分类: 计算机科学 >> 计算机应用技术 提交时间: 2020-02-24
摘要: Background:The COVID-19 Epidemic emerged in Wuhan, Hubei province, China. Ever since Wuhan lockdown on January 23rd, mass quarantines were exercised on Wuhan and other epidemic areas of China. We aimed to clarify how ordinary Wuhan people defend against COVID-19 epidemic at home through the Internet survey. Methods:A questionnaire survey, consisting of 30 questions were posted on the Internet. The following aspects were investigated: household preventive measures, self-monitoring of discomfort symptoms, immunity boosting against the epidemic, frequency and reasons of outgoing and mental status of the isolated people. The questionnaire was circulated on Wechat. We marked the areas based on the surveyed network IP addresses and categorized respondents into group A(Wuhan), B(Hubei Province excluding Wuhan ), C, and D based on the epidemic severity of their areas announced by Baidu.com at 17:00 on February 8, 2020. And a comparative study was conducted to illustrate how Wuhan people took the anti-COVID-19 strategies and how efficient these preventive measures were. Findings:In terms of discomfort symptoms, Wuhan, as Group A, had the lowest asymptomatic percentages (70.2%), compared to the average 78.5% (±7%). Considering the three typical symptoms for the COVID-19, i.e., cough, fever and fatigue, Wuhan (9.67%) greatly deviated from the average (7.68%). The fatigue was the most significant factor in the deviation, exceeding the average by 1.35%. In terms of household protection measures, most people or families were able to take effective protection measures with very low frequency of going out, but the percentage of those who took this practice was obviously smaller in Wuhan and Hubei Province. From the aspect of going out, most of the people in Wuhan only went out for shopping and work, with a small number of people for social gathering. In terms of immunity boosting, compared with Group C and D, it was relatively lower in Wuhan. Overall, most people chose to enhance their immunity through regular schedule, exercise, sufficient nutrition. Only 33.44% of people in Group A did not go out, and 59.97% had to go out for living supplies, which was the highest level among the four groups. However, the percentage of people who went out for work and unnecessary activities remains the lowest while 1% of the population went out for public welfare activities, higher than other groups. Worry about the family health topped all the parameters for all the groups. Among them, Wuhan has reached a maximum of 49.61%, higher than the average level of 36.62% (± 10.69%). Mental status except for feeling bored and lonely were the highest in Wuhan. Suggestions:When the epidemic prevention and control is still in a sticky state, and Wuhan started a stricter control measure, the closed management of communities, on Feb 11, 2020, it is expected that our findings can provide some insights into the current household preventive actions and arouse more attentions of the public to some ignored preventive precautions. Unnecessary outgoing should be strictly abandoned. Regular schedule, exercises and nutrition were the top 3 measures participants would choose to enhance their own immunity system. It seems that people in Wuhan would choose nutrition and regular scheduler rather than exercises as the primary immunity-boosting ways. Exercise should be especially advocated as an effective way to enhance the immunity system. In terms of physical condition, people in Wuhan should take more active measures when symptoms occurred. The mentality is also an important aspect requiring intensive attention with the conduct of stricter control management in Wuhan while the rest groups gradually resume to work and ordinary life.
