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19 pages, 5216 KB  
Article
Pre-Symptomatic Identification of CMV and PVX Infection in Nicotiana benthamiana Using Spectral–Spatial Fusion of Hyperspectral Imaging
by Chi Zhang, Linfeng Su, Jiacheng Sun and Juan Zhao
Agronomy 2026, 16(10), 1018; https://doi.org/10.3390/agronomy16101018 - 21 May 2026
Viewed by 125
Abstract
Early detection of cucumber mosaic virus (CMV) and potato virus X (PVX) infection at the pre-symptomatic stage is essential for timely disease management and for limiting viral spread. Conventional molecular assays are accurate, but they generally require destructive sampling and are time-consuming. To [...] Read more.
Early detection of cucumber mosaic virus (CMV) and potato virus X (PVX) infection at the pre-symptomatic stage is essential for timely disease management and for limiting viral spread. Conventional molecular assays are accurate, but they generally require destructive sampling and are time-consuming. To enable rapid and non-destructive identification of these two viruses before visible symptom development, Nicotiana benthamiana seedling leaves were used as experimental materials, and CMV and PVX were selected as target viruses. A hyperspectral dataset of healthy, CMV-infected, and PVX-infected pre-symptomatic samples was constructed and validated by RT-PCR. After spectral preprocessing, eight selected wavelengths were identified and used to develop a 1D-CNN model, a MobileNetV3 model, and a spectral–spatial dual-branch fusion model. The 1D-CNN achieved an accuracy of 0.9074, whereas MobileNetV3 achieved 0.6835. The feature-level fusion model performed best, with an accuracy of 0.944, a precision of 0.945, a recall of 0.944, and an F1-score of 0.944. These results suggest that spectral information provides the primary discriminative basis, while image information offers complementary spatial and textural features for early non-destructive detection of plant viruses. Full article
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13 pages, 548 KB  
Article
Postnatal CMV Infection in Extremely Premature Newborns: A Single-Center Exploratory Study
by Rok Košiček, Vanja Erčulj, Lilijana Kornhauser Cerar, Lev Bregant, Miroslav Petrovec, Marko Pokorn, Ana Spirovska, Tina Uršič, Urška Rahne Potokar and Stefan Grosek
Children 2026, 13(5), 703; https://doi.org/10.3390/children13050703 - 20 May 2026
Viewed by 139
Abstract
Background/Objectives: The impact of postnatal CMV infection in extremely premature newborns is poorly characterized. We aimed to determine the impact and outcomes of postnatal CMV infection in a population of extremely premature newborns of gestational age of less than 29 weeks hospitalized in [...] Read more.
Background/Objectives: The impact of postnatal CMV infection in extremely premature newborns is poorly characterized. We aimed to determine the impact and outcomes of postnatal CMV infection in a population of extremely premature newborns of gestational age of less than 29 weeks hospitalized in the Department of Perinatology, Division of Gynecology, University Medical Center Ljubljana. Methods: We included all extremely premature newborns of gestational age of less than 29 weeks treated in the Department of Perinatology between December 2022 and December 2024. Newborns were screened for CMV infection at set timepoints and congenital infection was excluded with PCR testing. Additional PCR testing for CMV was performed if newborns developed clinical features suspect for postnatal CMV infection. Clinical characteristics and treatment outcomes of newborns were noted. Mothers of infected newborns had their CMV serostatus determined. Results: In total, 63 extremely premature newborns were included, and 14 newborns had confirmed postnatal CMV infection. Postnatal CMV infection was associated with hepatosplenomegaly and lower platelet and leukocyte counts compared to controls. We found no association between postnatal CMV infection and other neonatal comorbidities. Conclusions: In our study, postnatal CMV infection was associated with a more severe and prolonged clinical course of extremely premature newborns compared to uninfected controls; however, in multivariable analysis, the association with a prolonged length of stay was no longer statistically significant. The results suggest that preventing postnatal CMV infection in this population is important. Full article
(This article belongs to the Section Pediatric Neonatology)
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16 pages, 4259 KB  
Article
The Melon Sterol Transporter Niemann-Pick C1 Protein Is a New Interactor of Cucumber mosaic virus Movement Protein
by Núria Real, Irene Villar, Bin Liu, Manale Gajjout, Weina Hou and Ana Montserrat Martín-Hernández
Viruses 2026, 18(5), 577; https://doi.org/10.3390/v18050577 - 20 May 2026
Viewed by 225
Abstract
Plant viruses need to use many host factors to establish infection. During the viral cycle, intracellular transport is fundamental to reach the plasmodesmata to enable cell-to-cell transport. Cucumovirus CMV (cucumber mosaic virus, CMV) can infect plants from most economically important crops. To identify [...] Read more.
