Publications

infection with the puumala virus in pregnancy. case report.		1990	1970741
coding properties of the s and the m genome segments of sapporo rat virus: comparison to other causative agents of hemorrhagic fever with renal syndrome.	three serologically distinct groups of hantaviruses have been associated with severe, moderate, and mild forms of hemorrhagic fever with renal syndrome (hfrs). to gain a better understanding of the genetic variation among these viruses, we cloned and sequenced the m and the s genome segments of sapporo rat virus, an etiologic agent of moderate hfrs, and compared the predicted gene products to those of hantaan virus, and the hällnäs strain of puumala virus, which are etiologic agents of severe an ...	1990	1970443
[nephropathia epidemica. hantavirus and acute renal insufficiency].	puumala virus belongs to the hantavirus group and as other members of the group it can cause acute renal insufficiency. other hantaviruses are responsible for korean hemorrhagic fever and other hemorrhagic fevers with renal involvement. in scandinavia, hantavirus nephropathy is better known as nephropathia epidemica. hantavirus cause asymptomatic infections in mice and rats and the virus is thought to be transmitted to man via inhalation of desicated saliva, urine or feces from infected animals. ...	1990	1967859
monoclonal antibodies to three strains of hantaviruses: hantaan, r22, and puumala.	thirty hybrid cell lines that produce monoclonal antibodies to three strains of hantaviruses have been generated and characterized. one clone specific to hantaan 76-118 strain, four clones specific to rattus strains and one clone specific to puumala virus have been identified. most of the monoclones produced antibodies specific to nucleoproteins. only two monoclones were found to produce glycoprotein specific, neutralizing antibodies. the immunofluorescent (ifa) staining patterns of the monoclon ...	1991	1907448
molecular characterization of the prospect hill virus m rna segment: a comparison with the m rna segments of other hantaviruses.	complementary dna representing the genomic m rna segment of the prospect hill (ph) hantavirus was cloned and its nucleotide sequence determined. the ph virus m rna segment is 3707 nucleotides in length and has a long open reading frame in the viral complementary-sense rna with a coding capacity of 1142 amino acids. the predicted gene product of the ph virus m segment was compared with the corresponding gene products of hantaan virus strain 76-118 (hantaan), sapporo rat virus strain sr-11 (sr) an ...	1991	1840609
antigenicity of hantavirus nucleocapsid proteins expressed in e. coli.	dna clones representing the small genomic segment of nephropathia epidemica virus strain hällnäs b1 (nev) and hantaan virus strain 76-118 (htv) encoding their nucleocapsid proteins were inserted into the e. coli vector pin-iii-ompa for secretion of proteins into the periplasmic space. the complete htv and nev nucleocapsid proteins and two truncated versions of the nev nucleocapsid proteins were expressed as fusion proteins. unexpectedly, all products accumulated as insoluble aggregates. most of ...	1991	1714110
a swedish fatal case of nephropathia epidemica.	a previously healthy 55-year-old man with nephropathia epidemica (ne) developed disseminated intravascular coagulation, anuria and shock and died on day 6 of his disease. by use of indirect immunofluorescence technique and elisa, specific serum igm antibodies against puumala virus could be detected, thus confirming the clinical diagnosis. this case demonstrates that ne in scandinavia is a potentially lethal disease.	1991	1683493
rapid diagnosis of hantavirus disease with an igg-avidity assay.	nephropathia epidemica (ne), due to puumala virus, is endemic in eastern europe and scandinavia. serodiagnosis of ne relies on conventional indirect immunofluorescence to detect igg against puumala virus. however, in conventional serology, most patients with acute ne have raised but stable non-diagnostic antibody titres. for better serodiagnosis of ne, we have developed a test that measures the avidity (functional affinity) of igg antibodies against puumala virus. this new assay was highly speci ...	1991	1682736
nephropathia epidemica (hemorrhagic fever with renal syndrome) in scandinavia.	nephropathia epidemica (ne) in scandinavia is a zoonosis caused by puumala virus. the main animal reservoir is the bank vole. ne predominantly affects men. its annual incidence varies in a cyclic fashion, with peaks occurring every third to fourth year. the clinical picture of ne in scandinavia is similar to that of hemorrhagic fever with renal syndrome in other parts of the world, although ne generally has a milder course. the case-fatality rate is approximately 0.2%. the most common clinical f ...	1991	1681581
bank vole monoclonal antibodies against puumala virus envelope glycoproteins: identification of epitopes involved in neutralization.	bank vole (clethrionomys glareolus) monoclonal antibodies (mabs) against the two envelope glycoproteins (g 1 and g 2) of the puumala (puu) virus were generated and characterized. analyses of the mabs' antigen and epitope specificities showed non-overlapping reactivities of one anti-g 1 and two anti-g 2 mabs. a significant neutralizing activity was shown by the anti-g 1 and one of the anti-g 2 mabs, suggesting the existence of at least one neutralizing domain on each of the two glycoproteins. the ...	1992	1381914
