Sustaining a Focus on Health Equity at the Centers for Disease Control and Prevention Through Organizational Structures and Functions.

The public health infrastructure required for achieving health equity is multidimensional and complex. The infrastructure should be responsive to current and emerging priorities and capable of providing the foundation for developing, planning, implementing, and evaluating health initiatives. This article discusses these infrastructure requirements by examining how they are operationalized in the organizational infrastructure for promoting health equity at the Centers for Disease Control and Prevention, utilizing the nation's premier public health agency as a lens. Examples from the history of the Centers for Disease Control and Prevention's work in health equity from its centers, institute, and offices are provided to identify those structures and functions that are critical to achieving health equity. Challenges and facilitators to sustaining a health equity organizational infrastructure, as gleaned from the Centers for Disease Control and Prevention's experience, are noted. Finally, we provide additional considerations for expanding and sustaining a health equity infrastructure, which the authors hope will serve as "food for thought" for practitioners in state, tribal, or local health departments, community-based organizations, or nongovernmental organizations striving to create or maintain an impactful infrastructure to achieve health equity.

Structural insights into UbiD reversible decarboxylation.

The ubiquitous UbiX-UbiD system is associated with a wide range of microbial (de)carboxylation reactions. Recent X-ray crystallographic studies have contributed to elucidating the enigmatic mechanism underpinning the conversion of α,ß-unsaturated acids by this system. The UbiD component utilises a unique cofactor, prenylated flavin (prFMN), generated by the bespoke action of the associated UbiX flavin prenyltransferase. Structure determination of a range of UbiX/UbiD representatives has revealed a generic mode of action for both the flavin-to-prFMN metamorphosis and the (de)carboxylation. In contrast to the conserved UbiX, the UbiD superfamily is associated with a versatile substrate range. The latter is reflected in the considerable variety of UbiD quaternary structure, dynamic behaviour and active site architecture. Directed evolution of UbiD enzymes has taken advantage of this apparent malleability to generate new variants supporting in vivo hydrocarbon production. Other applications include coupling UbiD to carboxylic acid reductase to convert alkenes into α,ß-unsaturated aldehydes via enzymatic CO2 fixation.

Enzymatic N-Allylation of Primary and Secondary Amines Using Renewable Cinnamic Acids Enabled by Bacterial Reductive Aminases.

Allylic amines are a versatile class of synthetic precursors of many valuable nitrogen-containing organic compounds, including pharmaceuticals. Enzymatic allylic amination methods provide a sustainable route to these compounds but are often restricted to allylic primary amines. We report a biocatalytic system for the reductive N-allylation of primary and secondary amines, using biomass-derivable cinnamic acids. The two-step one-pot system comprises an initial carboxylate reduction step catalyzed by a carboxylic acid reductase to generate the corresponding α,ß-unsaturated aldehyde in situ. This is followed by reductive amination of the aldehyde catalyzed by a bacterial reductive aminase pIR23 or BacRedAm to yield the corresponding allylic amine. We exploited pIR23, a prototype bacterial reductive aminase, self-sufficient in catalyzing formal reductive amination of α,ß-unsaturated aldehydes with various amines, generating a broad range of secondary and tertiary amines accessed in up to 94% conversion under mild reaction conditions. Analysis of products isolated from preparative reactions demonstrated that only selective hydrogenation of the C=N bond had occurred, preserving the adjacent alkene moiety. This process represents an environmentally benign and sustainable approach for the synthesis of secondary and tertiary allylic amine frameworks, using renewable allylating reagents and avoiding harsh reaction conditions. The selectivity of the system ensures that bis-allylation of the alkylamines and (over)reduction of the alkene moiety are avoided.

Synthetic Enzyme-Catalyzed CO2 Fixation Reactions.

In recent years, (de)carboxylases that catalyze reversible (de)carboxylation have been targeted for application as carboxylation catalysts. This has led to the development of proof-of-concept (bio)synthetic CO2 fixation routes for chemical production. However, further progress towards industrial application has been hampered by the thermodynamic constraint that accompanies fixing CO2 to organic molecules. In this Review, biocatalytic carboxylation methods are discussed with emphases on the diverse strategies devised to alleviate the inherent thermodynamic constraints and their application in synthetic CO2 -fixation cascades.

Cyclodextrin-hydrophobe complexation in associative polymers.

We develop a new rheology-based method to study the complexation of cyclodextrins with hydrophobes in hydrophobically modified associative polymer solutions. The associative polymers have comb-like structure with hydrophobic groups randomly attached to the polymer backbone. Intermolecular interactions between the hydrophobic groups form a transient network resulting in thickening of the polymer solutions. On addition of cyclodextrins (CD) to the solution, the hydrophobes are encapsulated within the hydrophobic cavity of the cyclodextrins. This reduces viscoelastic properties of the polymer solution by several orders of magnitude. We exploit the existence of a dynamic equilibrium between CD adsorbed to the hydrophobes and free CD in the solution, to develop a rheology-based Langmuir-type adsorption isotherm for estimating the binding constant for molecular complexation. The model is based on the assumption that the amount of CD adsorbed is proportional to the reduction in elastic modulus of the polymer solution due to the encapsulation of the network junctions by CD. The effects of temperature on binding constant are studied to estimate the enthalpy and entropy of complexation. Experiments are conducted with both α-and ß-CD at different polymer concentrations and temperatures to estimate the relative strength of binding of the CDs. At a given temperature and a polymer concentration, α-CD has a lower binding constant compared to that of ß-CD, indicating higher affinity of α-CD to adsorb onto the hydrophobes. Since α-CDs have a smaller ring size, they can snugly fit to the hydrophobes and the association leads to higher enthalpy and entropy change.

Kinetics of enzymatic depolymerization of guar galactomannan.

A new mathematical model based on Michaelis Menten (MM) kinetics is developed to predict the changes in molecular weight distribution (MWD) during the enzymatic depolymerization of guar galactomannan. The model accounts for the effect of branching by considering the guar molecule as a substrate having three types of bonds with different MM kinetic parameters. The overall kinetics of the enzymatic reactions then can be represented in terms of composite kinetic parameters that are functions of the MM parameters for the individual bonds. The depolymerization is assumed to follow a random scission mechanism, in which an enzyme randomly attacks the substrate molecule at any one of the three types of bonds, and leaves the substrate on cleavage of the bond. Expressions for the variation in molecular weights during depolymerization are developed by applying moment generating techniques to the kinetic model. The model is evaluated against the complete MWD obtained using gel permeation chromatography. During the initial stages of depolymerization, the enzymatic reaction is in the zero-order regime of MM kinetics and the polydispersity index (PDI) increases with time. Subsequently, the PDI decreases as the depolymerization tends to follow first order kinetics. We also show that for a zero-order, random or nonrandom scission, the variation of PDI with time can exhibit a maximum. These analyses confirm that an increase in PDI during the depolymerization is not necessarily due to nonrandom scission, as previously concluded.