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1.
Vaccine ; 42(7): 1561-1570, 2024 Mar 07.
Artigo em Inglês | MEDLINE | ID: mdl-38365485

RESUMO

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) mRNA vaccine enables quick upgrade of antigen sequence to combat emerging new variants. In an observer-blinded, randomized, placebo-controlled phase 2 trial, immunologically naïve 300 adults and 150 older participants were enrolled and randomized (1:1:1) to receive two doses of 20 µg or 30 µg of a SARS-CoV-2 mRNA vaccine (SYS6006) or placebo. Adverse events (AEs) were recorded through 30 days after the second dose. Live virus neutralizing antibody (Nab), S1 protein-specific binding antibody (S1-IgG) and cellular immunity were tested. Results showed that robust wild-type Nab response was elicited with geometric mean titers of 91.3 and 84.9 in the adults, and 74.0 and 115.9 in the elders, 14 days following the second dose (Day 35) in the 20-µg and 30-µg groups, respectively. All seroconverted for wild-type Nab except two participants. Nab against Omicron BA.5 was mild. Robust wild-type S1-IgG response was induced with geometric mean concentrations of 2751.0 and 3142.2 BAU/mL in adults, and 2474.1 and 2993.5 BAU/mL in elders at Day 35 in the 20-µg and 30-µg groups, respectively. S1-IgG against Omicron BA.2 was induced. Cellular immunity was elicited, particularly in enzyme-linked immunospot assay. The most frequent AEs were injection-site pain and fever. Most reported AEs were grade 1 or grade 2. The AE incidences were similar following the first dose and second dose. No vaccination-associated serious AE was reported. In conclusion, two-dose vaccination with SYS6006 demonstrated good safety, tolerability and immunogenicity in immunologically naïve healthy participants aged 18 years or more.


Assuntos
Vacinas contra COVID-19 , COVID-19 , Adulto , Idoso , Humanos , Anticorpos Neutralizantes , Anticorpos Antivirais , China , COVID-19/prevenção & controle , Vacinas contra COVID-19/efeitos adversos , Método Duplo-Cego , Voluntários Saudáveis , Imunogenicidade da Vacina , Imunoglobulina G , Vacinas de mRNA , SARS-CoV-2
2.
Sheng Wu Yi Xue Gong Cheng Xue Za Zhi ; 40(1): 171-179, 2023 Feb 25.
Artigo em Chinês | MEDLINE | ID: mdl-36854563

RESUMO

Coronary artery fractional flow reserve (FFR) is a critical physiological indicator for assessment of impaired blood flow caused by coronary artery stenosis. The wire-based invasive measurement of blood flow pressure gradient across stenosis is the gold standard for clinical measurement of FFR. However, it has the risk of vascular injury and requires the use of vasodilators, increasing the time and overall cost of interventional examination. Coronary imaging is playing an important role in clinical diagnosis of stenotic lesions, evaluation of severity of lesions, and planning of therapies. In recent years, the computation of FFR based on the physiological information of blood flow obtained from routinely collected coronary image data has become a research focus in this field. This technique reduces the cost of physiological assessment of coronary lesions and the use of pressure wires. It is beneficial to strengthen the physiological guidance in interventional therapy. In order to better understand this emerging technique, this paper highlights its implementation principle and diagnostic performance, analyzes practical problems and current challenges in clinical applications, and discusses possible future development.


Assuntos
Estenose Coronária , Reserva Fracionada de Fluxo Miocárdico , Humanos , Vasos Coronários/diagnóstico por imagem , Coração , Constrição Patológica , Estenose Coronária/diagnóstico por imagem
3.
Nat Commun ; 13(1): 6952, 2022 11 14.
Artigo em Inglês | MEDLINE | ID: mdl-36376310

RESUMO

Data on safety and immunity elicited by a third booster dose of inactivated COVID-19 vaccine in children and adolescents are scarce. Here we conducted a study based on a double-blind, randomised, placebo-controlled phase 2 clinical trial (NCT04551547) to assess the safety and immunogenicity of a third dose of CoronaVac. In this study, 384 participants in the vaccine group were assigned to two cohorts. One received the third dose at a 10-months interval (cohort 1) and the other one at a 12-months interval (cohort 2). The primary endpoint is safety and immunogenicity following a third dose of CoronaVac. The secondary endpoint is antibody persistence following the primary two-dose schedule. Severities of local and systemic adverse reactions reported within 28 days after dose 3 were mild and moderate in both cohorts. A third dose of CoronaVac increased GMTs to 681.0 (95%CI: 545.2-850.7) in cohort 1 and 745.2 (95%CI: 577.0-962.3) in cohort 2. Seropositivity rates against the prototype were 100% on day 28 after dose 3. Seropositivity rates against the Omicron variant were 90.6% (cohort 1) and 91.5% (cohort 2). A homologous booster dose of CoronaVac is safe and induces a significant neutralising antibody levels increase in children and adolescents.


