15 results on '"Low LH"'
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2. Bioenergetic state regulates innate inflammatory responses through the transcriptional co-repressor CtBP.
- Author
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Shen Y, Kapfhamer D, Minnella AM, Kim JE, Won SJ, Chen Y, Huang Y, Low LH, Massa SM, and Swanson RA
- Subjects
- Alcohol Oxidoreductases genetics, Alcohol Oxidoreductases metabolism, Animals, Binding Sites, Co-Repressor Proteins genetics, Co-Repressor Proteins metabolism, DNA-Binding Proteins genetics, DNA-Binding Proteins metabolism, Dimerization, Energy Metabolism, Glucose immunology, Glucose metabolism, Macrophages immunology, Macrophages metabolism, Mice, Microglia immunology, Microglia metabolism, NAD immunology, NF-kappa B genetics, NF-kappa B immunology, Phosphoproteins genetics, Phosphoproteins metabolism, RAW 264.7 Cells, Rats, Signal Transduction, p300-CBP Transcription Factors genetics, p300-CBP Transcription Factors immunology, p300-CBP Transcription Factors metabolism, Alcohol Oxidoreductases immunology, Co-Repressor Proteins immunology, DNA-Binding Proteins immunology, Immunity, Innate, Phosphoproteins immunology, Transcription, Genetic
- Abstract
The innate inflammatory response contributes to secondary injury in brain trauma and other disorders. Metabolic factors such as caloric restriction, ketogenic diet, and hyperglycemia influence the inflammatory response, but how this occurs is unclear. Here, we show that glucose metabolism regulates pro-inflammatory NF-κB transcriptional activity through effects on the cytosolic NADH:NAD
+ ratio and the NAD(H) sensitive transcriptional co-repressor CtBP. Reduced glucose availability reduces the NADH:NAD+ ratio, NF-κB transcriptional activity, and pro-inflammatory gene expression in macrophages and microglia. These effects are inhibited by forced elevation of NADH, reduced expression of CtBP, or transfection with an NAD(H) insensitive CtBP, and are replicated by a synthetic peptide that inhibits CtBP dimerization. Changes in the NADH:NAD+ ratio regulate CtBP binding to the acetyltransferase p300, and regulate binding of p300 and the transcription factor NF-κB to pro-inflammatory gene promoters. These findings identify a mechanism by which alterations in cellular glucose metabolism can influence cellular inflammatory responses.Several metabolic factors affect cellular glucose metabolism as well as the innate inflammatory response. Here, the authors show that glucose metabolism regulates pro-inflammatory responses through effects on the cytosolic NADH:NAD+ ratio and the NAD(H)-sensitive transcription co-repressor CtBP.- Published
- 2017
- Full Text
- View/download PDF
3. Engineered Exosomes as Vehicles for Biologically Active Proteins.
- Author
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Sterzenbach U, Putz U, Low LH, Silke J, Tan SS, and Howitt J
- Subjects
- Animals, Blood-Brain Barrier metabolism, Brain drug effects, Brain metabolism, Carrier Proteins genetics, Carrier Proteins metabolism, Cell Line, Extracellular Vesicles metabolism, Gene Expression, Integrases metabolism, Membrane Proteins genetics, Membrane Proteins metabolism, Mice, Nasal Absorption, Permeability, Recombinant Fusion Proteins genetics, Recombinant Fusion Proteins metabolism, Drug Delivery Systems, Exosomes metabolism, Genetic Engineering methods, Protein Transport
- Abstract
Exosomes represent an attractive vehicle for the delivery of biomolecules. However, mechanisms for loading functional molecules into exosomes are relatively unexplored. Here we report the use of the evolutionarily conserved late-domain (L-domain) pathway as a mechanism for loading exogenous proteins into exosomes. We demonstrate that labeling of a target protein, Cre recombinase, with a WW tag leads to recognition by the L-domain-containing protein Ndfip1, resulting in ubiquitination and loading into exosomes. Our results show that Ndfip1 expression acts as a molecular switch for exosomal packaging of WW-Cre that can be suppressed using the exosome inhibitor GW4869. When taken up by floxed reporter cells, exosomes containing WW-Cre were capable of inducing DNA recombination, indicating functional delivery of the protein to recipient cells. Engineered exosomes were administered to the brain of transgenic reporter mice using the nasal route to test for intracellular protein delivery in vivo. This resulted in the transport of engineered exosomes predominantly to recipient neurons in a number of brain regions, including the olfactory bulb, cortex, striatum, hippocampus, and cerebellum. The ability to engineer exosomes to deliver biologically active proteins across the blood-brain barrier represents an important step for the development of therapeutics to treat brain diseases., (Copyright © 2017 The American Society of Gene and Cell Therapy. Published by Elsevier Inc. All rights reserved.)
