SARS-CoV-2 Vaccine Uptake among Patients with Chronic Liver Disease: A Cross-Sectional Analysis in Hebei Province, China.

Chronic liver disease (CLD) patients have higher mortality and hospitalization rates after infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). This study aimed to explore SARS-CoV-2 vaccine perceptions, side effects, factors associated with nonvaccination and attitudes toward fourth-dose vaccine among CLD patients. The differences between vaccinated and unvaccinated groups among 1491 CLD patients and the risk factors associated with nonvaccination status were analyzed. In total, 1239 CLD patients were immunized against SARS-CoV-2. CLD patients have a high level of trust in the government and clinicians and were likely to follow their recommendations for vaccination. Reasons reported for nonvaccination were mainly concerns about the vaccines affecting their ongoing treatments and the fear of adverse events. However, only 4.84% of patients reported mild side effects. Risk factors influencing nonvaccination included being older in age, having cirrhosis, receiving treatments, having no knowledge of SARS-CoV-2 vaccine considerations and not receiving doctors' positive advice on vaccination. Furthermore, 20.6% of completely vaccinated participants refused the fourth dose because they were concerned about side effects and believed that the complete vaccine was sufficiently protective. Our study proved that SARS-CoV-2 vaccines were safe for CLD patients. Our findings suggest that governments and health workers should provide more SARS-CoV-2 vaccination information and customize strategies to improve vaccination coverage and enhance vaccine protection among the CLD population.

Inactivated SARS-CoV-2 booster vaccine enhanced immune responses in patients with chronic liver diseases.

Chronic liver disease (CLD) entails elevated risk of COVID-19 severity and mortality. The effectiveness of the booster dose of inactivated SARS-CoV-2 vaccine in stimulating antibody response in CLD patients is unclear. Therefore, we conducted a cross-sectional study involving 237 adult CLD patients and 170 healthy controls (HC) to analyze neutralizing antibodies (NAbs) against SARS-CoV-2 prototype and BA.4/5 variant, anti-receptor binding domain (RBD) IgG, and total anti-SARS-CoV-2 antibodies. Serum levels of the total anti-SARS-CoV-2 antibodies, anti-RBD IgG and inhibition efficacy of NAbs were significantly elevated in CLD patients after the booster dose compared with the pre-booster dose, but were relatively lower than those of HCs. Induced humoral responses decreased over time after booster vaccination. The neutralization efficiency of the serum against BA.4/5 increased but remained below the inhibition threshold. All four SARS-CoV-2 antibodies, including total anti-SARS-CoV-2 antibodies, anti-RBD IgG and NAbs against prototype and BA.4/5, were lower in patients with severe CLD than those with non-severe CLD. After booster shot, age and time after the last vaccine were the risk factors for seropositivity of NAb against BA.4/5 in CLD patients. Additionally, white blood cell counts and hepatitis B core antibodies were the protective factors, and severe liver disease was the risk factor associated with seropositivity of total anti-SARS-CoV-2 antibodies. Overall, our data uncovered that antibody responses were improved in CLD patients and peaked at 120 days after the booster vaccines. All antibodies excepting total anti-SARS-CoV-2 antibodies declined after peak. CLD patients exhibited impaired immunologic responses to vaccination and weakened NAbs against BA.4/5, which hindered the protective effect of the booster shot against Omicron prevalence. Cellular immune responses should be further evaluated to determine the optimal vaccine regimen for CLD patients.

Phosphorus speciation and sedimentary phosphorus release in an urban bay (Dachan Bay, China) impacted by multiple anthropogenic perturbations.

Sedimentary phosphorus (P) release and retention are important in controlling P dynamics in coastal waters. Here, two sediment cores were analysed to understand the P speciation and sedimentary P release characteristics in Dachan Bay, Shenzhen, where was highly influenced by human activity. Total phosphorus (TP) concentrations, 52.3 to 1119 µg g-1, fluctuated greatly with depth. Four P binding forms were fractionated: iron-bound P (FeP), authigenic apatite (CaP), detrital P (De-P), and organic P (OP) with the following order of concentration: Fe-P > OP > De-P > Ca-P. The P pollution index (PPI) revealed the contamination of sediment with P in recent years. Additionally, the potentially mobile P pools and long-term P release in the sediments were estimated, and the results indicated that, sediment was an important potentially mobile P pools in the water column, especially in nearshore areas, which required the attention of management departments.

