Biomedical subjects

Rong Guo

Publications and source records attributed to Rong Guo.

2 recordsLinked to original sources

PubMed2026

Potential of plasma metagenomic next-generation sequencing to guide antibiotic therapy in acute necrotizing pancreatitis with early fever: a prospective multicenter cohort study.

BACKGROUND: Indiscriminate antibiotic use remains common in febrile patients with acute necrotizing pancreatitis (ANP), particularly during the early phase. Metagenomic next‑generation sequencing (mNGS) has shown diagnostic utility for infected pancreatic necrosis (IPN) and may offer a means to guide antimicrobial therapy. We aimed to explore whether mNGS could potentially improve the appropriateness of antibiotic use in ANP patients presenting with early fever. METHODS: This prospective multicenter cohort study was conducted at five hospitals in China, enrolling ANP patients who developed fever within two weeks of symptom onset. Antibiotic susceptibility was defined per local microbiology laboratory reports. The hypothetical impact of mNGS on reducing inappropriate antibiotic use was evaluated through a retrospective simulation using predefined criteria from the BGI China antimicrobial drug usage card, as mNGS results were not disclosed to the treating teams during the actual clinical course. RESULTS: Between May 2023 and December 2024, 125 ANP patients with early fever were enrolled. Antibiotics were administered to 91.2% (114/125) of patients, whereas only 23.2% (29/125)were eventually confirmed to have IPN, and the rate of appropriate antibiotic use was 14.5% (17/117) based on conventional culture. In our simulated model, if therapy had been guided by plasma mNGS results, the estimated rate of appropriate antibiotic use could have increased to 71.8%. CONCLUSIONS: Plasma mNGS facilitates rapid pathogen identification and shows potential for improving antibiotic appropriateness in ANP patients with early fever.

Adult↗

PubMed2026

Genome-wide identification of olfactory receptor and odorant-binding protein gene families and their roles in Heliothine chemosensory evolution.

Chemosensory systems play key roles in the survival and reproductive success of insects. Two large and diverse chemosensory gene families, odorant receptors (ORs) and odorant-binding proteins (OBPs), play critical roles in insect chemosensation and mediate odour-guided behaviours. In the process of insect chemosensation, odorants from the environment pass through pores in the antennal sensilla and become soluble in the sensillar lymph, either directly on contact or by binding to an OBP. Solubilized odour molecules diffuse through the lymph until they reach and activate their cognate ORs, sending electrophysiological signals to the insect brain. To better understand the evolutionary roles of OR and OBP gene families among members of the Heliothinae, we systematically characterized these two gene families in Chloridea virescens (Lepidoptera: Noctuidae). A total of 81 ORs and 49 OBPs were identified genome-wide. Based on the number and positions of conserved cysteine residues, the OBPs were classified into three types: 34 Classic OBPs, 8 Minus-C OBPs and 7 Plus-C OBPs. Phylogenetic analyses identified potential gene duplications and losses within OR and OBP gene families among members of the Heliothinae, which may be associated with differences in their volatile sensation and olfactory behaviours. Further motif and structural analyses identified a conserved region that was unique among pheromone receptors and predicted as key residues of the binding pocket, implying its critical role in pheromone detection. Future work should focus on experimentally validating its function. Overall, our findings provide important insights into how chemosensory gene evolution contributes to ecological adaptation and reproductive isolation in the Heliothine moths.

Animals↗