Objective To monitor the susceptibility of clinical isolates to antimicrobial agents in tertiary hospitals in major regions of China in 2022.Methods Clinical isolates from 58 hospitals in China were tested for antimicrobial susceptibility using a unified protocol based on disc diffusion method or automated testing systems.Results were interpreted using the 2022 Clinical &Laboratory Standards Institute(CLSI)breakpoints.Results A total of 318 013 clinical isolates were collected from January 1,2022 to December 31,2022,of which 29.5％were gram-positive and 70.5％were gram-negative.The prevalence of methicillin-resistant strains in Staphylococcus aureus,Staphylococcus epidermidis and other coagulase-negative Staphylococcus species(excluding Staphylococcus pseudintermedius and Staphylococcus schleiferi)was 28.3％,76.7％and 77.9％,respectively.Overall,94.0％of MRSA strains were susceptible to trimethoprim-sulfamethoxazole and 90.8％of MRSE strains were susceptible to rifampicin.No vancomycin-resistant strains were found.Enterococcus faecalis showed significantly lower resistance rates to most antimicrobial agents tested than Enterococcus faecium.A few vancomycin-resistant strains were identified in both E.faecalis and E.faecium.The prevalence of penicillin-susceptible Streptococcus pneumoniae was 94.2％in the isolates from children and 95.7％in the isolates from adults.The resistance rate to carbapenems was lower than 13.1％in most Enterobacterales species except for Klebsiella,21.7％-23.1％of which were resistant to carbapenems.Most Enterobacterales isolates were highly susceptible to tigecycline,colistin and polymyxin B,with resistance rates ranging from 0.1％to 13.3％.The prevalence of meropenem-resistant strains decreased from 23.5％in 2019 to 18.0％in 2022 in Pseudomonas aeruginosa,and decreased from 79.0％in 2019 to 72.5％in 2022 in Acinetobacter baumannii.Conclusions The resistance of clinical isolates to the commonly used antimicrobial agents is still increasing in tertiary hospitals.However,the prevalence of important carbapenem-resistant organisms such as carbapenem-resistant K.pneumoniae,P.aeruginosa,and A.baumannii showed a downward trend in recent years.This finding suggests that the strategy of combining antimicrobial resistance surveillance with multidisciplinary concerted action works well in curbing the spread of resistant bacteria.

Objective To investigate the changing distribution and antibiotic resistance profiles of clinical isolates of Staphylococcus in hospitals across China from 2015 to 2021.Methods Antimicrobial susceptibility testing was conducted for the clinical isolates of Staphylococcus according to the unified protocol of CHINET(China Antimicrobial Surveillance Network)using disk diffusion method and commercial automated systems.The CHINET antimicrobial resistance surveillance data from 2015 to 2021 were interpreted according to the 2021 CLSI breakpoints and analyzed using WHONET 5.6.Results During the period from 2015 to 2021,a total of 204,771 nonduplicate strains of Staphylococcus were isolated,including 136,731(66.8％)strains of Staphylococcus aureus and 68,040(33.2％)strains of coagulase-negative Staphylococcus(CNS).The proportions of S.aureus isolates and CNS isolates did not show significant change.S.aureus strains were mainly isolated from respiratory specimens(38.9±5.1)％,wound,pus and secretions(33.6±4.2)％,and blood(11.9±1.5)％.The CNS strains were predominantly isolated from blood(73.6±4.2)％,cerebrospinal fluid(12.1±2.5)％,and pleural effusion and ascites(8.4±2.1)％.S.aureus strains were mainly isolated from the patients in ICU(17.0±7.3)％,outpatient and emergency(11.6±1.7)％,and department of surgery(11.2±0.9)％,whereas CNS strains were primarily isolated from the patients in ICU(32.2±9.7)％,outpatient and emergency(12.8±4.7)％,and department of internal medicine(11.2±1.9)％.The prevalence of methicillin-resistant strains was 32.9％in S.aureus(MRSA)and 74.1％in CNS(MRCNS).Over the 7-year period,the prevalence of MRSA decreased from 42.1％to 29.2％,and the prevalence of MRCNS decreased from 82.1％to 68.2％.MRSA showed higher resistance rates to all the antimicrobial agents tested except trimethoprim-sulfamethoxazole than methicillin-susceptible S.aureus(MSSA).Over the 7-year period,MRSA strains showed decreasing resistance rates to gentamicin,rifampicin,and levofloxacin,MRCNS showed decreasing resistance rates to gentamicin,erythromycin,rifampicin,and trimethoprim-sulfamethoxazole,but increasing resistance rate to levofloxacin.No vancomycin-resistant strains were detected.The prevalence of linezolid-resistant MRCNS increased from 0.2％to 2.3％over the 7-year period.Conclusions Staphylococcus remains the major pathogen among gram-positive bacteria.MRSA and MRCNS were still the principal antibiotic-resistant gram-positive bacteria.No S.aureus isolates were found resistant to vancomycin or linezolid,but linezolid-resistant strains have been detected in MRCNS isolates,which is an issue of concern.

