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1.
Mol Neurobiol ; 2024 May 27.
Article in English | MEDLINE | ID: mdl-38801629

ABSTRACT

Dementia is a syndrome exhibiting progressive impairments on cognition and behavior beyond the normal course of aging, and Alzheimer's disease (AD) is one of the neurodegenerative diseases known to cause dementia. We investigated the effect of KGC07EH, the 30% ethanol extract of Euonymus hamiltonianus, against amyloid-ß (Aß) production and cognitive dysfunction in dementia models. KGC07EH was treated on Hela cells expressing the Swedish mutant form of amyloid precursor protein (APP), and the AD triple transgenic (3× TG) mice were given KGC07EH orally during 11-14 months of age (100 and 300 mg/kg/day). SH-SY5Y cell line was used to test KGC07EH on scopolamine-induced elevation of acetylcholinesterase (AChE) activity. ICR mice were intraperitoneally injected with scopolamine, and KGC07EH was administered orally (50, 100, and 200 mg/kg/day) for 4 weeks. KGC07EH treatment decreased Aß, sAPPß-sw, and sAPPß-wt levels and APP protein expressions while sAPPα was increased in Swedish mutant-transfected HeLa cells. KGC07EH treatment also significantly reduced the accumulation of Aß plaques and tau tangles in the brain of 3× TG mice as well as improving the cognitive function. In SH-SY5Y cells cultured with scopolamine, KGC07EH dose-dependently attenuated the increase of AChE activity. KGC07EH also improved scopolamine-induced learning and memory impairment in scopolamine-injected mice, and in their cerebral cortex and hippocampus, the expression levels of p-ERK, p-CREB, p-Akt, and BDNF were attenuated. KGC07EH inhibits APP processing and Aß production both in vitro and in vivo, while enhancing acetylcholine signaling and cognitive dysfunction which are the major symptoms of dementia.

2.
RSC Adv ; 14(13): 9391-9405, 2024 Mar 14.
Article in English | MEDLINE | ID: mdl-38566784

ABSTRACT

Seven unknown compounds 1-7, including four sesquiterpenoids, one azulene-type, one indene-type, and one rare hexanorcucurbitacin, together with eleven knowns ones (8-16), were isolated from the agarwood chips of Aquilaria malaccensis. The structures of the isolated compounds were elucidated by extensive spectroscopic methods such as mass spectrometry, UV, IR, NMR spectroscopy. The precise stereo-chemical configurations of new compounds were determined by calculated ECD spectra data, as well as a single-crystal X-ray diffraction analysis. The isolated compounds 1-7 were evaluated by estimating the levels of nitric oxide (NO), TNF-α, and the expression of enzyme iNOS, and COX-2. Among them, a rare hexanortriterpenoid (7) derived from a cucurbitane-type triterpenoid showed the significantly attenuated neuro-inflammatory effects via the STAT1/AKT/MAPK/NLRP3 signaling pathway on the mechanistic studies.

3.
Plants (Basel) ; 13(8)2024 Apr 13.
Article in English | MEDLINE | ID: mdl-38674503

ABSTRACT

Euonymus hamiltonianus Wall. is considered a medicinal plant and is used to treat pain, cough, dysuria, and cancer, but a clear phytochemical investigation of its biological activities has yet to be performed. Investigation of chemical constituents of the leaves of Euonymus hamiltonianus Wall. led to the isolation of three new compounds by chromatography techniques, euonymusins A-C (1, 10, and 11), and the acquisition of new spectroscopic data for euonymusin D (2), along with the identification of ten known compounds. The chemical structures of the compounds were established using extensive spectroscopic techniques, including NMR, MS, and hydrolysis, and compared with the published data. These compounds were tested in vitro for their inhibitory effects on beta amyloid production (Aß42). Compounds 13 and 14 displayed weak inhibition, with IC50 values ranging from 53.15 to 65.43 µM. Moreover, these compounds were also assessed for their inhibitory effects on nitric oxide production. Of these compounds, 3, 4, and 14 displayed inhibitory effects on NO production, with IC50 values ranging from 14.38 to 17.44 µM. Compounds 3, 4, and 14 also suppressed LPS-induced expression of nitric oxide synthase (iNOS) and cyclooxygenase-2 (COX-2) protein.

