105 results on '"M Tisdale"'
Search Results
2. Chemotherapy of human papillomavirus infections
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E. Blair, G. Darby, G. Gough, E. Littler, D. Rowlands, and M. Tisdale
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- 2023
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3. Chemotherapy of hepatitis virus infections
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E. Blair, G. Darby, G. Gough, E. Littler, D. Rowlands, and M. Tisdale
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- 2023
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4. Chemotherapy of herpesvirus infections
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E. Blair, G. Darby, G. Gough, E. Littler, D. Rowlands, and M. Tisdale
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- 2023
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5. Chemotherapy of respiratory virus infections
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E. Blair, G. Darby, G. Gough, E. Littler, D. Rowlands, and M. Tisdale
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- 2023
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6. Development of antiviral chemotherapy
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E. Blair, G. Darby, G. Gough, E. Littler, D. Rowlands, and M. Tisdale
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- 2023
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7. The birth of a Hawaiian fissure eruption
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Bruce F. Houghton, Matthew R. Patrick, Brett H. Walker, Jacopo Taddeucci, Edward W. Llewellin, Tim R. Orr, and Caroline M. Tisdale
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Mass flux ,Basalt ,Explosive eruption ,Fissure ,High resolution ,Concurrent flow ,Geophysics ,medicine.anatomical_structure ,Space and Planetary Science ,Geochemistry and Petrology ,Earth and Planetary Sciences (miscellaneous) ,medicine ,Rift zone ,Ejecta ,Seismology ,Geology - Abstract
Most basaltic explosive eruptions intensify abruptly, allowing little time to document processes at the start of eruption. One opportunity came with the initiation of activity from fissure 8 (F8) during the 2018 eruption on the lower East Rift Zone of Klauea, Hawaii. F8 erupted in four episodes. We recorded 28 minutes of high-definition video during a 51-minute period, capturing the onset of the second episode on 5 May. From the videos we were able to analyze the following in-flight parameters: frequency and duration of explosions; ejecta heights; pyroclast exit velocities; in-flight total mass and estimated mass eruption rates; and the in-flight total grain size distributions. Videos record a transition from initial pulsating outgassing, via spaced, but increasingly rapid, discrete explosions, to quasi-sustained, unsteady fountaining. This transition accompanied waxing intensity (mass flux) of the F8 eruption. We infer that all activity was driven by a combination of the ascent of a coupled mixture of small bubbles and melt, and the buoyant rise of decoupled gas slugs and/or pockets. The balance between these two types of concurrent flow determined the exact form of the eruptive activity at any point in time, and changes to their relative contributions drove the transition we observed at early F8. Qualitative observations of other Hawaiian fountains at Klauea suggest that this physical model may apply more generally. This study demonstrates the value of in-flight parameters derived from high resolution videos, which offer a rapid and highly time-sensitive alternative to measurements based on sampling of deposits post-eruption.
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- 2021
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8. Relationship between live body condition score and carcass fat measures in equine
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J.L. Pipkin, Austin H Voyles, Zane M Tisdale, Kelsey J Nonella, Logan D Holmes, Ty E Lawrence, L.A. Baker, Amanda M Burrows, T. J. McEvers, and Travis Tennant
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040301 veterinary sciences ,Withers ,Marbled meat ,fat depots ,0403 veterinary science ,Animal science ,Carcass weight ,Body condition score ,Food inspection ,biology.animal ,Medicine ,Breed type ,equine ,General Veterinary ,biology ,business.industry ,Pony ,body condition score ,0402 animal and dairy science ,04 agricultural and veterinary sciences ,040201 dairy & animal science ,Breed ,AcademicSubjects/SCI00960 ,Animal Science and Zoology ,Growth Biology ,business - Abstract