Trophic level and heavy metal pollution of Sardinella albella in Liusha Bay, Beibu Gulf of the South China Sea.

To elucidate the trophic pathways and bioaccumulation characteristics of heavy metals in marine fish, 20 Sardinella albella specimens of different lengths were collected from Liusha Bay in Beibu Gulf of South China Sea and aimed to study their trophic level and heavy metal pollution. The results showed that their δ13C values ranged from -17.61 to -15.99‰ with an average of -16.59 ± 0.54‰, which was comparable with that of zooplankton. The δ15N values ranged from 12.73to 15.26‰ with an average of 14.03 ± 0.71‰, which was 3.47‰ greater than zooplankton. No trend in δ13C and δ15N values was observed with increasing body length. The trophic level, consisting with their feeding diet, ranges from 2.24 to 3.25 with an average of 2.76. Heavy metal content of Sardinella albella in Liusha Bay was in order of As > Pb > Zn > Hg > Cu, Cd, and most of these metals were below the pollution thresholds. The Pi index suggested that Sardinella albella were slightly polluted by Pb and As.

Heavy metals of sediment cores in Dachan Bay and their responses to human activities.

The grain-size distributions and heavy metal content in two sediment cores from Dachan Bay were analyzed, and the vertical distribution, provenance, and ecological risk of heavy metal were evaluated. The concentrations (µg g-1) of Cu, Pb, Zn, Cd, Cr, Hg, As, and Ni in the sediment samples were 14.8-408, 33.0-130, 78.6-256, 0.193-1.79, 47.5-192, 0.052-1.39, 8.94-25.2, and 26.0-89.6, respectively. Most heavy metal concentrations increased from the bottom to the upper layers. On the basis of two sediment cores, the potential ecological risk of heavy metals was determined to be low, and the degree of potential ecological harm of heavy metals was in the order of Hg > Cd > As>Cu > Pb > Cr > Zn. Principal component analysis and correlation analysis yielded similar results, which indicated that heavy metals were closely related to the input of anthropogenic pollution (i.e., industrial pollutants and sewage discharge).

Correlations between serum hepatitis B surface antigen and hepatitis B core antibody titers and liver fibrosis in treatment-naïve CHB patients.

BACKGROUND: Previous studies have revealed that quantitative hepatitis B surface antigen (HBsAg) or hepatitis B core antibody (qAnti-HBc) levels can be used as predictors of treatment response in both interferon-α and nucleoside analogue therapies. Few data have been published regarding the relationship between quantitative HBsAg or Anti-HBc levels and liver fibrosis stages in patients with chronic hepatitis B (CHB). METHODS: We conducted a cross-sectional study of treatment-naïve CHB patients. A total of 624 CHB patients were recruited. We assessed the serum HBsAg and qAnti-HBc levels, HBV DNA levels, HBV genotypes, BCP/PC mutations, histological fibrosis staging by Scheuer classification. RESULTS: In HBeAg (+) patients, the S0-1 subjects had significantly higher serum HBsAg and lower qAnti-HBc levels than the S2-4 subjects (both p < 0.001). A moderate inverse correlation was present between serum HBsAg levels and fibrosis scores (r = -0.381, p < 0.001), and a moderate positive correlation was found between qAnti-HBc levels and fibrosis scores (r = 0.408, p < 0.001). In the HBeAg (-) patients, the S0-1 subjects also had significantly lower qAnti-HBc levels than the S2-4 subjects (p < 0.001); however, no significant difference in the HBsAg levels was observed between the S0-1 and S2-4 subjects (p > 0.05). Serum qAnti-HBc levels showed a moderate positive correlation with fibrosis scores (r = 0.383, p < 0.001), while serum HBsAg levels exhibited a low inverse correlation with fibrosis scores (r = -0.171, p < 0.001). Multiple logistic regression analysis showed that the parameters for predicting significant fibrosis (S ≥ 2) included age, PLT, qAnti-HBc levels, HBV genotype and BCP/PC mutations in HBeAg (+) group, and age, PLT, qAnti-HBc levels in HBeAg (-) group (all p < 0.05). The AUC of qAnti-HBc levels associated with the diagnosis of significant fibrosis abnormalities in HBeAg (+) and HBeAg (-) patients were 0.734 (95%CI 0.689 to 0.778) and 0.707 (95%CI 0.612 to 0.801), respectively. CONCLUSION: Our study found an association between high serum qAnti-HBc levels and significant fibrosis in both HBeAg (+) and HBeAg (-) treatment-naïve CHB patients. However, low serum HBsAg levels were correlated with moderate to severe fibrosis in HBeAg (+) subjects only.

