heterologous

异源
  • 文章类型: Journal Article
    近年来合成微生物聚生体的发展揭示了复杂的种间相互作用,特别是细胞质物质的交换,甚至存在于来自不同生态位的生物中。虽然形态发生特征,活的RNA和蛋白质染料,和荧光报告蛋白在探索这种相互作用中发挥了重要作用,我们假设核糖体RNA荧光原位杂交(rRNA-FISH)可以适应并应用于进一步研究合成或半合成聚生体中的相互作用.尽管成熟,使用rRNA-FISH作为使用高通量仪器(如流式细胞术)量化单个物种种群动态和种间相互作用的工具存在一些挑战.在这项工作中,我们解决了这些挑战,并将rRNA-FISH应用于丙酮丁醇梭菌的双重和三重共培养,英达利梭菌,和克鲁维梭菌.在追求我们的目标是捕捉每个有机体的种群动态,我们展示了动态rRNA,因此核糖体,这三个物种之间的交换导致杂交细胞的形成。我们还描述了这三个物种中翻译机器的本地化模式,识别不同的,其中的动态定位模式。我们的数据还支持使用rRNA-FISH来评估培养物的健康和扩展潜力,and,再次在这里,我们的数据发现三个物种之间存在惊人的差异。一起来看,我们的研究认为rRNA-FISH是定量探索种间相互作用的有价值和可访问的工具,特别是在不能进行基因工程改造的生物体或不能使用选择性压力来维持重组物种的聚生体中。
    目的:尽管染料和荧光报告蛋白在鉴定共培养中的微生物种类方面发挥了重要作用,我们假设核糖体RNA荧光原位杂交(rRNA-FISH)可以适应并应用于定量探测合成聚生体中生物体之间的复杂相互作用。尽管成熟,在rRNA-FISH可用于研究感兴趣的梭菌共培养物之前,存在几个挑战.首先,尚未开发针对丙酮丁醇梭菌和ljungdahlii梭菌的物种特异性探针。第二,“最先进的”标记方案繁琐,通常会导致样品丢失。第三,目前尚不清楚FISH是否与现有的荧光报告蛋白相容.我们解决了这些关键挑战,并将该技术应用于丙酮丁醇梭菌的共培养,C.ljungdahlii,和克鲁维梭菌.我们证明rRNA-FISH能够识别三种生物体之间的rRNA/核糖体交换,并在每种生物体中表征rRNA定位模式。结合流式细胞术,rRNA-FISH可以捕获共培养物中的亚群动态。
    The development of synthetic microbial consortia in recent years has revealed that complex interspecies interactions, notably the exchange of cytoplasmic material, exist even among organisms that originate from different ecological niches. Although morphogenetic characteristics, viable RNA and protein dyes, and fluorescent reporter proteins have played an essential role in exploring such interactions, we hypothesized that ribosomal RNA-fluorescence in situ hybridization (rRNA-FISH) could be adapted and applied to further investigate interactions in synthetic or semisynthetic consortia. Despite its maturity, several challenges exist in using rRNA-FISH as a tool to quantify individual species population dynamics and interspecies interactions using high-throughput instrumentation such as flow cytometry. In this work, we resolve such challenges and apply rRNA-FISH to double and triple co-cultures of Clostridium acetobutylicum, Clostridium ljungdahlii, and Clostridium kluyveri. In pursuing our goal to capture each organism\'s population dynamics, we demonstrate dynamic rRNA, and thus ribosome, exchange between the three species leading to the formation of hybrid cells. We also characterize the localization patterns of the translation machinery in the three species, identifying distinct, dynamic localization patterns among them. Our data also support the use of rRNA-FISH to assess the culture\'s health and expansion potential, and, here again, our data find surprising differences among the three species examined. Taken together, our study argues for rRNA-FISH as a valuable and accessible tool for quantitative exploration of interspecies interactions, especially in organisms which cannot be genetically engineered or in consortia where selective pressures to maintain recombinant species cannot be used.
