38 results on '"Kler, S."'
Search Results
2. Animal allergen exposure levels in veterinary practices and homes of practice employees
- Author
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Zahradnik, E., Sander, I., Kleinmueller, O., Lotz, A., Liebers, V., Janssen-Weets, B., Kler, S., Hilger, C., Beine, A., Hoffmeyer, F., Nienhaus, A., and Raulf, M.
- Published
- 2021
3. Evaluation of two new recombinant guinea-pig lipocalins, Cav p 2 and Cav p 3, in the diagnosis of guinea-pig allergy
- Author
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Hilger, C., Swiontek, K., Kler, S., Diederich, C., Lehners, C., Vogel, L., Vieths, S., and Hentges, F.
- Published
- 2011
- Full Text
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4. Apport de l’immunoprotéomique à l’évaluation du risque allergique lié à la propolis
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Shahali, Y., primary, Kler, S., additional, Revets, D., additional, Planchon, S., additional, Renaut, J., additional, Pourpak, Z., additional, Hentges, F., additional, Ollert, M., additional, and Hilger, C., additional
- Published
- 2020
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5. Shedding light on the polistes dominula venom proteome-Identification and characterization of novel allergens
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Grosch, J., Hilger, C., Bilo, B., Eberlein, B., Revets, D., Kler, S., Dittmar, M., Schiener, M., Kuehn, A., Pascal, M., Planchon, S., De La Roca, F., Serrano, P., Moreno-Aguilar, C., Biedermann, T., Darsow, U., Ollert, M., Schmidt-Weber, C., and Blank, S.
- Published
- 2019
6. Method development for allergen capture from allergenic sources using human IgE-antibodies
- Author
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Klueber, J., Carsten Bindslev-Jensen, Per Stahl Skov, Eller, E., Lesur, A., Bernardin, F., Dittmar, G., Kler, S., Hilger, C., Ollert, Markus W., Blank, S., Schmidt-Weber, C., and Kuehn, A.
- Published
- 2019
7. Elements of the Active Center of Silicon Transporters in Diatoms
- Author
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Grachev, M. A., Denikina, N. N., Belikov, S. I., Likhoshvai, E. V., Usol'tseva, M. V., Tikhonova, I. V., Adel'shin, R. V., Kler, S. A., and Shcherbakova, T. A.
- Published
- 2002
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8. IDENTIFYING MEALS ON WHEELS CLIENTS AT RISK OF HOSPITALIZATION: A STRATEGY FOR ALLOCATING EXTRA HEALTH SERVICES
- Author
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Kler, S, primary, Ogarek, J, additional, Shan, M, additional, Gozalo, P, additional, Gutman, R, additional, Dosa, D, additional, and Thomas, K, additional
- Published
- 2018
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9. SRPP Section Student Poster Award Finalists
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Kler, S, primary, Samuel, L, additional, and Thomas, K, additional
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- 2018
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10. 398: Are Emergency Physicians More Efficient In Running a Large Observation Unit?
- Author
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Pena, M.E., primary, Takla, R.B., additional, Dunne, R.B., additional, Szpunar, S.M., additional, and Kler, S., additional
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- 2010
- Full Text
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11. Community Connectedness as a Moderator of the Association between Intersectional Microaggressions and Alcohol Use among Sexual and Gender Minoritized People of Color.
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Kler S, Shepherd BF, and Renteria R
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- Humans, Male, Female, Cross-Sectional Studies, Microaggression, Skin Pigmentation, Sexual Behavior, Gender Identity, Sexual and Gender Minorities
- Abstract
Background : Researchers have documented associations between discrete conceptualizations of microaggressions (e.g., sexual identity, gender identity, and racial identity microaggressions) and alcohol use among sexual and gender minoritized people of color (SGM-POC). However, little is known about the association between intersectional microaggressions and alcohol use among SGM-POC. Moreover, protective factors such as community connectedness have been examined via similar discrete conceptualizations instead of examining SGM-POC community connectedness with other SGM-POC individuals. Objectives : The purpose of this study was to explore the association between intersectional microaggressions and alcohol use among SGM-POC and test whether different types of community connectedness moderated this association. Methods : Cross-sectional data were collected from a sample of 267 SGM-POC individuals. Four moderation analyses were done to analyze whether different types of community connectedness (sexual identity, racial identity, gender identity, and SGM-POC identity community connectedness) were moderators of the association of intersectional microaggressions and alcohol use. Results : Intersectional microaggressions were significantly positively correlated with alcohol use. Furthermore, SGM-POC community connectedness moderated this association such that the association was stronger for individuals with higher levels of SGM-POC community connectedness, but not lower levels of SGM-POC community connectedness. Conclusions : These findings showcase the importance of assessing for intersectional microaggressions as a risk factor for alcohol use. Similarly, the findings suggest that SGM-POC community connectedness may be a protective factor against alcohol use for SGM-POC.
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- 2023
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12. Allergenic risk assessment of cowpea and its cross-reactivity with pea and peanut.