- Published
- 2017
- Full Text
- View/download PDF
4. PTEN secretion in exosomes.
- Author
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Putz U, Mah S, Goh CP, Low LH, Howitt J, and Tan SS
- Subjects
- Animals, Cell Line, Tumor, HEK293 Cells, Humans, Mice, Exosomes metabolism, PTEN Phosphohydrolase metabolism, Tumor Suppressor Proteins metabolism
- Abstract
PTEN was discovered as a membrane-associated tumor suppressor protein nearly two decades ago, but the concept that it can be secreted and taken up by recipient cells is revolutionary. Since then, various laboratories have reported that PTEN is indeed secreted and available for uptake by other cells in at least two different guises. First, PTEN may be packaged and exported within extracellular vesicles (EV) called exosomes. Second, PTEN may also be secreted as a naked protein in a longer isoform called PTEN-long. While the conditions favouring the secretion of PTEN-long remain unknown, PTEN secretion in exosomes is enhanced by the Ndfip1/Nedd4 ubiquitination system. In this report, we describe conditions for packaging PTEN in exosomes and their potential use for mediating non cell-autonomous functions in recipient cells. We suggest that this mode of PTEN transfer may potentially provide beneficial PTEN for tumor suppression, however it may also propagate deleterious versions of mutated PTEN causing tumorigenesis., (Copyright © 2014 Elsevier Inc. All rights reserved.)
- Published
- 2015
- Full Text
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5. Ndfip1 represses cell proliferation by controlling Pten localization and signaling specificity.
- Author
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Howitt J, Low LH, Putz U, Doan A, Lackovic J, Goh CP, Gunnersen J, Silke J, and Tan SS
- Subjects
- Active Transport, Cell Nucleus, Animals, Cell Cycle Proteins metabolism, Cell Line, Tumor, Cyclin D1 metabolism, Female, Indazoles pharmacology, Intercellular Signaling Peptides and Proteins, Mice, Mice, Inbred C57BL, Mice, Inbred CBA, Mice, Transgenic, Microcephaly metabolism, PC12 Cells, Phosphatidylinositol 3-Kinases metabolism, Phosphoinositide-3 Kinase Inhibitors, Protein Serine-Threonine Kinases metabolism, Proto-Oncogene Proteins metabolism, Rats, Signal Transduction, Sirolimus pharmacology, Sulfonamides pharmacology, TOR Serine-Threonine Kinases antagonists & inhibitors, TOR Serine-Threonine Kinases metabolism, Polo-Like Kinase 1, Carrier Proteins physiology, Cell Proliferation, Membrane Proteins physiology, PTEN Phosphohydrolase metabolism
- Abstract
Pten controls a signaling axis that is implicated to regulate cell proliferation, growth, survival, migration, and metabolism. The molecular mechanisms underlying the specificity of Pten responses to such diverse cellular functions are currently poorly understood. Here we report the control of Pten activity and signaling specificity during the cell cycle by Ndfip1 regulation of Pten spatial distribution. Genetic deletion of Ndfip1 resulted in a loss of Pten nuclear compartmentalization and increased cell proliferation, despite cytoplasmic Pten remaining active in regulating PI3K/Akt signaling. Cells lacking nuclear Pten were found to have dysregulated levels of Plk1 and cyclin D1 that could drive cell proliferation. In vivo, transgene expression of Ndfip1 in the developing brain increased nuclear Pten and lengthened the cell cycle of neuronal progenitors, resulting in microencephaly. Our results show that local partitioning of Pten from the cytoplasm to the nucleus represents a key mechanism contributing to the specificity of Pten signaling during cell proliferation., (© The Author (2015). Published by Oxford University Press on behalf of Journal of Molecular Cell Biology, IBCB, SIBS, CAS. All rights reserved.)
