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Screening and Preclinical Evaluation of Novel Radiolabeled Anti-Fibroblast Activation Protein-α Recombinant Antibodies. 新型放射性标记抗成纤维细胞活化蛋白-α重组抗体的筛选和临床前评估
IF 3.4 3区 艺术学 0 MUSIC Pub Date : 2023-12-01 Epub Date: 2022-05-24 DOI: 10.1089/cbr.2021.0389
Jianfeng Xu, Shenghua Li, Shasha Xu, Juan Dai, Zhigang Luo, Jingjing Cui, Fei Cai, Changran Geng, Zheng Wang, Xiaobin Tang

Background: Fibroblast activation protein-α (FAPα) is selectively overexpressed in tumor-associated fibroblasts in more than 90% of epithelial tumors, and may be a good target for anticancer treatment, for example, using an anti-FAPα recombinant antibody (rAb) labeled with radionuclides. In the present report, the radiolabeling and preclinical evaluation of novel anti-FAPα rAbs were investigated. Materials and Methods: Two novel anti-FAPα VHHs (AMS002-1 and AMS002-2) with high binding affinity to FAPα were selected from an antibody phage library. The anti-FAPα VHHs were then fused with the Fc fragment of human IgG4 to create two VHH-Fc rAbs. The VHH-Fc rAbs were radiolabeled with 89Zr and 177Lu. The radiolabeled products were evaluated by radioligand-binding assays using FAPα-expressing cells. The biodistribution and tumor-targeting properties were investigated by small-animal PET/CT. AMS002-1-Fc, which showed promising tumor-targeting properties in 89Zr-microPET imaging, was radiolabeled with 177Lu for efficacy study on HT1080 tumor-bearing mice and monitored with SPECT/CT imaging. Results: The two VHH-Fc rAbs with good affinity with KD values in low nanomolar range were identified. Both PET/CT imaging with 89Zr-AMS002-1-Fc rAb and SPECT/CT imaging with 177Lu-AMS002-1-Fc rAb demonstrated highest tumor uptakes at 72 h p.i. and long tumor retention in the preclinical models. Furthermore, ex vivo biodistribution analysis revealed high tumor uptake of 89Zr-AMS002-1-Fc at 48 h p.i. with the value of 6.91% ± 2.08% ID/g. Finally, radioimmunotherapy with 177Lu-AMS002-1-Fc rAb delayed the tumor growth without significant weight loss in mice with HT1080 xenografts. The tumor size of untreated control group was 2.59 times larger compared with the treatment group with 177Lu-AMS002-1-Fc at day 29. Conclusion: 89Zr/177Lu-AMS002-1-Fc represent a pair of promising radiopharmaceuticals for theranostics on FAPα-expressing tumors.

背景:成纤维细胞活化蛋白-α(FAPα)在90%以上的上皮肿瘤中选择性地在肿瘤相关成纤维细胞中过度表达,可能是抗癌治疗的良好靶点,例如使用放射性核素标记的抗FAPα重组抗体(rAb)。本报告研究了新型抗 FAPα 重组抗体的放射性标记和临床前评估。材料与方法:从抗体噬菌体文库中筛选出两种对 FAPα 具有高结合亲和力的新型抗 FAPα VHHs(AMS002-1 和 AMS002-2)。然后将抗 FAPα VHHs 与人 IgG4 的 Fc 片段融合,制成两种 VHH-Fc rAbs。用 89Zr 和 177Lu 对 VHH-Fc rAbs 进行放射性标记。使用 FAPα 表达细胞对放射性标记产品进行了放射性配体结合试验评估。小动物 PET/CT 研究了其生物分布和肿瘤靶向特性。AMS002-1-Fc在89Zr-microPET成像中显示出良好的肿瘤靶向性,用177Lu对HT1080肿瘤小鼠进行了放射性标记,并用SPECT/CT成像进行了疗效监测。研究结果两种 VHH-Fc rAbs 具有良好的亲和力,KD 值在低纳摩尔范围内。在临床前模型中,89Zr-AMS002-1-Fc rAb 的 PET/CT 成像和 177Lu-AMS002-1-Fc rAb 的 SPECT/CT 成像均显示出 72 h p.i. 的最高肿瘤摄取量和较长的肿瘤保留时间。此外,体内外生物分布分析显示,89Zr-AMS002-1-Fc在48小时后的肿瘤摄取率高达6.91% ± 2.08% ID/g。最后,使用177Lu-AMS002-1-Fc rAb进行放射免疫治疗可延缓HT1080异种移植小鼠的肿瘤生长,且体重无明显下降。与使用 177Lu-AMS002-1-Fc 的治疗组相比,未经治疗的对照组在第 29 天的肿瘤体积增大了 2.59 倍。结论:89Zr/177Lu-AMS002-1-Fc是一对很有前景的放射性药物,可用于表达FAPα的肿瘤的治疗。
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引用次数: 1
First insights in terrestrial mammals monitoring in the Candelaria and Machay Reserves in the Ecuadorian Tropical Andes. 对厄瓜多尔热带安第斯山脉坎德拉里亚和马查伊保护区陆生哺乳动物监测工作的初步认识。
IF 1.3 3区 艺术学 0 MUSIC Pub Date : 2023-02-27 eCollection Date: 2023-01-01 DOI: 10.3897/BDJ.11.e98119
Juan Pablo Reyes-Puig, Carolina Reyes-Puig, Jessica Pacheco-Esquivel, Santiago Recalde, Fausto Recalde, Darwin Recalde, Jordy Salazar, Eduardo Peña, Silvia Paredes, Marina Robalino, Fernanda Flores, Vladimir Paredes, Edelina Sailema, Gorky Ríos-Alvear