分类: 心理学 >> 医学心理学 分类: 医学、药学 >> 基础医学 提交时间: 2020-02-19
摘要: 目的:调查在COVID-19疫情发展至中期状态下全国不同地区居民心理状态。方法:对全国不同地区3340位居民进行了抑郁自评量表(Self-Rating Depression Scale, SDS)、焦虑自评量表(Self-Rating Anxiety Scale, SAS)、社会支持评定量表(Social Support Rate Scale, SSRS)及疾病认知调查与分析。结果:抑郁(40.89±10.901)和焦虑(38.35±8.298)平均分与常模比较轻度升高(P < 0.05),但无临床意义(抑郁评分>53;焦虑评分>50),湖北地区群众与非鄂地区相比,抑郁和焦虑得分未见明显差异。SSRS评分各组平均分均>30分,但低龄组小于高龄组(P < 0.05)。疾病认知评分,医学组高于非医学组,低龄组高于高龄组(P < 0.05)。相关性分析结果提示认知与焦虑和抑郁评分呈负相关(P < 0.05)。结论:在党和人民政府的领导下,抗“疫”战争已经取得了阶段性的胜利,广大人民群众,特别是湖北地区居民的焦虑和抑郁情绪得到了一定程度的缓解,但仍较非疫情期间略有升高。社会群众,特别是老年群众对疾病认知还相对不足,需要社区及医务人员进一步进行普及,充分认识疾病可能是消除焦虑和抑郁的有效手段。
分类: 医学、药学 >> 临床医学 提交时间: 2022-07-09 合作期刊: 《中国全科医学》
摘要: 背景 新型冠状病毒病 (COVID-19)在全球范围内蔓延,严重影响人类健康和生活。有研究报道COVID-19感染可导致血栓性疾病,而脑卒中与血栓事件密切相关。目的 评估COVID-19感染对脑卒中病死率的影响,并对其可能机制进行探讨,从而为COVID-19患者的科学防治提供可靠的临床理论依据。方法 通过检索Web of Science,Pubmed,embase,cochrane,知网及万方等自2019年12月至2022年1月发表的文献,筛选COVID-19合并脑卒中的相关文献,采用NOS风险评价标准对纳入文献进行质量评价,采用Meta分析评价COVID-19感染对脑卒中病死率的影响,采用漏斗图评价文献发表偏倚。结果 共纳入20篇文献。Meta分析结果显示:脑卒中患者中感染COVID-19患者的病死率高于非COVID-19感染组(RR=4.16, 95% CI: 2.82-6.13, P
分类: 心理学 >> 社会心理学 提交时间: 2021-01-15
摘要: Objective: Given that the coronavirus pandemic has become a severe concern around the world, how can optimism be maintained in an outbreak of a collective epidemic? We proposed that perceived control and negative affect could be potential explanatory factors for optimism in the face of pandemic. Methods & Results: In Study 1, a large-scale (N = 599) cross-sectional design (N = 599) showed the effect of risk perception on life optimism and the serial mediating effect of “perceived control–negative affect” through structural equation modeling. Then, Study 2 (N = 191) ascertained the causality between risk perception for epidemic and life optimism with experimental manipulations. Finally, Study 3 (N = 186) controlled for extrinsic variables and further revealed that the effect of risk perception on optimism could be extended to overall subjective well-being. Conclusions: Together, these findings indicated that under influenza epidemic, risk perception could make a difference in life optimism. Moreover, perceived control and negative affect were notable contributing factors in the link. Measures strengthening the publicity and transparency of recovery rates should be taken to reduce public risk perceptions and promote life optimism.