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Chentouh MM, Codreanu-Morel F, Boutebba A, Kler S, Revets D, Kuehn A, Ollert M, and Hilger C
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- Child, Humans, Arachis, Pisum sativum, Allergens, Immunoglobulin E, Vegetables, Risk Assessment, Cross Reactions, Plant Proteins, Vigna, Food Hypersensitivity diagnosis, Peanut Hypersensitivity diagnosis, Lens Plant, Lupinus
- Abstract
Background: Novel protein sources can represent a risk for allergic consumers. The aim of this study was to evaluate the allergenicity of cowpea (Vigna unguiculata), an increasingly consumed legume and potential new industrial food ingredient which may put legume-allergic patients at risk., Methods: Children with allergy to legumes associated to peanut (LP group: n = 13) or without peanut allergy (L group: n = 14) were recruited and sensitization to several legumes including cowpea was assessed by prick tests and detection of specific IgE (sIgE). Cowpea protein extract was analyzed by SDS-PAGE and immunoblotting, IgE-reactive spots were subjected to mass spectrometry. IgE-cross-reactivity between cowpea, pea, and peanut was determined using ELISA inhibition assays. Basophil activation tests were performed to evaluate sensitivity and reactivity of patient basophils toward legumes., Results: Prick tests and sIgE levels to cowpea were positive in 8/14 and 4/13 patients of the L group and in 9/13 and 10/13 patients of the LP group, respectively. Four major IgE-binding proteins were identified as vicilins and seed albumin. Cowpea extract and its vicilin fraction strongly inhibited IgE-binding to pea and peanut extract. Peanut, lentil, and pea were the strongest activators of basophils, followed by cowpea, soybean, mung bean, and lupin., Conclusion: A majority of patients with legume allergy were sensitized to cowpea proteins. Four novel allergens were identified in cowpea, among which storage proteins were playing an important role in IgE-cross-reactivity, exposing legume-allergic patients to the risk of clinical cross-reactivity to cowpea and thus adding cowpea to the group of nonpriority legumes that are not subjected to allergen labeling such as chickpea, pea, and lentil., (© 2022 The Authors. Pediatric Allergy and Immunology published by European Academy of Allergy and Clinical Immunology and John Wiley & Sons Ltd.)
- Published
- 2022
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13. Packaging of DNA origami in viral capsids: towards synthetic viruses.
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Kler S, Zalk R, Upcher A, and Kopatz I
- Subjects
- Capsid Proteins metabolism, DNA metabolism, DNA, Viral metabolism, Simian virus 40, Virion, Virus Assembly, Capsid, Viruses metabolism
- Abstract
We report a new type of nanoparticle, consisting of a nucleic acid core (>7500 nt) folded into a 35 nm DNA origami sphere, encapsulated by a capsid composed of all three SV40 virus capsid proteins. Compared to the prototype reported previously, whose capsid consists of VP1 only, the new nanoparticle closely adopts the unique intracellular pathway of the native SV40, suggesting that the proteins of the synthetic capsid retain their native viral functionality. Some of the challenges in the design of such near-future composite drugs destined for gene delivery are discussed.
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- 2022
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14. Mammalian derived lipocalin and secretoglobin respiratory allergens strongly bind ligands with potentially immune modulating properties.
- Author
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Janssen-Weets B, Kerff F, Swiontek K, Kler S, Czolk R, Revets D, Kuehn A, Bindslev-Jensen C, Ollert M, and Hilger C
- Abstract
Allergens from furry animals frequently cause sensitization and respiratory allergic diseases. Most relevant mammalian respiratory allergens belong either to the protein family of lipocalins or secretoglobins. Their mechanism of sensitization remains largely unresolved. Mammalian lipocalin and secretoglobin allergens are associated with a function in chemical communication that involves abundant secretion into the environment, high stability and the ability to transport small volatile compounds. These properties are likely to contribute concomitantly to their allergenic potential. In this study, we aim to further elucidate the physiological function of lipocalin and secretoglobin allergens and link it to their sensitizing capacity, by analyzing their ligand-binding characteristics. We produced eight major mammalian respiratory allergens from four pet species in E.coli and compared their ligand-binding affinities to forty-nine ligands of different chemical classes by using a fluorescence-quenching assay. Furthermore, we solved the crystal-structure of the major guinea pig allergen Cav p 1, a typical lipocalin. Recombinant lipocalin and secretoglobin allergens are of high thermal stability with melting temperatures ranging from 65 to 90°C and strongly bind ligands with dissociation constants in the low micromolar range, particularly fatty acids, fatty alcohols and the terpene alcohol farnesol, that are associated with potential semiochemical and/or immune-modulating functions. Through the systematic screening of respiratory mammalian lipocalin and secretoglobin allergens with a large panel of potential ligands, we observed that total amino acid composition, as well as cavity shape and volume direct affinities to ligands of different chemical classes. Therefore, we were able to categorize lipocalin allergens over their ligand-binding profile into three sub-groups of a lipocalin clade that is associated with functions in chemical communication, thus strengthening the function of major mammalian respiratory allergens as semiochemical carriers. The promiscuous binding capability of hydrophobic ligands from environmental sources warrants further investigation regarding their impact on a molecule's allergenicity., 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 © 2022 Janssen-Weets, Kerff, Swiontek, Kler, Czolk, Revets, Kuehn, Bindslev-Jensen, Ollert and Hilger.)
- Published
- 2022
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15. Allergen Content of Therapeutic Preparations for Allergen-Specific Immunotherapy of European Paper Wasp Venom Allergy.
- Author
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Grosch J, Lesur A, Kler S, Bernardin F, Dittmar G, Francescato E, Hewings SJ, Jakwerth CA, Zissler UM, Heath MD, Ollert M, Kramer MF, Hilger C, Bilò MB, Schmidt-Weber CB, and Blank S
- Subjects
- Allergens, Animals, Chromatography, Liquid, Desensitization, Immunologic, Tandem Mass Spectrometry, Wasp Venoms, Hypersensitivity, Wasps
- Abstract
Allergy to Polistes dominula (European paper wasp) venom is of particular relevance in Southern Europe, potentially becoming a threat in other regions in the near future, and can be effectively cured by venom immunotherapy (VIT). As allergen content in extracts may vary and have an impact on diagnostic and therapeutic approaches, the aim was to compare five therapeutic preparations for VIT of P. dominula venom allergy available in Spain. Products from five different suppliers were analyzed by SDS-PAGE and LC-MS/MS and compared with a reference venom sample. Three products with P. dominula venom and one product with a venom mixture of American Polistes species showed a comparable band pattern in SDS-PAGE as the reference sample and the bands of the major allergens phospholipase A1 and antigen 5 were assignable. The other product, which consists of a mixture of American Polistes species, exhibited the typical band pattern in one, but not in another sample from a second batch. All annotated P. dominula allergens were detected at comparable levels in LC-MS/MS analysis of products containing P. dominula venom. Due to a lack of genomic information on the American Polistes species, the remaining products were not analyzed by this method. The major Polistes allergens were present in comparable amounts in the majority, but not in all investigated samples of venom preparations for VIT of P. dominula venom allergy.
