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1.
J Biomech Eng ; 146(6)2024 06 01.
Artículo en Inglés | MEDLINE | ID: mdl-38270931

RESUMEN

Thumb carpometacarpal (CMC) osteoarthritis (OA) has been one of the most common locations of hand OA. CMC OA disproportionately occurs in females over males. In severe cases, surgical intervention may be needed. However, to determine the effects of surgical treatment, normative, pre-, and postsurgery function must be understood. The goals of this work were to compare the thumb motion and force abilities of older healthy (OH) females without CMC OA to those of females with CMC OA and who received ligament reconstruction with tendon interposition (LRTI) surgery at time points presurgery, 3- and 6-months postsurgery. On average, CMC OA participants 3- and 6-months postsurgery showed 35.6% and 32.9% less overall metacarpal motion compared to presurgery, 31.9% and 29.1% less than OH, and exhibited altered motion. Metacarpal flexion/extension and abduction/adduction ranges were 51.9 deg and 43.4 deg for OH, 52.9 deg and 40.3 deg presurgery, 39.9 deg and 33.5 deg at 3-months, and 42.6 deg and 32.7 deg at 6-months postsurgery. On average, participants had increased force generation at 6-months postsurgery compared to presurgery, and 20% of participants returned to the level of OH females. These data sets highlight changes in thumb metacarpal movement and thumb force generation due to disease and surgical intervention. This work has the ability to support both surgeons and patients through improved outcome assessments as well as additional data to inform the decision process on intervention.


Asunto(s)
Articulaciones Carpometacarpianas , Osteoartritis , Masculino , Humanos , Femenino , Articulaciones Carpometacarpianas/cirugía , Pulgar/cirugía , Osteoartritis/cirugía , Tendones , Movimiento (Física)
2.
J Biomech Eng ; 146(7)2024 07 01.
Artículo en Inglés | MEDLINE | ID: mdl-38456821

RESUMEN

The thumb carpometacarpal (CMC) joint is one of the most likely joints to develop osteoarthritis (OA). If conservative treatments fail to alleviate symptoms, surgery may be pursued. Kinematic outcomes of CMC surgery techniques have been described, but current tools have limitations in capturing motion abilities. The goals of this study were (1) develop a new and robust set of kinematic outcome measures, and apply them to (2) a cohort of younger and older control individuals without CMC OA to determine age and sex-related changes, and (3) a cohort of participants with CMC OA before, 3 months, and 6 months after undergoing thumb ligament reconstruction with tendon interposition surgery to detect the impacts of surgery. 52 (26 males, 26 females) control and 18 (3 males, 15 females) surgical participants were tested. Kinematics were investigated using motion capture by mapping the three-dimensional motion space of the whole thumb, and two-dimensional motion boundaries of the metacarpal (MC) and proximal phalange (PP). Visual analog pain score was recorded. Older control participants had shifted regions of motion compared to younger participants (p ≤ 0.027), suggesting asymptomatic CMC wear. Control females had 31% more metacarpophalangeal (MCP) motion than control males (p = 0.013), which could alter loading paths through the CMC joint and increase OA risk. Pain at 6 months postsurgery was 72% less than presurgery (p < 0.001), but motion abilities were 20-28% less than presurgery (p ≤ 0.074) and 24-40% less than control participants (p ≤ 0.066). These techniques have the possibility of identifying presymptomatic motion changes, including those at the metacarpophalangeal joint in CMC OA progression.


Asunto(s)
Articulaciones Carpometacarpianas , Osteoartritis , Masculino , Femenino , Humanos , Pulgar/cirugía , Fenómenos Biomecánicos , Osteoartritis/cirugía , Articulación Metacarpofalángica/cirugía , Articulaciones Carpometacarpianas/cirugía , Ligamentos Articulares , Dolor
3.
J Tissue Viability ; 32(2): 286-304, 2023 May.
Artículo en Inglés | MEDLINE | ID: mdl-36878737

RESUMEN

Soft tissue material properties are vital to human body models that evaluate interactions between the human body and its environment. Such models evaluate internal stress/strain responses in soft tissues to investigate issues like pressure injuries. Numerous constitutive models and parameters have been used to represent mechanical behavior of soft tissues in biomechanical models under quasi-static loading. However, researchers reported that generic material properties cannot accurately represent specific target populations due to large inter-individual variability. Two challenges that exist are experimental mechanical characterization and constitutive modeling of biological soft tissues and personalization of constitutive parameters using non-invasive, non-destructive bedside testing methods. It is imperative to understand the scope and appropriate applications for reported material properties. Thus, the goal of this paper was to compile studies from which soft tissue material properties were obtained and categorize them by source of tissue samples, methods used to quantify deformation, and material models used to describe tissues. The collected studies displayed wide ranges of material properties, and factors that affected the properties included whether tissue samples were in vivo or ex vivo, from humans or animals, the body region tested, body position during in vivo studies, deformation measurements, and material models used to describe tissues. Because of the factors that affected reported material properties, it is clear that much progress has been made in understanding soft tissue responses to loading, yet there is a need to broaden the scope of reported soft tissue material properties and better match reported properties to appropriate human body models.


