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DEFB119 stratifies dysbiosis with distorted networks in the seminal microbiome associated with male infertility. DEFB119 将与男性不育症相关的精液微生物组网络扭曲的菌群失调分层。
IF 2.2 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-09-19 eCollection Date: 2024-10-01 DOI: 10.1093/pnasnexus/pgae419
Jing Jin, Howard Chi Ho Yim, Hsiao Mei Ellie Chang, Yiwei Wang, Kathleen Hoi Kei Choy, Sze Yan Chan, Odai A M Alqawasmeh, Jinyue Liao, Xiao-Tao Jiang, David Yiu Leung Chan, Ellis Kin Lam Fok

Infertility is associated with the alteration of the seminal microbiome. However, the onset of dysbiosis remains controversial and the involvement of host factors remains elusive. This study investigates the alterations of the seminal microbiome in male infertility and examines the association and function of DEFB119, a reproductive-tract-specific host antimicrobial peptide, on the seminal microbiome and male fertility. While we observed comparable genera, diversity and evenness of bacterial communities, a marked decrease in the modularity of the metacommunities was observed in patients with abnormal spermiogram (n = 57) as compared to the control (n = 30). A marked elevation of DEFB119 was observed in a subpopulation of male infertile patients (n = 5). Elevated seminal DEFB119 was associated with a decrease in the observed genera, diversity and evenness of bacterial communities, and further distortion of the metacommunities. Mediation analysis suggests the involvement of elevated DEFB119 and dysbiosis of the seminal microbiome in mediating the abnormalities in the spermiogram. Functional experiments showed that recombinant DEFB119 significantly decrease the progressive motility of sperm in patients with abnormal spermiogram. Moreover, DEFB119 demonstrated species-specific antimicrobial activity against common seminal and nonseminal species. Our work identifies an important host factor that mediates the host-microbiome interaction and stratifies the seminal microbiome associated with male infertility. These results may lead to a new diagnostic method for male infertility and regimens for formulating the microbiome in the reproductive tract and other organ systems.

不育症与精液微生物群的改变有关。然而,菌群失调的发生仍存在争议,宿主因素的参与仍难以捉摸。本研究调查了男性不育症中精液微生物组的改变,并研究了生殖道特异性宿主抗菌肽DEFB119与精液微生物组和男性生育能力的关联和功能。虽然我们观察到细菌群落的属种、多样性和均匀度相当,但与对照组(n = 30)相比,精子图异常患者(n = 57)的元群落模块化程度明显下降。在男性不育患者的一个亚群(5 人)中观察到 DEFB119 明显升高。精液中 DEFB119 的升高与所观察到的细菌群落属种、多样性和均匀性的减少以及元群落的进一步扭曲有关。中介分析表明,DEFB119的升高和精液微生物群落的菌群失调参与了精子图异常的中介作用。功能实验表明,重组 DEFB119 能显著降低精子图异常患者精子的渐进运动能力。此外,DEFB119 对常见的精液和非精液物种具有物种特异性抗菌活性。我们的研究发现了一个重要的宿主因素,它介导了宿主与微生物组之间的相互作用,并将与男性不育相关的精液微生物组分层。这些结果可能会为男性不育症带来一种新的诊断方法,并为生殖道和其他器官系统的微生物组制定治疗方案。
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引用次数: 0
Dimensionality reduction of neuronal degeneracy reveals two interfering physiological mechanisms. 神经元退化的降维揭示了两种相互干扰的生理机制。
IF 2.2 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-09-19 eCollection Date: 2024-10-01 DOI: 10.1093/pnasnexus/pgae415
Arthur Fyon, Alessio Franci, Pierre Sacré, Guillaume Drion

Neuronal systems maintain stable functions despite large variability in their physiological components. Ion channel expression, in particular, is highly variable in neurons exhibiting similar electrophysiological phenotypes, which raises questions regarding how specific ion channel subsets reliably shape intrinsic properties of neurons. Here, we use detailed conductance-based modeling to explore how stable neuronal function is achieved despite variability in channel composition among neurons. Using dimensionality reduction, we uncover two principal dimensions in the channel conductance space that capture most of the variance of the observed variability. These two dimensions correspond to two sources of variability that originate from distinct physiologically relevant mechanisms underlying the regulation of neuronal activity, providing quantitative insights into how channel composition is linked to the electrophysiological activity of neurons. These insights allow us to understand and design a model-independent, reliable neuromodulation rule for variable neuronal populations.

