West nile virus and usutu virus co-circulation in europe: Epidemiology and implications

West Nile virus (WNV) and Usutu virus (USUV) are neurotropic mosquito-borne flaviviruses that may infect humans. Although WNV is much more widespread and plays a much larger role in human health, the two viruses are characterized by similar envelope antigens, clinical manifestations, and present overlapping in terms of geographic range of transmission, host, and vector species. This review highlights some of the most relevant aspects of WNV and USUV human infections in Europe, and the possible implications of their co-circulation

Treponema denticola in Disseminating Endodontic Infections

Treponema denticola is a consensus periodontal pathogen that has recently been associated with endodontic pathology. In this study, the effect of mono-infection of the dental pulp with T. denticola and with polymicrobial “red-complex” organisms (RC) (Porphyromonas gingivalis, Tannerella forsythia, and T. denticola) in inducing disseminating infections in wild-type (WT) and severe-combined-immunodeficiency (SCID) mice was analyzed. After 21 days, a high incidence (5/10) of orofacial abscesses was observed in SCID mice mono-infected with T. denticola, whereas abscesses were rare in SCID mice infected with the red-complex organisms or in wildtype mice. Splenomegaly was present in all groups, but only mono-infected SCID mice had weight loss. T. denticola DNA was detected in the spleen, heart, and brain of mono-infected SCID mice and in the spleen from mono-infected wild-type mice, which also had more periapical bone resorption. The results indicate that T. denticola has high pathogenicity, including dissemination to distant organs, further substantiating its potential importance in oral and linked systemic conditions

Transport in strongly-coupled graphene-LaAlO3/SrTiO3 hybrid systems

We report on the transport properties of hybrid devices obtained by depositing graphene on a LaAlO3/SrTiO3 oxide junction hosting a 4 nm-deep two-dimensional electron system. At low graphene-oxide inter-layer bias the two electron systems are electrically isolated, despite their small spatial separation, and very efficient reciprocal gating is shown. A pronounced rectifying behavior is observed for larger bias values and ascribed to the interplay between electrostatic depletion and tunneling across the LaAlO3 barrier. The relevance of these results in the context of strongly-coupled bilayer systems is discussed.Comment: 10 pages, 3 figure

Chikungunya virus (CHIKV) infection: Analytical performance of real-time NASBA assay

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Analysis and characterization of mouse monoclonal antibodies reactive to Chikungunya virus (CHIKV)

occurring in 1984). However, plague has made an astonishing comeback in the last decade. Methods: n/a. Results: After a silence of 50 years, an outbreak of bubonic plague suddenly occurred close to Oran in Algeria, in June 2003. Eighteen bubonic cases were identified, and Yersinia pestis was isolated from 6 patients. In July 2008, a new cluster was reported among nomads 300 km south of the first one. Four members of one family were affected and one died. The bacillus was isolated from one patient. No epidemiological association was identified between the two events. On June 2009, 25 years after the last occurrence in the country, Libya reported five confirmed cases of bubonic plague in the Tobruk area. Y. pestis was isolated from three patients. In all these cases, further local ecological investigations confirmed the existence of a natural focus The re-emergence of human plague in the region is not without international consequences. Two of the last concerned natural foci are close to an international port which raises the question of the potential exportation of infected rodents. Cross-border tensions, between ''plague countries'' and ''plague-free countries'' have been observed although the foci's limits are unknown as any systematic ecological investigation and surveillance is lacking. Additionally, the potential weaponization of Y.pestis together with international political tensions feed a recurrent interest in plague in North Africa. False rumors of alleged military laboratory accidents or terrorist acts are routinely mentioned, although events could be first explained by the natural history of the disease. Conclusion: In this context, and although the number of human cases has been very limited so far, the first priorities are to establish appropriate ecological surveillance and agree on a common plague control strategy for the region

Second international diagnostic accuracy study for the serological detection of west nile virus infection.