Asunto(s)
Cuerpo Humano , Animales , Humanos , Estrés Mecánico , Fenómenos Biomecánicos , Análisis de Elementos Finitos , Elasticidad
4.
Ann Intern Med ; 174(9): 1207-1213, 2021 09.
Artículo en Inglés | MEDLINE | ID: mdl-34224261

RESUMEN

BACKGROUND: Patients with sickle cell disease (SCD) have vaso-occlusive crises (VOCs). Infusion centers (ICs) are alternatives to emergency department (ED) care and may improve patient outcomes. OBJECTIVE: To assess whether care in ICs or EDs leads to better outcomes for the treatment of uncomplicated VOCs. DESIGN: Prospective cohort. (ClinicalTrials.gov: NCT02411396). SETTING: 4 U.S. sites, with recruitment between April 2015 and December 2016. PARTICIPANTS: Adults with SCD living within 60 miles of a study site. MEASUREMENTS: Participants were followed for 18 months after enrollment. Outcomes of interest were time to first dose of parenteral pain medication, whether pain reassessment was completed within 30 minutes after the first dose, and patient disposition on discharge from the acute care visit. Treatment effects for ICs versus EDs were estimated using a time-varying propensity score adjustment. RESULTS: Researchers enrolled 483 participants; the 269 who had acute care visits on weekdays are included in this report. With inverse probability of treatment-weighted adjustment, the mean time to first dose was 62 minutes in ICs and 132 minutes in EDs; the difference was 70 minutes (95% CI, 54 to 98 minutes; E-value, 2.8). The probability of pain reassessment within 30 minutes of the first dose of parenteral pain medication was 3.8 times greater (CI, 2.63 to 5.64 times greater; E-value, 4.7) in the IC than the ED. The probability that a participant's visit would end in admission to the hospital was smaller by a factor of 4 (0.25 [CI, 0.18 to 0.33]) with treatment in an IC versus an ED. LIMITATION: The study was restricted to participants with uncomplicated VOCs. CONCLUSION: In adults with SCD having a VOC, treatment in an IC is associated with substantially better outcomes than treatment in an ED. PRIMARY FUNDING SOURCE: Patient-Centered Outcomes Research Institute.


Asunto(s)
Dolor Agudo/tratamiento farmacológico , Dolor Agudo/etiología , Instituciones de Atención Ambulatoria , Analgésicos/administración & dosificación , Anemia de Células Falciformes/complicaciones , Servicio de Urgencia en Hospital , Manejo del Dolor/métodos , Femenino , Humanos , Infusiones Intravenosas , Masculino , Factores de Tiempo , Estados Unidos
5.
J Virol ; 90(23): 10823-10843, 2016 Dec 01.
Artículo en Inglés | MEDLINE | ID: mdl-27681124

RESUMEN

Primary infection with varicella-zoster virus (VZV), a neurotropic alphaherpesvirus, results in varicella. VZV establishes latency in the sensory ganglia and can reactivate later in life to cause herpes zoster. The relationship between VZV and its host during acute infection in the sensory ganglia is not well understood due to limited access to clinical specimens. Intrabronchial inoculation of rhesus macaques with simian varicella virus (SVV) recapitulates the hallmarks of VZV infection in humans. We leveraged this animal model to characterize the host-pathogen interactions in the ganglia during both acute and latent infection by measuring both viral and host transcriptomes on days postinfection (dpi) 3, 7, 10, 14, and 100. SVV DNA and transcripts were detected in sensory ganglia 3 dpi, before the appearance of rash. CD4 and CD8 T cells were also detected in the sensory ganglia 3 dpi. Moreover, lung-resident T cells isolated from the same animals 3 dpi also harbored SVV DNA and transcripts, suggesting that T cells may be responsible for trafficking SVV to the ganglia. Transcriptome sequencing (RNA-Seq) analysis showed that cessation of viral transcription 7 dpi coincides with a robust antiviral innate immune response in the ganglia. Interestingly, a significant number of genes that play a critical role in nervous system development and function remained downregulated into latency. These studies provide novel insights into host-pathogen interactions in the sensory ganglia during acute varicella and demonstrate that SVV infection results in profound and sustained changes in neuronal gene expression. IMPORTANCE: Many aspects of VZV infection of sensory ganglia remain poorly understood, due to limited access to human specimens and the fact that VZV is strictly a human virus. Infection of rhesus macaques with simian varicella virus (SVV), a homolog of VZV, provides a robust model of the human disease. Using this model, we show that SVV reaches the ganglia early after infection, most likely by T cells, and that the induction of a robust innate immune response correlates with cessation of virus transcription. We also report significant changes in the expression of genes that play an important role in neuronal function. Importantly, these changes persist long after viral replication ceases. Given the homology between SVV and VZV, and the genetic and physiological similarities between rhesus macaques and humans, our results provide novel insight into the interactions between VZV and its human host and explain some of the neurological consequences of VZV infection.


