Prevalence, outcomes and associated factors of SARS-CoV-2 infection in psoriasis patients of Southwest China: a cross-sectional survey.

In this study we aimed to investigate the prevalence of SARS-CoV-2 infection in psoriasis patients, and outcomes of SARS-CoV-2 infection and associated risk factors. A cross-sectional survey was conducted from February 2023 to March 2023. Information was obtained with online questionnaire about psoriasis patients on demographic characteristics, clinical characteristics, SARS-CoV-2 infection and outcomes, vaccination, and routine protection against COVID-19. Logistic regression analysis was used to explore risk factors with SARS-CoV-2 infection and exacerbation of psoriasis. A total of 613 participants were recruited. 516 (84.2%) were infected, and associated factors were sex, working status, routine protection against COVID-19, COVID-19 vaccination, impaired nail, infection exacerbate psoriasis, and severity of psoriasis. Among the patients infected with SARS-CoV-2, 30 (5.8%) required hospitalization, 122 (23.6%) had psoriasis exacerbation due to SARS-CoV-2 infection, and associated factors were subtype of psoriasis, discontinuation of psoriasis treatment during SARS-CoV-2 infection, response following COVID-19 vaccination, and severity of psoriasis. Booster dose vaccination contributed a low probability of COVID-19 sequelae. COVID-19 vaccine's effectiveness was unsatisfactory, while booster dose vaccination reduced the occurrence of COVID-19 sequelae in psoriasis patients of Southwest China. Patients treated with psoriasis shown to be safe, without a higher incidence of SARS-CoV-2 infection or COVID-19hospitalization compared to untreated patients. Stopping treatment during SARS-CoV-2 infection led to psoriasis exacerbation, so psoriasis treatment could be continued except severe adverse reaction.

Sources of highly regional 129I in soils in northeast China.

The transport and deposition pathways of anthropogenic radionuclides at the global scale, particularly volatile 129I, remain somewhat elusive due to a dearth of comprehensive investigations. To gain a better understanding of the transport dynamics and deposition mechanism of anthropogenic 129I in the terrestrial environment, one hundred surface soil samples collected from northeast China were analyzed for 129I and 127I concentrations in this study. Our findings reveal that 129I/127I atomic ratios in the mid-eastern Inner Mongolia (MIM) were approximately an order of magnitude higher than the rest of the investigated area. This is, besides the global fallout and the long-range transport of 129I released from the European nuclear reprocessing plants via westerly winds, possibly attributed to the dust with high 129I levels from the East Asian arid regions. In addition to the significant dust-induced 129I input, the unique meteorological conditions and topographical features in the MIM synergistically contribute to the pronounced accumulation and deposition of 129I in this region. This study will provide novel insights into the transport and deposition mechanism of anthropogenic radionuclides, which is significant for the assessment of anthropogenic nuclear activities on the environment in the future.

The Myb73-GDPD2-GA2ox1 transcriptional regulatory module confers phosphate deficiency tolerance in soybean.

Phosphorus is indispensable in agricultural production. An increasing food supply requires more efficient use of phosphate due to limited phosphate resources. However, how crops regulate phosphate efficiency remains largely unknown. Here, we identified a major quantitative trait locus, qPE19, that controls 7 low-phosphate (LP)-related traits in soybean (Glycine max) through linkage mapping and genome-wide association studies. We identified the gene responsible for qPE19 as GLYCEROPHOSPHORYL DIESTER PHOSPHODIESTERASE2 (GmGDPD2), and haplotype 5 represents the optimal allele favoring LP tolerance. Overexpression of GmGDPD2 significantly affects hormone signaling and improves root architecture, phosphate efficiency and yield-related traits; conversely, CRISPR/Cas9-edited plants show decreases in these traits. GmMyb73 negatively regulates GmGDPD2 by directly binding to its promoter; thus, GmMyb73 negatively regulates LP tolerance. GmGDPD2 physically interacts with GA 2-oxidase 1 (GmGA2ox1) in the plasma membrane, and overexpressing GmGA2ox1 enhances LP-associated traits, similar to GmGDPD2 overexpression. Analysis of double mutants for GmGDPD2 and GmGA2ox1 demonstrated that GmGDPD2 regulates LP tolerance likely by influencing auxin and gibberellin dose-associated cell division in the root. These results reveal a regulatory module that plays a major role in regulating LP tolerance in soybeans and is expected to be utilized to develop phosphate-efficient varieties to enhance soybean production, particularly in phosphate-deficient soils.