Plant viruses need to use many host factors to establish infection. During the viral cycle, intracellular transport is fundamental to reach the plasmodesmata to enable cell-to-cell transport. Cucumovirus CMV (cucumber mosaic virus, CMV) can infect plants from most economically important crops. To identify additional host proteins involved in CMV movement in melon, we used the MP as a bait to screen a Yeast two-hybrid cDNA library from CMV-infected plants and identified a Niemann-Pick C1 (NPC1) protein as a novel MP interactor. NPC1 is a transmembrane protein involved in cholesterol transport in animal cells, but also in the infection by several viruses of different families. The identified clone from the melon NPC1 gene spans from exons 25 to 28 and includes two introns. Notably, deletion of the two introns and exon 28 does not impair the interaction capacity of the remaining peptide. The identified CmNPC1 gene maps to chromosome 11. In addition, the melon genome encodes a second copy of NPC1 in chromosome 7 (CmNPC1-C7), highly similar. Functional assays revealed that the interaction domain of CmNPC1-C7 also interacts with CMV MP, suggesting that both genes could have a role in CMV infection. This study represents the first report linking NPC1 to the infection process of a plant virus, expanding our understanding of plant–virus interactions. Full article
(This article belongs to the Special Issue Plant Virus Resistance—2nd Edition)
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16 pages, 2105 KB  
Article
Safety and Immunogenicity of the Cytomegalovirus Vaccine mRNA-1647 in Healthy Adults: Results from a Phase 2, Randomized, Controlled, Dose-Finding Trial with Long-Term Extension Follow-Up Through Month 48
by Carlos Fierro, Daniel Brune, Richard Leggett, James Peterson, Benjamin Lorenz, Renato Calabro Calheiros, Jiang Lin, Anita S. Iyer, Kai Wu, Xin Cao, Alaknanda Kondapally, Sheila Marsh, Shiva Kalidindi, Jennifer Husson and Lori Panther
Vaccines 2026, 14(5), 444; https://doi.org/10.3390/vaccines14050444 - 16 May 2026
Viewed by 280
Abstract
Background/Objectives: No licensed vaccine against cytomegalovirus (CMV) is currently available, despite the significant risk of mother-to-infant transmission leading to serious neurodevelopmental impairment and the substantial morbidity caused by CMV infection in immunocompromised persons. We report results from a phase 2 trial of the [...] Read more.
Background/Objectives: No licensed vaccine against cytomegalovirus (CMV) is currently available, despite the significant risk of mother-to-infant transmission leading to serious neurodevelopmental impairment and the substantial morbidity caused by CMV infection in immunocompromised persons. We report results from a phase 2 trial of the investigational CMV mRNA vaccine mRNA-1647 and a long-term extension study (NCT04232280; NCT04975893). Methods: This randomized, observer-blind, placebo-controlled phase 2 study, conducted at 9 US sites, enrolled participants in two parts. In the first part, healthy adults aged 18–40 years were stratified by baseline CMV status into CMV-seronegative and CMV-seropositive parallel cohorts and randomized 3:1 to receive mRNA-1647 (50, 100, or 150 μg) or placebo. In the second part, healthy female participants aged 18–40 years were randomized 3:1 to receive 100 μg mRNA-1647 or placebo. In both parts, vaccine or placebo was administered at Months 0, 2, and 6. Participants completing the Primary Trial through Month 18 were eligible to enroll in the extension study, wherein safety and immunogenicity were assessed every 6 months until all participants reached Month 48 (interim analysis) and a subset had Month 54 immunogenicity samples available. Primary objectives were to assess safety and neutralizing antibody responses. Results: Solicited adverse reactions were mostly grade 1 or 2 in severity, and no notable dose-related safety trends were identified. Neutralizing antibody and antigen-specific binding IgG responses were induced in CMV-seronegative participants and boosted in CMV-seropositive participants, with durability of responses through Month 48 and up to Month 54. Conclusions: The investigational vaccine mRNA-1647 was generally well tolerated and induced durable humoral immune responses across baseline CMV serostatus, with persistence supported through Month 48 and by available Month 54 data. Full article
(This article belongs to the Section Vaccine Advancement, Efficacy and Safety)
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14 pages, 2850 KB  
Article
Molecular Characterization of the Cucumber Mosaic Virus and Cucumber Green Mottle Mosaic Virus Infecting Allium cepa in China
by Lei Zhang, Wanting Yang, Yingnan Mu, Mengze Guo and Pingping Sun
Horticulturae 2026, 12(5), 607; https://doi.org/10.3390/horticulturae12050607 - 14 May 2026
Viewed by 359
Abstract
Onion (Allium cepa) belongs to the genus Allium in the family Liliaceae and is widely cultivated worldwide for its nutritional and medicinal value. However, in Hohhot, Inner Mongolia, China, many onion plants exhibited severe virus-like symptoms, including yellow stripes and leaf [...] Read more.
