Publications by authors named "Franco M Ruggeri"

Norovirus (NoV) is now recognized as a major cause of gastroenteritis outbreaks, worldwide. Norovirus replication mechanisms are still poorly understood, mainly because a reliable cell culture system is still lacking. The present study aims at understanding some aspects of the immune response against norovirus, and particularly the capacity of virus like particles (VLPs) from an Italian strain, belonging to the GII.

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Rotavirus is one of the leading causes of acute gastroenteritis in infants and young children. RVAs infect not only humans but also a wide range of mammals including rats, which represent a reservoir of several other zoonotic pathogens. Due to the segmented nature of the RVA genome, animal RVA strains can easily adapt to the human host by reassortment with co-infecting human viruses.

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The occurrence of hospital-acquired acute gastroenteritis (AGE) is a major concern for public health. RotavirusA (RVA) and norovirus (NoV) are common causes of viral AGE in the pediatric population, and their role in nosocomial infections has been proven, remaining poorly investigated. To investigate RVA and NoV in hospital-acquired AGE, 55 stool samples from children with nosocomial AGE were collected between May 2014 and May 2015.

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Torque teno viruses (TTV) are small DNA viruses widespread among humans and pigs. The clinical significance of TTV infections in either humans or pigs is uncertain. In fact, TTV viremia is highly prevalent in patients with different pathologies, but it can also be frequently observed in healthy subjects.

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Article Synopsis
  • The Italian Rotavirus Surveillance Program (RotaNet-Italy) has been tracking rotavirus strains in hospitalized children since 2007, specifically focusing on one rare strain (G8P[14]) discovered in 2012 in Apulia.
  • The genetic analysis of these strains revealed a combination of genes from both animal and human origins, suggesting they were formed through reassortment events.
  • The study found significant similarities between these strains and certain sheep and human strains, highlighting concerns that current vaccines may not effectively protect against these newly emerging rotavirus strains.
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Group A rotaviruses (RVA) are the leading cause of acute gastroenteritis (AGE) in young children worldwide. The RVA outer capsid layer is composed of the VP7 and VP4 proteins. The VP7 (G-type) and VP4 (P-type) genotypes are the basis for the binary RVA nomenclature.

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Aim: Rotavirus is recognized as the main cause of acute gastroenteritis in children under 5 years old, representing a considerable public health problem with a great impact on social and public health costs in developed countries. This study aims to assess the frequency and the epidemiological aspect of the hospitalization associated with Rotavirus-gastroenteritis in Lombardy, Northern Italy, from 2005 to 2011.

Methods: The Lombardy Hospital Discharge Database was inquired from the official data of the Italian Ministry of Health and investigated for acute gastroenteritis (ICD9-CM code for bacteria, parasitic, viral and undetermined etiologic diarrhea) in primary and secondary diagnosis in children ≤ 5 years, between 2005 and 2011.

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  • The study examined hepatitis E virus (HEV) infection in piglets from two farms in southern Italy, finding the virus in 11 out of 15 sampled animals.
  • The analyzed strains were part of two clusters that included both animal and human strains of genotype 3, with notable similarities indicating genetic diversity among Italian pig strains.
  • The research highlighted that further investigations are necessary to determine the clinical implications of different HEV genotypes and subtypes.
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Avian rotaviruses are still largely undefined despite being widespread in several avian species and despite the economic impact of rotavirus (RV) enteritis in poultry flocks. In this study, the presence of different avian RV groups was investigated in commercial poultry flocks reared in Northern and Central Italy and with a history of enteric diseases. Faeces or intestinal contents from different avian species previously found to contain RV particles by electron microscopy (EM) were analysed by both RNA-polyacrylamide gel electrophoresis and reverse transcription-polymerase chain reaction specific for groups A, D, F and G RVs.

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Dreissena polymorpha is a widespread filter-feeder species, resistant to a broad range of environmental conditions and different types of pollutants,which has recently colonized Italian freshwaters. Although widely used to monitor pollution in freshwater environments, this species is also an important food source for some fish and water birds. It can also be used to concentrate or remove particulate organic matter to interrupt avian-to-human transmission of pollutants and control health risks for animals and humans.

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Gastrointestinal disease is frequent in pigs, and among the different etiological agents involved, viruses are considered the leading cause of infection in this animal species. Furthermore, about half of the newly identified swine pathogens are viruses, many of which may be transmitted to humans by direct contact or by indirect transmission pathways. In this study, the prevalence of astrovirus (AstV), group A rotavirus (RVA), norovirus (NoV) and hepatitis E virus (HEV) infections in pigs was investigated.

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  • Group A rotaviruses (RVA) are a leading cause of severe diarrhea in children globally, causing significant mortality, especially in developing countries.
  • In 2009, three unique G3P[6] RVA strains were discovered in hospitalized children in Southern Italy, which had not been previously documented in that region.
  • Genetic analysis showed these strains shared a rare genotype constellation and demonstrated no signs of zoonotic transfer, suggesting they have a human-specific lineage similar to RVA found in other regions like Africa and Europe.
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Group A rotaviruses (RVA) are the leading cause of acute gastroenteritis in young (<5 years of age) children, causing up to 450.000 deaths worldwide, mostly in developing countries. VP7 (G-type) and VP4 (P-type) genotypes are the basis for the binary RVA classification.

