A case report of diagnosis and dynamic monitoring of Listeria monocytogenes meningitis with NGS.

Listeria monocytogenes (LM) infections of the central nervous system are deadly and have vague symptoms. Traditional cerebro spinal fluid culture has a low positive rate, and because antibiotic use is common following therapy, it is more challenging to assess the response from pathogen content. In this case, a 66-year-old man who had a fever, a headache, and vomit was admitted to the hospital. He had diabetes, decline in thyroid function, and a history of pituitary tumor removal surgery. His initial treatment with ribavirin, ceftriaxone antibiotic, and moxifloxacin did not go well. Using two etiological tests (culture and metagenomic next-generation sequencing [mNGS]), his cerebrospinal fluid tested positively for LM. Ampicillin-sulbactam and meropenem were used as treatments once LM meningitis was identified. After treatment, his cerebrospinal fluid was assessed once more. Culture: negative; targeted next-generation sequencing (tNGS): positive and shows changes in the copy number of the LM. After 44 days of treatment, the patient finally stopped taking antibiotics, and the prognosis was good. Our study showed that mNGS and tNGS, as novel approaches for pathogen detection, are capable of identifying pathogens quickly, sensitively, and accurately, especially when there are few infections present (such as after antibiotic treatment). The two methods can be a powerful assistance for helping clinicians to choose the best course of action.

Removal of disinfection byproducts through integrated adsorption and reductive degradation in a membrane-less electrochemical system.

Proper control/removal of disinfection byproducts (DBPs) is important to drinking water safety and human health. In this study, a membrane-less electrochemical system was developed and investigated to remove DPBs through integrated adsorption and reduction by granular activated carbon (GAC)-based cathode. Representative DPBs including trihalomethanes and haloacetonitriles at drinking water concentrations were used for removal experiments. The proposed system achieved >70% removal of most DBPs in a batch mode. The comparison with control tests under either open circuit or hydrolysis demonstrated the advantages of electrochemical treatment, which not only realized higher DPBs removal but also extended GAC cathode lifetime. Such advantages were further demonstrated with continuous treatment. High dechlorination and debromination efficiencies were obtained in both batch (82.2 and 94.3%) and continuous (79.3 and 87.6%) reactors. DBPs removal was mainly contributed by the electrochemical reduction and adsorption by the GAC-based cathode, while anode showed little oxidizing effect on DBPs and halide ions. Dehalogenated products of chloroform and dichloroacetonitrile were identified with toxicity reduction. The energy consumption of the continuously operated system was estimated to be 0.28 to 0.16 kWh m-3. The proposed system has potential applications for wastewater reuse or further purification of drinking water.

Formation of oxidation byproducts during electrochemical treatment of simulated produced water.

Electrochemical oxidation (EO) can effectively remove recalcitrant organic contaminants from produced water (PW) but the formation of toxic oxidation byproducts (OBPs) is an unintended consequence. This study has rigorously investigated the OBPs formation during the EO treatment of a simulated PW containing phenol - a common organic contaminant existing in PW, as a model contaminant. In the absence of ammonia, free chlorine was generated from Cl- oxidation to serve as the main oxidant for phenol oxidation. During the EO process, 2,4,6-trichlorophenol and 2,6-dichlorobenzoquinone were identified as the critical intermediates that led to the formation of carbonaceous OBPs (C-OBPs). Some C-OBPs like chloroform (TCM), chloral hydrate (CH), and trichloroacetic acid (TCAA) reached their peak concentrations of 15 - 180 µM that were then reduced to 1 - 115 µM via volatilization and/or electrochemical reduction. When ammonia was present, nitrogenous OBPs (N-OBPs) were formed with the peak levels of 1 - 10 µM at the chlorination breakpoint (when ammonia was completely removed) that were subsequently reduced below 1 uM via volatilization and/or hydrolysis. It was observed that ammonia significantly decreased the formation of both C-OBPs and chlorate due to the consumption of free chlorine. A higher current density accelerated OBPs formation rates with different effects on volatile and non-volatile OBPs. The results of this study will enhance our understanding of OBPs formation precursors and mechanisms during electrochemical process and help develop strategies for proper control of OBPs to achieve safer electrochemical wastewater treatment.