Asunto(s)
Ganglios Sensoriales/metabolismo , Ganglios Sensoriales/virología , Infecciones por Herpesviridae/genética , Infecciones por Herpesviridae/virología , Varicellovirus/patogenicidad , Enfermedad Aguda , Animales , Transporte Axonal , Linfocitos T CD4-Positivos/inmunología , Linfocitos T CD8-positivos/inmunología , Varicela/virología , ADN Viral/genética , ADN Viral/metabolismo , Modelos Animales de Enfermedad , Ganglios Sensoriales/inmunología , Expresión Génica , Infecciones por Herpesviridae/inmunología , Herpesvirus Humano 3/patogenicidad , Interacciones Huésped-Patógeno/genética , Interacciones Huésped-Patógeno/inmunología , Humanos , Macaca mulatta , Neurogénesis , Varicellovirus/genética , Varicellovirus/fisiología , Replicación Viral
6.
J Neurovirol ; 23(4): 520-538, 2017 08.
Artículo en Inglés | MEDLINE | ID: mdl-28321697

RESUMEN

Varicella zoster virus (VZV) causes varicella during acute infection and establishes latency in the sensory ganglia. Reactivation of VZV results in herpes zoster, a debilitating and painful disease. It is believed that VZV reactivates due to a decline in cell-mediated immunity; however, the roles that CD4 versus CD8 T cells play in the prevention of herpes zoster remain poorly understood. To address this question, we used a well-characterized model of VZV infection where rhesus macaques are intrabronchially infected with the homologous simian varicella virus (SVV). Latently infected rhesus macaques were thymectomized and depleted of either CD4 or CD8 T cells to induce selective senescence of each T cell subset. After T cell depletion, the animals were transferred to a new housing room to induce stress. SVV reactivation (viremia in the absence of rash) was detected in three out of six CD8-depleted and two out of six CD4-depleted animals suggesting that both CD4 and CD8 T cells play a critical role in preventing SVV reactivation. Viral loads in multiple ganglia were higher in reactivated animals compared to non-reactivated animals. In addition, reactivation results in sustained transcriptional changes in the ganglia that enriched to gene ontology and diseases terms associated with neuronal function and inflammation indicative of potential damage as a result of viral reactivation. These studies support the critical role of cellular immunity in preventing varicella virus reactivation and indicate that reactivation results in long-lasting remodeling of the ganglia transcriptome.


Asunto(s)
Linfocitos T CD4-Positivos/inmunología , Linfocitos T CD8-positivos/inmunología , Ganglios Sensoriales/inmunología , Herpes Zóster/veterinaria , Herpesvirus Humano 3/inmunología , Proteínas del Tejido Nervioso/genética , Activación Viral/inmunología , Animales , Linfocitos T CD4-Positivos/virología , Linfocitos T CD8-positivos/virología , Femenino , Ganglios Sensoriales/virología , Perfilación de la Expresión Génica , Regulación de la Expresión Génica , Ontología de Genes , Herpes Zóster/genética , Herpes Zóster/inmunología , Depleción Linfocítica/métodos , Macaca mulatta , Masculino , Anotación de Secuencia Molecular , Proteínas del Tejido Nervioso/inmunología , Estrés Psicológico , Timectomía , Timo/inmunología , Timo/cirugía , Timo/virología
7.
Chemistry ; 23(25): 5948-5952, 2017 May 02.
Artículo en Inglés | MEDLINE | ID: mdl-27813174

RESUMEN

The reaction of PF5 with [(Cy3 P)2 Pt] gave the PF3 complex trans-[(Cy3 P)2 PtF(PF3 )][PF6 ], which was characterized by single-crystal X-ray diffraction, multinuclear NMR spectroscopy, and elemental analysis. To the best of our knowledge, this reaction is the first example of the oxidative addition of a P-F bond to a transition metal and is a rare example of an activation of a main-group-element-fluorine bond by a metal. Relativistic DFT calculations showed that the formation of the Lewis pair [(Cy3 P)2 Pt→PF5 ], which was not observed even at low temperatures, represents the initial step of the reaction. From this key intermediate, the cation trans-[(Cy3 P)2 PtF(PF3 )]+ was furnished by a two-step mechanism involving, successively, a second and a third PF5 molecule.

