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1.
Vopr Virusol ; 68(5): 372-384, 2023 Nov 07.
Article in Russian | MEDLINE | ID: mdl-38156572

ABSTRACT

RELEVANCE: Ebola virus disease (EVD) is an acute infectious disease with an extremely high case fatality rate reaching up to 90%. EVD has become widely known since 2014-2016, when outbreak in West Africa occurred and led to epidemic, which caused travel-related cases on the territory of other continents. There are two vaccines against EVD, prequalified by WHO for emergency use, as well as a number of vaccines, approved by local regulators in certain countries. However, even with the availability of effective vaccines, the lack of data on immune correlates of protection and duration of protective immune response in humans and primates is limiting factor for effectively preventing the spread of EVD outbreaks. AIMS: This review highlights experience of use of EVD vaccines during outbreaks in endemic areas, summarizes data on vaccine immunogenicity in clinical trials, and discusses perspectives for further development and use of effective EVD vaccines.


Subject(s)
Ebola Vaccines , Hemorrhagic Fever, Ebola , Animals , Humans , Hemorrhagic Fever, Ebola/epidemiology , Hemorrhagic Fever, Ebola/prevention & control , Travel , Travel-Related Illness , Disease Outbreaks/prevention & control
2.
Her Russ Acad Sci ; 92(4): 381-391, 2022.
Article in English | MEDLINE | ID: mdl-36091850

ABSTRACT

Over the two years that have passed since the WHO announced on March 11, 2020, a pandemic of the new coronavirus disease COVID-19, more than 460 million cases of the disease have been detected in the world, of which more than five million have been fatal. During the natural evolution of the COVID-19 pathogen, dominant variants emerge that account for most new infections. The WHO constantly monitors coronavirus mutations that potentially pose an epidemiological danger. Currently, the WHO divides modified variants of the SARS-CoV-2 virus into variants of concern (VOC) and variants of interest (VOI). The WHO-designated group of variants of concern includes potentially the most dangerous lines, which are characterized by a complex of new properties. This group also includes the Omicron variant, which has become the dominant agent of the new wave of the COVID-19 pandemic. The aim of this work is to analyze the characteristics of the SARS-CoV-2 Omicron strain, the dominant agent of the new wave of the COVID-19 pandemic. The proposed mechanism of origin of the Omicron variant, its geographical distribution, the features of the disease caused by it, and the distinguishing features from diseases caused by the Delta variant and the original Wuhan strain of the SARS-CoV-2 virus, mutations of the Omicron variant compared to the parent strain of the SARS-CoV-2 virus, the genetic variability of the Omicron variant, and the epidemiological characteristics of the disease it causes are considered. Particular attention is paid to evaluation of the preventive and therapeutic effectiveness of the existing medical means of protection against COVID-19 in relation to the Omicron strain.

3.
Vopr Virusol ; 66(6): 409-416, 2022 01 08.
Article in Russian | MEDLINE | ID: mdl-35019247

ABSTRACT

Since the Dabie bandavirus (DBV; former SFTS virus, SFTSV) was identified, the epidemics of severe fever with thrombocytopenic syndrome (SFTS) caused by this virus have occurred in several countries in East Asia. The rapid increase in incidence indicates that this infectious agent has a pandemic potential and poses an imminent global public health threat.The analysis of molecular evolution of SFTS agent that includes its variants isolated in China, Japan and South Korea was performed in this review. The evolution rate of DBV and the estimated dates of existence of the common ancestor were ascertained, and the possibility of reassortation was demonstrated.The evolutionary rates of DBV genome segments were estimated to be 2.28 × 10-4 nucleotides/site/year for S-segment, 2.42 × 10-4 for M-segment, and 1.19 × 10-4 for L-segment. The positions of positive selection were detected in the viral genome.Phylogenetic analyses showed that virus may be divided into two clades, containing six different genotypes. The structures of phylogenetic trees for S-, M- and L-segments showed that all genotypes originate from the common ancestor.Data of sequence analysis suggest that DBV use several mechanisms to maintain the high level of its genetic diversity. Understanding the phylogenetic factors that determine the virus transmission is important for assessing the epidemiological characteristics of the disease and predicting its possible outbreaks.