分类: 图书馆学、情报学 >> 情报学 提交时间: 2023-07-03
摘要: 【目的】对比分析预印本与期刊相似主题的区别与联系,以新冠疫情主题为例证明二者在研究热点与侧重上存在互补。【方法】本文采用BERTopic主题分析模型,并提出了二维象限主题对比法,从热度、影响两个维度对预印本与期刊两个来源的相似热点主题进行对比。【结果】分析bioRxiv、medRxiv、Scopus平台上新冠疫情相关文献共约七万条,对比预印本和期刊各个维度的主题分布情况,发现以下规律:1)主题热度方面,预印本更偏向医学层面,期刊更偏向社会层面;2)主题影响方面,预印本更偏向预防主题,期刊更偏向病毒传播主题;3)预印本和期刊在热度和影响力方面有部分重回主题,如疫苗相关主题;4)预印本中有期刊中所没有的特有的热点主题,如病毒变异等。【结论】总体来看,预印本的主题更偏向理论与学术,而期刊主题更偏向实践与社会;预印本主题在原理方面分支更细致,而期刊主题在社会层面涉及面更广,二者在内容方面可以形成有效互补。
分类: 心理学 >> 应用心理学 提交时间: 2023-05-12
摘要: 身体经验和条件关乎社会发展和人类的幸福体验,然而以往研究在COVID-19对消极身体意象的影响上尚未达成一致。为了探究COVID-19与消极身体意象的真实关系,本研究构建了消极身体意象词典,从海量微博数据中获取2010年1月至2022年5月中国31个省/市/自治区的身体意象面板数据,比较了疫情前后不同年份间消极身体意象水平的差异,并探究了疫情严重程度对消极身体意象的影响关系。结果发现,疫情爆发后,消极身体形象水平显著下降,并在两年内保持稳定。且在控制区域效应和时间效应后,新冠疫情的严重程度能够负向预测消极身体意象水平。本研究表明,在封锁期间,群众可能出于对死亡的恐惧和生活习惯的改变更容易接纳身体外观。研究结果对从宏观层面理解重大公共卫生事件影响下的大众身体意象的变化有重要意义。
分类: 心理学 >> 社会心理学 提交时间: 2020-03-04
摘要: The novel coronavirus (COVID-19) has infected more than 90,000 people in at least 69 countries by Feb 29, 2020. Medical interest in COVID-19 has been considerable. Mental health issues that coincide with the epidemics are rarely examined. There is a strong need for public health officials to consider how psychological effects vary at each phase of a crisis and how they relate to people to better support them in these shifting states of mind. The present study examines temporal relationships among behavioral and emotional responses towards COVID-19 and attitudinal responses to crisis management. 846 adults were invited to complete a set of Internet-based questionnaires at two time points with a range of 14 to 18 days’ intervals covered by the ascending phase of the outbreak. At the baseline assessment 788 adults completed the questionnaires. At the Wave 2 survey, 318 adults from Wave 1 were retained. Results from cross-lagged models demonstrated reciprocal negative associations between anxiety and crisis management appraise. In addition, the higher evaluation of crisis management in the initial period of outbreak predicted adoption of preventive behaviors and susceptibility to emotional contagion to a greater extend in a later period. Susceptibility to emotional contagion also positively predicted preventive behaviors taken. Furthermore, multiple group structural equation modeling revealed that evaluation of crisis management is more likely to affect the susceptibility to emotional contagion of people on the frontline of the outbreak (i.e., Wuhan) compared to people living in moderate risk areas (i.e., Outside of Hubei). These data provide experimental evidence regarding mental health during the COVID-19 outbreak, and over the course of a pandemic, which will direct governments and health authorities during disease outbreaks through their attempts to communicate with the public.
分类: 心理学 >> 临床与咨询心理学 分类: 医学、药学 >> 预防医学与公共卫生学 提交时间: 2020-02-29
摘要: We noticed an unusual increase of first-time patients with schizophrenia (F20) in January 2020 since the outbreak of COVID-19. The aim of this retrospective study is to validate this observation and find potential risk factors, if applicable. A total number of 13,783 records from outpatients in January 2020 were investigated thoroughly. Comparisons between incidence of schizophrenia in outpatients in January 2020 and similar periods of 2017-2019 were made to minimize seasonal influence. Relationship of incidence of schizophrenia and COVID-19 infections in China was calculated. Limited personal information (age, gender, approximate residence) was analyzed to find risk factors.After excluding seasonal factors such as Spring festival, a positive relationship between incidence of schizophrenia in first-time patients and countrywide epidemic situation was found. Statistical results further showed a significant increase of median age from 39 to 50 for first-time patients diagnosed with schizophrenia which is unusual. Meanwhile, a slight but not significant change was found in distribution of gender and approximate residence (urban/suburb). Our data supported that COVID-19 outbreak increased risk of schizophrenia in aged adults which is consistent with the fact that COVID-19 is more lethal to elders. We strongly appeal that public healthcare in countries either with or without infected patients should prepare in advance for potential risks in public mental health.
