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1.
J Bacteriol ; 206(9): e0022724, 2024 Sep 19.
Artículo en Inglés | MEDLINE | ID: mdl-39171915

RESUMEN

As a biological byproduct from both humans and microbes, glycerol's contribution to microbial homeostasis in the oral cavity remains understudied. In this study, we examined glycerol metabolism by Streptococcus sanguinis, a commensal associated with oral health. Genetic mutants of glucose-PTS enzyme II (manL), glycerol metabolism (glp and dha pathways), and transcriptional regulators were characterized with regard to glycerol catabolism, growth, production of hydrogen peroxide (H2O2), transcription, and competition with Streptococcus mutans. Biochemical assays identified the glp pathway as a novel source for H2O2 production by S. sanguinis that is independent of pyruvate oxidase (SpxB). Genetic analysis indicated that the glp pathway requires glycerol and a transcriptional regulator, GlpR, for expression and is negatively regulated by PTS, but not the catabolite control protein, CcpA. Conversely, deletion of either manL or ccpA increased the expression of spxB and a second, H2O2-non-producing glycerol metabolic pathway (dha), indicative of a mode of regulation consistent with conventional carbon catabolite repression (CCR). In a plate-based antagonism assay and competition assays performed with planktonic and biofilm-grown cells, glycerol greatly benefited the competitive fitness of S. sanguinis against S. mutans. The glp pathway appears to be conserved in several commensal streptococci and actively expressed in caries-free plaque samples. Our study suggests that glycerol metabolism plays a more significant role in the ecology of the oral cavity than previously understood. Commensal streptococci, though not able to use glycerol as a sole carbohydrate source for growth, benefit from the catabolism of glycerol through production of both ATP and H2O2. IMPORTANCE: Glycerol is an abundant carbohydrate in the oral cavity. However, little is understood regarding the metabolism of glycerol by commensal streptococci, some of the most abundant oral bacteria. This was in part because most streptococci cannot grow on glycerol as the sole carbon source. In this study, we show that Streptococcus sanguinis, a commensal associated with dental health, can degrade glycerol for persistence and competition through two pathways, one of which generates hydrogen peroxide at levels capable of inhibiting Streptococcus mutans. Preliminary studies suggest that several additional commensal streptococci are also able to catabolize glycerol, and glycerol-related genes are actively expressed in human dental plaque samples. Our findings reveal the potential of glycerol to significantly impact microbial homeostasis, which warrants further exploration.


Asunto(s)
Proteínas Bacterianas , Regulación Bacteriana de la Expresión Génica , Glicerol , Peróxido de Hidrógeno , Boca , Streptococcus mutans , Glicerol/metabolismo , Peróxido de Hidrógeno/metabolismo , Proteínas Bacterianas/metabolismo , Proteínas Bacterianas/genética , Streptococcus mutans/genética , Streptococcus mutans/metabolismo , Streptococcus mutans/crecimiento & desarrollo , Boca/microbiología , Streptococcus sanguis/metabolismo , Streptococcus sanguis/genética , Humanos , Biopelículas/crecimiento & desarrollo
2.
Pediatr Blood Cancer ; 71(10): e31213, 2024 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-39039774

RESUMEN

High-dose methotrexate (HD-MTX) is used in the treatment of children with central nervous system (CNS) tumors; however, toxicity information is limited. We characterized toxicities following 102 administrations of HD-MTX (4.6-13.5 g/m2) infused over 4 or 24 h in 38 children with a CNS tumor before 6 years of age (2010-2020). Delayed clearance of methotrexate occurred following 24% of infusions. Common Terminology Criteria for Adverse Events v5 grade 2-3 mucositis was observed in 47% of individuals, Grade 4 neutropenia in 76%, and grade 3-4 thrombocytopenia in 58%. No neurotoxicity was observed. HD-MTX can be safely used with supportive care and monitoring.


Asunto(s)
Antimetabolitos Antineoplásicos , Neoplasias del Sistema Nervioso Central , Metotrexato , Humanos , Metotrexato/efectos adversos , Metotrexato/administración & dosificación , Femenino , Neoplasias del Sistema Nervioso Central/tratamiento farmacológico , Masculino , Preescolar , Antimetabolitos Antineoplásicos/efectos adversos , Antimetabolitos Antineoplásicos/administración & dosificación , Lactante , Niño , Estudios de Seguimiento , Estudios Retrospectivos , Pronóstico , Mucositis/inducido químicamente , Neutropenia/inducido químicamente
3.
AJR Am J Roentgenol ; 223(1): e2430931, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38691411

