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1.
Nat Commun ; 14(1): 6391, 2023 10 12.
Article in English | MEDLINE | ID: mdl-37828011

ABSTRACT

Placental malaria is caused by Plasmodium falciparum-infected erythrocytes (IEs) adhering to chondroitin sulfate proteoglycans in placenta via VAR2CSA-type PfEMP1. Human pentameric immunoglobulin M (IgM) binds to several types of PfEMP1, including VAR2CSA via its Fc domain. Here, a 3.6 Å cryo-electron microscopy map of the IgM-VAR2CSA complex reveals that two molecules of VAR2CSA bind to the Cµ4 of IgM through their DBL3X and DBL5ε domains. The clockwise and anti-clockwise rotation of the two VAR2CSA molecules on opposite faces of IgM juxtaposes C-termini of both VAR2CSA near the J chain, where IgM creates a wall between both VAR2CSA molecules and hinders its interaction with its receptor. To support this, we show when VAR2CSA is bound to IgM, its staining on IEs as well as binding of IEs to chondroitin sulfate A in vitro is severely compromised.


Subject(s)
Malaria, Falciparum , Plasmodium falciparum , Female , Pregnancy , Humans , Plasmodium falciparum/metabolism , Chondroitin Sulfates/metabolism , Cryoelectron Microscopy , Placenta/metabolism , Antigens, Protozoan/metabolism , Antibodies, Protozoan/metabolism , Erythrocytes/metabolism , Immunoglobulin M/metabolism
2.
Curr Genet ; 69(2-3): 153-163, 2023 Jun.
Article in English | MEDLINE | ID: mdl-37022498

ABSTRACT

Understanding where proteins are localized in a bacterial cell is essential for understanding their function and regulation. This is particularly important for proteins that are involved in cell division, which localize at the division septum and assemble into highly regulated complexes. Current knowledge of these complexes has been greatly facilitated by super-resolution imaging using fluorescent protein fusions. Herein, we demonstrate with FtsZ that single-molecule PALM images can be obtained in-vivo using a genetically fused nanotag (ALFA), and a corresponding nanobody fused to mEos3.2. The methodology presented is applicable to other bacterial proteins.


Subject(s)
Escherichia coli Proteins , Single-Domain Antibodies , Escherichia coli/genetics , Escherichia coli/metabolism , Single-Domain Antibodies/genetics , Single-Domain Antibodies/metabolism , Single Molecule Imaging , Cytoskeletal Proteins/metabolism , Bacterial Proteins/metabolism , Escherichia coli Proteins/genetics , Escherichia coli Proteins/metabolism
3.
Front Endocrinol (Lausanne) ; 13: 1042787, 2022.
Article in English | MEDLINE | ID: mdl-36531494

ABSTRACT

Aberrant activation of the epidermal growth factor receptor (EGFR) by mutations has been implicated in a variety of human cancers. Elucidation of the structure of the full-length receptor is essential to understand the molecular mechanisms underlying its activation. Unlike previously anticipated, here, we report that purified full-length EGFR adopts a homodimeric form in vitro before and after ligand binding. Cryo-electron tomography analysis of the purified receptor also showed that the extracellular domains of the receptor dimer, which are conformationally flexible before activation, are stabilized by ligand binding. This conformational flexibility stabilization most likely accompanies rotation of the entire extracellular domain and the transmembrane domain, resulting in dissociation of the intracellular kinase dimer and, thus, rearranging it into an active form. Consistently, mutations of amino acid residues at the interface of the symmetric inactive kinase dimer spontaneously activate the receptor in vivo. Optical observation also indicated that binding of only one ligand activates the receptor dimer on the cell surface. Our results suggest how oncogenic mutations spontaneously activate the receptor and shed light on the development of novel cancer therapies.


