利用报告基因的人7型腺病毒中和抗体检测方法的建立

目的:构建表达萤光素酶报告基因的重组人7型腺病毒(HAdV7)Ad7-dE1-dE3-Luc(Ad7-Luc)病毒,用于检测人群中HAdV7的中和抗体水平。方法:利用同源重组方法构建E1区和E3区部分缺失,并在E1区嵌入萤光素酶基因表达框的pAd7-Luc重组质粒,转染HEK-293细胞,包装出能够表达萤火虫萤光素酶的Ad7载体重组病毒(Ad7-Luc);选取HAdV7阳性血清样本对新建立的报告基因检测方法的准确性和稳定性进行验证;最后,利用该方法对北京地区60份血清样本进行HAdV7中和抗体检测。结果:获得能够表达萤火虫萤光素酶的Ad7-Luc重组病毒,病毒滴度可达4.85×10~8IFU/mL,Ad7-Luc检测法与传统细胞病变效应(CPE)法具有很好的一致性(R~2=0.8612,P0.0001),批内和批间差异分别在10%和20%以内。北京地区60例血清样本的检测结果显示,HAdV7血清阳性率约为60%(36/60),明显低于HAdV5血清阳性率75%(45/60),75%的HAdV7阳性血清中和抗体滴度集中于低滴度水平(12～200)。结论:与传统的细胞病变方法相比,HAdV7中和抗体报告基因检测方法更快速、灵敏、准确,适用于人群中HAdV7血清流行病学调查及其疫苗的中和抗体研究。     

湘西少数民族健康人群脊灰疫苗免疫效果监测

目的 了解湘西少数民族地区健康人群脊髓灰质炎(poliomyelitis,本文简称脊灰)免疫水平及1岁内儿童完成脊灰疫苗基础免疫后的免疫效果,为制定脊灰免疫策略提供科学依据。方法 随机抽取湘西土家族苗族自治州345名健康人群调查脊髓灰质炎免疫水平,同时选择50名1岁内完成脊灰疫苗基础免疫1个月后的婴幼儿调查免疫成功率,采用微细胞中和试验检测脊灰中和抗体水平。结果 1岁内婴幼儿脊灰I型和III型中和抗体阳性率均为100%,I型和III型抗体几何平均滴度(GMT)分别为1∶916.51和1∶724.09。健康人群中脊灰I型和III型中和抗体阳性率分别为92.26%和97.39%,脊灰I型和III型GMT分别为1∶174.03和1∶95.84;同年龄组中I型GMT均高于III型,0~3岁组I型和III型GMT最高,各型GMT随着年龄的增长均呈现下降趋势。结论 湘西土家族苗族自治州冷链运转情况好,疫苗接种质量与效果好,脊灰疫苗接种免疫成功率高,健康人群免疫状况良好,已形牢固的免疫屏障,能有效地控制和阻断脊灰野病毒的传播。     

厦门市健康人群肠道病毒D68型血清流行病学调查

肠道病毒D68型（Enterovirus D68,EV-D68）是一种可引起急性呼吸道感染并诱发中枢神经系统疾病的小RNA病毒。开展相关血清流行病学调查，有助于了解病毒在人群中的感染水平，为制定有效防控策略提供科学依据。本研究为了解厦门市EV-D68的流行概况与流行病学特征，采用分层随机抽样的方式收集了2016年厦门市健康人群血清标本共515份，应用基于酶联免疫斑点检测技术的中和试验（Enzyme-linked immunospot assay）检测针对EV-D68流行株的血清中和抗体滴度。结果显示，血清样本中EV-D68中和抗体的总体阳性率为81.9%，中和抗体的总体几何平均滴度（Geometric Mean Titer,GMT）为248.0。<1岁组、1～3岁组、4～6岁组、7～19岁组、20～39岁组、40～59岁组和≥60岁组的EV-D68中和抗体阳性率分别为42.2%、49.3%、71.9%、94.2%、98.5%、100%和100%，各年龄组之间差异有统计学意义（P<0.0001）；各年龄组的中和抗体GMT分别为1∶39.8、1∶80.6、1∶133.2、1∶2...     

