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1.
RSC Adv ; 13(31): 21249, 2023 Jul 12.
Article in English | MEDLINE | ID: mdl-37456553

ABSTRACT

[This corrects the article DOI: 10.1039/D3RA03160H.].

2.
Lancet Infect Dis ; 23(7): 847-855, 2023 Jul.
Article in English | MEDLINE | ID: mdl-36966799

ABSTRACT

BACKGROUND: Shorter treatments are needed for drug-susceptible tuberculosis. Adjunctive statins increase bactericidal activity in preclinical tuberculosis models. We investigated the safety and efficacy of adjunctive rosuvastatin in people with tuberculosis. We tested the hypothesis that adjunctive rosuvastatin accelerates sputum culture conversion within the first 8 weeks of treatment of rifampicin-susceptible tuberculosis. METHODS: This phase 2b, randomised, open-label, multicentre trial conducted in five hospitals or clinics in three countries with high tuberculosis burden (ie, the Philippines, Viet Nam, and Uganda) enrolled adult participants aged 18-75 years with sputum smear or Xpert MTB/RIF positive, rifampicin-susceptible tuberculosis who had received less than 7 days of previous tuberculosis treatment. Participants were randomly assigned via a web-based system to receive either 10 mg rosuvastatin once per day for 8 weeks plus standard tuberculosis therapy (rifampicin, isoniazid, pyrazinamide, and ethambutol; rosuvastatin group) or standard tuberculosis therapy alone (control group). Randomisation was stratified by trial site, history of diabetes, and HIV co-infection. Laboratory staff and central investigators involved in data cleaning and analysis were masked to treatment allocation, but study participants and site investigators were not. Both groups continued standard treatment to week 24. Sputum samples were collected once per week for the first 8 weeks after randomisation, and then at weeks 10, 12, and 24. The primary efficacy outcome was time to culture conversion (TTCC; days) in liquid culture by week 8, assessed in randomised participants who had microbiological confirmation of tuberculosis, took at least one dose of rosuvastatin, and who did not show resistance to rifampicin (modified intention-to-treat population), for which groups were compared with the Cox proportional hazards model. The main safety outcome was grade 3-5 adverse events by week 24, assessed in the intention-to-treat population, for which groups were compared with Fisher's exact test. All participants completed 24 weeks of follow-up. This trial is registered with ClinicalTrials.gov (NCT04504851). FINDINGS: Between Sept 2, 2020, and Jan 14, 2021, 174 participants were screened and 137 were randomly assigned to the rosuvastatin group (70 participants) or control group (67 participants). In the modified intention-to-treat population of 135 participants, 102 (76%) were men and 33 (24%) were women. Median TTCC in liquid media was 42 days (95% CI 35-49) in the rosuvastatin group (68 participants) and 42 days (36-53) in the control group (67 participants; hazard ratio 1·30 [0·88-1·91], p=0·19). Grade 3-5 adverse events occurred in six (9%) of 70 in the rosuvastatin group (none were considered related to rosuvastatin) and four (6%) of 67 in the control group (p=0·75). There were no serious adverse events that were considered to be related to rosuvastatin. INTERPRETATION: Adjunctive rosuvastatin at 10 mg once per day was safe but did not produce substantive benefits on culture conversion in the overall study population. Future trials could explore the safety and efficacy of higher doses of adjunctive rosuvastatin. FUNDING: National Medical Research Council, Singapore.


Subject(s)
Tuberculosis, Pulmonary , Tuberculosis , Adult , Male , Humans , Female , Rifampin/therapeutic use , Antitubercular Agents/adverse effects , Rosuvastatin Calcium/therapeutic use , Drug Therapy, Combination , Tuberculosis, Pulmonary/drug therapy , Tuberculosis, Pulmonary/microbiology , Tuberculosis/drug therapy
3.
RSC Adv ; 12(54): 34851-34865, 2022 Dec 06.
Article in English | MEDLINE | ID: mdl-36540216

ABSTRACT

We investigate the geometric, electric, and optical properties of two-dimensional honeycomb lattices using first-principles simulations. The main focus of this work is on the similarities and differences in their characteristics, as well as the delicate connection of orbital hybridizations and spin-polarizations with electronic and optical properties. Graphene, silicene, germanene, and their semi-hydrogenated systems, in turn, display sp2, sp2-sp3, and sp3s hybridizations. These bonding configurations are critical factors affecting the geometric structure, the electronic band structure, van Hove singularities in density of states, the magnetic configurations, the dielectric functions, and energy loss functions. Furthermore, the meta-stable and stable exciton states are expected to survive in pristine and semi-hydrogenated group IV monolayers, respectively. The theoretical predictions established in this work are important not only for basic science but also for high-tech applications.

4.
ACS Omega ; 7(29): 25210-25218, 2022 Jul 26.
Article in English | MEDLINE | ID: mdl-35910128

ABSTRACT

We used first-principles calculations to investigate the electrical and optical properties of CsGeX3 (X = Cl, Br, and I) compounds. These materials present rich and unique physical and chemical phenomena, such as the optimal geometric structure, the electronic band structure, the charge density distribution, and the special van Hove singularities in the electronic density of states. The optical properties cover a slight red shift of the optical gap, corresponding to weak electron-hole interactions, strong absorption coefficients, and weak reflectance spectra. The presented theoretical framework will provide a full understanding of the various phenomena and promising applications for solar cells and other electro-optic materials.

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