Publications by authors named "Juan Carreno"

Background: The emergence of new SARS-CoV-2 variants poses a new challenge for the treatment of immunocompromised patients against COVID-19. In this context, high titer COVID-19 Convalescent Plasma (CCP) is one of the few available therapeutics for these patients. We have revisited the selection of CCP samples and its efficacy against Omicron XBB.

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  • Chronic exposure to electronic cigarette (E-cig) vapor, especially with nicotine, did not significantly impact blood pressure or cardiac function in young rats, unlike standard cigarette smoke which raised these measures.
  • In older rats, E-cig exposure did not affect heart rate or blood pressure, but nicotine vaping was linked to increased heart and left ventricle weight compared to air exposure.
  • Overall, while acute E-cig vapor exposure raises blood pressure, long-term effects appear less harmful compared to traditional cigarette smoke in both young and old rats.
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Production of affordable coronavirus disease 2019 (COVID-19) vaccines in low- and lower-middle-income countries is needed. NDV-HXP-S is an inactivated egg-based recombinant Newcastle disease virus vaccine expressing the spike protein of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). A public sector manufacturer in Vietnam assessed the immunogenicity of NDV-HXP-S (COVIVAC) relative to an authorized vaccine.

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The severity of SARS-CoV-2 illness is influenced by factors including age, sex, pre-existing health conditions, and individual immune responses. However, the mechanisms conferring immunity following antigenic challenge have not been fully elucidated. There are currently no studies evaluating longitudinal proteomic changes in individuals following vaccination and breakthrough, limiting our understanding of the underlying mechanisms driving conferred immunity.

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  • Recent research indicates that both neutralizing and non-neutralizing antibodies can help protect against severe COVID-19, even when non-neutralizing antibodies don’t directly neutralize the virus.* -
  • Non-neutralizing antibodies may recruit immune cells to help clear infected cells and often bind to virus parts that are conserved across different variants.* -
  • The study analyzed 42 human monoclonal antibodies from vaccinated individuals, finding that some non-neutralizing antibodies can provide protection in animal models, highlighting their potential role in immunity.*
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Sodium serves as one of the primary cations in the central nervous system, playing a crucial role in maintaining normal brain function. In this study, we investigated alterations in sodium concentrations in the brain and/or cerebrospinal fluid across multiple models, including an aging model, a stroke model, a nitroglycerin (NTG)-induced rat migraine model, a familial hemiplegic migraine type 2 (FHM2) mouse model, and a transgenic mouse model of Alzheimer's disease (AD). Our results reveal that older rats exhibited higher sodium concentrations in cerebrospinal fluid (CSF), plasma, and various brain regions compared to their younger counterparts.

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  • SARS-CoV-2 can spread from asymptomatic individuals, posing a greater risk to cancer patients who frequently visit healthcare facilities and are more vulnerable to severe COVID-19 outcomes.* -
  • A study of lung cancer patients revealed that over half of those with evidence of SARS-CoV-2 infection were asymptomatic at diagnosis, and a significant number were never clinically diagnosed.* -
  • The findings indicate that older patients and those with early-stage lung cancer are more likely to have asymptomatic infections, highlighting the need for continued preventive measures in high-risk populations.*
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  • * A longitudinal study involving 296 LC patients (median age 69) collected blood samples every three months, analyzing the effects of both time-independent and time-dependent variables on SAb levels using a regression model.
  • * Key findings revealed that prior SARS-CoV-2 infections and booster vaccinations significantly increased antibody titers, while chemotherapy and steroid use led to decreased levels; additionally, female patients with a history of smoking showed significantly lower titers.
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  • * It analyzed samples from over 55,000 individuals and identified significant increases in antibody prevalence, particularly during vaccination phases, achieving over 90% seroprevalence by July 2022.
  • * The findings highlight the evolving patterns of immunity in a diverse urban population, indicating how responses to the virus have shifted as the pandemic transitions towards an endemic state.
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Germinal centers (GC) are microanatomical lymphoid structures where affinity-matured memory B cells and long-lived bone marrow plasma cells are primarily generated. It is unclear how the maturation of B cells within the GC impacts the breadth and durability of B cell responses to influenza vaccination in humans. We used fine needle aspiration of draining lymph nodes to longitudinally track antigen-specific GC B cell responses to seasonal influenza vaccination.

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  • - The study focuses on monitoring the evolution of SARS-CoV-2 variants to assess their ability to evade immune responses, emphasizing the importance of different neutralization assays and various serum samples.
  • - Comparisons were made among datasets using human, hamster, and mouse serum, revealing that animal models, especially hamsters, generally yielded higher neutralization titers than human samples, while showing consistent patterns across assays.
  • - The findings suggest a shift in SARS-CoV-2 surveillance strategies from relying solely on human serum from first infections to incorporating serum from animal models, particularly hamsters, for more reliable results.
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  • H9N2 influenza A viruses have become common in poultry in the Middle East and Asia, leading to an increase in human infections.
  • A novel strain of H9N2 was found in Egyptian fruit bats, which shares genetic traits with current avian strains, indicating possible recent genetic mixing.
  • Research shows that bat H9N2 can replicate and spread in ferrets, infect human lung tissue, and evade certain antiviral defenses, highlighting its potential risk as a pre-pandemic virus.
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Post vaccine immunity following COVID-19 mRNA vaccination may be driven by extrinsic, or controllable and intrinsic, or inherent health factors. Thus, we investigated the effects of extrinsic and intrinsic on the peak antibody response following COVID-19 primary vaccination and on the trajectory of peak antibody magnitude and durability over time. Participants in a longitudinal cohort attended visits every 3 months for up to 2 years following enrollment.