Background: In recent decades, sporadic cases and outbreaks in humans of West Nile virus (WNV) infection have increased. Serological diagnosis of WNV infection can be performed by enzyme-linked immunosorbent assay (ELISA), immunoflu- orescence assay (IFA) neutralization test (NT) and by hemagglutination-inhibition assay. The aim of this study is to collect updated information regarding the performance accuracy of WNV serological diagnostics. Methodology/Principal findings: In 2011, the European Network for the Diagnostics of Imported Viral Diseases- Collaborative Laboratory Response Network (ENIVD-CLRN) organized the second external quality assurance (EQA) study for the serological diagnosis of WNV infection. A serum panel of 13 samples (included sera reactive against WNV, plus specificity and negative controls) was sent to 48 laboratories involved in WNV diagnostics. Forty-seven of 48 laboratories from 30 countries participated in the study. Eight laboratories achieved 100% of concurrent and correct results. The main obstacle in other laboratories to achieving similar performances was the cross-reactivity of antibodies amongst heterologous flaviviruses. No differences were observed in performances of in-house and commercial test used by the laboratories. IFA was significantly more specific compared to ELISA in detecting IgG antibodies. The overall analytical sensitivity and specificity of diagnostic tests for IgM detection were 50% and 95%, respectively. In comparison, the overall sensitivity and specificity of diagnostic tests for IgG detection were 86% and 69%, respectively. Conclusions/Significance: This EQA study demonstrates that there is still need to improve serological tests for WNV diagnosis. The low sensitivity of IgM detection suggests that there is a risk of overlooking WNV acute infections, whereas the low specificity for IgG detection demonstrates a high level of cross-reactivity with heterologous flaviviruse

Comparative genomic and phylogenetic analysis of the first usutu virus isolate from a human patient presenting with neurological symptoms.

Usutu virus (USUV) is a mosquito-borne flavivirus, belonging to the Japanese encephalitis antigenic complex, that circulates among mosquitoes and birds. We describe and analyze the complete genome sequence of the first USUV strain isolated from an immunocompromised patient with neuroinvasive disease. This USUV isolate showed an overall nucleotide identity of 99% and 96%, respectively, with the genomes of isolates from Europe and Africa. Comparison of the human USUV complete polyprotein sequence with bird-derived strains, showed two unique amino acid substitutions. In particular, one substitution (S595G) was situated in the DIII domain of the viral Envelope protein that is recognized by flavivirus neutralizing antibodies. An additional amino acid substitution (D3425E) was identified in the RNA-dependent RNA polymerase (RdRp) domain of the NS5 protein. This substitution is remarkable since E3425 is highly conserved among the other USUV isolates that were not associated with human infection. However, a similar substitution was observed in Japanese encephalitis and in West Nile viruses isolated from humans. Phylogenetic analysis of the human USUV strain revealed a close relationship with an Italian strain isolated in 2009. Analysis of synonymous nucleotide substitutions (SNSs) among the different USUV genomes showed a specific evolutionary divergence among different countries. In addition, 15 SNSs were identified as unique in the human isolate. We also identified four specific nucleotide substitutions in the 59 and 39 untranslated regions (UTRs) in the human isolate that were not present in the other USUV sequences. Our analyses provide the basis for further experimental studies aimed at defining the effective role of these mutations in the USUV genome, their potential role in the development of viral variants pathogenic for humans and their evolution and dispersal out of Africa

Sero-prevalence of West Nile virus in north-eastern Italy

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Serological update of the Chikungunya epidemic outbreak in Italy

Serological update of the Chikungunya epidemic outbreak in Italy P. Gaibani1,∗, A. Pierro1, F. CAVRINI2, G. Rossini 3, M.P. Landini 3, C. Manisera4, V. Sambri5 1 S.Orsola-Malpighi, Bologna, Italy 2 S. Orsola-Malpighi Hospital, BOLOGNA, Italy 3 S.Orsola-Malpighi Hospital, section of Microbiology, BOLOGNA, Italy 4 S.Orsola-Malpighi Hospital, Microbiology, Bologna, Italy 5 University of Bologna, Bologna, Ital

Imported cases of Chikungunya and Dengue fever in Emilia Romagna region, Italy

Imported cases of Chikungunya and Dengue fever in Emilia Romagna region, Italy F. Cavrini 1,∗, P. Gaibani2, C. Manisera3, A. Pierro4, G. Rossini 5, M.P. Landini 5, V. Sambri6 1 S. Orsola-Malpighi Hospital, BOLOGNA, Italy 2 S.Orsola-Malpighi Hospital, Section of Microbiology, BOLOGNA, Italy 3 S.Orsola-Malpighi Hospital, Section of Microbiology, BOLOGNA, Italy 4 S.Orsola-Malpighi, Bologna, Italy 5 S.Orsola-Malpighi Hospital, section of Microbiology, BOLOGNA, Italy 6 University of Bologna, Bologna, Ital