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1.
Nature ; 574(7778): 423-427, 2019 10.
Artículo en Inglés | MEDLINE | ID: mdl-31597961

RESUMEN

The blast fungus Magnaporthe oryzae gains entry to its host plant by means of a specialized pressure-generating infection cell called an appressorium, which physically ruptures the leaf cuticle1,2. Turgor is applied as an enormous invasive force by septin-mediated reorganization of the cytoskeleton and actin-dependent protrusion of a rigid penetration hypha3. However, the molecular mechanisms that regulate the generation of turgor pressure during appressorium-mediated infection of plants remain poorly understood. Here we show that a turgor-sensing histidine-aspartate kinase, Sln1, enables the appressorium to sense when a critical turgor threshold has been reached and thereby facilitates host penetration. We found that the Sln1 sensor localizes to the appressorium pore in a pressure-dependent manner, which is consistent with the predictions of a mathematical model for plant infection. A Δsln1 mutant generates excess intracellular appressorium turgor, produces hyper-melanized non-functional appressoria and does not organize the septins and polarity determinants that are required for leaf infection. Sln1 acts in parallel with the protein kinase C cell-integrity pathway as a regulator of cAMP-dependent signalling by protein kinase A. Pkc1 phosphorylates the NADPH oxidase regulator NoxR and, collectively, these signalling pathways modulate appressorium turgor and trigger the generation of invasive force to cause blast disease.


Asunto(s)
Ascomicetos/metabolismo , Oryza/microbiología , Enfermedades de las Plantas/microbiología , Proteínas de Plantas/metabolismo , Proteínas Fúngicas/metabolismo , Hifa , NADPH Oxidasas/metabolismo , Oryza/fisiología
2.
Lancet ; 402 Suppl 1: S94, 2023 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-37997141

RESUMEN

BACKGROUND: The Sussex Modelling Cell (SMC) is a consortium, formed during the COVID-19 pandemic, of representatives from NHS Sussex, and the local authorities and universities in Sussex. The SMC aimed to provide public health teams with local-data-driven modelling, data analysis, and policy and commissioning advice to mitigate the impact of the pandemic on the local population. It also aimed to answer operational questions, since the Government's forecasts were not suitably applicable. METHODS: From March 23, 2020, the SMC met (virtually) every Thursday to monitor COVID-19 situation reports, answer queries related to data and modelling, and provide interpretations of data or reports from many internal and external sources. SMC also provided quantitative information for public health teams to use within their organisations to advise on the local epidemic picture. Among other tools, the SMC calibrated a mathematical model to local COVID-19 data that could forecast health-care and hospital demand and COVID-19-related deaths. FINDINGS: Throughout the pandemic, the SMC provided scientific and data-driven evidence on the necessity of body storage contracts, monetary support for urgent care, and operational adjustments surrounding health-care provisions. The scientific evidence was generated and used repeatedly in each organisation to make beneficial decisions in a time of crisis. Although chasing an ever-changing pandemic picture was challenging, our swift reaction to national policy and pandemic changes allowed us to support policymakers, reduce anxiety, and provide clarity on the next steps. Our collaboration is one among few across the country and thus should be not only celebrated but also replicated, with appropriate resources and funding. INTERPRETATION: Besides mitigating the direct impact of the COVID-19 situation in Sussex, we have established a scientific collaboration relationship, in contrast to a customer-consultant setting, allowing the group to incorporate both the technical and applied perspectives into the work. With a clear structure, ethos and methodology, the SMC is able to step into the gap between academia and public health modelling to consider different impactful questions of operational importance where underlying complicated models exist, such as waiting times or system demand and capacity, and provide data analytic upskilling to public health teams. FUNDING: Brighton and Hove City Council, East and West Sussex County Council, and Sussex Health and Care Partnership.


Asunto(s)
COVID-19 , Humanos , COVID-19/epidemiología , Salud Pública , Universidades , Medicina Estatal , Pandemias , Hospitales
3.
Philos Trans A Math Phys Eng Sci ; 380(2233): 20210306, 2022 Oct 03.
Artículo en Inglés | MEDLINE | ID: mdl-35965462

RESUMEN

Compartmental models are popular in the mathematics of epidemiology for their simplicity and wide range of applications. Although they are typically solved as initial value problems for a system of ordinary differential equations, the observed data are typically akin to a boundary value-type problem: we observe some of the dependent variables at given times, but we do not know the initial conditions. In this paper, we reformulate the classical susceptible-infectious-recovered system in terms of the number of detected positive infected cases at different times to yield what we term the observational model. We then prove the existence and uniqueness of a solution to the boundary value problem associated with the observational model and present a numerical algorithm to approximate the solution. This article is part of the theme issue 'Technical challenges of modelling real-life epidemics and examples of overcoming these'.


