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Decoding Infection and Transmission最新文献

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Emergencies of zoonotic diseases, drivers, and the role of artificial intelligence in tracking the epidemic and pandemics
Pub Date : 2024-01-01 DOI: 10.1016/j.dcit.2024.100032
Akmal Zubair, Rawaha Mukhtar, Hanbal Ahmed, Muhammad Ali
Zoonotic illnesses are defined as diseases that can be transmitted from animals to humans through various channels. More than sixty percent of disease-causing organisms capable of affecting humans are classified as zoonoses. This category encompasses many parasites, including bacteria, algae, fungi, protozoa, and others. The emergence of zoonotic diseases is influenced by a variety of various elements that come into play. These include changes in the climate, the clearing out of forests, the illicit trade of goods, the use of agricultural methods that are not sustainable, the eradication of ecosystems, urbanization, and neutralization. Artificial intelligence is now a trendy subject of debate. This popularity may be attributed to artificial intelligence's accuracy and its capacity to predict zoonotic illnesses. In the course of the inquiry into zoonotic illnesses, the use of artificial intelligence has shown to be of considerable assistance. The goal of this study is to shed light on the elements that contribute to the appearance and reappearance of zoonotic diseases, as well as the role that artificial intelligence particularly some of the most significant machine learning techniques, such as support vector machine (SVM), logistic regression (LR), Bayesian network, Artificial Neural Networks, Fuzzy Clustering, Poisson Point Process and Deep Denoising Autoencoder to the fight against the various infectious diseases. In addition, this review will discuss the factors that contribute to the appearance and reappearance of zoonotic illnesses.
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引用次数: 0
A review of epidemiological characteristics, risk factors, and prevention strategies of human anthrax in China 中国人类炭疽的流行病学特征、风险因素和预防策略综述
Pub Date : 2024-01-01 DOI: 10.1016/j.dcit.2024.100024
Wenwen Xin , Nan Yue , Jinglin Wang
Anthrax is a severe infectious illness triggered by the bacterium Bacillus anthracis. This bacterium is naturally found in soil and mainly impacts domestic and wild animals. Human anthrax infection occurs primarily through close occupational contact with infected livestock. Anthrax has been reported each year in China for decades since it became a reportable disease. However, concerns about anthrax are growing in recent years. In this paper, we reviewed the literature on Anthrax and Bacillus anthracis. We delineated the epidemiological traits of human anthrax in China as well as the potential risk factors for outbreaks. Additionally, we offer recommendations for prevention and control. We emphasize that effective management of anthrax in humans largely depends on the successful control of the disease in animals. It is also suggested that anthrax is unlikely to completely disappear or escalate into a large-scale epidemic in China in the near future. Human cases of anthrax are expected to remain at a low prevalence, which alleviates the need for excessive panic. Instead, proactive measures should be implemented to enhance the prevention and control of anthrax, ultimately leading to further improvements in public health.
炭疽是由炭疽杆菌引发的一种严重传染病。这种细菌天然存在于土壤中,主要影响家畜和野生动物。人类感染炭疽主要是通过与受感染牲畜的密切接触。自从炭疽成为一种可报告的疾病以来,几十年来中国每年都有炭疽的报告。然而,近年来人们对炭疽的担忧与日俱增。本文回顾了有关炭疽和炭疽杆菌的文献。我们描述了中国人类炭疽的流行病学特征以及爆发的潜在风险因素。此外,我们还提出了预防和控制建议。我们强调,人类炭疽病的有效控制在很大程度上取决于动物炭疽病的成功控制。我们还提出,炭疽在中国不太可能在短期内完全消失或升级为大规模流行病。预计人类炭疽病例仍将处于低流行水平,因此不必过度恐慌。相反,应采取积极措施,加强炭疽病的预防和控制,最终进一步提高公众健康水平。
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引用次数: 0
Public health significance, seroprevalence and associated risk factors of bovine brucellosis in selected dairy farms of North Shewa zone, Amhara region, Ethiopia 埃塞俄比亚阿姆哈拉地区北谢瓦区部分奶牛场牛布氏杆菌病的公共卫生意义、血清流行率和相关风险因素
Pub Date : 2024-01-01 DOI: 10.1016/j.dcit.2024.100027
Gashaw Adane Erkyihun , Fikru Regassa Gari , Daniel Demissie Shewie , Teferi Bentti , Gezahegne Mamo Kassa

Objective

Bovine brucellosis is a zoonotic disease that causes economic crises in dairy cattle production and poses public health impact. A cross sectional study was conducted between November 2021 to April 2022 to estimate the seroprevalence of bovine brucellosis, identify associated risk factors with bovine brucellosis and assess the knowledge, attitude and practice of dairy cattle owners on brucellosis.