RESUMEN

BACKGROUND. Deep learning abdominal organ segmentation algorithms have shown excellent results in adults; validation in children is sparse. OBJECTIVE. The purpose of this article is to develop and validate deep learning models for liver, spleen, and pancreas segmentation on pediatric CT examinations. METHODS. This retrospective study developed and validated deep learning models for liver, spleen, and pancreas segmentation using 1731 CT examinations (1504 training, 221 testing), derived from three internal institutional pediatric (age ≤ 18 years) datasets (n = 483) and three public datasets comprising pediatric and adult examinations with various pathologies (n = 1248). Three deep learning model architectures (SegResNet, DynUNet, and SwinUNETR) from the Medical Open Network for Artificial Intelligence (MONAI) framework underwent training using native training (NT), relying solely on institutional datasets, and transfer learning (TL), incorporating pretraining on public datasets. For comparison, TotalSegmentator, a publicly available segmentation model, was applied to test data without further training. Segmentation performance was evaluated using mean Dice similarity coefficient (DSC), with manual segmentations as reference. RESULTS. For internal pediatric data, the DSC for TotalSegmentator, NT models, and TL models for normal liver was 0.953, 0.964-0.965, and 0.965-0.966, respectively; for normal spleen, 0.914, 0.942-0.945, and 0.937-0.945; for normal pancreas, 0.733, 0.774-0.785, and 0.775-0.786; and for pancreas with pancreatitis, 0.703, 0.590-0.640, and 0.667-0.711. For public pediatric data, the DSC for TotalSegmentator, NT models, and TL models for liver was 0.952, 0.871-0.908, and 0.941-0.946, respectively; for spleen, 0.905, 0.771-0.827, and 0.897-0.926; and for pancreas, 0.700, 0.577-0.648, and 0.693-0.736. For public primarily adult data, the DSC for TotalSegmentator, NT models, and TL models for liver was 0.991, 0.633-0.750, and 0.926-0.952, respectively; for spleen, 0.983, 0.569-0.604, and 0.923-0.947; and for pancreas, 0.909, 0.148-0.241, and 0.699-0.775. The DynUNet TL model was selected as the best-performing NT or TL model considering DSC values across organs and test datasets and was made available as an open-source MONAI bundle (https://github.com/cchmc-dll/pediatric_abdominal_segmentation_bundle.git). CONCLUSION. TL models trained on heterogeneous public datasets and fine-tuned using institutional pediatric data outperformed internal NT models and Total-Segmentator across internal and external pediatric test data. Segmentation performance was better in liver and spleen than in pancreas. CLINICAL IMPACT. The selected model may be used for various volumetry applications in pediatric imaging.


Asunto(s)
Aprendizaje Profundo , Hígado , Páncreas , Bazo , Tomografía Computarizada por Rayos X , Humanos , Niño , Adolescente , Estudios Retrospectivos , Páncreas/diagnóstico por imagen , Tomografía Computarizada por Rayos X/métodos , Bazo/diagnóstico por imagen , Masculino , Preescolar , Femenino , Lactante , Hígado/diagnóstico por imagen , Radiografía Abdominal/métodos , Conjuntos de Datos como Asunto , Recién Nacido
4.
Sens Actuators A Phys ; 3772024 Oct 16.
Artículo en Inglés | MEDLINE | ID: mdl-39129941

RESUMEN

Capacitors are essential components in modern electrical systems, functioning primarily to store electrical charges and regulate current flow. Capacitive sensors, developed in the 20th century, have become crucial in various applications, including touchscreens and smart devices, due to their ability to detect both metallic and non-metallic objects with high sensitivity and low energy consumption. The advancement of microelectromechanical systems (MEMS) and nanotechnology has significantly enhanced the capabilities of capacitive sensors, leading to unprecedented sensitivity, dynamic range, and cost-effectiveness. These sensors are integral to modern devices, enabling precise measurements of proximity, pressure, strain, and other parameters. This review provides a comprehensive overview of the development, fabrication, and integration of micro and nanostructured capacitive sensors. In terms of an electric field, the working and detection principles are discussed with analytical equations and our numerical results. The focus extends to novel fabrication methods using advanced materials to enhance sensitivities for various parameters, such as proximity, force, pressure, strain, temperature, humidity, and liquid sensing. Their applications are demonstrated in wearable devices, human-machine interfaces, biomedical sensing, health monitoring, robotics control, industrial monitoring, and molecular detection. By consolidating existing research, this review offers insights into the advancements and future directions of capacitive sensor technology.

5.
J Bacteriol ; 205(1): e0035222, 2023 01 26.
Artículo en Inglés | MEDLINE | ID: mdl-36468868

RESUMEN

Spontaneous mutants with defects in the primary glucose phosphotransferase permease (manLMNO) of Streptococcus sanguinis SK36 showed enhanced fitness at low pH. Transcriptomics and metabolomics with a manL deletion mutant (SK36/manL) revealed redirection of pyruvate to production of acetate and formate, rather than lactate. These observations were consistent with measurements of decreased lactic acid accumulation and increased excretion of acetate, formate, pyruvate, and H2O2. Genes showing increased expression in SK36/manL included those encoding carbohydrate transporters, extracellular glycosidases, intracellular polysaccharide metabolism, and arginine deiminase and pathways for metabolism of acetoin, ethanolamine, ascorbate, and formate, along with genes required for membrane biosynthesis and adhesion. Streptococcus mutans UA159 persisted much better in biofilm cocultures with SK36/manL than with SK36, an effect that was further enhanced by culturing the biofilms anaerobically but dampened by adding arginine to the medium. We posited that the enhanced persistence of S. mutans with SK36/manL was in part due to excess excretion of pyruvate by the latter, as addition of pyruvate to S. mutans-S. sanguinis cocultures increased the proportions of UA159 in the biofilms. Reducing the buffer capacity or increasing the concentration of glucose benefited UA159 when cocultured with SK36, but not with SK36/manL, likely due to the altered metabolism and enhanced acid tolerance of the mutant. When manL was deleted in S. mutans or Streptococcus gordonii, the mutants presented altered fitness characteristics. Our study demonstrated that phosphotransferase system (PTS)-dependent modulation of central metabolism can profoundly affect streptococcal fitness and metabolic interactions, revealing another dimension in commensal-pathogen relationships influencing dental caries development. IMPORTANCE Dental caries is underpinned by a dysbiotic microbiome and increased acid production. As beneficial bacteria that can antagonize oral pathobionts, oral streptococci such as S. sanguinis and S. gordonii can ferment many carbohydrates, despite their relative sensitivity to low pH. We characterized the molecular basis for why mutants of glucose transporter ManLMNO of S. sanguinis showed enhanced production of hydrogen peroxide and ammonia and improved persistence under acidic conditions. A metabolic shift involving more than 300 genes required for carbohydrate transport, energy production, and envelope biogenesis was observed. Significantly, manL mutants engineered in three different oral streptococci displayed altered capacities for acid production and interspecies antagonism, highlighting the potential for targeting the glucose-PTS to modulate the pathogenicity of oral biofilms.


Asunto(s)
Caries Dental , Peróxido de Hidrógeno , Humanos , Peróxido de Hidrógeno/metabolismo , Glucosa/metabolismo , Streptococcus mutans/genética , Ácido Láctico/metabolismo , Ácidos/metabolismo , Piruvatos/metabolismo , Biopelículas
6.
Plant Biotechnol J ; 21(6): 1206-1216, 2023 06.
Artículo en Inglés | MEDLINE | ID: mdl-36789455

RESUMEN

Sorghum is one of the most important crops providing food and feed in many of the world's harsher environments. Sorghum utilizes the C4 pathway of photosynthesis in which a biochemical carbon-concentrating mechanism results in high CO2 assimilation rates. Overexpressing the Rieske FeS subunit of the Cytochrome b6 f complex was previously shown to increase the rate of photosynthetic electron transport and stimulate CO2 assimilation in the model C4 plant Setaria viridis. To test whether productivity of C4 crops could be improved by Rieske overexpression, we created transgenic Sorghum bicolor Tx430 plants with increased Rieske content. The transgenic plants showed no marked changes in abundances of other photosynthetic proteins or chlorophyll content. The steady-state rates of electron transport and CO2 assimilation did not differ between the plants with increased Rieske abundance and control plants, suggesting that Cytochrome b6 f is not the only factor limiting electron transport in sorghum at high light and high CO2 . However, faster responses of non-photochemical quenching as well as an elevated quantum yield of Photosystem II and an increased CO2 assimilation rate were observed from the plants overexpressing Rieske during the photosynthetic induction, a process of activation of photosynthesis upon the dark-light transition. As a consequence, sorghum with increased Rieske content produced more biomass and grain when grown in glasshouse conditions. Our results indicate that increasing Rieske content has potential to boost productivity of sorghum and other C4 crops by improving the efficiency of light utilization and conversion to biomass through the faster induction of photosynthesis.


Asunto(s)
Sorghum , Sorghum/genética , Sorghum/metabolismo , Biomasa , Dióxido de Carbono/metabolismo , Hojas de la Planta/metabolismo , Fotosíntesis/genética , Grano Comestible/metabolismo , Plantas Modificadas Genéticamente/genética , Plantas Modificadas Genéticamente/metabolismo , Productos Agrícolas
7.
Opt Express ; 31(24): 40293-40307, 2023 Nov 20.
Artículo en Inglés | MEDLINE | ID: mdl-38041334

RESUMEN

Terahertz spectroscopy is a promising method to diagnose ocular diseases, where the cornea is typically imaged by Gaussian beams. However, the beam's mismatch with the cornea's spherical surface produces a 5-10 % error in analysis. We investigate cornea spectroscopy with wavefront-modified vector beams, reducing the original analysis error to less than 0.5 %. Vector beams are synthesized by our developed 3D Angular Spectrum Method expanded to vector spherical harmonic presentation, allowing wavefront modification and scattering analysis from 100-layer cornea models. We show that wavefront-modified spherical vector beams possess increased accuracy and non-sensitive focusing on cornea spectroscopy compared to the Gaussian beams. Additionally, we investigate wavefront-modified cylindrical vector beams, which show frequency-dependent scattering power arising from s- and p-polarizations. As a result, these beams are unsuitable for cornea spectroscopy, although they have potential for optical force applications. Wavefront-modified vector beams can be applied to spherical target spectroscopy and optical force applications, such as medicine, medical imaging, and optical tweezers.