Subject(s)
Bunyaviridae Infections , Phlebovirus , Severe Fever with Thrombocytopenia Syndrome , Bunyaviridae Infections/epidemiology , Evolution, Molecular , Genome, Viral/genetics , Genotype , Humans , Phylogeny
4.
Vopr Virusol ; 66(4): 289-298, 2021 09 18.
Article in Russian | MEDLINE | ID: mdl-34545721

ABSTRACT

INTRODUCTION: The outbreaks of the Zaire ebolavirus (ZE) disease (ZED) that have arisen in the last decade determine the need to study the infection pathogenesis, the formation of specific immunity forming as well as the development of effective preventive and therapeutic means. All stages of fight against the ZED spread require the experimental infection in sensitive laboratory animals, which are rhesus monkeys in case of this disease .The aim of the study is to evaluate the rhesus monkey cellular immunity following the ZE experimental infection by the means of flow cytometry (cytofluorimetry). MATERIAL AND METHODS: Male rhesus monkeys were intramuscularly infected by the dose of 15 LD50 (dose of the pathogen that causes 50% mortality of infected animals) of the ZE, the Zaire strain (ZEBOV). Levels of 18 peripheral blood lymphocyte populations of the animals before the ZE experimental infection and at the terminal stage of the disease were assessed using flow cytometry. RESULTS AND DISCUSSION: The certain changes in the levels of the lymphocyte populations were observed following infection, indicating simultaneous activation and suppression of the immune system during ZED. The increase in content was observed for T-lymphocytes, T-helper and cytotoxic T-lymphocytes expressing the corresponding markers of early activation. The decrease was recorded for T-lymphocytes and double-positive T-lymphocytes expressing corresponding markers of late activation, as well as natural killer cells expressing CD8 (p < 0.05). CONCLUSION: For the first time in the Russian Federation, the rhesus monkey cellular immunity before and after the ZE experimental infection was assessed using flow cytometry.


Subject(s)
Ebolavirus , Hemorrhagic Fever, Ebola , Animals , Democratic Republic of the Congo , Flow Cytometry , Immunity, Cellular , Macaca mulatta , Male
5.
Vopr Virusol ; 64(3): 101-104, 2019.
Article in Russian | MEDLINE | ID: mdl-31622055

ABSTRACT

The mosquitoes of Aedes genus are the most important vector such arboviral diseases as dengue, yellow, Chikungunya, West Nile and Zika fevers. Work is currently in progress to control the transmission of agents of these diseases by forming of transgenic mosquitoes in order to altering the capacity of wild mosquitoes to support of virus replication. There are two main strategies of genetic control of mosquitoes population. Sterile Insect Technique (SIT), that mainly uses population suppression methods for making self-sustaining genetic systems and Release of insects carrying of a Dominant Lethal (RIDL) that uses mainly gene transfer methods for making of self-limiting genetic systems. The RIDL is more expensive, but it has some significant preferences, according compares with SIT. The field trials of genetic control methods are conducted in several countries from 2009 to present time. Genetic control, transgenic technologies to induce sterility, genetic elimination and stable transformation of Aedes mosquitoes are viewed in this review.


Subject(s)
Aedes , Animals, Genetically Modified , Arbovirus Infections/prevention & control , Mosquito Control , Mosquito Vectors , Aedes/genetics , Aedes/growth & development , Aedes/virology , Animals , Animals, Genetically Modified/genetics , Animals, Genetically Modified/growth & development , Animals, Genetically Modified/virology , Arbovirus Infections/transmission , Humans , Mosquito Vectors/genetics , Mosquito Vectors/growth & development
6.
Ter Arkh ; 91(11): 98-104, 2019 Nov 15.
Article in Russian | MEDLINE | ID: mdl-32598619

ABSTRACT

The Ebola virus (member of Ebolavirus genus Filoviridae family) is the etiologic agent of extremely hazard human disease with high mortality rates (up to 90%). The most important components of spectrum of therapeutics for special prophylactic and current of disease, caused by Ebola virus, are prepares, based on virus specific antibodies (convalescent's plasma, geterologic immunoglobulins, monoclonal antibodies. The use of different class therapeutics, based on virus specific antibodies, the possible improvements of its composition and strategy of its application for special prophylactic and current of disease, caused by Ebola virus, are considered in this review.