Methods

A total of 426 blood samples of dairy cattle were screened with Rose Bengal Plate Test (RBPT) and positive samples were confirmed by complement fixation test (CFT). Risk factors associated with Brucella seropositivity and knowledge of respondents were assessed and data were analyzed using R software.

Results

The overall seroprevalence of bovine brucellosis was 0.47 % (95 % CI: −0.182%-1.121%) and 4.43 % (95 % CI: −1.77 % - 10.47 %) at individual and herd level respectively. Analysis of risk factors using logistic regression indicated buying stock replacement (OR = 33.83, p = 0.000301), abortion history (OR = 5.90, 0.00579) and bull mating service (OR = 6.43, p = 0.01338) were found to be significantly associated with the seropositivity of Brucella infection in the dairy cattle.

Conclusion

The presence of serological reactors with significant risk factors indicates previous infection of brucellosis in the cattle population. Hence, culling of Brucella antibody reactor cows, stock replacement through Brucella testing and improving community awareness are recommended.
目的 牛布氏杆菌病是一种人畜共患病,会给奶牛生产带来经济危机,并对公共卫生造成影响。在 2021 年 11 月至 2022 年 4 月期间进行了一项横断面研究,以估算牛布鲁氏杆菌病的血清流行率,确定与牛布鲁氏杆菌病相关的风险因素,并评估奶牛饲养者对布鲁氏杆菌病的知识、态度和做法。结果在个体和牛群水平上,牛布氏杆菌病的总血清阳性率分别为 0.47 % (95 % CI: -0.182 %-1.121 %) 和 4.43 % (95 % CI: -1.77 % - 10.47 %)。使用逻辑回归分析风险因素时发现,购买替代牲畜(OR = 33.83,p = 0.000301)、流产史(OR = 5.90,0.00579)和公牛交配服务(OR = 6.43,p = 0.01338)与奶牛布鲁氏菌感染血清阳性率显著相关。因此,建议扑杀布鲁氏菌抗体反应牛,通过布鲁氏菌检测更换牛群,并提高社区意识。
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引用次数: 0
Harnessing bioinformatics for the development of a promising multi-epitope vaccine against tuberculosis: The ZL9810L vaccine 利用生物信息学开发前景广阔的多表位结核病疫苗:ZL9810L 疫苗
Pub Date : 2024-01-01 DOI: 10.1016/j.dcit.2024.100026
Li Zhuang , Yilu Zhao , Ling Yang , Linsheng Li , Zhaoyang Ye , Awais Ali , Yajing An , Ruizi Ni , Syed Luqman Ali , Wenping Gong

Background

Tuberculosis (TB) is a global infectious disease posing a serious threat to human health, caused by Mycobacterium tuberculosis (MTB) infection. Although vaccination is the most effective way to prevent and control TB, the existing Bacillus Calmette–Guérin (BCG) vaccine exhibits limited protective efficacy in adult pulmonary TB. Therefore, developing a novel TB vaccine is an urgent need.

Methods

This study designed a novel multi-epitope vaccine (MEV) to combat MTB infection, utilizing bioinformatics and immunoinformatics approaches. Dominant epitopes of helper T lymphocytes (HTL), cytotoxic T lymphocytes (CTL), and B lymphocytes were selected from antigens of MTB to construct the MEV. To enhance the targeting and immunogenicity of the vaccine, toll like receptor (TLR) agonists and PADRE helper peptides were incorporated into the design. In addition, comprehensive predictions have been made on the physicochemical properties, three-dimensional structure, spatial conformation, and molecular interactions with TLRs of MEVs. These evaluations also extend to the exploration of their immunological characteristics.