8.
Opt Express ; 31(23): 38653-38665, 2023 Nov 06.
Artículo en Inglés | MEDLINE | ID: mdl-38017965

RESUMEN

Mie theory is a powerful method to model electromagnetic scattering from a multilayered sphere. Usually, the incident beam is expanded to its vector spherical harmonic representation defined by beam shape coefficients, and the multilayer sphere scattering is obtained by the T-matrix method. However, obtaining the beam shape coefficients for arbitrarily shaped incident beams has limitations on source locations and requires different methods when the incident beam is defined inside or outside the computational domain or at the scatterer surface. We propose a 3D angular spectrum method for defining beam shape coefficients from arbitrary source field distributions. This method enables the placement of the sources freely within the computational domain without singularities, allowing flexibility in beam design. We demonstrate incident field synthesis and spherical scattering by comparing morphology-dependent resonances to known values, achieving excellent matching and high accuracy. The proposed method has significant benefits for optical systems and inverse beam design. It allows for the analysis of electromagnetic forward/backward propagation between optical elements and spherical targets using a single method. It is also valuable for optical force beam design and analysis.

9.
Opt Express ; 31(26): 43583-43599, 2023 Dec 18.
Artículo en Inglés | MEDLINE | ID: mdl-38178451

RESUMEN

The angular spectrum method is a rigorous method to synthesize near and far-field electromagnetic beams from planar field distributions. However, this limitation of planar surfaces has restricted its applicability to beams with simple focal planes. We propose a curved boundary integral method (CBIM) to synthesize electromagnetic beams from arbitrary surfaces to address this limitation and expand the method's scope to synthesize beams from and between shaped objects. This study presents a detailed theoretical framework behind the CBIM and validates its effectiveness and accuracy with a comprehensive set of simulations. Additionally, we present mathematical proof to support our proposal. The proposed method satisfies Maxwell's equations and significantly benefits optical systems and inverse beam design. It allows for analyzing electromagnetic forward/backward propagation between optical elements using a single method. It is also valuable for optical force beam design and analysis.

10.
Br J Clin Pharmacol ; 89(2): 660-671, 2023 02.
Artículo en Inglés | MEDLINE | ID: mdl-35998099

RESUMEN

AIMS: High-dose methotrexate (HDMTX) is an essential part of the treatment of several adult and paediatric malignancies. Despite meticulous supportive care during HDMTX administration, severe toxicities, including acute kidney injury (AKI), may occur contributing to patient morbidity. Population pharmacokinetics provide a powerful tool to predict time to clear HDMTX and adjust subsequent doses. We sought to develop and validate pharmacokinetic models for HDMTX in adults with diverse malignancies and to relate systemic exposure with the occurrence of severe toxicity. METHODS: Anonymized, de-identified data were provided from 101 US oncology practices that participate in the Guardian Research Network, a non-profit clinical research consortium. Modelled variables included clinical, laboratory, demographic and pharmacological data. Population pharmacokinetic analysis was performed by means of nonlinear mixed effects modelling using MonolixSuite. RESULTS: A total of 693 HDMTX courses from 243 adults were analysed, of which 62 courses (8.8%) were associated with stage 2/3 acute kidney injury (43 stage 2, 19 stage 3). A three-compartment model adequately fitted the data. Time-dependent serum creatinine, baseline serum albumin and allometrically scaled bodyweight were clinically significant covariates related to methotrexate clearance. External evaluation confirmed a satisfactory predictive performance of the model in adults receiving HDMTX. Dose-normalized methotrexate concentration at 24 and 48 hours correlated with AKI incidence. CONCLUSION: We developed a population pharmacometric model that considers weight, albumin and time-dependent creatinine that can be used to guide supportive care in adult patients with delayed HDMTX elimination.