Habitat disturbance leads to biodiversity decline and modifications in the landscape structure and composition, affecting both dispersal movements and ecological processes at different temporal and spatial scales. The Ecuadorian Tropical Andes harbour suitable habitats for the distribution of a wide variety of species; however, there is a lack of studies focused on mammal diversity and its association with the habitat attributes in the central-eastern slopes. Here, we reported the diversity of terrestrial mammals recorded between 2019 and 2021 in a camera-trap monitoring study in the Candelaria and Machay reserves in the upper basin of the Pastaza River, Ecuador. We performed site-occupancy probability analysis to assess the influence of spatial variables in the species' occurrence and also, based on natural marks, we reported preliminary findings in Andean bear individual identification. We detected 22 species of terrestrial mammals. Alpha diversity was similar between reserves with slightly higher species richness in Machay. Evenness indices showed unequal species distribution, with the Andean bear and domestic dogs exhibiting greater dominance. In addition, species composition was dissimilar between reserves, where the species turnover mostly explained the beta diversity. We observed that Andean bear and puma detections increased according to the natural vegetation cover. Conversely, domestic dogs were frequently detected in cells with an increasing proportion of pastures and crops. Additionally, we identified 26 Andean bears and six individuals recaptured during our study. Our results caution about the disturbance derived from human activities since we recorded unprecedented detections of domestic dogs in wild habitats. Nonetheless, it highlights the importance of private conservation areas (e.g. Candelaria, Machay and others) for supporting the occurrence and dispersal of terrestrial mammal species between larger areas in the upper basin of the Pastaza River.

生境干扰会导致生物多样性下降,改变地貌结构和组成,影响不同时空尺度的扩散运动和生态过程。厄瓜多尔热带安第斯山脉拥有适合多种物种分布的栖息地;然而,目前缺乏对中东部山坡哺乳动物多样性及其与栖息地属性相关性的研究。在此,我们报告了2019年至2021年期间在厄瓜多尔帕斯塔萨河上游流域的坎德拉里亚和马查伊保护区进行的相机诱捕监测研究中记录到的陆生哺乳动物的多样性。我们进行了地点占据概率分析,以评估空间变量对物种出现的影响,并根据自然标记,报告了安第斯熊个体识别的初步发现。我们发现了 22 种陆生哺乳动物。保护区之间的阿尔法多样性相似,马查伊的物种丰富度稍高。均匀度指数显示物种分布不均,安第斯熊和家犬的优势更大。此外,保护区之间的物种组成也不尽相同,物种更替在很大程度上解释了贝塔多样性。我们观察到,安第斯熊和美洲狮的探测率随自然植被覆盖率的增加而增加。相反,在牧场和农作物比例增加的小区中,家犬的探测频率也在增加。此外,我们还发现了 26 头安第斯熊和 6 只在研究期间被重新捕获的美洲狮。我们的研究结果提醒人们注意人类活动带来的干扰,因为我们在野生栖息地发现家犬的记录是前所未有的。不过,这也凸显了私人保护区(如坎德拉里亚、马凯和其他保护区)对于支持陆地哺乳动物物种在帕斯塔萨河上游流域更大区域间出现和扩散的重要性。
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引用次数: 0
Reply to Klein and Harris. 答复克莱因和哈里斯。
3区 艺术学 0 MUSIC Pub Date : 2022-08-24 DOI: 10.1093/cid/ciac190
Emily Oster, Elissa M Schechter-Perkins, Westyn Branch-Elliman
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引用次数: 0
Investigating the existence of asymmetric environmental Kuznets curve and pollution haven hypothesis in China: Fresh evidence from QARDL and quantile Granger causality. 研究中国非对称环境库兹涅茨曲线和污染天堂假说的存在:来自 QARDL 和量子格兰杰因果关系的新证据。
IF 5.8 3区 艺术学 0 MUSIC Pub Date : 2022-07-01 Epub Date: 2022-03-01 DOI: 10.1007/s11356-022-18785-z
Rabia Akram, Zeeshan Fareed, Gan Xiaoli, Bushra Zulfiqar, Farrukh Shahzad