尽管神经元系统的生理成分变化很大,但它们仍能保持稳定的功能。尤其是离子通道的表达,在表现出相似电生理表型的神经元中变化很大,这就提出了特定离子通道子集如何可靠地塑造神经元内在特性的问题。在这里,我们利用详细的基于电导的建模来探索,尽管神经元之间的通道组成存在差异,但如何实现稳定的神经元功能。通过降维,我们发现了通道电导空间的两个主要维度,它们捕捉到了观察到的变异性的大部分方差。这两个维度对应于两种变异性来源,而这两种变异性来源于神经元活动调控的不同生理相关机制,这为我们提供了关于通道组成如何与神经元电生理活动相关联的定量见解。这些洞察力使我们能够理解并设计出一种独立于模型的、可靠的神经调控规则,用于可变的神经元群。
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引用次数: 0
People judge others more harshly after talking to bots. 与机器人交谈后,人们对他人的评价会更加苛刻。
IF 2.2 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-09-19 eCollection Date: 2024-09-01 DOI: 10.1093/pnasnexus/pgae397
Kian Siong Tey, Asaf Mazar, Geoff Tomaino, Angela L Duckworth, Lyle H Ungar

People now commonly interact with Artificial Intelligence (AI) agents. How do these interactions shape how humans perceive each other? In two preregistered studies (total N = 1,261), we show that people evaluate other humans more harshly after interacting with an AI (compared with an unrelated purported human). In Study 1, participants who worked on a creative task with AIs (versus purported humans) subsequently rated another purported human's work more negatively. Study 2 replicated this effect and demonstrated that the results hold even when participants believed their evaluation would not be shared with the purported human. Exploratory analyses of participants' conversations show that prior to their human evaluations they were more demanding, more instrumental and displayed less positive affect towards AIs (versus purported humans). These findings point to a potentially worrisome side effect of the exponential rise in human-AI interactions.

现在,人们经常与人工智能(AI)代理互动。这些互动如何影响人类对彼此的看法?在两项预先登记的研究(总人数 = 1,261)中,我们发现人们在与人工智能(与无关的假想人类相比)互动后,对其他人类的评价更为苛刻。在研究 1 中,与人工智能(与假想的人类相比)共同完成一项创造性任务的参与者随后会对另一个假想人类的作品做出更负面的评价。研究 2 复制了这一效果,并证明即使参与者认为他们的评价不会与假想的人类分享,结果也是成立的。对参与者对话的探索性分析表明,在进行人类评价之前,他们对人工智能(相对于声称的人类)的要求更高、更注重工具性,并表现出更少的积极情绪。这些发现表明,人类与人工智能的交互呈指数级增长,可能会产生令人担忧的副作用。
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引用次数: 0
Ejectosome of Pectobacterium bacteriophage ΦM1. 果胶杆菌噬菌体ΦM1的喷射体。
IF 2.2 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-09-19 eCollection Date: 2024-09-01 DOI: 10.1093/pnasnexus/pgae416
Alice-Roza Eruera, James Hodgkinson-Bean, Georgia L Rutter, Francesca R Hills, Rosheny Kumaran, Alexander J M Crowe, Nickhil Jadav, Fangfang Chang, Klemens McJarrow-Keller, Fátima Jorge, Jaekyung Hyun, Hyejin Kim, Bumhan Ryu, Mihnea Bostina

Podophages that infect gram-negative bacteria, such as Pectobacterium pathogen ΦM1, encode tail assemblies too short to extend across the complex gram-negative cell wall. To overcome this, podophages encode a large protein complex (ejectosome) packaged inside the viral capsid and correspondingly ejected during infection to form a transient channel that spans the periplasmic space. Here, we describe the ejectosome of bacteriophage ΦM1 to a resolution of 3.32 Å by single-particle cryo-electron microscopy (cryo-EM). The core consists of tetrameric and octameric ejection proteins which form a ∼1.5-MDa ejectosome that must transition through the ∼30 Å aperture created by the short tail nozzle assembly that acts as the conduit for the passage of DNA during infection. The ejectosome forms several grooves into which coils of genomic DNA are fit before the DNA sharply turns and goes down the tunnel and into the portal. In addition, we reconstructed the icosahedral capsid and hybrid tail apparatus to resolutions between 3.04 and 3.23 Å, and note an uncommon fold adopted by the dimerized decoration proteins which further emphasize the structural diversity of podophages. These reconstructions have allowed the generation of a complete atomic model of the ΦM1, uncovering two distinct decoration proteins and highlighting the exquisite structural diversity of tailed bacteriophages.