- Published
- 2015
- Full Text
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6. Nedd4 family interacting protein 1 (Ndfip1) is required for ubiquitination and nuclear trafficking of BRCA1-associated ATM activator 1 (BRAT1) during the DNA damage response.
- Author
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Low LH, Chow YL, Li Y, Goh CP, Putz U, Silke J, Ouchi T, Howitt J, and Tan SS
- Subjects
- Active Transport, Cell Nucleus, Animals, Brain Injuries metabolism, Cell Line, DNA Damage, HEK293 Cells, Humans, Intercellular Signaling Peptides and Proteins, Mice, Inbred C57BL, Nedd4 Ubiquitin Protein Ligases, Protein Binding, Protein Interaction Mapping, Protein Interaction Maps, Proteolysis, Signal Transduction, Ubiquitination, Ataxia Telangiectasia Mutated Proteins metabolism, Carrier Proteins metabolism, Endosomal Sorting Complexes Required for Transport metabolism, Membrane Proteins metabolism, Nuclear Proteins metabolism, Ubiquitin-Protein Ligases metabolism
- Abstract
During injury, cells are vulnerable to apoptosis from a variety of stress conditions including DNA damage causing double-stranded breaks. Without repair, these breaks lead to aberrations in DNA replication and transcription, leading to apoptosis. A major response to DNA damage is provided by the protein kinase ATM (ataxia telangiectasia mutated) that is capable of commanding a plethora of signaling networks for DNA repair, cell cycle arrest, and even apoptosis. A key element in the DNA damage response is the mobilization of activating proteins into the cell nucleus to repair damaged DNA. BRAT1 is one of these proteins, and it functions as an activator of ATM by maintaining its phosphorylated status while also keeping other phosphatases at bay. However, it is unknown how BRAT1 is trafficked into the cell nucleus to maintain ATM phosphorylation. Here we demonstrate that Ndfip1-mediated ubiquitination of BRAT1 leads to BRAT1 trafficking into the cell nucleus. Without Ndfip1, BRAT1 failed to translocate to the nucleus. Under genotoxic stress, cells showed increased expression of both Ndfip1 and phosphorylated ATM. Following brain injury, neurons show increased expression of Ndfip1 and nuclear translocation of BRAT1. These results point to Ndfip1 as a sensor protein during cell injury and Ndfip1 up-regulation as a cue for BRAT1 ubiquitination by Nedd4 E3 ligases, followed by nuclear translocation of BRAT1., (© 2015 by The American Society for Biochemistry and Molecular Biology, Inc.)
- Published
- 2015
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7. Ndfip1 is required for the development of pyramidal neuron dendrites and spines in the neocortex.
