Evaluation of UR-UVGI System for Sterilization Effect on Microorganism Contamination in Negative Pressure Isolation Ward

A negative pressure isolation ward prevents the outflow of airborne microorganisms from inside the ward, minimizing the spread of airborne contamination causing respiratory infection. In response to recent outbreaks of severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome (MERS), Korea has increased the number of these facilities. However, airborne contaminants that flow into the ward from adjacent areas may cause secondary harm to patients. In this study, the sterilization effect of upper-room ultraviolet germicidal irradiation (UR-UVGI) on microorganisms generated within the negative pressure isolation ward and those flowing inward from adjacent areas was evaluated through field experiments and computational fluid dynamics (CFD) analysis, to assess the potential of this approach as a supplementary measure to control such microorganisms. The sterilization effect was found to be not high because of high-level ventilation. CFD analysis under various conditions shows that the sterilization effect for indoor-generated microorganisms varies with the level of UV radiation, the source locations of the indoor-generated microorganisms, air supplies and exhausts, the UVGI system, and the airflow formed under the specified conditions. Our results show that when the UVGI system is installed in the upper part of the ward entrance, contaminated air from adjacent area is strongly sterilized

Transcriptional silencing of the DLC-1 tumor suppressor gene by epigenetic mechanism in gastric cancer cells

DLC-1 (deleted in liver cancer) gene is frequently deleted in hepatocellular carcinoma. However, little is known about the genetic status and the expression of this gene in gastric cancer. In this study, Northern and Southern analysis showed that seven of nine human gastric cancer cell lines did not express DLC-1 mRNA, but contained the DLC-1 gene. To identify the mechanism of the loss of DLC-1 mRNA expression in these cell lines, we investigated the methylation status of DLC-1 gene by using methylation-specific PCR (MSP) and Southern blot, and found that five of seven DLC-1 nonexpressing gastric cancer cell lines were methylated in the DLC-1 CpG island. Treatment with 5-aza-2'-deoxycytidine (5-Aza-dC) induced DLC-1 mRNA expression in the gastric cancer cell lines that have the methylated alleles. Studies using SNU-601 cell line with methylated DLC-1 alleles revealed that nearly all CpG sites within DLC-1 CpG island were methylated, and that the in vitro methylation of the DLC-1 promoter region is enough to repress DLC-1 mRNA expression, regardless of the presence of transcription factors capable of inducing this gene. In all, 29 of 97 (30%) primary gastric cancers were also shown to be methylated, demonstrating that methylation of the DLC-1 CpG island is not uncommon in gastric cancer. In addition, we demonstrated that DLC-1 mRNA expression was induced, and an increase in the level of acetylated H3 and H4 was detected by the treatment with trichostatin A (TSA) in two DLC-1 nonexpressing cell lines that have the unmethylated alleles. Taken together, the results of our study suggest that the transcriptional silencing of DLC-1, by epigenetic mechanism, may be involved in gastric carcinogenesis

Immunization with RBD-P2 and N protects against SARS-CoV-2 in nonhuman primates

Since the emergence of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), various vaccines are being developed, with most vaccine candidates focusing on the viral spike protein. Here, we developed a previously unknown subunit vaccine comprising the receptor binding domain (RBD) of the spike protein fused with the tetanus toxoid epitope P2 (RBD-P2) and tested its efficacy in rodents and nonhuman primates (NHPs). We also investigated whether the SARS-CoV-2 nucleocapsid protein (N) could increase vaccine efficacy. Immunization with N and RBD-P2 (RBDP2/N) + alum increased T cell responses in mice and neutralizing antibody levels in rats compared with those obtained using RBD-P2 + alum. Furthermore, in NHPs, RBD-P2/N + alum induced slightly faster SARS-CoV-2 clearance than that induced by RBD-P2 + alum, albeit without statistical significance. Our study supports further development of RBD-P2 as a vaccine candidate against SARS-CoV-2. Also, it provides insights regarding the use of N in protein-based vaccines against SARS-CoV-2.Y