210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2023] [Revised: 10/24/2023] [Accepted: 10/25/2023] [Indexed: 11/26/2023] Open
Abstract
We examined the asymptomatic rates of SARS-CoV-2 infection during the Delta and Omicron waves in the city of São Paulo. Nasopharyngeal swabs were collected at strategic points of the city (open-air markets, bus terminals, airports) for SARS-CoV-2 RNA testing. Applying the questionnaire, the symptomatic individuals were excluded, and only asymptomatic cases were analyzed. During the Delta wave, a total of 4315 samples were collected, whereas 2372 samples were collected during the first Omicron wave. The incidence of the asymptomatic SARS-CoV-2 infection was 0.6% during the Delta wave and 0.8% during the Omicron wave. No statistical differences were found in the threshold amplification cycle. However, there was a statistical difference observed in the sublineage distribution between asymptomatic and symptomatic individuals. Our study determined the incidence of asymptomatic infection by monitoring individuals who remained symptom-free, thereby providing a reliable evaluation of asymptomatic SARS-CoV-2 carriage. Our findings reveal a relatively low proportion of asymptomatic cases, which could be attributed to our rigorous monitoring protocol for the presence of clinical symptoms. Investigating asymptomatic infection rates is crucial to develop and implement effective disease control strategies.
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Affiliation(s)
- Svetoslav N. Slavov
- Center for Viral Surveillance and Serological Assessment (CeVIVAS), Butantan Institute, São Paulo 05507-000, SP, Brazil; (S.N.S.); (A.R.J.L.); (G.R.); (L.P.O.d.L.); (C.R.d.S.B.); (E.C.M.); (A.J.M.)
- Ribeirão Preto Medical School, Ribeirão Preto 14051-140, SP, Brazil;
- Blood Center of Ribeirão Preto, Ribeirão Preto 14051-140, SP, Brazil
| | - Alex R. J. Lima
- Center for Viral Surveillance and Serological Assessment (CeVIVAS), Butantan Institute, São Paulo 05507-000, SP, Brazil; (S.N.S.); (A.R.J.L.); (G.R.); (L.P.O.d.L.); (C.R.d.S.B.); (E.C.M.); (A.J.M.)
| | - Gabriela Ribeiro
- Center for Viral Surveillance and Serological Assessment (CeVIVAS), Butantan Institute, São Paulo 05507-000, SP, Brazil; (S.N.S.); (A.R.J.L.); (G.R.); (L.P.O.d.L.); (C.R.d.S.B.); (E.C.M.); (A.J.M.)
| | - Loyze P. O. de Lima
- Center for Viral Surveillance and Serological Assessment (CeVIVAS), Butantan Institute, São Paulo 05507-000, SP, Brazil; (S.N.S.); (A.R.J.L.); (G.R.); (L.P.O.d.L.); (C.R.d.S.B.); (E.C.M.); (A.J.M.)
| | - Claudia R. dos S. Barros
- Center for Viral Surveillance and Serological Assessment (CeVIVAS), Butantan Institute, São Paulo 05507-000, SP, Brazil; (S.N.S.); (A.R.J.L.); (G.R.); (L.P.O.d.L.); (C.R.d.S.B.); (E.C.M.); (A.J.M.)
| | - Elaine C. Marqueze
- Center for Viral Surveillance and Serological Assessment (CeVIVAS), Butantan Institute, São Paulo 05507-000, SP, Brazil; (S.N.S.); (A.R.J.L.); (G.R.); (L.P.O.d.L.); (C.R.d.S.B.); (E.C.M.); (A.J.M.)
| | - Antonio J. Martins
- Center for Viral Surveillance and Serological Assessment (CeVIVAS), Butantan Institute, São Paulo 05507-000, SP, Brazil; (S.N.S.); (A.R.J.L.); (G.R.); (L.P.O.d.L.); (C.R.d.S.B.); (E.C.M.); (A.J.M.)
| | - Maiara Martininghi
- Health Surveillance Coordination, Municipal Health Department of São Paulo, Coordenadoria de Vigilância em Saúde (COVISA), Secretaria Municipal de São Paulo (SMS SP), São Paulo 01223-010, SP, Brazil; (M.M.); (M.P.); (L.A.V.C.)
| | - Melissa Palmieri
- Health Surveillance Coordination, Municipal Health Department of São Paulo, Coordenadoria de Vigilância em Saúde (COVISA), Secretaria Municipal de São Paulo (SMS SP), São Paulo 01223-010, SP, Brazil; (M.M.); (M.P.); (L.A.V.C.)
| | - Luiz A. V. Caldeira
- Health Surveillance Coordination, Municipal Health Department of São Paulo, Coordenadoria de Vigilância em Saúde (COVISA), Secretaria Municipal de São Paulo (SMS SP), São Paulo 01223-010, SP, Brazil; (M.M.); (M.P.); (L.A.V.C.)
| | - Fabiana E. V. da Silva
- Primary Care Coordination Municipal Health Department of São Paulo, Coordenadoria de Atenção Básica, Secretaria Municipal de São Paulo (SMS SP), São Paulo 01223-010, SP, Brazil; (F.E.V.d.S.); (G.C.); (A.L.N.)
| | - Giselle Cacherik
- Primary Care Coordination Municipal Health Department of São Paulo, Coordenadoria de Atenção Básica, Secretaria Municipal de São Paulo (SMS SP), São Paulo 01223-010, SP, Brazil; (F.E.V.d.S.); (G.C.); (A.L.N.)
| | - Aline L. Nicolodelli
- Primary Care Coordination Municipal Health Department of São Paulo, Coordenadoria de Atenção Básica, Secretaria Municipal de São Paulo (SMS SP), São Paulo 01223-010, SP, Brazil; (F.E.V.d.S.); (G.C.); (A.L.N.)
| | - Simone Kashima
- Ribeirão Preto Medical School, Ribeirão Preto 14051-140, SP, Brazil;
- Blood Center of Ribeirão Preto, Ribeirão Preto 14051-140, SP, Brazil
- University of São Paulo, Ribeirão Preto 14051-140, SP, Brazil
| | - Marta Giovanetti
- Institute of Biological Sciences, Federal University of Minas Gerais, Belo Horizonte 31270-901, MG, Brazil; (M.G.); (L.C.J.A.)
- Institute Rene Rachou Foundation Oswaldo Cruz, Belo Horizonte 30190-002, MG, Brazil
- Sciences and Technologies for Sustainable Development and One Health, University Campus Bio-Medico Rome, 00128 Roma, Italy
| | - Luiz Carlos Junior Alcantara
- Institute of Biological Sciences, Federal University of Minas Gerais, Belo Horizonte 31270-901, MG, Brazil; (M.G.); (L.C.J.A.)
- Institute Rene Rachou Foundation Oswaldo Cruz, Belo Horizonte 30190-002, MG, Brazil
| | - Sandra C. Sampaio
- Center for Viral Surveillance and Serological Assessment (CeVIVAS), Butantan Institute, São Paulo 05507-000, SP, Brazil; (S.N.S.); (A.R.J.L.); (G.R.); (L.P.O.d.L.); (C.R.d.S.B.); (E.C.M.); (A.J.M.)
| | - Maria C. Elias
- Center for Viral Surveillance and Serological Assessment (CeVIVAS), Butantan Institute, São Paulo 05507-000, SP, Brazil; (S.N.S.); (A.R.J.L.); (G.R.); (L.P.O.d.L.); (C.R.d.S.B.); (E.C.M.); (A.J.M.)
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da Silva AS, de Campos GM, Villanova MG, Bezerra RDS, Santiago LMM, Haddad R, Covas DT, Giovanetti M, Alcantara LCJ, Elias MC, Sampaio SC, Kashima S, Slavov SN. Human Pegivirus-1 Detection and Genotyping in Brazilian Patients with Fulminant Hepatitis. Pathogens 2023; 12:1122. [PMID: 37764930 PMCID: PMC10536510 DOI: 10.3390/pathogens12091122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2023] [Revised: 07/20/2023] [Accepted: 08/11/2023] [Indexed: 09/29/2023] Open
Abstract
Fulminant hepatitis is a severe clinical disease characterized by a marked decline in liver function and encephalopathy. In a previous survey, using metagenomics in a group of 27 patients with this clinical condition, we observed an expressive quantity of reads of the Human pegivirus-1 (HPgV-1). Therefore, the objective of this study was to evaluate the frequency, molecular features, and HPgV-1 circulating genotypes in patients with fulminant hepatitis. After testing the collected plasma samples, we discovered twelve samples (44.4%) that were positive for HPgV-1 RNA (using both real-time and nested PCR). The positive samples presented a mean cycle threshold (Ct) of 28.5 (±7.3). Genotyping assignments revealed that all HPgV-1 positive samples belonged to the HPgV-1 genotype 2 (both subgenotypes 2A and 2B were identified). Although HPgV-1 is considered a commensal virus, little is known regarding its prevalence and genotypes in cases of fulminant hepatitis. More research is needed to understand whether HPgV-1 can be implicated in clinical disorders and infectious diseases.
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Affiliation(s)
- Anielly Sarana da Silva
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto 14051-140, SP, Brazil; (A.S.d.S.); (G.M.d.C.); (R.d.S.B.); (L.M.M.S.); (D.T.C.); (S.K.)
| | - Gabriel Montenegro de Campos
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto 14051-140, SP, Brazil; (A.S.d.S.); (G.M.d.C.); (R.d.S.B.); (L.M.M.S.); (D.T.C.); (S.K.)
| | - Marcia Guimarães Villanova
- Department of Gastroenterology, University Hospital, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto 14048-900, SP, Brazil;
| | - Rafael dos Santos Bezerra
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto 14051-140, SP, Brazil; (A.S.d.S.); (G.M.d.C.); (R.d.S.B.); (L.M.M.S.); (D.T.C.); (S.K.)
| | - Luciana Maria Mendes Santiago
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto 14051-140, SP, Brazil; (A.S.d.S.); (G.M.d.C.); (R.d.S.B.); (L.M.M.S.); (D.T.C.); (S.K.)
| | - Rodrigo Haddad
- Faculty of Ceilândia, University of Brasília, Brasília 72220-275, DF, Brazil;
| | - Dimas Tadeu Covas
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto 14051-140, SP, Brazil; (A.S.d.S.); (G.M.d.C.); (R.d.S.B.); (L.M.M.S.); (D.T.C.); (S.K.)
| | - Marta Giovanetti
- Instituto Rene Rachou, Fundação Oswaldo Cruz, Belo Horizonte 30190-009, MG, Brazil;
- Sciences and Technologies for Sustainable Development and One Health, Università Campus Bio-Medico di Roma, 00128 Rome, Italy;
| | - Luiz Carlos Junior Alcantara
- Sciences and Technologies for Sustainable Development and One Health, Università Campus Bio-Medico di Roma, 00128 Rome, Italy;
| | - Maria Carolina Elias
- Center for Scientific Development, Butantan Institute, São Paulo 05503-900, SP, Brazil; (M.C.E.); (S.C.S.)
| | - Sandra Coccuzzo Sampaio
- Center for Scientific Development, Butantan Institute, São Paulo 05503-900, SP, Brazil; (M.C.E.); (S.C.S.)
| | - Simone Kashima
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto 14051-140, SP, Brazil; (A.S.d.S.); (G.M.d.C.); (R.d.S.B.); (L.M.M.S.); (D.T.C.); (S.K.)
| | - Svetoslav Nanev Slavov
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto 14051-140, SP, Brazil; (A.S.d.S.); (G.M.d.C.); (R.d.S.B.); (L.M.M.S.); (D.T.C.); (S.K.)
- Center for Scientific Development, Butantan Institute, São Paulo 05503-900, SP, Brazil; (M.C.E.); (S.C.S.)
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Giovanetti M, Vazquez C, Lima M, Castro E, Rojas A, Gomez de la Fuente A, Aquino C, Cantero C, Fleitas F, Torales J, Barrios J, Ortega MJ, Gamarra ML, Villalba S, Alfonzo T, Xavier J, Adelino T, Fritsch H, Iani FC, Pereira GC, de Oliveira C, Schuab G, Rodrigues ES, Kashima S, Leite J, Gresh L, Franco L, Tegally H, Van Voorhis WC, Lessels R, de Filippis AMB, Ojeda A, Sequera G, Montoya R, Holmes EC, de Oliveira T, Rico JM, Lourenço J, Fonseca V, Alcantara LC. Rapid Epidemic Expansion of Chikungunya Virus East/Central/South African Lineage, Paraguay. Emerg Infect Dis 2023; 29:1859-1863. [PMID: 37488810 PMCID: PMC10461647 DOI: 10.3201/eid2909.230523] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/26/2023] Open
Abstract
The spread of Chikungunya virus is a major public health concern in the Americas. There were >120,000 cases and 51 deaths in 2023, of which 46 occurred in Paraguay. Using a suite of genomic, phylodynamic, and epidemiologic techniques, we characterized the ongoing large chikungunya epidemic in Paraguay.
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Affiliation(s)
| | | | | | | | - Analia Rojas
- Università Campus Bio-Medico di Roma, Italy (M. Giovanetti)
- Instituto Oswaldo Cruz, Belo Horizonte, Brazil (M. Giovanetti, M. Lima, E. Castro, J. Xavier, H. Fritsch, L.C.J. Alcantara)
- Laboratorio Central de Salud Pública, Asunción, Paraguay (C. Vazquez, A. Rojas, A. Gomez de la Fuente, C. Aquino, C. Cantero, F. Fleitas, J. Torales, J. Barrios, M.J. Ortega, M.L. Gamarra, S. Villalba, T. Alfonzo)
- Central de Saúde Pública do Estado de Minas Gerais, Ezequiel Dias, Brazil (M. Lima, E. Castro, T. Adelino, F.C.M. Iani, G.C. Pereira)
- Universidade Federal de Minas Gerais, Belo Horizonte (J. Xavier, H. Fritsch)
- Instituto Oswaldo Cruz, Rio de Janeiro, Brazil (C. de Oliveira, G. Schuab, A.M.B. de Filippis)
- University of São Paulo, São Paulo, Brazil (E.S. Rodrigues, S. Kashima)
- Pan American Health Organization/World Health Organization, Washington, DC, USA (J. Leite, L. Gresh, L. Franco, J.M. Rico)
- Stellenbosch University, Stellenbosch, South Africa (H. Tegally, T. de Oliveira)
- University of KwaZulu-Natal, Durban, South Africa (H. Tegally, R. Lessels, T. de Oliveira)
- National Institutes of Health, Bethesda, Maryland, USA (W.C. Van Voorhis)
- Dirección General de Vigilancia de la Salud, Asunción (A. Ojeda, G. Sequera)
- Organización Panamericana de la Salud/Organización Mundial de la Salud Asuncion (R. Montoya)
- University of Sydney, Sydney, New South Wales, Australia (E.C. Holmes)
- University of Lisbon, Lisbon, Portugal (J. Lourenço)
- Organização Pan-Americana da Saúde/Organização/Mundial da Saúde, Brasilia, Brazil. (V. Fonseca)
| | - Andrea Gomez de la Fuente
- Università Campus Bio-Medico di Roma, Italy (M. Giovanetti)
- Instituto Oswaldo Cruz, Belo Horizonte, Brazil (M. Giovanetti, M. Lima, E. Castro, J. Xavier, H. Fritsch, L.C.J. Alcantara)
- Laboratorio Central de Salud Pública, Asunción, Paraguay (C. Vazquez, A. Rojas, A. Gomez de la Fuente, C. Aquino, C. Cantero, F. Fleitas, J. Torales, J. Barrios, M.J. Ortega, M.L. Gamarra, S. Villalba, T. Alfonzo)
- Central de Saúde Pública do Estado de Minas Gerais, Ezequiel Dias, Brazil (M. Lima, E. Castro, T. Adelino, F.C.M. Iani, G.C. Pereira)
- Universidade Federal de Minas Gerais, Belo Horizonte (J. Xavier, H. Fritsch)
- Instituto Oswaldo Cruz, Rio de Janeiro, Brazil (C. de Oliveira, G. Schuab, A.M.B. de Filippis)
- University of São Paulo, São Paulo, Brazil (E.S. Rodrigues, S. Kashima)
- Pan American Health Organization/World Health Organization, Washington, DC, USA (J. Leite, L. Gresh, L. Franco, J.M. Rico)
- Stellenbosch University, Stellenbosch, South Africa (H. Tegally, T. de Oliveira)
- University of KwaZulu-Natal, Durban, South Africa (H. Tegally, R. Lessels, T. de Oliveira)
- National Institutes of Health, Bethesda, Maryland, USA (W.C. Van Voorhis)
- Dirección General de Vigilancia de la Salud, Asunción (A. Ojeda, G. Sequera)
- Organización Panamericana de la Salud/Organización Mundial de la Salud Asuncion (R. Montoya)
- University of Sydney, Sydney, New South Wales, Australia (E.C. Holmes)
- University of Lisbon, Lisbon, Portugal (J. Lourenço)
- Organização Pan-Americana da Saúde/Organização/Mundial da Saúde, Brasilia, Brazil. (V. Fonseca)
| | - Carolina Aquino
- Università Campus Bio-Medico di Roma, Italy (M. Giovanetti)
- Instituto Oswaldo Cruz, Belo Horizonte, Brazil (M. Giovanetti, M. Lima, E. Castro, J. Xavier, H. Fritsch, L.C.J. Alcantara)
- Laboratorio Central de Salud Pública, Asunción, Paraguay (C. Vazquez, A. Rojas, A. Gomez de la Fuente, C. Aquino, C. Cantero, F. Fleitas, J. Torales, J. Barrios, M.J. Ortega, M.L. Gamarra, S. Villalba, T. Alfonzo)
- Central de Saúde Pública do Estado de Minas Gerais, Ezequiel Dias, Brazil (M. Lima, E. Castro, T. Adelino, F.C.M. Iani, G.C. Pereira)
- Universidade Federal de Minas Gerais, Belo Horizonte (J. Xavier, H. Fritsch)
- Instituto Oswaldo Cruz, Rio de Janeiro, Brazil (C. de Oliveira, G. Schuab, A.M.B. de Filippis)
- University of São Paulo, São Paulo, Brazil (E.S. Rodrigues, S. Kashima)
- Pan American Health Organization/World Health Organization, Washington, DC, USA (J. Leite, L. Gresh, L. Franco, J.M. Rico)
- Stellenbosch University, Stellenbosch, South Africa (H. Tegally, T. de Oliveira)
- University of KwaZulu-Natal, Durban, South Africa (H. Tegally, R. Lessels, T. de Oliveira)
- National Institutes of Health, Bethesda, Maryland, USA (W.C. Van Voorhis)
- Dirección General de Vigilancia de la Salud, Asunción (A. Ojeda, G. Sequera)
- Organización Panamericana de la Salud/Organización Mundial de la Salud Asuncion (R. Montoya)
- University of Sydney, Sydney, New South Wales, Australia (E.C. Holmes)
- University of Lisbon, Lisbon, Portugal (J. Lourenço)
- Organização Pan-Americana da Saúde/Organização/Mundial da Saúde, Brasilia, Brazil. (V. Fonseca)
| | - Cesar Cantero
- Università Campus Bio-Medico di Roma, Italy (M. Giovanetti)
- Instituto Oswaldo Cruz, Belo Horizonte, Brazil (M. Giovanetti, M. Lima, E. Castro, J. Xavier, H. Fritsch, L.C.J. Alcantara)
- Laboratorio Central de Salud Pública, Asunción, Paraguay (C. Vazquez, A. Rojas, A. Gomez de la Fuente, C. Aquino, C. Cantero, F. Fleitas, J. Torales, J. Barrios, M.J. Ortega, M.L. Gamarra, S. Villalba, T. Alfonzo)
- Central de Saúde Pública do Estado de Minas Gerais, Ezequiel Dias, Brazil (M. Lima, E. Castro, T. Adelino, F.C.M. Iani, G.C. Pereira)
- Universidade Federal de Minas Gerais, Belo Horizonte (J. Xavier, H. Fritsch)
- Instituto Oswaldo Cruz, Rio de Janeiro, Brazil (C. de Oliveira, G. Schuab, A.M.B. de Filippis)
- University of São Paulo, São Paulo, Brazil (E.S. Rodrigues, S. Kashima)
- Pan American Health Organization/World Health Organization, Washington, DC, USA (J. Leite, L. Gresh, L. Franco, J.M. Rico)
- Stellenbosch University, Stellenbosch, South Africa (H. Tegally, T. de Oliveira)
- University of KwaZulu-Natal, Durban, South Africa (H. Tegally, R. Lessels, T. de Oliveira)
- National Institutes of Health, Bethesda, Maryland, USA (W.C. Van Voorhis)
- Dirección General de Vigilancia de la Salud, Asunción (A. Ojeda, G. Sequera)
- Organización Panamericana de la Salud/Organización Mundial de la Salud Asuncion (R. Montoya)
- University of Sydney, Sydney, New South Wales, Australia (E.C. Holmes)
- University of Lisbon, Lisbon, Portugal (J. Lourenço)
- Organização Pan-Americana da Saúde/Organização/Mundial da Saúde, Brasilia, Brazil. (V. Fonseca)
| | - Fatima Fleitas
- Università Campus Bio-Medico di Roma, Italy (M. Giovanetti)
- Instituto Oswaldo Cruz, Belo Horizonte, Brazil (M. Giovanetti, M. Lima, E. Castro, J. Xavier, H. Fritsch, L.C.J. Alcantara)
- Laboratorio Central de Salud Pública, Asunción, Paraguay (C. Vazquez, A. Rojas, A. Gomez de la Fuente, C. Aquino, C. Cantero, F. Fleitas, J. Torales, J. Barrios, M.J. Ortega, M.L. Gamarra, S. Villalba, T. Alfonzo)
- Central de Saúde Pública do Estado de Minas Gerais, Ezequiel Dias, Brazil (M. Lima, E. Castro, T. Adelino, F.C.M. Iani, G.C. Pereira)
- Universidade Federal de Minas Gerais, Belo Horizonte (J. Xavier, H. Fritsch)
- Instituto Oswaldo Cruz, Rio de Janeiro, Brazil (C. de Oliveira, G. Schuab, A.M.B. de Filippis)
- University of São Paulo, São Paulo, Brazil (E.S. Rodrigues, S. Kashima)
- Pan American Health Organization/World Health Organization, Washington, DC, USA (J. Leite, L. Gresh, L. Franco, J.M. Rico)
- Stellenbosch University, Stellenbosch, South Africa (H. Tegally, T. de Oliveira)
- University of KwaZulu-Natal, Durban, South Africa (H. Tegally, R. Lessels, T. de Oliveira)
- National Institutes of Health, Bethesda, Maryland, USA (W.C. Van Voorhis)
- Dirección General de Vigilancia de la Salud, Asunción (A. Ojeda, G. Sequera)
- Organización Panamericana de la Salud/Organización Mundial de la Salud Asuncion (R. Montoya)
- University of Sydney, Sydney, New South Wales, Australia (E.C. Holmes)
- University of Lisbon, Lisbon, Portugal (J. Lourenço)
- Organização Pan-Americana da Saúde/Organização/Mundial da Saúde, Brasilia, Brazil. (V. Fonseca)
| | - Juan Torales
- Università Campus Bio-Medico di Roma, Italy (M. Giovanetti)
- Instituto Oswaldo Cruz, Belo Horizonte, Brazil (M. Giovanetti, M. Lima, E. Castro, J. Xavier, H. Fritsch, L.C.J. Alcantara)
- Laboratorio Central de Salud Pública, Asunción, Paraguay (C. Vazquez, A. Rojas, A. Gomez de la Fuente, C. Aquino, C. Cantero, F. Fleitas, J. Torales, J. Barrios, M.J. Ortega, M.L. Gamarra, S. Villalba, T. Alfonzo)
- Central de Saúde Pública do Estado de Minas Gerais, Ezequiel Dias, Brazil (M. Lima, E. Castro, T. Adelino, F.C.M. Iani, G.C. Pereira)
- Universidade Federal de Minas Gerais, Belo Horizonte (J. Xavier, H. Fritsch)
- Instituto Oswaldo Cruz, Rio de Janeiro, Brazil (C. de Oliveira, G. Schuab, A.M.B. de Filippis)
- University of São Paulo, São Paulo, Brazil (E.S. Rodrigues, S. Kashima)
- Pan American Health Organization/World Health Organization, Washington, DC, USA (J. Leite, L. Gresh, L. Franco, J.M. Rico)
- Stellenbosch University, Stellenbosch, South Africa (H. Tegally, T. de Oliveira)
- University of KwaZulu-Natal, Durban, South Africa (H. Tegally, R. Lessels, T. de Oliveira)
- National Institutes of Health, Bethesda, Maryland, USA (W.C. Van Voorhis)
- Dirección General de Vigilancia de la Salud, Asunción (A. Ojeda, G. Sequera)
- Organización Panamericana de la Salud/Organización Mundial de la Salud Asuncion (R. Montoya)
- University of Sydney, Sydney, New South Wales, Australia (E.C. Holmes)
- University of Lisbon, Lisbon, Portugal (J. Lourenço)
- Organização Pan-Americana da Saúde/Organização/Mundial da Saúde, Brasilia, Brazil. (V. Fonseca)
| | - Julio Barrios
- Università Campus Bio-Medico di Roma, Italy (M. Giovanetti)
- Instituto Oswaldo Cruz, Belo Horizonte, Brazil (M. Giovanetti, M. Lima, E. Castro, J. Xavier, H. Fritsch, L.C.J. Alcantara)
- Laboratorio Central de Salud Pública, Asunción, Paraguay (C. Vazquez, A. Rojas, A. Gomez de la Fuente, C. Aquino, C. Cantero, F. Fleitas, J. Torales, J. Barrios, M.J. Ortega, M.L. Gamarra, S. Villalba, T. Alfonzo)
- Central de Saúde Pública do Estado de Minas Gerais, Ezequiel Dias, Brazil (M. Lima, E. Castro, T. Adelino, F.C.M. Iani, G.C. Pereira)
- Universidade Federal de Minas Gerais, Belo Horizonte (J. Xavier, H. Fritsch)
- Instituto Oswaldo Cruz, Rio de Janeiro, Brazil (C. de Oliveira, G. Schuab, A.M.B. de Filippis)
- University of São Paulo, São Paulo, Brazil (E.S. Rodrigues, S. Kashima)
- Pan American Health Organization/World Health Organization, Washington, DC, USA (J. Leite, L. Gresh, L. Franco, J.M. Rico)
- Stellenbosch University, Stellenbosch, South Africa (H. Tegally, T. de Oliveira)
- University of KwaZulu-Natal, Durban, South Africa (H. Tegally, R. Lessels, T. de Oliveira)
- National Institutes of Health, Bethesda, Maryland, USA (W.C. Van Voorhis)
- Dirección General de Vigilancia de la Salud, Asunción (A. Ojeda, G. Sequera)
- Organización Panamericana de la Salud/Organización Mundial de la Salud Asuncion (R. Montoya)
- University of Sydney, Sydney, New South Wales, Australia (E.C. Holmes)
- University of Lisbon, Lisbon, Portugal (J. Lourenço)
- Organização Pan-Americana da Saúde/Organização/Mundial da Saúde, Brasilia, Brazil. (V. Fonseca)
| | - Maria J. Ortega
- Università Campus Bio-Medico di Roma, Italy (M. Giovanetti)
- Instituto Oswaldo Cruz, Belo Horizonte, Brazil (M. Giovanetti, M. Lima, E. Castro, J. Xavier, H. Fritsch, L.C.J. Alcantara)
- Laboratorio Central de Salud Pública, Asunción, Paraguay (C. Vazquez, A. Rojas, A. Gomez de la Fuente, C. Aquino, C. Cantero, F. Fleitas, J. Torales, J. Barrios, M.J. Ortega, M.L. Gamarra, S. Villalba, T. Alfonzo)
- Central de Saúde Pública do Estado de Minas Gerais, Ezequiel Dias, Brazil (M. Lima, E. Castro, T. Adelino, F.C.M. Iani, G.C. Pereira)
- Universidade Federal de Minas Gerais, Belo Horizonte (J. Xavier, H. Fritsch)
- Instituto Oswaldo Cruz, Rio de Janeiro, Brazil (C. de Oliveira, G. Schuab, A.M.B. de Filippis)
- University of São Paulo, São Paulo, Brazil (E.S. Rodrigues, S. Kashima)
- Pan American Health Organization/World Health Organization, Washington, DC, USA (J. Leite, L. Gresh, L. Franco, J.M. Rico)
- Stellenbosch University, Stellenbosch, South Africa (H. Tegally, T. de Oliveira)
- University of KwaZulu-Natal, Durban, South Africa (H. Tegally, R. Lessels, T. de Oliveira)
- National Institutes of Health, Bethesda, Maryland, USA (W.C. Van Voorhis)
- Dirección General de Vigilancia de la Salud, Asunción (A. Ojeda, G. Sequera)
- Organización Panamericana de la Salud/Organización Mundial de la Salud Asuncion (R. Montoya)
- University of Sydney, Sydney, New South Wales, Australia (E.C. Holmes)
- University of Lisbon, Lisbon, Portugal (J. Lourenço)
- Organização Pan-Americana da Saúde/Organização/Mundial da Saúde, Brasilia, Brazil. (V. Fonseca)
| | - Maria L. Gamarra
- Università Campus Bio-Medico di Roma, Italy (M. Giovanetti)
- Instituto Oswaldo Cruz, Belo Horizonte, Brazil (M. Giovanetti, M. Lima, E. Castro, J. Xavier, H. Fritsch, L.C.J. Alcantara)
- Laboratorio Central de Salud Pública, Asunción, Paraguay (C. Vazquez, A. Rojas, A. Gomez de la Fuente, C. Aquino, C. Cantero, F. Fleitas, J. Torales, J. Barrios, M.J. Ortega, M.L. Gamarra, S. Villalba, T. Alfonzo)
- Central de Saúde Pública do Estado de Minas Gerais, Ezequiel Dias, Brazil (M. Lima, E. Castro, T. Adelino, F.C.M. Iani, G.C. Pereira)
- Universidade Federal de Minas Gerais, Belo Horizonte (J. Xavier, H. Fritsch)
- Instituto Oswaldo Cruz, Rio de Janeiro, Brazil (C. de Oliveira, G. Schuab, A.M.B. de Filippis)
- University of São Paulo, São Paulo, Brazil (E.S. Rodrigues, S. Kashima)
- Pan American Health Organization/World Health Organization, Washington, DC, USA (J. Leite, L. Gresh, L. Franco, J.M. Rico)
- Stellenbosch University, Stellenbosch, South Africa (H. Tegally, T. de Oliveira)
- University of KwaZulu-Natal, Durban, South Africa (H. Tegally, R. Lessels, T. de Oliveira)
- National Institutes of Health, Bethesda, Maryland, USA (W.C. Van Voorhis)
- Dirección General de Vigilancia de la Salud, Asunción (A. Ojeda, G. Sequera)
- Organización Panamericana de la Salud/Organización Mundial de la Salud Asuncion (R. Montoya)
- University of Sydney, Sydney, New South Wales, Australia (E.C. Holmes)
- University of Lisbon, Lisbon, Portugal (J. Lourenço)
- Organização Pan-Americana da Saúde/Organização/Mundial da Saúde, Brasilia, Brazil. (V. Fonseca)
| | - Shirley Villalba
- Università Campus Bio-Medico di Roma, Italy (M. Giovanetti)
- Instituto Oswaldo Cruz, Belo Horizonte, Brazil (M. Giovanetti, M. Lima, E. Castro, J. Xavier, H. Fritsch, L.C.J. Alcantara)
- Laboratorio Central de Salud Pública, Asunción, Paraguay (C. Vazquez, A. Rojas, A. Gomez de la Fuente, C. Aquino, C. Cantero, F. Fleitas, J. Torales, J. Barrios, M.J. Ortega, M.L. Gamarra, S. Villalba, T. Alfonzo)
- Central de Saúde Pública do Estado de Minas Gerais, Ezequiel Dias, Brazil (M. Lima, E. Castro, T. Adelino, F.C.M. Iani, G.C. Pereira)
- Universidade Federal de Minas Gerais, Belo Horizonte (J. Xavier, H. Fritsch)
- Instituto Oswaldo Cruz, Rio de Janeiro, Brazil (C. de Oliveira, G. Schuab, A.M.B. de Filippis)
- University of São Paulo, São Paulo, Brazil (E.S. Rodrigues, S. Kashima)
- Pan American Health Organization/World Health Organization, Washington, DC, USA (J. Leite, L. Gresh, L. Franco, J.M. Rico)
- Stellenbosch University, Stellenbosch, South Africa (H. Tegally, T. de Oliveira)
- University of KwaZulu-Natal, Durban, South Africa (H. Tegally, R. Lessels, T. de Oliveira)
- National Institutes of Health, Bethesda, Maryland, USA (W.C. Van Voorhis)
- Dirección General de Vigilancia de la Salud, Asunción (A. Ojeda, G. Sequera)
- Organización Panamericana de la Salud/Organización Mundial de la Salud Asuncion (R. Montoya)
- University of Sydney, Sydney, New South Wales, Australia (E.C. Holmes)
- University of Lisbon, Lisbon, Portugal (J. Lourenço)
- Organização Pan-Americana da Saúde/Organização/Mundial da Saúde, Brasilia, Brazil. (V. Fonseca)
| | - Tania Alfonzo
- Università Campus Bio-Medico di Roma, Italy (M. Giovanetti)
- Instituto Oswaldo Cruz, Belo Horizonte, Brazil (M. Giovanetti, M. Lima, E. Castro, J. Xavier, H. Fritsch, L.C.J. Alcantara)
- Laboratorio Central de Salud Pública, Asunción, Paraguay (C. Vazquez, A. Rojas, A. Gomez de la Fuente, C. Aquino, C. Cantero, F. Fleitas, J. Torales, J. Barrios, M.J. Ortega, M.L. Gamarra, S. Villalba, T. Alfonzo)
- Central de Saúde Pública do Estado de Minas Gerais, Ezequiel Dias, Brazil (M. Lima, E. Castro, T. Adelino, F.C.M. Iani, G.C. Pereira)
- Universidade Federal de Minas Gerais, Belo Horizonte (J. Xavier, H. Fritsch)
- Instituto Oswaldo Cruz, Rio de Janeiro, Brazil (C. de Oliveira, G. Schuab, A.M.B. de Filippis)
- University of São Paulo, São Paulo, Brazil (E.S. Rodrigues, S. Kashima)
- Pan American Health Organization/World Health Organization, Washington, DC, USA (J. Leite, L. Gresh, L. Franco, J.M. Rico)
- Stellenbosch University, Stellenbosch, South Africa (H. Tegally, T. de Oliveira)
- University of KwaZulu-Natal, Durban, South Africa (H. Tegally, R. Lessels, T. de Oliveira)
- National Institutes of Health, Bethesda, Maryland, USA (W.C. Van Voorhis)
- Dirección General de Vigilancia de la Salud, Asunción (A. Ojeda, G. Sequera)
- Organización Panamericana de la Salud/Organización Mundial de la Salud Asuncion (R. Montoya)
- University of Sydney, Sydney, New South Wales, Australia (E.C. Holmes)
- University of Lisbon, Lisbon, Portugal (J. Lourenço)
- Organização Pan-Americana da Saúde/Organização/Mundial da Saúde, Brasilia, Brazil. (V. Fonseca)
| | - Joilson Xavier
- Università Campus Bio-Medico di Roma, Italy (M. Giovanetti)
- Instituto Oswaldo Cruz, Belo Horizonte, Brazil (M. Giovanetti, M. Lima, E. Castro, J. Xavier, H. Fritsch, L.C.J. Alcantara)
- Laboratorio Central de Salud Pública, Asunción, Paraguay (C. Vazquez, A. Rojas, A. Gomez de la Fuente, C. Aquino, C. Cantero, F. Fleitas, J. Torales, J. Barrios, M.J. Ortega, M.L. Gamarra, S. Villalba, T. Alfonzo)
- Central de Saúde Pública do Estado de Minas Gerais, Ezequiel Dias, Brazil (M. Lima, E. Castro, T. Adelino, F.C.M. Iani, G.C. Pereira)
- Universidade Federal de Minas Gerais, Belo Horizonte (J. Xavier, H. Fritsch)
- Instituto Oswaldo Cruz, Rio de Janeiro, Brazil (C. de Oliveira, G. Schuab, A.M.B. de Filippis)
- University of São Paulo, São Paulo, Brazil (E.S. Rodrigues, S. Kashima)
- Pan American Health Organization/World Health Organization, Washington, DC, USA (J. Leite, L. Gresh, L. Franco, J.M. Rico)
- Stellenbosch University, Stellenbosch, South Africa (H. Tegally, T. de Oliveira)
- University of KwaZulu-Natal, Durban, South Africa (H. Tegally, R. Lessels, T. de Oliveira)
- National Institutes of Health, Bethesda, Maryland, USA (W.C. Van Voorhis)
- Dirección General de Vigilancia de la Salud, Asunción (A. Ojeda, G. Sequera)
- Organización Panamericana de la Salud/Organización Mundial de la Salud Asuncion (R. Montoya)
- University of Sydney, Sydney, New South Wales, Australia (E.C. Holmes)
- University of Lisbon, Lisbon, Portugal (J. Lourenço)
- Organização Pan-Americana da Saúde/Organização/Mundial da Saúde, Brasilia, Brazil. (V. Fonseca)
| | - Talita Adelino
