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Viral Shedding and Antibody Response in 37 Patients With Middle East Respiratory Syndrome Coronavirus Infection.

Identifieur interne : 001391 ( PubMed/Curation ); précédent : 001390; suivant : 001392

Viral Shedding and Antibody Response in 37 Patients With Middle East Respiratory Syndrome Coronavirus Infection.

Auteurs : Victor M. Corman ; Ali M. Albarrak ; Ali Senosi Omrani ; Mohammed M. Albarrak ; Mohamed Elamin Farah ; Malak Almasri ; Doreen Muth ; Andrea Sieberg ; Benjamin Meyer ; Abdullah M. Assiri ; Tabea Binger ; Katja Steinhagen [Allemagne] ; Erik Lattwein [Allemagne] ; Jaffar Al-Tawfiq ; Marcel A. Müller ; Christian Drosten ; Ziad A. Memish

Source :

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America [ 1537-6591 ] ; 2016.

RBID : pubmed:26565003

Descripteurs français

KwdFr :
- Adulte, Adulte d'âge moyen, Anticorps antiviraux (sang), Anticorps neutralisants (sang), Appareil respiratoire (virologie), Coronavirus du syndrome respiratoire du Moyen-Orient (isolement et purification), Excrétion virale, Femelle, Fèces (virologie), Humains, Infections à coronavirus (immunologie), Infections à coronavirus (virologie), Jeune adulte, Mâle, Production d'anticorps, Sang (virologie), Sujet âgé, Sujet âgé de 80 ans ou plus, Urine (virologie).
MESH :
- immunologie : Infections à coronavirus.
- isolement et purification : Coronavirus du syndrome respiratoire du Moyen-Orient.
- sang : Anticorps antiviraux, Anticorps neutralisants.
- virologie : Appareil respiratoire, Fèces, Infections à coronavirus, Sang, Urine.
- Adulte, Adulte d'âge moyen, Excrétion virale, Femelle, Humains, Jeune adulte, Mâle, Production d'anticorps, Sujet âgé, Sujet âgé de 80 ans ou plus.

English descriptors

KwdEn :
- Adult, Aged, Aged, 80 and over, Antibodies, Neutralizing (blood), Antibodies, Viral (blood), Antibody Formation, Blood (virology), Coronavirus Infections (immunology), Coronavirus Infections (virology), Feces (virology), Female, Humans, Male, Middle Aged, Middle East Respiratory Syndrome Coronavirus (isolation & purification), Respiratory System (virology), Urine (virology), Virus Shedding, Young Adult.
MESH :
- chemical , blood : Antibodies, Neutralizing, Antibodies, Viral.
- immunology : Coronavirus Infections.
- isolation & purification : Middle East Respiratory Syndrome Coronavirus.
- virology : Blood, Coronavirus Infections, Feces, Respiratory System, Urine.
- Adult, Aged, Aged, 80 and over, Antibody Formation, Female, Humans, Male, Middle Aged, Virus Shedding, Young Adult.

Abstract

The Middle East respiratory syndrome (MERS) coronavirus causes isolated cases and outbreaks of severe respiratory disease. Essential features of the natural history of disease are poorly understood.

DOI: 10.1093/cid/civ951
PubMed: 26565003

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Victor M. Corman

<affiliation><nlm:affiliation>Institute of Virology, University of Bonn Medical Centre.</nlm:affiliation>
<wicri:noCountry code="subField">University of Bonn Medical Centre</wicri:noCountry>
</affiliation>

Ali M. Albarrak

<affiliation><nlm:affiliation>Division of Infectious Diseases.</nlm:affiliation>
<wicri:noCountry code="no comma">Division of Infectious Diseases.</wicri:noCountry>
</affiliation>

Ali Senosi Omrani

<affiliation><nlm:affiliation>Division of Infectious Diseases.</nlm:affiliation>
<wicri:noCountry code="no comma">Division of Infectious Diseases.</wicri:noCountry>
</affiliation>

