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Efficiency of CAT and L-SIGN as Alternative or Co-receptors for SARS-CoV-2 Spike Protein CAT和L-SIGN作为SARS-CoV-2刺突蛋白替代或共受体的效率
Pub Date : 2023-10-04 DOI: 10.2174/0126667975262159230927074645
CHAINEE DAS, VENKATA SATISH KUMAR MATTAPARTHI
Background:: The COVID-19 disease, which is caused by SARS-CoV-2, has been spreading rapidly over the world since December 2019 and has become a serious threat to human health. According to reports, SARS-CoV-2 infection has an impact on several human tissues, including the kidney, gastrointestinal system, and lungs. The Spike (S) protein from SARS-CoV-2 has been found to primarily bind ACE2. Since the lungs are the organ that COVID-19 is most likely to infect, the comparatively low expression of this recognized receptor suggests that there may be alternative coreceptors or alternative SARS-CoV-2 receptors that cooperate with ACE2. Recently, many candidate receptors of SARS-CoV-2 other than ACE2 were reported to be specifically and highly expressed in SARS-CoV-2 affected tissues. Among these receptors, the binding affinity of CAT and L-SIGN to the S protein has been reported to be higher in one of the recent studies. So, it will be significant to understand the binding interactions between these potential receptors and the RBD region of the S protein. Objective:: To perform a computational analysis to check the efficiency of the alternative receptors (CAT and L-SIGN) of the SARS-CoV-2 on its binding to the Receptor Binding Domain (RBD) of Spike protein (S protein). Methods:: In this study, we compared the interaction profile of the RBD of the S protein of SARSCoV- 2 with CAT and L-SIGN receptors. Results:: From the molecular dynamics simulation study, the S protein employs special techniques to have stable interactions with the CAT and L-SIGN receptors (ΔGbind = -39.49 kcal/mol and -37.20 kcal/mol, respectively). Conclusion:: SARS-CoV-2 may result in greater virulence as a result of the
背景:由SARS-CoV-2引起的COVID-19疾病自2019年12月以来在全球迅速蔓延,已成为对人类健康的严重威胁。据报道,SARS-CoV-2感染会影响几种人体组织,包括肾脏、胃肠道系统和肺部。已经发现来自SARS-CoV-2的Spike (S)蛋白主要结合ACE2。由于肺部是COVID-19最容易感染的器官,这种公认的受体的相对较低表达表明可能存在与ACE2合作的替代辅助受体或替代SARS-CoV-2受体。最近,除ACE2外,许多SARS-CoV-2候选受体被报道在SARS-CoV-2感染组织中特异性和高表达。在这些受体中,最近的一项研究报道了CAT和L-SIGN对S蛋白的结合亲和力更高。因此,了解这些潜在受体与S蛋白RBD区的结合相互作用将具有重要意义。目的:通过计算分析检验SARS-CoV-2的替代受体(CAT和L-SIGN)与刺突蛋白(S蛋白)受体结合域(RBD)结合的效率。方法:本研究比较了SARSCoV- 2 S蛋白RBD与CAT和L-SIGN受体的相互作用谱。结果:从分子动力学模拟研究中,S蛋白通过特殊的技术与CAT和L-SIGN受体稳定相互作用(ΔGbind = -39.49 kcal/mol和-37.20 kcal/mol)。结论:SARS-CoV-2可能由于病毒的感染而导致更大的毒力
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引用次数: 0
Barriers and Motivating Factors in Receiving COVID-19 Vaccination among the Healthcare Workers of Tehran Military Hospitals 德黑兰军事医院医护人员接受COVID-19疫苗接种的障碍和激励因素
Pub Date : 2023-09-15 DOI: 10.2174/2666796704666230915090714
Mahmoudreza Hashemi Rafsanjani, Majid Nouri, Ali Omrani Nava, Mohammad Darvishi
Background: Despite the availability of the vaccine, achieving collective immunity requires the acceptance of the vaccine among the general population. However, the acceptance of vaccines is a constant concern in countries due to their potential side effects. According to current observations, there is not enough evidence about the COVID-19 vaccination acceptance and hesitancy in Iran. Objective: Due to the insufficient evidence regarding the reluctance to accept COVID-19 vaccination in Iran, the current study was designed to evaluate barrier and motivator factors in receiving COVID-19 vaccination among the healthcare workers of Tehran military hospitals. Methods: In this descriptive cross-sectional study, 272 healthcare workers of Tehran military hospitals were enrolled. Their demographic, as well as barrier and motivating factors, were prospectively recorded and analyzed. The chi-square test and Fisher's exact test were used to compare the qualitative variables between groups. Also, the