Asunto(s)
Modelos Epidemiológicos , Algoritmos , Matemática
4.
Bull Math Biol ; 81(1): 81-104, 2019 01.
Artículo en Inglés | MEDLINE | ID: mdl-30311137

RESUMEN

In this study, we apply the Bayesian paradigm for parameter identification to a well-studied semi-linear reaction-diffusion system with activator-depleted reaction kinetics, posed on stationary as well as evolving domains. We provide a mathematically rigorous framework to study the inverse problem of finding the parameters of a reaction-diffusion system given a final spatial pattern. On the stationary domain the parameters are finite-dimensional, but on the evolving domain we consider the problem of identifying the evolution of the domain, i.e. a time-dependent function. Whilst others have considered these inverse problems using optimisation techniques, the Bayesian approach provides a rigorous mathematical framework for incorporating the prior knowledge on uncertainty in the observation and in the parameters themselves, resulting in an approximation of the full probability distribution for the parameters, given the data. Furthermore, using previously established results, we can prove well-posedness results for the inverse problem, using the well-posedness of the forward problem. Although the numerical approximation of the full probability is computationally expensive, parallelised algorithms make the problem solvable using high-performance computing.


Asunto(s)
Teorema de Bayes , Modelos Biológicos , Algoritmos , Animales , Simulación por Computador , Difusión , Humanos , Cinética , Cadenas de Markov , Conceptos Matemáticos , Método de Montecarlo , Probabilidad , Biología de Sistemas , Teoría de Sistemas
5.
J Math Biol ; 70(4): 709-43, 2015 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-24671430

RESUMEN

By introducing linear cross-diffusion for a two-component reaction-diffusion system with activator-depleted reaction kinetics (Gierer and Meinhardt, Kybernetik 12:30-39, 1972; Prigogine and Lefever, J Chem Phys 48:1695-1700, 1968; Schnakenberg, J Theor Biol 81:389-400, 1979), we derive cross-diffusion-driven instability conditions and show that they are a generalisation of the classical diffusion-driven instability conditions in the absence of cross-diffusion. Our most revealing result is that, in contrast to the classical reaction-diffusion systems without cross-diffusion, it is no longer necessary to enforce that one of the species diffuse much faster than the other. Furthermore, it is no longer necessary to have an activator-inhibitor mechanism as premises for pattern formation, activator-activator, inhibitor-inhibitor reaction kinetics as well as short-range inhibition and long-range activation all have the potential of giving rise to cross-diffusion-driven instability. To support our theoretical findings, we compute cross-diffusion induced parameter spaces and demonstrate similarities and differences to those obtained using standard reaction-diffusion theory. Finite element numerical simulations on planary square domains are presented to back-up theoretical predictions. For the numerical simulations presented, we choose parameter values from and outside the classical Turing diffusively-driven instability space; outside, these are chosen to belong to cross-diffusively-driven instability parameter spaces. Our numerical experiments validate our theoretical predictions that parameter spaces induced by cross-diffusion in both the [Formula: see text] and [Formula: see text] components of the reaction-diffusion system are substantially larger and different from those without cross-diffusion. Furthermore, the parameter spaces without cross-diffusion are sub-spaces of the cross-diffusion induced parameter spaces. Our results allow experimentalists to have a wider range of parameter spaces from which to select reaction kinetic parameter values that will give rise to spatial patterning in the presence of cross-diffusion.


Asunto(s)
Modelos Biológicos , Transporte Biológico Activo , Simulación por Computador , Difusión , Análisis de Elementos Finitos , Cinética , Modelos Lineales , Conceptos Matemáticos
6.
J Math Biol ; 66(3): 547-93, 2013 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-22434394

RESUMEN

The aim of this article is to study cell deformation and cell movement by considering both the mechanical and biochemical properties of the cortical network of actin filaments and its concentration. Actin is a polymer that can exist either in filamentous form (F-actin) or in monometric form (G-actin) (Chen et al. in Trends Biochem Sci 25:19-23, 2000) and the filamentous form is arranged in a paired helix of two protofilaments (Ananthakrishnan et al. in Recent Res Devel Biophys 5:39-69, 2006). By assuming that cell deformations are a result of the cortical actin dynamics in the cell cytoskeleton, we consider a continuum mathematical model that couples the mechanics of the network of actin filaments with its bio-chemical dynamics. Numerical treatment of the model is carried out using the moving grid finite element method (Madzvamuse et al. in J Comput Phys 190:478-500, 2003). Furthermore, by assuming slow deformations of the cell, we use linear stability theory to validate the numerical simulation results close to bifurcation points. Far from bifurcation points, we show that the mathematical model is able to describe the complex cell deformations typically observed in experimental results. Our numerical results illustrate cell expansion, cell contraction, cell translation and cell relocation as well as cell protrusions. In all these results, the contractile tonicity formed by the association of actin filaments to the myosin II motor proteins is identified as a key bifurcation parameter.


Asunto(s)
Citoesqueleto de Actina/fisiología , Movimiento Celular/fisiología , Células Eucariotas/fisiología , Modelos Biológicos , Citoesqueleto de Actina/ultraestructura , Simulación por Computador , Células Eucariotas/ultraestructura , Análisis de Elementos Finitos , Cinética
7.
PLoS One ; 18(5): e0283350, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37134085

RESUMEN

The mathematical interpretation of interventions for the mitigation of epidemics in the literature often involves finding the optimal time to initiate an intervention and/or the use of the number of infections to manage impact. Whilst these methods may work in theory, in order to implement effectively they may require information which is not likely to be available in the midst of an epidemic, or they may require impeccable data about infection levels in the community. In reality, testing and cases data can only be as good as the policy of implementation and the compliance of the individuals, which implies that accurately estimating the levels of infections becomes difficult or complicated from the data that is provided. In this paper, we demonstrate a different approach to the mathematical modelling of interventions, not based on optimality or cases, but based on demand and capacity of hospitals who have to deal with the epidemic on a day to day basis. In particular, we use data-driven modelling to calibrate a susceptible-exposed-infectious-recovered-died type model to infer parameters that depict the dynamics of the epidemic in several regions of the UK. We use the calibrated parameters for forecasting scenarios and understand, given a maximum capacity of hospital healthcare services, how the timing of interventions, severity of interventions, and conditions for the releasing of interventions affect the overall epidemic-picture. We provide an optimisation method to capture when, in terms of healthcare demand, an intervention should be put into place given a maximum capacity on the service. By using an equivalent agent-based approach, we demonstrate uncertainty quantification on the likelihood that capacity is not breached, by how much if it does, and the limit on demand that almost guarantees capacity is not breached.


Asunto(s)
COVID-19 , Epidemias , Humanos , COVID-19/epidemiología , Modelos Teóricos , Hospitales , Necesidades y Demandas de Servicios de Salud
8.
R Soc Open Sci ; 10(7): 221656, 2023 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-37501660

RESUMEN

Despite the lifting of COVID-19 restrictions, the COVID-19 pandemic and its effects remain a global challenge including the sub-Saharan Africa (SSA) region. Knowledge of the COVID-19 dynamics and its potential trends amidst variations in COVID-19 vaccine coverage is therefore crucial for policy makers in the SSA region where vaccine uptake is generally lower than in high-income countries. Using a compartmental epidemiological model, this study aims to forecast the potential COVID-19 trends and determine how long a wave could be, taking into consideration the current vaccination rates. The model is calibrated using South African reported data for the first four waves of COVID-19, and the data for the fifth wave are used to test the validity of the model forecast. The model is qualitatively analysed by determining equilibria and their stability, calculating the basic reproduction number R0 and investigating the local and global sensitivity analysis with respect to R0. The impact of vaccination and control interventions are investigated via a series of numerical simulations. Based on the fitted data and simulations, we observed that massive vaccination would only be beneficial (deaths averting) if a highly effective vaccine is used, particularly in combination with non-pharmaceutical interventions. Furthermore, our forecasts demonstrate that increased vaccination coverage in SSA increases population immunity leading to low daily infection numbers in potential future waves. Our findings could be helpful in guiding policy makers and governments in designing vaccination strategies and the implementation of other COVID-19 mitigation strategies.