Relationships between live body condition score (BCS) and carcass fat depots have not been well established in equine. Our study was designed to quantify the relationship between BCS and fat depot measurements from equine carcasses. Live horses (n = 429) were evaluated immediately prior to immobilization at a commercial equine processor. Horses were independently assigned a BCS by a panel of three trained evaluators; BCS was evaluated by visual appraisal and manual palpation of the neck, withers, back, ribs, behind the shoulder, and tailhead. Median BCS frequencies were: 3.0 (n = 9), 4.0 (n = 43), 5.0 (n = 116), 6.0 (n = 86), 7.0 (n = 72), 8.0 (n = 76), and 9.0 (n = 27). Sex (stallion [n = 5], mare [n = 159], or gelding [n = 114]) and breed type (draft [n = 56], stock [n = 363], pony [n = 8], or mule [n =3]) were also denoted. Horses were processed for human consumption according to industry-accepted procedures under the supervision of the Canadian Food Inspection Agency. During the harvest process, all kidney–pelvic–heart (KPH) fat was trimmed from the carcass and weighed. After chilling, the marbling score was subjectively evaluated using beef grading standards. Carcass fat trim was weighed during the fabrication process. As BCS increased, hot carcass weight (HCW), absolute KPH weight, KPH expressed as a percentage of HCW, marbling score, neck fat depth, absolute weight of trimmed carcass fat, and trimmed carcass fat as a percentage of HCW increased (P < 0.01). A strong correlation (r = 0.74; P < 0.01) was detected between BCS and absolute KPH weight. Similarly, correlations between BCS and percentage of KPH (r = 0.65), neck fat depth (r = 0.60), absolute trimmed carcass fat (r = 0.58), trimmed carcass fat as a percentage of HCW (r = 0.54), marbling score (r = 0.54), and HCW (r = 0.52) were also detected (P < 0.01). These data indicate a strong relationship between subjective live BCS and objectively measured carcass fat depots in various equine breed types and sexes.
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- 2020
9. Land, lava, and disaster create a social dilemma after the 2018 eruption of Kīlauea volcano
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Brett H. Walker, Wendy A. Cockshell, Eric Yamashita, Chris E. Gregg, Caroline M. Tisdale, Karl Kim, and Bruce F. Houghton
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0301 basic medicine ,geography ,Multidisciplinary ,geography.geographical_feature_category ,Lava ,Earth science ,Science ,Comment ,Natural hazards ,General Physics and Astronomy ,Volcanology ,02 engineering and technology ,General Chemistry ,Social dilemma ,021001 nanoscience & nanotechnology ,General Biochemistry, Genetics and Molecular Biology ,03 medical and health sciences ,030104 developmental biology ,Volcano ,High population ,0210 nano-technology - Abstract
The unprecedented cost of the 2018 eruption in Hawai’i reflects an intersection of disparate physical and social phenomena: widely spaced, highly destructive eruptions, and atypically high population growth. These were linked and the former indirectly drove the latter with unavoidable consequences.
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- 2020
10. CHARACTERIZING AND EXPLAINING MILDLY EXPLOSIVE BASALTIC VOLCANISM: EXAMPLES FROM KILAUEA IN 2018
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B.H. Walker, J. Taddeucci, C. M. Tisdale, and B. F. Houghton
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Basalt ,Explosive material ,Geochemistry ,Volcanism ,Geology - Published
- 2019
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11. HIV-1 genotype and phenotype correlate with virological response to abacavir, amprenavir and efavirenz in treatment-experienced patients
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D. J. Manion, Scott M. Hammer, G. E. Amphlett, Deborah A. Thomas, Carol L. Brosgart, Michael M. Rogers, Robert L. Murphy, Ramon Torres, A. Rakik, Henry Masur, Timothy P. Flanigan, Joseph J. Eron, J. Wolfram, Judith Feinberg, M. Tisdale, Peter W. Kraus, Judith Falloon, and Mounir Ait-Khaled
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Adult ,Cyclopropanes ,Male ,medicine.medical_specialty ,Efavirenz ,Genotype ,Anti-HIV Agents ,Immunology ,HIV Infections ,chemistry.chemical_compound ,Amprenavir ,Abacavir ,Internal medicine ,Oxazines ,medicine ,Humans ,Immunology and Allergy ,Treatment Failure ,Furans ,Retrospective Studies ,Sulfonamides ,biology ,Nucleoside analogue ,Reverse-transcriptase inhibitor ,virus diseases ,Middle Aged ,biology.organism_classification ,Rash ,Virology ,Dideoxynucleosides ,Benzoxazines ,CD4 Lymphocyte Count ,Phenotype ,Infectious Diseases ,chemistry ,Alkynes ,Lentivirus ,HIV-1 ,RNA, Viral ,Female ,Carbamates ,Safety ,medicine.symptom ,Viral load ,medicine.drug - Abstract
