Publications by authors named "Butel C"

Background: Several variants of SARS-CoV-2 have a demonstrated impact on public health, including high and increased transmissibility, severity of infection, and immune escape. Therefore, this study aimed to determine the SARS-CoV-2 lineages and better characterize the dynamics of the pandemic during the different waves in Guinea.

Methods: Whole genome sequencing of 363 samples with PCR cycle threshold (Ct) values under thirty was undertaken between May 2020 and May 2023.

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From the perspective of developing relevant interventions for treating HIV and controlling its spread, it is particularly important to comprehensively understand the underlying diversity of the virus, especially in countries where the virus has been present and evolving since the cross-species transmission event that triggered the global pandemic. Here, we generate and phylogenetically analyse sequences derived from the (2010 bp;  = 115), partial (345 bp;  = 36), and (719 bp;  = 321) genes of HIV-1 group M (HIV-1M) isolates sampled between 2000 and 2022 from two cosmopolitan cities and 40 remote villages of Cameroon. While 52.

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Background And Objectives: Data on HIV drug resistance in Madagascar are rare and outdated. In this study, we assessed the prevalence of HIV drug resistance mutations to antiretrovirals (ARVs) and genetic diversity of circulating strains in treatment-naive people living with HIV (PLHIV) in Madagascar.

Materials And Methods: We amplified the protease (PR), fragments of the Reverse Transcriptase (RT) and Integrase (IN) genes according to the French ANRS protocol.

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  • Dengue is a viral infection spread by mosquitoes, and this study in Benin aimed to investigate the presence of different serotypes beyond the previously recorded DENV serotype 2.
  • The research involved analyzing plasma samples from 464 patients for dengue infection using advanced PCR techniques, which led to the identification of DENV-1 and DENV-3 serotypes in three patients.
  • This finding highlights the importance of enhancing arbovirus surveillance in Benin, indicating the need for better monitoring of emerging infections.
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  • The study focuses on the high genetic diversity of HIV-1M in the Congo Basin, where the epidemic began over a century ago, analyzing 148 samples from the Democratic Republic of the Congo collected between 1997 and 2013.
  • Researchers used PCR and sequencing methods to identify 22 different subtypes and 15% unique recombinant forms (URFs), alongside rare subtypes such as H, J, and K.
  • Two specific amino acid motifs related to HIV-1 replication and fitness were found in the samples, but there was no clear correlation between these motifs and the different subtypes, indicating a need for further research on their effects.
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  • Distinct SARS-CoV-2 lineage B.1.620 was identified in Lithuania, featuring multiple mutations in the spike protein commonly found in concerning variants like E484K and S477N.
  • The study highlights the lineage's potential resistance to neutralizing antibodies and documents local instances of transmission in Europe, particularly in Lithuania.
  • Evidence suggests that B.1.620 likely originated in Central Africa, supported by advanced phylogeographic methods and travel history data from infected individuals.
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With 12 of the 31 outbreaks, the Democratic Republic of Congo (DRC) is highly affected by Ebolavirus disease (EVD). To better understand the role of bats in the ecology of Ebola viruses, we conducted surveys in bats during two recent EVD outbreaks and in two areas with previous outbreaks. Dried blood spots were tested for antibodies to ebolaviruses and oral and rectal swabs were screened for the presence of filovirus using a broadly reactive semi-nested RT-PCR.

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  • A study was conducted to develop a high-throughput serological tool to track arbovirus infections in non-human primates (NHPs) in Central Africa, given their potential role in human epidemics.
  • The methodology involved using specific recombinant proteins attached to Luminex beads to detect IgG antibodies against various viruses and validating the test with human sera.
  • The findings indicated that the overall prevalence of arbovirus infections in NHPs ranged from 2 to 5%, with arboreal species showing the highest reactivity and significant cross-reactivity among certain viruses, notably between dengue and Zika viruses.
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After the 2017 Ebola virus (EBOV) outbreak in Likati, a district in northern Democratic Republic of the Congo, we sampled small mammals from the location where the primary case-patient presumably acquired the infection. None tested positive for EBOV RNA or antibodies against EBOV, highlighting the ongoing challenge in detecting animal reservoirs for EBOV.

