squalene

角鲨烯
  • 文章类型: Journal Article
    抗体介导的保护可以取决于从中和到Fc依赖性先天性免疫细胞募集的机制。佐剂疫苗的开发依赖于对佐剂如何调节抗体应答的数量/滴度和质量的整体理解。
    一项2期试验(ClinicalTrials.gov:NCT00805389)评估了使用许可佐剂(AS01B,AS01E,AS03,AS04或明矾)在未处理过抗原的成年人中。该试验研究了佐剂在塑造抗体效应子功能中的作用,并确定了AS01B共有的先天转录反应,AS01E和AS03。我们整合了先前报道的先天反应数据(基因表达,细胞因子/C反应蛋白水平)和成熟抗体反应的定量/定性特征(Fc相关参数,免疫球蛋白滴度,狂热)。使用系统疫苗学和机器学习框架探索了先天和体液参数之间的关联。
    在该纵向研究的所有时间点观察到AS01/AS03和AS04/明矾之间的反应的二分法(前两者对与体液反应的关联贡献最大)。随着时间的推移,一致的模式表明两剂免疫方案的影响相似,一年的间隔,一年后给予非佐剂抗原攻击。以干扰素途径相关基因表达和分泌的干扰素-γ诱导蛋白10和C反应蛋白为特征的先天特征,AS01和AS03共有,一致预测了定性抗体应答特征和滴度。该特征还从抗体应答质量预测,所施用疫苗的佐剂组。
    由AS01或AS03佐剂化的疫苗诱导的先天特征随时间一致地预测抗体应答幅度和质量。
    UNASSIGNED: Antibody-mediated protection can depend on mechanisms varying from neutralization to Fc-dependent innate immune-cell recruitment. Adjuvanted vaccine development relies on a holistic understanding of how adjuvants modulate the quantity/titer and quality of the antibody response.
    UNASSIGNED: A Phase 2 trial (ClinicalTrials.gov: NCT00805389) evaluated hepatitis B vaccines formulated with licensed adjuvants (AS01B, AS01E, AS03, AS04 or Alum) in antigen-naïve adults. The trial investigated the role of adjuvants in shaping antibody-effector functions, and identified an innate transcriptional response shared by AS01B, AS01E and AS03. We integrated previously reported data on the innate response (gene expression, cytokine/C-reactive protein levels) and on quantitative/qualitative features of the mature antibody response (Fc-related parameters, immunoglobulin titers, avidity). Associations between the innate and humoral parameters were explored using systems vaccinology and a machine-learning framework.
    UNASSIGNED: A dichotomy in responses between AS01/AS03 and AS04/Alum (with the former two contributing most to the association with the humoral response) was observed across all timepoints of this longitudinal study. The consistent patterns over time suggested a similarity in the impacts of the two-dose immunization regimen, year-long interval, and non-adjuvanted antigenic challenge given one year later. An innate signature characterized by interferon pathway-related gene expression and secreted interferon-γ-induced protein 10 and C-reactive protein, which was shared by AS01 and AS03, consistently predicted both the qualitative antibody response features and the titers. The signature also predicted from the antibody response quality, the group of adjuvants from which the administered vaccine was derived.
    UNASSIGNED: An innate signature induced by AS01- or AS03-adjuvanted vaccines predicts the antibody response magnitude and quality consistently over time.