- Published
- 2022
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16. Animal Allergens, Endotoxin, and β-(1,3)-Glucan in Small Animal Practices: Exposure Levels at Work and in Homes of Veterinary Staff.
- Author
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Zahradnik E, Sander I, Kleinmüller O, Lotz A, Liebers V, Janssen-Weets B, Kler S, Hilger C, Beine A, Hoffmeyer F, Nienhaus A, and Raulf M
- Subjects
- Allergens, Animals, Dust, Glucans, Horses, Endotoxins analysis, Occupational Exposure
- Abstract
Objectives: In veterinary settings, high exposures to animal allergens and microbial agents can be expected. However, occupational exposure levels are largely unknown. The objective of this study was to estimate the allergen, endotoxin, and β-(1,3)-glucan concentrations in small animal practices and in the homes of practice employees., Methods: Dust samples were collected using electrostatic dust fall collectors in diverse rooms of 36 small animal practices, as well as in employees' homes. Major animal allergens (Fel d 1, Can f 1, Ory c 3, Cav p 1, Equ c 1, Bos d 2), domestic mite (DM) allergens, and β-(1,3)-glucan levels were measured using enzyme immunoassays. Endotoxin was determined using the Limulus amoebocyte lysate assay. Influences on exposure levels were analyzed using multilevel models., Results: The levels of Can f 1, Fel d 1, Ory c 3, and Cav p 1 were up to 30 times higher in practices compared with homes without animals, but significantly lower compared with the homes with the respective pet. Although horses were not treated in the practices, Equ c 1 was found in 87.5% of samples, with the highest concentrations measured in changing rooms. DM levels were significantly lower in practices than in all private homes, and endotoxin levels were similar to those in homes with pets. In the practice itself, exposure levels were significantly influenced by animal presence, type of the room, and area per employee; whereas, room volume and diverse cleaning measures had mostly no effect., Conclusions: Exposure to animal allergens is high in veterinary practices, but it does not reach levels of households with pets. Domestic mite allergen and endotoxin exposure seem to be low for workers in veterinary practices. The high Equ c 1 detection rate strongly indicates dispersal of allergens, most likely through clothing and hair., (© The Author(s) 2021. Published by Oxford University Press on behalf of the British Occupational Hygiene Society.)
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- 2022
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17. Cre-Dependent Anterograde Transsynaptic Labeling and Functional Imaging in Zebrafish Using VSV With Reduced Cytotoxicity.
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Kler S, Ma M, Narayan S, Ahrens MB, and Pan YA
- Abstract
The small size and translucency of larval zebrafish ( Danio rerio ) have made it a unique experimental system to investigate whole-brain neural circuit structure and function. Still, the connectivity patterns between most neuronal types remain mostly unknown. This gap in knowledge underscores the critical need for effective neural circuit mapping tools, especially ones that can integrate structural and functional analyses. To address this, we previously developed a vesicular stomatitis virus (VSV) based approach called Tracer with Restricted Anterograde Spread (TRAS). TRAS utilizes lentivirus to complement replication-incompetent VSV (VSVΔG) to allow restricted (monosynaptic) anterograde labeling from projection neurons to their target cells in the brain. Here, we report the second generation of TRAS (TRAS-M51R), which utilizes a mutant variant of VSVΔG [VSV(M51R)ΔG] with reduced cytotoxicity. Within the primary visual pathway, we found that TRAS-M51R significantly improved long-term viability of transsynaptic labeling (compared to TRAS) while maintaining anterograde spread activity. By using Cre-expressing VSV(M51R)ΔG, TRAS-M51R could selectively label excitatory ( vglut2a positive) and inhibitory ( gad1b positive) retinorecipient neurons. We further show that these labeled excitatory and inhibitory retinorecipient neurons retained neuronal excitability upon visual stimulation at 5-8 days post fertilization (2-5 days post-infection). Together, these findings show that TRAS-M51R is suitable for neural circuit studies that integrate structural connectivity, cell-type identity, and neurophysiology., 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 Kler, Ma, Narayan, Ahrens and Pan.)
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- 2021
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18. Component-resolved diagnosis using guinea-pig allergens elucidates allergen sensitization profiles in allergy to furry animals.
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Swiontek K, Kler S, Lehners C, Ollert M, Hentges F, and Hilger C
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- Adult, Animals, Cats, Cross Reactions immunology, Dogs, Female, Guinea Pigs, Humans, Hypersensitivity immunology, Male, Pets, Allergens immunology, Dander immunology, Hypersensitivity diagnosis, Immunoglobulin E immunology, Lipocalins immunology
- Abstract
Background: Furry animals are an important source of indoor allergens. Diagnosis of allergy to small pets such as guinea-pigs still relies on animal dander extracts which do not allow to define the primary sensitization source., Objective: To identify major guinea-pig allergens and to evaluate their potential as marker allergens for in vitro IgE-diagnosis in comparison with dander extracts., Methods: A group of patients allergic to guinea-pig (n = 29) and a group of patients allergic to cat and dog (n = 30) were recruited for the study. A panel of four guinea-pig lipocalin allergens was expressed as recombinant proteins in E. coli. Specific IgE were quantified by ImmunoCAP and ELISA., Results: The combination of 4 guinea-pig lipocalin allergens, including 2 new lipocalins, Cav p 1.0201 and Cav p 6.0101, and the previously characterized lipocalins Cav p 2 and Cav p 3, enabled the identification of 90% of all patients allergic to guinea-pig. The vast majority had specific IgE to Cav p 1 (83%). Cav p 6 shares 54% sequence identity with Fel d 4 and Can f 6 and was found to be IgE-cross-reactive with these allergens. In the group of cat- and dog-allergic patients, 73% had also specific IgE to guinea-pig dander. However, only 27% of the cat /dog-allergic patients had specific IgE to any of the non-cross-reactive guinea-pig allergens Cav p 1, Cav p 2 or Cav p 3. The high prevalence of IgE to guinea-pig dander could be explained by IgE-cross-reactivity among serum albumins and certain lipocalins., Conclusions and Clinical Relevance: The availability of specific allergen markers is essential for the assessment of primary sensitization, especially in polysensitized patients. The proposed panel of guinea-pig allergens Cav p 1, Cav p 2 and Cav p 3 is a first step to component-resolved IgE-diagnosis of allergy to small furry pets., (© 2021 The Authors. Clinical & Experimental Allergy published by John Wiley & Sons Ltd.)
