10 research outputs found

    Convalescent plasma in patients admitted to hospital with COVID-19 (RECOVERY): a randomised controlled, open-label, platform trial

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    SummaryBackground Azithromycin has been proposed as a treatment for COVID-19 on the basis of its immunomodulatoryactions. We aimed to evaluate the safety and efficacy of azithromycin in patients admitted to hospital with COVID-19.Methods In this randomised, controlled, open-label, adaptive platform trial (Randomised Evaluation of COVID-19Therapy [RECOVERY]), several possible treatments were compared with usual care in patients admitted to hospitalwith COVID-19 in the UK. The trial is underway at 176 hospitals in the UK. Eligible and consenting patients wererandomly allocated to either usual standard of care alone or usual standard of care plus azithromycin 500 mg once perday by mouth or intravenously for 10 days or until discharge (or allocation to one of the other RECOVERY treatmentgroups). Patients were assigned via web-based simple (unstratified) randomisation with allocation concealment andwere twice as likely to be randomly assigned to usual care than to any of the active treatment groups. Participants andlocal study staff were not masked to the allocated treatment, but all others involved in the trial were masked to theoutcome data during the trial. The primary outcome was 28-day all-cause mortality, assessed in the intention-to-treatpopulation. The trial is registered with ISRCTN, 50189673, and ClinicalTrials.gov, NCT04381936.Findings Between April 7 and Nov 27, 2020, of 16 442 patients enrolled in the RECOVERY trial, 9433 (57%) wereeligible and 7763 were included in the assessment of azithromycin. The mean age of these study participants was65·3 years (SD 15·7) and approximately a third were women (2944 [38%] of 7763). 2582 patients were randomlyallocated to receive azithromycin and 5181 patients were randomly allocated to usual care alone. Overall,561 (22%) patients allocated to azithromycin and 1162 (22%) patients allocated to usual care died within 28 days(rate ratio 0·97, 95% CI 0·87–1·07; p=0·50). No significant difference was seen in duration of hospital stay (median10 days [IQR 5 to >28] vs 11 days [5 to >28]) or the proportion of patients discharged from hospital alive within 28 days(rate ratio 1·04, 95% CI 0·98–1·10; p=0·19). Among those not on invasive mechanical ventilation at baseline, nosignificant difference was seen in the proportion meeting the composite endpoint of invasive mechanical ventilationor death (risk ratio 0·95, 95% CI 0·87–1·03; p=0·24).Interpretation In patients admitted to hospital with COVID-19, azithromycin did not improve survival or otherprespecified clinical outcomes. Azithromycin use in patients admitted to hospital with COVID-19 should be restrictedto patients in whom there is a clear antimicrobial indication

    Seed Germination Behavior, Growth, Physiology and Antioxidant Metabolism of Four Contrasting Cultivars under Combined Drought and Salinity in Soybean

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    Drought and salinity stresses are persistent threat to field crops and are frequently mentioned as major constraints on worldwide agricultural productivity. Moreover, their severity and frequency are predicted to rise in the near future. Therefore, in the present study we investigated the mechanisms underlying plant responses to drought (5, 10 and 15% polyethylene glycol, PEG-6000), salinity (50, 100, and 150 mM NaCl), and their combination, particularly at the seed germination stage, in terms of photosynthesis and antioxidant activity, in four soybean cultivars, viz., PI408105A (PI5A), PI567731 (PI31), PI567690 (PI90), and PI416937 (PI37). Results showed that seed germination was enhanced by 10% PEG and decreased by 15% PEG treatments compared to the control, while seed germination was drastically decreased under all levels of NaCl treatment. Furthermore, combined drought and salinity treatment reduced plant height and root length, shoot and root total weights, and relative water content compared with that of control. However, the reductions were not similar among the varieties, and definite growth retardations were observed in cultivar PI5A under drought and in PI37 under salinity. In addition, all treatments resulted in substantially reduced contents of chlorophyll pigment, anthocyanin, and chlorophyll fluorescence; and increased lipid peroxidation, electrolyte leakage, and non-photochemical quenching in all varieties of soybean as compared to the control plants. However, proline, amino acids, sugars, and secondary metabolites were increased with the drought and salinity stresses alone. Moreover, the reactive oxygen species accumulation was accompanied by improved enzymatic antioxidant activity, such as that of superoxide dismutase, peroxidase, catalase, and ascorbate peroxidase. However, the enhancement was most noticeable in PI31 and PI90 under both treatments. In conclusion, the cultivar PI31 has efficient drought and salinity stress tolerance mechanisms, as illustrated by its superior photosynthesis, osmolyte accumulation, antioxidative enzyme activity, and secondary metabolite regulation, compared to the other cultivars, when stressed