9.
Bull Math Biol ; 74(9): 2032-61, 2012 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-22791512

RESUMEN

Mutations in the motor protein cytoplasmic dynein have been found to cause Charcot-Marie-Tooth disease, spinal muscular atrophy, and severe intellectual disabilities in humans. In mouse models, neurodegeneration is observed. We sought to develop a novel model which could incorporate the effects of mutations on distance travelled and velocity. A mechanical model for the dynein mediated transport of endosomes is derived from first principles and solved numerically. The effects of variations in model parameter values are analysed to find those that have a significant impact on velocity and distance travelled. The model successfully describes the processivity of dynein and matches qualitatively the velocity profiles observed in experiments.


Asunto(s)
Membrana Celular/metabolismo , Núcleo Celular/metabolismo , Dineínas Citoplasmáticas/metabolismo , Modelos Biológicos , Adenosina Trifosfato/metabolismo , Transporte Biológico , Endocitosis , Receptores ErbB/metabolismo , Análisis Numérico Asistido por Computador
10.
J Math Biol ; 64(1-2): 41-67, 2012 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-21293858

RESUMEN

We present global existence results for solutions of reaction-diffusion systems on evolving domains. Global existence results for a class of reaction-diffusion systems on fixed domains are extended to the same systems posed on spatially linear isotropically evolving domains. The results hold without any assumptions on the sign of the growth rate. The analysis is valid for many systems that commonly arise in the theory of pattern formation. We present numerical results illustrating our theoretical findings.


Asunto(s)
Tipificación del Cuerpo , Modelos Teóricos , Análisis Numérico Asistido por Computador , Cinética
11.
Math Biosci ; 354: 108925, 2022 12.
Artículo en Inglés | MEDLINE | ID: mdl-36397641

RESUMEN

The bulk-surface wave pinning model is a reaction-diffusion system for studying cell polarisation. It is constituted by a surface reaction-diffusion equation, coupled to a bulk diffusion equation with a non-linear boundary condition. Cell polarisation arises as the surface component develops specific patterns. Since proteins diffuse much faster in the cell interior than on the membrane, in the literature, the bulk component is often assumed to be spatially homogeneous. Therefore, the model can be reduced to a single surface equation. However, in real applications a spatially non-uniform bulk component might be an important player to take into account. In this paper, we study, through numerical computations, the role of the bulk component and, more specifically, how different bulk diffusion rates might affect the polarisation response. We find that the bulk component is indeed a key factor in determining the surface polarisation response. Moreover, for certain geometries, it is the spatial heterogeneity of the bulk component that triggers the polarisation response, which might not be possible in a reduced model. Understanding how polarisation depends on bulk diffusivity might be crucial when studying models of migrating cells, which are naturally subject to domain deformation.


Asunto(s)
Difusión , Polaridad Celular
12.
J Imaging ; 8(7)2022 Jul 15.
Artículo en Inglés | MEDLINE | ID: mdl-35877643

RESUMEN

Cell migration is essential for physiological, pathological and biomedical processes such as, in embryogenesis, wound healing, immune response, cancer metastasis, tumour invasion and inflammation. In light of this, quantifying mechanical properties during the process of cell migration is of great interest in experimental sciences, yet few theoretical approaches in this direction have been studied. In this work, we propose a theoretical and computational approach based on the optimal control of geometric partial differential equations to estimate cell membrane forces associated with cell polarisation during migration. Specifically, cell membrane forces are inferred or estimated by fitting a mathematical model to a sequence of images, allowing us to capture dynamics of the cell migration. Our approach offers a robust and accurate framework to compute geometric mechanical membrane forces associated with cell polarisation during migration and also yields geometric information of independent interest, we illustrate one such example that involves quantifying cell proliferation levels which are associated with cell division, cell fusion or cell death.

13.
Commun Biol ; 4(1): 781, 2021 06 24.
Artículo en Inglés | MEDLINE | ID: mdl-34168276

RESUMEN

Investigational in vitro models that reflect the complexity of the interaction between the immune system and tumours are limited and difficult to establish. Herein, we present a platform to study the tumour-immune interaction using a co-culture between cancer spheroids and activated immune cells. An algorithm was developed for analysis of confocal images of the co-culture to evaluate the following quantitatively; immune cell infiltration, spheroid roundness and spheroid growth. As a proof of concept, the effect of the glucocorticoid stress hormone, cortisol was tested on 66CL4 co-culture model. Results were comparable to 66CL4 syngeneic in vivo mouse model undergoing psychological stress. Furthermore, administration of glucocorticoid receptor antagonists demonstrated the use of this model to determine the effect of treatments on the immune-tumour interplay. In conclusion, we provide a method of quantifying the interaction between the immune system and cancer, which can become a screening tool in immunotherapy design.