- Author
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Hammond VE, Gunnersen JM, Goh CP, Low LH, Hyakumura T, Tang MM, Britto JM, Putz U, Howitt JA, and Tan SS
- Subjects
- Animals, Animals, Newborn, Cell Fractionation, Cells, Cultured, Disks Large Homolog 4 Protein, Embryo, Mammalian, Gene Expression Regulation, Developmental genetics, Green Fluorescent Proteins genetics, Green Fluorescent Proteins metabolism, Guanylate Kinases metabolism, Homeodomain Proteins genetics, Homeodomain Proteins metabolism, Intercellular Signaling Peptides and Proteins, Membrane Proteins deficiency, Membrane Proteins metabolism, Mice, Mice, Inbred C57BL, Mice, Transgenic, Nestin genetics, Nestin metabolism, PTEN Phosphohydrolase metabolism, Proto-Oncogene Proteins c-akt metabolism, Transcription Factors genetics, Transcription Factors metabolism, Transfection, Ultrasonography, Carrier Proteins genetics, Dendritic Spines metabolism, Gene Expression Regulation, Developmental physiology, Membrane Proteins genetics, Neocortex cytology, Neocortex embryology, Neocortex growth & development, Pyramidal Cells diagnostic imaging
- Abstract
Ubiquitin ligases of the Nedd4 family are important for axon and dendrite development, but little is known about their adaptor, Nedd4 family-interacting protein 1 (Ndfip1), that is responsible for their enzymatic activation. To study the function of Ndfip1 in cortical development, we generated a conditional knock-out (conditional KO) in neurons. The Ndfip1 conditional KO mice were viable; however, cortical neurons in the adult brain exhibited atrophic characteristics, including stunted dendritic arbors, blebbing of dendrites, and fewer dendritic spines. In electron micrographs, these neurons appeared shrunken with compacted somata and involutions of the nuclear membrane. In culture, Ndfip1 KO neurons exhibited exuberant sprouting suggesting loss of developmental control. Biochemical analysis of postsynaptic density (PSD) fractions from Ndfip1 KO cortical and hippocampal neurons showed that the postsynaptic proteins (Arc and PSD-95) were reduced compared with wild-type controls. In addition, the PI3 kinase/Akt signaling pathway was altered. These results indicate that Ndfip1, through its Nedd4 effectors, is important for the development of dendrites and dendritic spines in the cortex., (© The Author 2013. Published by Oxford University Press. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.)
- Published
- 2014
- Full Text
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8. Rab5 and Ndfip1 are involved in Pten ubiquitination and nuclear trafficking.
- Author
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Li Y, Low LH, Putz U, Goh CP, Tan SS, and Howitt J
- Subjects
- Animals, Cells, Cultured, Endosomes metabolism, Intercellular Signaling Peptides and Proteins, Mice, Protein Transport, Ubiquitination, Carrier Proteins metabolism, Cell Nucleus metabolism, Membrane Proteins metabolism, PTEN Phosphohydrolase metabolism, rab5 GTP-Binding Proteins metabolism
- Abstract
The spatial regulation of Pten is critical for its role as a tumour suppressor with both nuclear and cytoplasmic locations being implicated with distinct functions. In the cytoplasm, Pten plays a central role in opposing PI3K/Akt cell signalling, whereas in the nucleus, Pten is important for maintaining genome stability and enhancing the tumour suppressor activity of APC-CDH1. Despite this diversity in protein function at different subcellular locations, there is limited knowledge on how Pten is able to find different cellular niches. Here, we report that Rab5 GTPase is required for efficient trafficking and ubiquitination of Pten on endosomes inside the cytosol. Using bimolecular fluorescence complementation (BiFC) for imaging protein interactions, we observed that ubiquitinated Pten is localized to peri-nuclear and nuclear regions of the cell. Nuclear trafficking of Pten required both Rab5 as well as the E3 ligase adaptor protein Ndfip1. Rab5 colocalization with Pten was observed on endosomes and expression of a dominant negative form of Rab5 significantly reduced Pten ubiquitination and nuclear trafficking. Genomic deletion of Ndfip1 abrogated nuclear trafficking of ubiquitinated Pten, even in the presence of Rab5. Our findings show that endosomal trafficking and ubiquitination are important mechanisms for the subcellular distribution of Pten., (© 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)