- Università Campus Bio-Medico di Roma, Italy (M. Giovanetti)
- Instituto Oswaldo Cruz, Belo Horizonte, Brazil (M. Giovanetti, M. Lima, E. Castro, J. Xavier, H. Fritsch, L.C.J. Alcantara)
- Laboratorio Central de Salud Pública, Asunción, Paraguay (C. Vazquez, A. Rojas, A. Gomez de la Fuente, C. Aquino, C. Cantero, F. Fleitas, J. Torales, J. Barrios, M.J. Ortega, M.L. Gamarra, S. Villalba, T. Alfonzo)
- Central de Saúde Pública do Estado de Minas Gerais, Ezequiel Dias, Brazil (M. Lima, E. Castro, T. Adelino, F.C.M. Iani, G.C. Pereira)
- Universidade Federal de Minas Gerais, Belo Horizonte (J. Xavier, H. Fritsch)
- Instituto Oswaldo Cruz, Rio de Janeiro, Brazil (C. de Oliveira, G. Schuab, A.M.B. de Filippis)
- University of São Paulo, São Paulo, Brazil (E.S. Rodrigues, S. Kashima)
- Pan American Health Organization/World Health Organization, Washington, DC, USA (J. Leite, L. Gresh, L. Franco, J.M. Rico)
- Stellenbosch University, Stellenbosch, South Africa (H. Tegally, T. de Oliveira)
- University of KwaZulu-Natal, Durban, South Africa (H. Tegally, R. Lessels, T. de Oliveira)
- National Institutes of Health, Bethesda, Maryland, USA (W.C. Van Voorhis)
- Dirección General de Vigilancia de la Salud, Asunción (A. Ojeda, G. Sequera)
- Organización Panamericana de la Salud/Organización Mundial de la Salud Asuncion (R. Montoya)
- University of Sydney, Sydney, New South Wales, Australia (E.C. Holmes)
- University of Lisbon, Lisbon, Portugal (J. Lourenço)
- Organização Pan-Americana da Saúde/Organização/Mundial da Saúde, Brasilia, Brazil. (V. Fonseca)
| | - Hegger Fritsch
- Università Campus Bio-Medico di Roma, Italy (M. Giovanetti)
- Instituto Oswaldo Cruz, Belo Horizonte, Brazil (M. Giovanetti, M. Lima, E. Castro, J. Xavier, H. Fritsch, L.C.J. Alcantara)
- Laboratorio Central de Salud Pública, Asunción, Paraguay (C. Vazquez, A. Rojas, A. Gomez de la Fuente, C. Aquino, C. Cantero, F. Fleitas, J. Torales, J. Barrios, M.J. Ortega, M.L. Gamarra, S. Villalba, T. Alfonzo)
- Central de Saúde Pública do Estado de Minas Gerais, Ezequiel Dias, Brazil (M. Lima, E. Castro, T. Adelino, F.C.M. Iani, G.C. Pereira)
- Universidade Federal de Minas Gerais, Belo Horizonte (J. Xavier, H. Fritsch)
- Instituto Oswaldo Cruz, Rio de Janeiro, Brazil (C. de Oliveira, G. Schuab, A.M.B. de Filippis)
- University of São Paulo, São Paulo, Brazil (E.S. Rodrigues, S. Kashima)
- Pan American Health Organization/World Health Organization, Washington, DC, USA (J. Leite, L. Gresh, L. Franco, J.M. Rico)
- Stellenbosch University, Stellenbosch, South Africa (H. Tegally, T. de Oliveira)
- University of KwaZulu-Natal, Durban, South Africa (H. Tegally, R. Lessels, T. de Oliveira)
- National Institutes of Health, Bethesda, Maryland, USA (W.C. Van Voorhis)
- Dirección General de Vigilancia de la Salud, Asunción (A. Ojeda, G. Sequera)
- Organización Panamericana de la Salud/Organización Mundial de la Salud Asuncion (R. Montoya)
- University of Sydney, Sydney, New South Wales, Australia (E.C. Holmes)
- University of Lisbon, Lisbon, Portugal (J. Lourenço)
- Organização Pan-Americana da Saúde/Organização/Mundial da Saúde, Brasilia, Brazil. (V. Fonseca)
| | - Felipe C.M. Iani
- Università Campus Bio-Medico di Roma, Italy (M. Giovanetti)
- Instituto Oswaldo Cruz, Belo Horizonte, Brazil (M. Giovanetti, M. Lima, E. Castro, J. Xavier, H. Fritsch, L.C.J. Alcantara)
- Laboratorio Central de Salud Pública, Asunción, Paraguay (C. Vazquez, A. Rojas, A. Gomez de la Fuente, C. Aquino, C. Cantero, F. Fleitas, J. Torales, J. Barrios, M.J. Ortega, M.L. Gamarra, S. Villalba, T. Alfonzo)
- Central de Saúde Pública do Estado de Minas Gerais, Ezequiel Dias, Brazil (M. Lima, E. Castro, T. Adelino, F.C.M. Iani, G.C. Pereira)
- Universidade Federal de Minas Gerais, Belo Horizonte (J. Xavier, H. Fritsch)
- Instituto Oswaldo Cruz, Rio de Janeiro, Brazil (C. de Oliveira, G. Schuab, A.M.B. de Filippis)
- University of São Paulo, São Paulo, Brazil (E.S. Rodrigues, S. Kashima)
- Pan American Health Organization/World Health Organization, Washington, DC, USA (J. Leite, L. Gresh, L. Franco, J.M. Rico)
- Stellenbosch University, Stellenbosch, South Africa (H. Tegally, T. de Oliveira)
- University of KwaZulu-Natal, Durban, South Africa (H. Tegally, R. Lessels, T. de Oliveira)
- National Institutes of Health, Bethesda, Maryland, USA (W.C. Van Voorhis)
- Dirección General de Vigilancia de la Salud, Asunción (A. Ojeda, G. Sequera)
- Organización Panamericana de la Salud/Organización Mundial de la Salud Asuncion (R. Montoya)
- University of Sydney, Sydney, New South Wales, Australia (E.C. Holmes)
- University of Lisbon, Lisbon, Portugal (J. Lourenço)
- Organização Pan-Americana da Saúde/Organização/Mundial da Saúde, Brasilia, Brazil. (V. Fonseca)
| | - Glauco C. Pereira
- Università Campus Bio-Medico di Roma, Italy (M. Giovanetti)
- Instituto Oswaldo Cruz, Belo Horizonte, Brazil (M. Giovanetti, M. Lima, E. Castro, J. Xavier, H. Fritsch, L.C.J. Alcantara)
- Laboratorio Central de Salud Pública, Asunción, Paraguay (C. Vazquez, A. Rojas, A. Gomez de la Fuente, C. Aquino, C. Cantero, F. Fleitas, J. Torales, J. Barrios, M.J. Ortega, M.L. Gamarra, S. Villalba, T. Alfonzo)
- Central de Saúde Pública do Estado de Minas Gerais, Ezequiel Dias, Brazil (M. Lima, E. Castro, T. Adelino, F.C.M. Iani, G.C. Pereira)
- Universidade Federal de Minas Gerais, Belo Horizonte (J. Xavier, H. Fritsch)
- Instituto Oswaldo Cruz, Rio de Janeiro, Brazil (C. de Oliveira, G. Schuab, A.M.B. de Filippis)
- University of São Paulo, São Paulo, Brazil (E.S. Rodrigues, S. Kashima)
- Pan American Health Organization/World Health Organization, Washington, DC, USA (J. Leite, L. Gresh, L. Franco, J.M. Rico)
- Stellenbosch University, Stellenbosch, South Africa (H. Tegally, T. de Oliveira)
- University of KwaZulu-Natal, Durban, South Africa (H. Tegally, R. Lessels, T. de Oliveira)
- National Institutes of Health, Bethesda, Maryland, USA (W.C. Van Voorhis)
- Dirección General de Vigilancia de la Salud, Asunción (A. Ojeda, G. Sequera)
- Organización Panamericana de la Salud/Organización Mundial de la Salud Asuncion (R. Montoya)
- University of Sydney, Sydney, New South Wales, Australia (E.C. Holmes)
- University of Lisbon, Lisbon, Portugal (J. Lourenço)
- Organização Pan-Americana da Saúde/Organização/Mundial da Saúde, Brasilia, Brazil. (V. Fonseca)
| | - Carla de Oliveira
- Università Campus Bio-Medico di Roma, Italy (M. Giovanetti)
- Instituto Oswaldo Cruz, Belo Horizonte, Brazil (M. Giovanetti, M. Lima, E. Castro, J. Xavier, H. Fritsch, L.C.J. Alcantara)
- Laboratorio Central de Salud Pública, Asunción, Paraguay (C. Vazquez, A. Rojas, A. Gomez de la Fuente, C. Aquino, C. Cantero, F. Fleitas, J. Torales, J. Barrios, M.J. Ortega, M.L. Gamarra, S. Villalba, T. Alfonzo)
- Central de Saúde Pública do Estado de Minas Gerais, Ezequiel Dias, Brazil (M. Lima, E. Castro, T. Adelino, F.C.M. Iani, G.C. Pereira)
- Universidade Federal de Minas Gerais, Belo Horizonte (J. Xavier, H. Fritsch)
- Instituto Oswaldo Cruz, Rio de Janeiro, Brazil (C. de Oliveira, G. Schuab, A.M.B. de Filippis)
- University of São Paulo, São Paulo, Brazil (E.S. Rodrigues, S. Kashima)
- Pan American Health Organization/World Health Organization, Washington, DC, USA (J. Leite, L. Gresh, L. Franco, J.M. Rico)
- Stellenbosch University, Stellenbosch, South Africa (H. Tegally, T. de Oliveira)
- University of KwaZulu-Natal, Durban, South Africa (H. Tegally, R. Lessels, T. de Oliveira)
- National Institutes of Health, Bethesda, Maryland, USA (W.C. Van Voorhis)
- Dirección General de Vigilancia de la Salud, Asunción (A. Ojeda, G. Sequera)
- Organización Panamericana de la Salud/Organización Mundial de la Salud Asuncion (R. Montoya)
- University of Sydney, Sydney, New South Wales, Australia (E.C. Holmes)
- University of Lisbon, Lisbon, Portugal (J. Lourenço)
- Organização Pan-Americana da Saúde/Organização/Mundial da Saúde, Brasilia, Brazil. (V. Fonseca)
| | - Gabriel Schuab
- Università Campus Bio-Medico di Roma, Italy (M. Giovanetti)
- Instituto Oswaldo Cruz, Belo Horizonte, Brazil (M. Giovanetti, M. Lima, E. Castro, J. Xavier, H. Fritsch, L.C.J. Alcantara)
- Laboratorio Central de Salud Pública, Asunción, Paraguay (C. Vazquez, A. Rojas, A. Gomez de la Fuente, C. Aquino, C. Cantero, F. Fleitas, J. Torales, J. Barrios, M.J. Ortega, M.L. Gamarra, S. Villalba, T. Alfonzo)
- Central de Saúde Pública do Estado de Minas Gerais, Ezequiel Dias, Brazil (M. Lima, E. Castro, T. Adelino, F.C.M. Iani, G.C. Pereira)
- Universidade Federal de Minas Gerais, Belo Horizonte (J. Xavier, H. Fritsch)
- Instituto Oswaldo Cruz, Rio de Janeiro, Brazil (C. de Oliveira, G. Schuab, A.M.B. de Filippis)
- University of São Paulo, São Paulo, Brazil (E.S. Rodrigues, S. Kashima)
- Pan American Health Organization/World Health Organization, Washington, DC, USA (J. Leite, L. Gresh, L. Franco, J.M. Rico)
- Stellenbosch University, Stellenbosch, South Africa (H. Tegally, T. de Oliveira)
- University of KwaZulu-Natal, Durban, South Africa (H. Tegally, R. Lessels, T. de Oliveira)
- National Institutes of Health, Bethesda, Maryland, USA (W.C. Van Voorhis)
- Dirección General de Vigilancia de la Salud, Asunción (A. Ojeda, G. Sequera)
- Organización Panamericana de la Salud/Organización Mundial de la Salud Asuncion (R. Montoya)
- University of Sydney, Sydney, New South Wales, Australia (E.C. Holmes)
- University of Lisbon, Lisbon, Portugal (J. Lourenço)
- Organização Pan-Americana da Saúde/Organização/Mundial da Saúde, Brasilia, Brazil. (V. Fonseca)
| | - Evandra S. Rodrigues
- Università Campus Bio-Medico di Roma, Italy (M. Giovanetti)
- Instituto Oswaldo Cruz, Belo Horizonte, Brazil (M. Giovanetti, M. Lima, E. Castro, J. Xavier, H. Fritsch, L.C.J. Alcantara)
- Laboratorio Central de Salud Pública, Asunción, Paraguay (C. Vazquez, A. Rojas, A. Gomez de la Fuente, C. Aquino, C. Cantero, F. Fleitas, J. Torales, J. Barrios, M.J. Ortega, M.L. Gamarra, S. Villalba, T. Alfonzo)
- Central de Saúde Pública do Estado de Minas Gerais, Ezequiel Dias, Brazil (M. Lima, E. Castro, T. Adelino, F.C.M. Iani, G.C. Pereira)
- Universidade Federal de Minas Gerais, Belo Horizonte (J. Xavier, H. Fritsch)
- Instituto Oswaldo Cruz, Rio de Janeiro, Brazil (C. de Oliveira, G. Schuab, A.M.B. de Filippis)
- University of São Paulo, São Paulo, Brazil (E.S. Rodrigues, S. Kashima)
- Pan American Health Organization/World Health Organization, Washington, DC, USA (J. Leite, L. Gresh, L. Franco, J.M. Rico)
- Stellenbosch University, Stellenbosch, South Africa (H. Tegally, T. de Oliveira)
- University of KwaZulu-Natal, Durban, South Africa (H. Tegally, R. Lessels, T. de Oliveira)
- National Institutes of Health, Bethesda, Maryland, USA (W.C. Van Voorhis)
- Dirección General de Vigilancia de la Salud, Asunción (A. Ojeda, G. Sequera)
- Organización Panamericana de la Salud/Organización Mundial de la Salud Asuncion (R. Montoya)
- University of Sydney, Sydney, New South Wales, Australia (E.C. Holmes)
- University of Lisbon, Lisbon, Portugal (J. Lourenço)
- Organização Pan-Americana da Saúde/Organização/Mundial da Saúde, Brasilia, Brazil. (V. Fonseca)
| | - Simone Kashima
- Università Campus Bio-Medico di Roma, Italy (M. Giovanetti)
- Instituto Oswaldo Cruz, Belo Horizonte, Brazil (M. Giovanetti, M. Lima, E. Castro, J. Xavier, H. Fritsch, L.C.J. Alcantara)
- Laboratorio Central de Salud Pública, Asunción, Paraguay (C. Vazquez, A. Rojas, A. Gomez de la Fuente, C. Aquino, C. Cantero, F. Fleitas, J. Torales, J. Barrios, M.J. Ortega, M.L. Gamarra, S. Villalba, T. Alfonzo)
- Central de Saúde Pública do Estado de Minas Gerais, Ezequiel Dias, Brazil (M. Lima, E. Castro, T. Adelino, F.C.M. Iani, G.C. Pereira)
- Universidade Federal de Minas Gerais, Belo Horizonte (J. Xavier, H. Fritsch)
- Instituto Oswaldo Cruz, Rio de Janeiro, Brazil (C. de Oliveira, G. Schuab, A.M.B. de Filippis)
- University of São Paulo, São Paulo, Brazil (E.S. Rodrigues, S. Kashima)
- Pan American Health Organization/World Health Organization, Washington, DC, USA (J. Leite, L. Gresh, L. Franco, J.M. Rico)
- Stellenbosch University, Stellenbosch, South Africa (H. Tegally, T. de Oliveira)
- University of KwaZulu-Natal, Durban, South Africa (H. Tegally, R. Lessels, T. de Oliveira)
- National Institutes of Health, Bethesda, Maryland, USA (W.C. Van Voorhis)
- Dirección General de Vigilancia de la Salud, Asunción (A. Ojeda, G. Sequera)
- Organización Panamericana de la Salud/Organización Mundial de la Salud Asuncion (R. Montoya)
- University of Sydney, Sydney, New South Wales, Australia (E.C. Holmes)
- University of Lisbon, Lisbon, Portugal (J. Lourenço)
- Organização Pan-Americana da Saúde/Organização/Mundial da Saúde, Brasilia, Brazil. (V. Fonseca)
| | - Juliana Leite
- Università Campus Bio-Medico di Roma, Italy (M. Giovanetti)
- Instituto Oswaldo Cruz, Belo Horizonte, Brazil (M. Giovanetti, M. Lima, E. Castro, J. Xavier, H. Fritsch, L.C.J. Alcantara)
- Laboratorio Central de Salud Pública, Asunción, Paraguay (C. Vazquez, A. Rojas, A. Gomez de la Fuente, C. Aquino, C. Cantero, F. Fleitas, J. Torales, J. Barrios, M.J. Ortega, M.L. Gamarra, S. Villalba, T. Alfonzo)
- Central de Saúde Pública do Estado de Minas Gerais, Ezequiel Dias, Brazil (M. Lima, E. Castro, T. Adelino, F.C.M. Iani, G.C. Pereira)
- Universidade Federal de Minas Gerais, Belo Horizonte (J. Xavier, H. Fritsch)
- Instituto Oswaldo Cruz, Rio de Janeiro, Brazil (C. de Oliveira, G. Schuab, A.M.B. de Filippis)
- University of São Paulo, São Paulo, Brazil (E.S. Rodrigues, S. Kashima)
- Pan American Health Organization/World Health Organization, Washington, DC, USA (J. Leite, L. Gresh, L. Franco, J.M. Rico)
- Stellenbosch University, Stellenbosch, South Africa (H. Tegally, T. de Oliveira)
- University of KwaZulu-Natal, Durban, South Africa (H. Tegally, R. Lessels, T. de Oliveira)
- National Institutes of Health, Bethesda, Maryland, USA (W.C. Van Voorhis)
- Dirección General de Vigilancia de la Salud, Asunción (A. Ojeda, G. Sequera)
- Organización Panamericana de la Salud/Organización Mundial de la Salud Asuncion (R. Montoya)
- University of Sydney, Sydney, New South Wales, Australia (E.C. Holmes)
- University of Lisbon, Lisbon, Portugal (J. Lourenço)
- Organização Pan-Americana da Saúde/Organização/Mundial da Saúde, Brasilia, Brazil. (V. Fonseca)
| | - Lionel Gresh
- Università Campus Bio-Medico di Roma, Italy (M. Giovanetti)
- Instituto Oswaldo Cruz, Belo Horizonte, Brazil (M. Giovanetti, M. Lima, E. Castro, J. Xavier, H. Fritsch, L.C.J. Alcantara)
- Laboratorio Central de Salud Pública, Asunción, Paraguay (C. Vazquez, A. Rojas, A. Gomez de la Fuente, C. Aquino, C. Cantero, F. Fleitas, J. Torales, J. Barrios, M.J. Ortega, M.L. Gamarra, S. Villalba, T. Alfonzo)
- Central de Saúde Pública do Estado de Minas Gerais, Ezequiel Dias, Brazil (M. Lima, E. Castro, T. Adelino, F.C.M. Iani, G.C. Pereira)
- Universidade Federal de Minas Gerais, Belo Horizonte (J. Xavier, H. Fritsch)
- Instituto Oswaldo Cruz, Rio de Janeiro, Brazil (C. de Oliveira, G. Schuab, A.M.B. de Filippis)
- University of São Paulo, São Paulo, Brazil (E.S. Rodrigues, S. Kashima)
- Pan American Health Organization/World Health Organization, Washington, DC, USA (J. Leite, L. Gresh, L. Franco, J.M. Rico)
- Stellenbosch University, Stellenbosch, South Africa (H. Tegally, T. de Oliveira)
- University of KwaZulu-Natal, Durban, South Africa (H. Tegally, R. Lessels, T. de Oliveira)
- National Institutes of Health, Bethesda, Maryland, USA (W.C. Van Voorhis)
- Dirección General de Vigilancia de la Salud, Asunción (A. Ojeda, G. Sequera)
- Organización Panamericana de la Salud/Organización Mundial de la Salud Asuncion (R. Montoya)
- University of Sydney, Sydney, New South Wales, Australia (E.C. Holmes)
- University of Lisbon, Lisbon, Portugal (J. Lourenço)
- Organização Pan-Americana da Saúde/Organização/Mundial da Saúde, Brasilia, Brazil. (V. Fonseca)
| | - Leticia Franco
- Università Campus Bio-Medico di Roma, Italy (M. Giovanetti)
- Instituto Oswaldo Cruz, Belo Horizonte, Brazil (M. Giovanetti, M. Lima, E. Castro, J. Xavier, H. Fritsch, L.C.J. Alcantara)
- Laboratorio Central de Salud Pública, Asunción, Paraguay (C. Vazquez, A. Rojas, A. Gomez de la Fuente, C. Aquino, C. Cantero, F. Fleitas, J. Torales, J. Barrios, M.J. Ortega, M.L. Gamarra, S. Villalba, T. Alfonzo)
- Central de Saúde Pública do Estado de Minas Gerais, Ezequiel Dias, Brazil (M. Lima, E. Castro, T. Adelino, F.C.M. Iani, G.C. Pereira)
- Universidade Federal de Minas Gerais, Belo Horizonte (J. Xavier, H. Fritsch)
- Instituto Oswaldo Cruz, Rio de Janeiro, Brazil (C. de Oliveira, G. Schuab, A.M.B. de Filippis)
- University of São Paulo, São Paulo, Brazil (E.S. Rodrigues, S. Kashima)
- Pan American Health Organization/World Health Organization, Washington, DC, USA (J. Leite, L. Gresh, L. Franco, J.M. Rico)
- Stellenbosch University, Stellenbosch, South Africa (H. Tegally, T. de Oliveira)
- University of KwaZulu-Natal, Durban, South Africa (H. Tegally, R. Lessels, T. de Oliveira)
- National Institutes of Health, Bethesda, Maryland, USA (W.C. Van Voorhis)
- Dirección General de Vigilancia de la Salud, Asunción (A. Ojeda, G. Sequera)
- Organización Panamericana de la Salud/Organización Mundial de la Salud Asuncion (R. Montoya)
- University of Sydney, Sydney, New South Wales, Australia (E.C. Holmes)
- University of Lisbon, Lisbon, Portugal (J. Lourenço)
- Organização Pan-Americana da Saúde/Organização/Mundial da Saúde, Brasilia, Brazil. (V. Fonseca)
| | - Houriiyah Tegally
- Università Campus Bio-Medico di Roma, Italy (M. Giovanetti)
- Instituto Oswaldo Cruz, Belo Horizonte, Brazil (M. Giovanetti, M. Lima, E. Castro, J. Xavier, H. Fritsch, L.C.J. Alcantara)
- Laboratorio Central de Salud Pública, Asunción, Paraguay (C. Vazquez, A. Rojas, A. Gomez de la Fuente, C. Aquino, C. Cantero, F. Fleitas, J. Torales, J. Barrios, M.J. Ortega, M.L. Gamarra, S. Villalba, T. Alfonzo)
- Central de Saúde Pública do Estado de Minas Gerais, Ezequiel Dias, Brazil (M. Lima, E. Castro, T. Adelino, F.C.M. Iani, G.C. Pereira)
- Universidade Federal de Minas Gerais, Belo Horizonte (J. Xavier, H. Fritsch)
- Instituto Oswaldo Cruz, Rio de Janeiro, Brazil (C. de Oliveira, G. Schuab, A.M.B. de Filippis)
- University of São Paulo, São Paulo, Brazil (E.S. Rodrigues, S. Kashima)
- Pan American Health Organization/World Health Organization, Washington, DC, USA (J. Leite, L. Gresh, L. Franco, J.M. Rico)
- Stellenbosch University, Stellenbosch, South Africa (H. Tegally, T. de Oliveira)
- University of KwaZulu-Natal, Durban, South Africa (H. Tegally, R. Lessels, T. de Oliveira)
- National Institutes of Health, Bethesda, Maryland, USA (W.C. Van Voorhis)
- Dirección General de Vigilancia de la Salud, Asunción (A. Ojeda, G. Sequera)
- Organización Panamericana de la Salud/Organización Mundial de la Salud Asuncion (R. Montoya)
- University of Sydney, Sydney, New South Wales, Australia (E.C. Holmes)
- University of Lisbon, Lisbon, Portugal (J. Lourenço)
- Organização Pan-Americana da Saúde/Organização/Mundial da Saúde, Brasilia, Brazil. (V. Fonseca)
| | - Wesley C. Van Voorhis
- Università Campus Bio-Medico di Roma, Italy (M. Giovanetti)
- Instituto Oswaldo Cruz, Belo Horizonte, Brazil (M. Giovanetti, M. Lima, E. Castro, J. Xavier, H. Fritsch, L.C.J. Alcantara)
- Laboratorio Central de Salud Pública, Asunción, Paraguay (C. Vazquez, A. Rojas, A. Gomez de la Fuente, C. Aquino, C. Cantero, F. Fleitas, J. Torales, J. Barrios, M.J. Ortega, M.L. Gamarra, S. Villalba, T. Alfonzo)
- Central de Saúde Pública do Estado de Minas Gerais, Ezequiel Dias, Brazil (M. Lima, E. Castro, T. Adelino, F.C.M. Iani, G.C. Pereira)
- Universidade Federal de Minas Gerais, Belo Horizonte (J. Xavier, H. Fritsch)
- Instituto Oswaldo Cruz, Rio de Janeiro, Brazil (C. de Oliveira, G. Schuab, A.M.B. de Filippis)
- University of São Paulo, São Paulo, Brazil (E.S. Rodrigues, S. Kashima)
- Pan American Health Organization/World Health Organization, Washington, DC, USA (J. Leite, L. Gresh, L. Franco, J.M. Rico)
- Stellenbosch University, Stellenbosch, South Africa (H. Tegally, T. de Oliveira)
- University of KwaZulu-Natal, Durban, South Africa (H. Tegally, R. Lessels, T. de Oliveira)
- National Institutes of Health, Bethesda, Maryland, USA (W.C. Van Voorhis)
- Dirección General de Vigilancia de la Salud, Asunción (A. Ojeda, G. Sequera)
- Organización Panamericana de la Salud/Organización Mundial de la Salud Asuncion (R. Montoya)
- University of Sydney, Sydney, New South Wales, Australia (E.C. Holmes)
- University of Lisbon, Lisbon, Portugal (J. Lourenço)
- Organização Pan-Americana da Saúde/Organização/Mundial da Saúde, Brasilia, Brazil. (V. Fonseca)
| | - Richard Lessels
- Università Campus Bio-Medico di Roma, Italy (M. Giovanetti)
- Instituto Oswaldo Cruz, Belo Horizonte, Brazil (M. Giovanetti, M. Lima, E. Castro, J. Xavier, H. Fritsch, L.C.J. Alcantara)
- Laboratorio Central de Salud Pública, Asunción, Paraguay (C. Vazquez, A. Rojas, A. Gomez de la Fuente, C. Aquino, C. Cantero, F. Fleitas, J. Torales, J. Barrios, M.J. Ortega, M.L. Gamarra, S. Villalba, T. Alfonzo)
- Central de Saúde Pública do Estado de Minas Gerais, Ezequiel Dias, Brazil (M. Lima, E. Castro, T. Adelino, F.C.M. Iani, G.C. Pereira)
- Universidade Federal de Minas Gerais, Belo Horizonte (J. Xavier, H. Fritsch)
- Instituto Oswaldo Cruz, Rio de Janeiro, Brazil (C. de Oliveira, G. Schuab, A.M.B. de Filippis)
- University of São Paulo, São Paulo, Brazil (E.S. Rodrigues, S. Kashima)
- Pan American Health Organization/World Health Organization, Washington, DC, USA (J. Leite, L. Gresh, L. Franco, J.M. Rico)
- Stellenbosch University, Stellenbosch, South Africa (H. Tegally, T. de Oliveira)
- University of KwaZulu-Natal, Durban, South Africa (H. Tegally, R. Lessels, T. de Oliveira)
- National Institutes of Health, Bethesda, Maryland, USA (W.C. Van Voorhis)
- Dirección General de Vigilancia de la Salud, Asunción (A. Ojeda, G. Sequera)
- Organización Panamericana de la Salud/Organización Mundial de la Salud Asuncion (R. Montoya)
- University of Sydney, Sydney, New South Wales, Australia (E.C. Holmes)
- University of Lisbon, Lisbon, Portugal (J. Lourenço)
- Organização Pan-Americana da Saúde/Organização/Mundial da Saúde, Brasilia, Brazil. (V. Fonseca)
| | - Ana Maria Bispo de Filippis
- Università Campus Bio-Medico di Roma, Italy (M. Giovanetti)
- Instituto Oswaldo Cruz, Belo Horizonte, Brazil (M. Giovanetti, M. Lima, E. Castro, J. Xavier, H. Fritsch, L.C.J. Alcantara)
- Laboratorio Central de Salud Pública, Asunción, Paraguay (C. Vazquez, A. Rojas, A. Gomez de la Fuente, C. Aquino, C. Cantero, F. Fleitas, J. Torales, J. Barrios, M.J. Ortega, M.L. Gamarra, S. Villalba, T. Alfonzo)
- Central de Saúde Pública do Estado de Minas Gerais, Ezequiel Dias, Brazil (M. Lima, E. Castro, T. Adelino, F.C.M. Iani, G.C. Pereira)
- Universidade Federal de Minas Gerais, Belo Horizonte (J. Xavier, H. Fritsch)
- Instituto Oswaldo Cruz, Rio de Janeiro, Brazil (C. de Oliveira, G. Schuab, A.M.B. de Filippis)
- University of São Paulo, São Paulo, Brazil (E.S. Rodrigues, S. Kashima)
- Pan American Health Organization/World Health Organization, Washington, DC, USA (J. Leite, L. Gresh, L. Franco, J.M. Rico)
- Stellenbosch University, Stellenbosch, South Africa (H. Tegally, T. de Oliveira)
- University of KwaZulu-Natal, Durban, South Africa (H. Tegally, R. Lessels, T. de Oliveira)
- National Institutes of Health, Bethesda, Maryland, USA (W.C. Van Voorhis)
- Dirección General de Vigilancia de la Salud, Asunción (A. Ojeda, G. Sequera)
- Organización Panamericana de la Salud/Organización Mundial de la Salud Asuncion (R. Montoya)
- University of Sydney, Sydney, New South Wales, Australia (E.C. Holmes)
- University of Lisbon, Lisbon, Portugal (J. Lourenço)
- Organização Pan-Americana da Saúde/Organização/Mundial da Saúde, Brasilia, Brazil. (V. Fonseca)
| | - Andrea Ojeda
- Università Campus Bio-Medico di Roma, Italy (M. Giovanetti)
- Instituto Oswaldo Cruz, Belo Horizonte, Brazil (M. Giovanetti, M. Lima, E. Castro, J. Xavier, H. Fritsch, L.C.J. Alcantara)
- Laboratorio Central de Salud Pública, Asunción, Paraguay (C. Vazquez, A. Rojas, A. Gomez de la Fuente, C. Aquino, C. Cantero, F. Fleitas, J. Torales, J. Barrios, M.J. Ortega, M.L. Gamarra, S. Villalba, T. Alfonzo)
- Central de Saúde Pública do Estado de Minas Gerais, Ezequiel Dias, Brazil (M. Lima, E. Castro, T. Adelino, F.C.M. Iani, G.C. Pereira)
- Universidade Federal de Minas Gerais, Belo Horizonte (J. Xavier, H. Fritsch)
- Instituto Oswaldo Cruz, Rio de Janeiro, Brazil (C. de Oliveira, G. Schuab, A.M.B. de Filippis)
- University of São Paulo, São Paulo, Brazil (E.S. Rodrigues, S. Kashima)
- Pan American Health Organization/World Health Organization, Washington, DC, USA (J. Leite, L. Gresh, L. Franco, J.M. Rico)
- Stellenbosch University, Stellenbosch, South Africa (H. Tegally, T. de Oliveira)
- University of KwaZulu-Natal, Durban, South Africa (H. Tegally, R. Lessels, T. de Oliveira)
- National Institutes of Health, Bethesda, Maryland, USA (W.C. Van Voorhis)
- Dirección General de Vigilancia de la Salud, Asunción (A. Ojeda, G. Sequera)
- Organización Panamericana de la Salud/Organización Mundial de la Salud Asuncion (R. Montoya)
- University of Sydney, Sydney, New South Wales, Australia (E.C. Holmes)
- University of Lisbon, Lisbon, Portugal (J. Lourenço)
- Organização Pan-Americana da Saúde/Organização/Mundial da Saúde, Brasilia, Brazil. (V. Fonseca)
| | - Guillermo Sequera
- Università Campus Bio-Medico di Roma, Italy (M. Giovanetti)
- Instituto Oswaldo Cruz, Belo Horizonte, Brazil (M. Giovanetti, M. Lima, E. Castro, J. Xavier, H. Fritsch, L.C.J. Alcantara)
- Laboratorio Central de Salud Pública, Asunción, Paraguay (C. Vazquez, A. Rojas, A. Gomez de la Fuente, C. Aquino, C. Cantero, F. Fleitas, J. Torales, J. Barrios, M.J. Ortega, M.L. Gamarra, S. Villalba, T. Alfonzo)
- Central de Saúde Pública do Estado de Minas Gerais, Ezequiel Dias, Brazil (M. Lima, E. Castro, T. Adelino, F.C.M. Iani, G.C. Pereira)
- Universidade Federal de Minas Gerais, Belo Horizonte (J. Xavier, H. Fritsch)
- Instituto Oswaldo Cruz, Rio de Janeiro, Brazil (C. de Oliveira, G. Schuab, A.M.B. de Filippis)
- University of São Paulo, São Paulo, Brazil (E.S. Rodrigues, S. Kashima)
- Pan American Health Organization/World Health Organization, Washington, DC, USA (J. Leite, L. Gresh, L. Franco, J.M. Rico)
- Stellenbosch University, Stellenbosch, South Africa (H. Tegally, T. de Oliveira)
- University of KwaZulu-Natal, Durban, South Africa (H. Tegally, R. Lessels, T. de Oliveira)
- National Institutes of Health, Bethesda, Maryland, USA (W.C. Van Voorhis)
- Dirección General de Vigilancia de la Salud, Asunción (A. Ojeda, G. Sequera)
- Organización Panamericana de la Salud/Organización Mundial de la Salud Asuncion (R. Montoya)
- University of Sydney, Sydney, New South Wales, Australia (E.C. Holmes)
- University of Lisbon, Lisbon, Portugal (J. Lourenço)
- Organização Pan-Americana da Saúde/Organização/Mundial da Saúde, Brasilia, Brazil. (V. Fonseca)
| | - Romeo Montoya
- Università Campus Bio-Medico di Roma, Italy (M. Giovanetti)
- Instituto Oswaldo Cruz, Belo Horizonte, Brazil (M. Giovanetti, M. Lima, E. Castro, J. Xavier, H. Fritsch, L.C.J. Alcantara)
- Laboratorio Central de Salud Pública, Asunción, Paraguay (C. Vazquez, A. Rojas, A. Gomez de la Fuente, C. Aquino, C. Cantero, F. Fleitas, J. Torales, J. Barrios, M.J. Ortega, M.L. Gamarra, S. Villalba, T. Alfonzo)
- Central de Saúde Pública do Estado de Minas Gerais, Ezequiel Dias, Brazil (M. Lima, E. Castro, T. Adelino, F.C.M. Iani, G.C. Pereira)
- Universidade Federal de Minas Gerais, Belo Horizonte (J. Xavier, H. Fritsch)
- Instituto Oswaldo Cruz, Rio de Janeiro, Brazil (C. de Oliveira, G. Schuab, A.M.B. de Filippis)
- University of São Paulo, São Paulo, Brazil (E.S. Rodrigues, S. Kashima)
- Pan American Health Organization/World Health Organization, Washington, DC, USA (J. Leite, L. Gresh, L. Franco, J.M. Rico)
- Stellenbosch University, Stellenbosch, South Africa (H. Tegally, T. de Oliveira)
- University of KwaZulu-Natal, Durban, South Africa (H. Tegally, R. Lessels, T. de Oliveira)
- National Institutes of Health, Bethesda, Maryland, USA (W.C. Van Voorhis)
- Dirección General de Vigilancia de la Salud, Asunción (A. Ojeda, G. Sequera)
- Organización Panamericana de la Salud/Organización Mundial de la Salud Asuncion (R. Montoya)
- University of Sydney, Sydney, New South Wales, Australia (E.C. Holmes)
- University of Lisbon, Lisbon, Portugal (J. Lourenço)
- Organização Pan-Americana da Saúde/Organização/Mundial da Saúde, Brasilia, Brazil. (V. Fonseca)
| | - Edward C. Holmes
- Università Campus Bio-Medico di Roma, Italy (M. Giovanetti)
- Instituto Oswaldo Cruz, Belo Horizonte, Brazil (M. Giovanetti, M. Lima, E. Castro, J. Xavier, H. Fritsch, L.C.J. Alcantara)
- Laboratorio Central de Salud Pública, Asunción, Paraguay (C. Vazquez, A. Rojas, A. Gomez de la Fuente, C. Aquino, C. Cantero, F. Fleitas, J. Torales, J. Barrios, M.J. Ortega, M.L. Gamarra, S. Villalba, T. Alfonzo)
- Central de Saúde Pública do Estado de Minas Gerais, Ezequiel Dias, Brazil (M. Lima, E. Castro, T. Adelino, F.C.M. Iani, G.C. Pereira)
- Universidade Federal de Minas Gerais, Belo Horizonte (J. Xavier, H. Fritsch)
- Instituto Oswaldo Cruz, Rio de Janeiro, Brazil (C. de Oliveira, G. Schuab, A.M.B. de Filippis)
- University of São Paulo, São Paulo, Brazil (E.S. Rodrigues, S. Kashima)
- Pan American Health Organization/World Health Organization, Washington, DC, USA (J. Leite, L. Gresh, L. Franco, J.M. Rico)
- Stellenbosch University, Stellenbosch, South Africa (H. Tegally, T. de Oliveira)
- University of KwaZulu-Natal, Durban, South Africa (H. Tegally, R. Lessels, T. de Oliveira)
- National Institutes of Health, Bethesda, Maryland, USA (W.C. Van Voorhis)
- Dirección General de Vigilancia de la Salud, Asunción (A. Ojeda, G. Sequera)
- Organización Panamericana de la Salud/Organización Mundial de la Salud Asuncion (R. Montoya)
- University of Sydney, Sydney, New South Wales, Australia (E.C. Holmes)
- University of Lisbon, Lisbon, Portugal (J. Lourenço)
- Organização Pan-Americana da Saúde/Organização/Mundial da Saúde, Brasilia, Brazil. (V. Fonseca)