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- 2021
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19. Shedding Light on the Venom Proteomes of the Allergy-Relevant Hymenoptera Polistes dominula (European Paper Wasp) and Vespula spp. (Yellow Jacket).
- Author
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Grosch J, Hilger C, Bilò MB, Kler S, Schiener M, Dittmar G, Bernardin F, Lesur A, Ollert M, Schmidt-Weber CB, and Blank S
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- Allergens immunology, Animals, Arthropod Venoms immunology, Chromatography, Liquid, Hymenoptera classification, Hymenoptera immunology, Hypersensitivity diagnosis, Hypersensitivity immunology, Hypersensitivity therapy, Insect Bites and Stings diagnosis, Insect Bites and Stings immunology, Insect Bites and Stings therapy, Insect Proteins immunology, Proteomics, Tandem Mass Spectrometry, Allergens analysis, Arthropod Venoms chemistry, Hymenoptera metabolism, Insect Proteins analysis, Proteome
- Abstract
Allergic reactions to stings of Hymenoptera species can have serious or even fatal consequences. If the identification of the culprit insect is possible, venom-specific immunotherapy effectively cures Hymenoptera venom allergies. Although component-resolved diagnostics has strongly evolved in recent years, the differentiation between allergies to closely related species such as Polistes dominula and Vespula spp. is still challenging. In order to generate the basis for new diagnostic and therapeutic strategies, this study aims at resolving the venom proteomes (venomes) of these species. The venoms of P. dominula and Vespula spp. ( V. germanica , V. vulgaris ) were analyzed by liquid chromatography-mass spectrometry. Resulting proteins were characterized regarding their function, localization and biochemical properties. The analyses yielded 157 proteins in Vespula spp. and 100 in P. dominula venom; 48 proteins, including annotated allergens, were found in both samples. In addition to a variety of venom trace molecules, new allergen candidates such as icarapin-like protein and phospholipase A2 were identified. This study elucidates the venomes of closely related allergy-eliciting Hymenoptera species. The data indicates that relying on marker allergens to differentiate between P. dominula and Vespula spp. venom allergy is probably insufficient and that strategies using cross-reactive major allergens could be more promising.
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- 2020
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20. Structural Neural Connectivity Analysis in Zebrafish With Restricted Anterograde Transneuronal Viral Labeling and Quantitative Brain Mapping.
- Author
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Ma M, Kler S, and Pan YA
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- Animals, Animals, Genetically Modified, Brain cytology, Brain Chemistry physiology, HEK293 Cells, Humans, Nerve Net cytology, Neurons physiology, Zebrafish, Brain diagnostic imaging, Brain Mapping methods, Nerve Net chemistry, Nerve Net diagnostic imaging, Neuroanatomical Tract-Tracing Techniques methods, Neurons chemistry
- Abstract
The unique combination of small size, translucency, and powerful genetic tools makes larval zebrafish a uniquely useful vertebrate system to investigate normal and pathological brain structure and function. While functional connectivity can now be assessed by optical imaging (via fluorescent calcium or voltage reporters) at the whole-brain scale, it remains challenging to systematically determine structural connections and identify connectivity changes during development or disease. To address this, we developed Tracer with Restricted Anterograde Spread (TRAS), a novel vesicular stomatitis virus (VSV)-based neural circuit labeling approach. TRAS makes use of replication-incompetent VSV (VSVΔG) and a helper virus (lentivirus) to enable anterograde transneuronal spread between efferent axons and their direct postsynaptic targets but restricts further spread to downstream areas. We integrated TRAS with the Z-Brain zebrafish 3D atlas for quantitative connectivity analysis and identified targets of the retinal and habenular efferent projections, in patterns consistent with previous reports. We compared retinofugal connectivity patterns between wild-type and down syndrome cell adhesion molecule-like 1 ( dscaml1 ) mutant zebrafish and revealed differences in topographical distribution. These results demonstrate the utility of TRAS for quantitative structural connectivity analysis that would be valuable for detecting novel efferent targets and mapping connectivity changes underlying neurological or behavioral deficits., (Copyright © 2020 Ma, Kler and Pan.)
- Published
- 2020
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21. Packaging of DNA origami in viral capsids.
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Kopatz I, Zalk R, Levi-Kalisman Y, Zlotkin-Rivkin E, Frank GA, and Kler S
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- Capsid ultrastructure, DNA ultrastructure, Nanoparticles ultrastructure, Simian virus 40 ultrastructure, Capsid chemistry, DNA chemistry, Nanoparticles chemistry, Simian virus 40 chemistry
- Abstract
Here we show the encapsulation of 35 nm diameter, nearly-spherical, DNA origami by self-assembly of SV40-like (simian virus 40) particles. The self-assembly of this new type of nanoparticles is highly reproducible and efficient. The structure of these particles was determined by cryo-EM. The capsid forms a regular SV40 lattice of T = 7d icosahedral symmetry and the structural features of encapsulated DNA origami are fully visible. These particles are a promising biomaterial for use in various medical applications.
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- 2019
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22. A New Data Resource to Examine Meals on Wheels Clients' Health Care Utilization and Costs.
