Publications by authors named "Runan Zhu"

Background: The heterogeneity of childhood wheezing illnesses is associated with viral and host factors. Human rhinoviruses (HRV) are the major pathogens in severe wheezing in young children. The single nucleotide polymorphism (SNP) rs6967330 G > A proved to heighten the risk of wheezing.

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Marek's disease virus (MDV), a highly contagious and oncogenic avian alphaherpesvirus, establishes a latent infection primarily in CD4 T cells. Latent infections are necessary for both persistent lifelong MDV infection and viral tumorigenesis. MicroRNAs (miRNAs) play critical roles as post-transcriptional regulators of viral infections.

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Background: Variations in the fusion (F) protein of respiratory syncytial virus (RSV) with main antigenic sites I-V and Ø may affect the development of RSV vaccines and therapies.

Methods: In the study, 30 respiratory specimens positive for RSV were randomly selected from children with acute lower respiratory infections (ALRI) in Beijing every year from 2012 to 2021 for gene sequencing. Then, 300 gene sequences and 508 uploaded to GenBank from China were subjected to phylogenetic analysis.

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Head-to-tail sequences have been reported in human bocavirus (HBoV) 1-4. To reveal their features and functions, HBoV DNA was screened among respiratory specimens from pediatric patients with an acute respiratory infection (ARI) between April 2020 and December 2022, followed by HBoV genotyping. Head-to-tail sequences were detected using nested PCR, TA cloning, and Sanger sequencing, and these findings were confirmed by mNGS and amplicon sequencing.

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Article Synopsis
  • Several factors were identified as risk factors for severe acute lower respiratory infection caused by RSV in infants and young children, such as age under 2 years and low birth weight.
  • A scoring system was developed through logistic regression analysis, using data from 1,066 children with RSV-ALRI, to predict instances of RSV-sALRI effectively.
  • The scoring system showed promising results in the validation set, with a sensitivity of 70.25% and specificity of 85.53%, indicating it has a high predictive value for identifying children at risk.
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  • Recombination events in human adenovirus (HAdV) can create new pathogenic strains, making monitoring essential for pediatric patients with acute respiratory infections.
  • A study collected and analyzed HAdV-positive samples from children between 2015 and 2021, focusing on gene sequencing to classify various types, and developing improved methods to identify co-infections.
  • The findings revealed 466 positive cases, with HAdV-B3 and HAdV-B7 being the most common, while also identifying a novel recombinant strain named HAdV-D115, linked to multiple other strains through genetic recombination.
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  • - A 10-year study in China from 2012-2021 found that 7.54% of acute respiratory infection (ARI) patients were infected with rhinovirus (RV), with a significant portion (69.49%) being children under 5 years old.
  • - RV species A, B, and C were identified, with RV-A being more common in older adults and RV-C in younger children, while both RV-A and RV-C were associated with higher rates of pneumonia compared to RV-B.
  • - The study revealed over 100 types of RV, with RV-A peaking earlier in the year than RV-C, indicating notable differences in the epidemiological and clinical aspects of RV species among ARI patients.
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  • Coxsackievirus A16 (CVA16) is responsible for hand, foot, and mouth disease (HFMD), and this study analyzed global genetic sequences of the virus to understand its evolution and transmission.
  • A total of 1,663 CVA16 sequences were studied, revealing three main genotypes (A, B, D) and clusters within these groups, with the B1b cluster being the most prevalent globally.
  • The research uncovered four phases of CVA16 evolution, identifying Europe, China, and Japan as key sources of its spread, and suggested that the shifts in genotypes and recombination forms were interconnected processes rather than random events.*
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The risk factors of severe infections in children during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreak in Beijing remain elusive. SARS-CoV-2-positive children admitted to the intensive care unit (ICU) with collected plasma specimens were enrolled and screened for common pathogens using capillary electrophoresis-based multiplex PCR from December 12, 2022, to January 24, 2023. The SARS-CoV-2 sub-variants were identified using next-generation sequencing.

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Background: The coronavirus disease 2019 outbreak has hit Beijing since mid-Nov, 2022, with soaring growth of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) among children. Therefore, it is vital to determine the clinical manifestations of epidemic SARS-CoV-2 strains in paediatric patients.

Methods: In this study, nucleic acid tests (NATs) for SARS-CoV-2 were performed in paediatric outpatients with symptoms of acute respiratory tract infection during 18 Nov-6 Dec, 2022.

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Human adenovirus serotype 31 (HAdV-31) is closely associated with gastroenteritis in children and can cause fatal systemic disseminated diseases in immunocompromised patients. The lack of genomic data for HAdV-31, especially in China, will greatly limit research on its prevention and control. Sequencing and bioinformatics analyses were performed for HAdV-31 strains from diarrheal children in Beijing, China, during 2010-2022.

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Article Synopsis
  • Previous studies couldn't definitively distinguish between antibodies for human bocavirus (HBoV) types 1 and 2 due to cross-reactivity.
  • Researchers identified specific divergent regions (DRs) on the VP3 protein of HBoV1 and HBoV2, developing antibodies against these regions for further testing.
  • Results indicated that the anti-DR2 antibody was genotype-specific, effectively distinguishing HBoV1 from HBoV2 in clinical samples, while other regions showed cross-reactivity.
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Purpose: Immune escaping from host herd immunity has been related to changes in viral genomic sequences. The study aimed to understand the diverse immune responses to different subtypes or genotypes of human respiratory syncytial virus (RSV) in pediatric patients.