| | - Tulio de Oliveira
- Università Campus Bio-Medico di Roma, Italy (M. Giovanetti)
- Instituto Oswaldo Cruz, Belo Horizonte, Brazil (M. Giovanetti, M. Lima, E. Castro, J. Xavier, H. Fritsch, L.C.J. Alcantara)
- Laboratorio Central de Salud Pública, Asunción, Paraguay (C. Vazquez, A. Rojas, A. Gomez de la Fuente, C. Aquino, C. Cantero, F. Fleitas, J. Torales, J. Barrios, M.J. Ortega, M.L. Gamarra, S. Villalba, T. Alfonzo)
- Central de Saúde Pública do Estado de Minas Gerais, Ezequiel Dias, Brazil (M. Lima, E. Castro, T. Adelino, F.C.M. Iani, G.C. Pereira)
- Universidade Federal de Minas Gerais, Belo Horizonte (J. Xavier, H. Fritsch)
- Instituto Oswaldo Cruz, Rio de Janeiro, Brazil (C. de Oliveira, G. Schuab, A.M.B. de Filippis)
- University of São Paulo, São Paulo, Brazil (E.S. Rodrigues, S. Kashima)
- Pan American Health Organization/World Health Organization, Washington, DC, USA (J. Leite, L. Gresh, L. Franco, J.M. Rico)
- Stellenbosch University, Stellenbosch, South Africa (H. Tegally, T. de Oliveira)
- University of KwaZulu-Natal, Durban, South Africa (H. Tegally, R. Lessels, T. de Oliveira)
- National Institutes of Health, Bethesda, Maryland, USA (W.C. Van Voorhis)
- Dirección General de Vigilancia de la Salud, Asunción (A. Ojeda, G. Sequera)
- Organización Panamericana de la Salud/Organización Mundial de la Salud Asuncion (R. Montoya)
- University of Sydney, Sydney, New South Wales, Australia (E.C. Holmes)
- University of Lisbon, Lisbon, Portugal (J. Lourenço)
- Organização Pan-Americana da Saúde/Organização/Mundial da Saúde, Brasilia, Brazil. (V. Fonseca)
| | - Jairo M. Rico
- Università Campus Bio-Medico di Roma, Italy (M. Giovanetti)
- Instituto Oswaldo Cruz, Belo Horizonte, Brazil (M. Giovanetti, M. Lima, E. Castro, J. Xavier, H. Fritsch, L.C.J. Alcantara)
- Laboratorio Central de Salud Pública, Asunción, Paraguay (C. Vazquez, A. Rojas, A. Gomez de la Fuente, C. Aquino, C. Cantero, F. Fleitas, J. Torales, J. Barrios, M.J. Ortega, M.L. Gamarra, S. Villalba, T. Alfonzo)
- Central de Saúde Pública do Estado de Minas Gerais, Ezequiel Dias, Brazil (M. Lima, E. Castro, T. Adelino, F.C.M. Iani, G.C. Pereira)
- Universidade Federal de Minas Gerais, Belo Horizonte (J. Xavier, H. Fritsch)
- Instituto Oswaldo Cruz, Rio de Janeiro, Brazil (C. de Oliveira, G. Schuab, A.M.B. de Filippis)
- University of São Paulo, São Paulo, Brazil (E.S. Rodrigues, S. Kashima)
- Pan American Health Organization/World Health Organization, Washington, DC, USA (J. Leite, L. Gresh, L. Franco, J.M. Rico)
- Stellenbosch University, Stellenbosch, South Africa (H. Tegally, T. de Oliveira)
- University of KwaZulu-Natal, Durban, South Africa (H. Tegally, R. Lessels, T. de Oliveira)
- National Institutes of Health, Bethesda, Maryland, USA (W.C. Van Voorhis)
- Dirección General de Vigilancia de la Salud, Asunción (A. Ojeda, G. Sequera)
- Organización Panamericana de la Salud/Organización Mundial de la Salud Asuncion (R. Montoya)
- University of Sydney, Sydney, New South Wales, Australia (E.C. Holmes)
- University of Lisbon, Lisbon, Portugal (J. Lourenço)
- Organização Pan-Americana da Saúde/Organização/Mundial da Saúde, Brasilia, Brazil. (V. Fonseca)
| | - José Lourenço
- Università Campus Bio-Medico di Roma, Italy (M. Giovanetti)
- Instituto Oswaldo Cruz, Belo Horizonte, Brazil (M. Giovanetti, M. Lima, E. Castro, J. Xavier, H. Fritsch, L.C.J. Alcantara)
- Laboratorio Central de Salud Pública, Asunción, Paraguay (C. Vazquez, A. Rojas, A. Gomez de la Fuente, C. Aquino, C. Cantero, F. Fleitas, J. Torales, J. Barrios, M.J. Ortega, M.L. Gamarra, S. Villalba, T. Alfonzo)
- Central de Saúde Pública do Estado de Minas Gerais, Ezequiel Dias, Brazil (M. Lima, E. Castro, T. Adelino, F.C.M. Iani, G.C. Pereira)
- Universidade Federal de Minas Gerais, Belo Horizonte (J. Xavier, H. Fritsch)
- Instituto Oswaldo Cruz, Rio de Janeiro, Brazil (C. de Oliveira, G. Schuab, A.M.B. de Filippis)
- University of São Paulo, São Paulo, Brazil (E.S. Rodrigues, S. Kashima)
- Pan American Health Organization/World Health Organization, Washington, DC, USA (J. Leite, L. Gresh, L. Franco, J.M. Rico)
- Stellenbosch University, Stellenbosch, South Africa (H. Tegally, T. de Oliveira)
- University of KwaZulu-Natal, Durban, South Africa (H. Tegally, R. Lessels, T. de Oliveira)
- National Institutes of Health, Bethesda, Maryland, USA (W.C. Van Voorhis)
- Dirección General de Vigilancia de la Salud, Asunción (A. Ojeda, G. Sequera)
- Organización Panamericana de la Salud/Organización Mundial de la Salud Asuncion (R. Montoya)
- University of Sydney, Sydney, New South Wales, Australia (E.C. Holmes)
- University of Lisbon, Lisbon, Portugal (J. Lourenço)
- Organização Pan-Americana da Saúde/Organização/Mundial da Saúde, Brasilia, Brazil. (V. Fonseca)
| | - Vagner Fonseca
- Università Campus Bio-Medico di Roma, Italy (M. Giovanetti)
- Instituto Oswaldo Cruz, Belo Horizonte, Brazil (M. Giovanetti, M. Lima, E. Castro, J. Xavier, H. Fritsch, L.C.J. Alcantara)
- Laboratorio Central de Salud Pública, Asunción, Paraguay (C. Vazquez, A. Rojas, A. Gomez de la Fuente, C. Aquino, C. Cantero, F. Fleitas, J. Torales, J. Barrios, M.J. Ortega, M.L. Gamarra, S. Villalba, T. Alfonzo)
- Central de Saúde Pública do Estado de Minas Gerais, Ezequiel Dias, Brazil (M. Lima, E. Castro, T. Adelino, F.C.M. Iani, G.C. Pereira)
- Universidade Federal de Minas Gerais, Belo Horizonte (J. Xavier, H. Fritsch)
- Instituto Oswaldo Cruz, Rio de Janeiro, Brazil (C. de Oliveira, G. Schuab, A.M.B. de Filippis)
- University of São Paulo, São Paulo, Brazil (E.S. Rodrigues, S. Kashima)
- Pan American Health Organization/World Health Organization, Washington, DC, USA (J. Leite, L. Gresh, L. Franco, J.M. Rico)
- Stellenbosch University, Stellenbosch, South Africa (H. Tegally, T. de Oliveira)
- University of KwaZulu-Natal, Durban, South Africa (H. Tegally, R. Lessels, T. de Oliveira)
- National Institutes of Health, Bethesda, Maryland, USA (W.C. Van Voorhis)
- Dirección General de Vigilancia de la Salud, Asunción (A. Ojeda, G. Sequera)
- Organización Panamericana de la Salud/Organización Mundial de la Salud Asuncion (R. Montoya)
- University of Sydney, Sydney, New South Wales, Australia (E.C. Holmes)
- University of Lisbon, Lisbon, Portugal (J. Lourenço)
- Organização Pan-Americana da Saúde/Organização/Mundial da Saúde, Brasilia, Brazil. (V. Fonseca)
| | - Luiz C.J. Alcantara
- Università Campus Bio-Medico di Roma, Italy (M. Giovanetti)
- Instituto Oswaldo Cruz, Belo Horizonte, Brazil (M. Giovanetti, M. Lima, E. Castro, J. Xavier, H. Fritsch, L.C.J. Alcantara)
- Laboratorio Central de Salud Pública, Asunción, Paraguay (C. Vazquez, A. Rojas, A. Gomez de la Fuente, C. Aquino, C. Cantero, F. Fleitas, J. Torales, J. Barrios, M.J. Ortega, M.L. Gamarra, S. Villalba, T. Alfonzo)
- Central de Saúde Pública do Estado de Minas Gerais, Ezequiel Dias, Brazil (M. Lima, E. Castro, T. Adelino, F.C.M. Iani, G.C. Pereira)
- Universidade Federal de Minas Gerais, Belo Horizonte (J. Xavier, H. Fritsch)
- Instituto Oswaldo Cruz, Rio de Janeiro, Brazil (C. de Oliveira, G. Schuab, A.M.B. de Filippis)
- University of São Paulo, São Paulo, Brazil (E.S. Rodrigues, S. Kashima)
- Pan American Health Organization/World Health Organization, Washington, DC, USA (J. Leite, L. Gresh, L. Franco, J.M. Rico)
- Stellenbosch University, Stellenbosch, South Africa (H. Tegally, T. de Oliveira)
- University of KwaZulu-Natal, Durban, South Africa (H. Tegally, R. Lessels, T. de Oliveira)
- National Institutes of Health, Bethesda, Maryland, USA (W.C. Van Voorhis)
- Dirección General de Vigilancia de la Salud, Asunción (A. Ojeda, G. Sequera)
- Organización Panamericana de la Salud/Organización Mundial de la Salud Asuncion (R. Montoya)
- University of Sydney, Sydney, New South Wales, Australia (E.C. Holmes)
- University of Lisbon, Lisbon, Portugal (J. Lourenço)
- Organização Pan-Americana da Saúde/Organização/Mundial da Saúde, Brasilia, Brazil. (V. Fonseca)
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Castilho de Arruda LD, Giovanetti M, Fonseca V, Zardin MCSU, Lichs GGDC, Asato S, Esposito AOP, Tokeshi Müller M, Xavier J, Fritsch H, Lima M, de Oliveira C, Santos EV, Maziero LDMA, Frias DFR, Ahad das Neves D, Ferreira da Silva L, Rodrigues Barretos EC, Tsuha Oshiro PE, Modafari Goday B, Lemos dos Santos JK, Kashima S, de Albuquerque CFC, Said RFDC, Rosewell A, Demarchi LHF, Croda J, Alcantara LCJ, Cavalheiro Maymone Gonçalves C. Dengue Fever Surveillance in Mato Grosso do Sul: Insights from Genomic Analysis and Implications for Public Health Strategies. Viruses 2023; 15:1790. [PMID: 37766197 PMCID: PMC10536684 DOI: 10.3390/v15091790] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2023] [Revised: 08/17/2023] [Accepted: 08/21/2023] [Indexed: 09/29/2023] Open
Abstract
Since its discovery in early 1916, dengue fever, a common vector-borne illness in Brazil, has resulted in extensive urban outbreaks and poses a serious threat to the public's health. Understanding the dynamics of Dengue Virus (DENV) serotypes circulating in different regions of Brazil is essential for implementing effective disease control and prevention measures. In response to this urgent need, we conducted an on-site training program in genomic surveillance in collaboration with the Central Laboratory of Health and the Secretary of Health of the Mato Grosso do Sul state. This initiative resulted in the generation of 177 DENV genome sequences collected between May 2021 and May 2022, a period during which over 11,391 dengue fever cases were reported in the state. Through this approach, we were able to identify the co-circulation of two different dengue serotypes (DENV1 and DENV2) as well as the existence of diverse viral lineages within each genotype, suggesting that multiple introduction events of different viral strains occurred in the region. By integrating epidemiological data, our findings unveiled temporal fluctuations in the relative abundance of different serotypes throughout various epidemic seasons, highlighting the complex and changing dynamics of DENV transmission throughout time. These findings demonstrate the value of ongoing surveillance activities in tracking viral transmission patterns, monitoring viral evolution, and informing public health actions.
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Affiliation(s)
- Larissa Domingues Castilho de Arruda
- Secretaria de Estado de Saúde de Mato Grosso do Sul, Campo Grande 79031-350, MS, Brazil; (L.D.C.d.A.); (L.d.M.A.M.); (D.F.R.F.); (D.A.d.N.); (L.F.d.S.); (E.C.R.B.); (P.E.T.O.); (B.M.G.); (J.K.L.d.S.)
- Universidade Federal do Estado do Mato Grosso do Sul, Campo Grande 79070-900, MS, Brazil
| | - Marta Giovanetti
- Instituto Rene Rachou, Fundação Oswaldo Cruz, Belo Horizonte 30190-002, MG, Brazil; (J.X.); (H.F.); (M.L.)
- Sciences and Technologies for Sustainable Development and One Health, Università Campus Bio-Medico di, 00128 Roma, Italy
| | - Vagner Fonseca
- Coordenação de Vigilância, Preparação e Resposta à Emergências e Desastres (PHE), Organização Pan-Americana da Saúde/Organização Mundial da Saúde (OPAS/OMS), Brasília 70312-970, DF, Brazil;
| | - Marina Castilhos Souza Umaki Zardin
- SES-MS-Laboratório Central de Saúde Pública de Mato Grosso do Sul, Campo Grande 79031-350, MS, Brazil; (M.C.S.U.Z.); (G.G.d.C.L.); (S.A.); (M.T.M.); (L.H.F.D.)
| | - Gislene Garcia de Castro Lichs
- SES-MS-Laboratório Central de Saúde Pública de Mato Grosso do Sul, Campo Grande 79031-350, MS, Brazil; (M.C.S.U.Z.); (G.G.d.C.L.); (S.A.); (M.T.M.); (L.H.F.D.)
| | - Silvia Asato
- SES-MS-Laboratório Central de Saúde Pública de Mato Grosso do Sul, Campo Grande 79031-350, MS, Brazil; (M.C.S.U.Z.); (G.G.d.C.L.); (S.A.); (M.T.M.); (L.H.F.D.)
| | - Ana Olivia Pascoto Esposito
- SES-MS-Laboratório Central de Saúde Pública de Mato Grosso do Sul, Campo Grande 79031-350, MS, Brazil; (M.C.S.U.Z.); (G.G.d.C.L.); (S.A.); (M.T.M.); (L.H.F.D.)
| | - Miriam Tokeshi Müller
- SES-MS-Laboratório Central de Saúde Pública de Mato Grosso do Sul, Campo Grande 79031-350, MS, Brazil; (M.C.S.U.Z.); (G.G.d.C.L.); (S.A.); (M.T.M.); (L.H.F.D.)
| | - Joilson Xavier
- Instituto Rene Rachou, Fundação Oswaldo Cruz, Belo Horizonte 30190-002, MG, Brazil; (J.X.); (H.F.); (M.L.)
| | - Hegger Fritsch
- Instituto Rene Rachou, Fundação Oswaldo Cruz, Belo Horizonte 30190-002, MG, Brazil; (J.X.); (H.F.); (M.L.)
| | - Mauricio Lima
- Instituto Rene Rachou, Fundação Oswaldo Cruz, Belo Horizonte 30190-002, MG, Brazil; (J.X.); (H.F.); (M.L.)
| | - Carla de Oliveira
- lnstituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro 21040-900, RJ, Brazil;
| | - Elaine Vieira Santos
- Fundação Hemocentro de Ribeirão Preto, Ribeirão Preto 14051-140, SP, Brazil (S.K.)
| | - Livia de Mello Almeida Maziero
- Secretaria de Estado de Saúde de Mato Grosso do Sul, Campo Grande 79031-350, MS, Brazil; (L.D.C.d.A.); (L.d.M.A.M.); (D.F.R.F.); (D.A.d.N.); (L.F.d.S.); (E.C.R.B.); (P.E.T.O.); (B.M.G.); (J.K.L.d.S.)
- Universidade Federal do Estado do Mato Grosso do Sul, Campo Grande 79070-900, MS, Brazil
| | - Danila Fernanda Rodrigues Frias
- Secretaria de Estado de Saúde de Mato Grosso do Sul, Campo Grande 79031-350, MS, Brazil; (L.D.C.d.A.); (L.d.M.A.M.); (D.F.R.F.); (D.A.d.N.); (L.F.d.S.); (E.C.R.B.); (P.E.T.O.); (B.M.G.); (J.K.L.d.S.)
| | - Danielle Ahad das Neves
- Secretaria de Estado de Saúde de Mato Grosso do Sul, Campo Grande 79031-350, MS, Brazil; (L.D.C.d.A.); (L.d.M.A.M.); (D.F.R.F.); (D.A.d.N.); (L.F.d.S.); (E.C.R.B.); (P.E.T.O.); (B.M.G.); (J.K.L.d.S.)
| | - Liliane Ferreira da Silva
- Secretaria de Estado de Saúde de Mato Grosso do Sul, Campo Grande 79031-350, MS, Brazil; (L.D.C.d.A.); (L.d.M.A.M.); (D.F.R.F.); (D.A.d.N.); (L.F.d.S.); (E.C.R.B.); (P.E.T.O.); (B.M.G.); (J.K.L.d.S.)
- Universidade Federal do Estado do Mato Grosso do Sul, Campo Grande 79070-900, MS, Brazil
| | - Ellen Caroline Rodrigues Barretos
- Secretaria de Estado de Saúde de Mato Grosso do Sul, Campo Grande 79031-350, MS, Brazil; (L.D.C.d.A.); (L.d.M.A.M.); (D.F.R.F.); (D.A.d.N.); (L.F.d.S.); (E.C.R.B.); (P.E.T.O.); (B.M.G.); (J.K.L.d.S.)
| | - Paulo Eduardo Tsuha Oshiro
- Secretaria de Estado de Saúde de Mato Grosso do Sul, Campo Grande 79031-350, MS, Brazil; (L.D.C.d.A.); (L.d.M.A.M.); (D.F.R.F.); (D.A.d.N.); (L.F.d.S.); (E.C.R.B.); (P.E.T.O.); (B.M.G.); (J.K.L.d.S.)
| | - Bianca Modafari Goday
- Secretaria de Estado de Saúde de Mato Grosso do Sul, Campo Grande 79031-350, MS, Brazil; (L.D.C.d.A.); (L.d.M.A.M.); (D.F.R.F.); (D.A.d.N.); (L.F.d.S.); (E.C.R.B.); (P.E.T.O.); (B.M.G.); (J.K.L.d.S.)
| | - Jéssica Klener Lemos dos Santos
- Secretaria de Estado de Saúde de Mato Grosso do Sul, Campo Grande 79031-350, MS, Brazil; (L.D.C.d.A.); (L.d.M.A.M.); (D.F.R.F.); (D.A.d.N.); (L.F.d.S.); (E.C.R.B.); (P.E.T.O.); (B.M.G.); (J.K.L.d.S.)
| | - Simone Kashima
- Fundação Hemocentro de Ribeirão Preto, Ribeirão Preto 14051-140, SP, Brazil (S.K.)
| | - Carlos F. C. de Albuquerque
- Organização Pan-Americana da Saúde, Organização Mundial da Saúde, Brasília 70312-970, DF, Brazil; (C.F.C.d.A.); (R.F.d.C.S.); (A.R.)
| | - Rodrigo Fabiano do Carmo Said
- Organização Pan-Americana da Saúde, Organização Mundial da Saúde, Brasília 70312-970, DF, Brazil; (C.F.C.d.A.); (R.F.d.C.S.); (A.R.)
| | - Alexander Rosewell
- Organização Pan-Americana da Saúde, Organização Mundial da Saúde, Brasília 70312-970, DF, Brazil; (C.F.C.d.A.); (R.F.d.C.S.); (A.R.)
| | - Luiz Henrique Ferraz Demarchi
- SES-MS-Laboratório Central de Saúde Pública de Mato Grosso do Sul, Campo Grande 79031-350, MS, Brazil; (M.C.S.U.Z.); (G.G.d.C.L.); (S.A.); (M.T.M.); (L.H.F.D.)
| | - Julio Croda
- Fundação Oswaldo Cruz, Universidade Federal de Mato Grosso do Sul-UFMS, Campo Grande 79000-000, MS, Brazil;
| | | | - Crhistinne Cavalheiro Maymone Gonçalves
- Secretaria de Estado de Saúde de Mato Grosso do Sul, Campo Grande 79031-350, MS, Brazil; (L.D.C.d.A.); (L.d.M.A.M.); (D.F.R.F.); (D.A.d.N.); (L.F.d.S.); (E.C.R.B.); (P.E.T.O.); (B.M.G.); (J.K.L.d.S.)
- Universidade Federal do Estado do Mato Grosso do Sul, Campo Grande 79070-900, MS, Brazil
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14
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de Mello Almeida Maziero L, Giovanetti M, Fonseca V, Zardin MCSU, de Castro Lichs GG, de Rezende Romera GR, Tsuha DH, Frias DFR, Escandolhero VC, Demarchi LH, Domingues Castilho L, Barbosa KF, Tebet DGM, Xavier J, Fritsch H, Lima M, de Oliveira C, Santos EV, Kashima S, Said RFDC, Rosewell A, Croda J, Alcantara LCJ, Cavalheiro Maymone Gonçalves C. Unveiling the Impact of the Omicron Variant: Insights from Genomic Surveillance in Mato Grosso do Sul, Midwest Brazil. Viruses 2023; 15:1604. [PMID: 37515290 PMCID: PMC10386548 DOI: 10.3390/v15071604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2023] [Revised: 07/15/2023] [Accepted: 07/20/2023] [Indexed: 07/30/2023] Open
Abstract
Genomic surveillance has emerged as a crucial tool in monitoring and understanding the dynamics of viral variants during the COVID-19 pandemic. In the Midwest region of Brazil, Mato Grosso do Sul has faced a significant burden from the SARS-CoV-2 epidemic, with a total of 613,000 confirmed cases as of June 2023. In collaboration with the Central Public Health Laboratory in the capital city of Campo Grande, we conducted a portable whole-genome sequencing and phylodynamic analysis to investigate the circulation of the Omicron variant in the region. The study aimed to uncover the genomic landscape and provide valuable insights into the prevalence and transmission patterns of this highly transmissible variant. Our findings revealed an increase in the number of cases within the region during 2022, followed by a gradual decline as a result of the successful impact of the vaccination program together with the capacity of this unpredictable and very transmissible variant to quickly affect the proportion of susceptible population. Genomic data indicated multiple introduction events, suggesting that human mobility played a differential role in the variant's dispersion dynamics throughout the state. These findings emphasize the significance of implementing public health interventions to mitigate further spread and highlight the powerful role of genomic monitoring in promptly tracking and uncovering the circulation of viral strains. Together those results underscore the importance of proactive surveillance, rapid genomic sequencing, and data sharing to facilitate timely public health responses.
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Affiliation(s)
- Lívia de Mello Almeida Maziero
- Secretaria de Estado de Saúde de Mato Grosso do Sul, Campo Grande 9031-350, Brazil
- Universidade Federal de EMato Grosso do Sul, Campo Grande 79070-900, Brazil
| | - Marta Giovanetti
- Instituto Rene Rachou, Fundação Oswaldo Cruz, Preto 30190-009, Brazil
- Sciences and Technologies for Sustainable Development and One Health, University of Campus Bio-Medico of Rome, 00128 Rome, Italy
| | - Vagner Fonseca
- Coordenação de Vigilância, Preparação e Resposta à Emergências e Desastres (PHE), Organização Pan-Americana da Saúde/Organização Mundial da Saúde (OPAS/OMS), Brasília 25045-002, Brazil
| | | | | | | | | | | | | | - Luiz Henrique Demarchi
- SES-MS-Laboratório Central de Saúde Pública de Mato Grosso do Sul, Campo Grande 79080-320, Brazil
| | - Larissa Domingues Castilho
- Secretaria de Estado de Saúde de Mato Grosso do Sul, Campo Grande 9031-350, Brazil
- Universidade Federal de EMato Grosso do Sul, Campo Grande 79070-900, Brazil
| | - Karine Ferreira Barbosa
- Secretaria de Estado de Saúde de Mato Grosso do Sul, Campo Grande 9031-350, Brazil
- Universidade Federal de EMato Grosso do Sul, Campo Grande 79070-900, Brazil
| | - Danielle Galindo Martins Tebet
- Secretaria de Estado de Saúde de Mato Grosso do Sul, Campo Grande 9031-350, Brazil
- Universidade Federal de EMato Grosso do Sul, Campo Grande 79070-900, Brazil
| | - Joilson Xavier
- Instituto Rene Rachou, Fundação Oswaldo Cruz, Preto 30190-009, Brazil
| | - Hegger Fritsch
- Instituto Rene Rachou, Fundação Oswaldo Cruz, Preto 30190-009, Brazil
| | - Mauricio Lima
- Instituto Rene Rachou, Fundação Oswaldo Cruz, Preto 30190-009, Brazil
| | - Carla de Oliveira
- lnstituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro 21040-900, Brazil
| | | | - Simone Kashima
- Fundação Hemocentro de Ribeirão Preto, Rio de Janeiro 14015-160, Brazil
| | | | - Alexander Rosewell
- Organização Pan-Americana da Saúde/Organização Mundial da Saúde (OPAS/OMS), Brasilia 25045-002, Brazil
| | - Julio Croda
- Fundação Oswaldo Cruz, Universidade Federal de Mato Grosso do Sul-UFMS, Campo Grande 79081-746, Brazil
| | | | - Crhistinne Cavalheiro Maymone Gonçalves
- Secretaria de Estado de Saúde de Mato Grosso do Sul, Campo Grande 9031-350, Brazil
- Universidade Federal de EMato Grosso do Sul, Campo Grande 79070-900, Brazil
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15
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Xavier J, Alcantara LCJ, Fonseca V, Lima M, Castro E, Fritsch H, Oliveira C, Guimarães N, Adelino T, Evaristo M, Rodrigues ES, Santos EV, de La-Roque D, de Moraes L, Tosta S, Neto A, Rosewell A, Mendonça AF, Leite A, Vasconcelos A, Silva de Mello AL, Vasconcelos B, Montalbano CA, Zanluca C, Freitas C, de Albuquerque CFC, Duarte Dos Santos CN, Santos CS, Dos Santos CA, Gonçalves CCM, Teixeira D, Neto DFL, Cabral D, de Oliveira EC, Noia Maciel EL, Pereira FM, Iani F, de Carvalho FP, Andrade G, Bezerra G, de Castro Lichs GG, Pereira GC, Barroso H, Franz HCF, Ferreira H, Gomes I, Riediger IN, Rodrigues I, de Siqueira IC, Silva J, Rico JM, Lima J, Abrantes J, do Nascimento JPM, Wasserheit JN, Pastor J, de Magalhães JJF, Luz KG, Lima Neto LG, Frutuoso LCV, da Silva LB, Sena L, de Sousa LAF, Pereira LA, Demarchi L, Câmara MCB, Astete MG, Almiron M, Lima M, Umaki Zardin MCS, Presibella MM, Falcão MB, Gale M, Freire N, Marques N, de Moura NFO, Almeida Da Silva PE, Rabinowitz P, da Cunha RV, Trinta KS, do Carmo Said RF, Kato R, Stabeli R, de Jesus R, Hans Santos R, Kashima S, Slavov SN, Andrade T, Rocha T, Carneiro T, Nardy V, da Silva V, Carvalho WG, Van Voorhis WC, Araujo WN, de Filippis AMB, Giovanetti M. Increased interregional virus exchange and nucleotide diversity outline the expansion of chikungunya virus in Brazil. Nat Commun 2023; 14:4413. [PMID: 37479700 PMCID: PMC10362057 DOI: 10.1038/s41467-023-40099-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2023] [Accepted: 07/12/2023] [Indexed: 07/23/2023] Open
Abstract
The emergence and reemergence of mosquito-borne diseases in Brazil such as yellow fever, zika, chikungunya, and dengue have had serious impacts on public health. Concerns have been raised due to the rapid dissemination of the chikungunya virus across the country since its first detection in 2014 in Northeast Brazil. In this work, we carried out on-site training activities in genomic surveillance in partnership with the National Network of Public Health Laboratories that have led to the generation of 422 chikungunya virus genomes from 12 Brazilian states over the past two years (2021-2022), a period that has seen more than 312 thousand chikungunya fever cases reported in the country. These genomes increased the amount of available data and allowed a more comprehensive characterization of the dispersal dynamics of the chikungunya virus East-Central-South-African lineage in Brazil. Tree branching patterns revealed the emergence and expansion of two distinct subclades. Phylogeographic analysis indicated that the northeast region has been the leading hub of virus spread towards other regions. Increased frequency of C > T transitions among the new genomes suggested that host restriction factors from the immune system such as ADAR and AID/APOBEC deaminases might be driving the genetic diversity of the chikungunya virus in Brazil.
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Affiliation(s)
- Joilson Xavier
- Instituto René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Brazil
- Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Luiz Carlos Junior Alcantara
- Instituto René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Brazil.
- Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
| | - Vagner Fonseca
- Organização Pan-Americana da Saúde, Organização Mundial da Saúde, Brasília, Brazil
| | - Mauricio Lima
- Instituto René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Brazil
- Laboratório Central de Saúde Pública de Minas Gerais, Fundação Ezequiel Dias, Belo Horizonte, Brazil
| | - Emerson Castro
- Instituto René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Brazil
- Laboratório Central de Saúde Pública de Minas Gerais, Fundação Ezequiel Dias, Belo Horizonte, Brazil
| | - Hegger Fritsch
- Instituto René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Brazil
- Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Carla Oliveira
- Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil
| | - Natalia Guimarães
- Laboratório Central de Saúde Pública de Minas Gerais, Fundação Ezequiel Dias, Belo Horizonte, Brazil
| | - Talita Adelino
- Laboratório Central de Saúde Pública de Minas Gerais, Fundação Ezequiel Dias, Belo Horizonte, Brazil
| | | | | | | | | | - Laise de Moraes
- Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Salvador, Brazil
| | - Stephane Tosta
- Instituto René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Brazil
- Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Adelino Neto
- Laboratório Central de Saúde Pública do Piaui, Piauí, Brazil
| | - Alexander Rosewell
- Organização Pan-Americana da Saúde, Organização Mundial da Saúde, Brasília, Brazil
| | | | - Anderson Leite
- Laboratório Central de Saúde Pública de Alagoas, Maceió, Brazil
| | | | | | | | | | - Camila Zanluca
- Instituto Carlos Chagas, Fundação Oswaldo Cruz, Curitiba, Brazil
| | - Carla Freitas
- Coordenação Geral dos Laboratórios de Saúde Pública, Ministério da Saúde, Brasília, Brazil
| | | | | | - Cleiton S Santos
- Instituto Gonçalo Moniz, Fundação Oswaldo Cruz, Salvador, Brazil
| | | | | | - Dalane Teixeira
- Laboratório Central de Saúde Pública da Paraíba, João Pessoa, Brazil
| | - Daniel F L Neto
- Coordenação Geral dos Laboratórios de Saúde Pública, Ministério da Saúde, Brasília, Brazil
| | - Diego Cabral
- Laboratório Central de Saúde Pública de Pernambuco, Natal, Brazil
| | | | - Ethel L Noia Maciel
- Secretaria de Vigilância em Saúde e Ambiente, Ministério da Saúde, Brasília, Brazil
| | | | - Felipe Iani
- Laboratório Central de Saúde Pública de Minas Gerais, Fundação Ezequiel Dias, Belo Horizonte, Brazil
| | | | | | - Gabriela Bezerra
- Laboratório Central de Saúde Pública de Sergipe, Aracaju, Brazil
| | | | - Glauco Carvalho Pereira
- Laboratório Central de Saúde Pública de Minas Gerais, Fundação Ezequiel Dias, Belo Horizonte, Brazil
| | - Haline Barroso
- Laboratório Central de Saúde Pública da Paraíba, João Pessoa, Brazil
| | | | - Hivylla Ferreira
- Laboratório Central de Saúde Pública do Maranhão, São Luís, Brazil
| | - Iago Gomes
- Laboratório Central de Saúde Pública do Rio Grande do Norte, Natal, Brazil
| | | | | | | | - Jacilane Silva
- Laboratório Central de Saúde Pública de Pernambuco, Natal, Brazil
| | | | - Jaqueline Lima
- Laboratório Central de Saúde Pública da Bahia, Salvador, Brazil
| | - Jayra Abrantes
- Laboratório Central de Saúde Pública do Rio Grande do Norte, Natal, Brazil
| | | | - Judith N Wasserheit
- Department of Global Health and Medicine, University of Washington, Washington, USA
| | - Julia Pastor
- Laboratório Central de Saúde Pública de Pernambuco, Natal, Brazil
| | - Jurandy J F de Magalhães
- Laboratório Central de Saúde Pública de Pernambuco, Natal, Brazil
- Universidade de Pernambuco, Serra Talhada, Brazil
| | | | | | - Livia C V Frutuoso
- Coordenação Geral das Arboviroses, Ministério da Saúde, Brasília, Brazil
| | | | - Ludmila Sena
- Laboratório Central de Saúde Pública de Sergipe, Aracaju, Brazil
| | | | | | - Luiz Demarchi
- Laboratório Central de Saúde Pública do Mato Grosso do Sul, Campo Grande, Brazil
| | - Magaly C B Câmara
- Laboratório Central de Saúde Pública do Rio Grande do Norte, Natal, Brazil
| | | | | | - Maricelia Lima
- Universidade Estadual de Feira de Santana, Feira de Santana, Brazil
| | | | | | - Melissa B Falcão
- Secretaria de Saúde de Feira de Santana, Feira de Santana, Brazil
| | - Michael Gale
- Department of Immunology, University of Washington, Washington, USA
| | - Naishe Freire
- Laboratório Central de Saúde Pública de Pernambuco, Natal, Brazil
| | - Nelson Marques
- Laboratório Central de Saúde Pública do Paraná, Paraná, Brazil
| | - Noely F O de Moura
- Coordenação Geral das Arboviroses, Ministério da Saúde, Brasília, Brazil
| | | | - Peter Rabinowitz
- Department of Environmental and Occupational Health Sciences, University of Washington, Washington, USA
| | - Rivaldo V da Cunha
- Fundação Oswaldo Cruz, Instituto de Tecnologia em Imunobiológicos, Rio de Janeiro, Brazil
| | - Karen S Trinta
- Fundação Oswaldo Cruz, Instituto de Tecnologia em Imunobiológicos, Rio de Janeiro, Brazil
| | | | - Rodrigo Kato
- Coordenação Geral dos Laboratórios de Saúde Pública, Ministério da Saúde, Brasília, Brazil
| | - Rodrigo Stabeli
- Organização Pan-Americana da Saúde, Organização Mundial da Saúde, Brasília, Brazil
| | - Ronaldo de Jesus
- Coordenação Geral dos Laboratórios de Saúde Pública, Ministério da Saúde, Brasília, Brazil
| | | | - Simone Kashima
- Fundação Hemocentro de Ribeirão Preto, Ribeirão Preto, Brazil
| | - Svetoslav N Slavov
- Fundação Hemocentro de Ribeirão Preto, Ribeirão Preto, Brazil
- Center for Research Development, CDC, Butantan Institute, São Paulo, Brazil
| | - Tamires Andrade
- Laboratório Central de Saúde Pública da Paraíba, João Pessoa, Brazil
| | - Themis Rocha
- Laboratório Central de Saúde Pública do Rio Grande do Norte, Natal, Brazil
| | - Thiago Carneiro
- Laboratório Central de Saúde Pública da Paraíba, João Pessoa, Brazil
| | - Vanessa Nardy
- Laboratório Central de Saúde Pública da Bahia, Salvador, Brazil
| | | | | | | | | | | | - Marta Giovanetti
- Instituto René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Brazil.
- Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
- Sciences and Technologies for Sustainable Development and One Health, University of Campus Bio-Medico, Rome, Italy.
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16
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Leite LE, da Silva FG, Kashima S, Rodrigues ES, Haddad R. RHCE and Kell genotyping and alloimmunization profile in patients with sickle cell disease in the Federal District of Brazil. Hematol Transfus Cell Ther 2023:S2531-1379(23)00104-9. [PMID: 37344342 DOI: 10.1016/j.htct.2023.05.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2022] [Revised: 03/02/2023] [Accepted: 05/15/2023] [Indexed: 06/23/2023] Open
Abstract
INTRODUCTION Sickle cell disease (SCD) is the most important hemoglobinopathy worldwide. The treatment often requires phenotype-matched red blood cell (RBC) transfusions, but alloimmunization to non-ABO antigens may occur in a part of the SCD patients. The genotyping has been used for RBC antigen prediction, reducing the possibility of the alloimmunization. OBJECTIVE AND METHOD In this study we performed the genotyping for the Kell and RHCE blood groups in samples from 77 phenotyped Brazilian SCD patients, whose alloimmunization profiles were also assessed. RESULTS Discrepancies between genotyping and phenotyping for the RHCE and Kell blood groups systems were observed in 22.07% (17/77) of the SCD patients. We found C/c and E/e discrepancies in 11.68% and 9.09% of patients, respectively; one SCD patient (1.3%) presented a discrepancy in the Kell group. Two SCD patients with discrepancies between genotype and phenotype were alloimmunized. In total, twenty-eight patients (36.4%) developed alloantibodies, of which 55.17% were directed against antigens in the Rh system, 8.62% were directed against antigens in the Kell system and 36.20%, against other groups. Finally, the frequency of discrepancies is significantly higher in non-alloimmunized patients (30.61%), compared to alloimmunized patients (7.14%) (p = 0.0217). CONCLUSION In part, the alloimmunization of the SCD patients may have been triggered by these discrepancies, indicating that the integration of serological and molecular tests in the immunohematology routine could help to increase the transfusion safety. However, the higher number of alloimmunized patients without discrepancies showed that reasons other than the discrepancies appear to have influenced more strongly the alloimmunization in the SCD patients in this study.
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Affiliation(s)
| | | | - Simone Kashima
- Fundação Hemocentro de Ribeirão Preto, Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo, (FMRP USP), Ribeirão Preto, SP, Brazil; Faculdade de Ciências Farmacêuticas de Ribeirão Preto da Universidade de São Paulo (FCFRP-USP) São Paulo, SP, Brazil
| | - Evandra Strazza Rodrigues
- Fundação Hemocentro de Ribeirão Preto, Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo, (FMRP USP), Ribeirão Preto, SP, Brazil
| | - Rodrigo Haddad
- Núcleo de Medicina Tropical da Universidade de Brasília (NMT UnB), Brasília, DF, Brazil; Faculdade UnB Ceilândia, Brasília, DF, Brazil.
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17
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Vazquez C, Alcantara LCJ, Fonseca V, Lima M, Xavier J, Adelino T, Fritsch H, Castro E, de Oliveira C, Schuab G, Lima ARJ, Villalba S, Gomez de la Fuente A, Rojas A, Cantero C, Fleitas F, Aquino C, Ojeda A, Sequera G, Torales J, Barrios J, Elias MC, Iani FCM, Ortega MJ, Gamarra ML, Montoya R, Rodrigues ES, Kashima S, Sampaio SC, Coluchi N, Leite J, Gresh L, Franco L, Lourenço J, Rico JM, Bispo de Filippis AM, Giovanetti M. Retrospective Spatio-Temporal Dynamics of Dengue Virus 1, 2 and 4 in Paraguay. Viruses 2023; 15:1275. [PMID: 37376575 DOI: 10.3390/v15061275] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2023] [Revised: 05/06/2023] [Accepted: 05/08/2023] [Indexed: 06/29/2023] Open
Abstract
Dengue virus (DENV) has been a major public health concern in Paraguay, with frequent outbreaks occurring since early 1988. Although control measures have been implemented, dengue remains a significant health threat in the country, and continued efforts are required for prevention and control. In response to that, in collaboration with the Central Public Health Laboratory in Asunción, we conducted a portable whole-genome sequencing and phylodynamic analysis to investigate DENV viral strains circulating in Paraguay over the past epidemics. Our genomic surveillance activities revealed the co-circulation of multiple DENV serotypes: DENV-1 genotype V, the emerging DENV-2 genotype III, BR4-L2 clade, and DENV-4 genotype II. Results additionally highlight the possible role of Brazil as a source for the international dispersion of different viral strains to other countries in the Americas emphasizing the need for increased surveillance across the borders, for the early detection and response to outbreaks. This, in turn, emphasizes the critical role of genomic surveillance in monitoring and understanding arbovirus transmission and persistence locally and over long distances.
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Affiliation(s)
- Cynthia Vazquez
- Laboratorio Central de Salud Pública, Asunción 001535, Paraguay
| | | | - Vagner Fonseca
- Organização Pan-Americana da Saúde, Organização Mundial da Saúde, Brasília 70-800400, SP, Brazil
| | - Mauricio Lima
- Instituto Rene Rachou, Fundação Oswaldo Cruz, Belo Horizonte 30190-002, MG, Brazil
- Laboratorio Central de Saúde Pública do Estado de Minas Gerais, Fundação Ezequiel Dias, Belo Horizonte 30510-010, MG, Brazil
| | - Joilson Xavier
- Instituto Rene Rachou, Fundação Oswaldo Cruz, Belo Horizonte 30190-002, MG, Brazil
- Laboratorio Central de Saúde Pública do Estado de Minas Gerais, Fundação Ezequiel Dias, Belo Horizonte 30510-010, MG, Brazil
| | - Talita Adelino
- Laboratorio Central de Saúde Pública do Estado de Minas Gerais, Fundação Ezequiel Dias, Belo Horizonte 30510-010, MG, Brazil
| | - Hegger Fritsch
- Instituto Rene Rachou, Fundação Oswaldo Cruz, Belo Horizonte 30190-002, MG, Brazil
- Laboratorio Central de Saúde Pública do Estado de Minas Gerais, Fundação Ezequiel Dias, Belo Horizonte 30510-010, MG, Brazil
| | - Emerson Castro
- Laboratorio Central de Saúde Pública do Estado de Minas Gerais, Fundação Ezequiel Dias, Belo Horizonte 30510-010, MG, Brazil
| | - Carla de Oliveira
- Laboratório de Arbovírus e Vírus Hemorrágicos (LARBOH), Instituto Osawldo Cruz, Fiocruz, Rio de Janeiro 21040-900, RJ, Brazil
| | - Gabriel Schuab
- Laboratório de Arbovírus e Vírus Hemorrágicos (LARBOH), Instituto Osawldo Cruz, Fiocruz, Rio de Janeiro 21040-900, RJ, Brazil
| | - Alex Ranieri Jerônimo Lima
- Butantan Institute, Center for Viral Surveillance and Serological Assessment (CeVIVAS), Sao Paulo 05507-000, SP, Brazil
| | | | | | - Analia Rojas
- Laboratorio Central de Salud Pública, Asunción 001535, Paraguay
| | - Cesar Cantero
- Laboratorio Central de Salud Pública, Asunción 001535, Paraguay
| | - Fatima Fleitas
- Laboratorio Central de Salud Pública, Asunción 001535, Paraguay
| | - Carolina Aquino
- Laboratorio Central de Salud Pública, Asunción 001535, Paraguay
| | - Andrea Ojeda
- Dirección General de Vigilancia de la Salud, Asunción 40556, Paraguay
| | - Guillermo Sequera
- Dirección General de Vigilancia de la Salud, Asunción 40556, Paraguay
| | - Juan Torales
- Laboratorio Central de Salud Pública, Asunción 001535, Paraguay
| | - Julio Barrios
- Laboratorio Central de Salud Pública, Asunción 001535, Paraguay
| | - Maria Carolina Elias
- Butantan Institute, Center for Viral Surveillance and Serological Assessment (CeVIVAS), Sao Paulo 05507-000, SP, Brazil
| | - Felipe C M Iani
- Laboratorio Central de Saúde Pública do Estado de Minas Gerais, Fundação Ezequiel Dias, Belo Horizonte 30510-010, MG, Brazil
| | | | | | - Romeo Montoya
- Enfermedades Trasmisibles y Determinantes Ambientales de la Salud CDE/HA/PHE, OPS/OMS, Asuncion 40126, Paraguay
| | - Evandra Strazza Rodrigues
- Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto 14051-140, SP, Brazil
| | - Simone Kashima
- Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto 14051-140, SP, Brazil
| | - Sandra Coccuzzo Sampaio
- Butantan Institute, Center for Viral Surveillance and Serological Assessment (CeVIVAS), Sao Paulo 05507-000, SP, Brazil
| | - Norma Coluchi
- Laboratorio Central de Salud Pública, Asunción 001535, Paraguay
| | - Juliana Leite
- Emergency Department, Infectious Hazards Management, Pan American Health Organization, Washington, DC 20037, USA
| | - Lionel Gresh
- Emergency Department, Infectious Hazards Management, Pan American Health Organization, Washington, DC 20037, USA
| | - Leticia Franco
- Emergency Department, Infectious Hazards Management, Pan American Health Organization, Washington, DC 20037, USA
| | - José Lourenço
- Biosystems and Integrative Sciences Institute, Faculty of Sciences, University of Lisbon, 1749-016 Lisbon, Portugal
| | - Jairo Mendez Rico
- Emergency Department, Infectious Hazards Management, Pan American Health Organization, Washington, DC 20037, USA
| | - Ana Maria Bispo de Filippis
- Laboratório de Arbovírus e Vírus Hemorrágicos (LARBOH), Instituto Osawldo Cruz, Fiocruz, Rio de Janeiro 21040-900, RJ, Brazil
| | - Marta Giovanetti
- Instituto Rene Rachou, Fundação Oswaldo Cruz, Belo Horizonte 30190-002, MG, Brazil
- Sciences and Technologies for Sustainable Development and One Health, University of Campus Bio-Medico, 00128 Rome, Italy
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Giovanetti M, Vazquez C, Lima M, Castro E, Rojas A, de la Fuente AG, Aquino C, Cantero C, Fleitas F, Torales J, Barrios J, Ortega MJ, Gamarra ML, Villalba S, Alfonzo T, Xavier J, Adelino T, Fritsch H, Iani FCM, Pereira GC, de Oliveira C, Schuab G, Rodrigues ES, Kashima S, Leite J, Gresh L, Franco L, Tegally H, Van Voorhis WC, Lessels R, de Filippis AMB, Ojeda A, Sequera G, Montoya R, Holmes EC, de Oliveira T, Rico JM, Lourenço J, Fonseca V, Alcantara LCJ. Rapid epidemic expansion of chikungunya virus-ECSA lineage in Paraguay. medRxiv 2023:2023.04.16.23288635. [PMID: 37131602 PMCID: PMC10153315 DOI: 10.1101/2023.04.16.23288635] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
Abstract
The spread of vector-borne viruses, such as CHIKV, is a significant public health concern in the Americas, with over 120,000 cases and 51 deaths in 2023, of which 46 occurred in Paraguay. Using a suite of genomic, phylodynamic, and epidemiological techniques, we characterized the ongoing large CHIKV epidemic in Paraguay. Article Summary Line Genomic and epidemiological characterization of the ongoing Chikungunya virus epidemic in Paraguay.
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Affiliation(s)
- Marta Giovanetti
- Instituto Rene Rachou, Fundação Oswaldo Cruz, Minas Gerais, Brazil
- Sciences and Technologies for Sustainable Development and One Health, University of Campus Bio-Medico,Rome, Italy
| | | | - Mauricio Lima
- Instituto Rene Rachou, Fundação Oswaldo Cruz, Minas Gerais, Brazil
- Laboratorio Central de Saúde Pública do Estado de Minas Gerais, Fundação Ezequiel Dias, Brazil
| | - Emerson Castro
- Instituto Rene Rachou, Fundação Oswaldo Cruz, Minas Gerais, Brazil
- Laboratorio Central de Saúde Pública do Estado de Minas Gerais, Fundação Ezequiel Dias, Brazil
| | - Analia Rojas
- Laboratorio Central de Salud Pública, Asunción, Paraguay
| | | | | | - Cesar Cantero
- Laboratorio Central de Salud Pública, Asunción, Paraguay
| | - Fatima Fleitas
- Laboratorio Central de Salud Pública, Asunción, Paraguay
| | - Juan Torales
- Laboratorio Central de Salud Pública, Asunción, Paraguay
| | - Julio Barrios
- Laboratorio Central de Salud Pública, Asunción, Paraguay
| | | | | | | | - Tania Alfonzo
- Laboratorio Central de Salud Pública, Asunción, Paraguay
| | - Joilson Xavier
- Instituto Rene Rachou, Fundação Oswaldo Cruz, Minas Gerais, Brazil
- Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Brazil
| | - Talita Adelino
- Laboratorio Central de Saúde Pública do Estado de Minas Gerais, Fundação Ezequiel Dias, Brazil
| | - Hegger Fritsch
- Instituto Rene Rachou, Fundação Oswaldo Cruz, Minas Gerais, Brazil
- Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Brazil
| | - Felipe C. M. Iani
- Laboratorio Central de Saúde Pública do Estado de Minas Gerais, Fundação Ezequiel Dias, Brazil
| | - Glauco Carvalho Pereira
- Laboratorio Central de Saúde Pública do Estado de Minas Gerais, Fundação Ezequiel Dias, Brazil
| | - Carla de Oliveira
- Laboratório de Arbovírus e Vírus Hemorrágicos (LARBOH), Instituto Oswaldo Cruz, Fiocruz, Rio de Janeiro, Brazil
| | - Gabriel Schuab
- Laboratório de Arbovírus e Vírus Hemorrágicos (LARBOH), Instituto Oswaldo Cruz, Fiocruz, Rio de Janeiro, Brazil
| | - Evandra Strazza Rodrigues
- University of São Paulo, Ribeirão Preto Medical School, Blood Center of Ribeirão Preto, Ribeirão Preto, SP, Brazil
| | - Simone Kashima
- University of São Paulo, Ribeirão Preto Medical School, Blood Center of Ribeirão Preto, Ribeirão Preto, SP, Brazil
| | - Juliana Leite
- Infectious Hazards Management, Health Emergencies Department (PHE), Pan American Health Organization / World Health Organization (PAHO/WHO), Washington DC, USA
| | - Lionel Gresh
- Infectious Hazards Management, Health Emergencies Department (PHE), Pan American Health Organization / World Health Organization (PAHO/WHO), Washington DC, USA
| | - Leticia Franco
- Infectious Hazards Management, Health Emergencies Department (PHE), Pan American Health Organization / World Health Organization (PAHO/WHO), Washington DC, USA
| | - Houriiyah Tegally
- Centre for Epidemic Response and Innovation (CERI), School of Data Science and Computational Thinking, Stellenbosch University, Stellenbosch 7600, South Africa
- KwaZulu-Natal Research Innovation and Sequencing Platform (KRISP), Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban 4001, South Africa
| | - Wesley C. Van Voorhis
- Center for Emerging and Re-emerging Infectious Diseases, University of Washington, USA
| | - Richard Lessels
- KwaZulu-Natal Research Innovation and Sequencing Platform (KRISP), Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban 4001, South Africa
| | - Ana Maria Bispo de Filippis
- Laboratório de Arbovírus e Vírus Hemorrágicos (LARBOH), Instituto Oswaldo Cruz, Fiocruz, Rio de Janeiro, Brazil
| | - Andrea Ojeda
- Dirección General de Vigilancia de la Salud, Asunción, Paraguay
| | | | - Romeo Montoya
- Enfermedades Trasmisibles y Determinantes Ambientales de la Salud CDE/HA/PHE, Organización Panamericana de la Salud / Organización Mundial de la Salud (OPS/OMS), Asuncion, Paraguay
| | - Edward C. Holmes
- Marie Bashir Institute for Infectious Diseases and Biosecurity, School of Life and Environmental Sciences and School of Medical Sciences, University of Sydney, Sydney, NSW, Australia
| | - Tulio de Oliveira
- Centre for Epidemic Response and Innovation (CERI), School of Data Science and Computational Thinking, Stellenbosch University, Stellenbosch 7600, South Africa
- KwaZulu-Natal Research Innovation and Sequencing Platform (KRISP), Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban 4001, South Africa
| | - Jairo Mendez Rico
- Infectious Hazards Management, Health Emergencies Department (PHE), Pan American Health Organization / World Health Organization (PAHO/WHO), Washington DC, USA
| | - José Lourenço
- Biosystems and Integrative Sciences Institute, Faculty of Sciences, University of Lisbon, Lisbon, 1749-016, Portugal
| | - Vagner Fonseca
- Coordenação de Vigilância, Preparação e Resposta à Emergências e Desastres (PHE), Organização Pan-Americana da Saúde / Organização Mundial da Saúde (OPAS/OMS), Brasilia DF, Brazil
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19
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da Silva AS, Campos GMD, Giovanetti M, Zucherato VS, Lima ARJ, Santos EV, Haddad R, Ciccozzi M, Alcantara LCJ, Elias MC, Sampaio SC, Covas DT, Kashima S, Slavov SN. VIRAL METAGENOMICS UNVEILS MW (MALAWI) POLYOMAVIRUS INFECTION IN BRAZILIAN PEDIATRIC PATIENTS WITH ACUTE RESPIRATORY DISEASE. J Med Virol 2023; 95:e28688. [PMID: 36946498 DOI: 10.1002/jmv.28688] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2022] [Revised: 03/08/2023] [Accepted: 03/17/2023] [Indexed: 03/23/2023]
Abstract
Viral metagenomics has been extensively applied for the identification of emerging or poorly characterized viruses. In this study, we applied metagenomics for the identification of viral infections among pediatric patients with acute respiratory disease but who tested negative for SARS-CoV-2. Twelve pools composed of 8 nasopharyngeal specimens were submitted to viral metagenomics. Surprisingly, in two of the pools, we identified reads belonging to the poorly characterized Malawi polyomavirus (MWPyV). Then, the samples composing the positive pools were individually tested using qPCR for identification of the MWPyV index cases. MWPyV positive samples were also submitted to respiratory virus panel testing due to the metagenomic identification of different clinically important viruses. Of note, MWPyV positive samples tested also positive for respiratory syncytial virus types A and B. In this study, we retrieved two complete MWPyV genome sequences from the index samples that were submitted to phylogenetic inference to investigate their viral origin. Our study represents the first molecular and genomic characterization of MWPyV obtained from pediatric patients in South America. The detection of MWPyV in acutely infected infants suggests that this virus might participate (co-participate) in cases of respiratory symptoms. Nevertheless, future studies based on testing of a larger number of clinical samples and MWPyV complete genomes appear to be necessary to elucidate if this emerging polyomavirus might be clinically important. This article is protected by copyright. All rights reserved.
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Affiliation(s)
- Anielly Sarana da Silva
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Gabriel Montenegro de Campos
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Marta Giovanetti
- Laboratory of Flaviviruses, Oswaldo Cruz Institute, Rio de Janeiro, Rio de Janeiro, Brazil
- Department of Science and Technology for Humans and Environment, University of Campus-Bio Medico di Roma, Rome, Italy
- Interunit Postgraduate Program in Bioinformatics, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Victória Simonatto Zucherato
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | | | - Elaine Vieira Santos
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Rodrigo Haddad
- Faculty of Ceilândia, University of Brasília, Brasília, Federal District, Brazil
| | - Massimo Ciccozzi
- Epidemiology and Statistics Unit, University of Campus Bio-Medico di Roma, Rome, Italy
| | - Luiz Carlos Júnior Alcantara
- Laboratory of Flaviviruses, Oswaldo Cruz Institute, Rio de Janeiro, Rio de Janeiro, Brazil
- Interunit Postgraduate Program in Bioinformatics, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | | | | | - Dimas Tadeu Covas
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
- Butantan Institute, São Paulo, São Paulo, Brazil
| | - Simone Kashima
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Svetoslav Nanev Slavov
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
- Butantan Institute, São Paulo, São Paulo, Brazil
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20
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Tosta S, Moreno K, Schuab G, Fonseca V, Segovia FMC, Kashima S, Elias MC, Sampaio SC, Ciccozzi M, Alcantara LCJ, Slavov SN, Lourenço J, Cella E, Giovanetti M. Global SARS-CoV-2 genomic surveillance: What we have learned (so far). Infect Genet Evol 2023; 108:105405. [PMID: 36681102 PMCID: PMC9847326 DOI: 10.1016/j.meegid.2023.105405] [Citation(s) in RCA: 14] [Impact Index Per Article: 14.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Revised: 01/13/2023] [Accepted: 01/17/2023] [Indexed: 01/20/2023]
Abstract
The COVID-19 pandemic has brought significant challenges for genomic surveillance strategies in public health systems worldwide. During the past thirty-four months, many countries faced several epidemic waves of SARS-CoV-2 infections, driven mainly by the emergence and spread of novel variants. In that line, genomic surveillance has been a crucial toolkit to study the real-time SARS-CoV-2 evolution, for the assessment and optimization of novel diagnostic assays, and to improve the efficacy of existing vaccines. During the pandemic, the identification of emerging lineages carrying lineage-specific mutations (particularly those in the Receptor Binding domain) showed how these mutations might significantly impact viral transmissibility, protection from reinfection and vaccination. So far, an unprecedented number of SARS-CoV-2 viral genomes has been released in public databases (i.e., GISAID, and NCBI), achieving 14 million genome sequences available as of early-November 2022. In the present review, we summarise the global landscape of SARS-CoV-2 during the first thirty-four months of viral circulation and evolution. It demonstrates the urgency and importance of sustained investment in genomic surveillance strategies to timely identify the emergence of any potential viral pathogen or associated variants, which in turn is key to epidemic and pandemic preparedness.
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Affiliation(s)
- Stephane Tosta
- Interunit Postgraduate Program in Bioinformatics, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Keldenn Moreno
- Interunit Postgraduate Program in Bioinformatics, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Gabriel Schuab
- Federal University of Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazil; Laboratório de Flavivirus, Instituto Oswaldo Cruz, Rio de Janeiro, Rio de Janeiro, Brazil
| | - Vagner Fonseca
- Organização Pan-Americana da Saúde/Organização Mundial da Saúde, Brasília, Distrito Federal, Brazil.
| | | | - Simone Kashima
- Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo,Brazil
| | | | | | - Massimo Ciccozzi
- Unit of Medical Statistics and Molecular Epidemiology, University Campus Bio-Medico of Rome, Italy
| | - Luiz Carlos Junior Alcantara
- Interunit Postgraduate Program in Bioinformatics, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil; Laboratório de Flavivirus, Instituto Oswaldo Cruz, Rio de Janeiro, Rio de Janeiro, Brazil
| | - Svetoslav Nanev Slavov
- Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo,Brazil; Butantan Institute, São Paulo, Brazil
| | - José Lourenço
- BioISI (Biosystems and Integrative Sciences Institute), Faculdade de Ciências da Universidade de Lisboa, Lisboa,Portugal
| | - Eleonora Cella
- Burnett School of Biomedical Sciences, University of Central Florida, Orlando, FL 32827, USA.
| | - Marta Giovanetti
- Interunit Postgraduate Program in Bioinformatics, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil; Laboratório de Flavivirus, Instituto Oswaldo Cruz, Rio de Janeiro, Rio de Janeiro, Brazil; Department of Science and Technology for Humans and the Environment, University of Campus Bio-Medico di Roma, Rome, Italy.
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21
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Sato H, Narita S, Takahashi Y, Ishida M, Kobayashi M, Kashima S, Yamamoto R, Nara T, Huang M, Numakura K, Saito M, Yoshioka T, Habuchi T. Specific gut microbial environment and intratumoral lipid metabolism change in lard diet-induced prostate cancer progression. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)01194-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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22
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Zucherato VS, da Costa PNM, Giovanetti M, Krause LMF, Alves DCC, Moreira RMA, Pimentel BMS, Haddad R, Bitencourt HT, Ciccozzi M, Alcantara LCJ, Kashima S, Covas DT, Slavov SN. Merkel cell polyomavirus (MCPyV) DNA prevalence in Brazilian blood donors. Transfus Clin Biol 2023; 30:143-146. [PMID: 36306977 DOI: 10.1016/j.tracli.2022.10.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2022] [Revised: 10/17/2022] [Accepted: 10/18/2022] [Indexed: 11/06/2022]
Abstract
Merkel cell polyomavirus (MCPyV) is an oncogenic virus that has been etiologically linked to Merkel cell carcinoma. Low levels of MCPyV DNA have been detected in blood donors with unclear impact on transfusion. The prevalence of MCPyV DNA in Brazilian blood donors is unclear. Therefore, the objective of this study was to evaluate the MCPyV DNA prevalence among Brazilian blood donors. We examined the presence of MCPyV DNA by real-time PCR (qPCR) in a total of 450 serum samples obtained from blood donors from three Brazilian regions (North, Central-West and South). The overall estimated MCPyV DNA prevalence was 1.1% (CI = 95%, 0.16-2.06%). Divided by region, in North Brazil (city of Macapa, state of Amapá) and South Brazil (city of Santa Maria, state of Rio Grande do Sul), the MCPyV prevalence was the same: 1.33% (CI = 95%, range 0.0-3.14%). In Central-West Brazil (city of Brasilia), the MCPyV prevalence was 0.6% (CI = 95%, 0.0-1.96%). All MCPyV positive samples showed a high cycle threshold (median Ct = 35.5), most probably related to the low viral load. More studies are necessary to unveil the impact of this oncogenic virus on transfusion medicine and if such exists, especially in regards of its infectivity and transmission potential.
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Affiliation(s)
- Victoria Simionatto Zucherato
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Perícles Natan Mendes da Costa
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Marta Giovanetti
- Laboratório de Flavivírus, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, Rio de Janeiro, Brazil; Department of Science and Technology for Humans and the Environment, University of Campus Bio-Medico di Roma, Rome, Italy
| | - Luciana Maria Fontanari Krause
- Department of Morphology, Faculty of Medicine of the Federal University of Santa Maria, Santa Maria, Rio Grande do Sul, Brazil
| | | | | | | | - Rodrigo Haddad
- Faculty of Ceilandia, University of Brasília, Brasília, Federal District, Brazil
| | | | - Massimo Ciccozzi
- Epidemiology and Statistic Unit, University of Campus Bio-Medico di Roma, Rome, Italy
| | - Luiz Carlos Júnior Alcantara
- Laboratório de Flavivírus, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, Rio de Janeiro, Brazil
| | - Simone Kashima
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Dimas Tadeu Covas
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil; Butantan Institute, São Paulo, São Paulo, Brazil
| | - Svetoslav Nanev Slavov
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil; Butantan Institute, São Paulo, São Paulo, Brazil.
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23
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Zucherato VS, Giovanetti M, Costa LOA, Krause LMF, Alves DCC, Moreira RMA, Pimentel BMS, Haddad R, Bitencourt HT, Ciccozzi M, Alcantara LCJ, Kashima S, Covas DT, Slavov SN. Molecular identification of the emerging Human Gemykibivirus-2 (HuGkV-2) among Brazilian blood donors. Transfus Apher Sci 2023; 62:103516. [PMID: 35941020 DOI: 10.1016/j.transci.2022.103516] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2022] [Revised: 07/06/2022] [Accepted: 07/25/2022] [Indexed: 11/19/2022]
Abstract
Human gemykibivirus-2 (HuGkV-2) belonging to the Gemykibivirus genus (Genomoviridae family) is an emerging DNA virus which has been described as a component of the virome of a wide variety of samples including clinical ones. So far, the HuGkV-2 DNA prevalence in the human population as well as its clinical impact are completely unknown. The objective of this study was to investigate the HuGkV-2 DNA prevalence among Brazilian healthy blood donors from three different geographic regions. A total of 450 blood samples were screened for HuGkV-2 DNA (150 samples were from the Brazilian Amazon, 150 from Midwest Brazil and 150 from South Brazil). The overall HuGkV-2 DNA prevalence was 7.8 %. Considering the examined regions, the highest prevalence was observed in the Brazilian Amazon (city of Macapa, state of Amapa), 15.3 %, followed by the Midwest Brazil (city of Brasilia, Federal District) (6.0 %) and South Brazil (city of Santa Maria, Rio Grande do Sul State) (2.0 %). This study gives preliminary insights on the molecular prevalence of HuGkV-2 DNA among Brazilian blood donors, highlighting that the highest HuGkV-2 prevalence was recorded in the Brazilian Amazon. However, more studies regarding the prevalence, transmission routes and any possible clinical effects appear to be crucial in order to understand the impact of this emerging viral agent.
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Affiliation(s)
| | - Marta Giovanetti
- Laboratory of Flaviviruses, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil; Department of Science and Technology for Humans and the Environment, University of Campus Bio-Medico di Roma, Rome, Italy
| | - Lara Okuyama Afonso Costa
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Brazil
| | - Luciana Maria Fontanari Krause
- Department of Morphology, Faculty of Medicine of the Federal University of Santa Maria, Santa Maria, Rio Grande do Sul, Brazil
| | | | | | | | - Rodrigo Haddad
- Faculty of Ceilandia, University of Brasília, Brasília, Federal District, Brazil
| | | | - Massimo Ciccozzi
- Epidemiology and Statistic Unit, University of Campus Bio-Medico di Roma, Rome, Italy
| | | | - Simone Kashima
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Brazil
| | - Dimas Tadeu Covas
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Brazil; Butantan Institute, São Paulo, São Paulo, Brazil
| | - Svetoslav Nanev Slavov
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Brazil; Butantan Institute, São Paulo, São Paulo, Brazil.
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24
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Fujimoto R, Suzuki E, Kashima S, Kazufumi N, Oka T, Ito H, Yorifuji T. Ambient heat exposure after the rainy season is associated with an increased risk of Stroke. Eur Heart J 2023. [DOI: 10.1093/eurheartj/ehac779.087] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/26/2023] Open
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: None.
Background
Stroke is a major global health issue and Climate change is the biggest and most urgent challenges. The Asia and Pacific region have been more vulnerable to climate change and extreme heat exposure than other regions of the world. Despite the growing concern for heat waves, few studies have investigated heat exposure and the risk of Stroke in the elderly considering effect of Asian meteorological factors.
Purpose
We aimed to examine the association between heat exposure and the risk of Stroke in the elderly and to evaluate possible effect-measure modifications by the rainy season, which is a characteristic climatic occurrence in East Asia.
Methods
Our study was designed as a time-stratified case-crossover. The study included 3367 residents in the city, Japan, aged 65 years or older who were dispatched to emergency hospitals between 2012 and 2019 for the onset of Stroke during and a few months after the rainy seasons (Picture 1). We examined the association between temperature and Stroke onset during and a few months after the rainy seasons with conditional logistic analysis adjusted for relative humidity, barometric pressure, and particulate matter less than 2.5 µm in diameter (pm 2.5). Furthermore, we examined analyses on effect-measure modification where is the exposure of a 1°C increase in temperature and potential effect modifier as stratified during and after the rainy seasons.
Results
Heat exposure during one month after the rainy season was associated with Stroke risk; the adjusted odds ratio (OR) for a 1°C increase in temperature was 1.34 (95% confidence interval [CI]: 1.29-1.39). In stratified type of the stroke, Hemorrhagic stroke (OR: 1.37, 95% CI: 1.24-1.51), Ischemic stroke (OR: 1.37, 95% CI: 1.24-1.53), and Transient ischemic attack (OR: 1.43, 95%CI: 1.23-1.68) were significantly associated with heat exposure during one month after the rainy season respectively (Picture 2). In the results of analyses on effect modification, one month after the rainy season group was highest than other groups when reference was during the rainy seasons (OR: 1.34, 95% CI: 1.3-1.39, P<0.001 [Measure of effect modification on additive scale]).
Conclusions
The present study suggests that heat exposure increases the risk of Stroke onset during the month after the end of the rainy season in the elderly. We propose that public health measures, such as maintenance designed high-insulated housing and improved air conditioning control, be implemented in the Asia and Pacific region to address heat exposure during one month after the rainy season, which can affect the incidence of stroke in the elderly.
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Affiliation(s)
- R Fujimoto
- Tsuyama Central Hospital, Cardiovascular Center, Cardiovascular Medicine , Tsuyama , Japan
| | - E Suzuki
- Okayama University, Graduated School of Medicine, Dentistry and Pharmaceutical Sciences, Epidemiology , Okayama , Japan
| | - S Kashima
- Hiroshima University, Environmental Health Sciences Laboratory, Graduate School of Advanced Science and Engineering , Hiroshima , Japan
| | - N Kazufumi
- Okayama University, Graduated School of Medicine, Dentistry and Pharmaceutical Sciences, Cardiovascular Medicine , Okayama , Japan
| | - T Oka
- Tsuyama Central Hospital, Cardiovascular Center, Cardiovascular Medicine , Tsuyama , Japan
| | - H Ito
- Okayama University, Graduated School of Medicine, Dentistry and Pharmaceutical Sciences, Cardiovascular Medicine , Okayama , Japan
| | - T Yorifuji
- Okayama University, Graduated School of Medicine, Dentistry and Pharmaceutical Sciences, Epidemiology , Okayama , Japan
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25
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Assato PA, Clemente LG, Giovanetti M, Ribeiro G, Lima ARJ, Palmieri M, de Moraes LN, Kashima S, Fukumasu H, Nogueira ML, Alcantara LCJ, Nicolodelli AL, Martins AJ, Petry B, Banho CA, Dos Santos Barros CR, Moncau-Gadbem CT, Moretti DB, De La Roque DGL, Marqueze EC, Mattos EC, Silva FEVD, Da Costa FADS, Cacherik G, De Souza Todao Bernardino J, Lesbon JCC, Sacchetto L, De Lima LPO, Caldeira LAV, Martininghi M, Moraes MM, Poleti MD, Cattony Neto PDQ, Cassano RDLRC, Brassaloti RA, Slavov SN, Viala VL, Coutinho LL, Grotto RMT, Neto RM, Covas DT, Sampaio SC, Elias MC, Souza-Neto JA. Retrospective Insights of the COVID-19 Epidemic in the Major Latin American City, São Paulo, Southeastern Brazil. Viruses 2023; 15:327. [PMID: 36851541 PMCID: PMC9965911 DOI: 10.3390/v15020327] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Revised: 01/11/2023] [Accepted: 01/12/2023] [Indexed: 01/26/2023] Open
Abstract
São Paulo is the financial center of Brazil, with a population of over 12 million, that receives travelers from all over the world for business and tourism. It was the first city in Brazil to report a case of COVID-19 that rapidly spread across the city despite the implementation of the restriction measures. Despite many reports, much is still unknown regarding the genomic diversity and transmission dynamics of this virus in the city of São Paulo. Thus, in this study, we provide a retrospective overview of the COVID-19 epidemic in São Paulo City, Southeastern, Brazil, by generating a total of 9995 near-complete genome sequences from all the city's different macro-regions (North, West, Central, East, South, and Southeast). Our analysis revealed that multiple independent introduction events of different variants (mainly Gamma, Delta, and Omicron) occurred throughout time. Additionally, our estimates of viral movement within the different macro-regions further suggested that the East and the Southeast regions were the largest contributors to the Gamma and Delta viral exchanges to other regions. Meanwhile, the North region had a higher contribution to the dispersion of the Omicron variant. Together, our results reinforce the importance of increasing SARS-CoV-2 genomic monitoring within the city and the country to track the real-time evolution of the virus and to detect earlier any eventual emergency of new variants of concern that could undermine the fight against COVID-19 in Brazil and worldwide.
