Publications by authors named "Mouinga-Ondeme Augustin"

Article Synopsis
  • HIV/AIDS remains a leading cause of death in sub-Saharan Africa, but antiretroviral therapies (ARTs) have improved health outcomes and reduced morbidity, mortality, and opportunistic infections (OIs) among patients.* -
  • A study was conducted in Gabon using data from 2017 to 2019 to identify risk factors for OIs in HIV patients on ART, analyzing 223 participants through various biological tests and statistical methods.* -
  • The findings revealed that 57.9% of patients developed OIs, with a significant prevalence of bacterial and viral infections, and highlighted a link between low CD4 T-cell counts and male gender as risk factors for OI occurrence.*
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Objectives: Hepatitis B virus (HBV) infection remains a public health threat in middle- and low-income countries, where mother-to-child transmission plays an important role. The aim of this study was to assess the burden of this infection among pregnant women in southern Gabon and the risk of vertical transmission.

Methods: The study was a prospective investigation conducted from April 2021 to January 2022.

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Article Synopsis
  • * Human T-Cell leukemia virus type 1 (HTLV-1) significantly increases the risk of opportunistic infections and accelerates the progression to AIDS in individuals co-infected with HIV-1 compared to those infected with only one virus.
  • * In Gabon, high rates of HTLV-1 and HIV-1 co-infections are alarming due to underdiagnosis and associated pathologies, posing serious hurdles for achieving HIV/AIDS elimination goals by 2030.
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The recent COVID-19 pandemic outbreak and arising complications during treatments have highlighted and demonstrated again the evolving ability of microorganisms, especially viral resistance to treatment as they develop into new and strong strains. The search for novel and effective treatments to counter the effects of ever-changing viruses is undergoing. Although it is an approved procedure for treating cancer, photodynamic therapy (PDT) was first used against bacteria and has now shown potential against viruses and certain induced diseases.

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Chronic liver diseases still represent a worrying public health issue in Sub-Saharan Africa. In this region, emphasis is generally made on hepatocellular carcinoma (HCC) albeit liver cirrhosis (LC) is also responsible for an important death toll. Very few studies have compared the presentation and etiologies of cancer and cirrhosis of the liver in Middle Africa.

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Article Synopsis
  • - Human African Trypanosomiasis (HAT), caused by trypanosome parasites, poses a serious health threat in sub-Saharan Africa but remains a neglected tropical disease, affecting numerous individuals, particularly in Gabon.
  • - A study in Gabon revealed that 19.34% of domestic animals tested were infected with trypanosomes, with varying rates among dogs (23.21%), goats (16.10%), and sheep (21.00%).
  • - Molecular analysis identified at least six species of trypanosomes in domestic animals, suggesting these animals may serve as significant reservoirs for the parasites linked to HAT, emphasizing the need for further research in this area.
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Article Synopsis
  • Human T-cell lymphotrophic virus type-1 (HTLV-1) and human immunodeficiency virus (HIV-1) co-infection is common in Gabon, and co-infected individuals tend to progress more rapidly to AIDS.
  • * The study involved 299 individuals, revealing a 7.7% prevalence of HTLV-1 infection, with women and older age being risk factors for co-infection.
  • * Results indicated higher CD4+ cell counts and a lower HIV-1 viral load in co-infected individuals compared to those with just HIV-1, emphasizing the need for improved prevention and management strategies for co-infections.
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Importance: Since the emergence of COVID-19 in central China, sub-Saharan African countries, with the exception of South Africa, have been relatively spared during the COVID-19 pandemic. Consequently, few descriptive studies from this region are available.

Objective: To describe the clinical characteristics and outcomes of patients with COVID-19 infection in Gabon, from March to June 2020.

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Human herpesvirus 8 (HHV-8) is the etiological agent of all forms of Kaposi's sarcoma (KS). K1 gene studies have identified five major molecular genotypes with geographical clustering. This study described the epidemiology of HHV-8 and its molecular diversity in Gabon among Bantu and Pygmy adult rural populations and KS patients.

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Peptide Nucleic Acid (PNAs) and small noncoding RNAs including small interfering RNAs (siRNAs) represent a new class of oligonucleotides considered as an alternative therapeutic strategy in the chronic hepatitis B treatment. Indeed, chronic hepatitis B virus (HBV) infection remains a major public health problem worldwide, despite the availability of an effective prophylactic vaccine. Current therapeutic approaches approved for chronic HBV treatment are pegylated-interferon alpha (IFN)-α and nucleos(t)ide analogues (NAs).

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Background: The projected UNAIDS goal of ending AIDS by 2030 requires significant global efforts to improve current and future ART strategies. In this study, we assessed viral load (VL) suppression and acquired drug resistance, as well as future efficacy of dolutegravir-based combinations for patients living in semi-rural regions of Gabon.

