Publications by authors named "Jean-Christophe Plantier"

Article Synopsis
  • The Central African Republic (CAR) is experiencing a significant HIV epidemic with diverse and unique strains, particularly atypical non-M HIV-1 strains.
  • In a study analyzing over 6,000 HIV-positive samples, researchers identified six rare atypical strains, including three HIV-1 group O and three HIV-2 strains, each linked to different years and areas.
  • The findings stress that while HIV-1/M remains the most prevalent type in CAR, the presence of rare strains highlights the necessity for updated surveillance and management practices to address the challenges posed by HIV's genetic diversity.
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  • The study assessed the performance of the Access anti-HBc Total assay on the DxI 9000 system, involving samples from blood donors and patients to evaluate diagnostic accuracy.
  • The assay showed a clinical specificity of 99.58% for blood donors and 99.27% for hospitalized patients, meaning it accurately identified negatives in nearly all cases.
  • Additionally, the Access assay demonstrated high sensitivity at 99.78% for positive samples and detected seroconversion earlier than a comparator assay by approximately 1.4 days.
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Unlabelled: The susceptibility of genetically divergent HIV-1 strains (HIV-1 non-M) from groups O, N, and P to the CCR5 co-receptor antagonist, maraviroc (MVC), was investigated among a large panel of 45 clinical strains, representative of the viral genetic diversity. The results were compared to the reference strains of HIV-1 group M (HIV-1/M) with known tropism. Among the non-M strains, a wide range of phenotypic susceptibilities to MVC were observed.

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Objectives: Widespread testing and treatment are essential to eliminate hepatitis B virus (HBV) infection as a public health concern. However, in resource-limited countries, access to HBV PCR is limited. In this study, we developed a quantitative HBV PCR assay on open molecular platforms and evaluate its performance in diagnosing clinically significant HBV DNA thresholds as defined by the WHO (2000 IU/mL, 20 000 IU/mL, and 200 000 IU/mL).

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Introduction: This study evaluated the clinical and analytical performances of the Access HBsAg and the Access HBsAg Confirmatory assays on the DxI 9000 Access Immunoassay Analyzer (Beckman Coulter, Inc.).

Materials And Methods: Diagnostic specificity and sensitivity of the Access HBsAg and Access HBsAg Confirmatory assays were evaluated by comparing the Access assays to the final HBsAg sample status determined using the Architect, PRISM, or Elecsys HBsAg assays, along with Architect or PRISM HBsAg Confirmatory assays.

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Article Synopsis
  • Many manufacturers have created new kits for quantifying plasma HIV-1 RNA, and a recent kit combining the ELITe InGenius® instrument with the HIV1 ELITe MGB® kit has been launched globally.
  • The study aimed to compare the clinical performance of this new kit with Hologic's Aptima® HIV-1 Quant Dx kit using a variety of HIV-1 samples to assess linearity, specificity, and sensitivity.
  • Results showed that the two kits had an overall agreement of 83.7%, with slight differences in detection rates, but both were effective for monitoring viral load in patients with different HIV-1 strains.
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  • Genetic recombination is a key process in the evolution of HIV-1, allowing groups M and O to create unique hybrid forms known as HIV-1/MO intergroup recombinants.
  • A study focused on the replicative potential of these recombinant forms, particularly looking at a specific recombination pattern between groups M and O and analyzing their viral activity in the lab.
  • The findings indicated that while the group M parental virus showed more viral activity than group O, the recombinant virus displayed a mix of both parent characteristics, suggesting a complex interplay in its ability to replicate and evolve.
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  • During the COVID-19 outbreak, a study was conducted at the University of Rouen Normandy to compare the knowledge, attitudes, and practices (KAP) of health and science students regarding COVID-19 prevention measures.
  • Results indicated that while more science students were aware of the university's COVID-19 protocols, health students showed higher compliance with public health measures both at home and at school.
  • The analysis revealed that knowledge of the university protocols and perceived efficacy of the measures were key factors in compliance, highlighting that health students could play a vital role in combating viral pandemics.
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Immunoblots remain the gold standard for HIV-1/HIV-2 infection confirmation. However, their ability to differentiate HIV-1 from HIV-2 infection on an antigenically diversified HIV-1 and HIV-2 panel remain uncommon. We performed a multicenter study on 116 serum samples accounting for most of the diversity of HIV-1 (9 different subtypes in group M, 17 circulating recombinant forms (CRFs), and 3 group O) and HIV-2 (groups A and B), evaluating seven confirmatory assays (six commercially available assays and one in-house assay) with genotyping as the reference.