4.
Molecules ; 29(7)2024 Mar 29.
Article in English | MEDLINE | ID: mdl-38611826

ABSTRACT

With the increasingly strict limitations on emission standards of vehicles, deep desulfurization in fuel is indispensable for social development worldwide. In this study, a series of hybrid materials based on SiO2-supported polyoxometalate ionic liquid were successfully prepared via a facile ball milling method and employed as catalysts in the aerobic oxidative desulfurization process. The composition and structure of prepared samples were studied by various techniques, including FT-IR, UV-vis DRS, wide-angle XRD, BET, XPS, and SEM images. The experimental results indicated that the synthesized polyoxometalate ionic liquids were successfully loaded on SiO2 with a highly uniform dispersion. The prepared catalyst (C16PMoV/10SiO2) exhibited good desulfurization activity on different sulfur compounds. Moreover, the oxidation product and active species in the ODS process were respectively investigated via GC-MS and ESR analysis, indicating that the catalyst can activate oxygen to superoxide radicals during the reaction to convert DBT to its corresponding sulfone in the fuel.

5.
Article in English | MEDLINE | ID: mdl-38059130

ABSTRACT

During minimal invasive surgery (MIS), the laparoscope only provides a single viewpoint to the surgeon, leaving a lack of 3D perception. Many works have been proposed to obtain depth and 3D reconstruction by designing a new optical structure or by depending on the camera pose and image sequences. Most of these works modify the structure of the conventional laparoscopes and cannot provide 3D reconstruction of different magnification views. In this study, we propose a laparoscopic system based on double liquid lenses, which provide doctors with variable magnification rates, near observation, and real-time monocular 3D reconstruction. Our system composes of an optical structure that can obtain auto magnification change and autofocus without any physically moving element, and a deep learning network based on the Depth from Defocus (DFD) method, trained to suit inconsistent camera intrinsic situations and estimate depth from images of different focal lengths. The optical structure is portable and can be mounted on conventional laparoscopes. The depth estimation network estimates depth in real-time from monocular images of different focal lengths and magnification rates. Experiments show that our system provides a 0.68-1.44x zoom rate and can estimate depth from different magnification rates at 6fps. Monocular 3D reconstruction reaches at least 6mm accuracy. The system also provides a clear view even under 1mm close working distance. Ex-vivo experiments and implementation on clinical images prove that our system provides doctors with a magnified clear view of the lesion, as well as quick monocular depth perception during laparoscopy, which help surgeons get better detection and size diagnosis of the abdomen during laparoscope surgeries.


Subject(s)
Laparoscopy , Lens, Crystalline , Lenses , Laparoscopes , Laparoscopy/methods , Abdomen
6.
J Opt Soc Am A Opt Image Sci Vis ; 40(12): 2156-2163, 2023 Dec 01.
Article in English | MEDLINE | ID: mdl-38086024

ABSTRACT

The rendering of specular highlights is a critical aspect of 3D rendering on autostereoscopic displays. However, the conventional highlight rendering techniques on autostereoscopic displays result in depth conflicts between highlights and diffuse surfaces. To address this issue, we propose a viewpoint-dependent highlight depiction method with head tracking, which incorporates microdisparity of highlights in binocular parallax and preserves the motion parallax of highlights. Our method was found to outperform physical highlight depiction and highlight depiction with microdisparity in terms of depth perception and realism, as demonstrated by experimental results. The proposed approach offers a promising alternative to traditional physical highlights on autostereoscopic displays, particularly in applications that require accurate depth perception.

