22 results on '"Brigitte Heller"'
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2. Structural features stabilized by divalent cation coordination within hepatitis E virus ORF1 are critical for viral replication
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Robert LeDesma, Brigitte Heller, Abhishek Biswas, Stephanie Maya, Stefania Gili, John Higgins, and Alexander Ploss
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General Immunology and Microbiology ,General Neuroscience ,General Medicine ,General Biochemistry, Genetics and Molecular Biology - Abstract
Hepatitis E virus (HEV) is an RNA virus responsible for over 20 million infections annually. HEV’s open reading frame (ORF)1 polyprotein is essential for genome replication, though it is unknown how the different subdomains function within a structural context. Our data show that ORF1 operates as a multifunctional protein, which is not subject to proteolytic processing. Supporting this model, scanning mutagenesis performed on the putative papain-like cysteine protease (pPCP) domain revealed six cysteines essential for viral replication. Our data are consistent with their role in divalent metal ion coordination, which governs local and interdomain interactions that are critical for the overall structure of ORF1; furthermore, the ‘pPCP’ domain can only rescue viral genome replication in trans when expressed in the context of the full-length ORF1 protein but not as an individual subdomain. Taken together, our work provides a comprehensive model of the structure and function of HEV ORF1.
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- 2023
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3. Author response: Structural features stabilized by divalent cation coordination within hepatitis E virus ORF1 are critical for viral replication
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Robert LeDesma, Brigitte Heller, Abhishek Biswas, Stephanie Maya, Stefania Gili, John Higgins, and Alexander Ploss
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- 2023
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4. Induction of broadly neutralizing antibodies using a secreted form of the hepatitis C virus E1E2 heterodimer as a vaccine candidate
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Ruixue Wang, Saori Suzuki, Johnathan D. Guest, Brigitte Heller, Maricar Almeda, Alexander K. Andrianov, Alexander Marin, Roy A. Mariuzza, Zhen-Yong Keck, Steven K. H. Foung, Abdul S. Yunus, Brian G. Pierce, Eric A. Toth, Alexander Ploss, and Thomas R. Fuerst
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Viral Hepatitis Vaccines ,Mice ,Multidisciplinary ,Immunogenicity, Vaccine ,Viral Envelope Proteins ,Animals ,Hepatitis C Antibodies ,Protein Multimerization ,Hepatitis C ,Broadly Neutralizing Antibodies - Abstract
Significance Hepatitis C virus chronically infects approximately 1% of the world’s population, making an effective vaccine for hepatitis C virus a major unmet public health need. The membrane-associated E1E2 envelope glycoprotein has been used in clinical studies as a vaccine candidate. However, limited neutralization breadth and difficulty in producing large amounts of homogeneous membrane-associated E1E2 have hampered efforts to develop an E1E2-based vaccine. Our previous work described the design and biochemical validation of a native-like soluble secreted form of E1E2 (sE1E2). Here, we describe the immunogenic characterization of the sE1E2 complex. sE1E2 elicited broadly neutralizing antibodies in immunized mice, with increased neutralization breadth relative to the membrane-associated E1E2, thereby validating this platform as a promising model system for vaccine development.
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- 2022
5. Macrophages govern antiviral responses in human lung tissues protected from SARS-CoV-2 infection
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Andrew R. Berneshawi, Thomas R. Cafiero, Andrew Emili, Salam Al Abdullatif, Alejandro B. Balazs, Nicholas A. Crossland, Brigitte Heller, Elizabeth Chavez, Esther Bullitt, Stanley I. Goldstein, Bertrand R. Huber, Alexander D. Klose, Benjamin C. Blum, Maria Ericsson, Alexander J. Trachtenberg, Ryan M. Hekman, Mohsan Saeed, Kyle Grosz, Markus Bosmann, Kevin P. Francis, Devin Kenney, Hans Gertje, Paige Montanaro, Jacquelyn Turcinovic, Alexander Ploss, Florian Douam, Tomokazu Tamura, Joshua D. Campbell, Neal Paragas, John H. Connor, Amira Sheikh, and Susanna Kurnick
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Lung ,business.industry ,Inflammation ,medicine.disease_cause ,Immune system ,medicine.anatomical_structure ,Downregulation and upregulation ,Interferon ,Immunology ,medicine ,Macrophage ,Respiratory system ,medicine.symptom ,business ,Coronavirus ,medicine.drug - Abstract
SUMMARYThe majority of SARS-CoV-2 infections among healthy individuals result in asymptomatic to mild disease. However, the immunological mechanisms defining effective lung tissue protection from SARS-CoV-2 infection remain elusive. Unlike mice solely engrafted with human fetal lung xenograft (fLX), mice co-engrafted with fLX and a myeloid-enhanced human immune system (HNFL mice) are protected against SARS-CoV-2 infection, severe inflammation, and histopathology. Effective control of viral infection in HNFL mice associated with significant macrophage infiltration, and the induction of a potent macrophage-mediated interferon response. The pronounced upregulation of the USP18-ISG15 axis (a negative regulator of IFN responses), by macrophages was unique to HNFL mice and represented a prominent correlate of reduced inflammation and histopathology. Altogether, our work shed light on unique cellular and molecular correlates of lung tissue protection during SARS-CoV-2 infection, and underscores macrophage IFN responses as prime targets for developing immunotherapies against coronavirus respiratory diseases.HIGHLIGHTSMice engrafted with human fetal lung xenografts (fLX-mice) are highly susceptible to SARS-CoV-2.Co-engraftment with a human myeloid-enriched immune system protected fLX-mice against infection.Tissue protection was defined by a potent and well-balanced antiviral response mediated by infiltrating macrophages.Protective IFN response was dominated by the upregulation of the USP18-ISG15 axis.