Asunto(s)
Lesión Renal Aguda , Neoplasias , Niño , Humanos , Adulto , Metotrexato , Antimetabolitos Antineoplásicos , Neoplasias/tratamiento farmacológico , Lesión Renal Aguda/inducido químicamente , Lesión Renal Aguda/epidemiología , Convulsiones/tratamiento farmacológico
11.
Pediatr Radiol ; 53(3): 378-386, 2023 03.
Artículo en Inglés | MEDLINE | ID: mdl-36471169

RESUMEN

BACKGROUND: Quantification of organ size has utility in clinical care and research for diagnostics, prognostics and surgical planning. Volumetry is regarded as the best measure of organ size and change in size over time. Scarce reference values exist for liver and spleen volumes in healthy children. OBJECTIVE: To report liver and spleen volumes for a sample of children defined by manual segmentation of contrast-enhanced CT images with the goal of defining normal values and thresholds that might indicate disease. MATERIALS AND METHODS: This retrospective study included clinically acquired contrast-enhanced CTs of the abdomen/pelvis for children and adolescents imaged between January 2018 and July 2021. Liver and spleen volumes were derived through manual segmentation of CTs reconstructed at 2.5-, 3- or 5-mm slice thickness. A subset of images (5%, n=16) was also segmented using 0.5-mm slice thickness reconstructions to define agreement based on image slice thickness. We used Pearson correlation and multivariable regression to assess associations between organ volumes and patient characteristics. We generated reference intervals for the 5th, 25th, 50th (median), 75th and 95th percentiles for organ volumes as a function of age and weight using quantile regression models. Finally, we calculated Bland-Altman plots and intraclass correlation coefficients (ICC) to quantify agreement. RESULTS: We included a total of 320 children (mean age ± standard deviation [SD] = 9±4.6 years; mean weight 38.1±18.8 kg; 160 female). Liver volume ranged from 340-2,002 mL, and spleen volume ranged from 28-480 mL. Patient weight (kg) (ß=12.5), age (months) (ß=1.7) and sex (female) (ß = -35.3) were independent predictors of liver volume, whereas patient weight (kg) (ß=2.4) and age (months) (ß=0.3) were independent predictors of spleen volume. There was excellent absolute agreement (ICC=0.99) and minimal absolute difference (4 mL) in organ volumes based on reconstructed slice thickness. CONCLUSION: We report reference liver and spleen volumes for children without liver or spleen disease. These results provide reference ranges and potential thresholds to identify liver and spleen size abnormalities that might reflect disease in children.


Asunto(s)
Hígado , Enfermedades del Bazo , Humanos , Femenino , Niño , Adolescente , Estudios Retrospectivos , Tomografía Computarizada por Rayos X/métodos , Abdomen , Tamaño de los Órganos
12.
J Pediatr Orthop ; 43(3): 181-186, 2023 03 01.
Artículo en Inglés | MEDLINE | ID: mdl-36649473

RESUMEN

ABSTRACT: The authors describe their 11-year experience with 1 model for providing short-term (about 1 wk/y in country) pediatric orthopaedic surgical care in a limited resource environment. This paper provides a detailed narrative of 1 team's pediatric orthopaedic work at the Moore Pediatric Surgery Center in Guatemala City, how it has evolved over these 11 years, financial aspects of the model, and examines patient follow-up data for a consecutive 8-year period. The authors have reviewed financial records, case lists, patient charts from 2014 to 2022, and patient photographic records from The Moore Center and as provided via internet by a local contracted Guatemalan pediatric orthopaedic fellowship-trained surgeon to present a complete picture of how the service functions. Specific follow-up data included: last follow-up date, date discharged from follow-up, and major complications including infection, surgical wound dehiscence, return for unplanned surgery, major nerve injury, and recurrent hip dislocation for cases of closed or open reduction of developmental hip dislocation. A total of 297 consecutive pediatric orthopaedic surgical patients were identified from 2014 to 2022. Of these, charts were found for 235 patients (135 female, 110 male), of which 43% were from the urban Guatemala City region. Two hundred sixteen (72%) had at least 1 follow-up clinic visit, and 87 (37%) had at least 1-year follow-up or were discharged. All complications identified by this retrospective chart review included 4 recurrent hip dislocations (3 after closed reduction), 1 femur fracture after implant removal, 1 superficial infection requiring antibiotics, 1 partial dehiscence treated only with dressings, 1 thumb subluxation, and 1 failed graft with internal fixation for congenital pseudoarthrosis of tibia. CONCLUSIONS: The Moore Pediatric Surgery Center is a financially viable, sustainable, safe, and effective model for delivering short-term surgical care for many pediatric orthopaedic conditions in a limited resource environment. LEVEL OF EVIDENCE: None (descriptive).


Asunto(s)
Luxaciones Articulares , Ortopedia , Procedimientos de Cirugía Plástica , Humanos , Masculino , Niño , Femenino , Estudios Retrospectivos , Fijación Interna de Fracturas , Reducción Abierta
13.
J Community Health Nurs ; 40(2): 119-132, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-36920113

RESUMEN

PURPOSE: To build trust and explore community perception on stroke disparities as well as barriers and strengths to stroke prevention. DESIGN: Mixed methods study. METHODS: A convenience sample (n = 54) of African Americans responded to questionnaires and participated in focus groups. FINDINGS: Although a majority of participants had some knowledge of stroke warning signs and risk factors, there were misconceptions identified through the Community Listening Circles (CLCs). Misconceptions about stroke were identified. Six key themes emerged. CONCLUSIONS: Focus groups provided a better understanding of stroke perception. CLINICAL EVIDENCE: Community health nurses may be able to use this information to provide care appropriately.


