Infectious Disease Frontier

Valuable researchers have reported encouraging results from a pivotal phase 1/2 clinical trial evaluating PRGN-2012 gene therapy in adults with recurrent respiratory papillomatosis (RRP), a rare and debilitating condition caused by chronic infection with HPV types 6 and 11. RRP leads to the development of papillomas in the aerodigestive tract, causing significant voice disturbances and airway obstruction, with no systemic treatment currently available.

Herpesviruses have long been considered genetically stable, but recent advances in sequencing technologies are reshaping this perception. A comprehensive review by Alejandro Ortigas-Vásquez and Moriah Szpara from Pennsylvania State University, published in the Annual Review of Virology, reveals the dynamic nature of herpesvirus genomes.

A recent commentary by Dr. Brett Biebelberg, published in Critical Care, highlights a critical issue in sepsis management— the potential confounding role of pulmonary pathology in culture-negative sepsis. While culture-negative sepsis often presents with respiratory failure and is frequently diagnosed as pneumonia, emerging evidence suggests that many of these cases may not be infectious in nature.

Valuable researchers have conducted an extensive population-level study assessing how SARS-CoV-2 spike antibody (anti-S Ab) positivity influences infection and hospitalization rates in immunosuppressed populations during the Omicron period. The MELODY study, conducted in the UK, analyzed data from over 21,000 participants, including individuals with solid organ transplants, rare autoimmune rheumatic diseases, and lymphoid malignancies.

How do retroviruses like HIV-1 navigate the complex cellular landscape to reach the nucleus? A recent review by dedicated researchers sheds light on the intricate pathways these viruses exploit within host cells. Retroviruses convert their RNA into double-stranded DNA, but before integration into the host genome, they must traverse the dense cytoskeletal network. This journey involves crossing the actin cortex, utilizing microtubules as highways, and engaging with motor proteins like dynein for efficient transport.

Valuable researchers have uncovered fascinating insights into the mechanisms driving the global success of multidrug-resistant Pseudomonas aeruginosa ST111. The study reveals that serotype switching from O4 to O12 significantly enhances the bacterium’s adhesion abilities, membrane stability, and overall virulence.

Hospital-acquired infections caused by carbapenem-resistant Enterobacterales (CRE) and Pseudomonas aeruginosa (CRPA) are a growing concern in intensive care units (ICUs) across Italy. A recent multicenter study sheds light on the alarming incidence of these infections, revealing that 3.57 and 1.74 cases occur per 1,000 patient days for CRE and CRPA, respectively.

The rise of antibiotic-resistant Neisseria gonorrhoeae continues to pose a significant public health challenge globally. A recent study by dedicated researchers, published in PLOS Pathogens, sheds light on the critical role of penicillin-binding protein (PBP) occupancy and efflux mechanisms in influencing β-lactam efficacy against clinical isolates.

A new systematic review and individual participant data meta-analysis, published in The Lancet Child & Adolescent Health, provides the largest dataset to date on children and adolescents with multidrug-resistant (MDR) and rifampicin-resistant (RR) tuberculosis globally. Analyzing data from over 23,000 individuals across 42 studies, the research sheds light on critical factors influencing treatment outcomes in this vulnerable population.