    OBJECTIVE: Though dyes and fluorescent reporter proteins have played an essential role in identifying microbial species in co-cultures, we hypothesized that ribosomal RNA-fluorescence in situ hybridization (rRNA-FISH) could be adapted and applied to quantitatively probe complex interactions between organisms in synthetic consortia. Despite its maturity, several challenges existed before rRNA-FISH could be used to study Clostridium co-cultures of interest. First, species-specific probes for Clostridium acetobutylicum and Clostridium ljungdahlii had not been developed. Second, \"state-of-the-art\" labeling protocols were tedious and often resulted in sample loss. Third, it was unclear if FISH was compatible with existing fluorescent reporter proteins. We resolved these key challenges and applied the technique to co-cultures of C. acetobutylicum, C. ljungdahlii, and Clostridium kluyveri. We demonstrate that rRNA-FISH is capable of identifying rRNA/ribosome exchange between the three organisms and characterized rRNA localization patterns in each. In combination with flow cytometry, rRNA-FISH can capture sub-population dynamics in co-cultures.
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  • 文章类型: Journal Article
    丝氨酸蛋白酶是由生防真菌分泌的一种胞外蛋白酶,通过降解线虫的蛋壳和增强植物的抗病性来有效防治线虫病害。长臂木霉T6是一种重要的生防真菌,已被证明可以有效地寄生和降解Heteroderaavenae囊肿,鸡蛋,和第二阶段青少年(J2s)。然而,编码丝氨酸蛋白酶的基因及其在长臂T.6中的功能尚未得到彻底研究。在这项研究中,我们成功地克隆并测序了长臂毛虫T6的丝氨酸蛋白酶基因TlSP1。我们的结果表明,接种H.avenae囊肿后,TlSP1基因的表达水平被诱导并显着增加。TlSP1基因编码区(CDS)的全长序列为1230bp,编码由409个氨基酸组成的蛋白质。在将TlSP1基因转化到巴斯德毕赤酵母X33中后,纯化的重组TlSP1蛋白在50°C的温度和pH8.0下表现出最佳活性。用纯化的重组TlSP1蛋白处理4-10天后,蛋壳和内容物溶解并渗出。与对照组相比,一侧用TlSP1和卵(P1N)处理的组入侵小麦根的线虫数量减少了38.43%,而在TlSP1和卵双侧处理组(P1/N)中,入侵小麦根部的线虫数量减少了30.4%。此外,P1+N和P1/N处理均显著上调与防御酶相关的基因(TaPAL,TaCAT,TaSOD,和TaPOD),参与木质素合成途径的基因(TaC4H,Ta4CL2、TaCAD1和TaCAD12),和水杨酸(SA)响应基因(TaNPR1,TaPR1和TaPR2),并导致茉莉酸(JA)响应基因(TaPR4,TaOPR3和TaAOS2)的高表达。这项研究强调了TlSP1基因在促进H.avenae卵壳溶解中的重要作用,防止线虫入侵寄主植物,并提高小麦的植物抗性。
    Serine protease is an extracellular protease secreted by biocontrol fungi that can effectively control nematode diseases by degrading nematode eggshells and enhancing plant resistance. Trichoderma longibrachiatum T6, an important biocontrol fungus, has been demonstrated to effectively parasitize and degrade Heterodera avenae cysts, eggs, and second-stage juveniles (J2s). However, the genes that encoding serine protease and their functions in T. longibrachiatum T6 have not been thoroughly investigated. In this study, we successfully cloned and sequenced the serine protease gene TlSP1 in T. longibrachiatum T6. Our results revealed that the expression level of the TlSP1 gene was induced and significantly increased in T. longibrachiatum T6 after inoculation with H. avenae cysts. The full-length sequence of the coding region (CDS) of TlSP1 gene was 1230 bp and encoded a protein consisting of 409 amino acids. Upon the transformation of the TlSP1 gene into Pichia pastoris X33, the purified recombinant TlSP1 protein exhibited optimal activity at a temperature of 50 °C and pH 8.0. Following 4-10-day of treatment with the purified recombinant TlSP1 protein, the eggshells and content were dissolved and exuded. The number of nematodes invading wheat roots was reduced by 38.43% in the group treated with both TlSP1 and eggs on one side (P1+N) compared to the control group, while the number of nematodes invading wheat roots was reduced by 30.4% in the TlSP1 and eggs two-sided treatment group (P1/N). Furthermore, both the P1+N and P1/N treatments significantly upregulated genes associated with defense enzymes (TaPAL, TaCAT, TaSOD, and TaPOD), genes involved in the lignin synthesis pathway (TaC4H, Ta4CL2, TaCAD1, and TaCAD12), and salicylic acid (SA)-responsive genes (TaNPR1, TaPR1, and TaPR2) and led to the high expression of jasmonic acid (JA)-responsive genes (TaPR4, TaOPR3, and TaAOS2). This study has highlighted the significant role of the TlSP1 gene in facilitating H. avenae eggshells\' dissolution, preventing nematode invasion in the host plant, and boosting plant resistance in wheat.