Melatonin protects against developmental PBDE-47 neurotoxicity by targeting the AMPK/mitophagy axis.

The neurotoxicity of 2,2',4,4'-tetrabromodiphenyl ether (PBDE-47) is closely linked to mitochondrial abnormalities while mitophagy is vital for mitochondrial homeostasis. However, whether PBDE-47 disrupts mitophagy contributing to impaired neurodevelopment remain elusive. Here, this study showed that neonatal PBDE-47 exposure caused learning and memory deficits in adult rats, accompanied with striatal mitochondrial abnormalities, neuronal apoptosis and the resultant neuronal loss. Mechanistically, PBDE-47 suppressed PINK1/Parkin-mediated mitophagy induction and degradation, inducing mitophagosome accumulation and mitochondrial dysfunction in vivo and in vitro. Additionally, stimulation of mitophagy by adenovirus-mediated Parkin or Autophagy-related protein 7 (Atg7) overexpression aggravated PBDE-47-induced mitophagosome accumulation, mitochondrial dysfunction, neuronal apoptosis and death. Conversely, suppression of mitophagy by the siRNA knockdown of Atg7 rescued PBDE-47-induced detrimental consequences. Importantly, melatonin, a hormone secreted rhythmically by the pineal, improved PBDE-47-caused neurotoxicity via preventing neuronal apoptosis and loss by restoring mitophagic activity and mitochondrial function. These neuroprotective effects of melatonin depended on activation of the AMP-activated protein kinase (AMPK)/Unc-51-like kinase 1 (ULK1) signaling. Collectively, these data indicate that PBDE-47 impairs mitophagy to perturb mitochondrial homeostasis, thus triggering apoptosis, leading to neuronal loss and consequent neurobehavioral deficits. Manipulation of the AMPK-mitophagy axis via melatonin could be a novel therapeutic strategy against developmental PBDE-47 neurotoxicity.

Systematical analysis of sludge treatment and disposal technologies for carbon footprint reduction.

This study aims to comprehensively analyze the Greenhouse Gases (GHGs) emissions from current sewage sludge treatment and disposal technologies (building material, landfill, land spreading, anaerobic digestion, and thermochemical processes) based on the database of Science Citation Index (SCI) and Social Science Citation Index (SSCI) from 1998 to 2020. The general patterns, spatial distribution, and hotspots were provided by bibliometric analysis. A comparative quantitative analysis based on life cycle assessment (LCA) put forward the current emission situation and the key influencing factors of different technologies. The effective GHG emissions reduction methods were proposed to mitigate climate change. Results showed that incineration or building materials manufacturing of highly dewatered sludge, and land spreading after anaerobic digestion have the best GHG emissions reduction benefits. Biological treatment technologies and thermochemical processes have great potential for reducing GHGs. Enhancement of pretreatment effect, co-digestion, and new technologies (e.g., injection of carbon dioxide, directional acidification) are major approaches to facilitate substitution emissions in sludge anaerobic digestion. The relationship between the quality and efficiency of secondary energy in thermochemical process and GHGs emission still needs further study. Solid sludge products generated by bio-stabilization or thermochemical processes are considered to have a certain carbon sequestration value and can improve the soil environment to control GHG emissions. The findings are useful for future development and processes selection of sludge treatment and disposal facing carbon footprint reduction.

Production of Dichloroacetonitrile from Derivatives of Isoxaflutole Herbicide during Water Treatment.

