30 research outputs found

    Whole-genome sequencing reveals host factors underlying critical COVID-19

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    Critical COVID-19 is caused by immune-mediated inflammatory lung injury. Host genetic variation influences the development of illness requiring critical care1 or hospitalization2,3,4 after infection with SARS-CoV-2. The GenOMICC (Genetics of Mortality in Critical Care) study enables the comparison of genomes from individuals who are critically ill with those of population controls to find underlying disease mechanisms. Here we use whole-genome sequencing in 7,491 critically ill individuals compared with 48,400 controls to discover and replicate 23 independent variants that significantly predispose to critical COVID-19. We identify 16 new independent associations, including variants within genes that are involved in interferon signalling (IL10RB and PLSCR1), leucocyte differentiation (BCL11A) and blood-type antigen secretor status (FUT2). Using transcriptome-wide association and colocalization to infer the effect of gene expression on disease severity, we find evidence that implicates multiple genes—including reduced expression of a membrane flippase (ATP11A), and increased expression of a mucin (MUC1)—in critical disease. Mendelian randomization provides evidence in support of causal roles for myeloid cell adhesion molecules (SELE, ICAM5 and CD209) and the coagulation factor F8, all of which are potentially druggable targets. Our results are broadly consistent with a multi-component model of COVID-19 pathophysiology, in which at least two distinct mechanisms can predispose to life-threatening disease: failure to control viral replication; or an enhanced tendency towards pulmonary inflammation and intravascular coagulation. We show that comparison between cases of critical illness and population controls is highly efficient for the detection of therapeutically relevant mechanisms of disease

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

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    Dimethyl fumarate (DMF) inhibits inflammasome-mediated inflammation and has been proposed as a treatment for patients hospitalised with COVID-19. This randomised, controlled, open-label platform trial (Randomised Evaluation of COVID-19 Therapy [RECOVERY]), is assessing multiple treatments in patients hospitalised for COVID-19 (NCT04381936, ISRCTN50189673). In this assessment of DMF performed at 27 UK hospitals, adults were randomly allocated (1:1) to either usual standard of care alone or usual standard of care plus DMF. The primary outcome was clinical status on day 5 measured on a seven-point ordinal scale. Secondary outcomes were time to sustained improvement in clinical status, time to discharge, day 5 peripheral blood oxygenation, day 5 C-reactive protein, and improvement in day 10 clinical status. Between 2 March 2021 and 18 November 2021, 713 patients were enroled in the DMF evaluation, of whom 356 were randomly allocated to receive usual care plus DMF, and 357 to usual care alone. 95% of patients received corticosteroids as part of routine care. There was no evidence of a beneficial effect of DMF on clinical status at day 5 (common odds ratio of unfavourable outcome 1.12; 95% CI 0.86-1.47; p = 0.40). There was no significant effect of DMF on any secondary outcome

    A Career in Catalysis: Graham J. Hutchings

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    This Account is to commemorate the 70th birthday of Graham Hutchings and his diverse and distinguished career in catalysis, working in industry and academia. The scope of his work is wide ranging, and he has contributed to many areas of catalysis and has been a pioneer in several of them. Notable contributions to the discipline include novel methods of catalyst preparation for both metal oxides and supported nanoparticles, selective oxidation, acetylene hydrochlorination, and direct hydrogen peroxide synthesis, and he has played a central role in the discovery, application, and understanding of gold-based catalysts. The aim of this article is to provide an outline of his career and highlight some of the contributions he has made to the field of catalysis. Successfully supervising over 190 Ph.D. students, working directly with more than 90 postdoctoral researchers, and collaborating widely nationally and internationally, his work has influenced many in the discipline of heterogeneous catalysis

    Metal oxides

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    This article details the preparation, catalytic activity, computer modeling, and design of heterogeneous oxide catalysts

    The conversion of levulinic acid into γ-valerolactone using Cu-ZrO <inf>2</inf> catalysts

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    A series of Cu–ZrO2 catalysts prepared by a co-precipitation method were studied for the hydrogenation of levulinic acid to give γ-valerolactone (GVL). The effects of a range of catalyst preparation parameters, namely molar Cu/Zr ratio, calcination temperature and the ageing time of the precipitates, were systematically investigated. The molar Cu/Zr ratio was found to have a strong influence on the BET surface area of the material leading to a high activity for catalysts prepared with a Cu/Zr molar ratio of unity. Using this molar ratio the calcination temperature was varied from 300 °C to 800 °C, the material calcined at 400 °C showed the highest activity. Increasing the ageing time used in the catalyst preparation identified 6 h as the optimum to achieve the highest activity for LA conversion. Based on characterisation of all materials we conclude that the active Cu species is present in only low concentration suggesting that it should be possible to produce a catalyst of high activity with much lower Cu content

    Fischer Tropsch Synthesis using promoted cobalt-based catalysts

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    A series of CoMnOx catalysts with lanthanum and phosphorus promoters were prepared by wet impregnation and investigated for syngas conversion to hydrocarbons activity via Fischer Tropsch Synthesis. The effects of the promoters on the catalyst structure were examined by ICP, XRD, TPR and XPS measurements. The results of the catalytic tests showed that the addition of promoters altered the product selectivities when compared to the unpromoted catalyst

    Fischer Tropsch synthesis using cobalt based carbon catalysts

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    The catalytic activity of a series of carbon-supported cobalt manganese oxide (CoMnOx) catalysts was investigated for the Fischer Tropsch synthesis reaction. The catalysts were compared with an unsupported CoMnOx catalyst under the same reaction conditions, and it was shown that the use of an activated carbon support increased both the catalyst activity and the selectivity to C2+ hydrocarbons, whilst lowering the selectivity to CH4 and CO2. Additionally, the effects of varying heat treatment temperatures and increasing the precursor ageing times were also investigated. Increasing the heat treatment temperature of the catalyst precursor between 300 and 500 °C led to an increase in activity, as well as an increase in selectivity to C2+ hydrocarbons, but it also increased the selectivity to CO2. At 600 °C there was a marked decrease in activity, and the main product was C5+ hydrocarbons. Ageing the initial precipitate led to a decrease in activity and also decreased the selectivity towards hydrocarbons
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