Subject(s)
Ebolavirus/immunology , Hemorrhagic Fever, Ebola , Antibodies, Monoclonal , Antibodies, Viral , Humans
7.
Vopr Virusol ; 63(5): 197-201, 2018.
Article in Russian | MEDLINE | ID: mdl-30550095

ABSTRACT

Тhе kingdom Archaea, as well as Bacteria, belongs to the overkingdom Prokaryota. Halophilic archaea (Halorubrum lacusprofundi) isolated from Antarctic saline lakes contain plasmids (pR1SE) that code proteins taking part in the formation of membranes of archaea vesicles. The molecular and biological properties of pR1SE and the peculiarity of its interaction with sensitive cells are considered in this article. The role of structural proteins coded by pR1S in the process of formation of vesicle membrane complex is paid special attention. Plasmid-containing archaea vesicles model some properties of viruses. Archaea plasmids can be viewed as possible ancestors of DNA-containing viruses.


Subject(s)
DNA, Viral/genetics , Halobacteriales/genetics , Halorubrum/genetics , Viruses/genetics , Antarctic Regions , Archaea/genetics , Archaea/virology , Halorubrum/virology , Lakes/microbiology , Plasmids/genetics , Salt Tolerance/genetics
8.
Klin Lab Diagn ; 63(6): 372-375, 2018.
Article in Russian | MEDLINE | ID: mdl-30702231

ABSTRACT

The reverse transcription - polymerase chain reaction method (RT-PCR) has leading position on diagnostic infections, caused by RNA-containing viruses. This method presents severe requirements to carrying out of everybody stages of analysis (extraction of nucleic acid, carry out reverse transcription, amplification of DNA). It is necessary to account the possibility of false positive or false negative results appearance. The use on RT-PCR only positive (PCS) and negative (NCS) control samples is insufficient for the control of stages of RNA extraction and reverse transcription. That is way there is necessity the construction of inner control sample (ICS) to control of these stages. The main goal of present is the ground of use genetic engineering constructions (GEC) as control samples (PCS and ICS) on evaluation of diagnostic kits for reveal of RNA of hazard and extremely hazard agents of virus infections by RT-PCR. The vector recombinant plasmids, containing the insertion of cDNA of agent´s genomic RNA are used as PCS, RNA was packed in membrane protein of MS2 bacteriophage, is used as ICS. It is demonstrated that ICS does no influence on sensitivity of RT-PCR both for use of native agents and for use of synthetic nucleic acids of Ebola, Marburg, Lassa, Machupo, Venezuelan encephalitis equine (VEE), Rift Valley fever and rabies viruses. The possibility of use of PCS and ICS for standardization of diagnostic kits is discussed.


Subject(s)
RNA, Viral/analysis , Reagent Kits, Diagnostic/standards , Reference Standards , Reverse Transcriptase Polymerase Chain Reaction , Animals , Genetic Engineering , Sensitivity and Specificity
9.
Vopr Virusol ; 63(6): 245-249, 2018.
Article in Russian | MEDLINE | ID: mdl-30641019

ABSTRACT

Some drugs candidates for treatment of Ebola virus disease (EVD), have been studied, monoclonal antibody (mAb) cocktails have shown great potential as EVD therapeutics. The advantages of mAb therapy include low toxicity, high specifcity and versatility, with the range of biological effects being dependent upon the Fc region. Functions of mAbs include pathogen opsonisation, complement activation, antibody-dependent cell cytotoxicity and virus neutralization characteristics. The most known mAb cocktail, used as therapeutic, is ZMapр, manufactured by «Leaf Biopharmaceutical¼ from 2004. The elaborated mAb cocktails, structures and properties s of mAbs, the protective characteristics of mAbs and development of new pan-ebolavirus mAbs are reviewed in this article.


Subject(s)
Antibodies, Monoclonal/therapeutic use , Antibodies, Viral/immunology , Ebolavirus/pathogenicity , Hemorrhagic Fever, Ebola/drug therapy , Antibodies, Monoclonal/immunology , Antibodies, Neutralizing/immunology , Antibodies, Neutralizing/therapeutic use , Ebolavirus/drug effects , Epitopes/immunology , Hemorrhagic Fever, Ebola/immunology , Hemorrhagic Fever, Ebola/virology , Humans
10.
Vopr Virusol ; 63(2): 58-61, 2018 Apr 20.
Article in English | MEDLINE | ID: mdl-36494922

