Publications by authors named "Maria Carolina Elias"

Article Synopsis
  • Human Pegivirus-1 (HPgV-1) is commonly found in humans but its effects on pediatric cancer patients with febrile neutropenia (FN) are not well-studied.
  • In a study analyzing 30 children, it was found that 23.3% had detectable HPgV-1 RNA, with slightly higher rates in those with FN (26.7%).
  • The predominant strain in the samples was identified as HPgV-1 genotype 2, prompting further research into its potential impact on FN and the health of immunocompromised patients.
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Article Synopsis
  • Respiratory illnesses caused by viral infections affect all age groups but are challenging to diagnose due to overlapping symptoms and incomplete local diagnostic panels.
  • A metagenomic study of 66 nasopharyngeal swab samples from patients with acute respiratory issues revealed significant undetected viruses, like rhinoviruses and enterovirus D68, as well as other notable viruses such as human herpesvirus and human parvovirus B19.
  • The findings highlight the critical role of viral metagenomics in uncovering overlooked viruses, which could inform public health strategies to improve diagnostics and patient care.
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Dengue virus (DENV) is currently causing epidemics of unprecedented scope in endemic settings and expanding to new geographical areas. It is therefore critical to track this virus using genomic surveillance. However, the complex patterns of viral genomic diversity make it challenging to use the existing genotype classification system.

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  • * A metagenomic analysis of plasma samples from 120 waste pickers in Brasilia identified significant viral pathogens, such as HIV, HCV, and Chikungunya, that were not present in a control group of blood donors.
  • * The study highlights the importance of using metagenomics to discover viral threats in underserved populations, informing public health strategies to better address the health needs of those with socioeconomic challenges.
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Article Synopsis
  • Since 2021, Brazil has faced a surge in COVID-19 cases and deaths due to new variants of concern (VOC) and low vaccination rates, which have led to the emergence of more mutations.
  • The study aimed to assess whether local genomic surveillance and epidemiological data can reflect nationwide trends in the COVID-19 pandemic.
  • Findings revealed three key variant replacements (Gamma, Delta, and Omicron) and highlighted that vaccination became increasingly effective in preventing new cases and deaths as the pandemic progressed.
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We aimed to describe the landscape, including molecular, epidemiological, and clinical aspects of CHIKV infections in the Ribeirao Preto region, an area endemic to dengue. We randomly screened 3744 plasma samples that had undergone DENV diagnosis to evaluate CHIKV-RNA using an in-house RT-PCR assay. Positive samples were followed clinically, and RNA samples were submitted to whole genome sequencing.

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Background: Dengue virus (DENV) and Chikungunya virus (CHIKV) pose significant public health threats in Brazil, where favorable conditions facilitated the proliferation of mosquitoes. Since the mid-1980s, Brazil has experienced annual outbreaks of DENV, with recent increases in confirmed cases. In addition, CHIKV, which was first reported in 2014, has spread across the country.

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Article Synopsis
  • * In this study, researchers used viral metagenomic analysis on 43 serum samples from patients in Brazil who tested negative for common hemorrhagic fever viruses, revealing the presence of Dengue virus (DENV) serotype 2 in one patient.
  • * The findings emphasize the importance of considering clinical symptoms for accurate testing and suggest that viral metagenomics could improve the identification of viral causes in hemorrhagic diseases, warranting further research for its implementation in standard diagnostics.
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  • * By the fourth week of 2022, while testing numbers declined, the positivity rate stayed high, showing that 60% of individuals tested positive, with infections in younger children increasing from 2.8% to 9.2%.
  • * The most common variant found was Omicron BA.1 (74.5%), with BA.2 showing signs of sustained transmission, indicating notable trends in the spread and evolution of this variant among the younger population.
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is the etiologic agent of the most prevalent human parasitic disease in Latin America, Chagas disease. Its genome is rich in multigenic families that code for virulent antigens and are present in the rapidly evolving genomic compartment named Disruptive. DNA replication is a meticulous biological process in which flaws can generate mutations and changes in chromosomal and gene copy numbers.

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Nipah virus (NiV), a biosafety level 4 agent, was first identified in human clinical cases during an outbreak in 1998 in Malaysia and Singapore. While flying foxes are the primary host and viral vector, the infection is associated with a severe clinical presentation in humans, resulting in a high mortality rate. Therefore, NiV is considered a virus with an elevated epidemic potential which is further underscored by its recent emergence (September 2023) as an outbreak in India.