To assess the safety and efficacy of three new drugs in patients with antiretroviral failure and to correlate retrospectively baseline factors with virological response.Open-label, 48-week, single-arm, multi-center phase II trial conducted at nine US university or government clinics and private practices.Patients with HIV-1 RNAor =500 copies/ml despiteor =20 weeks of treatment with at least one protease inhibitor received abacavir 300 mg twice a day, amprenavir 1200 mg twice a day and efavirenz 600 mg once a day. Other antiretrovirals were prohibited until week 16 except for substitutions for possible abacavir hypersensitivity.HIV RNA at weeks 16 and 48.A total of 101 highly treatment-experienced patients enrolled; 60 were naive to non-nucleoside analog reverse transcriptase inhibitors (NNRTI). HIV RNA400 copies/ml was attained in 25 out of 101 (25%) patients at 16 weeks (35% of NNRTI-naive and 10% of -experienced patients) and 23 (23%) patients at 48 weeks (33% of naive and 7% of experienced patients). CD4 cells increased by a median of 15 x 10(6) and 43 x 10(6) cells/l at weeks 16 and 48, respectively. Drug-related rash occurred in 50 out of 99 (51%) of patients, and 17 out of 99 (17%) permanently discontinued one or more drugs as a result. Lower baseline viral load, fewer NNRTI-related mutations, absence of decreased abacavir (or =4-fold) and efavirenz (or =10-fold) susceptibility, and greater number of drugs to which virus was susceptible were associated with virological response at week 16.Abacavir, amprenavir and efavirenz durably reduced HIV RNA and increased CD4 cell counts in a subset of treatment-experienced adults. Baseline viral load and some genotypic and phenotypic markers of resistance correlated with HIV RNA response.
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- 2002
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12. In Vitro Selection and Characterisation of Influenza B/Beijing/1/87 Isolates with Altered Susceptibility to Zanamivir
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J. M. Barnett, Richard C. Bethell, S.H. Madar, M. Tisdale, A. Cadman, F.M. Burrell, and A. P. Lewis
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Models, Molecular ,Protein Conformation ,viruses ,Neuraminidase ,Hemagglutinin Glycoproteins, Influenza Virus ,Drug resistance ,medicine.disease_cause ,Antiviral Agents ,Guanidines ,Virus ,Cell Line ,Microbiology ,Dogs ,Zanamivir ,Virology ,medicine ,Animals ,Humans ,Pyrans ,chemistry.chemical_classification ,Mutation ,biology ,virus diseases ,Drug Resistance, Microbial ,Phenotype ,In vitro ,Influenza B virus ,Enzyme ,chemistry ,Sialic Acids ,biology.protein ,medicine.drug - Abstract
We describe the in vitro selection and characterisation of virus derived from B/Beijing/1/87 passaged in the presence of zanamivir. During zanamivir passage, the phenotype of virus isolates was either drug dependent or drug resistant in plaque reduction assays. The susceptibility of the neuraminidase of the drug-dependent isolates was unchanged from that of the wild-type enzyme. The drug-dependent isolates contained two mutations in the viral haemagglutinin: V90A, close to the proposed secondary sialic acid-binding site, and L240Q, close to the primary sialic acid-binding site. Virus isolates that were drug resistant contained the same mutations in the haemagglutinin but also contained the mutation E116G in the neuraminidase. For the drug-dependent viruses, zanamivir susceptibility could not be measured because plaque numbers increased with increasing drug concentration. The in vitro zanamivir susceptibility of drug-resistant viruses was lower than that of the wild-type virus by a factor of 275- to >2532-fold. Neuraminidase containing the E116G mutation has a 33-fold lower affinity for zanamivir than the wild-type enzyme. The finding that the same haemagglutinin mutations are found in both drug-dependent and drug-resistant viruses confirms that the same changes to the receptor binding function can contribute to both phenotypes. This observation demonstrates the interplay between the influenza virus haemagglutinin and neuraminidase in escape from zanamivir inhibition in vitro.
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- 1999
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13. