Search

In China, non-nucleoside reverse transcriptase inhibitors (NNRTIs) are integral to the antiretroviral therapy (ART) regimen for persons living with HIV (PWH), comprising over 80% of such treatments. To broaden treatment options and improve therapeutic effectiveness, Ainuovirine (ANV), a new NNRTI, was authorized for ART in 2021. Nevertheless, the clinical efficacy of ANV and its impact on blood biochemical markers remain somewhat underexplored. This study seeks to evaluate ANV's clinical performance in ART and its influence on relevant treatment parameters. A retrospective analysis was performed on 208 patients treated with an ANV-based regimen from July 2021 to July 2023, monitoring indicator changes from baseline to week 24. The primary endpoint was the proportion of participants achieving HIV-1 RNA levels of less than 50 copies/mL by week 24. Secondary endpoints involved assessing variations in CD4+ T cell counts and blood biochemical markers from baseline. These outcomes were also compared with data from 241 patients treated with an Efavirenz (EFV)-based regimen in the same time frame. The findings suggest that the ANV-based regimen is as effective as the EFV-based regimen in viral suppression (p >.05) and offers superior improvements in lipid profiles, liver function, and immune system indicators, alongside fewer adverse reactions. These results affirm ANV's efficacy and safety as an antiretroviral therapy option, offering Acquired Immune Deficiency Syndrome patients a wider array of treatment possibilities and the potential for better treatment outcomes. [ABSTRACT FROM AUTHOR]

ZnAl2O4 with a typical spinel structure is highly expected to be a novel rare‐earth‐free ion‐activated oxide phosphor with red emission, which holds high actual meaning for advancing phosphor‐converted light‐emitting diode (pc‐LED) lighting. Among the rare‐earth‐free activators, Mn4+ ions have emerged as one of the most promising activators. Considering the price advantage of MnCO3 generating Mn2+ ions and the charge compensation effect potentially obtaining Mn4+ ions from Mn2+ ions, this research delves into a collection of ZnAl2O4:Mn2+(Mn4+), x Li+ (x = 0%–40%) phosphors with Li+ as co‐dopant and MnCO3 as Mn2+ dopant source prepared by a high temperature solid‐state reaction method. The lattice structure was investigated using X‐ray diffraction (XRD), photoluminescence (PL), and photoluminescence excitation (PLE) spectroscopy. Results suggest a relatively high probability of Li+ ions occupying Zn2+ lattice sites. Furthermore, Li+ ion doping was assuredly found to facilitate the oxidization of Mn2+ to Mn4+, leading to a shift of luminescence peak from 516 to 656 nm. An intriguing phenomenon that the emission color changed with the Li+ doping content was also observed. Meanwhile, the luminescence intensity and quantum yield (QY) at different temperatures, as well as the relevant thermal quenching mechanism, were determined and elucidated detailedly. [ABSTRACT FROM AUTHOR]

Introduction: The efficacy and safety of ainuovirine+lamivudine+tenofovir (ANV+3TC+TDF) and efavirenz+lamivudine+tenofovir (EFV+3TC+TDF) have been confirmed in previous clinical trials; however, there are no related studies on patient‐reported outcomes. This study aimed to evaluate the effectiveness and safety of these 2 antiretroviral therapy regimens and to understand the patient's symptom experience and subjective experience of sleep quality through patient‐reported outcomes. Methods: This is a single‐center prospective cohort study with 243 patients evaluated from October 1, 2021 to June 30, 2022. Virological effectiveness and patient‐reported outcomes results were analyzed. The primary endpoint was the proportion of HIV viral load <50 copies/mL (virological suppression rate) at 48 weeks and the changes in the HIV symptom index and Pittsburgh sleep quality index. Results: The virological suppression rates in the ANV+3TC+TDF and EFV+3TC+TDF groups were 83.6% (102/122) and 87.6% (106/121), respectively, at 48 weeks. In the ANV+3TC+TDF group, the scores of HIV symptom index and pittsburgh sleep quality index in the 48th week were lower than the baseline level (p < 0.05). Logistic regression results showed that the baseline regimen EFV+3TC+TDF was a risk factor for dizziness/lightheadedness (odds ratio = 3.153, 95% confidence interval: 1.473–6.748, p = 0.003), sadness/depression odds ratio = 2.404, 95% confidence interval:1.188–4.871, p = 0.015), and difficulty sleeping (odds ratio = 2.802, 95% confidence interval: 1.437–5.463, p = 0.002) at 48 weeks. Conclusions: Both regimens showed good virological effectiveness; however, compared with ANV+3TC+TDF, the EFV+3TC+TDF regimen reduced the prevalence of HIV‐related symptoms. [ABSTRACT FROM AUTHOR]

This study aimed to evaluate the therapeutic effect and tolerance of bictegravir/emtricitabine/tenofovir alafenamide fumarate (BIC/FTC/TAF) use for 24 weeks in anti-retroviral therapy (ART)-naïve patients in China. This single-center retrospective cohort study included ART-naïve patients who received BIC/FTC/TAF from July 2021 to April 2022. The proportion of patients with HIV RNA < 50 copies/mL at the end point of 24 weeks (virological suppression rate) was the primary outcome, and the changes in CD4 cell count, CD4/CD8 ratio, weight, blood lipid, and safety were secondary outcomes. A total of 80 ART-naïve patients were enrolled. The virological suppression rate was 86.3% at 24 weeks. The median CD4 cell count increased from 212 cells/μL (interquartile range [IQR]: 90.3–398.3) at baseline to 348 cells/μL (IQR: 219.8–541.0) at 24 weeks. The median CD4/CD8 ratio increased from 0.25 (IQR: 0.13–0.37) at baseline to 0.40 (IQR: 0.26–0.66) at 24 weeks. During the follow-up of 80 ART-naïve patients using BIC/FTC/TAF, 16 participants had adverse events; however, these events did not lead to drug withdrawal. This real-world cohort study showed that BIC/FTC/TAF could achieve good immunological and virological responses in ART-naïve patients. In addition, this study also shows good safety. [ABSTRACT FROM AUTHOR]

Loxoprofen sodium is a chiral drug with two chiral centers. In our previous work, we found that the elimination of its four isomers showed stereospecificity in rats, while how the stereospecific behavior occurred in vivo was unclear. To clarify this issue, each single isomer of loxoprofen sodium was prepared by a chiral semi‐preparative high‐performance liquid chromatography (HPLC) and then administered to rats. By analysis of each isomer in rat plasma utilizing an analytical chiral HPLC, it was discovered that the chiral inversion occurred only to its (2R)‐isomers, one from (1′S,2R)‐ to (1′S,2S)‐isomer and the other from (1′R,2R)‐ to (1′R,2S)‐isomer. The reduction of α‐substituted cyclopentanone occurred only to its (1′R)‐isomers, with (1′R,2R)‐isomer reduced to (2′S,1′R,2R)‐trans‐alcohol and (1′R,2S)‐ to (2′S,1′R,2S)‐trans‐alcohol. Interestingly, both the inversion and the reduction reaction occurred to its (1′R,2R)‐isomer due to the special stereo‐structure with both (2R)‐ and (1′R)‐configuration, and conversely, neither of them occurred to its (1′S,2S)‐isomer, which caused the significantly different elimination rate in vivo. These new findings were meaningful for evaluation of the safety and efficacy of chiral drugs. [ABSTRACT FROM AUTHOR]

The study block opens up with the already found oil reservation, through the comprehensive analysis to seismic, well logging, well log and core data, collate and stipulate the system of fault, and then make sure the oil source fault; Meanwhile we make use of Geo-Office and Jason multiply technology, to launch micro faces and single sand body spread research. The result shows that, the study block mostly have 4 kinds of oil reservation: fault-lithologic, fault block, fault-screened and lithologic reservoir, the main target layer is Fuyu oil layer of Quantou Formation 3 and 4 part, the reservation and spread of oil is mainly controlled by the distance to the oil source, the space spread which is coordinated to form transportation system by fault concentrated belt and sand body, the high fault block trap. The oil reservation mainly exist in the internal part of fault concentrated belt and the sand body nearby, all in all the spread feature shows that the oil stays above and the water keeps low, and the formations which includes oil becomes less and less from the downstructure location to the updip; The major period for hydrocarbon accumulation is the late period of the Mingshui Formation deposition; Here are the modes of the oil transformation and reservation : the oil goes downward and flow backward and transforms into Fuyu formation, which origins from the source rocks of Qingl member in Sanzhao depression, under the abnormal pressure through the source fault, and then the oil in Fuyu formation of Sanzhao depression transforms to study block under the affect of floatage along the two fault concentrated belt which was linked up by the sand body, at the upstructure location lithology or fault aligns with lithology forms the trap which keeps together to oil reservation.