湘西少数民族健康人群脊髓灰质炎疫苗免疫效果监测分析

目的了解湘西少数民族地区健康人群脊髓灰质炎(poliomyelitis,以下简称脊灰)免疫水平及1岁内儿童完成脊灰疫苗基础免疫后的免疫效果,为制定脊灰免疫策略提供科学依据。方法随机抽取湘西土家族苗族自治州345名健康人群调查脊髓灰质炎免疫水平,同时选择50名1岁内完成脊灰疫苗基础免疫1个月后的婴幼儿调查免疫成功率,采用微细胞中和试验检测脊灰中和抗体水平。结果 1岁内婴幼儿脊灰I型和III型中和抗体阳性率均为100%,I型和III型抗体几何平均滴度(GMT)分别为1∶916.51和1∶724.09。健康人群中脊灰I型和III型中和抗体阳性率分别为92.26%和97.39%,脊灰I型和III型GMT分别为1∶174.03和1∶95.84;同年龄组中I型GMT均高于III型,0～3岁组I型和III型GMT最高,各型GMT随着年龄的增长均呈现下降趋势。结论湘西土家族苗族自治州针对脊灰疫苗冷链运转情况好,疫苗接种质量与效果好,脊灰疫苗接种免疫成功率高,健康人群免疫状况良好,已形成牢固的免疫屏障,能有效地控制和阻断脊灰野病毒的传播。     

狂犬病病毒糖蛋白重组人腺病毒的构建及免疫效果的初步研究

构建表达狂犬病病毒弱毒SRV9糖蛋白(GP)的重组人5型腺病毒,检测其对小鼠的免疫效果。将狂犬病病毒SRV9株GP基因的完整开放阅读框克隆到腺病毒表达系统中的穿梭质粒多克隆位点,构建重组穿梭质粒pac-Ad5CMV-Gs9,以罗氏转染液介导线性化骨架质粒和重组穿梭质粒共转染293AD细胞,细胞病变后取培养物进行PCR鉴定并电镜观察,在293AD细胞上测定病毒滴度。以106 TCID50重组腺病毒腹腔接种昆明小鼠,免疫后不同时段采尾静脉血通过荧光抗体病毒中和试验(FAVN)检测小鼠血清狂犬病中和抗体效价。正确构建重组穿梭质粒pacAd5CMV-Gs9;获得表达狂犬病病毒SRV9株GP蛋白的缺陷型重组人5型腺病毒;病毒滴度达到106 CFU/mL以上;腹腔接种小鼠14d后均产生了抗狂犬病中和抗体,有效保护率达90%。成功获得了表达狂犬病病毒GP基因的重组腺病毒,该腺病毒免疫小鼠可产生保护性中和抗体,为进一步开发新型兽用狂犬病疫苗奠定了物质基础。     

中国婴儿中脊灰母传抗体水平对两种疫苗免疫效果的影响

为了了解2月龄婴儿中针对脊髓灰质炎病毒的中和抗体水平,并探讨母传抗体对脊髓灰质炎减毒活疫苗(OPV)和灭活疫苗(IPV)免疫效果的影响。对416名2月龄婴儿分别接种OPV和IPV,采集免疫前后血清,用微量中和法检测血清中Ⅰ、Ⅱ、Ⅲ型脊髓灰质炎病毒中和抗体滴度,评价抗体GMT水平及4倍增长情况。检测结果显示,2月龄婴儿母传抗体Ⅰ、Ⅱ、Ⅲ型阳性率分别为45%、38.2%和17.5%,抗体GMT水平为9.0、8.1和5.2。经接种两组疫苗后,母传抗体阳性者与阴性者免后抗体GMT水平相比,OPV组无明显差异,IPV组阳性者略低于阴性者。在免前抗体滴度<1∶32人群中,OPV组免后抗体滴度4倍增长率及几何滴度增长倍数分别为:Ⅰ型93.6%、71.2;Ⅱ型98.2%、43.7;Ⅲ型91.7%、47.9;IPV组免后抗体滴度4倍增长率及几何滴度增长倍数分别为:Ⅰ型82%、9.4;Ⅱ型62.8%、5.1;Ⅲ型95.6%、11.7;在免前抗体滴度1∶32～1∶128人群中,OPV组Ⅰ型92.3%、23;Ⅱ型86.4%、13.9;Ⅲ型55.6%、4.1;IPV组Ⅰ型48%、2.5;Ⅱ型15%、0.9;Ⅲ型55.6%、2.7。目前中国2月龄婴儿免前脊灰抗体阳性率较高,尤其是Ⅰ、Ⅱ型。脊灰母传抗体对两种疫苗免疫效果有一定干扰,对IPV疫苗的影响较为明显。     