Kolmogorov-Smirnov test was used to evaluate the normal distribution of all quantitative parameters. Results: We found that 11 % had a history of vaccination against COVID-19, and 89.3% were willing to be vaccinated if the Covid vaccine was available. As obtained, the highest scores for barrier factors in receiving COVID-19 vaccine among the healthcare workers of Tehran military hospitals were belief in having a sufficient immune system (93.4 %), limitation to the number of vaccines (71 %), enough knowledge about all types of available vaccines (70.2 %), and the side effects of the vaccine (44.5 %), respectively. Furthermore, the highest scores for motivator factors in receiving COVID-19 vaccination were believing in the effect of vaccination (89 %) and the free vaccine available for staff (72.8 %), respectively. Conclusion: In conclusion, our study suggests that early on in a vaccination campaign, most healthcare workers prefer to be vaccinated with an available vaccine, whether in the present or in the future and also identifies several reasons underlying vaccine acceptance and hesitancy. These results could be used in the future to promote campaigns to increase vaccine acceptance. Thus, increasing healthcare workers’ knowledge and consultations are strictly recommended for preventing vaccine hesitancy. In this study, the healthcare workers of military hospitals were more willing to use vaccines for emerging diseases due to their awareness and the higher risk of deadly infectious diseases.
背景:尽管有疫苗可获得,但实现集体免疫需要在一般人群中接受疫苗。然而,由于疫苗的潜在副作用,各国对疫苗的接受一直是一个令人关切的问题。根据目前的观察,没有足够的证据表明伊朗对COVID-19疫苗接种的接受和犹豫。目的:由于伊朗不愿接受COVID-19疫苗接种的证据不足,本研究旨在评估德黑兰军事医院医护人员接受COVID-19疫苗接种的障碍和激励因素。方法:采用描述性横断面研究方法,选取德黑兰军事医院272名医护人员。前瞻性地记录和分析他们的人口统计,以及障碍和激励因素。组间定性变量比较采用卡方检验和Fisher精确检验。并采用Kolmogorov-Smirnov检验评价各定量参数的正态分布。结果:11%的人有Covid -19疫苗接种史,89.3%的人在有Covid -19疫苗的情况下愿意接种。结果显示,德黑兰军事医院医护人员接种COVID-19疫苗的障碍因素得分最高的分别是相信拥有足够的免疫系统(93.4%)、疫苗数量有限(71%)、对所有类型可用疫苗的足够了解(70.2%)和疫苗的副作用(44.5%)。此外,接受COVID-19疫苗接种的激励因素得分最高的分别是相信疫苗接种的效果(89%)和工作人员可获得的免费疫苗(72.8%)。结论:总之,我们的研究表明,在疫苗接种运动的早期,大多数卫生保健工作者更愿意接种可用的疫苗,无论是在现在还是将来,并且还确定了疫苗接受和犹豫的几个原因。这些结果将来可用于促进提高疫苗接受度的运动。因此,严格建议增加卫生保健工作者的知识和咨询,以防止疫苗犹豫。在本研究中,由于军队医院医护人员对新发疾病的认识和致命传染病的风险较高,他们更愿意使用疫苗。
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引用次数: 0
Mechanistic Insights on Viral Factors Involved in Asymptomatic COVID-19 Pathogenesis 新型冠状病毒无症状发病机制研究
Pub Date : 2023-09-13 DOI: 10.2174/2666796704666230913105109
Satinder Kaur, Renu Bala, Prakash Chandra Mishra, Vineeta Singh, Rachna Hora
Abstract: SARS-CoV-2 infection may cause asymptomatic, pre-symptomatic or symptomatic COVID-19 disease. While symptomatic infections are at the centre stage for disease diagnosis and treatment, asymptomatic and pre-symptomatic cases heighten the challenge of transmission tracking ultimately leading to failure of control interventions. Asymptomatic cases appear due to a variety of host and viral factors and contribute substantially to the total number of infections. Through this article, we have tried to assemble existing information about the role of viral factors and mechanisms involved in the development of asymptomatic COVID-19. The significance of ‘PLpro’- a protease of Nidovirales order that removes ubiquitin and ISG15 from host proteins to regulate immune responses against the virus and hence disease presentation has been highlighted. PL-pro dampens inflammatory and antiviral responses, leading to asymptomatic infection. 11083G>T-(L37F) mutation in ‘Nsp6’ of SARS-CoV-2 also diminishes the innate immune response leading to asymptomatic infections. It is, therefore, pertinent to understand the role of proteins like PLpro and Nsp6 in SARS-CoV-2 biology for the development of transmission control measures against COVID-19. This review focuses on viral molecular mechanisms that alter disease severity and highlights compounds that work against such regulatory SARS-CoV-2 proteins.