Spatial distribution and correlation characteristics of heavy metals in the seawater, suspended particulate matter and sediments in Zhanjiang Bay, China.

Concentrations of eight heavy metals (i.e., Fe, Mn, Cr, Ni, Cu, Zn, Cd and Pb) in the seawater, suspended particulate matter (SPM) and sediments of the Zhanjiang Bay were investigated in 2014. The concentrations of metals were generally low in the seawater and sediments of the Zhanjiang Bay in winter and summer, indicating good environmental quality in the bay. The distribution patterns of Fe and Mn in three phases indicated the influence of terrestrial inputs. The partition coefficients log(Kd) between the dissolved and particulate phases showed a general decrease in the order of Pb≈Cd>Fe≈Mn>Ni≈Cr>Zn>Cu. The concentrations of some metals in the dissolved and particulate phases showed seasonal variations. Phytoplankton production and complexation reactions may contribute to this phenomenon. The relationships among metals in different phases were different, and there were few close relationships among metals in the dissolved phase, many close relationships in the particulate phase, and more close relationships in the sedimentary phase. This finding may be related to the different mobility levels of metals in different phases.

A strong summer phytoplankton bloom southeast of Vietnam in 2007, a transitional year from El Niño to La Niña.

Summer upwelling occurs frequently off the southeast Vietnam coast in the western South China Sea (SCS), where summer phytoplankton blooms generally appear during June-August. In this study, we investigate inter-annual variation of Ekman pumping and offshore transport, and its modulation on summer blooms southeast of Vietnam. The results indicate that there are low intensities of summer blooms in El Niño years, under higher sea surface temperatures (SST) and weaker winds. However, a different pattern of monthly chlorophyll a (Chl-a) blooms occurred in summer of 2007, a transitional stage from El Niño to La Niña, with weak (strong) wind and high (low) SST before (after) early July. There is a weak phytoplankton bloom before July 2007 and a strong phytoplankton bloom after July 2007. The abrupt change in the wind intensity may enhance the upwelling associated with Ekman pumping and offshore Ekman transport, bringing more high-nutrient water into the upper layer from the subsurface, and thus leading to an evident Chl-a bloom in the region.

Quantitative hepatitis B core antibody level is associated with inflammatory activity in treatment-naïve chronic hepatitis B patients.

Previous studies have shown that hepatitis B core antibody (anti-HBc) levels vary during different phases of disease in treatment-naïve chronic hepatitis B (CHB) patients and can be used as a predictor of both interferon-α and nucleoside analogue therapy response. However, there is no information on the association between the quantitative serum anti-HBc (qAnti-HBc) level and liver inflammation in CHB patients. Therefore, we investigated these relationships in a large cohort of treatment-naïve CHB patients. A total of 624 treatment-naïve CHB patients were included in the study. The serum qAnti-HBc level was moderately correlated with ALT and AST levels (P < 0.001) in both hepatitis B e antigen-positive (HBeAg [+]) and HBeAg-negative (HBeAg [-]) CHB patients. CHB patients with no to mild inflammation (G0-1) had significantly lower serum qAnti-HBc levels than patients with moderate to severe inflammation (G2-4) (P < 0.001). Receiver operating characteristic analysis suggested that a serum qAnti-HBc cut-off value of 4.36 log10 IU/mL provided a sensitivity of 71.68%, specificity of 73.81%, positive predictive value of 78.43%, and negative predictive value of 66.24% in HBeAg (+) CHB patients with moderate to severe inflammation (G≥2). A cut-off value of 4.62 log10 IU/mL provided a sensitivity of 54.29%, specificity of 90.00%, positive predictive value of 95.00%, and negative predictive value of 36.00% in HBeAg (-) CHB patients with moderate to severe inflammation (G≥2). Serum qAnti-HBc levels were positively associated with liver inflammation grade. Furthermore, we identified optimal serum qAnti-HBc cut-off values for the prediction of inflammation activity in both HBeAg (+) and HBeAg (-) treatment-naïve CHB patients.