8.
J Am Chem Soc ; 138(1): 76-9, 2016 Jan 13.
Artículo en Inglés | MEDLINE | ID: mdl-26667300

RESUMEN

Reactions of an aryldihydroborane with a Pt(0) complex lead to a range of novel products, including complexes with bridging diborene and diborane(3) ligands and a complex with both borylene and borane (M → B) ligands. The products imply varying degrees of dehydrogenation of the boron centers with concomitant formation of boron-boron bonds, which in one case is later broken. These reactions show that although the dehydrocoupling of dihydroboranes is not a straightforward process in this case, the reactions are capable of connecting boron atoms in unusual ways, leading to unprecedented bonding motifs.

9.
J Virol ; 89(3): 1781-93, 2015 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-25410871

RESUMEN

UNLABELLED: Varicella-zoster virus (VZV) is a human neurotropic alphaherpesvirus and the etiological agent of varicella (chickenpox) and herpes zoster (HZ, shingles). Previously, inoculation of monkeys via the subcutaneous, intratracheal, intravenous, or oral-nasal-conjunctival routes did not recapitulate all the hallmarks of VZV infection, including varicella, immunity, latency, and reactivation. Intrabronchial inoculation of rhesus macaques (RMs) with simian varicella virus (SVV), a homolog of VZV, recapitulates virologic and immunologic hallmarks of VZV infection in humans. Given that VZV is acquired primarily via the respiratory route, we investigated whether intrabronchial inoculation of RMs with VZV would result in a robust model. Despite the lack of varicella and viral replication in either the lungs or whole blood, all four RMs generated an immune response characterized by the generation of VZV-specific antibodies and T cells. Two of 4 VZV-inoculated RMs were challenged with SVV to determine cross-protection. VZV-immune RMs displayed no varicella rash and had lower SVV viral loads and earlier and stronger humoral and cellular immune responses than controls. In contrast to the results for SVV DNA, no VZV DNA was detected in sensory ganglia at necropsy. In summary, following an abortive VZV infection, RMs developed an adaptive immune response that conferred partial protection against SVV challenge. These data suggest that a replication-incompetent VZV vaccine that does not establish latency may provide sufficient protection against VZV disease and that VZV vaccination of RMs followed by SVV challenge provides a model to evaluate new vaccines and therapeutics against VZV. IMPORTANCE: Although VZV vaccine strain Oka is attenuated, it can cause mild varicella, establish latency, and in rare cases, reactivate to cause herpes zoster (HZ). Moreover, studies suggest that the HZ vaccine (Zostavax) only confers short-lived immunity. The development of more efficacious vaccines would be facilitated by a robust animal model of VZV infection. The data presented in this report show that intrabronchial inoculation of rhesus macaques (RMs) with VZV resulted in an abortive VZV infection. Nevertheless, all animals generated a humoral and cellular immune response that conferred partial cross-protection against simian varicella virus (SVV) challenge. Additionally, VZV DNA was not detected in the sensory ganglia, suggesting that viremia might be required for the establishment of latency. Therefore, VZV vaccination of RMs followed by SVV challenge is a model that will support the development of vaccines that boost protective T cell responses against VZV.


Asunto(s)
Varicela/veterinaria , Protección Cruzada , Herpesvirus Humano 3/inmunología , Enfermedades de los Primates/prevención & control , Animales , Anticuerpos Antivirales/sangre , Varicela/inmunología , Varicela/patología , Varicela/prevención & control , ADN Viral/genética , ADN Viral/aislamiento & purificación , Ganglios/virología , Macaca mulatta , Masculino , Enfermedades de los Primates/inmunología , Linfocitos T/inmunología
10.
Chemistry ; 22(46): 16415-16419, 2016 Nov 07.
Artículo en Inglés | MEDLINE | ID: mdl-27709713

RESUMEN

Reaction of a N-heterocyclic silylene (NHSi) with PhBX2 (X=Cl, Br) readily afforded six-membered silaborinines through an insertion/ring expansion sequence. Increasing the sterics of the borane from phenyl to duryl enabled the selective generation and isolation of the highly colored silylborane intermediates. Theoretical studies on the mechanism and energetics of the silaborinine formation were fully consistent with the experimental observations.