ABSTRACT

The data on a recently revealed novel filovirus (Lloviu virus, family Filoviridae, genera Cuevavirus) in Europe are viewed in this issue. The molecular-biological properties of genome fragments of Lloviu virus were isolated from perished bats (Miniopterus sсhreibersii). Because infectious Lloviu virus has not been isolated yet, the capacity of virus to infect cells of different species and its potential to cause disease in humans is unclear. The recombinant vectors (vesicular stomatitis virus and plasmids) expressing structural proteins of Lloviu virus were used to study different elements of the virus. The question of interaction of structural proteins of Lloviu virus expressed by recombinant vectors with receptors of bat and human cells is considered. The possibility of pathogenicity of the novel agent for humans is considered. The conclusion is made about the necessity of continuous epidemical and epizootical monitoring of the new filovirus infection.

11.
Vopr Virusol ; 63(1): 5-10, 2018 Feb 20.
Article in English | MEDLINE | ID: mdl-36494991

ABSTRACT

The brief review is devoted to description of the discovery of giant viruses belonging to the families of Mimiviridae and Marseilleviridae, as well as unassigned genera Pithoviruses, Pandoravirus, and Molliviruses. The review presents issues of their origin, evolution, and molecular-biological characteristics.

12.
Vopr Virusol ; 62(4): 149-153, 2017.
Article in Russian | MEDLINE | ID: mdl-29733163

ABSTRACT

Lujo hemorrhagic fever (LHF) is a viral disease accompanied with fever, headache, vomiting, diarrhea, arthralgia, myalgia and numerous signs of hemorrhagic syndrome. LHF causes a clinical syndrome remarkably similar to Lassa hemorrhagic fever. The first case of LHF occurred in Johannesburg, South Africa, in 2008. There was a secondary transmission from the index patient to four healthcare workers. Four of the five patients died. The etiologic agent of LHF is Lujo virus (LUJV) belonging to Arenavirus genus of the Arenaviridae Family. Virus Lujo is the second pathogenic arenavirus, after Lassa virus, to be recognized in Africa during the last 40 years. Data about epidemiology, clinical characteristics and diagnostics of LHF, properties of Lujo virus (according to phylogenetic analysis), and recommended precautions for preventing secondary transmission are considered in this paper.


Subject(s)
Hemorrhagic Fevers, Viral , Lujo virus , Phylogeny , Arenaviridae Infections , Humans , South Africa
13.
Vopr Virusol ; 62(2): 60-65, 2017 Apr 20.
Article in English | MEDLINE | ID: mdl-36494929

ABSTRACT

Severe fever with thrombocytopenia syndrome (SFTS) is an emerging infectious disease caused by a new virus (SFTS virus) reported to be endemic to central and northeastern parts of China. SFTS virus, which is classified into the genus Phlebovirus (the Bunyaviridae family), is suspected to be a tick-borne virus owing to evidence in two species of ticks: Haemaphysalis longicornis and Rhipicephalus microplus. SFTS virus is detected among many species of domestic animals in China. The clinical symptoms of SFTS include fever, thrombocytopenia, leucocytopenia, gastrointestinal symptoms, neural symptoms, bleeding tendency. The fatality rate of SFTS is 6-30%. Person-to-person transmission of SFTS virus is possible through blood contact. Clinical and epidemiological studies of SFTS, the cases of SFTS outside China, person-to-person transmission of SFTS virus, evolutionary and molecular analysis of the emergent SFTS virus, and risk assessment of human infection with a novel phlebovirus are considered in this review.

14.
Article in Russian | MEDLINE | ID: mdl-26829861

ABSTRACT

Epidemiologic analysis of epidemic outbreaks caused by American equine encephalitis causative agents is carried out in the review. Eastern equine encephalomyelitis (EEE), Western equine encephalomyelitis (WEE) and Venezuela equine encephalomyelitis (VEE) viruses are etiologic agents of dangerous transmissive diseases that are usually accompanied by fever and neurologic symptoms. Among the New World alphaviruses, VEE virus has the most potential danger for humans and domestic animals. Currently, enzootic strains of VEE play an increasing role as etiologic agents of human diseases. Most of the VEE cases in humans in endemic regions during inter-epidemic period are caused by infection with VEE subtype ID virus. A possibility of emergence of novel epidemic outbreaks of VEE is determined by mutations of ID subtype strains into IC subtype, and those currently pose a potential threat as an etiologic agent of the disease. Despite low morbidity, EEE and WEE are a problem for healthcare due to a relatively high frequency of lethal outcomes of the disease.