Associations of serum gamma-linolenic acid levels with erythema severity and anxiety/depression status in patients with rosacea.

BACKGROUND: The development of rosacea is suggested to be closely associated with lipid metabolism, inflammation, and anxiety/depression. Gamma linolenic acid (GLA) is a key factor participating in lipid metabolism, which is also confirmed to regulate the inflammatory response. However, the associations of serum GLA levels with rosacea severity and psychological status still remain unclear. OBJECTIVE AND LIMITATIONS OF THE STUDY: The present study aimed to investigate the associations of gamma linolenic acid (GLA), a key factor participating in lipid metabolism and the inflammatory response, with rosacea severity and psychological status. The present study still had some limitations. First, this study is a cross-sectional study and does not provide longitudinal evidence about the relationship between GLA and rosacea; Second, the cohort in this study is also relatively small, and a larger cohort is needed in further investigation to reveal the potential role of lipid metabolism in the pathogenesis of rosacea. METHODS: A total of 62 rosacea patients were consecutively recruited. Patient's Self-Assessment (PSA) scale and Clinician Erythema Assessment (CEA) as well as 7-item Generalized Anxiety Disorder (GAD-7) and 9-item Patient Health Questionnaire (PHQ-9) were conducted to evaluate the degree of erythema severity and anxiety/depression, respectively. Serum GLA levels were determined by gas chromatography mass. RESULTS: Lower levels of serum GLA in rosacea patients were observed (p<0.001), and subgroup analysis revealed that patients with higher-level GLA had lower scores of PSA, CEA, GAD-7 and PHQ-9. Moreover, Spearman correlation analysis uncovered that serum GLA levels were negatively associated with PSA, CEA, GAD-7 as well and PHQ-9 scores, respectively. Linear regression model found that serum GLA levels at baseline were a predictive factor for prognosis of clinical outcomes after 1-month conventional treatment. CONCLUSION: The present study indicates that lower levels of serum GLA in rosacea patients are negatively associated with the degree of erythema and anxiety/depression status.

Deep skin diseases diagnostic system with Dual-channel Image and Extracted Text.

Background: Due to the lower reliability of laboratory tests, skin diseases are more suitable for diagnosis with AI models. There are limited AI dermatology diagnostic models combining images and text; few of these are for Asian populations, and few cover the most common types of diseases. Methods: Leveraging a dataset sourced from Asia comprising over 200,000 images and 220,000 medical records, we explored a deep learning-based system for Dual-channel images and extracted text for the diagnosis of skin diseases model DIET-AI to diagnose 31 skin diseases, which covers the majority of common skin diseases. From 1 September to 1 December 2021, we prospectively collected images from 6,043 cases and medical records from 15 hospitals in seven provinces in China. Then the performance of DIET-AI was compared with that of six doctors of different seniorities in the clinical dataset. Results: The average performance of DIET-AI in 31 diseases was not less than that of all the doctors of different seniorities. By comparing the area under the curve, sensitivity, and specificity, we demonstrate that the DIET-AI model is effective in clinical scenarios. In addition, medical records affect the performance of DIET-AI and physicians to varying degrees. Conclusion: This is the largest dermatological dataset for the Chinese demographic. For the first time, we built a Dual-channel image classification model on a non-cancer dermatitis dataset with both images and medical records and achieved comparable diagnostic performance to senior doctors about common skin diseases. It provides references for exploring the feasibility and performance evaluation of DIET-AI in clinical use afterward.

