Bernadett I. Gosnell
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View article: Evolution and Viral Properties of the SARS-CoV-2 BA.3.2 Subvariant
Evolution and Viral Properties of the SARS-CoV-2 BA.3.2 Subvariant Open
The SARS-CoV-2 Omicron subvariant BA.3.2 descends from BA.3. It emerged 2 years after BA.3 ceased to circulate and differs by 39 spike mutations from BA.3. Similar to BA.2.86, which circulated at low levels before giving rise to JN.1, BA.3…
View article: Severe disease is not essential for a high neutralizing antibody response post-SARS-CoV-2 infection
Severe disease is not essential for a high neutralizing antibody response post-SARS-CoV-2 infection Open
Neutralizing antibody responses correlate with protection from SARS-CoV-2 infection, yet higher neutralizing responses associate with more severe disease. Whether people without severe disease can also develop strong neutralizing responses…
View article: Dolutegravir Resistance in African Programmatic Settings Among Patients With Failure of Dolutegravir-based ART
Dolutegravir Resistance in African Programmatic Settings Among Patients With Failure of Dolutegravir-based ART Open
Dolutegravir resistance is emerging in routine clinical contexts in southern Africa, primarily in patients with prior treatment experience failing dolutegravir-based antiretroviral therapy (ART). This potential issue was raised by The Nucl…
View article: Clearance of persistent SARS-CoV-2 associates with increased neutralizing antibodies in advanced HIV disease post-ART initiation
Clearance of persistent SARS-CoV-2 associates with increased neutralizing antibodies in advanced HIV disease post-ART initiation Open
SARS-CoV-2 clearance requires adaptive immunity but the contribution of neutralizing antibodies and T cells in different immune states is unclear. Here we ask which adaptive immune responses associate with clearance of long-term SARS-CoV-2…
View article: Evolution and neutralization escape of the SARS-CoV-2 BA.2.86 subvariant
Evolution and neutralization escape of the SARS-CoV-2 BA.2.86 subvariant Open
Omicron BA.2.86 subvariant differs from Omicron BA.2 as well as recently circulating variants by over 30 mutations in the spike protein alone. Here we report on the isolation of the live BA.2.86 subvariant from a diagnostic swab collected …
View article: Evolution and neutralization escape of the SARS-CoV-2 BA.2.86 subvariant
Evolution and neutralization escape of the SARS-CoV-2 BA.2.86 subvariant Open
Omicron BA.2.86 subvariant differs from Omicron BA.2 as well as recently circulating variants by over 30 mutations in the spike protein alone. Here we report on the first isolation of the live BA.2.86 subvariant from a diagnostic swab coll…
View article: Emergence of neutralizing antibodies associates with clearance of SARS-CoV-2 during HIV-mediated immunosuppression
Emergence of neutralizing antibodies associates with clearance of SARS-CoV-2 during HIV-mediated immunosuppression Open
To design effective vaccines and other immune interventions against a pathogen, it is necessary to know which aspect of immunity associates with protection. We investigated whether neutralizing antibodies associate with infection clearance…
View article: Hen Egg White Bovine Colostrum Supplement Reduces Symptoms of mild/moderate COVID-19: a Randomized Control Trial
Hen Egg White Bovine Colostrum Supplement Reduces Symptoms of mild/moderate COVID-19: a Randomized Control Trial Open
DOH-27-062021-9191 (South African National Clinical Trials Register).