Occurrence and distribution of the environmental pollutant antibiotics in Gaoqiao mangrove area, China.

Occurrence and distribution of 15 antibiotics belonging to families of sulfonamides, fluoroquinolones, tetracyclines and chloramphenicols were investigated in water and sediment in Gaoqiao mangrove area, China, using LC-MS-MS. The influence of tidal level and mangrove vegetation on antibiotic residues were examined. The levels of antibiotics were found to be ranged from 0.15 to 198 ng L(-1) in water and from 0.08 to 849 µg kg(-1) in sediment. No significant difference in concentrations of 15 different antibiotics from water and sediment samples was observed among the high, middle and low intertidal channel. The residues of SMZ, SMTZ, OFL, NOR, ENR, OXY and FLO were significantly higher in Aegiceras corniculatum assemblage than in Avicennia marina assemblage. Although no significant difference in tested antibiotics was found between the surface and bottom sediment, mangrove vegetation can to some extent reduce the accumulation for SMZ, SMTZ, OFL, NOR, CIP, OXY and TET in sediments relative to corresponding bare mudflats, implying that the environmental pollution from antibiotics may be mitigated by mangrove vegetation. Principal components analysis revealed that the terrestrial input and different habitats directly influenced the occurrence and distribution of antibiotics.

[Experimental study on Dendrobium candidum polysaccharides on promotion of hair growth].

OBJECTIVE: To observe the effect and mechanism of Dendrobium candidum polysaccharides (DCP) in promoting hair growth, in order to lay a foundation for the development and utilization of D. candidum. METHOD: The water-extraction and alcohol-precipitation method was adopted to extract DCP, and the phenol-sulphuric acid method was used to determine its content. Thirty C57BL6J mice were collected to establish the hair loss model with hair removal cream. They were randomly divided into the control group, the positive control group and the DCP group, and given 0.2 mL of ultra-pure water, minoxidil tincture and DCP (5.0 g x L(-1)) 21 days. The mice hair growth scoring standard was adopted to evaluate the hair growth of C57BL/6J mice at 7, 14 d. The hairs in unit hair-losing areas of treated C57BL/6J mice at 21 d were weighed to evaluate the effect of DCP on the promotion of hair growth. MTT assay and RT-PCR method were used to evaluate the effect of DCP on the proliferatin of HaCaT cells and the mRNA expression of VEGF in HaCaT cells. RESULT: The extraction percent of DCP was 29.87%, and its content was 79.65%. The average scores for the hair growth and weight of C57BL/6J mice of DCP group were much higher than the control group. The survival rate and mRNA expression of VEGF of HaCaT cells were much higher than the control group. CONCLUSION: DCP has the effect in promoting hair growth. Its mechanism may be related to the up-regulation of the mRNA expression of VEGF.

Effects of a coastal power plant thermal discharge on phytoplankton community structure in Zhanjiang Bay, China.

The effects of a thermal discharge from a coastal power plant on phytoplankton were determined in Zhanjiang Bay. Monthly cruises were undertaken at four tide times during April-October 2011. There were significant differences for dominant species among seven sampling months and four sampling tides. Species diversity (H') and Evenness showed a distinct increasing gradient from the heated water source to the control zone and fluctuated during four tides with no visible patterns. Species richness, cell count and Chl a at mixed and control zones were significantly higher than heated zones, and showed tidal changes with no obvious patterns. The threshold temperature of phytoplankton species can be regarded as that of phytoplankton community at ebb slack. The average threshold temperature over phytoplankton species, cell count and Chl a, and the threshold temperature of cell count can be regarded as that of phytoplankton community at flood slack during spring and neap respectively.