Patients with Primary Immunodeficiencies Are a Reservoir of Poliovirus and a Risk to Polio Eradication
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , , , , , , , , , , , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://dx.doi.org/10.3389/fimmu.2017.00685 https://repositorio.unifesp.br/handle/11600/53661 |
Resumo: | Immunodeficiency-associated vaccine-derived polioviruses (iVDPVs) have been isolated from primary immunodeficiency (PID) patients exposed to oral poliovirus vaccine (OPV). Patients may excrete poliovirus strains for months or years |
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Patients with Primary Immunodeficiencies Are a Reservoir of Poliovirus and a Risk to Polio Eradicationpoliovirus eradicationimmunodeficiency-associated vaccine-derived poliovirusesoral poliovirus vaccinehumoral immunodeficiencycombined immunodeficiencyprimary immunodeficiencyImmunodeficiency-associated vaccine-derived polioviruses (iVDPVs) have been isolated from primary immunodeficiency (PID) patients exposed to oral poliovirus vaccine (OPV). Patients may excrete poliovirus strains for months or yearsthe excreted viruses are frequently highly divergent from the parental OPV and have been shown to be as neurovirulent as wild virus. Thus, these patients represent a potential reservoir for transmission of neurovirulent polioviruses in the post-eradication era. In support of WHO recommendations to better estimate the prevalence of poliovirus excreters among PIDs and characterize genetic evolution of these strains, 635 patients including 570 with primary antibody deficiencies and 65 combined immunodeficiencies were studied from 13 OPV-using countries. Two stool samples were collected over 4 days, tested for enterovirus, and the poliovirus positive samples were sequenced. Thirteen patients (2%) excreted polioviruses, most for less than 2 months following identification of infection. Five (0.8%) were classified as iVDPVs (only in combined immunodeficiencies and mostly poliovirus serotype 2). Non-polio enteroviruses were detected in 30 patients (4.7%). Patients with combined immunodeficiencies had increased risk of delayed poliovirus clearance compared to primary antibody deficiencies. Usually, iVDPV was detected in subjects with combined immunodeficiencies in a short period of time after OPV exposure, most for less than 6 months. Surveillance for poliovirus excretion among PID patients should be reinforced until polio eradication is certified and the use of OPV is stopped. Survival rates among PID patients are improving in lower and middle income countries, and iVDPV excreters are identified more frequently. Antivirals or enhanced immunotherapies presently in development represent the only potential means to manage the treatment of prolonged excreters and the risk they present to the polio endgame.Univ Tehran Med Sci, Childrens Med Ctr, Res Ctr Immunodeficiencies, Pediat Ctr Excellence, Tehran, IranEge Univ, Dept Pediat Immunol, Fac Med, Izmir, TurkeyCtr Dis Control & Prevent, Global Immunizat Div, Atlanta, GA USACtr Dis Control & Prevent, Div Viral Dis, Atlanta, GA USACtr Vaccine Equ, Task Force Global Hlth, Atlanta, GA USAJeffrey Modell Fdn, New York, NY USAWHO, Res & Product Dev, Geneva, SwitzerlandFudan Univ, Childrens Hosp, Dept Clin Immunol, Shanghai, Peoples R ChinaHacettepe Univ, Fac Med, Dept Pediat, Div Immunol, Ankara, TurkeyInst Immunol, Dept Allergol & Immunotherapy, Moscow, RussiaAnkara Univ, Sch Med, Dept Pediat Immunol & Allergy, Ankara, TurkeyChildrens Mem Hlth Inst, Dept Clin