Publications by authors named "Sujan Shresta"

The continuing evolution of SARS-CoV-2 variants challenges the durability of existing spike (S)-based COVID-19 vaccines. We hypothesized that vaccines composed of both S and nucleocapsid (N) antigens would increase the durability of protection by strengthening and broadening cellular immunity compared with S-based vaccines. To test this, we examined the immunogenicity and efficacy of wild-type SARS-CoV-2 S- and N-based DNA vaccines administered individually or together to K18-hACE2 mice.

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  • Dengue virus (DENV), a major mosquito-borne threat, is prevalent in Nepal with limited knowledge on its evolution or immunity levels in the population.
  • A study of 49 patients during the 2017 dengue season revealed 43% tested positive for DENV NS1 antigen, indicating DENV2 as the dominant strain, with significant presence of neutralizing antibodies across various serotypes.
  • The findings highlight the need for enhanced local monitoring of DENV genotypes and immunity to better control future outbreaks in Nepal.
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  • During the COVID-19 pandemic, Nepal encountered new variants of the SARS-CoV-2 virus.
  • A study sequenced 278 samples from September 2021 to March 2022, resulting in 229 high-quality genomes.
  • The findings revealed that 82.97% of the genomes were Omicron variants, while 17.03% were Delta variants, showcasing the genomic diversity of the virus in Nepal.
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Background: The 4 serotypes of dengue virus (DENV1-4) can each cause potentially deadly dengue disease, and are spreading globally from tropical and subtropical areas to more temperate ones. Nepal provides a microcosm of this global phenomenon, having met each of these grim benchmarks. To better understand DENV transmission dynamics and spread into new areas, we chose to study dengue in Nepal and, in so doing, to build the onsite infrastructure needed to manage future, larger studies.

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  • A patient with fever was referred to a hospital in Kathmandu, Nepal, for infectious disease treatment.
  • Metagenomic sequencing of the patient's serum revealed a nearly complete genome of HIV-1.
  • This genome was different from previous HIV-1 genomes found in Nepal and showed a 92.48% nucleotide identity with an HIV-1 subtype C isolate from India.
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  • Mouse models with humanized ACE2 and TMPRSS2 genes were created to study how Th1 and Th2 immune responses affect SARS-CoV-2 infection.
  • Mice infected with the Delta variant required ACE2 for lung infection, while Omicron didn't, with Omicron causing more severe disease in specific mouse models.
  • The study suggests that the genetic background of the host influences the immune response and severity of SARS-CoV-2 infections, highlighting the need for more research on this variability.
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Unlabelled: Acute encephalitis syndrome (AES) causes significant morbidity and mortality worldwide. In Nepal, Japanese encephalitis virus (JEV) accounts for ~5-20% of AES cases, but ~75% of AES cases are of unknown etiology. We identified a gemykibivirus in CSF collected in 2020 from an 8-year-old male patient with AES using metagenomic next-generation sequencing.

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Background: The 4 serotypes of dengue virus (DENV1-4) can each cause potentially deadly dengue disease, and are spreading globally from tropical and subtropical areas to more temperate ones. Nepal provides a microcosm of this global phenomenon, having met each of these grim benchmarks. To better understand DENV transmission dynamics and spread into new areas, we chose to study dengue in Nepal and, in so doing, to build the onsite infrastructure needed to manage future, larger studies.

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Article Synopsis
  • - Dengue virus (DENV), a mosquito-borne virus affecting nearly half of the global population, has been present in Nepal since 2006, with little understanding of its evolution or the local immunity levels.
  • - A study of 49 patients during the 2017 dengue season revealed that 43% tested positive for DENV, with DENV2 identified as the dominant serotype, while also showing significant presence of neutralizing antibodies in the population.
  • - Findings indicate that a substantial portion of the population had prior exposure to multiple DENV serotypes, highlighting the necessity for improved local monitoring of DENV and community immunity to better control future outbreaks in Nepal.
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Acute Encephalitis Syndrome (AES) causes significant morbidity and mortality worldwide. In Nepal, Japanese encephalitis virus (JEV) accounts for ~ 5-20% of AES cases, but ~75% of AES cases are of unknown etiology. We identified a gemykibivirus in CSF collected in 2020 from a male child with AES using metagenomic next-generation sequencing.

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  • Some healthy individuals who haven’t been exposed to SARS-CoV-2 have T cells that react to it, likely due to previous infections with the common cold coronavirus OC43.
  • A study using genetically modified mice shows that infection with OC43 can produce T cells that also respond to SARS-CoV-2, helping to lessen severity of subsequent SARS-CoV-2 infections.
  • The role of CD4 T cells is significant; their depletion increases the viral load in the lungs after SARS-CoV-2 infection, highlighting their importance for cross-protection and informing future vaccine development against similar coronaviruses.
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The 800 million human infections with SARS-CoV-2 and the likely emergence of new variants and additional coronaviruses necessitate a better understanding of the essential spike glycoprotein and the development of immunogens that foster broader and more durable immunity. The S2 fusion subunit is more conserved in sequence, is essential to function, and would be a desirable immunogen to boost broadly reactive antibodies. It is, however, unstable in structure and in its wild-type form, cannot be expressed alone without irreversible collapse into a six-helix bundle.