7.
ACS Omega ; 8(46): 43873-43882, 2023 Nov 21.
Article in English | MEDLINE | ID: mdl-38027354

ABSTRACT

Agarperoxinols A and B (1-2), two naturally occurring humulene-type sesquiterpenoids with an unprecedented tricyclic 6/6/7 ring, were discovered from the agarwood of Aquilaria malaccensis. Their structures were unambiguously determined by various spectroscopic data, experimental ECD calculations, and single-crystal X-ray diffraction analysis. Agarperoxinol B showed significant and dose-dependent neuroinflammatory inhibitory effects on various proinflammatory mediators, including NO, TNF-α, IL-6, and IL-1ß, and suppressed iNOS and COX-2 enzymes in LPS-activated microglial cells. A mechanistic study demonstrated that agarperoxinol B remarkably inhibited the phosphorylation of the Akt and JNK signaling pathways. Agarperoxinol B also significantly reduced the expression of the microglial markers Iba-1, COX-2, and TNF-α in the mouse cerebral cortex. Our findings introduce a bioactive compound from natural products that decreases proinflammatory factor production and has application for the treatment of neurodegenerative diseases.

8.
Zootaxa ; 5319(3): 389-402, 2023 Jul 26.
Article in English | MEDLINE | ID: mdl-37518224

ABSTRACT

We describe a new species of the genus Achalinus Peters, 1869 from Daming Mountain, Shanglin County, Nanning City, Guangxi Zhuang Autonomous Region, China, based on a single adult male specimen. It can be distinguished from all the other species in Achalinus by a combination of the following morphological characters: (1) a bright yellow collar around the neck, extending forward to the ventral of the head; (2) tail length comparatively long, TaL/Tol ratio 0.25; (3) DSR 23-23-23, moderately keeled; (4) VS 3+162; (5) SC 74, unpaired; (6) cloacal plate entire; (7) SPL 6, the fourth and fifth in contact with the eye; (8) IFL 6, the first three touching the first pair of chin shields; (9) a single loreal; (10) length of suture between internasal significantly longer than that between prefrontal, LSBI/LSBP ratio 1.34; (11) two pairs of chin shields; (12) longitudinal vertebral line absent. In addition, the uncorrected p-distances between the new species and other known congeners ranged from 6.3% to 25.4% for the cytochrome c oxidase subunit 1 (CO1). With the addition of the new species the total number of described Achalinus species is increased to 23 of which 17 are found in China.


Subject(s)
Lizards , Snakes , Male , Animals , China , Animal Distribution , Phylogeny
9.
Zootaxa ; 5319(1): 76-90, 2023 Jul 24.
Article in English | MEDLINE | ID: mdl-37518249

ABSTRACT

A new species of the genus Hebius Thompson, 1913 is described from Youjiang District, Baise City, Guangxi Zhuang Autonomous Region, China, based on a single adult female specimen. It can be distinguished from its congeners by the following combination of characters: (1) dorsal scale rows 19-17-17, feebly keeled except the outermost row; (2) tail length comparatively long, TAL/TL ratio 0.30 in females; (3) ventrals 160 (+ 3 preventrals); (4) subcaudals 112; (5) supralabials 9, the fourth to sixth in contact with the eye; (6) infralabials 10, the first 5 touching the first pair of chin shields; (7) preocular 1; (8) postoculars 2; (9) temporals 4, arranged in three rows (1+1+2); (10) maxillary teeth 30, the last 3 enlarged, without diastem; (11) postocular streak presence; (12) background color of dorsal brownish black, a conspicuous, uniform, continuous beige stripe extending from behind the eye to the end of the tail; (13) anterior venter creamish-yellow, gradually fades to the rear, with irregular black blotches in the middle and outer quarter of ventrals, the posterior part almost completely black. The discovery of the new species increases the number of species in the genus Hebius to 51.


