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Although not as lethal as variola virus (VARV), the cause of smallpox, monkeypox virus (MPXV) represents a threat to public health, with important infection rates and mortality in several African countries and signs of spreading worldwide. MPXV may establish new reservoirs in non-endemic countries and can be considered a possible biological weapon. Human-to-human MPXV transmission is increasing with a growing susceptibility, coincident with the declining herd immunity against smallpox.

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Article Synopsis
  • Monkeypox (Mpox) is a disease caused by the monkeypox virus (MPXV), and due to recent outbreaks outside Africa, many may lack immunity specifically for MPXV, though they might have some from past smallpox vaccinations.* -
  • The study involved 16 people who recovered from Mpox and 15 healthy controls, using their blood samples to measure T-cell responses after exposure to MPXV and smallpox vaccine peptides.* -
  • Results showed that those who recovered from Mpox had a significant immune response featuring multiple immune markers, indicating a mixed immune response that could help track immunity from vaccination or infection in the future.*
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Background: Severe and prolonged mpox courses have been described during the 2022-2023 outbreak. Identifying predictors of severe evolution is crucial for improving management and therapeutic strategies. We explored the predictors of mpox severity and tested the association between mpox severity and viral load in biological fluids.

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Since May 2022, several countries outside of Africa experienced multiple clusters of monkeypox virus (MPXV)-associated disease. In the present study, anti-MPXV and anti-vaccinia virus (VACV) neutralizing antibody responses were evaluated in two cohorts of subjects from the general Italian population (one half born before the WHO-recommended end of smallpox vaccination in 1980, the other half born after). Higher titers (either against MPXV or VACV) were observed in the cohort of individuals born before the interruption of VACV vaccination.

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Article Synopsis
  • * The study involved whole-genome sequencing of four unrelated mpox cases, revealing seven novel mutations linked to immune evasion and viral fitness, primarily influenced by the APOBEC3 enzyme.
  • * Findings indicated mixed viral populations in patients, suggesting the possibility of co-infection, and further research with larger patient groups is needed to understand the implications of viral genome diversity.
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