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This study aimed to determine the possibility of COVID-19 transmission through in-flight contact during flights for many patients with confirmed COVID-19 during the COVID-19 pandemic and explore infection prevention and control (IPC) methods for overseas infectious diseases. A retrospective cohort study was conducted on flight with a large number of confirmed case among. Delhi- Incheon flights in 2020. This flight was selected to confirm transmission through close contact with the cabin, with a total of 14 confirmed cases out of 190 passengers (including 10 flight attendants). After confirming COVID-19 test results for those entering Korea, we conducted an epidemiological investigation on confirmed patients to determine their general characteristics and epidemiological relevance. We analyzed the epidemiological relevance, occupational information, incubation period, and COVID-19 variation and genotype among confirmed patients who were in close contact with confirmed cases, and analyzed the possibility of transmission according to the distance of close contact in the flight. One confirmed patient was found to be highly likely to be infected due to close contact with the cabin. However, it occurred within two rows, not within 1 meter. In addition, considering the aerodynamics in the cabin and local incidence rate, infection in an unspecified number of local people could not be excluded. It was analyzed that the reason for reducing infection from close contact on board for a long time in a flight with a large number of confirmed cases was the effective IPC method. In order to prevent overseas infectious diseases caused by flights, autonomous IPC management of airlines and passengers is necessary in addition to national quarantine management such as symptom screening before boarding, wearing passenger masks while boarding, food and beverage restrictions, disinfection of public spaces, distancing between passengers, close contact management after boarding, and self-quarantine. [ABSTRACT FROM AUTHOR]

Aliovalent doping of perovskite oxides can tune the oxygen vacancy formation energy. This work discovers normal vs. abnormal aliovalent doping effects on redox behaviors in medium-entropy compositionally complex perovskite oxides (CCPOs) (La1−xSrx)(Mn1/3Fe1/3Ti1/3)O3−δ (LS_MFT) vs. (La1−xSrx)(Mn1/3Fe1/3Cr1/3)O3−δ (LS_MFC). In the LS_MFC series, the oxygen non-stoichiometry range Δδ (= δred − δox) linearly depends on the Sr molar ratio x, while the LS_MFT series shows a V-shape dependence of Δδ on x. This unusual observation is investigated and explained based on the analysis of the energy loss near edge structure (ELNES) in STEM electron energy loss spectroscopy, along with density functional theory (DFT) calculations. In LS_MFC, Cr–L2,3, Mn–L2,3 and Fe–L2,3 peaks have a similar linear shift to higher energy with increasing x, which indicates higher oxidation states of Cr, Mn, and Fe with lower oxygen vacancy formation energies. In LS_MFT, the V-shape of the Δδ vs. x curve is caused by the stable Ti4+ state and a V-shape Mn/Fe valency dependence on x. This study suggests the possible existence of different (including unexpected) coupled aliovalent doping effects in CCPOs with multiple B-site redox active elements. [ABSTRACT FROM AUTHOR]

Recent studies on inverse tone mapping (iTM) have moved toward indirect mapping, which generates a stack of low dynamic range (LDR) images with multiple exposure values (multi-EV stack) and then merges them. In order to generate multi-EV stack(s), several large-scale networks with more than 20 M parameters have been proposed, but their high dynamic range (HDR) reconstruction and multi-EV stack generation performance were not acceptable. Also, some previous methods using cycle consistency should even have trained additional networks that are not used for multi-EV stack generation, which results in large memory for training. Thus, this paper proposes novel cyclic learning based on cycle consistency to reduce the memory burden in training. In detail, we eliminated networks used only for training, so the proposed method enables efficient learning in terms of training-purpose memory. In addition, this paper presents a lightweight iTM network that dramatically reduces the network sizes of the existing networks. Actually, the proposed lightweight network requires only a small parameter size of 1/100 compared to the state-of-the-art (SOTA) method. The lightweight network contributes to the practical use of iTM. Therefore, the proposed method based on a lightweight network reliably generates a multi-EV stack. Experimental results show that the proposed method achieves quantitatively SOTA performance and is qualitatively comparable to conventional indirect iTM methods. [ABSTRACT FROM AUTHOR]