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- 2021
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6. An In Vivo Platform to Dissect Myeloid-Mediated Mechanisms of Protection Against Respiratory Viruses
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Kyle Grosz, Benjamin C. Blum, John H. Connor, Elizabeth Chavez, Markus Bosmann, Esther Bullitt, Alexander D. Klose, Mohsan Saeed, Joshua D. Campbell, Amira Sheikh, Paige Montanaro, Hans Gertje, Nicholas A. Crossland, Kevin P. Francis, Susanna Kurnick, Ryan M. Hekman, Brigitte Heller, Maria Ericsson, Bertrand R. Huber, Neal Paragas, Jacquelyn Turcinovic, Devin Kenney, Alexander J. Trachtenberg, Andrew Emili, Salam Al Abdullatif, Alejandro B. Balazs, Alexander Ploss, Florian Douam, Stanley I. Goldstein, Tomokazu Tamura, Aoife O'Connell, Andrew R. Berneshawi, and Thomas R. Cafiero
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History ,Myeloid ,Lung ,Polymers and Plastics ,business.industry ,Phenotype ,Industrial and Manufacturing Engineering ,medicine.anatomical_structure ,Immune system ,Downregulation and upregulation ,In vivo ,Immunology ,medicine ,Respiratory virus ,Business and International Management ,Respiratory system ,business - Abstract
The human immunological mechanisms defining the clinical outcome of viral respiratory infections remain elusive. This knowledge gap is mostly driven by the lack of appropriate experimental platforms recapitulating human myeloid immune responses in a human lung environment. Here, we report a novel mouse model (i.e. HNFL mice) co-engrafted with human fetal lung xenografts (fLX) and a myeloid-enhanced human immune system. Using a combination of multi-omics approach and SARS-CoV-2 as prototypical respiratory virus, we demonstrate that HNFL represent a promising platform to identify cellular and molecular correlates of lung tissue protection during viral respiratory infection. Unlike mice solely engrafted with human fLXs, HNFL mice are protected against SARS-CoV-2 infection, severe inflammation, and histopathological phenotypes. We found that lung tissue protection from SARS-CoV-2 infection and severe histopathology associated with macrophage infiltration, and the induction of a potent macrophage-mediated antiviral response dominated by the upregulation of the USP18-ISG15 axis. Our work highlights the HNFL model as a transformative platform for the immunology community to investigate in controlled experimental settings human myeloid immune mechanisms governing lung tissue protection.
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- 2021
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7. Author response: Differences across cyclophilin A orthologs contribute to the host range restriction of hepatitis C virus
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Brigitte Heller, Alexander Ploss, Qiang Ding, Jenna M. Gaska, and Metodi Balev
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Genetics ,Cyclophilin A ,Hepatitis C virus ,medicine ,Biology ,medicine.disease_cause - Published
- 2019
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8. Immunogenicity of a Meningococcal B Vaccine during a University Outbreak
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Sarah Hanna, Adel A. F. Mahmoud, Julian Wolfson, Robin Izzo, Peter Johnsen, Nicole E. Basta, Alexander Ploss, Brigitte Heller, Jamie Findlow, Ray Borrow, Xilian Bai, and Bryan T. Grenfell
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Male ,0301 basic medicine ,030106 microbiology ,Meningococcal Vaccines ,Meningococcal vaccine ,Meningitis, Meningococcal ,Neisseria meningitidis, Serogroup B ,medicine.disease_cause ,Article ,Disease Outbreaks ,03 medical and health sciences ,0302 clinical medicine ,Antigen ,Humans ,Medicine ,Seroprevalence ,030212 general & internal medicine ,biology ,business.industry ,Neisseria meningitidis ,Immunogenicity ,Outbreak ,General Medicine ,Virology ,Vaccination ,Immunology ,biology.protein ,Female ,Antibody ,business - Abstract
BackgroundIn December 2013, a multicomponent meningococcal serogroup B (4CMenB) vaccine was used before licensure on the basis of special consideration by the Food and Drug Administration to respond to an outbreak of Neisseria meningitidis B at a U.S. university. Data suggested that vaccination would control the outbreak because isolates expressed antigens that were closely related to the vaccine antigens (factor H–binding protein [fHbp] and neisserial heparin-binding antigen). We quantified the immune responses induced by 4CMenB during the outbreak. MethodsWe conducted a seroprevalence survey among students to assess vaccination status and collect serum specimens to quantify titers of serum bactericidal antibodies (SBA) with an assay that included human complement (hSBA). We compared the proportion of vaccinated and unvaccinated participants who were seropositive for the outbreak strain and for one closely related reference strain (44/76-SL, which included fHbp) and one mismatched reference strain (5/99,...
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- 2016
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9. Selective expansion of myeloid and NK cells in humanized mice yields human-like vaccine responses
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Bruno Fant, Robert W. Leach, Gabriela Hrebikova, Wei Wang, Brigitte Heller, Lance Parsons, Alexander Ploss, Florian Douam, Alex K. Shalek, Benjamin Y. Winer, Jenna M. Gaska, and Carly G. K. Ziegler
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0301 basic medicine ,Myeloid ,Science ,General Physics and Astronomy ,chemical and pharmacologic phenomena ,Disease ,Biology ,Vaccines, Attenuated ,Article ,General Biochemistry, Genetics and Molecular Biology ,Transcriptome ,Mice ,03 medical and health sciences ,0302 clinical medicine ,Immune system ,Virus vaccine ,Immunity ,medicine ,Animals ,Humans ,Myeloid Cells ,lcsh:Science ,Multidisciplinary ,Extramural ,Yellow Fever Vaccine ,General Chemistry ,biochemical phenomena, metabolism, and nutrition ,3. Good health ,Killer Cells, Natural ,030104 developmental biology ,medicine.anatomical_structure ,Immunology ,lcsh:Q ,Yellow fever virus ,030215 immunology - Abstract
Mice engrafted with components of a human immune system have become widely-used models for studying aspects of human immunity and disease. However, a defined methodology to objectively measure and compare the quality of the human immune response in different models is lacking. Here, by taking advantage of the highly immunogenic live-attenuated yellow fever virus vaccine YFV-17D, we provide an in-depth comparison of immune responses in human vaccinees, conventional humanized mice, and second generation humanized mice. We demonstrate that selective expansion of human myeloid and natural killer cells promotes transcriptomic responses akin to those of human vaccinees. These enhanced transcriptomic profiles correlate with the development of an antigen-specific cellular and humoral response to YFV-17D. Altogether, our approach provides a robust scoring of the quality of the human immune response in humanized mice and highlights a rational path towards developing better pre-clinical models for studying the human immune response and disease., Humanized mice are an enabling technology to explore human immunity and disease. Here, Douam et al. provide an in-depth comparison of immune responses to yellow fever vaccine in human vaccinees, conventional and second-generation humanized mice and define a workflow to evaluate and refine these models.
