The resistance rate of 67 Mycoplasma pneumoniae isolates from 356 ambulatory adult patients with respiratory tract infection was 69% (46 of 67). All 46 macrolide-resistant strains harbored point mutations in the 23S ribosomal RNA gene. Patients infected with macrolide-resistant M. pneumoniae required significantly longer durations of antibiotic therapy and had longer time to resolution of fever.

With the success of immune checkpoint inhibitors (ICIs), significant progress has been made in the field of cancer immunotherapy. Despite the long-lasting outcomes in responders, the majority of patients with cancer still do not benefit from this revolutionary therapy. Increasing evidence suggests that one of the major barriers limiting the efficacy of immunotherapy seems to coalesce with the hypoxic tumor microenvironment (TME), which is an intrinsic property of all solid tumors. In addition to its impact on shaping tumor invasion and metastasis, the hypoxic TME plays an essential role in inducing immune suppression and resistance though fostering diverse changes in stromal cell biology. Therefore, targeting hypoxia may provide a means to enhance the efficacy of immunotherapy. In this review, the potential impact of hypoxia within the TME, in terms of key immune cell populations, and the contribution to immune suppression are discussed. In addition, we outline how hypoxia can be manipulated to tailor the immune response and provide a promising combinational therapeutic strategy to improve immunotherapy.

We consider a harmonic charging field as an energy charger for the quantum battery, which consists of an ensemble of two-level atoms. The charging of noninteracting atoms is completely fulfilled, which exhibits a substantial improvement over previous static charging fields. Involving the repulsive interactions of atoms, the fully charging is achieved with shorter charged period over the noninteracting case, yielding an advantage for the charing. Excluding the charging field, a quantum phase transition is induced by the attractive atom-atom interactions, and the interacting atoms become to be degenerate in the ground state. We find that the degenerate states play a negative role in the charging due to the gapless energies. The atoms with strong attractive interactions can not be charged completely, which is accompanied by a drop of the maximum stored energy.