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Therapeutic antibodies are an important tool in the arsenal against coronavirus infection. However, most antibodies developed early in the pandemic have lost most or all efficacy against newly emergent strains of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), particularly those of the Omicron lineage. Here, we report the identification of a panel of vaccinee-derived antibodies that have broad-spectrum neutralization activity.

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Although severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) initially infects the respiratory tract, it also directly or indirectly affects other organs, including the brain. However, little is known about the relative neurotropism of SARS-CoV-2 variants of concern (VOCs), including Omicron (B.1.

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Seven years after the onset of the Zika virus (ZIKV) epidemic in the Americas, longitudinal studies are beginning to demonstrate that children infected in utero and born without severe birth defects exhibit motor skill deficits at up to 3 years of age. Long term health and socioeconomic impacts of fetal ZIKV infection appear imminent. ZIKV continues to circulate in low levels much as the virus did for decades prior to the 2015 epidemic, and the timing of the ZIKV outbreak is unknown.

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The emergence of Zika virus (ZIKV) as a global health threat has highlighted the unmet need for ZIKV-specific vaccines and antiviral treatments. ZIKV infects dendritic cells (DC), which have pivotal functions in activating innate and adaptive antiviral responses; however, the mechanisms by which DC function is subverted to establish ZIKV infection are unclear. Here we develop a genomics profiling method that enables discrete analysis of ZIKV-infected versus neighboring, uninfected primary human DCs to increase the sensitivity and specificity with which ZIKV-modulated pathways can be identified.

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  • Researchers analyzed serum samples from 167 DENV-infected patients in Yangon between 2017 and 2019 to identify clinical biomarkers that can help assess patient risk early in infection.
  • They found significant relationships between disease severity and various cytokines like CCL5 and IL-10, indicating that these factors could help predict clinical outcomes in dengue infections in the region.
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Zika virus (ZIKV) and dengue virus (DENV) are arthropod-borne pathogenic flaviviruses that co-circulate in many countries. To understand some of the pressures that influence ZIKV evolution, we mimic the natural transmission cycle by repeating serial passaging of ZIKV through cultured mosquito cells and either DENV-naive or DENV-immune mice. Compared with wild-type ZIKV, the strains passaged under both conditions exhibit increased pathogenesis in DENV-immune mice.

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Monoclonal antibodies (mAbs) are emerging as safe and effective therapeutics against SARS-CoV-2. However, variant strains of SARS-CoV-2 have evolved, with early studies showing that some mAbs may not sustain their efficacy in the face of escape mutants. Also, from the onset of the COVID-19 pandemic, concern has been raised about the potential for Fcγ receptor-mediated antibody-dependent enhancement (ADE) of infection.

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The closely related flaviviruses, dengue and Zika, cause significant human disease throughout the world. While cross-reactive antibodies have been demonstrated to have the capacity to potentiate disease or mediate protection during flavivirus infection, the mechanisms responsible for this dichotomy are still poorly understood. To understand how the human polyclonal antibody response can protect against, and potentiate the disease in the context of dengue and Zika virus infection we used intravenous hyperimmunoglobulin (IVIG) preparations in a mouse model of the disease.

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  • * Whole-genome sequencing revealed that most DENV strains had been present for years, with a notable emergence of DENV-3 genotype-I starting in 2017, which correlated with a rise in DENV-3 cases.
  • * Despite the emergence of new strains, the research found no significant differences in viral loads or disease severity among patients infected with different DENV serotypes over the three years studied.
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Zika virus (ZIKV) and dengue virus (DENV) are antigenically related mosquito-borne flaviviruses. ZIKV is becoming increasingly prevalent in DENV-endemic regions, raising the possibility that pre-existing immunity to one virus could modulate the response to a heterologous virus, although whether this would be beneficial or detrimental is unclear. Here, we analyzed sera from residents of a DENV-endemic region of Thailand to determine the prevalence of DENV-elicited antibodies capable of cross-neutralizing ZIKV.

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There is an urgent need for new animal models of SARS CoV-2 infection to improve research and drug development. This brief commentary examines the deficits of current models and proposes several improved alternates. The existing single transgene mouse models poorly mimic the clinical features of COVID-19; those strains get a milder disease than human COVID-19 disease.

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Neonatal echovirus infections are characterized by severe hepatitis and neurological complications that can be fatal. Here, we show that expression of the human homologue of the neonatal Fc receptor (hFcRn), the primary receptor for echoviruses, and ablation of type I interferon (IFN) signaling are key host determinants involved in echovirus pathogenesis. We show that expression of hFcRn alone is insufficient to confer susceptibility to echovirus infections in mice.

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Glioblastoma multiforme (GBM) is a fatal human cancer in part because GBM stem cells are resistant to therapy and recurrence is inevitable. Previously, we demonstrated Zika virus (ZIKV) targets GBM stem cells and prevents death of mice with gliomas. Here, we evaluated the immunological basis of ZIKV-mediated protection against GBM.

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