OBJECTIVETo investigate the changes in the membrane properties and synaptic stability of the rat retinal ganglion cells (RGCs) during postnatal development.

METHODSWhole-cell patch-clamp technique was used to record the action potentials (AP) and miniature excitatory postsynaptic currents (mEPSC) of SD rat RGCs at postnatal days 7, 14 and 40. The active and passive membrane properties and the synaptic stability (measured by the amplitude, frequency, rise time and decay time of mEPSC) of the RGCs were analyzed using Patchmaster software.

RESULTSComparison of the RGCs in SD rats across different postnatal ages revealed significant changes in the electrophysiological characteristics of the RGCs during postnatal development. The discharge rate was significantly greater while the AP half-peak width was significantly smaller at postnatal day 15 (P15) than at P7 ( < 0.01), but were both similar between P15 and P40 (=0.086); in terms of the passive membrane properties, the membrane time constant gradually decreased during the development. The frequency of mEPSCs increased significantly over time during postnatal development ( < 0.01), but was similar between P15 and P40 rats.

CONCLUSIONSIn SD rats, the membrane properties and synaptic stability of the RGCs undergo alterations following a specific pattern, which highlights a critical period where distinct changes occur in the electrophysiological characteristics of RGCs, followed by gradual stabilization over time. Such changes in the electrophysiological characteristics represent the basic characteristics of RGCs for visual signal processing, and understanding of this mechanism may provide insights into the exact role of the RGC in visual information processing.

Objective To explore whether the pattern of neuron's auditory response to a sound stimulus affects the characteristics of stimulus-specific adaptation (SSA) in awake mice. Methods The auditory responses of the neurons in the inferior colliculus to sound stimuli were recorded using microelectrodes in awake mice. The sequence of sound stimuli consisted of random combinations of pure tones of two different frequencies (f1 and f2) with different repetition rates. The auditory responses of the neurons to standard and deviant stimuli were calculated, namely s(f2)/s(f2) and d(f1)/d(f2), respectively. Three indexes of the responses were also calculated, including the firing difference index (FDI), frequency-specific index (SI), and common SSA index(CSI). Results The CSI of neurons with a greater FDI was significantly higher than that of neurons with a smaller FDI (P<0.05). The primary-like neurons showed different characteristics of SSAs in different time periods; SSA was significantly increased in the phase of sustained response compared with that at the onset of response (P<0.05). Conclusion The auditory response pattern to sound stimuli is also an important factor that affect SSA of inferior colliculus neurons in awake mice.

Objective To explore whether the pattern of neuron's auditory response to a sound stimulus affects the characteristics of stimulus-specific adaptation (SSA) in awake mice. Methods The auditory responses of the neurons in the inferior colliculus to sound stimuli were recorded using microelectrodes in awake mice. The sequence of sound stimuli consisted of random combinations of pure tones of two different frequencies (f1 and f2) with different repetition rates. The auditory responses of the neurons to standard and deviant stimuli were calculated, namely s(f2)/s(f2) and d(f1)/d(f2), respectively. Three indexes of the responses were also calculated, including the firing difference index (FDI), frequency-specific index (SI), and common SSA index(CSI). Results The CSI of neurons with a greater FDI was significantly higher than that of neurons with a smaller FDI (P<0.05). The primary-like neurons showed different characteristics of SSAs in different time periods; SSA was significantly increased in the phase of sustained response compared with that at the onset of response (P<0.05). Conclusion The auditory response pattern to sound stimuli is also an important factor that affect SSA of inferior colliculus neurons in awake mice.