Subject(s)
Encephalitis Virus, Western Equine/pathogenicity , Encephalomyelitis, Equine/epidemiology , Encephalomyelitis, Equine/virology , Animals , Encephalitis Virus, Eastern Equine/genetics , Encephalitis Virus, Eastern Equine/pathogenicity , Encephalitis Virus, Venezuelan Equine/genetics , Encephalitis Virus, Venezuelan Equine/pathogenicity , Encephalitis Virus, Western Equine/genetics , Encephalomyelitis, Equine/transmission , Encephalomyelitis, Equine/veterinary , Horses/virology , Humans , United States
15.
Article in Russian | MEDLINE | ID: mdl-26950993

ABSTRACT

AIM: Experience of study and possible ways of elimination of false positive and false negative results during execution of polymerase chain reaction on an example of Junin virus RNA detection. MATERIALSS AND METHODS: Junin virus--causative agent of Argentine hemorrhagic fever (AHF) strain XJpR37/5787 was obtained from the State collection of pathogenicity group I causative agents of the 48th Central Research Institute. Reagent kit for detection of Junin virus RNA by RT-PCR was developed in the Institute and consists of 4 sets: for isolation of RNA, execution of reverse-transcription reaction, execution of PCR and electrophoretic detection of PCR products. RT-PCR was carried out by a standard technique. Continuous cell cultures of African green monkey Vero B, GMK-AH-1(D) were obtained from the museum of cell culture department of the Centre. RESULTS: An experimental study of the effect of various factors of impact on the sample under investigation ("thawing-freezing", presence of formaldehyde, heparin) on the obtaining of false negative results during Junin virus RNA detection by using RT-PCR was studied. Addition of 0.01% heparin to the samples was shown to completely inhibit PCR. Addition of 0.05% formaldehyde significantly reduces sensitivity of the method. A possibility of reduction of analysis timeframe from 15 to 5 days was shown during detection of the causative agent in samples with low concentration of the latter by growing the samples and subsequent analysis of the material obtained by using RT-PCR. CONCLUSION: During detection of causative agent by using RT-PCR false negative results could appear in the presence of formaldehyde and heparin in the sample. A possibility of elimination of false negative PCR results due to concentration of the causative agent in the sample under investigation at a level below sensitivity threshold was shown on the example of Junin virus RNA detection by using growing of the pathogen in appropriate accumulation system with subsequent analysis of the material obtained using PCR.


Subject(s)
Formaldehyde/chemistry , Hemorrhagic Fever, American/diagnosis , Heparin/chemistry , Junin virus/genetics , RNA, Viral/genetics , Reverse Transcriptase Polymerase Chain Reaction/standards , Animals , Chlorocebus aethiops , False Negative Reactions , False Positive Reactions , Hemorrhagic Fever, American/blood , Hemorrhagic Fever, American/virology , Humans , Junin virus/isolation & purification , RNA, Viral/isolation & purification , Reagent Kits, Diagnostic/standards , Vero Cells
16.
Article in Russian | MEDLINE | ID: mdl-26950994

ABSTRACT

AIM: Detection-and identification of Venezuelan equine encephalomyelitis (VEE) virus RNA in biological samples by reverse-transcription polymerase chain reaction (RT-PCR) and RT-PCR in real time (rRT-PCR). MATERIALS AND METHODS: VEE, Sindbis, West Nile, Japanese and tick-borne encephalitis viruses were studied. Cell culture of chicken fibroblasts, outbred mice and rats, Javanese macaques were used in the experiments. Biological activity determination of the running culture of causative agents used in the experiments was carried out by negative colony method in monolayer cell culture under agar coating. and using intra-cerebral infection of mice. Reagent kits developed in the 48th Central Research Institute and Institute of Analytical Instrument Engineering were used during execution of experiments of VEE virus RNA detection by RT-PCR and rRT-PCR. RESULTS: VEE virus was detected in biological samples by various methods. Data from RT-PCR and rRT-PCR are in accordance with the results of virus detection in samples using sensitive animals. CONCLUSION: Use of molecular-diagnostics methods for detection in biological samples of a causative agent of a dangerous infectious disease is important for procuring biological safety of Russian Federation.