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  • 文章类型: Journal Article
    药用植物高度芳香的原料用于治疗疣作为替代药物的手术治疗,因为它们可以永久地从体内去除。因此,这项调查旨在从Calotropisprocera叶中提取植物材料,描述植物化学筛选,分析抗微生物活性,确定FTIR中的官能团,并确定GC-MS中的化合物。PH,比重,Calotropisprocera粗提取物的粘度分别为4.5、0.79和0.49。分析粗提物的溶解度;乙醇可以溶解,而水不能溶解。黄酮类化合物,生物碱,酚类物质,单宁,和皂苷也存在于Calotropisprocera提取物的植物化学筛选试验中,三萜类,萜类化合物,粗提物中不存在类固醇。黄酮类化合物,生物碱,酚类物质,单宁,和皂苷是在治疗性植物材料中发现的主要植物化学成分。通过FT-IR分析官能团的Calotropisprocera粗提物含有羟基,烷烃,羰基,醛,酮,酚类物质,酯,酒精,还有亚甲基.通过GC-MS分析的Calotropisprocera粗材料的化学化合物被发现具有22个主要化合物。在22种化合物中,5化合物是用于医学目的应用的活性成分。在Calotropisprocera植物提取物中发现的生物活性化合物是新植物二烯,六氢法呢基,羊毛甾醇,2,4-二甲基苯并[H]喹诺酮,和角鲨烯.这些生物活性化合物具有抗菌作用,镇痛药,退烧药,抗炎,抗菌,抗氧化剂,抗病毒,和抗癌特性。在体外抗菌活性测试中,粗提物对革兰氏阳性菌的抑制作用优于革兰氏阴性菌。这个集体原因就是为什么传统治疗师使用这种Calotropisprocera植物治疗疣。
    Medicinal plants Highly aromatic crude materials are utilized for treating warts as an alternative medicine to surgical treatment because they can be permanently removed from the body. Thus, this investigation aimed to extract plant material from Calotropis procera leaves, describe the phytochemical screening, analyze anti-microbial activities, determine the functional groups in FTIR, and identify the chemical compounds in GC-MS. The PH, specific gravity, and viscosity of the crude extracts of Calotropis procera were determined at 4.5, 0.79, and 0.49, respectively. Analyze the solubility of crude extracts; ethanol can dissolve while water does not. Flavonoids, alkaloids, phenols, tannins, and saponins were also present in the phytochemical screening tests of the Calotropis procera extracts, triterpenoids, terpenoids, and steroids were not present in the crude extract. Flavonoids, alkaloids, phenols, tannins, and saponins are the primary phytochemical components found in therapeutic plant material. The Calotropis procera crude extracts analyzed for functional groups by FT-IR contained a hydroxyl group, alkane, carbonyl, aldehyde, ketone, phenols, ester, alcohol, and methylene. The chemical compounds analyzed by GC-MS of Calotropis procera crude material were found to have 22 main compounds. Of 22 compounds, 5 compounds are active ingredients for the applications of medical purposes. The bioactive compounds found in the Calotropis procera plant extract are neophytadiene, hexahydrofarnesyl, lanosterol, 2,4-dimethylbenzo [H]quinolone, and squalene. Those bioactive compounds have anti-bacterial, analgesic, antipyretic, anti-inflammatory, antimicrobial, antioxidant, antiviral, and anti-cancer properties. In an in vitro antimicrobial activity test, the crude extract effectively inhibited more gram-positive bacteria than gram-negative bacteria. This collective reason is why the traditional therapist uses this Calotropis procera plant for the treatment of warts.
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  • 文章类型: Journal Article
    油炸产品的质量在很大程度上取决于油炸过程中发生的变化。这项工作的目的是研究家庭油炸后某些冷冻食品中发生的脂质质量变化。常规,使用了高亚油酸葵花籽油(HLSO)和高油酸葵花籽油(HOSO),选择的冷冻食品是薯条,炸丸子,和掘金。食品在不连续条件下在家用油炸锅中油炸。分析包括脂肪酸组成,固醇,生育酚,角鲨烯,和脂质改变水平。在所有油炸食品中,油炸后脂质含量增加,这与以前的发现是一致的。然而,食物和油之间的脂质交换在很大程度上取决于食物的特性。具体来说,炸薯条中煎炸油的含量约为90%,40%和58%,炸丸子,和掘金,分别。获得的主要结果表明,油炸后炸薯条中的脂质变化水平大大降低,甾醇和生育酚的含量显着增加。在这两种鸡肉产品中,炸丸子和金块,观察到的最佳质量改善是由于脂质交换导致食物脂质中胆固醇的显着降低。总的来说,用HLSO和HOSO油炸可改善所有测试产品的质量和营养特性。
    The quality of fried products greatly depends on the changes occurring during frying. The purpose of this work was to study the lipid quality changes taking place in selected frozen foods after domestic deep-frying. Conventional, high-linoleic sunflower oil (HLSO) and high-oleic sunflower oil (HOSO) were used, and the frozen foods selected were French fries, croquettes, and nuggets. The foods were fried in domestic fryers under discontinuous conditions. Analyses included fatty acid composition, sterols, tocopherols, squalene, and lipid alteration levels. In all fried foods, the content of lipids increased after frying, which is consistent with previous findings. However, the lipid exchange between the food and the oil greatly depended on the food characteristics. Specifically, the levels of frying oil in the food lipids were about 90, 40, and 58% for French fries, croquettes, and nuggets, respectively. The main results obtained showed that lipid alteration levels considerably decreased and amounts of sterols and tocopherols significantly increased in French fries\' lipids after frying. In both chicken products, croquettes and nuggets, the best quality improvement observed was a significant decrease in cholesterol in food lipids due to the lipid exchange. Overall, frying with HLSO and HOSO improved the quality and nutritional properties of all products tested.