This study aims to analyze the asymmetric long-run relationship between economic growth (EG), foreign direct investment (FDI), and carbon emissions (CO2) within the context of the environmental Kuznets curve (EKC) and the pollution haven hypothesis (PHH) in China. Employing the quarterly data from 1982Q1 to 2018Q4, we have used novel techniques to meet the stated objectives of our study, named quantile ARDL and quantile Granger causality. The study provides novel outcomes using the advanced quantile ARDL and quantile Granger causality tests. The significant implication of this method is that it provides locational asymmetry. We find strong evidence of the EKC and PHH for China based on the empirical results of linear and nonlinear ARDL models. Similarly, findings of quantile Granger causality validate the bidirectional relationship among all variables in upper and lower quantiles. Moreover, the results of the Wald test confirm the asymmetric long-run relationship between FDI and carbon emissions (CO2). Thus, legal measures must be enhanced, accepted, rigorously imposed, and monitored in all provinces to assure a further reduction in carbon emissions. This study will be conducive for the policymakers to combat environmental contamination concerning economic growth and FDI inflow in China.

本研究旨在环境库兹涅茨曲线(EKC)和污染天堂假说(PHH)的背景下,分析中国经济增长(EG)、外商直接投资(FDI)和碳排放(CO2)之间的非对称长期关系。我们采用了从 1982Q1 到 2018Q4 的季度数据,使用了名为量子 ARDL 和量子格兰杰因果关系的新技术来实现我们研究的既定目标。该研究利用先进的量化 ARDL 和量化格兰杰因果检验法提供了新颖的结果。这种方法的重要意义在于它提供了位置不对称性。根据线性和非线性 ARDL 模型的实证结果,我们发现了中国 EKC 和 PHH 的有力证据。同样,量级格兰杰因果关系的研究结果也验证了上量级和下量级所有变量之间的双向关系。此外,Wald 检验结果证实了外国直接投资与碳排放(CO2)之间的非对称长期关系。因此,各省必须加强、接受、严格执行和监督法律措施,以确保进一步减少碳排放。本研究将有助于决策者应对与中国经济增长和外国直接投资流入相关的环境污染问题。
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引用次数: 0
HIV and SARS-Cov-2 Co-Infection: A Local Perspective. 艾滋病毒与 SARS-Cov-2 合并感染:地方视角。
3区 艺术学 0 MUSIC Pub Date : 2022-06-13 eCollection Date: 2022-06-01 DOI: 10.36519/idcm.2022.131
Heval Can Bilek, Aydın Deveci

Objective: As the Coronavirus disease 2019 (COVID-19) pandemic spread globally, more human immunodeficiency virus (HIV) positive patients began to appear infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). We aimed to evaluate the clinical course of HIV and SARS-CoV-2 co-infected patients from a local perspective.

Methods: HIV and SARS-CoV-2 co-infected patients diagnosed between March 2020 to June 2021 at a tertiary hospital in Turkey were analyzed retrospectively.

Results: Thirty HIV and SARS-CoV-2 co-infected patients were included. Five patients were female, 25 were male, and the mean age was 44.5 ±10.2 years. Twenty-three (76.7%) patients were known to be HIV-positive before their admission to the hospital, and seven (23.7%) patients, were detected by screening after the diagnosis of COVID-19. All patients were known to be HIV-positive; they were on antiretroviral therapy (ART) and virologically suppressed. Twenty-seven patients had a mild course. Three patients were hospitalized, and of them, two patients had died. All hospitalized patients were male and were ART-naïve.

Conclusion: HIV infection alone did not increase the severity of the course of COVID-19 and did not increase the mortality in COVID-19.