- Published
- 2014
- Full Text
- View/download PDF
9. Nuclear trafficking of Pten after brain injury leads to neuron survival not death.
- Author
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Goh CP, Putz U, Howitt J, Low LH, Gunnersen J, Bye N, Morganti-Kossmann C, and Tan SS
- Subjects
- Analysis of Variance, Animals, Apoptosis drug effects, Apoptosis genetics, Apoptosis physiology, Carrier Proteins genetics, Cell Survival genetics, Cytoplasm, Disease Models, Animal, Functional Laterality, Immunoprecipitation, In Situ Nick-End Labeling, Intercellular Signaling Peptides and Proteins, Membrane Proteins deficiency, Membrane Proteins genetics, Mice, Mice, Inbred C57BL, Mice, Transgenic, Oncogene Protein v-akt, PTEN Phosphohydrolase genetics, Protein Transport genetics, Brain Injuries pathology, Cell Nucleus metabolism, Gene Expression Regulation physiology, Neurons metabolism, Neurons pathology, Neurons ultrastructure, PTEN Phosphohydrolase metabolism
- Abstract
There is controversy whether accumulation of the tumor suppressor PTEN protein in the cell nucleus under stress conditions such as trauma and stroke causes cell death. A number of in vitro studies have reported enhanced apoptosis in neurons possessing nuclear PTEN, with the interpretation that its nuclear phosphatase activity leads to reduction of the survival protein phospho-Akt. However, there have been no in vivo studies to show that nuclear PTEN in neurons under stress is detrimental. Using a mouse model of injury, we demonstrate here that brain trauma altered the nucleo-cytoplasmic distribution of Pten, resulting in increased nuclear Pten but only in surviving neurons near the lesion. This event was driven by Ndfip1, an adaptor and activator of protein ubiquitination by Nedd4 E3 ligases. Neurons next to the lesion with nuclear PTEN were invariably negative for TUNEL, a marker for cell death. These neurons also showed increased Ndfip1 which we previously showed to be associated with neuron survival. Biochemical assays revealed that overall levels of Pten in the affected cortex were unchanged after trauma, suggesting that Pten abundance globally had not increased but rather Pten subcellular location in affected neurons had changed. Following experimental injury, the number of neurons with nuclear Pten was reduced in heterozygous mice (Ndfip1(+/-)) although lesion volumes were increased. We conclude that nuclear trafficking of Pten following injury leads to neuron survival not death., (Copyright © 2013 Elsevier Inc. All rights reserved.)
- Published
- 2014
- Full Text
- View/download PDF
10. Ndfip1 expression in developing neurons indicates a role for protein ubiquitination by Nedd4 E3 ligases during cortical development.
- Author
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Goh CP, Low LH, Putz U, Gunnersen J, Hammond V, Howitt J, and Tan SS
- Subjects
- Animals, Cerebral Cortex embryology, Cerebral Cortex growth & development, Gene Expression Regulation, Developmental, Intercellular Signaling Peptides and Proteins, Interneurons metabolism, Mice, Mice, Inbred C57BL, Morphogenesis, Nedd4 Ubiquitin Protein Ligases, Pyramidal Cells metabolism, Ubiquitination, Carrier Proteins metabolism, Cerebral Cortex metabolism, Endosomal Sorting Complexes Required for Transport metabolism, Membrane Proteins metabolism, Neurons metabolism, Ubiquitin-Protein Ligases metabolism
- Abstract
During development, protein substrates need to be removed and degraded when they are no longer required. The E3 ubiquitin ligases, including Nedd4 family proteins, are a major group of enzymes responsible for adding ubiquitin chains to protein substrates prior to their degradation. Ndfip1 (Nedd4 family-interacting protein 1) is an adaptor and activator for Nedd4-family ubiquitin ligases for increasing substrate specificity. To study Nedd4-mediated ubiquitination during cortical development, we have mapped the spatio-temporal dynamics of Ndfip1 protein expression by immunocytochemistry. Ndfip1 expression was observed from embryonic day 11 (E11.5) until adult stages. Its presence increased during the postnatal stages and peaked at postnatal day 7 (P7). Spatially, Ndfip1 was found in the ventricular and marginal zones during corticogenesis but also in the cortical plate and subplate during midstage cortical development (E15.5). Postnatally, Ndfip1 was expressed in all cortical neurons (but not in glial cells) and this expression was both ubiquitous and uniform across cortical layers involving both pyramidal and non-pyramidal neurons. This consistent but dynamic pattern of Ndfip1 expression in temporal and spatial domains of the cortical landscape is indicative of complex programs of protein ubiquitination during corticogenesis., (Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.)
- Published
- 2013
- Full Text
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11. The tumor suppressor PTEN is exported in exosomes and has phosphatase activity in recipient cells.