Isotopic Evidence Unveils Fossil Fuels Contribution to Atmospheric Iodine.

Iodine is a crucial nutrient for public health, and its presence in the terrestrial atmosphere is a key factor in determining the prevalence of iodine deficiency disorders. While oceanic iodine emissions decrease at lower sea surface temperatures, the primary contributors to atmospheric iodine can vary from oceanic sources in the summer to other sources in winter. However, the specific sources and their respective contributions have remained unexplored. Fortunately, the atomic ratio of 129I to 127I significantly differs between nuclear activity and fossil fuels like coal and petroleum, which formed millions to billions of years ago. This distinction makes 129I a valuable tool for identifying iodine sources. In our study, we analyzed iodine isotopes and incorporated additional indicators such as element content in PM2.5 samples. Our findings reveal, for the first time, that in winter inland areas, fuel oil, alongside coal combustion, is a significant source of atmospheric iodine. This research enhances our comprehension of the impact of human activities on iodine levels in the environment. This understanding is crucial not only for addressing iodine deficiency-related health concerns but also for comprehending stratospheric ozone depletion, a phenomenon closely associated with atmospheric iodine.

Microplastic Characteristics in Equus kiang (Tibetan Wild Ass) Feces and Soil on the Southern Tibetan Plateau, China.

Microplastics (MPs) are emerging pollutants, and limited research has focused on their exposure to terrestrial wildlife and transport mode on the remote Tibetan Plateau (TP). Therefore, we investigated MPs in the southern soil and feces of Equus kiang (Tibetan wild ass), a species peculiar to the TP, which is known as the "third pole." We found that MP median abundances were 102 and 4.01 particles/g of dry feces and soil, respectively. In both media, the MP morphology mainly comprised ∼50 µm slender fibrous particles. In total, 29 MP types were identified in the feces, compared to 26 types in the soil. Among them, the acrylate copolymer (35.9%) and polyurethane (24.9%) were predominant in the feces, while polyurethane (22.5%) and silicone (20.4%) were predominant in the soil. After ingesting MPs at one location, E. kiang may become a source of MP pollution when moving to other meadows on the TP. The potential MP transport flux of a herd of 20 kiangs has been estimated at 1736 particles m-2 a-1. A unique "source-sink-source" MP transport model comprising an "atmospheric deposition-vegetation-feces-atmosphere" cycle on the TP was observed based on atmospheric transport simulations and terrestrial food chain transfer processes. Owing to human settlements in south and East Asia adjacent to the TP, atmospheric long-distance transmission is an essential route for MPs to enter the TP.

The impact of overqualification on the intention of urban withdrawal from the perspective of talent crowding.

Talent agglomeration greatly promotes the development of cities as a special form of talent allocation. However, excessive agglomeration of talent also leads to talent crowding and overqualification, which undermines the effectiveness of employing human resources and stimulates talent urban withdrawal. Based on the data from 327 questionnaires, data analysis was performed using Mplus 8.0 and HLM 6.08, this study explores the internal mechanism between overqualification and talent's intention of urban withdrawal from the perspective of talent crowding. The following conclusions were drawn: (1) Overqualification is positively correlated with talents' intention of urban withdrawal. (2) Psychological contract breach plays a mediating effect between overqualification and the talents' intention of urban withdrawal. (3) Relational mobility is negatively correlated with talents' intention of urban withdrawal. (4) Relational mobility plays a moderating role in the relationship between overqualification and talents' intention of urban withdrawal. (5) Urban livability is negatively correlated with talents' intention of urban withdrawal. (6) Urban livability plays a moderating role in the relationship between overqualification and talents' intention of urban withdrawal. The results can further improve the human resource management theory and serve as a foundation for developing and implementing population management policies in cities.

Transcription factors GmERF1 and GmWRKY6 synergistically regulate low phosphorus tolerance in soybean.