Results

A novel MEV named ZL9810L was successfully constructed, based on 8 HTL epitopes, 9 CTL epitopes, 10 B lymphocyte epitopes, Toll-like receptor agonists, and auxiliary peptides. Bioinformatics analysis demonstrated that the ZL9810L vaccine has excellent immunogenicity and antigenicity, non-toxicity, and non-sensitization capability, capable of significantly inducing a strong immune response and solubility, with scores of 2.21451, 0.8913, and 0.455 respectively. Moreover, the global population coverage of HLA class I and II allele genes by the ZL9810L vaccine reached 72.89 % and 81.49 %, respectively. Molecular docking analysis indicated good binding capacities of the ZL9810L vaccine to TLR2 and TLR4 receptors, with binding energies of −1028.5 kcal/mol and −1018.8 kcal/mol respectively. Immune simulation predicted that the vaccine could effectively activate innate and adaptive immune cells, including NK cells, macrophages, B lymphocytes, and T lymphocytes.

Conclusion

As a candidate for a novel TB vaccine, the ZL9810L vaccine exhibits significant immunogenicity and antigenicity, with no toxicity or allergenicity. The ZL9810L vaccine designed in this study provides a new vaccine candidate for TB control and prevention.
背景结核病(TB)是一种严重威胁人类健康的全球性传染病,由结核分枝杆菌(MTB)感染引起。虽然接种疫苗是预防和控制结核病的最有效方法,但现有的卡介苗(BCG)对成人肺结核的保护效力有限。本研究利用生物信息学和免疫信息学方法设计了一种新型多表位疫苗(MEV),以对抗 MTB 感染。从 MTB 抗原中筛选出辅助性 T 淋巴细胞(HTL)、细胞毒性 T 淋巴细胞(CTL)和 B 淋巴细胞的优势表位来构建 MEV。为了增强疫苗的靶向性和免疫原性,设计中加入了类毒素受体(TLR)激动剂和 PADRE 辅助肽。此外,还对 MEV 的理化性质、三维结构、空间构象以及与 TLR 的分子相互作用进行了全面预测。结果 基于 8 个 HTL 表位、9 个 CTL 表位、10 个 B 淋巴细胞表位、Toll 样受体激动剂和辅助肽,成功构建了名为 ZL9810L 的新型 MEV。生物信息学分析表明,ZL9810L 疫苗具有良好的免疫原性和抗原性、无毒性和无致敏性,能显著诱导强烈的免疫应答,溶解性得分分别为 2.21451、0.8913 和 0.455。此外,ZL9810L 疫苗对全球 HLA I 类和 II 类等位基因的覆盖率分别达到 72.89 % 和 81.49 %。分子对接分析表明,ZL9810L 疫苗与 TLR2 和 TLR4 受体的结合能力良好,结合能分别为 -1028.5 kcal/mol 和 -1018.8 kcal/mol。免疫模拟预测该疫苗可有效激活先天性和适应性免疫细胞,包括 NK 细胞、巨噬细胞、B 淋巴细胞和 T 淋巴细胞。本研究设计的 ZL9810L 疫苗为结核病的控制和预防提供了一种新的候选疫苗。
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引用次数: 0
Efforts of rabies elimination with a One Health approach and SARE tools in Ethiopia 埃塞俄比亚采用 "一体健康 "方法和 SARE 工具消除狂犬病的努力
Pub Date : 2024-01-01 DOI: 10.1016/j.dcit.2024.100028
Gashaw Adane Erkyihun , Sisay Getachew Deressa , Wubishet Zewdie Wakene , Fikru Regassa Gari
Rabies is a viral zoonosis which affects nearly every region of the world. Once symptoms appear, the disease is 100 % fatal, although it is 100 % preventable through vaccination. Human rabies is typically caused by virus transmitted from the bite of an infected dog. Rabies results in significant economic costs and human fatalities, with children being disproportionately affected. Numerous countries have embraced a global goal to eliminate dog-mediated human rabies by 2030. In line with this, Ethiopia has integrated a global prevention and elimination strategy into its national program, and is implementing various interventions. During 2022 and 2023, the Ministry of Agriculture, in partnership with One Health collaborators, vaccinated over 350,000 domestic dogs. Documenting these efforts and best practices is essential for sharing ongoing control and elimination experiences with other countries. This review outlines the burden and impact of rabies, the current status of the Ethiopian 2030 rabies control and elimination program, and its achievements and challenges. The review also highlights the current state of stakeholder collaboration and coordination efforts.
狂犬病是一种病毒性人畜共患病,几乎影响到世界上的每一个地区。一旦出现症状,这种疾病百分之百会致命,尽管通过接种疫苗可以百分之百地预防。人类狂犬病通常是由被感染的狗咬伤后传播的病毒引起的。狂犬病造成巨大的经济损失和人员死亡,其中儿童受影响尤为严重。许多国家都支持到 2030 年消除由狗传播的人类狂犬病的全球目标。据此,埃塞俄比亚已将全球预防和消除战略纳入其国家计划,并正在实施各种干预措施。2022 年和 2023 年期间,农业部与 "一个健康 "合作方合作,为超过 35 万只家犬接种了疫苗。记录这些努力和最佳实践对于与其他国家分享正在进行的控制和消灭经验至关重要。本报告概述了狂犬病造成的负担和影响、埃塞俄比亚 2030 年狂犬病控制和消除计划的现状及其成就和挑战。本报告还强调了利益相关者合作与协调工作的现状。
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引用次数: 0
Global, regional, and national burden of malaria, 1990–2021: Findings from the global burden of disease study 2021 1990-2021 年全球、区域和国家疟疾负担:2021 年全球疾病负担研究结果
Pub Date : 2024-01-01 DOI: 10.1016/j.dcit.2024.100030
Shun-Xian Zhang , Guo-Bing Yang , Jian Yang , Fan-Na Wei , Shan Lv , Lei Duan , Li-Guang Tian , Mu-Xin Chen , Qin Liu , Yan Lu , Ji-Chun Wang , Shi-Zhu Li , Xiao-Nong Zhou

