140 results on '"Green BR"'
Search Results
2. Insertion site preference of Mu, Tn5, and Tn7 transposons
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Green Brian, Bouchier Christiane, Fairhead Cécile, Craig Nancy L, and Cormack Brendan P
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Tn7 ,Mu ,Tn5 ,Mutagenesis ,Insertion site ,DNA transposon ,Mobile element ,Genetics ,QH426-470 - Abstract
Abstract Background Transposons, segments of DNA that can mobilize to other locations in a genome, are often used for insertion mutagenesis or to generate priming sites for sequencing of large DNA molecules. For both of these uses, a transposon with minimal insertion bias is desired to allow complete coverage with minimal oversampling. Findings Three transposons, Mu, Tn5, and Tn7, were used to generate insertions in the same set of fosmids containing Candida glabrata genomic DNA. Tn7 demonstrates markedly less insertion bias than either Mu or Tn5, with both Mu and Tn5 biased toward sequences containing guanosine (G) and cytidine (C). This preference of Mu and Tn5 yields less uniform spacing of insertions than for Tn7, in the adenosine (A) and thymidine (T) rich genome of C. glabrata (39% GC). Conclusions In light of its more uniform distribution of insertions, Tn7 should be considered for applications in which insertion bias is deleterious.
- Published
- 2012
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3. The streptococcal collagen-like protein-1 (Scl1) is a significant determinant for biofilm formation by group a Streptococcus
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Oliver-Kozup Heaven A, Elliott Meenal, Bachert Beth A, Martin Karen H, Reid Sean D, Schwegler-Berry Diane E, Green Brett J, and Lukomski Slawomir
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Microbiology ,QR1-502 - Abstract
Abstract Background Group A Streptococcus (GAS) is a human-specific pathogen responsible for a number of diseases characterized by a wide range of clinical manifestations. During host colonization GAS-cell aggregates or microcolonies are observed in tissues. GAS biofilm, which is an in vitro equivalent of tissue microcolony, has only recently been studied and little is known about the specific surface determinants that aid biofilm formation. In this study, we demonstrate that surface-associated streptococcal collagen-like protein-1 (Scl1) plays an important role in GAS biofilm formation. Results Biofilm formation by M1-, M3-, M28-, and M41-type GAS strains, representing an intraspecies breadth, were analyzed spectrophotometrically following crystal violet staining, and characterized using confocal and field emission scanning electron microscopy. The M41-type strain formed the most robust biofilm under static conditions, followed by M28- and M1-type strains, while the M3-type strains analyzed here did not form biofilm under the same experimental conditions. Differences in architecture and cell-surface morphology were observed in biofilms formed by the M1- and M41-wild-type strains, accompanied by varying amounts of deposited extracellular matrix and differences in cell-to-cell junctions within each biofilm. Importantly, all Scl1-negative mutants examined showed significantly decreased ability to form biofilm in vitro. Furthermore, the Scl1 protein expressed on the surface of a heterologous host, Lactococcus lactis, was sufficient to induce biofilm formation by this organism. Conclusions Overall, this work (i) identifies variations in biofilm formation capacity among pathogenically different GAS strains, (ii) identifies GAS surface properties that may aid in biofilm stability and, (iii) establishes that the Scl1 surface protein is an important determinant of GAS biofilm, which is sufficient to enable biofilm formation in the heterologous host Lactococcus. In summary, the GAS surface adhesin Scl1 may have an important role in biofilm-associated pathogenicity.
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- 2011
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4. Diversification of a Chimaeric Algal Group, the Chlorarachniophytes: Phylogeny of Nuclear and Nucleomorph Small-Subunit rRNA Genes.
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Ishida, K, Green, BR, and Cavalier-Smith, T
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- 1999
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5. Large-scale releases and establishment of wMel Wolbachia in Aedes aegypti mosquitoes throughout the Cities of Bello, Medellín and Itagüí, Colombia.
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Velez ID, Uribe A, Barajas J, Uribe S, Ángel S, Suaza-Vasco JD, Mejia Torres MC, Arbeláez MP, Santacruz-Sanmartin E, Duque L, Martínez L, Posada T, Patiño AC, Gonzalez SM, Velez AL, Ramírez J, Salazar M, Gómez S, Osorio JE, Iturbe-Ormaetxe I, Dong Y, Muzzi FC, Rances E, Johnson PH, Smithyman R, Col B, Green BR, Frossard T, Brown-Kenyon J, Joubert DA, Grisales N, Ritchie SA, Denton JA, Gilles JRL, Anders KL, Kutcher SC, Ryan PA, and O'Neill SL
- Subjects
- Animals, Humans, Cities, Colombia, Environment, Mosquito Vectors, Aedes, Wolbachia
- Abstract
Background: The wMel strain of Wolbachia has been successfully introduced into Aedes aegypti mosquitoes and has been shown to reduce the transmission of dengue and other Aedes-borne viruses. Here we report the entomological results from phased, large-scale releases of Wolbachia infected Ae. aegypti mosquitoes throughout three contiguous cities located in the Aburrá Valley, Colombia., Methodology/principal Findings: Local wMel Wolbachia-infected Ae. aegypti mosquitoes were generated and then released in an initial release pilot area in 2015-2016, which resulted in the establishment of Wolbachia in the local mosquito populations. Subsequent large-scale releases, mainly involving vehicle-based releases of adult mosquitoes along publicly accessible roads and streets, were undertaken across 29 comunas throughout Bello, Medellín and Itagüí Colombia between 2017-2022. In 9 comunas these were supplemented by egg releases that were undertaken by staff or community members. By the most recent monitoring, Wolbachia was found to be stable and established at consistent levels in local mosquito populations (>60% prevalence) in the majority (67%) of areas., Conclusion: These results, from the largest contiguous releases of wMel Wolbachia mosquitoes to date, highlight the operational feasibility of implementing the method in large urban settings. Based on results from previous studies, we expect that Wolbachia establishment will be sustained long term. Ongoing monitoring will confirm Wolbachia persistence in local mosquito populations and track its establishment in the remaining areas., Competing Interests: The authors have declared that no competing interests exist., (Copyright: © 2023 Velez et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
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- 2023
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6. Molecular dissection of the soluble photosynthetic antenna from the cryptophyte alga Hemiselmis andersenii.
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Rathbone HW, Laos AJ, Michie KA, Iranmanesh H, Biazik J, Goodchild SC, Thordarson P, Green BR, and Curmi PMG
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- Phycobiliproteins chemistry, Phycobiliproteins metabolism, Chlorophyll, Cryptophyta, Photosynthesis
- Abstract
Cryptophyte algae have a unique phycobiliprotein light-harvesting antenna that fills a spectral gap in chlorophyll absorption from photosystems. However, it is unclear how the antenna transfers energy efficiently to these photosystems. We show that the cryptophyte Hemiselmis andersenii expresses an energetically complex antenna comprising three distinct spectrotypes of phycobiliprotein, each composed of two αβ protomers but with different quaternary structures arising from a diverse α subunit family. We report crystal structures of the major phycobiliprotein from each spectrotype. Two-thirds of the antenna consists of open quaternary form phycobiliproteins acting as primary photon acceptors. These are supplemented by a newly discovered open-braced form (~15%), where an insertion in the α subunit produces ~10 nm absorbance red-shift. The final components (~15%) are closed forms with a long wavelength spectral feature due to substitution of a single chromophore. This chromophore is present on only one β subunit where asymmetry is dictated by the corresponding α subunit. This chromophore creates spectral overlap with chlorophyll, thus bridging the energetic gap between the phycobiliprotein antenna and the photosystems. We propose that the macromolecular organization of the cryptophyte antenna consists of bulk open and open-braced forms that transfer excitations to photosystems via this bridging closed form phycobiliprotein., (© 2023. The Author(s).)
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- 2023
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7. Identification of sodium channel toxins from marine cone snails of the subgenera Textilia and Afonsoconus.
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McMahon KL, O'Brien H, Schroeder CI, Deuis JR, Venkatachalam D, Huang D, Green BR, Bandyopadhyay PK, Li Q, Yandell M, Safavi-Hemami H, Olivera BM, Vetter I, and Robinson SD
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- Humans, Animals, Membrane Proteins, Sodium Channels genetics, Conus Snail, Conotoxins pharmacology, Toxins, Biological
- Abstract
Voltage-gated sodium (Na
V ) channels are transmembrane proteins that play a critical role in electrical signaling in the nervous system and other excitable tissues. µ-Conotoxins are peptide toxins from the venoms of marine cone snails (genus Conus) that block NaV channels with nanomolar potency. Most species of the subgenera Textilia and Afonsoconus are difficult to acquire; therefore, their venoms have yet to be comprehensively interrogated for µ-conotoxins. The goal of this study was to find new µ-conotoxins from species of the subgenera Textilia and Afonsoconus and investigate their selectivity at human NaV channels. Using RNA-seq of the venom gland of Conus (Textilia) bullatus, we identified 12 µ-conotoxin (or µ-conotoxin-like) sequences. Based on these sequences we designed primers which we used to identify additional µ-conotoxin sequences from DNA extracted from historical specimens of species from Textilia and Afonsoconus. We synthesized six of these µ-conotoxins and tested their activity on human NaV 1.1-NaV 1.8. Five of the six synthetic peptides were potent blockers of human NaV channels. Of these, two peptides (BuIIIB and BuIIIE) were potent blockers of hNaV 1.3. Three of the peptides (BuIIIB, BuIIIE and AdIIIA) had submicromolar activity at hNaV 1.7. This study serves as an example of the identification of new peptide toxins from historical DNA and provides new insights into structure-activity relationships of µ-conotoxins with activity at hNaV 1.3 and hNaV 1.7., (© 2023. The Author(s).)- Published
- 2023
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8. Molecular structures reveal the origin of spectral variation in cryptophyte light harvesting antenna proteins.
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Michie KA, Harrop SJ, Rathbone HW, Wilk KE, Teng CY, Hoef-Emden K, Hiller RG, Green BR, and Curmi PMG
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- Molecular Structure, Chlorophyll A metabolism, Models, Molecular, Amino Acid Sequence, Cryptophyta metabolism
- Abstract
In addition to their membrane-bound chlorophyll a/c light-harvesting antenna, the cryptophyte algae have evolved a unique phycobiliprotein antenna system located in the thylakoid lumen. The basic unit of this antenna consists of two copies of an αβ protomer where the α and β subunits scaffold different combinations of a limited number of linear tetrapyrrole chromophores. While the β subunit is highly conserved, encoded by a single plastid gene, the nuclear-encoded α subunits have evolved diversified multigene families. It is still unclear how this sequence diversity results in the spectral diversity of the mature proteins. By careful examination of three newly determined crystal structures in comparison with three previously obtained, we show how the α subunit amino acid sequences control chromophore conformations and hence spectral properties even when the chromophores are identical. Previously we have shown that α subunits control the quaternary structure of the mature αβ.αβ complex (either open or closed), however, each species appeared to only harbor a single quaternary form. Here we show that species of the Hemiselmis genus contain expressed α subunit genes that encode both distinct quaternary structures. Finally, we have discovered a common single-copy gene (expressed into protein) consisting of tandem copies of a small α subunit that could potentially scaffold pairs of light harvesting units. Together, our results show how the diversity of the multigene α subunit family produces a range of mature cryptophyte antenna proteins with differing spectral properties, and the potential for minor forms that could contribute to acclimation to varying light regimes., (© 2023 The Authors. Protein Science published by Wiley Periodicals LLC on behalf of The Protein Society.)
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- 2023
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9. High Seroprevalence of SARS-CoV-2 in White-Tailed Deer (Odocoileus virginianus) at One of Three Captive Cervid Facilities in Texas.
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Roundy CM, Nunez CM, Thomas LF, Auckland LD, Tang W, Richison JJ 3rd, Green BR, Hilton CD, Cherry MJ, Pauvolid-Corrêa A, Hamer GL, Cook WE, and Hamer SA
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- Animals, COVID-19 Vaccines, Cross-Sectional Studies, Humans, SARS-CoV-2, Seroepidemiologic Studies, Texas epidemiology, COVID-19 epidemiology, COVID-19 veterinary, Deer
- Abstract
Free-ranging white-tailed deer (Odocoileus virginianus) across the United States are increasingly recognized for infection and transmission of SARS-CoV-2. Through a cross-sectional study of 80 deer at three captive cervid facilities in central and southern Texas, we provide evidence of 34 of 36 (94.4%) white-tailed deer at a single captive cervid facility seropositive for SARS-CoV-2 by neutralization assay (PRNT
90 ), with endpoint titers as high as 1,280. In contrast, all tested white-tailed deer and axis deer ( Axis axis ) at two other captive cervid facilities were seronegative, and SARS-CoV-2 RNA was not detected in respiratory swabs from deer at any of the three facilities. These data support transmission among captive deer that cannot be explained by human contact for each infected animal, as only a subset of the seropositive does had direct human contact. The facility seroprevalence was more than double of that reported from wild deer, suggesting that the confined environment may facilitate transmission. Further exploration of captive cervids and other managed animals for their role in the epizootiology of SARS-CoV-2 is critical for understanding impacts on animal health and the potential for spillback transmission to humans or other animal taxa. IMPORTANCE As SARS-CoV-2 vaccine coverage of the human population increases and variants of concern continue to emerge, identification of the epidemiologic importance of animal virus reservoirs is critical. We found that nearly all (94.4%) of the captive white-tailed deer at a cervid facility in central Texas had neutralizing antibodies for SARS-CoV-2. This seroprevalence is over double than that which has been reported from free-ranging deer from other regions of the United States. Horizontal transmission among deer may be facilitated in confinement. Tracking new infections among wild and confined deer is critical for understanding the importance of animal reservoirs for both veterinary and human health.- Published
- 2022
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10. Aedes aegypti abundance and insecticide resistance profiles in the Applying Wolbachia to Eliminate Dengue trial.