Onion (Allium cepa) belongs to the genus Allium in the family Liliaceae and is widely cultivated worldwide for its nutritional and medicinal value. However, in Hohhot, Inner Mongolia, China, many onion plants exhibited severe virus-like symptoms, including yellow stripes and leaf distortion. Symptomatic plants were collected, and virus identification was conducted through mechanical inoculation of Nicotiana benthamiana and transmission electron microscopy. Two types of virus particles, rod-shaped and spherical, were observed. Mixed infection of Cucumber mosaic virus (CMV) and Cucumber green mottle mosaic virus (CGMMV) was confirmed by high-throughput sequencing and RT-PCR. The detection rates of CMV and CGMMV in the samples were 8/161 and 1/161, respectively. Recombination analysis indicated that no recombination events were detected in the CGMMV, whereas one recombination event was identified in CMV, occurring on RNA1 from nt 59 to 171. The major parent was CMV DSMZ PV-1255 (ON013910) in Greece, and the minor parent was CMV Am (JX993909) in China. This study reports, for the first time, the complete genome sequences of CMV infecting onions in China and CGMMV infecting onions worldwide. Full article
(This article belongs to the Special Issue Sustainable Management of Pathogens in Horticultural Crops)
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19 pages, 2235 KB  
Systematic Review
Role of Ultrasound and Fetal MRI in the Prenatal Assessment of Congenital Cytomegalovirus Infection: A Systematic Review
by Katarzyna Stefanska, Krzysztof Berbeka, Dorota Madej, Piotr Witkowski, Magda Rybak-Krzyszkowska, Sambor Sawicki and Miriam Illa
J. Clin. Med. 2026, 15(10), 3645; https://doi.org/10.3390/jcm15103645 - 9 May 2026
Viewed by 970
Abstract
Background: Congenital cytomegalovirus (CMV) infection is the most common congenital infection worldwide and a leading cause of neurodevelopment impairment. Prenatal imaging plays a central role in diagnosis and prognostic assessment. Methods: We conducted a systematic review of studies evaluating the role of ultrasound, [...] Read more.
Background: Congenital cytomegalovirus (CMV) infection is the most common congenital infection worldwide and a leading cause of neurodevelopment impairment. Prenatal imaging plays a central role in diagnosis and prognostic assessment. Methods: We conducted a systematic review of studies evaluating the role of ultrasound, including dedicated fetal neurosonography and magnetic resonance imaging (MRI) in the prenatal detection and assessment of CMV infection. PubMed, Web of Science, and Scopus were searched for relevant studies, and data were synthesized focusing on detected abnormalities and the incremental diagnostic value of MRI. Results: Fifty-nine studies were included. Dedicated neurosonography (NSG) was the primary modality for detecting CMV-related fetal brain abnormalities, particularly ventriculomegaly and cortical malformations. Fetal MRI provided additional diagnostic information, mainly through improved visualization of the brain parenchyma, allowing better detection of white matter abnormalities, migrational disorders and posterior fossa involvement, especially when performed later in gestation. Conclusions: Dedicated neurosonography remains the cornerstone for the evaluation of suspected congenital fetal CMV infection. Fetal MRI represents a complementary tool that can confirm, refine or extend ultrasound findings and may improve prognostic assessment when additional or subtle brain abnormalities are suspected. Full article
(This article belongs to the Special Issue Challenges and Opportunities in Prenatal Diagnosis)
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15 pages, 477 KB  
Article
Clinical Characteristics and Outcomes of Cytomegalovirus DNAemia in Non-HIV-Infected and Non-Transplant Patients: A Propensity Score-Matched Analysis
by Ixchel Salter, Michaele-Francesco Corbisiero, Daniel B. Chastain, Chia-Yu Chiu, Leland Shapiro, Jose G. Montoya, Raymund R. Razonable and Andrés F. Henao-Martínez
Pathogens 2026, 15(5), 492; https://doi.org/10.3390/pathogens15050492 - 1 May 2026
Viewed by 320
Abstract
Cytomegalovirus (CMV) establishes lifelong latency following primary infection and can reactivate to cause severe illness in immunocompromised hosts. CMV DNAemia in non-HIV-infected, non-solid organ/bone marrow transplant (NHNT) hosts is poorly characterized, with limited clinical insights. We aim to describe the clinical presentation, prognostic [...] Read more.