分类: 医学、药学 >> 临床医学 提交时间: 2020-02-28
摘要: Here we reported a case of asymptomatic carrier of SARS-CoV-2 infection. A 50-year old woman, lived with her husband in Anqing(Anhui, China) with no significant past medical history, travel history to Wuhan or adjacent area, or exposure to wild animals. She took throat swab test for SARS-CoV-2 nucleic acid due to her husband’s close contact with patients who had SARS-CoV-2 infection. Her results were confirmed positive on February 6, 2020. But she did not report elevation of temperature measurement, nor respiratory or gastrointestinal symptoms and her chest CT scan showed no significant abnormalities. She was hospitalized on February 6 and treated with antiviral agents. During her hospitalization, apart from a mild elevation of liver enzymes after 10-day treatment of lopinavir/ritonavir, she was asymptomatic, with her blood cell count, live and renal function largely normal. Her subcutaneous oxygen saturation stayed above 97%. Chest CT scan was repeated on February 11 and 20, and both were negative for signs of viral pneumonia. Notably, a second set of throat swabs and anal swabs were sent to test for SARS-CoV-2 on February 19, and the results were still confirmed positive. This is a confirmed case of asymptomatic carrier of SARS-CoV-2 infection. Her persistent positive findings in both throat and anal swabs suggested the possibility of healthy carrier of the virus, which adds to the difficulty in preventing transmission of the disease.
分类: 医学、药学 >> 临床医学 提交时间: 2020-02-27
摘要: BackgroundThe COVID-19 cases increased very fast in the last two months. The mortality among critically ill patients, especially the elder ones, was relatively high. Considering that most of the dead patients were caused by severe inflammation response, it is very urgent to develop effective therapeutic agents and strategies for these patients. The human umbilical cord mesenchymal stem cells (hUCMSCs) have shown very good capability to modulate immune response and repair the injured tissue with good safety. Case PresentationHere, we reported the treatment process and clinical outcome of a 65-year-old female critically ill COVID-19 patient infected with 2019-nCoV (now called SARS-CoV-2). The significant clinical outcome and well tolerance was observed by the adoptive transfer of allogenic hUCMSCs.ConclusionsOur results suggested that the adoptive transfer therapy of hUCMSCs might be an ideal choice to be used or combined with other immune modulating agents to treat the critically ill COVID-19 patients.
分类: 计算机科学 >> 计算机科学的集成理论 提交时间: 2022-11-28 合作期刊: 《数据智能(英文)》
摘要: Due to the large-scale spread of COVID-19, which has a significant impact on human health and social economy, developing effective antiviral drugs for COVID-19 is vital to saving human lives. Various biomedical associations, e.g., drug-virus and viral protein-host protein interactions, can be used for building biomedical knowledge graphs. Based on these sources, large-scale knowledge reasoning algorithms can be used to predict new links between antiviral drugs and viruses. To utilize the various heterogeneous biomedical associations, we proposed a fusion strategy to integrate the results of two tensor decomposition-based models (i.e., CP-N3 and ComplEx-N3). Sufficient experiments indicated that our method obtained high performance (MRR=0.2328). Compared with CP-N3, the mean reciprocal rank (MRR) is increased by 3.3% and compared with ComplEx-N3, the MRR is increased by 3.5%. Meanwhile, we explored the relationship between the performance and relationship types, which indicated that there is a negative correlation (PCC=0.446, P-value=2.26e-194) between the performance of triples predicted by our method and edge betweenness.