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Affiliation(s)
- Patricia Akemi Assato
- School of Agricultural Sciences, São Paulo State University (UNESP), Botucatu 18610-034, Brazil
| | - Luan Gaspar Clemente
- Centro de Genômica Funcional da ESALQ, University of São Paulo, Piracicaba 13418-900, Brazil
| | - Marta Giovanetti
- Instituto Oswaldo Cruz, FIOCRUZ, Rio de Janeiro 21040-360, Brazil
- Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte 31270-901, Brazil
- Department of Science and Technology for Humans and the Environment, University of Campus Bio-Medico di Roma, 00128 Rome, Italy
| | | | | | - Melissa Palmieri
- Health Surveillance Coordination, Sao Paulo Municipal Health Department—Coordenadoria de Vigilância em Saúde—Secretaria Municipal de São Paulo, Sao Paulo 05579-000, Brazil
| | | | - Simone Kashima
- Ribeirão Preto Medical School, Blood Center of Ribeirão Preto, University of São Paulo, Ribeirão Preto 14051-140, Brazil
| | - Heidge Fukumasu
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of Sao Paulo, Pirassununga 13635-900, Brazil
| | | | - Luiz Carlos Junior Alcantara
- Instituto Oswaldo Cruz, FIOCRUZ, Rio de Janeiro 21040-360, Brazil
- Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte 31270-901, Brazil
| | - Aline Lais Nicolodelli
- Primary Care Coordination/Sao Paulo Municipal Health Department—Coordenadoria de Atenção Básica—Secretaria Municipal de São Paulo, Sao Paulo 05579-000, Brazil
| | | | - Bruna Petry
- Centro de Genômica Funcional da ESALQ, University of São Paulo, Piracicaba 13418-900, Brazil
| | - Cecilia Artico Banho
- Faculdade de Medicina de São José do Rio Preto (FAMERP), São José do Rio Preto 15090-000, Brazil
| | | | | | | | - Debora Glenda Lima De La Roque
- Ribeirão Preto Medical School, Blood Center of Ribeirão Preto, University of São Paulo, Ribeirão Preto 14051-140, Brazil
| | | | - Elisangela Chicaroni Mattos
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of Sao Paulo, Pirassununga 13635-900, Brazil
| | - Fabiana Erica Vilanova Da Silva
- Primary Care Coordination/Sao Paulo Municipal Health Department—Coordenadoria de Atenção Básica—Secretaria Municipal de São Paulo, Sao Paulo 05579-000, Brazil
| | | | - Giselle Cacherik
- Primary Care Coordination/Sao Paulo Municipal Health Department—Coordenadoria de Atenção Básica—Secretaria Municipal de São Paulo, Sao Paulo 05579-000, Brazil
| | | | - Jessika Cristina Chagas Lesbon
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of Sao Paulo, Pirassununga 13635-900, Brazil
| | - Lívia Sacchetto
- Faculdade de Medicina de São José do Rio Preto (FAMERP), São José do Rio Preto 15090-000, Brazil
| | | | - Luiz Artur Vieira Caldeira
- Health Surveillance Coordination, Sao Paulo Municipal Health Department—Coordenadoria de Vigilância em Saúde—Secretaria Municipal de São Paulo, Sao Paulo 05579-000, Brazil
| | - Maiara Martininghi
- Health Surveillance Coordination, Sao Paulo Municipal Health Department—Coordenadoria de Vigilância em Saúde—Secretaria Municipal de São Paulo, Sao Paulo 05579-000, Brazil
| | - Marília Mazzi Moraes
- Faculdade de Medicina de São José do Rio Preto (FAMERP), São José do Rio Preto 15090-000, Brazil
| | - Mirele Daiana Poleti
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of Sao Paulo, Pirassununga 13635-900, Brazil
| | | | | | | | - Svetoslav Nanev Slavov
- Ribeirão Preto Medical School, Blood Center of Ribeirão Preto, University of São Paulo, Ribeirão Preto 14051-140, Brazil
| | | | - Luiz Lehmann Coutinho
- Centro de Genômica Funcional da ESALQ, University of São Paulo, Piracicaba 13418-900, Brazil
| | - Rejane Maria Tommasini Grotto
- School of Agricultural Sciences, São Paulo State University (UNESP), Botucatu 18610-034, Brazil
- Genomic Surveillance Network, São Paulo State University (UNESP), Sao Paulo 01049-010, Brazil
| | | | - Dimas Tadeu Covas
- Butantan Institute, Sao Paulo 05508-040, Brazil
- Ribeirão Preto Medical School, Blood Center of Ribeirão Preto, University of São Paulo, Ribeirão Preto 14051-140, Brazil
| | | | | | - Jayme A. Souza-Neto
- School of Agricultural Sciences, São Paulo State University (UNESP), Botucatu 18610-034, Brazil
- Genomic Surveillance Network, São Paulo State University (UNESP), Sao Paulo 01049-010, Brazil
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26
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Elias MC, Slavov SN, Lima ARJ, Martins AJ, Barros CRDS, Moretti DB, Araujo EL, Marqueze EC, Ribeiro G, Ribeiro GMF, Bernardino JST, Koser JR, Clemente LG, Crispin LAC, Alcantara LCJ, Coutinho LL, Giovanetti M, Silva QO, Neto RM, Haddad R, Kashima S, Viala VL, Covas DT, Sampaio SC. A traveling SARS-CoV-2 laboratory as part of a pandemic response among vulnerable Brazilian populations. BMC Public Health 2023; 23:15. [PMID: 36597102 PMCID: PMC9810251 DOI: 10.1186/s12889-022-14867-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2022] [Accepted: 12/13/2022] [Indexed: 01/05/2023] Open
Abstract
BACKGROUND Brazil has been dramatically hit by the SARS-CoV-2 pandemic and is a world leader in COVID-19 morbidity and mortality. Additionally, the largest country of Latin America has been a continuous source of SARS-CoV-2 variants and shows extraordinary variability of the pandemic strains probably related to the country´s outstanding position as a Latin American economical and transportation hub. Not all regions of the country show sufficient infrastructure for SARS-CoV-2 diagnosis and genotyping which can negatively impact the pandemic response. METHODS Due to this reason and to disburden the diagnostic system of the inner São Paulo State, the Butantan Institute established the Mobile Laboratory (in Portuguese: LabMovel) for SARS-CoV-2 testing which started a trip of the most important "hotspots" of the most populous Brazilian region. The LabMovel initiated in two important cities of the State: Aparecida do Norte (an important religious center) and the Baixada Santista region which incorporates the port of Santos, the busiest in Latin America. The LabMovel was fully equipped with an automatized system for SARS-CoV-2 diagnosis and sequencing/genotyping. It also integrated the laboratory systems for patient records and results divulgation including in the Federal Brazilian Healthcare System. RESULTS Currently,16,678 samples were tested, among them 1,217 from Aparecida and 4,564 from Baixada Santista. We tracked the delta introductio in the tested regions with its high diversification. The established mobile SARS-CoV-2 laboratory had a major impact on the Public Health System of the included cities including timely delivery of the results to the healthcare agents and the Federal Healthcare system, evaluation of the vaccination status of the positive individuals in the background of exponential vaccination process in Brazil and scientific and technological divulgation of the fieldwork to the most vulnerable populations. CONCLUSIONS The SARS-CoV-2 pandemic has demonstrated worldwide the importance of science to fight against this viral agent and the LabMovel shows that it is possible to integrate researchers, clinicians, healthcare workers and patients to take rapid actions that can in fact mitigate this and other epidemiological situations.
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Affiliation(s)
- Maria Carolina Elias
- Instituto Butantan, São Paulo, Brazil. .,Center of Toxins, Immune Response and Cell Signaling - CeTICSInstituto Butantan, São Paulo, 05503-900, Brazil.
| | - Svetoslav Nanev Slavov
- grid.11899.380000 0004 1937 0722University of São Paulo, Ribeirão Preto Medical School, Blood Center of Ribeirão Preto, Ribeirão Preto, Brazil
| | | | | | | | | | | | | | - Gabriela Ribeiro
- grid.418514.d0000 0001 1702 8585Instituto Butantan, São Paulo, Brazil
| | | | | | | | | | | | - Luiz Carlos Junior Alcantara
- grid.418068.30000 0001 0723 0931Instituto René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Minas Gerais Brazil
| | | | - Marta Giovanetti
- grid.418068.30000 0001 0723 0931Instituto René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Minas Gerais Brazil
| | | | - Raul Machado Neto
- grid.418514.d0000 0001 1702 8585Instituto Butantan, São Paulo, Brazil
| | - Ricardo Haddad
- grid.418514.d0000 0001 1702 8585Instituto Butantan, São Paulo, Brazil
| | - Simone Kashima
- grid.11899.380000 0004 1937 0722University of São Paulo, Ribeirão Preto Medical School, Blood Center of Ribeirão Preto, Ribeirão Preto, Brazil
| | | | - Dimas Tadeu Covas
- grid.418514.d0000 0001 1702 8585Instituto Butantan, São Paulo, Brazil ,grid.11899.380000 0004 1937 0722University of São Paulo, Ribeirão Preto Medical School, Blood Center of Ribeirão Preto, Ribeirão Preto, Brazil
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27
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Luciola Zanette D, Andrade Coelho KBC, de Carvalho E, Aoki MN, Nardin JM, Araújo Lalli L, dos Santos Bezerra R, Giovanetti M, Simionatto Zucherato V, Montenegro de Campos G, de Souza Todão Bernardino J, Louis Viala V, Ciccozzi M, Junior Alcantara LC, Coccuzzo Sampaio S, Elias MC, Kashima S, Tadeu Covas D, Nanev Slavov S. Metagenomic insights into the plasma virome of Brazilian patients with prostate cancer. Mol Cell Oncol 2023; 10:2188858. [PMID: 36950183 PMCID: PMC10026895 DOI: 10.1080/23723556.2023.2188858] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/17/2023]
Abstract
Growing evidence suggests that metavirome changes could be associated increased risk for malignant cell transformation. Considering Viruses have been proposed as factors for prostate cancer induction. The objective of this study was to examine the composition of the plasma metavirome of patients with prostate cancer. Blood samples were obtained from 49 male patients with primary prostate adenocarcinoma. Thirty blood donors were included as a control group. The obtained next-generation sequencing data were analyzed using a bioinformatic pipeline for virus metagenomics. Viral reads with higher abundance were assembled in contigs and analyzed taxonomically. Viral agents of interest were also confirmed by qPCR. Anelloviruses and the Human Pegivirus-1 (HPgV-1) were the most abundant component of plasma metavirome. Clinically important viruses like hepatitis C virus (HCV), cytomegalovirus and human adenovirus type C were also identified. In comparison, the blood donor virome was exclusively composed of torque teno virus types (TTV) types. The performed HPgV-1 and HCV phylogeny revealed that these viruses belong to commonly detected in Brazil genotypes. Our study sheds light on the plasma viral abundance in patients with prostatic cancer. The obtained viral diversity allowed us to separate the patients and controls, probably suggesting that malignant processes may influence virome composition. More complex and multiple approach investigations are necessary to examine the likely causal relationship between metavirome and its nvolvement in prostate cancer.
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Affiliation(s)
- Dalila Luciola Zanette
- Laboratory for Applied Science and Technology in Health, Carlos Chagas Institute, Oswaldo Cruz Foundation (FIOCRUZ), Professor Algacyr Munhoz Mader, Curitiba, Parana, Brazil
| | | | | | - Mateus Nobrega Aoki
- Laboratory for Applied Science and Technology in Health, Carlos Chagas Institute, Oswaldo Cruz Foundation (FIOCRUZ), Professor Algacyr Munhoz Mader, Curitiba, Parana, Brazil
| | | | - Larissa Araújo Lalli
- Laboratory for Applied Science and Technology in Health, Carlos Chagas Institute, Oswaldo Cruz Foundation (FIOCRUZ), Professor Algacyr Munhoz Mader, Curitiba, Parana, Brazil
| | - Rafael dos Santos Bezerra
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of Sao Paulo, Ribeirao Preto, Sao Paulo, Brazil
| | - Marta Giovanetti
- Department of Science and Technology for Humans and the Environment, University of Campus Bio-Medico di Roma, Rome, Italy
- Laboratory of Flaviviruses, Oswaldo Cruz Foundation, Rio de Janeiro, Rio de Janeiro, Brazil
| | - Victória Simionatto Zucherato
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of Sao Paulo, Ribeirao Preto, Sao Paulo, Brazil
| | - Gabriel Montenegro de Campos
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of Sao Paulo, Ribeirao Preto, Sao Paulo, Brazil
| | | | | | - Massimo Ciccozzi
- Epidemiology and Statistic Unit, University of Campus Bio-Medico di Roma, Rome, Italy
| | | | | | | | - Simone Kashima
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of Sao Paulo, Ribeirao Preto, Sao Paulo, Brazil
| | - Dimas Tadeu Covas
- Butantan Institute, São Paulo, São Paulo, Brazil
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of Sao Paulo, Ribeirao Preto, Sao Paulo, Brazil
| | - Svetoslav Nanev Slavov
- Butantan Institute, São Paulo, São Paulo, Brazil
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of Sao Paulo, Ribeirao Preto, Sao Paulo, Brazil
- CONTACT Svetoslav Nanev Slavov Laboratory of Bioinformatics, Department of Biotechnology (NuCeL), Butantan Institute in Ribeirao Preto, 2501 Tenente Catao Roxo Street, Ribeirao Preto, Sao Paulo14051-140, Brazil
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28
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Evaristo M, Santos EV, Borges JS, Covas DT, Kashima S. O IMPACTO DO SARS-COV-2 NA MEDICINA TRANSFUSIONAL: AVALIAÇÃO DA SOROPREVALÊNCIA E DETECÇÃO MOLECULAR DE SARS-COV-2 EM DOADORES DE SANGUE. Hematol Transfus Cell Ther 2022. [PMCID: PMC9576012 DOI: 10.1016/j.htct.2022.09.1139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
No ano de 2019, um surto de pneumonia de causa desconhecida foi notificado em Wuhan, na China. O agente etiológico identificado se trata de um vírus nomeado como Vírus da Síndrome Respiratória Aguda Grave (SARS-CoV-2). Esta infecção é predominantemente caracterizada como uma infecção do trato respiratório. Embora não haja evidências sobre a replicação viral do SARS-CoV-2 nas células do sangue periférico, este vírus pode se disseminar para outros órgãos utilizando a circulação sanguínea. Portanto, é possível a ocorrência de transmissão transfusional de SARS-CoV-2. Neste sentido, o objetivo deste trabalho foi determinar a soroprevalência e a detecção de RNA de SARS-CoV-2 no plasma de doadores de sangue do Hemocentro de Ribeirão Preto. Para isso, a coleta das amostras foi realizada no período de Janeiro de 2020 a Janeiro de 2022. Essas amostras foram divididas em dois grupos: i) Amostras de sangue de candidatos aptos à doação de sangue e ii) Amostras de sangue de doadores que apresentaram sintomas característicos da COVID-19 após doação (Informação Pós-Doação, PDI). Para a análise da soroprevalência utilizamos o ensaio imunoenzimático IgG anti-SARS-CoV-2 de 646 amostras de plasmas referidas ao ano de 2020. E para detecção molecular de RNA de SARS-CoV-2 utilizamos a técnica de RT-PCR em tempo real para a análise de 718 amostras coletadas durante os picos de pandemia. Os resultados obtidos na análise sorológica apresentou uma soroprevalência de 0,002% nos doadores de sangue do Hemocentro de Ribeirão Preto no ano de 2020. Dentre esses, 4,87% reagentes, 94,3% não reagentes e 0,9% inconclusivos. Estes percentuais representam 4,7% dos doadores de sangue do ano de 2020. Pela análise molecular por RT-PCR 2,36% das amostras testadas apresentaram positividade para COVID-19. Neste estudo, demonstramos a importância de monitorar em ordem retrospectiva a exposição de indivíduos a agentes virais emergentes. Embora, observamos uma reduzida positividade nos testes moleculares, os nossos dados indicam que o vírus pode ser detectado no sangue periférico. Além disso, evidenciamos a necessidade de estudos complementares de infecciosidade e carga viral para demonstrar a viabilidade de replicação viral em amostras sanguíneas. Apoio financeiro: INCTC/Cnpq (465539/2014-9), CTC/Fapesp (2013/08135-2), FUNDHERP.
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Affiliation(s)
- M Evaristo
- Faculdade de Medicina de Ribeirão Preto (HCFMRP), Universidade de São Paulo (USP), Ribeirão Preto, SP, Brasil,Fundação Hemocentro de Ribeirão Preto, Ribeirão Preto, SP, Brasil
| | - EV Santos
- Fundação Hemocentro de Ribeirão Preto, Ribeirão Preto, SP, Brasil,Instituto Butantan, São Paulo, SP, Brasil
| | - JS Borges
- Fundação Hemocentro de Ribeirão Preto, Ribeirão Preto, SP, Brasil
| | - DT Covas
- Faculdade de Medicina de Ribeirão Preto (HCFMRP), Universidade de São Paulo (USP), Ribeirão Preto, SP, Brasil,Fundação Hemocentro de Ribeirão Preto, Ribeirão Preto, SP, Brasil,Instituto Butantan, São Paulo, SP, Brasil
| | - S Kashima
- Fundação Hemocentro de Ribeirão Preto, Ribeirão Preto, SP, Brasil,Faculdade de Ciências Farmacêuticas de Ribeirão Preto (FCFRP), Universidade de São Paulo (USP), Ribeirão Preto, SP, Brasil
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29
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Costa PNM, Rosário JPC, Covas DT, Kashima S. ENSAIO DE QPCR EM LARGA ESCALA PARA SELEÇÃO DE COMPOSTOS MODULADORES DA EXPRESSÃO DE CICLO-OXIGENASE DOIS EM CÉLULAS ESTROMAIS MESENQUIMAIS MULTIPOTENTES. Hematol Transfus Cell Ther 2022. [DOI: 10.1016/j.htct.2022.09.548] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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30
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Lesbon JCC, Poleti MD, de Mattos Oliveira EC, Patané JSL, Clemente LG, Viala VL, Ribeiro G, Giovanetti M, de Alcantara LCJ, Teixeira O, Nonato MC, de Lima LPO, Martins AJ, dos Santos Barros CR, Marqueze EC, de Souza Todão Bernardino J, Moretti DB, Brassaloti RA, de Lello Rocha Campos Cassano R, Mariani PDSC, Slavov SN, dos Santos RB, Rodrigues ES, Santos EV, Borges JS, de La Roque DGL, Kitajima JP, Santos B, Assato PA, da Silva da Costa FA, Banho CA, Sacchetto L, Moraes MM, Palmieri M, da Silva FEV, Grotto RMT, Souza-Neto JA, Nogueira ML, Coutinho LL, Calado RT, Neto RM, Covas DT, Kashima S, Elias MC, Sampaio SC, Fukumasu H. Correction: Lesbon et al. Nucleocapsid (N) Gene Mutations of SARS-CoV-2 Can Affect Real-Time RT-PCR Diagnostic and Impact False-Negative Results. Viruses 2021, 13, 2474. Viruses 2022; 14:v14091967. [PMID: 36146888 PMCID: PMC9506407 DOI: 10.3390/v14091967] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2022] [Accepted: 08/26/2022] [Indexed: 11/16/2022] Open
Abstract
The authors hereby request the inclusion of two authors (Olivia Teixeira and Maria Cristina Nonato) in the recently published article in Viruses entitled “Nucleocapsid (N) gene mutations of SARS-CoV-2 can affect real-time RT-PCR diagnostic and impact false-negative results” [...]
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Affiliation(s)
- Jéssika Cristina Chagas Lesbon
- Laboratory of Comparative and Translational Oncology, Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of Sao Paulo, Pirassununga 13635-900, São Paulo, Brazil
| | - Mirele Daiana Poleti
- Laboratory of Comparative and Translational Oncology, Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of Sao Paulo, Pirassununga 13635-900, São Paulo, Brazil
| | - Elisângela Chicaroni de Mattos Oliveira
- Laboratory of Comparative and Translational Oncology, Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of Sao Paulo, Pirassununga 13635-900, São Paulo, Brazil
| | | | - Luan Gaspar Clemente
- Functional Genomic Center, Department of Animal Science, Luiz de Queiroz School of Agriculture, University of Sao Paulo, Piracicaba 13418-900, São Paulo, Brazil
| | | | | | - Marta Giovanetti
- Fundação Oswaldo Cruz, FIOCRUZ, Manguinhos 21040-900, Rio de Janeiro, Brazil
- Institute of Biological Sciences, Federal University of Minas Gerais, Belo Horizonte 31270-901, Minas Gerais, Brazil
| | | | - Olivia Teixeira
- Ribeirao Preto Protein Crystallography Laboratory, School of Pharmaceutical Sciences, University of São Paulo, Ribeirao Preto 14040-903, São Paulo, Brazil
| | - Maria Cristina Nonato
- Ribeirao Preto Protein Crystallography Laboratory, School of Pharmaceutical Sciences, University of São Paulo, Ribeirao Preto 14040-903, São Paulo, Brazil
| | | | | | | | | | | | | | - Ricardo Augusto Brassaloti
- Functional Genomic Center, Department of Animal Science, Luiz de Queiroz School of Agriculture, University of Sao Paulo, Piracicaba 13418-900, São Paulo, Brazil
| | - Raquel de Lello Rocha Campos Cassano
- Functional Genomic Center, Department of Animal Science, Luiz de Queiroz School of Agriculture, University of Sao Paulo, Piracicaba 13418-900, São Paulo, Brazil
| | | | - Svetoslav Nanev Slavov
- Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto 14051-060, São Paulo, Brazil
| | - Rafael Bezerra dos Santos
- Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto 14051-060, São Paulo, Brazil
| | - Evandra Strazza Rodrigues
- Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto 14051-060, São Paulo, Brazil
| | - Elaine Vieira Santos
- Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto 14051-060, São Paulo, Brazil
| | - Josiane Serrano Borges
- Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto 14051-060, São Paulo, Brazil
| | - Debora Glenda Lima de La Roque
- Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto 14051-060, São Paulo, Brazil
| | | | - Bibiana Santos
- Mendelics Genomic Analysis, São Paulo 02511-000, São Paulo, Brazil
| | - Patricia Akemi Assato
- School of Agricultural Sciences, São Paulo State University, Botucatu 18618-970, São Paulo, Brazil
| | | | - Cecilia Artico Banho
- Laboratório de Pesquisas em Virologia, Departamento de Doenças Dermatológicas, Infecciosas e Parasitárias, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto 15090-000, São Paulo, Brazil
| | - Livia Sacchetto
- Laboratório de Pesquisas em Virologia, Departamento de Doenças Dermatológicas, Infecciosas e Parasitárias, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto 15090-000, São Paulo, Brazil
| | - Marilia Mazzi Moraes
- Laboratório de Pesquisas em Virologia, Departamento de Doenças Dermatológicas, Infecciosas e Parasitárias, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto 15090-000, São Paulo, Brazil
| | - Melissa Palmieri
- Coordenação de Vigilância em Saúde—Secretaria Municipal da Saúde, São Paulo 01223-906, São Paulo, Brazil
| | | | | | - Jayme A. Souza-Neto
- School of Agricultural Sciences, São Paulo State University, Botucatu 18618-970, São Paulo, Brazil
| | - Mauricio Lacerda Nogueira
- Laboratório de Pesquisas em Virologia, Departamento de Doenças Dermatológicas, Infecciosas e Parasitárias, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto 15090-000, São Paulo, Brazil
| | - Luiz Lehman Coutinho
- Functional Genomic Center, Department of Animal Science, Luiz de Queiroz School of Agriculture, University of Sao Paulo, Piracicaba 13418-900, São Paulo, Brazil
| | - Rodrigo Tocantins Calado
- Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto 14051-060, São Paulo, Brazil
| | | | - Dimas Tadeu Covas
- Butantan Institute, São Paulo 05503-000, São Paulo, Brazil
- Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto 14051-060, São Paulo, Brazil
| | - Simone Kashima
- Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto 14051-060, São Paulo, Brazil
| | | | | | - Heidge Fukumasu
- Laboratory of Comparative and Translational Oncology, Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of Sao Paulo, Pirassununga 13635-900, São Paulo, Brazil
- Correspondence: ; Tel.: +55-19-35656864
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31
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Giovanetti M, Slavov SN, Fonseca V, Wilkinson E, Tegally H, Patané JSL, Viala VL, San EJ, Rodrigues ES, Santos EV, Aburjaile F, Xavier J, Fritsch H, Adelino TER, Pereira F, Leal A, Iani FCDM, de Carvalho Pereira G, Vazquez C, Sanabria GME, Oliveira ECD, Demarchi L, Croda J, Dos Santos Bezerra R, Paola Oliveira de Lima L, Martins AJ, Renata Dos Santos Barros C, Marqueze EC, de Souza Todao Bernardino J, Moretti DB, Brassaloti RA, de Lello Rocha Campos Cassano R, Mariani PDSC, Kitajima JP, Santos B, Proto-Siqueira R, Cantarelli VV, Tosta S, Nardy VB, Reboredo de Oliveira da Silva L, Gómez MKA, Lima JG, Ribeiro AA, Guimarães NR, Watanabe LT, Barbosa Da Silva L, da Silva Ferreira R, da Penha MPF, Ortega MJ, de la Fuente AG, Villalba S, Torales J, Gamarra ML, Aquino C, Figueredo GPM, Fava WS, Motta-Castro ARC, Venturini J, do Vale Leone de Oliveira SM, Gonçalves CCM, do Carmo Debur Rossa M, Becker GN, Giacomini MP, Marques NQ, Riediger IN, Raboni S, Mattoso G, Cataneo AD, Zanluca C, Duarte Dos Santos CN, Assato PA, Allan da Silva da Costa F, Poleti MD, Lesbon JCC, Mattos EC, Banho CA, Sacchetto L, Moraes MM, Grotto RMT, Souza-Neto JA, Nogueira ML, Fukumasu H, Coutinho LL, Calado RT, Neto RM, Bispo de Filippis AM, Venancio da Cunha R, Freitas C, Peterka CRL, de Fátima Rangel Fernandes C, Navegantes W, do Carmo Said RF, Campelo de A E Melo CF, Almiron M, Lourenço J, de Oliveira T, Holmes EC, Haddad R, Sampaio SC, Elias MC, Kashima S, Junior de Alcantara LC, Covas DT. Genomic epidemiology of the SARS-CoV-2 epidemic in Brazil. Nat Microbiol 2022; 7:1490-1500. [PMID: 35982313 PMCID: PMC9417986 DOI: 10.1038/s41564-022-01191-z] [Citation(s) in RCA: 40] [Impact Index Per Article: 20.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2021] [Accepted: 06/28/2022] [Indexed: 01/01/2023]
Abstract
The high numbers of COVID-19 cases and deaths in Brazil have made Latin America an epicentre of the pandemic. SARS-CoV-2 established sustained transmission in Brazil early in the pandemic, but important gaps remain in our understanding of virus transmission dynamics at a national scale. We use 17,135 near-complete genomes sampled from 27 Brazilian states and bordering country Paraguay. From March to November 2020, we detected co-circulation of multiple viral lineages that were linked to multiple importations (predominantly from Europe). After November 2020, we detected large, local transmission clusters within the country. In the absence of effective restriction measures, the epidemic progressed, and in January 2021 there was emergence and onward spread, both within and abroad, of variants of concern and variants under monitoring, including Gamma (P.1) and Zeta (P.2). We also characterized a genomic overview of the epidemic in Paraguay and detected evidence of importation of SARS-CoV-2 ancestor lineages and variants of concern from Brazil. Our findings show that genomic surveillance in Brazil enabled assessment of the real-time spread of emerging SARS-CoV-2 variants.
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Affiliation(s)
- Marta Giovanetti
- Laboratório de Flavivirus, Fundacao Oswaldo Cruz, Rio de Janeiro, Brazil
- Laboratório de Genética Celular e Molecular, Instituto de Ciências Biologicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
- Department of Science and Technology for Humans and the Environment, University of Campus Bio-Medico di Roma, Rome, Italy
| | - Svetoslav Nanev Slavov
- Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
- Butantan Institute, São Paulo, Brazil
| | - Vagner Fonseca
- Laboratório de Genética Celular e Molecular, Instituto de Ciências Biologicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
- Pan American Health Organization (PAHO)/World Health Organization (WHO), Brasilia, Distrito Federal, Brazil
- Centre for Epidemic Response and Innovation (CERI), School of Data Science and Computational Thinking, Stellenbosch University, Stellenbosch, South Africa
- KwaZulu-Natal Research Innovation and Sequencing Platform (KRISP), School of Laboratory Medicine and Medical Sciences, University of KwaZulu-Natal, Durban, South Africa
| | - Eduan Wilkinson
- Centre for Epidemic Response and Innovation (CERI), School of Data Science and Computational Thinking, Stellenbosch University, Stellenbosch, South Africa
- KwaZulu-Natal Research Innovation and Sequencing Platform (KRISP), School of Laboratory Medicine and Medical Sciences, University of KwaZulu-Natal, Durban, South Africa
| | - Houriiyah Tegally
- Centre for Epidemic Response and Innovation (CERI), School of Data Science and Computational Thinking, Stellenbosch University, Stellenbosch, South Africa
- KwaZulu-Natal Research Innovation and Sequencing Platform (KRISP), School of Laboratory Medicine and Medical Sciences, University of KwaZulu-Natal, Durban, South Africa
| | | | | | - Emmanuel James San
- Centre for Epidemic Response and Innovation (CERI), School of Data Science and Computational Thinking, Stellenbosch University, Stellenbosch, South Africa
- KwaZulu-Natal Research Innovation and Sequencing Platform (KRISP), School of Laboratory Medicine and Medical Sciences, University of KwaZulu-Natal, Durban, South Africa
| | - Evandra Strazza Rodrigues
- Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Elaine Vieira Santos
- Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Flavia Aburjaile
- Laboratório de Genética Celular e Molecular, Instituto de Ciências Biologicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Joilson Xavier
- Laboratório de Genética Celular e Molecular, Instituto de Ciências Biologicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
- Laboratório Central de Saúde Pública do Estado de Minas Gerais (LACEN-MG), Fundação Ezequiel Dias, Belo Horizonte, Minas Gerais, Brazil
| | - Hegger Fritsch
- Laboratório de Genética Celular e Molecular, Instituto de Ciências Biologicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
- Laboratório Central de Saúde Pública do Estado de Minas Gerais (LACEN-MG), Fundação Ezequiel Dias, Belo Horizonte, Minas Gerais, Brazil
| | - Talita Emile Ribeiro Adelino
- Laboratório de Genética Celular e Molecular, Instituto de Ciências Biologicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
- Laboratório Central de Saúde Pública do Estado de Minas Gerais (LACEN-MG), Fundação Ezequiel Dias, Belo Horizonte, Minas Gerais, Brazil
| | - Felicidade Pereira
- Laboratório Central de Saúde Pública do Estado da Bahia (LACEN-BA), Salvador, Bahia, Brazil
| | - Arabela Leal
- Laboratório Central de Saúde Pública do Estado da Bahia (LACEN-BA), Salvador, Bahia, Brazil
| | - Felipe Campos de Melo Iani
- Laboratório Central de Saúde Pública do Estado de Minas Gerais (LACEN-MG), Fundação Ezequiel Dias, Belo Horizonte, Minas Gerais, Brazil
| | - Glauco de Carvalho Pereira
- Laboratório Central de Saúde Pública do Estado de Minas Gerais (LACEN-MG), Fundação Ezequiel Dias, Belo Horizonte, Minas Gerais, Brazil
| | | | - Gladys Mercedes Estigarribia Sanabria
- Laboratório Central de Salud Pública, Asunción, Paraguay
- Instituto Regional de Investigación em Salud, Universidad Nacional del Caaguazú, Caaguazú, Paraguay
- Laboratório de Biología Molecular, Hospital Regional de Coronel Oviedo, Ministerio de Salud Pública y Bienestar Social, Asunción, Paraguay
| | | | - Luiz Demarchi
- Laboratório Central de Saúde Pública do Estado de Mato Grosso do Sul (LACEN-MS), Campo Grande, Mato Grosso do Sul, Brazil
| | - Julio Croda
- Universidade Federal do Mato Grosso do Sul, Campo Grande, Mato Grosso do Sul, Brazil
| | - Rafael Dos Santos Bezerra
- Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | | | | | | | | | | | | | | | | | | | | | | | | | - Vlademir Vicente Cantarelli
- Universidade Federal de Ciencias da Saúde de Porto Alegre (UFCSPA), Universidade Feevale, Grupo Exame Laboratórios, Rio Grande do Sul, Brazil
| | - Stephane Tosta
- Laboratório de Genética Celular e Molecular, Instituto de Ciências Biologicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
- Laboratório Central de Saúde Pública do Estado da Bahia (LACEN-BA), Salvador, Bahia, Brazil
| | - Vanessa Brandão Nardy
- Laboratório Central de Saúde Pública do Estado da Bahia (LACEN-BA), Salvador, Bahia, Brazil
| | | | | | - Jaqueline Gomes Lima
- Laboratório Central de Saúde Pública do Estado da Bahia (LACEN-BA), Salvador, Bahia, Brazil
| | - Adriana Aparecida Ribeiro
- Laboratório Central de Saúde Pública do Estado de Minas Gerais (LACEN-MG), Fundação Ezequiel Dias, Belo Horizonte, Minas Gerais, Brazil
| | - Natália Rocha Guimarães
- Laboratório Central de Saúde Pública do Estado de Minas Gerais (LACEN-MG), Fundação Ezequiel Dias, Belo Horizonte, Minas Gerais, Brazil
| | - Luiz Takao Watanabe
- Laboratório Central de Saúde Pública do Estado de Mato Grosso (LACEN-MT), Cuiabá, Mato Grosso, Brazil
| | - Luana Barbosa Da Silva
- Laboratório Central de Saúde Pública do Estado de Mato Grosso (LACEN-MT), Cuiabá, Mato Grosso, Brazil
| | - Raquel da Silva Ferreira
- Laboratório Central de Saúde Pública do Estado de Mato Grosso (LACEN-MT), Cuiabá, Mato Grosso, Brazil
| | | | | | | | | | - Juan Torales
- Laboratório Central de Salud Pública, Asunción, Paraguay
| | | | | | - Gloria Patricia Martínez Figueredo
- Laboratório Central de Salud Pública, Asunción, Paraguay
- Instituto Regional de Investigación em Salud, Universidad Nacional del Caaguazú, Caaguazú, Paraguay
- Laboratório de Biología Molecular, Hospital Regional de Coronel Oviedo, Ministerio de Salud Pública y Bienestar Social, Asunción, Paraguay
| | | | | | - James Venturini
- Universidade Federal do Mato Grosso do Sul, Campo Grande, Mato Grosso do Sul, Brazil
| | | | | | | | - Guilherme Nardi Becker
- Laboratório Central de Saúde Pública do Estado do Paraná (Lacen-PR), Curitiba, Paraná, Brazil
| | | | - Nelson Quallio Marques
- Laboratório Central de Saúde Pública do Estado do Paraná (Lacen-PR), Curitiba, Paraná, Brazil
| | | | - Sonia Raboni
- Hospital de Clínicas da Universidade Federal do Paraná, Curitiba, Paraná, Brazil
| | - Gabriela Mattoso
- Laboratório de Virologia Molecular, Instituto Carlos Chagas/Fiocruz-PR, Curitiba, Paraná, Brazil
| | - Allan D Cataneo
- Laboratório de Virologia Molecular, Instituto Carlos Chagas/Fiocruz-PR, Curitiba, Paraná, Brazil
| | - Camila Zanluca
- Laboratório de Virologia Molecular, Instituto Carlos Chagas/Fiocruz-PR, Curitiba, Paraná, Brazil
| | | | - Patricia Akemi Assato
- Department of Bioprocesses and Biotechnology, School of Agricultural Sciences, São Paulo State University (UNESP), Botucatu, São Paulo, Brazil
| | - Felipe Allan da Silva da Costa
- Department of Bioprocesses and Biotechnology, School of Agricultural Sciences, São Paulo State University (UNESP), Botucatu, São Paulo, Brazil
| | - Mirele Daiana Poleti
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of São Paulo, Pirassununga, São Paulo, Brazil
| | - Jessika Cristina Chagas Lesbon
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of São Paulo, Pirassununga, São Paulo, Brazil
| | - Elisangela Chicaroni Mattos
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of São Paulo, Pirassununga, São Paulo, Brazil
| | - Cecilia Artico Banho
- Medicine School of São José do Rio Preto (FAMERP), São José do Rio Preto, São Paulo, Brazil
| | - Lívia Sacchetto
- Medicine School of São José do Rio Preto (FAMERP), São José do Rio Preto, São Paulo, Brazil
| | - Marília Mazzi Moraes
- Medicine School of São José do Rio Preto (FAMERP), São José do Rio Preto, São Paulo, Brazil
| | - Rejane Maria Tommasini Grotto
- Department of Bioprocesses and Biotechnology, School of Agricultural Sciences, São Paulo State University (UNESP), Botucatu, São Paulo, Brazil
- Molecular Biology Laboratory, Applied Biotechnology Laboratory, Clinical Hospital of the Botucatu Medical School, São Paulo, Brazil
| | - Jayme A Souza-Neto
- Department of Bioprocesses and Biotechnology, School of Agricultural Sciences, São Paulo State University (UNESP), Botucatu, São Paulo, Brazil
| | | | - Heidge Fukumasu
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of São Paulo, Pirassununga, São Paulo, Brazil
| | - Luiz Lehmann Coutinho
- Centro de Genômica Funcional da ESALQ, University of São Paulo, Piracicaba, São Paulo, Brazil
| | - Rodrigo Tocantins Calado
- Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | | | | | | | - Carla Freitas
- Coordenação Geral dos Laboratórios de Saúde Pública/Secretaria de Vigilância em Saúde, Ministério da Saúde, (CGLAB/SVS-MS), Brasília, Distrito Federal, Brazil
| | - Cassio Roberto Leonel Peterka
- Coordenação Geral das Arboviroses, Secretaria de Vigilância em Saúde/Ministério da Saúde (CGARB/SVS-MS), Brasília, Distrito Federal, Brazil
| | - Cássia de Fátima Rangel Fernandes
- Departamento de Imunização e Doenças Transmissíveisa/Secretaria de Vigilancia em Saude, Ministerio da Saude, Brasılia, Distrito Federal, Brazil
| | - Wildo Navegantes
- Pan American Health Organization (PAHO)/World Health Organization (WHO), Brasilia, Distrito Federal, Brazil
| | | | | | - Maria Almiron
- Pan American Health Organization (PAHO)/World Health Organization (WHO), Brasilia, Distrito Federal, Brazil
| | - José Lourenço
- Department of Zoology, University of Oxford, Oxford, UK
- Biosystems and Integrative Sciences Institute, Universidade de Lisboa, Lisboa, Portugal
| | - Tulio de Oliveira
- KwaZulu-Natal Research Innovation and Sequencing Platform (KRISP), School of Laboratory Medicine and Medical Sciences, University of KwaZulu-Natal, Durban, South Africa
- Laboratório Central de Saúde Pública do Estado de Minas Gerais (LACEN-MG), Fundação Ezequiel Dias, Belo Horizonte, Minas Gerais, Brazil
- Centre for the AIDS Programme of Research in South Africa (CAPRISA), Durban, South Africa
- Department of Global Health, University of Washington, Seattle, WA, USA
| | - Edward C Holmes
- Marie Bashir Institute for Infectious Diseases and Biosecurity, School of Life and Environmental Sciences and School of Medical Sciences, University of Sydney, Sydney, New South Wales, Australia
| | | | | | | | - Simone Kashima
- Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
| | - Luiz Carlos Junior de Alcantara
- Laboratório de Flavivirus, Fundacao Oswaldo Cruz, Rio de Janeiro, Brazil.