Subject(s)
ErbB Receptors , Humans , Ligands , Allosteric Regulation , Dimerization , ErbB Receptors/genetics , ErbB Receptors/metabolism , Cell Membrane/metabolism
4.
Microbiologyopen ; 9(4): e999, 2020 04.
Article in English | MEDLINE | ID: mdl-31990138

ABSTRACT

Bacterial chromosome segregation is an essential cellular process that is particularly elusive in spherical bacteria such as the opportunistic human pathogen Staphylococcus aureus. In this study, we examined the functional significance of a ParB homologue, Spo0J, in staphylococcal chromosome segregation and investigated the role of the structural maintenance of chromosomes (SMC) bacterial condensin in this process. We show that neither spo0J nor smc is essential in S. aureus; however, their absence causes abnormal chromosome segregation. We demonstrate that formation of complexes containing Spo0J and SMC is required for efficient S. aureus chromosome segregation and that SMC localization is dependent on Spo0J. Furthermore, we found that cell division and cell cycle progression are unaffected by the absence of spo0J or smc. Our results verify the role of Spo0J and SMC in ensuring accurate staphylococcal chromosome segregation and also imply functional redundancy or the involvement of additional mechanisms that might contribute to faithful chromosome inheritance.


Subject(s)
Bacterial Proteins/genetics , Cell Cycle Proteins/genetics , Chromosome Segregation/physiology , Chromosomes, Bacterial/genetics , DNA-Binding Proteins/genetics , Staphylococcus aureus/genetics , Cell Division/genetics , DNA, Bacterial/genetics , Humans
5.
ACS Sens ; 4(11): 3023-3033, 2019 11 22.
Article in English | MEDLINE | ID: mdl-31631654

ABSTRACT

The extensive use of gold in sensing, diagnostics, and electronics has led to major concerns in solid waste management since gold and other heavy metals are nonbiodegradable and can easily accumulate in the environment. Moreover, gold ions are extremely reactive and potentially harmful for humans. Thus, there is an urgent need to develop reliable methodologies to detect and possibly neutralize ionic gold in aqueous solutions and industrial wastes. In this work, by using complementary measurement techniques such as quartz crystal microbalance (QCM), atomic force microscopy, crystal violet staining, and optical microscopy, we investigate a promising biologically induced gold biomineralization process accomplished by biofilms of bacterium Delftia acidovorans. When stressed by Au3+ ions, D. acidovorans is able to neutralize toxic soluble gold by excreting a nonribosomal peptide, which forms extracellular gold nanonuggets via complexation with metal ions. Specifically, QCM, a surface-sensitive transducer, is employed to quantify the production of these gold complexes directly on the D. acidovorans biofilm in real time. Detailed kinetics obtained by QCM captures the condition for maximized biomineralization yield and offers new insights underlying the biomineralization process. To the best of our knowledge, this is the first study providing an extensive characterization of the gold biomineralization process by a model bacterial biofilm. We also demonstrate QCM as a cheap, user-friendly sensing platform and alternative to standard analytical techniques for studies requiring high-resolution quantitative details, which offers promising opportunities in heavy-metal sensing, gold recovery, and industrial waste treatment.


Subject(s)
Biofilms , Biomineralization/physiology , Delftia acidovorans/metabolism , Gold/analysis , Metal Nanoparticles/analysis , Benzidines/chemistry , Coloring Agents/chemistry , Delftia acidovorans/physiology , Gentian Violet/chemistry , Gold/chemistry , Gold/metabolism , Kinetics , Metal Nanoparticles/chemistry , Oxidation-Reduction , Quartz Crystal Microbalance Techniques , Staining and Labeling
6.
Subcell Biochem ; 93: 23-51, 2019.
Article in English | MEDLINE | ID: mdl-31939148

ABSTRACT

Monoclonal based therapeutics have always been looked at as a futuristic natural way we could take care of pathogens and many diseases. However, in order to develop, establish and realize monoclonal based therapy we need to understand how the immune system contains or kill pathogens. Antibody complexes serve the means to decode this black box. We have discussed examples of antibody complexes both at biochemical and structural levels to understand and appreciate how discoveries in the field of antibody complexes have started to decoded mechanism of viral invasion and create potential vaccine targets against many pathogens. Antibody complexes have made advancement in our knowledge about the molecular interaction between antibody and antigen. It has also led to identification of potent protective monoclonal antibodies. Further use of selective combination of monoclonal antibodies have provided improved protection against deadly diseases. The administration of newly designed and improved immunogen has been used as potential vaccine. Therefore, antibody complexes are important tools to develop new vaccine targets and design an improved combination of monoclonal antibodies for passive immunization or protection with very little or no side effects.