分类: 计算机科学 >> 计算机科学的集成理论 提交时间: 2022-11-28 合作期刊: 《数据智能(英文)》
摘要: Since the end of 2019, the COVID-19 outbreak worldwide has not only presented challenges for government agencies in addressing public health emergency, but also tested their capacity in dealing with public opinion on social media and responding to social emergencies. To understand the impact of COVID- 19 related tweets posted by the major public health agencies in the United States on public emotion, this paper studied public emotional diffusion in the tweets network, including its process and characteristics, by taking Twitter users of four official public health systems in the United States as an example. We extracted the interactions between tweets in the COVID-19-TweetIds data set and drew the tweets diffusion network. We proposed a method to measure the characteristics of the emotional diffusion network, with which we analyzed the changes of the public emotional intensity and the proportion of emotional polarity, investigated the emotional influence of key nodes and users, and the emotional diffusion of tweets at different tweeting time, tweet topics and the tweet posting agencies. The results show that the emotional polarity of tweets has changed from negative to positive with the improvement of pandemic management measures. The public's emotional polarity on pandemic related topics tends to be negative, and the emotional intensity of management measures such as pandemic medical services turn from positive to negative to the greatest extent, while the emotional intensity of pandemic related knowledge changes the most. The tweets posted by the Centers for Disease Control and Prevention and the Food and Drug Administration of the United States have a broad impact on public emotions, and the emotional spread of tweets polarity eventually forms a very close proportion of opposite emotions.
分类: 生物学 >> 病毒学 分类: 计算机科学 >> 计算机科学技术其他学科 提交时间: 2020-02-21
摘要: 新发传染病爆发流行期间,亟需提出候选药物功效与机制的科学假说。疫苗或新药研发均需要一定时间,因而药物重定位(老药新用)策略有其独特价值。但是新发疾病其病原体、宿主反应的临床数据不充分,制约了候选药物假设的提出。此阶段常根据病人临床特征进行广谱抗病毒药物的尝试。本文借鉴人工智能领域常见的启发式搜索思路,提出一种新方法(aCODE),基于前期有一定疗效提示的广谱抗病毒药,获得其宿主靶蛋白集合,在全基因组尺度上搜索与之相关性最高的基因模块组合,进而对候选化合物(如已批准上市药物、天然产物)进行模式匹配与统计检验排序。本方法可根据临床实践的进展更新输入药物,迭代输出更精准结果,输出的天然产物或中药、药食同源成分结合其它信息后可实施快速测试,形成敏捷研发测试闭环。本方法的第二版更新及其与文献证据的比对分析请参考:http://chinaxiv.org/abs/202002.00024。
分类: 数字出版 >> 数字技术 提交时间: 2023-07-23
摘要: In the era of communication globalization, news media are the window for people to know the world. During the COVID-19 pandemic, foreign media reported on the epidemic in China, created a different image of China. In order to improve the perception of other countries' media's strategy when constructing China's image and strengthen the understanding of Bangladesh and other third countries in the field of international communication, this paper studies the construction of China's image in Bangladesh's Prothom Alo's report on the China-related epidemic from the perspective of the framework theory. Through stratified sampling and content analysis, it is found that Prothom Alo has different reporting emphases and attitudes at different stages of the epidemic. Besides, the reports mainly focus on political issues and tend to be negative, mostly from Western media. In view of this, the paper finds out the problems existing in the Western media, Bangladesh and China behind the media reports, and puts forward corresponding suggestions.