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Since 2021, the emergence of variants of concern (VOC) has led Brazil to experience record numbers of in COVID-19 cases and deaths. The expanded spread of the SARS-CoV-2 combined with a low vaccination rate has contributed to the emergence of new mutations that may enhance viral fitness, leading to the persistence of the disease. Due to limitations in the real-time genomic monitoring of new variants in some Brazilian states, we aimed to investigate whether genomic surveillance, coupled with epidemiological data and SARS-CoV-2 variants spatiotemporal spread in a smaller region, can reflect the pandemic progression at a national level.

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The emergence of SARS-CoV-2 and the subsequent pandemic have prompted extensive diagnostic and clinical efforts to mitigate viral spread. However, these strategies have largely overlooked the presence of other respiratory viruses. Acute respiratory diseases in pediatric patients can be caused by a diverse range of viral agents, and metagenomics represents a powerful tool for their characterization.

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Article Synopsis
  • Fulminant hepatitis is a serious disease that leads to significant liver dysfunction and brain issues, and previous research found a high presence of Human pegivirus-1 (HPgV-1) in affected patients.
  • In a new study, 44.4% of plasma samples from patients with fulminant hepatitis tested positive for HPgV-1 RNA, with a mean cycle threshold of 28.5.
  • All positive samples were identified as belonging to the HPgV-1 genotype 2, highlighting a gap in understanding the virus's role in liver diseases and the need for further investigation.
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Dengue virus (DENV) has been a major public health concern in Paraguay, with frequent outbreaks occurring since early 1988. Although control measures have been implemented, dengue remains a significant health threat in the country, and continued efforts are required for prevention and control. In response to that, in collaboration with the Central Public Health Laboratory in Asunción, we conducted a portable whole-genome sequencing and phylodynamic analysis to investigate DENV viral strains circulating in Paraguay over the past epidemics.

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Epigenetic marks enable cells to acquire new biological features that favor their adaptation to environmental changes. These marks are chemical modifications on chromatin-associated proteins and nucleic acids that lead to changes in the chromatin landscape and may eventually affect gene expression. The chemical tags of these epigenetic marks are comprised of intermediate cellular metabolites.

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Genomic replication is a critical, regulated process that ensures accurate genetic information duplication. In eukaryotic cells, strategies have evolved to prevent conflicts between replication and transcription. Giardia lamblia, a binucleated protozoan, alternates between tetraploid and octaploid genomes during its cell cycle.

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Growing evidence suggests that metavirome changes could be associated increased risk for malignant cell transformation. Considering Viruses have been proposed as factors for prostate cancer induction. The objective of this study was to examine the composition of the plasma metavirome of patients with prostate cancer.

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Viral metagenomics has been extensively applied for the identification of emerging or poorly characterized viruses. In this study, we applied metagenomics for the identification of viral infections among pediatric patients with acute respiratory disease, but who tested negative for SARS-CoV-2. Twelve pools composed of eight nasopharyngeal specimens were submitted to viral metagenomics.

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São Paulo is the financial center of Brazil, with a population of over 12 million, that receives travelers from all over the world for business and tourism. It was the first city in Brazil to report a case of COVID-19 that rapidly spread across the city despite the implementation of the restriction measures. Despite many reports, much is still unknown regarding the genomic diversity and transmission dynamics of this virus in the city of São Paulo.

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The COVID-19 pandemic has brought significant challenges for genomic surveillance strategies in public health systems worldwide. During the past thirty-four months, many countries faced several epidemic waves of SARS-CoV-2 infections, driven mainly by the emergence and spread of novel variants. In that line, genomic surveillance has been a crucial toolkit to study the real-time SARS-CoV-2 evolution, for the assessment and optimization of novel diagnostic assays, and to improve the efficacy of existing vaccines.

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Background: Brazil has been dramatically hit by the SARS-CoV-2 pandemic and is a world leader in COVID-19 morbidity and mortality. Additionally, the largest country of Latin America has been a continuous source of SARS-CoV-2 variants and shows extraordinary variability of the pandemic strains probably related to the country´s outstanding position as a Latin American economical and transportation hub. Not all regions of the country show sufficient infrastructure for SARS-CoV-2 diagnosis and genotyping which can negatively impact the pandemic response.

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From a country with one of the highest SARS-CoV-2 morbidity and mortality rates, Brazil has implemented one of the most successful vaccination programs. Brazil's first model city vaccination program was performed by the CoronaVac vaccine (Sinovac Biotech) in the town of Serrana, São Paulo State. To evaluate the vaccination effect on the SARS-CoV-2 molecular dynamics and clinical outcomes, we performed SARS-CoV-2 molecular surveillance on 4375 complete genomes obtained between June 2020 and April 2022 in this location.

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