Background and Purpose: To diversify and expand possible tuberculosis (TB) drug candidates and maximize limited global resources, we investigated the effect of colchicine, an FDA‐approved anti‐gout drug, against Mycobacterium tuberculosis (Mtb) infection because of its immune‐modulating effects. Experimental Approach: We evaluated the intracellular anti‐Mtb activity of different concentrations of colchicine in murine bone marrow‐derived macrophages (BMDMs). To elucidate the underlying mechanism, RNA sequencing, biological and chemical inhibition assays, and Western blot, quantitative real‐time PCR, enzyme‐linked immunosorbent assay (ELISA), and immunohistochemical analyses were employed. Finally, type I interferon‐dependent highly TB‐susceptible A/J mice were challenged with virulent Mtb H37Rv, and the host‐directed therapeutic effect of oral colchicine administration on bacterial burdens and lung inflammation was assessed 30 days post‐infection (2.5 mg·kg−1 every 2 days). Key Results: Colchicine reinforced the anti‐Mtb activity of BMDMs without affecting cell viability, indicating that colchicine facilitated macrophage immune activation upon Mtb infection. The results from RNA sequencing, NLRP3 knockout BMDM, IL‐1 receptor blockade, and immunohistochemistry analyses revealed that this unexpected intracellular anti‐Mtb activity of colchicine was mediated through NLRP3‐dependent IL‐1β signalling and Cox‐2‐regulated PGE2 production in macrophages. Consequently, the TB‐susceptible A/J mouse model showed remarkable protection, with decreased bacterial loads in both the lungs and spleens of oral colchicine‐treated mice, with significantly elevated Cox‐2 expression at infection sites. Conclusions and Implications: The repurposing of colchicine against Mtb infection in this study highlights its unique function in macrophages upon Mtb infection and its novel potential use in treating TB as host‐directed or adjunctive therapy. [ABSTRACT FROM AUTHOR]

Aims/Introduction: We estimated the hazards of cardiovascular diseases (CVDs) and early all‐cause mortality in Korean adults according to the presence of recently diagnosed type 2 diabetes (type 2 diabetes for <5 years) and insulin use. Materials and Methods: We used the Korean National Health Insurance Service–National Sample Cohort database (2002–2015) for this longitudinal population‐based study. Among adults aged ≥40 years without baseline CVD, individuals without diabetes or with recently diagnosed type 2 diabetes were selected (N = 363,919). The hazard ratios (HRs) for myocardial infarction (MI), stroke, and all‐cause mortality during follow‐up were analyzed according to three groups categorized by the presence of type 2 diabetes and insulin use. Results: Within a mean 7.8 years, there were 5,275 MIs, 7,220 strokes, and 15,834 deaths. The hazards for outcomes were higher in the insulin‐treated type 2 diabetes group than in the non‐diabetes group [HR (95% CI): 2.344 (1.870–2.938) for MI, 2.420 (1.993–2.937) for stroke, and 3.037 (2.706–3.407) for death], higher in the non‐insulin‐treated type 2 diabetes group than in the non‐diabetes group [HR (95% CI): 1.284 (1.159–1.423) for MI, 1.435 (1.320–1.561) for stroke, and 1.135 (1.067–1.206) for death], and higher in the insulin‐treated type 2 diabetes group than in the non‐insulin‐treated type 2 diabetes group [HR (95% CI): 1.914 (1.502–2.441) for MI, 1.676 (1.363–2.060) for stroke, and 2.535 (2.232–2.880) for death]. Conclusions: Recently diagnosed type 2 diabetes patients showed increased risks of incident CVDs and premature mortality, and insulin‐treated group demonstrated an additional increase in the risks of these outcomes in adults with recently diagnosed type 2 diabetes, suggesting the need for intensified cardio‐protective interventions for adults with insulin‐treated type 2 diabetes. [ABSTRACT FROM AUTHOR]