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  • 文章类型: Case Reports
    皮肤癌肉瘤(cCS)是一种罕见的侵袭性皮肤癌,其特征是癌(上皮)和肉瘤(间充质)成分。使其成为双相肿瘤.尽管它发生在各种器官中,cCS在皮肤中非常罕见,主要影响老年男性。cCS的病因尚不清楚,但它可能起源于能够双重分化的单个祖细胞或来自癌和肉瘤细胞的碰撞。临床上,cCS呈现为快速增长的,痛苦,暴露在阳光下的皮肤上的溃疡结节或斑块,具有较高的局部侵袭和转移风险。组织病理学,cCS包括各种上皮成分,例如鳞状细胞癌和基底细胞癌,连同类似非典型纤维黄瘤的未分化肉瘤成分。肿瘤还可以表现出异源分化,如血管肉瘤或横纹肌肉瘤特征。我们介绍了三例cCS,强调其临床和组织学特征,并将其与以前报道的病例进行比较。理解cCS因其稀有性和多样化的表现而变得复杂,强调需要进一步研究以阐明其发病机制和最佳管理。
    A cutaneous carcinosarcoma (cCS) is a rare and aggressive skin cancer characterized by both carcinomatous (epithelial) and sarcomatous (mesenchymal) components, making it a biphasic tumor. Despite its occurrence in various organs, a cCS is exceptionally rare in the skin, predominantly affecting older males. The etiology of a cCS is unclear, but it may originate from a single progenitor cell capable of dual differentiation or from a collision of carcinoma and sarcoma cells. Clinically, a cCS presents as a rapidly growing, painful, ulcerated nodule or plaque on sun-exposed skin, with a high risk of local invasion and metastasis. Histopathologically, a cCS includes various epithelial components, such as squamous cell carcinoma and basal cell carcinoma, along with undifferentiated sarcomatous components resembling atypical fibroxanthoma. The tumor may also exhibit heterologous differentiation like angiosarcomatous or rhabdomyosarcomatous features. We present three cases of a cCS, highlighting their clinical and histological characteristics and comparing them with previously reported cases. Understanding a cCS is complicated by its rarity and diverse presentation, emphasizing the need for further research to elucidate its pathogenesis and optimal management.