Subject(s)
Encephalitis Virus, Japanese/genetics , Encephalitis Virus, Venezuelan Equine/genetics , Encephalitis Viruses, Tick-Borne/genetics , RNA, Viral/genetics , Reverse Transcriptase Polymerase Chain Reaction/methods , Sindbis Virus/genetics , West Nile virus/genetics , Alphavirus Infections/diagnosis , Alphavirus Infections/virology , Animals , Animals, Outbred Strains , Chickens , Encephalitis Virus, Japanese/isolation & purification , Encephalitis Virus, Venezuelan Equine/isolation & purification , Encephalitis Viruses, Tick-Borne/isolation & purification , Encephalitis, Japanese/diagnosis , Encephalitis, Japanese/virology , Encephalitis, Tick-Borne/diagnosis , Encephalitis, Tick-Borne/virology , Encephalomyelitis, Venezuelan Equine/diagnosis , Encephalomyelitis, Venezuelan Equine/virology , Fibroblasts/pathology , Fibroblasts/virology , Humans , Macaca mulatta , Mice , RNA, Viral/isolation & purification , Rats , Reagent Kits, Diagnostic/standards , Sindbis Virus/isolation & purification , West Nile Fever/diagnosis , West Nile Fever/virology , West Nile virus/isolation & purification
17.
Klin Lab Diagn ; 59(12): 44-7, 2014 Dec.
Article in Russian | MEDLINE | ID: mdl-25872269

ABSTRACT

The article considers molecular genetic characteristic of RNA of human enterovirus detected in bio-test from child with serous meningitis. The nucleotide sequence of genome DNA is analyzed. In 98% it is identical to corresponding nucleotide sequences of strains of human enterovirus A serotype 71 detected in China.


Subject(s)
Enterovirus A, Human/isolation & purification , Enterovirus Infections/virology , RNA, Viral/isolation & purification , Base Sequence , China , Diagnosis , Enterovirus A, Human/genetics , Enterovirus Infections/diagnosis , Enterovirus Infections/genetics , Enterovirus Infections/mortality , Humans , Meningitis/mortality , Meningitis/virology , Phylogeny , RNA, Viral/genetics , Russia
18.
Klin Lab Diagn ; (3): 41-4, 2013 Mar.
Article in Russian | MEDLINE | ID: mdl-23808026

ABSTRACT

The external and internal control samples are used in case of polymerase chain reaction application to ensure validity of results. The external control samples are used to establish operability of reagents included into diagnostic kit. The internal control samples make it possible to check not only all the stages of reaction but also the process of amplification in each individual test tube with reaction mixture.


Subject(s)
DNA/isolation & purification , Reference Standards , Reverse Transcriptase Polymerase Chain Reaction/methods , DNA/chemistry , Humans , Reverse Transcriptase Polymerase Chain Reaction/standards
19.
Appl Radiat Isot ; 69(10): 1475-8, 2011 Oct.
Article in English | MEDLINE | ID: mdl-21640595

ABSTRACT

Luminescent and scintillation properties of polystyrene-based plastic scintillators with ß-diketone Eu complexes are investigated. A scintillator with dibenzoylmethane Eu complex containing two phenyl groups demonstrates the maximum scintillating efficiency. It is shown that plastic scintillators efficiency is dramatically decreased if ß-diketone derivatives contain no phenyl groups as substituents. This fact can be explained by exciplex mechanism of energy transfer from a matrix to Eu complex.

20.
Article in Russian | MEDLINE | ID: mdl-19462520

ABSTRACT

Perspectives of using reverse genetics methods for constructing of recombinant influenza virus strains acceptable for use as live attenuated vaccines are discussed. Using of attenuated NS-vectors of influenza virus opens possibilities for the development of recombinant vaccines with optimal ratio of immunogenicity and safety. Reverse genetics is applicable for development of effective vaccines against new pathogens such as highly pathogenic avian influenza A/H5N1.


Subject(s)
Cloning, Molecular/methods , Influenza A virus/genetics , Influenza Vaccines/genetics , Influenza, Human/prevention & control , Viral Nonstructural Proteins/genetics , Animals , Genetic Vectors/genetics , Humans , Influenza A virus/immunology , Influenza Vaccines/immunology , Vaccines, Attenuated/genetics , Vaccines, Attenuated/immunology , Vaccines, Synthetic/genetics , Vaccines, Synthetic/immunology , Viral Nonstructural Proteins/immunology
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