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- 2018
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10. Species-specific disruption of STING-dependent antiviral cellular defenses by the Zika virus NS2B3 protease
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David J. Kim, Metodi Balev, Qiang Ding, Jenna M. Gaska, Alexander Ploss, Florian Douam, Brigitte Heller, and Lei Wei
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0301 basic medicine ,viruses ,Host tropism ,Viral Nonstructural Proteins ,Dengue virus ,medicine.disease_cause ,Virus ,Zika virus ,Mice ,03 medical and health sciences ,Species Specificity ,Chlorocebus aethiops ,medicine ,Animals ,Humans ,Vero Cells ,Multidisciplinary ,biology ,Membrane Proteins ,RNA virus ,Zika Virus ,Japanese encephalitis ,biology.organism_classification ,medicine.disease ,Virology ,Immunity, Innate ,eye diseases ,Sting ,Flavivirus ,HEK293 Cells ,030104 developmental biology ,PNAS Plus ,Proteolysis ,Peptide Hydrolases ,Signal Transduction - Abstract
The limited host tropism of numerous viruses causing disease in humans remains incompletely understood. One example is Zika virus (ZIKV), an RNA virus that has reemerged in recent years. Here, we demonstrate that ZIKV efficiently infects fibroblasts from humans, great apes, New and Old World monkeys, but not rodents. ZIKV infection in human-but not murine-cells impairs responses to agonists of the cGMP-AMP synthase/stimulator of IFN genes (cGAS/STING) signaling pathway, suggesting that viral mechanisms to evade antiviral defenses are less effective in rodent cells. Indeed, human, but not mouse, STING is subject to cleavage by proteases encoded by ZIKV, dengue virus, West Nile virus, and Japanese encephalitis virus, but not that of yellow fever virus. The protease cleavage site, located between positions 78/79 of human STING, is only partially conserved in nonhuman primates and rodents, rendering these orthologs resistant to degradation. Genetic disruption of STING increases the susceptibility of mouse-but not human-cells to ZIKV. Accordingly, expression of only mouse, not human, STING in murine STING knockout cells rescues the ZIKV suppression phenotype. STING-deficient mice, however, did not exhibit increased susceptibility, suggesting that other redundant antiviral pathways control ZIKV infection in vivo. Collectively, our data demonstrate that numerous RNA viruses evade cGAS/STING-dependent signaling and affirm the importance of this pathway in shaping the host range of ZIKV. Furthermore, our results explain-at least in part-the decreased permissivity of rodent cells to ZIKV, which could aid in the development of mice model with inheritable susceptibility to ZIKV and other flaviviruses.
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- 2018
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11. Long-term hepatitis B infection in a scalable hepatic co-culture system
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Benjamin Y. Winer, Brigitte Heller, Eitan Pludwinski, Tom W. Muir, Anil B. Shrirao, Tiffany Huang, Felix Wojcik, Cheul H. Cho, Amit Parekh, Gabriel Lipkowitz, Eric Novik, and Alexander Ploss
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0301 basic medicine ,Hepatitis B virus ,Carcinoma, Hepatocellular ,Cirrhosis ,Science ,General Physics and Astronomy ,Context (language use) ,medicine.disease_cause ,Antiviral Agents ,Article ,General Biochemistry, Genetics and Molecular Biology ,Virus ,Mice ,03 medical and health sciences ,Hepatitis B, Chronic ,Immune system ,medicine ,Animals ,Humans ,Cells, Cultured ,Multidisciplinary ,business.industry ,Liver Neoplasms ,virus diseases ,3T3 Cells ,Hep G2 Cells ,General Chemistry ,Fibroblasts ,Hepatitis B ,medicine.disease ,Virology ,digestive system diseases ,Coculture Techniques ,3. Good health ,HEK293 Cells ,030104 developmental biology ,Drug development ,Hepatocellular carcinoma ,Immunology ,Hepatocytes ,business - Abstract
Hepatitis B virus causes chronic infections in 250 million people worldwide. Chronic hepatitis B virus carriers are at risk of developing fibrosis, cirrhosis, and hepatocellular carcinoma. A prophylactic vaccine exists and currently available antivirals can suppress but rarely cure chronic infections. The study of hepatitis B virus and development of curative antivirals are hampered by a scarcity of models that mimic infection in a physiologically relevant, cellular context. Here, we show that cell-culture and patient-derived hepatitis B virus can establish persistent infection for over 30 days in a self-assembling, primary hepatocyte co-culture system. Importantly, infection can be established without antiviral immune suppression, and susceptibility is not donor dependent. The platform is scalable to microwell formats, and we provide proof-of-concept for its use in testing entry inhibitors and antiviral compounds., The lack of models that mimic hepatitis B virus (HBV) infection in a physiologically relevant context has hampered drug development. Here, Winer et al. establish a self-assembling, primary hepatocyte co-culture system that can be infected with patient-derived HBV without further modifications.
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- 2017
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12. Unternehmensführung in Zeiten politischer Systembrüche
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Brigitte Heller, Stefan Karner, Gerhard Botz, and Helmut Konrad
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- 2017
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13. Mice Expressing Minimally Humanized CD81 and Occludin Genes Support Hepatitis C Virus Uptake In Vivo
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Markus von Schaewen, Gabriela Hrebikova, Lisa Sandmann, Brigitte Heller, Qiang Ding, Alexander Ploss, and Mario Plaas
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0301 basic medicine ,Transcription, Genetic ,Hepatitis C virus ,Transgene ,Immunology ,Gene Expression ,Mice, Transgenic ,Context (language use) ,Hepacivirus ,Biology ,medicine.disease_cause ,Occludin ,Microbiology ,Tetraspanin 28 ,Mice ,03 medical and health sciences ,Genes, Reporter ,Viral entry ,Virology ,medicine ,Animals ,Humans ,Amino Acid Sequence ,Alleles ,Virus Internalization ,medicine.disease ,Hepatitis C ,Virus-Cell Interactions ,Disease Models, Animal ,Phenotype ,030104 developmental biology ,Genetic Loci ,Organ Specificity ,Insect Science ,Gene Targeting ,Host-Pathogen Interactions ,Liver cancer ,Viral hepatitis ,CD81 - Abstract
Hepatitis C virus (HCV) causes chronic infections in at least 150 million individuals worldwide. HCV has a narrow host range and robustly infects only humans and chimpanzees. The underlying mechanisms for this narrow host range are incompletely understood. At the level of entry, differences in the amino acid sequences between the human and mouse orthologues of two essential host factors, the tetraspanin CD81 and the tight junction protein occludin (OCLN), explain, at least in part, HCV's limited ability to enter mouse hepatocytes. We have previously shown that adenoviral or transgenic overexpression of human CD81 and OCLN facilitates HCV uptake into mouse hepatocytes in vitro and in vivo . In efforts to refine these models, we constructed knock-in mice in which the second extracellular loops of CD81 and OCLN were replaced with the respective human sequences, which contain the determinants that are critical for HCV uptake. We demonstrate that the humanized CD81 and OCLN were expressed at physiological levels in a tissue-appropriate fashion. Mice bearing the humanized alleles formed normal tight junctions and did not exhibit any immunologic abnormalities, indicating that interactions with their physiological ligands were intact. HCV entry factor knock-in mice take up HCV with an efficiency similar to that in mice expressing HCV entry factors transgenically or adenovirally, demonstrating the utility of this model for studying HCV infection in vivo . IMPORTANCE At least 150 million individuals are chronically infected with hepatitis C virus (HCV). Chronic hepatitis C can result in progressive liver disease and liver cancer. New antiviral treatments can cure HCV in the majority of patients, but a vaccine remains elusive. To gain a better understanding of the processes culminating in liver failure and cancer and to prioritize vaccine candidates more efficiently, small-animal models are needed. Here, we describe the characterization of a new mouse model in which the parts of two host factors that are essential for HCV uptake, CD81 and occludin (OCLN), which differ between mice and humans, were humanized. We demonstrate that such minimally humanized mice develop normally, express the modified genes at physiological levels, and support HCV uptake. This model is of considerable utility for studying viral entry in the three-dimensional context of the liver and to test approaches aimed at preventing HCV entry.