- Author
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Shan M, Gutman R, Dosa D, Gozalo PL, Ogarek JA, Kler S, and Thomas KS
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- Aged, Aged, 80 and over, Fee-for-Service Plans, Female, Humans, Information Storage and Retrieval, Insurance Claim Review, Male, United States, Costs and Cost Analysis, Food Services statistics & numerical data, Hospitalization statistics & numerical data, Medicare statistics & numerical data, Patient Acceptance of Health Care statistics & numerical data
- Abstract
Background: Access to social services (eg, nutrition) can impact older adults' health care utilization and health outcomes. However, data documenting the relationship between receiving services and objective measures of health care utilization remain limited., Objectives: To link Meals on Wheels (MOW) program data to Medicare claims to enable examination of clients' health and health care utilization and to highlight the utility of this linked dataset., Research Design: Using probabilistic linking techniques, we matched MOW client data to Medicare enrollment and claims data. Descriptive information is presented on clients' health and health care utilization before and after receiving services from MOW., Subjects: In total, 29,501 clients were from 13 MOW programs., Measures: Clients' demographics, chronic conditions, and hospitalization, emergency department (ED), and nursing home (NH) utilization rates., Results: We obtained a one-to-one link for 25,279 clients. Among these, 14,019 were Medicare fee-for-service (FFS) beneficiaries and met inclusion criteria for additional analyses. MOW clients had high rates of chronic conditions (eg, almost 90% of FFS clients were diagnosed with hypertension, compared with 63% of FFS beneficiaries in their communities). In the 6 months before receiving MOW services, 31.6% of clients were hospitalized, 24.9% were admitted to the ED and 13% received care in a NH. In the 6 months after receiving meals, 24.2% were hospitalized, 19.3% were admitted to the ED, and 9.5% received care in a NH., Conclusions: Linking MOW data to Medicare claims has the potential to shed additional light on the relationships among social services, health status, health care use, and benefits to clients' well-being.
- Published
- 2019
- Full Text
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23. Patients using antifungals following laryngectomy: a qualitative study of community pharmacists in the North of England.
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Todd A, Husband AK, Hurren A, Kler S, and Ling J
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- Biofilms drug effects, Counseling, England, Female, Humans, Male, Antifungal Agents therapeutic use, Community Pharmacy Services, Laryngectomy education, Pharmacists, Qualitative Research
- Abstract
Objective: To explore community pharmacists' understanding and opinions in relation to the prevention of fungal colonisation of voice prostheses amongst laryngectomy patients., Method: Semi-structured interviews were conducted on a purposive sample of 12 community pharmacists from the North of England. Interviews were undertaken until data saturation was reached and responses were transcribed verbatim and analysed using a thematic approach., Key Findings: Six themes emerged from the data analysis. These were: terminology confusion about laryngectomy, stoma and voice prostheses; smoking as a risk factor for the development of laryngeal cancer; using nystatin to prevent biofilm formation; counselling information related to nystatin; prescription intervention and additional education in relation to laryngectomy. The theme of counselling information related to nystatin use and additional education was a key finding: our data show that when dispensing nystatin to patients with a voice prosthesis, community pharmacists would either give no advice related to medication use or would give incorrect advice that may lead to premature prosthesis failure amongst this patient group., Conclusion: This study highlights that community pharmacists lack understanding in relation to laryngectomy and are unaware of the off-label doses and administration methods of the drugs (specifically nystatin) used to prevent fungal colonisation on voice prostheses. Additional information sources in the form of an educational leaflet, possibly obtained through the local department of speech and language therapy, would be perceived as a valuable resource to support community pharmacists who are required to manage these patients in the community., (© 2013 Royal Pharmaceutical Society.)
- Published
- 2014
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24. Juvenile trabecular ossifying fibroma.
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Pandit N, Saini N, Kler S, and Jindal S
- Abstract
Juvenile ossifying fibroma (JOF) is an uncommon fibro-osseous lesion with highly aggressive clinical behavior, higher incidence in young adults, and a strong tendency to recur. Two categories, trabecular JOF (TrJOF) and psammomatoid JOF (PsJOF), based on histologic criteria and a distinct predilection for specific age groups have been identified. Juvenile trabecular ossifying fibroma of peripheral variety is an uncommon clinical entity with aggressive local behavior and high recurrence rate. This article reports a case of aggressive JTOF in the anterior mandibular region in a 13-year-old boy with history of recurrence. Complete surgical resection of the growth was done along with involved periodontal ligament and periosteum to minimize the possibility of recurrence. The case was followed up for more than 3 months without recurrence.
- Published
- 2014
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25. Identification and isolation of a Fel d 1-like molecule as a major rabbit allergen.
- Author
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Hilger C, Kler S, Arumugam K, Revets D, Muller CP, Charpentier C, Lehners C, Morisset M, and Hentges F
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- Adolescent, Adult, Allergens chemistry, Allergens immunology, Amino Acid Sequence, Animals, Cats, Child, Child, Preschool, Cross Reactions, Female, Glycoproteins chemistry, Glycoproteins immunology, Humans, Immunoglobulin E immunology, Male, Middle Aged, Molecular Sequence Data, Allergens isolation & purification, Glycoproteins isolation & purification, Rabbits immunology
- Abstract
Background: Rabbits are increasingly kept as domestic pets. Several rabbit allergens have been characterized. However, their sequences are still elusive, and none of these molecules are available for diagnosis., Objective: We sought to isolate major allergens from the rabbit Oryctolagus cuniculus and to investigate their importance in sensitized patients., Methods: Proteins were extracted from rabbit hair, and IgE-reactive proteins were purified by using sequential chromatography. Allergens were characterized by means of N-terminal sequencing and mass spectrometry. IgE reactivity to a new allergen was analyzed in sera of 35 patients sensitized to rabbits in a domestic setting. A model of the crystal structure of the isolated proteins was constructed., Results: A new IgE-reactive allergen, Ory c 3, was identified as rabbit lipophilin. The molecule that belongs to the secretoglobin family is a heterodimer of 18 to 19 kDa composed of 2 polypeptide chains, CL2 and AL. CL2 has a predicted N-linked glycosylation site confirmed by using mass spectrometry. Of the 35 patients with rabbit allergy studied, 27 (77%) had IgE to both the glycosylated and deglycosylated Ory c 3 heterodimer. Allergenicity of Ory c 3 was confirmed by using skin prick tests and the basophil activation assay. Modeling of the structure revealed a marked homology to Fel d 1, the major cat allergen. However, no IgE cross-reactivity was detected between Fel d 1 and Ory c 3., Conclusion: The rabbit lipophilin heterodimer AL-CL2 has been identified as a major rabbit allergen. After Fel d 1, Ory c 3 is the second mammalian secretoglobin shown to be a major allergen., (Copyright © 2013 American Academy of Allergy, Asthma & Immunology. Published by Mosby, Inc. All rights reserved.)