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Tantowijoyo W, Tanamas SK, Nurhayati I, Setyawan S, Budiwati N, Fitriana I, Ernesia I, Wardana DS, Supriyati E, Arguni E, Meitika Y, Prabowo E, Andari B, Green BR, Hodgson L, Rancès E, Ryan PA, O'Neill SL, Anders KL, Ansari MR, Indriani C, Ahmad RA, Utarini A, and Simmons CP
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- Animals, Insecticide Resistance, Mosquito Vectors, Aedes, Dengue epidemiology, Dengue prevention & control, Dengue Virus, Wolbachia
- Abstract
The Applying Wolbachia to Eliminate Dengue (AWED) trial was a parallel cluster randomised trial that demonstrated Wolbachia (wMel) introgression into Ae. aegypti populations reduced dengue incidence. In this predefined substudy, we compared between treatment arms, the relative abundance of Ae. aegypti and Ae. albopictus before, during and after wMel-introgression. Between March 2015 and March 2020, 60,084 BG trap collections yielded 478,254 Ae. aegypti and 17,623 Ae. albopictus. Between treatment arms there was no measurable difference in Ae. aegypti relative abundance before or after wMel-deployments, with a count ratio of 0.96 (95% CI 0.76, 1.21) and 1.00 (95% CI 0.85, 1.17) respectively. More Ae. aegypti were caught per trap per week in the wMel-intervention arm compared to the control arm during wMel deployments (count ratio 1.23 (95% CI 1.03, 1.46)). Between treatment arms there was no measurable difference in the Ae. albopictus population size before, during or after wMel-deployment (overall count ratio 1.10 (95% CI 0.89, 1.35)). We also compared insecticide resistance phenotypes of Ae. aegypti in the first and second years after wMel-deployments. Ae. aegypti field populations from wMel-treated and untreated arms were similarly resistant to malathion (0.8%), permethrin (1.25%) and cyfluthrin (0.15%) in year 1 and year 2 of the trial. In summary, we found no between-arm differences in the relative abundance of Ae. aegypti or Ae. albopictus prior to or after wMel introgression, and no between-arm difference in Ae. aegypti insecticide resistance phenotypes. These data suggest neither Aedes abundance, nor insecticide resistance, confounded the epidemiological outcomes of the AWED trial., Competing Interests: The authors have declared that no competing interests exist.
- Published
- 2022
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11. Proteomic analysis of metabolic pathways supports chloroplast-mitochondria cross-talk in a Cu-limited diatom.
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Hippmann AA, Schuback N, Moon KM, McCrow JP, Allen AE, Foster LF, Green BR, and Maldonado MT
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Diatoms are one of the most successful phytoplankton groups in our oceans, being responsible for over 20% of the Earth's photosynthetic productivity. Their chimeric genomes have genes derived from red algae, green algae, bacteria, and heterotrophs, resulting in multiple isoenzymes targeted to different cellular compartments with the potential for differential regulation under nutrient limitation. The resulting interactions between metabolic pathways are not yet fully understood. We previously showed how acclimation to Cu limitation enhanced susceptibility to overreduction of the photosynthetic electron transport chain and its reorganization to favor photoprotection over light harvesting in the oceanic diatom Thalassiosira oceanica (Hippmann et al., 2017, 10.1371/journal.pone.0181753). In order to gain a better understanding of the overall metabolic changes that help alleviate the stress of Cu limitation, we have further analyzed the comprehensive proteomic datasets generated in that study to identify differentially expressed proteins involved in carbon, nitrogen, and oxidative stress-related metabolic pathways. Metabolic pathway analysis showed integrated responses to Cu limitation. The upregulation of ferredoxin (Fdx) was correlated with upregulation of plastidial Fdx-dependent isoenzymes involved in nitrogen assimilation as well as enzymes involved in glutathione synthesis, thus suggesting an integration of nitrogen uptake and metabolism with photosynthesis and oxidative stress resistance. The differential expression of glycolytic isoenzymes located in the chloroplast and mitochondria may enable them to channel both excess electrons and/or ATP between these compartments. An additional support for chloroplast-mitochondrial cross-talk is the increased expression of chloroplast and mitochondrial proteins involved in the proposed malate shunt under Cu limitation., Competing Interests: The Authors did not report any conflict of interest., (© 2022 The Authors. Plant Direct published by American Society of Plant Biologists and the Society for Experimental Biology and John Wiley & Sons Ltd.)
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- 2022
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12. Large-Scale Deployment and Establishment of Wolbachia Into the Aedes aegypti Population in Rio de Janeiro, Brazil.
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Gesto JSM, Pinto SB, Dias FBS, Peixoto J, Costa G, Kutcher S, Montgomery J, Green BR, Anders KL, Ryan PA, Simmons CP, O'Neill SL, and Moreira LA
- Abstract
Traditional methods of vector control have proven insufficient to reduce the alarming incidence of dengue, Zika, and chikungunya in endemic countries. The bacterium symbiont Wolbachia has emerged as an efficient pathogen-blocking and self-dispersing agent that reduces the vectorial potential of Aedes aegypti populations and potentially impairs arboviral disease transmission. In this work, we report the results of a large-scale Wolbachia intervention in Ilha do Governador, Rio de Janeiro, Brazil. w Mel-infected adults were released across residential areas between August 2017 and March 2020. Over 131 weeks, including release and post-release phases, we monitored the w Mel prevalence in field specimens and analyzed introgression profiles of two assigned intervention areas, RJ1 and RJ2. Our results revealed that w Mel successfully invaded both areas, reaching overall infection rates of 50-70% in RJ1 and 30-60% in RJ2 by the end of the monitoring period. At the neighborhood-level, w Mel introgression was heterogeneous in both RJ1 and RJ2, with some profiles sustaining a consistent increase in infection rates and others failing to elicit the same. Correlation analysis revealed a weak overall association between RJ1 and RJ2 ( r = 0.2849, p = 0.0236), and an association at a higher degree when comparing different deployment strategies, vehicle or backpack-assisted, within RJ1 ( r = 0.4676, p < 0.0001) or RJ2 ( r = 0.6263, p < 0.0001). The frequency knockdown resistance ( kdr ) alleles in w Mel-infected specimens from both areas were consistently high over this study. Altogether, these findings corroborate that w Mel can be successfully deployed at large-scale as part of vector control intervention strategies and provide the basis for imminent disease impact studies in Southeastern Brazil., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2021 Gesto, Pinto, Dias, Peixoto, Costa, Kutcher, Montgomery, Green, Anders, Ryan, Simmons, O’Neill and Moreira.)
- Published
- 2021
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13. Molecular underpinnings and biogeochemical consequences of enhanced diatom growth in a warming Southern Ocean.
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Jabre LJ, Allen AE, McCain JSP, McCrow JP, Tenenbaum N, Spackeen JL, Sipler RE, Green BR, Bronk DA, Hutchins DA, and Bertrand EM
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- Eutrophication, Gene Expression Regulation, Light-Harvesting Protein Complexes metabolism, Nitrogen metabolism, Photosynthesis physiology, Phytoplankton, Plastocyanin, Climate Change, Diatoms physiology, Ecosystem, Oceans and Seas
- Abstract
The Southern Ocean (SO) harbors some of the most intense phytoplankton blooms on Earth. Changes in temperature and iron availability are expected to alter the intensity of SO phytoplankton blooms, but little is known about how these changes will influence community composition and downstream biogeochemical processes. We performed light-saturated experimental manipulations on surface ocean microbial communities from McMurdo Sound in the Ross Sea to examine the effects of increased iron availability (+2 nM) and warming (+3 and +6 °C) on nutrient uptake, as well as the growth and transcriptional responses of two dominant diatoms, Fragilariopsis and Pseudo-nitzschia We found that community nutrient uptake and primary productivity were elevated under both warming conditions without iron addition (relative to ambient -0.5 °C). This effect was greater than additive under concurrent iron addition and warming. Pseudo-nitzschia became more abundant under warming without added iron (especially at 6 °C), while Fragilariopsis only became more abundant under warming in the iron-added treatments. We attribute the apparent advantage Pseudo-nitzschia shows under warming to up-regulation of iron-conserving photosynthetic processes, utilization of iron-economic nitrogen assimilation mechanisms, and increased iron uptake and storage. These data identify important molecular and physiological differences between dominant diatom groups and add to the growing body of evidence for Pseudo-nitzschia 's increasingly important role in warming SO ecosystems. This study also suggests that temperature-driven shifts in SO phytoplankton assemblages may increase utilization of the vast pool of excess nutrients in iron-limited SO surface waters and thereby influence global nutrient distribution and carbon cycling., Competing Interests: The authors declare no competing interest., (Copyright 2021 the Author(s). Published by PNAS.)
- Published
- 2021
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14. Effectiveness of Wolbachia-infected mosquito deployments in reducing the incidence of dengue and other Aedes-borne diseases in Niterói, Brazil: A quasi-experimental study.
- Author
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Pinto SB, Riback TIS, Sylvestre G, Costa G, Peixoto J, Dias FBS, Tanamas SK, Simmons CP, Dufault SM, Ryan PA, O'Neill SL, Muzzi FC, Kutcher S, Montgomery J, Green BR, Smithyman R, Eppinghaus A, Saraceni V, Durovni B, Anders KL, and Moreira LA
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- Aedes physiology, Animals, Brazil epidemiology, Chikungunya Fever epidemiology, Chikungunya Fever virology, Chikungunya virus physiology, Dengue epidemiology, Dengue virology, Dengue Virus physiology, Female, Humans, Incidence, Male, Mosquito Vectors microbiology, Mosquito Vectors physiology, Mosquito Vectors virology, Zika Virus physiology, Zika Virus Infection epidemiology, Zika Virus Infection virology, Aedes microbiology, Aedes virology, Chikungunya Fever transmission, Dengue transmission, Mosquito Control methods, Wolbachia physiology, Zika Virus Infection transmission
- Abstract
Background: The introduction of the bacterium Wolbachia (wMel strain) into Aedes aegypti mosquitoes reduces their capacity to transmit dengue and other arboviruses. Evidence of a reduction in dengue case incidence following field releases of wMel-infected Ae. aegypti has been reported previously from a cluster randomised controlled trial in Indonesia, and quasi-experimental studies in Indonesia and northern Australia., Methodology/principal Findings: Following pilot releases in 2015-2016 and a period of intensive community engagement, deployments of adult wMel-infected Ae. aegypti mosquitoes were conducted in Niterói, Brazil during 2017-2019. Deployments were phased across four release zones, with a total area of 83 km2 and a residential population of approximately 373,000. A quasi-experimental design was used to evaluate the effectiveness of wMel deployments in reducing dengue, chikungunya and Zika incidence. An untreated control zone was pre-defined, which was comparable to the intervention area in historical dengue trends. The wMel intervention effect was estimated by controlled interrupted time series analysis of monthly dengue, chikungunya and Zika case notifications to the public health surveillance system before, during and after releases, from release zones and the control zone. Three years after commencement of releases, wMel introgression into local Ae. aegypti populations was heterogeneous throughout Niterói, reaching a high prevalence (>80%) in the earliest release zone, and more moderate levels (prevalence 40-70%) elsewhere. Despite this spatial heterogeneity in entomological outcomes, the wMel intervention was associated with a 69% reduction in dengue incidence (95% confidence interval 54%, 79%), a 56% reduction in chikungunya incidence (95%CI 16%, 77%) and a 37% reduction in Zika incidence (95%CI 1%, 60%), in the aggregate release area compared with the pre-defined control area. This significant intervention effect on dengue was replicated across all four release zones, and in three of four zones for chikungunya, though not in individual release zones for Zika., Conclusions/significance: We demonstrate that wMel Wolbachia can be successfully introgressed into Ae. aegypti populations in a large and complex urban setting, and that a significant public health benefit from reduced incidence of Aedes-borne disease accrues even where the prevalence of wMel in local mosquito populations is moderate and spatially heterogeneous. These findings are consistent with the results of randomised and non-randomised field trials in Indonesia and northern Australia, and are supportive of the Wolbachia biocontrol method as a multivalent intervention against dengue, chikungunya and Zika., Competing Interests: The authors have declared that no competing interest exist.