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- 2017
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14. Immunization With a Subunit Hepatitis C Virus Vaccine Elicits Pan-Genotypic Neutralizing Antibodies and Intrahepatic T-Cell Responses in Nonhuman Primates
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Xuesong Wang, Wanyin Tao, Alexander Ploss, Gabriela Hrebikova, Dapeng Li, Zhong Huang, Brigitte Heller, Qiang Deng, Markus von Schaewen, Qiang Sun, Jin Zhong, and Yunfang Zhang
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0301 basic medicine ,Male ,Viral Hepatitis Vaccines ,Genotype ,Hepacivirus ,T cell ,Hepatitis C virus ,T-Lymphocytes ,Enzyme-Linked Immunosorbent Assay ,medicine.disease_cause ,Peripheral blood mononuclear cell ,Immunoglobulin G ,03 medical and health sciences ,Adjuvants, Immunologic ,Major Article ,Immunology and Allergy ,Medicine ,Animals ,Humans ,biology ,business.industry ,Immunogenicity ,virus diseases ,Hepatitis C Antibodies ,biology.organism_classification ,Virology ,Antibodies, Neutralizing ,Hepatitis C ,Macaca mulatta ,030104 developmental biology ,Infectious Diseases ,medicine.anatomical_structure ,Immunization ,Liver ,Immunology ,biology.protein ,Leukocytes, Mononuclear ,Female ,Antibody ,business - Abstract
Background The global control of hepatitis C virus (HCV) infection remains a great burden, owing to the high prices and potential drug resistance of the new direct-acting antivirals (DAAs), as well as the risk of reinfection in DAA-cured patients. Thus, a prophylactic vaccine for HCV is of great importance. We previously reported that a single recombinant soluble E2 (sE2) vaccine produced in insect cells was able to induce broadly neutralizing antibodies (NAbs) and prevent HCV infection in mice. Here the sE2 vaccine was evaluated in non-human primates. Methods Rhesus macaques were immunized with sE2 vaccine in combination with different adjuvants. Vaccine-induced NAbs in antisera were tested for neutralization activities against a panel of cell culture-derived HCV (HCVcc), while T-cell responses were evaluated in splenocytes, peripheral blood mononuclear cells, and hepatic lymphocytes. Results sE2 is able to elicit NAbs against HCVcc harboring structural proteins from multiple HCV genotypes in rhesus macaques. Moreover, sE2-immunized macaques developed systemic and intrahepatic memory T cells specific for E2. A significant correlation between the sE2-specific immunoglobulin G titers and neutralization spectrum was observed, highlighting the essential role of sE2 immunogenicity on achieving broad NAbs. Conclusions sE2 is a promising HCV vaccine candidate that warrants further preclinical and clinical development.
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- 2017
15. Persistent Hepatitis B virus infection in self-assembling microscale primary hepatocyte co-culture
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Cheul H. Cho, Alexander Ploss, Benjamin Y. Winer, Anil B. Shrirao, Amit Parekh, Eitan Pludwinski, Brigitte Heller, Raymond Guo, Gabriel Lipkowitz, and Eric Novik
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Pharmacology ,Hepatitis B virus ,medicine.anatomical_structure ,Primary (chemistry) ,Chemistry ,Hepatocyte ,Self assembling ,medicine ,Pharmaceutical Science ,Pharmacology (medical) ,medicine.disease_cause ,Virology ,Microscale chemistry - Published
- 2018
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16. Is Intrapartum Intravenous Zidovudine for Prevention of Mother-to-Child HIV-1 Transmission Still Useful in the Combination Antiretroviral Therapy Era?
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Nelly Briand, Josiane Warszawski, Laurent Mandelbrot, Catherine Dollfus, Emmanuelle Pannier, Ludovic Cravello, Rose Nguyen, Isabelle Matheron, Norbert Winer, Roland Tubiana, Christine Rouzioux, Albert Faye, Stéphane Blanche, Françoise Meier, Dominique Duro, Marine Joras, Emmanuel Mortier, Catherine Crenn-Hebert, Corinne Floch-Tudal, Fabienne Mazy, Mariam Bensalah, Agnès Villemant-Uludag, Agnès Lefort, Virginie Zarrouk, Pierre-François Ceccaldi, Gisèle Philip, Gilles Hittinger, Martine Malet, Bruno Bachelard, Marie Medus, Joëlle Dendale-Nguyen, Jean-Pierre Brossier, Olivier Aubry, Jean-Luc Esnault, Sophie Leautez, Philippe Perré, Isabelle Suaud, Sandrine-Anne Martha, Mahfoud Rouha, Pascale Perfezou, Gilles Blondin, Charles Bellot, Séverine Ansart, Philippe Le Moine, Karine Bages-Jaffuel, Jean-Charles Duthé, Michel Garré, Sylvain Jaffuel, Corinne Daniel, Christian Calvez, Claude Beuscart, Emmanuelle Boutaric, Jennifer Rohan, Sylvie Lemoal, Linda Lassel, Ghislaine Cotten, Christelle Dupré, Esther Beauville, Cédric Arvieux, Anabèle Dos Santos, Corinne Cudeville, Yves Poinsignon, Virginie Mouton-Rioux, Gaétane Mousset, Anne Grellier, Philippe Moreau, Philippe Tillaut, Odile Luycx-Vaillant, Philippe de Morel, Marie-Françoise Le Coz, Isabelle Belzic, Mathilde Niault, Anne Vandenbergh, Cécile Janssen, Susanne Braig, Virginie Vitrat, Jacques Gaillat, Gaëlle Clavere, Jean-Pierre Bru, Blandine Peyret, Catherine Mullard, Marie Echard, Philippe Talon, Marion Dehlinger, Cécile Winter, Brigitte Heller-Roussin, Odile Launay, Maria Fouchet, Ghislaine Firtion, Isabelle Goupil, Nora Boudjoudi, Agnès Bourgeois-Moine, Marylène Bodard, Valérie Vivier, Mandovi Rajguru, Virginie Huri, Elie Azria, Sophie Matheron, Neila Elaoun, Philippe Faucher, Valérie Garrait, Christiane Komme, Isabelle Hau, Laurent Richier, Claudine Touboul, Valérie Thoirain, Laurent