Subject(s)
Colubridae , Lizards , Female , Animals , China , Animal Distribution , Tail , Animal Structures , Phylogeny
10.
Biosci Trends ; 17(3): 190-192, 2023 Jul 11.
Article in English | MEDLINE | ID: mdl-37394613

ABSTRACT

Deep learning has brought about a revolution in the field of medical diagnosis and treatment. The use of deep learning in healthcare has grown exponentially in recent years, achieving physician-level accuracy in various diagnostic tasks and supporting applications such as electronic health records and clinical voice assistants. The emergence of medical foundation models, as a new approach to deep learning, has greatly improved the reasoning ability of machines. Characterized by large training datasets, context awareness, and multi-domain applications, medical foundation models can integrate various forms of medical data to provide user-friendly outputs based on a patien's information. Medical foundation models have the potential to integrate current diagnostic and treatment systems, providing the ability to understand multi-modal diagnostic information and real-time reasoning ability in complex surgical scenarios. Future research on foundation model-based deep learning methods will focus more on the collaboration between physicians and machines. On the one hand, developing new deep learning methods will reduce the repetitive labor of physicians and compensate for shortcomings in their diagnostic and treatment capabilities. On the other hand, physicians need to embrace new deep learning technologies, comprehend the principles and technical risks of deep learning methods, and master the procedures for integrating them into clinical practice. Ultimately, the integration of artificial intelligence analysis with human decision-making will facilitate accurate personalized medical care and enhance the efficiency of physicians.


Subject(s)
Deep Learning , Physicians , Humans , Artificial Intelligence , Delivery of Health Care
11.
BMC Pediatr ; 23(1): 212, 2023 05 04.
Article in English | MEDLINE | ID: mdl-37143034

ABSTRACT

OBJECTIVE: To investigate the correlation between positional skull deformation (PD) and motor performance of infants under 4 months of age. METHODS: Infants aged under 4 months were enrolled in the children's healthcare and the premature infants follow-up Clinic of the Second Affiliated Hospital of Army Military Medical University. The cranial vault asymmetry (CVA) and cephalic index (CI) were calculated in all infants, and the infant motor performance test (TIMP) was used to evaluate the infant motor performance. The motor performances of infants with different types and degrees of PD were compared, so were the incidences of PD in infants with different motor performance levels. RESULTS: Overall, 2118 infants were recruited and divided according to the types of PD and TIMP scores. The comparison of TIMP scores within different types of PD at different months of age showed that, regardless of the types of PD, TIMP scores of infants with PD were lower than those of normal infants. In particular, the difference in TIMP scores was statistically significant (P < 0.05) in infants with dolichocephaly, plagiocephaly,dolicho-plagiocephaly and brachy-plagiocephy. In addition, the comparison of CVA values of infants with different TIMP score levels at different months of age showed that the CVA values of the extremely low-level group were significantly higher than those of the medium-level and high-level group, especially in the 3-month-old and 4-month-old groups, which showed significant statistical differences (P < 0.05). CONCLUSIONS: PD and motor performance of infants aged under 4 months seem to interact and influenc each other. The more serious the severity of PD were,the worse the motor performance of infants. Conversely, the incidence of PD increased in infants with poor motor performance.


Subject(s)
Plagiocephaly , Skull , Infant, Newborn , Child , Infant , Humans , Skull/diagnostic imaging , Head , Infant, Premature
12.
Anal Chem ; 95(11): 5142-5150, 2023 03 21.
Article in English | MEDLINE | ID: mdl-36892255

ABSTRACT

The ultrasensitive and quantitative detection of renal cancer protein biomarkers present at ultralow concentrations for early-stage cancer diagnosis requires a biosensing probe possessing ultrahigh detection sensitivity and remarkable biosensing selectivity. Here, we report an optical microfiber integrated with Ti3C2-supported gold nanorod hybrid nanointerfaces for implementation in ultrasensitive sensing of the carbonic anhydrase IX (CAIX) protein and renal cancer cells. Because the evanescent field of the fiber is strongly coupled with nanointerfaces in the near-infrared region, the proposed optical microfiber biosensor achieves ultrahigh-sensitivity detection of the CAIX protein biomarker with ultralow limits of detection (LODs) of 13.8 zM in pure buffer solution and 0.19 aM in 30% serum solution. In addition, the proposed sensor also successfully and specifically recognizes living renal cancer cells in cell culture media with a LOD of 180 cells/mL. This strategy may serves as a powerful biosensing platform that combines the quantification of protein biomarkers and cancer cells, resulting in a higher accuracy of early-stage renal cancer diagnosis and screenings.