- Published
- 2021
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15. Efficacy of Wolbachia-Infected Mosquito Deployments for the Control of Dengue.
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Utarini A, Indriani C, Ahmad RA, Tantowijoyo W, Arguni E, Ansari MR, Supriyati E, Wardana DS, Meitika Y, Ernesia I, Nurhayati I, Prabowo E, Andari B, Green BR, Hodgson L, Cutcher Z, Rancès E, Ryan PA, O'Neill SL, Dufault SM, Tanamas SK, Jewell NP, Anders KL, and Simmons CP
- Subjects
- Adolescent, Adult, Aedes virology, Animals, Child, Child, Preschool, Dengue diagnosis, Dengue epidemiology, Dengue prevention & control, Dengue Virus isolation & purification, Female, Humans, Incidence, Indonesia epidemiology, Male, Middle Aged, Young Adult, Aedes microbiology, Communicable Disease Control methods, Dengue transmission, Mosquito Vectors microbiology, Mosquito Vectors virology, Wolbachia
- Abstract
Background: Aedes aegypti mosquitoes infected with the w Mel strain of Wolbachia pipientis are less susceptible than wild-type A. aegypti to dengue virus infection., Methods: We conducted a cluster-randomized trial involving releases of w Mel-infected A. aegypti mosquitoes for the control of dengue in Yogyakarta, Indonesia. We randomly assigned 12 geographic clusters to receive deployments of w Mel-infected A. aegypti (intervention clusters) and 12 clusters to receive no deployments (control clusters). All clusters practiced local mosquito-control measures as usual. A test-negative design was used to assess the efficacy of the intervention. Patients with acute undifferentiated fever who presented to local primary care clinics and were 3 to 45 years of age were recruited. Laboratory testing was used to identify participants who had virologically confirmed dengue (VCD) and those who were test-negative controls. The primary end point was symptomatic VCD of any severity caused by any dengue virus serotype., Results: After successful introgression of w Mel into the intervention clusters, 8144 participants were enrolled; 3721 lived in intervention clusters, and 4423 lived in control clusters. In the intention-to-treat analysis, VCD occurred in 67 of 2905 participants (2.3%) in the intervention clusters and in 318 of 3401 (9.4%) in the control clusters (aggregate odds ratio for VCD, 0.23; 95% confidence interval [CI], 0.15 to 0.35; P = 0.004). The protective efficacy of the intervention was 77.1% (95% CI, 65.3 to 84.9) and was similar against the four dengue virus serotypes. The incidence of hospitalization for VCD was lower among participants who lived in intervention clusters (13 of 2905 participants [0.4%]) than among those who lived in control clusters (102 of 3401 [3.0%]) (protective efficacy, 86.2%; 95% CI, 66.2 to 94.3)., Conclusions: Introgression of w Mel into A. aegypti populations was effective in reducing the incidence of symptomatic dengue and resulted in fewer hospitalizations for dengue among the participants. (Funded by the Tahija Foundation and others; AWED ClinicalTrials.gov number, NCT03055585; Indonesia Registry number, INA-A7OB6TW.)., (Copyright © 2021 Massachusetts Medical Society.)
- Published
- 2021
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16. Scaffolding proteins guide the evolution of algal light harvesting antennas.
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Rathbone HW, Michie KA, Landsberg MJ, Green BR, and Curmi PMG
- Subjects
- Amino Acid Sequence, Binding Sites, Phycoerythrin metabolism, Plastids genetics, Symbiosis physiology, Cryptophyta physiology, Photosynthesis physiology, Phycobilisomes metabolism, Porphyridium metabolism, Porphyridium physiology
- Abstract
Photosynthetic organisms have developed diverse antennas composed of chromophorylated proteins to increase photon capture. Cryptophyte algae acquired their photosynthetic organelles (plastids) from a red alga by secondary endosymbiosis. Cryptophytes lost the primary red algal antenna, the red algal phycobilisome, replacing it with a unique antenna composed of αβ protomers, where the β subunit originates from the red algal phycobilisome. The origin of the cryptophyte antenna, particularly the unique α subunit, is unknown. Here we show that the cryptophyte antenna evolved from a complex between a red algal scaffolding protein and phycoerythrin β. Published cryo-EM maps for two red algal phycobilisomes contain clusters of unmodelled density homologous to the cryptophyte-αβ protomer. We modelled these densities, identifying a new family of scaffolding proteins related to red algal phycobilisome linker proteins that possess multiple copies of a cryptophyte-α-like domain. These domains bind to, and stabilise, a conserved hydrophobic surface on phycoerythrin β, which is the same binding site for its primary partner in the red algal phycobilisome, phycoerythrin α. We propose that after endosymbiosis these scaffolding proteins outcompeted the primary binding partner of phycoerythrin β, resulting in the demise of the red algal phycobilisome and emergence of the cryptophyte antenna.
- Published
- 2021
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17. Endovascular management of a large hepatic artery aneurysm related to type B aortic dissection.
- Author
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Reicher J, Tsiakkis D, Green BR, and Walker P
- Abstract
Management of visceral artery aneurysms can be challenging: there is limited evidence to determine size thresholds for intervention and it is often technically difficult to exclude the aneurysms while preserving visceral perfusion. We present the case of a 68-year-old male with a rapidly enlarging hepatic artery aneurysm related to type B aortic dissection extending into the coeliac axis, which presented unique difficulties due to its morphology and filling via the false lumen. Endovascular treatment involved stent-graft placement from the coeliac axis into the splenic artery with the intention of excluding the coeliac supply to the common hepatic artery. Despite early stent-graft occlusion, the aneurysm was successfully excluded and adequate hepatic and splenic perfusion was maintained. The patient made a good recovery., (© 2020 The Authors. Published by the British Institute of Radiology.)
- Published
- 2020
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18. Reduced dengue incidence following deployments of Wolbachia -infected Aedes aegypti in Yogyakarta, Indonesia: a quasi-experimental trial using controlled interrupted time series analysis.
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Indriani C, Tantowijoyo W, Rancès E, Andari B, Prabowo E, Yusdi D, Ansari MR, Wardana DS, Supriyati E, Nurhayati I, Ernesia I, Setyawan S, Fitriana I, Arguni E, Amelia Y, Ahmad RA, Jewell NP, Dufault SM, Ryan PA, Green BR, McAdam TF, O'Neill SL, Tanamas SK, Simmons CP, Anders KL, and Utarini A
- Abstract
Background: Ae. aegypti mosquitoes stably transfected with the intracellular bacterium Wolbachia pipientis ( w Mel strain) have been deployed for biocontrol of dengue and related arboviral diseases in multiple countries. Field releases in northern Australia have previously demonstrated near elimination of local dengue transmission from Wolbachia -treated communities, and pilot studies in Indonesia have demonstrated the feasibility and acceptability of the method. We conducted a quasi-experimental trial to evaluate the impact of scaled Wolbachia releases on dengue incidence in an endemic setting in Indonesia. Methods: In Yogyakarta City, Indonesia, following extensive community engagement, w Mel Wolbachia -carrying mosquitoes were released every two weeks for 13-15 rounds over seven months in 2016-17, in a contiguous 5 km
2 area (population 65,000). A 3 km2 area (population 34,000) on the opposite side of the city was selected a priori as an untreated control area. Passive surveillance data on notified hospitalised dengue patients was used to evaluate the epidemiological impact of Wolbachia deployments, using controlled interrupted time-series analysis. Results: Rapid and sustained introgression of w Mel Wolbachia into local Ae. aegypti populations was achieved. Thirty-four dengue cases were notified from the intervention area and 53 from the control area (incidence 26 vs 79 per 100,000 person-years) during 24 months following Wolbachia deployment. This corresponded in the regression model to a 73% reduction in dengue incidence (95% confidence interval 49%,86%) associated with the Wolbachia intervention. Exploratory analysis including 6 months additional post-intervention observations showed a small strengthening of this effect (30 vs 115 per 100,000 person-years; 76% reduction in incidence, 95%CI 60%,86%). Conclusions: We demonstrate a significant reduction in dengue incidence following successful introgression of Wolbachia into local Ae. aegypti populations in an endemic setting in Indonesia. These findings are consistent with previous field trials in northern Australia, and support the effectiveness of this novel approach for dengue control., Competing Interests: No competing interests were disclosed., (Copyright: © 2020 Indriani C et al.)- Published
- 2020
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19. What Happened to the Phycobilisome?
- Author
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Green BR
- Subjects
- Bacterial Proteins genetics, Bacterial Proteins metabolism, Chlorophyta enzymology, Chlorophyta genetics, Cyanobacteria enzymology, Cyanobacteria genetics, Evolution, Molecular, Photosynthesis, Phycobilisomes genetics, Phycobilisomes metabolism, Plant Proteins genetics, Plant Proteins metabolism, Rhodophyta enzymology, Rhodophyta genetics
- Abstract
The phycobilisome (PBS) is the major light-harvesting complex of photosynthesis in cyanobacteria, red algae, and glaucophyte algae. In spite of the fact that it is very well structured to absorb light and transfer it efficiently to photosynthetic reaction centers, it has been completely lost in the green algae and plants. It is difficult to see how selection alone could account for such a major loss. An alternative scenario takes into account the role of chance, enabled by (contingent on) the evolution of an alternative antenna system early in the diversification of the three lineages from the first photosynthetic eukaryote.
- Published
- 2019
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20. Neonatal resuscitation experience curves: simulation based mastery learning booster sessions and skill decay patterns among pediatric residents.
- Author
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Matterson HH, Szyld D, Green BR, Howell HB, Pusic MV, Mally PV, and Bailey SM
- Subjects
- Female, Humans, Internship and Residency, Male, Clinical Competence statistics & numerical data, Pediatrics education, Resuscitation education, Simulation Training methods
- Abstract
Background Following neonatal resuscitation program (NRP) training, decay in clinical skills can occur. Simulation-based deliberate practice (SBDP) has been shown to maintain NRP skills to a variable extent. Our study objectives were (a) to determine whether a single 30 min simulation-based intervention that incorporates SBDP and mastery learning (ML) can effectively restore skills and prevent skill decay and (b) to compare different timing options. Methods Following NRP certification, pediatric residents were randomly assigned to receive a video-recorded baseline assessment plus SBDP-ML refresher education at between 6 and 9 months (early) or between 9 and 12 months (late). One year following initial certification, participants had repeat skill retention videotaped evaluations. Participants were scored by blinded NRP instructors using validated criteria scoring tools and assigned a global performance rating score (GRS). Results Twenty-seven participants were included. Residents in both early and late groups showed significant skill decay 7 and 10 months after initial NRP. SBDP-ML booster sessions significantly improved participants' immediate NRP performance scores (p<0.001), which persisted for 2 months, but were again lower 4 months later. Conclusions NRP skills may be boosted to mastery levels after a short SBDP-ML intervention and do not appear to significantly decline after 2 months. Brief booster training could potentially serve as a useful supplement to traditional NRP training for pediatric residents.
- Published
- 2018
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21. Proteomic analysis of the phycobiliprotein antenna of the cryptophyte alga Guillardia theta cultured under different light intensities.
- Author
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Kieselbach T, Cheregi O, Green BR, and Funk C
- Subjects
- Acclimatization radiation effects, Amino Acid Sequence, Cells, Cultured, Cryptophyta growth & development, Light-Harvesting Protein Complexes chemistry, Models, Genetic, Models, Molecular, Photosynthesis radiation effects, Phycobiliproteins chemistry, Plant Proteins chemistry, Protein Subunits chemistry, Protein Subunits metabolism, Spectrometry, Fluorescence, Temperature, Cryptophyta metabolism, Cryptophyta radiation effects, Light, Light-Harvesting Protein Complexes metabolism, Phycobiliproteins metabolism, Plant Proteins metabolism, Proteomics methods
- Abstract
Plants and algae have developed various light-harvesting mechanisms for optimal delivery of excitation energy to the photosystems. Cryptophyte algae have evolved a novel soluble light-harvesting antenna utilizing phycobilin pigments to complement the membrane-intrinsic Chl a/c-binding LHC antenna. This new antenna consists of the plastid-encoded β-subunit, a relic of the ancestral phycobilisome, and a novel nuclear-encoded α-subunit unique to cryptophytes. Together, these proteins form the active α
1 β·α2 β-tetramer. In all cryptophyte algae investigated so far, the α-subunits have duplicated and diversified into a large gene family. Although there is transcriptional evidence for expression of all these genes, the X-ray structures determined to date suggest that only two of the α-subunit genes might be significantly expressed at the protein level. Using proteomics, we show that in phycoerythrin 545 (PE545) of Guillardia theta, the only cryptophyte with a sequenced genome, all 20 α-subunits are expressed when the algae grow under white light. The expression level of each protein depends on the intensity of the growth light, but there is no evidence for a specific light-dependent regulation of individual members of the α-subunit family under the growth conditions applied. GtcpeA10 seems to be a special member of the α-subunit family, because it consists of two similar N- and C-terminal domains, which likely are the result of a partial tandem gene duplication. The proteomics data of this study have been deposited to the ProteomeXchange Consortium and have the dataset identifiers PXD006301 and 10.6019/PXD006301.- Published
- 2018
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22. Improving the Clinical Skills Performance of Graduating Medical Students Using "WISE OnCall," a Multimedia Educational Module.