Cotte, Olivier Tariel, Joseph Koffi, Jean-Marc Labaune, Corinne Brochier, Denis Roux, Christophe Elleau, Camille Runel, Henri Bataille, Marie-Thérèse Sow, Ketty Samar, Blandine Muanza, Marc Duval, Clarisse Kingue-Ekollo, Bénédicte Carpentier, Isabelle Ronda, Jean-Marc Chamouilli, Natacha Entz-Werle, Hervé Seaume, Sarah Ducrocq, Philippe Bailly-Salin, Yvon Lemercier, Joëlle Tricoire, Alain Berrebi, Michèle Antras, Evelyne Armand, Claudine Cayla, François Bonnal, Catherine Chabanier, Anne Chacé, Sophie Couderc, Anne Boutemy, Marie-Christelle Dallot, Alain Al-Issa, Corinne Routier, Ahmed Zakaria, Véronique Favret, Juliette Gerbe, Elisabeth Questiaux, MariaLuisa Partisani, David Rey, Christine Cheneau, Christine Allisy, Dominique Brault, François Hervé, Marie-Gisèle Lebrette, Lise Selleret, Dieudonné Ekoukou, Pascal Bolot, Marie-Aude Khuong-Josses, Marie-Christine Allemon, Nelly Ghibaudo, Pierre Frange, Florence Veber, Delphine Lemercier, Marie-Christine Mourey, Gilles Blasquez, Michèle Granier, Houda Touahri, Alain Devidas, Israël Nisand, Michèle Weil, Christophe Vayssière, Jean-Luc Berger, Martine Munzer, Olivier Graesslin, Anne-Florence Naime-Alix, Frédérique Quetin, Anne Laubies, Manuela Bonmarchand, Jennifer Sommer, Patricia Bourse, Anne Coursol, Michel Youssef, Juliette Laurent, Mariem Raho, Véronique Chambrin, Philippe Labrune, Laure Clech, Alexandra Benachi, Bertrand Le Lorier, Isolde Pauly-Ravelly, Claude Allouche, Ama Johnson, Laurence Benoist, Catherine Delannoy, Eric Lachassine, Stéphanie Bolie, Joël Gaudelus, Vincent Jeantils, Amelie Benabara, Leïla Karaoui, Véronique Lefèvre, André Bongain, Eliane Galiba, Anne Deville, Fabrice Monpoux, Jacques Durant, Christian Aufrant, Jean Furioli, Jean-Louis Salomon, Françoise Granier, Antoine Doumet, Youssef Douadi, Jean Gondry, Jean-Luc Schmit, Brigitte Pautard, Marc Gamerre, Isabelle Thuret, Laurence Neimann, Claire Hubert, Bruno Carbonne, Geneviève Vaudre, Marie-Dominique Tabone, Didier Pinquier, Gaëlle Pinto Cardoso, Brigitte Clavier, Françoise Borsa-Lebas, Agathe De Lauzanne, Constance Borie, Sandrine Leveillé, Erianna Bellaton, Dominique Garion, Martine Levine, Claire Colmant, Cécile Goujard, Marc Tardieu, Florent Fuchs, Ikram Jrad, Delphine Peretti, Katia Bourdic, Corinne Fourcade, Catherine Chirouze, Jean-Marie Estavoyer, Robert Maillet, Véronique Reliquet, Cécile Brunet, Isabelle Reynaud, Claire Briandet, Jacques Brouard, Gaël Beucher, Pascale Goubin, Cécile Lanty, Eric Froguel, Béatrice Gourdel, Arnaud Chalvon Demersay, Gilbert Algava, Véronique Hentgen, Fabienne Messaoudi, Pascale Nau, Jean-Marc Besnier, Jérôme Potin, Nadine Taché, Yves Bertrand, Kamila Kebaïli, Véronique Ronat, Anne Fresard, Kareen Billiemaz, Ramona Abrudan, Alain Fournié, Jean-Marie Chennebault, Philippe Arsac, Nicole Ciraru-Vigneron, Geneviève Mouchnino, Dominique Ayral, Nelly Guigue, Muriel Lalande, Paul Benos, Christiane De Gennes, Sonia Chanzy, Valérie Isart, François Cazassus, Véronique Walter, François Bissuel, Yamina Hammou, Sophie d'Angelo, Faïza Ajana, Françoise Mazingue, Raymond Mezin, Yves Hatchuel, André Cabié, and Narcisse Elenga
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Adult ,Male ,Microbiology (medical) ,medicine.medical_specialty ,Anti-HIV Agents ,HIV Infections ,Zidovudine ,Pregnancy ,Risk Factors ,immune system diseases ,medicine ,Humans ,Prospective Studies ,Pregnancy Complications, Infectious ,Antibiotic prophylaxis ,Prospective cohort study ,Chi-Square Distribution ,Obstetrics ,Transmission (medicine) ,Vaginal delivery ,business.industry ,Infant, Newborn ,virus diseases ,Antibiotic Prophylaxis ,Viral Load ,medicine.disease ,Infectious Disease Transmission, Vertical ,Surgery ,Infectious Diseases ,Cohort ,Female ,business ,Viral load ,medicine.drug - Abstract
BACKGROUND: Intrapartum intravenous zidovudine (ZDV) prophylaxis is a long-standing component of prevention of mother-to-child transmission (MTCT) of human immunodeficiency virus (HIV) in high-resource countries. In some recent guidelines, intravenous ZDV is no longer systematically recommended for mothers receiving combination antiretroviral therapy (cART) with low viral load. We evaluated the impact of intravenous ZDV according to viral load and obstetrical conditions. METHODS: All HIV-1-infected women delivering between 1 January 1997 and 31 December 2010 in the French Perinatal Cohort (ANRS-EPF) were analyzed if they received ART during pregnancy and did not breastfeed. We identified maternal and obstetrical characteristics related to lack of intravenous ZDV and compared its association with MTCT rate and other infant parameters, according to various risk factors. RESULTS: Intravenous ZDV was used in 95.2% of the 11 538 deliveries. Older age, multiparity, and preterm and vaginal delivery were associated with lack of intravenous ZDV (n = 554). In women who delivered with viral load ≥1000 copies/mL, the overall MTCT rate was higher without than with intravenous ZDV (7.5% vs 2.9%; P = .01); however, there was no such difference when the neonate received postnatal intensification therapy. Among them, 77% of women who had viral load
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- 2013
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17. Altered Glycosylation Patterns Increase Immunogenicity of a Subunit Hepatitis C Virus Vaccine, Inducing Neutralizing Antibodies Which Confer Protection in Mice
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Wanyin Tao, Xuesong Wang, Zhong Huang, Yunfang Zhang, Jin Zhong, Brigitte Heller, Li Li, Qiang Deng, Gabriela Hrebikova, Dapeng Li, Alexander Ploss, and Markus von Schaewen