Assuntos
Vacinas contra COVID-19 , COVID-19 , Humanos , Adolescente , Criança , SARS-CoV-2 , COVID-19/prevenção & controle , Anticorpos Neutralizantes , Método Duplo-Cego , Anticorpos Antivirais
4.
Lancet Infect Dis ; 21(12): 1645-1653, 2021 12.
Artigo em Inglês | MEDLINE | ID: mdl-34197764

RESUMO

BACKGROUND: A vaccine against SARS-CoV-2 for children and adolescents will play an important role in curbing the COVID-19 pandemic. Here we aimed to assess the safety, tolerability, and immunogenicity of a candidate COVID-19 vaccine, CoronaVac, containing inactivated SARS-CoV-2, in children and adolescents aged 3-17 years. METHODS: We did a double-blind, randomised, controlled, phase 1/2 clinical trial of CoronaVac in healthy children and adolescents aged 3-17 years old at Hebei Provincial Center for Disease Control and Prevention in Zanhuang (Hebei, China). Individuals with SARS-CoV-2 exposure or infection history were excluded. Vaccine (in 0·5 mL aluminum hydroxide adjuvant) or aluminum hydroxide only (alum only, control) was given by intramuscular injection in two doses (day 0 and day 28). We did a phase 1 trial in 72 participants with an age de-escalation in three groups and dose-escalation in two blocks (1·5 µg or 3·0 µg per injection). Within each block, participants were randomly assigned (3:1) by means of block randomisation to receive CoronaVac or alum only. In phase 2, participants were randomly assigned (2:2:1) by means of block randomisation to receive either CoronaVac at 1·5 µg or 3·0 µg per dose, or alum only. All participants, investigators, and laboratory staff were masked to group allocation. The primary safety endpoint was adverse reactions within 28 days after each injection in all participants who received at least one dose. The primary immunogenicity endpoint assessed in the per-protocol population was seroconversion rate of neutralising antibody to live SARS-CoV-2 at 28 days after the second injection. This study is ongoing and is registered with ClinicalTrials.gov, NCT04551547. FINDINGS: Between Oct 31, 2020, and Dec 2, 2020, 72 participants were enrolled in phase 1, and between Dec 12, 2020, and Dec 30, 2020, 480 participants were enrolled in phase 2. 550 participants received at least one dose of vaccine or alum only (n=71 for phase 1 and n=479 for phase 2; safety population). In the combined safety profile of phase 1 and phase 2, any adverse reactions within 28 days after injection occurred in 56 (26%) of 219 participants in the 1·5 µg group, 63 (29%) of 217 in the 3·0 µg group, and 27 (24%) of 114 in the alum-only group, without significant difference (p=0·55). Most adverse reactions were mild and moderate in severity. Injection site pain was the most frequently reported event (73 [13%] of 550 participants), occurring in 36 (16%) of 219 participants in the 1·5 µg group, 35 (16%) of 217 in the 3·0 µg group, and two (2%) in the alum-only group. As of June 12, 2021, only one serious adverse event of pneumonia has been reported in the alum-only group, which was considered unrelated to vaccination. In phase 1, seroconversion of neutralising antibody after the second dose was observed in 27 of 27 participants (100·0% [95% CI 87·2-100·0]) in the 1·5 µg group and 26 of 26 participants (100·0% [86·8-100·0]) in the 3·0 µg group, with the geometric mean titres of 55·0 (95% CI 38·9-77·9) and 117·4 (87·8-157·0). In phase 2, seroconversion was seen in 180 of 186 participants (96·8% [93·1-98·8]) in the 1·5 µg group and 180 of 180 participants (100·0% [98·0-100·0]) in the 3·0 µg group, with the geometric mean titres of 86·4 (73·9-101·0) and 142·2 (124·7-162·1). There were no detectable antibody responses in the alum-only groups. INTERPRETATION: CoronaVac was well tolerated and safe and induced humoral responses in children and adolescents aged 3-17 years. Neutralising antibody titres induced by the 3·0 µg dose were higher than those of the 1·5 µg dose. The results support the use of 3·0 µg dose with a two-immunisation schedule for further studies in children and adolescents. FUNDING: The Chinese National Key Research and Development Program and the Beijing Science and Technology Program.