Immunol, Warsaw, PolandRussian Acad Sci, Ural Branch, Inst Immunol & Physiol, Ekaterinburg, RussiaUniv Fed Sao Paulo, Dept Pediat, Sao Paulo, BrazilUniv Antioquia, Dept Microbiol & Parasitol, Fac Med, Grp Inmunodeficiencias Primarias, Medellin, ColombiaTel Aviv Univ, Pediat Dept A, Tel Aviv, IsraelTel Aviv Univ, Affiliated Sackler Fac Med, Jeffrey Modell Fdn Ctr, Sheba Med Ctr,Immunol Serv, Tel Aviv, IsraelMarmara Med Fac, Div Pediat Allergy & Immunol, Istanbul, TurkeyPGIMER, Adv Pediat Ctr, Pediat Allergy & Immunol Unit, Chandigarh, IndiaRicardo Gutierrez Hosp Ninos, Buenos Aires, DF, ArgentinaInst Nacl Pediatria, Clin Immunol & Allergy Unit, Mexico City, DF, MexicoDmitry Rogachev Fed Res, Dept Clin Immunol, Moscow, RussiaClin Ctr Pediat Hematol Oncol & Immunol, Moscow, RussiaUniv Hong Kong, Queen Mary Hosp, Dept Paediat & Adolescent Med, Hong Kong, Hong Kong, Peoples R ChinaUniv Hong Kong, Shenzhen Hosp, Shenzhen Primary Immunodeficiency Diagnost & Ther, Shenzhen, Peoples R ChinaNatl Def Med Coll, Dept Pediat, Saitama, JapanUniv Tunis El Manar, Inst Pasteur Tunis, Dept Immunol, Tunis, TunisiaUniv Fed Sao Paulo, Dept Pediat, Sao Paulo, BrazilWeb of ScienceBill & Melinda Gates FoundationBill & Melinda Gates FoundationFrontiers Media Sa2020-06-26T16:30:37Z2020-06-26T16:30:37Z2017info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion-application/pdfhttp://dx.doi.org/10.3389/fimmu.2017.00685Frontiers In Immunology. Lausanne, v. 8, p. -, 2017.10.3389/fimmu.2017.00685WOS000403113800002.pdf1664-3224https://repositorio.unifesp.br/handle/11600/53661WOS:000403113800002engFrontiers In ImmunologyLausanneinfo:eu-repo/semantics/openAccessAghamohammadi, AsgharAbolhassani, HassanKutukculer, NecilWassilak, Steve G.Pallansch, Mark A.Kluglein, SamanthaQuinn, JessicaSutter, Roland W.Wang, XiaochuanSanal, OzdenLatysheva, TatianaIkinciogullari, AydanBernatowska, EwaTuzankina, Irina A.Costa-Carvalho, Beatriz T. [UNIFESP]Luis Franco, JoseSomech, RazKarakoc-Aydiner, ElifSingh, SurjitBezrodnik, LilianaEspinosa-Rosales, Francisco J.Shcherbina, AnnaLau, Yu-LungNonoyama, ShigeakiModell, FredModell, VickiBarbouche, Mohamed-RidhaMcKinlay, Mark A.reponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-11T01:52:00Zoai:repositorio.unifesp.br/:11600/53661Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-08-11T01:52Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.none.fl_str_mv |
Patients with Primary Immunodeficiencies Are a Reservoir of Poliovirus and a Risk to Polio Eradication |
title |
Patients with Primary Immunodeficiencies Are a Reservoir of Poliovirus and a Risk to Polio Eradication |
spellingShingle |
Patients with Primary Immunodeficiencies Are a Reservoir of Poliovirus and a Risk to Polio Eradication Aghamohammadi, Asghar poliovirus eradication immunodeficiency-associated vaccine-derived polioviruses oral poliovirus vaccine humoral immunodeficiency combined immunodeficiency primary immunodeficiency |
title_short |
Patients with Primary Immunodeficiencies Are a Reservoir of Poliovirus and a Risk to Polio Eradication |
title_full |
Patients with Primary Immunodeficiencies Are a Reservoir of Poliovirus and a Risk to Polio Eradication |
title_fullStr |
Patients with Primary Immunodeficiencies Are a Reservoir of Poliovirus and a Risk to Polio Eradication |
title_full_unstemmed |
Patients with Primary Immunodeficiencies Are a Reservoir of Poliovirus and a Risk to Polio Eradication |
title_sort |
Patients with Primary Immunodeficiencies Are a Reservoir of Poliovirus and a Risk to Polio Eradication |
author |
Aghamohammadi, Asghar |