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0301 basic medicine ,Viral Hepatitis Vaccines ,Glycosylation ,Hepatitis C virus ,Immunology ,Hepacivirus ,Biology ,medicine.disease_cause ,Microbiology ,Epitope ,Cell Line ,03 medical and health sciences ,Mice ,Viral Proteins ,Viral Envelope Proteins ,Antibody Specificity ,Virology ,Vaccines and Antiviral Agents ,medicine ,Antigenic variation ,Animals ,Humans ,Protein Structure, Quaternary ,Sequence Deletion ,Mice, Inbred BALB C ,Immunogenicity ,Viral Vaccine ,virus diseases ,Hepatitis C Antibodies ,Antibodies, Neutralizing ,digestive system diseases ,Recombinant Proteins ,Vaccination ,030104 developmental biology ,Solubility ,Insect Science ,Humanized mouse ,Vaccines, Subunit ,biology.protein ,Drosophila ,Female ,Antibody - Abstract
Hepatitis C virus (HCV) infection is a global health problem for which no vaccine is available. HCV has a highly heterogeneous RNA genome and can be classified into seven genotypes. Due to the high genetic and resultant antigenic variation among the genotypes, inducing antibodies capable of neutralizing most of the HCV genotypes by experimental vaccination has been challenging. Previous efforts focused on priming humoral immune responses with recombinant HCV envelope E2 protein produced in mammalian cells. Here, we report that a soluble form of HCV E2 (sE2) produced in insect cells possesses different glycosylation patterns and is more immunogenic, as evidenced by the induction of higher titers of broadly neutralizing antibodies (bNAbs) against cell culture-derived HCV (HCVcc) harboring structural proteins from a diverse array of HCV genotypes. We affirm that continuous and discontinuous epitopes of well-characterized bNAbs are conserved, suggesting that sE2 produced in insect cells is properly folded. In a genetically humanized mouse model, active immunization with sE2 efficiently protected against challenge with a heterologous HCV genotype. These data not only demonstrate that sE2 is a promising HCV vaccine candidate, but also highlight the importance of glycosylation patterns in developing subunit viral vaccines. IMPORTANCE A prophylactic vaccine with high efficacy and low cost is urgently needed for global control of HCV infection. Induction of broadly neutralizing antibodies against most HCV genotypes has been challenging due to the antigenic diversity of the HCV genome. Here, we refined a high-yield subunit HCV vaccine that elicited broadly neutralizing antibody responses in preclinical trials. We found that soluble HCV E2 protein (sE2) produced in insect cells is distinctly glycosylated and is more immunogenic than sE2 produced in mammalian cells, suggesting that glycosylation patterns should be taken into consideration in efforts to generate antibody-based recombinant vaccines against HCV. We further showed that sE2 vaccination confers protection against HCV infection in a genetically humanized mouse model. Thus, our work identified a promising broadly protective HCV vaccine candidate that should be considered for further preclinical and clinical development.
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- 2016
18. The Adaptor Protein AMOT Promotes the Proliferation of Mammary Epithelial Cells via the Prolonged Activation of the Extracellular Signal-Regulated Kinases
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Sarah C. Nabinger, William P. Ranahan, Clark D. Wells, Brittney-Shea Herbert, Rebecca J. Chan, Brigitte Heller, Whitney R. Smith-Kinnaman, and Zhang Han
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Cancer Research ,Time Factors ,Immunoblotting ,Biology ,Article ,Cell Line ,Cell Line, Tumor ,Cell polarity ,Tumor Microenvironment ,Humans ,Extracellular Signal-Regulated MAP Kinases ,Mammary Glands, Human ,Cell Proliferation ,Mitogen-Activated Protein Kinase 1 ,Matrigel ,Microscopy, Confocal ,Mitogen-Activated Protein Kinase 3 ,Cell growth ,Microfilament Proteins ,HEK 293 cells ,Membrane Proteins ,Signal transducing adaptor protein ,Epithelial Cells ,Angiomotin ,Cell biology ,Enzyme Activation ,Drug Combinations ,Luminescent Proteins ,HEK293 Cells ,Angiomotins ,Oncology ,Cell culture ,Mutation ,Intercellular Signaling Peptides and Proteins ,Female ,Proteoglycans ,RNA Interference ,Collagen ,Laminin ,Signal transduction ,Signal Transduction - Abstract
The asymmetric organization of epithelial cells is a basic counter to cellular proliferation. However, the mechanisms whereby pro-growth pathways are modulated by intracellular factors that control cell shape are not well understood. This study demonstrates that the adaptor protein Amot, in addition to its established role in regulating cellular asymmetry, also promotes extracellular signal-regulated kinase 1 and 2 (ERK1/2)–dependent proliferation of mammary cells. Specifically, expression of Amot80, but not a mutant lacking its polarity protein interaction domain, enhances ERK1/2-dependent proliferation of MCF7 cells. Further, expression of Amot80 induces nontransformed MCF10A cells to overgrow as disorganized cellular aggregates in Matrigel. Conversely, Amot expression is required for proliferation of breast cancer cells in specific microenvironmental contexts that require ERK1/2 signaling. Thus, Amot is proposed to coordinate the dysregulation of cell polarity with the induction of neoplastic growth in mammary cells. Cancer Res; 71(6); 2203–11. ©2011 AACR.