11.
Chemistry ; 22(39): 13927-13934, 2016 Sep 19.
Artículo en Inglés | MEDLINE | ID: mdl-27514500

RESUMEN

A comprehensive study of the reactivity of Lewis bases with dihalodiboranes(4) is presented. Diaryldihalodiboranes provide rearranged monoadducts when treated with cyclic (alkyl)(amino)carbenes, but halide-bridged adducts when treated with a range of pyridyl bases. Alternatively, the combination of diaminodihalodiboranes with strong carbene donors leads to boraborenium salts. The reduction and halide-abstraction reactivity of these adducts was also explored, leading to intramolecular C-H activation and the first 1,2-bis(borenium) dication.

12.
Chemistry ; 22(32): 11441-9, 2016 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-27385314

RESUMEN

The reaction of tert-butylisonitrile (tBuNC) with 1,2-dihalo-1,2-diduryldiborane leads initially to the formation of the mono-base adduct of the symmetrical diborane(4), which then undergoes an intramolecular cyclization resulting in the formation of a 1-boraindane. This result is in contrast to a previously reported cyclization of a mono-isonitrile adduct of an unsymmetrical 1,1-pinacol-2,2-diaryldiborane(4), which results in the formation of a 1-boraindane. This latter result is herein confirmed by the reaction of 1,1-difluoro-2,2-dimesityldiborane(4) with tBuNC, which yielded the 2-boraindane compound. The mechanism of the former reaction has been computationally elucidated, and the differences between this route and the pathway to 1-boraindanes is discussed. These reactions further the understanding of the chemistry of the increasingly popular mono-base adducts of diborane(4), demonstrate the versatility of isonitriles in comparison to standard two-electron donors, and elucidate selective routes to boron-containing polycyclics, such as those being proposed as analogues for conventional organic pharmaceuticals.

13.
J Virol ; 88(21): 12777-92, 2014 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-25142604

RESUMEN

UNLABELLED: Varicella-zoster virus (VZV) is the etiological agent of varicella (chickenpox) and herpes zoster (shingles). Primary VZV infection is believed to occur via the inhalation of virus either in respiratory droplets or from shedding varicella lesions or by direct contact with infectious vesicular fluid. However, the ensuing immune response in the lungs remains incompletely understood. We have shown that intrabronchial inoculation of rhesus macaques with simian varicella virus (SVV), a homolog of VZV, recapitulates the hallmarks of acute and latent VZV infection in humans. In this study, we performed an in-depth analysis of the host immune response to acute SVV infection in the lungs and peripheral blood. We report that acute SVV infection results in a robust innate immune response in the lungs, characterized by the production of inflammatory cytokines, chemokines, and growth factors as well as an increased frequency of plasmacytoid dendritic cells (DCs) that corresponded with alpha interferon (IFN-α) production and a rapid decrease in viral loads in the lungs. This is followed by T and B cell proliferation, antibody production, T cell differentiation, and cytokine production, which correlate with the complete cessation of viral replication. Although terminally differentiated CD8 T cells became the predominant T cell population in bronchoalveolar lavage cells, a higher percentage of CD4 T cells were SVV specific, which suggests a critical role for these cells in the resolution of primary SVV infection in the lungs. Given the homology between SVV and VZV, our data provide insight into the immune response to VZV within the lung. IMPORTANCE: Although primary VZV infection occurs primarily via the respiratory route, the host response in the lungs and its contribution to the cessation of viral replication and establishment of latency remain poorly understood. The difficulty in accessing lung tissue and washes from individuals infected with VZV has hampered efforts to address this knowledge gap. SVV infection of rhesus macaques is an important model of VZV infection of humans; therefore, we utilized this animal model to gain a comprehensive view of the kinetics of the immune response to SVV in the lung and its relationship to the resolution of acute infection in respiratory tissues. These data not only advance our understanding of host immunity to VZV, a critical step in developing new vaccines, but also provide additional insight into immunity to respiratory pathogens.