Asunto(s)
Técnicas de Cocultivo , Neoplasias de la Mama Triple Negativas/inmunología , Algoritmos , Animales , Línea Celular Tumoral , Femenino , Hidrocortisona/sangre , Ratones , Ratones Endogámicos BALB C , Receptores de Glucocorticoides/antagonistas & inhibidores , Esferoides Celulares , Neoplasias de la Mama Triple Negativas/patología , Neoplasias de la Mama Triple Negativas/terapia
14.
Int J Epidemiol ; 50(4): 1103-1113, 2021 08 30.
Artículo en Inglés | MEDLINE | ID: mdl-34244764

RESUMEN

BACKGROUND: The world is experiencing local/regional hotspots and spikes in the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which causes COVID-19 disease. We aimed to formulate an applicable epidemiological model to accurately predict and forecast the impact of local outbreaks of COVID-19 to guide the local healthcare demand and capacity, policy-making and public health decisions. METHODS: The model utilized the aggregated daily COVID-19 situation reports (including counts of daily admissions, discharges and bed occupancy) from the local National Health Service (NHS) hospitals and COVID-19-related weekly deaths in hospitals and other settings in Sussex (population 1.7 million), Southeast England. These data sets corresponded to the first wave of COVID-19 infections from 24 March to 15 June 2020. A novel epidemiological predictive and forecasting model was then derived based on the local/regional surveillance data. Through a rigorous inverse parameter inference approach, the model parameters were estimated by fitting the model to the data in an optimal sense and then subsequent validation. RESULTS: The inferred parameters were physically reasonable and matched up to the widely used parameter values derived from the national data sets by Biggerstaff M, Cowling BJ, Cucunubá ZM et al. (Early insights from statistical and mathematical modeling of key epidemiologic parameters of COVID-19, Emerging infectious diseases. 2020;26(11)). We validate the predictive power of our model by using a subset of the available data and comparing the model predictions for the next 10, 20 and 30 days. The model exhibits a high accuracy in the prediction, even when using only as few as 20 data points for the fitting. CONCLUSIONS: We have demonstrated that by using local/regional data, our predictive and forecasting model can be utilized to guide the local healthcare demand and capacity, policy-making and public health decisions to mitigate the impact of COVID-19 on the local population. Understanding how future COVID-19 spikes/waves could possibly affect the regional populations empowers us to ensure the timely commissioning and organization of services. The flexibility of timings in the model, in combination with other early-warning systems, produces a time frame for these services to prepare and isolate capacity for likely and potential demand within regional hospitals. The model also allows local authorities to plan potential mortuary capacity and understand the burden on crematoria and burial services. The model algorithms have been integrated into a web-based multi-institutional toolkit, which can be used by NHS hospitals, local authorities and public health departments in other regions of the UK and elsewhere. The parameters, which are locally informed, form the basis of predicting and forecasting exercises accounting for different scenarios and impacts of COVID-19 transmission.


Asunto(s)
COVID-19 , Atención a la Salud , Brotes de Enfermedades , Predicción , Humanos , SARS-CoV-2 , Medicina Estatal
15.
J Math Biol ; 61(1): 133-64, 2010 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-19727733

RESUMEN

By using asymptotic theory, we generalise the Turing diffusively-driven instability conditions for reaction-diffusion systems with slow, isotropic domain growth. There are two fundamental biological differences between the Turing conditions on fixed and growing domains, namely: (i) we need not enforce cross nor pure kinetic conditions and (ii) the restriction to activator-inhibitor kinetics to induce pattern formation on a growing biological system is no longer a requirement. Our theoretical findings are confirmed and reinforced by numerical simulations for the special cases of isotropic linear, exponential and logistic growth profiles. In particular we illustrate an example of a reaction-diffusion system which cannot exhibit a diffusively-driven instability on a fixed domain but is unstable in the presence of slow growth.