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- 2011
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19. Increased risk of serious bacterial infections due to maternal immunosuppression in HIV-exposed uninfected infants in a European country
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Marie Medus, Vincent Gajdos, Laure Clech, Céline Goissen, Arnaud Chalvon Demersay, Virginie Zarouk, Louis Bernard, Pierre-François Ceccaldi, René-Charles Rudigoz, Patricia Murger, Philippe Le Moine, Catherine Chirouze, Mandovi Rajguru, Ludovic Cravello, Véronique Lefevre Elbert, Luminata Shneider, Guy Leverger, Tessa Goetghebuer, Kamila Kebaili, Eliane Galiba, Claudine Touboul, Françoise Meier, Didier Tardif, Dieudoné Ekoukou, Michèle Granier, Ahmed Zakaria, Corinne Cudeville, Laurence Benoist, Emilie Piet, Emmanuelle Vintejoux, Yves Hatchuel, Christophe Michau, Jean-Luc Schmidt, Michel Françoise, Claire Briandet, Stéphane Blanche, Philippe Bailly-Salin, Anne Vanderbergh, Jeanne Sibiude, Christiane Kommé, Benoît Martha, Camille Runel-Belliard, Claire Pluchart, Imad Nahri, Vincent Jeantils, François Hervé, Isabelle Hau, Agnès Lefort, Dominique Ayral, Delphine Peretti, Stéphanie Proust, Marie Belloy, Christine Rouzioux, Arnaud Boutet, Philippe Van de Perre, Elisabeth Broustal, Cécile Hafner Mauvais, Thierry Pistone, Marie-Dominique Tabone, Hélène Dauphin, Laurent Cotte, Clement Taron-Brocard, Jean-Marie Lang, Christine Boissinot, Antoine Doumet, André Bongain, Narcisse Elenga, Geneviève Mouchnino, Anne Boutemy, Christine Cheneau, Pascale Perfezou, Pierre Frange, Mathilde Niault, Christelle Dupre, Anne Chacé, Jean-Paul Teglas, Corinne Daniel, Sophie Matheron, Severine Ansart, Martine Levine, Fabienne Caby, Marc Duval-Arnould, Isabelle Metheron, Kareen Billiemaz, Albert Faye, Didier Armangaud, Yamina Hammou, Neila Elaoun, Anne Deville, Philippe Arsac, Lydie Sanchez, Odile Luycx Vaillant, Philippe Lumbroso, Marie-Gisèle Lebrette, Norbert Winer, Elise Maurel, Ramona Abrudan, Luc De Saint Martin, Françoise Jacquier, Christian Calvez, Fabrice Monpoux, Louis Mesnard, Marie-Aude Khuong-Josses, David Rey, Isabelle Belzic, Christine Allisy, Claire Genet, Hervé Seaume, Roland Tubiana, Jacques Reynes, Pascale Nau, Gilles Blondin, Eric Lachassine, Yves Poinsignon, Cédric Arvieux, Leila Karaoui, Anaïs Perilhou, Amélie Benbara, Marine Joras, Sophie Leautez-Nainville, Sophie Ducroix-Roubert, Raghad Moalim, Pascal Bolot, Jacques Gaillat, Olivier Bollengier Stragier, Alain Devidas, Muriel Lalande, Delphine Lemercier, Jean-Pierre Brossier, Emmanuelle Boutard, Isolde Pauly-Ravelly, Marie-Françoise Le Coz, Anne Grelier, Alain Alissa, Christiane De Gennes, Jean-Luc Delassus, Emmanuel Mortier, Faiza Ajana, Ghislaine Firtion, Alain Berrebi, Rose Nguyen, Sarah Ducrocq, Jean-Marc Chamouilli, Fabienne Mazy, Maïa Banigé, Khaled Mohamed, Natacha Entz-Werle, Jacques Brouard, Germaine Bachelard, Sandrine Delmas, Anne Constanty, Véronique Reliquet, Sophie Couderc, Florence Veber, Lahcene Allal, Catherine Crenn-Hebert, Blandine Muanza, Gaelle Pinto-Cardoso, Laurent Mandelbrot, Ama Johnson, Fabienne Messaoudi, Christian Burle, Josiane Warszawski, Bénédicte Carpentier, Dominique Brault, Suzanne Braig, Pascale Fialaire, Corinne Fourcade, Elisabeth Questiaux, Véronique Chambrin, Alain Lafeuillade, Véronique Hentgen, Yves Aubrard, Anne Borgne, Sandrine-Anne Martha, Evelyne Werner, Corinne Floch-Tudal, Agnès Bourgeois Moine, Corinne Routier, Jérôme Le Chenadec, Anne Coursol, Alain Fisher, Amélie Chabrol, Cécile Winter, Cécile Brunet-Cartier, Philippe Labrune, Claudine Cayla, Françoise Mazingue, Virginie Vitrat, Cyril Clavel, Michel Segondy, Ruxandra-Oana Calin, Lise Selleret, Pierre Weinbreck, Zaitoun Abdallah Moussa, Joël Gaudelus, Gaetane Mousset, Thomas Guimard, Agnès Villemant Uludag, Emmanuelle Pannier, Brigitte Clavier, Nicole Ciraru-Vigneron, Alain Checoury, Christophe Elleau, Manuela Bonmarchand, Catherine Dollfus, Joëlle Dendale-Nguyen, Adrien May, Pierre Chevojon, Claire Hubert, Constance Borie, Marialuisa Partisani, Elie Azria, Edouard Vaucel, Erianna Bellaton Marouts, Philippe Moreau, Jean-Luc Esnault, Mahfoud Rouha, Mary-France Courcoux, Brigitte Heller-Roussin, Gilles Hittinger, Christine Rouger, Lanto Ratsimbazafy, Jean-Marc Labaune, Mohamed Abdelhadi, Brigitte Elharrar, Joëlle Tricoire, Eric David, Hassan Safwan, Karine Guimard, Bruno Carbonne, Muriel Barat, Marion Dehlinger-Paul, Stéphane Bounan, Myriam Costa, Estelle Bauville, Didier Pinquier, Valérie Garrait, Etienne Dienga, Odile Launay, Zoha Maakroun, and Dominique Salmon Ceron
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Microbiology (medical) ,Pediatrics ,medicine.medical_specialty ,medicine.medical_treatment ,Human immunodeficiency virus (HIV) ,HIV Infections ,Kaplan-Meier Estimate ,medicine.disease_cause ,Infant, Newborn, Diseases ,Pregnancy ,medicine ,Humans ,Pregnancy Complications, Infectious ,Retrospective Studies ,business.industry ,Proportional hazards model ,Risk of infection ,Hazard ratio ,Infant, Newborn ,Infant ,Immunosuppression ,Bacterial Infections ,medicine.disease ,Confidence interval ,Infectious Disease Transmission, Vertical ,CD4 Lymphocyte Count ,Infectious Diseases ,Immunology ,Cohort ,Female ,France ,business ,Immunosuppressive Agents - Abstract
BACKGROUND Morbidity and mortality are higher among human immunodeficiency virus (HIV) exposed but uninfected (HEU) infants than unexposed infants, particularly if the mother had a low CD4 count. We investigated the possible association between maternal immune depression during pregnancy and the risk of infection in HEU infants in the national French Perinatal Cohort (EPF). METHODS All neonates, born alive, to HIV-1-infected women enrolled in the EPF between 2002 and 2010 were included. The primary outcome was the first serious (hospitalization or death) infection during the first year of life. The main exposure variable was maternal CD4 cell count near delivery. The Kaplan-Meier method and multivariate Cox models were applied, with the different types of infections managed as competing events. RESULTS Among 7638 HEU neonates, 699 had at least 1 serious infection (of which 159 were bacterial) with a Kaplan-Meier probability of 9.3% (95% confidence interval, 8.7-10.0) at 1 year. The risk of serious bacterial infection during the first year of life significantly increased with lower maternal CD4 cell count, before and after adjustment for maternal CD4 cell count