广西柳州18～45岁女性人乳头瘤病毒16/18型中和抗体流行率及其与宫颈病变相关性的研究

阐明广西柳州地区自然人群中18~45岁女性人乳头瘤病毒(HPV)16/18型中和抗体和DNA流行情况,并探讨其与子宫颈癌癌前病变的相关性。2013年3月至7月在柳州市招募2 300名18~45岁女性,采集血清以假病毒中和试验(PBNA)法检测HPV16/18型中和抗体,同时采集宫颈脱落细胞进行液基细胞学诊断和HPV DNA检测,对细胞学异常者进行阴道镜检查,并对采集的组织学标本进行病理诊断。采用趋势性χ2检验分析不同年龄段HPV DNA阳性率及HPV中和抗体阳性率的差异,Logistic回归分析筛选宫颈癌前病变的影响因素。广西柳州地区18~45岁女性自然人群中,HPV16DNA或中和抗体阳性364例(15.8%,95%CI:14.4,17.4),HPV18DNA或中和抗体阳性164例(7.1%,95%CI:6.1,8.3)。CIN3在不同年龄组的卡方趋势检验有统计学意义(P=0.005),HPV16和HPV18型DNA阳性是CIN1+(宫颈上皮内瘤变1级及以上)、CIN2+(宫颈上皮内瘤变2级及以上)的主要危险因素,而自然感染产生的中和抗体与癌前病变未发现统计学相关性。HPV16/18型感染是宫颈癌癌前病变的主要危险因素,并未发现自然感染产生的中和抗体与其相关,表明接种疫苗仍是18~45岁女性预防HPV感染及癌前病变的主要方式。     

猴血SV40抗体和SV40 DNA携带关系分析

目的　检测 5 7份恒河猴血清及对应的猴血中抗SV4 0抗体、SV4 0DNA的携带情况 ,找出抗体滴度与DNA携带的相关关系。方法　用间接免疫荧光法检测猴血中SV4 0中和抗体 ,聚合酶链反应 (PCR)法检测SV4 0st抗原DNA的携带情况。结果　 5 7份猴血清中 ,SV4 0抗体阳性率为 93% (5 3 5 7) ,抗体滴度最高为 1∶12 80 ,最低为 1∶10 ,GMT为 15 9.5 6 ,PCR检测猴血淋巴细胞SV4 0DNA阳性率为 2 4 .5 6 % (14 5 7) ,当抗体为 1 80以下时 ,病毒整合于血细胞 ,1∶80以上时 ,对st抗原基因的整合有抑制作用。结论　恒河猴SV4 0DNA的携带情况与抗体阳性和滴度呈反相关     

中国猕猴预存抗腺病毒中和抗体滴度对腺病毒体外感染单核细胞效率的影响

为了探索通过血液系统利用重组腺病毒载体的方法,以中国猕猴为动物模型,以复制缺陷型人5型腺病毒(human adenovirus serotype 5,HAd5)为载体携带报告基因在体外直接感染外周血单个核细胞(peripheral bloodmononuclear cells,PBMC).首先对HAd5在体外感染PBMC的条件进行优化,证实离心力可提高HAd5的感染效率;细胞分群结果表明HAd5特异感染PBMC中的CD14 单核细胞,仅感染小部分自然杀伤细胞,但几乎不感染T淋巴细胞和B淋巴细胞.首次发现:猕猴体内预先存在的抗HAd5中和抗体滴度越高,其单核细胞在体外对HAd5的易感性越强.这种现象将拓宽基于腺病毒载体的基因治疗和疫苗的临床应用范围,尤其是对预先存在腺病毒中和抗体的人群更具意义,为探索更方便有效的基因治疗和疫苗研究带来新的思考.     