Cytomegalovirus (CMV) establishes lifelong latency following primary infection and can reactivate to cause severe illness in immunocompromised hosts. CMV DNAemia in non-HIV-infected, non-solid organ/bone marrow transplant (NHNT) hosts is poorly characterized, with limited clinical insights. We aim to describe the clinical presentation, prognostic indicators, and outcomes of CMV DNAemia among NHNT patients. We used the TriNetX international patient database to identify adult patients diagnosed with CMV DNAemia from 2016 until March 2023. We evaluated hospitalization, intensive care unit (ICU) level care, and all-cause mortality at 30 days and 1 year. We also completed a post-propensity score analysis comparing clinical characteristics of survivors versus non-survivors at 90 days. We identified 1123 NHNT patients with CMV DNAemia, most of whom had neoplasms (63%). Venous thromboembolism occurred in 31% of the population. The 30-day hospitalization and all-cause mortality rates were 35% and 14%, respectively. After propensity score matching and Bonferroni correction, weakness, purpura, acute respiratory failure, malnutrition, encephalopathy, and hypotension were associated with increased 90-day all-cause mortality. NHNT patients with CMV DNAemia carry a substantial morbidity and all-cause mortality. Further studies are warranted to clarify whether CMV DNAemia is a causative factor or an incidental finding in this population. Full article
(This article belongs to the Special Issue Viral Infections in Immunocompromised Patients)
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17 pages, 1136 KB  
Article
Polymorphisms for Defence and Virulence in the Arabidopsis thalianaCucumber mosaic virus Interaction Are Expressed in the Host’s Native Habitat
by Israel Pagán, Rafael de Andrés-Torán, Nuria Montes, Aurora Fraile and Fernando García-Arenal
Viruses 2026, 18(5), 494; https://doi.org/10.3390/v18050494 - 23 Apr 2026
Viewed by 1235
Abstract
Plant defences are assumed to evolve in response to the negative effects of virus infection on plant fitness (virulence), and to drive plant–virus coevolution. However, viruses are not always antagonistic symbionts of plants, and the expression of defence traits is environment-dependent. Thus, understanding [...] Read more.
Plant defences are assumed to evolve in response to the negative effects of virus infection on plant fitness (virulence), and to drive plant–virus coevolution. However, viruses are not always antagonistic symbionts of plants, and the expression of defence traits is environment-dependent. Thus, understanding plant–virus interactions requires analysing the expression of defence traits in the host’s native habitat. Here we analyse the effect of cucumber mosaic virus (CMV) infection, and the expression of resistance and tolerance in the native habitat of a wild Arabidopsis thaliana population. Plants from ten genotypes from that population, which have been shown to differ in resistance and tolerance to CMV in a greenhouse, were inoculated with an Arabidopsis isolate of CMV and transplanted to their habitat. Resistance was rated based on virus accumulation in leaves, and tolerance was rated based on the effect of infection on plant fecundity relative to virus accumulation. Consistent with the greenhouse assays, virulence depended on the host genotype, and polymorphisms for resistance and tolerance were expressed in the field, supporting the validity of the conclusions from the greenhouse assays. Our results also support theoretical predictions on the relationships between pathogen multiplication and virulence and between resistance and tolerance. Full article
(This article belongs to the Special Issue Plant Virus Resistance—2nd Edition)
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14 pages, 347 KB  
Article
Impact of Maternal Valaciclovir Therapy on Early Neurodevelopment in Congenital CMV Infection: A Retrospective Pilot Study
by Francesca Arcieri, Adele Vasta, Gregorio Volpe, Fabio Natale, Barbara Caravale, Daniele Di Mascio, Valentina D’Ambrosio, Michela De Cicco, Gianluca Terrin, Lucia Oliva, Costanza Prestianni, Giuseppina Liuzzi, Lucia Manganaro and Antonella Giancotti
Children 2026, 13(4), 566; https://doi.org/10.3390/children13040566 - 18 Apr 2026
Viewed by 422
Abstract
Background/Objectives: Maternal valaciclovir therapy is increasingly used to reduce fetal viral replication in cases of primary cytomegalovirus (CMV) infection during pregnancy. However, data on its impact on early neurodevelopmental outcomes remain limited. This study aimed to evaluate the association between prenatal valaciclovir exposure [...] Read more.
