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Nasopharyngeal shedding of severe acute respiratory syndrome-associated coronavirus is associated with genetic polymorphisms

Identifieur interne : 000479 ( PascalFrancis/Corpus ); précédent : 000478; suivant : 000480

Nasopharyngeal shedding of severe acute respiratory syndrome-associated coronavirus is associated with genetic polymorphisms

Auteurs : Wei-Ju Chen ; Jyh-Yuan Yang ; Jih-Hui Lin ; Cathy S. J. Fann ; Valeriy Osyetrov ; Chwan-Chuen King ; Yi-Ming Arthur Chen ; Hsiao-Ling Chang ; Hung-Wei Kuo ; FONG LIAO ; Mei-Shang Ho

Source :

RBID : Pascal:06-0348647

Descripteurs français

English descriptors

Abstract

Background. A high initial or peak severe acute respiratory syndrome (SARS)-associated coronavirus (SARS-CoV) load in nasopharyngeal specimens was shown to be associated with a high mortality rate. Because all infected individuals were devoid of preeexisting protective immunity against SARS-CoV, the biological basis for the variable virus burdens in different patients remains elusive. Methods. The nationwide SARS database in Taiwan was analyzed, and genotyping of 281 single-nucleotide polymorphisms (SNPs) of 65 genes was performed for 94 patients with SARS, to identify SNPs for which distribution between patients with or without detectable nasopharyngeal shedding of SARS-CoV was biased. Results. Titers of SARS-CoV shed in nasopharyngeal specimens varied widely, ranging from nondetectable to 108 SARS-CoV RNA copies/mL, and they were correlated positively with a high mortality rate (P<.0001, by trend test) and with early death (i.e., death occurring within 2 weeks of the onset of illness) (P =.0015, by trend test). Virus shedding was found to be higher among male patients (P =.0014, by multivariate logistic regression) and among older patients (P =.015, by multivariate logistic regression). Detectable nasopharyngeal shedding of SARS-CoV was associated with polymorphic alleles of interleukins 18 (P =.014) and 1A (P =.031) and a member of NFκB complex (reticuloendotheliosis viral oncogene homolog B [RelB]) (P =.034), all of which are proinflammatory in nature, as well as the procoagulation molecule fibrinogen-like protein 2 (P =.008). Conclusion. The SARS-CoV load is a determinant of clinical outcomes of SARS, and it is associated with polymorphisms of genes involved in innate immunity, which might be regulated in an age- and sex-dependent manner. The findings of the present study provided leads to genes involved in the host response to SARS-CoV infection; if substantiated with functional studies, these findings may be applicable to other newly emerged respiratory viruses (e.g., the influenza pandemic strain).