Asunto(s)
Infecciones por Herpesviridae/inmunología , Infecciones por Herpesviridae/patología , Pulmón/inmunología , Pulmón/patología , Varicellovirus/inmunología , Animales , Citocinas/metabolismo , Células Dendríticas/inmunología , Modelos Animales de Enfermedad , Femenino , Infecciones por Herpesviridae/virología , Pulmón/virología , Macaca mulatta , Masculino , Linfocitos T/inmunología , Carga Viral
14.
Chemistry ; 21(35): 12357-62, 2015 Aug 24.
Artículo en Inglés | MEDLINE | ID: mdl-26241579

RESUMEN

An improved synthetic route to homoleptic complex [Pt(CAAC(Me))2] (CAAC = cyclic (alkyl)(amino)carbenes) and convenient routes to new heteroleptic complexes of the form [Pt(CAAC(Me))(PR3)] are presented. Although the homoleptic complex was found to be inert to many reagents, oxidative addition and metal-only Lewis pair (MOLP) formation was observed from one of the heteroleptic complexes. The spectroscopic, structural, and electrochemical properties of the zero-valent complexes were explored in concert with density functional theory (DFT) and time-dependent density functional theory (TD-DFT) calculations. The homoleptic [Pt(CAAC)2] and heteroleptic [Pt(CAAC)(PR3)] complexes were found to be similar in their spectroscopic and structural properties, but their electrochemical behavior and reactivity differ greatly. The unusually strong color of the CAAC-containing Pt(0) complexes was investigated by TD-DFT calculations and attributed to excitations into the LUMOs of the complexes, which are predominantly composed of bonding π interactions between Pt and the CAAC carbon atoms.

15.
Nature ; 459(7245): 437-41, 2009 May 21.
Artículo en Inglés | MEDLINE | ID: mdl-19404259

RESUMEN

Agricultural biotechnology is limited by the inefficiencies of conventional random mutagenesis and transgenesis. Because targeted genome modification in plants has been intractable, plant trait engineering remains a laborious, time-consuming and unpredictable undertaking. Here we report a broadly applicable, versatile solution to this problem: the use of designed zinc-finger nucleases (ZFNs) that induce a double-stranded break at their target locus. We describe the use of ZFNs to modify endogenous loci in plants of the crop species Zea mays. We show that simultaneous expression of ZFNs and delivery of a simple heterologous donor molecule leads to precise targeted addition of an herbicide-tolerance gene at the intended locus in a significant number of isolated events. ZFN-modified maize plants faithfully transmit these genetic changes to the next generation. Insertional disruption of one target locus, IPK1, results in both herbicide tolerance and the expected alteration of the inositol phosphate profile in developing seeds. ZFNs can be used in any plant species amenable to DNA delivery; our results therefore establish a new strategy for plant genetic manipulation in basic science and agricultural applications.


Asunto(s)
Biotecnología/métodos , Desoxirribonucleasas/química , Desoxirribonucleasas/metabolismo , Marcación de Gen/métodos , Genoma de Planta/genética , Zea mays/genética , Dedos de Zinc , Desoxirribonucleasas/genética , Alimentos Modificados Genéticamente , Genes de Plantas/genética , Resistencia a los Herbicidas/genética , Herbicidas/farmacología , Herencia , Fosfatos de Inositol/metabolismo , Mutagénesis Sitio-Dirigida/métodos , Plantas Modificadas Genéticamente , Recombinación Genética/genética , Reproducibilidad de los Resultados
16.
J Virol ; 87(21): 11751-61, 2013 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-23986583

RESUMEN

Varicella zoster virus (VZV) is the etiological agent of varicella (chickenpox) and herpes zoster (HZ [shingles]). Clinical observations suggest that VZV-specific T cell immunity plays a more critical role than humoral immunity in the prevention of VZV reactivation and development of herpes zoster. Although numerous studies have characterized T cell responses directed against select VZV open reading frames (ORFs), a comprehensive analysis of the T cell response to the entire VZV genome has not yet been conducted. We have recently shown that intrabronchial inoculation of young rhesus macaques with simian varicella virus (SVV), a homolog of VZV, recapitulates the hallmarks of acute and latent VZV infection in humans. In this study, we characterized the specificity of T cell responses during acute and latent SVV infection. Animals generated a robust and broad T cell response directed against both structural and nonstructural viral proteins during acute infection in bronchoalveolar lavage (BAL) fluid and peripheral blood. During latency, T cell responses were detected only in the BAL fluid and were lower and more restricted than those observed during acute infection. Interestingly, we identified a small set of ORFs that were immunogenic during both acute and latent infection in the BAL fluid. Given the close genome relatedness of SVV and VZV, our studies highlight immunogenic ORFs that may be further investigated as potential components of novel VZV vaccines that specifically boost T cell immunity.