摘要SARS-CoV-2感染可导致无症状、症状前或症状性COVID-19疾病。虽然有症状感染处于疾病诊断和治疗的中心阶段,但无症状和症状前病例加剧了传播追踪的挑战,最终导致控制干预措施失败。无症状病例的出现是由多种宿主和病毒因素引起的,并且在感染总数中占很大比例。通过本文,我们试图收集有关病毒因子在无症状COVID-19发展中的作用和机制的现有信息。“PLpro”是一种尼多病毒目蛋白酶,它可以从宿主蛋白中去除泛素和ISG15,从而调节针对病毒的免疫反应,从而调节疾病表现。PL-pro抑制炎症和抗病毒反应,导致无症状感染。SARS-CoV-2 ' Nsp6 '的11083G>T-(L37F)突变也会降低先天免疫反应,导致无症状感染。因此,了解PLpro和Nsp6等蛋白在SARS-CoV-2生物学中的作用,对于制定针对COVID-19的传播控制措施具有重要意义。这篇综述的重点是改变疾病严重程度的病毒分子机制,并重点介绍了对抗这种调节性SARS-CoV-2蛋白的化合物。
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引用次数: 0
A Registry-based Audit of a Current Situation of Clinical Research in COVID-19 Using Artificial Intelligence Techniques: A Systematic Review 应用人工智能技术对COVID-19临床研究现状的注册审计:系统综述
Pub Date : 2023-09-08 DOI: 10.2174/2666796704666230908124854
Pugazhenthan Thangaraju, sree sudha ty, Hemasri Velmurugan, Eswaran Thangaraju, Kaumudi Chirumamilla, Tulika Chakrabarti, Prasun Chakrabarti
Background: The term artificial intelligence refers to the use of computers and technology to replicate intelligent behaviour and critical thinking similar to that of a human being. In COVID-19, artificial intelligence has been widely applied in diagnostics, public health, clinical decision-making, social control, treatments, vaccine development, monitoring, integration with big data, operation of additional vital clinical services, and patient management. Hence, we conceptualized this study to evaluate the usage of artificial intelligence as a tool at the time of the COVID-19 pandemic. Methods: From December, 2019, to May, 2022, all clinical trials using AI approaches listed on clinicaltrials.gov and ctri.gov.in were examined and analysed. Results: Out of 8072 studies on COVID-19 listed on ClinicalTrials.gov and 674 studies on the CTRI website, 53 studies were related to AI. Ten (18.9%) of the 53 studies were interventional, while the remaining 43 (81.1%) were observational. Conclusion: With limited medical resources and growing healthcare strain, the introduction of AI approaches will increase human efficiency and capacity to combat the COVID-19 pandemic. In this review, artificial intelligence was proven to be more accurate than human specialists in COVID-19 diagnosis and medication discovery.