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 1058-4838
A02 01      @0 CIDIEL
A03   1    @0 Clin. infect. dis.
A05       @2 42
A06       @2 11
A08 01  1  ENG  @1 Nasopharyngeal shedding of severe acute respiratory syndrome-associated coronavirus is associated with genetic polymorphisms
A11 01  1    @1 CHEN (Wei-Ju)
A11 02  1    @1 YANG (Jyh-Yuan)
A11 03  1    @1 LIN (Jih-Hui)
A11 04  1    @1 FANN (Cathy S. J.)
A11 05  1    @1 OSYETROV (Valeriy)
A11 06  1    @1 KING (Chwan-Chuen)
A11 07  1    @1 CHEN (Yi-Ming Arthur)
A11 08  1    @1 CHANG (Hsiao-Ling)
A11 09  1    @1 KUO (Hung-Wei)
A11 10  1    @1 FONG LIAO
A11 11  1    @1 HO (Mei-Shang)
A14 01      @1 Institute of Biomedical Science, Academia Sinica, National Taiwan University @3 TWN @Z 1 aut. @Z 4 aut. @Z 5 aut. @Z 10 aut. @Z 11 aut.
A14 02      @1 Center for Disease Control, National Taiwan University @3 TWN @Z 2 aut. @Z 3 aut. @Z 8 aut. @Z 9 aut.
A14 03      @1 Graduate Institute of Epidemiology, National Taiwan University @3 TWN @Z 6 aut. @Z 11 aut.
A14 04      @1 Institute of Public Health, National Yang-Ming University @2 Taipei @3 TWN @Z 7 aut. @Z 11 aut.
A20       @1 1561-1569
A21       @1 2006
A23 01      @0 ENG
A43 01      @1 INIST @2 18407 @5 354000142370600070
A44       @0 0000 @1 © 2006 INIST-CNRS. All rights reserved.
A45       @0 46 ref.
A47 01  1    @0 06-0348647
A60       @1 P
A61       @0 A
A64 01  1    @0 Clinical infectious diseases
A66 01      @0 USA
C01 01    ENG  @0 Background. A high initial or peak severe acute respiratory syndrome (SARS)-associated coronavirus (SARS-CoV) load in nasopharyngeal specimens was shown to be associated with a high mortality rate. Because all infected individuals were devoid of preeexisting protective immunity against SARS-CoV, the biological basis for the variable virus burdens in different patients remains elusive. Methods. The nationwide SARS database in Taiwan was analyzed, and genotyping of 281 single-nucleotide polymorphisms (SNPs) of 65 genes was performed for 94 patients with SARS, to identify SNPs for which distribution between patients with or without detectable nasopharyngeal shedding of SARS-CoV was biased. Results. Titers of SARS-CoV shed in nasopharyngeal specimens varied widely, ranging from nondetectable to 108 SARS-CoV RNA copies/mL, and they were correlated positively with a high mortality rate (P<.0001, by trend test) and with early death (i.e., death occurring within 2 weeks of the onset of illness) (P =.0015, by trend test). Virus shedding was found to be higher among male patients (P =.0014, by multivariate logistic regression) and among older patients (P =.015, by multivariate logistic regression). Detectable nasopharyngeal shedding of SARS-CoV was associated with polymorphic alleles of interleukins 18 (P =.014) and 1A (P =.031) and a member of NFκB complex (reticuloendotheliosis viral oncogene homolog B [RelB]) (P =.034), all of which are proinflammatory in nature, as well as the procoagulation molecule fibrinogen-like protein 2 (P =.008). Conclusion. The SARS-CoV load is a determinant of clinical outcomes of SARS, and it is associated with polymorphisms of genes involved in innate immunity, which might be regulated in an age- and sex-dependent manner. The findings of the present study provided leads to genes involved in the host response to SARS-CoV infection; if substantiated with functional studies, these findings may be applicable to other newly emerged respiratory viruses (e.g., the influenza pandemic strain).
C02 01  X    @0 002B05C02C
C03 01  X  FRE  @0 Syndrome respiratoire aigu sévère @2 NM @5 01
C03 01  X  ENG  @0 Severe acute respiratory syndrome @2 NM @5 01
C03 01  X  SPA  @0 Síndrome respiratorio agudo severo @2 NM @5 01
C03 02  X  FRE  @0 Nasopharynx @5 07
C03 02  X  ENG  @0 Nasopharynx @5 07
C03 02  X  SPA  @0 Nasofaringe @5 07
C03 03  X  FRE  @0 Polymorphisme @5 08
C03 03  X  ENG  @0 Polymorphism @5 08
C03 03  X  SPA  @0 Polimorfismo @5 08
C03 04  X  FRE  @0 Coronavirus @2 NW @5 10
C03 04  X  ENG  @0 Coronavirus @2 NW @5 10
C03 04  X  SPA  @0 Coronavirus @2 NW @5 10
C07 01  X  FRE  @0 Virose
C07 01  X  ENG  @0 Viral disease
C07 01  X  SPA  @0 Virosis
C07 02  X  FRE  @0 Infection
C07 02  X  ENG  @0 Infection