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  • 文章类型: Journal Article
    异源初免-加强打破了COVID-19疫苗的保护性免疫应答瓶颈。然而,潜在的机制尚未完全阐明。这里,我们研究了抗体反应,并探讨了生发中心(GC)对小鼠用灭活疫苗引发和用异源腺病毒载体疫苗或同源灭活疫苗增强的反应.两种增强方案都显著增强了抗体应答。异源免疫诱导更强大的GC激活,以Tfh细胞群增加和辅助功能增强为特征。此外,在异源方案中观察到B细胞活化和抗体产生增加.Libra-seq用于比较S1-,同源和异源疫苗接种之间的S2和NTD特异性B细胞,分别。S2特异性CD19+B细胞呈现增加的体细胞超突变(SHM),主要富集在浆细胞中。此外,异源加强剂量促进了对S2和NTD区域特异性的B细胞的克隆扩增。总之,SARS-CoV-2异源疫苗接种后Tfh和B细胞的功能作用可能对调节抗体应答很重要。这些发现为开发诱导更强大的抗体反应的SARS-CoV-2疫苗提供了新的见解。
    Heterologous prime-boost has broken the protective immune response bottleneck of the COVID-19 vaccines. however, the underlying mechanisms have not been fully elucidated. Here, we investigated antibody responses and explored the response of germinal center (GC) to priming with inactivated vaccines and boosting with heterologous adenoviral-vectored vaccines or homologous inactivated vaccines in mice. Antibody responses were dramatically enhanced by both boosting regimens. Heterologous immunization induced more robust GC activation, characterized by increased Tfh cell populations and enhanced helper function. Additionally, increased B-cell activation and antibody production were observed in a heterologous regimen. Libra-seq was used to compare the differences of S1-, S2- and NTD-specific B cells between homologous and heterologous vaccination, respectively. S2-specific CD19+ B cells presented increased somatic hypermutations (SHMs), which were mainly enriched in plasma cells. Moreover, a heterologous booster dose promoted the clonal expansion of B cells specific to S2 and NTD regions. In conclusion, the functional role of Tfh and B cells following SARS-CoV-2 heterologous vaccination may be important for modulating antibody responses. These findings provide new insights for the development of SARS-CoV-2 vaccines that induce more robust antibody response.
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  • 文章类型: Journal Article
    背景:在一些国家考虑使用两剂AZD1222(Oxford-AstraZeneca;ChAd),然后再进行第三次mRNA疫苗增强,然而,异源和同源加强功效之间的比较仍未探索。
    目的:评价和对比同源和异源加强方案的免疫原性。
    方法:该研究检查了1113名受试者的抗体反应,包括895名不同疫苗接种策略的未接种疫苗的个体(部分,主要系列,异源助推器,同源加强剂)和218未接种疫苗,自然感染的个体。评估包括中和总抗体(NTAb),总抗体(TAb),抗S-RBDIgG,和抗S1IgA水平。
    结果:研究发现,与ChAd相比,mRNA疫苗在初级系列疫苗接种中表现出优异的免疫原性,mRNA-1273显著增强NTAb,TAbs,抗S-RBDIgG,和抗S1IgA水平(p<0.001)。两种加强类型都提高了抗体水平,超出了主要结果,方案之间的TAb和抗S-RBDIgG水平无显着差异。然而,同源mRNA增强剂在增强NTAb和抗S1IgA水平方面明显优于异源增强剂,BNT/BNT/BNT方案产生特别高的增强(p<0.05)。
    结论:该研究得出结论,尽管两种方案的TAb和抗S-RBDIgG抗体水平相似,通过增强抗S1IgA和中和抗体水平,同源mRNA增强优于异源方案.
    BACKGROUND: Priming with two doses of AZD1222 (Oxford-AstraZeneca; ChAd) followed by a third mRNA vaccine boosting is considered in several countries, yet comparisons between heterologous and homologous booster efficacy remain unexplored.
    OBJECTIVE: To evaluate and contrast the immunogenicity of homologous and heterologous boosting regimens.
    METHODS: The study examined antibody responses in 1113 subjects, comprising 895 vaccine-naïve individuals across different vaccination strategies (partial, primary series, heterologous booster, homologous booster) and 218 unvaccinated, naturally infected individuals. Assessments included neutralizing total antibodies (NTAbs), total antibodies (TAbs), anti-S-RBD IgG, and anti-S1 IgA levels.
    RESULTS: The study found mRNA vaccines to exhibit superior immunogenicity in primary series vaccination compared to ChAd, with mRNA-1273 significantly enhancing NTAbs, TAbs, anti-S-RBD IgG, and anti-S1 IgA levels (p < 0.001). Both booster types improved antibody levels beyond primary outcomes, with no significant difference in TAbs and anti-S-RBD IgG levels between regimens. However, homologous mRNA boosters significantly outperformed heterologous boosters in enhancing NTAbs and anti-S1 IgA levels, with the BNT/BNT/BNT regimen yielding particularly higher enhancements (p < 0.05).