- Laboratório de Genética Celular e Molecular, Instituto de Ciências Biologicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
| | - Dimas Tadeu Covas
- Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
- Butantan Institute, São Paulo, Brazil.
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32
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Souza JVC, Santos HDO, Leite AB, Giovanetti M, Bezerra RDS, de Carvalho E, Bernardino JDST, Viala VL, Haddad R, Ciccozzi M, Alcantara LCJ, Sampaio SC, Covas DT, Kashima S, Elias MC, Slavov SN. Viral Metagenomics for the Identification of Emerging Infections in Clinical Samples with Inconclusive Dengue, Zika, and Chikungunya Viral Amplification. Viruses 2022; 14:v14091933. [PMID: 36146740 PMCID: PMC9505086 DOI: 10.3390/v14091933] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2022] [Revised: 08/23/2022] [Accepted: 08/30/2022] [Indexed: 11/28/2022] Open
Abstract
Viral metagenomics is increasingly being used for the identification of emerging and re-emerging viral pathogens in clinical samples with unknown etiology. The objective of this study was to shield light on the metavirome composition in clinical samples obtained from patients with clinical history compatible with an arboviral infection, but that presented inconclusive results when tested using RT-qPCR. The inconclusive amplification results might be an indication of the presence of an emerging arboviral agent that is inefficiently amplified by conventional PCR techniques. A total of eight serum samples with inconclusive amplification results for the routinely tested arboviruses—dengue (DENV), Zika (ZIKV), and Chikungunya (CHIKV) obtained during DENV and CHIKV outbreaks registered in the state of Alagoas, Northeast Brazil between July and August 2021—were submitted to metagenomic next-generation sequencing assay using NextSeq 2000 and bioinformatic pipeline for viral discovery. The performed bioinformatic analysis revealed the presence of two arboviruses: DENV type 2 (DENV-2) and CHIKV with a high genome coverage. Further, the metavirome of those samples revealed the presence of multiple commensal viruses apparently without clinical significance. The phylogenetic analysis demonstrated that the DENV-2 genome belonged to the Asian/American genotype and clustered with other Brazilian strains. The identified CHIKV genome was taxonomically assigned as ECSA genotype, which is circulating in Brazil. Together, our results reinforce the utility of metagenomics as a valuable tool for viral identification in samples with inconclusive arboviral amplification. Viral metagenomics is one of the most potent methods for the identification of emerging arboviruses.
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Affiliation(s)
| | | | - Anderson Brandão Leite
- Central Laboratory of Public Health, Maceio 57036-860, Brazil
- Laboratory of Pharmacology and Immunity, Institute of Biological and Health Sciences, Federal University of Alagoas, Maceio 57051-090, Brazil
| | - Marta Giovanetti
- Department of Science and Technology for Humans and the Environment, University of Campus Bio-Medico di Roma, 00185 Rome, Italy
- Laboratory of Flaviviruses, Oswaldo Cruz Foundation, Rio de Janeiro 21040-900, Brazil
| | - Rafael dos Santos Bezerra
- Blood Center of Ribeirao Preto, Faculty of Medicine of Ribeirao Preto, University of Sao Paulo, Rua Tenente Catão Roxo 2501, Ribeirao Preto, Sao Paulo 14051-140, Brazil
| | - Eneas de Carvalho
- Department of Biotechnology (NuCEL), Butantan Institute, Sao Paulo 05503-900, Brazil
| | | | - Vincent Louis Viala
- Department of Biotechnology (NuCEL), Butantan Institute, Sao Paulo 05503-900, Brazil
| | - Rodrigo Haddad
- Faculty of Ceilandia, University of Brasilia, Federal District, Brasília 70904-970, Brazil
| | - Massimo Ciccozzi
- Epidemiology and Statistic Unit, University of Campus Bio-Medico di Roma, 00185 Rome, Italy
| | | | | | - Dimas Tadeu Covas
- Blood Center of Ribeirao Preto, Faculty of Medicine of Ribeirao Preto, University of Sao Paulo, Rua Tenente Catão Roxo 2501, Ribeirao Preto, Sao Paulo 14051-140, Brazil
- Department of Biotechnology (NuCEL), Butantan Institute, Sao Paulo 05503-900, Brazil
| | - Simone Kashima
- Blood Center of Ribeirao Preto, Faculty of Medicine of Ribeirao Preto, University of Sao Paulo, Rua Tenente Catão Roxo 2501, Ribeirao Preto, Sao Paulo 14051-140, Brazil
| | - Maria Carolina Elias
- Department of Biotechnology (NuCEL), Butantan Institute, Sao Paulo 05503-900, Brazil
| | - Svetoslav Nanev Slavov
- Blood Center of Ribeirao Preto, Faculty of Medicine of Ribeirao Preto, University of Sao Paulo, Rua Tenente Catão Roxo 2501, Ribeirao Preto, Sao Paulo 14051-140, Brazil
- Department of Biotechnology (NuCEL), Butantan Institute, Sao Paulo 05503-900, Brazil
- Correspondence: or ; Tel.: +55-16-2101-9300
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33
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Viala VL, Slavov SN, de Lima LPO, Lima ARJ, Ribeiro G, Martins AJ, Petry B, Banho CA, Barros CRDS, Moncau CT, Moretti DB, de La-Roque DGL, Marqueze EC, Mattos EC, da Costa FADS, Fukumasu H, Bernardino JDST, Souza-Neto JA, Lesbon JCC, Kayanoki LP, Bernardo LL, Sacchetto L, Clemente LG, Alcantara LCJ, Coutinho LL, Marques BDC, Giovanetti M, Nogueira ML, Poleti MD, Assato PA, Cattony Neto PDQ, Cassano RDLRC, Neto RM, Grotto RMT, Brassaloti RA, Kashima S, Covas DT, Elias MC, Sampaio SC. The Divergent Pattern of SARS-CoV-2 Variant Predominance and Transmission Dynamics in the Brazilian Island of Ilhabela. Viruses 2022; 14:v14071481. [PMID: 35891460 PMCID: PMC9323713 DOI: 10.3390/v14071481] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2022] [Revised: 06/19/2022] [Accepted: 06/30/2022] [Indexed: 02/04/2023] Open
Abstract
Our effort in SARS-CoV-2 genomic surveillance in Brazil has detected the Alpha Variant of Concern with a predominance higher than 75% in the population of Ilhabela island (São Paulo State) at a time when the Gamma VOC was already predominating the mainland raised concerns for closer surveillance on this island. Therefore, we intensified the surveillance for 24 weeks by generating data from 34% of local positive cases. Our data show that the patterns of VOC predominance dynamics and infection rates were in general distinct from the mainland. We report here the first known case of Alpha predominance in a Brazilian population, a delay greater than 3 months for the Gamma to dominate the previous variants compared to the mainland, and a faster dispersion rate of Gamma and Delta VOCs compared to the mainland. Phylogenetic analysis revealed the SARS-CoV-2 transmission dynamics in Ilhabela were characterized by multiple independent introduction events of Gamma and Delta, with a few events of Alpha introduction, two of them followed by community transmission. This study evidenced the peculiar behavior of SARS-CoV-2 variants in an isolated population and brought to light the importance of specific programs for SARS-CoV-2 genomic surveillance in isolated populations.
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Affiliation(s)
- Vincent Louis Viala
- Butantan Institute, São Paulo 05503-900, SP, Brazil; (L.P.O.d.L.); (A.R.J.L.); (G.R.); (A.J.M.); (C.R.d.S.B.); (D.B.M.); (E.C.M.); (J.d.S.T.B.); (P.D.Q.C.N.); (R.M.N.); (D.T.C.)
- Correspondence: (V.L.V.); (M.C.E.); (S.C.S.)
| | - Svetoslav Nanev Slavov
- Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto 14049-900, SP, Brazil; (S.N.S.); (D.G.L.d.L.-R.); (S.K.)
| | - Loyze Paola Oliveira de Lima
- Butantan Institute, São Paulo 05503-900, SP, Brazil; (L.P.O.d.L.); (A.R.J.L.); (G.R.); (A.J.M.); (C.R.d.S.B.); (D.B.M.); (E.C.M.); (J.d.S.T.B.); (P.D.Q.C.N.); (R.M.N.); (D.T.C.)
| | - Alex Ranieri Jeronimo Lima
- Butantan Institute, São Paulo 05503-900, SP, Brazil; (L.P.O.d.L.); (A.R.J.L.); (G.R.); (A.J.M.); (C.R.d.S.B.); (D.B.M.); (E.C.M.); (J.d.S.T.B.); (P.D.Q.C.N.); (R.M.N.); (D.T.C.)
| | - Gabriela Ribeiro
- Butantan Institute, São Paulo 05503-900, SP, Brazil; (L.P.O.d.L.); (A.R.J.L.); (G.R.); (A.J.M.); (C.R.d.S.B.); (D.B.M.); (E.C.M.); (J.d.S.T.B.); (P.D.Q.C.N.); (R.M.N.); (D.T.C.)
| | - Antonio Jorge Martins
- Butantan Institute, São Paulo 05503-900, SP, Brazil; (L.P.O.d.L.); (A.R.J.L.); (G.R.); (A.J.M.); (C.R.d.S.B.); (D.B.M.); (E.C.M.); (J.d.S.T.B.); (P.D.Q.C.N.); (R.M.N.); (D.T.C.)
| | - Bruna Petry
- Centro de Genômica Funcional da ESALQ, University of São Paulo, Piracicaba 13418-900, SP, Brazil; (B.P.); (C.T.M.); (L.G.C.); (L.L.C.); (R.d.L.R.C.C.); (R.A.B.)
| | - Cecilia Artico Banho
- Medicine School of São José do Rio Preto (FAMERP), São José do Rio Preto 15090-000, SP, Brazil; (C.A.B.); (L.S.); (B.d.C.M.); (M.L.N.)
| | - Claudia Renata dos Santos Barros
- Butantan Institute, São Paulo 05503-900, SP, Brazil; (L.P.O.d.L.); (A.R.J.L.); (G.R.); (A.J.M.); (C.R.d.S.B.); (D.B.M.); (E.C.M.); (J.d.S.T.B.); (P.D.Q.C.N.); (R.M.N.); (D.T.C.)
| | - Cristina Tschorny Moncau
- Centro de Genômica Funcional da ESALQ, University of São Paulo, Piracicaba 13418-900, SP, Brazil; (B.P.); (C.T.M.); (L.G.C.); (L.L.C.); (R.d.L.R.C.C.); (R.A.B.)
| | - Debora Botequio Moretti
- Butantan Institute, São Paulo 05503-900, SP, Brazil; (L.P.O.d.L.); (A.R.J.L.); (G.R.); (A.J.M.); (C.R.d.S.B.); (D.B.M.); (E.C.M.); (J.d.S.T.B.); (P.D.Q.C.N.); (R.M.N.); (D.T.C.)
| | - Debora Glenda Lima de La-Roque
- Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto 14049-900, SP, Brazil; (S.N.S.); (D.G.L.d.L.-R.); (S.K.)
| | - Elaine Cristina Marqueze
- Butantan Institute, São Paulo 05503-900, SP, Brazil; (L.P.O.d.L.); (A.R.J.L.); (G.R.); (A.J.M.); (C.R.d.S.B.); (D.B.M.); (E.C.M.); (J.d.S.T.B.); (P.D.Q.C.N.); (R.M.N.); (D.T.C.)
| | - Elisangela Chicaroni Mattos
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of Sao Paulo, Pirassununga 13635-900, SP, Brazil; (E.C.M.); (H.F.); (J.C.C.L.); (M.D.P.)
| | - Felipe Allan da Silva da Costa
- Department of Bioprocesses and Biotechnology, School of Agricultural Sciences, São Paulo State University (UNESP), Botucatu 18610-034, SP, Brazil; (F.A.d.S.d.C.); (P.A.A.)
| | - Heidge Fukumasu
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of Sao Paulo, Pirassununga 13635-900, SP, Brazil; (E.C.M.); (H.F.); (J.C.C.L.); (M.D.P.)
| | - Jardelina de Souza Todao Bernardino
- Butantan Institute, São Paulo 05503-900, SP, Brazil; (L.P.O.d.L.); (A.R.J.L.); (G.R.); (A.J.M.); (C.R.d.S.B.); (D.B.M.); (E.C.M.); (J.d.S.T.B.); (P.D.Q.C.N.); (R.M.N.); (D.T.C.)
| | - Jayme A. Souza-Neto
- School of Agricultural Sciences, São Paulo State University (UNESP), Botucatu 18610-034, SP, Brazil; (J.A.S.-N.); (R.M.T.G.)
| | - Jessika Cristina Chagas Lesbon
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of Sao Paulo, Pirassununga 13635-900, SP, Brazil; (E.C.M.); (H.F.); (J.C.C.L.); (M.D.P.)
| | | | | | - Lívia Sacchetto
- Medicine School of São José do Rio Preto (FAMERP), São José do Rio Preto 15090-000, SP, Brazil; (C.A.B.); (L.S.); (B.d.C.M.); (M.L.N.)
| | - Luan Gaspar Clemente
- Centro de Genômica Funcional da ESALQ, University of São Paulo, Piracicaba 13418-900, SP, Brazil; (B.P.); (C.T.M.); (L.G.C.); (L.L.C.); (R.d.L.R.C.C.); (R.A.B.)
| | - Luiz Carlos Júnior Alcantara
- Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte 31270-901, MG, Brazil;
- Instituto Oswaldo Cruz, FIOCRUZ, Rio de Janeiro 21040-360, RJ, Brazil
| | - Luiz Lehmann Coutinho
- Centro de Genômica Funcional da ESALQ, University of São Paulo, Piracicaba 13418-900, SP, Brazil; (B.P.); (C.T.M.); (L.G.C.); (L.L.C.); (R.d.L.R.C.C.); (R.A.B.)
| | - Beatriz de Carvalho Marques
- Medicine School of São José do Rio Preto (FAMERP), São José do Rio Preto 15090-000, SP, Brazil; (C.A.B.); (L.S.); (B.d.C.M.); (M.L.N.)
| | - Marta Giovanetti
- Reference Laboratory of Flavivirus, Oswaldo Cruz Foundation, Rio de Janeiro 21040-360, RJ, Brazil;
- Department of Science and Technology for Humans and the Environment, University of Campus Bio-Medico di Roma, 00128 Rome, Italy
| | - Maurício Lacerda Nogueira
- Medicine School of São José do Rio Preto (FAMERP), São José do Rio Preto 15090-000, SP, Brazil; (C.A.B.); (L.S.); (B.d.C.M.); (M.L.N.)
| | - Mirele Daiana Poleti
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of Sao Paulo, Pirassununga 13635-900, SP, Brazil; (E.C.M.); (H.F.); (J.C.C.L.); (M.D.P.)
| | - Patricia Akemi Assato
- Department of Bioprocesses and Biotechnology, School of Agricultural Sciences, São Paulo State University (UNESP), Botucatu 18610-034, SP, Brazil; (F.A.d.S.d.C.); (P.A.A.)
| | - Pedro De Queiroz Cattony Neto
- Butantan Institute, São Paulo 05503-900, SP, Brazil; (L.P.O.d.L.); (A.R.J.L.); (G.R.); (A.J.M.); (C.R.d.S.B.); (D.B.M.); (E.C.M.); (J.d.S.T.B.); (P.D.Q.C.N.); (R.M.N.); (D.T.C.)
| | - Raquel de Lello Rocha Campos Cassano
- Centro de Genômica Funcional da ESALQ, University of São Paulo, Piracicaba 13418-900, SP, Brazil; (B.P.); (C.T.M.); (L.G.C.); (L.L.C.); (R.d.L.R.C.C.); (R.A.B.)
| | - Raul Machado Neto
- Butantan Institute, São Paulo 05503-900, SP, Brazil; (L.P.O.d.L.); (A.R.J.L.); (G.R.); (A.J.M.); (C.R.d.S.B.); (D.B.M.); (E.C.M.); (J.d.S.T.B.); (P.D.Q.C.N.); (R.M.N.); (D.T.C.)
| | - Rejane Maria Tommasini Grotto
- School of Agricultural Sciences, São Paulo State University (UNESP), Botucatu 18610-034, SP, Brazil; (J.A.S.-N.); (R.M.T.G.)
- Molecular Biology and Applied Biotechnology Laboratory, Clinical Hospital of the Botucatu Medical School, Botucatu 18610-034, SP, Brazil
| | - Ricardo Augusto Brassaloti
- Centro de Genômica Funcional da ESALQ, University of São Paulo, Piracicaba 13418-900, SP, Brazil; (B.P.); (C.T.M.); (L.G.C.); (L.L.C.); (R.d.L.R.C.C.); (R.A.B.)
| | - Simone Kashima
- Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto 14049-900, SP, Brazil; (S.N.S.); (D.G.L.d.L.-R.); (S.K.)
| | - Dimas Tadeu Covas
- Butantan Institute, São Paulo 05503-900, SP, Brazil; (L.P.O.d.L.); (A.R.J.L.); (G.R.); (A.J.M.); (C.R.d.S.B.); (D.B.M.); (E.C.M.); (J.d.S.T.B.); (P.D.Q.C.N.); (R.M.N.); (D.T.C.)
- Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto 14049-900, SP, Brazil; (S.N.S.); (D.G.L.d.L.-R.); (S.K.)
| | - Maria Carolina Elias
- Butantan Institute, São Paulo 05503-900, SP, Brazil; (L.P.O.d.L.); (A.R.J.L.); (G.R.); (A.J.M.); (C.R.d.S.B.); (D.B.M.); (E.C.M.); (J.d.S.T.B.); (P.D.Q.C.N.); (R.M.N.); (D.T.C.)
- Correspondence: (V.L.V.); (M.C.E.); (S.C.S.)
| | - Sandra Coccuzzo Sampaio
- Butantan Institute, São Paulo 05503-900, SP, Brazil; (L.P.O.d.L.); (A.R.J.L.); (G.R.); (A.J.M.); (C.R.d.S.B.); (D.B.M.); (E.C.M.); (J.d.S.T.B.); (P.D.Q.C.N.); (R.M.N.); (D.T.C.)
- Correspondence: (V.L.V.); (M.C.E.); (S.C.S.)
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Alcantara LCJ, Nogueira E, Shuab G, Tosta S, Fristch H, Pimentel V, Souza-Neto JA, Coutinho LL, Fukumasu H, Sampaio SC, Elias MC, Kashima S, Slavov SN, Ciccozzi M, Cella E, Lourenco J, Fonseca V, Giovanetti M. SARS-CoV-2 epidemic in Brazil: how the displacement of variants has driven distinct epidemic waves. Virus Res 2022; 315:198785. [PMID: 35461905 PMCID: PMC9022374 DOI: 10.1016/j.virusres.2022.198785] [Citation(s) in RCA: 21] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2022] [Revised: 04/11/2022] [Accepted: 04/12/2022] [Indexed: 02/01/2023]
Abstract
Brazil ranks as third in terms of total number of reported SARS-CoV-2 cases globally. The COVID-19 epidemic in Brazil was characterised by the co-circulation of multiple variants as a consequence of multiple independent introduction events occurring through time. Here, we describe the SARS-CoV-2 variants that are currently circulating and co-circulating in the country, with the aim to highlight which variants have driven the different epidemic waves. For this purpose, we retrieved metadata information of Coronavirus sequences collected in Brazil and available at the GISAID database. SARS-CoV-2 lineages have been identified along with eleven variants, labelled as VOCs (Alpha, Gamma, Beta, Delta and Omicron) VOIs (Lambda and Mu) VUMs (B.1.1.318) and FMVs (Zeta, Eta and B.1.1.519). Here we show that, in the Brazilian context, after 24 months of sustained transmission and evolution of SARS-CoV-2, local variants (among them the B.1.1.28 and B.1.1.33) were displaced by recently introduced VOCs firstly with the Gamma, followed by Delta and more recently Omicron. The rapid spread of some of those VOCs (such as Gamma and Omicron) was also mirror by a large increase in the number of cases and deaths in the country. This in turn reinforces that, due to the emergence of variants that appear to induce a substantial evasion against neutralizing antibody response, it is important to strengthen genomic effort within the country and how vaccination still remains a critical process to protect the vulnerable population, still at risk of infection and death.
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Affiliation(s)
- Luiz Carlos Junior Alcantara
- Laboratório de Flavivírus, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil,Laboratório de Genética Celular e Molecular, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil,Corresponding author
| | - Elisson Nogueira
- Laboratório de Genética Celular e Molecular, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Gabriel Shuab
- Laboratório de Flavivírus, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil
| | - Stephane Tosta
- Laboratório de Genética Celular e Molecular, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Hegger Fristch
- Laboratório de Genética Celular e Molecular, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Victor Pimentel
- Global Health and Tropical Medicine (GHTM), Instituto de Higiene e Medicina Tropical/Universidade Nova de Lisboa (IHMT/UNL), Portugal
| | - Jayme A. Souza-Neto
- São Paulo State University (UNESP), School of Agricultural Sciences, Botucatu, Brazil
| | - Luiz Lehmann Coutinho
- University of São Paulo, Centro de Genômica Funcional da ESALQ, Piracicaba, SP, Brazil
| | - Heidge Fukumasu
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of Sao Paulo, Pirassununga, Sao Paulo, Brazil
| | | | | | - Simone Kashima
- University of São Paulo, Ribeirão Preto Medical School, Blood Center of Ribeirão Preto, Ribeirão Preto, SP, Brazil
| | - Svetoslav Nanev Slavov
- University of São Paulo, Ribeirão Preto Medical School, Blood Center of Ribeirão Preto, Ribeirão Preto, SP, Brazil
| | - Massimo Ciccozzi
- Medical Statistic and Molecular Epidemiology Unit, University of Biomedical Campus, Rome, Italy
| | - Eleonora Cella
- Burnett School of Biomedical Sciences, University of Central Florida, Orlando, FL, USA
| | - José Lourenco
- Department of Zoology, Peter Medawar Building, University of Oxford, Oxford, UK,Biosystems and Integrative Sciences Institute (BioISI), Universidade de Lisboa, Portugal
| | - Vagner Fonseca
- Organização Pan-Americana da Saúde/Organização Mundial da Saúde, Brasília, Distrito Federal, Brazil,KwaZulu-Natal Research Innovation and Sequencing Platform (KRISP), School of Laboratory Medicine and Medical Sciences, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa,Corresponding author
| | - Marta Giovanetti
- Laboratório de Flavivírus, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil,Laboratório de Genética Celular e Molecular, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil,Department of Science and Technology for Humans and the Environment, University of Campus Bio-Medico di Roma, Rome, Italy,Corresponding author
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Rocha-Junior MC, Rodrigues ES, Slavov SN, Assone T, Pedreschi M, de La Roque DGL, Sousa M, Olavarria V, Galvão-Castro B, da Fonseca BAL, Penalva de Oliveira AC, Smid J, Takayanagui OM, Casseb J, Covas DT, Kashima S. Rapid and Sensitive Qualitative Duoplex Real-Time PCR Method for Discriminatory and Confirmatory Diagnosis of HTLV-1 and HTLV-2 Infections: Brazilian Multicentric Study. Front Med (Lausanne) 2022; 9:881630. [PMID: 35755037 PMCID: PMC9218175 DOI: 10.3389/fmed.2022.881630] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2022] [Accepted: 05/09/2022] [Indexed: 11/13/2022] Open
Abstract
Human T cell lymphotropic virus (HTLV) is the caustive agent of two main conditions i. e., the HTLV-1-associated myelopathy/tropical spastic paraparesis (HAM/TSP) and the adult T-cell leukemia/lymphoma (ATLL). HTLV diagnosis is based on serological and molecular approaches; however, an accurate and validated method is still needed. The objective of this study was to establish a rapid and sensitive molecular test to confirm and discriminate HTLV 1/2 types. The test validation was performed as a multicentric study involving HTLV confirmation centers throughout Brazil. Proviral DNA was extracted from whole blood and the amplification was performed using in-house designed primer and probe sets targeting the pol genomic region. An internal control to validate the extraction and amplification was also included. The limit of detection (LoD) of the assay was four copies/reaction for HTLV-1 and 10.9 copies/reaction for HTLV-2. The diagnostic sensitivity of the platform was 94.6% for HTLV-1, 78.6% for HTLV-2, and the specificity was 100% for both viruses. Cross-reactions of the test with human viruses including HAV, HBV, HCV, HIV-1/2, and parvovirus B19 were not observed. During the multicentric validation, the test was used to screen a total of 692 blood samples obtained from previously confirmed HTLV-positive individuals. From these, 91.1% tested positive being concordant with the previously obtained results. In conclusion, our duoplex-RT-PCR-HTLV1 /2 presented adequate efficiency for HTLV-1/2 differentiation showing high sensitivity and specificity. Therefore, it can be a suitable tool for confirmation of suspected and inconclusive HTLV cases, prenatal and pre-transplant diagnosis, in Brazil and in other countries HTLV-endemic countries.
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Affiliation(s)
- Mauricio Cristiano Rocha-Junior
- Regional Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, São Paulo, Brazil.,Graduate Program in Biosciences and Biotechnology, School of Pharmaceutical Sciences of Ribeirão Preto, University of São Paulo, São Paulo, Brazil
| | - Evandra Strazza Rodrigues
- Regional Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, São Paulo, Brazil.,Center for Cell-Based Therapy CTC, Regional Blood Center of Ribeirão Preto, University of São Paulo, São Paulo, Brazil
| | - Svetoslav Nanev Slavov
- Regional Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, São Paulo, Brazil.,Center for Cell-Based Therapy CTC, Regional Blood Center of Ribeirão Preto, University of São Paulo, São Paulo, Brazil
| | - Tatiane Assone
- Laboratory of Medical Investigation LIM 56, Division of Dermatology, Medical School, University of São Paulo, São Paulo, Brazil
| | - Maíra Pedreschi
- Laboratory of Medical Investigation LIM 56, Division of Dermatology, Medical School, University of São Paulo, São Paulo, Brazil
| | - Debora Glenda Lima de La Roque
- Regional Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, São Paulo, Brazil.,Tropical Medicine Center, Federal University of Para, Belém, Brazil
| | - Maisa Sousa
- Tropical Medicine Center, Federal University of Para, Belém, Brazil
| | - Viviana Olavarria
- Centro de HTLV, Escola Bahiana de Medicina e Saúde Pública, Salvador, Brazil
| | | | | | | | - Jerusa Smid
- Laboratory of Medical Investigation LIM 56, Division of Dermatology, Medical School, University of São Paulo, São Paulo, Brazil
| | | | - Jorge Casseb
- Laboratory of Medical Investigation LIM 56, Division of Dermatology, Medical School, University of São Paulo, São Paulo, Brazil
| | - Dimas Tadeu Covas
- Regional Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, São Paulo, Brazil.,Center for Cell-Based Therapy CTC, Regional Blood Center of Ribeirão Preto, University of São Paulo, São Paulo, Brazil.,Department of Neurology, Ribeirão Preto Medical School, University of São Paulo, São Paulo, Brazil
| | - Simone Kashima
- Regional Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, São Paulo, Brazil.,Graduate Program in Biosciences and Biotechnology, School of Pharmaceutical Sciences of Ribeirão Preto, University of São Paulo, São Paulo, Brazil.,Center for Cell-Based Therapy CTC, Regional Blood Center of Ribeirão Preto, University of São Paulo, São Paulo, Brazil
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36
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de La-Roque DGL, Santos EV, Rodrigues ES, da Costa PNM, Brauer VS, Almeida F, de Haes TM, Takayanagui OM, Covas DT, Kashima S. The Expression of Tax and HBZ Genes in Serum-Derived Extracellular Vesicles From HTLV-1 Carriers Correlates to Proviral Load and Inflammatory Markers. Front Microbiol 2022; 13:881634. [PMID: 35586867 PMCID: PMC9108699 DOI: 10.3389/fmicb.2022.881634] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2022] [Accepted: 03/30/2022] [Indexed: 11/14/2022] Open
Abstract
Human T-lymphotropic virus 1 (HTLV-1) is the etiologic agent of adult cell leukemia/lymphoma (ATL) and HTLV-1 associated myelopathy/tropical spastic paraparesis (HAM/TSP). One of the major questions in HTLV-1 studies is related to the understanding of causes that lead to different clinical manifestations. However, it is well known that the viral genes tax and HTLV-1 basic leucine zipper factor (HBZ) are related to viral infectivity and the development of neurological and hematological diseases. Currently, there is evidence that HTLV-1 infected cells can release small extracellular vesicles (sEVs) involved in the mechanisms of viral particles spreading. Therefore, we evaluated the expression levels of tax and HBZ viral transcripts in serum-derived sEVs from HTLV-1 carriers, as well as the role of these vesicles in the modulation of the immune response. Three HAM/TSP carriers presented detectable levels of tax and HBZ transcripts in sEVs and were positively correlated to the proviral load (PVL) in peripheral blood mononuclear cells (PBMCs). The viral transcripts were only detectable in individuals with a PVL higher than 6,000/105 PBMCs. Additionally, it was observed that HBZ presented a 2–12-folds increase over tax expression units. Gene expression and secretory protein analysis indicated that PBMCs from blood donors and HTLV-1 carriers exposed to increasing doses of tax+ HBZ+ sEVs showed a dose-dependent increase in interferon (IFN)-γ and interleukin (IL)-8 transcripts and proteins. Interestingly, the increase in IL-8 levels was close to those seen in HTLV-1-infected PBMCs with high PVL. Taken together, these findings indicate that the expression of viral transcripts in serum-derived sEVs of HTLV-1 carriers is related to the PVL presented by the infected individual. Additionally, tax+ HBZ+ sEVs can induce the production of inflammatory cytokines in patients with low PVL, which may be related to the development of symptoms in HTLV-1 infection.
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Affiliation(s)
| | - Elaine Vieira Santos
- Regional Blood Center of Ribeirão Preto, University of São Paulo, São Paulo, Brazil
| | | | | | | | - Fausto Almeida
- Medical School of Ribeirão Preto, University of São Paulo, São Paulo, Brazil
| | | | | | - Dimas Tadeu Covas
- Regional Blood Center of Ribeirão Preto, University of São Paulo, São Paulo, Brazil
| | - Simone Kashima
- Regional Blood Center of Ribeirão Preto, University of São Paulo, São Paulo, Brazil
- *Correspondence: Simone Kashima
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37
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Giovanetti M, Pereira LA, Adelino TÉR, Fonseca V, Xavier J, de Araújo Fabri A, Slavov SN, da Silva Lemos P, de Almeida Marques W, Kashima S, Lourenço J, de Oliveira T, Campelo de Albuquerque CF, Freitas C, Peterka CRL, da Cunha RV, Mendonça AF, Lemes da Silva V, Alcantara LCJ. A Retrospective Overview of Zika Virus Evolution in the Midwest of Brazil. Microbiol Spectr 2022; 10:e0015522. [PMID: 35254139 PMCID: PMC9045127 DOI: 10.1128/spectrum.00155-22] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2022] [Accepted: 02/10/2022] [Indexed: 11/22/2022] Open
Abstract
Since the introduction of the Zika virus (ZIKV) into Brazil in 2015, its transmission dynamics have been intensively studied in many parts of the country, although much is still unknown about its circulation in the midwestern states. Here, using nanopore technology, we obtained 23 novel partial and near-complete ZIKV genomes from the state of Goiás, located in the Midwest of Brazil. Genomic, phylogenetic, and epidemiological approaches were used to retrospectively explore the spatiotemporal evolution of the ZIKV-Asian genotype in this region. As a likely consequence of a gradual accumulation of herd immunity, epidemiological data revealed a decline in the number of reported cases over 2018 to 2021. Phylogenetic reconstructions revealed that multiple independent introductions of the Asian lineage have occurred in Goiás over time and revealed a complex transmission dynamic between epidemic seasons. Together, our results highlight the utility of genomic, epidemiological, and evolutionary methods to understand mosquito-borne epidemics. IMPORTANCE Despite the considerable morbidity and mortality of arboviral infections in Brazil, such as Zika, chikungunya, dengue fever, and yellow fever, our understanding of these outbreaks is hampered by the limited availability of genomic data to track and control the epidemic. In this study, we provide a retrospective reconstruction of the Zika virus transmission dynamics in the state of Goiás by analyzing genomic data from areas in Midwest Brazil not covered by other previous studies. Our study provides an understanding of how ZIKV initiates transmission in this region and reveals a complex transmission dynamic between epidemic seasons. Together, our results highlight the utility of genomic, epidemiological, and evolutionary methods to understand mosquito-borne epidemics, revealing how this toolkit can be used to help policymakers prioritize areas to be targeted, especially in the context of finite public health resources.
