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Article ; Online: The presence of foci of

Xu, Nannan / Liu, Hui / Qu, Chunmei / Wen, Sai / Zou, Wenlu / Chang, Caiyun / Wang, Gang

Infectious medicine

2023 Volume 2, Issue 4, Page(s) 334–337

Abstract: China is not considered as an endemic area ... ...

Abstract	China is not considered as an endemic area of
Language	English
Publishing date	2023-09-17
Publishing country	China
Document type	Case Reports
ISSN	2772-431X
ISSN (online)	2772-431X
DOI	10.1016/j.imj.2023.09.002
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Article ; Online: Comparison of metagenomic next-generation sequencing and conventional culture for the diagnostic performance in febrile patients with suspected infections.

Yang, Hui / Xu, Nannan / Yan, Meichen / Yang, Lulu / Wen, Sai / Wang, Shanshan / Qu, Chunmei / Xu, Ke / Yang, Xuying / Wang, Gang

BMC infectious diseases

2024 Volume 24, Issue 1, Page(s) 350

Abstract: Background: Timely and accurate identification of pathogens is crucial for appropriate treatment and prognosis of infectious diseases. As an increasingly popular pathogen detection method, the performance of metagenomic next-generation sequencing (mNGS) ...

Abstract	Background: Timely and accurate identification of pathogens is crucial for appropriate treatment and prognosis of infectious diseases. As an increasingly popular pathogen detection method, the performance of metagenomic next-generation sequencing (mNGS) in detecting pathogens in febrile patients with suspected infection requires further exploration. Methods: This study included 368 febrile patients with suspected infections who were admitted to the Infectious Disease Department of Qilu Hospital, Shandong University between January 5, 2021 and April 14, 2023. Both mNGS testing and conventional culture were performed in all patients. Clinical data of enrolled patients were collected, and the diagnostic performances of mNGS and culture were compared. Results: Of the 368 enrolled patients, 231 were finally diagnosed with infection and 137 were with diseases other than infection. The sensitivity (58.01% vs. 21.65%, p < 0.001) and negative predictive value (54.67% vs. 42.9%) of mNGS were superior to those of culture. In contrast, the culture exhibited higher specificity (99.27% vs. 85.40%, p < 0.001) and positive predictive value (98.84% vs. 87.01%) than mNGS. Among infected patients with positive mNGS results, 64 received adjusted antibiotic therapy including treatment transitions, antibiotic downgrading, and combination therapy. Among them, 9 had additional antifungal drugs and 21 patients had a treatment turning point based on the mNGS results and these patients recovered and discharged due to timely antibiotic adjustment. Both positive rates of puncture fluid mNGS and tissue mNGS were higher than those of culture in the patients who had prior antibiotic use, and this difference was statistically significant (p = 0.000). Conclusion: mNGS is more sensitive and accurate than traditional culture, making it ideal for identifying pathogens and screening infectious diseases, especially for those with uncultivated or difficult-to-cultivate species. Early diagnosis allows for prompt treatment with targeted antibiotics, and mNGS is recommended when samples are limited.
MeSH term(s)	Humans ; High-Throughput Nucleotide Sequencing ; Anti-Bacterial Agents ; Antifungal Agents ; Combined Modality Therapy ; Fever ; Communicable Diseases ; Sensitivity and Specificity
Chemical Substances	Anti-Bacterial Agents ; Antifungal Agents
Language	English
Publishing date	2024-03-26
Publishing country	England
Document type	Journal Article
ZDB-ID	2041550-3
ISSN	1471-2334 ; 1471-2334
ISSN (online)	1471-2334
ISSN	1471-2334
DOI	10.1186/s12879-024-09236-w
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Article ; Online: Case Report: Suspected Case of

Qu, Chunmei / Xu, Nannan / Niu, Dehong / Wen, Sai / Yang, Hui / Wang, Shanshan / Wang, Gang

Frontiers in immunology

2022 Volume 13, Page(s) 923341

Abstract: Human brucellosis is one of the most prevalent zoonoses. There are many similarities between the pathogenesis ... ...

Abstract	Human brucellosis is one of the most prevalent zoonoses. There are many similarities between the pathogenesis of
MeSH term(s)	Abscess/pathology ; Adult ; Brucella ; Brucellosis/complications ; Brucellosis/diagnosis ; Brucellosis/drug therapy ; Humans ; Immune Reconstitution Inflammatory Syndrome/diagnosis ; Immune Reconstitution Inflammatory Syndrome/drug therapy ; Immune Reconstitution Inflammatory Syndrome/etiology ; Male ; Mycobacterium tuberculosis
Language	English
Publishing date	2022-07-22
Publishing country	Switzerland
Document type	Case Reports
ZDB-ID	2606827-8
ISSN	1664-3224 ; 1664-3224
ISSN (online)	1664-3224
ISSN	1664-3224
DOI	10.3389/fimmu.2022.923341
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Article ; Online: Evaluating the efficacy of serological testing of clinical specimens collected from patients with suspected brucellosis.