The herbicide isoxaflutole has the potential to contaminate drinking water directly, as well as upon hydrolyzing to its active form diketonitrile. Diketonitrile also may impact water quality by acting as a precursor for dichloroacetonitrile (DCAN), which is an unregulated but highly toxic disinfection byproduct (DBP). In this study, we investigated the reaction of diketonitrile with free chlorine and chloramine to form DCAN. We found that diketonitrile reacts with free chlorine within seconds but reacts with chloramine on the time scale of hours to days. In the presence of both oxidants, DCAN was generated at yields up to 100%. Diketonitrile reacted fastest with chlorine at circumneutral pH, which was consistent with base-catalyzed halogenation involving the enolate form of diketonitrile present at alkaline pH and electrophilic hypochlorous acid, which decreases in abundance above its pKa (7.5). In contrast, we found that diketonitrile reacts faster with chloramine as pH values decreased, consistent with an attack on the enolate by electrophilic protonated monochloramine that increases in abundance at acidic pH approaching its pKa (1.6). Our results indicate that increasing isoxaflutole use, particularly in light of the recent release of genetically modified isoxaflutole-tolerant crops, could result in greater occurrences of a high-yield DCAN precursor during disinfection.

Degradation of 4-chlorophenol through cooperative reductive and oxidative processes in an electrochemical system.

Electrochemical treatment can be an effective approach for degrading recalcitrant organic contaminants because its anode/cathode produces powerful oxidizing/reducing conditions. Herein, through the cooperation of the cathodic reductive and anodic oxidative processes, 4-chlorophenol (4-CP) was successfully degraded in an electrochemical system. TiO2 nanotube arrays (TNTAs)/Sb-SnO2 and TNTAs/Pd were successfully prepared and served as the anode and cathode electrodes, respectively, to generate oxidative (hydroxyl radical, ·OH) and reductive (chemically adsorbed hydrogen, Hads) agents. The sequential reduction-oxidation (SRO) process provided a reasonable degradation pathway that accomplished reductive detoxification in the cathode and oxidative mineralization in the anode. The SRO mode achieved dechlorination efficiency (DE) of 86.9 ± 3.9% and TOC removal efficiency of 64.8 ± 4.2% within 3 h and under a current density of 8 mA cm-2, both of which were significantly higher than those obtained in the sequential oxidation-reduction or the simultaneous redox modes. The increment of current density and reaction time could improve 4-CP degradation performance, but a high current density would decrease the cathode stability and a longer reaction time led to the generation of ClO4-. This study has demonstrated that sequential reduction-oxidation can be an effective and tunable process for degrading recalcitrant organic contaminants.

Effectiveness of Inactivated COVID-19 Vaccines Against Symptomatic, Pneumonia, and Severe Disease Caused by the Delta Variant: Real World Study and Evidence - China, 2021.

WHAT IS ALREADY KNOWN ABOUT THIS TOPIC?: Effectiveness of China's 2 inactivated vaccines (BBIBP-CorV and CoronaVac) against pre-Delta severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) variants ranged from 47% to over 90%, depending on the clinical endpoint, and with greater effectiveness against more severe coronavirus disease 2019 (COVID-19). During an outbreak in Guangdong, inactivated vaccine effectiveness (VE) against the Delta variant was 70% for symptomatic infection and 100% for severe COVID-19. However, separate or combined VE estimates for the two inactivated vaccines against Delta are not available. WHAT IS ADDED BY THIS REPORT?: In an outbreak that started in a hospital, VEs of completed primary vaccination with inactivated COVID-19 vaccines against symptomatic COVID-19, COVID-19 pneumonia, and severe COVID-19 caused by the Delta variant were 51%, 61%, and 82%. Completed primary vaccination reduced the risk of progressing from mild to moderate or severe COVID-19 by 74%. VE estimates for BBIBP-CorV and CoronaVac or combined vaccination were similar, and partial vaccination was ineffective. WHAT ARE THE IMPLICATIONS FOR PUBLIC HEALTH PRACTICE?: Completed primary vaccination with either of the 2 inactivated COVID-19 vaccines reduces risk of symptomatic COVID-19, COVID-19 pneumonia, and severe COVID-19 caused by the Delta variant. Completion of the completed primary vaccination with two doses is necessary for protection from Delta.

Application oriented bioaugmentation processes: Mechanism, performance improvement and scale-up.