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  • 文章类型: Journal Article
    BACKGROUND: It is known that tropospheric ozone (O3) generated from pollutants reacting with UV forms lipid peroxidation products and induces oxidative stress to the skin. With the ever-increasing consumer awareness of the effects pollution has on skin, more testing methods will be needed to evaluate cosmetic ingredients. Recently, others have shown how antioxidants are able to reduce the effects from ozone on skin through in vitro, ex vivo and clinical studies where human subjects place their arms into large stationary chambers.
    OBJECTIVE: To develop a small, easy to use ozone exposure module (OEM) that can be used on various sites of the body and to validate this device for use in testing the ability of topical products to mitigate the effects of ozone exposure on the skin.
    METHODS: We have produced an OEM which can generate levels of ozone in excess of 1000 ppb and can be set to achieve the equivalent exposure to what is found in polluted environmental conditions. After exposure we used D-squame discs to remove the sebum and analytically quantitate squalene depletion. Squalene, which is very sensitive to ROS, easily oxidizes into early metabolite squalene monohydroperoxide (SQOOH) with ozone exposure.
    RESULTS: We were able to show decreases in squalene levels after exposure and protective effects from a topical formulation.
    CONCLUSIONS: This generator will be a useful tool for researchers to easily create a small and safe exposure from ozone for clinical testing.
    BACKGROUND: On sait que l’ozone troposphérique (O3) générée par les polluants réagissant avec les UV forme des produits de peroxydation lipidique et induit un stress oxydatif pour la peau. Avec la sensibilisation croissante des consommateurs aux effets de la pollution sur la peau, plus de méthodes d’analyse seront nécessaires pour évaluer les ingrédients cosmétiques. Récemment, d’autres méthodes ont montré la capacité des antioxydants à réduire les effets de l’ozone sur la peau grâce à des études in vitro, ex vivo et cliniques où les sujets humains placent leurs bras dans de grandes chambres stationnaires.
    OBJECTIVE: Développer un petit module d’exposition à l’ozone (MEO) facile à utiliser qui peut être utilisé sur divers sites corporels afin de valider ce dispositif pour utilisation dans des analyses de capacité des produits topiques à atténuer les effets de l’exposition à l’ozone sur la peau MATÉRIELS ET MÉTHODES: Nous avons produit un MEO qui peut générer des niveaux d’ozone supérieurs à 1 000 ppb et qui peut être réglé pour atteindre l’exposition équivalente aux niveaux présents dans des conditions d’environnement pollué. Après exposition, nous avons utilisé des disques D‐squame pour éliminer le sébum et quantifier analytiquement la déplétion en squalène. Le squalène, qui est très sensible au ROS, s’oxyde facilement en métabolite précoce monohydroperoxyde de squalène (SQOOH) avec exposition à l’ozone RÉSULTATS: Nous avons pu montrer des diminutions des taux de squalène après exposition et les effets protecteurs d’une formulation topique.
    CONCLUSIONS: Ce générateur sera un outil utile pour que les chercheurs puissent facilement créer une petite exposition sûre à l’ozone pour les analyses cliniques.
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  • 文章类型: Journal Article
    已经开发了能够提供特异性体液免疫应答的有效诱导的基于角鲨烯的佐剂组合物。使用SARS-CoV-2的表面S蛋白的重组受体结合结构域(RBD)来评估组合物的性质。用开发的基于角鲨烯的组合物与RBD组合对小鼠的免疫允许获得高滴度的特异性抗体:从105至2×106。来自免疫小鼠的血清表现出针对SARS-CoV-2δ变体(B.1.617.2)的中和活性,滴度高达1:2000。
    Squalene-based adjuvant compositions that can provide effective induction of specific humoral immune response have been developed. Recombinant receptor-binding domain (RBD) of surface S-protein of SARS-CoV-2 was used to evaluate the properties of the composition. Immunization of mice with the developed squalene-based compositions in combination with RBD allows obtaining high titers of specific antibodies: from 105 to 2×106. The blood sera from immunized mice exhibit neutralizing activity against SARS-CoV-2 Delta variant (B.1.617.2) with a titer up to 1:2000.