Subject(s)
Antibodies, Monoclonal/immunology , Antibodies, Monoclonal/therapeutic use , Antigen-Antibody Complex/immunology , Immunization, Passive/methods , Antibodies, Monoclonal/adverse effects , Antigen-Antibody Complex/adverse effects , Humans , Immunization, Passive/adverse effects
7.
Nat Commun ; 9(1): 4323, 2018 10 18.
Article in English | MEDLINE | ID: mdl-30337533

ABSTRACT

FtsZ is the main regulator of bacterial cell division. It has been implicated in acting as a scaffolding protein for other division proteins, a force generator during constriction, and more recently, as an active regulator of septal cell wall production. FtsZ assembles into a heterogeneous structure coined the Z-ring due to its resemblance to a ring confined by the midcell geometry. Here, to establish a framework for examining geometrical influences on proper Z-ring assembly and dynamics, we sculpted Escherichia coli cells into unnatural shapes using division- and cell wall-specific inhibitors in a micro-fabrication scheme. This approach allowed us to examine FtsZ behavior in engineered Z-squares and Z-hearts. We use stimulated emission depletion (STED) nanoscopy to show that FtsZ clusters in sculpted cells maintain the same dimensions as their wild-type counterparts. Based on our results, we propose that the underlying membrane geometry is not a deciding factor for FtsZ cluster maintenance and dynamics in vivo.


Subject(s)
Artificial Cells/cytology , Artificial Cells/metabolism , Bacterial Proteins/metabolism , Cytoskeletal Proteins/metabolism , Escherichia coli/cytology , Escherichia coli/metabolism , Bacterial Proteins/chemistry , Cytoskeletal Proteins/chemistry , Fluorescence
8.
Mol Microbiol ; 107(3): 387-401, 2018 02.
Article in English | MEDLINE | ID: mdl-29193432

ABSTRACT

The division of Escherichia coli is mediated by a collection of some 34 different proteins that are recruited to the division septum and are thought to assemble into a macromolecular complex known as 'the divisome'. Herein, we have endeavored to better understand the structure of the divisome by imaging two of its core components; FtsZ and FtsN. Super resolution microscopy (SIM and gSTED) indicated that both proteins are localized in large assemblies, which are distributed around the division septum (i.e., forming a discontinuous ring). Although the rings had similar radii prior to constriction, the individual densities were often spatially separated circumferentially. As the cell envelope constricted, the discontinuous ring formed by FtsZ moved inside the discontinuous ring formed by FtsN. The radial and circumferential separation observed in our images indicates that the majority of FtsZ and FtsN molecules are organized in different macromolecular assemblies, rather than in a large super-complex. This conclusion was supported by fluorescence recovery after photobleaching measurements, which indicated that the dynamic behavior of the two macromolecular assemblies was also fundamentally different. Taken together, the data indicates that constriction of the cell envelope is brought about by (at least) two spatially separated complexes.


Subject(s)
Bacterial Proteins/metabolism , Cell Division/physiology , Cytoskeletal Proteins/metabolism , Escherichia coli Proteins/metabolism , Membrane Proteins/metabolism , Cell Division/genetics , Escherichia coli/metabolism , Escherichia coli/physiology
9.
Sci Rep ; 6: 33138, 2016 09 09.
Article in English | MEDLINE | ID: mdl-27609565

ABSTRACT

The source of constriction required for division of a bacterial cell remains enigmatic. FtsZ is widely believed to be a key player, because in vitro experiments indicate that it can deform liposomes when membrane tethered. However in vivo evidence for such a role has remained elusive as it has been challenging to distinguish the contribution of FtsZ from that of peptidoglycan-ingrowth. To differentiate between these two possibilities we studied the early stages of division in Escherichia coli, when FtsZ is present at the division site but peptidoglycan synthesizing enzymes such as FtsI and FtsN are not. Our approach was to use correlative cryo-fluorescence and cryo-electron microscopy (cryo-CLEM) to monitor the localization of fluorescently labeled FtsZ, FtsI or FtsN correlated with the septal ultra-structural geometry in the same cell. We noted that the presence of FtsZ at the division septum is not sufficient to deform membranes. This observation suggests that, although FtsZ can provide a constrictive force, the force is not substantial at the onset of division. Conversely, the presence of FtsN always correlated with membrane invagination, indicating that allosteric activation of peptidoglycan ingrowth is the trigger for constriction of the cell envelope during cell division in E. coli.