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Szyld D, Uquillas K, Green BR, Yavner SD, Song H, Nick MW, Ng GM, Pusic MV, Riles TS, and Kalet A
- Subjects
- Clinical Decision-Making, Communication, Cooperative Behavior, Curriculum, Humans, Interprofessional Relations, Oliguria diagnosis, Oliguria therapy, Physician-Patient Relations, Quality of Health Care, Clinical Competence, Computer-Assisted Instruction methods, Education, Medical, Undergraduate methods
- Abstract
Introduction: "Transitions to residency" programs are designed to maximize quality and safety of patient care, as medical students become residents. However, best instructional or readiness assessment practices are not yet established. We sought to study the impact of a screen-based interactive curriculum designed to prepare interns to address common clinical coverage issues (WISE OnCall) on the clinical skills demonstrated in simulation and hypothesize that performance would improve after completing the module., Methods: Senior medical students were recruited to participate in this single group prestudy/poststudy. Students responded to a call from a standardized nurse (SN) and assessed a standardized patient (SP) with low urine output, interacted with a 45-minute WISE OnCall module on the assessment and management of oliguria, and then evaluated a different SP with low urine output of a different underlying cause. Standardized patients assessed clinical skills with a 37-item, behaviorally anchored checklist measuring clinical skills (intraclass correlation coefficient [ICC], 0.55-0.81). Standardized nurses rated care quality and safety and collaboration and interprofessional communication using a 33-item literature-based, anchored checklist (ICC, 0.47-0.52). Standardized patient and SN ratings of the same student performance were correlated (r, 0.37-0.62; P < 0.01). Physicians assessed clinical reasoning quality based on the students' patient encounter note (ICC, 0.55-0.68), ratings that did not correlate with SP and SN ratings. We compared pre-post clinical skills performance and clinical reasoning. Fifty-two medical students (31%) completed this institutional review board -approved study., Results: Performance as measured by the SPs, SNs, and the postencounter note all showed improvement with mostly moderate to large effect sizes (range of Cohen's d, 0.30-1.88; P < 0.05) after completion of the online module. Unexpectedly, professionalism as rated by the SP was poorer after the module (Cohen's d, -0.93; P = 0.000)., Discussion: A brief computer-based educational intervention significantly improved graduating medical students' clinical skills needed to be ready for residency.
- Published
- 2017
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23. Contrasting effects of copper limitation on the photosynthetic apparatus in two strains of the open ocean diatom Thalassiosira oceanica.
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Hippmann AA, Schuback N, Moon KM, McCrow JP, Allen AE, Foster LJ, Green BR, and Maldonado MT
- Subjects
- Amino Acid Sequence, Carbon Radioisotopes metabolism, Chromatography, Liquid, Diatoms classification, Diatoms genetics, Electron Transport, Expressed Sequence Tags, Fluorescence, Marine Biology, Phylogeny, Plant Proteins chemistry, Plant Proteins metabolism, Proteome, Sequence Homology, Amino Acid, Tandem Mass Spectrometry, Transcriptome, Copper metabolism, Diatoms metabolism, Photosynthesis
- Abstract
There is an intricate interaction between iron (Fe) and copper (Cu) physiology in diatoms. However, strategies to cope with low Cu are largely unknown. This study unveils the comprehensive restructuring of the photosynthetic apparatus in the diatom Thalassiosira oceanica (CCMP1003) in response to low Cu, at the physiological and proteomic level. The restructuring results in a shift from light harvesting for photochemistry-and ultimately for carbon fixation-to photoprotection, reducing carbon fixation and oxygen evolution. The observed decreases in the physiological parameters Fv/Fm, carbon fixation, and oxygen evolution, concomitant with increases in the antennae absorption cross section (σPSII), non-photochemical quenching (NPQ) and the conversion factor (φe:C/ηPSII) are in agreement with well documented cellular responses to low Fe. However, the underlying proteomic changes due to low Cu are very different from those elicited by low Fe. Low Cu induces a significant four-fold reduction in the Cu-containing photosynthetic electron carrier plastocyanin. The decrease in plastocyanin causes a bottleneck within the photosynthetic electron transport chain (ETC), ultimately leading to substantial stoichiometric changes. Namely, 2-fold reduction in both cytochrome b6f complex (cytb6f) and photosystem II (PSII), no change in the Fe-rich PSI and a 40- and 2-fold increase in proteins potentially involved in detoxification of reactive oxygen species (ferredoxin and ferredoxin:NADP+ reductase, respectively). Furthermore, we identify 48 light harvesting complex (LHC) proteins in the publicly available genome of T. oceanica and provide proteomic evidence for 33 of these. The change in the LHC composition within the antennae in response to low Cu underlines the shift from photochemistry to photoprotection in T. oceanica (CCMP1003). Interestingly, we also reveal very significant intra-specific strain differences. Another strain of T. oceanica (CCMP 1005) requires significantly higher Cu concentrations to sustain both its maximal and minimal growth rate compared to CCMP 1003. Under low Cu, CCMP 1005 decreases its growth rate, cell size, Chla and total protein per cell. We argue that the reduction in protein per cell is the main strategy to decrease its cellular Cu requirement, as none of the other parameters tested are affected. Differences between the two strains, as well as differences between the well documented responses to low Fe and those presented here in response to low Cu are discussed.
- Published
- 2017
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24. Insights into the red algae and eukaryotic evolution from the genome of Porphyra umbilicalis (Bangiophyceae, Rhodophyta).
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Brawley SH, Blouin NA, Ficko-Blean E, Wheeler GL, Lohr M, Goodson HV, Jenkins JW, Blaby-Haas CE, Helliwell KE, Chan CX, Marriage TN, Bhattacharya D, Klein AS, Badis Y, Brodie J, Cao Y, Collén J, Dittami SM, Gachon CMM, Green BR, Karpowicz SJ, Kim JW, Kudahl UJ, Lin S, Michel G, Mittag M, Olson BJSC, Pangilinan JL, Peng Y, Qiu H, Shu S, Singer JT, Smith AG, Sprecher BN, Wagner V, Wang W, Wang ZY, Yan J, Yarish C, Zäuner-Riek S, Zhuang Y, Zou Y, Lindquist EA, Grimwood J, Barry KW, Rokhsar DS, Schmutz J, Stiller JW, Grossman AR, and Prochnik SE
- Subjects
- Actins genetics, Calcium Signaling genetics, Cell Cycle genetics, Cell Wall genetics, Cell Wall metabolism, Chromatin genetics, Kinesins genetics, Phylogeny, Cytoskeleton genetics, Evolution, Molecular, Genome, Plant genetics, Porphyra cytology, Porphyra genetics
- Abstract
Porphyra umbilicalis (laver) belongs to an ancient group of red algae (Bangiophyceae), is harvested for human food, and thrives in the harsh conditions of the upper intertidal zone. Here we present the 87.7-Mbp haploid Porphyra genome (65.8% G + C content, 13,125 gene loci) and elucidate traits that inform our understanding of the biology of red algae as one of the few multicellular eukaryotic lineages. Novel features of the Porphyra genome shared by other red algae relate to the cytoskeleton, calcium signaling, the cell cycle, and stress-tolerance mechanisms including photoprotection. Cytoskeletal motor proteins in Porphyra are restricted to a small set of kinesins that appear to be the only universal cytoskeletal motors within the red algae. Dynein motors are absent, and most red algae, including Porphyra , lack myosin. This surprisingly minimal cytoskeleton offers a potential explanation for why red algal cells and multicellular structures are more limited in size than in most multicellular lineages. Additional discoveries further relating to the stress tolerance of bangiophytes include ancestral enzymes for sulfation of the hydrophilic galactan-rich cell wall, evidence for mannan synthesis that originated before the divergence of green and red algae, and a high capacity for nutrient uptake. Our analyses provide a comprehensive understanding of the red algae, which are both commercially important and have played a major role in the evolution of other algal groups through secondary endosymbioses., Competing Interests: The authors declare no conflict of interest.
- Published
- 2017
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25. Bicuspid Aortic Valve Morphotype Correlates With Regional Antioxidant Gene Expression Profiles in the Proximal Ascending Aorta.
- Author
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Phillippi JA, Hill JC, Billaud M, Green BR, Kotlarczyk MP, and Gleason TG
- Subjects
- Aged, Aorta, Thoracic diagnostic imaging, Aortic Aneurysm, Thoracic complications, Aortic Aneurysm, Thoracic metabolism, Bicuspid Aortic Valve Disease, Computed Tomography Angiography, Echocardiography, Female, Heart Valve Diseases diagnosis, Humans, Male, Middle Aged, Oxidative Stress, Real-Time Polymerase Chain Reaction, Retrospective Studies, Superoxide Dismutase-1 biosynthesis, Aorta, Thoracic metabolism, Aortic Aneurysm, Thoracic genetics, Aortic Valve abnormalities, Gene Expression Regulation, Heart Valve Diseases etiology, RNA genetics, Superoxide Dismutase-1 genetics
- Abstract
Background: Bicuspid aortic valve (BAV) is associated with asymmetric dilatation of the proximal ascending aorta. We previously demonstrated increased susceptibility of smooth muscle cells to oxidative stress in the BAV-aneurysmal aorta and hypothesized that antioxidant expression is regionally defined and influenced by the BAV morphotype., Methods: BAV valve morphology was defined according to number of raphes: type 0 (0 raphes), type 1 (1 raphe), or type 2 (2 raphes) and by the raphe location among the left (L), right (R) or non (N) coronary cusps. Ascending aortic specimens were partitioned into three regions corresponding to the sinuses of Valsalva, denoted R, N (greater curve), and L (lesser curve). Transcripts 1, 2, and 3 from the gene expressing superoxide dismutase (Sod) were quantified in all three regions. Results were compared with aneurysmal and nonaneurysmal aortic specimens from patients with a tricuspid aortic valve., Results: Region-specific Sod1 upregulation and Sod2 downregulation were dependent on the BAV morphotype. Sod3 was uniformly downregulated in all regions in a morphotype-independent manner. Sod1 upregulation was noted in the R region of the nonaneurysmal type 1 L/R morphotype. Aortic valve regurgitation, but not stenosis, affected the expression of Sod isoforms in specimens of degenerative aneurysms., Conclusions: Region-specific transcription profiles of Sod on the basis of BAV morphotype deepen our understanding of its associated aortopathy and provide biological insight on the asymmetric dilatation pattern. This work indicates regional differences exist in the oxidative stress biology of the proximal aortic wall, and this may lead to newer diagnostic techniques to adjudicate aortic catastrophe risk., (Copyright © 2017 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.)
- Published
- 2017
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26. Validation of a Decision Tree to Streamline Infrainguinal Vein Graft Surveillance.