Asunto(s)
Negro o Afroamericano , Accidente Cerebrovascular , Humanos , Grupos Focales , Accidente Cerebrovascular/prevención & control , Factores de Riesgo
14.
Angew Chem Int Ed Engl ; 62(2): e202213563, 2023 01 09.
Artículo en Inglés | MEDLINE | ID: mdl-36346622

RESUMEN

Increasing the speed, specificity, sensitivity, and accessibility of mycobacteria detection tools are important challenges for tuberculosis (TB) research and diagnosis. In this regard, previously reported fluorogenic trehalose analogues have shown potential, but their green-emitting dyes may limit sensitivity and applications in complex settings. Here, we describe a trehalose-based fluorogenic probe featuring a molecular rotor turn-on fluorophore with bright far-red emission (RMR-Tre). RMR-Tre, which exploits the unique biosynthetic enzymes and environment of the mycobacterial outer membrane to achieve fluorescence activation, enables fast, no-wash, low-background fluorescence detection of live mycobacteria. Aided by the red-shifted molecular rotor fluorophore, RMR-Tre exhibited up to a 100-fold enhancement in M. tuberculosis labeling compared to existing fluorogenic trehalose probes. We show that RMR-Tre reports on M. tuberculosis drug resistance in a facile assay, demonstrating its potential as a TB diagnostic tool.


Asunto(s)
Mycobacterium tuberculosis , Tuberculosis , Humanos , Sondas Moleculares , Trehalosa , Colorantes Fluorescentes
15.
Br J Clin Pharmacol ; 88(4): 1418-1426, 2022 02.
Artículo en Inglés | MEDLINE | ID: mdl-32529759

RESUMEN

Providing maximal therapeutic efficacy without toxicity is a universal goal of rational drug therapy. However, substantial between-patient variability in drug response often impedes such successful treatments and brings the necessity of tailoring drug dose to individual needs for more precise therapy. In many cases plenty of patient characteristics, such as body size, genetic makeup and environmental factors, need to be taken into consideration to find the optimal dose in clinical practice. A pharmacokinetics and pharmacodynamics (PK/PD) model-informed approach offers integration of various patient information to provide an expectation of drug response and derive practical dose estimates to support clinicians' dosing decisions. Such an approach was pioneered in the late 1970s, but its broad clinical acceptance and implementation have been hampered by the lack of widespread computer technology, including user-friendly software tools. This has significantly changed in recent years. With the advent of electronic health records (EHRs) and the ubiquity of user-friendly software tools, we now experience a convergence of clinical information, pharmacogenetics, systems pharmacology and pharmacometrics, and technology. Advanced pharmacometrics research is now more appliable and implementable to improve health care. This article presents examples of successful development and implementation of pharmacogenetics-guided and PK/PD model-informed decision support to facilitate precision dosing, including the development of an EHR-embedded decision support tool. Through the integration of clinical decision support tools in EHRs, clinical pharmacometrics support can be brought directly to the clinical team and the bedside.


Asunto(s)
Registros Electrónicos de Salud , Farmacogenética , Atención a la Salud , Humanos , Atención al Paciente , Programas Informáticos
16.
Sensors (Basel) ; 22(9)2022 Apr 22.
Artículo en Inglés | MEDLINE | ID: mdl-35590925

RESUMEN

Improving the longitudinal modes coupling in layered spherical structure contributes significantly to corneal terahertz sensing, which plays a crucial role in the early diagnosis of cornea dystrophies. Using a steel sphere to calibrate reflection from the cornea sample assists in enhancing the resolution of longitudinal modes. The requirement and challenges toward applying the calibration sphere are introduced and addressed. Six corneas with different properties are spotted to study the effect of perturbations in the calibration sphere in a frequency range from 100 GHz to 600 GHz. A particle-swarm optimization algorithm is employed to quantify corneal characteristics considering cases of accurately calibrated and perturbed calibrated scenarios. For the first case, the study is carried out with signal-to-noise values of 40 dB, 50 dB and 60 dB at waveguide bands WR-5.1, WR-3.4, and WR-2.2. As expected, better estimation is achieved in high-SNR cases. Furthermore, the lower waveguide band is revealed as the most proper band for the assessment of corneal features. For perturbed cases, the analysis is continued for the noise level of 60 dB in the three waveguide bands. Consequently, the error in the estimation of corneal properties rises significantly (around 30%).