Subject(s)
Bacterial Proteins/metabolism , Cell Division/physiology , Cell Membrane/metabolism , Cytoskeletal Proteins/metabolism , Escherichia coli/metabolism , Cell Membrane/genetics , Cell Membrane/ultrastructure , Escherichia coli/genetics , Escherichia coli/ultrastructure
10.
Mol Microbiol ; 101(3): 425-38, 2016 08.
Article in English | MEDLINE | ID: mdl-27096604

ABSTRACT

The divisome is the macromolecular complex that carries out cell division in Escherichia coli. Every generation it must be assembled, and then disassembled so that the sequestered proteins can be recycled. Whilst the assembly process has been well studied, virtually nothing is known about the disassembly process. In this study, we have used super-resolution SIM imaging to monitor pairs of fluorescently tagged divisome proteins as they depart from the division septum. These simple binary comparisons indicated that disassembly occurs in a coordinated process that consists of at least five steps: [FtsZ, ZapA] ⇒ [ZipA, FtsA] ⇒ [FtsL, FtsQ] ⇒ [FtsI, FtsN] ⇒ [FtsN]. This sequence of events is remarkably similar to the assembly process, indicating that disassembly follows a first-in, first-out principle. A secondary observation from these binary comparisons was that FtsZ and FtsN formed division rings that were spatially separated throughout the division process. Thus the data indicate that the divisome structure can be visualized as two concentric rings; a proto-ring containing FtsZ and an FtsN-ring.


Subject(s)
Escherichia coli Proteins/metabolism , Escherichia coli/metabolism , Cell Cycle Proteins/genetics , Cell Cycle Proteins/metabolism , Cell Division/physiology , Escherichia coli/cytology , Escherichia coli/genetics , Escherichia coli Proteins/genetics , Membrane Proteins/metabolism , Mutation
11.
Cell Rep ; 14(4): 723-736, 2016 Feb 02.
Article in English | MEDLINE | ID: mdl-26776517

ABSTRACT

Plasmodium falciparum virulence is associated with sequestration of infected erythrocytes. Microvascular binding mediated by PfEMP1 in complex with non-immune immunoglobulin M (IgM) is common among parasites that cause both severe childhood malaria and pregnancy-associated malaria. Here, we present cryo-molecular electron tomography structures of human IgM, PfEMP1 and their complex. Three-dimensional reconstructions of IgM reveal that it has a dome-like core, randomly oriented Fab2s units, and the overall shape of a turtle. PfEMP1 is a C- shaped molecule with a flexible N terminus followed by an arc-shaped backbone and a bulky C terminus that interacts with IgM. Our data demonstrate that the PfEMP1 binding pockets on IgM overlap with those of C1q, and the bulkiness of PfEMP1 limits the capacity of IgM to interact with PfEMP1. We suggest that P. falciparum exploits IgM to cluster PfEMP1 into an organized matrix to augment its affinity to host cell receptors.