- Author
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Mofidi R, McBride OMB, Green BR, Gatenby T, Walker P, and Milburn S
- Subjects
- Adult, Aged, Aged, 80 and over, Angiography, Angioplasty, Balloon instrumentation, Area Under Curve, Female, Graft Occlusion, Vascular etiology, Graft Occlusion, Vascular physiopathology, Graft Occlusion, Vascular therapy, Humans, Kaplan-Meier Estimate, Male, Middle Aged, Patient Selection, Peripheral Arterial Disease diagnostic imaging, Peripheral Arterial Disease physiopathology, Predictive Value of Tests, ROC Curve, Registries, Reproducibility of Results, Risk Assessment, Risk Factors, Saphenous Vein physiopathology, Stents, Tertiary Care Centers, Time Factors, Treatment Outcome, United Kingdom, Vascular Patency, Decision Support Techniques, Decision Trees, Graft Occlusion, Vascular diagnostic imaging, Peripheral Arterial Disease surgery, Saphenous Vein diagnostic imaging, Saphenous Vein transplantation, Ultrasonography, Doppler, Duplex, Vascular Grafting adverse effects
- Abstract
Background: Duplex ultrasound (DU)-based graft surveillance remains controversial. The aim of this study was to assess the ability of a recently proposed decision tree in identifying high-risk grafts which would benefit from DU-based surveillance., Materials and Methods: Consecutive patients undergoing infrainguinal vein graft bypass from January 2008 to December 2015 were identified from the National Vascular registry and enrolled in a duplex surveillance program. An early postoperative DU was performed at a median of 6 weeks (range: 4-9 weeks). Grafts were classified into high risk or low risk based on the findings of the earliest postoperative scan and 4 established risk factors for graft failure (diabetes, smoking, infragenicular distal anastomosis, and revision bypass surgery) using a classification and regression tree (CRT). The accuracy of the CRT model was evaluated using area under receiver operator characteristic (AROC) curve., Results: About 278 vein graft bypasses were performed; 29 grafts had occluded by the first surveillance visit; 249 vein grafts were entered into surveillance. Sixty-four (23%) developed critical stenosis. Overall 30-month primary patency, primary-assisted patency, and secondary patency rates were 71.2%, 77.2%, and 80.1%, respectively. AROC for prediction of graft stenosis or occlusion was 83% (95% confidence interval [CI]: 78-87%). The sensitivity and specificity of the CRT model for prediction of graft stenosis or occlusion were 95% (95% CI: 88-98%) and 52.2% (95% CI: 45-60%)., Conclusions: A prediction model based on commonly recorded clinical variables and early postoperative DU scan is accurate at identifying grafts which are at high risk of failure. These high-risk grafts may benefit from DU-based surveillance., (Copyright © 2016 Elsevier Inc. All rights reserved.)
- Published
- 2017
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27. Evolutionary genomics of the cold-adapted diatom Fragilariopsis cylindrus.
- Author
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Mock T, Otillar RP, Strauss J, McMullan M, Paajanen P, Schmutz J, Salamov A, Sanges R, Toseland A, Ward BJ, Allen AE, Dupont CL, Frickenhaus S, Maumus F, Veluchamy A, Wu T, Barry KW, Falciatore A, Ferrante MI, Fortunato AE, Glöckner G, Gruber A, Hipkin R, Janech MG, Kroth PG, Leese F, Lindquist EA, Lyon BR, Martin J, Mayer C, Parker M, Quesneville H, Raymond JA, Uhlig C, Valas RE, Valentin KU, Worden AZ, Armbrust EV, Clark MD, Bowler C, Green BR, Moulton V, van Oosterhout C, and Grigoriev IV
- Subjects
- Alleles, Carbon Dioxide metabolism, Darkness, Diatoms metabolism, Freezing, Gene Expression Profiling, Genetic Drift, Ice Cover, Iron metabolism, Mutation Rate, Oceans and Seas, Phylogeny, Recombination, Genetic, Transcriptome genetics, Acclimatization genetics, Cold Temperature, Diatoms genetics, Evolution, Molecular, Genome genetics, Genomics
- Abstract
The Southern Ocean houses a diverse and productive community of organisms. Unicellular eukaryotic diatoms are the main primary producers in this environment, where photosynthesis is limited by low concentrations of dissolved iron and large seasonal fluctuations in light, temperature and the extent of sea ice. How diatoms have adapted to this extreme environment is largely unknown. Here we present insights into the genome evolution of a cold-adapted diatom from the Southern Ocean, Fragilariopsis cylindrus, based on a comparison with temperate diatoms. We find that approximately 24.7 per cent of the diploid F. cylindrus genome consists of genetic loci with alleles that are highly divergent (15.1 megabases of the total genome size of 61.1 megabases). These divergent alleles were differentially expressed across environmental conditions, including darkness, low iron, freezing, elevated temperature and increased CO
2 . Alleles with the largest ratio of non-synonymous to synonymous nucleotide substitutions also show the most pronounced condition-dependent expression, suggesting a correlation between diversifying selection and allelic differentiation. Divergent alleles may be involved in adaptation to environmental fluctuations in the Southern Ocean.- Published
- 2017
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28. Regional Disruptions in Endothelial Nitric Oxide Pathway Associated With Bicuspid Aortic Valve.
- Author
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Kotlarczyk MP, Billaud M, Green BR, Hill JC, Shiva S, Kelley EE, Phillippi JA, and Gleason TG
- Subjects
- Aged, Aortic Aneurysm, Thoracic surgery, Aortic Valve pathology, Bicuspid Aortic Valve Disease, Cell Adhesion Molecules genetics, Down-Regulation, Female, Heart Valve Diseases pathology, Humans, Male, Microfilament Proteins genetics, Middle Aged, Phosphoproteins genetics, Prospective Studies, Sampling Studies, Sensitivity and Specificity, Tissue and Organ Harvesting, Tricuspid Valve physiology, Aortic Aneurysm, Thoracic genetics, Aortic Valve abnormalities, Gene Expression Regulation, Heart Valve Diseases genetics, Nitric Oxide Synthase Type III genetics, Signal Transduction genetics
- Abstract
Background: Endothelial nitric oxide (NO) synthase (eNOS) has been implicated in the development of bicuspid aortic valve (BAV) and with differential expression in the ascending aorta of BAV patients. However, little is known about functional disruptions in the eNOS pathway and the effect on BAV-associated aortic dilatation. We tested the hypothesis that eNOS function is regionally diminished in ascending thoracic aortic aneurysms associated with BAV., Methods: Thoracic aortic aneurysms specimens were collected from patients with BAV (n = 21) or tricuspid aortic valve (n = 12). Tissue samples were harvested from three circumferential regions corresponding to locations above the right, left, and noncoronary sinuses. Adventitial-stripped specimens containing media and intima only were analyzed for NO synthase 3 gene expression and total eNOS protein. Indicators of eNOS activity (pSer1177-eNOS) and NO bioavailability (phosphorylation of vasodilator-stimulated phosphoprotein at Ser239) were also measured., Results: NO synthase 3 and eNOS protein were elevated in the right aortic region of BAV specimens compared with tricuspid aortic valve specimens. Activation of eNOS, as indicated by pSer1177-eNOS, was higher in BAV specimens across all regions. Despite increases in eNOS and pSer1177-eNOS, BAV specimens displayed no change in pSer239-vasodilator-stimulated phosphoprotein compared with tricuspid aortic valve specimens., Conclusions: BAV is associated with regional disruptions in the eNOS pathway, most markedly in the right aortic region. The discrepancy between increased eNOS activity and the absence of increased NO bioavailability in this region provides insight into physiologic mechanisms potentially underlying the asymmetric dilatation pattern observed in BAV., (Copyright © 2016 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.)
- Published
- 2016
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29. Structural Basis for the Inhibition of Voltage-gated Sodium Channels by Conotoxin μO§-GVIIJ.
- Author
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Green BR, Gajewiak J, Chhabra S, Skalicky JJ, Zhang MM, Rivier JE, Bulaj G, Olivera BM, Yoshikami D, and Norton RS
- Subjects
- Amino Acid Sequence, Animals, Binding Sites, Conotoxins chemical synthesis, Crystallography, X-Ray, Gene Expression, Models, Molecular, Molecular Sequence Data, Muscle Proteins genetics, Muscle Proteins metabolism, Mutation, NAV1.2 Voltage-Gated Sodium Channel genetics, NAV1.2 Voltage-Gated Sodium Channel metabolism, Protein Binding, Protein Structure, Secondary, Protein Structure, Tertiary, Rats, Recombinant Proteins chemistry, Recombinant Proteins genetics, Recombinant Proteins metabolism, Snails chemistry, Sodium Channel Blockers chemical synthesis, Sodium Channels genetics, Sodium Channels metabolism, Solid-Phase Synthesis Techniques, Structure-Activity Relationship, Conotoxins chemistry, Disulfides chemistry, Muscle Proteins chemistry, NAV1.2 Voltage-Gated Sodium Channel chemistry, Sodium Channel Blockers chemistry, Sodium Channels chemistry
- Abstract
Cone snail toxins are well known blockers of voltage-gated sodium channels, a property that is of broad interest in biology and therapeutically in treating neuropathic pain and neurological disorders. Although most conotoxin channel blockers function by direct binding to a channel and disrupting its normal ion movement, conotoxin μO§-GVIIJ channel blocking is unique, using both favorable binding interactions with the channel and a direct tether via an intermolecular disulfide bond. Disulfide exchange is possible because conotoxin μO§-GVIIJ contains anS-cysteinylated Cys-24 residue that is capable of exchanging with a free cysteine thiol on the channel surface. Here, we present the solution structure of an analog of μO§-GVIIJ (GVIIJ[C24S]) and the results of structure-activity studies with synthetic μO§-GVIIJ variants. GVIIJ[C24S] adopts an inhibitor cystine knot structure, with two antiparallel β-strands stabilized by three disulfide bridges. The loop region linking the β-strands (loop 4) presents residue 24 in a configuration where it could bind to the proposed free cysteine of the channel (Cys-910, rat NaV1.2 numbering; at site 8). The structure-activity study shows that three residues (Lys-12, Arg-14, and Tyr-16) located in loop 2 and spatially close to residue 24 were also important for functional activity. We propose that the interaction of μO§-GVIIJ with the channel depends on not only disulfide tethering via Cys-24 to a free cysteine at site 8 on the channel but also the participation of key residues of μO§-GVIIJ on a distinct surface of the peptide., (© 2016 by The American Society for Biochemistry and Molecular Biology, Inc.)
- Published
- 2016
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30. Venom Peptides From Cone Snails: Pharmacological Probes for Voltage-Gated Sodium Channels.
- Author
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Green BR and Olivera BM
- Subjects
- Animals, Conotoxins chemistry, Conotoxins metabolism, Peptides chemistry, Protein Binding, Protein Subunits chemistry, Protein Subunits metabolism, Voltage-Gated Sodium Channel Agonists chemistry, Voltage-Gated Sodium Channel Agonists metabolism, Voltage-Gated Sodium Channel Blockers chemistry, Voltage-Gated Sodium Channel Blockers metabolism, Voltage-Gated Sodium Channels chemistry, Conus Snail metabolism, Peptides metabolism, Venoms metabolism, Voltage-Gated Sodium Channels metabolism
- Abstract
The venoms of cone snails provide a rich source of neuroactive peptides (conotoxins). Several venom peptide families have been identified that are either agonists (ι- and δ-conotoxins) or antagonists (μ- and μO-conotoxins) of voltage-gated sodium channels (VGSCs). Members of these conotoxin classes have been integral in identifying and characterizing specific neurotoxin binding sites on the channel. Furthermore, given the specificity of some of these peptides for one sodium channel subtype over another, conotoxins have also proven useful in exploring differences between VGSC subtypes. This chapter summarizes the current knowledge of the structure and function based on the results of conotoxin interactions with VGSCs and correlates the peptides with the phylogeny of the Conus species from which they were derived., (Copyright © 2016 Elsevier Inc. All rights reserved.)
- Published
- 2016
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31. Spectroscopic Studies of Cryptophyte Light Harvesting Proteins: Vibrations and Coherent Oscillations.
- Author
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Arpin PC, Turner DB, McClure SD, Jumper CC, Mirkovic T, Challa JR, Lee J, Teng CY, Green BR, Wilk KE, Curmi PM, Hoef-Emden K, McCamant DW, and Scholes GD
- Subjects
- Models, Molecular, Spectrum Analysis, Vibration, Cryptophyta chemistry, Light-Harvesting Protein Complexes chemistry
- Abstract
The first step of photosynthesis is the absorption of light by antenna complexes. Recent studies of light-harvesting complexes using two-dimensional electronic spectroscopy have revealed interesting coherent oscillations. Some contributions to those coherences are assigned to electronic coherence and therefore have implications for theories of energy transfer. To assign these femtosecond data and to gain insight into the interplay among electronic and vibrational resonances, we need detailed information on vibrations and coherences in the excited electronic state compared to the ground electronic state. Here, we used broad-band transient absorption and femtosecond stimulated Raman spectroscopies to record ground- and excited-state coherences in four related photosynthetic proteins: PC577 from Hemiselmis pacifica CCMP706, PC612 from Hemiselmis virescens CCAC 1635 B, PC630 from Chroomonas CCAC 1627 B (marine), and PC645 from Chroomonas mesostigmatica CCMP269. Two of those proteins (PC630 and PC645) have strong electronic coupling while the other two proteins (PC577 and PC612) have weak electronic coupling between the chromophores. We report vibrational spectra for the ground and excited electronic states of these complexes as well as an analysis of coherent oscillations observed in the broad-band transient absorption data.
- Published
- 2015
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32. Sequence analysis and gene expression of potential components of copper transport and homeostasis in Thalassiosira pseudonana.
