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1.
J Chem Phys ; 159(8)2023 Aug 28.
Artigo em Inglês | MEDLINE | ID: mdl-37610017

RESUMO

We extend a recently proposed kinetic theory of virus capsid assembly based on Model A kinetics and study the dynamics of the interconversion of virus capsids of different sizes triggered by a quench, that is, by sudden changes in the solution conditions. The work is inspired by in vitro experiments on functionalized coat proteins of the plant virus cowpea chlorotic mottle virus, which undergo a reversible transition between two different shell sizes (T = 1 and T = 3) upon changing the acidity and salinity of the solution. We find that the relaxation dynamics are governed by two time scales that, in almost all cases, can be identified as two distinct processes. Initially, the monomers and one of the two types of capsids respond to the quench. Subsequently, the monomer concentration remains essentially constant, and the conversion between the two capsid species completes. In the intermediate stages, a long-lived metastable steady state may present itself, where the thermodynamically less stable species predominate. We conclude that a Model A based relaxational model can reasonably describe the early and intermediate stages of the conversion experiments. However, it fails to provide a good representation of the time evolution of the state of assembly of the coat proteins in the very late stages of equilibration when one of the two species disappears from the solution. It appears that explicitly incorporating the nucleation barriers to assembly and disassembly is crucial for an accurate description of the experimental findings, at least under conditions where these barriers are sufficiently large.


Assuntos
Bromovirus , Capsídeo , Proteínas do Capsídeo , Cinética , Vírion
2.
J Am Chem Soc ; 144(28): 12608-12612, 2022 07 20.
Artigo em Inglês | MEDLINE | ID: mdl-35792573

RESUMO

Cowpea chlorotic mottle virus (CCMV) is a widely used model for virus replication studies. A major challenge lies in distinguishing between the roles of the interaction between coat proteins and that between the coat proteins and the viral RNA in assembly and disassembly processes. Here, we report on the spontaneous and reversible size conversion of the empty capsids of a CCMV capsid protein functionalized with a hydrophobic elastin-like polypeptide which occurs following a pH jump. We monitor the concentrations of T = 3 and T = 1 capsids as a function of time and show that the time evolution of the conversion from one T number to another is not symmetric: The conversion from T = 1 to T = 3 is a factor of 10 slower than that of T = 3 to T = 1. We explain our experimental findings using a simple model based on classical nucleation theory applied to virus capsids, in which we account for the change in the free protein concentration, as the different types of shells assemble and disassemble by shedding or absorbing single protein subunits. As far as we are aware, this is the first study confirming that both the assembly and disassembly of viruslike shells can be explained through classical nucleation theory, reproducing quantitatively results from time-resolved experiments.


Assuntos
Bromovirus , Capsídeo , Bromovirus/química , Capsídeo/química , Proteínas do Capsídeo/química , RNA Viral/análise , Vírion , Montagem de Vírus
3.
Phys Rev Lett ; 129(8): 088001, 2022 Aug 19.
Artigo em Inglês | MEDLINE | ID: mdl-36053686

RESUMO

The problem of characterizing the structure of an elastic network constrained to lie on a frozen curved surface appears in many areas of science and has been addressed by many different approaches, most notably, extending linear elasticity or through effective defect interaction models. In this Letter, we show that the problem can be solved by considering nonlinear elasticity in an exact form without resorting to any approximation in terms of geometric quantities. In this way, we are able to consider different effects that have been unwieldy or not viable to include in the past, such as a finite line tension, explicit dependence on the Poisson ratio, or the determination of the particle positions for the entire lattice. Several geometries with rotational symmetry are solved explicitly. Comparison with linear elasticity reveals an agreement that extends beyond its strict range of applicability. Implications for the problem of the characterization of virus assembly are also discussed.


