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Background: It is a matter of debate whether diabetes alone or its associated comorbidities are responsible for severe COVID-19 outcomes. This study assessed the impact of diabetes on intensive care unit (ICU) admission and in-hospital mortality in hospitalized COVID-19 patients. Methods: A retrospective analysis was performed on a countrywide cohort of 40,632 COVID-19 patients hospitalized between March 2020 and March 2021. Data were provided by the Austrian data platform. The association of diabetes with outcomes was assessed using unmatched and propensity-score matched (PSM) logistic regression. Results: 12.2% of patients had diabetes, 14.5% were admitted to the ICU, and 16.2% died in the hospital. Unmatched logistic regression analysis showed a significant association of diabetes (odds ratio [OR]: 1.24, 95% confidence interval [CI]: 1.15–1.34, p < 0.001) with in-hospital mortality, whereas PSM analysis showed no significant association of diabetes with in-hospital mortality (OR: 1.08, 95%CI: 0.97–1.19, p = 0.146). Diabetes was associated with higher odds of ICU admissions in both unmatched (OR: 1.36, 95%CI: 1.25–1.47, p < 0.001) and PSM analysis (OR: 1.15, 95%CI: 1.04–1.28, p = 0.009). Conclusions: People with diabetes were more likely to be admitted to ICU compared to those without diabetes. However, advanced age and comorbidities rather than diabetes itself were associated with increased in-hospital mortality in COVID-19 patients.

Purple membrane (PM) from Halobacterium salinarum, which comprises bacteriorhodopsin (BR) and lipids only, has been employed by many groups as a model system to study the structure and dynamics of membrane proteins. Although the conformational dynamics of BR within PM has been extensively analyzed with subnanometer resolution by means of diffraction experiments and spectroscopic methods, as well, structural studies of dynamical transitions within single PMs are rare. In this work, we show that tapping-mode atomic force microscopy (TM-AFM) is ideally suited to study dynamical transitions within solid-supported PMs at the nanoscale. Time-dependent AFM analysis of solid-supported PMs shows that redistribution processes take place between a crystalline core region, featuring a height of ∼5 nm, and a highly mobile rim region (∼4 nm in height). Furthermore, we discuss the influence of temperature and substrate on the equilibrium. The experiments are complemented by electrostatic force microscopy (EFM) of PM on mica. Beyond their importance for many physiological processes, dynamical transitions in biological membranes, as observed in this work, are of critical importance for all methods that make use of solid-supported membrane assemblies, either analytical tools or applications. [ABSTRACT FROM AUTHOR]

Highly oriented monolayers of bacteriorhodopsin (BR) in purple membrane (PM) form are obtained by the reaction of BR-Q3C, where a cysteine was introduced into the N-terminal region, with a gold surface. Single molecule force spectroscopy was used to show that about 50% of the BRs are covalently bound to the surface. The linkage between the cysteine and the gold causes an additional characteristic peak in the force−distance curves to appear. Because several thousand cysteine−gold bonds exist between each PM patch and the surface, the PM is irreversibly bound. Such oriented PM monolayers may serve as an interface between metal surfaces and biomaterials, which may be linked to the PM surface chemically. Photoelectric applications of BR will benefit from the high degree of orientation obtained by this method. [ABSTRACT FROM AUTHOR]