- Author
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Putz U, Howitt J, Doan A, Goh CP, Low LH, Silke J, and Tan SS
- Subjects
- Animals, Blotting, Western, Carrier Proteins metabolism, Cell Proliferation, Electrophoresis, Polyacrylamide Gel, Endosomal Sorting Complexes Required for Transport metabolism, HEK293 Cells, Humans, Immunohistochemistry, Immunoprecipitation, Intercellular Signaling Peptides and Proteins, Membrane Proteins metabolism, Mice, Mice, Knockout, Microscopy, Electron, Nedd4 Ubiquitin Protein Ligases, Phosphorylation, Tetrazolium Salts, Thiazoles, Trypan Blue, Ubiquitin-Protein Ligases metabolism, Exosomes metabolism, Oncogene Protein v-akt metabolism, PTEN Phosphohydrolase metabolism
- Abstract
Exosomes are microvesicles of endosomal origin that are secreted, and their contents (proteins, lipids, DNA, or microRNAs) can alter the physiological states of recipient cells. We demonstrated that phosphatase and tensin homolog deleted on chromosome 10 (PTEN), a tumor suppressor protein normally localized in the cytoplasm and nucleus, was secreted in exosomes. Secreted PTEN was internalized by recipient cells with resultant functional activity, which resulted in reduced phosphorylation of the serine and threonine kinase Akt and reduced cellular proliferation. PTEN secretion in exosomes required Ndfip1, an adaptor protein for members of the Nedd4 family of E3 ubiquitin ligases. Without Ndfip1, neither Nedd4-1 nor Nedd4-2 promoted the recruitment of PTEN into exosomes. In addition, lysine 13 within PTEN, which is required for its ubiquitination by Nedd4-1, was required for exosomal transport of PTEN. These results implicate Ndfip1 as a molecular regulator of the exosomal export of PTEN, with consequences for non-cell-autonomous PTEN activity. Thus, we suggest that the ability of PTEN to exert phosphatase activity beyond the cell in which it is produced has implications for PTEN function during development, health, and disease.
- Published
- 2012
- Full Text
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12. Ndfip1 regulates nuclear Pten import in vivo to promote neuronal survival following cerebral ischemia.
- Author
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Howitt J, Lackovic J, Low LH, Naguib A, Macintyre A, Goh CP, Callaway JK, Hammond V, Thomas T, Dixon M, Putz U, Silke J, Bartlett P, Yang B, Kumar S, Trotman LC, and Tan SS
- Subjects
- Animals, Brain Ischemia pathology, Carrier Proteins genetics, Carrier Proteins metabolism, Cell Survival, Endosomal Sorting Complexes Required for Transport physiology, Intercellular Signaling Peptides and Proteins, Membrane Proteins genetics, Membrane Proteins metabolism, Mice, Mice, Inbred C57BL, Nedd4 Ubiquitin Protein Ligases, Photobleaching, Protein Transport, Ubiquitin-Protein Ligases physiology, Ubiquitination, Brain Ischemia metabolism, Carrier Proteins physiology, Membrane Proteins physiology, Neurons physiology, PTEN Phosphohydrolase metabolism
- Abstract
PTEN (phosphatase and tensin homologue deleted on chromosome TEN) is the major negative regulator of phosphatidylinositol 3-kinase signaling and has cell-specific functions including tumor suppression. Nuclear localization of PTEN is vital for tumor suppression; however, outside of cancer, the molecular and physiological events driving PTEN nuclear entry are unknown. In this paper, we demonstrate that cytoplasmic Pten was translocated into the nuclei of neurons after cerebral ischemia in mice. Critically, this transport event was dependent on a surge in the Nedd4 family-interacting protein 1 (Ndfip1), as neurons in Ndfip1-deficient mice failed to import Pten. Ndfip1 binds to Pten, resulting in enhanced ubiquitination by Nedd4 E3 ubiquitin ligases. In vitro, Ndfip1 overexpression increased the rate of Pten nuclear import detected by photobleaching experiments, whereas Ndfip1(-/-) fibroblasts showed negligible transport rates. In vivo, Ndfip1 mutant mice suffered larger infarct sizes associated with suppressed phosphorylated Akt activation. Our findings provide the first physiological example of when and why transient shuttling of nuclear Pten occurs and how this process is critical for neuron survival.
- Published
- 2012
- Full Text
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13. Latent trait modelling of symptoms of schizophrenia.
