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onsdag 12 november 2014

24. päivä ebolasairaan lapsen tulosta Guineasta Maliin sairaalaan.Lapsen sairaanhoitaja kuoli eilen 23.11.

Suomen iltasanomat 12.11.2014

Länsi-Afrikassa sijaitsevassa Malissa on todettu uusi ebolakuolema, kertovat lääkintäviranomaiset uutistoimisto AFP:n mukaan.
Sairaalan lääkärin mukaan kuollut on sairaanhoitaja, joka oli hoitanut Guineasta kotoisin ollutta ebolaan kuollutta potilasta. Sairaanhoitaja on toinen ebolaan kuollut ihminen Malissa.

Uutistoimisto Reutersin mukaan eräs sairaalan työntekijä kertoi, että sairaanhoitaja kuoli tiistaina (11.11.2014 eli 23. päivä lapsen tulosta  Maliin). Lisäksi yksi lääkäri on sairastunut ja karanteenissa.

Reuters kertoo, että Malin viranomaiset eivät ole vahvistaneet sairaanhoitajan kuolemaa tai mahdollista positiivista testitulosta. Reutersin mukaan poliisi on eristänyt pääkaupungissa Bamakossa varakkaalla alueella sijaitsevan sairaalan. Viranomaiset eivät kommentoineet asiaa.

Liberia on ilmoittanut uusien ebolatartuntojen voimakkaasta vähenemisestä. Maan terveysministeriöstä kerrotaan, että uusien tautien määrä on pudonnut yli 500 tartunnan huipusta 50 tartuntaan päivässä.
Tanskassa epäilty ebolatartunta on todettu testissä aiheettomaksi, kertoo maan terveysministeriö.

Yhdysvalloissa viimeinen tiedossa ollut ebolapotilas on parantunut. Länsi-Afrikassa ebolapotilaita auttanut lääkäri sai itsekin tartunnan. Nyt hän on kuitenkin päässyt sairaalasta.

Länsi-Afrikassa riehuva ebolaepidemia on tappanut noin 5 000 ihmistä.

tisdag 11 november 2014

Ebolavviruksen musiininkaltainen domeeni (jatkoa)

Oxford University Press Impact of Ebola Mucin-Like Domain on Antiglycoprotein Antibody Responses Induced by Ebola Virus-Like Particles
Osvaldo Martinez, Lee Tantral, [...], and Christopher F. Basler
---
Ebola viruses (EBOVs) are enveloped, single-stranded, negative-sense RNA viruses belonging to the family Filoviridae that cause a hemorrhagic fever in humans, with a mortality rate of up to 90%. EBOV attachment and entry into host cells is mediated by the viral envelope glycoprotein (GP) [1–3]. The membrane-anchored GP is a trimer. GP is first produced as a 676-residue–long precursor, GP0, which is cleaved by furin into disulfide-bonded GP1 and GP2. 
These GP1/GP2 heterodimers assemble into a chalice-shaped trimer that is expressed on the virion surface [4]. 

GP1 is distal to the membrane surface and contains the receptor-binding domain (N-terminal residues 54–201) and a heavily glycosylated mucin-like domain. 

 GP2 possesses a transmembrane domain, the fusion peptide, and heptad repeats required for virus–cell membrane fusion [5, 6].

When expressed from 293T cells, the EBOV matrix protein, virion protein 40 (VP40), induces the production of virus-like particles (VLPs) that are biochemically and morphologically similar to EBOV. If coexpressed with VP40, GP becomes incorporated into the VLPs and can mediate entry into target cells [7, 8]. GP-mediated entry likely occurs via macropinocytosis [9, 10], although other endocytic pathways have also been implicated in entry [9–14]. 

For productive entry, GP is cleaved by cellular cathepsins B and L in acid endosomes such that a substantial portion of the protein is removed and the remaining approximately 19 kDa cleavage product is sufficient to mediate membrane fusion reactions [15–19].

Among the regions of GP removed by cathepsin cleavage is the highly glycosylated mucin-like domain. The mucin-like domain is not required for viral entry, because mucin-domain–deleted GP is able to mediate viral attachment and entry in pseudotyped virus systems.

 EBOV GP interacts with lectin-binding receptors present on some cell types, including antigen-presenting cells (APCs) , thereby promoting virus attachment and entry [20–24]. The mucin-like domain has specifically been shown to be important for interaction of GP with the human macrophage galactose-specific and N-acetylgalactosamine-specific C-type lectin (hMGL), promoting EBOV infection [25]. 