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  • 文章类型: Journal Article
    结论:本综述通过强调其农业优势,确定了a菜谷物作为粮食安全和可持续粮食系统的有效作物,健康益处和在食品中的应用,包装,和酿造工业。全球人口激增和气候条件迅速变化,需要最大限度地提高营养作物产量,以减轻粮食和营养不安全造成的营养不良。为最大限度地提高常规主食作物的产量而采用的现代农业做法在很大程度上取决于自然资源的枯竭,并且正在广泛地造成这些自然资源的污染。此外,这些农业做法也对环境造成有害影响,如温室气体排放增加和水足迹增加。为了应对这些挑战,同时确保可持续的营养丰富的作物生产,必须利用未被充分利用的农作物,如Amaranthus。Amaranth谷物是无麸质的假谷物,由于其丰富的重要营养素和生物活性成分而变得更加突出,潜在的健康益处,适应不利的气候和土壤条件,最低农业投入要求,为小农创造收入的潜力,以及在可持续价值链中的各种应用。然而,由于这些潜在的好处,在消费者中,由于意识有限,研究人员,和政策制定者,它们仍未开发。这篇综述论文阐述了谷物的营养成分和潜在的健康益处,同时简要讨论了它们在食品和饮料行业中的各种应用,并强调需要探索更多的可能性,使a菜谷物在价值链中得到最大限度的利用。
    CONCLUSIONS: This review ascertains amaranth grains as a potent crop for food security and sustainable food systems by highlighting its agricultural advantages, health benefits and applications in the food, packaging, and brewing industry. The global population surge and rapidly transitioning climatic conditions necessitate the maximization of nutritional crop yield to mitigate malnutrition resulting from food and nutrition insecurity. The modern agricultural practices adopted to maximize the yield of the conventional staple crops are heavily contingent on the depleting natural resources and are contributing extensively to the contamination of these natural resources. Furthermore, these agricultural practices are also causing detrimental effects on the environment like rising emission of greenhouse gasses and increased water footprints. To address these challenges while ensuring sustainable nutrient-rich crop production, it is imperative to utilize underutilized crops like Amaranthus. Amaranth grains are gluten-free pseudo-cereals that are gaining much prominence owing to their abundance in vital nutrients and bio-active components, potential health benefits, resilience to adverse climatic and soil conditions, minimum agricultural input requirements, potential of generating income for small holder farmers as well as various applications across the sustainable value chain. However, due to the limited awareness of these potential benefits of the amaranth grains among the consumers, researchers, and policymakers, they have remained untapped. This review paper enunciates the nutritional composition and potential health benefits of the grains while briefly discussing their various applications in food and beverage industries and accentuating the need to explore further possibilities of valorizing amaranth grains to maximize their utilization along the value chain.
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  • 文章类型: English Abstract
    熊果酸由于其独特的药理活性和宝贵的市场价值,近年来逐渐受到人们的关注。目前,熊果酸主要从枇杷叶中提取,但植物提取法收率低、成本高,化学合成并不容易获得,因此,生物合成方法为熊果酸提供了新的来源。α-Amyrin是合成熊果酸的主要前体,其产量与熊果酸产量呈正相关。氧化角鲨烯环化酶(OSC)属于多基因家族,可以催化共同的前体2,3-氧化角鲨烯生成不同类型的三萜主链,在三萜类化合物的合成中起着决定性的作用。然而,在药用植物中催化α-amyrin合成的关键基因报道较少,催化产物中α-Amyrin的产率和比例一直是研究的重点。在这项研究中,ItOSC2,MdOSC1,AaOSC2和CrAS,四种能够催化从2,3-氧化角鲨烯生产α-amyrin的酶,是从Iristectorum克隆的,家蝇,黄花蒿和长春花,进行序列比对和系统发育树分析,并作为质粒转化为酿酒酵母。发酵7天后,α-amyrin的产量和比例,测定β-淀粉肽和麦角甾醇。最后,筛选出催化α-amyrin生成能力最好的AaOSC2,为后期构建高产α-amyrin和熊果酸的工程酵母菌株提供了关键基因元件。
    Ursolic acid has gradually attracted much attention due to its unique pharmacological activities and valuable market value in recent years. Currently, ursolic acid is mostly extracted from loquat leaves, but the plant extraction method has low yield and high cost, and chemical synthesis is not readily available, so the biosynthesis method provides a new source for ursolic acid. α-amyrin acts as the main precursor for the synthesis of ursolic acid, and its yield is positively correlated with ursolic acid yield. Oxidosqualene cyclase(OSC) belongs to a multigene family which can catalyze the common precursor 2,3-oxidosqualene to generate different types of triterpene backbones, and plays a decisive role in the synthesis of triterpenoids. However, there are fewer reported key genes catalyzing the synthesis of α-amyrin in medicinal plants, and the yield and proportion of α-amyrin in the catalyzed products have always been a focus of research. In this study, ItOSC2, MdOSC1, AaOSC2 and CrAS, four enzymes capable of catalyzing the production of α-amyrin from 2,3-oxidosqualene, were cloned from Iris tectorum, Malus domestica, Artemisia annua and Catharanthus roseus, subject to sequence alignment and phylogenetic tree analyses, and transformed into Saccharomyces cerevisiae as plasmids. After 7 days of fermentation, the yield and proportions of α-amyrin, β-amyrin and ergosterol were measured. Finally, AaOSC2 with the best ability to catalyze the generation of α-amyrin was filtered out, providing a key gene element for the later construction of engineered yeast strains with high production of α-amyrin and ursolic acid.