- Author
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Bell RC, Low LH, Jackson HJ, Dudgeon PL, Copolov DL, and Singh BS
- Subjects
- Adult, Affective Symptoms diagnosis, Affective Symptoms psychology, Delusions diagnosis, Delusions psychology, Female, Hallucinations diagnosis, Hallucinations psychology, Humans, Male, Models, Statistical, Motivation, Psychometrics, Psychotic Disorders psychology, Thinking, Psychiatric Status Rating Scales statistics & numerical data, Psychotic Disorders diagnosis, Schizophrenia diagnosis, Schizophrenic Psychology
- Abstract
Latent trait models were fitted to data for 149 schizophrenic or schizophreniform inpatients rated on the Scale for the Assessment of Positive Symptoms (SAPS) and the Scale for the Assessment of Negative Symptoms (SANS) using the Rasch Extended Logistic Model. It was found that a reduction in the numbers of rating categories, from six to three or four led to consistencies in response while deletion of several items led to consistent scales of symptoms that accorded with an item response characterization. Behaviours included in the final scales varied in the numbers of categories, and in the range of symptom level covered by a category. Relationships between scores representing symptoms were found to be modelled better by a factor structure that included a third overlapping 'cognitive' factor in addition to the now traditional positive and negative factors, than by the original positive and negative factors alone.
- Published
- 1994
- Full Text
- View/download PDF
14. Constructing a minimal diagnostic decision tree.
- Author
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McKenzie DP, McGorry PD, Wallace CS, Low LH, Copolov DL, and Singh BS
- Subjects
- Algorithms, Bipolar Disorder diagnosis, Depressive Disorder diagnosis, Humans, Psychiatric Status Rating Scales, Psychotic Disorders diagnosis, Schizophrenia diagnosis, Software, Artificial Intelligence, Decision Trees, Diagnosis, Computer-Assisted, Expert Systems
- Abstract
Classification trees and discriminant function analysis were employed in order to ascertain whether a small number of diagnostic decision rules could be extracted from a large inventory of items. Several models, involving up to 17 symptoms, that led to a broad psychiatric diagnosis were then tested on a small validation sample of 53 patients. All methods, with the exception of CART used without any pruning, generated identical trees involving four items. Almost 90% of the validation sample was able to be correctly classified by all methods although poor classification performance was noted in the case of one particular diagnosis, Schizoaffective Psychosis. In contrast, stepwise linear discriminant analysis originally selected 17 items, although three out of the first four items selected were identical to those chosen by the tree-building methods. Although more research is required, there are indications that the latter methods may be usefully employed in constructing parsimonious decision trees.
- Published
- 1993
15. Multidiagnostic evaluation of prolactin response to haloperidol challenge in schizophrenia: maximal blunting in Kraepelinian patients.
- Author
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Keks NA, McKenzie DP, Low LH, McGorry PD, Hill C, Kulkarni J, Singh BS, and Copolov DL
- Subjects
- Adult, Diagnosis, Differential, Hospitalization, Hospitals, Psychiatric, Humans, Injections, Intravenous, Male, Schizophrenia blood, Schizophrenia drug therapy, Schizophrenic Psychology, Haloperidol administration & dosage, Prolactin blood, Schizophrenia diagnosis
- Abstract
We have previously reported that prolactin (PRL) responses to haloperidol 0.5 mg IV were blunted in subjects characterized by several diagnostic systems of schizophrenia compared to controls (Keks et al 1990). However, an attempt to find a diagnostic system most different from controls was unsuccessful due to inherent difficulties in the statistical analysis of multidiagnostic data. In this paper we present new methodologies. A test for differences in dependent correlations demonstrated that most of the variance in stimulated PRL was accounted for by Kraepelinian, and least by Schneiderian and M. Bleulerian, schizophrenias (p < 0.001). The main symptomatic difference between nonKraepelinian and Kraepelinian patients was the presence of association disturbance and feelings of passivity. Patients with both symptoms had a lower stimulated PRL than controls. Further findings and possible implications are discussed.
- Published
- 1992
- Full Text
- View/download PDF
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