Bioaugmentation is an optimization method with great potential to improve the treatment effect by introducing specific strains into the biological treatment system. In this study, a comprehensive review of the mechanism of bioaugmentation from the aspect of microbial community structure, the optimization methods facilitating application as well as feasible approaches of scale-up application has been provided. The different contribution of indigenous and exogenous strains was critically analyzed, the relationship between microbial community variation and system performance was clarified. Operation regulation and immobilization technologies are effective methods to deal with the possible failure of bioaugmentation. The gradual expansion from lab-scale, pilot scale to full-scale, the transformation and upgrading of wastewater treatment plants through the combination of direct dosing and biofilm, and the application of side-stream reactors are feasible ways to realize the full-scale application. The future challenges and prospects in this field were also proposed.

"Self-degradation" of 2-chlorophenol in a sequential cathode-anode cascade mode bioelectrochemical system.

A sequential cathode-anode cascade mode bioelectrochemical system (BES) was designed and developed to achieve the "self-degradation" of 2-chlorophenol (2-CP). With the cooperation of cathode and anode, the electrons supplied for the cathode 2-CP dechlorination come from its own dechlorinated product in the anode, phenol. Separate degradation experiments of cathode 2-CP and anode phenol were firstly conducted. The optimum concentration ratio of anode acetate to phenolic compound (3.66/1.56) and the phenolic compound degradation ability of BES were investigated. With the formation of the bioanode able to degrade phenol, the sequential cathode-anode cascade mode BES was further developed, where 2-CP could achieve sequential dechlorination and ring-cleavage degradation. When applied voltage was 0.6 V and cathode influent pH was 7, 1.56 mM 2-CP reached 80.15% cathode dechlorination efficiency and 58.91% total cathode-anode phenolic compounds degradation efficiency. The bioanodes played a decisive role in BES. Different operating conditions would affect the overall performance of BES by changing the electrochemical activity and microbial community structure of the bioanodes. This study demonstrated the feasibility of the sequential cathode-anode cascade mode BES to degrade 2-CP wastewater and provided perspectives for the cooperation of cathode and anode, aiming to explore more potential of BES in wastewater treatment field.

Impacts of PBDE-47 exposure before, during and after pregnancy on the maternal gut microbiome and its association with host metabolism.

Maternal gut microbiota play an important role in the modulation of offspring disease susceptibility and gut microbiota dysbiosis has been proposed as a mechanism through which toxic environmental chemicals exert their adverse impacts on health. The brominated flame retardants polybrominated diphenyl ethers (PBDEs) are developmental toxicants and induce dysbiotic gut microbiota in offspring. Yet, whether and how PBDEs impact the maternal gut microbiota remain unclear. Here, we sought to investigate the effect of 2,2',4,4'-tetrabromodiphenyl ether (PBDE-47) exposure from preconception through lactation cessation on maternal gut microbiota and its link to host serum metabolic consequences. Female Sprague-Dawley rats were daily exposed to 10 mg/kg PBDE-47 via oral gavage from ten days before conception until offspring were weaned on postnatal day 21, then maternal fecal and blood samples were collected for microbiome and metabolome analyses by using 16S ribosomal RNA gene sequencing and gas chromatography-mass spectrometry, respectively. Maternal exposure to PBDE-47 showed a distinct profile in gut microbiota compared to control dams, as evidenced by increased Actinobacteria phylum and genera Blautia, Gemella and Phascolarctobacterium, and decreased genera AF12 and Oscillospira. Additionally, global metabolomics analysis identified 26 differential serum metabolites to distinguish PBDE-47 from controls, which were mainly involved in amino acid, lipid, carbohydrate and energy metabolism, further confirmed by pathway analysis. Importantly, the differential serum metabolites are closely correlated with the disturbed gut microbiota in response to PBDE-47. Collectively, our results suggest that maternal gut microbial dysbiosis may serve as a potential mechanism underlying PBDE-47-elicited health hazards to mothers or even offspring.

Challenges and opportunities for the biodegradation of chlorophenols: Aerobic, anaerobic and bioelectrochemical processes.