Asunto(s)
Difusión , Crecimiento , Modelos Biológicos , Modelos Químicos , Modelos Estadísticos , Cinética
16.
J Imaging ; 6(7)2020 Jul 07.
Artículo en Inglés | MEDLINE | ID: mdl-34460659

RESUMEN

Computer-based fully-automated cell tracking is becoming increasingly important in cell biology, since it provides unrivalled capacity and efficiency for the analysis of large datasets. However, automatic cell tracking's lack of superior pattern recognition and error-handling capability compared to its human manual tracking counterpart inspired decades-long research. Enormous efforts have been made in developing advanced cell tracking packages and software algorithms. Typical research in this field focuses on dealing with existing data and finding a best solution. Here, we investigate a novel approach where the quality of data acquisition could help improve the accuracy of cell tracking algorithms and vice-versa. Generally speaking, when tracking cell movement, the more frequent the images are taken, the more accurate cells are tracked and, yet, issues such as damage to cells due to light intensity, overheating in equipment, as well as the size of the data prevent a constant data streaming. Hence, a trade-off between the frequency at which data images are collected and the accuracy of the cell tracking algorithms needs to be studied. In this paper, we look at the effects of different choices of the time step interval (i.e., the frequency of data acquisition) within the microscope to our existing cell tracking algorithms. We generate several experimental data sets where the true outcomes are known (i.e., the direction of cell migration) by either using an effective chemoattractant or employing no-chemoattractant. We specify a relatively short time step interval (i.e., 30 s) between pictures that are taken at the data generational stage, so that, later on, we may choose some portion of the images to produce datasets with different time step intervals, such as 1 min, 2 min, and so on. We evaluate the accuracy of our cell tracking algorithms to illustrate the effects of these different time step intervals. We establish that there exist certain relationships between the tracking accuracy and the time step interval associated with experimental microscope data acquisition. We perform fully-automatic adaptive cell tracking on multiple datasets, to identify optimal time step intervals for data acquisition, while at the same time demonstrating the performance of the computer cell tracking algorithms.

17.
Cell Rep ; 33(9): 108467, 2020 12 01.
Artículo en Inglés | MEDLINE | ID: mdl-33264629

RESUMEN

Local cell contraction pulses play important roles in tissue and cell morphogenesis. Here, we improve a chemo-optogenetic approach and apply it to investigate the signal network that generates these pulses. We use these measurements to derive and parameterize a system of ordinary differential equations describing temporal signal network dynamics. Bifurcation analysis and numerical simulations predict a strong dependence of oscillatory system dynamics on the concentration of GEF-H1, an Lbc-type RhoGEF, which mediates the positive feedback amplification of Rho activity. This prediction is confirmed experimentally via optogenetic tuning of the effective GEF-H1 concentration in individual living cells. Numerical simulations show that pulse amplitude is most sensitive to external inputs into the myosin component at low GEF-H1 concentrations and that the spatial pulse width is dependent on GEF-H1 diffusion. Our study offers a theoretical framework to explain the emergence of local cell contraction pulses and their modulation by biochemical and mechanical signals.


Asunto(s)
Optogenética/métodos , Proteínas de Unión al GTP rho/metabolismo , Animales , Humanos , Transducción de Señal
18.
Int J Popul Data Sci ; 5(3): 2114, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-37671318

RESUMEN

Introduction: Digital programmes in the newly created NHS integrated care boards (ICBs) in the United Kingdom mean that curation and linkage of anonymised patient data is underway in many areas for the first time. In Kent, Surrey and Sussex (KSS), in Southeast England, public health teams want to use these datasets to answer strategic population health questions, but public expectations around use of patient data are unknown. Objectives: We aimed to engage with citizens of KSS to gather their views and expectations of data linkage and re-use, through deliberative discussions. Methods: We held five 3-hour deliberative focus groups with 79 citizens of KSS, presenting information about potential uses of data, safeguards, and mechanisms for public involvement in governance and decision making about datasets. After each presentation, participants discussed their views in facilitated small groups which were recorded, transcribed and analysed thematically. Results: The focus groups generated 15 themes representing participants' views on the benefits, risks and values for safeguarding linked data. Participants largely supported use of patient data to improve health service efficiency and resource management, preventative services and out of hospital care, joined-up services and information flows. Most participants expressed concerns about data accuracy, breaches and hacking, and worried about commercial use of data. They suggested that transparency of data usage through audit trails and clear information about accountability, ensuring data re-use does not perpetuate stigma and discrimination, ongoing, inclusive and valued involvement of the public in dataset decision-making, and a commitment to building trust, would meet their expectations for responsible data use. Conclusions: Participants were largely favourable about the proposed uses of patient linked datasets but expected a commitment to transparency and public involvement. Findings were mapped to previous tenets of social license and can be used to inform ICB digital programme teams on how to proceed with use of linked datasets in a trustworthy and socially acceptable way.