Assuntos
Elasticidade
4.
Biophys J ; 120(18): 3925-3936, 2021 09 21.
Artigo em Inglês | MEDLINE | ID: mdl-34418368

RESUMO

The process of genome packaging in most of viruses is poorly understood, notably the role of the genome itself in the nucleocapsid structure. For simple icosahedral single-stranded RNA viruses, the branched topology due to the RNA secondary structure is thought to lower the free energy required to complete a virion. We investigate the structure of nucleocapsids packaging RNA segments with various degrees of compactness by small-angle x-ray scattering and cryotransmission electron microscopy. The structural differences are mild even though compact RNA segments lead on average to better-ordered and more uniform particles across the sample. Numerical calculations confirm that the free energy is lowered for the RNA segments displaying the larger number of branch points. The effect is, however, opposite with synthetic polyelectrolytes, in which a star topology gives rise to more disorder in the capsids than a linear topology. If RNA compactness and size account in part for the proper assembly of the nucleocapsid and the genome selectivity, other factors most likely related to the host cell environment during viral assembly must come into play as well.


Assuntos
RNA , Vírus , Genoma Viral , Nucleocapsídeo , RNA Viral/genética , Vírion/genética , Montagem de Vírus
5.
Int Urogynecol J ; 32(7): 1833-1838, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-33751154

RESUMO

INTRODUCTION AND HYPOTHESIS: Our primary objective was to compare rates of contraceptive use among postpartum heterosexual primiparous women with and without obstetric anal sphincter injury (OASIS). The secondary objective was to compare fertility desires among women with and without OASIS. METHODS: This was a planned secondary analysis of a prospective cohort study of postpartum sexual function among primiparous postpartum women. Women with a history of vaginal delivery with and without OASIS completed online surveys at baseline and 3 months postpartum. RESULTS: Sixty-nine women completed baseline and 3-month surveys. Forty-one percent of women with OASIS and 36% without OASIS were not using contraception at 3 months postpartum. One-third of women in either group reported using at least moderately effective contraception (P = 0.9), defined as using hormonal contraception or an intrauterine contraceptive device, and excluding condoms. Most women with OASIS (54%) desired to wait 1 to 2 years before attempting another pregnancy. One fifth of women with and without OASIS desired another pregnancy within the next year (P = 0.4). CONCLUSIONS: A minority of postpartum primiparous women in the present cohort reported using moderately effective contraception 3 months postpartum, regardless of whether they sustained OASIS. The discrepancy between current contraceptive use and desired birth spacing suggests an unmet contraceptive need within our population and an opportunity for improved contraceptive counseling consistent with patients' family planning goals, as well as national and international guidelines on birth spacing. Larger prospective studies are needed to further understand the unmet contraceptive need among women with OASIS.


Assuntos
Canal Anal , Anticoncepcionais , Parto Obstétrico , Feminino , Fertilidade , Humanos , Período Pós-Parto , Gravidez , Estudos Prospectivos
6.
Proc Natl Acad Sci U S A ; 115(43): 10971-10976, 2018 10 23.
Artigo em Inglês | MEDLINE | ID: mdl-30301797

RESUMO

While small single-stranded viral shells encapsidate their genome spontaneously, many large viruses, such as the herpes simplex virus or infectious bursal disease virus (IBDV), typically require a template, consisting of either scaffolding proteins or an inner core. Despite the proliferation of large viruses in nature, the mechanisms by which hundreds or thousands of proteins assemble to form structures with icosahedral order (IO) is completely unknown. Using continuum elasticity theory, we study the growth of large viral shells (capsids) and show that a nonspecific template not only selects the radius of the capsid, but also leads to the error-free assembly of protein subunits into capsids with universal IO. We prove that as a spherical cap grows, there is a deep potential well at the locations of disclinations that later in the assembly process will become the vertices of an icosahedron. Furthermore, we introduce a minimal model and simulate the assembly of a viral shell around a template under nonequilibrium conditions and find a perfect match between the results of continuum elasticity theory and the numerical simulations. Besides explaining available experimental results, we provide a number of predictions. Implications for other problems in spherical crystals are also discussed.


Assuntos
Proteínas do Capsídeo/metabolismo , Capsídeo/metabolismo , Vírus/metabolismo , Elasticidade/fisiologia , Montagem de Vírus/fisiologia
7.
South Med J ; 114(6): 344-349, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-34075425