Asunto(s)
Perfilación de la Expresión Génica , Infecciones por Herpesviridae/inmunología , Enfermedades de los Primates/inmunología , Linfocitos T/inmunología , Varicellovirus/inmunología , Proteínas Virales/inmunología , Latencia del Virus/inmunología , Animales , Sangre/inmunología , Líquido del Lavado Bronquioalveolar/inmunología , Estudio de Asociación del Genoma Completo , Macaca mulatta
17.
J Clin Sleep Med ; 20(2): 211-219, 2024 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-37767823

RESUMEN

STUDY OBJECTIVES: Sleep fragmentation and daytime sleepiness often persist in patients with sleep apnea despite correctly administered continuous positive airway pressure (CPAP). Our proof-of-concept study tested the acceptability and efficacy of morning bright light therapy (BLT) to improve sleep, circadian rhythms, and CPAP-resistant daytime symptoms in patients with sleep apnea. METHODS: In this within-subject crossover study, 14 individuals completed 4 weeks of BLT and sham BLT in randomized order. Outcomes included actigraphy-based objective sleep measures, sleepiness, depressive symptoms, and sleep-related functional impairment, analyzed with multilevel models. RESULTS: Patients experienced greater reductions in wake after sleep onset and increased amplitude of rest-activity rhythms in a shorter photoperiod with BLT compared with sham. Patients also reported reductions in self-reported sleepiness and depressive symptoms with BLT compared with sham only during the early stages of treatment and shorter photoperiod. CONCLUSIONS: These results suggest the potential for novel applications for existing chronotherapeutic interventions for improving symptoms and quality of life for those patients who experience residual symptoms with current available treatments. CLINICAL TRIAL REGISTRATION: Registry: ClinicalTrials.gov; Name: Bright Light Therapy for Residual Daytime Symptoms Associated With Obstructive Sleep Apnea; URL: https://clinicaltrials.gov/ct2/show/NCT04299009; Identifier: NCT04299009. CITATION: Soreca I, Arnold N, Dombrovski AY. Bright light therapy for CPAP-resistant OSA symptoms. J Clin Sleep Med. 2024;20(2):211-219.


Asunto(s)
Presión de las Vías Aéreas Positiva Contínua , Apnea Obstructiva del Sueño , Humanos , Presión de las Vías Aéreas Positiva Contínua/métodos , Somnolencia , Calidad de Vida , Estudios Cruzados , Apnea Obstructiva del Sueño/complicaciones , Fototerapia
18.
Plant Biotechnol J ; 11(9): 1126-34, 2013 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-23953646

RESUMEN

Modern agriculture demands crops carrying multiple traits. The current paradigm of randomly integrating and sorting independently segregating transgenes creates severe downstream breeding challenges. A versatile, generally applicable solution is hereby provided: the combination of high-efficiency targeted genome editing driven by engineered zinc finger nucleases (ZFNs) with modular 'trait landing pads' (TLPs) that allow 'mix-and-match', on-demand transgene integration and trait stacking in crop plants. We illustrate the utility of nuclease-driven TLP technology by applying it to the stacking of herbicide resistance traits. We first integrated into the maize genome an herbicide resistance gene, pat, flanked with a TLP (ZFN target sites and sequences homologous to incoming DNA) using WHISKERS™-mediated transformation of embryogenic suspension cultures. We established a method for targeted transgene integration based on microparticle bombardment of immature embryos and used it to deliver a second trait precisely into the TLP via cotransformation with a donor DNA containing a second herbicide resistance gene, aad1, flanked by sequences homologous to the integrated TLP along with a corresponding ZFN expression construct. Remarkably, up to 5% of the embryo-derived transgenic events integrated the aad1 transgene precisely at the TLP, that is, directly adjacent to the pat transgene. Importantly and consistent with the juxtaposition achieved via nuclease-driven TLP technology, both herbicide resistance traits cosegregated in subsequent generations, thereby demonstrating linkage of the two independently transformed transgenes. Because ZFN-mediated targeted transgene integration is becoming applicable across an increasing number of crop species, this work exemplifies a simple, facile and rapid approach to trait stacking.


Asunto(s)
Endonucleasas/genética , Marcación de Gen/métodos , Genoma de Planta/genética , Resistencia a los Herbicidas , Herbicidas/farmacología , Zea mays/genética , Productos Agrícolas , Endonucleasas/metabolismo , Ligamiento Genético , Fenotipo , Hojas de la Planta/genética , Hojas de la Planta/metabolismo , Proteínas de Plantas/genética , Proteínas de Plantas/metabolismo , Plantas Modificadas Genéticamente , Transgenes , Dedos de Zinc
19.
Virol J ; 10: 278, 2013 Sep 08.
Artículo en Inglés | MEDLINE | ID: mdl-24010815