Subject(s)
Biosensing Techniques , Kidney Neoplasms , Nanotubes , Humans , Gold , Titanium , Biosensing Techniques/methods , Limit of Detection , Carcinoembryonic Antigen , Kidney Neoplasms/diagnosis
13.
Plants (Basel) ; 12(3)2023 Feb 01.
Article in English | MEDLINE | ID: mdl-36771724

ABSTRACT

Korean ginseng (Panax ginseng) is a traditional herbal supplement known to have a variety of pharmacological activities. A smart farm system could provide potential standardization of ginseng seedlings after investigating plant metabolic responses to various parameters in order to design optimal conditions. This research was performed to investigate the effect of smart-farmed ginseng on memory improvement in a scopolamine-induced memory deficit mouse model and an LPS-induced microglial cell model. A smart farming system was applied to culture ginseng. The administration of its extract (S2 extract) under specific culture conditions significantly attenuated cognitive and spatial memory deficits by regulating AKT/ERK/CREB signaling, as well as the cortical inflammation associated with suppression of COX-2 and NLRP3 induced by scopolamine. In addition, S2 extract improved the activation of iNOS and COX-2, and the secretion of NO in LPS-induced BV-2 microglia. Based on the HPLC fingerprint and in vitro data, ginsenosides Rb2 and Rd were found to be the main contributors to the anti-inflammatory effects of the S2 extract. Our findings suggest that integrating a smart farm system may enhance the metabolic productivity of ginseng and provides evidence of its potential impact on natural bioactive compounds of medicinal plants with beneficial qualities, such as ginsenosides Rb2 and Rd.

14.
J Appl Toxicol ; 43(7): 973-981, 2023 07.
Article in English | MEDLINE | ID: mdl-36617218

ABSTRACT

Cadmium (Cd) is a toxic heavy metal pollutant and serves as an important environmental endocrine-disrupting chemical. Cd exposure is believed to can enhance the risks of age-related disorders including benign prostatic hyperplasia (BPH). This study was to investigate the harms of Cd exposure on mice prostate and human nonmalignant prostate epithelial RWPE-1 cells. Mice prostate fibrosis was evaluated by visualizing the prostatic collagen deposition via Masson and Sirius red staining, and detecting the content of hydroxyproline. Additionally, the epithelial-mesenchymal transition (EMT), primary ciliogenesis and SHH signaling pathways in both mice prostate and RWPE-1 cells were evaluated. It was found that Cd exposure stimulated prostatic collagen deposition, EMT and primary ciliogenesis, as well as enhanced the circ_0027470 level and reduced the miRNA-1236-3p level. Circ_0027470 functioned as a sponge of miRNA-1236-3p, which had the inhibiting target of SHH. The whole results showed that circ_0027470 promoted Cd exposure-induced prostatic fibrosis via sponging miRNA-1236-3p and subsequently stimulating SHH signaling pathway. This study shed a light on a novel molecular mechanism involved in circRNA for Cd exposure-induced prostate deficits.