antibodies to puumala virus in humans determined by neutralization test.	an assay for detection of neutralizing antibodies to puumala virus using 96-well microtiter plates (nt-elisa) was developed and evaluated. the test proved to have similar sensitivity and specificity as an igg elisa and indirect immunofluorescence test, when screening 187 sera (with an antibody prevalence rate of 19%) from normal populations in an endemic area of nephropathia epidemica (ne) in sweden. ne-patients monitored for 2 years had neutralizing antibodies in early sera collected 1-4 days a ...	1992	1358908
anti-endothelial cell antibodies in nephropathia epidemica and other viral diseases.	increased capillary permeability is a central feature of the severe forms of haemorrhagic fever with renal syndrome (hfrs) and occurs also, though less frequently, in nephropathia epidemica (ne), one of the milder forms of this syndrome, caused by puumala virus. we therefore searched for antiendothelial cell antibodies (aeca) in patients with ne and in those with other presumed or serologically proven acute viral illnesses. by enzyme immunoassay, using human umbilical vein endothelial cells (huv ...	1992	1356668
a study of nephropathia epidemica among military personnel in sweden.	the incidence of nephropathia epidemica (ne), caused by puumala virus, among military troops operating in an endemic area of sweden was investigated. a total of 705 soldiers (age 18-25) involved in field training in three different endemic counties were bled twice within a 6-month interval. three individuals seroconverted when tested for puumala virus antibodies by igg elisa. symptoms typical of ne were not recorded in any of the patients. however, mild febrile episodes were recorded in 2 of the ...	1992	1355610
complications of nephropathia epidemica: three cases.	haemorrhagic fever with renal syndrome (hfrs) in scandinavia is called nephropathia epidemica (ne), and is caused by the puumala-virus, which belongs to the hanta-virus genus. the clinical course of ne is mostly benign, complications are uncommon, and deaths are rarely observed. we report the cases of three patients who developed serious complications in the course of ne caused by the puumala-virus. one patient died within 24 h after admission, another developed progressive neuromuscular dysfunc ...	1992	1353521
cloning and sequencing of puumala virus sotkamo strain s and m rna segments: evidence for strain variation in hantaviruses and expression of the nucleocapsid protein.	the prototype puumala virus (pv) sotkamo strain small (s) and medium (m) rna genome segments were amplified by the polymerase chain reaction (pcr), cloned and sequenced. the s segment is 1830 nucleotides long with an open reading frame coding for 433 amino acids. the identity to the pv hällnäs strain was 83% at the nucleotide and 96% at the amino acid level. the m segment in the sotkamo strain is 3616 nucleotides long and contains one open reading frame of 1148 amino acids with 83% nucleotide an ...	1992	1353107
seroprevalence of antibodies to hantaviruses and leptospires in selected italian population groups.	a study of hantaviral and leptospiral antibodies in selected population groups was performed. among high risk subjects in the rome area, hantaan antibody was found in mammalogists (10%) and dialysis patients (6%), while none of the trappers, oarsmen, river policemen and firemen studied tested positive for antibodies to hantaviruses. in occupationally-exposed subjects (farmers, rangers, lumbermen, hunters) from rural and densely forested areas of northern italian regions, the prevalence of hantaa ...	1992	1349288
haemorrhagic fever with renal syndrome, virological and epidemiological aspects.	haemorrhagic fever with renal syndrome (hfrs) is characterized by fever, headache, abdominal pain, renal dysfunction and various haemorrhagic manifestations. the viruses causing hfrs all belong to the hantavirus genus in the bunyaviridae family. at least three of the different hantaviruses are associated with human disease: hantaan, seoul, and puumala viruses. hfrs is endemic in a belt from norway in the west, through sweden, finland, the soviet union, china, korea to japan in the east. the clin ...	1992	1349231
detection of nephropathia epidemica virus rna in patient samples using a nested primer-based polymerase chain reaction.	a nested primer-based polymerase chain reaction was constructed for the detection of puumala virus rna in patient samples. puumala virus rna was detected in cells from the urinary and the respiratory tracts and in peripheral blood mononuclear cells of patients with nephropathia epidemica. after inoculation with nephropathia epidemica patient material on vero e6 cells and propagation for nine passages (4 months), puumala virus rna was detected at every passage. hybridization under high-stringency ...	1992	1349033