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Objective: Evaluate the potential effectiveness of the implementation of dolutegravir (DTG)-based regimens in patients on failing current antiretroviral treatment (ART) given the high levels of nucleoside reverse transcriptase inhibitor (NRTI) resistance in Togo.

Design: Patients on ART attending health facilities for routine follow-up visits and for whom HIV viral load test was performed were consecutively included.

Methods: Protease, reverse transcriptase and integrase fragments were sequenced and analyzed for presence of drug resistance mutations for patients with viral load more than 1000 copies/ml.

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Background: Population-based studies to estimate viral load (VL) suppression and rate of acquired HIV drug resistance (ADR) are essential in sub-Saharan Africa. We conducted the first nationally representative study estimating VL suppression and ADR in Cameroon.

Methods: Eligible participants were patients on antiretroviral therapy (ART) for 12 to 24 months (ART 12-24) or 48 to 60 months (ART 48-60).

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  • The study aimed to assess the prevalence and risk factors related to Ebola virus infection among unvaccinated individuals who had contact with Ebola patients in Guinea between 2016 and 2017.
  • Researchers interviewed 1,721 contact persons, excluding 331 vaccinated individuals, resulting in a study group of 1,390, where 216 participants reported symptoms.
  • The findings revealed seropositivity rates of 8.33% among symptomatic individuals and 3.32% among asymptomatic ones, with increased risk linked to participation in burial rituals and exposure to bodily fluids.
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  • Bats are a known reservoir for Ebola viruses, but nonhuman primates (NHPs) have also been linked to human outbreaks.
  • In a study, blood and fecal samples from over 4,600 NHPs across Cameroon, the Democratic Republic of the Congo, and Ivory Coast were tested for Ebola antibodies using a specialized assay.
  • Results showed that Ebola virus antibodies were rare, with only one mustached monkey testing positive, indicating that NHPs likely act as intermediate hosts rather than primary reservoirs for Ebola, highlighting the need for further research to control future outbreaks.
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  • The study examined the prevalence of Ebola virus antibodies in bats across Africa from 2015-2017 to understand their role in Ebola ecology.
  • A total of 4,022 bat blood samples were tested, revealing low seroprevalence rates for Zaire and Sudan Ebola viruses in various bat species.
  • No viral RNA was found in a subset of samples, highlighting the need for ongoing surveillance of bats to help predict and prevent future Ebola outbreaks.
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  • A study conducted in Cameroon found that about 10% of new HIV patients starting antiretroviral therapy (ART) have pretreatment HIV drug resistance (PDR), which can lead to treatment failure and higher mortality risks.
  • The research involved 379 participants from urban and rural clinics, with a higher prevalence of PDR observed in urban settings (14.2%) compared to rural ones (4.3%).
  • The findings highlight the need for more effective treatments with a higher resistance barrier, especially due to the concerns around non-nucleoside reverse transcriptase inhibitors (NNRTIs) that showed significant levels of resistance.
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Questions remain as to whether an unnoticed Ebola outbreak occurred in Guinea before the 2014-2016 epidemic. To address this, we used a highly sensitive and specific Luminex-based assay for Ebola virus (EBOV) antibody detection to screen blood samples collected in the framework of the Demographic Health Survey performed in 2012 in Guinea. One sample (GF069) of 1,483 tested was positive at very high immunoglobulin G titer to Zaire EBOV in Guinée Forestière.

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The recent Zaire Ebola virus (EBOV) outbreak in West Africa illustrates clearly the need for additional studies with humans and animals to elucidate the ecology of Ebola viruses (EBVs). In this study, we developed a serological assay based on the Luminex technology. Nine recombinant proteins representing different viral regions (nucleoprotein [NP], 40-kDa viral protein [VP40], and glycoprotein [GP]) from four of the five EBV lineages were used.

