Publications by authors named "Graham Simmons"

Article Synopsis
  • - COVID-19 convalescent plasma (CCP) may be beneficial for immunocompromised patients, but the FDA's current threshold for qualifying plasma based on antibody levels might be too low.
  • - A study evaluated antibody levels in blood donors with different infection and vaccination histories, revealing that those with hybrid immunity (infection followed by vaccination) had higher antibody levels and better neutralizing capabilities.
  • - The research suggests establishing new test-based criteria for qualifying CCP, highlighting that plasma with high antibody levels could effectively neutralize various COVID-19 variants for several months after infection or vaccination.
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In response to the 2015 Zika virus (ZIKV) epidemic that occurred in Brazil, numerous commercial serological assays have been developed for clinical and research applications. Diagnosis of recent infection in pregnant women remains challenging. Having standardized, comparative studies of ZIKV tests is important for implementing optimal diagnostic testing and disease surveillance.

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The ongoing evolution of SARS-CoV-2 to evade vaccines and therapeutics underlines the need for innovative therapies with high genetic barriers to resistance. Therefore, there is pronounced interest in identifying new pharmacological targets in the SARS-CoV-2 viral life cycle. The small molecule PAV-104, identified through a cell-free protein synthesis and assembly screen, was recently shown to target host protein assembly machinery in a manner specific to viral assembly.

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Article Synopsis
  • Research on the effectiveness of COVID-19 convalescent plasma (CCP) in treating immunocompromised patients is still inconclusive.
  • In a study, hamsters infected with SARS-CoV-2 were treated with CCP from vaccinated recovered patients (Vaxplas), which temporarily worsened disease severity and lung issues due to immune responses.
  • Despite the temporary enhancement of the disease, Vaxplas significantly lowered virus levels in the lungs and improved overall outcomes in the infected hamsters.
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Coronavirus spike glycoproteins presented on the virion surface mediate receptor binding, and membrane fusion during virus entry and constitute the primary target for vaccine and drug development. How the structure dynamics of the full-length spikes incorporated in viral lipid envelope correlates with the virus infectivity remains poorly understood. Here we present structures and distributions of native spike conformations on vitrified human coronavirus NL63 (HCoV-NL63) virions without chemical fixation by cryogenic electron tomography (cryoET) and subtomogram averaging, along with site-specific glycan composition and occupancy determined by mass spectrometry.

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Article Synopsis
  • The effectiveness of COVID-19 convalescent plasma (CCP) for treating immunocompromised patients, particularly those who can't produce antibodies or have issues with existing antivirals, is still uncertain.
  • A study on hamsters infected with SARS-CoV-2 showed that plasma from vaccinated recovered COVID patients (termed Vaxplas) significantly reduced viral replication and improved health outcomes.
  • However, Vaxplas also temporarily worsened disease severity and lung damage in the animals, likely due to immune responses that increased inflammation and attracted more aggressive immune cells to the lungs.
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The ongoing evolution of SARS-CoV-2 to evade vaccines and therapeutics underlines the need for novel therapies with high genetic barriers to resistance. The small molecule PAV-104, identified through a cell-free protein synthesis and assembly screen, was recently shown to target host protein assembly machinery in a manner specific to viral assembly. Here, we investigated the capacity of PAV-104 to inhibit SARS-CoV-2 replication in human airway epithelial cells (AECs).

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The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic has caused a global economic and health crisis. Recently, plasma levels of galectin-9 (Gal-9), a β-galactoside-binding lectin involved in immune regulation and viral immunopathogenesis, were reported to be elevated in the setting of severe COVID-19 disease. However, the impact of Gal-9 on SARS-CoV-2 infection and immunopathology remained to be elucidated.

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Early detection of Zika virus (ZIKV) transmission within geographic regions informs implementation of community mitigation measures such as vector reduction strategies, travel advisories, enhanced surveillance among pregnant women, and possible implementation of blood and organ donor screening or deferral. Standardized, comparative assessments of ZIKV assay and testing lab performance are important to develop optimal approaches to ZIKV diagnostic testing and surveillance. We conducted an expanded blinded panel study to characterize and compare the analytical performance of fifteen diagnostic and blood screening ZIKV NAT assays, including detection among single- and multiplex assays detecting ZIKV, dengue virus (DENV) and chikungunya virus (CHIKV).