Background/Objectives: Maternal valaciclovir therapy is increasingly used to reduce fetal viral replication in cases of primary cytomegalovirus (CMV) infection during pregnancy. However, data on its impact on early neurodevelopmental outcomes remain limited. This study aimed to evaluate the association between prenatal valaciclovir exposure and early neurodevelopment in infants with confirmed congenital CMV infection (cCMV). Methods: In this retrospective monocentric cohort study, 30 infants with PCR-confirmed cCMV infection were assessed at 4–8 months of age using the Bayley Scales of Infant and Toddler Development, Third Edition (Bayley-III). Infants were stratified according to prenatal exposure to maternal valaciclovir. Univariate analyses and multivariable linear regression models were performed to evaluate the association between prenatal antiviral exposure and cognitive outcome, adjusting for brain MRI findings and selected clinical variables. Results: Fifteen infants (50%) were exposed to prenatal valaciclovir. Exposed infants demonstrated higher cognitive composite scores compared with unexposed infants (median 105 [IQR 100–110] vs. 90 [85–110]; p = 0.030). In multivariable analysis, prenatal valaciclovir exposure remained significantly associated with higher cognitive scores (β = 11.89, 95% CI 2.86–20.92; p = 0.012), while neonatal MRI abnormalities were not independently associated with outcome. No significant differences were observed in language or motor domains. The final model explained 30% of the variance in cognitive scores (R2 = 0.30). Conclusions: Prenatal valaciclovir exposure was associated with higher cognitive composite scores after adjustment for selected covariates. Although causality cannot be inferred, these findings suggest a potential association with early neurodevelopmental outcomes and support the inclusion of functional neurodevelopmental endpoints in future prospective studies. These results should be considered exploratory and hypothesis-generating Full article
(This article belongs to the Special Issue Advances in Neurodevelopmental Outcomes for Preterm Infants)
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30 pages, 5470 KB  
Article
Investigation of the Viromes of Solanaceous Weeds in Hungary Using High-Throughput Sequencing Adds New Insights to Their Hidden Complexity
by Burim Ismajli, Zsuzsanna N. Galbács, Lilla Dorottya Péri, György Pasztor, András Péter Takács and Éva Várallyay
Viruses 2026, 18(4), 474; https://doi.org/10.3390/v18040474 - 17 Apr 2026
Viewed by 521
Abstract
Weed control of solanaceous weeds growing with solanaceous crops is a constant challenge. Infected by viruses, they can also act as virus reservoirs, complicating this problem further. Viromes of annual Solanum nigrum, Datura stramonium, and Solanum dulcamara, a perennial climbing [...] Read more.