19.
Philos Trans R Soc Lond B Biol Sci ; 374(1779): 20180225, 2019 08 19.
Artículo en Inglés | MEDLINE | ID: mdl-31431171

RESUMEN

Directional cell migration in dense three-dimensional (3D) environments critically depends upon shape adaptation and is impeded depending on the size and rigidity of the nucleus. Accordingly, the nucleus is primarily understood as a physical obstacle; however, its pro-migratory functions by stepwise deformation and reshaping remain unclear. Using atomic force spectroscopy, time-lapse fluorescence microscopy and shape change analysis tools, we determined the nuclear size, deformability, morphology and shape change of HT1080 fibrosarcoma cells expressing the Fucci cell cycle indicator or being pre-treated with chromatin-decondensating agent TSA. We show oscillating peak accelerations during migration through 3D collagen matrices and microdevices that occur during shape reversion of deformed nuclei (recoil), and increase with confinement. During G1 cell-cycle phase, nucleus stiffness was increased and yielded further increased speed fluctuations together with sustained cell migration rates in confinement when compared to interphase populations or to periods of intrinsic nuclear softening in the S/G2 cell-cycle phase. Likewise, nuclear softening by pharmacological chromatin decondensation or after lamin A/C depletion reduced peak oscillations in confinement. In conclusion, deformation and recoil of the stiff nucleus contributes to saltatory locomotion in dense tissues. This article is part of a discussion meeting issue 'Forces in cancer: interdisciplinary approaches in tumour mechanobiology'.


Asunto(s)
Ciclo Celular/fisiología , Movimiento Celular/fisiología , Núcleo Celular/metabolismo , Aceleración , Fenómenos Biofísicos , Línea Celular Tumoral , Cromatina/metabolismo , Colágeno/metabolismo , Humanos
20.
Curr Biol ; 28(23): 3824-3832.e6, 2018 12 03.
Artículo en Inglés | MEDLINE | ID: mdl-30449668

RESUMEN

Distinct protein phosphorylation levels in interphase and M phase require tight regulation of Cdk1 activity [1, 2]. A bistable switch, based on positive feedback in the Cdk1 activation loop, has been proposed to generate different thresholds for transitions between these cell-cycle states [3-5]. Recently, the activity of the major Cdk1-counteracting phosphatase, PP2A:B55, has also been found to be bistable due to Greatwall kinase-dependent regulation [6]. However, the interplay of the regulation of Cdk1 and PP2A:B55 in vivo remains unexplored. Here, we combine quantitative cell biology assays with mathematical modeling to explore the interplay of mitotic kinase activation and phosphatase inactivation in human cells. By measuring mitotic entry and exit thresholds using ATP-analog-sensitive Cdk1 mutants, we find evidence that the mitotic switch displays hysteresis and bistability, responding differentially to Cdk1 inhibition in the mitotic and interphase states. Cdk1 activation by Wee1/Cdc25 feedback loops and PP2A:B55 inactivation by Greatwall independently contributes to this hysteretic switch system. However, elimination of both Cdk1 and PP2A:B55 inactivation fully abrogates bistability, suggesting that hysteresis is an emergent property of mutual inhibition between the Cdk1 and PP2A:B55 feedback loops. Our model of the two interlinked feedback systems predicts an intermediate but hidden steady state between interphase and M phase. This could be verified experimentally by Cdk1 inhibition during mitotic entry, supporting the predictive value of our model. Furthermore, we demonstrate that dual inhibition of Wee1 and Gwl kinases causes loss of cell-cycle memory and synthetic lethality, which could be further exploited therapeutically.


Asunto(s)
Ciclo Celular , Mitosis , Ciclo Celular/genética , Células HeLa , Humanos , Interfase/genética , Mitosis/genética , Fosfoproteínas/genética , Fosfoproteínas/metabolismo , Fosforilación
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