Publications by authors named "Westover Jonna"

Background: Severe fever with thrombocytopenia syndrome virus (SFTSV) is a recently emerged tickborne virus in east Asia with over 18,000 confirmed cases. With a high case fatality ratio, SFTSV has been designated a high priority pathogen by the WHO and the NIAID. Despite this, there are currently no approved therapies or vaccines to treat or prevent SFTS.

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In recent decades, epidemics and pandemics have multiplied throughout the world, with viruses generally being the primary responsible agents. Among these, influenza viruses play a key role, as they potentially cause severe respiratory distress, representing a major threat to public health. Our study aims to develop new broad-spectrum antivirals against influenza to improve the response to viral disease outbreaks.

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Article Synopsis
  • Development of broad-spectrum antiviral therapies, like 4'-fluorouridine (4'-FlU), is crucial for effectively responding to outbreaks and pandemics caused by emerging viruses, particularly those that cause hemorrhagic fevers, which have seen increasing morbidity and mortality rates.
  • 4'-FlU has shown antiviral activity against several hemorrhagic fever viruses in cell cultures and has demonstrated high efficacy in guinea pig models infected with lethal arenaviruses, maintaining its effectiveness at low doses.
  • When administered late in infection, 4'-FlU not only resolved clinical symptoms quickly but also showcased its potential as a therapeutic option with a broader application against various viral pathogens.
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  • - Argentine hemorrhagic fever, caused by the Junín virus (JUNV), has a high mortality rate and currently relies on limited treatments like immune plasma, highlighting the need for new antiviral therapies.
  • - The fusion inhibitor LHF-535 and nucleoside analog favipiravir have shown potential in combating arenaviral infections, but using favipiravir alone requires high doses for effectiveness against JUNV.
  • - Combining LHF-535 with a lower dose of favipiravir in guinea pig models resulted in complete protection from JUNV, demonstrating the potential of this drug combination to broaden treatment options and prevent drug resistance.
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Unlabelled: Heartland virus (HRTV) is an emerging tick-borne bandavirus that causes a febrile illness of varying severity in humans, with cases reported in eastern and midwestern regions of the United States. No vaccines or approved therapies are available to prevent or treat HRTV disease. Here, we describe the genetic changes, natural history of disease, and pathogenesis of a mouse-adapted HRTV (MA-HRTV) that is uniformly lethal in 7- to 8-week-old AG129 mice at low challenge doses.

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  • Live-attenuated virus vaccines like Candid#1 aim to protect against diseases (e.g., Argentine hemorrhagic fever) but have risks of reverting to a more pathogenic form due to genetic mutations.
  • In studies with mutant strains (I427F and A168T+I427F rCan), researchers found that while some mutations increased virulence in mice, others showed only modest effects, indicating a complex relationship between genetic changes and vaccine safety.
  • To ensure the safety of future Candid#1 vaccines, it's crucial to stabilize key genetic mutations to prevent reversion to virulent strains.
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The zoonotic Rift Valley fever virus (RVFV) can cause severe disease in humans and has pandemic potential, yet no approved vaccine or therapy exists. Here we describe a dual-mechanism human monoclonal antibody (mAb) combination against RVFV that is effective at minimal doses in a lethal mouse model of infection. We structurally analyze and characterize the binding mode of a prototypical potent Gn domain-A-binding antibody that blocks attachment and of an antibody that inhibits infection by abrogating the fusion process as previously determined.

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Seasonal influenza virus infections cause a substantial number of deaths each year. While zanamivir (ZAN) is efficacious against oseltamivir-resistant influenza strains, the efficacy of the drug is limited by its route of administration, oral inhalation. Herein, we present the development of a hydrogel-forming microneedle array (MA) in combination with ZAN reservoirs for treating seasonal influenza.