Weed control of solanaceous weeds growing with solanaceous crops is a constant challenge. Infected by viruses, they can also act as virus reservoirs, complicating this problem further. Viromes of annual Solanum nigrum, Datura stramonium, and Solanum dulcamara, a perennial climbing shrub, were investigated using RNA sequencing and validated using RT-PCR, revealing infection with nine viruses. Broad bean wilt virus 1 (BBWV1), cucumber mosaic virus (CMV), and potato virus M (PVM) were found to infect S. nigrum. Investigating only 46 plants revealed infection with Solanum dulcamara yellow fleck virus (SDYFV) not only in S. dulcamara but in a new host, D. stramonium, which also represents a new host of turnip yellows virus (TuYV). We described the first presence of a potato virus H (PVH)-like, and Oxybasis rubra mitovirus 1 (OxruMV1)-like virus in Europe, in S. dulcamara as a new host. Our results highlight the unexpected complexity of the viromes of solanaceous weeds, which should be considered during reliable and efficient plant protection strategies, in order to alleviate the virus reservoir role of the weeds. Full article
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22 pages, 10382 KB  
Article
Uncovering Viral Diversity and Host Responses in Saffron via Nanopore RNA Sequencing
by Marzieh Shamshiri, Conchi Sánchez, Jesús Mª Vielba, Nieves Vidal, Masoud Shams-Bakhsh and Saleta Rico
Agronomy 2026, 16(8), 803; https://doi.org/10.3390/agronomy16080803 - 14 Apr 2026
Viewed by 493
Abstract
Saffron (Crocus sativus L.) is a high-value crop vulnerable to potyvirus infections threatening its yield and quality. In this study, we combined Oxford Nanopore long-read sequencing with exploratory transcriptomic profiling to characterize the saffron virome and to describe expression profiles associated with [...] Read more.
Saffron (Crocus sativus L.) is a high-value crop vulnerable to potyvirus infections threatening its yield and quality. In this study, we combined Oxford Nanopore long-read sequencing with exploratory transcriptomic profiling to characterize the saffron virome and to describe expression profiles associated with two distinct infection histories: (i) saffron plants experimentally inoculated with cucumber mosaic virus (CMV; Cucumovirus CMV) and turnip mosaic virus (TuMV; Potyvirus rapae) under controlled greenhouse conditions, and (ii) saffron plants naturally infected by diverse viruses. We identified six plant-infecting viral families in both conditions, including Potyviridae, Geminiviridae, Caulimoviridae, Tymoviridae, Aspiviridae, and Partitiviridae. Transcriptomic profiling revealed distinct expression profiles associated with each infection background. Given the limitations of the experimental design, gene expression differences are interpreted descriptively. We describe pathway enrichments associated with antiviral responses. Naturally infected plants exhibited a broad-spectrum, tolerance-based response characterized by the upregulation of photosynthesis-related genes, calcium-mediated signaling components, and stress-responsive transcription factors. In contrast, virus-inoculated plants activated a targeted antiviral program involving RNA silencing, autophagy, ubiquitin-mediated proteolysis, and hormonal regulation. Both GO and KEGG enrichment analyses supported these findings, highlighting photosynthesis and metabolic flexibility in naturally infected plants versus hypersensitive response, RNA surveillance, and lignin biosynthesis in virus-inoculated plants. This work provides a comprehensive view of the saffron virome and offers a hypothesis-generating overview of transcriptional responses associated with natural versus experimental virus infections. These findings advance the understanding of the saffron virome and provide a valuable resource for breeding virus-resistant cultivars. Full article
(This article belongs to the Special Issue New Insights into Plant–Microbe Interaction)
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22 pages, 309 KB  
Article
Kidney Transplant Recipients: Viral Infections and Malignancies
by Costin Damian, Adrian Constantin Covic, Ramona Gabriela Ursu, Aida Corina Badescu, Simona Mihaela Hogas, Andreea Simona Covic, Mihai Isache, Silvia Gabriela Ionescu, Corneliu Morosanu, Stefania Brindusa Copacianu and Luminita-Smaranda Iancu
Pathogens 2026, 15(4), 390; https://doi.org/10.3390/pathogens15040390 - 5 Apr 2026
Viewed by 794
Abstract
Kidney transplant recipients (KTRs) remain vulnerable to infectious complications and malignancies due to chronic immunosuppression, both of which may contribute to allograft dysfunction and adverse clinical outcomes. This study aimed to evaluate the prevalence of viral infections and post-transplant malignancies among hospitalized KTRs [...] Read more.