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There are currently four known primate T-cell lymphotropic virus groups (PTLV1-4), each of which comprises closely related simian (STLV) and human (HTLV) viruses. For PTLV-1 and PTLV-3, simian and human viruses are interspersed, suggesting multiple cross-species transmission events; however, for PTLV-2 this is not so clear because HTLV-2 and STLV-2 strains from captive bonobos () form two distinct clades. To determine to what extent bonobos are naturally infected with STLV, we screened fecal samples (n = 633) from wild-living bonobos (n = 312) at six different sites in the Democratic Republic of Congo (DRC) for the presence of STLV nucleic acids.

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Background: Prevention of mother-to-child transmission (PMTCT) programs have been largely scaled-up, but data on infant HIV drug resistance from PMTCT programs implemented in resource-limited countries are lacking.

Methods: Remnant dried blood spots from HIV-infected children (aged <18 months) tested through the Togo national early infant diagnosis program during 2012 and 2013 were collected and assessed for HIV drug resistance. Pol-RT (reverse transcriptase) region was amplified, sequenced and analyzed for the presence of drug resistance mutations (DRMs).

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Introduction: Antiretroviral treatment (ART) has been scaled up over the last decade but compared to adults, children living with HIV are less likely to receive ART. Moreover, children and adolescents are more vulnerable than adults to virological failure (VF) and emergence of drug resistance. In this study we determined virological outcome in perinatally HIV-1-infected children and adolescents receiving ART in Togo.

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  • Newborns in ICUs often undergo painful procedures like venipunctures, which can have long-term negative effects on their neurodevelopment; however, there is limited data on how frequently these procedures occur and how pain is managed.
  • The study aimed to analyze the frequency of venipunctures, their pain intensity, and pain management practices, while also identifying factors that contribute to inadequate pre-procedural analgesia and higher pain scores.
  • Researchers included 495 newborns, finding that on average, each infant underwent nearly four venipunctures, with over half of those studied being very preterm; many procedures did not utilize adequate pain relief despite significant pain scores reported.
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The emergence of HIV-1 groups M, N, O, and P is the result of four independent cross-species transmissions between chimpanzees (cpz) and gorillas (gor) from central/south Cameroon and humans respectively. Although the first two SIVcpz were identified in wild-born captive chimpanzees in Gabon in 1989, no study has been conducted so far in wild chimpanzees in Gabon. To document the SIVcpz infection rate, genetic diversity, and routes of virus transmission, we analyzed 1458 faecal samples collected in 16 different locations across the country, and we conducted follow-up missions in two of them.

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The human immunodeficiency virus, HIV, is characterized by a tremendously high genetic diversity, leading to the currently known circulating HIV types, groups, subtypes, and recombinant forms. HIV-1 group O is one of the most diverse forms of HIV-1 and has been so far related to Cameroon or individuals originating from Cameroon. In this study, we investigated in Cameroon, the evolution of this viral group from 2006 to 2013, in terms of prevalence, genetic diversity and public health implications.

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The Simian Immunodeficiency Virus (SIV) mus/mon/gsn lineage is a descendant of one of the precursor viruses to the HIV-1/SIVcpz/gor viral lineage. SIVmus and SIVgsn were sequenced from mustached and greater spot nosed monkeys in Cameroon and SIVmon from mona monkeys in Cameroon and Nigeria. In order to further document the genetic diversity of SIVmus, we analyzed two full-length genomes of new strains identified in Gabon.

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We tested 114 faecal samples from wild simian immunodeficiency virus (SIV)-positive (n = 43) and SIV-negative (n = 71) chimpanzees (Pan troglodytes troglodytes) in southeast Cameroon for the presence of gastrointestinal parasites by direct smear. We observed cysts from different protozoa (Entamoeba coli and Entamoeba histolytica / Entamoeba dispar, Endolimax nana, Iodamoeba butschlii, Chilomastix mesnili, Balantidium coli and Blastocystis cells) and trophozoites from Troglodytella abrassarti and Balantidium coli. Eggs from different helminths (strongylids, Ascaris lumbricoides, Abbreviata caucasica, Trichuris sp.

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