Publications by authors named "Chang-wen Ke"

4,[5],12:i:-, a monophasic variant of Typhimurium, has emerged as a global cause of multidrug-resistant salmonellosis and has become endemic in many developing and developed countries, especially in China. Here, we have sequenced 352 clinical isolates in Guangdong, China, during 2009-2019 and performed a large-scale collection of 4,[5],12:i:- with whole genome sequencing (WGS) data across the globe, to better understand the population structure, antimicrobial resistance (AMR) genomic characterization, and transmission routes of 4,[5],12:i:- across Guangdong. 4,[5],12:i:- strains showed broad genetic diversity; Guangdong isolates were found to be widely distributed among the global lineages.

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  • This study investigates the prevalence and genetic diversity of rotavirus group A (RVA) in the Pearl River Delta region of Guangdong, China, focusing on individuals aged 28 days to 85 years.
  • Out of 706 stool samples from patients with acute gastroenteritis, 14.59% tested positive for RVA, with co-infections noted in nearly 40% of cases, particularly affecting young children.
  • The predominant RVA genotype identified was G9P[8], and findings highlight the need for enhanced surveillance of RVA genetic changes to inform future vaccine development.
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The banning of colistin as a feed additive for food-producing animals in mainland China in 2017 caused the decline in the prevalence of Escherichia coli-mobilized colistin resistance () in China. Salmonella Typhimurium and its monophasic 1,4,[5],12:i:- variants are also the main species associated with the spread of ; however, the evidence of the prevalence and transmission of among Salmonella is lacking. Herein, the 5,354 Salmonella isolates recovered from fecal samples of diarrheal patients in Guangdong, Southern China, from 2009 to 2019 were screened for colistin resistance and , and -positive isolates were characterized based on whole-genome sequencing (WGS) data.

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Objectives: To reconstruct the genomic epidemiology and evolution of MDR Salmonella Indiana in China.

Methods: A total of 108 Salmonella Indiana strains were collected from humans and livestock in China. All isolates were subjected to WGS and antimicrobial susceptibility testing.

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  • - The study analyzed complete genome sequences of SARS-CoV-2 collected from 177 COVID-19 patients at a hospital in Guangzhou, focusing on the diversity and mutation characteristics of the virus between October 2020 and May 2021.
  • - Key findings indicated a peak in imported COVID-19 cases from the U.S. in May 2021, with significant variants like B.1.1.7 and B.1.351 identified alongside unique mutations not previously documented in major databases.
  • - The research highlighted that the ORF1a protein had the highest mutation density, and the D614G mutation in the spike protein was most common, suggesting the emergence of diverse lineages and the potential for further viral evolution
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Coronavirus disease 2019 (COVID-19) remains a global public health threat. Hence, more effective and specific antivirals are urgently needed. Here, COVID-19 hyperimmune globulin (COVID-HIG), a passive immunotherapy, is prepared from the plasma of healthy donors vaccinated with BBIBP-CorV (Sinopharm COVID-19 vaccine).

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The continuous emergence of SARS-CoV-2 variants highlights the need of developing vaccines with broad protection. Here, according to the immune-escape capability and evolutionary convergence, the representative SARS-CoV-2 strains carrying the hotspot mutations were selected. Then, guided by structural and computational analyses, we present a mutation-integrated trimeric form of spike receptor-binding domain (mutI-tri-RBD) as a broadly protective vaccine candidate, which combined heterologous RBDs from different representative strains into a hybrid immunogen and integrated immune-escape hotspots into a single antigen.

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Objective: The coronavirus disease 2019 (COVID-19) pandemic continues to present a major challenge to public health. Vaccine development requires an understanding of the kinetics of neutralizing antibody (NAb) responses to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).

Methods: In total, 605 serum samples from 125 COVID-19 patients (from January 1 to March 14, 2020) varying in age, sex, severity of symptoms, and presence of underlying diseases were collected, and antibody titers were measured using a micro-neutralization assay with wild-type SARS-CoV-2.

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  • - The research focuses on understanding the immunogenicity and potential vaccination targets of SARS-CoV-2 by predicting the 3D structures and B cell epitopes on its proteins (S, E, M, N).
  • - Out of 33 predicted epitopes, nearly all stimulate antibody production, with six being immunodominant in people, and 23 being conserved across different coronaviruses.
  • - Notably, the immunodominant epitopes differ between individuals infected with domestic and imported strains of SARS-CoV-2 due to specific protein mutations, highlighting potential implications for effective vaccine development.
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  • The first instance of highly pathogenic influenza A/H7N9 was identified in Guangdong in January 2017, prompting an investigation into its spread and characteristics from 2016 to 2017 by sequencing 297 viruses.* -
  • During this period, three lineages of A/H7N9 viruses were found to co-circulate in Guangdong: a local low pathogenic lineage (13%), a newly imported low pathogenic lineage (23%), and a highly pathogenic lineage (64%).* -
  • The study also revealed that the highly pathogenic lineage likely originated from previously circulating low pathogenic strains, and that there is limited spread of the highly pathogenic A/H7N9 to other provinces, with different cleavage site variants present in poultry
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The coronavirus disease 2019 (COVID-19) pandemic continues to pose a global threat to the human population. Identifying animal species susceptible to infection with the SARS-CoV-2/ HCoV-19 pathogen is essential for controlling the outbreak and for testing valid prophylactics or therapeutics based on animal model studies. Here, different aged Chinese tree shrews (adult group, 1 year old; old group, 5-6 years old), which are close relatives to primates, were infected with SARS-CoV-2.