 In addition, it may serve immune-modulating functions. 

For example, its presence is correlated with an ability to alter cellular signaling, including mitogen-activated protein kinase (MAPK-)  signaling [26, 27] and has been shown to enhance Ebola VLP-mediated cytokine secretion from stimulated dendritic cells [27].

 Furthermore, VLPs with wild-type but not mucin domain–deleted GP can activate toll-like receptor 4–dependent responses [28].

The GP mucin-like domain obstructs access to GP epitopes and epitopes expressed on other surface proteins [29].

 For example, expression of high levels of GP [30] blocks access to surface major histocompatibility complex class 1 molecules (MHC1) and β-integrins [29], resulting in loss of specific anti-MHC1 or β-integrin antibody binding, decreased CD8 T cell access to MHC1 [31] and induction of cell rounding as a consequence of anchorage loss [32]. 

Furthermore, removal of the mucin-like domain with cathepsin L uncovers epitopes for neutralizing antibodies [16, 33]. However, a mouse model of EBOV infection has shown that immunization of mice with a GP-expressing vaccine elicited mucin domain–specific monoclonal antibodies, some of which were protective [34].

The contribution of antibody responses to EBOV infection and its role in protective immunization remain unclear [35]. 

Studies have demonstrated the presence of EBOV-neutralizing antibodies in the sera of human survivors of infection [33, 36]. 

However, passive transfer of neutralizing anti-EBOV antibodies has shown mixed efficacy, failing to be protective in the more relevant nonhuman primate models of EBOV infection but exhibiting some efficacy in rodent models.

 Furthermore, there is also evidence of enhanced EBOV binding to target cells in the presence of anti-EBOV antibodies [37–39].

EBOV VLPs are immunogenic and have been used to vaccinate and protect mice and nonhuman primates in experimental animal models of EBOV infection [40, 41]. This immunogenicity is due, at least in part, to the mucin domain of the GP, yet studies have shown that the mucin-like domain itself may block access to the GP and adjacent immune molecules potentially inhibiting immune responses, including neutralizing antibody, raising the question of whether vaccines would be more efficacious with or without the GP mucin-like domain. Therefore, to test the hypothesis that the mucin-like domain modulates antibody responses to GP, including neutralization, mice were immunized with VLPs expressing EBOV wild-type GP, GP lacking the mucin-like domain, and a GP expressing a heterologous mucin-like domain; the ensuing antibody response was assessed.

Musiininkaltaisen domeenin merkitys immunisoitaessa

J Infect Dis. 2011 Nov;204 Suppl 3:S825-32. doi: 10.1093/infdis/jir295.
 Impact of Ebola mucin-like domain on antiglycoprotein antibody responses induced by Ebola virus-like particles.

Abstract

Ebola virus (EBOV) glycoprotein (GP), responsible for mediating host-cell attachment and membrane fusion, contains a heavily glycosylated mucin-like domain hypothesized to shield GP from neutralizing antibodies.

To test whether the mucin-like domain inhibits the production and function of anti-GP antibodies, we vaccinated mice with Ebola virus-like particles (VLPs) that express vesicular stomatitis virus G,
 wild-type EBOV GP (EBGP),
EBOV GP without its mucin-like domain (ΔMucGP),
or EBOV GP with a Crimean-Congo hemorrhagic fever virus mucin-like domain substituted for the EBOV mucin-like domain (CMsubGP).

 EBGP-VLP immunized mice elicited significantly higher serum antibody titers toward EBGP or its mutants, as detected by western blot analysis, than did VLP-ΔMucGP.

 However, EBGP-, ΔMucGP- and CMsubGP-VLP immunized mouse sera contained antibodies that bound to cell surface-expressed GP at similar levels.

 Furthermore, low but similar neutralizing antibody titers, measured against a vesicular stomatitis virus (VSV) expressing EBGP or ΔMucGP, were present in EBGP, ΔMucGP, and CMsubGP sera, although a slightly higher neutralizing titer (2- to 2.5-fold) was detected in ΔMucGP sera.