Background

Malaria is an infectious disease transmitted by mosquitoes and caused by Plasmodium parasites. This study analyzes data from the Global Burden of Disease (GBD) Study 2021 to systematically assess global epidemiological trends and the malaria burden from 1990 to 2021, providing scientific insights for malaria prevention and control.

Methods

Using GBD 2021 data, we analyzed trends in malaria incidence, prevalence, mortality, and disability-adjusted life years (DALYs), stratified by age, sex, regions, and Socio-demographic Index (SDI). A Bayesian age-period-cohort model was employed to predict the future burden of malaria, while the average annual percent change (AAPC) was calculated to describe overall trends in age-standardized rates (ASR) and counts from 1990 to 2021.

Results

From 1990 to 2021, significant decreases were observed in the global age-standardized incidence rate (ASIR, AAPC = −7.25%; 95% CI: −11.68%, −2.81%), prevalence rate (ASPR, AAPC = −14.42%; 95% CI: −15.99%, −12.84%), mortality rate (ASMR, AAPC = −0.06%; 95 % CI: −0.08%, −0.05%), and age-standardized DALY rate (AAPC = −4.86%; 95 % CI: −5.81%, −3.91%). However, no significant changes were found in ASIR for East Asia (AAPC = −0.30%; 95% CI: −0.96%, 0.37%), high-income Asia Pacific (AAPC = −0.03%; 95% CI: −0.07%, 0.01%), and Southern Sub-Saharan Africa (AAPC = 1.09%; 95% CI: −29.12%, 31.30%), while the remaining 14 regions showed a decline. The ASIR, ASPR, ASMR, and age-standardized DALY rates for malaria, as well as total cases and deaths, did not significantly differ between males and females across all age groups. Notably, the highest incidence, prevalence, and mortality rates were observed in children under five years of age. Between 1990 and 2021, the ASIR, ASPR, ASMR, and age-standardized DALY rate for malaria were inversely correlated with SDI levels.