Xu, Nannan / Qu, Chunmei / Sai, Lintao / Wen, Sai / Yang, Lulu / Wang, Shanshan / Yang, Hui / Liu, Hui / Wang, Gang

PLoS neglected tropical diseases

2023 Volume 17, Issue 2, Page(s) e0011131

Abstract: Background: This study aims to evaluate the efficacy of the standard agglutination test (SAT), the Brucellacapt test and enzyme-linked immunosorbent assay (ELISA) in clinical specimens collected from patients with suspected brucellosis.: Methods: A ... ...

Abstract	Background: This study aims to evaluate the efficacy of the standard agglutination test (SAT), the Brucellacapt test and enzyme-linked immunosorbent assay (ELISA) in clinical specimens collected from patients with suspected brucellosis. Methods: A prospective study was conducted from December 2020 to December 2021. Brucellosis was diagnosed on the basis of clinical evidence, and confirmed by isolation of Brucella or a four-fold rise in SAT titer. All samples were tested by the SAT, ELISA and the Brucellacapt test. Titers ≥1:100 were considered as SAT positive; ELISA was considered positive when an index greater than 11 was detected, while titers ≥1/160 indicated positivity on the Brucellacapt test. The specificity, sensitivity, and positive (PPVs) and negative predictive values (NPVs) of the three different methods were calculated. Results: A total of 149 samples were collected from patients with suspected brucellosis. The sensitivities for the SAT, IgG, and IgM detection were 74.42%, 88.37% and 74.42%, respectively. The specificities were 95.24%, 93.65%, and 88.89%, respectively. The simultaneous measurement of IgG and IgM improved the sensitivity (98.84%) but reduced the specificity (84.13%) compared to each antibody test separately. The Brucellacapt test had excellent specificity (100%) and a high PPV (100%); however, the sensitivity and NPV were 88.37% and 86.30%, respectively. The combination of IgG detection by ELISA and the Brucellacapt test had excellent diagnostic performance, with 98.84% sensitivity and 93.65% specificity. Conclusion: This study showed that the simultaneous performance of IgG detection by ELISA and the Brucellacapt test has the potential to overcome the current limitations of detection.
MeSH term(s)	Humans ; Prospective Studies ; Antibodies, Bacterial ; Brucellosis/diagnosis ; Agglutination Tests/methods ; Enzyme-Linked Immunosorbent Assay/methods ; Immunoglobulin G ; Immunoglobulin M ; Sensitivity and Specificity
Chemical Substances	Antibodies, Bacterial ; Immunoglobulin G ; Immunoglobulin M
Language	English
Publishing date	2023-02-21
Publishing country	United States
Document type	Journal Article
ZDB-ID	2429704-5
ISSN	1935-2735 ; 1935-2735
ISSN (online)	1935-2735
ISSN	1935-2735
DOI	10.1371/journal.pntd.0011131
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Article ; Online: Disseminated Talaromyces marneffei infection associated with haemophagocytic syndrome in an HIV-negative patient in northern China: a case report.

Yang, Hui / Liu, Ming / Xu, Nannan / Yang, Lulu / Wen, Sai / Wang, Shanshan / Qu, Chunmei / Xu, Ke / Sun, Enhua / Cui, Wen / Liu, Hui / Wang, Gang

BMC infectious diseases

2024 Volume 24, Issue 1, Page(s) 63

Abstract: Background: Talaromyces marneffei is endemic to eastern India, Southeast Asia, and Guangdong and Guangxi provinces in China. It is common in immunocompromised individuals, especially in HIV-infected patients.: Case presentation: A 66-year-old male ... ...