目的:随着2019年冠状病毒病(COVID-19)大流行在全球蔓延,越来越多的人类免疫缺陷病毒(HIV)阳性患者开始出现严重急性呼吸系统综合征冠状病毒2(SARS-CoV-2)感染者。我们旨在从当地的角度评估艾滋病病毒和 SARS-CoV-2 共同感染者的临床病程。方法:我们对 2020 年 3 月至 2021 年 6 月期间在土耳其一家三级医院确诊的艾滋病病毒和 SARS-CoV-2 共同感染者进行了回顾性分析:结果:共纳入30名HIV和SARS-CoV-2合并感染者。其中女性 5 人,男性 25 人,平均年龄为(44.5 ± 10.2)岁。23 名患者(76.7%)在入院前已知为艾滋病毒阳性,7 名患者(23.7%)是在确诊 COVID-19 后通过筛查发现的。所有患者均为已知的 HIV 阳性;他们都在接受抗逆转录病毒疗法(ART),并且病毒已被抑制。27 名患者的病程较轻。三名患者住院治疗,其中两名患者已经死亡。所有住院患者均为男性,且未接受过抗逆转录病毒疗法:结论:单纯的艾滋病毒感染不会增加 COVID-19 病程的严重程度,也不会增加 COVID-19 的死亡率。
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引用次数: 0
In vitro inhibition of cancer angiogenesis and migration by a nanobody that targets the orphan receptor Tie1. 针对孤儿受体 Tie1 的纳米抗体体外抑制癌症血管生成和迁移。
IF 8 3区 艺术学 0 MUSIC Pub Date : 2022-05-23 DOI: 10.1007/s00018-022-04336-9
May Meltzer, Noam Eliash, Ziv Azoulay, Uzi Hadad, Niv Papo

The human signaling molecules Tie1 and Tie2 receptor tyrosine kinases (RTKs) play important pathophysiological roles in many diseases, including different cancers. The activity of Tie1 is mediated mainly through the downstream angiopoietin-1 (Ang1)-dependent activation of Tie2, rendering both Tie 1 and the Tie1/Tie2/Ang1 axis attractive putative targets for therapeutic intervention. However, the development of inhibitors that target Tie1 and an understanding of their effect on Tie2 and on the Tie1/Tie2/Ang1 axis remain unfulfilled tasks, due, largely, to the facts that Tie1 is an orphan receptor and is difficult to produce and use in the quantities required for immune antibody library screens. In a search for a selective inhibitor of this orphan receptor, we sought to exploit the advantages (e.g., small size that allows binding to hidden epitopes) of non-immune nanobodies and to simultaneously overcome their limitations (i.e., low expression and stability). We thus performed expression, stability, and affinity screens of yeast-surface-displayed naïve and predesigned synthetic (non-immune) nanobody libraries against the Tie1 extracellular domain. The screens yielded a nanobody with high expression and good affinity and specificity for Tie1, thereby yielding preferential binding for Tie1 over Tie2. The stability, selectivity, potency, and therapeutic potential of this synthetic nanobody were profiled using in vitro and cell-based assays. The nanobody triggered Tie1-dependent inhibition of RTK (Tie2, Akt, and Fak) phosphorylation and angiogenesis in endothelial cells, as well as suppression of human glioblastoma cell viability and migration. This study opens the way to developing nanobodies as therapeutics for different cancers associated with Tie1 activation.