Aims/Introduction: Using an investigational diet plan based on the Mediterranean diet and the Dietary Approaches to Stop Hypertension diet comprised of substitute ingredients that mimic the average East Asian diet, this study assessed the glycemic benefits in comparison with a food exchange system‐based diet in established type 2 diabetes patients. Materials and Methods: This was a 12‐week, open‐label randomized clinical trial carried out among 60 Korean adults with type 2 diabetes having a median body mass index of 23.5 kg/m2. Glycemic benefits in the investigational diet (group A) were compared with those obtained with a food exchange system‐based diet, either in the form of ready meals provided to participants (group B) or not (group C). The primary end‐point was changes in glycated hemoglobin from baseline to week 12. Results: Changes in glycated hemoglobin (%) from baseline to week 12 were −0.97 ± 0.97 in group A (vs group B, P = 0.085 in the full analysis set, and P = 0.028 in the per‐protocol set; vs group C, P = 0.030 in the full analysis set and P = 0.020 in the per‐protocol set), −0.51 ± 0.65 in group B (vs group C, P > 0.05 in the full analysis set and the per‐protocol set), and −0.36 ± 0.74 in group C. Decreases from baseline in body mass index, waist circumference and blood pressure were greater in group A than in group C. Conclusion: With the provision of ready meals, the glycemic benefits of the investigational diet plan were demonstrable over a self‐prepared food exchange system‐based diet in Korean adults with established type 2 diabetes. [ABSTRACT FROM AUTHOR]

Treatment outcomes using the standard regimen (a macrolide, ethambutol, and rifampicin) for Mycobacterium avium complex-pulmonary disease (MAC-PD) remain unsatisfactory. Thus, improved treatment regimens for MAC-PD are required. Clofazimine has recently been revisited as an effective drug against mycobacterial infection. We performed a comparison between the standard regimen and an alternative regimen (replacing the rifampicin of the standard regimen with clofazimine) based on the intracellular anti-MAC activities of the individual drugs in a murine model of chronic progressive MAC-pulmonary infection (MAC-PI). The intracellular anti-MAC activities of the individual drugs and their combinations in murine bone marrow-derived macrophages (BMDMs) were determined. The treatment efficacies of the standard and clofazimine-containing regimens were evaluated in mice chronically infected with M. avium by initiating 2- and 4-week treatment at 8 weeks post-infection. Bacterial loads in the lung, spleen, and liver were assessed along with lung inflammation. Insufficient intracellular anti-MAC activity of rifampicin in BMDMs was recorded despite its low in vitro minimum inhibitory concentrations (MICs), whereas optimal intracellular killing activity against all tested MAC strains was achieved with clofazimine. Compared to the standard regimen, the clofazimine-containing regimen significantly reduced CFUs in all organs and achieved marked reductions in lung inflammation. The replacement of rifampicin with clofazimine in the treatment regimen resulted in more favorable outcomes in an animal model of chronic progressive MAC-PI. Intriguingly, 2 weeks of treatment with the clofazimine-containing regimen reduced bacterial loads more effectively than 4 weeks of treatment with the standard regimen in M. avium -infected mice. Thus, the clofazimine-containing regimen also had a treatment-shortening effect. [ABSTRACT FROM AUTHOR]

Sr surface segregation in mixed-cation oxides often causes degradation of chemical or electrochemical performance. In this work, the thermodynamic driving force for Sr segregation is investigated to explain the Sr segregation behavior in La 0.5 Sr 0.5 FeO 3 (LSF). Specifically, Density Functional Theory is used to calculate the surface Gibbs free energy of various surface terminations of cubic (100) LSF as a function of chemical potential and temperature. SrO-terminated surfaces are predicted to be dominant, promoting Sr segregation at high temperatures and low oxygen partial pressure. [Display omitted] • Thermodynamic driving force for Sr segregation was computationally determined. • SrO termination becomes thermodynamically more favorable as temperature increases. • DFT + thermodynamics model agrees with experimental observation. [ABSTRACT FROM AUTHOR]