Kidney transplant recipients (KTRs) remain vulnerable to infectious complications and malignancies due to chronic immunosuppression, both of which may contribute to allograft dysfunction and adverse clinical outcomes. This study aimed to evaluate the prevalence of viral infections and post-transplant malignancies among hospitalized KTRs and to identify factors associated with acute kidney injury (AKI) and chronic graft dysfunction. We conducted a prospective observational study including 215 adult KTRs admitted to a tertiary transplant center over a one-year period. Clinical data, malignancy history, and viral detection for BK polyomavirus (BKV), cytomegalovirus (CMV), Epstein–Barr virus (EBV), and parvovirus B19 were analyzed. AKI occurred in 65.6% of patients, while chronic graft dysfunction was present in 21.4%. Viral positivity was detected in 16.7% of the cohort, most frequently BKV and CMV. Infectious etiologies represented the most common cause of AKI. Viral positivity was significantly associated with infectious mechanisms of AKI and was independently associated with AKI in multivariable analysis (adjusted OR 3.01, p = 0.02). In a separate multivariable model, malignancy history (aOR 9.30), viral positivity (aOR 3.33), and concurrent AKI (aOR 3.42) were independently associated with chronic graft dysfunction. These findings suggest that viral reactivation and malignancy history cluster with clinical states of increased graft vulnerability in hospitalized KTRs. Integrated evaluation of infectious, immunologic, and clinical factors may improve risk stratification and management of transplant recipients presenting with acute illness. Full article
19 pages, 2324 KB  
Article
Prior Cytomegalovirus Infection Shapes Lymphocyte Activation and Function During Pregnancy
by Miguel Ângelo-Dias, Catarina Gregório Martins, Mariana Apolinário Mata, Madalena Barata, Ana Chung, Susana Sarzedas, Élia Fernandes, Augusta Marques, Maria de Jesus Chasqueira, Paulo Paixão, Jorge Lima and Luis Miguel Borrego
Int. J. Mol. Sci. 2026, 27(7), 3257; https://doi.org/10.3390/ijms27073257 - 3 Apr 2026
Viewed by 619
Abstract
Pregnancy represents a dynamic immunological state in which the maternal immune system must balance tolerance toward the semi-allogeneic fetus while maintaining antimicrobial defense. Cytomegalovirus (CMV) infection is highly prevalent worldwide and profoundly shapes immune cell differentiation and long-term activation in adults. However, its [...] Read more.
Pregnancy represents a dynamic immunological state in which the maternal immune system must balance tolerance toward the semi-allogeneic fetus while maintaining antimicrobial defense. Cytomegalovirus (CMV) infection is highly prevalent worldwide and profoundly shapes immune cell differentiation and long-term activation in adults. However, its interaction with pregnancy-associated immune remodeling remains incompletely defined. In this prospective longitudinal study, we comprehensively analyzed immune profiles of healthy pregnant women across all three trimesters and age-matched nonpregnant controls, stratified by CMV IgG serostatus. Multiparametric flow cytometry characterized T and B cell subsets and cytokine production following in vitro stimulation, while circulating cytokines and adhesion molecules were quantified using multiplex immunoassay. Gestational age was the primary determinant of leukocyte dynamics. Nevertheless, CMV-seropositive pregnant women showed enhanced activation and differentiation of CD4+ and, more prominently, CD8+ T cell subsets, changes not observed in nonpregnant women. Despite pronounced cellular differences, serum cytokine and adhesion molecule levels were largely comparable between CMV-seropositive and CMV-seronegative participants in both pregnant and nonpregnant groups. Functionally, CMV-seropositive women exhibited enrichment of IFN-γ– and IL-21–producing T cells, whereas B cell responses remained predominantly IL-10–dominated. These findings indicate selective alterations in maternal lymphocyte activation and function during pregnancy in CMV-seropositive women, without evidence of systemic inflammation. Full article
(This article belongs to the Special Issue Immune Regulation During Pregnancy)
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14 pages, 1070 KB  
Article
Bronchoalveolar Lavage Fluid Cytomegalovirus DNA Load as a Predictor of Mortality in AIDS Patients with Pulmonary Infections: A Retrospective Cohort Study
by Junyang Yang, Min Zhang, Renfang Zhang, Jun Chen, Yinzhong Shen, Tangkai Qi, Zhenyan Wang, Wei Song, Yang Tang, Jianjun Sun, Shuibao Xu, Youming Chen, Yueming Shao, Li Liu and Hongzhou Lu
Pathogens 2026, 15(4), 377; https://doi.org/10.3390/pathogens15040377 - 1 Apr 2026
Viewed by 515
Abstract
Cytomegalovirus (CMV) pneumonia presents diagnostic challenges in AIDS patients, as plasma monitoring often fails to reflect pulmonary viral burden. This retrospective study evaluated the prognostic value of bronchoalveolar lavage fluid (BALF) CMV DNA loads in 189 AIDS patients with pulmonary infections and CD4 [...] Read more.