Asunto(s)
Imágen por Terahertz , Algoritmos , Calibración , Córnea/diagnóstico por imagen , Refracción Ocular
17.
J Bacteriol ; 203(22): e0037521, 2021 10 25.
Artículo en Inglés | MEDLINE | ID: mdl-34460310

RESUMEN

Genetic truncations in a gene encoding a putative glucose-phosphotransferase system (PTS) protein (manL, EIIABMan) were identified in subpopulations of two separate laboratory stocks of Streptococcus sanguinis SK36; the mutants had reduced PTS activities on glucose and other monosaccharides. To understand the emergence of these mutants, we engineered deletion mutants of manL and showed that the ManL-deficient strain had improved bacterial viability in the stationary phase and was better able to inhibit the growth of the dental caries pathogen Streptococcus mutans. Transcriptional analysis and biochemical assays suggested that the manL mutant underwent reprograming of central carbon metabolism that directed pyruvate away from production of lactate, increasing production of hydrogen peroxide (H2O2) and excretion of pyruvate. Addition of pyruvate to the medium enhanced the survival of SK36 in overnight cultures. Meanwhile, elevated pyruvate levels were detected in the cultures of a small but significant percentage (∼10%) of clinical isolates of oral commensal bacteria. Furthermore, the manL mutant showed higher expression of the arginine deiminase system than the wild type, which enhanced the ability of the mutant to raise environmental pH when arginine was present. To our surprise, significant discrepancies in genome sequence were identified between strain SK36 obtained from ATCC and the sequence deposited in GenBank. As the conditions that are likely associated with the emergence of spontaneous manL mutations, i.e., excess carbohydrates and low pH, are those associated with caries development, we propose that glucose-PTS strongly influences commensal-pathogen interactions by altering the production of ammonia, pyruvate, and H2O2. IMPORTANCE A health-associated dental microbiome provides a potent defense against pathogens and diseases. Streptococcus sanguinis is an abundant member of a health-associated oral flora that antagonizes pathogens by producing hydrogen peroxide. There is a need for a better understanding of the mechanisms that allow bacteria to survive carbohydrate-rich and acidic environments associated with the development of dental caries. We report the isolation and characterization of spontaneous mutants of S. sanguinis with impairment in glucose transport. The resultant reprograming of the central metabolism in these mutants reduced the production of lactic acid and increased pyruvate accumulation; the latter enables these bacteria to better cope with hydrogen peroxide and low pH. The implications of these discoveries in the development of dental caries are discussed.


Asunto(s)
Glucosa/metabolismo , Fosfotransferasas/metabolismo , Streptococcus sanguis/genética , Streptococcus sanguis/metabolismo , Proteínas Bacterianas/metabolismo , ADN Bacteriano , Eliminación de Gen , Regulación Bacteriana de la Expresión Génica , Peróxido de Hidrógeno/metabolismo , Ácido Láctico/metabolismo , Fosfotransferasas/genética , Ácido Pirúvico
18.
Transgenic Res ; 30(2): 185-200, 2021 04.
Artículo en Inglés | MEDLINE | ID: mdl-33792795

RESUMEN

Channel catfish (Ictalurus punctatus) is the primary culture species in the US along with its hybrid made with male blue catfish, I. furcatus. In an effort to improve the nutritional value of channel catfish, the masou salmon Δ5-desaturase like gene (D5D) driven by the common carp beta-actin promoter (ßactin) was inserted into channel catfish. The objectives of this study were to determine the effectiveness of ßactin-D5D for improving n-3 fatty acid production in F1 transgenic channel catfish, as well as examine pleiotropic effects on growth, proximate analysis, disease resistance, and other performance traits. Transgenic F1 channel catfish showed a 33% increase in the relative proportion of n-3 fatty acids coupled with a 15% decrease in n-6 fatty acids and a 17% decrease in n-9 fatty acids when compared to non-transgenic full-siblings (P < 0.01, P < 0.01, P < 0.01). However, while the relative proportion of n-3 fatty acids was achieved, the total amount of fatty acids in the transgenic fish decreased resulting in a reduction of all fatty acids. Insertion of the ßactin-D5D transgene into channel catfish also had large effects on the body composition, and growth of channel catfish. Transgenic channel catfish grew faster, were more disease resistant, had higher protein and moisture percentage, but lower fat percentage than full-sib controls. There were sex effects as performance changes were more dramatic and significant in males. The ßactin-D5D transgenic channel catfish were also more uniform in their fatty acid composition, growth and other traits.