RESUMO

OBJECTIVES: To evaluate whether an institutionally created video-based educational module will improve obstetrics and gynecology residents' understanding of surgical anatomy and principles for performing abdominal hysterectomy. Secondary aims included evaluating the trainees' confidence levels and perceptions before and after the educational experience and ultimately implementing the module into the program curriculum, if successful. METHODS: In this prospective study, postgraduate obstetrics and gynecology resident physicians (n = 27) at the McGaw Medical Center of Northwestern University were assigned to watch an institutionally created video-based educational module on abdominal hysterectomy before the start of their gynecologic oncology rotation. A knowledge assessment and a postmodule survey were given to participants immediately following the module and repeated at the end of the 4-week rotation. RESULTS: Participants reported a median rating of 4 (n = 21, interquartile range 4-4) on a 5-point Likert scale when asked to rate the quality of the module. The module also was rated as equally effective both immediately after watching the module and after completing their gynecologic oncology rotation (median 4, interquartile range 3-4 at both times; p = 0.299, Wilcoxon signed rank test). Overall trends revealed that the video module had a greater impact on knowledge of surgical anatomy than on self-reported surgical skills and that postgraduate year 2 and postgraduate year 3 residents benefited more from the intervention. CONCLUSIONS: A video module can be a high-quality and effective educational tool for teaching the surgical principles, anatomy, and steps to perform abdominal hysterectomy to obstetrics and gynecology residents.


Assuntos
Currículo/tendências , Histerectomia/educação , Internato e Residência/normas , Adulto , Educação de Pós-Graduação em Medicina/métodos , Educação de Pós-Graduação em Medicina/normas , Educação de Pós-Graduação em Medicina/estatística & dados numéricos , Feminino , Ginecologia/educação , Humanos , Histerectomia/métodos , Internato e Residência/métodos , Internato e Residência/estatística & dados numéricos , Masculino , Obstetrícia/educação , Gravidez , Estudos Retrospectivos , Inquéritos e Questionários , Gravação de Videoteipe/normas , Gravação de Videoteipe/estatística & dados numéricos
8.
Phys Biol ; 17(6): 065011, 2020 10 21.
Artigo em Inglês | MEDLINE | ID: mdl-33085651

RESUMO

Budding yeast, Saccharomyces cerevisiae, serves as a prime biological model to study mechanisms underlying asymmetric growth. Previous studies have shown that prior to bud emergence, polarization of a conserved small GTPase Cdc42 must be established on the cell membrane of a budding yeast. Additionally, such polarization contributes to the delivery of cell wall remodeling enzymes and hydrolase from cytosol through the membrane, to change the mechanical properties of the cell wall. This leads to the hypothesis that Cdc42 and its associated proteins at least indirectly regulate cell surface mechanical properties. However, how the surface mechanical properties in the emerging bud are changed and whether such change is important are not well understood. To test several hypothesised mechanisms, a novel three-dimensional coarse-grained particle-based model has been developed which describes inhomogeneous mechanical properties of the cell surface. Model simulations predict alternation of the levels of stretching and bending stiffness of the cell surface in the bud region by the polarized Cdc42 signals is essential for initiating bud formation. Model simulations also suggest that bud shape depends strongly on the distribution of the polarized signaling molecules while the neck width of the emerging bud is strongly impacted by the mechanical properties of the chitin and septin rings. Moreover, the temporal change of the bud mechanical properties is shown to affect the symmetry of the bud shape. The 3D model of asymmetric cell growth can also be used for studying viral budding and other vegetative reproduction processes performed via budding, as well as detailed studies of cell growth.


Assuntos
Divisão Celular , Membrana Celular/metabolismo , Polaridade Celular , Parede Celular/fisiologia , Saccharomyces cerevisiae/citologia
9.
Phys Rev Lett ; 123(14): 145501, 2019 Oct 04.
Artigo em Inglês | MEDLINE | ID: mdl-31702180

RESUMO

We study the ground states of crystals on spherical surfaces. These ground states consist of positive disclination defects in structures spanning from flat and weakly curved caps to closed shells. Comparing two continuum theories and one discrete-lattice simulation, we first investigate the transition between defect-free caps to single-disclination ground states and show it to be continuous and symmetry breaking. Further, we show that ground states adopt icosahedral subgroup symmetries across the full range of curvatures, even far from the closure of complete shells. While superficially similar to other models of 2D "jellium" (e.g., superconducting disks and 2D Wigner crystals), the interplay between the free edge of caps and the non-Euclidean geometry of its embedding leads to nontrivial ground state behavior that is without counterpart in planar jellium models.