Assuntos
Vacinas contra COVID-19/imunologia , COVID-19/prevenção & controle , SARS-CoV-2/imunologia , Vacinas de Produtos Inativados/imunologia , Adjuvantes Imunológicos/administração & dosagem , Adjuvantes Imunológicos/efeitos adversos , Adolescente , Anticorpos Neutralizantes/sangue , Anticorpos Antivirais/sangue , COVID-19/imunologia , Vacinas contra COVID-19/administração & dosagem , Vacinas contra COVID-19/efeitos adversos , Criança , Pré-Escolar , China , Relação Dose-Resposta Imunológica , Método Duplo-Cego , Feminino , Humanos , Imunização , Imunogenicidade da Vacina , Injeções Intramusculares , Masculino , Vacinas de Produtos Inativados/administração & dosagem , Vacinas de Produtos Inativados/efeitos adversos
5.
Nat Commun ; 11(1): 310, 2020 01 21.
Artigo em Inglês | MEDLINE | ID: mdl-31964862

RESUMO

Regulations currently in force enable to claim that the lead content in perovskite solar cells is low enough to be safe, or no more dangerous, than other electronics also containing lead. However, the actual environmental impact of lead from perovskite is unknown. Here we show that the lead from perovskite leaking into the ground can enter plants, and consequently the food cycle, ten times more effectively than other lead contaminants already present as the result of the human activities. We further demonstrate that replacing lead with tin represents an environmentally-safer option. Our data suggest that we need to treat the lead from perovskite with exceptional care. In particular, we point out that the safety level for lead content in perovskite-based needs to be lower than other lead-containing electronics. We encourage replacing lead completely with more inert metals to deliver safe perovskite technologies.


Assuntos
Compostos de Cálcio/normas , Chumbo/normas , Mentha spicata/efeitos dos fármacos , Óxidos/normas , Poluentes do Solo/normas , Níveis Máximos Permitidos , Titânio/normas , Compostos de Cálcio/química , Compostos de Cálcio/toxicidade , Eletrônica/normas , Chumbo/toxicidade , Óxidos/química , Óxidos/toxicidade , Solo/química , Poluentes do Solo/toxicidade , Energia Solar/normas , Titânio/química , Titânio/toxicidade
6.
Bioresour Technol ; 277: 128-135, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30665086

RESUMO

In view of the increasing concerns in antibiotics contamination, advanced technologies for antibiotics removal have been receiving widespread research attention in the fields of environmental sciences. This work has developed a series of amino-functionalized porous carbon materials (NH2-BPCs), via a facile chemical modification method, which have been found efficient for the removal of sulfonamide antibiotics from simulated wastewater. Studies on adsorption kinetics and isotherms of antibiotics in simulated aqueous phases indicated that the adsorption capacity of sulfadiazine (SDZ) by NH2-BPCs showed a large value under acidic conditions (pH < 5). Moreover, the adsorption rate constant of NH2-BPCs was greatly enhanced upon amino modification, which demonstrated faster and more effective adsorption efficiency for antibiotics removal. These results suggested that surface amino modification of porous carbons might be a viable pathway to increase the adsorption affinity and efficiency of antibiotics with great potentials for water remediation.


Assuntos
Antibacterianos/química , Biomassa , Carbono/química , Sulfonamidas/química , Águas Residuárias/química , Poluentes Químicos da Água/química , Adsorção , Cinética , Porosidade
7.
R Soc Open Sci ; 5(8): 180050, 2018 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-30225003

RESUMO

An extensive study of the spatial distribution characteristics of potentially harmful elements (PHEs) in tea (Camellia sinensis (L.) O. Kuntze) garden soils and ecological risk assessment at An'xi County, the birthplace of oolong tea in China, was implemented. A total of 78 soil samples were examined to determine the concentration of five PHEs (As, Cd, Cr, Hg and Pb), soil organic matter and pH by using geostatistical approaches combined with geographical information system analysis. All PHEs presented in the study area were slightly higher than their background values for provincial and national standards except Cr. Moreover, ecological risk assessment of PHEs in the tea garden soils at An'xi County was performed by means of the Håkanson method. The average ecological potential risk index (Er) of the five PHEs followed a descending order of Cd > Hg > Pb > As > Cr, and suggested a moderate ecological risk in the study area.

8.
Front Chem ; 5: 123, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-29326925

RESUMO

A family of new composite materials was successfully prepared through the deposition of as-synthesized CdS nanomaterials on lotus-seedpod-derived activated carbon (SAC). The SAC supports derived at different activation temperatures exhibited considerably large surface areas and various microstructures that were of great importance in enhancing photocatalytic performance of CdS@SAC composite materials toward the photodegradation of rhodamine B (RhB) under visible irradiation. The best-performing CdS@SAC-800 showed excellent photocatalytic activity with a rate constant of ca. 2.40 × 10-2 min-1, which was approximately 13 times higher than that of the CdS nanomaterials. Moreover, the estimated band gap energy of CdS@SAC-800 was significantly lowered down to 1.99 eV compared to that of the CdS precursor (2.22 eV), which suggested considerable strength of interface contact between the CdS and SAC support, as well as efficient light harvesting capacity of the composite material. Further photocatalytic study indicated that the SAC supports enhanced the separation of photogenerated electrons and holes in this system. Improved photocatalytic activity of the composite materials was largely due to the increased generation of catalytically active species such as h+, OH•, [Formula: see text] etc. This work provided a facile and low-cost pathway to fabricate photocatalysts for viable degradation of organic dye molecules.

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