 We conclude that the EBOV GP mucin-like domain can increase relative anti-GP titers, however these titers appear to be directed, at least partly, to denatured GP.
 Furthermore, removing the mucin-like domain from immunizing VLPs has modest impact on neutralizing antibody titers in serum.
PMID:
21987758
[PubMed - indexed for MEDLINE]

PMCID:
PMC3189980

Free PMC Article

EBOV epitoopeista

http://cdn.f1000.com/posters/docs/311

EBOV musiinin kaltainen domaani ja N- ja O-linkkiytyneitä glykaaneja.

http://www.plospathogens.org/article/info%3Adoi%2F10.1371%2Fjournal.ppat.1003258
Kuva  http://www.plospathogens.org/article/fetchObject.action?uri=info:doi/10.1371/journal.ppat.1003258.g001&representation=PNG_L

How Does Glycosylation of Ebola Virus Envelope Proteins Facilitate Immune Evasion?

In EBOV, four variants of the envelope glycoprotein are synthesized as a result of transcriptional stuttering or post-translational processing (Figure 1A).

About 25% of transcripts from the GP gene produce the virion-attached or envelope spike GP that is important for entry.

The surface of the envelope GP is covered with N- and O-linked glycans.

Depending on the EBOV species, the envelope GP contains 11–18 N-linked glycan sites.

Furthermore, EBOV GP contains an unstructured ~150-residue mucin-like domain that is heavily modified with O-linked glycans (~80 sites) [4].

 The N-linked glycans are a heterogeneous mixture of ~60 different species of high-mannose, hybrid, and complex oligosaccharides,

 while the O-linked glycans consist of primarily smaller trisaccharide structures (core 2) that contain varying amounts of sialic acids [5].

  • Kohdistan  nyt pohdinnan  MUSIININ kaltaiseen domeeniin.  Mikä merkitys sillä  virukselle on?
 The O-linked glycosylated mucin-like domain  is modeled onto EBOV GP,
 and thought to form an extended structure that provides another glycan layer of protection to the virus.

söndag 9 november 2014

EVD tilastoa

Vuoden 2014  Ebolaviruspurkaus on niittänyt varmoiksi diagnosoituja EBV   kuolintapauksia 4950 ja varmoja , mahdollisia tai  epäiltyjä EVD tautitapauksia 13268. Näitten lukujen   suhteesta mortaliteetti 37.3%


WHO: Toinen Ebolarokotekokeilu toivotetaan tervetulleeksi

WHO welcomes approval of a second Ebola vaccine trial in Switzerland

Statement
6 November 2014
WHO welcomes approval by Swissmedic, the Swiss regulatory authority for therapeutic products, of a second Swiss trial of an experimental Ebola vaccine. The trial will be led by the University Hospitals of Geneva (HUG). If judged safe, larger scale trials will be taken to African countries as early as January 2015.
This trial approval means that the vaccine will be tested on approximately 115 volunteers in Geneva. The trial, which is receiving support from WHO, is the latest in a series of trials involving 2 different candidate Ebola vaccines that are ongoing in Switzerland, Mali, the United Kingdom, and the United States.

About the vaccine

The experimental VSV-ZEBOV vaccine has been developed by scientists at the Public Health Agency of Canada . It is based on the virus that causes vesicular stomatitis, a disease affecting animals. This virus has been weakened and genetically modified to express the glycoprotein of the Zaire Ebola virus (ZEBOV) so as to provoke an immune response against real Ebola viruses.
The experimental vaccine will be tested on healthy volunteers, some of whom will be deployed as health care staff in the fight against the Ebola epidemic in West Africa. The trial will test the safety of the vaccine and its ability to provoke an immune response. VSV-ZEBOV is also being tested on healthy volunteers in the USA (the first trial started 13 October) and trials are planned to start very soon in Germany, Gabon and Kenya.

Vaccine trials

The trial is the second one organised in Switzerland and coordinated by WHO. 
The first vaccine, “ChAd3" - Chimpanzee-Adenovirus ChAd3-ZEBOV – started trials in Lausanne at the end of October.
“These trials show an almost unprecedented mobilisation on the part of countries, health agencies and industry to pitch in and help to curb the Ebola epidemic,” says Dr Marie-Paule Kieny, Assistant Director-General for Health Systems and Innovation at WHO. “If the vaccines prove to be safe and effective and we move to production and distribution scale-up, this will be the fastest vaccine roll-out we have had in response to a public health emergency to date.”
The trial in Geneva begins with the first vaccinations during the week of 10 November, with first results expected in December 2014.