背景:人工智能是指使用计算机和技术来复制类似于人类的智能行为和批判性思维。新冠肺炎疫情期间,人工智能在诊断、公共卫生、临床决策、社会控制、治疗、疫苗研制、监测、大数据融合、附加临床关键服务运营、患者管理等领域得到广泛应用。因此,我们将这项研究概念化,以评估在COVID-19大流行期间人工智能作为工具的使用情况。方法:对2019年12月至2022年5月clinicaltrials.gov和cri .gov.in网站上列出的所有采用人工智能方法的临床试验进行统计分析。结果:在ClinicalTrials.gov上列出的8072项关于COVID-19的研究和CTRI网站上列出的674项研究中,53项研究与AI相关。53项研究中有10项(18.9%)为干预性研究,其余43项(81.1%)为观察性研究。结论:在医疗资源有限、医疗压力日益增大的情况下,人工智能方法的引入将提高人类应对COVID-19大流行的效率和能力。在这篇综述中,人工智能被证明在COVID-19诊断和药物发现方面比人类专家更准确。
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引用次数: 0
Investigation of Reported Anaphylaxis Post COVID-19 Vaccination in Subjects with History of Allergies and Anaphylaxis 有过敏史和过敏反应的受试者接种COVID-19疫苗后报告过敏反应的调查
Pub Date : 2023-09-04 DOI: 10.2174/2666796704666230904150831
Aditya P. Desai, Aryan P. Desai, Victoria Ochs, Prashant V. Desai
Two mRNA COVID-19 vaccines, Pfizer-BioNTech and Moderna, are currentlyapproved in the United States, and one viral-vector vaccine, J&J/Janssen, is authorized for limited use.The Vaccine Adverse Event Reporting System (VAERS) database gathers reports of adverse effects, including anaphylaxis.In this manuscript, we provide a summary of reported incidence of anaphylaxis rates followingadministration of the two mRNA and one viral-vector COVID-19 vaccine.A detailed investigation of the relative risk of anaphylaxis for recipients with or without a priorhistory of allergy and/or anaphylaxis is also described.Overall reported incidence of anaphylaxis is 4.49 [95% CI: 0.25 – 8.73] cases per million dosesadministered.The reported risk of anaphylaxis is 1.83 times greater for recipients with prior allergies andno anaphylaxis but 17.70 times greater for recipients with prior allergies and anaphylaxis.
两种mRNA - COVID-19疫苗辉瑞- biontech和Moderna目前已在美国获得批准,一种病毒载体疫苗强生/杨森获批有限使用。疫苗不良事件报告系统(VAERS)数据库收集不良反应报告,包括过敏反应。在这篇文章中,我们总结了两种mRNA和一种病毒载体COVID-19疫苗接种后报告的过敏反应发生率。对有或没有过敏史和/或过敏反应的接受者的相对风险的详细调查也被描述。总体报告的过敏反应发生率为4.49 [95% CI: 0.25 - 8.73]例/百万剂量。报告的过敏反应风险对于有过敏史和无过敏史的接受者是1.83倍,而对于有过敏史和过敏史的接受者是17.70倍。
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引用次数: 0
Cell Death Mechanisms Elicited by Multifactorial Stress Inducers- A Minireview 多因素应激诱导剂引发的细胞死亡机制 - 综述
Pub Date : 2023-09-01 DOI: 10.2174/0126667975259454230920150008
A. Girigoswami, K. Girigoswami
Throughout the cell cycle, the cells are exposed to various endogenous and exogenous factors that could damage the cell at the molecular or extracellular level, leading to its death. Cells can undergo oxidative stress when they are exposed to repeated doses of oxidants produced by metabolism or the result of exposure to toxic chemicals, radiations, nanoparticles, harmful smoke, etc. Reactive oxygen species (ROS) or reactive nitrogen species (RNS) are examples of these oxidants, and the body's primary defense, i.e., the antioxidant enzymes and antioxidant molecules, attempt to scavenge them. Repair mechanisms can protect the DNA to some extent even when they are escaped from this defense system. However, damaged cells can also choose to die in different ways. Different types of cell death can be caused by exposure to different types of nanoparticles, nanostructures, toxic molecules, oxidants, and radiation. This mini-review will discuss reported types of cell death in the literature such as necrosis, necroptosis, secondary necrosis, apoptosis, ferroptosis, pyroptosis, oncosis, and other eight types of cell death. The different pathways of these types of cell deaths are also described in detail mentioning the differences of enzymes involved in these pathways.