感染革兰氏阴性细菌(如果胶杆菌病原体ΦM1)的荚膜病毒编码的尾部组件太短,无法穿过复杂的革兰氏阴性细胞壁。为了克服这一问题,荚膜病毒编码了一种大型蛋白质复合物(弹射体),将其包装在病毒外壳内,并在感染过程中相应地弹射出来,形成一个横跨周质空间的瞬时通道。在这里,我们通过单粒子冷冻电镜(cryo-EM)以 3.32 Å 的分辨率描述了噬菌体 ΦM1 的喷射体。核心由四聚体和八聚体喷射蛋白组成,它们形成一个 1.5 兆焦耳的喷射体,喷射体必须穿过由短尾喷嘴组件形成的 30 Å 孔径,短尾喷嘴组件在感染过程中充当 DNA 的通道。喷射体形成几个凹槽,将基因组 DNA 线圈装入其中,然后 DNA 急转弯,沿着隧道进入入口。此外,我们还以 3.04 至 3.23 Å 的分辨率重建了二十面体荚膜和混合尾部装置,并注意到二聚化装饰蛋白采用了一种不常见的折叠方式,这进一步强调了荚膜病毒结构的多样性。通过这些重建,生成了一个完整的ΦM1原子模型,发现了两种不同的装饰蛋白,突出了噬菌体尾部结构的精致多样性。
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引用次数: 0
Large language models reduce public knowledge sharing on online Q&A platforms. 大语言模型减少了在线问答平台上的公共知识共享。
IF 2.2 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-09-11 eCollection Date: 2024-09-01 DOI: 10.1093/pnasnexus/pgae400
R Maria Del Rio-Chanona, Nadzeya Laurentsyeva, Johannes Wachs

Large language models (LLMs) are a potential substitute for human-generated data and knowledge resources. This substitution, however, can present a significant problem for the training data needed to develop future models if it leads to a reduction of human-generated content. In this work, we document a reduction in activity on Stack Overflow coinciding with the release of ChatGPT, a popular LLM. To test whether this reduction in activity is specific to the introduction of this LLM, we use counterfactuals involving similar human-generated knowledge resources that should not be affected by the introduction of ChatGPT to such extent. Within 6 months of ChatGPT's release, activity on Stack Overflow decreased by 25% relative to its Russian and Chinese counterparts, where access to ChatGPT is limited, and to similar forums for mathematics, where ChatGPT is less capable. We interpret this estimate as a lower bound of the true impact of ChatGPT on Stack Overflow. The decline is larger for posts related to the most widely used programming languages. We find no significant change in post quality, measured by peer feedback, and observe similar decreases in content creation by more and less experienced users alike. Thus, LLMs are not only displacing duplicate, low-quality, or beginner-level content. Our findings suggest that the rapid adoption of LLMs reduces the production of public data needed to train them, with significant consequences.

大型语言模型(LLM)是人类生成的数据和知识资源的潜在替代品。但是,如果这种替代导致人工生成内容的减少,那么就会给开发未来模型所需的训练数据带来很大的问题。在这项工作中,我们记录了 Stack Overflow 上活动的减少,与 ChatGPT(一种流行的 LLM)的发布不谋而合。为了检验这种活动的减少是否是该 LLM 推出所特有的,我们使用了反事实,涉及类似的人类生成的知识资源,而这些资源应该不会受到 ChatGPT 推出的如此大的影响。在 ChatGPT 发布后的 6 个月内,Stack Overflow 上的活跃度比俄罗斯和中国的同类论坛下降了 25%,而俄罗斯和中国的同类论坛对 ChatGPT 的访问是有限的。我们将这一估计值解释为 ChatGPT 对 Stack Overflow 真正影响的下限。与使用最广泛的编程语言相关的帖子质量下降幅度更大。我们发现,根据同行反馈衡量,帖子质量没有明显变化,而且观察到经验丰富和经验不足的用户在内容创建方面都出现了类似的下降。因此,LLM 取代的不仅仅是重复、低质量或初学者水平的内容。我们的研究结果表明,LLMs 的快速普及减少了培训 LLMs 所需的公共数据的生产,从而产生了重大影响。
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引用次数: 0
Exploring the role of spinal astrocytes in the onset of hyperalgesic priming signals in acid-induced chronic muscle pain. 探索脊髓星形胶质细胞在酸性物质诱发慢性肌肉疼痛的超痛觉启动信号中的作用。
IF 2.2 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-08-30 eCollection Date: 2024-09-01 DOI: 10.1093/pnasnexus/pgae362
Mohamed Abbas Abdelaziz, Wei-Hsin Chen, Yu-Wang Chang, Selomon Assefa Mindaye, Chien-Chang Chen