Chlorophenols (CPs) are highly toxic and refractory contaminants which widely exist in various environments and cause serious harm to human and environment health and safety. This review provides comprehensive information on typical CPs biodegradation technologies, the most green and benign ones for CPs removal. The known aerobic and anaerobic degradative bacteria, functional enzymes, and metabolic pathways of CPs as well as several improving methods and critical parameters affecting the overall degradation efficiency are systematically summarized and clarified. The challenges for CPs mineralization are also discussed, mainly including the dechlorination of polychlorophenols (poly-CPs) under aerobic condition and the ring-cleavage of monochlorophenols (MCPs) under anaerobic condition. The coupling of functional materials and degraders as well as the operation of sequential anaerobic-aerobic bioreactors and bioelectrochemical system (BES) are promising strategies to overcome some current limitations. Future perspective and research gaps in this field are also proposed, including the further understanding of microbial information and the specific role of materials in CPs biodegradation, the potential application of innovative biotechnologies and new operating modes to optimize and maximize the function of the system, and the scale-up of bioreactors towards the efficient biodegradation of CPs.

Bioelectrochemical degradation of monoaromatic compounds: Current advances and challenges.

Monoaromatic compounds (MACs) are typical refractory organic pollutants which are existing widely in various environments. Biodegradation strategies are benign while the key issue is the sustainable supply of electron acceptors/donors. Bioelectrochemical system (BES) shows great potential in this field for providing continuous electrons for MACs degradation. Phenol and BTEX (Benzene, Toluene, Ethylbenzene and Xylenes) can utilize anode to enhance oxidative degradation, while chlorophenols, nitrobenzene and antibiotic chloramphenicol (CAP) can be efficiently reduced to less-toxic products by the cathode. However, there still have several aspects need to be improved including the scale, electricity output and MACs degradation efficiency of BES. This review provides a comprehensive summary on the BES degradation of MACs, and discusses the advantages, future challenges and perspectives for BES development. Instead of traditional expensive dual-chamber configurations for MACs degradation, new single-chamber membrane-less reactors are cost-effective and the hydrogen generated from cathodes may promote the anode degradation. Electrode materials are the key to improve BES performance, approaches to increase the biofilm enrichment and conductivity of materials have been discussed, including surface modification as well as composition of carbon and metal-based materials. Besides, the development and introduction of functional microbes and redox mediators, participation of sulfur/hydrogen cycling may further enhance the BES versatility. Some critical parameters, such as the applied voltage and conductivity, can also affect the BES performance, which shouldn't be overlooked. Moreover, sequential cathode-anode cascaded mode is a promising strategy for MACs complete mineralization.

Promotion of mitochondrial fusion protects against developmental PBDE-47 neurotoxicity by restoring mitochondrial homeostasis and suppressing excessive apoptosis.

Polybrominated diphenyl ethers (PBDEs)-induced neurotoxicity is closely associated with mitochondrial abnormalities. Mitochondrial fusion and fission dynamics are required for the maintenance of mitochondrial homeostasis. However, little is known about how PBDEs disrupt this dynamics and whether such disruption contributes to impaired neurodevelopment. Methods: We investigated the effects of 2, 2', 4, 4'-tetrabromodiphenyl ether (PBDE-47), the dominant congener in human samples, on mitochondrial fusion and fission dynamics using PC12 cells, a well-defined in vitro neurodevelopmental model. We also evaluated the effects of perinatal low-dose PBDE-47 exposure on hippocampal mitochondrial dynamics and its association with neurobehavioral changes in adult Sprague-Dawley rats. Results: In vitro, PBDE-47 disrupted mitochondrial dynamics by inhibiting mitochondrial fusion and fission simultaneously, accompanied by mitochondrial fragmentation, membrane potential dissipation, ATP loss, and apoptosis activation. Specifically, enhancing mitochondrial fusion by the chemical promoter M1 or adenovirus-mediated mitofusin 2 (Mfn2) overexpression rescued PBDE-47-caused mitochondrial dynamic, morphological and functional impairments, prevented the resultant apoptosis and promoted neuronal survival. Unexpectedly, either stimulating mitochondrial fission by adenovirus-mediated fission protein 1 (Fis1) overexpression or suppressing mitochondrial fission by the mitochondrial division inhibitor-1 (Mdivi-1) failed to reverse whereas aggravated PBDE-47-induced mitochondrial damage and neuronal death. Importantly, promoting mitochondrial fusion by Mfn2 overexpression neutralized the detrimental effects elicited by Fis1 overexpression after PBDE-47 treatment. Finally, perinatal oral administration of PBDE-47 elicited neurobehavioral deficits and hippocampal neuronal loss via apoptosis in adult rats, which were associated with mitochondrial dynamics alterations manifested as a fragmented phenotype. Conclusion: Our results suggest that PBDE-47 disrupts mitochondrial dynamics to induce mitochondrial abnormalities, triggering apoptosis and thus contributing to neuronal loss and subsequent neurobehavioral deficits. Targeting mitochondrial fusion may be a promising therapeutic intervention against PBDE-47 neurotoxicity.