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Affiliation(s)
- Marta Giovanetti
- Laboratório de Flavivírus, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, Rio de Janeiro, Brazil
- Laboratório de Genética Celular e Molecular, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Luiz Augusto Pereira
- Laboratório Central de Saúde Pública Dr. Giovanni Cysneiros, Goiânia, Goiás, Brazil
| | - Talita Émile Ribeiro Adelino
- Laboratório Central de Saúde Pública do Estado de Minas Gerais, Fundação Ezequiel Dias, Belo Horizonte, Minas Gerais, Brazil
| | - Vagner Fonseca
- Organização Pan-Americana da Saúde/Organização Mundial da Saúde, Brasília, Brazil
| | - Joilson Xavier
- Laboratório de Genética Celular e Molecular, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Allison de Araújo Fabri
- Laboratório de Flavivírus, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, Rio de Janeiro, Brazil
| | - Svetoslav Nanev Slavov
- University of São Paulo, Ribeirão Preto Medical School, Blood Center of Ribeirão Preto, Ribeirão Preto, São Paulo, Brazil
| | - Poliana da Silva Lemos
- Coordenação Geral das Arboviroses, Secretaria de Vigilância em Saúde/Ministério da Saúde (CGARB/SVS-MS), Brasília, Brazil
| | - William de Almeida Marques
- Laboratório de Flavivírus, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, Rio de Janeiro, Brazil
| | - Simone Kashima
- University of São Paulo, Ribeirão Preto Medical School, Blood Center of Ribeirão Preto, Ribeirão Preto, São Paulo, Brazil
| | - José Lourenço
- Department of Zoology, Peter Medawar Building, University of Oxford, Oxford, UK
| | - Tulio de Oliveira
- School for Data Science and Computational Thinking, Faculty of Science and Faculty of Medicine and Health Sciences, Stellenbosch University, Stellenbosch, South Africa
| | | | - Carla Freitas
- Coordenação Geral de Laboratórios de Saúde Pública/Secretaria de Vigilância em Saúde, Ministério da Saúde (CGLAB/SVS-MS), Brasília, Brazil
| | - Cassio Roberto Leonel Peterka
- Coordenação Geral das Arboviroses, Secretaria de Vigilância em Saúde/Ministério da Saúde (CGARB/SVS-MS), Brasília, Brazil
| | | | - Ana Flávia Mendonça
- Laboratório Central de Saúde Pública Dr. Giovanni Cysneiros, Goiânia, Goiás, Brazil
| | | | - Luiz Carlos Junior Alcantara
- Laboratório de Flavivírus, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, Rio de Janeiro, Brazil
- Laboratório de Genética Celular e Molecular, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
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38
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Giovanetti M, Slavov SN, Fonseca V, Wilkinson E, Tegally H, Patané JSL, Viala VL, San JE, Rodrigues ES, Santos EV, Aburjaile F, Xavier J, Fritsch H, Adelino TER, Pereira F, Leal A, de Melo Iani FC, de Carvalho Pereira G, Vazquez C, Mercedes Estigarribia Sanabria G, de Oliveira EC, Demarchi L, Croda J, dos Santos Bezerra R, de Lima LPO, Martins AJ, dos Santos Barros CR, Marqueze EC, de Souza Todao Bernardino J, Moretti DB, Brassaloti RA, de Lello Rocha Campos Cassano R, Mariani PDSC, Kitajima JP, Santos B, Proto-Siqueira R, Cantarelli VV, Tosta S, Nardy VB, de Oliveira da Silva LR, Kelly Astete Gómez M, Lima JG, Ribeiro AA, Guimarães NR, Watanabe LT, Da Silva LB, da Silva Ferreira R, da Penha MPF, Ortega MJ, de la Fuente AG, Villalba S, Torales J, Gamarra ML, Aquino C, Martínez Figueredo GP, Fava WS, Motta-Castro ARC, Venturini J, de Oliveira SMDVL, Gonçalves CCM, do Carmo Debur Rossa M, Becker GN, Presibella MM, Marques NQ, Riediger IN, Raboni S, Coelho GM, Cataneo AHD, Zanluca C, dos Santos CND, Assato PA, da Costa FADS, Poleti MD, Lesbon JCC, Mattos EC, Banho CA, Sacchetto L, Moraes MM, Grotto RMT, Souza-Neto JA, Nogueira ML, Fukumasu H, Coutinho LL, Calado RT, Neto RM, de Filippis AMB, da Cunha RV, Freitas C, Peterka CRL, de Fátima Rangel Fernandes C, de Araújo WN, do Carmo Said RF, Almiron M, de Albuquerque e Melo CFC, Lourenço J, de Oliveira T, Holmes EC, Haddad R, Sampaio SC, Elias MC, Kashima S, de Alcantara LCJ, Covas DT. Genomic epidemiology reveals the impact of national and international restrictions measures on the SARS-CoV-2 epidemic in Brazil. medRxiv 2022:2021.10.07.21264644. [PMID: 35378755 PMCID: PMC8978948 DOI: 10.1101/2021.10.07.21264644] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
Brazil has experienced some of the highest numbers of COVID-19 cases and deaths globally and from May 2021 made Latin America a pandemic epicenter. Although SARS-CoV-2 established sustained transmission in Brazil early in the pandemic, important gaps remain in our understanding of virus transmission dynamics at the national scale. Here, we describe the genomic epidemiology of SARS-CoV-2 using near-full genomes sampled from 27 Brazilian states and a bordering country - Paraguay. We show that the early stage of the pandemic in Brazil was characterised by the co-circulation of multiple viral lineages, linked to multiple importations predominantly from Europe, and subsequently characterized by large local transmission clusters. As the epidemic progressed under an absence of effective restriction measures, there was a local emergence and onward international spread of Variants of Concern (VOC) and Variants Under Monitoring (VUM), including Gamma (P.1) and Zeta (P.2). In addition, we provide a preliminary genomic overview of the epidemic in Paraguay, showing evidence of importation from Brazil. These data reinforce the usefulness and need for the implementation of widespread genomic surveillance in South America as a toolkit for pandemic monitoring that provides a means to follow the real-time spread of emerging SARS-CoV-2 variants with possible implications for public health and immunization strategies.
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Affiliation(s)
- Marta Giovanetti
- Laboratório de Flavivírus, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil
- Laboratório de Genética Celular e Molecular, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Svetoslav Nanev Slavov
- University of São Paulo, Ribeirão Preto Medical School, Blood Center of Ribeirão Preto, Ribeirão Preto, SP, Brazil
- Butantan Institute, São Paulo, Brazil
| | - Vagner Fonseca
- Laboratório de Flavivírus, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil
- Coordenação Geral de Laboratórios de Saúde Pública/Secretaria de Vigilância em Saúde, Ministério da Saúde (CGLAB/SVS-MS) Brasília, Distrito Federal, Brazil
- KwaZulu-Natal Research Innovation and Sequencing Platform (KRISP), School of Laboratory Medicine and Medical Sciences, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa
- Centre for Epidemic Response and Innovation (CERI), School of Data Science and Computational Thinking, Stellenbosch University; Stellenbosch, South Africa
| | - Eduan Wilkinson
- KwaZulu-Natal Research Innovation and Sequencing Platform (KRISP), School of Laboratory Medicine and Medical Sciences, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa
- Centre for Epidemic Response and Innovation (CERI), School of Data Science and Computational Thinking, Stellenbosch University; Stellenbosch, South Africa
| | - Houriiyah Tegally
- KwaZulu-Natal Research Innovation and Sequencing Platform (KRISP), School of Laboratory Medicine and Medical Sciences, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa
- Centre for Epidemic Response and Innovation (CERI), School of Data Science and Computational Thinking, Stellenbosch University; Stellenbosch, South Africa
| | | | | | - James Emmanuel San
- KwaZulu-Natal Research Innovation and Sequencing Platform (KRISP), School of Laboratory Medicine and Medical Sciences, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa
- Centre for Epidemic Response and Innovation (CERI), School of Data Science and Computational Thinking, Stellenbosch University; Stellenbosch, South Africa
| | - Evandra Strazza Rodrigues
- University of São Paulo, Ribeirão Preto Medical School, Blood Center of Ribeirão Preto, Ribeirão Preto, SP, Brazil
| | - Elaine Vieira Santos
- University of São Paulo, Ribeirão Preto Medical School, Blood Center of Ribeirão Preto, Ribeirão Preto, SP, Brazil
| | - Flavia Aburjaile
- Laboratório de Genética Celular e Molecular, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
- Laboratório Central de Saúde Pública do Estado de Minas Gerais, Fundac ão Ezequiel Dias, Belo Horizonte, Minas Gerais, Brazil
| | - Joilson Xavier
- Laboratório de Flavivírus, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil
- Laboratório Central de Saúde Pública do Estado de Minas Gerais, Fundac ão Ezequiel Dias, Belo Horizonte, Minas Gerais, Brazil
| | - Hegger Fritsch
- Laboratório de Flavivírus, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil
- Laboratório Central de Saúde Pública do Estado de Minas Gerais, Fundac ão Ezequiel Dias, Belo Horizonte, Minas Gerais, Brazil
| | - Talita Emile Ribeiro Adelino
- Laboratório de Flavivírus, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil
- Laboratório Central de Saúde Pública do Estado de Minas Gerais, Fundac ão Ezequiel Dias, Belo Horizonte, Minas Gerais, Brazil
| | - Felicidade Pereira
- Laboratorio Central de Saude Publica da Bahia–LACEN-BA, Salvador, Bahia, Brazil
| | - Arabela Leal
- Laboratorio Central de Saude Publica da Bahia–LACEN-BA, Salvador, Bahia, Brazil
| | - Felipe Campos de Melo Iani
- Laboratório Central de Saúde Pública do Estado de Minas Gerais, Fundac ão Ezequiel Dias, Belo Horizonte, Minas Gerais, Brazil
| | - Glauco de Carvalho Pereira
- Laboratório Central de Saúde Pública do Estado de Minas Gerais, Fundac ão Ezequiel Dias, Belo Horizonte, Minas Gerais, Brazil
| | | | - Gladys Mercedes Estigarribia Sanabria
- Universidad Nacional del Caaguazú, Instituto Regional de Investigación en Salud
- Laboratorio de Biología Molecular, Hospital Regional de Coronel Oviedo
- Ministerio de Salud Pública y Bienestar Social
| | | | - Luiz Demarchi
- Laboratório Central de Saúde Pública do Estado de Mato Grosso do Sul, Campo Grande, Mato Grosso do Sul, Brazil
| | | | - Rafael dos Santos Bezerra
- University of São Paulo, Ribeirão Preto Medical School, Blood Center of Ribeirão Preto, Ribeirão Preto, SP, Brazil
| | | | | | | | | | | | | | | | | | | | | | | | | | - Vlademir Vicente Cantarelli
- Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Universidade Feevale, Grupo Exame Laboratórios, Rio Grande do Sul, Brazil
| | - Stephane Tosta
- Laboratório de Genética Celular e Molecular, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
- Laboratorio Central de Saude Publica da Bahia–LACEN-BA, Salvador, Bahia, Brazil
| | | | | | | | | | - Adriana Aparecida Ribeiro
- Laboratório Central de Saúde Pública do Estado de Minas Gerais, Fundac ão Ezequiel Dias, Belo Horizonte, Minas Gerais, Brazil
| | - Natália Rocha Guimarães
- Laboratório Central de Saúde Pública do Estado de Minas Gerais, Fundac ão Ezequiel Dias, Belo Horizonte, Minas Gerais, Brazil
| | - Luiz Takao Watanabe
- Laboratório Central de Saúde Pública do Estado de Mato Grosso, Cuiabá, Brazil
| | | | | | | | | | | | | | - Juan Torales
- Laboratorio Central de Salud Pública, Asunción, Paraguay
| | | | | | - Gloria Patricia Martínez Figueredo
- Universidad Nacional del Caaguazú, Instituto Regional de Investigación en Salud
- Laboratorio de Biología Molecular, Hospital Regional de Coronel Oviedo
- Ministerio de Salud Pública y Bienestar Social
| | | | | | | | | | | | | | | | | | | | | | - Sonia Raboni
- Hospital de Clínicas da Universidade Federal do Paraná, Curitiba, PR
| | | | | | - Camila Zanluca
- Laboratório de Virologia Molecular - Instituto Carlos Chagas/Fiocruz PR, Curitiba, PR
| | | | - Patricia Akemi Assato
- São Paulo State University (UNESP), School of Agricultural Sciences, Department of Bioprocesses and Biotechnology, Botucatu, Brazil
| | - Felipe Allan da Silva da Costa
- São Paulo State University (UNESP), School of Agricultural Sciences, Department of Bioprocesses and Biotechnology, Botucatu, Brazil
| | - Mirele Daiana Poleti
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of Sao Paulo, Pirassununga, São Paulo, Brazil
| | - Jessika Cristina Chagas Lesbon
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of Sao Paulo, Pirassununga, São Paulo, Brazil
| | - Elisangela Chicaroni Mattos
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of Sao Paulo, Pirassununga, São Paulo, Brazil
| | - Cecilia Artico Banho
- Laboratório de Pesquisas em Virologia, Departamento de Doenças Dermatológicas, Infecciosas e Parasitárias, Faculdade de Medicina de São José do Rio Preto
| | - Lívia Sacchetto
- Laboratório de Pesquisas em Virologia, Departamento de Doenças Dermatológicas, Infecciosas e Parasitárias, Faculdade de Medicina de São José do Rio Preto
| | - Marília Mazzi Moraes
- Laboratório de Pesquisas em Virologia, Departamento de Doenças Dermatológicas, Infecciosas e Parasitárias, Faculdade de Medicina de São José do Rio Preto
| | - Rejane Maria Tommasini Grotto
- São Paulo State University (UNESP), School of Agricultural Sciences, Department of Bioprocesses and Biotechnology, Botucatu, Brazil
- Molecular Biology Laboratory, Applied Biotechnology Laboratory, Clinical Hospital of the Botucatu Medical School, Brazil
| | - Jayme A. Souza-Neto
- São Paulo State University (UNESP), School of Agricultural Sciences, Department of Bioprocesses and Biotechnology, Botucatu, Brazil
| | - Maurício Lacerda Nogueira
- Laboratório de Pesquisas em Virologia, Departamento de Doenças Dermatológicas, Infecciosas e Parasitárias, Faculdade de Medicina de São José do Rio Preto
| | - Heidge Fukumasu
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of Sao Paulo, Pirassununga, São Paulo, Brazil
| | - Luiz Lehmann Coutinho
- University of São Paulo, Centro de Genômica Funcional da ESALQ, Piracicaba, SP, Brazil
| | - Rodrigo Tocantins Calado
- University of São Paulo, Ribeirão Preto Medical School, Blood Center of Ribeirão Preto, Ribeirão Preto, SP, Brazil
| | | | | | | | - Carla Freitas
- Coordenação Geral de Laboratórios de Saúde Pública/Secretaria de Vigilância em Saúde, Ministério da Saúde (CGLAB/SVS-MS) Brasília, Distrito Federal, Brazil
| | - Cassio Roberto Leonel Peterka
- Coordenação Geral das Arboviroses, Secretaria de Vigilaçncia em Saúde/Ministério da Saúde (CGARB/SVS-MS), Brasília, Distrito Federal, Brazil
| | - Cássia de Fátima Rangel Fernandes
- Departamento de Imunização e Doenças Transmissíveisa/Secretaria de Vigilância em Saúde, Ministério da Saúde, Brasília, Distrito Federal, Brazil
| | | | | | - Maria Almiron
- Organização Pan-Americana da Saúde/Organização Mundial da Saúde, Brasília, Distrito Federal, Brazil
| | | | - José Lourenço
- Department of Zoology, Peter Medawar Building, University of Oxford, Oxford, UK
- Biosystems and Integrative Sciences Institute, Universidade de Lisboa, Lisboa, Portugal
| | - Tulio de Oliveira
- KwaZulu-Natal Research Innovation and Sequencing Platform (KRISP), School of Laboratory Medicine and Medical Sciences, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa
- Centre for Epidemic Response and Innovation (CERI), School of Data Science and Computational Thinking, Stellenbosch University; Stellenbosch, South Africa
- Centre for the AIDS Programme of Research in South Africa (CAPRISA), Durban, South Africa
- Department of Global Health, University of Washington, Seattle, WA, USA
| | - Edward C. Holmes
- Sydney Institute for Infectious Diseases, School of Life and Environmental Sciences and School of Medical Sciences, University of Sydney, Sydney, NSW, Australia
| | | | | | | | - Simone Kashima
- University of São Paulo, Ribeirão Preto Medical School, Blood Center of Ribeirão Preto, Ribeirão Preto, SP, Brazil
| | - Luiz Carlos Junior de Alcantara
- Laboratório de Flavivírus, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil
- Laboratório de Genética Celular e Molecular, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Dimas Tadeu Covas
- University of São Paulo, Ribeirão Preto Medical School, Blood Center of Ribeirão Preto, Ribeirão Preto, SP, Brazil
- Butantan Institute, São Paulo, Brazil
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39
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Giovanetti M, Fonseca V, Wilkinson E, Tegally H, San EJ, Althaus CL, Xavier J, Nanev Slavov S, Viala VL, Ranieri Jerônimo Lima A, Ribeiro G, Souza-Neto JA, Fukumasu H, Lehmann Coutinho L, Venancio da Cunha R, Freitas C, Campelo de A e Melo CF, Navegantes de Araújo W, Do Carmo Said RF, Almiron M, de Oliveira T, Coccuzzo Sampaio S, Elias MC, Covas DT, Holmes EC, Lourenço J, Kashima S, de Alcantara LCJ. Replacement of the Gamma by the Delta variant in Brazil: Impact of lineage displacement on the ongoing pandemic. Virus Evol 2022; 8:veac024. [PMID: 35371559 PMCID: PMC8971541 DOI: 10.1093/ve/veac024] [Citation(s) in RCA: 26] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2022] [Revised: 03/01/2022] [Accepted: 03/17/2022] [Indexed: 11/14/2022] Open
Abstract
The coronavirus disease 2019 (COVID-19) epidemic in Brazil was driven mainly by the spread of Gamma (P.1), a locally emerged variant of concern (VOC) that was first detected in early January 2021. This variant was estimated to be responsible for more than 96 per cent of cases reported between January and June 2021, being associated with increased transmissibility and disease severity, a reduction in neutralization antibodies and effectiveness of treatments or vaccines, and diagnostic detection failure. Here we show that, following several importations predominantly from the USA, the Delta variant rapidly replaced Gamma after July 2021. However, in contrast to what was seen in other countries, the rapid spread of Delta did not lead to a large increase in the number of cases and deaths reported in Brazil. We suggest that this was likely due to the relatively successful early vaccination campaign coupled with natural immunity acquired following prior infection with Gamma. Our data reinforce reports of the increased transmissibility of the Delta variant and, considering the increasing concern due to the recently identified Omicron variant, argues for the necessity to strengthen genomic monitoring on a national level to quickly detect the emergence and spread of other VOCs that might threaten global health.
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Affiliation(s)
| | | | - Eduan Wilkinson
- KwaZulu-Natal Research Innovation and Sequencing Platform (KRISP), School of Laboratory Medicine and Medical Sciences, College of Health Sciences, University of KwaZulu-Natal, 238 Mazisi Kunene Rd, Glenwood, Durban 4041, South Africa,Centre for Epidemic Response and Innovation (CERI), School of Data Science and Computational Thinking, Stellenbosch University, Banhoek Road & Joubert Street, Stellenbosch 7600, South Africa
| | - Houriiyah Tegally
- KwaZulu-Natal Research Innovation and Sequencing Platform (KRISP), School of Laboratory Medicine and Medical Sciences, College of Health Sciences, University of KwaZulu-Natal, 238 Mazisi Kunene Rd, Glenwood, Durban 4041, South Africa,Centre for Epidemic Response and Innovation (CERI), School of Data Science and Computational Thinking, Stellenbosch University, Banhoek Road & Joubert Street, Stellenbosch 7600, South Africa
| | - Emmanuel James San
- KwaZulu-Natal Research Innovation and Sequencing Platform (KRISP), School of Laboratory Medicine and Medical Sciences, College of Health Sciences, University of KwaZulu-Natal, 238 Mazisi Kunene Rd, Glenwood, Durban 4041, South Africa,Centre for Epidemic Response and Innovation (CERI), School of Data Science and Computational Thinking, Stellenbosch University, Banhoek Road & Joubert Street, Stellenbosch 7600, South Africa
| | - Christian L Althaus
- Institute of Social and Preventive Medicine, University of Bern, Hochschulstrasse 6, Bern 3012, Switzerland
| | - Joilson Xavier
- Laboratorio de Genética Celular e Molecular, Instituto de Ciências Biologicas, Universidade Federal de Minas Gerais, Av. Pres. Antônio Carlos, 6627 - Pampulha, Belo Horizonte, Minas Gerais 31270-901, Brazil,Laboratório Central de Saúde Pública do Estado de Minas Gerais, Fundação Ezequiel Dias, Rua Conde Pereira Carneiro, 80 Gameleira, Belo Horizonte, Minas Gerais 30510-010, Brazil
| | - Svetoslav Nanev Slavov
- Ribeirão Preto Medical School, Blood Center of Ribeirão Preto, University of São Paulo, R. Quintino Bocaiuva, nº 470 - Centro, Ribeirão Preto, SP 14015-160, Brazil
| | - Vincent Louis Viala
- Butantan Institute, Avenida Doutor Vital Brasil, 1500 - Butantã, Sao Paulo - SP, Brazil
| | | | - Gabriela Ribeiro
- Butantan Institute, Avenida Doutor Vital Brasil, 1500 - Butantã, Sao Paulo - SP, Brazil
| | - Jayme A Souza-Neto
- School of Agricultural Sciences, São Paulo State University (UNESP), R. Quintino Bocaiuva, nº 470, Botucatu 05508-900, Brazil
| | | | - Luiz Lehmann Coutinho
- Centro de Genômica Funcional da ESALQ, University of São Paulo, R. Quintino Bocaiuva, nº 470, Piracicaba, SP, Brazil
| | - Rivaldo Venancio da Cunha
- Bio-Manguinhos, Fundação Oswaldo Cruz, Rio de Janeiro, Av. Brasil, 4365, Rio de Janeiro 21040-360, Brazil
| | - Carla Freitas
- Coordenacão Geral dos Laboratórios de Saúde Publica/Secretaria de Vigilância em Saúde, Ministério da Saúde (CGLAB/SVS-MS), Esplanada dos Ministérios - Bloco G - Edifício Sede - CEP, Brasília, Distrito Federal 70058-900, Brazil
| | - Carlos F Campelo de A e Melo
- Organização Pan-Americana da Saúde/Organização Mundial da Saúde, Lote 19 - Avenida das Nações, SEN - Asa Norte, Brasília, Distrito Federal 70312-970, Brazil
| | - Wildo Navegantes de Araújo
- Organização Pan-Americana da Saúde/Organização Mundial da Saúde, Lote 19 - Avenida das Nações, SEN - Asa Norte, Brasília, Distrito Federal 70312-970, Brazil
| | - Rodrigo Fabiano Do Carmo Said
- Organização Pan-Americana da Saúde/Organização Mundial da Saúde, Lote 19 - Avenida das Nações, SEN - Asa Norte, Brasília, Distrito Federal 70312-970, Brazil
| | - Maria Almiron
- Organização Pan-Americana da Saúde/Organização Mundial da Saúde, Lote 19 - Avenida das Nações, SEN - Asa Norte, Brasília, Distrito Federal 70312-970, Brazil
| | | | | | - Maria Carolina Elias
- Department of Zoology, Peter Medawar Building, University of Oxford, 1a Mansfield Rd, Oxford OX1 3SZ, UK
| | - Dimas Tadeu Covas
- Ribeirão Preto Medical School, Blood Center of Ribeirão Preto, University of São Paulo, R. Quintino Bocaiuva, nº 470 - Centro, Ribeirão Preto, SP 14015-160, Brazil,Butantan Institute, Avenida Doutor Vital Brasil, 1500 - Butantã, Sao Paulo - SP, Brazil
| | | | - José Lourenço
- Department of Zoology, Peter Medawar Building, University of Oxford, 1a Mansfield Rd, Oxford OX1 3SZ, UK,Biosystems and Integrative Sciences Institute (BioISI), Universidade de Lisboa, Campo Grande, Lisbon 1749-016, Portugal
| | - Simone Kashima
- Ribeirão Preto Medical School, Blood Center of Ribeirão Preto, University of São Paulo, R. Quintino Bocaiuva, nº 470 - Centro, Ribeirão Preto, SP 14015-160, Brazil
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40
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Lima ARJ, Ribeiro G, Viala VL, Lima LPOD, Martins AJ, Barros CRDS, Marqueze EC, Bernardino JDST, Moretti DB, Rodrigues ES, Santos EV, Brassaloti RA, Cassano RDLRC, Mariani PDSC, Clemente LG, Assato PA, Costa FADSD, Poleti MD, Lesbon JCC, Mattos EC, Banho CA, Sacchetto L, Moraes MM, Palmieri M, Martininghi M, Caldeira LAV, Silva FEVD, Grotto RMT, Souza-Neto JA, Giovanetti M, Alcantara LCJ, Nogueira ML, Fukumasu H, Coutinho LL, Kashima S, Neto RM, Covas DT, Slavov SN, Sampaio SC, Elias MC. SARS-COV-2 GENOMIC MONITORING IN THE STATE OF SÃO PAULO UNVEILS TWO EMERGING AY.43 SUBLINEAGES. J Med Virol 2022; 94:3394-3398. [PMID: 35229308 PMCID: PMC9088347 DOI: 10.1002/jmv.27674] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2021] [Revised: 01/24/2022] [Accepted: 02/21/2022] [Indexed: 11/17/2022]
Abstract
Delta VOC is highly diverse with more than 120 sublineages already described as of November 30, 2021. In this study, through active monitoring of circulating severe acute respiratory syndrome coronavirus‐2 (SARS‐CoV‐2) variants in the state of São Paulo, southeast Brazil, we identified two emerging sublineages from the ancestral AY.43 strain which were classified as AY.43.1 and AY.43.2. These sublineages were defined by the following characteristic nonsynonymous mutations ORF1ab:A4133V and ORF3a:T14I for the AY.43.1 and ORF1ab:G1155C for the AY.43.2 and our analysis reveals that they might have a likely‐Brazilian origin. Much is still unknown regarding their dissemination in the state of São Paulo and Brazil as well as their potential impact on the ongoing vaccination process. However, the results obtained in this study reinforce the importance of genomic surveillance activity for timely identification of emerging SARS‐CoV‐2 variants which can impact the ongoing SARS‐CoV‐2 vaccination and public health policies.
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Affiliation(s)
| | | | | | | | | | | | | | | | | | - Evandra Strazza Rodrigues
- University of São Paulo, Ribeirão Preto Medical School, Blood Center of Ribeirão Preto, Ribeirão Preto, SP, Brazil
| | - Elaine Vieira Santos
- University of São Paulo, Ribeirão Preto Medical School, Blood Center of Ribeirão Preto, Ribeirão Preto, SP, Brazil
| | | | | | | | - Luan Gaspar Clemente
- University of São Paulo, Centro de Genômica Funcional da ESALQ, Piracicaba, SP, Brazil
| | - Patricia Akemi Assato
- São Paulo State University (UNESP), School of Agricultural Sciences, Department of Bioprocesses and Biotechnology, Botucatu, Brazil
| | - Felipe Allan da Silva da Costa
- São Paulo State University (UNESP), School of Agricultural Sciences, Department of Bioprocesses and Biotechnology, Botucatu, Brazil
| | - Mirele Daiana Poleti
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of Sao Paulo, Pirassununga, Sao Paulo, Brazil
| | - Jessika Cristina Chagas Lesbon
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of Sao Paulo, Pirassununga, Sao Paulo, Brazil
| | - Elisangela Chicaroni Mattos
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of Sao Paulo, Pirassununga, Sao Paulo, Brazil
| | - Cecilia Artico Banho
- Medicine School of São José do Rio Preto (FAMERP), São José do Rio Preto, São Paulo, Brazil
| | - Lívia Sacchetto
- Medicine School of São José do Rio Preto (FAMERP), São José do Rio Preto, São Paulo, Brazil
| | - Marília Mazzi Moraes
- Medicine School of São José do Rio Preto (FAMERP), São José do Rio Preto, São Paulo, Brazil
| | - Melissa Palmieri
- Coordenação de Vigilância em Saúde - Secretaria Municipal da Saúde, São Paulo, Brazil
| | | | | | | | - Rejane Maria Tommasini Grotto
- São Paulo State University (UNESP), School of Agricultural Sciences, Department of Bioprocesses and Biotechnology, Botucatu, Brazil.,Molecular Biology Laboratory, Applied Biotechnology Laboratory, Clinical Hospital of the Botucatu Medical School, Brazil
| | - Jayme A Souza-Neto
- São Paulo State University (UNESP), School of Agricultural Sciences, Department of Bioprocesses and Biotechnology, Botucatu, Brazil
| | - Marta Giovanetti
- Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.,Instituto Oswaldo Cruz, FIOCRUZ, Rio de Janeiro, Brazil
| | - Luiz Carlos Junior Alcantara
- Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.,Instituto Oswaldo Cruz, FIOCRUZ, Rio de Janeiro, Brazil
| | | | - Heidge Fukumasu
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of Sao Paulo, Pirassununga, Sao Paulo, Brazil
| | - Luiz Lehmann Coutinho
- University of São Paulo, Centro de Genômica Funcional da ESALQ, Piracicaba, SP, Brazil
| | - Simone Kashima
- University of São Paulo, Ribeirão Preto Medical School, Blood Center of Ribeirão Preto, Ribeirão Preto, SP, Brazil
| | | | - Dimas Tadeu Covas
- Butantan Institute, São Paulo, Brazil.,University of São Paulo, Ribeirão Preto Medical School, Blood Center of Ribeirão Preto, Ribeirão Preto, SP, Brazil
| | - Svetoslav Nanev Slavov
- University of São Paulo, Ribeirão Preto Medical School, Blood Center of Ribeirão Preto, Ribeirão Preto, SP, Brazil
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Yamamoto R, Saito M, Aoyama Y, Sagehashi R, Saito T, Kashima S, Koizumi A, Nara T, Numakura K, Narita S, Satoh S, Habuchi T. Protective effects of regulatory T cells in renal ischemia/reperfusion injury in mice. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)01165-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Muto Y, Numakura K, Sekine Y, Kobayashi M, Kashima S, Yamamoto R, Koizumi A, Nara T, Saito M, Narita S, Omori Y, Habuchi T. Cancer-associated adipose-derived mesenchymal stem cells promote migration and invasion in kidney cancer. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)01199-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Numakura K, Sekine Y, Muto Y, Kobayashi M, Kashima S, Yamamoto R, Koizumi A, Nara T, Saito M, Narita S, Habuchi T. Cortisol regulates adrenaline synthesis via phenylethanolamine N-methyltransferase in surgical specimens of pheochromocytoma. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00708-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Bezerra RDS, Ximenez JPB, Giovanetti M, Zucherato VS, Bitencourt HT, Zimmermann A, Alcantara LCJ, Covas DT, Kashima S, Slavov SN. METAVIROME COMPOSITION OF BRAZILIAN BLOOD DONORS POSITIVE FOR THE ROUTINELY TESTED BLOOD-BORNE INFECTIONS. Virus Res 2022; 311:198689. [PMID: 35090996 DOI: 10.1016/j.virusres.2022.198689] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2021] [Revised: 01/19/2022] [Accepted: 01/20/2022] [Indexed: 12/14/2022]
Abstract
Viral metagenomics is widely applied to characterize emerging viral pathogens but it can also reveal the virome composition in health and disease. The evaluation of the virome in healthy blood donors can provide important knowledge on possible transfusion threats. Currently, there is still a paucity of information regarding the virome of blood donors who test positive for routinely tested blood-borne infections. Such analysis may reveal co-infections which in turn appear to be crucial for transfusion medicine and for patient management. The aim of this study was to evaluate the metavirome in blood donors who tested positive for routinely tested blood-borne infections, the information for which is important for transfusion medicine and blood donor management. For this purpose, we analyzed 18 blood donations obtained from HIV and HBV-infected blood donors from the Brazilian Amazon (Amapa state) and 11 HIV, HBV, HCV, syphilis and Chagas disease - positive blood donations obtained from blood donors sampled in South Brazil (Rio Grande do Sul state). We additionally included a control group of 20 blood donors obtained from Southeast Brazil (State of São Paulo). Samples were assembled in pools and sequenced by the Illumina NovaSeq 6000 platform. To link a given virus with geographic region or type of blood donor, we performed supervised machine learning classification (fingerprint analysis). The virome of both locations was predominantly composed of commensal viruses. However, in HBV-infected blood donors from the Brazilian Amazon, the Human Pegivirus-1 (HPgV-1) reads were prevailing, while in HIV-infected donors from the same location, the torque teno virus (TTV) reads expressive abundance. In blood donors from South Brazil, the most abundant reads were classified as Human endogenous retrovirus K (HERV-K). Putative emerging viruses like the Human gemykibivirus-2 (HuGkV-2) were exclusively identified in samples from the Brazilian Amazon. The fingerprint analysis demonstrated that the HERV-K, TTV-7, 13, and 15 were statistically important for the infected blood donors, while TTV-5, 12 and 20 were linked to geographic localization. Our study revealed differences in the viral composition among blood donors who tested positive for routinely tested blood-borne infections from two different Brazilian regions and indicated the presence of putative emerging viruses in samples obtained from the Amazon. Together our results show that the presence of specific commensal viruses may be related donor infection status but additional investigations including larger study groups and samples from other Brazilian regions are needed to confirm this hypothesis.
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Affiliation(s)
- Rafael Dos Santos Bezerra
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - João Paulo Bianchi Ximenez
- Department of Clinical Analysis, Toxicology and Food Science, Faculty of Pharmaceutical Sciences of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Marta Giovanetti
- Laboratory of Flaviviruses, Oswaldo Cruz Institute, Rio de Janeiro, Rio de Janeiro, Brazil;; Laboratory of Molecular and Cellular Genetics, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Victoria Simionatto Zucherato
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | | | - Ana Zimmermann
- Hematology and Hemotherapy Service of Santa Maria, Hospital "Astrogildo de Azevedo" Santa Maria, Rio Grande do Sul, Brazil
| | - Luiz Carlos Júnior Alcantara
- Laboratory of Flaviviruses, Oswaldo Cruz Institute, Rio de Janeiro, Rio de Janeiro, Brazil;; Laboratory of Molecular and Cellular Genetics, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Dimas Tadeu Covas
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil;; Biotechnology Unit (NUCEL), Butantan Institute, São Paulo, São Paulo, Brazil
| | - Simone Kashima
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Svetoslav Nanev Slavov
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil;; Biotechnology Unit (NUCEL), Butantan Institute, São Paulo, São Paulo, Brazil.