Abstract	Background: Talaromyces marneffei is endemic to eastern India, Southeast Asia, and Guangdong and Guangxi provinces in China. It is common in immunocompromised individuals, especially in HIV-infected patients. Case presentation: A 66-year-old male who had a history of hypertension and resided in Shandong Province (Northern China) was admitted for recurrent fever for one month. The patient had recurrent fever, multiple lymphadenopathies, hepatosplenomegaly, a back rash, and a progressive decrease in white blood cells and platelets. Talaromyces marneffei was isolated from peripheral blood and bone marrow after admission, and suspected fungal cells were found via lymph node pathology. The patient's infection secondary to haemophagocytic syndrome continued to worsen despite antifungal, anti-inflammatory, and symptomatic treatment, leading to death due to multiple-organ failure. Conclusion: Although rare, infection due to Talaromyces marneffei in HIV-negative patients has been increasing in recent years, and we should be vigilant about "new" infections in nonendemic areas.
MeSH term(s)	Male ; Humans ; Aged ; Lymphohistiocytosis, Hemophagocytic/complications ; Lymphohistiocytosis, Hemophagocytic/diagnosis ; China ; HIV Infections
Language	English
Publishing date	2024-01-08
Publishing country	England
Document type	Case Reports ; Journal Article
ZDB-ID	2041550-3
ISSN	1471-2334 ; 1471-2334
ISSN (online)	1471-2334
ISSN	1471-2334
DOI	10.1186/s12879-023-08953-y
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Article ; Online: Metagenomic surveillance in Jinan, China, reveals serum microbiome and biochemistry features in fever of unknown origin (FUO) patients.

Liu, Ming / Liu, Hui / Li, Fenghua / Shen, Yang / Zhang, Liwen / Wang, Gang / Wang, Haitao / Qu, Chunmei / Chen, Gonghai / Zhao, Xiulan / Liu, Lanzheng / Zhou, Jun

Letters in applied microbiology

2023 Volume 76, Issue 6

Abstract: Here we aim to build up a metagenomics-centered surveillance on the infectious microbiome showing in the fever of unknown origin (FUO) patients. We collected venous blood, bronchoalveolar lavage fluid, cerebrospinal fluid, tissue block, sputum, bone ... ...

Abstract	Here we aim to build up a metagenomics-centered surveillance on the infectious microbiome showing in the fever of unknown origin (FUO) patients. We collected venous blood, bronchoalveolar lavage fluid, cerebrospinal fluid, tissue block, sputum, bone marrow biopsy, and purulent liquid samples from 123 patients. Metagenomic sequencing (mNGS) for both DNA and RNA sequences was performed to profile the total pathogenic microbiome in the samples. A large pool of infectious or conditional infectious bacteria was found, belonging to Enterobacteriaceae, Staphylococcaceae (10.55%), Burkholderiaceae (10.05%), and Comamonadaceae (4.25%). The major virus families detected from mNGS analysis include Adenoviridae, Anelloviridae, Peribunyaviridae, Flaviviridae, and Herpesviridae, showing up in 34.96%, 47.37%, 30.89%, 5.69%, 3.25%, and 1.63% of patients, respectively. Using the Ward clustering method, two clusters of patients were organized: high-variety group and low-variety group. The patients in the high-variety group demonstrated higher levels of immune cells and inflammatory indicators such as lactate dehydrogenase, aspartate aminotransferase, and alanine aminotransferase. The patients in the low-variety group showed higher levels of inflammatory lipids such as 13,14-dihy-15-keto PGE2 (fold > 10, P = 0.021); tetra-PGDM (fold = 5.29, P = 0.037); and 20-HETE (fold > 10, P = 0.02). The mNGS surveillance system demonstrated remarkable potential in preventing infectious diseases using mNGS data.
MeSH term(s)	Humans ; Fever of Unknown Origin/diagnosis ; Metagenomics/methods ; Microbiota/genetics ; Bacteria/genetics ; Metagenome ; High-Throughput Nucleotide Sequencing/methods ; Sensitivity and Specificity
Language	English
Publishing date	2023-05-19
Publishing country	England
Document type	Journal Article
ZDB-ID	632584-1
ISSN	1472-765X ; 0266-8254
ISSN (online)	1472-765X
ISSN	0266-8254
DOI	10.1093/lambio/ovad060
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Zs.A 2080: Show issues

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Article: Overexpression of Abl2 predicts poor prognosis in hepatocellular carcinomas and is associated with cancer cell migration and invasion.

Xing, Quan-Tai / Qu, Chun-Mei / Wang, Gang

OncoTargets and therapy

2014 Volume 7, Page(s) 881–885

Abstract: Introduction: Abl2 nonreceptor tyrosine kinase (Arg, c-abl oncogene 2) has recently been identified as being recurrently amplified at DNA levels and overexpressed at mRNA levels in hepatocellular carcinomas (HCCs), and might be a potential oncogenic ... ...