人类信号分子 Tie1 和 Tie2 受体酪氨酸激酶(RTKs)在包括各种癌症在内的许多疾病中发挥着重要的病理生理作用。Tie1 的活性主要通过下游血管生成素-1(Ang1)依赖性激活 Tie2 来介导,因此 Tie 1 和 Tie1/Tie2/Ang1 轴都是有吸引力的治疗干预靶点。然而,开发以 Tie1 为靶点的抑制剂以及了解它们对 Tie2 和 Tie1/Tie2/Ang1 轴的影响仍是一项尚未完成的任务,这主要是因为 Tie1 是一种孤儿受体,很难按免疫抗体库筛选所需的数量生产和使用。在寻找这种孤儿受体的选择性抑制剂时,我们试图利用非免疫纳米抗体的优势(如体积小,可与隐藏的表位结合),同时克服它们的局限性(即表达量低和稳定性差)。因此,我们对酵母表面展示的针对 Tie1 细胞外结构域的原始和预先设计的合成(非免疫)纳米抗体库进行了表达、稳定性和亲和力筛选。筛选出的纳米抗体具有高表达、对 Tie1 具有良好的亲和力和特异性,因此与 Tie1 的结合优于与 Tie2 的结合。通过体外和基于细胞的试验,对这种合成纳米抗体的稳定性、选择性、效力和治疗潜力进行了分析。该纳米抗体可引发 Tie1 依赖性抑制 RTK(Tie2、Akt 和 Fak)磷酸化和血管内皮细胞的血管生成,并抑制人类胶质母细胞瘤细胞的活力和迁移。这项研究为开发纳米抗体作为治疗与 Tie1 激活相关的不同癌症的药物开辟了道路。
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引用次数: 0
Monkeypox: What do we know about the outbreaks in Europe and North America? 猴痘:我们对欧洲和北美的疫情了解多少?
3区 艺术学 0 MUSIC Pub Date : 2022-05-20 DOI: 10.1136/bmj.o1274
Elisabeth Mahase
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引用次数: 77
Correction to: Vildagliptin Attenuates Huntington's Disease Through Activation of GLP-1 Receptor/PI3K/Akt/BDNF Pathway in 3-Nitropropionic Acid Rat Model. 更正:维达列汀在3-硝基丙酸大鼠模型中通过激活GLP-1受体/PI3K/Akt/BDNF通路减轻亨廷顿氏病。
IF 5.7 3区 艺术学 0 MUSIC Pub Date : 2022-03-01 DOI: 10.1007/s13311-022-01227-6
Noha H Sayed, Nevine Fathy, Mona A Kortam, Mostafa A Rabie, Ahmed F Mohamed, Ahmed S Kamel
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引用次数: 0
DIVERGING DISPARITIES: RACE, PARENTAL INCOME, AND CHILDREN'S MATH SCORES, 1960-2009. 不同的差距:种族、父母收入和儿童数学成绩,1960-2009 年。
IF 3.9 3区 艺术学 0 MUSIC Pub Date : 2021-04-01 Epub Date: 2021-03-19 DOI: 10.1177/0038040720963279
Jordan A Conwell

In recent decades, the Black-White test score disparity has decreased, while the test score disparity between children of high- versus low-income parents has increased. This study focuses on a comparison that has, to date, fallen between the separate literatures on these diverging trends - Black and White students whose parents have similarly low, middle, or high incomes (i.e., same-income or race-within-income). To do so, I draw on three nationally representative datasets on ninth or tenth graders, covering the period from 1960 to 2009, all of which contain information on students' math test scores. I find that math test score disparities between Black and White students with same-income parents are to Blacks' disadvantage. Although these disparities have decreased since 1960, in 2009, they remain substantively large, statistically significant, and largest between children of the highest income parents. Further, family and school characteristics that scholars commonly use to explain test score disparities by race or by income have accounted for markedly decreasing shares of race-within-income disparities over time. The study integrates the literatures on test score disparities by race and by income with needed attention to race's historical and continued structural influence, net of parental income, on students' educational experiences and test score outcomes.

近几十年来,黑人与白人之间的考试分数差距有所缩小,而高收入与低收入父母子女之间的考试分数差距则有所扩大。本研究的重点是,迄今为止,在关于这些不同趋势的不同文献中,黑人和白人学生之间的比较一直处于两极分化的状态--他们的父母具有类似的低收入、中等收入或高收入(即相同收入或收入内种族)。为此,我利用了三个具有全国代表性的九年级或十年级学生数据集,时间跨度为 1960 年至 2009 年,所有数据集都包含学生的数学考试分数信息。我发现,父母收入相同的黑人和白人学生之间的数学考试分数差距对黑人不利。虽然这些差距自 1960 年以来有所缩小,但在 2009 年,这些差距仍然很大,在统计上很显著,而且在收入最高的父母的子女之间差距最大。此外,学者们通常用来解释种族或收入考试分数差距的家庭和学校特征,在种族-收入差距中所占的比例随着时间的推移明显下降。本研究整合了有关按种族和按收入划分的考试分数差距的文献,并对种族对学生教育经历和考试分数结果的历史性和持续的结构性影响给予了必要的关注。
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引用次数: 0
Increasing Burden of Hepatitis A in Adolescents and Adults and the Need for Long-Term Protection: A Review from the Indian Subcontinent. 甲型肝炎在青少年和成年人中日益加重的负担和长期保护的必要性:印度次大陆综述》。
IF 5.4 3区 艺术学 0 MUSIC Pub Date : 2019-12-01 Epub Date: 2019-11-02 DOI: 10.1007/s40121-019-00270-9
Ashish Agrawal, Sanjeev Singh, Shafi Kolhapure, Bernard Hoet, Vidya Arankalle, Monjori Mitra