Subject(s)
Immunoglobulin M/chemistry , Plasmodium falciparum/chemistry , Protozoan Proteins/chemistry , Amino Acid Sequence , Binding Sites , Humans , Immunoglobulin M/metabolism , Molecular Docking Simulation , Molecular Sequence Data , Protein Binding , Protozoan Proteins/metabolism
12.
Annu Int Conf IEEE Eng Med Biol Soc ; 2016: 3961-3664, 2016 Aug.
Article in English | MEDLINE | ID: mdl-28269152

ABSTRACT

Limited data and low-dose constraints are common problems in a variety of tomographic reconstruction paradigms, leading to noisy and incomplete data. Over the past few years, sinogram denoising has become an essential preprocessing step for low-dose Computed Tomographic (CT) reconstructions. We propose a novel sinogram denoising algorithm inspired by signal processing on graphs. Graph-based methods often perform better than standard filtering operations since they can exploit the signal structure. This makes the sinogram an ideal candidate for graph based denoising since it generally has a piecewise smooth structure. We test our method with a variety of phantoms using different reconstruction methods. Our numerical study shows that the proposed algorithm improves the performance of analytical filtered back-projection (FBP) and iterative methods such as ART (Kaczmarz), and SIRT (Cimmino). We observed that graph denoised sinograms always minimize the error measure and improve the accuracy of the solution, compared to regular reconstructions.


Subject(s)
Computer Graphics , Radiographic Image Interpretation, Computer-Assisted/methods , Tomography, X-Ray Computed/methods , Algorithms , Humans , Phantoms, Imaging
13.
Sci Rep ; 5: 17941, 2015 Dec 09.
Article in English | MEDLINE | ID: mdl-26648269

ABSTRACT

Crystal-like structures at nano and micron scales have promise for purification and confined reactions, and as starting points for fabricating highly ordered crystals for protein engineering and drug discovery applications. However, developing controlled crystallization techniques from batch processes remain challenging. We show that neutrally charged nanoscale spherical micelles from biocompatible nonionic surfactant solutions can evolve into nano- and micro-sized branched networks and crystal-like structures. This occurs under simple combinations of temperature and flow conditions. Our findings not only suggest new opportunities for developing controlled universal crystallization and encapsulation procedures that are sensitive to ionic environments and high temperatures, but also open up new pathways for accelerating drug discovery processes, which are of tremendous interest to pharmaceutical and biotechnological industries.

14.
Cell ; 150(4): 752-63, 2012 Aug 17.
Article in English | MEDLINE | ID: mdl-22901807

ABSTRACT

Caveolin plays an essential role in the formation of characteristic surface pits, caveolae, which cover the surface of many animal cells. The fundamental principles of caveola formation are only slowly emerging. Here we show that caveolin expression in a prokaryotic host lacking any intracellular membrane system drives the formation of cytoplasmic vesicles containing polymeric caveolin. Vesicle formation is induced by expression of wild-type caveolins, but not caveolin mutants defective in caveola formation in mammalian systems. In addition, cryoelectron tomography shows that the induced membrane domains are equivalent in size and caveolin density to native caveolae and reveals a possible polyhedral arrangement of caveolin oligomers. The caveolin-induced vesicles or heterologous caveolae (h-caveolae) form by budding in from the cytoplasmic membrane, generating a membrane domain with distinct lipid composition. Periplasmic solutes are encapsulated in the budding h-caveola, and purified h-caveolae can be tailored to be targeted to specific cells of interest.


Subject(s)
Caveolae/metabolism , Caveolae/ultrastructure , Caveolins/metabolism , Escherichia coli , Mammals/metabolism , Animals , Cell Line, Tumor , Cell Membrane/metabolism , Cell Membrane/ultrastructure , Humans
15.
J Invest Dermatol ; 132(9): 2215-25, 2012 Sep.
Article in English | MEDLINE | ID: mdl-22534876

ABSTRACT

The skin barrier is fundamental to terrestrial life and its evolution; it upholds homeostasis and protects against the environment. Skin barrier capacity is controlled by lipids that fill the extracellular space of the skin's surface layer--the stratum corneum. Here we report on the determination of the molecular organization of the skin's lipid matrix in situ, in its near-native state, using a methodological approach combining very high magnification cryo-electron microscopy (EM) of vitreous skin section defocus series, molecular modeling, and EM simulation. The lipids are organized in an arrangement not previously described in a biological system-stacked bilayers of fully extended ceramides (CERs) with cholesterol molecules associated with the CER sphingoid moiety. This arrangement rationalizes the skin's low permeability toward water and toward hydrophilic and lipophilic substances, as well as the skin barrier's robustness toward hydration and dehydration, environmental temperature and pressure changes, stretching, compression, bending, and shearing.