Methods: The genomic sequences of different subtypes or RSV genotypes, isolated from Beijing patients, were sequenced and systematically analyzed.

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Background: Under the pressure of non-pharmaceutical interventions (NPIs) targeting severe acute respiratory syndrome coronavirus 2, the prevalence of human adenovirus (HAdV) was monitored before and after NPIs launched on Jan 24, 2020 in pediatric patients in Beijing, China.

Methods: Respiratory samples collected from children hospitalized with acute respiratory infections from Jan 2015 to Dec 2021 were screened by direct immunofluorescence test or capillary electrophoresis-based multiplex PCR assay. The hexon, penton base, and fiber genes were amplified from HAdV positive specimens, then sequenced.

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Article Synopsis
  • Nonpharmaceutical interventions (NPIs) were implemented in Beijing starting January 24, 2020, to control COVID-19, impacting the respiratory syncytial virus (RSV) dynamics in the region.
  • Analysis of respiratory samples from children revealed a significant decline in RSV positive rates following the NPIs, dropping from 31.93% in January 2020 to as low as 1% by March.
  • The study noted a shift in RSV subtypes, with RSV-A becoming dominant, and a reduced incidence of severe pneumonia cases among children after the NPIs were introduced.
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Infections caused by bovine herpesvirus 1 (BoHV-1) remain a serious global issue to the health and welfare of the bovine industry. Monitoring of neutralizing antibodies is essential not only for epidemic diagnosis, but also to assess vaccination efficacy. In this study, we generated a neutralizing monoclonal antibody, termed as 3F8, targeting glycoprotein D (gD) of BoHV-1.

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A comparative analysis of confirmed cases of human influenza virus (HIFV), human respiratory syncytial virus (HRSV), and human metapneumovirus (HMPV) was conducted to describe their clinical and epidemiological characteristics. During 2009-2021, active surveillance of acute respiratory infections (ARIs) was performed in nine provinces of China. Clinical and epidemiological information and laboratory testing results of HIFV, HRSV, and HMPV were analyzed.

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  • Human bocavirus 1 (HBoV1), identified in 2005, was found in both symptomatic and healthy children, complicating the understanding of its role in respiratory infections.
  • A study analyzed respiratory samples from children with acute respiratory tract infections (ARTI) between 2017 and 2021 using various testing methods to assess the presence and impact of HBoV1.
  • Results indicated that HBoV1 is a true pathogen for ARTI in children, with significant findings from nucleic acid, antigen, and serology tests confirming its pathogenic role.
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Background: A series of public health preventive measures has been widely implemented in Beijing to control the coronavirus disease-19 (COVID-19) pandemic since January 2020. An evaluation of the effects of these preventive measures on the spread of other respiratory viruses is necessary.

Methods: Respiratory specimens collected from children with acute respiratory infections were tested by NxTAG™ respiratory pathogen panel assays during January 2017 and December 2020.

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Human adenovirus serotype 41 (HAdV-F41) is an important pathogen that causes diarrhea in children. However, the data on its molecular genetic characteristics and evolutionary history are still neither comprehensive nor sufficient. Four capsid protein genes from 58 HAdV-F41-positive specimens taken from diarrheal children in Beijing during 2010-2019 were amplified and analyzed.

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Background: Coxsackievirus A16 (CVA16) is one of the major etiological agents of hand, foot and mouth disease (HFMD). This study aimed to investigate the molecular epidemiology and evolutionary characteristics of CVA16.

Methods: Throat swabs were collected from children with HFMD and suspected HFMD during 2010-2019.

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Background: The aim of the present study was to develop a clinical scoring system for the diagnosis of hand-foot-mouth disease (HFMD) with improved accuracy.

Methods: A retrospective analysis was performed on standardized patient history and clinical examination data obtained from 1435 pediatric patients under the age of three years who presented with acute rash illness and underwent enterovirus nucleic acid detection. Patients were then divided into the HFMD (1094 patients) group or non-HFMD (341 patients) group based on a positive or a negative result from the assay, respectively.

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Nosocomial infections are common in pediatric patients and can be fatal in infants and immunocompromised patients. In September 2018, a high positive rate of human adenovirus HAdV was occurred among hospitalized children in the Children's Hospital Affiliated to the Capital Institute of Paediatrics in Beijing. To investigate whether this outbreak of HAdV was related to nosocomial infections or the result of community infections, we collected respiratory specimens from patients with acute respiratory infections in a respiratory ward during June to December 2018, and screened for respiratory viruses.

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Objectives: To investigate why coxsackievirus A6 (CVA6) has replaced enterovirus A71 (EV71) and coxsackievirus A16 (CVA16), which used to be the most predominant etiological agents, for hand, foot and mouth disease (HFMD) in children in Beijing, China.

Methods: Sixty-four CVA6-positive samples were identified from 2010 to 2016 and selected for whole genome sequence amplification and analysis.

Results: It was demonstrated that the whole genome sequences of CVA6s in this study were 7432-7435 nucleotides in length, and the different lengths were only in the 5'UTR region.

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Enterocytozoon bieneusi, an obligate intracellular microsporidian parasite, can infect humans and a wide variety of animals worldwide. However, information on the prevalence and molecular characterization of E. bieneusi in pet rats and guinea pigs is lacking.

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