View article: Symbolic and anticipated HIV stigma are associated with mental health and education in South Africa
Symbolic and anticipated HIV stigma are associated with mental health and education in South Africa Open
HIV stigma continues to act as a barrier to HIV care in South Africa, necessitating further research on the intersections of socioeconomic factors and the anticipation and expression of stigma surrounding HIV. We measured the prevalence of…
View article: Author Correction: Omicron BA.4/BA.5 escape neutralizing immunity elicited by BA.1 infection
Author Correction: Omicron BA.4/BA.5 escape neutralizing immunity elicited by BA.1 infection Open
View article: Omicron BA.4/BA.5 escape neutralizing immunity elicited by BA.1 infection
Omicron BA.4/BA.5 escape neutralizing immunity elicited by BA.1 infection Open
View article: Omicron infection enhances Delta antibody immunity in vaccinated persons
Omicron infection enhances Delta antibody immunity in vaccinated persons Open
The extent to which Omicron infection 1–9 , with or without previous vaccination, elicits protection against the previously dominant Delta (B.1.617.2) variant is unclear. Here we measured the neutralization capacity against variants of sev…
View article: Omicron sub-lineages BA.4/BA.5 escape BA.1 infection elicited neutralizing immunity
Omicron sub-lineages BA.4/BA.5 escape BA.1 infection elicited neutralizing immunity Open
The SARS-CoV-2 Omicron (B.1.1.529) variant first emerged as the BA.1 sub-lineage, with extensive escape from neutralizing immunity elicited by previous infection with other variants, vaccines, or combinations of both 1,2 . Two new sub-line…
View article: Beta infection combined with Pfizer BNT162b2 vaccination leads to broadened neutralizing immunity against Omicron
Beta infection combined with Pfizer BNT162b2 vaccination leads to broadened neutralizing immunity against Omicron Open
Omicron (B.1.1.529) shows extensive escape from vaccine immunity, although vaccination reduces severe disease and death 1 . Boosting with vaccines incorporating variant spike sequences could possibly broaden immunity 2 . One approach to ch…
View article: SARS-CoV-2 prolonged infection during advanced HIV disease evolves extensive immune escape
SARS-CoV-2 prolonged infection during advanced HIV disease evolves extensive immune escape Open
Characterizing SARS-CoV-2 evolution in specific geographies may help predict properties of the variants that come from these regions. We mapped neutralization of a SARS-CoV-2 strain that evolved over 6 months from ancestral virus in a pers…
View article: Omicron infection of vaccinated individuals enhances neutralizing immunity against the Delta variant
Omicron infection of vaccinated individuals enhances neutralizing immunity against the Delta variant Open
Omicron variant (B.1.1.529) infections are rapidly expanding worldwide, often in settings where the Delta variant (B.1.617.2) was dominant. We investigated whether neutralizing immunity elicited by Omicron infection would also neutralize t…
View article: Omicron extensively but incompletely escapes Pfizer BNT162b2 neutralization
Omicron extensively but incompletely escapes Pfizer BNT162b2 neutralization Open
The emergence of the SARS-CoV-2 variant of concern Omicron (Pango lineage B.1.1.529), first identified in Botswana and South Africa, may compromise vaccine effectiveness and lead to re-infections1. Here we investigated Omicron escape from …
View article: Omicron extensively but incompletely escapes Pfizer BNT162b2 neutralization
Omicron extensively but incompletely escapes Pfizer BNT162b2 neutralization Open
View article: Immunogenicity of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Infection and Ad26.CoV2.S Vaccination in People Living With Human Immunodeficiency Virus (HIV)
Immunogenicity of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Infection and Ad26.CoV2.S Vaccination in People Living With Human Immunodeficiency Virus (HIV) Open
Background People living with HIV (PLWH) have been reported to have a higher risk of more severe COVID-19 disease and death. We assessed the ability of the Ad26.CoV2.S vaccine to elicit neutralizing activity against the Delta variant in PL…
View article: SARS-CoV-2 Omicron has extensive but incomplete escape of Pfizer BNT162b2 elicited neutralization and requires ACE2 for infection
SARS-CoV-2 Omicron has extensive but incomplete escape of Pfizer BNT162b2 elicited neutralization and requires ACE2 for infection Open
The emergence of SARS-CoV-2 Omicron, first identified in Botswana and South Africa, may compromise vaccine effectiveness and the ability of antibodies triggered by previous infection to protect against re-infection (1). Here we investigate…
View article: HIV status alters disease severity and immune cell responses in Beta variant SARS-CoV-2 infection wave
HIV status alters disease severity and immune cell responses in Beta variant SARS-CoV-2 infection wave Open
There are conflicting reports on the effects of HIV on COVID-19. Here, we analyzed disease severity and immune cell changes during and after SARS-CoV-2 infection in 236 participants from South Africa, of which 39% were people living with H…
View article: T cell derived HIV-1 is present in the CSF in the face of suppressive antiretroviral therapy.
