A real-world exploratory study on the feasibility of vonoprazan and tetracycline dual therapy for the treatment of Helicobacter pylori infection in special populations with penicillin allergy or failed in previous amoxicillin-containing therapies

Background

The treatment of Helicobacter pylori (H. pylori) infection is a challenge for those who cannot use amoxicillin.

Objective

To evaluate the eradication rate and adverse effects of vonoprazan and tetracycline dual therapy as first-line and rescue treatment regimens used in special populations with penicillin allergy or failed in previous amoxicillin-containing therapies.

Design

Patients enrolled were those who were H. pylori-positive with selected conditions: (1) allergic to penicillin, either naïve to treatment or had failed before; or (2) failed in previous amoxicillin-containing therapies. All enrolled patients accepted 14-day vonoprazan and tetracycline dual therapy (VT dual therapy) as follows: vonoprazan (20 mg b.i.d.) and tetracycline (500 mg t.i.d. [body weight < 70 kg] or 500 mg q.i.d. [body weight ≥ 70 kg]). H. pylori status was evaluated by ¹³C-urease breath test 6 weeks after treatment. All adverse effects were recorded. Some patients underwent bacterial culture and antibiotic susceptibility testing.

Results

A total of 62 patients were enrolled; 18 of them received VT dual therapy as first-line treatment, 44 patients received VT dual therapy as rescue treatment. Overall, 58 of 62 patients achieved successful eradication (93.5%), while all involved (100%,18/18) succeeded in the first-line treatment group and 40 cases (90.9%, 40/44) succeeded in the rescue treatment group. Sixty-one (61/62, 98.4%) patients completed the whole course of treatment. Adverse events occurred in 6 patients (6/62, 9.7%), while one patient quit because of skin rash. All adverse effects were mild and relieved spontaneously after H. pylori treatment. Five patients achieved successful H. pylori culture, and all strains isolated were sensitive to tetracycline.

Conclusions

For the treatment of H. pylori infection in special populations with penicillin allergy or failed in previous amoxicillin-containing therapies, a 14-day vonoprazan and tetracycline dual therapy was effective and safe as first-line and rescue treatment in our study. Further study is warranted to verify its efficacy, especially for those who cannot use amoxicillin.     

Ribosomal DNA variation and its phylogenetic implication in the genusBrachypodium (Poaceae)

The structure of ribosomal DNA ofBrachypodium and several other grass species was investigated using a heterologous rDNA probe from wheat. Several different rDNA families were present among perennial and annual species within the genus. In contrast to the annual species the perennial species exhibited a very low degree of repeat length variation. An extra Eco RI site and a Hin dIII site were observed in the IGS, which distinguishedBrachypodium from other grass genera. The restriction fragment length polymorphism and length variation of the repeat units have taxonomic value withinBrachypodium and are correlated with the classification ofBrachypodium derived from other data.     

高产杀粉蝶菌素的链霉菌鉴定及其拮抗水稻白叶枯菌活性研究

【目的】为保证农业生产可持续性发展,研发和使用环境友好的生物农药受到全社会的高度重视。微生物代谢产物农药是我国目前应用最广的生物农药,也是未来发展绿色农药的一个重要方向。【方法】利用包含水稻白叶枯菌(Xanthomonas oryzae pv. oryzae, Xoo) PXO99A的NA培养基琼脂平板,从水稻根际土壤中筛选能抑制Xoo生长的链霉菌。通过高效液相色谱和质谱分析活性代谢产物的化学结构;采用剪叶法接种Xoo到水稻叶片后,再喷施杀粉蝶菌素溶液(0.1 g/L),2周后测定叶枯症状;采用响应面分析法优化高产杀粉蝶菌素的发酵培养基;采用PacBio SMRT测序平台+Illumina HiSeq X Ten平台开展全基因组测序。平均核苷酸一致性(average nucleotide identity,ANI)用于比较HSW2009与其他链霉菌在全基因组水平的亲缘关系。【结果】分离到一株对Xoo生长有强抑制活性的链霉菌HSW2009,其活性代谢产物为杀粉蝶菌素A1(piericidin A1,简称PIE);喷施PIE可以减轻Xoo在水稻叶片内的侵染;优化HSW2009高产PIE的发...     