    Effects of Different Processing Methods Based on Different Drying Conditions on the Active Ingredients of <i>Salvia miltiorrhiza</i> Bunge

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    Compared to the traditional processing method, fresh processing can significantly enhance the preservation of biologically active ingredients and reduce processing time. This study evaluated the influences of fresh and traditional processing based on different drying conditions (sun drying, oven drying and shade drying) on the active ingredients in the roots and rhizomes of S. miltiorrhiza. High-performance liquid chromatography (HPLC) was utilized to determine the contents of six active ingredients in the roots and rhizomes of S. miltiorrhiza. The data were analyzed by fingerprint similarity evaluation, hierarchical cluster analysis (HCA) and principal component analysis (PCA). The results suggest that compared to the traditional processing method, the fresh processing method may significantly increase the preservation of biologically active ingredients. Furthermore, the findings demonstrated that among the three drying methods under fresh processing conditions, the shade-drying (21.02–26.38%) method is most beneficial for retaining the active ingredients in the roots and rhizomes of S. miltiorrhiza. Moreover, the fingerprint analysis identified 17 common peaks, and the similarity of fingerprints among samples processed by different methods ranged from 0.989 to 1.000. Collectively, these results suggest novel processing methods that may improve the yield of active ingredients for S. miltiorrhiza and may be implemented for industrial production

    Seed Germination Behavior, Growth, Physiology and Antioxidant Metabolism of Four Contrasting Cultivars under Combined Drought and Salinity in Soybean

    No full text
    Drought and salinity stresses are persistent threat to field crops and are frequently mentioned as major constraints on worldwide agricultural productivity. Moreover, their severity and frequency are predicted to rise in the near future. Therefore, in the present study we investigated the mechanisms underlying plant responses to drought (5, 10 and 15% polyethylene glycol, PEG-6000), salinity (50, 100, and 150 mM NaCl), and their combination, particularly at the seed germination stage, in terms of photosynthesis and antioxidant activity, in four soybean cultivars, viz., PI408105A (PI5A), PI567731 (PI31), PI567690 (PI90), and PI416937 (PI37). Results showed that seed germination was enhanced by 10% PEG and decreased by 15% PEG treatments compared to the control, while seed germination was drastically decreased under all levels of NaCl treatment. Furthermore, combined drought and salinity treatment reduced plant height and root length, shoot and root total weights, and relative water content compared with that of control. However, the reductions were not similar among the varieties, and definite growth retardations were observed in cultivar PI5A under drought and in PI37 under salinity. In addition, all treatments resulted in substantially reduced contents of chlorophyll pigment, anthocyanin, and chlorophyll fluorescence; and increased lipid peroxidation, electrolyte leakage, and non-photochemical quenching in all varieties of soybean as compared to the control plants. However, proline, amino acids, sugars, and secondary metabolites were increased with the drought and salinity stresses alone. Moreover, the reactive oxygen species accumulation was accompanied by improved enzymatic antioxidant activity, such as that of superoxide dismutase, peroxidase, catalase, and ascorbate peroxidase. However, the enhancement was most noticeable in PI31 and PI90 under both treatments. In conclusion, the cultivar PI31 has efficient drought and salinity stress tolerance mechanisms, as illustrated by its superior photosynthesis, osmolyte accumulation, antioxidative enzyme activity, and secondary metabolite regulation, compared to the other cultivars, when stressed

    NAC Transcription Factor GmNAC12 Improved Drought Stress Tolerance in Soybean

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    NAC transcription factors (TFs) could regulate drought stresses in plants; however, the function of NAC TFs in soybeans remains unclear. To unravel NAC TF function, we established that GmNAC12, a NAC TF from soybean (Glycine max), was involved in the manipulation of stress tolerance. The expression of GmNAC12 was significantly upregulated more than 10-fold under drought stress and more than threefold under abscisic acid (ABA) and ethylene (ETH) treatment. In order to determine the function of GmNAC12 under drought stress conditions, we generated GmNAC12 overexpression and knockout lines. The present findings showed that under drought stress, the survival rate of GmNAC12 overexpression lines increased by more than 57% compared with wild-type plants, while the survival rate of GmNAC12 knockout lines decreased by at least 46%. Furthermore, a subcellular localisation analysis showed that the GmNAC12 protein is concentrated in the nucleus of the tobacco cell. In addition, we used a yeast two-hybrid assay to identify 185 proteins that interact with GmNAC12. Gene ontology (GO) and KEGG analysis showed that GmNAC12 interaction proteins are related to chitin, chlorophyll, ubiquitin&ndash;protein transferase, and peroxidase activity. Hence, we have inferred that GmNAC12, as a key gene, could positively regulate soybean tolerance to drought stress