Conclusions

Although global malaria burden has steadily declined, malaria remains a serious public health threat, particularly in sub-Saharan Africa and Southeast Asia, especially among children under five. To address the continuing threat of malaria, immediate implementation of stronger and more effective global control strategies is essential.
背景疟疾是一种由疟原虫引起、通过蚊子传播的传染病。本研究分析了《2021 年全球疾病负担研究》(GBD)的数据,以系统评估 1990 年至 2021 年全球流行病学趋势和疟疾负担,为疟疾防控提供科学依据。方法利用《2021 年全球疾病负担研究》的数据,我们分析了疟疾发病率、流行率、死亡率和残疾调整生命年(DALYs)的趋势,并按年龄、性别、地区和社会人口指数(SDI)进行了分层。结果从 1990 年到 2021 年,全球年龄标准化发病率(ASIR, AAPC = -7.25%;95 % CI:-11.68%,-2.81%)、患病率(ASPR,AAPC = -14.42%;95 % CI:-15.99%,-12.84%)、死亡率(ASMR,AAPC = -0.06%;95 % CI:-0.08%,-0.05%)和年龄标准化残疾调整寿命年率(AAPC = -4.86%;95 % CI:-5.81%,-3.91%)均出现了显著下降。然而,东亚(AAPC = -0.30%;95% CI:-0.96%,0.37%)、高收入亚太地区(AAPC = -0.03%;95% CI:-0.07%,0.01%)和撒哈拉以南非洲南部(AAPC = 1.09%;95% CI:-29.12%,31.30%)的 ASIR 没有明显变化,而其余 14 个地区则出现下降。在所有年龄组中,男性和女性的疟疾 ASIR、ASPR、ASMR 和年龄标准化残疾调整寿命年率以及病例和死亡总数没有显著差异。值得注意的是,五岁以下儿童的发病率、流行率和死亡率最高。1990 年至 2021 年期间,疟疾的 ASIR、ASPR、ASMR 和年龄标准化残疾调整寿命年率与 SDI 水平成反比。结论虽然全球疟疾负担稳步下降,但疟疾仍然是一个严重的公共卫生威胁,尤其是在撒哈拉以南非洲和东南亚,特别是在五岁以下儿童中。为了应对疟疾的持续威胁,必须立即实施更有力、更有效的全球控制战略。
{"title":"Global, regional, and national burden of malaria, 1990–2021: Findings from the global burden of disease study 2021","authors":"Shun-Xian Zhang ,&nbsp;Guo-Bing Yang ,&nbsp;Jian Yang ,&nbsp;Fan-Na Wei ,&nbsp;Shan Lv ,&nbsp;Lei Duan ,&nbsp;Li-Guang Tian ,&nbsp;Mu-Xin Chen ,&nbsp;Qin Liu ,&nbsp;Yan Lu ,&nbsp;Ji-Chun Wang ,&nbsp;Shi-Zhu Li ,&nbsp;Xiao-Nong Zhou","doi":"10.1016/j.dcit.2024.100030","DOIUrl":"10.1016/j.dcit.2024.100030","url":null,"abstract":"<div><h3>Background</h3><div>Malaria is an infectious disease transmitted by mosquitoes and caused by Plasmodium parasites. This study analyzes data from the Global Burden of Disease (GBD) Study 2021 to systematically assess global epidemiological trends and the malaria burden from 1990 to 2021, providing scientific insights for malaria prevention and control.</div></div><div><h3>Methods</h3><div>Using GBD 2021 data, we analyzed trends in malaria incidence, prevalence, mortality, and disability-adjusted life years (DALYs), stratified by age, sex, regions, and Socio-demographic Index (SDI). A Bayesian age-period-cohort model was employed to predict the future burden of malaria, while the average annual percent change (AAPC) was calculated to describe overall trends in age-standardized rates (ASR) and counts from 1990 to 2021.</div></div><div><h3>Results</h3><div>From 1990 to 2021, significant decreases were observed in the global age-standardized incidence rate (ASIR, AAPC = −7.25%; 95% <em>CI</em>: −11.68%, −2.81%), prevalence rate (ASPR, AAPC = −14.42%; 95% <em>CI</em>: −15.99%, −12.84%), mortality rate (ASMR, AAPC = −0.06%; 95 % <em>CI</em>: −0.08%, −0.05%), and age-standardized DALY rate (AAPC = −4.86%; 95 % <em>CI</em>: −5.81%, −3.91%). However, no significant changes were found in ASIR for East Asia (AAPC = −0.30%; 95% <em>CI</em>: −0.96%, 0.37%), high-income Asia Pacific (AAPC = −0.03%; 95% <em>CI</em>: −0.07%, 0.01%), and Southern Sub-Saharan Africa (AAPC = 1.09%; 95% <em>CI</em>: −29.12%, 31.30%), while the remaining 14 regions showed a decline. The ASIR, ASPR, ASMR, and age-standardized DALY rates for malaria, as well as total cases and deaths, did not significantly differ between males and females across all age groups. Notably, the highest incidence, prevalence, and mortality rates were observed in children under five years of age. Between 1990 and 2021, the ASIR, ASPR, ASMR, and age-standardized DALY rate for malaria were inversely correlated with SDI levels.</div></div><div><h3>Conclusions</h3><div>Although global malaria burden has steadily declined, malaria remains a serious public health threat, particularly in sub-Saharan Africa and Southeast Asia, especially among children under five. To address the continuing threat of malaria, immediate implementation of stronger and more effective global control strategies is essential.</div></div>","PeriodicalId":100358,"journal":{"name":"Decoding Infection and Transmission","volume":"2 ","pages":"Article 100030"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142701200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Recent malaria outbreak in the USA: Risk of and response to malaria reintroduction in non-endemic regions 美国最近爆发的疟疾疫情:疟疾在非流行地区重新流行的风险和应对措施
Pub Date : 2024-01-01 DOI: 10.1016/j.dcit.2024.100018
Liwang Cui, Kami Kim