细菌Ⅵ型分泌系统效应蛋白的装配及功能的研究进展

蛋白分泌作为细胞之间传递信号的途径之一,在微生物生存竞争中也扮演着重要的角色。革兰氏阴性菌可以通过Ⅵ型分泌系统(type Ⅵ secretion system, T6SS)将效应蛋白传递至胞外或原核和真核微生物中,从而介导微生物间的竞争或宿主-细菌的相互作用,最终建立竞争优势。本文主要总结了T6SS的结构与组成,并重点对效应蛋白的装配以及其与免疫蛋白的作用机制的研究进展进行阐述,为以后靶向T6SS抗菌药物的研制提供新思路。     

发酵乳杆菌CSC-19胞外粗多糖提取物抑制单核细胞增生李斯特菌生物被膜形成能力的研究

【目的】筛选能有效抑制单核细胞增生李斯特菌(Listeria monocytogenes,LM)形成生物被膜的乳酸菌,分析其活性成分并进行功能表征。【方法】采用结晶紫染色法筛选抑制LM形成生物被膜的不同乳酸菌提取物;通过酸中和、蛋白酶处理及热处理,推测抑制生物被膜活性物质以胞外多糖(extracellular crude polysaccharide,ECP)为主;乙醇沉淀法提取目标乳酸菌分离株胞外粗多糖,分析其抑制生物被膜形成活性和对LM生长的影响;运用激光共聚焦扫描显微镜(laser confocal scanning microscopy,LCSM)和扫描电子显微镜(scanning electron microscopy,SEM)观察胞外粗多糖对生物被膜细胞形态和结构的影响。【结果】发酵乳杆菌CSC-19发酵上清液对1516-2LM生物被膜的抑制率为81.7%;经热和蛋白酶处理后,发酵上清抑制生物被膜形成的活性未发生显著变化(P>0.05),表明发酵上清液中抑制生物被膜形成的物质可能为胞外多糖;在不抑制LM生长的条件下所提取的胞外粗多糖抑制生物被膜形成能力具有浓度依赖性。激光共聚焦扫描显微镜和扫描电子显微镜结果显示,胞外粗多糖显著抑制了生物被膜的形成能力,生物被膜三维、有组织的蜂窝状结构被破坏,仅有少量的粘附细胞分散于细胞爬片表面。【结论】发酵乳杆菌CSC-19胞外粗多糖能有效抑制LM生物被膜的形成,有望应用于高效防控该菌污染食品。     

Rapid and reliable high-performance liquid chromatographic method for analysing human plasma serotonin, 5-hydroxyindoleacetic acid, homovanillic acid and 3,4-dihydroxyphenylacetic acid

The simultaneous measurement of homovanillic acid, 3,4-dihydroxyphenylacetic acid, serotonin and 5-hydroxyindoleacetic acid in human plasma by an ultrafiltration and microbore high-performance liquid chromatography—electrochemical detection technique is established. Conventional preparation of blood is very tedious and time-consuming, but isocratic separation of the analytes in plasma ultrafiltrates using a microbore column could be achieved within 10 min. Hence, theoretically, over 140 analyses can be performed in a working day. The detection limit (signal-to-noise ratio = 3) of this method is about 0.1–0.5 pg per injection for all analytes. The required volume of plasma samples can be less than 100 μl. Hence, blood loss is minimal, especially in repeated blood sampling. This rapid, simple and sensitive method can, therefore, be used as a routine clinical tool in the simultaneous measurement of plasma homovanillic acid, 3,4-dihydroxyphenylacetic acid, serotonin and 5-hydroxyindoleacetic acid.     

宁夏银川平原沙化土地不同人工林土壤质量评价

沙化土地土壤贫瘠、生产力低,人工植被恢复是重要的土壤改良措施。为研究宁夏银川平原沙地不同人工林栽植对土壤的影响,以银川腹部沙地银川植物园沙化土壤恢复区的2017年3月种植的文冠果(Xanthoceras sorbifolium)和欧李(Cerasus humilis)人工林地为研究对象,以邻近的长期撂荒地为对照,对土壤质量进行了研究。2020年7—8月采集土样并测定了土壤物理、化学、生物学等20个指标作为土壤质量评价的总数据集,方差分析筛选出差异显著性的9个指标作为重要数据集指标,采用主成分分析法和Norm值建立土壤质量评价指标最小数据集(MDS),利用线性和非线性两种评分方法计算土壤质量指数(SQI)。结果表明：与长期撂荒地相比,银川平原沙化土壤恢复区人工文冠果、欧李林地的土壤理化性质较好,土壤砂粒百分比减少、粉粒和黏粒百分比有所增加,pH降低;有机质、全氮、全磷、全钾等主要养分指标提高,蔗糖酶、脲酶、纤维素酶等主要生物酶活性也高于撂荒地,筛选出的研究区土壤质量评价MDS指标为土壤粉粒百分比和全磷。2种评价方法下,文冠果和欧李人工恢复林地的SQI高于撂荒地,但提高不显著(P>0...     