Abstract	Introduction: Abl2 nonreceptor tyrosine kinase (Arg, c-abl oncogene 2) has recently been identified as being recurrently amplified at DNA levels and overexpressed at mRNA levels in hepatocellular carcinomas (HCCs), and might be a potential oncogenic driver and therapeutic target for HCC. Methods: In this study, we investigated the Abl2 expression in a series of HCC tumors by immunohistochemistry and further evaluated its clinicopathological and prognostic significance. We also performed an in vitro experiment to validate the effect of Abl2 gene silencing on the migration and invasion abilities of human liver cancer HepG2 cells. Results: It has been demonstrated that Abl2 was unregulated in 37.3% (28/75) of primary HCC tissues, and was significantly associated with a shorter overall survival time (P=0.0005). In addition, Abl2 gene silencing in HepG2 cells significantly attenuated its migration and invasion abilities in vitro. We also found that the phosphorylation of metastasis-associated gene cortactin was markedly decreased by Abl2 silencing. Conclusion: We propose that Abl2 might be a potential candidate therapeutic target for HCCs and that targeted therapies against Abl2 in the treatment of HCCs deserve further investigation in the future.
Language	English
Publishing date	2014-05-30
Publishing country	New Zealand
Document type	Journal Article
ZDB-ID	2495130-4
ISSN	1178-6930
ISSN	1178-6930
DOI	10.2147/OTT.S62348
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Article ; Online: Isolation and characterization of 46 novel polymorphic EST-simple sequence repeats (SSR) markers in two Sinipercine Fishes (Siniperca) and cross-species amplification.

Qu, Chunmei / Liang, Xufang / Huang, Wei / Cao, Liang

International journal of molecular sciences

2012 Volume 13, Issue 8, Page(s) 9534–9544

Abstract: With the development of next generation sequencing technologies, transcriptome level sequence collections are emerging as prominent resources for the discovery of gene-based molecular markers. In this study, we described the isolation and ... ...

Abstract	With the development of next generation sequencing technologies, transcriptome level sequence collections are emerging as prominent resources for the discovery of gene-based molecular markers. In this study, we described the isolation and characterization of 46 novel polymorphic microsatellite loci for Siniperca chuatsi and Siniperca scherzeri from the transcriptome of their F(1) interspecies hybrids. Forty-three of these loci were polymorphic in S. chuatsi, and 20 were polymorphic in S. scherzeri. In S. chuatsi, the number of alleles per locus ranged from 2 to 8, and the observed and expected heterozygosities varied from 0.13 to 1.00 and from 0.33 to 0.85, respectively. In S. scherzeri, the number of alleles per locus ranged from 3 to 9, and the observed and expected heterozygosities varied from 0.19 to 1.00 and from 0.28 to 0.88, respectively. We also evaluated the cross-amplification of 46 polymorphic loci in four species of sinipercine fishes: Siniperca kneri, Siniperca undulata, Siniperca obscura, and Coreoperca whiteheadi. The interspecies cross-amplification rate was very high, totaling 94% of the 184 locus/taxon combinations tested. These markers will be a valuable resource for population genetic studies in sinipercine fishes.
MeSH term(s)	Animals ; Expressed Sequence Tags ; Fishes/genetics ; Genetic Markers/genetics ; High-Throughput Nucleotide Sequencing ; Microsatellite Repeats/genetics ; Polymorphism, Genetic/genetics ; Sequence Analysis, DNA ; Species Specificity
Chemical Substances	Genetic Markers
Language	English
Publishing date	2012-07-30
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2019364-6
ISSN	1422-0067 ; 1422-0067 ; 1661-6596
ISSN (online)	1422-0067
ISSN	1422-0067 ; 1661-6596
DOI	10.3390/ijms13089534
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Article ; Online: The natural logarithm of zinc-α2-glycoprotein/HOMA-IR is a better predictor of insulin sensitivity than the product of triglycerides and glucose and the other lipid ratios.

Qu, Chunmei / Zhou, Xiaoxin / Yang, Gangyi / Li, Ling / Liu, Hua / Liang, Zerong

Cytokine

2016 Volume 79, Page(s) 96–102

Abstract: Aim: The euglycemic-hyperinsulinemic clamp (EHC) is not available in most clinical settings and is costly, time consuming and invasive, and requires trained staff. Therefore, an accessible and inexpensive test to identify insulin resistance (IR) is ... ...