    CONCLUSIONS: The study concludes that although TAbs and anti-S-RBD IgG antibody levels are similar for both regimens, homologous mRNA boosting outperform heterologous regimen by enhancing anti-S1 IgA and neutralizing antibody levels.
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  • 文章类型: Journal Article
    富血小板纤维蛋白,血液的凝固血浆部分,通常用于支持临床应用中的自然愈合。大鼠颅骨缺损是研究骨再生的标准化模型。它仍然存在,然而,不清楚大鼠颅骨缺损是否适合研究人PRF(富血小板纤维蛋白)对骨再生的影响。为此,我们将Bio-Gide®胶原膜浸泡在人或大鼠液体浓缩的PRF中,然后将其放置在SpragueDawley大鼠的5mm颅骨缺损上。三周后,进行组织学和显微计算机断层扫描(μCT)。我们观察到用大鼠PRF浸泡的胶原膜显示出新骨和矿化胶原基质区域的特征,以1.5mm3的中值矿化体积(范围:0.9;5.3mm3)表示。组织学显示新骨生长在膜和混合骨下,胶原纤维嵌入新骨中。此外,观察到被动矿化区域。用人类PRF浸泡的胶原膜,然而,在缺损中心缺乏新骨形成的组织学特征;只是偶尔,在缺损边缘形成新骨。人类PRF(h-PRF)导致0.9mm3的平均骨体积(范围:0.3-3.3mm3),明显低于大鼠PRF(r-PRF),BV中位数为1.2mm3(范围:0.3-5.9mm3)。我们的发现表明,大鼠颅骨缺损模型适用于评估大鼠PRF对骨形成的影响,但在推断有关人类PRF疗效的结论时,需要谨慎行事。
    Platelet-rich fibrin, the coagulated plasma fraction of blood, is commonly used to support natural healing in clinical applications. The rat calvaria defect is a standardized model to study bone regeneration. It remains, however, unclear if the rat calvaria defect is appropriate to investigate the impact of human PRF (Platelet-Rich Fibrin) on bone regeneration. To this end, we soaked Bio-Gide® collagen membranes in human or rat liquid concentrated PRF before placing them onto 5 mm calvarial defects in Sprague Dawley rats. Three weeks later, histology and micro-computed tomography (μCT) were performed. We observed that the collagen membranes soaked with rat PRF show the characteristic features of new bone and areas of mineralized collagen matrix, indicated by a median mineralized volume of 1.5 mm3 (range: 0.9; 5.3 mm3). Histology revealed new bone growing underneath the membrane and hybrid bone where collagen fibers are embedded in the new bone. Moreover, areas of passive mineralization were observed. The collagen membranes soaked with human PRF, however, were devoid of histological features of new bone formation in the center of the defect; only occasionally, new bone formed at the defect margins. Human PRF (h-PRF) caused a median bone volume of 0.9 mm3 (range: 0.3-3.3 mm3), which was significantly lower than what was observed with rat PRF (r-PRF), with a BV median of 1.2 mm3 (range: 0.3-5.9 mm3). Our findings indicate that the rat calvaria defect model is suitable for assessing the effects of rat PRF on bone formation, but caution is warranted when extrapolating conclusions regarding the efficacy of human PRF.