- Author
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Guo J, Green BR, and Maldonado MT
- Subjects
- Computational Biology, Diatoms drug effects, Sequence Analysis, DNA, Copper metabolism, Diatoms genetics, Diatoms metabolism, Gene Expression Regulation drug effects, Homeostasis, Metabolic Networks and Pathways genetics
- Abstract
Genes involved with many Fe functions and some Cu functions are annotated in the Thalassiosira pseudonana Hasle et Heimdal genome. Using bioinformatics, we performed a systematic Blastp search to obtain all relevant sequences and to select the most complete gene models for putative components of Cu acquisition and distribution. We identified homologs of high-affinity Cu transporters (CTR), Cu transporting P1B-type ATPases, Cu chaperones and ZIP transporters. The putative CTRs in T. pseudonana have the conserved CTR Cu-binding motifs and transmembrane domains, and their gene expression was down-regulated by a Cu addition to low Cu acclimated cultures. The sequences of some putative TpZIPs were similar to those of well-known Zn and Fe transporters. Cu addition affected the expression of some TpZIP genes, suggesting an interaction between Cu metabolism and that of Zn and/or Fe. For intracellular Cu distribution, we identified putative Cu transporting P1B-type ATPases, proposed to deliver Cu to the trans-Golgi or the secretory compartment, as well as putative Cu chaperones, proposed to deliver Cu to the mitochondrion. Their gene expression was down-regulated by a Cu addition, indicating that these putative intracellular Cu transporters and chaperones might redistribute Cu, allowing T. pseudonana to meet key metabolic needs under Cu deficiency., (Copyright © 2014 Elsevier GmbH. All rights reserved.)
- Published
- 2015
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33. Structure and function of μ-conotoxins, peptide-based sodium channel blockers with analgesic activity.
- Author
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Green BR, Bulaj G, and Norton RS
- Subjects
- Analgesics metabolism, Analgesics therapeutic use, Animals, Conotoxins metabolism, Conotoxins therapeutic use, Conus Snail metabolism, Pain drug therapy, Pain pathology, Protein Isoforms antagonists & inhibitors, Protein Isoforms metabolism, Protein Structure, Tertiary, Sodium Channel Blockers metabolism, Sodium Channel Blockers therapeutic use, Structure-Activity Relationship, Voltage-Gated Sodium Channels metabolism, Analgesics chemistry, Conotoxins chemistry, Sodium Channel Blockers chemistry, Voltage-Gated Sodium Channels chemistry
- Abstract
μ-Conotoxins block voltage-gated sodium channels (VGSCs) and compete with tetrodotoxin for binding to the sodium conductance pore. Early efforts identified µ-conotoxins that preferentially blocked the skeletal muscle subtype (NaV1.4). However, the last decade witnessed a significant increase in the number of µ-conotoxins and the range of VGSC subtypes inhibited (NaV1.2, NaV1.3 or NaV1.7). Twenty µ-conotoxin sequences have been identified to date and structure-activity relationship studies of several of these identified key residues responsible for interactions with VGSC subtypes. Efforts to engineer-in subtype specificity are driven by in vivo analgesic and neuromuscular blocking activities. This review summarizes structural and pharmacological studies of µ-conotoxins, which show promise for development of selective blockers of NaV1.2, and perhaps also NaV1.1,1.3 or 1.7.
- Published
- 2014
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34. Endovascular management of a penetrating abdominal aortic injury.
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Ghazala CG, Green BR, Williams R, and Wyatt MG
- Subjects
- Aneurysm, False diagnostic imaging, Aorta, Abdominal diagnostic imaging, Humans, Male, Tomography, X-Ray Computed, Wounds, Stab diagnostic imaging, Young Adult, Aneurysm, False etiology, Aneurysm, False surgery, Aorta, Abdominal injuries, Aorta, Abdominal surgery, Endovascular Procedures methods, Stents, Wounds, Stab surgery
- Abstract
Penetrating aortic trauma is associated with high mortality rates. We report the case of a 24-year-old man who presented with a self-inflicted abdominal aortic penetration injury, resulting in a pseudoaneurysm. Rather uniquely, he was managed through prophylactic stenting to his abdominal aorta; this case was also rare in that there were remarkably no associated visceral injuries. Stenting was preferred because of risks of an aortic graft in a young man. A 14-mm Atrium Advanta™ stent was deployed, and angiography confirmed adequate exclusion of the pseudoaneurysm. He had no complications at follow-up., (Copyright © 2014 Elsevier Inc. All rights reserved.)
- Published
- 2014
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35. Interactions of disulfide-deficient selenocysteine analogs of μ-conotoxin BuIIIB with the α-subunit of the voltage-gated sodium channel subtype 1.3.
- Author
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Green BR, Zhang MM, Chhabra S, Robinson SD, Wilson MJ, Redding A, Olivera BM, Yoshikami D, Bulaj G, and Norton RS
- Subjects
- Amino Acid Sequence, Amino Acid Substitution, Analgesics chemistry, Analgesics pharmacology, Animals, Cells, Cultured, Conotoxins chemistry, Conotoxins pharmacology, Cystine chemistry, Magnetic Resonance Spectroscopy, Membrane Potentials, Molecular Sequence Data, Protein Structure, Secondary, Structure-Activity Relationship, Voltage-Gated Sodium Channel Blockers chemistry, Voltage-Gated Sodium Channel Blockers pharmacology, Xenopus laevis, Analgesics chemical synthesis, Conotoxins chemical synthesis, NAV1.3 Voltage-Gated Sodium Channel metabolism, Selenocysteine chemistry, Voltage-Gated Sodium Channel Blockers chemical synthesis
- Abstract
Inhibitors of the α-subunit of the voltage-gated sodium channel subtype 1.3 (NaV 1.3) are of interest as pharmacological tools for the study of neuropathic pain associated with spinal cord injury and have potential therapeutic applications. The recently described μ-conotoxin BuIIIB (μ-BuIIIB) from Conus bullatus was shown to block NaV 1.3 with submicromolar potency (Kd = 0.2 μm), making it one of the most potent peptidic inhibitors of this subtype described to date. However, oxidative folding of μ-BuIIIB results in numerous folding isoforms, making it difficult to obtain sufficient quantities of the active form of the peptide for detailed structure-activity studies. In the present study, we report the synthesis and characterization of μ-BuIIIB analogs incorporating a disulfide-deficient, diselenide-containing scaffold designed to simplify synthesis and facilitate structure-activity studies directed at identifying amino acid residues involved in NaV 1.3 blockade. Our results indicate that, similar to other μ-conotoxins, the C-terminal residues (Trp16, Arg18 and His20) are most crucial for NaV 1 blockade. At the N-terminus, replacement of Glu3 by Ala resulted in an analog with an increased potency for NaV 1.3 (Kd = 0.07 μm), implicating this position as a potential site for modification for increased potency and/or selectivity. Further examination of this position showed that increased negative charge, through γ-carboxyglutamate replacement, decreased potency (Kd = 0.33 μm), whereas replacement with positively-charged 2,4-diamonobutyric acid increased potency (Kd = 0.036 μm). These results provide a foundation for the design and synthesis of μ-BuIIIB-based analogs with increased potency against NaV 1.3., (© 2014 FEBS.)
- Published
- 2014
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36. Single-residue insertion switches the quaternary structure and exciton states of cryptophyte light-harvesting proteins.
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Harrop SJ, Wilk KE, Dinshaw R, Collini E, Mirkovic T, Teng CY, Oblinsky DG, Green BR, Hoef-Emden K, Hiller RG, Scholes GD, and Curmi PM
- Subjects
- Amino Acid Sequence, Base Sequence, Crystallography, X-Ray, Dimerization, Molecular Sequence Data, Phycobiliproteins chemistry, Protein Conformation, Sequence Analysis, DNA, Spectrum Analysis, Cryptophyta genetics, Evolution, Molecular, Models, Molecular, Mutagenesis, Insertional genetics, Phycobiliproteins genetics
- Abstract
Observation of coherent oscillations in the 2D electronic spectra (2D ES) of photosynthetic proteins has led researchers to ask whether nontrivial quantum phenomena are biologically significant. Coherent oscillations have been reported for the soluble light-harvesting phycobiliprotein (PBP) antenna isolated from cryptophyte algae. To probe the link between spectral properties and protein structure, we determined crystal structures of three PBP light-harvesting complexes isolated from different species. Each PBP is a dimer of αβ subunits in which the structure of the αβ monomer is conserved. However, we discovered two dramatically distinct quaternary conformations, one of which is specific to the genus Hemiselmis. Because of steric effects emerging from the insertion of a single amino acid, the two αβ monomers are rotated by ∼73° to an "open" configuration in contrast to the "closed" configuration of other cryptophyte PBPs. This structural change is significant for the light-harvesting function because it disrupts the strong excitonic coupling between two central chromophores in the closed form. The 2D ES show marked cross-peak oscillations assigned to electronic and vibrational coherences in the closed-form PC645. However, such features appear to be reduced, or perhaps absent, in the open structures. Thus cryptophytes have evolved a structural switch controlled by an amino acid insertion to modulate excitonic interactions and therefore the mechanisms used for light harvesting.
- Published
- 2014
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37. Mechanism of aortic medial matrix remodeling is distinct in patients with bicuspid aortic valve.
- Author
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Phillippi JA, Green BR, Eskay MA, Kotlarczyk MP, Hill MR, Robertson AM, Watkins SC, Vorp DA, and Gleason TG
- Subjects
- Adult, Aged, Aorta, Thoracic chemistry, Aortic Diseases metabolism, Aortic Diseases pathology, Aortic Valve metabolism, Aortic Valve pathology, Bicuspid Aortic Valve Disease, Biomarkers analysis, Collagen analysis, Elastin analysis, Female, Heart Valve Diseases metabolism, Heart Valve Diseases pathology, Humans, Male, Matrix Metalloproteinase 2 analysis, Matrix Metalloproteinase 9 analysis, Middle Aged, Protein-Lysine 6-Oxidase analysis, Protein-Lysine 6-Oxidase genetics, Tunica Media chemistry, Aorta, Thoracic pathology, Aortic Diseases etiology, Aortic Valve abnormalities, Heart Valve Diseases complications, Tunica Media pathology
- Abstract
Objectives: Patients with bicuspid aortic valves (BAV) are predisposed to developing ascending thoracic aortic aneurysms (TAA) at an earlier age than patients who develop degenerative TAAs and have a tricuspid aortic valve (TAV). The hypothesis tested is that BAV-associated aortopathy is mediated by a mechanism of matrix remodeling that is distinct from that seen in TAAs of patients with tricuspid aortic valves., Methods: Aortic specimens were collected during ascending aortic replacement, aortic valve replacement, and heart transplants from nonaneurysmal (NA) donors and recipients. Matrix architecture of the aortic media was assessed qualitatively using multiphoton microscopy followed by quantification of collagen and elastin fiber orientation. α-Elastin was determined and matrix maturity was assessed by quantifying immature and mature collagen and lysyl oxidase (Lox) expression and activity in aortic specimens. Matrix metalloproteinase-2/9 activity was quantified in aortic smooth muscle cells., Results: Elastin and collagen fibers were more highly aligned in BAV-NA and BAV-TAA cases than in TAV-TAA cases, whereas TAV-TAA cases were more disorganized than TAV-NA cases. α-Elastin content was unchanged. Immature collagen was reduced in BAV-NA and BAV-TAA cases when compared with TAV-NA and TAV-TAA cases. Mature collagen was elevated in TAV-TAA cases compared with TAV-NA and BAV-TAA cases. There was a trend toward elevated Lox gene expression and activity and matrix metalloproteinase-2/9 activity for TAV-TAA, BAV-NA, and BAV-TAA specimens., Conclusions: The highly aligned matrix architecture in patients with BAVs indicates that wall remodeling is distinct from TAV-TAA. Altered matrix architecture and reduced collagen maturity suggest that the effector molecules mediating the remodeling of TAAs are different in BAV and TAV cases., (Copyright © 2014 The American Association for Thoracic Surgery. Published by Mosby, Inc. All rights reserved.)
- Published
- 2014
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38. A disulfide tether stabilizes the block of sodium channels by the conotoxin μO§-GVIIJ.