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Objectives: To investigate the prevalence and transmission of mcr-3 among Salmonella enterica serotype Typhimurium and 1,4,[5],12:i:-.

Methods: A total of 4724 clinical Salmonella isolates were screened for the presence of mcr-3 in China during 2014-19. The clonal relationship of the mcr-3-positive isolates and their plasmid contents and complete sequence were also characterized based on WGS data from the Illumina and MinION platforms.

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  • The study aimed to evaluate how chlorogenin 3-O-β-chacotrioside derivatives inhibit the H5N1 subtype of highly pathogenic avian influenza viruses and explore their molecular mechanisms.
  • Researchers synthesized several novel derivatives and tested their antiviral activity, finding that specific derivatives effectively suppressed H5N1 virus strains with promising selectivity indices, indicating strong inhibition.
  • The results revealed that these derivatives target the hemagglutinin protein early in the viral entry process, showing potential for preventing infection by interfering with viral replication mechanisms.
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Market surveillance showed continuing circulation of avian influenza A(H5N6) virus in live poultry markets in Guangdong Province in 2017, despite compulsory vaccination for avian influenza A(H5Nx) and A(H7N9). We analyzed H5N6 viruses from 2014-2018 from Guangdong Province, revealing antigenic drift and decreased antibody response against the vaccine strain in vaccinated chickens.

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Nasopharyngeal swabs were collected from patients through the influenza surveillance network of the CDC of Guangdong. All specimens between 2009 and 2014 were checked for influenza virus using MDCK cells and further subtyped. Of those collected, 542 H1N1pdm09, 230 A(H3N2)and 448 B viruses selected at random were subjected to fluorescence-based NAI assays.

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  • In a study conducted over one and a half years in Southern China, 86 isolates of Vibrio parahaemolyticus were collected from both environmental sources (like aquaculture ponds and seafood markets) and clinical samples.
  • Analysis revealed significant genetic and virulence differences, with some environmental isolates testing positive for virulence genes (like tdh) but lacking the pandemic markers found in clinical isolates.
  • The study suggests that while environmental conditions may support the development of virulent strains, the pandemic strains of V. parahaemolyticus likely do not originate directly from marine animals but rather from environmental reservoirs.
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  • The first MERS case in China was reported in May 2015, prompting an investigation into the immune response in the infected individual.
  • Antibody levels (IgG and IgM) and neutralizing antibodies against MERS-CoV were monitored before the patient was discharged.
  • No evidence of new MERS infections in 53 close contacts indicated that the virus did not spread within the community or healthcare settings in China.
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Background: Human granulocytic anaplasmosis (HGA) is an acute tick-borne infectious disease with increasing morbidity and mortality, but is rarely considered in clinical practice. Because human-to-human transfusion or nosocomial transmission can occur, diagnosis is difficult when the history of tick bites is not clear.

Methods: We present clinical features and laboratory data of HGA patients who had no clear tick bite history.

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Background: The second wave of avian influenza H7N9 virus outbreak in humans spread to the Guangdong province of China by August of 2013 and this virus is now endemic in poultry in this region.

Methods: Five patients with H7N9 virus infection admitted to our hospital during August 2013 to February 2014 were intensively investigated. Viral load in the respiratory tract was determined by quantitative polymerase chain reaction (Q-PCR) and cytokine levels were measured by bead-based flow cytometery.

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  • The first confirmed case of the H7N9 virus in Guangdong Province, China, occurred in August 2013, outside the usual flu season, prompting an investigation into its source and transmission.
  • A female patient with poultry exposure experienced severe respiratory symptoms and quickly moved to an ICU but ultimately recovered after four weeks, with no additional cases reported.
  • Genetic analysis showed the virus shares similarities with other H7N9 strains and is susceptible to certain antiviral medications, highlighting a potential ongoing risk for H7N9 re-emergence in China, especially from environmental sources.
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Background: Salmonella enterica includes the major serovars associated with human salmonellosis. In this study, 1764 clinical Salmonella enterica isolates from diarrhea outpatients were collected from fifteen cities in Guangdong province, China, between 2007 and 2012. These isolates represent all of the Salmonella isolates collected from the province during that period.

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According to pathogenic surveillance data during the first half of 2012, the H3N2 influenza virus was prevalent in Guangdong, China, but no pandemic H1N1 (pH1N1) virus was detected. This study aimed to measure the seroprevalence of pH1N1 and H3N2 infection following the influenza epidemic in 2012. We collected serum samples by stratified random sampling in a cross-sectional survey from August, 2012 to October, 2012.

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