Perigestational low-dose BDE-47 exposure alters maternal serum metabolome and results in sex-specific weight gain in adult offspring.

Emerging evidence suggests environmental contaminant exposures during critical windows of development may contribute to the increasing prevalence of obesity. It has been shown that early life polybrominated diphenyl ethers exposures have critical impacts on child weight trajectories, however, little is known about their maternal mechanisms responsible for offspring obesity development. In this study, we investigated the effects of perigestational low-dose 2, 2', 4, 4'-tetrabromodiphenyl ether (BDE-47) exposure on maternal metabolome, and its possible link to adult offspring bodyweight changes. Female Sprague-Dawley rats were exposed to daily doses of 0.1, or 1 mg/kg BDE-47 from 10 days prior to conception until offspring were weaned on postnatal day 21, and then a gas chromatography-mass spectrometry based metabolomics analysis was used to uncover the global metabolic response in dams. The pups continued to grow into adulthood for measurements of bodyweight. Perigestational BDE-47 exposure caused increased adult bodyweight in male but not in female offspring and dams. Metabolomics revealed significant changes in maternal serum metabolites that clearly distinguish BDE-47 from control rats. These differentially expressed metabolites were primarily implicated in amino acid, lipid, carbohydrate, and energy metabolisms, which was confirmed by pathway analysis. Importantly, most of these identified metabolites were decreased, a state similar to maternal malnutrition that can predispose adult male offspring to weight increase and adiposity in a postnatal environment with abundant calories. Collectively, our data suggest that perigestational exposure to low-dose BDE-47 produces altered maternal serum metabolome, which may be an additional contributing factor to weight gain in adult male offspring.

Significant sex-based outcome differences in severely injured Chinese trauma patients.

A body of experimental evidence suggests that the female sex is associated with a lower risk of mortality after trauma-hemorrhage. However, controversy remains regarding the mechanism responsible for these differences and if basic science findings correspond to clinical differences. Racial disparities in trauma outcomes have also been increasingly described. Until now, research on the association between sex and trauma patient outcomes mainly focused on patients in Europe and the United States. Our research attempted to determine whether the female sex is associated with a survival advantage among severely injured Chinese trauma patients. A retrospective analysis of data derived from the Emergency Intensive Care Unit of the Shanghai Sixth People';s Hospital Acute Trauma Center during 2010 to 2013 was performed to characterize differences in sex-based outcomes after severe blunt trauma. The patient study cohort (858 Asian subjects) was then stratified by age and injury severity (using the Injury Severity Score [ISS]). Crude and adjusted odds ratios (ORs) were calculated to evaluate the association between sex and nosocomial infection rate and hospitalized mortality, both overall and by age and ISS category subgroups. Among all trauma patients, females had a significantly lower risk of in-hospital mortality compared with males (OR, 0.41; 95% confidence interval [95% CI], 0.20 - 0.85). This difference was most apparent for patients younger than 50 years (OR, 0.31; 95% CI, 0.12 - 0.82) and the group with ISS scores of 25 or higher (OR, 0.39; 95% CI, 0.17 - 0.91). No differences in the development of nosocomial infections between sexes were seen among the overall patient group and subgroups. This study revealed a statistically significant association between sex and mortality among severe blunt trauma patients, particularly those patients younger than 50 years and with ISSs of 25 or higher. Women had significantly lower mortality than men after severe blunt trauma. These results highlight the important role of sex hormones and sex-based outcome differences after severe traumatic injury in the Chinese population.