The emergence of locally transmitted Plasmodium vivax malaria in Florida from May to July 2023 underscores the persistent threat of malaria reintroduction in non-endemic regions. The increasing instances of imported malaria associated with international travel, alongside the existence of competent local vectors, emphasize the critical need for public health authorities in non-endemic countries to remain vigilant and well-prepared to sustain a malaria-free status.

2023 年 5 月至 7 月,佛罗里达州出现了本地传播的间日疟原虫疟疾,这突出表明疟疾在非流行地区重新流行的威胁持续存在。与国际旅行相关的输入性疟疾病例不断增加,同时存在有能力的本地病媒,这突出表明非疟疾流行国家的公共卫生当局亟需保持警惕并做好充分准备,以维持无疟疾状态。
{"title":"Recent malaria outbreak in the USA: Risk of and response to malaria reintroduction in non-endemic regions","authors":"Liwang Cui,&nbsp;Kami Kim","doi":"10.1016/j.dcit.2024.100018","DOIUrl":"https://doi.org/10.1016/j.dcit.2024.100018","url":null,"abstract":"<div><p>The emergence of locally transmitted <em>Plasmodium vivax</em> malaria in Florida from May to July 2023 underscores the persistent threat of malaria reintroduction in non-endemic regions. The increasing instances of imported malaria associated with international travel, alongside the existence of competent local vectors, emphasize the critical need for public health authorities in non-endemic countries to remain vigilant and well-prepared to sustain a malaria-free status.</p></div>","PeriodicalId":100358,"journal":{"name":"Decoding Infection and Transmission","volume":"2 ","pages":"Article 100018"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949924024000028/pdfft?md5=a01a4f9c6ad56e8750976a379ea660a6&pid=1-s2.0-S2949924024000028-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140320408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Progress of exosomes in diagnosis of tuberculosis 外泌体在结核病诊断中的应用进展
Pub Date : 2024-01-01 DOI: 10.1016/j.dcit.2024.100020
Yuheng Liu , Yao Liao , Ji Wu , ZiFeng Zhu , DingHao Li , Lifu Wang
Tuberculosis (TB) is a globally prevalent infectious disease caused by Mycobacterium tuberculosis. A majority of TB patients develop a latent infection, making disease diagnosis more challenging. However, current diagnostic methods are not able to accurately identify TB patients and those with latent TB. Therefore, there is a need to develop new methods for the accurate diagnosis of TB. Exosomes, which are extracellular vesicles with a diameter of 40∼160 nm, contain a variety of proteins, lipids, nucleic acids, and play a crucial role in intercellular communication. Recent research suggests that exosomes can be used for disease diagnosis, and exosome-derived substances such as proteins, miRNAs show great potential as disease biomarkers. This study aims to review the progress of exosomes in diagnosing TB and proposes new ideas for exploring exosomal biomarkers of TB.
结核病(TB)是由结核分枝杆菌引起的一种全球流行的传染病。大多数肺结核患者会出现潜伏感染,这使得疾病诊断更具挑战性。然而,目前的诊断方法无法准确识别肺结核患者和潜伏肺结核患者。因此,需要开发新的方法来准确诊断结核病。外泌体是一种直径为 40∼160 纳米的细胞外囊泡,含有多种蛋白质、脂质和核酸,在细胞间通信中发挥着重要作用。最近的研究表明,外泌体可用于疾病诊断,外泌体衍生物质如蛋白质、miRNAs等作为疾病生物标志物显示出巨大的潜力。本研究旨在回顾外泌体在结核病诊断方面的进展,并提出探索结核病外泌体生物标志物的新思路。
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引用次数: 0
The prevalence, diagnosis, and dissemination of mcr-1 in colistin resistance: Progress and challenge 大肠菌素耐药性中 mcr-1 的流行、诊断和传播:进展与挑战
Pub Date : 2023-01-01 DOI: 10.1016/j.dcit.2023.100007
Jun Feng , Zhen Xu , Yuan Zhuang , Mingxiang Liu , Jiayuan Luo , Yitong Wu , Yong Chen , Min Chen