10.
J Biol Phys ; 44(2): 163-179, 2018 06.
Artigo em Inglês | MEDLINE | ID: mdl-29616429

RESUMO

The spontaneous encapsulation of genomic and non-genomic polyanions by coat proteins of simple icosahedral viruses is driven, in the first instance, by electrostatic interactions with polycationic RNA binding domains on these proteins. The efficiency with which the polyanions can be encapsulated in vitro, and presumably also in vivo, must in addition be governed by the loss of translational and mixing entropy associated with co-assembly, at least if this co-assembly constitutes a reversible process. These forms of entropy counteract the impact of attractive interactions between the constituents and hence they counteract complexation. By invoking mass action-type arguments and a simple model describing electrostatic interactions, we show how these forms of entropy might settle the competition between negatively charged polymers of different molecular weights for co-assembly with the coat proteins. In direct competition, mass action turns out to strongly work against the encapsulation of RNAs that are significantly shorter, which is typically the case for non-viral (host) RNAs. We also find that coat proteins favor forming virus particles over nonspecific binding to other proteins in the cytosol even if these are present in vast excess. Our results rationalize a number of recent in vitro co-assembly experiments showing that short polyanions are less effective at attracting virus coat proteins to form virus-like particles than long ones do, even if both are present at equal weight concentrations in the assembly mixture.


Assuntos
Montagem de Vírus , Animais , Proteínas do Capsídeo/química , Proteínas do Capsídeo/metabolismo , Parasitos/virologia , Termodinâmica
11.
Nat Mater ; 15(4): 469-76, 2016 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-26779883

RESUMO

By means of two supramolecular systems--peptide amphiphiles engaged in hydrogen-bonded ß-sheets, and chromophore amphiphiles driven to assemble by π-orbital overlaps--we show that the minima in the energy landscapes of supramolecular systems are defined by electrostatic repulsion and the ability of the dominant attractive forces to trap molecules in thermodynamically unfavourable configurations. These competing interactions can be selectively switched on and off, with the order of doing so determining the position of the final product in the energy landscape. Within the same energy landscape, the peptide-amphiphile system forms a thermodynamically favoured product characterized by long bundled fibres that promote biological cell adhesion and survival, and a metastable product characterized by short monodisperse fibres that interfere with adhesion and can lead to cell death. Our findings suggest that, in supramolecular systems, functions and energy landscapes are linked, superseding the more traditional connection between molecular design and function.


Assuntos
Mioblastos/metabolismo , Peptídeos/química , Termodinâmica , Animais , Adesão Celular , Linhagem Celular , Camundongos , Mioblastos/citologia , Estrutura Secundária de Proteína , Eletricidade Estática
12.
Phys Rev Lett ; 119(18): 188102, 2017 Nov 03.
Artigo em Inglês | MEDLINE | ID: mdl-29219580

RESUMO

Many simple RNA viruses enclose their genetic material by a protein shell called the capsid. While the capsid structures are well characterized for most viruses, the structure of RNA inside the shells and the factors contributing to it remain poorly understood. We study the impact of base pairing on the conformations of RNA and find that it undergoes a swollen coil to globule continuous transition as a function of the strength of the pairing interaction. We also observe a first order transition and kink profile as a function of RNA length. All these transitions could explain the different RNA profiles observed inside viral shells.


Assuntos
Capsídeo/química , Conformação de Ácido Nucleico , RNA Viral/química
13.
Phys Rev Lett ; 119(3): 038102, 2017 Jul 21.
Artigo em Inglês | MEDLINE | ID: mdl-28777631

RESUMO

A virus binding to a surface causes stress of the virus cage near the contact area. Here, we investigate the potential role of substrate-induced structural perturbation in the mechanical response of virus particles to adsorption. This is particularly relevant to the broad category of viruses stabilized by weak noncovalent interactions. We utilize atomic force microscopy to measure height distributions of the brome mosaic virus upon adsorption from solution on atomically flat substrates and present a continuum model that captures our observations and provides estimates of elastic properties and of the interfacial energy of the virus, without recourse to indentation.


Assuntos
Bromovirus , Microscopia de Força Atômica , Vírion , Adsorção
14.
Soft Matter ; 12(26): 5708-17, 2016 Jun 29.
Artigo em Inglês | MEDLINE | ID: mdl-27263532

RESUMO

The dense packing of interacting particles on spheres has proved to be a useful model for virus capsids and colloidosomes. Indeed, icosahedral symmetry observed in virus capsids corresponds to potential energy minima that occur for magic numbers of, e.g., 12, 32 and 72 identical Lennard-Jones particles, for which the packing has exactly the minimum number of twelve five-fold defects. It is unclear, however, how stable these structures are against thermal agitation. We investigate this property by means of basin-hopping global optimisation and Langevin dynamics for particle numbers between ten and one hundred. An important measure is the number and type of point defects, that is, particles that do not have six nearest neighbours. We find that small icosahedral structures are the most robust against thermal fluctuations, exhibiting fewer excess defects and rearrangements for a wide temperature range. Furthermore, we provide evidence that excess defects appearing at low non-zero temperatures lower the potential energy at the expense of entropy. At higher temperatures defects are, as expected, thermally excited and thus entropically stabilised. If we replace the Lennard-Jones potential by a very short-ranged (Morse) potential, which is arguably more appropriate for colloids and virus capsid proteins, we find that the same particle numbers give a minimum in the potential energy, although for larger particle numbers these minima correspond to different packings. Furthermore, defects are more difficult to excite thermally for the short-ranged potential, suggesting that the short-ranged interaction further stabilises equilibrium structures.

15.
Biophys J ; 109(5): 956-65, 2015 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-26331253

RESUMO

Highly symmetric nanoshells are found in many biological systems, such as clathrin cages and viral shells. Many studies have shown that symmetric shells appear in nature as a result of the free-energy minimization of a generic interaction between their constituent subunits. We examine the physical basis for the formation of symmetric shells, and by using a minimal model, demonstrate that these structures can readily grow from the irreversible addition of identical subunits. Our model of nanoshell assembly shows that the spontaneous curvature regulates the size of the shell while the mechanical properties of the subunit determine the symmetry of the assembled structure. Understanding the minimum requirements for the formation of closed nanoshells is a necessary step toward engineering of nanocontainers, which will have far-reaching impact in both material science and medicine.


Assuntos
Modelos Moleculares , Nanoconchas/química , Clatrina/química , Enterovirus Humano A/química , Fenômenos Mecânicos , Conformação Molecular , Rotação
16.
J Biol Phys ; 41(2): 135-49, 2015 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-25515930

RESUMO

A biomimetic minimalist model membrane was used to study the mechanism and kinetics of cell-free in vitro HIV-1 Gag budding from a giant unilamellar vesicle (GUV). Real-time interaction of Gag, RNA, and lipid, leading to the formation of mini-vesicles, was measured using confocal microscopy. Gag forms resolution-limited punctae on the GUV lipid membrane. Introduction of the Gag and urea to a GUV solution containing RNA led to the budding of mini-vesicles on the inside surface of the GUV. The GUV diameter showed a linear decrease in time due to bud formation. Both bud formation and decrease in GUV size were proportional to Gag concentration. In the absence of RNA, addition of urea to GUVs incubated with Gag also resulted in subvesicle formation. These observations suggest the possibility that clustering of GAG proteins leads to membrane invagination even in the absence of host cell proteins. The method presented here is promising, and allows for systematic study of the dynamics of assembly of immature HIV and help classify the hierarchy of factors that impact the Gag protein initiated assembly of retroviruses such as HIV.


Assuntos
HIV-1/fisiologia , Lipossomas Unilamelares/metabolismo , Liberação de Vírus , Produtos do Gene gag do Vírus da Imunodeficiência Humana/metabolismo , Membrana Celular/efeitos dos fármacos , Membrana Celular/metabolismo , Membrana Celular/virologia , HIV-1/efeitos dos fármacos , HIV-1/metabolismo , Cinética , RNA Viral/metabolismo , Ureia/farmacologia , Liberação de Vírus/efeitos dos fármacos
17.
Biophys J ; 106(9): 1997-2007, 2014 May 06.
Artigo em Inglês | MEDLINE | ID: mdl-24806932

