Tag: infection

is ebola evolving?

Ebola

An electron micrograph of an Ebola virus virion

Is Ebola evolving as it continues to spread throughout parts of Western Africa?  Researchers in the US and Europe face myriad delays as they try to discover the answer. They believe this information is key to understanding how the virus jumps from animals to humans, and also whether it is becoming more virulent or contagious as it continues to spread. According to Science Magazine, thousands of samples have been sitting untouched as scientists await health ministry approvals to import the virus. In places where samples have been imported, scientists have often left the lab for more important field work, helping to contain the virus where they can.

From Science:

Several researchers say that getting export approval from beleaguered health ministries has been tough. “I can only assume that the system is so overwhelmed that processing samples beyond simple diagnostic tests is not high priority,” says Rambaut, who was a co-author on the August sequence paper.

Stephan Günther, a virologist at the Bernhard Nocht Institute for Tropical Medicine (BNI) in Hamburg, Germany, and coordinator of the European Mobile Laboratory (EMLab) consortium, says they have been unable to export samples from Nigeria or Liberia. But BNI has been receiving samples from the EMLab mission in Guinea since March and now has close to 3000, he says. (BNI is storing them in its high-security lab on behalf of the Guinean government, which still owns them.)

Günther and his colleagues have not yet sequenced any of the samples, because consortium staff members have been busy supporting diagnostic centers in affected countries. “We are all busy with fieldwork,” Günther says. “Personnel is a bit of a problem.”

As the global panic eases, clearances should begin. The Institut Pasteur hopes to begin sequencing samples from Guinea soon and samples from Sierra Leone destined for the U.S. were cleared last week. Scientists have also begun making preparations to get DNA sequencers to affected countries. The genome, combined with demographic and treatment information will help provide a clear picture of how the outbreak spread, but there would still be a lot more data needed to determine if Ebola is becoming more virulent:

New sequences probably won’t show that the virus is finding new ways to attack or spread, Rambaut says. Instead, the prize is a clearer picture of the outbreak. A cluster of closely related viruses might point to a hotspot of transmission, he says, while unexpectedly diverse sequences would suggest that many cases were going undetected. Sequence data could also help researchers tell whether there has been more than one animal-to-human introduction.

Earlier sequence data did suggest that the virus was undergoing rapid changes, but that is not necessarily a sign that it is becoming more dangerous, Rambaut says. “Most RNA viruses mutate quickly, but adaptation and functional change is a much slower process.” Measles mutates nearly as quickly as Ebola virus, but it has never evolved to escape the lifelong immunity of previously infected or vaccinated individuals. Even in an outbreak this big, Rambaut says, “I see no reason to suspect the virus will radically change its life cycle or its mode of transmission.”

ebola

An electron micrograph of an Ebola virus virion

An electron micrograph of an Ebola virus virion.

Ebola has been making lots of news this year, as the virus has popped up in several West African countries. We are in the midst of the largest and most widespread outbreak in history.

Fruit bats are the main carriers of the virus in nature. Initially, humans become infected with the ebola virus after contact with infected bats or any living or dead animals that have been infected by the bats. This contact is often thought to be from consumption of infected meat. After humans become infected, the disease spreads through contact with infected bodily fluids including sweat, saliva, urine and semen. Ebola is insidious, and in some cases can take up to 21 days after exposure before symptoms manifest. Symptoms include a sudden onset of flu-like fever, ache and fatigue followed by vomiting or diarrhea.

Sky News details why the virus is so deadly:

When ebola enters the body, it targets dendritic cells in the immune system. Normally, when a virus is detected, these cells tell other cells to produce antibodies. Ebola prevents that signal getting out. As far as the immune system knows, everything inside the body is fine. Left alone, ebola then begins replicating rapidly. It then spreads into the bloodstream, infecting the whole body. Cells start to break up and die, in huge numbers. That finally triggers the immune system, which kicks in – far too aggressively.

Ordinarily when you get sick, the body releases proteins called cytokines. Some of these cells tell your blood vessels to become more permeable. This is to let antibodies travel through the body more quickly to fight the disease. But once ebola has taken hold of your body, the immune system reacts much too aggressively – and launches a cytokine storm. This causes blood vessels to become far too permeable, and they leak. At the same time, the body’s blood clotting mechanisms also act abnormally. This causes internal and external bleeding and is why ebola is known as a haemorrhagic fever. It causes tissue damage and organ failure.

Though the disease is deadly, people do survive and countries can contain outbreaks. Survivors’ blood may contain antibodies that can be used to treat others suffering from the disease.

CD4 cells are instrumental in controlling HIV infection

HIV medication

A report in Science discusses how a subset of CD4 cells could prevent HIV from destroying the immune system:

HIV preferentially invades T lymphocytes that have CD4 receptors on their surfaces. The resulting destruction of CD4 cells over a decade or so cripples the immune system and is the hallmark of AIDS. But the process takes many years because the central memory cell, a type of CD4+ T lymphocyte known in shorthand as Tcm, churns out clones of itself and can almost refill the body’s pool of CD4 cells as fast as HIV drains it. However, the downside is that some infected Tcm cells become reservoirs of latent virus that rekindle infection if antiretrovirals (ARVs) are stopped.

The report is based on a series of studies of HIV patients. In the first study 75 HIV patients were split into three different groups and received antiretroviral medications within 5 days of taking a blood test. When their blood was analyzed 24 weeks later, the level of HIV-infected Tcm cells was almost extremely low or undetectable. In another study researchers looked at why some patients were better able to protect their CD4+ cells without antiretroviral treatment:

The study compared nearly 300 infected people who had low levels of HIV in their blood, two-thirds of whom received treatment. The researchers found that elite controllers stood out in part because their Tcm cells downregulated a key receptor that HIV needs for entry and were less permissive to HIV infection. Conversely, Kitchen noted that people whose immune systems did not rebound even though ARVs controlled their infections had Tcm cells with impaired function.

Check the source link for more.

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