Methods: Eligible study participants were adults receiving ART and recruited between 2018 and 2019 in Franceville, Gabon.

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Background: There is little information on the social perception of malaria and the use of preventative measures in Gabon, especially in rural areas. Adequate knowledge of malaria prevention and control can help in reducing the burden of malaria among vulnerable groups, particularly pregnant women and children under 5 years old living in malaria-endemic settings. This study was designed to assess the prevalence of malaria and the knowledge and attitude towards this disease in households in Nyanga Province.

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Article Synopsis
  • The study highlights that Gabon has a significant prevalence of HTLV-1 infection, with an overall rate of 0.74% among blood donors, which is among the highest in Africa.
  • A total of 3123 blood donors were tested, revealing that 132 samples were positive for HTLV-1/2 antibodies, but only 23 were confirmed as infected with HTLV-1 through further testing.
  • The findings suggest a necessity for blood donor screening in Gabon to prevent HTLV-1 transmission, emphasizing the need for cost-effectiveness studies to evaluate the implementation of such screening.
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Among all known retroviruses, foamy viruses (FVs) have the most stable virus-host co-speciation history, co-diverging in concert with their vertebrate hosts for hundreds of millions of years. However, detailed molecular analyses indicate that different parts of their genome might have different evolutionary histories. While their polymerase gene displays a robust and straightforward virus-host co-speciation pattern, the evolutionary history of their envelope () gene, is much more complicated.

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Cross-species transmission of simian foamy viruses (SFVs) from nonhuman primates (NHPs) to humans is currently ongoing. These zoonotic retroviruses establish lifelong persistent infection in their human hosts. SFV are apparently nonpathogenic , with ubiquitous tropism.

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Background: Human T-Lymphotropic Virus type 1 (HTLV-1) is a human oncoretrovirus that infects at least 5 to 10 million people worldwide and is associated with severe diseases. Africa appears as the largest HTLV-1 endemic area. However, the risk factors for the acquisition of HTLV-1 remain poorly understood in Central Africa.

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Molecular screening of 300 at-risk people from Central Africa identified 2 human T-lymphotropic virus (HTLV)-4-infected individuals. A zoonotic origin of infection was suggested, as both individuals reported being severely bitten by a gorilla during hunting activities. One strain was highly divergent and was designated as the HTLV-4 subtype-b prototype.

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Integrated data on hepatitis B virus (HBV) patterns, HBV genotypes and mutations are lacking in human immunodeficiency virus type 1 (HIV-1) co-infected patients from Africa. This survey was conducted in 2010-2013 among 762 HIV-1-positive adults from Gabon who were predominantly treated with 3TC-based antiretroviral treatment. HBV patterns were identified using immunoassays detecting total antibody to hepatitis B core antigen (HBcAb), hepatitis B surface antigen (HBsAg), IgM HBcAb, hepatitis B e antigen (HBeAg), antibody to HBsAg (HBsAb) and an in-house real-time PCR test for HBV DNA quantification.

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Unlabelled: Simian foamy virus (SFV) is a ubiquitous retrovirus in nonhuman primates (NHPs) that can be transmitted to humans, mostly through severe bites. In the past few years, our laboratory has identified more than 50 hunters from central Africa infected with zoonotic SFVs. Analysis of the complete sequences of five SFVs obtained from these individuals revealed that env was the most variable gene.

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Background/objectives: Guidelines for optimized HCV screening are urgently required in Africa, especially for patients infected with HIV, who sometimes show false positive or false negative reactivity in anti-HCV antibody assays. Here, we assessed the usefulness of a fourth-generation HCV Ag-Ab ELISA for the identification of active HCV infection in HIV-positive patients.

Methods: This cross-sectional study was conducted between 03/2010 and 01/2013 and included 762 Gabonese HIV-positive adult patients.

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Of 78 Gabonese individuals who had received bites from nonhuman primates (NHPs) while hunting, 7 were infected with human T lymphotropic virus (HTLV-1). Five had been bitten by gorillas and were infected with subtype B strains; however, a 12-year-old girl who was severely bitten by a Cercopithecus nictitans was infected with a subtype D strain that was closely related to the simian T lymphotropic virus (STLV-1) that infects this monkey species. Her mother was infected with a subtype B strain.

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Evaluations of HIV-1 RNA viral load assays are lacking in Central Africa. The main objective of our study was to assess the reliability of HIV-1 RNA results obtained with three different assays for samples collected in Gabon. A total of 137 plasma specimens were assessed for HIV-1 RNA using the Abbott RealTime HIV-1® and Nuclisens HIV-1 EasyQ® version 2.

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It is now known that all human retroviruses have a non-human primate counterpart. It has been reported that the presence of these retroviruses in humans is the result of interspecies transmission. Several authors have described the passage of a simian retrovirus, simian foamy virus (SFV), from primates to humans.

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