For a nanoplasmonic approach of wearable biochip platform, understanding correlation between near‐field enhancement on nanostructures and sensing capability is a crucial step to improve the sensitivity in biosensing. A novel and effective method is demonstrated to increase sensitivity with the enhanced electric fields and to reduce noise with targeted functionalization enabled by transferring side edge prefunctionalized (SEPF) nanostructure arrays onto flexible substrates. Nanostructure sidewalls have selective biochemically functional terminals for the hybridization of microRNAs (miRNAs) and the immobilization of resonant nanoparticles, thus forming hetero assemblies of the nanostructure and the nanoparticles. The unique configuration has shown ultrasensitive biosensing of miRNA‐21 in a 10 × 10−15 m level by a red‐shift in scattering spectra induced by a plasmon coupling. This ultrasensitive SEPF nanostructure arrays are fabricated on a flexible substrate using a contact transfer printing with a release layer of trichloro(1H, 1H, 2H, 2H‐perfluorooctyl)silane. The introduction of the release layer at a prefunctionalizing step has proven to provide selective functionalization only on the sidewalls of the nanostructures. This reduces a background noise caused by the scattering from nonspecifically bound nanoparticles on the substrate, thus enabling reliable and precise detection. [ABSTRACT FROM AUTHOR]

The rate of oxidation of 2,S-dimethoxybenzyl alcohol (2,5-(MeO)2C6H3CH2OH) by [FeIV(O)(N4Py)]2+ (N4Py = N,N-bis(2-pyridylmethyl)-N-bis(2-pyridyl)- methylamine) was enhanced significantly in the presence of Sc(OTf)3 (OTF = trifluoromethanesulfonate) in acetonitrile (e.g., 120-fold acceleration in the presence of Sc3+). Such a remarkable enhancement of the reactivity of [FeIV(O)- (N4Py)]2+ in the presence of Sc3+ was accompanied by the disappearance of a kinetic deuterium isotope effect. The radical cation of 2,5-(MeO)2C6H3CH2OH was detected in the course of the reaction in the presence of Sc3+. The dimerized alcohol and aldehyde were also produced in addition to the monomer aldehyde in the presence of Sc3+. These results indicate that the reaction mechanism is changed from one-step hydrogen atom transfer (HAT) from 2,5-(MeO)2C6H3CH2OH to [FeIV(O)(N4Py)]2+ in the absence of Sc3+ to stepwise Sc3+-coupled electron transfer, followed by proton transfer in the presence of Sc3+. In contrast, neither acceleration of the rate nor the disappearance of the kinetic deuterium isotope effect was observed in the oxidation of benzyl alcohol (C6H5CH2OH) by [FeIV(O)(N4Py)]2+ in the presence of Sc(OTf)3. Moreover, the rate constants determined in the oxidation of various benzyl alcohol derivatives by [FeIV(O)(N4Py)]2+ in the presence of Sc(OTf)3 (10 mM) were compared with those of Sc3+-coupled electron transfer from one-electron reductants to [FeIV(O)(N4Py)]2+ at the same driving force of electron transfer. This comparison revealed that the borderline of the change in the mechanism from HAT to stepwise Sc3+-coupled electron transfer and proton transfer is dependent on the one-electron oxidation potential of benzyl alcohol derivatives (ca. 1.7 V vs SCE). [ABSTRACT FROM AUTHOR]