Asunto(s)
Animales Modificados Genéticamente/crecimiento & desarrollo , delta-5 Desaturasa de Ácido Graso/metabolismo , Ácidos Grasos/metabolismo , Proteínas de Peces/metabolismo , Flavobacterium/fisiología , Ictaluridae/crecimiento & desarrollo , Transgenes , Animales , Animales Modificados Genéticamente/inmunología , Animales Modificados Genéticamente/metabolismo , Animales Modificados Genéticamente/microbiología , delta-5 Desaturasa de Ácido Graso/genética , Proteínas de Peces/genética , Ictaluridae/inmunología , Ictaluridae/metabolismo , Ictaluridae/microbiología
19.
Addict Biol ; 26(6): e13071, 2021 11.
Artículo en Inglés | MEDLINE | ID: mdl-34164896

RESUMEN

Our lab and others have shown that chronic alcohol use leads to gene and miRNA expression changes across the mesocorticolimbic (MCL) system. Circular RNAs (circRNAs) are noncoding RNAs that form closed-loop structures and are reported to alter gene expression through miRNA sequestration, thus providing a potentially novel neurobiological mechanism for the development of alcohol dependence (AD). Genome-wide expression of circRNA was assessed in the nucleus accumbens (NAc) from 32 AD-matched cases/controls. Significant circRNAs (unadj. p ≤ 0.05) were identified via regression and clustered in circRNA networks via weighted gene co-expression network analysis (WGCNA). CircRNA interactions with previously generated mRNA and miRNA were detected via correlation and bioinformatic analyses. Significant circRNAs (N = 542) clustered in nine significant AD modules (FWER p ≤ 0.05), within which we identified 137 circRNA hubs. We detected 23 significant circRNA-miRNA-mRNA interactions (FDR ≤ 0.10). Among these, circRNA-406742 and miR-1200 significantly interact with the highest number of mRNA, including genes associated with neuronal functioning and alcohol addiction (HRAS, PRKCB, HOMER1, and PCLO). Finally, we integrate genotypic information that revealed 96 significant circRNA expression quantitative trait loci (eQTLs) (unadj. p ≤ 0.002) that showed significant enrichment within recent alcohol use disorder (AUD) and smoking genome-wide association study (GWAS). To our knowledge, this is the first study to examine the role of circRNA in the neuropathology of AD. We show that circRNAs impact mRNA expression by interacting with miRNA in the NAc of AD subjects. More importantly, we provide indirect evidence for the clinical importance of circRNA in the development of AUD by detecting a significant enrichment of our circRNA eQTLs among GWAS of substance abuse.


Asunto(s)
Alcoholismo/genética , MicroARNs/biosíntesis , Núcleo Accumbens/patología , ARN Circular/genética , Perfilación de la Expresión Génica , Redes Reguladoras de Genes/genética , Estudio de Asociación del Genoma Completo , Humanos , Fumar/patología
20.
Proc Natl Acad Sci U S A ; 114(14): E2862-E2871, 2017 04 04.
Artículo en Inglés | MEDLINE | ID: mdl-28330995

RESUMEN

The neonatal crystallizable fragment receptor (FcRn) is responsible for maintaining the long half-life and high levels of the two most abundant circulating proteins, albumin and IgG. In the latter case, the protective mechanism derives from FcRn binding to IgG in the weakly acidic environment contained within endosomes of hematopoietic and parenchymal cells, whereupon IgG is diverted from degradation in lysosomes and is recycled. The cellular location and mechanism by which FcRn protects albumin are partially understood. Here we demonstrate that mice with global or liver-specific FcRn deletion exhibit hypoalbuminemia, albumin loss into the bile, and increased albumin levels in the hepatocyte. In vitro models with polarized cells illustrate that FcRn mediates basal recycling and bidirectional transcytosis of albumin and uniquely determines the physiologic release of newly synthesized albumin into the basal milieu. These properties allow hepatic FcRn to mediate albumin delivery and maintenance in the circulation, but they also enhance sensitivity to the albumin-bound hepatotoxin, acetaminophen (APAP). As such, global or liver-specific deletion of FcRn results in resistance to APAP-induced liver injury through increased albumin loss into the bile and increased intracellular albumin scavenging of reactive oxygen species. Further, protection from injury is achieved by pharmacologic blockade of FcRn-albumin interactions with monoclonal antibodies or peptide mimetics, which cause hypoalbuminemia, biliary loss of albumin, and increased intracellular accumulation of albumin in the hepatocyte. Together, these studies demonstrate that the main function of hepatic FcRn is to direct albumin into the circulation, thereby also increasing hepatocyte sensitivity to toxicity.


Asunto(s)
Albúminas/metabolismo , Enfermedad Hepática Inducida por Sustancias y Drogas/genética , Antígenos de Histocompatibilidad Clase I/metabolismo , Receptores Fc/metabolismo , Acetaminofén/efectos adversos , Acetaminofén/metabolismo , Animales , Bilis/metabolismo , Enfermedad Hepática Inducida por Sustancias y Drogas/etiología , Enfermedad Hepática Inducida por Sustancias y Drogas/metabolismo , Perros , Femenino , Hepatocitos/metabolismo , Antígenos de Histocompatibilidad Clase I/genética , Homeostasis , Células de Riñón Canino Madin Darby , Masculino , Ratones Endogámicos BALB C , Ratones Endogámicos C57BL , Ratones Mutantes , Receptores Fc/genética , Albúmina Sérica Humana/genética , Albúmina Sérica Humana/metabolismo , Transcitosis/genética
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