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  • 1
    Online Resource
    Online Resource
    Proceedings of the National Academy of Sciences ; 2021
    In:  Proceedings of the National Academy of Sciences Vol. 118, No. 13 ( 2021-03-30)
    In: Proceedings of the National Academy of Sciences, Proceedings of the National Academy of Sciences, Vol. 118, No. 13 ( 2021-03-30)
    Abstract: Antimicrobial resistance (AMR) poses a serious threat to global public health. However, vaccinations have been largely undervalued as a method to hinder AMR progression. This study examined the AMR impact of increasing pneumococcal conjugate vaccine (PCV) coverage in China. China has one of the world’s highest rates of antibiotic use and low PCV coverage. We developed an agent-based DREAMR (Dynamic Representation of the Economics of AMR) model to examine the health and economic benefits of slowing AMR against commonly used antibiotics. We simulated PCV coverage, pneumococcal infections, antibiotic use, and AMR accumulation. Four antibiotics to treat pneumococcal diseases (penicillin, amoxicillin, third-generation cephalosporins, and meropenem) were modeled with antibiotic utilization, pharmacokinetics, and pharmacodynamics factored into predicting AMR accumulation. Three PCV coverage scenarios were simulated over 5 y: 1) status quo with no change in coverage, 2) scaled coverage increase to 99% in 5 y, and 3) accelerated coverage increase to 85% over 2 y followed by 3 y to reach 99% coverage. Compared to the status quo, we found that AMR against penicillin, amoxicillin, and third-generation cephalosporins was significantly reduced by 6.6%, 10.9%, and 9.8% in the scaled scenario and by 10.5%, 17.0%, and 15.4% in the accelerated scenario. Cumulative costs due to AMR, including direct and indirect costs to patients and caretakers, were reduced by $371 million in the scaled and $586 million in the accelerated scenarios compared to the status quo. AMR-reducing benefits of vaccines are essential to quantify in order to drive appropriate investment.
    Type of Medium: Online Resource
    ISSN: 0027-8424 , 1091-6490
    RVK:
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    Language: English
    Publisher: Proceedings of the National Academy of Sciences
    Publication Date: 2021
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  • 2
    In: Science, American Association for the Advancement of Science (AAAS), Vol. 377, No. 6610 ( 2022-09-02)
    Abstract: Brain regeneration requires the coordination of complex responses in a time- and region-specific manner. Identifying the cell types and molecules involved in this process would advance our understanding of brain regeneration and provide potential targets for regenerative medicine research. However, progress in this field has been hampered by the limited regeneration capacity of the mammalian brain and an incomplete mechanistic understanding of the regeneration process at both the cellular and molecular levels. Axolotls ( Ambystoma mexicanum ) can regenerate damaged appendages and multiple internal organs, including the brain. Therefore, axolotls may serve as a model for studying brain regeneration. RATIONALE If we are to understand the mechanism of brain regeneration, we need research tools that can achieve large-scale data acquisition and analyses to simultaneously decode complex cellular and molecular responses. It also seemed to us that a comparison between brain regeneration and developmental processes would help to provide new insights into the nature of brain regeneration. Accordingly, we removed a small portion of the lateral pallium region of the axolotl left telencephalon and collected tissue samples at multiple stages during regeneration. In parallel, we collected tissue samples of the axolotl telencephalon at multiple developmental stages. We then used high-definition and large-field Stereo-seq (spatial enhanced resolution omics sequencing) technology to generate spatial transcriptomic data from sections that covered both hemispheres of the axolotl telencephalon at single-cell resolution. Analyses of cell type annotation, cell spatial organization, gene activity dynamics, and cell state transition were performed for a mechanistic investigation of injury-induced regeneration compared to these cell attributes during development. RESULTS With the use of Stereo-seq, we generated a group of spatial transcriptomic data of telencephalon sections that covered six developmental and seven injury-induced regenerative stages. The data at single-cell resolution enabled us to identify 33 cell types present during development and 28 cell types involved in regeneration, including different types of excitatory and inhibitory neurons, and several ependymoglial cell subtypes. For development, our data revealed a primitive type of ependymoglial cells that may give rise to three subgroups of adult ependymoglial cells localized in separate areas of the ventricular zone, with different molecular features and potentially different functions. For regeneration, we discovered a subpopulation of ependymoglial cells that may originate from local resident ependymoglial cells activated by injury. This population of progenitor cells may then proliferate to cover the wound area and subsequently replenish lost neurons through a state transition to intermediate progenitors, immature neurons, and eventually mature neurons. When comparing cellular and molecular dynamics of the axolotl telencephalon between development and regeneration, we found that injury-induced ependymoglial cells were similar to developmental-specific ependymoglial cells in terms of their transcriptome state. We also observed that regeneration of the axolotl telencephalon exhibited neurogenesis patterns similar to those seen in development in molecular cascades and the potential cell lineage transition, which suggests that brain regeneration partially recapitulates the development process. CONCLUSION Our spatial transcriptomic data highlight the cellular and molecular features of the axolotl telencephalon during development and injury-induced regeneration. Further characterization of the activation and functional regulation of ependymoglial cells may yield insights for improving the regenerative capability of mammalian brains. Our single-cell spatial transcriptome of the axolotl telencephalon, a tetrapod vertebrate, also provides data useful for further research in developmental, regenerative, and evolutionary brain biology. All data are accessible in an interactive database ( https://db.cngb.org/stomics/artista ). Development and regeneration of axolotl telencephalon. The spatially resolved single-cell transcriptome of the adult axolotl telencephalon as determined by Stereo-seq analyses (left). Upon brain injury in the highlighted lateral pallium region of the left hemisphere, a neural progenitor subpopulation at the wound site was rapidly induced and subsequently replenished lost neurons (bottom right) through a process that partially resembles neurogenesis during development (top right). CREDIT: YUNZHI YANG, BGI
    Type of Medium: Online Resource
    ISSN: 0036-8075 , 1095-9203
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    Language: English
    Publisher: American Association for the Advancement of Science (AAAS)
    Publication Date: 2022
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  • 3
    In: Nature, Springer Science and Business Media LLC, Vol. 604, No. 7907 ( 2022-04-28), p. 723-731
    Type of Medium: Online Resource
    ISSN: 0028-0836 , 1476-4687
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    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2022
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