Effectiveness of intravenous peramivir for the treatment of influenza A/H3N2 and influenza B/Victoria in hospitalized children.

OBJECTIVE: To optimize the medication administered to children with influenza, we evaluated the effectiveness of peramivir in hospitalized children with influenza A/H3N2 and influenza B/Victoria. METHODS: A retrospective study was conducted from October 2019 to March 2020 in children aged 29 days to 18 years with influenza A/H3N2 or B/Victoria. A total of 97 patients were enrolled and treated with intravenous infusion of peramivir. RESULTS: The duration of influenza virus nucleic acid positivity in the influenza A/H3N2 group (3 days) was shorter than that in the influenza B/Victoria group (4 days) (P = 0.008). The remission time of fever symptoms in the influenza A/H3N2 group was 14 h, which was significantly shorter than that in the influenza B/Victoria group (26 h) (P = 0.042). In the 6-18 years age group, the median duration of virus nucleic acid positivity for children with influenza B/Victoria (4 days) was longer than that for children with influenza A/H3N2 (2 days) (P = 0.005). The incidence of adverse drug reactions (ADRs) with peramivir in the influenza A/H3N2 group and the influenza B/Victoria group was 2.04% (n = 1/49) and 4.17% (n = 2/48), respectively (P = 0.617). CONCLUSIONS: A difference in the effectiveness of peramivir against different subtypes of influenza was observed. Compared to those infected with influenza B/Victoria, the children infected with influenza A/H3N2 experienced a significantly shorter duration of influenza virus nucleic acid positivity and remission time of fever symptoms.

Regulation effect of polysaccharides from Pleurotus tuber-regium (Fr.) on the immune activity of mice macrophages.

Pleurotus tuber-regium (Fr.) is widely consumed as a nutritious food due to its multiple health effects, especially immune function. This study was aimed at investigating its immune activity using the mice peritoneal macrophage model. Two polysaccharides, water and alkaline extraction of polysaccharides (W-PTR and A-PTR), from P. tuber-regium were used to test their immune functions and compare their possible activity differences. Results showed that both W-PTR and A-PTR showed a significant enhancement effect on the macrophage phagocytosis, and could activate the related enzymes, such as ATPases, lysozyme, and LDH, which are responsible for providing the maturation and proliferation process of macrophages with sufficient energy. In addition, levels of intracellular cytokines (IL-1, TNF-α, NO) were significantly increased after being treated with polysaccharides. A-PTR displayed a better performance than W-PTR in almost all tests. It is concluded that both polysaccharides could enhance the immune system by activating the macrophages and related enzymes, and induce the release of cytokines, indicating that polysaccharides are responsible for the immune function of Pleurotus tuber-regium (Fr.).

In vitro antioxidant activities of the polysaccharides from Pleurotus tuber-regium (Fr.) Sing.

The antioxidant activities of two homogeneous polysaccharides, water extraction of polysaccharide (W-PTR) and alkali extraction of polysaccharide (A-PTR) from Pleurotus tuber-regium (Fr.) Sing. were evaluated. Results showed that W-PTR was stronger than A-PTR in O2(-·) scavenging activity, while A-PTR was stronger than W-PTR in the scavenging activities to ·OH, DPPH·, inhibition effects on liver lipid peroxidation, liver mitochondria swelling, and red blood cell (RBC) hemolysis. At concentration of 0.3 g/L, the O2(-·) scavenging activity of W-PTR and A-PTR were 85.7% and 71.7%. At concentration of 0.25 g/L, the ·OH scavenging activity of W-PTR and A-PTR were 64.20% and 74.97%. At the concentration of 0.3 g/L, the lipid peroxidation inhibition effects of A-PTR were 79.37%. At concentration of 0.8 g/L, the hemolysis inhibition rate of A-PTR was 77.16%. The polysaccharides of P. tuber-regium had strong antioxidant potency and might be exploited as effective natural antioxidant to alleviate oxidative stress.

Characterization of water and alkali-soluble polysaccharides from Pleurotus tuber-regium sclerotia.

Pleurotus tuber-regium sclerotia, an edible and medicinal mushroom, is a rich source of polysaccharides used as a functional food to promote health and longevity. The crude polysaccharides were isolated from the P. tuber-regium by hot aqueous and alkali extraction and then further purified by DEAE-52 cellulose chromatography and Sephadex G-100 chromatography. Two polysaccharides, water and alkaline extraction of polysaccharides (W-PTR and A-PTR), were obtained and their extraction process were optimized through orthogonal array design. Structure characteristics (physicochemical property analysis, molecular weight, monosaccharide composition, sulfate and uronic acid contents, triple helical structures, ultraviolet spectrum and infrared spectroscopy) of the two polysaccharides were investigated. Results showed that the main difference between the two polysaccharides is reflected in color, solubility, molecular weight and monosaccharide composition. Conformational analysis showed that both W-PTP and A-PTP had triple-helix conformation. The 3D structure of the two polysaccharides and their structure-function relationship will be challenge in the future.