- Published
- 2014
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26. Reply: To PMID 24369805.
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Hilger C, Kler S, and Hentges F
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- Animals, Humans, Albumins immunology, Allergens immunology, Hypersensitivity immunology, Lipocalins immunology
- Published
- 2014
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27. Scaffold properties are a key determinant of the size and shape of self-assembled virus-derived particles.
- Author
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Kler S, Wang JC, Dhason M, Oppenheim A, and Zlotnick A
- Subjects
- Capsid metabolism, Capsid Proteins metabolism, Cryoelectron Microscopy, Crystallography, X-Ray, DNA chemistry, DNA metabolism, Models, Molecular, Molecular Conformation, Nucleoproteins metabolism, Particle Size, RNA, Double-Stranded chemistry, RNA, Double-Stranded metabolism, RNA, Viral metabolism, Simian virus 40 metabolism, Virion metabolism, Capsid chemistry, Capsid Proteins chemistry, Nucleoproteins chemistry, RNA, Viral chemistry, Simian virus 40 chemistry, Virion ultrastructure
- Abstract
Controlling the geometry of self-assembly will enable a greater diversity of nanoparticles than now available. Viral capsid proteins, one starting point for investigating self-assembly, have evolved to form regular particles. The polyomavirus SV40 assembles from pentameric subunits and can encapsidate anionic cargos. On short ssRNA (≤814 nt), SV40 pentamers form 22 nm diameter capsids. On RNA too long to fit a T = 1 particle, pentamers forms strings of 22 nm particles and heterogeneous particles of 29-40 nm diameter. However, on dsDNA SV40 forms 50 nm particles composed of 72 pentamers. A 7.2-Å resolution cryo-EM image reconstruction of 22 nm particles shows that they are built of 12 pentamers arranged with T = 1 icosahedral symmetry. At 3-fold vertices, pentamers each contribute to a three-helix triangle. This geometry of interaction is not seen in crystal structures of T = 7 viruses and provides a structural basis for the smaller capsids. We propose that the heterogeneous particles are actually mosaics formed by combining different geometries of interaction from T = 1 capsids and virions. Assembly can be trapped in novel conformations because SV40 interpentamer contacts are relatively strong. The implication is that by virtue of their large catalog of interactions, SV40 pentamers have the ability to self-assemble on and conform to a broad range of shapes.
- Published
- 2013
- Full Text
- View/download PDF
28. Effect on efficiency and cost-effectiveness when an observation unit is managed as a closed unit vs an open unit.
- Author
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Pena ME, Fox JM, Southall AC, Dunne RB, Szpunar S, Kler S, and Takla RB
- Subjects
- Cost-Benefit Analysis, Efficiency, Organizational economics, Hospital Units economics, Hospital Units statistics & numerical data, Hospitals, Teaching economics, Hospitals, Teaching statistics & numerical data, Humans, Length of Stay economics, Length of Stay statistics & numerical data, Michigan, Patient Admission economics, Patient Admission statistics & numerical data, Retrospective Studies, Efficiency, Organizational statistics & numerical data, Emergency Service, Hospital organization & administration, Hospital Costs statistics & numerical data, Hospital Units organization & administration, Hospitals, Teaching organization & administration
- Abstract
Objective: To compare efficiency and cost-effectiveness of an observation unit (OU) when managed as a closed unit vs an open unit., Methods: This observational, retrospective study of a 30-bed OU compared three time periods: Nov 2007 to Aug 2008 (period 1), Nov 2008 to Aug 2009 (period 2) and Nov 2010 to Aug 2011 (period 3). The OU was managed and staffed by non-emergency department physicians as an open unit during period 1, and a closed unit by emergency department physicians during periods 2 and 3., Results: OU volume was greatest in period 3 (1 vs 3, 95% CI -235.8 to -127.9; 2 vs 3, 95% CI -191.9 to -84.095%). Periods 2 and 3 had shorter lengths of stay for discharged (1 vs 2, 95% CI -6.6 to 1.7; 1 vs 3, 95% CI -8.1 to -3.1) and admitted (1 vs 2, 95% CI -11.4 to -8.6; 1 vs 3, 95% CI -11.8 to -9.0) patients, less admission rates (P < .001), and less 30-day all cause admission rates after discharge (P < .0001). Cost was less during periods 2 and 3 for direct (1 vs 2, 95% CI -392.5 to -305.9; 1 vs 3, 95% CI -471.4 to -388.4), indirect (1 vs 2, 95% CI -249.5 to - 199.8; 1 vs 3, 95% CI -187 to-139.4) and total cost (1 vs 2, 95% CI -640.7 to -507; 1 vs 3, 95% CI -657.2 to -529)., Conclusion: The same OU was more efficient and cost-effective when managed as a closed unit vs an open unit., (Copyright © 2013 Elsevier Inc. All rights reserved.)