犬瘟热病毒H蛋白基因重组腺病毒的构建及免疫效果评估

研究选取犬瘟热病毒H蛋白基因为目的基因,利用反转录聚合酶链式反应(RT-PCR)、酶切、连接等方法构建出重组人5型腺病毒穿梭质粒和骨架质粒,两者共转染293AD细胞并包装出重组腺病毒。通过电镜负染、酶切鉴定、Western blot及一步生长曲线测定等方法进行病毒的生物学特性鉴定,证明犬瘟热病毒H蛋白基因重组腺病毒构建正确。犬分别肌肉接种CDV疫苗毒和重组腺病毒,并检测免疫后第14,28,42,56,70,84d时犬血清中抗CDV中和抗体的变化情况。结果显示,犬免疫重组腺病毒后体内产生的抗CDV平均中和抗体水平高于对照组,滴度最高达2-8。研究表明,正确构建的重组腺病毒具有良好的免疫原性,诱导产生的抗犬瘟热病毒中和抗体达到犬最低免疫保护水平,为进一步研发犬瘟热病毒活载体疫苗提供理论依据。     

Frequent Detection of Human Adenovirus from the Lower Gastrointestinal Tract in Men Who Have Sex with Men

Background

The association between baseline seropositivity to human adenovirus (HAdV) type 5 and increased HIV acquisition in the Step HIV Vaccine Study has raised questions concerning frequency of acquired and/or persistent Adenovirus infections among adults at high risk of HIV-1 infection.

Methodology

To evaluate the frequency and pattern of HAdV shedding from the lower GI tract, we retrospectively tested rectal swabs for HAdVs in a cohort of 20 HSV-2 positive HIV-positive Peruvian men who have sex with men (MSM) undergoing rectal swabbing three times/week for 18 consecutive weeks, in a prospective study of HSV-2 suppression in HIV infection. Viral DNA was extracted and amplified using a sensitive multiplex PCR assay that detects all currently recognized HAdV types. Molecular typing of viruses was performed on selected samples by hexon gene sequencing. Baseline neutralizing antibody titers to HAdVs −5, −26, −35 and −48 were also assessed.

Principal Findings

15/20 individuals had HAdV detected during follow up. The median frequency of HAdV detection was 30% of samples (range 2.0% to 64.7%). HAdV shedding typically occurred on consecutive days in clustered episodes lasting a median of 4 days (range 1 to 9 days) separated by periods without shedding, suggesting frequent new infections or reactivation of latent infections over time. 8 of the 15 shedders had more than one type detected in follow-up. 20 HAdV types from species B, C, and D were identified, including HAdV-5, −26 and −48, HAdV types under development as potential vaccine candidates. 14/20 subjects were seropositive for HAdV-5; 15/20 for HAdV-26; 3/20 for HAdV-35; and 2/20 for HAdV-48. HAdV shedding did not correlate with CD4 count, plasma HIV-1 viral load, or titers to HAdV-5 or HAdV-35. The sole individual with HAdV-5 shedding was HAdV-5 seropositive.

Conclusions

HAdV shedding was highly prevalent and diverse, including types presently under consideration as HIV vaccine vectors. Subclinical HAdV infection of the GI tract is common among MSM in Peru; the prevalence of HAdV in the enteric tract should be evaluated in other populations. The association between ongoing recent enteric HAdV and the immune response to recombinant HAdV vaccines should be evaluated.     