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  • 文章类型: Journal Article
    猫冠状病毒(FCoV)感染是猫死亡的主要原因。在这项研究中,我们生产的FCoV-I病毒样颗粒(VLP)含有E,M,N,和S蛋白使用杆状病毒表达系统并将VLP与佐剂MF59和CpG55.2混合以制备VLP/MF59/CpG疫苗。用疫苗免疫小鼠后,针对S和N蛋白的IgG特异性抗体滴度增加至1:12,800,IFN-γ+和IL-4+脾细胞显著增加。免疫FCoV阴性猫后,免疫猫的S蛋白抗体(5/5)显著增加,峰值为1:12,800。值得注意的是,在FCoV阳性猫的加强疫苗接种后,在部分猫的粪便中观察到病毒载量显着降低(4/5),并且在两只免疫猫中发现FCoV-I阴性转化(2/5)。因此,VLP/MF59/CpG疫苗是预防FCoV感染的有希望的候选疫苗.
    Feline coronavirus (FCoV) infection is a leading cause of death in cats. In this study, we produced FCoV-I virus-like particles (VLPs) containing E, M, N, and S proteins using a baculovirus expression system and mixed VLPs with the adjuvants MF59 and CpG 55.2 to prepare an VLP/MF59/CpG vaccine. After immunization of mice with the vaccine, IgG specific antibodies titers against S and N proteins increased to 1:12,800, and IFN-γ+ and IL-4+ splenocytes were significantly increased. Following immunization of FCoV-negative cats, the S protein antibodies in immunized cats (5/5) increased significantly, with a peak of 1:12,800. Notably, after booster vaccination in FCoV-positive cats, a significant reduction in viral load was observed in the feces of partial cats (4/5), and the FCoV-I negative conversion was found in two immunized cats (2/5). Therefore, the VLP/MF59/CpG vaccine is a promising candidate vaccine to prevent the FCoV infection.