Soybean (Glycine max) is a major grain and oil crop worldwide, but low phosphorus (LP) in soil severely limits the development of soybean production. Dissecting the regulatory mechanism of the phosphorus (P) response is crucial for improving the P use efficiency of soybean. Here, we identified a transcription factor, GmERF1 (ethylene response factor 1), that is mainly expressed in soybean root and localized in the nucleus. Its expression is induced by LP stress and differs substantially in extreme genotypes. The genomic sequences of 559 soybean accessions suggested that the allelic variation of GmERF1 has undergone artificial selection, and its haplotype is significantly related to LP tolerance. GmERF1 knockout or RNA interference resulted in significant increases in root and P uptake efficiency traits, while the overexpression of GmERF1 produced an LP-sensitive phenotype and affected the expression of 6 LP stress-related genes. In addition, GmERF1 directly interacted with GmWRKY6 to inhibit transcription of GmPT5 (phosphate transporter 5), GmPT7, and GmPT8, which affects plant P uptake and use efficiency under LP stress. Taken together, our results show that GmERF1 can affect root development by regulating hormone levels, thus promoting P absorption in soybean, and provide a better understanding of the role of GmERF1 in soybean P signal transduction. The favorable haplotypes from wild soybean will be conducive to the molecular breeding of high P use efficiency in soybean.

Plutonium-based radiometric dating of rapidly accumulated sediments in the Sanyuan sinkhole, southern Chinese Loess Plateau.

Radionuclides, such as 210Pb, 137Cs and 239,240Pu, have been widely used for dating recent sediments in terrestrial and marine environments, while 129I, as an important artificial radionuclide in the environment, is also a potential tracer for sediment dating and environmental process studies. However, they were not always successfully applied to sediment dating because of their different sources, half-lives, environmental behaviour and measurement techniques. The dating applicability of these nuclides in a sedimentary environment with rapid accumulation on land was investigated for sinkhole sediment from the southern Chinese Loess Plateau. Our results showed that 210Pb and 137Cs could not be adequately used for dating the sediments due to the difficulties in accurately measuring 137Cs and excess 210Pb (210Pbex) signals caused by the dilution effect of rapid accumulation. 129I is not an ideal dating tracer because of its multisource feature causing no remarkable peak value in the sediment cores. The depth distribution of 239,240Pu in the sediment core showed a single peak corresponding to its maximum fallout in 1963 from the atmospheric nuclear weapons test, suggesting that Pu isotopes have significant advantages in dating recent sediments. The sensitive inductively coupled plasma-mass spectrometry (ICP-MS) measurement technique enables the determination of very low levels of 239Pu and 240Pu and makes 239,240Pu a suitable tracer for dating the rapidly accumulated sediment. Based on the 239,240Pu mass balance equation estimation and field observations, we proposed the water-eroded input from soil surrounding the sinkhole as another vital source of the sediments in addition to the aeolian contribution.

How hindrance stress, proactive personality, and the employment relationship atmosphere affect employees' innovative behavior.

Hindrance stress is a stimulus factor in the workplace that has a certain impact on the innovative behavior of employees. Most existing studies focus on the analysis of individual-level factors, ignoring the important role of organizational-level factors. This study uses multiple linear models to empirically analyze the interaction mechanisms among hindrance stress, proactive personality, employment relationship atmosphere, and employee innovative behavior factors in the workplace. This study found the following: (1) Hindrance stress negatively affects employees' innovative behavior. (2) A proactive personality positively affects employees' innovative behavior. (3) A proactive personality plays a moderating role in the relationship between hindrance stress and employees' innovative behavior. (4) The employment relationship atmosphere has a positive impact on employees' innovative behavior. (5) The employment relationship atmosphere plays a moderating role in the relationship between hindrance stress and employees' innovative behavior. This study enriches theoretical knowledge in the field of human resources and provides guidance for business managers on the effective encouragement of employees' innovative behavior.

