Publications by authors named "Jen-Ren Wang"

Background: Dialysis patients are vulnerable to SARS-CoV-2 infection and subsequent complications. However, the vaccine-induced immunity, especially against new variants, following two AZD1222 and two booster doses in hemodialysis patients remain largely unknown.

Methods: In this observational cohort study, we monitored immune responses in 127 hemodialysis patients receiving the 3 and 4th vaccinations until three months after the 4th immunization.

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Enterovirus A71 (EV-A71) infection is known to cause hand-foot-mouth disease, which may develop severe symptoms such as encephalitis, herpangina, and paralysis, leading to pulmonary edema and even death in children under five years old. Existing animal models for EV-A71 pathogenesis have limitations, necessitating novel models to study human-relevant disease mechanisms. Using glycoproteomic profiling to identify EV-A71-interacting proteins, we previously discovered human nucleolin (hNCL) as an attachment molecule that enhances viral binding and infection in vitro.

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Enterovirus A71 (EV-A71) is a causative agent of hand, foot, and mouth diseases. EV-A71 infections may result in severe neurological complications in children. Although several receptors or attachment molecules for EV-A71 have been identified, EV-A71 can still infect host cells even after blocking these receptors with antibodies.

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Enterovirus A71 (EV-A71) is the main pathogen of hand-foot-and-mouth disease and sometimes causes neurological disease complications in severe cases. The most recent large EV-A71 outbreak in Taiwan occurred in 2012. We aimed to investigate the gene expression profile of human neuroblastoma cells infected with mild and severe case EV-A71 isolates.

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Background: The largest dengue virus 2 (DENV2) outbreak occurred in Taiwan in 2015, resulting in many fatalities. We therefore aim to identify crucial genetic variations which determine the virulence of the 2015 Taiwan outbreak strains.

Methods: We compared the 2015 Taiwan DENV2 sequences to the pre-2015 sequences.

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Article Synopsis
  • Coxsackievirus A16 (CVA16) is a major cause of hand, foot, and mouth disease in children, but developing a vaccine has faced issues like poor virus replication and weak immune responses.
  • This study created a DNA-launched infectious clone of CVA16 to improve vaccine efficacy by using a more stable viral strain and better production methods through specific cell lines.
  • Additionally, combining inactivated EV-A71 antigens with CVA16 particles could enhance immune response, suggesting a potential bivalent vaccine approach for effective HFMD prevention.
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  • The evolution of analytical methods, particularly surface-enhanced Raman spectroscopy (SERS), has improved the accuracy and speed of detecting medical conditions, although the complexity of viruses presents challenges for practical use.* -
  • SERS relies on unique spectra for each analyte, but issues of reproducibility and consistency in results are common due to a lack of focus on the interactions between the substrate, analyte, and Raman laser.* -
  • Utilizing machine learning for spectral data analysis can help address interference from non-target molecules, enhancing the ability to accurately identify viral infections and detect various virus variants.*
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Dengue virus (DENV) causes approximately 390 million dengue infections worldwide every year. There were 22,777 reported DENV infections in Tainan, Taiwan in 2015. In this study, we sequenced the C-prM-E genes from 45 DENV 2015 strains, and phylogenetic analysis based on C-prM-E genes revealed that all strains were classified as DENV serotype 2 Cosmopolitan genotype.

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  • High levels of cross-reactive antibodies (CR Abs) in COVID-19 patients are linked to more severe disease and increased neutrophil extracellular trap (NET) formation, worsening prognosis.
  • The study analyzed CR Abs in the blood of COVID-19 patients and found that these antibodies, particularly in severe cases, significantly activated immune cells and led to NETosis, creating a cascade that could exacerbate blood clotting.
  • Results suggest that treatments targeting ACE2 or using dasatinib could mitigate CR Abs-induced NETosis, and vaccination could help lower disease severity and CR Abs levels post-infection.
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Enterovirus A71 (EV-A71) can induce severe neurological complications and even fatal encephalitis in children, and it has caused several large outbreaks in Taiwan since 1998. We previously generated VP1 codon-deoptimized (VP1-CD) reverse genetics (rg) EV-A71 viruses (rgEV-A71s) that harbor a high-fidelity (HF) 3D polymerase. These VP1-CD-HF rgEV-A71s showed lower replication kinetics and decreased virulence in an Institute of Cancer Research (ICR) mouse model of EV-A71 infection, while still retaining their antigenicity in comparison to the wild-type virus.

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Herpes simplex virus type 1 (HSV-1) can establish latency in humans and easily relapse in immunocompromised patients, with significant mortality. Treatment with acyclovir (ACV) can result in the emergence of HSV resistance. A total of 440 frozen HSV-1 isolates collected from 318 patients from January 2014 to July 2019 were obtained from National Cheng Kung University Hospital in southern Taiwan.

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A method using label-free surface enhanced Raman spectroscopy (SERS) based on substrate design is provided for an early detection and differentiation of spike glycoprotein mutation sites in live SARS-CoV-2 variants. Two SERS-active substrates, Au nanocavities (Au NCs) and Au NPs on porous ZrO (Au NPs/pZrO), were used to identify specific peaks of A.3, Alpha, and Delta variants at different concentrations and demonstrated the ability to provide their SERS spectra with detection limits of 0.

