Publications by authors named "Dylan Duchen"

Article Synopsis
  • Metagenomic next-generation sequencing (mNGS) often struggles to detect low-level viral presence and is biased toward linear viruses, which limits the understanding of certain viral infections, particularly those from the anellovirus family.
  • The study introduces a new sequencing protocol using rolling circle amplification (RCA) with the long-read Oxford Nanopore technology, specifically designed for circular single-stranded DNA viruses found in human samples.
  • The protocol demonstrates effective detection of anelloviruses in diverse sample populations, overcoming challenges associated with circular genomes and enabling improved characterization of the human virome.
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Nearly 300 million individuals live with chronic hepatitis B virus (HBV) infection (CHB), for which no curative therapy is available. As viral diversity is associated with pathogenesis and immunological control of infection, improved methods to characterize this diversity could aid drug development efforts. Conventionally, viral sequencing data are mapped/aligned to a reference genome, and only the aligned sequences are retained for analysis.

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Background: Astroviral infections commonly cause acute nonbacterial gastroenteritis in children globally. However, these infections often go undiagnosed outside of research settings. There is no treatment available for astrovirus, and Astroviridae strain diversity presents a challenge to potential vaccine development.

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Hepatitis B virus (HBV) remains a global public health concern, with over 250 million individuals living with chronic HBV infection (CHB) and no curative therapy currently available. Viral diversity is associated with CHB pathogenesis and immunological control of infection. Improved methods to characterize the viral genome at both the population and intra-host level could aid drug development efforts.

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Genome-wide association studies (GWASs) have been performed to identify host genetic factors for a range of phenotypes, including for infectious diseases. The use of population-based common control subjects from biobanks and extensive consortia is a valuable resource to increase sample sizes in the identification of associated loci with minimal additional expense. Non-differential misclassification of the outcome has been reported when the control subjects are not well characterized, which often attenuates the true effect size.

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Article Synopsis
  • Diarrhea causes over 500,000 child deaths annually, particularly in low-to-middle-income countries (LMICs), and is associated with malnutrition and stunted growth in children.
  • A study in Bangladesh examined how host genetics might impact susceptibility to Campylobacter infections, involving 534 children monitored for diarrhea over two years.
  • The research identified a significant genetic variant on chromosome 8 that suggests individuals with the G allele are at a lower risk for Campylobacter-related diarrhea, potentially due to its influence on the expression of nearby genes related to bacterial toxin transport.
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The frequency, severity, and forms of symptoms months after coronavirus 2019 (COVID-19) are poorly understood, especially in community settings. To better understand and characterize symptoms months after community-based COVID-19, a retrospective cohort analysis was conducted. Three hundred and twenty-eight consecutive persons with a positive test for SARS-CoV-2 in the Johns Hopkins Health System, Maryland, March-May 2020, were selected for the study.

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Article Synopsis
  • Research indicates that a specific pathogen is a leading cause of severe diarrhea worldwide, contributing to millions of cases and a significant number of deaths.
  • The study used genome-wide association studies (GWAS) to examine genetic factors in Bangladeshi infants, comparing those with and without pathogen-related diarrhea, and identified several protective and risk-associated genetic loci.
  • These identified genetic factors are linked to bacterial secretion systems that may help inform future development of vaccines and treatments for diarrhea caused by this pathogen.
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There is a high prevalence of latent tuberculosis infection (LTBI) and risk of reactivation among refugees. This study describes LTBI prevalence, treatment initiation, and completion rates in refugee patients seen at one urban Connecticut hospital. This retrospective chart review includes 248 adult refugee patients screened between January 2009 and April 2012.

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Background: Store-and-forward (S&F) telemedicine is thought to be most applicable in humanitarian settings. Unlike other kinds of telemental health (TMH), S&F requires engagement and active participation from healthcare providers in submitting text or audio-video clinical material for consultations. To implement such consultative systems there is a need to gauge providers' attitudes towards this technology.

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CD70 is up-regulated in several malignancies, where it induces cytotoxic effects on B and T lymphocytes, leading to immune escape. Novel therapeutic agents targeting CD70 have entered clinical trials. We characterized expression of CD70 protein in renal cell carcinoma specimens of various histologic subtypes and assessed their prognostic value and association with clinical/pathologic variables.

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