RESUMO
To combat the shortage of skilled workers in the Public Health Service sector, the federal states of Bavaria, Hesse, Rhineland-Palatinate, and Saxony-Anhalt have a study placement system for students of Public Health Service. A comparison of the selection procedures showed that three out of the four federal states (Bavaria, Hesse, and Rhineland-Palatinate) used a two-step procedure. In the second step, eligibility for was determined based on interviews to assess social and communication skills as well as personal aptitude of the applicants to study and work in the Public Health Service. To find out whether the role of the Public Health Service and public health care is strengthened by the quotas, a nationwide comparison of the selection procedures including evaluation is necessary.
Assuntos
Serviços de Saúde , Estudantes , Humanos , AlemanhaRESUMO
Beyond its well-documented role in reproduction, embryogenesis and maintenance of body tissues, vitamin A has attracted considerable attention due to its immunomodulatory effects on both the innate and the adaptive immune responses. In infectious diseases, vitamin A has been shown to have a host-protective effect in infections of bacterial, viral or protozoan origin. Nevertheless, its impact in fungal infections remains unknown. Meanwhile, the frequency of invasive mycoses keeps on growing, with Candida albicans being the major opportunistic fungal pathogen and associated with high mortality. In the present work, we explored the impact of all-trans retinoic acid (atRA), the most active metabolite of vitamin A, on the innate immune response against C. albicans in human monocytes. Our results show a strong immunomodulatory role for atRA, leading to a significant down-regulation of the fungi-induced expression and secretion of the pro-inflammatory cytokines TNFα, IL6 and IL12. Moreover, atRA significantly suppressed the expression of Dectin-1, a major fungal pattern recognition receptor, as well as the Dectin-1-dependent cytokine production. Both RAR-dependent and RAR-independent mechanisms seem to play a role in the atRA-mediated immunomodulation. Our findings open a new direction to elucidate the role of vitamin A on the immune function during fungal infections.
Assuntos
Candida albicans/imunologia , Fatores Imunológicos/metabolismo , Monócitos/efeitos dos fármacos , Monócitos/imunologia , Vitamina A/metabolismo , Citocinas/metabolismo , Humanos , Lectinas Tipo C/análiseRESUMO
Telomere phages are a small group of temperate phages, whose prophages replicate as a linear plasmid with covalently closed ends. They have been isolated from some Enterobacteriaceae and from bacterial species living in aquatic environments. Phage PY54 was the first Yersinia (Y.) enterocolitica telomere phage isolated from a nonpathogenic O:5 strain, but recently a second telomeric Yersinia phage (vB_YenS_P840) was isolated from a tonsil of a wild boar in Germany. Both PY54 and vB_YenS_P840 (P840) have a siphoviridal morphology and a similar genome organization including the primary immunity region immB and telomere resolution site telRL. However, whereas PY54 only possesses one prophage repressor for the lysogenic cycle, vB_YenS_P840 encodes two. The telRL region of this phage was shown to be processed by the PY54 protelomerase under in vivo conditions, but unlike with PY54, a flanking inverted repeat was not required for processing. A further substantial difference between the phages is their host specificity. While PY54 infects Y. enterocolitica strains belonging to the serotypes O:5 and O:5,27, vB_YenS_P840 exclusively lyses O:3 strains. As the tail fiber and tail fiber assembly proteins of the phages differ significantly, we introduced the corresponding genes of vB_YenS_P840 by transposon mutagenesis into the PY54 genome and isolated several mutants that were able to infect both serotypes, O:5,27 and O:3.
Assuntos
Bacteriófagos , Yersinia enterocolitica , Bacteriófagos/genética , Yersinia enterocolitica/genética , Prófagos/genética , Lisogenia , TelômeroRESUMO
A series of 2-arylbenzofurans and 2-arylbenzothiophenes was synthesized carrying three different side chains in position five. The synthesized compounds were tested for NF-κB inhibition to establish a structure activity relationship. It was found that both, the side chain in position five and the substitution pattern of the aryl moiety in position two have a significant influence on the inhibitory activity.
