دورية أكاديمية

Drug Sensitivity of Vaccine-Derived Rubella Viruses and Quasispecies Evolution in Granulomatous Lesions of Two Ataxia-Telangiectasia Patients Treated with Nitazoxanide

التفاصيل البيبلوغرافية
العنوان: Drug Sensitivity of Vaccine-Derived Rubella Viruses and Quasispecies Evolution in Granulomatous Lesions of Two Ataxia-Telangiectasia Patients Treated with Nitazoxanide
المؤلفون: Raeesa Faisthalab, Suganthi Suppiah, Morna Dorsey, Kathleen E. Sullivan, Joseph Icenogle, Ludmila Perelygina
المصدر: Pathogens; Volume 11; Issue 3; Pages: 338
بيانات النشر: Multidisciplinary Digital Publishing Institute
سنة النشر: 2022
المجموعة: MDPI Open Access Publishing
مصطلحات موضوعية: immunodeficiency-related vaccine-derived rubella viruses (iVDRV), ataxia-telangiectasia, cutaneous granulomas, nitazoxanide, quasispecies
جغرافية الموضوع: agris
الوصف: A strong association between rubella virus (RuV) and chronic granulomas, in individuals with inborn errors of immunity, has been recently established. Both the RA27/3 vaccine and wild-type RuV strains were highly sensitive to a broad-spectrum antiviral drug, nitazoxanide (NTZ), in vitro. However, NTZ treatment, used as a salvage therapy, resulted in little or no improvements of RuV-associated cutaneous granulomas in patients. Here, we report investigations of possible causes of treatment failures in two ataxia-telangiectasia patients. Although a reduction in RuV RNA in skin lesions was detected by real-time RT-PCR, live immunodeficiency-related vaccine-derived rubella viruses (iVDRV) were recovered from granulomas, before and after the treatments. Tizoxanide, an active NTZ metabolite, inhibited replications of all iVDRVs in cultured A549 cells, but the 50% and 90% inhibitory concentrations were 10–40 times higher than those for the RA27/3 strain. There were no substantial differences in iVDRV sensitivities, neither before nor after treatments. Analysis of quasispecies in the E1 gene, a suspected NTZ target, showed no effect of NTZ treatments on quasispecies’ complexity in lesions. Thus, failures of NTZ therapies were likely due to low sensitivities of iVDRVs to the drug, and not related to the emergence of resistance, following long-term NTZ treatments.
نوع الوثيقة: text
وصف الملف: application/pdf
اللغة: English
العلاقة: Viral Pathogens; https://dx.doi.org/10.3390/pathogens11030338Test
DOI: 10.3390/pathogens11030338
الإتاحة: https://doi.org/10.3390/pathogens11030338Test
حقوق: https://creativecommons.org/licenses/by/4.0Test/
رقم الانضمام: edsbas.FDAB08E6
قاعدة البيانات: BASE