Abstract	Aim: The euglycemic-hyperinsulinemic clamp (EHC) is not available in most clinical settings and is costly, time consuming and invasive, and requires trained staff. Therefore, an accessible and inexpensive test to identify insulin resistance (IR) is needed. The aim of this study is to assess whether zinc-α2-glycoprotein (ZAG) index [Ln ZAG/homeostasis model assessment of IR (HOMA-IR)] is a better surrogate index for estimating IR or metabolic syndrome (MetS) compared with other surrogate indices. Methods: We performed a population-based cross-sectional study. Two hundred healthy subjects, 102 polycystic ovary syndrome (PCOS) patients, 97 newly diagnosed type 2 diabetes mellitus (nT2DM) and 84 impaired glucose tolerance (IGT) subjects were enrolled. The EHC was performed to identify IR. Circulating ZAG and adiponectin levels were determined by ELISA. Results: The ZAG index was significantly lower in participants with IR including IGT, nT2DM and PCOS than in those without IR. In addition, subjects with MetS had lower ZAG indices and higher the product of fasting triglycerides and glucose (TyG) indices than those without MetS. The ZAG index showed a significantly stronger association with M values than the other surrogate indices, whereas the TyG index showed a stronger association with MetS. The optimal cutoff value of the ZAG index for detection of IR was 2.97 with a sensitivity of 88% and a specificity of 91%, whereas the optimal cutoff value of TyG index for detection of MetS was 4.90 with a sensitivity of 82% and a specificity of 86%. Conclusion: The ZAG index is a better marker than the other surrogate indices for identifying IR, whereas the TyG index has high sensitivity and specificity for identifying MetS.
MeSH term(s)	Adiponectin/blood ; Adult ; Aged ; Blood Glucose/analysis ; Cross-Sectional Studies ; Diabetes Mellitus, Type 2/blood ; Diabetes Mellitus, Type 2/diagnosis ; Enzyme-Linked Immunosorbent Assay ; Female ; Glucose Intolerance/blood ; Glucose Intolerance/diagnosis ; Humans ; Insulin Resistance/physiology ; Male ; Metabolic Syndrome/blood ; Metabolic Syndrome/diagnosis ; Middle Aged ; Polycystic Ovary Syndrome/blood ; Polycystic Ovary Syndrome/diagnosis ; Seminal Plasma Proteins/blood ; Triglycerides/blood
Chemical Substances	Adiponectin ; Blood Glucose ; Seminal Plasma Proteins ; Triglycerides ; Zn-alpha-2-glycoprotein
Language	English
Publishing date	2016-03
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1018055-2
ISSN	1096-0023 ; 1043-4666
ISSN (online)	1096-0023
ISSN	1043-4666
DOI	10.1016/j.cyto.2015.12.024
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Zs.A 2840: Show issues

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Article: Clinical and molecular epidemiology of norovirus infection in adults with acute gastroenteritis in Ji’nan, China

Sai, Lintao / Wang, Gang / Shao, Lihua / Liu, Haihong / Zhang, Yajun / Qu, Chunmei / Ma, Lixian

Archives of virology. 2013 Nov., v. 158, no. 11

2013

Abstract: Acute gastroenteritis caused by human noroviruses (NoVs) has become an important public health problem worldwide. This study was carried out to investigate the rates of NoV infections and the genetic characteristics of NoVs in adult outpatients with ... ...

Abstract	Acute gastroenteritis caused by human noroviruses (NoVs) has become an important public health problem worldwide. This study was carried out to investigate the rates of NoV infections and the genetic characteristics of NoVs in adult outpatients with acute gastroenteritis in Ji’nan, a large eastern city in China. A total of 480 fecal samples were collected from outpatients at the Shandong University Qilu Hospital between June 2010 and May 2011. Of the collected samples, 42 (42/480, 8.75� %) were positive for NoVs by RT-PCR, and seven different genotypes were identified: GI-1, GI-4, GII-1, GII-3, GII-4, GII-6 and GII-13, of which GII-4 was the most prevalent (29/42, 69.0� %). Phylogenetic and Simplot analyses showed that three recombinant strains were detected: two GII-4 polymerase/GII-3 capsid recombinants and one GII-6 polymerase/GII-4 capsid recombinant. This study indicated that NoV was a common causative agent of sporadic acute gastroenteritis in adults in Ji’nan, China, and that NoV GII-4 was the predominant strain during this period. Three recombinant strains were identified in which GII-6 polymerase/GII-4 capsid was detected for the first time in China.
Keywords	adults ; capsid ; feces ; gastroenteritis ; genotype ; molecular epidemiology ; patients ; public health ; China
Language	English
Dates of publication	2013-11
Size	p. 2315-2322.
Publishing place	Springer-Verlag
Document type	Article
ZDB-ID	7491-3
ISSN	1432-8798 ; 0304-8608
ISSN (online)	1432-8798
ISSN	0304-8608
DOI	10.1007/s00705-013-1753-0
Database	NAL-Catalogue (AGRICOLA)

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