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基于大样本量的亚型及治疗前耐药分析,更准确地掌握江苏省HIV-1流行亚型,更真实地评估江苏省治疗前耐药水平并为抗病毒治疗的开展提供依据收集2017年全年全江苏省新报告感染者治疗前血样.逆转录PCR扩增HIV-1蛋白酶区(pol)基因并送测序.ChromasPro剪辑,拼接,合成序列.MEGA7做序列比对并构建进化树分析亚型.序列在线比对耐药位点.治疗前耐药分析,耐药率达16.3%.蛋白酶区(PR)主要耐药位点是L33F,占44.4%.核苷酸逆转录酶区(NRTI)主要耐药位点是M184位点变异,占35%.非核苷酸逆转录酶区(NNRTI)耐药位点主要是V179位点变异,占59.2%.CRF01_AE亚型(456,37.7%)和CRF07_BC亚型(381,31.6%)仍为江苏省主要流行亚型;不同的是复杂重组体(CPXs)和独特重组体(URFs)数量极速上升至第三位(241,19.9%).江苏省HIV-1复杂重组体大量出现,提示新人病毒或病毒交叉重组频繁,艾滋病的防制依然任重道远.在治疗前耐药比例大幅上升的情况下,治疗前耐药检测成为个体选择抗病毒治疗方案的关键.  相似文献   
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Liao  Jingqiu  Cai  Yan  Wang  Xinrui  Shang  Chenxu  Zhang  Qian  Shi  Huizhong  Wang  Shifeng  Zhang  Dongdong  Zhou  Yongcan 《Probiotics and antimicrobial proteins》2021,13(4):1119-1137
Probiotics and Antimicrobial Proteins - A potential host-derived probiotic, Bacillus subtilis 6-3-1, was successfully screened from 768 isolates from the intestines of healthy hybrid grouper...  相似文献   
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Tumour-derived DNA found in the plasma of cancer patients provides the probability to detect somatic mutations from circulating cell-free DNA (cfDNA) in plasma samples. However, clonal hematopoiesis (CH) mutations affect the accuracy of liquid biopsy for cancer diagnosis and treatment. Here, we integrated landscape of CH mutations in 11,725 pan-cancer patients of Chinese and explored effects of CH on liquid biopsies in real-world. We first identified 5933 CHs based on panel sequencing of matched DNA of white blood cell and cfDNA on 301 genes for 5100 patients, in which CH number of patients had positive correlation with their diagnosis age. We observed that canonical genes related to CH, including DNMT3A, TET2, ASXL1, TP53, ATM, CHEK2 and SF3B1, were dominant in the Chinese cohort and 13.29% of CH mutations only appeared in the Chinese cohort compared with the Western cohort. Analysis of CH gene distribution bias indicated that CH tended to appear in genes with functions of tyrosine kinase regulation, PI3K-Akt signalling and TP53 activity, suggesting unfavourable effects of CH mutations in cancer patients. We further confirmed effect of driver genes carried by CH on somatic mutations in liquid biopsy of cancer patients. Forty-eight actionable somatic mutations in 17 driver genes were considered CH genes in 92 patients (1.80%) of the Chinese cohort, implying potential impacts of CH on clinical decision-making. Taken together, this study exhibits strong evidence that gene mutations from CH interfere accuracy of liquid biopsies using cfDNA in cancer diagnosis and treatment in real-world.  相似文献   
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Composting is widely used to reduce the abundance of antibiotic resistance genes (ARGs) in solid waste. While ARG dynamics have been extensively investigated during composting, the fate and abundance of residual ARGs during the storage remain unexplored. Here, we tested experimentally how ARG and mobile genetic element (MGE) abundances change during compost storage using metagenomics, quantitative PCR and direct culturing. We found that 43.8% of ARGs and 39.9% of MGEs quickly recovered already during the first week of storage. This rebound effect was mainly driven by the regrowth of indigenous, antibiotic-resistant bacteria that survived the composting. Bacterial transmission from the surrounding air had a much smaller effect, being most evident as MGE rebound during the later stages of storage. While hyperthermophilic composting was more efficient at reducing the relative abundance of ARGs and MGEs, relatively greater ARG rebound was observed during the storage of hyperthermophilic compost, exceeding the initial levels of untreated sewage sludge. Our study reveals that residual ARGs and MGEs left in the treated compost can quickly rebound during the storage via airborne introduction and regrowth of surviving bacteria, highlighting the need to develop better storage strategies to prevent the rebound of ARGs and MGEs after composting.  相似文献   
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