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Volume 225, Issue 7, 1 April 2022
EDITORIAL COMMENTARY
Consulting the Oracle of SARS-CoV-2 Infection
MAJOR ARTICLES AND BRIEF REPORTS
COVID-2019
Yearlong COVID-19 Infection Reveals Within-Host Evolution of SARS-CoV-2 in a Patient With B-Cell Depletion
Coronavirus Disease 2019 Messenger RNA Vaccine Immunogenicity in Immunosuppressed Individuals
Individuals on immunosuppression for various indications have impaired neutralizing, binding, and nonneutralizing antibody responses and reduced T-cell activity in response to COVID-19 mRNA vaccination compared to immunocompetent controls. This suggests that standard vaccination may not result in protective immunity in this population.
Reduced Magnitude and Durability of Humoral Immune Responses to COVID-19 mRNA Vaccines Among Older Adults
COVID-19 mRNA vaccines induce weaker antibody responses in older adults. Age was a significant predictor of spike binding antibody concentration and SARS-CoV-2 neutralizing activity after correcting for participant demographics, including chronic health conditions.
Comparative Immunogenicity and Effectiveness of mRNA-1273, BNT162b2, and Ad26.COV2.S COVID-19 Vaccines
SARS-CoV-2 vaccines differ in immunogenicity (by multiple humoral and T-cell measures): mRNA1273 induced the strongest responses following by BNT162b2; Ad26.COV2.S induced weak responses. Differences in immunogenicity predict population-level effectiveness against infection, hospitalization, or death (mRNA1273 > bnt162b2 > Ad26.COV2.S).
HIV/AIDS
Regular Use of Depot Medroxyprogesterone Acetate Causes Thinning of the Superficial Lining and Apical Distribution of Human Immunodeficiency Virus Target Cells in the Human Ectocervix
By developing quantitative image analysis workflows, we revealed that women taking the hormonal contraceptive depot medroxyprogesterone acetate had a less robust ectocervical epithelium and a more superficial distribution of HIV target cells. This could confer a higher risk of HIV infection.
Persistent Immune Activation in Human Immunodeficiency Virus–Infected Pregnant Women Starting Combination Antiretroviral Therapy After Conception
Human immunodeficiency virus (HIV)–infected women who started combination antiretroviral therapy (cART) during pregnancy experienced reduced T-cell immune activation but not to levels similar to those in pregnant cART-experienced HIV-infected or HIV-uninfected women. The effect of maternal immune activation during early life on infant immunity remains undefined.
Cellular Activation, Differentiation, and Proliferation Influence the Dynamics of Genetically Intact Proviruses Over Time
The longitudinal analysis of full-length proviruses within memory CD4+ T-cell subsets demonstrates that the biological processes of activation, differentiation, and proliferation influence the dynamics of the HIV reservoir, and must be considered during the development of any immune intervention.
VIRUSES
Human Cytomegalovirus and Risk of Incident Cardiovascular Disease in United Kingdom Biobank
In this large cohort study of 8500 middle- to early older-aged, predominantly white, UK women and men we found no significant association between human cytomegalovirus past exposure and risk of incident cardiovascular disease, ischemic heart disease, or stroke.
Respiratory Syncytial Virus (RSV)–Specific Antibodies in Pregnant Women and Subsequent Risk of RSV Hospitalization in Young Infants
Maternal serum immunoglobulin antibody titers directed to respiratory syncytial virus (RSV) pre-F glycoprotein were lower in infants less than 3 months of age hospitalized with RSV bronchiolitis than in maternal serum samples of age-matched control infants who were not hospitalized.
Respiratory Syncytial Virus and All-Cause Bronchiolitis Hospitalizations Among Preterm Infants Using the Pediatric Health Information System (PHIS)
This historical, observational cohort study demonstrates that respiratory syncytial virus (RSV) hospitalizations and all-cause bronchiolitis hospitalizations and their severity increased among otherwise healthy 29–34 weeks’ gestational age infants aged <6 months in the 2014–2017 vs 2010–2014 RSV seasons.
Genotype-Specific Neutralization of Norovirus Is Mediated by Antibodies Against the Protruding Domain of the Major Capsid Protein
Lack of a cell culture system for human noroviruses has impacted the study of their antigenic relationships in vivo. Using human intestinal enteroids, we show that 4 viruses, representing 2 norovirus genotypes, are neutralized in a genotype-specific manner.
PARASITES
Efficacy of Single-Dose Primaquine With Artemisinin Combination Therapy on Plasmodium falciparum Gametocytes and Transmission: An Individual Patient Meta-Analysis
An individual patient meta-analysis was performed on the gametocytocidal and transmission-blocking activities of single-dose primaquine. Gametocyte persistence and infectivity depended on the artemisinin-combination therapy that primaquine was administered with. Primaquine’s transmission-blocking effects were achieved at 0.25 mg/kg.
Sensitive, Highly Multiplexed Sequencing of Microhaplotypes From the Plasmodium falciparum Heterozygome
A novel bioinformatics pipeline was created to select and characterize the most diverse and tractable short-range sequences (microhaplotypes) in the Plasmodium falciparum genome, followed by a robust polymerase chain reaction–based multiplexing method to simultaneously amplify and sequence these microhaplotypes.
Impairment of Invasion and Maturation and Decreased Selectivity of Plasmodium falciparum in G6PD Viangchan and Mahidol Variants
Blockage of invasion in long-term culture and potential enhanced removal of parasitized erythrocytes were observed for the first time in erythrocytes from Viangchan and Mahidol G6PD-deficient individuals.
BACTERIA
Bordetella pertussis Induces Interferon Gamma Production by Natural Killer Cells, Resulting in Chemoattraction by Respiratory Epithelial Cells
Protective immunity to Bordetella pertussis requires interferon gamma (IFN-γ) production. IFN-γ is produced by natural killer (NK) cells after exposure to intact bacteria, but not soluble antigens. IFN-γ promotes the production of CXCL9-11, resulting in the recruitment of NK and T cells.
Vaginal and Extra-Vaginal Bacterial Colonization and Risk for Incident Bacterial Vaginosis in a Population of Women Who Have Sex With Men
The presence and concentrations of bacterial vaginosis-associated bacteria detected in the mouth, anus, labia, and vagina of women without bacterial vaginosis predict those women who subsequently develop BV.
Nasopharyngeal Pneumococcal Colonization Density Is Associated With Severe Pneumonia in Young Children in the Lao People’s Democratic Republic
No studies have explored the association between pneumococcal nasopharyngeal density and severe pneumonia using the World Health Organization 2013 definition. Among children with acute respiratory infections and pneumococcal carriage, pneumococcal carriage density was positively associated with severe pneumonia in Laos.
PATHOGENESIS AND HOST RESPONSE
Morphological and Transcriptional Changes in Human Bone Marrow During Natural Plasmodium vivax Malaria Infections
Association of Myeloid Liver Kinase B1 Depletion With a Reduction in Alveolar Macrophage Numbers and an Impaired Host Defense During Gram-Negative Pneumonia
Myeloid liver kinase B1 (LKB1) depletion reduces alveolar macrophages and impairs host defense against Klebsiella pneumoniae in the lung. LKB1 deficiency in alveolar macrophages does not affect glucose metabolism or immune functions, such as tumor necrosis factor production or phagocytosis.