Hyperalgesic priming, a form of pain plasticity initiated by initial injury, leads to heightened sensitivity to subsequent noxious stimuli, contributing to chronic pain development in animals. While astrocytes play active roles in modulating synaptic transmission in various pain models, their specific involvement in hyperalgesic priming remains elusive. Here, we show that spinal astrocytes are essential for hyperalgesic priming formation in a mouse model of acid-induced muscle pain. We observed spinal astrocyte activation 4 h after initial acid injection, and inhibition of this activation prevented chronic pain development upon subsequent acid injection. Chemogenetic activation of spinal astrocytes mimicked the first acid-induced hyperalgesic priming. We also demonstrated that spinal phosphorylated extracellular regulated kinase (pERK)-positive neurons were mainly vesicular glutamate transporter-2 positive (Vglut2+) neurons after the first acid injection, and inhibition of spinal pERK prevented astrocyte activation. Furthermore, pharmacological inhibition of astrocytic glutamate transporters glutamate transporter-1 and glutamate-aspartate transporter abolished the hyperalgesic priming. Collectively, our results suggest that pERK activation in Vglut2+ neurons activate astrocytes through astrocytic glutamate transporters. This process eventually establishes hyperalgesic priming through spinal D-serine. We conclude that spinal astrocytes play a crucial role in the transition from acute to chronic pain.

超痛觉引物是由最初的损伤引发的一种疼痛可塑性,会导致对后续有害刺激的敏感性增强,从而导致动物慢性疼痛的发展。在各种疼痛模型中,星形胶质细胞在调节突触传递方面发挥着积极的作用,但它们在超痛觉诱发中的具体参与仍然难以捉摸。在这里,我们发现脊髓星形胶质细胞在酸性物质诱发的肌肉疼痛小鼠模型中对超痛引物的形成至关重要。我们观察到脊髓星形胶质细胞在首次注射酸液 4 小时后被激活,抑制这种激活可防止随后注射酸液时慢性疼痛的形成。脊髓星形胶质细胞的化学激活模拟了首次酸性物质诱发的超痛引物。我们还证明,首次注射酸后,脊髓磷酸化细胞外调节激酶(pERK)阳性神经元主要是囊泡谷氨酸转运体-2阳性(Vglut2+)神经元,抑制脊髓pERK可防止星形胶质细胞的激活。此外,药理抑制星形胶质细胞谷氨酸转运体谷氨酸转运体-1和谷氨酸-天门冬氨酸转运体也可消除超痛引物。总之,我们的研究结果表明,Vglut2+ 神经元中的 pERK 激活可通过星形胶质细胞谷氨酸转运体激活星形胶质细胞。这一过程最终会通过脊髓 D-丝氨酸建立超痛觉。我们的结论是,脊髓星形胶质细胞在急性疼痛向慢性疼痛的转变过程中起着至关重要的作用。
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引用次数: 0
How can event attribution science underpin financial decisions on Loss and Damage? 事件归因科学如何为损失和损害的财务决策提供依据?
IF 2.2 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-08-27 eCollection Date: 2024-08-01 DOI: 10.1093/pnasnexus/pgae277
Dim Coumou, Paola A Arias, Ana Bastos, Charlotte Kendra Gotangco Gonzales, Gabriele C Hegerl, Pandora Hope, Christopher Jack, Friederike Otto, Fahad Saeed, Olivia Serdeczny, Theodore G Shepherd, Robert Vautard

With climate extremes hitting nations across the globe, disproportionately burdening vulnerable developing countries, the prompt operation of the Loss and Damage fund is of paramount importance. As decisions on resource disbursement at the international level, and investment strategies at the national level, loom, the climate science community's role in providing fair and effective evidence is crucial. Attribution science can provide useful information for decision makers, but both ethical implications and deep uncertainty cannot be ignored. Considering these aspects, we articulate a vision that integrates established attribution methods and multiple lines of evidence within a coherent logical framework.