C07 02  X  SPA  @0 Infección
C07 03  X  FRE  @0 Coronaviridae @2 NW
C07 03  X  ENG  @0 Coronaviridae @2 NW
C07 03  X  SPA  @0 Coronaviridae @2 NW
C07 04  X  FRE  @0 Nidovirales @2 NW
C07 04  X  ENG  @0 Nidovirales @2 NW
C07 04  X  SPA  @0 Nidovirales @2 NW
C07 05  X  FRE  @0 Virus @2 NW
C07 05  X  ENG  @0 Virus @2 NW
C07 05  X  SPA  @0 Virus @2 NW
C07 06  X  FRE  @0 Appareil respiratoire pathologie @5 37
C07 06  X  ENG  @0 Respiratory disease @5 37
C07 06  X  SPA  @0 Aparato respiratorio patología @5 37
C07 07  X  FRE  @0 Poumon pathologie @5 38
C07 07  X  ENG  @0 Lung disease @5 38
C07 07  X  SPA  @0 Pulmón patología @5 38
N21       @1 227
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 06-0348647 INIST
ET : Nasopharyngeal shedding of severe acute respiratory syndrome-associated coronavirus is associated with genetic polymorphisms
AU : CHEN (Wei-Ju); YANG (Jyh-Yuan); LIN (Jih-Hui); FANN (Cathy S. J.); OSYETROV (Valeriy); KING (Chwan-Chuen); CHEN (Yi-Ming Arthur); CHANG (Hsiao-Ling); KUO (Hung-Wei); FONG LIAO; HO (Mei-Shang)
AF : Institute of Biomedical Science, Academia Sinica, National Taiwan University/Taïwan (1 aut., 4 aut., 5 aut., 10 aut., 11 aut.); Center for Disease Control, National Taiwan University/Taïwan (2 aut., 3 aut., 8 aut., 9 aut.); Graduate Institute of Epidemiology, National Taiwan University/Taïwan (6 aut., 11 aut.); Institute of Public Health, National Yang-Ming University/Taipei/Taïwan (7 aut., 11 aut.)
DT : Publication en série; Niveau analytique
SO : Clinical infectious diseases; ISSN 1058-4838; Coden CIDIEL; Etats-Unis; Da. 2006; Vol. 42; No. 11; Pp. 1561-1569; Bibl. 46 ref.
LA : Anglais
EA : Background. A high initial or peak severe acute respiratory syndrome (SARS)-associated coronavirus (SARS-CoV) load in nasopharyngeal specimens was shown to be associated with a high mortality rate. Because all infected individuals were devoid of preeexisting protective immunity against SARS-CoV, the biological basis for the variable virus burdens in different patients remains elusive. Methods. The nationwide SARS database in Taiwan was analyzed, and genotyping of 281 single-nucleotide polymorphisms (SNPs) of 65 genes was performed for 94 patients with SARS, to identify SNPs for which distribution between patients with or without detectable nasopharyngeal shedding of SARS-CoV was biased. Results. Titers of SARS-CoV shed in nasopharyngeal specimens varied widely, ranging from nondetectable to 108 SARS-CoV RNA copies/mL, and they were correlated positively with a high mortality rate (P<.0001, by trend test) and with early death (i.e., death occurring within 2 weeks of the onset of illness) (P =.0015, by trend test). Virus shedding was found to be higher among male patients (P =.0014, by multivariate logistic regression) and among older patients (P =.015, by multivariate logistic regression). Detectable nasopharyngeal shedding of SARS-CoV was associated with polymorphic alleles of interleukins 18 (P =.014) and 1A (P =.031) and a member of NFκB complex (reticuloendotheliosis viral oncogene homolog B [RelB]) (P =.034), all of which are proinflammatory in nature, as well as the procoagulation molecule fibrinogen-like protein 2 (P =.008). Conclusion. The SARS-CoV load is a determinant of clinical outcomes of SARS, and it is associated with polymorphisms of genes involved in innate immunity, which might be regulated in an age- and sex-dependent manner. The findings of the present study provided leads to genes involved in the host response to SARS-CoV infection; if substantiated with functional studies, these findings may be applicable to other newly emerged respiratory viruses (e.g., the influenza pandemic strain).
CC : 002B05C02C
FD : Syndrome respiratoire aigu sévère; Nasopharynx; Polymorphisme; Coronavirus
FG : Virose; Infection; Coronaviridae; Nidovirales; Virus; Appareil respiratoire pathologie; Poumon pathologie
ED : Severe acute respiratory syndrome; Nasopharynx; Polymorphism; Coronavirus
EG : Viral disease; Infection; Coronaviridae; Nidovirales; Virus; Respiratory disease; Lung disease
SD : Síndrome respiratorio agudo severo; Nasofaringe; Polimorfismo; Coronavirus
LO : INIST-18407.354000142370600070
ID : 06-0348647