RESUMEN

BACKGROUND: Varicella zoster virus (VZV) is a neurotropic alphaherpesvirus that infects humans and results in chickenpox and herpes zoster. A number of VZV genes remain functionally uncharacterized and since VZV is an obligate human pathogen, rigorous evaluation of VZV mutants in vivo remains challenging. Simian varicella virus (SVV) is homologous to VZV and SVV infection of rhesus macaques (RM) closely mimics VZV infection of humans. Recently the SVV genome was cloned as a bacterial artificial chromosome (BAC) and BAC-derived SVV displayed similar replication kinetics as wild-type (WT) SVV in vitro. METHODS: RMs were infected with BAC-derived SVV or WT SVV at 4x10(5) PFU intrabronchially (N=8, 4 per group, sex and age matched). We collected whole blood (PBMC) and bronchoalveolar lavage (BAL) at various days post-infection (dpi) and sensory ganglia during latent infection (>84 dpi) at necropsy and compared disease progression, viral replication, immune response and the establishment of latency. RESULTS: Viral replication kinetics and magnitude in bronchoalveolar lavage cells and whole blood as well as rash severity and duration were similar in RMs infected with SVV BAC or WT SVV. Moreover, SVV-specific B and T cell responses were comparable between BAC and WT-infected animals. Lastly, we measured viral DNA in sensory ganglia from both cohorts of infected RMs during latent infection. CONCLUSIONS: SVV BAC is as pathogenic and immunogenic as WT SVV in vivo. Thus, the SVV BAC genetic system combined with the rhesus macaque animal model can further our understanding of viral ORFs important for VZV pathogenesis and the development of second-generation vaccines.


Asunto(s)
Varicela/patología , Varicela/virología , Cromosomas Artificiales Bacterianos , Varicellovirus/genética , Varicellovirus/patogenicidad , Animales , Sangre/virología , Líquido del Lavado Bronquioalveolar/virología , Modelos Animales de Enfermedad , Ganglios Sensoriales/virología , Macaca mulatta , Latencia del Virus
20.
Proc Natl Acad Sci U S A ; 107(47): 20240-5, 2010 Nov 23.
Artículo en Inglés | MEDLINE | ID: mdl-21059954

RESUMEN

Engineered glyphosate resistance is the most widely adopted genetically modified trait in agriculture, gaining widespread acceptance by providing a simple robust weed control system. However, extensive and sustained use of glyphosate as a sole weed control mechanism has led to field selection for glyphosate-resistant weeds and has induced significant population shifts to weeds with inherent tolerance to glyphosate. Additional weed control mechanisms that can complement glyphosate-resistant crops are, therefore, urgently needed. 2,4-dichlorophenoxyacetic acid (2,4-D) is an effective low-cost, broad-spectrum herbicide that controls many of the weeds developing resistance to glyphosate. We investigated the substrate preferences of bacterial aryloxyalkanoate dioxygenase enzymes (AADs) that can effectively degrade 2,4-D and have found that some members of this class can act on other widely used herbicides in addition to their activity on 2,4-D. AAD-1 cleaves the aryloxyphenoxypropionate family of grass-active herbicides, and AAD-12 acts on pyridyloxyacetate auxin herbicides such as triclopyr and fluroxypyr. Maize plants transformed with an AAD-1 gene showed robust crop resistance to aryloxyphenoxypropionate herbicides over four generations and were also not injured by 2,4-D applications at any growth stage. Arabidopsis plants expressing AAD-12 were resistant to 2,4-D as well as triclopyr and fluroxypyr, and transgenic soybean plants expressing AAD-12 maintained field resistance to 2,4-D over five generations. These results show that single AAD transgenes can provide simultaneous resistance to a broad repertoire of agronomically important classes of herbicides, including 2,4-D, with utility in both monocot and dicot crops. These transgenes can help preserve the productivity and environmental benefits of herbicide-resistant crops.


Asunto(s)
Ácido 2,4-Diclorofenoxiacético/metabolismo , Arabidopsis/genética , Cupriavidus necator/enzimología , Dioxigenasas/genética , Resistencia a los Herbicidas/genética , Herbicidas/toxicidad , Zea mays/genética , Ácido 2,4-Diclorofenoxiacético/toxicidad , Southern Blotting , Western Blotting , Cupriavidus necator/genética , Delftia acidovorans/enzimología , Dioxigenasas/metabolismo , Ensayo de Inmunoadsorción Enzimática , Escherichia coli , Ingeniería Genética , Glicina/análogos & derivados , Glicina/toxicidad , Cinética , Estructura Molecular , Sphingomonadaceae/enzimología , Especificidad por Sustrato , Transformación Genética/genética , Transgenes/genética , Glifosato
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