From dormant to danger: How VZV reactivation is driving CNS infections
Peer-Reviewed Publication
Updates every hour. Last Updated: 28-Apr-2025 17:08 ET (28-Apr-2025 21:08 GMT/UTC)
Researchers from Fujita Health University, Japan, observed a rise in adult central nervous system (CNS) infections, primarily aseptic meningitis caused by the varicella zoster virus (VZV), post-2019. The researchers highlighted the potential of zoster vaccination to reduce CNS infections. Meanwhile, CNS infection by herpesviruses, including VZV, may contribute to the progression of dementia. Furthermore, the potential effect of zoster vaccines in preventing dementia progression by reducing VZV reactivation has also been highlighted.
A platform developed nearly 20 years ago previously used to detect protein interactions with DNA and conduct accurate COVID-19 testing has been repurposed to create a highly sensitive water contamination detection tool.
A new supplemental issue of The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences presents new measures, methods, and data collected during Round 4 (2021 to 2023) of the National Social Life, Health, and Aging Project (NSHAP) — with a focus on cognition and how researchers adapted to working with participants as a result of the COVID-19 pandemic.
Advances in technology, the evolution of patient- and-family centered care, and infection control challenges—evidenced during the COVID-19 pandemic—highlight the possibilities and challenges of intensive care unit (ICU) design. For example, prior ICU design guidelines in 1995 and 2012 did not envision remote manipulation of ventilator settings or infusion pumps, or the unique problems presented by pandemic care. As a result, the Society of Critical Care Medicine (SCCM) sought to update the 2012 ICU design guidelines. Published in Critical Care Medicine, the journal of SCCM, these new guidelines provide evidence-based recommendations for clinicians, administrators, and healthcare architects to optimize design strategies in new or renovation projects.
A novel machine learning framework – Mal-ID – can decipher an individual’s immune system’s record of past infections and diseases, according to a new study, providing a powerful tool with the potential for diagnosing autoimmune disorders, viral infections, and vaccine responses with precision. Traditional clinical diagnostic methods for autoimmune diseases or other immunological pathologies tend to rely on a combination of physical examination, patient history, and various laboratory testing for cellular or molecular abnormalities – a lengthy process often complicated by initial misdiagnoses and ambiguous systems. These approaches make limited use of data from the patient’s individual adaptive immune system’s B cell receptors (BCRs) and T cell receptors (TCRs). In response to pathogens, vaccines, and other antigenic stimuli, BCR and TCR repertoires undergo changes through clonal expansion, somatic mutation, and selective reshaping of immune cell populations. Sequencing BCRs and TCRs could provide a comprehensive diagnostic tool, potentially enabling simultaneous detection of infectious, autoimmune, and immune-mediated diseases in a single test. However, the extent to which immune receptor repertoire sequencing alone can reliably and broadly classify diseases remains uncertain.
To address this, Maxim Zaslavsky and colleagues developed Mal-ID (MAchine Learning for Immunological Diagnosis) – a 3-model machine learning framework that analyzes immune receptor datasets to identify signatures of infectious and immunological diseases and vaccine responses in patients. Zaslavsky et al. trained Mal-ID on BCR and TCR data systematically collected from 593 individuals, including patients with COVID-19, HIV, and type-1 diabetes, as well as influenza vaccine recipients and healthy controls. According to the findings, Mal-ID effectively distinguished six distinct disease states in 550 paired BCR and TCR samples with a multiclass AUROC score of 0.986, indicating exceptionally high classification accuracy. This metric reflects the model’s ability to rank positive cases above negative ones across all disease comparisons. Although the model was successful in differentiating COVID-19, HIV, lupus, T1D, and healthy individuals – illustrating its potential as a powerful diagnostic tool – Zaslavsky et al. note that the approach still needs to be refined, using clinical information, before it could be used with confidence in clinical applications.
Paxlovid does not significantly reduce COVID-19 hospitalization and mortality among vaccinated older adults. The study questions the assumption that Paxlovid’s effectiveness in reducing COVID-19 hospitalizations and deaths in unvaccinated adults also applies to vaccinated adults.