两种HSV-1及猴B病毒相关抗体测定方法的比较

目的以人单纯疱疹病毒（HSV-1）做为抗原,利用空斑法和IFA法比较猴BV和人HSV-1阳性血清两种不同血清的中和能力的差异,建立一种实用、准确、可靠的病毒毒力的检测方法。方法首先,将HSV-1病毒悬液作连续的10倍稀释,取1 mL接种于已经长成单层的Vero-E6细胞上,用1%甲基纤维素覆盖,待其出现蚀斑后计数,算出病毒悬液中每毫升所含蚀斑单位,即滴定出HSV-1的TC ID50。同时,用免疫荧光方法（IFA）对猴和人疱疹阳性血清进行滴定,得到其血清的效价。其次,用滴定出的病毒液分别与两种阳性血清体外中和后,接种到单层的Vero-E6细胞上,用1%甲基纤维素覆盖,待其出现蚀斑后计数。最后,计算出其蚀斑减少率。结果用1%甲基纤维素作覆盖层的蚀斑数量平均为10-5PFU,能形成115-116个/mL蚀斑,形状呈黍米大小的规则圆形,其蚀斑边缘清晰。IFA滴定的人HSV-1阳性血清与猴BV阳性血清的中和抗体均为1∶80。人HSV-1和猴BV两种阳性血清的空斑减少率均为100%。结论确定了利用1%甲基纤维素做为覆盖层可得到清晰可靠的蚀斑,由此方法检测到用人HSV-1可以代替猴B病毒,筛查猴B病毒抗体。且为将来进行药物筛选和中和实验中利用病毒空斑法建立方便、可靠的方法。     

人免疫球蛋白中肠道病毒71型中和抗体效价的测定

采用经典微量细胞病变法,应用近两年分离自中国手足口病(HFMD)高发区的3株肠道病毒71型(EV71)病毒株,对中国不同血液制品厂家生产的35批人免疫球蛋白制品进行抗-EV71中和效价检测。结果显示,3株不同EV71病毒株间的抗-EV71中和效价差异均在4倍以内,差异无显著的统计学意义(F=2.323,P0.05)。根据这3株毒株检测结果判定,35批人免疫球蛋白的抗-EV71均为阳性,肌肉注射用免疫球蛋白(简称肌丙)的抗-EV71-GMTs(525.9)显著高于静脉注射用免疫球蛋白(简称静丙)的GMTs(252.3,F=66.518,P0.01)。30批静丙的抗-EV71-GMTs中和效价分布在128.0~384.0之间。应开展原料血浆中抗-EV71中和效价的筛选,研制高效价的EV71特异性免疫球蛋白制品,用于HFMD的治疗和预防。     

A（H1N1）疫苗免疫的血清中和抗体的交叉免疫反应分析

目的分析接种A（H1N1）疫苗人群血清的中和抗体对2009年A（H1N1）的抗病毒作用和相关病毒的交叉免疫保护作用。方法利用MDCK细胞的细胞病变检测接种A（H1N1）疫苗的人血清和未免疫的对照血清对甲型流感病毒A/Brisbane/10/2007（H3N2）,A/Brisbane/59/2007（H1N1）,A/California/07/2009（H1N1）和A/Shenzhen/406H/2006（H5N1）等病毒的中和作用。结果通过细胞病变观察,证实接种A（H1N1）疫苗的人血清稀释度为1∶40时,30份免疫血清可以中和H3N2（Brisbane）,H1N1（Brisbane）和H1N1（CA7）而不产生细胞病变,中和保护率分别均为100%,而相同稀释度的未免疫对照血清的中和保护率分别为100%,100%,40%;而当稀释度为1∶400时,30份免疫血清分别有13,20和21例未出现细胞病变,中和保护率分别为43%,67%,70%,10份对照血清的中和保护率分别为80%,70%,0%。两种稀释度的免疫血清和未免疫对照血清均不能中和H5N1引起细胞病变,中和保护率均为0%。结论接种2009年A（H1N1）疫苗可以诱导能中和CA7 H1N1的抗体产生,但该中和抗体对H3N2（Brisbane）,H1N1（Brisbane）,H5N1（SZ）高致病禽流感病毒等甲型流感病毒无交叉保护作用。     

Serotype-specific neutralizing antibody epitopes of human adenovirus type 3 (HAdV-3) and HAdV-7 reside in multiple hexon hypervariable regions