Considered as the last defense line against Gram-negative bacteria, colistin is particularly effective against multiple drug-resistant bacteria such as multi-drug resistance (MDR) and carbapenem-resistant Enterobacteriaceae (CRE). However, since the plasmid-mediated mobile colistin resistance-1 (mcr-1) was first reported in China in 2015, it has been widely detected from humans, animals, and the environment across 47 countries/regions worldwide by 2019, which has attracted the attention of the World Health Organization and global government departments, who formulated emergency strategies and interventions to contain its emergence and spread. At present, three kinds of colistin for clinical injection have been adopted in clinic in China. Due to drug pressure screening, the risk with Gram-negative bacteria developing resistance to colistin may corresponding increase. Therefore, rapid, accurate and sensitive detection methods are particularly needed. This review summarizes the prevalence of mcr-1, in addition to a diverse assortment of different detection techniques of colistin resistance, and analyzes the application scenarios, advantages, and challenges of different technologies, in order to provide a scientific evidence-based proof for the rapid detection of colistin resistance.

可乐定被认为是革兰氏阴性菌的最后一道防线,对多重耐药菌(如多重耐药菌(MDR)和耐碳青霉烯类肠杆菌科细菌(CRE))特别有效。然而,自2015年中国首次报道质粒介导的移动性可乐定耐药-1(mcr-1)以来,截至2019年,已在全球47个国家/地区的人类、动物和环境中广泛检出,引起了世界卫生组织和全球政府部门的高度重视,纷纷制定应急策略和干预措施,以遏制其出现和扩散。目前,我国临床已采用三种临床注射用可乐定。由于药物压力筛选,革兰氏阴性菌对可乐定产生耐药性的风险可能会相应增加。因此,快速、准确、灵敏的检测方法显得尤为重要。本综述总结了 mcr-1 的流行情况,以及各种不同的可乐定耐药性检测技术,并分析了不同技术的应用场景、优势和挑战,以期为可乐定耐药性的快速检测提供科学依据。
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引用次数: 0
Efficacy and safety of directly acting antiviral drugs in HCV patients with HIV in liver transplantation: A meta-analysis 肝移植中直接抗病毒药物治疗HCV合并HIV患者的疗效和安全性:一项荟萃分析
Pub Date : 2023-01-01 DOI: 10.1016/j.dcit.2023.100005
Tian Zeng , Peng Huang , Weilong Tan , Zepei Feng , Jianguo Shao , Xueshan Xia , Chao Shen , Liqin Qian , Bingqing Wang , Zhengjie Li , Chuanlong Zhu , Yun Zhang , Ming Yue

Background

HCV/HIV co-infections were initially a contentious consideration for liver transplantation, primarily due to their suboptimal response to interferon-based treatments and unfavorable post-transplantation outcomes. The potential concern in this patient group arises from drug–drug interactions between DAAs and ARVs, with data on the effectiveness and safety of DAAs in this demographic primarily derived from isolated case studies. This extensive review assesses the safety and efficacy of DAAs in liver transplants for individuals with concurrent HIV and HCV infections.

Methods

Conducting a systematic search across multiple databases until April 2023, our primary focus was the evaluation of outcomes, specifically the proportion of sustained virologic responses at week 12 following therapy (SVR12). To gauge publication bias, we scrutinized funnel plots and conducted Egger tests.

Results

Nine studies encompassed a participant pool of 269 individuals, with a statistical estimate of SVR12 at 92% (95% CI: 88–95). Subgroup analysis showed that the ratio of binding SVR12 of genotype (GT) 1a was 97% (95% CI: 87–100), while that of GT3 was 100% (95% CI: 92–100); 88% (95%CI: 80–95) for pre-transplant treatments; and 95% (95%CI: 91–99) for post-transplant treatments subgroup. A total of 8 patients died during SVR12 completion while 269 had a survival rate of 99% (95% CI 97–100). After one year of follow-up, four studies recorded a 98% survival rate (95% CI 94–100). Egger's test did not reveal any publication bias.