2000—2019年四川省植被恢复成效与影响因素

国家实施天然林资源保护工程与退耕还林等生态建设工程,为构筑长江上游生态屏障、促进长江流域经济可持续发展做出了突出贡献;评估退耕还林等生态工程实施后植被恢复成效及影响因素是促进区域植被恢复优化与生态环境改善的关键一步。基于MODIS MOD13Q1数据,应用Theil Sen斜率与Mann-Kendall趋势检验、“基线”评价方法、时空地理加权回归模型等量化不同时间尺度的植被时空变化、恢复成效和恢复机制。结果表明(1)植被覆盖状况良好,截止2019年底,四川省91%的区域植被出现增长,四川盆地东北部、四川省南部地区以及东南部乌蒙山、川西北高原地区植被覆盖较高;成都市内以及周围市区植被覆盖率较低。(2)植被恢复成效时空差异显著,占全省面积98.68%的区域植被恢复成效明显,高值区面积占比71.47%,集中于除成都平原外的四川省绝大部分区域。(3)气候变化对植被变化的影响以不显著为主,气温、降水对四川省植被恢复影响微弱,海拔和>35°坡度面积比等地理环境因子则以弱抑制作用为主。(4)在相对平稳的气候背景下,人均财政支出、耕地面积与人均GDP所代表的社会经济因素是植被恢复成效改善的重要影...     

盐和重金属复合胁迫对翅碱蓬萌发与生长的影响及调控措施

为探究Zn、Cu与盐复合胁迫对翅碱蓬(Suaeda salsa)萌发生长的影响机理及其调控措施,以翅碱蓬为研究对象,采用水培试验方法,测定Zn、Cu和盐复合胁迫条件下翅碱蓬种子发芽率、萌发速率和幼苗渗透调节物质含量等指标,分析1.5 mg/L吲哚乙酸(IAA)、100 mg/L赤霉素(GA)和0.3%硝酸钾(KNO₃)处理对Zn、Cu与盐复合胁迫条件下翅碱蓬萌发与生长的影响。结果表明：(1) Zn、Cu与高盐复合胁迫极显著降低翅碱蓬种子的发芽率,中高浓度的Zn、Cu与盐复合胁迫极显著降低翅碱蓬种子的萌发速率,Zn、Cu和盐复合胁迫对翅碱蓬种子的萌发生长影响表现为低促高抑效应,影响因子间存在明显的协同效应;(2)Zn、Cu和盐复合胁迫条件下,随着盐浓度的升高,翅碱蓬幼苗体内过氧化氢酶(CAT)、过氧化物酶(POD)和超氧化物歧化酶(SOD)3种抗氧化酶活性呈先升高后降低的变化趋势,Zn、Cu和高盐复合胁迫使翅碱蓬幼苗体内丙二醛(MDA)含量增加近2.5倍;(3)1.5 mg/L IAA溶液浸种12 h可显著提高Zn、Cu与高盐复合胁迫条件下翅碱蓬种子的发芽率和萌发速...     

长三角地区植被覆盖演变城乡差异及其原因

城市生态环境和城市化之间的关系是城市可持续发展的关键。研究不同城市化水平下植被覆盖的长时间演变趋势,对理解城市化过程对植被生长动态的影响,城市更新以及推进城市绿化的科学管理具有重要意义。然而,目前对城市内部沿城乡梯度植被生长趋势差异的认识还比较有限。以我国城市化发展最为强烈的长三角地区为研究对象,基于2000-2020年长三角归一化植被指数数据,采用趋势分析和地理探测器方法,探究了长三角地区城市内部植被覆盖演变城乡差异,并从土地利用/覆被变化和城市化发展的角度解析其成因。研究结果表明：（1）2000-2020年长三角地区植被总体呈绿化趋势,植被明显绿化占最大比例（52.06%）,轻微绿化与稳定不变地区占31.68%,零星分布的褐化区占6.82%。（2）城市老城区植被覆盖变化总体呈现返绿趋势（0.016/10 a）,新城区褐化明显（-0.019/10 a）,农郊区绿化突出（0.023/10 a）。在上海、南京和杭州等人口城市化水平较高的城市中,老城区土地利用变化强度最高,其绿化趋势也最高,体现了城市更新过程对绿地空间的促进作用;而在人口城市化水平相对较低的宣城、蚌埠和阜阳等城市,土地利用变化强度相对较低的农郊区也呈现明显的绿化趋势,更多的是受到区域生态保护的影响。（3）土地城市化是长三角地区老城区和新城区植被覆盖变化的主导因子,而城市化因子对农郊区解释程度总体不显著。从长三角总体区域看,城镇人口比重、不透水面积/总面积以及地区生产总值三者对植被覆盖演变存在显著影响,其中城镇人口比重影响最大。