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  • A study tested 208 swine fecal samples from six Italian farms for kobuvirus using RT-PCR, finding all farms positive with prevalence rates from 24% to 84%.
  • Among the tested pigs, 57.5% of healthy (asymptomatic) pigs and 49.7% of pigs with diarrhea were positive for kobuvirus.
  • Sequence analysis revealed different strains on each farm, suggesting a mix of both European and Asiatic kobuvirus strains; further investigation is needed to understand its potential pathogenic role in pigs.
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  • Rotavirus strains with the uncommon G10 genotype are linked to sporadic human gastroenteritis cases and are likely transmitted from animals.
  • In Italy, 10 strains of G10P[8] were identified in children with acute diarrhea during 2009, showing high genetic similarity among them.
  • The analysis indicated unique amino acid sequences in the G10 strains compared to common rotavirus vaccines, suggesting potential differences in vaccine effectiveness against this genotype.
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Group A rotaviruses (RVA) are the leading cause of acute gastroenteritis (AGE) in children worldwide and cause up to 455,000 deaths annually, mostly in developing countries. During 2013, 66 RVAs from children with AGE admitted to four Nigerian hospitals were investigated. The G3P[6], G1P[8] and G2P[4] genotypes predominated.

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Article Synopsis
  • Rotavirus gastroenteritis primarily involves five common genotypes (G1, G3, G4, G9P[8], G2P[4]), but new strains like G6, G8, and G12 have been reported recently.
  • In Italy, during the 2012-2013 surveillance season, G12P[8] was unexpectedly found in 75% of rotavirus-infected children in central Umbria, showcasing its spread and genetic similarities to strains worldwide.
  • The findings suggest that G12P[8] could evolve to join the common genotypes globally, highlighting its potential significance in public health and vaccine development.
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In September 2011, an acute gastroenteritis outbreak affected 33 children in Northern Italy. Patients had drunk river water during an excursion. Identical GI.

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  • Hepatitis E (HEV) is becoming a growing public health issue, typically causing mild illness but can lead to chronic infections in transplant patients.
  • The study focused on detecting HEV in pork liver sausages sold in Italy, using advanced methods like RT-qPCR for accurate results.
  • HEV was found in 22.2% of raw and 4.3% of dry sausages, but the virus's infectivity was not confirmed, highlighting the need for further research on HEV in pork products and consumer safety.
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  • The study highlights the gap in knowledge regarding rotavirus circulation in adults and the general population in Italy, despite the existence of a molecular surveillance network for children.
  • During 2010-2011, researchers analyzed 285 sewage samples from four cities, detecting rotavirus in 60.4% of them, with a variety of genotypes identified, notably G1 and P[8].
  • The findings indicate that certain genotypes, particularly G2, G9, and P[4], were more prevalent in wastewaters than in hospitalized pediatric patients, suggesting these strains might circulate widely in the general population or persist longer in the environment.
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  • A rare G3P[19] rotavirus A strain was detected in an immunosuppressed patient in Italy.
  • The strain possessed a unique viral protein 4 gene and a complete AU-1-like genomic structure.
  • Phylogenetic studies indicated a close genetic relationship to G3P[19] strains from Asia, suggesting possible genetic reassortment.
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During March 2011 an outbreak of gastroenteritis occurred in Santo Stefano di Quisquina, Agrigento, Sicily, Italy. Within two weeks 156 cases were identified among the 4,965 people living in the municipality. An epidemiological investigation was conducted to characterize the outbreak and target the control measures.

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Article Synopsis
  • The hepatitis E virus (HEV) has a known transmission route from pigs to humans, with genotype 3 HEV prevalent in Italian swine and linked to human cases.
  • Researchers tested 111 pig sera for anti-HEV antibodies using new detection methods, finding high prevalence rates with ELISA and Western Blotting.
  • The study confirmed that the custom-developed swine hepatitis E antigen is effective for detecting anti-HEV antibodies, supporting the ongoing concern over zoonotic disease transmission.
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Rotavirus (RV) infection causes watery diarrhea via multiple mechanisms, primarily chloride secretion in intestinal epithelial cell. The chloride secretion largely depends on non-structural protein 4 (NSP4) enterotoxic activity in human enterocytes through mechanisms that have not been defined. Redox imbalance is a common event in cells infected by viruses, but the role of oxidative stress in RV infection is unknown.

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  • The study investigated the presence of porcine noroviruses and sapoviruses in pigs from northern Italy, focusing on both healthy and diarrheic animals.
  • Sapoviruses were commonly found and showed genetic connections to known reference strains and new genogroups.
  • Interestingly, porcine norovirus was discovered in one healthy pig, marking the first identification of this virus in Italy.
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