Subject(s)
Ceramides/chemistry , Cholesterol/chemistry , Lipid Bilayers/chemistry , Skin/chemistry , Sphingolipids/chemistry , Adult , Humans , Male , Middle Aged , Permeability , Skin/ultrastructure
16.
J Cell Biol ; 187(4): 553-67, 2009 Nov 16.
Article in English | MEDLINE | ID: mdl-19948502

ABSTRACT

Cell adhesion molecules (CAMs) sense the extracellular microenvironment and transmit signals to the intracellular compartment. In this investigation, we addressed the mechanism of signal generation by ectodomains of single-pass transmembrane homophilic CAMs. We analyzed the structure and homophilic interactions of carcinoembryonic antigen (CEA)-related CAM 1 (CEACAM1), which regulates cell proliferation, apoptosis, motility, morphogenesis, and microbial responses. Soluble and membrane-attached CEACAM1 ectodomains were investigated by surface plasmon resonance-based biosensor analysis, molecular electron tomography, and chemical cross-linking. The CEACAM1 ectodomain, which is composed of four glycosylated immunoglobulin-like (Ig) domains, is highly flexible and participates in both antiparallel (trans) and parallel (cis) homophilic binding. Membrane-attached CEACAM1 ectodomains form microclusters in which all four Ig domains participate. Trans-binding between the N-terminal Ig domains increases formation of CEACAM1 cis-dimers and changes CEACAM1 interactions within the microclusters. These data suggest that CEACAM1 transmembrane signaling is initiated by adhesion-regulated changes of cis-interactions that are transmitted to the inner phase of the plasma membrane.


Subject(s)
Antigens, CD/physiology , Cell Adhesion Molecules/physiology , Peptide Fragments/physiology , Receptors, Fc/physiology , Allosteric Regulation/physiology , Animals , Antigens, CD/chemistry , Antigens, CD/metabolism , Cell Adhesion/physiology , Cell Adhesion Molecules/chemistry , Cell Adhesion Molecules/metabolism , Cell Line, Tumor , Cell Membrane/chemistry , Cell Membrane/physiology , Epithelial Cells/chemistry , Epithelial Cells/metabolism , Epithelial Cells/physiology , Humans , Mice , Peptide Fragments/metabolism , Protein Binding/physiology , Protein Structure, Tertiary/physiology , Rats , Signal Transduction/physiology
17.
Proc Natl Acad Sci U S A ; 106(51): 21842-7, 2009 Dec 22.
Article in English | MEDLINE | ID: mdl-19955423

ABSTRACT

Filtered back-projection and weighted back-projection have long been the methods of choice within the electron microscopy community for reconstructing the structure of macromolecular assemblies from electron tomography data. Here, we describe electron lambda-tomography, a reconstruction method that enjoys the benefits of the above mentioned methods, namely speed and ease of implementation, but also addresses some of their shortcomings. In particular, compared to these standard methods, electron lambda-tomography is less sensitive to artifacts that come from structures outside the region that is being reconstructed, and it can sharpen boundaries.

18.
RNA ; 15(12): 2312-20, 2009 Dec.
Article in English | MEDLINE | ID: mdl-19861420

ABSTRACT

Trans-translation is a process which switches the synthesis of a polypeptide chain encoded by a nonstop messenger RNA to the mRNA-like domain of a transfer-messenger RNA (tmRNA). It is used in bacterial cells for rescuing the ribosomes arrested during translation of damaged mRNA and directing this mRNA and the product polypeptide for degradation. The molecular basis of this process is not well understood. Earlier, we developed an approach that allowed isolation of tmRNA-ribosomal complexes arrested at a desired step of tmRNA passage through the ribosome. We have here exploited it to examine the tmRNA structure using chemical probing and cryo-electron microscopy tomography. Computer modeling has been used to develop a model for spatial organization of the tmRNA inside the ribosome at different stages of trans-translation.