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Since the end of 2020, multiple severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants of concern (VOCs) have emerged and spread worldwide. Tracking their evolution has been a challenge due to the huge number of positive samples and limited capacities of whole-genome sequencing. Two in-house variant-screening RT-PCR assays were successively designed in our laboratory in order to detect specific known mutations in the spike region and to rapidly detect successively emerging VOCs.

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Article Synopsis
  • - This study aimed to confirm co-infections of HIV-1 and HIV-2 in West African patients using specialized tests and molecular methods.
  • - Conducted from April 2016 to October 2017 in major clinics in Côte d'Ivoire and Burkina Faso, the survey involved 91 patients who underwent various serological and molecular tests for HIV confirmation.
  • - Results showed that out of the 91 participants, 75.4% had both HIV-1 and HIV-2, highlighting the need for improved molecular diagnostics to better identify these co-infections in the region.
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To eliminate HIV infection, there are several elements to take into account to limit transmission and break viral replication, such as epidemiological, preventive or therapeutic management. The UNAIDS goals of screening, treatment and efficacy should allow for this elimination if properly followed. For some infections, the difficulty is linked to the strong genetic divergence of the viruses, which can impact the virological and therapeutic management of patients.

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In February 2022, samples collected in northwest France showed discordant molecular results. After virological and epidemiological investigations, 17 cases of Deltacron XD recombinant severe acute respiratory syndrome coronavirus 2 were confirmed by sequencing or suspected due to epidemiological links, showing evidence of an extended transmission event and circulation of this form, with low clinical severity.

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  • In late November 2021, three confirmed cases of the SARS-CoV-2 B.1.640 variant were reported in Normandy, France, leading to further investigations into a cluster of infections.
  • A total of 75 confirmed and probable cases of the B.1.640 variant were identified, with the majority of cases occurring in individuals over 65 years old.
  • Out of these cases, 56 exhibited symptoms, and four required hospitalization, highlighting the need for more information about this variant.
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Background: The genetic divergence of HIV-1 group O is high relative to pandemic group M, which could impact detection and quantification of plasma RNA. Recent commercial kits for RNA quantification seem to show good performances in HIV-1/O, but discrepancies are still observed. Here, we compare the performances of 3 commercial assays for the RNA quantification of HIV-1/O.

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Objectives: HIV-1 group O (HIV-1/O) is one of the four HIV-1 groups and is endemic in Cameroon, representing 1% of HIV-1 infections in the population. Around 50% of the strains of this group naturally show a mutation (Y181C) providing them with resistance to NNRTIs and making therapeutic management more difficult. Today, the WHO recommends the use of integrase strand transfer inhibitors (INSTIs) as first-line treatment.

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Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is associated with a high rate of mortality in patients with ESKD, and vaccination is hoped to prevent infection.

Methods: Between January 18 and February 24, 2021, 225 kidney transplant recipients (KTRs) and 45 patients on hemodialysis (HDPs) received two injections of mRNA BNT162b2 vaccine. The postvaccinal humoral and cellular response was explored in the first 45 KTRs and ten HDPs.

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  • This study analyzed the viral dynamics of SARS-CoV-2 in 655 hospitalized patients to explore its link to mortality, finding that older patients had slower viral clearance and higher mortality risk.
  • The research identified key risk factors for mortality, including age ≥65, male gender, and chronic pulmonary disease, along with the independent role of viral load dynamics.
  • A model suggested that effective treatments reducing viral production upon admission could significantly decrease time to viral clearance and potentially lower mortality rates for at-risk patients.
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Background: Reverse transcription-quantitative PCR on nasopharyngeal swabs is currently the reference COVID-19 diagnosis method but exhibits imperfect sensitivity.

Methods: We developed a multiplex reverse transcription-digital droplet PCR (RT-ddPCR) assay, targeting 6 SARS-CoV-2 genomic regions, and evaluated it on nasopharyngeal swabs and saliva samples collected from 130 COVID-19 positive or negative ambulatory individuals, who presented symptoms suggestive of mild or moderate SARS-CoV2 infection.

Results: For the nasopharyngeal swab samples, the results obtained using the 6-plex RT-ddPCR and RT-qPCR assays were all concordant.

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