随着极端气候袭击全球各国,给脆弱的发展中国家造成了过重的负担,损失和损害基金的迅速运作至关重要。在决定国际层面的资源分配和国家层面的投资战略时,气候科学界在提供公平有效的证据方面的作用至关重要。归因科学可以为决策者提供有用的信息,但道德影响和深刻的不确定性也不容忽视。考虑到这些方面,我们提出了一个愿景,将既定的归因方法和多种证据整合到一个连贯的逻辑框架中。
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引用次数: 0
Darwin and the biological rhythms. 达尔文与生物节律
IF 2.2 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-08-27 eCollection Date: 2024-08-01 DOI: 10.1093/pnasnexus/pgae318
Tiago G de Andrade, Andrew D Beale

While the formalization of chronobiology as a scientific discipline occurred in the mid-20th century, the exploration of rhythmic phenomena has a longer history, notably exemplified by De Mairan's observations of Mimosa pudica in darkness in 1729. In this historical narrative, Charles Darwin is known for his investigations into the "sleep movements" of plants. Nevertheless, the complete scope of Darwin's exploration of biological rhythms remains incompletely understood. Through a detailed examination of Darwin's writings, meticulous observations, experiments, and conceptualizations, we unveil a depth of engagement that surpasses his widely acknowledged work on plants, revealing a more extensive interest in and insight into biological rhythms than traditionally recognized.

虽然时间生物学正式成为一门科学学科是在 20 世纪中叶,但对节律现象的探索却有更长的历史,其中最著名的例子是德-梅兰(De Mairan)在 1729 年对黑暗中的含羞草进行的观察。在这一历史叙事中,查尔斯-达尔文因研究植物的 "睡眠运动 "而闻名。然而,人们对达尔文探索生物节律的完整范围仍不甚了解。通过对达尔文的著作、细致的观察、实验和概念化的详细研究,我们揭示了达尔文对生物节律的兴趣和洞察力,其深度远远超过了他广为人知的植物研究成果。
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引用次数: 0
Inflammatory signature-based theranostics for acute lung injury in acute type A aortic dissection. 基于炎症特征的疗法治疗急性 A 型主动脉夹层中的急性肺损伤。
IF 2.2 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-08-27 eCollection Date: 2024-09-01 DOI: 10.1093/pnasnexus/pgae371
Hong Liu, Yi-Fei Diao, Si-Chong Qian, Yong-Feng Shao, Sheng Zhao, Hai-Yang Li, Hong-Jia Zhang

Acute lung injury (ALI) is a serious adverse event in the management of acute type A aortic dissection (ATAAD). Using a large-scale cohort, we applied artificial intelligence-driven approach to stratify patients with different outcomes and treatment responses. A total of 2,499 patients from China 5A study database (2016-2022) from 10 cardiovascular centers were divided into 70% for derivation cohort and 30% for validation cohort, in which extreme gradient boosting algorithm was used to develop ALI risk model. Logistic regression was used to assess the risk under anti-inflammatory strategies in different risk probability. Eight top features of importance (leukocyte, platelet, hemoglobin, base excess, age, creatinine, glucose, and left ventricular end-diastolic dimension) were used to develop and validate an ALI risk model, with adequate discrimination ability regarding area under the receiver operating characteristic curve of 0.844 and 0.799 in the derivation and validation cohort, respectively. By the individualized treatment effect prediction, ulinastatin use was significantly associated with significantly lower risk of developing ALI (odds ratio [OR] 0.623 [95% CI 0.456, 0.851]; P = 0.003) in patients with a predicted ALI risk of 32.5-73.0%, rather than in pooled patients with a risk of <32.5 and >73.0% (OR 0.929 [0.682, 1.267], P = 0.642) (Pinteraction = 0.075). An artificial intelligence-driven risk stratification of ALI following ATAAD surgery were developed and validated, and subgroup analysis showed the heterogeneity of anti-inflammatory pharmacotherapy, which suggested individualized anti-inflammatory strategies in different risk probability of ALI.