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Slavov SN, Bezerra RDS, Rodrigues ES, Santos EV, Borges JS, de la Roque DGL, Patané JSL, Lima ARJ, Ribeiro G, Viala VL, de Lima LPO, Martins AJ, Dos Santos Barros CR, Marqueze EC, Bernardino JDST, Moretti DB, Brassaloti RA, Cassano RDLRC, Mariani PDSC, Kitajima JP, Santos B, Assato PA, da Silva da Costa FA, Poleti MD, Lesbon JCC, Mattos EC, Banho CA, Sacchetto L, Moraes MM, Grotto RMT, Souza-Neto JA, Giovanetti M, de Alcantara LCJ, Nogueira ML, Fukumasu H, Coutinho LL, Calado RT, Neto RM, Covas DT, Coccuzzo Sampaio S, Elias MC, Kashima S. Genomic monitoring of the SARS-CoV-2 B1.1.7 (WHO VOC Alpha) in the Sao Paulo state, Brazil. Virus Res 2022; 308:198643. [PMID: 34848213 PMCID: PMC8636783 DOI: 10.1016/j.virusres.2021.198643] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2021] [Revised: 11/16/2021] [Accepted: 11/18/2021] [Indexed: 12/22/2022]
Abstract
The SARS-CoV-2 alpha VOC (also known as lineage B.1.1.7) initially described in the autumn, 2020 in UK, rapidly became the dominant lineage across much of Europe. Despite multiple studies reporting molecular evidence suggestive of its circulation in Brazil, much is still unknown about its genomic diversity in the state of São Paulo, the main Brazilian economic and transportation hub. To get more insight regarding its transmission dynamics into the State we performed phylogenetic analysis on all alpha VOC strains obtained between February and August 2021 from the Sao Paulo state Network for Pandemic Alert of Emerging SARS-CoV-2 variants. The performed phylogenetic analysis showed that most of the alpha VOC genomes were interspersed with viral strains sampled from different Brazilian states and other countries suggesting that multiple independent Alpha VOC introductions from Brazil and overseas have occurred in the São Paulo State over time. Nevertheless, large monophyletic clusters were also observed especially from the Central-West part of the São Paulo State (the city of Bauru) and the metropolitan region of the São Paulo city. Our results highlight the Alpha VOC molecular epidemiology in the São Paulo state and reinforce the need for continued genomic surveillance strategies for the real-time monitoring of potential emerging SARS-CoV-2 variants during the ever-growing vaccination process.
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Affiliation(s)
- Svetoslav Nanev Slavov
- University of São Paulo, Ribeirão Preto Medical School, Blood Center of Ribeirão Preto, Ribeirão Preto, SP, Brazil; Butantan Institute, São Paulo, Brazil.
| | - Rafael Dos Santos Bezerra
- University of São Paulo, Ribeirão Preto Medical School, Blood Center of Ribeirão Preto, Ribeirão Preto, SP, Brazil
| | - Evandra Strazza Rodrigues
- University of São Paulo, Ribeirão Preto Medical School, Blood Center of Ribeirão Preto, Ribeirão Preto, SP, Brazil
| | - Elaine Vieira Santos
- University of São Paulo, Ribeirão Preto Medical School, Blood Center of Ribeirão Preto, Ribeirão Preto, SP, Brazil
| | - Joseane Serrano Borges
- University of São Paulo, Ribeirão Preto Medical School, Blood Center of Ribeirão Preto, Ribeirão Preto, SP, Brazil
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Patricia Akemi Assato
- São Paulo State University (UNESP), School of Agricultural Sciences, Department of Bioprocesses and Biotechnology, Botucatu, Brazil
| | - Felipe Allan da Silva da Costa
- São Paulo State University (UNESP), School of Agricultural Sciences, Department of Bioprocesses and Biotechnology, Botucatu, Brazil
| | - Mirele Daiana Poleti
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of Sao Paulo, Pirassununga, Sao Paulo, Brazil
| | - Jessika Cristina Chagas Lesbon
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of Sao Paulo, Pirassununga, Sao Paulo, Brazil
| | - Elisangela Chicaroni Mattos
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of Sao Paulo, Pirassununga, Sao Paulo, Brazil
| | - Cecilia Artico Banho
- Medicine School of São José do Rio Preto (FAMERP), São José do Rio Preto, São Paulo 15090-000, Brazil
| | - Lívia Sacchetto
- Medicine School of São José do Rio Preto (FAMERP), São José do Rio Preto, São Paulo 15090-000, Brazil
| | - Marília Mazzi Moraes
- Medicine School of São José do Rio Preto (FAMERP), São José do Rio Preto, São Paulo 15090-000, Brazil
| | - Rejane Maria Tommasini Grotto
- São Paulo State University (UNESP), School of Agricultural Sciences, Department of Bioprocesses and Biotechnology, Botucatu, Brazil; Molecular Biology Laboratory, Applied Biotechnology Laboratory, Clinical Hospital of the Botucatu Medical School, Brazil
| | - Jayme A Souza-Neto
- São Paulo State University (UNESP), School of Agricultural Sciences, Department of Bioprocesses and Biotechnology, Botucatu, Brazil
| | - Marta Giovanetti
- Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil; Instituto Oswaldo Cruz, FIOCRUZ, Rio de Janeiro, Brazil
| | - Luiz Carlos Junior de Alcantara
- Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil; Instituto Oswaldo Cruz, FIOCRUZ, Rio de Janeiro, Brazil
| | - Maurício Lacerda Nogueira
- Medicine School of São José do Rio Preto (FAMERP), São José do Rio Preto, São Paulo 15090-000, Brazil
| | - Heidge Fukumasu
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of Sao Paulo, Pirassununga, Sao Paulo, Brazil
| | | | - Rodrigo Tocantins Calado
- University of São Paulo, Ribeirão Preto Medical School, Blood Center of Ribeirão Preto, Ribeirão Preto, SP, Brazil; University of São Paulo, Ribeirão Preto Medical School, Ribeirão Preto, SP, Brazil
| | | | - Dimas Tadeu Covas
- University of São Paulo, Ribeirão Preto Medical School, Blood Center of Ribeirão Preto, Ribeirão Preto, SP, Brazil; Butantan Institute, São Paulo, Brazil; University of São Paulo, Ribeirão Preto Medical School, Ribeirão Preto, SP, Brazil
| | | | | | - Simone Kashima
- University of São Paulo, Ribeirão Preto Medical School, Blood Center of Ribeirão Preto, Ribeirão Preto, SP, Brazil
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Rodrigues ES, Salustiano S, Santos EV, Slavov SN, Picanço-Castro V, Maçonetto JM, de Haes TM, Takayanagui OM, Covas DT, Kashima S. Monitoring of HTLV-1-associated diseases by proviral load quantification using multiplex real-time PCR. J Neurovirol 2022; 28:27-34. [PMID: 35025066 DOI: 10.1007/s13365-020-00924-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2020] [Revised: 10/14/2020] [Accepted: 10/27/2020] [Indexed: 11/28/2022]
Abstract
Proviral load (PVL) is one of the determining factors for the pathogenesis and clinical progression of the human T-lymphotropic virus type I (HTLV-1) infection. In the present study, we optimized a sensitive multiplex real-time PCR for the simultaneous detection and quantification of HTLV-1 proviral load and beta-globin gene as endogenous control. The values obtained for HTLV-1 PVL were used to monitor the clinical evolution in HTLV-1-infected individuals. A vector containing cloned DNA targets of the real-time PCR for the beta-globin gene and the HTLV-1pol region was constructed. For the reaction validation, we compared the amplification efficiency of the constructed vector and MT-2 cell line containing HTLV-1. The analytical sensitivity of the reaction was evaluated by the application of a standard curve with a high order of magnitude. PVL assay was evaluated on DNA samples of HTLV-1 seropositive individuals. The construct showed adequate amplification for the beta-globin and HTLV-1 pol genes when evaluated as multiplex real-time PCR (slope = 3.23/3.26, Y-intercept = 40.18/40.73, correlation coefficient r2 = 0.99/0.99, and efficiency = 103.98/102.78, respectively). The quantification of PVL using the MT-2 cell line was equivalent to the data obtained using the plasmidial curve (2.5 copies per cell). In HTLV-1-associatedmyelopathy/tropical spastic paraparesis patients, PVL was significantly higher (21315 ± 2154 copies/105 PBMC) compared to asymptomatic individuals (1253 ± 691 copies/105 PBMC). The obtained results indicate that the optimized HTLV-1 PVL assay using plasmidial curve can be applied for monitoring and follow-up of the progression of HTLV-1 disease. The use of a unique reference plasmid for both HTLV-1 and endogenous gene allows a robust and effective quantification of HTLV-1 PVL. In addition, the developed multiplex real-time PCR assay was efficient to be used as a tool to monitor HTLV-1-infected individuals.
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Affiliation(s)
- Evandra Strazza Rodrigues
- Center for Cell-Based Research, Regional Blood Center of Ribeirão Preto, School of Medicine of Ribeirão Preto, University of São Paulo (USP), São Paulo, Brazil
| | - Suellen Salustiano
- Center for Cell-Based Research, Regional Blood Center of Ribeirão Preto, School of Medicine of Ribeirão Preto, University of São Paulo (USP), São Paulo, Brazil.,Faculty of Pharmaceutical Sciences of Ribeirão Preto, Ribeirão Preto, São Paulo, Brazil
| | - Elaine Vieira Santos
- Center for Cell-Based Research, Regional Blood Center of Ribeirão Preto, School of Medicine of Ribeirão Preto, University of São Paulo (USP), São Paulo, Brazil
| | - Svetoslav Nanev Slavov
- Center for Cell-Based Research, Regional Blood Center of Ribeirão Preto, School of Medicine of Ribeirão Preto, University of São Paulo (USP), São Paulo, Brazil
| | - Virgínia Picanço-Castro
- Center for Cell-Based Research, Regional Blood Center of Ribeirão Preto, School of Medicine of Ribeirão Preto, University of São Paulo (USP), São Paulo, Brazil
| | - Juliana Matos Maçonetto
- Center for Cell-Based Research, Regional Blood Center of Ribeirão Preto, School of Medicine of Ribeirão Preto, University of São Paulo (USP), São Paulo, Brazil
| | - Tissiana Marques de Haes
- Department of Clinical Medicine, School of Medicine of Ribeirão Preto, University of São Paulo (USP), Ribeirão Preto, São Paulo, Brazil
| | - Osvaldo Massaiti Takayanagui
- Department of Clinical Medicine, School of Medicine of Ribeirão Preto, University of São Paulo (USP), Ribeirão Preto, São Paulo, Brazil
| | - Dimas Tadeu Covas
- Center for Cell-Based Research, Regional Blood Center of Ribeirão Preto, School of Medicine of Ribeirão Preto, University of São Paulo (USP), São Paulo, Brazil
| | - Simone Kashima
- Center for Cell-Based Research, Regional Blood Center of Ribeirão Preto, School of Medicine of Ribeirão Preto, University of São Paulo (USP), São Paulo, Brazil. .,Faculty of Pharmaceutical Sciences of Ribeirão Preto, Ribeirão Preto, São Paulo, Brazil.
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Zucherato VS, Evaristo M, Santos EV, Mello R, Donizetti Candido É, Araujo DB, de Oliveira DBL, Durigon EL, Giovanetti M, Alcantâra LCJ, Cilião-Alves DC, Haddad R, Covas DT, Kashima S, Slavov SN. SARS-CoV-2 serological cross-reactivity testing in Brazilian blood donors, October-December, 2019. J Infect 2022; 84:e1-e2. [PMID: 34979220 DOI: 10.1016/j.jinf.2021.12.041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2021] [Accepted: 12/28/2021] [Indexed: 11/28/2022]
Affiliation(s)
- Victoria Simionatto Zucherato
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil
| | - Mariane Evaristo
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil
| | - Elaine Vieira Santos
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil
| | - Ralyria Mello
- Department of Microbiology, Laboratory of Clinical and Molecular Virology, Institute of Biomedical Sciences, São Paulo, Brazil
| | - Érika Donizetti Candido
- Department of Microbiology, Laboratory of Clinical and Molecular Virology, Institute of Biomedical Sciences, São Paulo, Brazil
| | - Danielle Bastos Araujo
- Department of Microbiology, Laboratory of Clinical and Molecular Virology, Institute of Biomedical Sciences, São Paulo, Brazil
| | - Danielle Bruna Leal de Oliveira
- Department of Microbiology, Laboratory of Clinical and Molecular Virology, Institute of Biomedical Sciences, São Paulo, Brazil
| | - Edson Luiz Durigon
- Department of Microbiology, Laboratory of Clinical and Molecular Virology, Institute of Biomedical Sciences, São Paulo, Brazil
| | - Marta Giovanetti
- Flavivirus Laboratory, Oswaldo Cruz Institute, Rio de Janeiro, Brazil; Laboratory of Celular and Molecular Genetics, Federal University of Belo Horizonte, Belo Horizonte, Brazil
| | - Luiz Carlos Júnior Alcantâra
- Flavivirus Laboratory, Oswaldo Cruz Institute, Rio de Janeiro, Brazil; Laboratory of Celular and Molecular Genetics, Federal University of Belo Horizonte, Belo Horizonte, Brazil
| | | | - Rodrigo Haddad
- Faculty of Ceilândia, University of Brasilia, Federal District, Brasilia, Brazil; Center for Tropical Medicine, University of Brasilia, Federal District, Brazil
| | - Dimas Tadeu Covas
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil; Center for Biotechnology (NuCel), Butantan Institute, São Paulo, São Paulo, Brazil
| | - Simone Kashima
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil
| | - Svetoslav Nanev Slavov
- Blood Center of Ribeirão Preto, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil; Center for Biotechnology (NuCel), Butantan Institute, São Paulo, São Paulo, Brazil.
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48
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Lesbon JCC, Poleti MD, de Mattos Oliveira EC, Patané JSL, Clemente LG, Viala VL, Ribeiro G, Giovanetti M, de Alcantara LCJ, Teixeira O, Nonato MC, de Lima LPO, Martins AJ, dos Santos Barros CR, Marqueze EC, de Souza Todão Bernardino J, Moretti DB, Brassaloti RA, de Lello Rocha Campos Cassano R, Mariani PDSC, Slavov SN, dos Santos RB, Rodrigues ES, Santos EV, Borges JS, de La Roque DGL, Kitajima JP, Santos B, Assato PA, da Silva da Costa FA, Banho CA, Sacchetto L, Moraes MM, Palmieri M, da Silva FEV, Grotto RMT, Souza-Neto JA, Nogueira ML, Coutinho LL, Calado RT, Neto RM, Covas DT, Kashima S, Elias MC, Sampaio SC, Fukumasu H. Nucleocapsid (N) Gene Mutations of SARS-CoV-2 Can Affect Real-Time RT-PCR Diagnostic and Impact False-Negative Results. Viruses 2021; 13:v13122474. [PMID: 34960743 PMCID: PMC8707239 DOI: 10.3390/v13122474] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2021] [Revised: 11/30/2021] [Accepted: 12/01/2021] [Indexed: 01/17/2023] Open
Abstract
The current COVID-19 pandemic demands massive testing by Real-time RT-PCR (Reverse Transcription Polymerase Chain Reaction), which is considered the gold standard diagnostic test for the detection of the SARS-CoV-2 virus. However, the virus continues to evolve with mutations that lead to phenotypic alterations as higher transmissibility, pathogenicity or vaccine evasion. Another big issue are mutations in the annealing sites of primers and probes of RT-PCR diagnostic kits leading to false-negative results. Therefore, here we identify mutations in the N (Nucleocapsid) gene that affects the use of the GeneFinder COVID-19 Plus RealAmp Kit. We sequenced SARS-CoV-2 genomes from 17 positive samples with no N gene detection but with RDRP (RNA-dependent RNA polymerase) and E (Envelope) genes detection, and observed a set of three different mutations affecting the N detection: a deletion of 18 nucleotides (Del28877-28894), a substitution of GGG to AAC (28881-28883) and a frameshift mutation caused by deletion (Del28877-28878). The last one cause a deletion of six AAs (amino acids) located in the central intrinsic disorder region at protein level. We also found this mutation in 99 of the 14,346 sequenced samples by the Sao Paulo state Network for Pandemic Alert of Emerging SARS-CoV-2 variants, demonstrating the circulation of the mutation in Sao Paulo, Brazil. Continuous monitoring and characterization of mutations affecting the annealing sites of primers and probes by genomic surveillance programs are necessary to maintain the effectiveness of the diagnosis of COVID-19.
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Affiliation(s)
- Jéssika Cristina Chagas Lesbon
- Laboratory of Comparative and Translational Oncology, Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of Sao Paulo, Pirassununga 13635-900, São Paulo, Brazil; (J.C.C.L.); (M.D.P.); (E.C.d.M.O.)
| | - Mirele Daiana Poleti
- Laboratory of Comparative and Translational Oncology, Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of Sao Paulo, Pirassununga 13635-900, São Paulo, Brazil; (J.C.C.L.); (M.D.P.); (E.C.d.M.O.)
| | - Elisângela Chicaroni de Mattos Oliveira
- Laboratory of Comparative and Translational Oncology, Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of Sao Paulo, Pirassununga 13635-900, São Paulo, Brazil; (J.C.C.L.); (M.D.P.); (E.C.d.M.O.)
| | - José Salvatore Leister Patané
- Butantan Institute, São Paulo 05503-000, São Paulo, Brazil; (J.S.L.P.); (V.L.V.); (G.R.); (L.P.O.d.L.); (A.J.M.); (C.R.d.S.B.); (E.C.M.); (J.d.S.T.B.); (D.B.M.); (R.M.N.); (D.T.C.); (M.C.E.); (S.C.S.)
| | - Luan Gaspar Clemente
- Functional Genomic Center, Department of Animal Science, Luiz de Queiroz School of Agriculture, University of Sao Paulo, Piracicaba 13418-900, São Paulo, Brazil; (L.G.C.); (R.A.B.); (R.d.L.R.C.C.); (L.L.C.)
| | - Vincent Louis Viala
- Butantan Institute, São Paulo 05503-000, São Paulo, Brazil; (J.S.L.P.); (V.L.V.); (G.R.); (L.P.O.d.L.); (A.J.M.); (C.R.d.S.B.); (E.C.M.); (J.d.S.T.B.); (D.B.M.); (R.M.N.); (D.T.C.); (M.C.E.); (S.C.S.)
| | - Gabriela Ribeiro
- Butantan Institute, São Paulo 05503-000, São Paulo, Brazil; (J.S.L.P.); (V.L.V.); (G.R.); (L.P.O.d.L.); (A.J.M.); (C.R.d.S.B.); (E.C.M.); (J.d.S.T.B.); (D.B.M.); (R.M.N.); (D.T.C.); (M.C.E.); (S.C.S.)
| | - Marta Giovanetti
- Fundação Oswaldo Cruz, FIOCRUZ, Manguinhos 21040-900, Rio de Janeiro, Brazil; (M.G.); (L.C.J.d.A.)
- Institute of Biological Sciences, Federal University of Minas Gerais, Belo Horizonte 31270-901, Minas Gerais, Brazil
| | | | - Olivia Teixeira
- Ribeirao Preto Protein Crystallography Laboratory, School of Pharmaceutical Sciences, University of São Paulo, Ribeirao Preto 14040-903, São Paulo, Brazil; (O.T.); (M.C.N.)
| | - Maria Cristina Nonato
- Ribeirao Preto Protein Crystallography Laboratory, School of Pharmaceutical Sciences, University of São Paulo, Ribeirao Preto 14040-903, São Paulo, Brazil; (O.T.); (M.C.N.)
| | - Loyze Paola Oliveira de Lima
- Butantan Institute, São Paulo 05503-000, São Paulo, Brazil; (J.S.L.P.); (V.L.V.); (G.R.); (L.P.O.d.L.); (A.J.M.); (C.R.d.S.B.); (E.C.M.); (J.d.S.T.B.); (D.B.M.); (R.M.N.); (D.T.C.); (M.C.E.); (S.C.S.)
| | - Antonio Jorge Martins
- Butantan Institute, São Paulo 05503-000, São Paulo, Brazil; (J.S.L.P.); (V.L.V.); (G.R.); (L.P.O.d.L.); (A.J.M.); (C.R.d.S.B.); (E.C.M.); (J.d.S.T.B.); (D.B.M.); (R.M.N.); (D.T.C.); (M.C.E.); (S.C.S.)
| | - Claudia Renata dos Santos Barros
- Butantan Institute, São Paulo 05503-000, São Paulo, Brazil; (J.S.L.P.); (V.L.V.); (G.R.); (L.P.O.d.L.); (A.J.M.); (C.R.d.S.B.); (E.C.M.); (J.d.S.T.B.); (D.B.M.); (R.M.N.); (D.T.C.); (M.C.E.); (S.C.S.)
| | - Elaine Cristina Marqueze
- Butantan Institute, São Paulo 05503-000, São Paulo, Brazil; (J.S.L.P.); (V.L.V.); (G.R.); (L.P.O.d.L.); (A.J.M.); (C.R.d.S.B.); (E.C.M.); (J.d.S.T.B.); (D.B.M.); (R.M.N.); (D.T.C.); (M.C.E.); (S.C.S.)
| | - Jardelina de Souza Todão Bernardino
- Butantan Institute, São Paulo 05503-000, São Paulo, Brazil; (J.S.L.P.); (V.L.V.); (G.R.); (L.P.O.d.L.); (A.J.M.); (C.R.d.S.B.); (E.C.M.); (J.d.S.T.B.); (D.B.M.); (R.M.N.); (D.T.C.); (M.C.E.); (S.C.S.)
| | - Debora Botequio Moretti
- Butantan Institute, São Paulo 05503-000, São Paulo, Brazil; (J.S.L.P.); (V.L.V.); (G.R.); (L.P.O.d.L.); (A.J.M.); (C.R.d.S.B.); (E.C.M.); (J.d.S.T.B.); (D.B.M.); (R.M.N.); (D.T.C.); (M.C.E.); (S.C.S.)
| | - Ricardo Augusto Brassaloti
- Functional Genomic Center, Department of Animal Science, Luiz de Queiroz School of Agriculture, University of Sao Paulo, Piracicaba 13418-900, São Paulo, Brazil; (L.G.C.); (R.A.B.); (R.d.L.R.C.C.); (L.L.C.)
| | - Raquel de Lello Rocha Campos Cassano
- Functional Genomic Center, Department of Animal Science, Luiz de Queiroz School of Agriculture, University of Sao Paulo, Piracicaba 13418-900, São Paulo, Brazil; (L.G.C.); (R.A.B.); (R.d.L.R.C.C.); (L.L.C.)
| | | | - Svetoslav Nanev Slavov
- Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto 14051-060, São Paulo, Brazil; (S.N.S.); (R.B.d.S.); (E.S.R.); (E.V.S.); (J.S.B.); (D.G.L.d.L.R.); (R.T.C.); (S.K.)
| | - Rafael Bezerra dos Santos
- Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto 14051-060, São Paulo, Brazil; (S.N.S.); (R.B.d.S.); (E.S.R.); (E.V.S.); (J.S.B.); (D.G.L.d.L.R.); (R.T.C.); (S.K.)
| | - Evandra Strazza Rodrigues
- Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto 14051-060, São Paulo, Brazil; (S.N.S.); (R.B.d.S.); (E.S.R.); (E.V.S.); (J.S.B.); (D.G.L.d.L.R.); (R.T.C.); (S.K.)
| | - Elaine Vieira Santos
- Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto 14051-060, São Paulo, Brazil; (S.N.S.); (R.B.d.S.); (E.S.R.); (E.V.S.); (J.S.B.); (D.G.L.d.L.R.); (R.T.C.); (S.K.)
| | - Josiane Serrano Borges
- Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto 14051-060, São Paulo, Brazil; (S.N.S.); (R.B.d.S.); (E.S.R.); (E.V.S.); (J.S.B.); (D.G.L.d.L.R.); (R.T.C.); (S.K.)
| | - Debora Glenda Lima de La Roque
- Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto 14051-060, São Paulo, Brazil; (S.N.S.); (R.B.d.S.); (E.S.R.); (E.V.S.); (J.S.B.); (D.G.L.d.L.R.); (R.T.C.); (S.K.)
| | - Joao Paulo Kitajima
- Mendelics Genomic Analysis, São Paulo 02511-000, São Paulo, Brazil; (J.P.K.); (B.S.)
| | - Bibiana Santos
- Mendelics Genomic Analysis, São Paulo 02511-000, São Paulo, Brazil; (J.P.K.); (B.S.)
| | - Patricia Akemi Assato
- School of Agricultural Sciences, São Paulo State University, Botucatu 18618-970, São Paulo, Brazil; (P.A.A.); (F.A.d.S.d.C.); (R.M.T.G.); (J.A.S.-N.)
| | - Felipe Allan da Silva da Costa
- School of Agricultural Sciences, São Paulo State University, Botucatu 18618-970, São Paulo, Brazil; (P.A.A.); (F.A.d.S.d.C.); (R.M.T.G.); (J.A.S.-N.)
| | - Cecilia Artico Banho
- Laboratório de Pesquisas em Virologia, Departamento de Doenças Dermatológicas, Infecciosas e Parasitárias, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto 15090-000, São Paulo, Brazil; (C.A.B.); (L.S.); (M.M.M.); (M.L.N.)
| | - Livia Sacchetto
- Laboratório de Pesquisas em Virologia, Departamento de Doenças Dermatológicas, Infecciosas e Parasitárias, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto 15090-000, São Paulo, Brazil; (C.A.B.); (L.S.); (M.M.M.); (M.L.N.)
| | - Marilia Mazzi Moraes
- Laboratório de Pesquisas em Virologia, Departamento de Doenças Dermatológicas, Infecciosas e Parasitárias, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto 15090-000, São Paulo, Brazil; (C.A.B.); (L.S.); (M.M.M.); (M.L.N.)
| | - Melissa Palmieri
- Coordenação de Vigilância em Saúde—Secretaria Municipal da Saúde, São Paulo 01223-906, São Paulo, Brazil;
| | | | - Rejane Maria Tommasini Grotto
- School of Agricultural Sciences, São Paulo State University, Botucatu 18618-970, São Paulo, Brazil; (P.A.A.); (F.A.d.S.d.C.); (R.M.T.G.); (J.A.S.-N.)
| | - Jayme A. Souza-Neto
- School of Agricultural Sciences, São Paulo State University, Botucatu 18618-970, São Paulo, Brazil; (P.A.A.); (F.A.d.S.d.C.); (R.M.T.G.); (J.A.S.-N.)
| | - Mauricio Lacerda Nogueira
- Laboratório de Pesquisas em Virologia, Departamento de Doenças Dermatológicas, Infecciosas e Parasitárias, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto 15090-000, São Paulo, Brazil; (C.A.B.); (L.S.); (M.M.M.); (M.L.N.)
| | - Luiz Lehman Coutinho
- Functional Genomic Center, Department of Animal Science, Luiz de Queiroz School of Agriculture, University of Sao Paulo, Piracicaba 13418-900, São Paulo, Brazil; (L.G.C.); (R.A.B.); (R.d.L.R.C.C.); (L.L.C.)
| | - Rodrigo Tocantins Calado
- Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto 14051-060, São Paulo, Brazil; (S.N.S.); (R.B.d.S.); (E.S.R.); (E.V.S.); (J.S.B.); (D.G.L.d.L.R.); (R.T.C.); (S.K.)
| | - Raul Machado Neto
- Butantan Institute, São Paulo 05503-000, São Paulo, Brazil; (J.S.L.P.); (V.L.V.); (G.R.); (L.P.O.d.L.); (A.J.M.); (C.R.d.S.B.); (E.C.M.); (J.d.S.T.B.); (D.B.M.); (R.M.N.); (D.T.C.); (M.C.E.); (S.C.S.)
| | - Dimas Tadeu Covas
- Butantan Institute, São Paulo 05503-000, São Paulo, Brazil; (J.S.L.P.); (V.L.V.); (G.R.); (L.P.O.d.L.); (A.J.M.); (C.R.d.S.B.); (E.C.M.); (J.d.S.T.B.); (D.B.M.); (R.M.N.); (D.T.C.); (M.C.E.); (S.C.S.)
- Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto 14051-060, São Paulo, Brazil; (S.N.S.); (R.B.d.S.); (E.S.R.); (E.V.S.); (J.S.B.); (D.G.L.d.L.R.); (R.T.C.); (S.K.)
| | - Simone Kashima
- Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto 14051-060, São Paulo, Brazil; (S.N.S.); (R.B.d.S.); (E.S.R.); (E.V.S.); (J.S.B.); (D.G.L.d.L.R.); (R.T.C.); (S.K.)
| | - Maria Carolina Elias
- Butantan Institute, São Paulo 05503-000, São Paulo, Brazil; (J.S.L.P.); (V.L.V.); (G.R.); (L.P.O.d.L.); (A.J.M.); (C.R.d.S.B.); (E.C.M.); (J.d.S.T.B.); (D.B.M.); (R.M.N.); (D.T.C.); (M.C.E.); (S.C.S.)
| | - Sandra Coccuzzo Sampaio
- Butantan Institute, São Paulo 05503-000, São Paulo, Brazil; (J.S.L.P.); (V.L.V.); (G.R.); (L.P.O.d.L.); (A.J.M.); (C.R.d.S.B.); (E.C.M.); (J.d.S.T.B.); (D.B.M.); (R.M.N.); (D.T.C.); (M.C.E.); (S.C.S.)
| | - Heidge Fukumasu
- Laboratory of Comparative and Translational Oncology, Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of Sao Paulo, Pirassununga 13635-900, São Paulo, Brazil; (J.C.C.L.); (M.D.P.); (E.C.d.M.O.)
- Correspondence: ; Tel.: +55-19-35656864
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49
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Valença IN, Rós FA, Zucherato VS, Silva-Pinto AC, Covas DT, Kashima S, Slavov SN. Comparative metavirome analysis in polytransfused patients. ACTA ACUST UNITED AC 2021; 54:e11610. [PMID: 34669783 PMCID: PMC8521540 DOI: 10.1590/1414-431x2021e11610] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2021] [Accepted: 08/13/2021] [Indexed: 11/22/2022]
Abstract
Due to the high transfusion volume, polytransfused patients with sickle cell disease (SCD) and beta-thalassemia are constantly exposed to parenterally transmitted infections. Currently, we have little information about the virome of such patients and how the virological composition might be influenced by the hemotherapy procedures that these patients receive. The objective of this study was to compare the viral diversity between these two groups with respect to the viral abundance and how it might be affected by the specific conditions of these groups. We sequenced by next-generation sequencing (NGS) and compared the virome of 30 patients with beta-thalassemia major, 45 with SCD, and 16 blood donors from the Blood Center of Ribeirão Preto, Brazil. Predominantly, commensal viruses including Torque teno virus (TTV) genotypes and human pegiviris-1 (HPgV-1) were identified in each group. Strikingly, while HPgV-1 reads were dominant in the SCD group, thalassemic patients showed high TTV abundance, expressed both in viral reads and genotypes. We speculated that the commensal virome of polytransfused patients might be influenced by the transfusion frequency and disease characteristics and that commensal viruses might be used as important genetic biomarkers for these hematological disturbances. Nevertheless, more specific studies are necessary to confirm a relationship between blood virome and transfusion treatment.
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Affiliation(s)
- I N Valença
- Programa de Pós-Graduação em Oncologia Clínica, Células Tronco e Terapia Celular, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil.,Hemocentro de Ribeirão Preto, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil
| | - F A Rós
- Programa de Pós-Graduação em Oncologia Clínica, Células Tronco e Terapia Celular, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil.,Hemocentro de Ribeirão Preto, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil
| | - V S Zucherato
- Hemocentro de Ribeirão Preto, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil
| | - A C Silva-Pinto
- Hemocentro de Ribeirão Preto, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil
| | - D T Covas
- Hemocentro de Ribeirão Preto, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil
| | - S Kashima
- Hemocentro de Ribeirão Preto, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil
| | - S N Slavov
- Hemocentro de Ribeirão Preto, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil.,Instituto Butantan, São Paulo, SP, Brasil
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50
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Kashima S, Slavov SN, Giovanetti M, Rodrigues ES, Patané JSL, Viala VL, Santos EV, Evaristo M, de Lima LPO, Martins AJ, Dos Santos Barros CR, Marqueze EC, Garibaldi PMM, Ferreira NN, Moraes GR, Brassaloti RA, Cassano RLRC, Mariani PDSC, Kitajima JP, Schlesinger D, Bezerra RS, Assato PA, da Costa FAS, Poleti MD, Lesbon JCC, Mattos EC, Banho CA, Sacchetto L, Grotto RMT, Souza-Neto JA, Fonseca V, de Alcantara LCJ, Nogueira ML, Fukumasu H, Coutinho LL, Borges M, Calado RT, Elias MC, Sampaio SC, Covas DT. Introduction of SARS-CoV-2 C.37 (WHO VOI lambda) in the Sao Paulo State, Southeast Brazil. J Med Virol 2021; 94:1206-1211. [PMID: 34647634 PMCID: PMC8662236 DOI: 10.1002/jmv.27389] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2021] [Revised: 10/05/2021] [Accepted: 10/12/2021] [Indexed: 01/03/2023]
Abstract
The Lambda variants of interest (VOI) (C37/GR/452Q.V1/21G) was initially reported in Lima, Peru but has gained rapid dissemination through other Latin American countries. Nevertheless, the dissemination and molecular epidemiology of the Lambda VOI in Brazil is unknown apart from a single case report. In this respect, we characterized the circulation of the SARS‐CoV‐2 Lambda VOI (C37/GR/452Q.V1/21G) in Sao Paulo State, Brazil. From March to June 2021, we identified seven Lambda isolates in a set of approximately 8000 newly sequenced genomes of the Network for Pandemic Alert of Emerging SARS‐CoV‐2 variants from Sao Paulo State. Interestingly, in three of the positive patients, the Lambda VOI infection was probably related to a contact transmission. These individuals were fully vaccinated to COVID‐19 and presented mild symptoms. The remaining positive for Lambda VOI individuals showed different levels of COVID‐19 symptoms and one of them needed hospitalization (score 5, WHO). In our study, we present a low level of Lambda VOI circulation in the Sao Paulo State. This reinforces the essential role of molecular surveillance for the effective SARS‐CoV‐2 pandemic response, especially in regard to circulating variants. Our study shows the low circulation of the Lambda variants of interest (VOI) in the São Paulo State. Two distinct Lambda VOI introductions may have occurred in the Sao Paulo State. Epidemiological data revealed Lambda VOI transmission in three cases of fully vaccinated individuals.
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Affiliation(s)
- Simone Kashima
- Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil
| | - Svetoslav N Slavov
- Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.,Butantan Institute, São Paulo, Brazil
| | - Marta Giovanetti
- Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.,Instituto Oswaldo Cruz (FIOCRUZ), Rio de Janeiro, Brazil
| | - Evandra S Rodrigues
- Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil
| | | | | | - Elaine V Santos
- Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil
| | - Mariane Evaristo
- Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil
| | | | | | | | | | - Pedro M M Garibaldi
- Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.,Serrana State Hospital, Serrana, Brazil
| | | | | | - Ricardo A Brassaloti
- Centro de Genômica Funcional da ESALQ, University of São Paulo, Piracicaba, SP, Brazil
| | - Raquel L R C Cassano
- Centro de Genômica Funcional da ESALQ, University of São Paulo, Piracicaba, SP, Brazil
| | | | | | | | - Rafael S Bezerra
- Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil
| | - Patricia A Assato
- Department of Bioprocesses and Biotechnology, School of Agricultural Sciences, São Paulo State University (UNESP), Botucatu, Brazil
| | - Felipe A S da Costa
- Department of Bioprocesses and Biotechnology, School of Agricultural Sciences, São Paulo State University (UNESP), Botucatu, Brazil
| | - Mirele Daiana Poleti
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of Sao Paulo, Pirassununga, Brazil
| | - Jessika C C Lesbon
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of Sao Paulo, Pirassununga, Brazil
| | - Elisangela C Mattos
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of Sao Paulo, Pirassununga, Brazil
| | - Cecilia A Banho
- Medicine School of São José do Rio Preto (FAMERP), São José do Rio Preto, São Paulo, Brazil
| | - Lívia Sacchetto
- Medicine School of São José do Rio Preto (FAMERP), São José do Rio Preto, São Paulo, Brazil
| | - Rejane M T Grotto
- School of Agricultural Sciences, São Paulo State University (UNESP), Botucatu, Brazil.,Molecular Biology Laboratory, Applied Biotechnology Laboratory, Clinical Hospital of the Botucatu Medical School, Botucato, Brazil
| | - Jayme A Souza-Neto
- School of Agricultural Sciences, São Paulo State University (UNESP), Botucatu, Brazil
| | - Vagner Fonseca
- Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.,Coordenação Geral de Laboratórios de Saúde Pública/Secretaria de Vigilância em Saúde, Ministério da Saúde, (CGLAB/SVS-MS) Brasília, Brazil
| | - Luiz C J de Alcantara
- Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.,Instituto Oswaldo Cruz (FIOCRUZ), Rio de Janeiro, Brazil
| | - Maurício L Nogueira
- Medicine School of São José do Rio Preto (FAMERP), São José do Rio Preto, São Paulo, Brazil
| | - Heidge Fukumasu
- Department of Veterinary Medicine, School of Animal Science and Food Engineering, University of Sao Paulo, Pirassununga, Brazil
| | - Luiz L Coutinho
- Centro de Genômica Funcional da ESALQ, University of São Paulo, Piracicaba, SP, Brazil
| | - Marcos Borges
- Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.,Serrana State Hospital, Serrana, Brazil
| | - Rodrigo T Calado
- Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.,Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil
| | | | | | - Dimas T Covas
- Blood Center of Ribeirão Preto, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.,Butantan Institute, São Paulo, Brazil.,Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil
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