The purple acid phosphatase GmPAP17 predominantly enhances phosphorus use efficiency in soybean.

Purple acid phosphatase (PAP) is an important plant acid phosphatase, which can secrete to the rhizosphere to decompose organophosphorus, promote phosphorus use efficiency, plant growth and development. However, little is known about the functions of intracellular PAP in plants, especially for soybean. Our previous study integrating QTL mapping and transcriptome analysis identified an promising low phosphorus (LP)-induced gene GmPAP17. Here, we determined that GmPAP17 was mainly expressed in roots and had a strong response to LP stress. Furthermore, and the relative expression in the root of LP tolerant genotypes NN94-156 was significantly greater than that of LP sensitive genotype Bogao after LP stress treatment. The overexpression of GmPAP17 significantly enhanced both acid phosphatase activity and growth performance of hairy roots under LP stress condition, it was vice versa for RNAi interference of GmPAP17, indicating that GmPAP17 plays an important role in P use efficiency. Moreover, yeast two-hybrid and bimolecular fluorescence complementation analysis showed that GmRAP2.2 was involved in the regulation network of GmPAP17. Taken together, our results suggest that GmPAP17 is a novel plant PAP that functions in the adaptation of soybean to LP stress, possibly through its involvement in P recycling in plants.

Determination of ultra-low 236U in environment samples using ICP-MS/MS measurement and chemical separation.

236U in the environment mainly originates from human nuclear activities. Based on the unique properties of uranium, 236U can be used as a powerful tracer for investigation of oceanographic and environmental processes. This requires sensitive measuement of 236U in various environmental samples. Due to the ultra-low radioactive level of 236U in the environment, its measurement is only possible by mass spectrometry. Because of the low atomic ratio of 236U/235U down to 10-7-10-5 in the environment, the interferences of 235U1H+ and peak tailings of 235U and 238U are critical challenges in the measurement of 236U by ICP-MS. This work developed a sensitive ICP-MS/MS method for measurement of ultra-low 236U by employing reaction cell technique and sequential quadrupole mass separators. By using 0.6 mL min-1 CO2 - 7 mL min-1 helium as collision/reaction gas to convert U+ and UH+ to UO+, the interferences of UH+ (UOH+/UO+ ratio) were significantly reduced to less than 2.4 × 10-7. A minimum detectable 236U/238U ratio of 3.0 × 10-10 was achieved, which is one order of magnitude better than reported values. By using collision focusing with helium in the reaction cell and APEX sample introduction system, the measurement sensitivity for 236U (236UO+) was improved to 7.5 × 106 cps ppb-1. In combination with an effective chemical separation of uranium from sample matrix and interferences using total borate fusion following extraction chromatography with UTEVA resin, a detection limit of 7.2 × 10-16 g g-1 for 236U was achieved. The developed method was verified by analysis of certified reference materials and by comparison with AMS measurement method. Soil samples collected from Northwest China were successfully analyzed. 236U/238U ratios down to 9 × 10-10 were measured in these samples, and the sources of 236U in different sits were discussed.

Calcium-Loaded Municipal Sludge-Biochar as an Efficient and Stable Catalyst for Biodiesel Production from Vegetable Oil.

In this contribution, biochar from municipal sludge was used as a novel matrix for the synthesis of a series of calcium-based heterogeneous catalysts toward biodiesel production. Their catalytic activity was investigated in terms of catalyst loading and calcination temperature during preparation, in addition to the transesterification parameters including the methanol/oil molar ratio, reaction time, and catalyst amount. The highest biodiesel yield up to 93.77% was achieved with the 30Ca/A-SBC-700, and it maintained as high as 84.9% even after 10 cycles of a consecutively alternating catalysis and regeneration process. It was revealed that the porous municipal sludge biochar and autologous SiO2 were accountable for the superior stability of the present catalyst. This work may provide a new path to value-added valorization of sludge waste and also a renewable and efficient catalyst for biodiesel production at a low cost.