Hepatitis A, an acute inflammatory liver disease caused by hepatitis A virus (HAV) infection from close contact with infected people, is highly endemic in the Indian subcontinent. Due to poor sanitary conditions, most of the population is exposed to the virus in childhood. At this age, the disease is asymptomatic and provides life-long protection against the disease. Due to rapid socioeconomic development in some areas, however, pockets of the population are reaching adolescence/adulthood without prior exposure to the virus and are thus susceptible to infection. At these ages, infection carries a higher risk of symptomatic disease and complications including mortality. This review of epidemiology and burden of disease studies in the Indian subcontinent, published since 2005, shows increasing evidence of a shift from high to intermediate endemicity in high-income-typically urban-populations. The prevalence of anti-HAV antibodies (previously reported at > 90%) is lower now in adolescents and young adults (e.g., around 80% in Bangladesh and 55% in 5-15 years in India). As a result, HAV is responsible for more acute viral hepatitis predominantly in this age group (e.g., > 15 years: 3.4% in 1999 to 12.3% in 2003 or high socioeconomic status 13-20 years: 27% in 1999 to 62% in 2003), with a greater clinical and economic burden. Numerous outbreaks due to HAV have been reported [e.g., Sri Lanka (2009-2010): > 13,000 affected; Kashmir (2015-2017): 12 outbreaks; Kerala (2012-2016): 84 outbreaks] from water or food contamination. Due to current shifts in endemicity, a growing proportion of the population is no longer exposed in childhood. As the disease remains highly endemic, it also provides a source for more severe disease in susceptible people at an older age and for outbreaks. Well-tolerated and effective vaccines are available and help prevent disease burden and provide long-term protection. These should now be used more widely to protect more patients from the growing disease burden of hepatitis A. FUNDING: GlaxoSmithKline Biologicals SA. Plain language summary available for this article-please see Fig. 1 and the following link: https://doi.org/10.6084/m9.figshare.9963044.Fig. 1Plain Language Summary. Highlights the context of the article, the endemicity shift and the burden of hepatitis A in adolescents and adults and steps to be taken to address the impact of this disease.

甲型肝炎是一种由甲型肝炎病毒(HAV)感染引起的急性肝脏炎症性疾病,因与感染者密切接触而发病,在印度次大陆高度流行。由于卫生条件差,大多数人在孩提时代就感染了病毒。在这个年龄段,这种疾病是无症状的,并能提供终生的防病保护。然而,由于一些地区社会经济的快速发展,部分人口在进入青春期/成年期之前没有接触过病毒,因此很容易感染。在这些年龄段,感染后出现无症状疾病和并发症(包括死亡)的风险较高。这篇对 2005 年以来发表的印度次大陆流行病学和疾病负担研究的综述显示,越来越多的证据表明,在高收入人群--主要是城市人群--中,病毒流行从高流行率向中流行率转变。抗 HAV 抗体的流行率(以前报告的流行率大于 90%)现在在青少年和年轻成人中有所降低(例如,在孟加拉国约为 80%,在印度 5-15 岁人群中约为 55%)。因此,HAV 在这一年龄组中主要导致更多的急性病毒性肝炎(例如,> 15 岁:15 岁以上:1999 年为 3.4%,2003 年为 12.3%,或社会经济地位较高的 13-20 岁:1999 年为 27%,2003 年为 62%),造成更大的临床和经济负担。据报道,因艾滋病毒/艾滋病而爆发的疫情数不胜数[例如,斯里兰卡(2009-2010 年):> 13,000 人受影响;克什米尔(2015-2017 年):12 次爆发;喀拉拉邦(2012-2016 年):84起疫情]。由于目前地方病流行的变化,越来越多的人口在童年时期不再接触该疾病。由于该疾病仍然高度流行,它也为年龄较大的易感人群感染更严重的疾病和疫情爆发提供了源头。目前已有耐受性好且有效的疫苗,有助于预防疾病负担并提供长期保护。现在应该更广泛地使用这些疫苗,以保护更多患者免受甲型肝炎日益加重的疾病负担:葛兰素史克生物公司(GlaxoSmithKline Biologicals SA)。本文有纯文字摘要,请参见图 1 和以下链接:https://doi.org/10.6084/m9.figshare.9963044.Fig. 1纯文字摘要。重点介绍文章的背景、甲型肝炎在青少年和成人中的流行变化和负担,以及为应对这种疾病的影响而应采取的措施。
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