4.7 Article

Clinical metagenomic sequencing for diagnosis of pulmonary tuberculosis

期刊

JOURNAL OF INFECTION
卷 81, 期 4, 页码 567-574

出版社

W B SAUNDERS CO LTD
DOI: 10.1016/j.jinf.2020.08.004

关键词

Metagenomic sequencing; Pulmonary tuberculosis; GeneXpert; Community-acquired pneumonia; NTM; Bronchoalveolar lavage fluid

资金

  1. Science and Technology Plan of Suzhou, China [SYS201778, SYSD2018193, SYS2019111, SS201880]
  2. High-level Health Talents in Jiangsu Province [LGY2019014]

向作者/读者索取更多资源

Objectives:: The aim of this study is to investigate the clinical usefulness of metagenomic Next-generation sequencing (mNGS) on bronchoalveolar lavage fluid (BALF) samples to discriminate pulmonary tuberculosis (PTB) from Non-TB community-acquired pneumonia (CAP) in PTB suspects. Methods:: We investigate the performance of mNGS on BALF samples from 110 PTB suspects, in comparison with conventional microbiological testing (solid media culture, acid-fast bacilli staining (AFS), Xpert) of BALF or sputum samples and final clinical diagnosis. Results:: We finally clinically diagnosed 48 cases of pulmonary tuberculosis patients and 62 cases of nontuberculosis patients. Comparing to the final clinical diagnosis, mNGS produced a sensitivity of 47.92%, which was similar to that of Xpert (45.83%) and culture (46.81%), but much higher than that of AFS (29.17%) for TB diagnosis in BALF samples. Apart from detecting Mycobacterium tuberculosis, mNGS also identified mixed infections in PTB patients, including 3 fungal cases and 1 bacteria case. Meanwhile, mNGS efficiently identified 14 of 22 (63.63%) cases of non-tuberculous mycobacteria (NTM), 7 cases of fungi, 1 case of viral infection, and other common bacterial pathogens in Non-PTB group. Finally, mNGS identified 67.23% infection cases within 3 days, while the conventional methods identified 49.58% infection cases for over 90 days. Conclusion:: Our data show that mNGS of BALF represents a potentially effective tool for the rapid diagnosis of PTB suspects. (C) 2020 The British Infection Association. Published by Elsevier Ltd. All rights reserved.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.7
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

Article Chemistry, Multidisciplinary

Exosome-based drug delivery systems in cancer therapy

Tianqi Wang, Yanan Fu, Shengjie Sun, Chenyi Huang, Yunfei Yi, Junqing Wang, Yang Deng, Meiying Wu

Summary: This review summarizes the important role of exosomes, such as extracellular vesicles, in cell-to-cell communication, especially in the tumor microenvironment, where exosomes serve as key pathways for the transfer of proteins, nucleic acids, and small molecules between different types of cells. The applications of exosomes as drug delivery systems in cancer therapy are classified based on the cell source of the exosomes, including normal cells, immune cells, and tumor cells. Different modifications of exosomes and methods of drug loading are presented. Finally, the challenges that hinder the clinical translation of exosomes are discussed.

CHINESE CHEMICAL LETTERS (2023)

Article Chemistry, Multidisciplinary

Synergistic chemical and electrochemical strategy for high-performance Zn//MnO2 batteries

Mingming Han, Jingjing Yao, Jiwu Huang, Yan Tang, Xianwen Wu, Bingan Lu, Jiang Zhou

Summary: Aqueous rechargeable Zn//MnO2 batteries are a promising candidate for future energy storage systems due to their economic and environmental advantages. However, poor reaction kinetics and capacity degradation hinder the performance of Zn//MnO2 batteries. This study demonstrates that defects engineering and phase transformation can enhance ion/charge transfer kinetics and structural stability, leading to a high discharge capacity of 285 mAh/g and capacity retention of 81% after 500 cycles in the aqueous Zn//A-MnO2 system.

CHINESE CHEMICAL LETTERS (2023)

Article Chemistry, Multidisciplinary

Advances of nanoparticles as drug delivery systems for disease diagnosis and treatment

Rui Liu, Cong Luo, Zhiqing Pang, Jinming Zhang, Shaobo Ruan, Meiying Wu, Lei Wang, Tao Sun, Nan Li, Liang Han, Jinjin Shi, Yuanyu Huang, Weisheng Guo, Shaojun Peng, Wenhu Zhou, Huile Gao

Summary: Decades have passed since the approval of the first nanoparticles-based medicine for human cancer treatment, and research and development in nanoparticles for drug delivery have been continuing. Today, there have been significant advancements in nanoparticles, including liposomes, solid lipid nanoparticles, inorganic nanoparticles, micelles, nanovaccines, and nano-antibodies. These nanoparticles have shown great potential in the treatment and diagnosis of challenging diseases such as cancer and neurodegenerative diseases, making them promising drug carriers and therapeutic agents in the future.