author_facet |
Aghamohammadi, Asghar Abolhassani, Hassan Kutukculer, Necil Wassilak, Steve G. Pallansch, Mark A. Kluglein, Samantha Quinn, Jessica Sutter, Roland W. Wang, Xiaochuan Sanal, Ozden Latysheva, Tatiana Ikinciogullari, Aydan Bernatowska, Ewa Tuzankina, Irina A. Costa-Carvalho, Beatriz T. [UNIFESP] Luis Franco, Jose Somech, Raz Karakoc-Aydiner, Elif Singh, Surjit Bezrodnik, Liliana Espinosa-Rosales, Francisco J. Shcherbina, Anna Lau, Yu-Lung Nonoyama, Shigeaki Modell, Fred Modell, Vicki Barbouche, Mohamed-Ridha McKinlay, Mark A. |
author_role |
author |
author2 |
Abolhassani, Hassan Kutukculer, Necil Wassilak, Steve G. Pallansch, Mark A. Kluglein, Samantha Quinn, Jessica Sutter, Roland W. Wang, Xiaochuan Sanal, Ozden Latysheva, Tatiana Ikinciogullari, Aydan Bernatowska, Ewa Tuzankina, Irina A. Costa-Carvalho, Beatriz T. [UNIFESP] Luis Franco, Jose Somech, Raz Karakoc-Aydiner, Elif Singh, Surjit Bezrodnik, Liliana Espinosa-Rosales, Francisco J. Shcherbina, Anna Lau, Yu-Lung Nonoyama, Shigeaki Modell, Fred Modell, Vicki Barbouche, Mohamed-Ridha McKinlay, Mark A. |
author2_role |
author author author author author author author author author author author author author author author author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Aghamohammadi, Asghar Abolhassani, Hassan Kutukculer, Necil Wassilak, Steve G. Pallansch, Mark A. Kluglein, Samantha Quinn, Jessica Sutter, Roland W. Wang, Xiaochuan Sanal, Ozden Latysheva, Tatiana Ikinciogullari, Aydan Bernatowska, Ewa Tuzankina, Irina A. Costa-Carvalho, Beatriz T. [UNIFESP] Luis Franco, Jose Somech, Raz Karakoc-Aydiner, Elif Singh, Surjit Bezrodnik, Liliana Espinosa-Rosales, Francisco J. Shcherbina, Anna Lau, Yu-Lung Nonoyama, Shigeaki Modell, Fred Modell, Vicki Barbouche, Mohamed-Ridha McKinlay, Mark A. |
dc.subject.por.fl_str_mv |
poliovirus eradication immunodeficiency-associated vaccine-derived polioviruses oral poliovirus vaccine humoral immunodeficiency combined immunodeficiency primary immunodeficiency |
topic |
poliovirus eradication immunodeficiency-associated vaccine-derived polioviruses oral poliovirus vaccine humoral immunodeficiency combined immunodeficiency primary immunodeficiency |
description |
Immunodeficiency-associated vaccine-derived polioviruses (iVDPVs) have been isolated from primary immunodeficiency (PID) patients exposed to oral poliovirus vaccine (OPV). Patients may excrete poliovirus strains for months or years |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017 2020-06-26T16:30:37Z 2020-06-26T16:30:37Z |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.3389/fimmu.2017.00685 Frontiers In Immunology. Lausanne, v. 8, p. -, 2017. 10.3389/fimmu.2017.00685 WOS000403113800002.pdf 1664-3224 https://repositorio.unifesp.br/handle/11600/53661 WOS:000403113800002 |
url |
http://dx.doi.org/10.3389/fimmu.2017.00685 https://repositorio.unifesp.br/handle/11600/53661 |
identifier_str_mv |
Frontiers In Immunology. Lausanne, v. 8, p. -, 2017. 10.3389/fimmu.2017.00685 WOS000403113800002.pdf 1664-3224 WOS:000403113800002 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
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Frontiers In Immunology |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
- application/pdf |
dc.coverage.none.fl_str_mv |
Lausanne |
dc.publisher.none.fl_str_mv |
Frontiers Media Sa |
publisher.none.fl_str_mv |
Frontiers Media Sa |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
biblioteca.csp@unifesp.br |
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1814268289729167360 |