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  • 文章类型: Case Reports
    虽然腺泡细胞癌(AciCC)可以经历高级别转化(HGT)到高级别腺癌或低分化癌,其他形态,如梭形细胞/肉瘤样癌是罕见的,没有很好的表征。我们在此报告了一例新的AciCC病例,伴有鳞状和软骨肉瘤HGT,模仿了所谓的“癌肉瘤前多形性腺瘤”。该患者是一名81岁的男性,有两个月的颈部肿胀和转诊耳痛病史,表现为左咽旁间隙肿块,延伸到咽后间隙和翼状肌。切除时,肿瘤表现出相当大的形态学多样性,具有高度浆液性和粘液性腺泡成分,以及筛状至实性大汗腺样成分,伴有粉刺坏死和鳞状分化,所有这些都嵌入在软骨粘液样背景中,范围从少细胞和温和到高级软骨肉瘤/多形性肉瘤样外观。仅注意到少量的常规AciCC组分。免疫染色对AR呈阴性,仅对GCDFP-15呈局灶性阳性,这与真正的后分泌表型相反。而PLAG1和HMGA2阴性,反对先前的多形性腺瘤。另一方面,糖酶后SOX-10、DOG-1和PAS突出浆液性腺泡分化,和粘液胺,NKX3.1突出显示粘液腺泡分化。NR4A3免疫组织化学染色和NR4A3荧光原位杂交在癌和肉瘤样成分中呈阳性,而两种成分的测序分析显示涉及TP53,PIK3CB的相同改变,ARID1A,STK11这个独特的病例在将所有具有异源元素的唾液肉瘤样癌指定为“癌前多形性腺瘤”家族的一部分时值得谨慎。
    While acinic cell carcinoma (AciCC) can undergo high-grade transformation (HGT) to high-grade adenocarcinoma or poorly differentiated carcinoma, other morphologies such as spindle cell/sarcomatoid carcinoma are rare and not well-characterized. We herein report a novel case of AciCC with squamoglandular and chondrosarcomatous HGT mimicking a so-called \'carcinosarcoma ex-pleomorphic adenoma\'. The patient is an 81-year-old male with a two-month history of neck swelling and referred otalgia who presented with a left parapharyngeal space mass extending into retropharyngeal space and pterygoid muscles. On resection, the tumor showed considerable morphologic diversity with high-grade serous and mucous acinar components as well as cribriform to solid apocrine-like components with comedonecrosis and squamous differentiation, all of which were embedded in a chondromyxoid background ranging from paucicellular and bland to a high-grade chondrosarcoma/pleomorphic sarcoma-like appearance. Only a minor conventional AciCC component was noted. Immunostains were negative for AR and only focally positive for GCDFP-15 arguing against a true apocrine phenotype, while PLAG1 and HMGA2 were negative arguing against an antecedent pleomorphic adenoma. On the other hand, SOX-10, DOG-1 and PAS after diastase highlighted serous acinar differentiation, and mucicarmine, and NKX3.1 highlighted mucous acinar differentiation. NR4A3 immunohistochemical staining and NR4A3 fluorescence in situ hybridization were positive in the carcinomatous and sarcomatoid components while sequencing analysis of both components revealed identical alterations involving TP53, PIK3CB, ARID1A, and STK11. This unique case warrants caution in designating all salivary sarcomatoid carcinomas with heterologous elements as part of the \'carcinoma ex-pleomorphic adenoma\' family.
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  • 文章类型: Journal Article
    卡介苗(BCG)疫苗接种具有脱靶(非特异性)效应,与预防无关感染有关,并降低了婴儿的全因死亡率。我们旨在确定BCG疫苗接种是否可以预防成人的发热和呼吸道感染。
    这项随机对照3期试验在澳大利亚36个医疗中心进行,巴西,荷兰,西班牙,和英国。使用基于网络的程序,医护人员随机接受BCG-丹麦(单次0.1ml皮内注射)或不接受BCG,比例为1:1。按阶段分层,site,年龄,和合并症的存在。使用意向治疗(ITT)人群在12个月内(预设的次要结果)测量了发热或呼吸系统疾病发生率的差异。该试验已在ClinicalTrials.gov注册,NCT04327206。
    在2020年3月30日至2021年4月1日之间,6828名医护人员被随机分为BCG-丹麦(n=3417)或对照组(n=3411;无干预或安慰剂)。卡介苗组12个月校正后的≥1次发热或呼吸系统疾病发作的估计风险为66.8%(95%CI65.3%-68.2%),与对照组的63.4%(95%CI61.8%-65.0%)相比,差异为+3.4个百分点(95%CI+1.3%至+5.5%;p=0.002)。卡介苗组严重发作(定义为连续3天丧失工作能力或住院)的校正估计风险为19.4%(95%CI18.0%-20.7%),与对照组的18.8%(95%CI17.4%-20.2%)相比,差异为+0.6个百分点(95%CI-1.3%至+2.5%;p0.6).两组的疾病发作次数相似,肺炎,和住院。有3人死亡,都在对照组。BCG疫苗接种后没有安全性问题。