OBJECTIVETo express solute carrier 26A proteins in HEK-293 cells and explore their functions.

METHODSSLC26A-eGFP plasmids were transiently transfected into HEK-293 cells, and the nonlinear capacitance of the cells expressing SLC26A proteins was measured by whole-cell patch recording.

RESULTSAll the SLC26A transporters were expressed on the membrane of HEK-293 cells. Each member of the SLC26A transporter family showed robust nonlinear capacitance, which represented their binding capability with anions.

CONCLUSIONThe SLC26A transporters expressed on HEK cells show similar functions as expected in tissue environment. The plasmids we constructed facilitate structural and functional study of SLC26A transporters.

Objective To express solute carrier 26A proteins in HEK-293 cells and explore their functions. Methods SLC26A-eGFP plasmids were transiently transfected into HEK-293 cells, and the nonlinear capacitance of the cells expressing SLC26A proteins was measured by whole-cell patch recording. Results All the SLC26A transporters were expressed on the membrane of HEK-293 cells. Each member of the SLC26A transporter family showed robust nonlinear capacitance, which represented their binding capability with anions. Conclusion The SLC26A transporters expressed on HEK cells show similar functions as expected in tissue environment. The plasmids we constructed facilitate structural and functional study of SLC26A transporters.

Objective To express solute carrier 26A proteins in HEK-293 cells and explore their functions. Methods SLC26A-eGFP plasmids were transiently transfected into HEK-293 cells, and the nonlinear capacitance of the cells expressing SLC26A proteins was measured by whole-cell patch recording. Results All the SLC26A transporters were expressed on the membrane of HEK-293 cells. Each member of the SLC26A transporter family showed robust nonlinear capacitance, which represented their binding capability with anions. Conclusion The SLC26A transporters expressed on HEK cells show similar functions as expected in tissue environment. The plasmids we constructed facilitate structural and functional study of SLC26A transporters.

OBJECTIVEThe cochlear nucleus (CN) neurons show 3 principal response patterns to short tone bursts, namely the primary-like, chopper and onset response patterns. We previously established an excitatory model to simulate the response patterns of CN neurons to stimuli. In this study, we aimed to investigate the effects of excitatory intensity on the CN neuron response patterns and explore the role of inhibitory inputs under normal physiological conditions.

METHODSBased on the platform of Matlab and the excitatory model derived from the integrate-and-fire model, we altered the intensity of excitatory inputs in dB range and obtained the histograms to analyze the changes in the response patterns of the neurons using OriginPro 7.5 data analysis software.

RESULTSThe original primary-like response pattern of the neurons did not vary significantly while the chopper and onset response patterns changed into primary-like responses with the increase of the excitatory input intensity. But this response pattern alteration as a result of excitatory input intensity changes was rarely observed under normal physiological conditions.

CONCLUSIONSThe CN neurons receive balanced excitatory and inhibitory inputs, which stabilize the neuronal membrane potential within a limited range. The balanced inhibitory inputs decide the response pattern of a given neuron.

OBJECTIVETo establish a mechanical simulation model for studying the relationship between the characteristic frequency and feature location of the basilar membrane of the cochlea.

METHODSMacro-mechanical methods were used to simplify the details of the model. With simulation tools, the basilar membrane vibration frequency characteristics were analyzed based on the box model.

RESULTSThe basilar membrane had obvious frequency-selective properties, and the basilar membrane from the stapes was sensitive to high frequencies while the farther membrane was sensitive to low frequencies.

CONCLUSIONThe frequency characteristics of the basilar membrane of the cochlea is mainly a result of the longitudinal variations of the geometric dimensions and material properties and is not related with other structures within the cochlea corti.