Cytomegalovirus (CMV) pneumonia presents diagnostic challenges in AIDS patients, as plasma monitoring often fails to reflect pulmonary viral burden. This retrospective study evaluated the prognostic value of bronchoalveolar lavage fluid (BALF) CMV DNA loads in 189 AIDS patients with pulmonary infections and CD4+ T cell counts < 200 cells/μL. CMV DNA in BALF and plasma was quantified to analyze associations with immune status and 90-day all-cause mortality. CMV detection was significantly more frequent in BALF (49.7%) than plasma (26.6%), indicating viral compartmentalization. An optimal BALF cutoff of 10,000 copies/mL was established for mortality prediction. Patients exceeding this threshold exhibited significantly lower CD4+ counts, increased mechanical ventilation requirements (34.4% vs. 11.5%), and prolonged hospital stays. Crucially, a BALF CMV load > 10,000 copies/mL was identified as an independent predictor of 90-day mortality (adjusted odds ratio = 3.78; 95% CI: 1.12–12.71). In conclusion, pulmonary CMV replication is prevalent and often compartmentalized in AIDS patients. A BALF CMV DNA load exceeding 10,000 copies/mL serves as a biomarker of profound immunosuppression and independently predicts poor clinical outcomes, highlighting the necessity of quantitative BALF monitoring for risk stratification. Full article
(This article belongs to the Special Issue Advanced Research on Human Viral Coinfections)
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17 pages, 3055 KB  
Article
Antiviral Potential Efficacy of Green-Synthesized Silver and Titanium Dioxide Nanoparticles Against Rotavirus, Cytomegalovirus, and Human Papillomavirus
by Mohamed Z. Sayed-Ahmed, Mohamed A. Rizk, Soheir A. A. Hagras, Moaddey Alfarhan, Ayed A. Alshamrani, Ahmed H. Albariqi, Amal A. Mohamed, Mostafa A. Abdel-Maksoud, Wahidah H. Al-Qahtani, Bushra Hafeez Kiani and Atef S. Elgebaly
Pharmaceuticals 2026, 19(4), 556; https://doi.org/10.3390/ph19040556 - 31 Mar 2026
Viewed by 643
Abstract
Background: Viral infections represent a major challenge in modern medicine, including diseases caused by human papillomavirus (HPV), cytomegalovirus (CMV), and rotavirus, which are among the most prevalent viral pathogens. The rapid transmission and high mutation rates of these viruses contribute to substantial health [...] Read more.
Background: Viral infections represent a major challenge in modern medicine, including diseases caused by human papillomavirus (HPV), cytomegalovirus (CMV), and rotavirus, which are among the most prevalent viral pathogens. The rapid transmission and high mutation rates of these viruses contribute to substantial health burdens and socio economic consequences. Silver nanoparticles (Ag NPs) and titanium dioxide nanoparticles (TiO2-NPs) are effective antiviral agents. The major objective of this investigation was to measure the antiviral activity of titanium dioxide nanoparticles (TiO2-NPs) and green-produced silver nanoparticles (Ag NPs) against rotavirus, HPV, and CMV. Methods: UV-Vis spectroscopy, transmission electron microscopy (TEM), Fourier transform infrared (FTIR) spectroscopy, and X-ray diffraction (XRD) were used to characterize the nanoparticles. Cytotoxicity and antiviral activity were evaluated using a crystal violet assay in infected cell cultures. Results: The main findings indicate that both Ag NPs and TiO2-NPs exhibited pronounced antiviral activity against HPV, CMV, and rotavirus. Ag NPs exhibited strong antiviral activity, with lower IC50 values against HPV and CMV; however, this effect was associated with lower cytotoxic concentration (CC50) and selectivity index (SI) values, indicating higher cytotoxicity. In contrast, TiO2-NPs demonstrated a favorable safety profile, as indicated by higher CC50 value particularly against CMV (863.90 µg/mL) and rotavirus (386.84 µg/mL)—and low cytotoxicity toward host cells—highlighting their strong antiviral selectivity and therapeutic potential. Conclusions: Overall, these findings suggest that, while Ag-NPs possess strong antiviral efficacy, TiO2 NPs offer a more balanced combination of antiviral effectiveness and biosafety and may therefore be more promising candidates for antiviral applications. Full article
(This article belongs to the Section Pharmaceutical Technology)
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