Assuntos
Anti-Inflamatórios/síntese química , Benzofuranos/química , Lignanas/química , NF-kappa B/antagonistas & inibidores , Tiofenos/química , Anti-Inflamatórios/farmacologia , Células HEK293 , Humanos , NF-kappa B/química , Relação Estrutura-AtividadeRESUMO
Vitamin A and vitamin D are essential nutrients with a wide range of pleiotropic effects in humans. Beyond their well-documented roles in cellular differentiation, embryogenesis, tissue maintenance and bone/calcium homeostasis, both vitamins have attracted considerable attention due to their association with-immunological traits. Nevertheless, our knowledge of their immunomodulatory potential during infection is restricted to single gene-centric studies, which do not reflect the complexity of immune processes. In the present study, we performed a comprehensive RNA-seq-based approach to define the whole immunomodulatory role of vitamins A and D during infection. Using human monocytes as host cells, we characterized the differential role of both vitamins upon infection with three different pathogens: Aspergillus fumigatus, Candida albicans and Escherichia coli. Both vitamins showed an unexpected ability to counteract the pathogen-induced transcriptional responses. Upon infection, we identified 346 and 176 immune-relevant genes that were regulated by atRA and vitD, respectively. This immunomodulatory activity was dependent on the inflammatory stimulus, allowing us to distinguish regulatory patterns which were specific for each stimulatory setting. Moreover, we explored possible direct and indirect mechanisms of vitamin-mediated regulation of the immune response. Our findings highlight the importance of vitamin-monitoring in critically ill patients. Moreover, our results underpin the potential of atRA and vitD as therapeutic options for anti-inflammatory treatment.
Assuntos
Regulação da Expressão Gênica/efeitos dos fármacos , Infecções/genética , Monócitos/efeitos dos fármacos , Monócitos/metabolismo , Transcrição Gênica , Vitamina A/farmacologia , Vitamina D/farmacologia , Biologia Computacional/métodos , Perfilação da Expressão Gênica , Humanos , Fatores Imunológicos , Imunomodulação/efeitos dos fármacos , Infecções/imunologia , Infecções/microbiologia , Monócitos/imunologia , TranscriptomaRESUMO
Mycoses induced by C.albicans or A.fumigatus can cause important host damage either by deficient or exaggerated immune response. Regulation of chemokine and cytokine signaling plays a crucial role for an adequate inflammation, which can be modulated by vitamins A and D. Non-coding RNAs (ncRNAs) as transcription factors or cis-acting antisense RNAs are known to be involved in gene regulation. However, the processes during fungal infections and treatment with vitamins in terms of therapeutic impact are unknown. We show that in monocytes both vitamins regulate ncRNAs involved in amino acid metabolism and immune system processes using comprehensive RNA-Seq analyses. Compared to protein-coding genes, fungi and bacteria induced an expression change in relatively few ncRNAs, but with massive fold changes of up to 4000. We defined the landscape of long-ncRNAs (lncRNAs) in response to pathogens and observed variation in the isoforms composition for several lncRNA following infection and vitamin treatment. Most of the involved antisense RNAs are regulated and positively correlated with their sense protein-coding genes. We investigated lncRNAs with stimulus specific immunomodulatory activity as potential marker genes: LINC00595, SBF2-AS1 (A.fumigatus) and RP11-588G21.2, RP11-394l13.1 (C.albicans) might be detectable in the early phase of infection and serve as therapeutic targets in the future.
Assuntos
Infecções Bacterianas/genética , Regulação da Expressão Gênica/efeitos dos fármacos , Monócitos/metabolismo , Micoses/genética , RNA Longo não Codificante/genética , Vitamina A/farmacologia , Vitamina D/farmacologia , Infecções Bacterianas/microbiologia , Humanos , Micoses/microbiologia , RNA Antissenso/genética , RNA Longo não Codificante/química , RNA Mensageiro/genética , RNA não Traduzido/genética , Vitamina A/metabolismo , Vitamina D/metabolismoRESUMO
Convex rear view mirrors increasingly replace planar mirrors in automobiles. While increasing the field of view, convex mirrors are also taken to increase distance estimates and thereby reduce safety margins. However, this study failed to replicate systematic distance estimation errors in a real world setting. Whereas distance estimates were accurate on average, convex mirrors lead to significantly more variance in distance and spacing estimations. A second experiment explored the effect of mirrors on time-to-contact estimations, which had not been previously researched. Potential effects of display size were separated from effects caused by distortion in convex mirrors. Time-to-contact estimations without a mirror were most accurate. However, not distortion, but visual angle seemed to cause estimation biases. Evaluating advantages and disadvantages of convex mirrors is far more complex than expected so far.