CHINESE CHEMICAL LETTERS (2023)

Review Cell Biology

Ferroptosis: From regulation of lipid peroxidation to the treatment of diseases

Yonghui Lv, Meiying Wu, Zhe Wang, Junqing Wang

Summary: Ferroptosis is a regulated cell death caused by iron-dependent lipid peroxide accumulation. The imbalance of intracellular oxidative systems and antioxidant systems is the main cause, regulated by a complex network. Cancer cells with resistance to apoptosis and chemotherapeutics are prone to ferroptosis, making it a potential strategy for eliminating cancer cells. Ferroptosis is also linked to other diseases such as neurological disorders and ischemia-reperfusion injury, providing new insights for clinical treatment.

CELL BIOLOGY AND TOXICOLOGY (2023)

Article Chemistry, Physical

Isolated transition metal nanoparticles anchored on N-doped carbon nanotubes as scalable bifunctional electrocatalysts for efficient Zn-air batteries

Baohua Zhang, Meiying Wu, Liang Zhang, Yun Xu, Weidong Hou, Huazhang Guo, Liang Wang

Summary: In this study, a one-step carbonization strategy was designed to synthesize Co nanoparticles supported on N-doped carbon nanotubes (Co/CNT) with excellent bifunctional electrocatalytic performance. The Co/CNT material exhibited long-term durability in the oxygen reduction reaction and oxygen evolution reaction, and was successfully applied in a rechargeable Zn-air battery.

JOURNAL OF COLLOID AND INTERFACE SCIENCE (2023)

Article Chemistry, Multidisciplinary

Reconfigurable Peptide Analogs of Apolipoprotein A-I Reveal Tunable Features of Nanodisc Assembly

Daiyun Xu, Xu Chen, Yongxiao Li, Zhidong Chen, Wanting Xu, Xinpei Wang, Yonghui Lv, Zhe Wang, Meiying Wu, Gang Liu, Junqing Wang

Summary: Nanodiscs (NDs) formed by apoA-I peptides can be designed with different diameters through varying factors such as the number of tandem repeats, sequence composition, and lipid-to-APA ratio. Proline is dispensable for APA-ND formation, but its substitution can induce smaller NDs and larger NDs depending on the lipid ratio. Proline-tryptophan residues play a dominant role in forming larger NDs. Molecular simulation analysis shows that enriched basic and acidic residues in APAs enhance the structural stability of APA-NDs through hydrogen-bond and salt bridge networks.

LANGMUIR (2023)

Article Engineering, Biomedical

Hyperthermia-triggered NO release base d on Cu-dope d polypyrrole for synergistic catalytic/gas cancer therapy

Chenyi Huang, Jia Tang, Yuanqi Liu, Ting Chen, Junyang Qi, Shengjie Sun, Huisong Hao, Weiwei Zeng, Jing Zhao, Meiying Wu

Summary: This study developed a multifunctional nanocatalyst Cu-doped polypyrrole (CuP) as an intelligent nanoplatform to deliver the NO precursor BNN6 and specifically release NO in tumors. Through the synergistic effect of hyperthermia, oxidative damage, and NO burst, almost complete tumor elimination is achieved in vivo.

ACTA BIOMATERIALIA (2023)

Article Microbiology

Novel Clinical mNGS-Based Machine Learning Model for Rapid Antimicrobial Susceptibility Testing of Acinetobacter baumannii

Xuejiao Hu, Yunhu Zhao, Peng Han, Suling Liu, Weijiang Liu, Cong Mai, Qianyun Deng, Jing Ren, Jiajie Luo, Fangyuan Chen, Xuefeng Jia, Jing Zhang, Guanhua Rao, Bing Gu

Summary: Multidrug-resistant (MDR) bacteria are a significant public health concern, and the current antibiotic susceptibility testing (AST) methods are time-consuming and can lead to delays in treatment and increased mortality. In this study, we developed a machine learning model using Acinetobacter baumannii as an example to explore a fast AST method using metagenomic next-generation sequencing (mNGS) data. The model accurately predicted antimicrobial resistance (AMR) signatures and antibacterial phenotypes, and the mNGS-based AST approach reduced reporting time significantly compared to culture-based AST methods. This model has the potential to be used for rapid genotypic AST and improve rational antimicrobial usage.