129I in a sediment core offshore Fukushima: Distribution, source and its implication.

129I released from the Fukushima Daiichi Nuclear Power Plant (FDNPP) accident has been observed in the atmospheric, terrestrial and oceanic environments, and it also entered the marine sediments via dispersion by sea water movement and deposition around Japan. However, there have been few studies of marine sediment cores in contrast to the large number of studies on seawater. In this work, a sediment core collected near FDNPP was analyzed for 129I. It is observed that the 129I/127I atomic ratios in this sediment core are comparable to those in the seawater and sediments collected from offshore Fukushima after the accident, but 2 orders of magnitude higher than those in seawater in this region before the accident, suggesting the significant amount of 129I has been transferred and incorporated to the offshore shallow sediments. The difference in environmental behavior between 129I and 137Cs is discussed based on their depth distributions in the sediment core in comparison with the grain size distribution of sediments. The peak concentrations of iodine isotopes were found in a relatively deeper layer than radiocesium. Radiocesium follows the distribution of fine grains in the sediment core, implying its high association to fine grains.

Anthropogenic 129I in the sediment cores in the East China sea: Sources and transport pathways.

With the increased numbers of nuclear power plants constructed along the east coast of China, it is important to know radioactive sources and transport pathways between land and sea, in order to better understand the impact of these nuclear facilities to the marine environment. Two sediment cores collected from the East China Sea dated to 1959-2010 were analyzed for long-lived radioactive 129I and stable 127I. It was observed that 129I levels (129I/127I ratio of (15.0-75.0) × 10-12) were significantly increased compared to the pre-nuclear value (129I/127I = 1.5 × 10-12). Some 129I peaks were observed in layers of 1959, 1966, 1971 and 1976 (1977), corresponding to the atmospheric nuclear weapon tests at Pacific Proving Grounds and Lop Nor. The high values of 129I after the late 1970s are attributed to the releases from the European reprocessing plants. In addition to ocean current transport, the atmospheric dispersion through the interaction of the Westerlies with East Asia monsoon is the important pathway of large-scale transport of pollutants from high latitude West Europe to middle latitude East Asia. Riverine input is the main transport pathway of radioactive pollutants released from Lop Nor to the East China Sea through the atmospheric dispersion, deposition and runoff processes.

Spatial and vertical distribution of 129I and 127I in the East China Sea: Inventory, source and transportation.

Iodirne-129 is useful for tracking water mass movement in the ocean. In this study, the concentration of iodine isotopes in seawater of the East China Sea (ECS) in October 2013 were analyzed to investigate the spatial and vertical distribution of 129I and 127I to understand water mass exchange. Results showed that the 129I/127I atomic ratios varied with the water mass, with higher values of (10-20) × 10-11 in the coastal regions and lower values of <8 × 10-11 offshore. Inventories of 129I were estimated to be (0.23-1.7) × 1012 atoms m-2 (n = 18) in upper 100 m waters, which is comparable to those of other regions without being contaminated by the nuclear accidents or nuclear reprocessing facilities. The total amount of 129I in the ECS water column was estimated to be 88 g in which over 90% is attributed to the oceanic input (e.g., West Pacific) via the Kuroshio Current (KC). The contributions of 129I from Changjiang (Yangtze River) terrestrial watershed (<7.5%) and atmospheric fallout (<2.7%) were small. Those from the Fukushima accident were negligible during this investigation. The 129I/127I ratios versus salinity distribution showed the range and stratification of the Changjiang, Yellow Sea, and KC waters in the ECS. Our study shows that the Changjiang fresh water could be transported to the North Jiangsu coast in October; the Taiwan Warm Current water could intrude to Northern part of the Changjiang Estuary (32°N). Besides, our results suggest that the 129I/127I profile is useful to indicate the seawater mixing process in ocean marginal systems.