Subject(s)
MicroRNAs , Male , Mice , Animals , Humans , MicroRNAs/genetics , MicroRNAs/metabolism , Prostate/metabolism , Cadmium/toxicity , Cadmium/metabolism , Collagen/metabolism , Signal Transduction , Fibrosis , Epithelial-Mesenchymal Transition , Cell Proliferation/genetics , Hedgehog Proteins/genetics , Hedgehog Proteins/metabolism
15.
Biomol Ther (Seoul) ; 31(3): 276-284, 2023 May 01.
Article in English | MEDLINE | ID: mdl-36443908

ABSTRACT

Sinapic acid (SA) is a phenolic acid that is widely distributed in fruits and vegetables, which has various bioactivities, such as antidiabetic, anticancer and anti-inflammatory functions. Over-activated microglial is involved in the development progress of neurodegenerative diseases, such as Parkinson's disease and Alzheimer's disease. The objective of this study was to investigate the effect of SA in microglia neuroinflammation models. Our results demonstrated that SA inhibited secretion of the nitric oxide (NO) and interleukin (IL)-6, reduced the expression of inducible nitric oxide synthase (iNOS) and enhanced the release of IL-10 in a dose-dependent manner. Besides, our further investigation revealed that SA attenuated the phosphorylation of AKT and MAPK cascades in LPS-induced microglia. Consistently, oral administration of SA in mouse regulated the production of inflammation-related cytokines and also suppressed the phosphorylation of MAPK cascades and AKT in the mouse cerebral cortex. These results suggested that SA may be a possible therapy candidate for anti-inflammatory activity by targeting the AKT/MAPK signaling pathway.

16.
Phys Med Biol ; 68(4)2023 02 17.
Article in English | MEDLINE | ID: mdl-36580681

ABSTRACT

Augmented reality (AR) surgical navigation has developed rapidly in recent years. This paper reviews and analyzes the visualization, registration, and tracking techniques used in AR surgical navigation systems, as well as the application of these AR systems in different surgical fields. The types of AR visualization are divided into two categories ofin situvisualization and nonin situvisualization. The rendering contents of AR visualization are various. The registration methods include manual registration, point-based registration, surface registration, marker-based registration, and calibration-based registration. The tracking methods consist of self-localization, tracking with integrated cameras, external tracking, and hybrid tracking. Moreover, we describe the applications of AR in surgical fields. However, most AR applications were evaluated through model experiments and animal experiments, and there are relatively few clinical experiments, indicating that the current AR navigation methods are still in the early stage of development. Finally, we summarize the contributions and challenges of AR in the surgical fields, as well as the future development trend. Despite the fact that AR-guided surgery has not yet reached clinical maturity, we believe that if the current development trend continues, it will soon reveal its clinical utility.


Subject(s)
Augmented Reality , Surgery, Computer-Assisted , Imaging, Three-Dimensional , Surgery, Computer-Assisted/methods , Calibration
17.
J Opt Soc Am A Opt Image Sci Vis ; 39(5): 782-792, 2022 May 01.
Article in English | MEDLINE | ID: mdl-36215437

ABSTRACT

We present anl omnidirectional 3D autostereoscopic aerial display with continuous parallax. Integral photography (IP) combined with polyhedron-shaped aerial imaging plates (AIPs) is utilized to achieve an extended view angle of 3D aerial images. With optical theoretical analysis and an aerial in situ rotation design, a 3D aerial display with an enlarged viewing angle is realized. In particular, the proposed 3D aerial display can realize any assigned angle within 360 deg. We also optimize the aerial display with artifact image removal and floating image brightness analysis. Experiments are performed to prove the 3D aerial display with full-motion parallax, continuous viewpoints, and multiplayer interaction. The proposed system is an attractive prospect of non-contact interaction and multi-person collaboration.

18.
Med Anthropol ; 41(6-7): 602-615, 2022.
Article in English | MEDLINE | ID: mdl-35866840

ABSTRACT

In this article, I present how in vitro fertilization (IVF) journeys become "bu gui lu" (a "road of no return") in China. I document the reproductive dilemmas intended parents encounter as they navigate and renegotiate the reproductive futures they desire throughout the process, and characterize the ambivalence caused by the space between individual struggles for conception and the wider demographic anxiety about national falling fertility rates. I argue that the ambivalence experienced by participants throughout their IVF journeys not only reveals the uncertainty they have about their reproductive futures and the ways to achieve them, but it also reflects the broader uncertainty of the demographic future of contemporary China.