T cell derived HIV-1 is present in the CSF in the face of suppressive antiretroviral therapy. Open
HIV cerebrospinal fluid (CSF) escape, where HIV is suppressed in blood but detectable in CSF, occurs when HIV persists in the CNS despite antiretroviral therapy (ART). To determine the virus producing cell type and whether lowered CSF ART …
View article: T cell derived HIV-1 is present in the CSF in the face of suppressive antiretroviral therapy
T cell derived HIV-1 is present in the CSF in the face of suppressive antiretroviral therapy Open
HIV cerebrospinal fluid (CSF) escape, where HIV is suppressed in blood but detectable in CSF, occurs when HIV persists in the CNS despite antiretroviral therapy (ART). To determine the virus producing cell type and whether lowered CSF ART …
View article: SARS-CoV-2 evolved during advanced HIV disease immunosuppression has Beta-like escape of vaccine and Delta infection elicited immunity
SARS-CoV-2 evolved during advanced HIV disease immunosuppression has Beta-like escape of vaccine and Delta infection elicited immunity Open
Summary Characterizing SARS-CoV-2 evolution in specific geographies may help predict the properties of variants coming from these regions. We mapped neutralization of a SARS-CoV-2 strain that evolved over 6 months from the ancestral virus …
View article: A case series of emtricitabine-induced pure red cell aplasia
A case series of emtricitabine-induced pure red cell aplasia Open
This study provides strong circumstantial evidence that emtricitabine plays an important role in the pathogenesis of reversible PRCA. The mechanisms through which emtricitabine induces PRCA remain unclear and require further study.
View article: Author response: HIV status alters disease severity and immune cell responses in Beta variant SARS-CoV-2 infection wave
Author response: HIV status alters disease severity and immune cell responses in Beta variant SARS-CoV-2 infection wave Open
View article: SARS-CoV-2 cell-to-cell spread occurs rapidly and is insensitive to antibody neutralization
SARS-CoV-2 cell-to-cell spread occurs rapidly and is insensitive to antibody neutralization Open
Viruses increase the efficiency of close-range transmission between cells by manipulating cellular physiology and behavior, and SARS-CoV-2 uses cell fusion as one mechanism for cell-to-cell spread. Here we visualized infection using time-l…
View article: Laboratory Reflex and Clinic-Based Point-of-Care Cryptococcal Antigen Screening for Preventing Meningitis and Mortality Among People Living With HIV
Laboratory Reflex and Clinic-Based Point-of-Care Cryptococcal Antigen Screening for Preventing Meningitis and Mortality Among People Living With HIV Open
Introduction: Cryptococcosis remains a leading cause of meningitis and mortality among people living with HIV (PLHIV) worldwide. We sought to evaluate laboratory-based cryptococcal antigen (CrAg) reflex testing and a clinic-based point-of-…
View article: Escape of SARS-CoV-2 501Y.V2 from neutralization by convalescent plasma
Escape of SARS-CoV-2 501Y.V2 from neutralization by convalescent plasma Open
View article: Escape of SARS-CoV-2 501Y.V2 from neutralization by convalescent plasma
Escape of SARS-CoV-2 501Y.V2 from neutralization by convalescent plasma Open
SARS-CoV-2 variants of concern (VOC) have arisen independently at multiple locations and may reduce efficacy of current vaccines targeted at the spike glycoprotein. We re-cently described the emergence of VOC in South Africa (501Y.V2 or PA…