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Coxsackievirus A10 (CVA10) is one of enteroviral pathogens that cause the hand, foot, and mouth disease (HFMD). Since CVA10 was reported to be not easily propagated in the Vero cell culture, a feasible manufacture process for producing formalin-inactivated CVA10 vaccine is urgently needed. Several cell lines that commonly used for viral vaccine production was tested for CVA10 (M2014 strain) culture in this study, and our result showed that CVA10 could be easily propagated in the HEK293A cells.

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Dengue virus (DENV) infection can induce life-threatening dengue hemorrhagic fever/dengue shock syndrome in infected patients. DENV is a threat to global health due to its growing numbers and incidence of infection in the last 50 years. During infection, DENV expresses ten structural and nonstructural proteins modulating cell responses to benefit viral replication.

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Enterovirus A71 (EV-A71) is a non-enveloped virus possessing 4 capsid proteins: VP1-VP4. The outermost capsid protein, VP1, plays roles in both antigenicity and virulence of the virus. The concept of generating other EV-A71 genotypes of reverse genetics (rg) viruses by replacing VP1 can be made possible with synthetic biotechnology, allowing us to redesign organisms, creating unavailable ones.

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The ChAdOx1 nCoV-19 (AZD1222) vaccine is one of the most commonly delivered SARS-CoV-2 vaccines worldwide; however, few clinical studies have investigated its immunogenicity in dialysis patients. We prospectively enrolled 123 patients on maintenance hemodialysis at a medical center in Taiwan. All patients were infection-naive, had received two doses of the AZD1222 vaccine, and were monitored for 7 months.

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Broadly neutralizing ability is critical for developing the next-generation SARS-CoV-2 vaccine. We collected sera samples between December 2021-January 2022 from 113 Taiwan naïve participants after their second dose of homologous vaccine (AZD1222, mRNA-1273, BNT162-b2, and MVC-COV1901) and compared the differences in serological responses of various SARS-CoV-2 vaccines. Compared to AZD1222, the two mRNA vaccines could elicit a higher level of anti-S1-RBD binding antibodies with higher broadly neutralizing ability evaluated using pseudoviruses of various SARS-CoV-2 lineages.

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The nucleic acid test is still the standard assessment for the diagnosis of coronavirus disease 2019 (COVID-19), which is caused by human infection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). In addition to supporting the confirmation of disease cases, serological assays are used for the analysis of antibody status and epidemiological surveys. In this study, a single Western blot strip (WBS) coated with multiple Escherichia coli (E.

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Article Synopsis
  • * Genetic analysis revealed that the subgenotype B1 of CVA16 was the most common strain during the study period, while subgenotype B2 was only found in samples from the late 1990s.
  • * The study also identified significant genetic recombination between CVA16 and other virus strains, with findings indicating that the dominant subgenotype B1 shows potential as a candidate for developing a vaccine against CVA16.
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  • The study analyzed RSV cases at a hospital in Taiwan from 2016 to 2020, focusing on a significant outbreak in late 2020.
  • The outbreak involved older children, who exhibited higher rates of bronchopneumonia but had lower hospitalization rates and less severe symptoms compared to prior years.
  • It was determined that the 2020 outbreak was driven by a new variant of RSV-A (subtype ON1), emphasizing the need for continuous monitoring of respiratory viruses.
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Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has spread globally since December 2019. Several studies reported that SARS-CoV-2 infections may produce false-positive reactions in dengue virus (DENV) serology tests and vice versa. However, it remains unclear whether SARS-CoV-2 and DENV cross-reactive antibodies provide cross-protection against each disease or promote disease severity.

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  • RNA viruses, like DENV, have high mutation rates that lead to a diverse group of closely related viruses known as quasispecies, which may influence disease severity.
  • A study analyzed 22 DENV isolates (10 from mild cases and 12 from fatal cases) using Next Generation Sequencing, identifying six significant nucleotide variations linked to more severe outcomes.
  • Further testing of two specific viral variants showed increased replication rates in certain cell types and revealed temperature sensitivity, suggesting that these genetic changes could contribute to the virulence of DENV in infected individuals.
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  • *This study created virus-like particles (VLPs) from the H5N6-Sichuan strain using a baculovirus-insect cell system and confirmed their composition through purification and analysis.
  • *The results showed that H5N6 VLPs produced significantly higher neutralizing antibody responses and immune reactions in mice, suggesting their potential as a broad-spectrum vaccine for H5Nx avian influenza.
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  • SARS-CoV-2 is the virus causing the COVID-19 pandemic, which interacts with the ACE2 receptor in human cells through its spike protein.
  • Patients with COVID-19 have higher levels of antibodies against ACE2, correlating with the severity of the disease; these antibodies seem to be produced in response to the virus's S1-RBD.
  • The study identified two monoclonal antibodies (mAbs 127 and 150) that can bind to both ACE2 and S1-RBD, revealing that these antibodies recognize specific regions of S1-RBD and that their binding to ACE2 depends on its native conformation.
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