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Shigella flexneri/sonnei bivalent live vaccine (freeze-dried) (Shigella FS vaccine)

✓ Approved

China National Pharmaceutical · Cell-based Therapies · Cell-based Therapies

What is Shigella flexneri/sonnei bivalent live vaccine (freeze-dried)?

Shigella flexneri/sonnei bivalent live vaccine (freeze-dried) is a cell-based therapies developed by China National Pharmaceutical. It is approved for therapeutic indications via oral (po).

Drug Profile

Brand NamesShigella FS vaccine
CompanyChina National Pharmaceutical
Drug ClassCell-based Therapies, Vaccine
RouteOral (PO)
StatusApproved

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A cavity-reduced prefusion RSV F bivalent vaccine elicits durable and protective immunity.

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Respiratory syncytial virus (RSV) remains a major cause of severe respiratory disease, and stabilization of the prefusion (preF) conformation of the F glycoprotein is central for vaccine development. Here, we report a structure-guided engineering strategy that enhances preF stability by reducing the hydrophobic cavity within the trimeric F protein. Targeted modifications at metastability-associated sites generated RVF-88, a disulfide-free stabilized preF immunogen that preserves key neutralizing epitopes, including antigenic site Ø, while exhibiting improved structural integrity and long-term storage stability. Formulated as an unadjuvanted bivalent vaccine, RVF-88 elicited potent neutralizing antibody responses and durable immune protection lasting up to 5 months in mice. Vaccination also protected both mice and cotton rats against RSV challenge. Structural analyses confirmed the intended cavity-reduction design, revealing a reduced apical hydrophobic cavity volume and surface area while maintaining the prefusion architecture. Together, these findings establish hydrophobic cavity reduction as a rational strategy for stabilizing prefusion RSV F and provide a promising next-generation vaccine candidate with improved stability and immunogenicity for further clinical development.

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Feline infectious peritonitis virus (FIPV) is a lethal feline pathogen with no widely effective prophylactic vaccine available. To address this unmet need, we explored the feasibility of using Toxoplasma gondii (whose definitive host is felids) as a live delivery platform to develop a bivalent vector vaccine. We generated a transgenic T. gondii strain engineered to express and secrete the FIPV spike protein S1 subunit into the parasitophorous vacuole. Immunization in mice confirmed the immunogenicity of this recombinant parasite, which induced specific antibody responses targeting both the T. gondii vector and the FIPV S1 antigen. In vitro neutralization assays revealed limited FIPV-neutralizing capacity in immune sera, with only low-level inhibitory activity observed at the lowest serum dilution, which was markedly inferior to the neutralization potency induced by recombinant S1 protein vaccination. Collectively, these data preliminarily verify the potential of T. gondii as a multivalent antigen delivery vector. This work provides a proof-of-concept framework for a dual-target vaccination strategy intended to mitigate the epidemiological burden of both FIPV and T. gondii in cats, and underpins integrated One Health-oriented disease prevention and control efforts.

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Online-Sourced Retatrutide Complicating Impending Diabetic Ketoacidosis in a Patient With Type 1 Diabetes and Concurrent Shigella Gastroenteritis.

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Growing public interest in incretin-based therapies for weight loss has been accompanied by increasing availability of research peptides purchasable online. Products may be used without medical assessment or counselling regarding adverse effects, sick-day management or appropriate follow-up. In addition, composition, purity and dosing accuracy may be uncertain. Retatrutide is a novel triple agonist of the glucose-dependent insulinotropic polypeptide, glucagon-like peptide-1 and glucagon receptors currently being investigated for obesity and type 2 diabetes mellitus, but has no established role in type 1 diabetes mellitus. We report a man in his mid-30s with longstanding type 1 diabetes mellitus who presented with severe vomiting, diarrhoea, hyperglycaemia, ketonaemia and acute kidney injury shortly after self-administering an online-purchased product marketed as retatrutide for weight loss. His partner, who had taken the same preparation, also developed gastrointestinal symptoms. Both had also consumed a potential foodborne source of infection. In type 1 diabetes mellitus, where patients remain dependent on exogenous insulin to suppress ketogenesis, gastrointestinal illness may rapidly precipitate ketosis when insulin is omitted and oral intake is reduced. Although diabetic ketoacidosis did not develop, peak ketonaemia reached 4.3 mmol/L in the setting of dehydration and insulin omission, requiring intravenous insulin and fluid replacement. During recovery, recurrent hypoglycaemia required intravenous dextrose and insulin dose adjustment, highlighting challenges of glycaemic management in acutely unwell patients exposed to agents with incretin and glucagon receptor activity. Stool culture subsequently grew Shigella flexneri, introducing diagnostic uncertainty regarding the relative contributions of gastrointestinal infection and retatrutide exposure, and complicating counselling regarding future retatrutide use. While causation cannot be established, the temporal relationship, similar symptoms in another exposed individual, and recognised gastrointestinal adverse-effect profile of retatrutide suggest that exposure may have contributed to symptom severity or amplified the metabolic consequences of infection. This case highlights diagnostic and management challenges created by unregulated research peptides obtained outside healthcare pathways, particularly in patients with type 1 diabetes mellitus where evidence to guide management is limited and clinicians in non-specialist settings may be unfamiliar with these agents. As access expands through online vendors and social media, clinicians should routinely enquire about prescribed and non-prescribed agents when assessing unexplained illness or metabolic decompensation.

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Oral Health Behavior Management in Patients with Periodontitis: A COM-B-Guided Qualitative Study.

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This study aimed to explore barriers and support needs related to oral health behaviors among patients with periodontitis guided by the Capability-Opportunity-Motivation-Behavior (COM-B) model in a Chinese clinical context. Semi-structured qualitative interviews were conducted with 17 patients diagnosed with stage II-IV periodontitis who attended the Department of Stomatology at a tertiary hospital in Chengde, China, between December 2025 and January 2026. Participants were recruited using purposive sampling. Interviews were conducted in person, and data were analyzed using qualitative content analysis guided by the COM-B model. Themes and sub-themes were identified through an iterative and collaborative coding process conducted by two trained researchers. Three main themes and eleven sub-themes were identified, reflecting barriers and support needs related to oral health behaviors. Within the capability domain, barriers included insufficient disease knowledge and information literacy, inadequate skills in using oral hygiene tools, and physical limitations. Within the opportunity domain, barriers included constraints related to objective resources and life circumstances and unsupportive social norms, while participants expressed support needs for professional and social support. Within the motivation domain, barriers included negative behavioral experiences, concerns about social judgment, and lack of self-efficacy, whereas perceived benefits and disease awareness and the desire to preserve oral health supported sustained oral health behaviors. Patients with periodontitis experience interconnected barriers and support needs across capability, opportunity, and motivation domains. These qualitative findings provide evidence to inform the development of tailored oral health behavior interventions.

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