Mohammed M. Albarrak

<affiliation><nlm:affiliation>Department of Critical Care.</nlm:affiliation>
<wicri:noCountry code="no comma">Department of Critical Care.</wicri:noCountry>
</affiliation>

Mohamed Elamin Farah

<affiliation><nlm:affiliation>Central Military Laboratory and Blood Bank, Microbiology Division, Prince Sultan Military City.</nlm:affiliation>
<wicri:noCountry code="subField">Prince Sultan Military City</wicri:noCountry>
</affiliation>

Malak Almasri

<affiliation><nlm:affiliation>Ministry of Health, Riyadh, Kingdom of Saudi Arabia.</nlm:affiliation>
<wicri:noCountry code="subField">Kingdom of Saudi Arabia</wicri:noCountry>
</affiliation>

Doreen Muth

<affiliation><nlm:affiliation>Institute of Virology, University of Bonn Medical Centre.</nlm:affiliation>
<wicri:noCountry code="subField">University of Bonn Medical Centre</wicri:noCountry>
</affiliation>

Andrea Sieberg

<affiliation><nlm:affiliation>Institute of Virology, University of Bonn Medical Centre.</nlm:affiliation>
<wicri:noCountry code="subField">University of Bonn Medical Centre</wicri:noCountry>
</affiliation>

Benjamin Meyer

<affiliation><nlm:affiliation>Institute of Virology, University of Bonn Medical Centre.</nlm:affiliation>
<wicri:noCountry code="subField">University of Bonn Medical Centre</wicri:noCountry>
</affiliation>

Abdullah M. Assiri

<affiliation><nlm:affiliation>Ministry of Health, Riyadh, Kingdom of Saudi Arabia.</nlm:affiliation>
<wicri:noCountry code="subField">Kingdom of Saudi Arabia</wicri:noCountry>
</affiliation>

Tabea Binger

<affiliation><nlm:affiliation>Institute of Virology, University of Bonn Medical Centre.</nlm:affiliation>
<wicri:noCountry code="subField">University of Bonn Medical Centre</wicri:noCountry>
</affiliation>

Jaffar Al-Tawfiq

<affiliation><nlm:affiliation>Johns Hopkins Aramco Healthcare, Dhahran.</nlm:affiliation>
<wicri:noCountry code="subField">Dhahran</wicri:noCountry>
</affiliation>

Marcel A. Müller

<affiliation><nlm:affiliation>Institute of Virology, University of Bonn Medical Centre.</nlm:affiliation>
<wicri:noCountry code="subField">University of Bonn Medical Centre</wicri:noCountry>
</affiliation>

Christian Drosten

<affiliation><nlm:affiliation>Institute of Virology, University of Bonn Medical Centre.</nlm:affiliation>
<wicri:noCountry code="subField">University of Bonn Medical Centre</wicri:noCountry>
</affiliation>

Ziad A. Memish

<affiliation><nlm:affiliation>Ministry of Health, Riyadh, Kingdom of Saudi Arabia.</nlm:affiliation>
<wicri:noCountry code="subField">Kingdom of Saudi Arabia</wicri:noCountry>
</affiliation>

