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Amplifying and Quantifying HIV-1 RNA in HIV Infected Individuals with Viral Loads Below the Limit of Detection by Standard Clinical Assays
Published on: September 26, 2011
Insights
Rotaviruses cause acute diarrhea in young children, with reinfections common. Development of a safe human rotavirus vaccine is urgently needed to combat this widespread viral illness.
Area of Science:
- Virology
- Gastroenterology
- Pediatrics
Background:
- Rotaviruses are a leading cause of acute diarrhea in children under seven, with near-universal antibody presence by that age.
- Recurrent rotavirus infections occur and may be more frequent than previously thought.
- Maternal antibodies might influence subclinical rotavirus disease in infants.
Purpose of the Study:
- To review the prevalence and characteristics of rotaviruses and other enteric viruses causing diarrhea.
- To discuss the antigenic structure and potential cross-species infectivity of rotaviruses.
- To highlight the need for a safe, attenuated live human rotavirus vaccine.
Main Methods:
- Review of existing literature on rotavirus and other enteric viral infections.
- Immunofluorescence assays for detecting common viral antigens.
- Discussion of viral particle characteristics and pathological targets.
Main Results:
- Rotaviruses infect humans, calves, piglets, mice, foals, and monkeys, with shared and species-specific antigens.
- Coronaviruses also infect humans and animals, and uncharacterized particles are found in diarrheal feces.
- Rotaviruses, animal coronaviruses, and Norwalk virus target the small bowel's disaccharidase-producing cells.
Conclusions:
- A common antigen in the inner capsid layer and species-specific antigens in the outer layer of rotaviruses are proposed.
- Further research is needed to compare rotavirus strains and understand the role of other enteric viruses.
- Development of a safe, attenuated live human rotavirus vaccine is a critical public health priority.
Abstract:
Rotaviruses (duoviruses) can be found in more than half the cases of acute diarrhoea in children up to the age of six or seven. About that age almost everyone has antibodies to them. Second infections occur and may not be as rare as laboratory findings so far suggest. Very young infants sometimes get subclinical disease-the effect of maternal antibody transmitted across the placenta? Very similar viruses, all possessing a common antigen detectable by immunofluorescence, are known to infect and/or cause diarrhoea in children, calves, piglets, mice, foals and monkeys. The calf virus and the human virus both infect piglets; piglet virus infects calves; we don't know whether any of these can infect children. Other mammals probably have similar diarrhoea viruses. An antigen common to all these viruses is probably in the inner capsid layer, and "species-specific" antigens are probably in the outer capsid layer. A precise test for comparing different strains is bably needed. Adenoviruses possibly cause a smaller proportion of cases of diarrhoea. Coronaviruses, well-known as enteric pathogens of pigs and calves, appear also to infect adults and children. 27 nm particles and 22-23 nm particles of density 1.4 (and other particles) can be found in faeces of children with natural diarrhoea and adults with experimental diarrhoea, sometimes in enormous numbers. It is not yet established whether they cause disease. Rotaviruses, animal coronaviruses and "Norwalk" virus attack the disaccharidase-producing epithelium of the small bowel; adenovirus pathology is unknown.A safe attenuated live vaccine strain of the human rotavirus urgently needs to be developed.
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