RESUMO

The transport of cargo across the nuclear membrane is highly selective and accomplished by a poorly understood mechanism involving hundreds of nucleoporins lining the inside of the nuclear pore complex (NPC). Currently, there is no clear picture of the overall structure formed by this collection of proteins within the pore, primarily due to their disordered nature. We perform coarse-grained simulations of both individual nucleoporins and grafted rings of nups mimicking the in vivo geometry of the NPC and supplement this with polymer brush modeling. Our results indicate that different regions or blocks of an individual NPC protein can have distinctly different forms of disorder and that this property appears to be a conserved functional feature. Furthermore, this block structure at the individual protein level is critical to the formation of a unique higher-order polymer brush architecture that can exist in distinct morphologies depending on the effective interaction energy between the phenylalanine glycine (FG) domains of different nups. Because the interactions between FG domains may be modulated by certain forms of transport factors, our results indicate that transitions between brush morphologies could play an important role in regulating transport across the NPC, suggesting novel forms of gated transport across membrane pores with wide biomimetic applicability.


Assuntos
Modelos Moleculares , Complexo de Proteínas Formadoras de Poros Nucleares/química , Complexo de Proteínas Formadoras de Poros Nucleares/metabolismo , Multimerização Proteica , Transporte Biológico , Biologia Computacional , Estrutura Quaternária de Proteína , Estrutura Terciária de Proteína , Sequências Repetitivas de Aminoácidos
18.
Viruses ; 16(6)2024 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-38932189

RESUMO

This review accompanies the Special Issue on the subject of physical virology, which features work presented at the recent Gordon Research Conference (GRC) on this topic [...].


Assuntos
Virologia , Vírus , Vírus/genética , Humanos , Congressos como Assunto , Animais
19.
Phys Rev E ; 109(5-1): 054706, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38907476

RESUMO

Nematic tactoids are spindle-shaped droplets of a nematic phase nucleated in the co-existing isotropic phase. According to equilibrium theory, their internal structure and shape are controlled by a balance between the elastic deformation of the director field, induced by the preferred anchoring of that director field to the interface, and the interfacial free energy. Recent experiments on tactoids of chitin nanocrystals dispersed in water show that electrical fields can very strongly elongate tactoids, at least if the tactoids are sufficiently large in volume. However, this observation contradicts the predictions of equilibrium theory as well as findings from Monte Carlo simulations that do not show this kind of extreme elongation to take place at all. To explain this, we put forward a relaxational model based on the Oseen-Frank free energy of elastic deformation of a director field coupled to an anisotropic surface free energy. In our model, we use two reaction coordinates to describe the director field and the extent of elongation of the droplets and evaluate the evolution of both as a function of time following the switching on of an electric field. Depending on the relative magnitude of the fundamental relaxation rates associated with the two reaction coordinates, we find that the aspect ratio of the drops may develop a large and very long-lived overshoot before eventually relaxing to the much smaller equilibrium value. In that case, the response of the curvature of the director field lags behind, explaining the experimental observations. Our theory describes the experimental data reasonably well.

20.
J AAPOS ; 28(4): 103948, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38825070

RESUMO

A nearly 3-year-old boy on nightly dialysis presented emergently with sudden loss of vision. On examination, his visual acuity was light perception in the right eye and no light perception in the left eye. There was bilateral optic disk edema, diffuse pallor of posterior poles, and a cherry red spot in the left fundus. The patient was subsequently found to be hemodynamically unstable and admitted to the pediatric intensive care unit with presumed septic shock. Optical coherence tomography revealed paracentral acute middle maculopathy lesions in the right eye and diffusely thick retina in the left eye. Magnetic resonance imaging and magnetic resonance angiography of the brain and vessels did not reveal any acute findings. The patient's presentation was most consistent with bilateral nonarteritic ischemic optic neuropathy and unilateral central retinal artery occlusion. On repeat evaluation 9 months later, vision was largely unchanged.


Assuntos
Neuropatia Óptica Isquêmica , Diálise Renal , Tomografia de Coerência Óptica , Humanos , Neuropatia Óptica Isquêmica/diagnóstico , Neuropatia Óptica Isquêmica/etiologia , Masculino , Pré-Escolar , Oclusão da Artéria Retiniana/diagnóstico , Oclusão da Artéria Retiniana/etiologia , Acuidade Visual/fisiologia , Vasos Retinianos/diagnóstico por imagem , Vasos Retinianos/patologia , Angiofluoresceinografia/métodos , Falência Renal Crônica/terapia , Falência Renal Crônica/complicações
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