分类: 心理学 >> 社会心理学 提交时间: 2020-03-27
摘要: 当个体知觉到环境中存在威胁时,就会自动的引发个体的应激反应。而长期的应激会使个体产生一系列严重的心理和身体健康问题。大量的研究发现肯定自我价值可以缓冲由应激引发的负面情绪和身体反应。本研究通过实验的方法考察了肯定自我价值是否可以降低新冠肺炎(COVID-19)疫情引发的焦虑和抑郁情绪反应。220名被试被随机分配到自我价值肯定任务组或控制任务组,被试在干预前(2月2日)和一个星期后(2月9日)完成焦虑和抑郁测量。研究结果发现相对于控制组在一周后比前测时表现出更严重的焦虑情绪,自我价值肯定组在前测和一周后在焦虑情绪上没有显著的变化,这一效应在控制了性别、年龄、受教育水平和家庭年收入后仍然存在。这些结果表明简短的(约10分钟)对自我价值的反思可以帮助个体缓冲疫情引发的焦虑情绪反应。这一发现对于从社会心理的视角进行疫情防护提供了重要的科学证据。
分类: 医学、药学 >> 临床医学 提交时间: 2020-02-26
摘要: Background: The efficient transmission of Severe Acute Respiratory Syndrome-2 Coronavirus (SARS-CoV-2) from patients to healthcare workers or family members has been a worrisome and prominent feature of the ongoing outbreak. On the basis of clinical practice and in-vitro studies, we postulated that post-exposure prophylaxis (PEP) using Arbidol is associated with decreased infection among individuals exposed to confirmed cases of COVID-19 infection. Methods: We conducted a retrospective case-control study on family members and health care workers who were exposed to patients confirmed to have SARS-CoV-2 infection by real-time RT-PCR and Chest CT from January 1 to January 16, 2020. We collected demographic information, work location of exposure, post-exposure prophylaxis information, and symptoms, if any, 24 days after exposure. The relation between post-exposure prophylaxis and infection in household contacts and healthcare workers were respectively analyzed. Results: 27 families and 124 health care workers had evidence of close exposure to patients with confirmed COVID-19. There were no differences in age, profession and sex distribution in the two groups with different post-exposure prophylaxis, table 1. Logistic regression based on the data of the family members and health care workers with Arbidol or Oseltamivir prophylaxis showed that Arbidol PEP was a strong protective factor against the development of COVID-19 (Odds ratio 0·011 , 95% CI 0·001-0·125, P=0·0003 for family members and Odds ratio 0·049, 95%CI 0·003-0·717), P= 0·0276 for health care workers). On the contrary, Oseltamivir was associated with an increase in COVID-19 infection (Odds ratio 20·446, 95% CI 1·407-297·143, P= 0·0271). Conclusions: Our findings suggest Arbidol could reduce the infection risk of the novel coronavirus in hospital and family settings. This treatment should be promoted for PEP use and should be the subject of further investigation.
分类: 心理学 >> 应用心理学 提交时间: 2022-10-18
摘要: 疫情对整个人类社会带来巨大影响,也深深影响到当代大学生。新冠疫情发生后,大学生生活发生了巨大的改变。疫情下政策的不断调整,封校等行为导致大学生交往与休闲活动被限制,大学生情绪出现了波动。这种复杂的情绪反应,传统的量表都不能完全反应出其忽高忽低的反复性情绪。大学生是疫情防控的重点、难点。目前针对大学生疫情心态认知及其影响的研究欠缺,使得对于大学生群体的疫情防控方法缺乏针对性。大学生属于群体生活,心态具有社会和群体属性,其形成和变化涉及多种因素。它不是个人心态的简单累积和机械叠加。民众心理健康测量(DASS)更倾向于负性情绪严重时的测量,不能完全表达疫情好转时的积极心态。SCL-90(90症状清单),SDS(抑郁状态量表)都更倾向于个体测量,而非民众风险认知及其心理行为研究。针对大学生疫情心态认知测量方法缺乏,我们经过研究,编制新冠疫情下心态认知量表并检验。研究对于疫情下大学生心态认知有着积极的意义。准确把握大学生疫情心态认知,有利于进行科学的疫情防控,助力打赢抗击疫情这场战争。
分类: 医学、药学 >> 临床医学 提交时间: 2020-03-05
摘要: Background: In December 2019, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was identified in Wuhan, China, which spread rapidly and has become a world-wide public health challenge. We aimed to assess the efficacy of tocilizumab in severe patients with Corona Virus Disease-19 (COVID-19) and seek a new therapeutic strategy. Methods: The patients diagnosed as severe or critical COVID-19 in The First Affiliated Hospital of University of Science and Technology of China (Anhui Provincial Hospital) and Anhui Fuyang Second People’s Hospital were given tocilizumab in addition to routine therapy between February 5 and February 14, 2020. The changes of clinical manifestations, CT scan image, and laboratory examinations were retrospectively analyzed. Findings: Within a few days, the fever returned to normal and all other symptoms improved remarkably. Fifteen of the 20 patients (75.0%) had lowered their oxygen intake and one patient need no oxygen therapy. CT scans manifested that the lung lesion opacity absorbed in 19 patients (90.5%). The percentage of lymphocytes in peripheral blood, which decreased in 85.0% patients (17/20) before treatment (mean, 15.52 ± 8.89%), returned to normal in 52.6% patients (10/19) on the fifth day after treatment. Abnormally elevated C-reactive protein decreased significantly in 84.2% patients (16/19). No obvious adverse reactions were observed. Nineteen patients (90.5%) have been discharged on average 13.5 days after the treatment with tocilizumab and the rest are recovering well. Interpretation: Tocilizumab is an effective treatment in severe patients of COVID-19, which provided a new therapeutic strategy for this fatal infectious disease.