JOURNAL OF CLINICAL MICROBIOLOGY (2023)

Article Biochemical Research Methods

Peptide-based siRNA delivery system for tumor vascular normalization and gene silencing in 4T1 cells

Yunfei Yi, Chan Feng, Mian Yu, Lin Mei, Meiying Wu, Wei Tao

Summary: Efficient gene delivery in an integrated drug delivery system is crucial for multimodal antitumor therapy. This study presents a protocol for constructing a peptide-based siRNA delivery system that achieves tumor vascular normalization and gene silencing in 4T1 cells. The system highlights four major steps and has the potential to silence gene expression and perform other treatments based on different peptide segments.

STAR PROTOCOLS (2023)

Article Chemistry, Multidisciplinary

Human-Hair-Derived Natural Particles as Multifunctional Sunscreen for Effective UV Protection

Sheng Hong, Zhangwen Peng, Meiying Wu, Yichu Nie, Yunfei Yi, Hui Cai, Xian-Zheng Zhang

Summary: Extraction of multifunctional particles from human hair provides an ingenious tactic for the design and development of sunscreens, which can effectively protect skin from UV radiation and prevent potential toxicity.

ACS NANO (2023)

Article Microbiology

Direct prediction of carbapenem resistance in Pseudomonas aeruginosa by whole genome sequencing and metagenomic sequencing

Bing Liu, Jianpeng Gao, Xue Fei Liu, Guanhua Rao, Jiajie Luo, Peng Han, Weiting Hu, Ze Zhang, Qianqian Zhao, Lizhong Han, Zhi Jiang, Min Zhou

Summary: This study successfully achieved the direct prediction of carbapenem resistance in Pseudomonas aeruginosa through the selection of key gene features and construction of machine learning models. The prediction was validated in clinical samples using metagenomic sequencing technology, providing assistance in timely treatment and surveillance of carbapenem-resistant Pseudomonas aeruginosa.

JOURNAL OF CLINICAL MICROBIOLOGY (2023)

Correction Chemistry, Multidisciplinary

Cu-Doped Polypyrrole with Multi-Catalytic Activities for Sono-Enhanced Nanocatalytic Tumor Therapy (vol 18, 2202964, 2022)

Ting Chen, Weiwei Zeng, Yuanqi Liu, Mian Yu, Chenyi Huang, Zhaoqing Shi, Chuchu Lin, Jia Tang, Lin Mei, Meiying Wu

Correction Multidisciplinary Sciences

Tumor Microenvironment-Specific Chemical Internalization for Enhanced Gene Therapy of Metastatic Breast Cancer (vol 2021, 9760398, 2021)

Yun Zhou, Mian Yu, Changjun Tie, Yang Deng, Junqing Wang, Yunfei Yi, Fan Zhang, Chenyi Huang, Hairong Zheng, Lin Mei, Meiying Wu

RESEARCH (2023)

Review Pharmacology & Pharmacy

Translational Challenges and Prospective Solutions in the Implementation of Biomimetic Delivery Systems

Zhe Wang, Xinpei Wang, Wanting Xu, Yongxiao Li, Ruizhi Lai, Xiaohui Qiu, Xu Chen, Zhidong Chen, Bobin Mi, Meiying Wu, Junqing Wang

Summary: Biomimetic delivery systems (BDSs) are a groundbreaking paradigm in nanomedicine inspired by the designs of biological systems. They offer targeted delivery, minimized side effects, and enhanced therapeutic outcomes. However, their translation to clinical applications faces challenges in reproducibility, physiological stability, and rigorous efficacy and safety evaluations. Collaborative interdisciplinary research and reevaluation of regulatory frameworks are necessary for successful clinical translation.

PHARMACEUTICS (2023)

Article Cell Biology

Effect of Wnt10a/ß-catenin signaling pathway on promoting the repair of different types of dentin-pulp injury

Yue Li, Meiying Wu, Xinyu Xing, Xingxing Li, Congchong Shi

Summary: This study investigates the repair process of dentin-pulp injuries and the role of the Wnt10a/ss-β-catenin signaling pathway. The activation of this pathway was found to promote proliferation and odontoblast differentiation of dental pulp stem cells. The findings contribute to a better understanding of the mechanisms involved in dentin-pulp injury repair and provide new insights for future studies on tooth regeneration.

IN VITRO CELLULAR & DEVELOPMENTAL BIOLOGY-ANIMAL (2023)

暂无数据