在整个细胞周期中,细胞会暴露于各种内源性和外源性因素,这些因素可能会在分子或细胞外水平上损害细胞,导致细胞死亡。当细胞反复暴露于新陈代谢产生的氧化剂,或暴露于有毒化学物质、辐射、纳米粒子、有害烟雾等时,就会出现氧化应激。活性氧(ROS)或活性氮(RNS)就是这些氧化剂的例子,人体的主要防御手段,即抗氧化酶和抗氧化分子,试图清除这些氧化剂。即使脱离了这一防御系统,修复机制也能在一定程度上保护 DNA。不过,受损细胞也可以选择以不同方式死亡。暴露于不同类型的纳米粒子、纳米结构、有毒分子、氧化剂和辐射可导致不同类型的细胞死亡。本微型综述将讨论文献中报道的细胞死亡类型,如坏死、坏死凋亡、继发性坏死、凋亡、铁凋亡、热凋亡、癌变和其他八种细胞死亡类型。此外,还详细介绍了这些细胞死亡类型的不同途径,并提到了参与这些途径的酶的差异。
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引用次数: 0
COVID-19 Vaccine Practices and Perceptions Among an Academic Healthcare Community COVID-19 疫苗接种实践与学术界的看法
Pub Date : 2023-09-01 DOI: 10.2174/0126667975259369230921054259
Samiksha Prasad, W. Wahood, Darisel Ventura Rodriguez, Amanda J. Chase
Coronavirus disease (COVID-19) is an infectious disease caused by the SARS-CoV-2 virus. The COVID-19 pandemic served as a driving force for the evaluation of nextgeneration vaccine technology platforms through novel paradigms to accelerate vaccine development and administration. However, vaccine acceptance is influenced by many factors, including social influences and community-based interventions. This study aimed to assess the impact of the COVID-19 pandemic and vaccination climate on an academic health professions community of students, faculty, and staff. An anonymous, 29-item survey was developed with questions pertaining to demographics, COVID-19 infection, vaccine practices and hesitancy. A total of 583 students, faculty, and staff from multiple health professions at a single academic institution completed the survey. A higher number of students agreed that they “feel socially pressured to get the COVID-19 vaccine” as compared to faculty/staff (39.3% vs. 18.2%, p<0.001). In addition, a lower number of students agreed that “the benefits of vaccination outweigh the risks” compared to faculty/staff (85.9% vs. 92.8%, p=0.039). Moreover, a lower number of students disagreed with the statement “healthcare workers/students should have the right to refuse the COVID-19 vaccine that is required by their employer/ institution” compared to faculty/staff (40.2% vs. 68.9%, p<0.001). These were among 11 of the statistically divergent responses that gaged vaccine hesitancy. This study provides insight into the perceptions of vaccines from students, faculty, and staff within an interprofessional healthcare community and highlights the need for vaccine education early in health professions curricula.
冠状病毒病(COVID-19)是由 SARS-CoV-2 病毒引起的一种传染病。COVID-19 大流行推动了通过新模式评估下一代疫苗技术平台,以加快疫苗的开发和管理。然而,疫苗的接受程度受到很多因素的影响,包括社会影响和社区干预。 本研究旨在评估 COVID-19 大流行和疫苗接种氛围对一个由学生、教职员工组成的健康专业学术社区的影响。 研究人员编制了一份包含 29 个项目的匿名调查问卷,其中的问题涉及人口统计学、COVID-19 感染、疫苗接种实践和犹豫不决。来自一所学术机构多个卫生专业的 583 名学生、教职员工完成了调查。 与教职员工相比,有更多的学生同意他们 "感到有接种 COVID-19 疫苗的社会压力"(39.3% 对 18.2%,P<0.001)。此外,与教职员工相比,同意 "接种疫苗的益处大于风险 "的学生人数较少(85.9% 对 92.8%,P=0.039)。此外,与教职员工相比,不同意 "医护人员/学生应有权拒绝接种雇主/机构要求的 COVID-19 疫苗 "这一说法的学生人数较少(40.2% vs. 68.9%,p<0.001)。以上是对疫苗接种犹豫不决的 11 种不同统计结果的回答。 这项研究深入探讨了跨专业医疗保健社区的学生、教职员工对疫苗的看法,并强调了在医疗专业课程中尽早开展疫苗教育的必要性。
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引用次数: 0
In Silico Study of Alkaloid Compounds with Computational Approach for Selection of Drug Leads for COVID-19 生物碱化合物的计算机研究及其在COVID-19药物先导物选择中的应用
Pub Date : 2023-08-23 DOI: 10.2174/2666796704666230823164137
A. A. Parikesit, Stephanie Audrey Victoria, I. Pramanda
The novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the virulent source of COVID-19 disease. As a result of the rapid transmission of the viral agent and deficiency of specific drugs against the virus, a worldwide pandemic ensued with a terrifying death toll. Thus there is tremendous urgency to discover substances for the development of specific COVID-19 drugs. With increasing public interest in natural products, this study aims to discover alkaloid compounds capable of inhibiting SARS-CoV-2 with the assistance of bioinformatics.In this work, 298 alkaloids with reported antiviral properties were identified, and their biological activities were validated with QSAR analysis using the Pass Online server until only 7 alkaloids remained. Molecular docking studies for these 7 alkaloids onto SARS-CoV-2 3CLpro, a protein involved in viral replication, were carried out with AutoDock Vina, followed by in silico visualization of the protein-alkaloid interaction with Ligplot+ program and prediction of ADME-Tox properties of the alkaloids using Toxtree program and SwissADME online server.Fangchinoline, phenanthroindolizidine, and polyalthenol are predicted to have strong binding affinity with SARS-CoV-2 3CLpro. Visualization of the molecular interactions between the ligand and protein target, however, showed that homonojirimycin formed the most hydrogen bonds with the protein binding site. Most of the alkaloids have little to no violation of Lipinski’s Rule of 5, easy to moderate synthetic accessibility, and good pharmacokinetic properties.Fangchinoline, phenanthroindolizidine, and polyalthenol exhibited high binding affinity values to SARS-CoV-2 3CLpro, with polyalthenol predicted to possess the strongest binding interactions to the active site of the protein. Polyalthenol and phenanthroindolizidine confer the most versatility in terms of bioavailability, however, supplementary observation of phenanthroindolizidine for the prospect of mutagenicity is required before it can be recommended for further drug development
新型严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)是COVID-19疾病的毒力源。由于病毒剂的迅速传播和缺乏针对该病毒的特殊药物,随后发生了世界范围的大流行病,造成了可怕的死亡人数。因此,迫切需要发现用于开发新型冠状病毒特异性药物的物质。随着公众对天然产物的兴趣日益浓厚,本研究旨在借助生物信息学发现能够抑制SARS-CoV-2的生物碱化合物。在这项工作中,鉴定出298种具有抗病毒特性的生物碱,并使用Pass Online服务器进行QSAR分析验证其生物活性,直到只剩下7种生物碱。利用AutoDock Vina软件对这7种生物碱与参与病毒复制的蛋白sars - cov - 23clpro进行分子对接研究,然后利用Ligplot+程序对蛋白-生物碱相互作用进行计算机可视化,利用Toxtree程序和SwissADME在线服务器预测生物碱的ADME-Tox特性。预测芳喹啉、phenanthroindolizidine和聚乙醇醇与sars - cov - 23clpro具有较强的结合亲和力。然而,配体与蛋白质靶点之间的分子相互作用的可视化显示,homojirimycin与蛋白质结合位点形成了最多的氢键。大多数生物碱几乎没有违反利平斯基规则5,易于合成,并且具有良好的药代动力学性质。Fangchinoline、phenanthroindolizidine和聚醛醇对sars - cov - 23clpro具有很高的结合亲和力,其中聚醛醇与该蛋白活性位点的结合作用最强。在生物利用度方面,聚乙醇和吩anthroindolizidine具有最广泛的用途,然而,在将其推荐用于进一步的药物开发之前,需要对吩anthroindolizidine的致突变性前景进行补充观察
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引用次数: 0
Biological Potential and Therapeutic Effectiveness of Aschantin and Epiaschantin: Natural Lignans Abundantly Found in Magnolia Flos Aschantin 和 Epiaschantin 的生物潜力和治疗效果:木兰花中富含的天然木脂素
Pub Date : 2023-08-22 DOI: 10.2174/2666796704666230822124127
D. Patel
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引用次数: 0
Multidrug-resistant Tuberculosis and its Implication with COVID-19 耐多药结核病及其与COVID-19的关系
Pub Date : 2023-08-22 DOI: 10.2174/2666796704666230822113632
A. K. Chhillar, Jasmine Arya, Sweety Dahiya
Mycobacterium tuberculosis is the leading cause of death due to pulmonary diseases and has developed resistance to various antibiotics over time making it extremely difficult to treat and eradicate. For an effective treatment regime, it becomes necessary to understand the factors and mechanisms of resistance to predict the possibility of associated resistance. In the present-day scenario, conditions of Tuberculosis patients have worsened due to COVID-19 with escalated mortality rates. Additionally, COVID-19 has also affected the regime and regular monitoring of patients which is mainly because of the shift in the focus and toxicity of various COVID-19 and Tuberculosis drug combinations.
结核分枝杆菌是肺部疾病导致死亡的主要原因,随着时间的推移,它对各种抗生素产生了耐药性,使其极难治疗和根除。为了制定有效的治疗方案,有必要了解耐药的因素和机制,以预测相关耐药的可能性。在目前的情况下,由于COVID-19,结核病患者的病情恶化,死亡率上升。此外,COVID-19还影响了患者的治疗方案和定期监测,这主要是由于各种COVID-19和结核病药物组合的重点和毒性发生了变化。
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引用次数: 0
期刊
Coronaviruses
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