    与新生儿卡介苗在婴儿中报告的有益脱靶效应相反,在成人接种卡介苗后的12个月内,观察到症状性发热或呼吸系统疾病的风险略有增加.没有证据表明严重疾病的风险存在差异。
    比尔和梅琳达·盖茨基金会,Minderoo基金会,莎拉和拉克兰·默多克,皇家儿童医院基金会,新南威尔士州卫生服务联盟,PeterSowerby基金会,SA健康,保险顾问网基金会,NAB基金会,Calvert-Jones基金会,ModaraPines慈善基金会,UHG基金会私人有限公司,EpworthHealthcare,国家卫生和医学研究委员会,瑞士国家科学基金会和个人捐助者。
    UNASSIGNED: Bacille Calmette-Guérin (BCG) vaccination has off-target (non-specific) effects that are associated with protection against unrelated infections and decreased all-cause mortality in infants. We aimed to determine whether BCG vaccination prevents febrile and respiratory infections in adults.
    UNASSIGNED: This randomised controlled phase 3 trial was done in 36 healthcare centres in Australia, Brazil, the Netherlands, Spain, and the United Kingdom. Healthcare workers were randomised to receive BCG-Denmark (single 0.1 ml intradermal injection) or no BCG in a 1:1 ratio using a web-based procedure, stratified by stage, site, age, and presence of co-morbidity. The difference in occurrence of febrile or respiratory illness were measured over 12 months (prespecified secondary outcome) using the intention-to-treat (ITT) population. This trial is registered with ClinicalTrials.gov, NCT04327206.
    UNASSIGNED: Between March 30, 2020, and April 1, 2021, 6828 healthcare workers were randomised to BCG-Denmark (n = 3417) or control (n = 3411; no intervention or placebo) groups. The 12-month adjusted estimated risk of ≥1 episode of febrile or respiratory illness was 66.8% in the BCG group (95% CI 65.3%-68.2%), compared with 63.4% in the control group (95% CI 61.8%-65.0%), a difference of +3.4 percentage points (95% CI +1.3% to +5.5%; p 0.002). The adjusted estimated risk of a severe episode (defined as being incapacitated for ≥3 consecutive days or hospitalised) was 19.4% in the BCG group (95% CI 18.0%-20.7%), compared with 18.8% in the control group (95% CI 17.4%-20.2%) a difference of +0.6 percentage points (95% CI -1.3% to +2.5%; p 0.6). Both groups had a similar number of episodes of illness, pneumonia, and hospitalisation. There were three deaths, all in the control group. There were no safety concerns following BCG vaccination.
    UNASSIGNED: In contrast to the beneficial off-target effects reported following neonatal BCG in infants, a small increased risk of symptomatic febrile or respiratory illness was observed in the 12 months following BCG vaccination in adults. There was no evidence of a difference in the risk of severe disease.
    UNASSIGNED: Bill & Melinda Gates Foundation, Minderoo Foundation, Sarah and Lachlan Murdoch, the Royal Children\'s Hospital Foundation, Health Services Union NSW, the Peter Sowerby Foundation, SA Health, the Insurance Advisernet Foundation, the NAB Foundation, the Calvert-Jones Foundation, the Modara Pines Charitable Foundation, the UHG Foundation Pty Ltd, Epworth Healthcare, the National Health and Medical Research Council, the Swiss National Science Foundation and individual donors.