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Coronavirus spike glycoproteins presented on the virion surface mediate receptor binding, and membrane fusion during virus entry and constitute the primary target for vaccine and drug development. How the structure dynamics of the full-length spikes incorporated in viral lipid envelope correlates with the virus infectivity remains poorly understood. Here we present structures and distributions of native spike conformations on vitrified human coronavirus NL63 (HCoV-NL63) virions without chemical fixation by cryogenic electron tomography (cryoET) and subtomogram averaging, along with site-specific glycan composition and occupancy determined by mass spectroscopy.

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Background: Zika virus (ZIKV) epidemics with infections in pregnant women are associated with severe neurological disease in newborns. Although an arbovirus, ZIKV is also blood transfusion-transmitted (TT). Greater knowledge of the efficiency of ZIKV TT would aid decisions on testing and pathogen reduction technologies (PRT).

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Background: Several studies have demonstrated neutralizing antibodies to be highly effective against alphavirus infection in animal models, both prophylactically and remedially. In most studies, neutralizing antibodies have been evaluated for their ability to block viral entry in vitro but recent evidence suggests that antibody inhibition through other mechanisms, including viral budding/release, significantly contributes to viral control in vivo for a number of alphaviruses.

Results: We describe a BSL-2, cell-based, high-throughput screening system that specifically screens for inhibitors of alphavirus egress using chikungunya virus (CHIKV) and Mayaro virus (MAYV) novel replication competent nano-luciferase (nLuc) reporter viruses.

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Article Synopsis
  • The study examines the efficacy of donated COVID-19 convalescent plasma (dCCP) in hospitalized adults with COVID-19 pneumonia, focusing on factors like antibody titers and patient characteristics.
  • The results showed that 85% of the dCCPs contained neutralizing antibodies, and while the transfusion didn't significantly affect survival rates, no adverse events were reported among dCCP recipients.
  • The findings highlight the variability in antibody responses among dCCP recipients, suggesting the need for controlled trials to utilize well-characterized dCCP with appropriate assays.
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Article Synopsis
  • A new serological assay called the Split-Oligonucleotide Neighboring Inhibition Assay (SONIA) is developed to effectively detect neutralizing antibodies against SARS-CoV-2, which is crucial for monitoring herd immunity and vaccine effectiveness.
  • SONIA utilizes real-time qPCR to assess how well these antibodies can prevent viral spike proteins from binding to human receptors, achieving high sensitivity (91-97%) and perfect specificity (100%) when compared to traditional methods.
  • The assay is performed with finger-prick dried blood spots, making it easy to collect, and offers insights into various factors such as age, health conditions, immunity changes, vaccination differences, and the rise of new virus variants.
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Article Synopsis
  • * A study tested 2,250 blood donors who had possible COVID-19 symptoms after donation, finding that the presence of SARS-CoV-2 RNA peaked at 9%-15% in late 2020, dropping to about 4% after vaccinations were released.
  • * Although RNA was detectable in some donors, no infectious virus was found in their plasma, indicating that blood transfusions are very unlikely to transmit SARS-CoV-2.
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Chikungunya virus (CHIKV) is a representative alphavirus causing debilitating arthritogenic disease in humans. Alphavirus particles assemble into two icosahedral layers: the glycoprotein spike shell embedded in a lipid envelope and the inner nucleocapsid (NC) core. In contrast to matrix-driven assembly of some enveloped viruses, the assembly/budding process of two-layered icosahedral particles remains poorly understood.

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The redox status of the cysteine-rich SARS-CoV-2 spike glycoprotein (SARS-2-S) is important for the binding of SARS-2-S to angiotensin-converting enzyme 2 (ACE2), suggesting that drugs with a functional thiol group ("thiol drugs") may cleave cystines to disrupt SARS-CoV-2 cell entry. In addition, neutrophil-induced oxidative stress is a mechanism of COVID-19 lung injury, and the antioxidant and anti-inflammatory properties of thiol drugs, especially cysteamine, may limit this injury. To first explore the antiviral effects of thiol drugs in COVID-19, we used an ACE-2 binding assay and cell entry assays utilizing reporter pseudoviruses and authentic SARS-CoV-2 viruses.