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Pascal:06-0348647

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<s3>TWN</s3>
<sZ>7 aut.</sZ>
<sZ>11 aut.</sZ>
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<title level="j" type="main">Clinical infectious diseases</title>
<title level="j" type="abbreviated">Clin. infect. dis.</title>
<idno type="ISSN">1058-4838</idno>
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<date when="2006">2006</date>
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<title level="j" type="main">Clinical infectious diseases</title>
<title level="j" type="abbreviated">Clin. infect. dis.</title>
<idno type="ISSN">1058-4838</idno>
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<term>Coronavirus</term>
<term>Nasopharynx</term>
<term>Polymorphism</term>
<term>Severe acute respiratory syndrome</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Syndrome respiratoire aigu sévère</term>
<term>Nasopharynx</term>
<term>Polymorphisme</term>
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<div type="abstract" xml:lang="en">Background. A high initial or peak severe acute respiratory syndrome (SARS)-associated coronavirus (SARS-CoV) load in nasopharyngeal specimens was shown to be associated with a high mortality rate. Because all infected individuals were devoid of preeexisting protective immunity against SARS-CoV, the biological basis for the variable virus burdens in different patients remains elusive. Methods. The nationwide SARS database in Taiwan was analyzed, and genotyping of 281 single-nucleotide polymorphisms (SNPs) of 65 genes was performed for 94 patients with SARS, to identify SNPs for which distribution between patients with or without detectable nasopharyngeal shedding of SARS-CoV was biased. Results. Titers of SARS-CoV shed in nasopharyngeal specimens varied widely, ranging from nondetectable to 10
<sup>8</sup>
SARS-CoV RNA copies/mL, and they were correlated positively with a high mortality rate (P<.0001, by trend test) and with early death (i.e., death occurring within 2 weeks of the onset of illness) (P =.0015, by trend test). Virus shedding was found to be higher among male patients (P =.0014, by multivariate logistic regression) and among older patients (P =.015, by multivariate logistic regression). Detectable nasopharyngeal shedding of SARS-CoV was associated with polymorphic alleles of interleukins 18 (P =.014) and 1A (P =.031) and a member of NFκB complex (reticuloendotheliosis viral oncogene homolog B [RelB]) (P =.034), all of which are proinflammatory in nature, as well as the procoagulation molecule fibrinogen-like protein 2 (P =.008). Conclusion. The SARS-CoV load is a determinant of clinical outcomes of SARS, and it is associated with polymorphisms of genes involved in innate immunity, which might be regulated in an age- and sex-dependent manner. The findings of the present study provided leads to genes involved in the host response to SARS-CoV infection; if substantiated with functional studies, these findings may be applicable to other newly emerged respiratory viruses (e.g., the influenza pandemic strain).</div>
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<sZ>5 aut.</sZ>
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<s1>Graduate Institute of Epidemiology, National Taiwan University</s1>
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<sZ>6 aut.</sZ>
<sZ>11 aut.</sZ>
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<s1>Institute of Public Health, National Yang-Ming University</s1>
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<sZ>11 aut.</sZ>
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<s0>Background. A high initial or peak severe acute respiratory syndrome (SARS)-associated coronavirus (SARS-CoV) load in nasopharyngeal specimens was shown to be associated with a high mortality rate. Because all infected individuals were devoid of preeexisting protective immunity against SARS-CoV, the biological basis for the variable virus burdens in different patients remains elusive. Methods. The nationwide SARS database in Taiwan was analyzed, and genotyping of 281 single-nucleotide polymorphisms (SNPs) of 65 genes was performed for 94 patients with SARS, to identify SNPs for which distribution between patients with or without detectable nasopharyngeal shedding of SARS-CoV was biased. Results. Titers of SARS-CoV shed in nasopharyngeal specimens varied widely, ranging from nondetectable to 10
<sup>8</sup>