Conclusion

Administration of DAAs during liver transplantation for HCV patients with HIV infections has a high efficacy and safety. Early consideration of HCV therapy should be the goal for all liver transplant recipients.

dhcv /HIV合并感染最初是肝移植的一个有争议的考虑因素,主要是由于它们对干扰素治疗的反应不佳和移植后的不良结果。这一患者群体的潜在担忧来自daa和arv之间的药物相互作用,daa在这一人群中的有效性和安全性数据主要来自孤立的病例研究。这项广泛的综述评估了DAAs在并发HIV和HCV感染的个体肝移植中的安全性和有效性。在2023年4月之前,我们对多个数据库进行了系统搜索,主要重点是评估结果,特别是治疗后第12周持续病毒学反应的比例(SVR12)。为了衡量发表偏倚,我们仔细检查了漏斗图并进行了埃格检验。结果9项研究纳入了269名参与者,SVR12的统计估计为92% (95% CI: 88-95)。亚组分析显示,基因型(GT) 1a结合SVR12的比例为97% (95% CI: 87-100),基因型(GT) 1a结合SVR12的比例为100% (95% CI: 92-100);88% (95%CI: 80-95)为移植前治疗;95% (95% ci: 91-99)为移植后治疗亚组。共有8例患者在SVR12完成期间死亡,269例患者的生存率为99% (95% CI 97-100)。经过一年的随访,四项研究记录了98%的生存率(95% CI 94-100)。埃格的检验没有发现任何发表偏倚。结论在HCV合并HIV感染患者肝移植手术中应用DAAs具有较高的疗效和安全性。早期考虑HCV治疗应该是所有肝移植受者的目标。
{"title":"Efficacy and safety of directly acting antiviral drugs in HCV patients with HIV in liver transplantation: A meta-analysis","authors":"Tian Zeng ,&nbsp;Peng Huang ,&nbsp;Weilong Tan ,&nbsp;Zepei Feng ,&nbsp;Jianguo Shao ,&nbsp;Xueshan Xia ,&nbsp;Chao Shen ,&nbsp;Liqin Qian ,&nbsp;Bingqing Wang ,&nbsp;Zhengjie Li ,&nbsp;Chuanlong Zhu ,&nbsp;Yun Zhang ,&nbsp;Ming Yue","doi":"10.1016/j.dcit.2023.100005","DOIUrl":"https://doi.org/10.1016/j.dcit.2023.100005","url":null,"abstract":"<div><h3>Background</h3><p>HCV/HIV co-infections were initially a contentious consideration for liver transplantation, primarily due to their suboptimal response to interferon-based treatments and unfavorable post-transplantation outcomes. The potential concern in this patient group arises from drug–drug interactions between DAAs and ARVs, with data on the effectiveness and safety of DAAs in this demographic primarily derived from isolated case studies. This extensive review assesses the safety and efficacy of DAAs in liver transplants for individuals with concurrent HIV and HCV infections.</p></div><div><h3>Methods</h3><p>Conducting a systematic search across multiple databases until April 2023, our primary focus was the evaluation of outcomes, specifically the proportion of sustained virologic responses at week 12 following therapy (SVR12). To gauge publication bias, we scrutinized funnel plots and conducted Egger tests.</p></div><div><h3>Results</h3><p>Nine studies encompassed a participant pool of 269 individuals, with a statistical estimate of SVR12 at 92% (95% CI: 88–95). Subgroup analysis showed that the ratio of binding SVR12 of genotype (GT) 1a was 97% (95% CI: 87–100), while that of GT3 was 100% (95% CI: 92–100); 88% (95%CI: 80–95) for pre-transplant treatments; and 95% (95%CI: 91–99) for post-transplant treatments subgroup. A total of 8 patients died during SVR12 completion while 269 had a survival rate of 99% (95% CI 97–100). After one year of follow-up, four studies recorded a 98% survival rate (95% CI 94–100). Egger's test did not reveal any publication bias.</p></div><div><h3>Conclusion</h3><p>Administration of DAAs during liver transplantation for HCV patients with HIV infections has a high efficacy and safety. Early consideration of HCV therapy should be the goal for all liver transplant recipients.</p></div>","PeriodicalId":100358,"journal":{"name":"Decoding Infection and Transmission","volume":"1 ","pages":"Article 100005"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949924023000058/pdfft?md5=d05d48f565fa7cbefb97fc40c6aafd08&pid=1-s2.0-S2949924023000058-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134656657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Decoding Infection and Transmission
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