Authentication of Chinese vintage liquors using bomb-pulse 14C.

The older a bottle of Chinese vintage liquor is, the higher the price it commands. Driven by the potential for higher profits, some newly-founded distilleries openly sell liquor whose storage ages are exaggerated. In China, the market for vintage liquor has become fraught with uncertainty and a pressing need has arisen to establish an effective method to authenticate the age of vintage liquors. A radiocarbon (14C) dating method is described here that can verify cellar-stored years of Chinese liquors distilled within the last fifty years. Two different flavored Chinese liquors produced in "the golden triangular region" in the Upper Yangtze River region in southwest China, with known cellar-stored years, were analyzed to benchmark the technique. Strong flavored liquors are found to be consistent with local atmospheric Δ14C values. A small offset of 2-3 years between predicted vintage years of soy-sauce flavored liquors and strong flavored liquors is found to be associated with the fermentation cycle of certain varieties. The technique can measure cellar-stored years of a wide range of liquors including those with fundamentally different aromas. This demonstrates the strength of our method in identifying suspect Chinese vintage liquors.

(129)I record of nuclear activities in marine sediment core from Jiaozhou Bay in China.

Iodine-129 has been used as a powerful tool for environmental tracing of human nuclear activities. In this work, a sediment core collected from Jiaozhou Bay, the east coast of China, in 2002 was analyzed for (129)I to investigate the influence of human nuclear activities in this region. Significantly enhanced (129)I level was observed in upper 70 cm of the sediment core, with peak values in the layer corresponding to 1957, 1964, 1974, 1986, and after 1990. The sources of (129)I and corresponding transport processes in this region are discussed, including nuclear weapons testing at the Pacific Proving Grounds, global fallout from a large numbers of nuclear weapon tests in 1963, the climax of Chinese nuclear weapons testing in the early 1970s, the Chernobyl accident in 1986, and long-distance dispersion of European reprocessing derived (129)I. The very well (129)I records of different human nuclear activities in the sediment core illustrate the potential application of (129)I in constraining ages and sedimentation rates of the recent sediment. The releases of (129)I from the European nuclear fuel reprocessing plants at La Hague (France) and Sellafield (UK) were found to dominate the inventory of (129)I in the Chinese sediments after 1990, not only the directly atmospheric releases of these reprocessing plants, but also re-emission of marine discharged (129)I of these reprocessing plants in the highly contaminated European seas.

Multicenter cross-sectional observational study of antibiotic resistance and the genotypes of Propionibacterium acnes isolated from Chinese patients with acne vulgaris.

Antibiotics are widely applied in management of acne vulgaris, which raises the issue of antibiotic resistance. Due to improper application and supervision of antibiotics, antibiotic resistance has become a serious problem in China. So, the efficacy of antimicrobial therapy in acne is unclear without an objective monitor of antibiotic resistance of Propionibacterium acnes. This cross-sectional, multicenter observational study is aimed at understanding the status of antibiotic resistance in P. acnes, investigating the measures of acne management in China and analyzing the genotypes of antibiotic-resistant strains of P. acnes. Altogether, 312 strains of P. acnes were collected from patients in five medical centers across central China after reviewing the corresponding medical history in detail. The samples underwent antibiotic susceptibility assays by agar dilution method with a total of 11 classes of antibiotics being tested. The antibiotic-resistant strains were screened and further analyzed by investigation of the genotypes regarding 23S rRNA, 16S rRNA and erm(X). The predominant resistance occurred in macrolides and lincomycin with an overall resistance rate of 47.8%. The resistance to tetracyclines was scarce with only two cases identified. The emergence of minimum inhibitory concentration elevation for tetracyclines is associated with its application history (P < 0.005). The genotypes of the reported macrolide-lincosamide-streptogramin B resistance strains were also spotted in Chinese subjects while other resistance determinants may also exist. The tetracyclines have been proved to be vastly susceptible while macrolides and lincomycin face a serious resistance status in China.