SARS-CoV RNA copies/mL, and they were correlated positively with a high mortality rate (P<.0001, by trend test) and with early death (i.e., death occurring within 2 weeks of the onset of illness) (P =.0015, by trend test). Virus shedding was found to be higher among male patients (P =.0014, by multivariate logistic regression) and among older patients (P =.015, by multivariate logistic regression). Detectable nasopharyngeal shedding of SARS-CoV was associated with polymorphic alleles of interleukins 18 (P =.014) and 1A (P =.031) and a member of NFκB complex (reticuloendotheliosis viral oncogene homolog B [RelB]) (P =.034), all of which are proinflammatory in nature, as well as the procoagulation molecule fibrinogen-like protein 2 (P =.008). Conclusion. The SARS-CoV load is a determinant of clinical outcomes of SARS, and it is associated with polymorphisms of genes involved in innate immunity, which might be regulated in an age- and sex-dependent manner. The findings of the present study provided leads to genes involved in the host response to SARS-CoV infection; if substantiated with functional studies, these findings may be applicable to other newly emerged respiratory viruses (e.g., the influenza pandemic strain).</s0>
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<NO>PASCAL 06-0348647 INIST</NO>
<ET>Nasopharyngeal shedding of severe acute respiratory syndrome-associated coronavirus is associated with genetic polymorphisms</ET>
<AU>CHEN (Wei-Ju); YANG (Jyh-Yuan); LIN (Jih-Hui); FANN (Cathy S. J.); OSYETROV (Valeriy); KING (Chwan-Chuen); CHEN (Yi-Ming Arthur); CHANG (Hsiao-Ling); KUO (Hung-Wei); FONG LIAO; HO (Mei-Shang)</AU>
<AF>Institute of Biomedical Science, Academia Sinica, National Taiwan University/Taïwan (1 aut., 4 aut., 5 aut., 10 aut., 11 aut.); Center for Disease Control, National Taiwan University/Taïwan (2 aut., 3 aut., 8 aut., 9 aut.); Graduate Institute of Epidemiology, National Taiwan University/Taïwan (6 aut., 11 aut.); Institute of Public Health, National Yang-Ming University/Taipei/Taïwan (7 aut., 11 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
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<LA>Anglais</LA>
<EA>Background. A high initial or peak severe acute respiratory syndrome (SARS)-associated coronavirus (SARS-CoV) load in nasopharyngeal specimens was shown to be associated with a high mortality rate. Because all infected individuals were devoid of preeexisting protective immunity against SARS-CoV, the biological basis for the variable virus burdens in different patients remains elusive. Methods. The nationwide SARS database in Taiwan was analyzed, and genotyping of 281 single-nucleotide polymorphisms (SNPs) of 65 genes was performed for 94 patients with SARS, to identify SNPs for which distribution between patients with or without detectable nasopharyngeal shedding of SARS-CoV was biased. Results. Titers of SARS-CoV shed in nasopharyngeal specimens varied widely, ranging from nondetectable to 10
<sup>8</sup>
SARS-CoV RNA copies/mL, and they were correlated positively with a high mortality rate (P<.0001, by trend test) and with early death (i.e., death occurring within 2 weeks of the onset of illness) (P =.0015, by trend test). Virus shedding was found to be higher among male patients (P =.0014, by multivariate logistic regression) and among older patients (P =.015, by multivariate logistic regression). Detectable nasopharyngeal shedding of SARS-CoV was associated with polymorphic alleles of interleukins 18 (P =.014) and 1A (P =.031) and a member of NFκB complex (reticuloendotheliosis viral oncogene homolog B [RelB]) (P =.034), all of which are proinflammatory in nature, as well as the procoagulation molecule fibrinogen-like protein 2 (P =.008). Conclusion. The SARS-CoV load is a determinant of clinical outcomes of SARS, and it is associated with polymorphisms of genes involved in innate immunity, which might be regulated in an age- and sex-dependent manner. The findings of the present study provided leads to genes involved in the host response to SARS-CoV infection; if substantiated with functional studies, these findings may be applicable to other newly emerged respiratory viruses (e.g., the influenza pandemic strain).</EA>
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<FD>Syndrome respiratoire aigu sévère; Nasopharynx; Polymorphisme; Coronavirus</FD>
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<ED>Severe acute respiratory syndrome; Nasopharynx; Polymorphism; Coronavirus</ED>
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<SD>Síndrome respiratorio agudo severo; Nasofaringe; Polimorfismo; Coronavirus</SD>
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