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- 2014
20. P0674 : Clinically approved T-type calcium channel inhibitors prevent hepatitis C virus (HCV) membrane fusion in a genotype-dependent manner
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Thomas Pietschmann, Luis M. Schang, M. von Schaewen, Sibylle Haid, Kai Schulze, Florian W. R. Vondran, Richard J. C. Brown, Carsten Zeilinger, Eva Luxenburger, Paula Monteiro Perin, Philip Meuleman, Andreas Kirschning, Che C. Colpitts, Rolf Müller, Brigitte Heller, Carlos A. Guzmán, Koen Vercauteren, Y. Andonyadis, Glenn Randall, Alexander Ploss, and Lars Kaderali
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Hepatology ,Dependent manner ,Chemistry ,Hepatitis C virus ,Genotype ,medicine ,T-type calcium channel ,Lipid bilayer fusion ,medicine.disease_cause ,Virology - Published
- 2015
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21. Amot recognizes a juxtanuclear endocytic recycling compartment via a novel lipid binding domain
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Robert Bittman, Emmanuel Adu-Gyamfi, Cliff Babbey, Robert V. Stahelin, Yi Xue, Clark D. Wells, Mohsin Vora, Brigitte Heller, and Whitney R. Smith-Kinnaman
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Scaffold protein ,Endosome ,Endocytic recycling ,Endosomes ,Biology ,In Vitro Techniques ,Biochemistry ,Cell junction ,Biophysical Phenomena ,Cell Line ,Membrane Lipids ,Dogs ,Membrane Biology ,Animals ,Humans ,Cytoskeleton ,Molecular Biology ,Phylogeny ,Binding Sites ,ADP-Ribosylation Factors ,Microfilament Proteins ,Signal transducing adaptor protein ,Cell Polarity ,Membrane Proteins ,Cell Biology ,Intracellular Membranes ,Angiomotin ,Endocytosis ,Recombinant Proteins ,Cell biology ,Cell Compartmentation ,Protein Structure, Tertiary ,Cholesterol ,Membrane protein ,Angiomotins ,ADP-Ribosylation Factor 6 ,rab GTP-Binding Proteins ,Liposomes ,Intercellular Signaling Peptides and Proteins - Abstract
Polarity proteins promote the asymmetric organization of cells by orienting intracellular sorting mechanisms, such as protein trafficking and cytoskeletal assembly. The localization of individual polarity proteins in turn is often determined by association with factors that mediate contact with other cells or the substratum. This arrangement for the Par and Crb apical polarity complexes at the tight junction is disrupted by the adaptor protein Amot. Amot directly binds the scaffolding proteins Patj and Mupp1 and redistributes them and their binding partners from the plasma membrane to endosomes. However, the mechanism by which Amot is targeted to endosomes is unknown. Here, a novel lipid binding domain within Amot is shown to selectively bind with high affinity to membranes containing monophosphorylated phosphatidylinositols and cholesterol. With similar lipid specificity, Amot inserts into and tubulates membranes in vitro and enlarges perinuclear endosomal compartments in cells. Based on the similar distribution of Amot with cholesterol, Rab11, and Arf6, such membrane interactions are identified at juxtanuclear endocytic recycling compartments. Taken together, these findings indicate that Amot is targeted along with associated apical polarity proteins to the endocytic recycling compartment via this novel membrane binding domain.
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- 2010
22. Performance of HIV-1 DNA or HIV-1 RNA Tests for Early Diagnosis of Perinatal HIV-1 Infection during Anti-Retroviral Prophylaxis
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Fabienne Mazy, Stéphane Blanche, Carine Jasseron, Corinne Floch, Marie-Christine Allemon, Josiane Warszawski, Christine Rouzioux, Marianne Burgard, Philippe Descamps, Eric Lachassinne, Brigitte Heller-Roussin, and Nicole Ciraru-Vigneron
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Male ,Concordance ,HIV Infections ,Polymerase Chain Reaction ,Sensitivity and Specificity ,Peripheral blood mononuclear cell ,law.invention ,chemistry.chemical_compound ,law ,Humans ,Medicine ,Prospective Studies ,Prospective cohort study ,Polymerase chain reaction ,business.industry ,Infant, Newborn ,Infant ,virus diseases ,RNA ,Virology ,Clinical trial ,Early Diagnosis ,chemistry ,DNA, Viral ,Pediatrics, Perinatology and Child Health ,HIV-1 ,RNA, Viral ,Female ,business ,Viral load ,DNA - Abstract
Objective To compare performance of testing for human immunodeficiency virus (HIV)-1 DNA and HIV-1 RNA for diagnosis of HIV-1 infection in infants receiving preventive antiretroviral therapy. Study design This substudy of the French multicenter prospective cohort of neonates born to HIV-infected mothers, included 1567 infants tested for HIV with polymerase chain reaction (PCR) in a single laboratory, receiving post-natal prophylaxis, not breastfed, and having simultaneous HIV-1 DNA and RNA results before 45 days. The performance of PCR was assessed in reference to the 6-month HIV-1 RNA result. Results Specificity of both HIV-1 RNA and HIV-1 DNA PCR was 100% at all ages (except 99.8% for DNA at birth); sensitivity was 58% (RNA) and 55% (DNA) at birth, and 89% at 1 month, 100% at 3 months for both, and 100% at 6 months (DNA). Concordance between HIV-1 DNA and RNA results was 0.78 and 0.81 (Kappa) at birth and 1 month and 100% at 3 and 6 months. Type of maternal and neonatal prophylaxis had no effect on sensitivity, but influenced viral load. Conclusion The performances of testing for HIV-1 DNA and RNA were similar with 100% sensitivity at 3 months. At 1 month during prophylaxis, 11% of infected children had negative PCR results.
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- 2012
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