急性肺损伤(ALI)是急性 A 型主动脉夹层(ATAAD)治疗过程中的一个严重不良事件。我们利用大规模队列,采用人工智能驱动的方法对不同结局和治疗反应的患者进行分层。我们将来自10个心血管中心的中国5A研究数据库(2016-2022年)中的2499名患者分为70%的衍生队列和30%的验证队列,并使用极端梯度提升算法建立ALI风险模型。采用逻辑回归评估不同风险概率下抗炎策略的风险。八个最重要的特征(白细胞、血小板、血红蛋白、基数过高、年龄、肌酐、血糖和左心室舒张末期尺寸)被用于开发和验证 ALI 风险模型,在衍生队列和验证队列中,接收器操作特征曲线下面积分别为 0.844 和 0.799,具有足够的区分能力。通过个体化治疗效果预测,在预测ALI风险为32.5-73.0%的患者中,使用乌利那他汀与明显较低的ALI发生风险显著相关(比值比[OR] 0.623 [95% CI 0.456, 0.851];P = 0.003),而不是在风险为73.0%的集合患者中(OR 0.929 [0.682, 1.267],P = 0.642)(Pinteraction = 0.075)。开发并验证了人工智能驱动的ATAAD手术后ALI风险分层,亚组分析显示了抗炎药物治疗的异质性,建议针对不同的ALI风险概率采取个体化的抗炎策略。
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引用次数: 0
Obesity and age are transmission risk factors for SARS-CoV-2 infection among exposed individuals. 肥胖和年龄是接触者感染 SARS-CoV-2 的传播风险因素。
IF 2.2 Q2 MULTIDISCIPLINARY SCIENCES Pub Date : 2024-08-27 eCollection Date: 2024-08-01 DOI: 10.1093/pnasnexus/pgae294
Joan T Matamalas, Sarvesh Chelvanambi, Julius L Decano, Raony F França, Arda Halu, Diego V Santinelli-Pestana, Elena Aikawa, Rajeev Malhotra, Masanori Aikawa

The coronavirus disease (COVID-19) pandemic has occurred in Massachusetts in multiple waves led by a series of emerging variants. While the evidence has linked obesity with severe symptoms of COVID-19, the effect of obesity on susceptibility to SARS-CoV-2 infection remains unclear. Identification of intrinsic factors, which increase the likelihood of exposed individuals succumbing to productive SARS-CoV-2 infection could help plan mitigation efforts to curb the illness. We aim to investigate whether obese individuals have a higher susceptibility to developing productive SARS-CoV-2 infection given comparable exposure to nonobese individuals. This case-control study leveraged data from the Mass General Brigham's (MGB) electronic medical records (EMR), containing 687,813 patients, to determine whether obesity at any age increases the proportion of infections. We used PCR results of 72,613 subjects who tested positive to SARS-CoV-2 or declared exposure to the virus independently of the result of the test. For this study, we defined susceptibility as the likelihood of testing positive upon suspected exposure. We demonstrate evidence that SARS-CoV-2 exposed obese individuals were more prone to become COVID positive than nonobese individuals [adjusted odds ratio = 1.34 (95% CI: 1.29-1.39)]. Temporal analysis showed significantly increased susceptibility in obese individuals across the duration of the pandemic in Massachusetts. Obese exposed individuals are at a higher risk of getting infected with SARS-CoV-2. This indicates that obesity is not only a risk factor for worsened outcomes but also increases the risk for infection upon exposure. Identifying such populations early will be crucial for curbing the spread of this infectious disease.

在马萨诸塞州,冠状病毒病(COVID-19)大流行在一系列新出现的变种病毒的带领下发生了多波。虽然有证据表明肥胖与 COVID-19 的严重症状有关,但肥胖对 SARS-CoV-2 感染易感性的影响仍不清楚。确定哪些内在因素会增加接触者感染 SARS-CoV-2 的可能性,有助于制定遏制该疾病的缓解措施。我们的目的是研究肥胖者在与非肥胖者暴露程度相当的情况下,是否更容易感染 SARS-CoV-2。这项病例对照研究利用马萨诸塞州布里格姆综合医院(MGB)电子病历(EMR)中包含的 687,813 名患者的数据,来确定任何年龄段的肥胖者是否会增加感染比例。我们使用了 72,613 名受试者的 PCR 检测结果,这些受试者的 SARS-CoV-2 检测结果呈阳性,或无论检测结果如何都宣称接触过该病毒。在本研究中,我们将易感性定义为疑似暴露后检测结果呈阳性的可能性。我们证明,与非肥胖者相比,接触过 SARS-CoV-2 的肥胖者更容易出现 COVID 阳性[调整后的几率比 = 1.34(95% CI:1.29-1.39)]。时间分析表明,在马萨诸塞州大流行期间,肥胖者的易感性明显增加。肥胖的暴露人群感染 SARS-CoV-2 的风险更高。这表明,肥胖不仅是导致病情恶化的风险因素,也会增加暴露后的感染风险。及早发现这类人群对于遏制这种传染病的传播至关重要。
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引用次数: 0
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