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  • Infections from New World mammarenaviruses, like Junín virus, cause serious viral hemorrhagic fever and currently lack FDA-approved treatments, classifying them as high-priority pathogens.
  • ARN-75039 is a powerful fusion inhibitor that has shown effectiveness against various mammarenaviruses in laboratory settings and provides protection in guinea pigs even after delayed treatment following viral exposure.
  • The study also indicates that combining ARN-75039 with favipiravir enhances treatment effectiveness and improves survival rates in infected guinea pigs, supporting its potential as a therapeutic option for these infections.
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  • The RVFV MP-12 vaccine has shown potential as a protective vaccine for humans and animals, but the exact minimal antibody levels needed for effective protection are still unclear.
  • A study examined the neutralizing antibody (nAb) titers in humans vaccinated with MP-12 and transferred these sera to mice, determining their protective efficacy against a lethal RVFV strain.
  • Results indicated that antibody titers as low as 1:5 provided significant survival rates in mice, suggesting that MP-12 elicits sufficient protective responses, while also supporting the use of mice as a model to assess other RVFV vaccines.
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Background: Healthcare professionals, especially dentists and dental hygienists, are at increased risk for contracting severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) through air-borne particles and splatter. This study assessed the in vitro virucidal activity of 0.5% (w/v) povidone-iodine (PVP-I) oral rinse against SARS-CoV-2 to demonstrate its utility as a professional oral rinse.

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Several arenaviruses, including Lassa and Lujo viruses in Africa and five New World arenavirus (NWA) species in the Americas, cause life-threatening viral hemorrhagic fevers. In the absence of licensed antiviral therapies, these viruses pose a significant public health risk. The envelope glycoprotein complex (GPC) mediates arenavirus entry through a pH-dependent fusion of the viral and host endosomal membranes.

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Broadly reactive antibodies targeting the influenza A virus hemagglutinin (HA) head domain are thought to be rare and to require extensive somatic mutations or unusual structural features to achieve breadth against divergent HA subtypes. Here we describe common genetic and structural features of protective human antibodies from several individuals recognizing the trimer interface (TI) of the influenza A HA head, a recently identified site of vulnerability. We examined the sequence of TI-reactive antibodies, determined crystal structures for TI antibody-antigen complexes, and analyzed the contact residues of the antibodies on HA to discover common genetic and structural features of TI antibodies.

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Article Synopsis
  • Live-attenuated virus vaccines, like the Candid#1 strain for Junín virus (JUNV), are effective but pose risks of reverting to a pathogenic form, which has led to their lack of approval in the U.S.
  • A study found that a modified version of Candid#1, known as K33S rCan, is safe for guinea pigs, generates strong immune responses, and protects against lethal JUNV infections.
  • Genetic analysis showed that K33S rCan does not revert to virulence in neonatal mice, indicating its potential as a safe second-generation vaccine for JUNV.
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Rift Valley fever virus (RVFV), an emerging arboviral and zoonotic bunyavirus, causes severe disease in livestock and humans. Here, we report the isolation of a panel of monoclonal antibodies (mAbs) from the B cells of immune individuals following natural infection in Kenya or immunization with MP-12 vaccine. The B cell responses of individuals who were vaccinated or naturally infected recognized similar epitopes on both Gc and Gn proteins.

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The impact of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), the causative agent of COVID-19, is global and unprecedented. Although remdesivir has recently been approved by the FDA to treat SARS-CoV-2 infection, no oral antiviral is available for outpatient treatment. AT-527, an orally administered double prodrug of a guanosine nucleotide analog, was previously shown to be highly efficacious and well tolerated in hepatitis C virus (HCV)-infected subjects.

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PT150 is a clinical-stage molecule, taken orally, with a strong safety profile having completed Phase 1 and Phase 2 clinical trials for its original use as an antidepressant. It has an active IND for COVID-19. Antiviral activities have been found for PT150 and other members of its class in a variety of virus families; thus, it was now tested against SARS-CoV-2 in human bronchial epithelial lining cells and showed effective 90% inhibitory antiviral concentration (EC90) of 5.