Human adenovirus types 3 and 7 (HAdV-3 and HAdV-7) occur epidemically and contribute greatly to respiratory diseases, but there is no currently available licensed recombinant HAdV-3/HAdV-7 bivalent vaccine. Identification of serotype-specific neutralizing antibody (NAb) epitopes for HAdV-3 and HAdV-7 will be beneficial for development of recombinant HAdV-3/HAdV-7 bivalent vaccines. In this study, four NAb epitopes within hexon hypervariable regions (HVRs) were predicted for HAdV-3 and HAdV-7, respectively, by using bioinformatics. Eight hexon chimeric adenovirus vectors with the alternation of only one predicted neutralizing epitope were constructed. Further in vitro and in vivo neutralization assays indicated that E2 (residing in HVR2) and E3 (residing in HVR5) are NAb epitopes for HAdV-7, and E3 plays a more important role in generating NAb responses. Cross-neutralization assays indicated that all four predicted epitopes, R1 to R4, are NAb epitopes for HAdV-3, and R1 (residing in HVR1) plays the most important role in generating NAb responses. Humoral immune responses elicited by the recombinant rAdH7R1 (containing the R1 epitope) were significantly and durably suppressed by HAdV-3-specific NAbs. Surprisingly, the rAdΔE3GFP-specific neutralizing epitope responses induced by rAdMHE3 (R3 replaced by E3) and rAdMHE4 (R4 replaced by E4) were weaker than those of rAdMHE1 (R1 replaced by E1) or rAdMHE2 (R2 relaced by E2) in vitro and in vivo. Furthermore, rAdMHE4 replicated more slowly in HEp-2 cells, and the final yield was about 10-fold lower than that of rAdΔE3GFP. The current findings contribute not only to the development of new adenovirus vaccine candidates, but also to the construction of new gene delivery vectors.     

小反刍兽疫病毒H蛋白的原核表达及免疫原性测定

小反刍兽疫是由小反刍兽疫病毒（peste des petits ruminants virus,PPRV）引起的急性、接触性传染病,对我国的畜牧业发展造成了严重的影响,目前主要通过疫苗进行防控。为检测PPRV主要抗原蛋白血凝素（hemagglutinin,H）蛋白的免疫原性,从GenBank数据库中查找了近年来公布的H蛋白氨基酸序列,选择1条符合我国流行趋势的序列,对其基因序列进行优化合成后克隆至pET28a载体上。筛选出表达量高的Rosetta（DE3）菌株进行表达,表达产物经SDS?PAGE、Western Blot及质谱分析鉴定。经镍柱亲和层析纯化出单一H蛋白,取20 μg与佐剂混合后免疫小鼠,收集血清进行抗体效价检测,结果显示,血清中H蛋白抗体滴度在二免2周时达到1∶6 400,表明H蛋白具有较好的免疫原性。进一步对二免2周时血清进行中和抗体检测显示,小鼠血清对PPRV疫苗株具有中和效应,中和效价不超过1∶40。研究结果对H蛋白用于PPRV疫苗的研发提供了理论依据。     

新型冠状病毒RBD蛋白原核表达及多克隆抗体的制备

为原核表达严重急性呼吸综合征冠状病毒2（简称新型冠状病毒,severe acute respiratory syndrome-coronavirus 2,SARS-CoV-2）S蛋白受体结合域（receptor binding domain, RBD）并制备多克隆抗体,利用基因克隆技术将RBD基因连接到原核表达载体pGEX-6p-1和pET-32a(+)上,电转化至大肠杆菌XL1-Blue感受态细胞,利用优化后的表达条件大量表达重组蛋白,经亲和层析纯化后通过SDS-PAGE检测蛋白的表达情况。利用GST-RBD融合蛋白作为免疫抗原免疫小鼠制备多克隆抗体,ELISA和Western blot分析抗血清的效价和特异性。PCR鉴定和序列测定结果显示,成功构建了重组载体pGEX-RBD和pET-RBD,在大肠杆菌中实现了GST-RBD和RBD-His融合蛋白的可溶性高效表达。研究获得的多克隆抗体的滴度达到约1∶3 000,并具有良好的结合特异性。原核表达的可溶性新型冠状病毒RBD重组蛋白具有良好的免疫原性,为后续制备基因工程抗体奠定了实验基础。     

Detection of anti-Candida antibodies by the indirect immunofluorescence assay in patients with cancer in the orofacial region

An indirect immunofluorescence assay was performed to detect antibodies toCandida albicans blastospores and germ tubes. Serum specimens were obtained from 82 patients with neoplastic diseases in the orofacial region and thrush of the oral mucosa.C. albicans was identified in the oral cavity of 63 patients investigated but serum anti-Candida antibodies were detected in only 23 of them. Serological examination showed that titers of antibodies toC. albicans blastospores ranged from 1∶20 to 1∶1280. High titers from 1∶640 to 1∶1280 were detected in patients without antibiotic, cytostatic, or radiotherapeutic treatment. The titers of antibodies toC. albicans germ tubes ranged from 1∶20 to 1∶640. Our results indicate that titers of antibodies to theC. albicans germ tubes were lower and were detected in a smaller number of patients.     