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Associations between antenatal SARS-CoV-2 infection and pregnancy outcomes have been conflicting and the role of the immune system is currently unclear. This prospective cohort study investigated the interaction of antenatal SARS-CoV-2 infection, changes in cytokine and HS-CRP levels, birthweight and gestational age at birth. 2352 pregnant participants from New York City (2020-2022) were included.

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Subvariants of the Omicron lineage of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) efficiently escape neutralizing antibody responses induced by both vaccination and infection with antigenically distinct variants. Here, we describe the potency and breadth of neutralizing and binding antibody responses against a large panel of variants following an Omicron BA.1 or BA.

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  • - Recent studies reveal that while neutralizing antibodies are important for protection against SARS-CoV-2, binding antibodies without strong neutralizing activity can still help prevent disease progression by potentially recruiting immune cells to clear infected cells.
  • - Researchers characterized 42 human monoclonal antibodies (mAbs) from vaccinated individuals, finding that many lacked neutralizing activity but still provided protection in animal models against severe infections.
  • - The study's findings support the real-world observation that non-neutralizing antibodies targeting specific regions of the virus can offer protection, emphasizing the importance of both types of antibodies in the immune response to SARS-CoV-2.
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It is thought that mRNA-based vaccine-induced immunity to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) wanes quickly, based mostly on short-term studies. Here, we analyzed the kinetics and durability of the humoral responses to SARS-CoV-2 infection and vaccination using >8,000 longitudinal samples collected over a 3-year period in New York City. Upon primary immunization, participants with pre-existing immunity mounted higher antibody responses faster and achieved higher steady-state antibody titers than naive individuals.

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The effect of electronic cigarette (E-cig) vaping on cardiac and vascular function during the healing phase of myocardial infarction (MI), and post-MI remodeling was investigated. Sprague Dawley rats were subjected to left coronary artery ligation to induce MI. One week later, rats were randomized to receive either 12 weeks of exposure to purified air (n = 37) or E-cig vapor (15 mg/ml of nicotine) (n = 32).

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As demonstrated by severe acute respiratory syndrome coronavirus 2, coronaviruses pose a significant pandemic threat. Here, we show that coronavirus disease 2019 mRNA vaccination can induce significant levels of cross-reactive antibodies against diverse coronavirus spike proteins. While these antibodies are binding antibodies that likely have little neutralization capacity and while their contribution to cross-protection is unclear, it is possible that they may play a role in protection from progression to severe disease with novel coronaviruses.

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Antibodies on mucosal surfaces of the upper respiratory tract have been shown to be important for protection from infection with SARS-CoV-2. Here we investigate the induction of serum IgG, saliva IgG, and saliva sIgA after COVID-19 mRNA booster vaccination or breakthrough infections.

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Objective: The effect of stress on vaccine-induced humoral immunity and therapeutic interventions to mitigate pandemic-related stress remain underexplored.

Method: Participants in a longitudinal cohort study ( n = 189) completed a validated measure, GAD-7, and 10-instrument stress measure to assess stress and anxiety after severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccination. Serum was collected to obtain SARS-CoV-2 antibody titer levels.

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Patients diagnosed with lung cancer (LC) exhibit increased susceptibility to SARS-CoV-2 infection. Rodilla et al. monitor the levels of plasma anti-nucleocapsid antibodies within a cohort of fully vaccinated LC patients and reveal that the actual infection rate is nearly twice the documented rate, indicating a significant prevalence of unreported cases.

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The antigenic evolution of SARS-CoV-2 requires ongoing monitoring to judge the immune escape of newly arising variants. A surveillance system necessitates an understanding of differences in neutralization titers measured in different assays and using human and animal sera. We compared 18 datasets generated using human, hamster, and mouse sera, and six different neutralization assays.

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  • Seasonal influenza viruses infect around 1 billion people globally each year, leading to millions of severe cases and hundreds of thousands of deaths, emphasizing the need for better vaccines.
  • Current vaccines focus on the hemagglutinin (HA) protein but have mixed effectiveness against viral variants, highlighting the importance of improving immune responses through innovative vaccine designs like chimeric and mosaic HAs.
  • A new bioprocess was developed to create inactivated split vaccines using chimeric and mosaic HAs, successfully maintaining the active viral components and minimizing harmful residues, paving the way for future research and clinical trials on influenza vaccines.
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Persistent severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections have been reported in immune-compromised individuals and people undergoing immune-modulatory treatments. Although intrahost evolution has been documented, direct evidence of subsequent transmission and continued stepwise adaptation is lacking. Here we describe sequential persistent SARS-CoV-2 infections in three individuals that led to the emergence, forward transmission, and continued evolution of a new Omicron sublineage, BA.

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