Subject(s)
Fertilization in Vitro , Parents , Anthropology, Medical , China , Humans , Uncertainty
19.
ACS Sens ; 7(7): 1926-1935, 2022 07 22.
Article in English | MEDLINE | ID: mdl-35761169

ABSTRACT

Exosomes are potential and promising natural noninvasive biomarkers for liquid biopsies and can be involved in various biological and pathological processes in early-stage cancer. Thus, there is an urgent demand to develop low-cost, small-size, remarkable-specificity, and ultrasensitive exosome biosensors for early clinical point-of-care (POC) testing. Although various conventional tumor exosome detection methods have been generally proposed, the low detection sensitivity and specificity significantly hinder their use in cancer clinical diagnosis and prognosis. To address the above challenges, an optical microfiber integrated with MoSe2-supported gold nanorods is proposed. To tune the strong localized surface plasmon resonance (LSPR) of the nanointerfaces on the optical microfiber to be in accordance with the operating wavelength of the silica optical microfiber in the telecommunication band, gold nanorods with a high aspect ratio of approximately 10:1 are proposed. Due to the interaction between the excited LSPR effect and the evanescent field of the optical microfiber, the sensor can detect clear cell renal cancer exosomes within a wide concentration range from 100 particles/mL to 108 particles/mL, with an extremely low limit of detection (LOD) of 9.32 particles/mL, which is lower than that of current various state of the art methods. More importantly, the microfiber with high specificity can successfully differentiate pathological plasma and healthy controls, exhibiting very promising clinical applications in renal cancer diagnosis and prognosis. This work opens up a new approach for the in situ detection and quantification of exosomes with ultrahigh sensitivity in early clinical screening and diagnosis.


Subject(s)
Exosomes , Kidney Neoplasms , Nanotubes , Gold , Humans , Surface Plasmon Resonance/methods
20.
Signal Transduct Target Ther ; 7(1): 146, 2022 05 03.
Article in English | MEDLINE | ID: mdl-35504917

ABSTRACT

With the constantly mutating of SARS-CoV-2 and the emergence of Variants of Concern (VOC), the implementation of vaccination is critically important. Existing SARS-CoV-2 vaccines mainly include inactivated, live attenuated, viral vector, protein subunit, RNA, DNA, and virus-like particle (VLP) vaccines. Viral vector vaccines, protein subunit vaccines, and mRNA vaccines may induce additional cellular or humoral immune regulations, including Th cell responses and germinal center responses, and form relevant memory cells, greatly improving their efficiency. However, some viral vector or mRNA vaccines may be associated with complications like thrombocytopenia and myocarditis, raising concerns about the safety of these COVID-19 vaccines. Here, we systemically assess the safety and efficacy of COVID-19 vaccines, including the possible complications and different effects on pregnant women, the elderly, people with immune diseases and acquired immunodeficiency syndrome (AIDS), transplant recipients, and cancer patients. Based on the current analysis, governments and relevant agencies are recommended to continue to advance the vaccine immunization process. Simultaneously, special attention should be paid to the health status of the vaccines, timely treatment of complications, vaccine development, and ensuring the lives and health of patients. In addition, available measures such as mix-and-match vaccination, developing new vaccines like nanoparticle vaccines, and optimizing immune adjuvant to improve vaccine safety and efficacy could be considered.


Subject(s)
COVID-19 Vaccines , Aged , COVID-19/prevention & control , COVID-19 Vaccines/adverse effects , COVID-19 Vaccines/immunology , COVID-19 Vaccines/therapeutic use , Female , Humans , Pregnancy , Protein Subunits , SARS-CoV-2/genetics , Vaccines, Virus-Like Particle
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