Le document en format XML

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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Antibodies, Neutralizing (blood)</term>
<term>Antibodies, Viral (blood)</term>
<term>Antibody Formation</term>
<term>Blood (virology)</term>
<term>Coronavirus Infections (immunology)</term>
<term>Coronavirus Infections (virology)</term>
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<term>Excrétion virale</term>
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<term>Fèces (virologie)</term>
<term>Humains</term>
<term>Infections à coronavirus (immunologie)</term>
<term>Infections à coronavirus (virologie)</term>
<term>Jeune adulte</term>
<term>Mâle</term>
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<term>Sang</term>
<term>Urine</term>
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<keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Blood</term>
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<term>Feces</term>
<term>Respiratory System</term>
<term>Urine</term>
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<term>Aged</term>
<term>Aged, 80 and over</term>
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<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Virus Shedding</term>
<term>Young Adult</term>
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<term>Adulte d'âge moyen</term>
<term>Excrétion virale</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jeune adulte</term>
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<front><div type="abstract" xml:lang="en">The Middle East respiratory syndrome (MERS) coronavirus causes isolated cases and outbreaks of severe respiratory disease. Essential features of the natural history of disease are poorly understood.</div>
</front>
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<Issue>4</Issue>
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<Title>Clinical infectious diseases : an official publication of the Infectious Diseases Society of America</Title>
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<ArticleTitle>Viral Shedding and Antibody Response in 37 Patients With Middle East Respiratory Syndrome Coronavirus Infection.</ArticleTitle>
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<ELocationID EIdType="doi" ValidYN="Y">10.1093/cid/civ951</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The Middle East respiratory syndrome (MERS) coronavirus causes isolated cases and outbreaks of severe respiratory disease. Essential features of the natural history of disease are poorly understood.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We studied 37 adult patients infected with MERS coronavirus for viral load in the lower and upper respiratory tracts (LRT and URT, respectively), blood, stool, and urine. Antibodies and serum neutralizing activities were determined over the course of disease.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">One hundred ninety-nine LRT samples collected during the 3 weeks following diagnosis yielded virus RNA in 93% of tests. Average (maximum) viral loads were 5 × 10(6) (6 × 10(10)) copies/mL. Viral loads (positive detection frequencies) in 84 URT samples were 1.9 × 10(4) copies/mL (47.6%). Thirty-three percent of all 108 serum samples tested yielded viral RNA. Only 14.6% of stool and 2.4% of urine samples yielded viral RNA. All seroconversions occurred during the first 2 weeks after diagnosis, which corresponds to the second and third week after symptom onset. Immunoglobulin M detection provided no advantage in sensitivity over immunoglobulin G (IgG) detection. All surviving patients, but only slightly more than half of all fatal cases, produced IgG and neutralizing antibodies. The levels of IgG and neutralizing antibodies were weakly and inversely correlated with LRT viral loads. Presence of antibodies did not lead to the elimination of virus from LRT.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The timing and intensity of respiratory viral shedding in patients with MERS closely matches that of those with severe acute respiratory syndrome. Blood viral RNA does not seem to be infectious. Extrapulmonary loci of virus replication seem possible. Neutralizing antibodies do not suffice to clear the infection.</AbstractText>
<CopyrightInformation>© The Author 2015. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail journals.permissions@oup.com.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Corman</LastName>
<ForeName>Victor M</ForeName>
<Initials>VM</Initials>
<AffiliationInfo><Affiliation>Institute of Virology, University of Bonn Medical Centre.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>German Centre for Infection Research, Partner Site Bonn-Cologne, Bonn, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Albarrak</LastName>
<ForeName>Ali M</ForeName>
<Initials>AM</Initials>
<AffiliationInfo><Affiliation>Division of Infectious Diseases.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Omrani</LastName>
<ForeName>Ali Senosi</ForeName>
<Initials>AS</Initials>
<AffiliationInfo><Affiliation>Division of Infectious Diseases.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Albarrak</LastName>
<ForeName>Mohammed M</ForeName>
<Initials>MM</Initials>
<AffiliationInfo><Affiliation>Department of Critical Care.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Farah</LastName>
<ForeName>Mohamed Elamin</ForeName>
<Initials>ME</Initials>