- Author
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Gajewiak J, Azam L, Imperial J, Walewska A, Green BR, Bandyopadhyay PK, Raghuraman S, Ueberheide B, Bern M, Zhou HM, Minassian NA, Hagan RH, Flinspach M, Liu Y, Bulaj G, Wickenden AD, Olivera BM, Yoshikami D, and Zhang MM
- Subjects
- Amino Acid Sequence, Animals, Base Sequence, Chromatography, High Pressure Liquid, Conotoxins genetics, Conotoxins metabolism, Cysteine metabolism, DNA Primers genetics, DNA, Complementary genetics, Molecular Sequence Data, Oocytes metabolism, Patch-Clamp Techniques, Rats, Sequence Analysis, DNA, Tandem Mass Spectrometry, Voltage-Gated Sodium Channel Blockers metabolism, Conotoxins toxicity, Disulfides metabolism, NAV1.2 Voltage-Gated Sodium Channel metabolism, Neurons metabolism, Voltage-Gated Sodium Channel Blockers toxicity
- Abstract
A cone snail venom peptide, μO§-conotoxin GVIIJ from Conus geographus, has a unique posttranslational modification, S-cysteinylated cysteine, which makes possible formation of a covalent tether of peptide to its target Na channels at a distinct ligand-binding site. μO§-conotoxin GVIIJ is a 35-aa peptide, with 7 cysteine residues; six of the cysteines form 3 disulfide cross-links, and one (Cys24) is S-cysteinylated. Due to limited availability of native GVIIJ, we primarily used a synthetic analog whose Cys24 was S-glutathionylated (abbreviated GVIIJSSG). The peptide-channel complex is stabilized by a disulfide tether between Cys24 of the peptide and Cys910 of rat (r) NaV1.2. A mutant channel of rNaV1.2 lacking a cysteine near the pore loop of domain II (C910L), was >10(3)-fold less sensitive to GVIIJSSG than was wild-type rNaV1.2. In contrast, although rNaV1.5 was >10(4)-fold less sensitive to GVIIJSSG than NaV1.2, an rNaV1.5 mutant with a cysteine in the homologous location, rNaV1.5[L869C], was >10(3)-fold more sensitive than wild-type rNaV1.5. The susceptibility of rNaV1.2 to GVIIJSSG was significantly altered by treating the channels with thiol-oxidizing or disulfide-reducing agents. Furthermore, coexpression of rNaVβ2 or rNaVβ4, but not that of rNaVβ1 or rNaVβ3, protected rNaV1.1 to -1.7 (excluding NaV1.5) against block by GVIIJSSG. Thus, GVIIJ-related peptides may serve as probes for both the redox state of extracellular cysteines and for assessing which NaVβ- and NaVα-subunits are present in native neurons.
- Published
- 2014
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39. Proteomic amino-termini profiling reveals targeting information for protein import into complex plastids.
- Author
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Huesgen PF, Alami M, Lange PF, Foster LJ, Schröder WP, Overall CM, and Green BR
- Subjects
- Acetylation, Diatoms metabolism, Protein Transport, Chloroplast Proteins metabolism, Plastids metabolism, Proteomics methods
- Abstract
In organisms with complex plastids acquired by secondary endosymbiosis from a photosynthetic eukaryote, the majority of plastid proteins are nuclear-encoded, translated on cytoplasmic ribosomes, and guided across four membranes by a bipartite targeting sequence. In-depth understanding of this vital import process has been impeded by a lack of information about the transit peptide part of this sequence, which mediates transport across the inner three membranes. We determined the mature N-termini of hundreds of proteins from the model diatom Thalassiosira pseudonana, revealing extensive N-terminal modification by acetylation and proteolytic processing in both cytosol and plastid. We identified 63 mature N-termini of nucleus-encoded plastid proteins, deduced their complete transit peptide sequences, determined a consensus motif for their cleavage by the stromal processing peptidase, and found evidence for subsequent processing by a plastid methionine aminopeptidase. The cleavage motif differs from that of higher plants, but is shared with other eukaryotes with complex plastids.
- Published
- 2013
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40. Mitochondrial Genes of Dinoflagellates Are Transcribed by a Nuclear-Encoded Single-Subunit RNA Polymerase.
- Author
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Teng CY, Dang Y, Danne JC, Waller RF, and Green BR
- Subjects
- Amino Acid Sequence, Bacteriophage T7 enzymology, Bacteriophage T7 genetics, Cell Nucleus genetics, Cell Nucleus metabolism, Conserved Sequence, Dinoflagellida ultrastructure, Genome, Mitochondrial, Phylogeny, Protein Subunits, DNA-Directed RNA Polymerases physiology, Dinoflagellida genetics, Genes, Mitochondrial, RNA, Nuclear physiology, Transcription, Genetic
- Abstract
Dinoflagellates are a large group of algae that contribute significantly to marine productivity and are essential photosynthetic symbionts of corals. Although these algae have fully-functioning mitochondria and chloroplasts, both their organelle genomes have been highly reduced and the genes fragmented and rearranged, with many aberrant transcripts. However, nothing is known about their RNA polymerases. We cloned and sequenced the gene for the nuclear-encoded mitochondrial polymerase (RpoTm) of the dinoflagellate Heterocapsa triquetra and showed that the protein presequence targeted a GFP construct into yeast mitochondria. The gene belongs to a small gene family, which includes a variety of 3'-truncated copies that may have originated by retroposition. The catalytic C-terminal domain of the protein shares nine conserved sequence blocks with other single-subunit polymerases and is predicted to have the same fold as the human enzyme. However, the N-terminal (promoter binding/transcription initiation) domain is not well-conserved. In conjunction with the degenerate nature of the mitochondrial genome, this suggests a requirement for novel accessory factors to ensure the accurate production of functional mRNAs.
- Published
- 2013
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41. Mrp2 is involved in the efflux and disposition of fosinopril.
- Author
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Green BR and Bain LJ
- Subjects
- ATP-Binding Cassette Transporters metabolism, Angiotensin-Converting Enzyme Inhibitors pharmacokinetics, Animals, Biological Transport, Active, Cell Line, Cell Survival, Dogs, Drug Interactions, Folic Acid Antagonists pharmacology, Fosinopril pharmacokinetics, Histamine H1 Antagonists metabolism, Histamine H1 Antagonists pharmacokinetics, Humans, Loratadine analogs & derivatives, Loratadine metabolism, Loratadine pharmacokinetics, Methotrexate pharmacology, Mice, Mice, Knockout, Multidrug Resistance-Associated Protein 2, Multidrug Resistance-Associated Proteins genetics, Multidrug Resistance-Associated Proteins metabolism, Tissue Distribution, Angiotensin-Converting Enzyme Inhibitors metabolism, Fosinopril metabolism, Multidrug Resistance-Associated Proteins physiology
- Abstract
The multidrug-resistance-associated proteins 1 and 2 (MRP1/MRP2) are transporters responsible for the efflux of drugs and endogenous compounds. Madin Darby canine kidney (MDCK) cells transfected with the human MRP1 or MRP2 genes were used to assess whether several widely used pharmaceuticals are potential substrates by examining their differential toxicity, accumulation and efflux. Loratadine, an antihistamine, was 1.4-fold less toxic to MRP1 cells and its retention was 1.3-fold lower than that from MDCK control cells. Fosinopril, an angiotensin converting enzyme inhibitor, was 2.4-fold less toxic and its retention was 4.5-fold lower in MRP2-transfected cells compared with control cells. To determine whether fosinopril contributed to a drug-drug interaction, fosinopril efflux was examined in vitro in combination with other known or suspected MRP2 substrates over a period of 20 min. When fosinopril was coincubated with desloratadine, loratadine or methotrexate, its retention was increased by 2-, 4.7- and 2-fold, respectively, which likely indicates that a drug-drug interaction is occurring. In vivo studies were conducted, in which FVB wild-type and FVB/Mrp2(-/-) mice were dosed with fosinopril and the known MRP2 substrate methotrexate, and tissues collected after 1 h. In mice lacking Mrp2, drug levels were reduced in the intestine by 1.5-fold, but increased in the liver, serum and kidneys, by 2.1-, 2.9- and 3-fold, respectively. These data suggest that, in the absence of Mrp2, fosinopril alters the retention of a second drug. These findings will help increase our understanding of the role that MRP2 plays in altering the retention and disposition of coadministered pharmaceuticals., (Copyright © 2011 John Wiley & Sons, Ltd.)
- Published
- 2013
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42. Cyclic analogs of galanin and neuropeptide Y by hydrocarbon stapling.
- Author
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Green BR, Klein BD, Lee HK, Smith MD, Steve White H, and Bulaj G
- Subjects
- Amino Acid Sequence, Animals, Anticonvulsants metabolism, Cyclization, Drug Stability, Galanin metabolism, Male, Mice, Molecular Sequence Data, Neuropeptide Y metabolism, Protein Stability, Protein Structure, Secondary, Rats, Anticonvulsants chemistry, Anticonvulsants therapeutic use, Epilepsy drug therapy, Galanin analogs & derivatives, Galanin therapeutic use, Neuropeptide Y analogs & derivatives, Neuropeptide Y therapeutic use
- Abstract
Hydrocarbon stapling is an effective strategy to stabilize the helical conformation of bioactive peptides. Here we describe application of stapling to anticonvulsant neuropeptides, galanin (GAL) and neuropeptide Y (NPY), that are implicated in modulating seizures in the brain. Dicarba bridges were rationally introduced into minimized analogs of GAL and NPY resulting in increased α-helical content, in vitro metabolic stability and n-octanol/water partitioning coefficient (logD). The stapled analogs retained agonist activities towards their respective receptors and suppressed seizures in a mouse model of epilepsy., (Copyright © 2012 Elsevier Ltd. All rights reserved.)
- Published
- 2013
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43. Distinct disulfide isomers of μ-conotoxins KIIIA and KIIIB block voltage-gated sodium channels.
- Author
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Khoo KK, Gupta K, Green BR, Zhang MM, Watkins M, Olivera BM, Balaram P, Yoshikami D, Bulaj G, and Norton RS
- Subjects
- Chromatography, High Pressure Liquid, Cloning, Molecular, Conotoxins chemistry, Conotoxins genetics, Mass Spectrometry, Nuclear Magnetic Resonance, Biomolecular, Oxidation-Reduction, Conotoxins pharmacology, Disulfides chemistry, Ion Channel Gating, Isomerism, Sodium Channels drug effects
- Abstract
In the preparation of synthetic conotoxins containing multiple disulfide bonds, oxidative folding can produce numerous permutations of disulfide bond connectivities. Establishing the native disulfide connectivities thus presents a significant challenge when the venom-derived peptide is not available, as is increasingly the case when conotoxins are identified from cDNA sequences. Here, we investigate the disulfide connectivity of μ-conotoxin KIIIA, which was predicted originally to have a [C1-C9,C2-C15,C4-C16] disulfide pattern based on homology with closely related μ-conotoxins. The two major isomers of synthetic μ-KIIIA formed during oxidative folding were purified and their disulfide connectivities mapped by direct mass spectrometric collision-induced dissociation fragmentation of the disulfide-bonded polypeptides. Our results show that the major oxidative folding product adopts a [C1-C15,C2-C9,C4-C16] disulfide connectivity, while the minor product adopts a [C1-C16,C2-C9,C4-C15] connectivity. Both of these peptides were potent blockers of Na(V)1.2 (K(d) values of 5 and 230 nM, respectively). The solution structure for μ-KIIIA based on nuclear magnetic resonance data was recalculated with the [C1-C15,C2-C9,C4-C16] disulfide pattern; its structure was very similar to the μ-KIIIA structure calculated with the incorrect [C1-C9,C2-C15,C4-C16] disulfide pattern, with an α-helix spanning residues 7-12. In addition, the major folding isomers of μ-KIIIB, an N-terminally extended isoform of μ-KIIIA identified from its cDNA sequence, were isolated. These folding products had the same disulfide connectivities as μ-KIIIA, and both blocked Na(V)1.2 (K(d) values of 470 and 26 nM, respectively). Our results establish that the preferred disulfide pattern of synthetic μ-KIIIA and μ-KIIIB folded in vitro is 1-5/2-4/3-6 but that other disulfide isomers are also potent sodium channel blockers. These findings raise questions about the disulfide pattern(s) of μ-KIIIA in the venom of Conus kinoshitai; indeed, the presence of multiple disulfide isomers in the venom could provide a means of further expanding the snail's repertoire of active peptides.
- Published
- 2012
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44. Algal genomes reveal evolutionary mosaicism and the fate of nucleomorphs.