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  • 文章类型: Multicenter Study
    尽管2019年冠状病毒病(COVID-19)疫苗的广泛使用,对无症状至轻度疾病患者的影响尚不清楚.这里,我们旨在评估各种疫苗剂量和类型对隔离持续时间和出院率的影响,病毒脱落的持续时间,无症状至轻度COVID-19患者的阴性率。
    我们纳入了2022年11月至12月在帕州或永宁方仓隔离中心的成年患者。我们分析了基本人口统计数据,录取细节,实验室指标和疫苗接种信息。
    共纳入6560名感染患者(3584名来自琶州,2976名来自永宁)。其中,90.6%接种了灭活疫苗,3.66%接受重组SARS-CoV-2刺突蛋白亚单位疫苗,0.91%接受腺病毒疫苗。在6173名接种疫苗的个体中,71.9%接受了加强剂量。到第9天,在接种疫苗的患者中分离率达到50%。在第7.5天,接种疫苗的个体中的阳性率达到50%。
    全面接种疫苗是有效的,异源疫苗显示出比单独的灭活疫苗更大的效力。然而,疫苗接种后12个月的疫苗保护效果无显著差异。
    Despite the widespread administration of coronavirus disease 2019 (COVID-19) vaccines, the impact on patients with asymptomatic to mild illness remains unclear. Here, we aimed to assess the efficacy of various vaccine doses and types on the duration of isolation duration and discharge rates, the viral shedding duration, and negative rates in asymptomatic to mild COVID-19 patients.
    We included adult patients at the Fangcang isolation centres in Pazhou or Yongning between November and December 2022. We analysed data on basic demographics, admission details, laboratory indicators and vaccination information.
    A total of 6560 infected patients were included (3584 from Pazhou and 2976 from Yongning). Of these, 90.6% received inactivated vaccines, 3.66% received recombinant SARS-CoV-2 spike protein subunit vaccines and 0.91% received adenovirus vaccines. Among the 6173 vaccinated individuals, 71.9% received a booster dose. By day 9, the isolation rate reached 50% among vaccinated patients. On day 7.5, the positive rate among vaccinated individuals reached 50%.
    Full vaccination was effective, with heterologous vaccines showing greater efficacy than inactivated vaccines alone. However, there was no significant difference in the vaccine protective effect 12 months after vaccination.
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  • 文章类型: Journal Article
    各种疫苗已经受到SARS-CoV-2变体的挑战。这里,我们报道了一种基于wt和Delta受体结合域(RBD)的酵母来源的重组二价疫苗(二价野生型[Wt]+De).基于wt和Delta突变体的酵母衍生的RBD蛋白用作初免疫苗。结果发现,在氢氧化铝(明矾)和未甲基化的CpG寡脱氧核苷酸(CpG)佐剂的存在下,与单价WTRBD或DeltaRBD相比,二价疫苗对SARS-CoV-2原型和变体的交叉保护性免疫更强。此外,由两剂二价疫苗和一剂腺病毒载体疫苗组成的异源加强策略在小鼠中表现出针对Delta和Omicron(BA.1和BA.4/5)变体的交叉中和能力和特异性T细胞反应。优于同源疫苗接种策略。这项研究表明,用酵母衍生的二价蛋白疫苗进行异源初免-加强疫苗接种可能是解决新兴变体挑战的潜在方法。
    Various vaccines have been challenged by SARS-CoV-2 variants. Here, we reported a yeast-derived recombinant bivalent vaccine (Bivalent wild-type [Wt]+De) based on the wt and Delta receptor-binding domain (RBD). Yeast derived RBD proteins based on the wt and Delta mutant were used as the prime vaccine. It was found that, in the presence of aluminium hydroxide (Alum) and unmethylated CpG-oligodeoxynucleotides (CpG) adjuvants, more cross-protective immunity against SARS-CoV-2 prototype and variants were elicited by bivalent vaccine than monovalent wtRBD or Delta RBD. Furthermore, a heterologous boosting strategy consisting of two doses of bivalent vaccines followed by one dose adenovirus vectored vaccine exhibited cross-neutralization capacity and specific T cell responses against Delta and Omicron (BA.1 and BA.4/5) variants in mice, superior to a homologous vaccination strategy. This study suggested that heterologous prime-boost vaccination with yeast-derived bivalent protein vaccine could be a potential approach to address the challenge of emerging variants.
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