分类: 医学、药学 >> 临床医学 提交时间: 2020-02-28
摘要: A coronavirus (HCoV-19) has caused the novel coronavirus disease (COVID-19) outbreak in Wuhan, China, Preventing and reversing the cytokine storm may be the key to save the patients with severe COVID-19 pneumonia. Mesenchymal stem cells (MSCs) have been shown to possess a comprehensive powerful immunomodulatory function. This study aims to investigate whether MSC transplantation improve the outcome of 7 enrolled patients with COVID-19 pneumonia in Beijing YouAn Hospital, China from Jan 23, 2020. to Feb 16, 2020. The clinical outcomes, as well as changes of inflammatory and immune function levels and adverse effects of 7 enrolled patients were assessed for 14 days after MSC injection. MSCs could cure or significantly improve the functional outcomes of seven patients with COVID-19 pneumonia in 14 days without observed adverse effect. The pulmonary function and symptoms of all patients with COVID-19 pneumonia were significantly improved in 2 days after MSC transplantation. Among them, two common and one severe patient were recovered and discharged in 10 days after treatment. After treatment, the peripheral lymphocytes were increased and the overactivated cytokine-secreting immune cells CXCR3 CD4 T cells, CXCR3 CD8 T cells, and CXCR3 NK cells were disappeared in 3-6 days. And a group of CD14 CD11c CD11bmid regulatory DC cell population dramatically increased. Meanwhile, the level TNF-α is significantly decreased while IL-10 increased in MSC treatment group compared to the placebo control group. Furthermore, the gene expression profile showed MSCs were ACE2- and TMPRSS2- which indicated MSCs are free from COVID-19 infection. Thus, the intravenous transplantation of MSCs was safe and effective for treatment in patients with COVID-19 pneumonia, especially for the patients in critically severe condition.
分类: 医学、药学 >> 医学、药学其他学科 提交时间: 2020-02-17
摘要: 药物重定位(老药新用)策略在新发传染病中具有独特应用前景。我们前期提出了一种新的药物重定位系统——aCODE,可以基于疾病流行早期有限信息对潜在有效的天然产物进行预测。本文基于计算工具与文献证据,对可能在新冠病毒肺炎(COVID-19)防治中发挥作用的中药天然产物进行理论研究,发现:(1)文献调研共发现56种经过实验验证具有抗冠状病毒活性的天然产物成分,可靶向冠状病毒的结构蛋白和非结构蛋白;(2)将aCODE系统所预测的抗冠状病毒天然产物成分与文献证据对比,发现交集有大黄素、甘草酸、人参皂苷R1、利血平和杨梅素等。大黄素可破坏冠状病毒S蛋白与宿主ACE2相互作用,阻止病毒入侵宿主细胞;同时具有抑制3a蛋白离子通道、阻止病毒释放的作用。甘草酸或其衍生物也是国内相关团队在新冠病毒肺炎治疗研究中重点关注的候选药物,已进入临床试验。(3)针对中药预测结果中大量出现的芳香化合物,aCODE系统增加芳香植物提取物数据源,计算发现氨基肉桂酸、肉桂醛、茴香烯、紫苏醇、芳樟醇、柠檬烯具有潜在的抗病毒效应。提示“芳香避秽”的细胞分子学机理值得进一步深入研究。