- Published
- 2013
- Full Text
- View/download PDF
29. Effect of capsid confinement on the chromatin organization of the SV40 minichromosome.
- Author
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Saper G, Kler S, Asor R, Oppenheim A, Raviv U, and Harries D
- Subjects
- DNA chemistry, Models, Molecular, Scattering, Small Angle, Virion genetics, X-Ray Diffraction, Capsid chemistry, Chromatin chemistry, Simian virus 40 genetics, Virus Assembly
- Abstract
Using small-angle X-ray scattering, we determined the three-dimensional packing architecture of the minichromosome confined within the SV40 virus. In solution, the minichromosome, composed of closed circular dsDNA complexed in nucleosomes, was shown to be structurally similar to cellular chromatin. In contrast, we find a unique organization of the nanometrically encapsidated chromatin, whereby minichromosomal density is somewhat higher at the center of the capsid and decreases towards the walls. This organization is in excellent agreement with a coarse-grained computer model, accounting for tethered nucleosomal interactions under viral capsid confinement. With analogy to confined liquid crystals, but contrary to the solenoid structure of cellular chromatin, our simulations indicate that the nucleosomes within the capsid lack orientational order. Nucleosomes in the layer adjacent to the capsid wall, however, align with the boundary, thereby inducing a 'molten droplet' state of the chromatin. These findings indicate that nucleosomal interactions suffice to predict the genome organization in polyomavirus capsids and underscore the adaptable nature of the eukaryotic chromatin architecture to nanoscale confinement.
- Published
- 2013
- Full Text
- View/download PDF
30. RNA encapsidation by SV40-derived nanoparticles follows a rapid two-state mechanism.
- Author
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Kler S, Asor R, Li C, Ginsburg A, Harries D, Oppenheim A, Zlotnick A, and Raviv U
- Subjects
- Animals, Kinetics, Models, Molecular, Nucleic Acid Conformation, Protein Multimerization, Protein Structure, Quaternary, RNA chemistry, Scattering, Small Angle, Static Electricity, X-Ray Diffraction, Capsid Proteins chemistry, Capsid Proteins metabolism, Nanoparticles, RNA metabolism, Simian virus 40
- Abstract
Remarkably, uniform virus-like particles self-assemble in a process that appears to follow a rapid kinetic mechanism. The mechanisms by which spherical viruses assemble from hundreds of capsid proteins around nucleic acid, however, are yet unresolved. Using time-resolved small-angle X-ray scattering (TR-SAXS), we have been able to directly visualize SV40 VP1 pentamers encapsidating short RNA molecules (500mers). This assembly process yields T = 1 icosahedral particles comprised of 12 pentamers and one RNA molecule. The reaction is nearly one-third complete within 35 ms, following a two-state kinetic process with no detectable intermediates. Theoretical analysis of kinetics, using a master equation, shows that the assembly process nucleates at the RNA and continues by a cascade of elongation reactions in which one VP1 pentamer is added at a time, with a rate of approximately 10(9) M(-1) s(-1). The reaction is highly robust and faster than the predicted diffusion limit. The emerging molecular mechanism, which appears to be general to viruses that assemble around nucleic acids, implicates long-ranged electrostatic interactions. The model proposes that the growing nucleo-protein complex acts as an electrostatic antenna that attracts other capsid subunits for the encapsidation process.
- Published
- 2012
- Full Text
- View/download PDF
31. Photocatalytic degradation of metoprolol tartrate in suspensions of two TiO2-based photocatalysts with different surface area. Identification of intermediates and proposal of degradation pathways.
- Author
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Abramović B, Kler S, Sojić D, Laušević M, Radović T, and Vione D
- Subjects
- Catalysis, Chromatography, Liquid, Hydroxyl Radical chemistry, Kinetics, Photochemistry, Spectrometry, Mass, Electrospray Ionization, Tandem Mass Spectrometry, Adrenergic beta-Antagonists chemistry, Metoprolol chemistry, Titanium chemistry
- Abstract
This study investigates the efficiency of the photocatalytic degradation of metoprolol tartrate (MET), a widely used β(1)-blocker, in TiO(2) suspensions of Wackherr's "Oxyde de titane standard" and Degussa P25. The study encompasses transformation kinetics and efficiency, identification of intermediates and reaction pathways. In the investigated range of initial concentrations (0.01-0.1 mM), the photocatalytic degradation of MET in the first stage of the reaction followed approximately a pseudo-first order kinetics. The TiO(2) Wackherr induced a significantly faster MET degradation compared to TiO(2) Degussa P25 when relatively high substrate concentrations were used. By examining the effect of ethanol as a scavenger of hydroxyl radicals (OH), it was shown that the reaction with OH played the main role in the photocatalytic degradation of MET. After 240 min of irradiation the reaction intermediates were almost completely mineralized to CO(2) and H(2)O, while the nitrogen was predominantly present as NH(4)(+). Reaction intermediates were studied in detail and a number of them were identified using LC-MS/MS (ESI+), which allowed the proposal of a tentative pathway for the photocatalytic transformation of MET as a function of the TiO(2) specimen., (Copyright © 2011 Elsevier B.V. All rights reserved.)
- Published
- 2011
- Full Text
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32. Intraoral lipoma: report of 3 cases.
- Author
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Kaur R, Kler S, and Bhullar A
- Abstract
Lipoma, a benign tumor of adipose tissue is one of the most common benign neoplasms of the body. However, its occurrence in oral cavity is very rare. It accounts for 1 to 4% of benign neoplasms of mouth affecting predominantly the buccal mucosa, floor of mouth and tongue. We report three cases of intraoral lipoma, two in buccal mucosa and one in labial mucosa. An excisional biopsy was performed and histopathological examination revealed proliferation of mature adipocytes arranged in lobules and separated by fibrous septa. After 3 years follow up, the patients showed no signs of recurrence.
- Published
- 2011
33. Rapid method for SV40 titration.
- Author
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Drayman N, Kler S, Ben-nun-Shaul O, and Oppenheim A
- Subjects
- Animals, Antigens, Polyomavirus Transforming analysis, Cell Line, Chlorocebus aethiops, Time Factors, Flow Cytometry methods, Simian virus 40 isolation & purification, Viral Load methods
- Abstract
SV40 titer is determined traditionally by the conventional plaque assay. Plaques appear after several rounds of infection and the assay takes around two weeks, which may delay research. A simpler assay was developed, based on detection of T-antigen in the infected cells by flow cytometry. Cells grown in 6-well plates are infected with serial dilutions of the viral stock, harvested 48h post-infection, stained and analyzed for T-antigen using a flow cytometer. The viral titer is calculated based on the percentage of T-antigen positive cells. The procedure is accomplished in 2 days. Unexpectedly we found that titers on different permissive African Green Monkey kidney cell lines were consistently different, suggesting variable susceptibility to SV40 infection. The method described, optimized for SV40 titration, may be adapted readily to other viruses., (Copyright (c) 2009 Elsevier B.V. All rights reserved.)