    Unraveling the Diverse Roles of Neglected Genes Containing Domains of Unknown Function (DUFs): Progress and Perspective

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    Domain of unknown function (DUF) is a general term for many uncharacterized domains with two distinct features: relatively conservative amino acid sequence and unknown function of the domain. In the Pfam 35.0 database, 4795 (24%) gene families belong to the DUF type, yet, their functions remain to be explored. This review summarizes the characteristics of the DUF protein families and their functions in regulating plant growth and development, generating responses to biotic and abiotic stress, and other regulatory roles in plant life. Though very limited information is available about these proteins yet, by taking advantage of emerging omics and bioinformatic tools, functional studies of DUF proteins could be utilized in future molecular studies

    Improved Drought Tolerance by AMF Inoculation in Maize (Zea mays) Involves Physiological and Biochemical Implications

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    The role of arbuscular mycorrhizal fungus (AMF, Glomus versiforme) in amelioration of drought-induced effects on growth and physio-biochemical attributes in maize (Zea mays L.) was studied. Maize plants were exposed to two drought regimes, i.e., moderate drought (MD) and severe drought (SD), with and without AMF inoculation. Drought at both levels reduced plant height, and chlorophyll and carotenoid content, thereby impeding photosynthesis. In addition, drought stress enhanced the generation of toxic reactive oxygen species (ROS), including H2O2, resulting in membrane damage reflected as increased electrolyte leakage and lipid peroxidation. Such negative effects were much more apparent under SD conditions that those of MD and the control, however, AMF inoculation significantly ameliorated the deleterious effects of drought-induced oxidative damage. Under control conditions, inoculation of AMF increased growth and photosynthesis by significantly improving chlorophyll content, mineral uptake and assimilation. AMF inoculation increased the content of compatible solutes, such as proline, sugars and free amino acids, assisting in maintaining the relative water content. Up-regulation of the antioxidant system was obvious in AMF-inoculated plants, thereby mediating quick alleviation of oxidative effects of drought through elimination of ROS. In addition, AMF mediated up-regulation of the antioxidant system contributed to maintenance of redox homeostasis, leading to protection of major metabolic pathways, including photosynthesis, as observed in the present study. Total phenols increased due to AMF inoculation under both MD and SD conditions. The present study advocates the beneficial role of G. versiforme inoculation in maize against drought stress

    Characterization of Root System Architecture Traits in Diverse Soybean Genotypes Using a Semi-Hydroponic System

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    Phenotypic variation and correlations among root traits form the basis for selecting and breeding soybean varieties with efficient access to water and nutrients and better adaptation to abiotic stresses. Therefore, it is important to develop a simple and consistent system to study root traits in soybean. In this study, we adopted the semi-hydroponic system to investigate the variability in root morphological traits of 171 soybean genotypes popularized in the Yangtze and Huaihe River regions, eastern China. Highly diverse phenotypes were observed: shoot height (18.7–86.7 cm per plant with a median of 52.3 cm); total root length (208–1663 cm per plant with a median of 885 cm); and root mass (dry weight) (19.4–251 mg per plant with a median of 124 mg). Both total root length and root mass exhibited significant positive correlation with shoot mass (p ≤ 0.05), indicating their relationship with plant growth and adaptation strategies. The nine selected traits contributed to one of the two principal components (eigenvalues > 1), accounting for 78.9% of the total genotypic variation. Agglomerative hierarchical clustering analysis separated the 171 genotypes into five major groups based on these root traits. Three selected genotypes with contrasting root systems were validated in soil-filled rhizoboxes (1.5 m deep) until maturity. Consistent ranking of the genotypes in some important root traits at various growth stages between the two experiments indicates the reliability of the semi-hydroponic system in phenotyping root trait variability at the early growth stage in soybean germplasms
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