<AffiliationInfo><Affiliation>Central Military Laboratory and Blood Bank, Microbiology Division, Prince Sultan Military City.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Almasri</LastName>
<ForeName>Malak</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Ministry of Health, Riyadh, Kingdom of Saudi Arabia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Muth</LastName>
<ForeName>Doreen</ForeName>
<Initials>D</Initials>
<AffiliationInfo><Affiliation>Institute of Virology, University of Bonn Medical Centre.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>German Centre for Infection Research, Partner Site Bonn-Cologne, Bonn, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Sieberg</LastName>
<ForeName>Andrea</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Institute of Virology, University of Bonn Medical Centre.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Meyer</LastName>
<ForeName>Benjamin</ForeName>
<Initials>B</Initials>
<AffiliationInfo><Affiliation>Institute of Virology, University of Bonn Medical Centre.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Assiri</LastName>
<ForeName>Abdullah M</ForeName>
<Initials>AM</Initials>
<AffiliationInfo><Affiliation>Ministry of Health, Riyadh, Kingdom of Saudi Arabia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Binger</LastName>
<ForeName>Tabea</ForeName>
<Initials>T</Initials>
<AffiliationInfo><Affiliation>Institute of Virology, University of Bonn Medical Centre.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Steinhagen</LastName>
<ForeName>Katja</ForeName>
<Initials>K</Initials>
<AffiliationInfo><Affiliation>Euroimmun AG, Lübeck, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Lattwein</LastName>
<ForeName>Erik</ForeName>
<Initials>E</Initials>
<AffiliationInfo><Affiliation>Euroimmun AG, Lübeck, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Al-Tawfiq</LastName>
<ForeName>Jaffar</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Johns Hopkins Aramco Healthcare, Dhahran.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Indiana University School of Medicine, Indianapolis.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Müller</LastName>
<ForeName>Marcel A</ForeName>
<Initials>MA</Initials>
<AffiliationInfo><Affiliation>Institute of Virology, University of Bonn Medical Centre.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Drosten</LastName>
<ForeName>Christian</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Institute of Virology, University of Bonn Medical Centre.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>German Centre for Infection Research, Partner Site Bonn-Cologne, Bonn, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Memish</LastName>
<ForeName>Ziad A</ForeName>
<Initials>ZA</Initials>
<AffiliationInfo><Affiliation>Ministry of Health, Riyadh, Kingdom of Saudi Arabia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>College of Medicine, Alfaisal University, Riyadh, Kingdom of Saudi Arabia.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2015</Year>
<Month>11</Month>
<Day>12</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>Clin Infect Dis</MedlineTA>
<NlmUniqueID>9203213</NlmUniqueID>
<ISSNLinking>1058-4838</ISSNLinking>
</MedlineJournalInfo>
<ChemicalList><Chemical><RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D057134">Antibodies, Neutralizing</NameOfSubstance>
</Chemical>
<Chemical><RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D000914">Antibodies, Viral</NameOfSubstance>
</Chemical>
</ChemicalList>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D057134" MajorTopicYN="N">Antibodies, Neutralizing</DescriptorName>
<QualifierName UI="Q000097" MajorTopicYN="N">blood</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000914" MajorTopicYN="N">Antibodies, Viral</DescriptorName>
<QualifierName UI="Q000097" MajorTopicYN="N">blood</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000917" MajorTopicYN="Y">Antibody Formation</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D001769" MajorTopicYN="N">Blood</DescriptorName>
<QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName>
<QualifierName UI="Q000276" MajorTopicYN="Y">immunology</QualifierName>
<QualifierName UI="Q000821" MajorTopicYN="Y">virology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005243" MajorTopicYN="N">Feces</DescriptorName>
<QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D065207" MajorTopicYN="N">Middle East Respiratory Syndrome Coronavirus</DescriptorName>
<QualifierName UI="Q000302" MajorTopicYN="N">isolation & purification</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012137" MajorTopicYN="N">Respiratory System</DescriptorName>
<QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D014556" MajorTopicYN="N">Urine</DescriptorName>
<QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D017201" MajorTopicYN="Y">Virus Shedding</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">MERS</Keyword>
<Keyword MajorTopicYN="N">antibodies</Keyword>
<Keyword MajorTopicYN="N">clearance</Keyword>
<Keyword MajorTopicYN="N">shedding</Keyword>
<Keyword MajorTopicYN="N">viral load</Keyword>
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<Day>01</Day>
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<Day>15</Day>
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Viral Shedding and Antibody Response in 37 Patients With Middle East Respiratory Syndrome Coronavirus Infection.

Viral Shedding and Antibody Response in 37 Patients With Middle East Respiratory Syndrome Coronavirus Infection.

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