Objective: Vaccination is an effective strategy to reduce the burden of COVID-19. The purpose of this study was to determine the level of acceptance rate towards COVID-19 vaccine among Malaysians. Methods: An online questionnaire was distributed to 599 respondents via convenience method among Malaysians aged 18 years and above. Results: Out of 599, acceptance rate was 89.2% with majority of the respondents were female (68.4%), aged between 20 to 29 and 30 to 39 years (30.2%), married (57.4%), Muslim (61.1%), Selangor residence (34.3%), bachelor's holder (63.3%), non-health worker (53.1%), and healthy individuals (59.9%). The most likely reason for refusal of taking COVID-19 vaccine was due to the long-term effect of vaccine (49.6%), gender (p = 0.017) and occupation (p = 0.038) of the respondents were found to be significantly associated with the likelihood of taking the COVID-19 vaccine. Discussion: Despite the high acceptance rate, it is still vital to address concerns among the vaccine's sceptics by establishing faith in the vaccine's safety and effectiveness through proper vaccine information. Conclusion: The findings showed that Malaysians have a high level of acceptance for the COVID-19 vaccine.

While a group of oral commensals have been implicated in the aetiology of chronic periodontitis; the asaccharolytic Gram negative anaerobe Porphyromonas gingivalis is most commonly reported to be associated with severe forms of the disease. Although a variety of human tissues can produce a number of peptidylarginine deiminase(PAD), enzymes that convert peptide bound arginine residues to citrulline, P.gingivalis is one of the few prokaryotes known to express PAD. Protein and peptide citrullination are important in the development of rheumatoid arthritis and in recent years a number of authors have suggested a possible link between periodontitis and rheumatoid arthritis (RA). Indeed, some have linked P.gingivalis directly to RA via the action of PAD. Accordingly, the prime purpose of this study was to further characterise PAD in P.gingivalis cells particular emphasis on substrate specificity, using arginine containing peptides and RA relevant proteins. Methods: P.ginigvalis W50 was anaerobically cultured in BHI broth, cells harvested and resuspended in assay buffer. A colourimetric assay was developed to measure citrulline and employed to determine enzyme activity using the substrate BAEE. The assay was employed to investigate the effects of environmental pH and temperature on activity. Citrullination of BAEE by sonicated cells allowed the proportion of intracellular enzyme to be estimated. Enzyme specificity and substrate preference were investigated by using various arginine containing peptides, proteins and arginine analogues, as substrates and measuring the rate of citrullination. The influence of gingipains on citrullination was assessed by measuring the rates of citrullination of bovine serum albumin in the presence of protease inhibitors. Results: Enzyme activity decreased by 13% following exposure of cells to 60�C for 10min. A comparison of intact and disrupted cells indicated that 90% of PAD activity is cell surface associated and the remainder cytoplasmic. Optimal pH for enzyme activity was between pH 7.5 and 8. All small arginine-containing peptides were citrullinated with reaction rates faster than that for free arginine with rates that varied with arginine residue position and number. Arginine analogues exhibited minimal effect and influence when tested as either substrates or competitive inhibitors. Cells were able to citrullinate yeast enolase, human vimentin and fibrin at varying rates. All proteins were modified at slower rates than those for peptide substrates. Inhibition of gingipains had no influence on the rate of protein citrullination. Conclusions: P.gingivalis PAD is a primarily cell surface associated, heat stable, enzyme that exhibits optimal activity under alkaline conditions similar to those present in the inflammatory environment. The enzyme displays high specificity for arginine residues in peptides and modified arginine in all positions and the gingipains did not influence the rate of protein citrullination. The ability of the enzyme to convert arginine residues in all proteins tested would indicate that its presence in inflamed tissue may promote autoimmune reactions by creation of altered host epitopes. � 2013 Elsevier Ltd.