Simple Summary: In a cohort study involving 393 patients with differentiated thyroid cancer, we incorporated the TERT mutational status into AJCC TNM staging 8th edition (TNM-8), proposing a new prognostic system, termed TNM-8T. We demonstrated that the new prognostic system is superior to the existing TNM-8 staging system and its contents are not very complicated. This study is the first to present a new model that combines the mutational profile with the AJCC TNM stage to improve the predictability of cancer-specific survival with long-term follow-up. The role of telomerase reverse transcriptase (TERT) promoter mutations as an independent poor prognostic factor in differentiated thyroid cancer (DTC) patients is well known, but there is no prognostic system that combines the TERT promoter mutation status with tumor-node-metastasis (TNM) stage to predict cancer-specific survival (CSS). A total of 393 patients with pathologically confirmed DTC after thyroidectomy were enrolled. After incorporating wild-type TERT and mutant TERT with stages I, II, and III/IV of the AJCC TNM system 8th edition (TNM-8), we generated six combinations and calculated 10-year and 15-year CSS and adjusted hazard ratios (HRs) for cancer-related death using Cox regression. Then, a new mortality prediction model termed TNM-8T was derived based on the CSS and HR of each combination in the four groups. Of the 393 patients, there were 27 (6.9%) thyroid cancer-related deaths during a median follow-up of 14 years. Patients with a more advanced stage had a lower survival rate (10-year CSS for TNM-8T stage 1, 2, 3, and 4: 98.7%, 93.5%, 77.3%, and 63.0%, respectively; p < 0.001). TNM-8T showed a better spread of CSS (p < 0.001) than TNM-8 (p = 0.002) in the adjusted survival curves. The C-index for mortality risk predictability was 0.880 (95% CI, 0.665–0.957) in TNM-8T and 0.827 (95% CI, 0.622–0.930) in TNM-8 (p < 0.001). TNM-8T, a new prognostic system that incorporates the TERT mutational status into TNM-8, showed superior predictability to TNM-8 in the long-term survival of DTC patients. [ABSTRACT FROM AUTHOR]

In order to detect microRNAs (miRNAs), we developed a colorimetric sensing method on the basis of the plasmonic coupling effect. Gold nanoplasmonic particles (GNPs) are assembled in a core–satellite configuration in the presence of target miRNA, inducing remarkable changes in the scattering color and spectra at the picomolar level with selectivity. [ABSTRACT FROM AUTHOR]

Simple Summary: Systemic hematologic markers such as the neutrophil–lymphocyte ratio (NLR) are attracting attention in a simple blood test predicting survival and treatment outcomes in various solid cancers. In our study including 40 patients with anaplastic thyroid cancer (ATC) who underwent radiotherapy, we found that high NLR before and after radiotherapy was associated with poor survival. This study result means that host immunity has an important role in patients with ATC, which can be important information for designing future investigations on the impact of immune system modulating therapy in ATC. The neutrophil–lymphocyte ratio (NLR) is a marker of systemic inflammation, and its elevation has recently been associated with poor survival in many solid cancers. Leukocyte elevation and lymphocyte reduction are associated with a poor response to radiotherapy (RT). This study aimed to assess the prognostic value of NLR before and after RT for anaplastic thyroid carcinoma (ATC). This retrospective study analyzed 40 patients with ATC who received RT with available complete blood cell count data from November 1995 through May 2020 at Samsung Medical Center (Seoul, Korea). Patients were classified into two groups according to the NLR before and after RT. The median overall survival (OS) was 8.9 months (range, 3.5–18.2) in the low NLR group (<3.47) and 5.2 months (range, 2.7–7.5) months in the high NLR group (≥3.47). The association between NLR and OS was also observed in multivariable Cox regression analysis (hazard ratio, 3.18; 95% confidence interval, 1.15–8.85; p = 0.026). The OS curves differed significantly according to post-RT NLR (p = 0.036). A high NLR before and after RT may be significantly associated with poor OS in patients with ATC who receive RT. [ABSTRACT FROM AUTHOR]

