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1.
Nat Med ; 29(5): 1146-1154, 2023 05.
Artigo em Inglês | MEDLINE | ID: mdl-37169862

RESUMO

Obesity is associated with an increased risk of severe Coronavirus Disease 2019 (COVID-19) infection and mortality. COVID-19 vaccines reduce the risk of serious COVID-19 outcomes; however, their effectiveness in people with obesity is incompletely understood. We studied the relationship among body mass index (BMI), hospitalization and mortality due to COVID-19 among 3.6 million people in Scotland using the Early Pandemic Evaluation and Enhanced Surveillance of COVID-19 (EAVE II) surveillance platform. We found that vaccinated individuals with severe obesity (BMI > 40 kg/m2) were 76% more likely to experience hospitalization or death from COVID-19 (adjusted rate ratio of 1.76 (95% confidence interval (CI), 1.60-1.94). We also conducted a prospective longitudinal study of a cohort of 28 individuals with severe obesity compared to 41 control individuals with normal BMI (BMI 18.5-24.9 kg/m2). We found that 55% of individuals with severe obesity had unquantifiable titers of neutralizing antibody against authentic severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus compared to 12% of individuals with normal BMI (P = 0.0003) 6 months after their second vaccine dose. Furthermore, we observed that, for individuals with severe obesity, at any given anti-spike and anti-receptor-binding domain (RBD) antibody level, neutralizing capacity was lower than that of individuals with a normal BMI. Neutralizing capacity was restored by a third dose of vaccine but again declined more rapidly in people with severe obesity. We demonstrate that waning of COVID-19 vaccine-induced humoral immunity is accelerated in individuals with severe obesity. As obesity is associated with increased hospitalization and mortality from breakthrough infections, our findings have implications for vaccine prioritization policies.


Assuntos
COVID-19 , Obesidade Mórbida , Humanos , Vacinas contra COVID-19 , Estudos Longitudinais , Estudos Prospectivos , COVID-19/epidemiologia , COVID-19/prevenção & controle , SARS-CoV-2 , Obesidade/epidemiologia , Anticorpos Neutralizantes , Anticorpos Antivirais , Vacinação
2.
Opt Express ; 29(18): 29095-29106, 2021 Aug 30.
Artigo em Inglês | MEDLINE | ID: mdl-34615026

RESUMO

We demonstrate a dual-material integrated photonic thermometer, fabricated by high accuracy micro-transfer printing. A freestanding diamond micro-disk resonator is printed in close proximity to a gallium nitride on a sapphire racetrack resonator, and respective loaded Q factors of 9.1 × 104 and 2.9 × 104 are measured. We show that by using two independent wide-bandgap materials, tracking the thermally induced shifts in multiple resonances, and using optimized curve fitting tools the measurement error can be reduced to 9.2 mK. Finally, for the GaN, in a continuous acquisition measurement we record an improvement in minimum Allan variance, occurring at an averaging time four times greater than a comparative silicon device, indicating better performance over longer time scales.

3.
J Chem Phys ; 154(6): 064303, 2021 Feb 14.
Artigo em Inglês | MEDLINE | ID: mdl-33588534

RESUMO

Polyaluminum cations, such as the MAl12 Keggin, undergo atomic substitutions at the heteroatom site (M), where nanoclusters with M = Al3+, Ga3+, and Ge4+ have been experimentally studied. The identity of the heteroatom M has been shown to influence the structural and electronic properties of the nanocluster and the kinetics of ligand exchange reactions. To date, only three ε-analogs have been identified, and there is a need for a predictive model to guide experiment to the discovery of new MAl12 species. Here, we present a density functional theory (DFT) and thermodynamics approach to predicting favorable heteroatom substitution reactions, alongside structural analyses on hypothetical ε-MAl12 nanocluster models. We delineate trends in energetics and geometry based on heteroatom cation properties, finding that Al3+-O bond lengths are related to heteroatom cation size, charge, and speciation. Our analyses also enable us to identify potentially isolable new ε-MAl12 species, such as FeAl12 7+. Based upon these results, we evaluated the Al3+/Zn2+/Cr3+ system and determined that substitution of Cr3+ is unfavorable in the heteroatom site but is preferred for Zn2+, in agreement with the experimental structures. Complimentary experimental studies resulted in the isolation of Cr3+-substituted δ-Keggin species where Cr3+ substitution occurs only in the octahedral positions. The isolated structures Na[AlO4Al9.6Cr2.4(OH)24(H2O)12](2,6-NDS)4(H2O)22 (δ-CrnAl13-n-1) and Na[AlO4Al9.5Cr2.5(OH)24(H2O)12](2,7-NDS)4(H2O)18.5 (δ-CrnAl13-n-2) are the first pieces of evidence of mixed Al3+/Cr3+ Keggin-type nanoclusters that prefer substitution at the octahedral sites. The δ-CrnAl13-n-2 structure also exhibits a unique placement of the bound Na+ cation, which may indicate that Cr3+ substitution can alter the surface reactivity of Keggin-type species.

4.
Angew Chem Int Ed Engl ; 60(16): 8755-8759, 2021 Apr 12.
Artigo em Inglês | MEDLINE | ID: mdl-33482020

RESUMO

Keggin-type polyaluminum cations belong to a unique class of compounds with their large positive charge, hydroxo bridges, and divergent isomerization/oligomerization. Previous reports indicated that oligomerization of this species can only occur through one isomer (δ), but herein we report the isolation of largest Keggin-type cluster that occurs through self-condensation of four ϵ-isomers ϵ-GeAl12 8+ to form [Ge4 O16 Al48 (OH)108 (H2 O)24 ]20+ cluster (Ge4 Al48 ). The cluster was crystallized and structurally characterized by single-crystal X-ray diffraction (SCXRD) and the elemental composition was confirmed by ICP-MS and SEM-EDS. Additional dynamic light scattering experiments confirms the presence of the Ge4 Al48 in thermally aged solutions. DFT calculations reveal that a single atom Ge substitution in tetrahedral site of ϵ-isomer is the key for the formation of Ge4 Al48 because it activates deprotonation at key surface sites that control the self-condensation process.

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