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Background: This study evaluated whether pathogen reduction technology (PRT) in plasma and platelets using amotosalen/ultraviolet A light (A/UVA) or in red blood cells using amustaline/glutathione (S-303/GSH) may be used as the sole mitigation strategy preventing transfusion-transmitted West Nile (WNV), dengue (DENV), Zika (ZIKV), and chikungunya (CHIKV) viral, and Babesia microti, Trypanosoma cruzi, and Plasmodium parasitic infections.

Methods: Antibody (Ab) status and pathogen loads (copies/mL) were obtained for donations from US blood donors testing nucleic acid (NAT)-positive for WNV, DENV, ZIKV, CHIKV, and B. microti.

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Chikungunya virus (CHIKV) is an arthritogenic reemerging virus replicating in plasma membrane-derived compartments termed "spherules." Here, we identify the human transmembrane protein CD81 as host factor required for CHIKV replication. Ablation of CD81 results in decreased CHIKV permissiveness, while overexpression enhances infection.

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Although generating high neutralizing antibody levels is a key component of protective immunity after acute viral infection or vaccination, little is known about why some individuals generate high versus low neutralizing antibody titers. Here, we leverage the high-dimensional single-cell profiling capacity of mass cytometry to characterize the longitudinal cellular immune response to Zika virus (ZIKV) infection in viremic blood donors in Puerto Rico. During acute ZIKV infection, we identify widely coordinated responses across innate and adaptive immune cell lineages.

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Article Synopsis
  • - Early in the pandemic, there was hope that convalescent plasma from COVID-19 survivors would effectively treat hospitalized patients, but later controlled trials showed only moderate efficacy, especially when used early in infection.
  • - In a study, 12 adult rhesus macaques were infected with SARS-CoV-2 and then given either high-titer convalescent plasma or normal plasma; the results showed only slight benefits, with similar viral loads but reduced infectious virus in the lungs for those treated with convalescent plasma.
  • - Overall, the benefits of convalescent plasma were marginal compared to monoclonal antibodies, and the study highlights the need for improved animal models to test new treatment strategies against SARS-CoV-
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Unlabelled: The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic has caused a global economic and health crisis. Recently, plasma levels of galectin-9 (Gal-9), a β-galactoside-binding lectin involved in immune regulation and viral immunopathogenesis, were reported to be elevated in the setting of severe COVID-19 disease. However, the impact of Gal-9 on SARS-CoV-2 infection and immunopathology remained to be elucidated.

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Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) serosurveys can estimate cumulative incidence for monitoring epidemics, requiring assessment of serologic assays to inform testing algorithm development and interpretation of results. We conducted a multilaboratory evaluation of 21 commercial high-throughput SARS-CoV-2 serologic assays using blinded panels of 1,000 highly characterized specimens. Assays demonstrated a range of sensitivities (96%-63%), specificities (99%-96%), and precision (intraclass correlation coefficient 0.

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Background: COVID-19 convalescent plasma (CCP) was widely used as passive immunotherapy during the first waves of SARS-CoV-2 infection in the US. However, based on observational studies and randomized controlled trials, the beneficial effects of CCP were limited, and its use was virtually discontinued early in 2021, in concurrence with increased vaccination rates and availability of monoclonal antibody (mAb) therapeutics. Yet, as new variants of the SARS-CoV-2 spread, interest in CCP derived from vaccine-boosted CCP donors is resurging.

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Background: COVID-19 convalescent plasma (CCP), from donors recovered from severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection, is one of the limited therapeutic options currently available for the treatment of critically ill patients with COVID-19. There is growing evidence that CCP may reduce viral loads and disease severity; and reduce mortality. However, concerns about the risk of transfusion-transmitted infections (TTI) and other complications associated with transfusion of plasma, remain.

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