Subject(s)
Escherichia coli/chemistry , Nucleic Acid Conformation , RNA, Bacterial/chemistry , RNA, Messenger/chemistry , RNA, Transfer/chemistry , Ribosomes/chemistry , Base Sequence , Cryoelectron Microscopy , Escherichia coli/metabolism , Models, Molecular , Molecular Sequence Data , Protein Biosynthesis , RNA, Bacterial/metabolism , RNA, Bacterial/ultrastructure , RNA, Messenger/metabolism , RNA, Messenger/ultrastructure , RNA, Transfer/metabolism , RNA, Transfer/ultrastructure , Ribosomes/metabolism , Ribosomes/ultrastructure
19.
Acta Otolaryngol ; 129(9): 940-5, 2009 Sep.
Article in English | MEDLINE | ID: mdl-19023683

ABSTRACT

UNLABELLED: CONCLUSIONS. Electron tomography was used to generate three-dimensional reconstructions of the pillars that connect the cell membrane with the cytoskeleton of the outer hair cell. Results are consistent with the hypothesis that pillars are important for mechanically linking the membrane with the cytoskeleton. OBJECTIVE: To make a qualitative assessment of the morphology of the sub-membrane pillars of cochlear outer hair cells. MATERIALS AND METHODS: Guinea pig cochleae were fixed and prepared for electron microscopy using protocols described previously. Sections were imaged on an electron microscope equipped with a goniometer. The specimens were tilted through a range of 120°, and an image was acquired at each tilt angle. Filtered back-projection was used to generate three-dimensional reconstructions. RESULTS: Twelve individual pillars were successfully reconstructed. Pillars often connect to the cell membrane through a thin segment, and to the cytoskeleton through a forking structure that may form a central cavity.


Subject(s)
Hair Cells, Auditory, Outer/ultrastructure , Animals , Electron Microscope Tomography , Guinea Pigs , Imaging, Three-Dimensional
20.
J Bone Joint Surg Am ; 90(5): 945-52, 2008 May.
Article in English | MEDLINE | ID: mdl-18451384

ABSTRACT

BACKGROUND: During 1978 and 1979, we initiated a prospective multicenter study to evaluate the results of nonoperative treatment of primary anterior shoulder dislocation. In the current report, we present the outcome after twenty-five years. METHODS: Two hundred and fifty-five patients (257 shoulders) with an age of twelve to forty years who had a primary anterior shoulder dislocation were managed with immobilization (achieved by tying the arm to the torso with use of a bandage) or without immobilization. All 227 living patients (229 shoulders) completed the follow-up questionnaire, and 214 patients completed the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire. RESULTS: Ninety-nine (43%) of 229 shoulders had not redislocated, and seventeen (7%) redislocated once. Thirty-three recurrent dislocations had become stable over time (14.4%), and eighteen were considered to be still recurrent (7.9%). Sixty-two shoulders (27%) had undergone surgery for the treatment of recurrent instability. Immobilization after the primary dislocation did not change the prognosis. Only two of twenty-four shoulders with a fracture of the greater tuberosity at the time of the primary dislocation redislocated (p < 0.001). When shoulders with a fracture of the greater tuberosity were excluded, forty-four (38%) of 115 shoulders in patients who had been twelve to twenty-five years of age at the time of the original dislocation and sixteen (18%) of ninety shoulders in patients who had been twenty-six to forty years of age had undergone surgical stabilization. At twenty-five years, fourteen (23%) of sixty-two shoulders that had undergone surgical stabilization were in patients who subsequently had a contralateral dislocation, compared with seven (7%) of ninety-nine shoulders in patients in whom the index dislocation had been classified as solitary (p = 0.01). Gender and athletic activity did not appear to affect the redislocation rate; however, women had worse DASH scores than men did (p = 0.006). CONCLUSIONS: After twenty-five years, half of the primary anterior shoulder dislocations that had been treated nonoperatively in patients with an age of twelve to twenty-five years had not recurred or had become stable over time.


Subject(s)
Shoulder Dislocation/therapy , Adolescent , Adult , Athletic Injuries/therapy , Child , Female , Humans , Immobilization , Logistic Models , Male , Multivariate Analysis , Prospective Studies , Recurrence , Risk Factors , Treatment Outcome
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