Solar-driven thermochemical hydrogen (STCH) production represents a sustainable approach for converting solar energy into hydrogen (H 2 ) as a clean fuel. This technology serves as a crucial feedstock for synthetic fuel production, aligning with the principles of sustainable energy. The efficiency of the conversion process relies on the meticulous tuning of the properties of active materials, mostly commonly perovskite and fluorite oxides. This Review conducts a comprehensive review encompassing experimental, computational, and thermodynamic and kinetic property studies, primarily assessing the utilization of perovskite oxides in two-step thermochemical reactions and identifying essential attributes for future research endeavors. Furthermore, this Review delves into the application of machine learning (ML) and density functional theory (DFT) for predicting and classifying the thermochemical properties of perovskite materials. Through the integration of experimental investigations, computational modeling, and ML methodologies, this Review aspires to expedite the screening and optimization of perovskite oxides, thus enhancing the efficiency of STCH processes. The overarching objective is to propel the advancement and practical integration of STCH systems, contributing significantly to the realization of a sustainable and carbon-neutral energy landscape., Competing Interests: The authors declare no competing financial interest., (© 2024 The Authors. Published by American Chemical Society.)

Mixing multiple cations can result in a significant configurational entropy, offer a new compositional space with vast tunability, and introduce new computational challenges. For applications such as the two-step solar thermochemical hydrogen (STCH) generation techniques, we demonstrate that using density functional theory (DFT) combined with Metropolis Monte Carlo method (DFT-MC) can efficiently sample the possible cation configurations in compositionally complex perovskite oxide (CCPO) materials, with (La 0.75 Sr 0.25 )(Mn 0.25 Fe 0.25 Co 0.25 Al 0.25 )O 3 as an example. In the presence of oxygen vacancies ( V O ), DFT-MC simulations reveal a significant increase of the local site preference of the cations (short-range ordering), compared to a more random mixing without V O . Co is found to be the redox-active element and the V O is the preferentially generated next to Co due to the stretched Co-O bonds. A clear definition of the vacancy formation energy ( E v f ) is proposed for CCPO in an ensemble of structures evolved in parallel from independent DFT-MC paths. By combining the distribution of E v f with V O interactions into a statistical model, the oxygen nonstoichiometry (δ), under the STCH thermal reduction and oxidation conditions, is predicted and compared with the experiments. Similar to the experiments, the predicted δ can be used to extract the enthalpy and entropy of reduction using the van't Hoff method, providing direct comparisons with the experimental results. This procedure provides a full predictive workflow for using DFT-MC to obtain possible local ordering or fully random structures, understand the redox activity of each element, and predict the thermodynamic properties of CCPOs, for computational screening and design of these CCPO materials at STCH conditions., Competing Interests: The authors declare no competing financial interest., (© 2024 The Authors. Published by American Chemical Society.)

Backgruound: We aimed to identify the risk of incident depression according to cumulative exposure to a low-household income status in individuals with type 2 diabetes mellitus (T2DM)., Methods: For this retrospective longitudinal population-based cohort study, we used Korean National Health Insurance Service data from 2002 to 2018. Risk of depression was assessed according to cumulative exposure to low-household income status (defined as Medical Aid registration) during the previous 5 years among adults (aged ≥20 years) with T2DM and without baseline depression who underwent health examinations from 2009 to 2012 (n=2,027,317)., Results: During an average 6.23 years of follow-up, 401,175 incident depression cases occurred. Advance in cumulative number of years registered for medical aid during the previous 5 years from baseline was associated with an increased risk of depression in a dose-dependent manner (hazard ratio [HR], 1.44 [95% confidence interval (CI), 1.38 to 1.50]; HR, 1.40 [95% CI, 1.35 to 1.46]; HR, 1.42, [95% CI, 1.37 to 1.48]; HR, 1.46, [95% CI, 1.40 to 1.53]; HR, 1.69, [95% CI, 1.63 to 1.74] in groups with 1 to 5 exposed years, respectively). Insulin users exposed for 5 years to a low-household income state had the highest risk of depression among groups categorized by insulin use and duration of low-household income status., Conclusion: Cumulative duration of low-household income status, defined as medical aid registration, was associated with an increased risk of depression in a dose-response manner in individuals with T2DM.