- Author
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Curtis BA, Tanifuji G, Burki F, Gruber A, Irimia M, Maruyama S, Arias MC, Ball SG, Gile GH, Hirakawa Y, Hopkins JF, Kuo A, Rensing SA, Schmutz J, Symeonidi A, Elias M, Eveleigh RJ, Herman EK, Klute MJ, Nakayama T, Oborník M, Reyes-Prieto A, Armbrust EV, Aves SJ, Beiko RG, Coutinho P, Dacks JB, Durnford DG, Fast NM, Green BR, Grisdale CJ, Hempel F, Henrissat B, Höppner MP, Ishida K, Kim E, Kořený L, Kroth PG, Liu Y, Malik SB, Maier UG, McRose D, Mock T, Neilson JA, Onodera NT, Poole AM, Pritham EJ, Richards TA, Rocap G, Roy SW, Sarai C, Schaack S, Shirato S, Slamovits CH, Spencer DF, Suzuki S, Worden AZ, Zauner S, Barry K, Bell C, Bharti AK, Crow JA, Grimwood J, Kramer R, Lindquist E, Lucas S, Salamov A, McFadden GI, Lane CE, Keeling PJ, Gray MW, Grigoriev IV, and Archibald JM
- Subjects
- Algal Proteins genetics, Algal Proteins metabolism, Alternative Splicing genetics, Cercozoa cytology, Cercozoa metabolism, Cryptophyta cytology, Cryptophyta metabolism, Cytosol metabolism, Gene Duplication genetics, Gene Transfer, Horizontal genetics, Genes, Essential genetics, Genome, Mitochondrial genetics, Genome, Plant genetics, Genome, Plastid genetics, Molecular Sequence Data, Phylogeny, Protein Transport, Proteome genetics, Proteome metabolism, Transcriptome genetics, Cell Nucleus genetics, Cercozoa genetics, Cryptophyta genetics, Evolution, Molecular, Genome genetics, Mosaicism, Symbiosis genetics
- Abstract
Cryptophyte and chlorarachniophyte algae are transitional forms in the widespread secondary endosymbiotic acquisition of photosynthesis by engulfment of eukaryotic algae. Unlike most secondary plastid-bearing algae, miniaturized versions of the endosymbiont nuclei (nucleomorphs) persist in cryptophytes and chlorarachniophytes. To determine why, and to address other fundamental questions about eukaryote-eukaryote endosymbiosis, we sequenced the nuclear genomes of the cryptophyte Guillardia theta and the chlorarachniophyte Bigelowiella natans. Both genomes have >21,000 protein genes and are intron rich, and B. natans exhibits unprecedented alternative splicing for a single-celled organism. Phylogenomic analyses and subcellular targeting predictions reveal extensive genetic and biochemical mosaicism, with both host- and endosymbiont-derived genes servicing the mitochondrion, the host cell cytosol, the plastid and the remnant endosymbiont cytosol of both algae. Mitochondrion-to-nucleus gene transfer still occurs in both organisms but plastid-to-nucleus and nucleomorph-to-nucleus transfers do not, which explains why a small residue of essential genes remains locked in each nucleomorph.
- Published
- 2012
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45. Photosystem II photoinactivation, repair, and protection in marine centric diatoms.
- Author
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Wu H, Roy S, Alami M, Green BR, and Campbell DA
- Subjects
- Absorption, Culture Techniques methods, Diatoms chemistry, Diatoms physiology, Oxidation-Reduction, Photosynthesis, Protein Subunits chemistry, Species Specificity, Temperature, Time Factors, Xanthophylls chemistry, Diatoms radiation effects, Light, Photochemical Processes, Photosystem II Protein Complex chemistry
- Abstract
Diatoms are important contributors to aquatic primary production, and can dominate phytoplankton communities under variable light regimes. We grew two marine diatoms, the small Thalassiosira pseudonana and the large Coscinodiscus radiatus, across a range of temperatures and treated them with a light challenge to understand their exploitation of variable light environments. In the smaller T. pseudonana, photosystem II (PSII) photoinactivation outran the clearance of PSII protein subunits, particularly in cells grown at sub- or supraoptimal temperatures. In turn the absorption cross section serving PSII photochemistry was down-regulated in T. pseudonana through induction of a sustained phase of nonphotochemical quenching that relaxed only slowly over 30 min of subsequent low-light incubation. In contrast, in the larger diatom C. radiatus, PSII subunit turnover was sufficient to counteract a lower intrinsic susceptibility to photoinactivation, and C. radiatus thus did not need to induce sustained nonphotochemical quenching under the high-light treatment. T. pseudonana thus incurs an opportunity cost of sustained photosynthetic down-regulation after the end of an upward light shift, whereas the larger C. radiatus can maintain a balanced PSII repair cycle under comparable conditions.
- Published
- 2012
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46. The harmful alga Aureococcus anophagefferens utilizes 19'-butanoyloxyfucoxanthin as well as xanthophyll cycle carotenoids in acclimating to higher light intensities.
- Author
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Alami M, Lazar D, and Green BR
- Subjects
- Pigments, Biological metabolism, Acclimatization, Carotenoids metabolism, Light, Microalgae metabolism, Xanthophylls metabolism
- Abstract
Aureococcus anophagefferens is a picoplanktonic microalga that is very well adapted to growth at low nutrient and low light levels, causing devastating blooms ("brown tides") in estuarine waters. To study the factors involved in long-term acclimation to different light intensities, cells were acclimated for a number of generations to growth under low light (20μmolphotonsm(-2)s(-1)), medium light (60 or 90μmolphotonsm(-2)s(-1)) and high light (200μmolphotonsm(-2)s(-1)), and were analyzed for their contents of xanthophyll cycle carotenoids (the D pool), fucoxanthin and its derivatives (the F pool), Chls c(2) and c(3), and fucoxanthin Chl a/c polypeptides (FCPs). Higher growth light intensities resulted in increased steady state levels of both diadinoxanthin and diatoxanthin. However, it also resulted in the conversion of a significant fraction of fucoxanthin to 19'-butanoyloxyfucoxanthin without a change in the total F pool. The increase in 19'-butanoyloxyfucoxanthin was paralleled by a decrease in the effective antenna size, determined from the slope of the change in F(0) as a function of increasing light intensity. Transfer of acclimated cultures to a higher light intensity showed that the conversion of fucoxanthin to its derivative was a relatively slow process (time-frame of hours). We suggest the replacement of fucoxanthin with the bulkier 19'-butanoyloxyfucoxanthin results in a decrease in the light-harvesting efficiency of the FCP antenna and is part of the long-term acclimative response to growth at higher light intensities., (Copyright © 2012 Elsevier B.V. All rights reserved.)
- Published
- 2012
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47. Stapling mimics noncovalent interactions of γ-carboxyglutamates in conantokins, peptidic antagonists of N-methyl-D-aspartic acid receptors.
- Author
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Platt RJ, Han TS, Green BR, Smith MD, Skalicky J, Gruszczynski P, White HS, Olivera B, Bulaj G, and Gajewiak J
- Subjects
- 1-Carboxyglutamic Acid pharmacology, Animals, Epilepsy metabolism, Male, Mice, Nuclear Magnetic Resonance, Biomolecular, Protein Structure, Secondary, Receptors, N-Methyl-D-Aspartate metabolism, 1-Carboxyglutamic Acid chemistry, Conotoxins chemistry, Conotoxins pharmacology, Epilepsy drug therapy, Excitatory Amino Acid Antagonists chemistry, Excitatory Amino Acid Antagonists pharmacology, Receptors, N-Methyl-D-Aspartate antagonists & inhibitors
- Abstract
Conantokins are short peptides derived from the venoms of marine cone snails that act as antagonists of the N-methyl-D-aspartate (NMDA) receptor family of excitatory glutamate receptors. These peptides contain γ-carboxyglutamic acid residues typically spaced at i,i+4 and/or i,i+7 intervals, which by chelating divalent cations induce and stabilize helical conformation of the peptide. Introduction of a dicarba bridge (or a staple) can covalently stabilize peptide helicity and improve its pharmacological properties. To test the hypothesis that stapling can effectively replace γ-carboxyglutamic acid residues in stabilizing the helical conformation of conantokins, we designed, synthesized, and characterized several stapled analogs of conantokin G (conG), with varying connectivities in terms of staple length and location along the face of the α-helix. NMR studies confirmed that the ring-closing metathesis reaction yielded a single product with the Z configuration of the olefinic bond. Based on circular dichroism and molecular modeling, the stapled analogs exhibited significantly enhanced helicity compared with the native peptide in a metal-free environment. Stapling i,i+4 was benign with respect to effects on in vitro and in vivo pharmacological properties. One analog, namely conG[11-15,S(i,i+4)S(8)], blocked NR2B-containing NMDA receptors with IC(50) = 0.7 μm and provided significant protection in the 6-Hz psychomotor model of pharmacoresistant epilepsy in mice. Remarkably, unlike native conG, conG[11-15,S(i,i+4)S(8)] produced no behavioral motor toxicity. Our results extend the applications of peptide stapling to helical peptides with extracellular targets and provide a means for engineering conantokins with improved pharmacological properties.
- Published
- 2012
- Full Text
- View/download PDF
48. Cyanophora paradoxa genome elucidates origin of photosynthesis in algae and plants.
- Author
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Price DC, Chan CX, Yoon HS, Yang EC, Qiu H, Weber AP, Schwacke R, Gross J, Blouin NA, Lane C, Reyes-Prieto A, Durnford DG, Neilson JA, Lang BF, Burger G, Steiner JM, Löffelhardt W, Meuser JE, Posewitz MC, Ball S, Arias MC, Henrissat B, Coutinho PM, Rensing SA, Symeonidi A, Doddapaneni H, Green BR, Rajah VD, Boore J, and Bhattacharya D
- Subjects
- Biological Evolution, Cyanobacteria genetics, Gene Transfer, Horizontal, Genes, Bacterial, Molecular Sequence Data, Phylogeny, Symbiosis, Cyanophora genetics, Evolution, Molecular, Genome, Plant, Photosynthesis genetics
- Abstract
The primary endosymbiotic origin of the plastid in eukaryotes more than 1 billion years ago led to the evolution of algae and plants. We analyzed draft genome and transcriptome data from the basally diverging alga Cyanophora paradoxa and provide evidence for a single origin of the primary plastid in the eukaryote supergroup Plantae. C. paradoxa retains ancestral features of starch biosynthesis, fermentation, and plastid protein translocation common to plants and algae but lacks typical eukaryotic light-harvesting complex proteins. Traces of an ancient link to parasites such as Chlamydiae were found in the genomes of C. paradoxa and other Plantae. Apparently, Chlamydia-like bacteria donated genes that allow export of photosynthate from the plastid and its polymerization into storage polysaccharide in the cytosol.
- Published
- 2012
- Full Text
- View/download PDF
49. Mesenteric fat necrosis after recent surgery causing bowel obstruction: a case report and review of the literature.
- Author
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Green BR, Reddy A, and Jha M
- Subjects
- Abdominal Pain etiology, Adenocarcinoma, Mucinous pathology, Adenocarcinoma, Mucinous surgery, Aged, Fat Necrosis diagnostic imaging, Fat Necrosis etiology, Female, Humans, Intestinal Obstruction diagnostic imaging, Mesentery diagnostic imaging, Peritoneal Diseases complications, Peritoneal Diseases diagnostic imaging, Postoperative Complications, Tomography, X-Ray Computed, Digestive System Surgical Procedures adverse effects, Fat Necrosis complications, Intestinal Obstruction etiology
- Abstract
Mesenteric fat necrosis causing bowel obstruction is a rare occurrence with only one case reported in humans. It is due to accidental or surgical trauma to the adipose tissue with extracellular liberation of fat or enzymatic lysis of fat due to the release of lipases resulting in fibrosis. Preoperative imaging may often be misleading and fail to identify fat necrosis as the cause of bowel obstruction. As surgical intervention is the only suitable treatment option in cases of failed conservative treatment, the diagnosis is made postoperatively. There is no published advice on the management of mesenteric fat necrosis. We recommend safe operating techniques to minimize the risk of developing fat necrosis and its potential harmful consequences.
- Published
- 2012
- Full Text
- View/download PDF
50. Renal calculi: emergency department diagnosis and treatment.
- Author
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Carter MR and Green BR
- Subjects
- Algorithms, Anti-Inflammatory Agents, Non-Steroidal therapeutic use, Diagnosis, Differential, Diagnostic Imaging, Female, Humans, Male, Pain Management, Pregnancy, Pregnancy Complications diagnosis, Pregnancy Complications drug therapy, Risk Factors, Risk Management, Emergency Service, Hospital organization & administration, Emergency Treatment, Kidney Calculi diagnosis, Kidney Calculi drug therapy
- Abstract
The acute treatment of kidney stones (urolithiasis) addresses pain management and focuses on the effects of the morbidity associated with an obstructed renal system. Minimal fluid intake, resulting in decreased urine production and a high concentration of stone-forming salts, is a leading factor in renal calculi development. Radio-opaque calcareous stones account for 70% to 75% of renal calculi. Microscopic hematuria in the presence of acute flank pain is suggestive of renal colic, but the absence of red blood cells does not exclude urolithiasis. Furthermore, many inflammatory and infectious conditions cause hematuria, demonstrating the low specificity of urinalysis testing. The diagnostic modality of choice is a noncontrast computed tomography (CT); ultrasonography s preferred in pregnant patients and children. Combining opioids with non-steroidal anti-inflammatory drugs (NSAIDs) is the optimal evidence-based regimen to treat severe symptoms. Rapid intravenous (IV) hydration has not shown a benefit. Potentially life-threatening diagnoses including abdominal aortic aneurysm, ovarian torsion, and appendicitis may mimic renal colic and must be ruled out.
- Published
- 2011
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