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Background The initial global outbreak of the novel coronavirus disease 2019 (COVID-2019) pandemic, which is responsible for the severe acute respiratory syndrome 2 (SARS-CoV-2), shares similarities with the severe acute respiratory syndrome coronavirus (SARS-CoV) and Middle East respiratory syndrome coronavirus (MERS-CoV) and behaves similarly to influenza with a high intranasal viral load. The genome sequence of COVID-19 opened the opportunity for multiple in vitro and clinical trials, but we still do not have a clear path to treatment. Chlorpheniramine maleate (CPM) is a safe and effective antihistamine with potent antiviral activity against various strains of influenza A/B, thus suggesting that CPM has broad antiviral activity.

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Introduction: Severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) is the pathogen responsible for the global pandemic of coronavirus disease 2019 (COVID-19). From the first reported cases in December 2019, the virus has spread to over 4 million people worldwide. Human-to-human transmission occurs mainly through the aerosolization of respiratory droplets.

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  • Research evaluates nasal povidone-iodine (PVP-I) as a potential effective treatment against SARS-CoV-2, focusing on its ability to inactivate the virus in vitro at 15 and 30-second contact times.
  • The study tested three concentrations of PVP-I (0.5%, 1.25%, and 2.5%) against the virus and compared their efficacy to controls including ethanol and water.
  • Results showed that all tested PVP-I concentrations completely inactivated SARS-CoV-2 within 15 seconds, significantly outperforming the 70% ethanol control, which did not completely inactivate the virus at the same time.
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  • - CCHFV is a tick-borne virus that can cause severe febrile illness in humans, which may lead to symptoms like bleeding, organ failure, and potentially death.
  • - Researchers developed a STAT2 knockout hamster model for CCHFV that successfully mimics human disease symptoms, such as rashes and blood abnormalities, enhancing the understanding of the virus's effects.
  • - This new hamster model can be used for testing treatments and vaccines, contributing to future therapeutic developments against CCHFV.
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Purpose: To evaluate the in vitro inactivation of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) with hydrogen peroxide (H O ) and povidone-iodine (PVP-I) oral antiseptic rinses at clinically recommended concentrations and contact times.

Materials And Methods: SARS-CoV-2, USA-WA1/2020 strain virus stock was prepared prior to testing by growing in Vero 76 cells. The culture media for prepared virus stock was minimum essential medium (MEM) with 2% fetal bovine serum (FBS) and 50 µg/mL gentamicin.

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Purpose: To investigate the optimal contact time and concentration for viricidal activity of oral preparation of povidone-iodine (PVP-I) against SARS-CoV-2 ('corona virus') to mitigate the risk and transmission of the virus in the dental practice.

Materials And Methods: The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) USA-WA1/2020 strain, virus stock was tested against oral antiseptic solutions consisting of aqueous povidone-iodine (PVP-I) as the sole active ingredient. The PVP-I was tested at diluted concentrations of 0.

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Several clade B New World arenaviruses (NWAs) can cause severe and often fatal hemorrhagic fever, for which preventive and therapeutic measures are severely limited. These NWAs use human transferrin receptor 1 (hTfR1) as a host cell receptor for virus entry. The most prevalent of the pathogenic NWAs is Junín virus (JUNV), the etiological agent of Argentine hemorrhagic fever.

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Severe fever with thrombocytopenia syndrome (SFTS) is an emerging viral hemorrhagic fever (VHF) endemic to China, South Korea, Japan, and Vietnam. Here we characterize the pathogenesis and natural history of disease in IFNAR mice challenged with the HB29 strain of SFTS virus (SFTSV) and demonstrate hallmark features of VHF such as vascular leak and high concentrations of proinflammatory cytokines in blood and tissues. Treatment with FX06, a natural plasmin digest product of fibrin in clinical development as a treatment for vascular leak, reduced vascular permeability associated with SFTSV infection but did not significantly improve survival outcome.

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