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  • 文章类型: Journal Article
    这项研究探索了纳米医学方法的潜力,使用Leu-脑啡肽-角鲨烯纳米颗粒(LENK-SQNP)治疗长期疼痛。观察到纳米药物显着改善了Leu-脑啡肽的药理功效,一种快速代谢的神经肽,在急性炎性疼痛的大鼠模型中,提供局部镇痛效果,同时通过绕过中枢神经系统将潜在的全身副作用降至最低。LENK-SQNP在术后疼痛的大鼠模型(Brennan的啮齿动物足底切口模型)中使用Alzet®泵连续输注进行测试,额外的推注。通过刺激诱发的方法评估镇痛活性,比如vonFrey和Hargreaves的测试.机械和热痛觉过敏在切口后第2天和第3天显著降低。进行了额外的药代动力学研究,表明LENK-SQNP允许神经肽在其前药形式下的持续循环。另一方面,荧光标记的LENK-SQNP的生物分布显示它们在给药后的第一个小时内在切开的爪中选择性积累,然后是NPs的拆卸,24小时后开始。该研究提出了LENK-SQNP抗伤害性药理活性的以下多步骤机制:(i)保护神经肽免于代谢进入血液,(ii)纳米颗粒在切开的疼痛组织内的靶向积累和(iii)在炎症过程开始时逐渐释放LENK,导致观察到的镇痛活性。
    This study explores the potential of a nanomedicine approach, using Leu-enkephalin-squalene nanoparticles (LENK-SQ NPs) for managing long-lasting pain. It was observed that the nanomedicine significantly improved the pharmacological efficacy of the Leu-enkephalin, a fast metabolized neuropeptide, in a rat model of acute inflammatory pain, providing local analgesic effect, while minimizing potential systemic side effects by circumventing central nervous system. The LENK-SQ NPs were tested in a rat model of postoperative pain (Brennan\'s rodent plantar incision model) using continuous infusion via Alzet® pump, with an additional bolus injection. The analgesic activity was assessed through stimulus-evoked methods, such as the von Frey and Hargreaves tests. Both mechanical and thermal hyperalgesia were significantly reduced at days 2 and 3 post-incision. An additional pharmacokinetic study was conducted, showing that LENK-SQ NPs allowed a sustained circulation of the neuropeptide under its prodrug form. On the other hand, the biodistribution of fluorescently labelled LENK-SQ NPs revealed their selective accumulation in the incised paw within the first hour post administration, followed by a disassembly of the NPs, starting 24 h later. The study proposes the following multi-step mechanism for the anti-nociceptive pharmacological activity of LENK-SQ NPs: (i) protection of the neuropeptide from metabolization into the bloodstream, (ii) targeted accumulation of the nanoparticles within the incised painful tissue and (iii) gradual release of LENK at the onset of the inflammatory process, leading to the observed analgesic activity.
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  • 文章类型: Journal Article
    目的:这项研究评估了MF59佐剂化的三价灭活疫苗(aTIV)与高剂量三价灭活疫苗(HD-TIV)的相对疫苗效力(rVE),以预防测试确诊的流感急诊科就诊和/或住院(“ED/IP”)以及仅IP入院在2017-2020年流感季节汇总。还进行了探索性个体季节分析。
    方法:这项回顾性测试阴性设计研究包括年龄≥65岁的美国成年人接种aTIV或HD-TIV疫苗,他们在2017-2020年流感季节期间出现急性呼吸道或发热性疾病的ED或IP设置。测试阳性病例和测试阴性对照按接受的疫苗分组。aTIV与HD-TIV的rVE使用治疗加权的逆概率和逻辑回归的组合进行评估,以调整潜在的混杂因素。
    结果:3个季节的汇总分析发现,aTIV与HD-TIV的rVE在预防测试确诊的流感ED/IP(-2.5%[-19.6,12.2])就诊和入院或IP入院方面没有显着差异(-1.6%[-22.5,15.7])。探索性个体季节分析也没有显着差异。
    结论:来自2017-2020年流感季节的证据表明,在65岁以上的美国成年人中,aTIV和HD-TIV在预防经测试确认的流感ED/IP访问方面具有可比性。
    OBJECTIVE: This study evaluated relative vaccine effectiveness (rVE) of MF59-adjuvanted trivalent inactivated influenza vaccine (aTIV) vs high-dose trivalent inactivated influenza vaccine (HD-TIV) for prevention of test-confirmed influenza emergency department visits and/or inpatient admissions (\"ED/IP\") and for IP admissions alone pooled across the 2017-2020 influenza seasons. Exploratory individual season analyses were also performed.
    METHODS: This retrospective test-negative design study included United States (US) adults age ≥65 years vaccinated with aTIV or HD-TIV who presented to an ED or IP setting with acute respiratory or febrile illness during the 2017-2020 influenza seasons. Test-positive cases and test-negative controls were grouped by vaccine received. The rVE of aTIV vs HD-TIV was evaluated using a combination of inverse probability of treatment weighting and logistic regression to adjust for potential confounders.
    RESULTS: Pooled analyses over the three seasons found no significant differences in the rVE of aTIV vs HD-TIV for prevention of test-confirmed influenza ED/IP (-2.5% [-19.6, 12.2]) visits and admissions or IP admissions alone (-1.6% [-22.5, 15.7]). The exploratory individual season analyses also showed no significant differences.
    CONCLUSIONS: Evidence from the 2017-2020 influenza seasons indicates aTIV and HD-TIV are comparable for prevention of test-confirmed influenza ED/IP visits in US adults age ≥65 years.
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