肺炎链球菌假想蛋白SPD0873的表达纯化及保守性分析

目的通过构建原核表达载体,获得纯化的肺炎链球菌S．pn重组假想蛋白SPD0873,并制备多克隆抗体,进一步分析其在常见S．pn菌株中的保守性。方法分离培养D39型肺炎链球菌,获取其基因组DNA。利用PCR方法扩增去除信号肽的spd0873序列,采用基因体外重组法将spd0873序列克隆到原核表达载体pET-32（a）内,测序鉴定。将重组质粒转化到E．coli Rossetta（DE3）中,经IPTG诱导大量表达融合6个组氨酸标签的SPD0873重组蛋白,经Ni—NTA树脂纯化后,获得的重组蛋白用SDS—PAGE和Western印迹鉴定;将鉴定后纯化的蛋白免疫BALB／C小鼠制备多克隆抗体,并用间接ELISA检测多克隆抗体的效价,Western印迹方法分析多克隆抗体的特异性,同时,鉴定该蛋白在5种常见肺炎链球菌分离株的保守性。结果克隆的spd0873序列与GenBank中的数据相符,并实现了SPD0873蛋白高水平的可溶表达。纯化蛋白免疫BALB／C小鼠获得高滴度、高特异性的的多克隆抗体,Western印迹验证SPD0873蛋白在5株常见肺炎链球菌菌株中均有表达。结论成功制备了高滴度、高特异性的SPD0873蛋白多克隆抗体,同时,检测到SPD0873蛋白在5种常见的肺炎链球菌菌株中非常保守,为研究该蛋白的生物学功能及肺炎链球菌多肽联合疫苗的研制奠定了基础。     

Analysis of severe human adenovirus infection outbreak in Guangdong Province,southern China in 2019

During 2018-2019, a severe human adenovirus (HAdV) infection outbreak occurred in southern China. Here, we screened 18 respiratory pathogens in 1704 children (≤ 14 years old) hospitalized with acute respiratory illness in Guangzhou, China, in 2019. In total, 151 patients had positive HAdV test results; 34.4% (52/151) of them exhibited severe illness. HAdV infection occurred throughout the year, with a peak in summer. The median patient age was 3.0 (interquartile range:1.1-5.0) years. Patients with severe HAdV infection exhibited increases in 12 clinical indexes (P ≤ 0.019) and decreases in four indexes (P ≤ 0.007), compared with patients exhibiting nonsevere infection. No significant differences were found in age or sex distribution according to HAdV infection severity (P > 0.05); however, the distributions of comorbid disease and HAdV co-infection differed according to HAdV infection severity (P < 0.05). The main epidemic types were HAdV-3 (47.0%, 71/151) and HAdV-7 (46.4%, 70/151). However, the severe illness rate was significantly higher in patients with HAdV-7 (51.4%) than in patients with HAdV-3 (19.7%) and other types of HAdV (20%) (P < 0.001). Sequencing analysis of genomes/capsid genes of 13 HAdV-7 isolates revealed high similarity to previous Chinese isolates. A representative HAdV-7 isolate exhibited a similar proliferation curve to the curve described for the epidemic HAdV-3 strain Guangzhou01 (accession no. DQ099432) (P > 0.05); the HAdV-7 isolate exhibited stronger virulence and infectivity, compared with HAdV-3 (P < 0.001). Overall, comorbid disease, HAdV co-infection, and high virulence and infectivity of HAdV-7 were critical risk factors for severe HAdV infection; these data can facilitate treatment, control, and prevention of HAdV infection.