Backgruound: We explored the risk of death from pneumonia according to cumulative duration in low household income state (LHIS) among adults with type 2 diabetes mellitus (T2DM)., Methods: Using Korean National Health Insurance Service data (2002 to 2018), the hazards of mortality from pneumonia were analyzed according to duration in LHIS (being registered to Medical Aid) during the 5 years before baseline (0, 1-4, and 5 years) among adults with T2DM who underwent health examinations between 2009 and 2012 (n=2,503,581). Hazards of outcomes were also compared in six groups categorized by insulin use and duration in LHIS., Results: During a median 7.18 years, 12,245 deaths from pneumonia occurred. Individuals who had been exposed to LHIS had higher hazards of death from pneumonia in a dose-response manner (hazard ratio [HR], 1.726; 95% confidence interval [CI], 1.568 to 1.899 and HR, 4.686; 95% CI, 3.948 to 5.562 in those exposed for 1-4 and 5 years, respectively) compared to the non-exposed reference. Insulin users exposed for 5 years to LHIS exhibited the highest outcome hazard among six groups categorized by insulin use and duration in LHIS., Conclusion: Among adults with T2DM, cumulative duration in LHIS may predict increased risks of mortality from pneumonia in a graded dose-response manner. Insulin users with the longest duration in LHIS might be the group most vulnerable to death from pneumonia among adults with T2DM.

Unsatisfactory outcomes following long-term multidrug treatment in patients with Mycobacterium avium complex (MAC) pulmonary disease have urged us to develop novel antibiotics. Thiopeptides, a class of peptide antibiotics derived from natural products, have potential as drug candidates that target bacterial ribosomes, but drug development has been hampered due to their extremely poor solubility. Here, we evaluated three new compounds (AJ-037, AJ-039, and AJ-206) derived from the thiopeptide micrococcin P2 with enhanced aqueous solubility; the derivatives were generated based on structure-activity relationship analysis. We conducted in vitro drug susceptibility and intracellular antimycobacterial activity testing of the three thiopeptide derivatives against various MAC strains, including macrolide-resistant MAC clinical isolates. These compounds showed low MICs against MAC, similar to that of clarithromycin (CLR). In particular, two compounds, AJ-037 and AJ-206, had intracellular antimycobacterial activities, along with synergistic effects with CLR, and inhibited the growth of MAC inside macrophages. Moreover, these two compounds showed in vitro and intracellular anti-MAC activities against macrolide-resistant MAC strains without showing cross-resistance with CLR. Taken together, the results of the current study suggest that AJ-037 and AJ-206 can be promising anti-MAC agents for the treatment of MAC infection, including for macrolide-resistant MAC strains. IMPORTANCE Novel antibiotics for the treatment of MAC infection are urgently needed because the treatment outcomes using the standard regimen for Mycobacterium avium complex (MAC) pulmonary disease remain unsatisfactory. Here, we evaluated three novel thiopeptide derivatives (AJ-037, AJ-039, and AJ-206) derived from the thiopeptide micrococcin P2, and they were confirmed to be effective against macrolide-susceptible and macrolide-resistant MAC. Our thiopeptide derivatives have enhanced aqueous solubility through structural modifications of poorly soluble thiopeptides. The thiopeptide derivatives showed minimal inhibitory concentrations against MAC that were comparable to clarithromycin (CLR). Notably, two compounds, AJ-037 and AJ-206, exhibited intracellular antimycobacterial activities and acted synergistically with CLR to hinder the growth of MAC within macrophages. Additionally, these compounds demonstrated in vitro and intracellular anti-MAC activities against macrolide-resistant MAC strains without showing any cross-resistance with CLR. We believe that AJ-037 and AJ-206 can be promising anti-MAC agents for the treatment of MAC infections, including macrolide-resistant MAC strains.