- Published
- 2010
- Full Text
- View/download PDF
34. Uncatalyzed assembly of spherical particles from SV40 VP1 pentamers and linear dsDNA incorporates both low and high cooperativity elements.
- Author
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Mukherjee S, Kler S, Oppenheim A, and Zlotnick A
- Subjects
- Chromatography, Gel, Electrophoresis, Agar Gel, Macromolecular Substances metabolism, Microscopy, Electron, Transmission, Protein Binding, Protein Multimerization, Capsid Proteins metabolism, DNA, Viral metabolism, Simian virus 40 physiology, Virus Assembly
- Abstract
The capsid of SV40 virion is comprised of 72 pentamers of the major capsid protein, VP1. We examined the synergism between pentamer-pentamer interaction and pentamer-DNA interaction using a minimal system of purified VP1 and a linear dsDNA 600-mer, comparing electrophoresis with electron microscopy and size exclusion chromatography. At low VP1/DNA ratios, large tubes were observed that apparently did not survive native agarose gel electrophoresis. As the VP1 concentration increased, electrophoretic migration was slower and tubes were replaced by 200 A diameter particles and excess free pentamer. At high VP1/DNA ratios, a progressively larger fraction of particles was similar to 450 A diameter virions. VP1 association with DNA is very strong compared to the concentrations in these experiments yet, paradoxically, stable complexes appear only at high ratios of VP1 to DNA. These data suggest a DNA saturation-dependent nucleation event based on non-specific pentamer-DNA interaction that controls assembly and the ultimate capsid geometry., (Copyright 2009 Elsevier Inc. All rights reserved.)
- Published
- 2010
- Full Text
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35. Intraosseous calcifying cystic odontogenic tumor.
- Author
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Kler S, Palaskar S, Shetty VP, and Bhushan A
- Abstract
The calcifying odontogenic cyst was first reported by Gorlin et al. in 1962. It had been classified as a neoplasm related to the odontogenic apparatus because of its histological complexity and morphological diversity until it was renamed as a calcifying cystic odontogenic tumor by the WHO, in 2005. Here we describe a case of mandibular calcifying cystic odontogenic tumor in a 75-year-old male, which was present since five years, with a history of occurrence after the extraction of teeth in the involved region. The lesion was surgically removed and a histopathological examination revealed a cystic tumor with predominance of ghost cells and some amount of dentinoid tissue.
- Published
- 2009
- Full Text
- View/download PDF
36. High cooperativity of the SV40 major capsid protein VP1 in virus assembly.
- Author
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Mukherjee S, Abd-El-Latif M, Bronstein M, Ben-nun-Shaul O, Kler S, and Oppenheim A
- Subjects
- Animals, Capsid chemistry, Capsid metabolism, Capsid ultrastructure, Capsid Proteins genetics, Capsid Proteins ultrastructure, DNA, Viral genetics, DNA, Viral metabolism, Genetic Therapy, Genetic Vectors, Humans, Nanoparticles, Simian virus 40 chemistry, Simian virus 40 genetics, Capsid Proteins metabolism, Simian virus 40 metabolism, Virus Assembly
- Abstract
SV40 is a small, non enveloped DNA virus with an icosahedral capsid of 45 nm. The outer shell is composed of pentamers of the major capsid protein, VP1, linked via their flexible carboxy-terminal arms. Its morphogenesis occurs by assembly of capsomers around the viral minichromosome. However the steps leading to the formation of mature virus are poorly understood. Intermediates of the assembly reaction could not be isolated from cells infected with wt SV40. Here we have used recombinant VP1 produced in insect cells for in vitro assembly studies around supercoiled heterologous plasmid DNA carrying a reporter gene. This strategy yields infective nanoparticles, affording a simple quantitative transduction assay. We show that VP1 assembles under physiological conditions into uniform nanoparticles of the same shape, size and CsCl density as the wild type virus. The stoichiometry is one DNA molecule per capsid. VP1 deleted in the C-arm, which is unable to assemble but can bind DNA, was inactive indicating genuine assembly rather than non-specific DNA-binding. The reaction requires host enzymatic activities, consistent with the participation of chaperones, as recently shown. Our results demonstrate dramatic cooperativity of VP1, with a Hill coefficient of approximately 6. These findings suggest that assembly may be a concerted reaction. We propose that concerted assembly is facilitated by simultaneous binding of multiple capsomers to a single DNA molecule, as we have recently reported, thus increasing their local concentration. Emerging principles of SV40 assembly may help understanding assembly of other complex systems. In addition, the SV40-based nanoparticles described here are potential gene therapy vectors that combine efficient gene delivery with safety and flexibility.
- Published
- 2007
- Full Text
- View/download PDF
37. [Elements of the active center of silicic acid transporters in diatoms].
- Author
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Grachev MA, Denikina NN, Belikov SI, Likhoshvaĭ EV, Usol'tseva MV, Tikhonova IV, Adel'shin RV, Kler SA, and Shcherbakova TA
- Subjects
- Amino Acid Sequence, Carrier Proteins genetics, Diatoms chemistry, Fresh Water, Molecular Sequence Data, Sequence Homology, Amino Acid, Carrier Proteins metabolism, Diatoms metabolism, Silicic Acid metabolism
- Published
- 2002
38. Remarks on the prognosis of the posttraumatic dystrophy of the extremities.
- Author
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KLER S
- Subjects
- Humans, Prognosis, Extremities, Feeding and Eating Disorders
- Published
- 1948
- Full Text
- View/download PDF
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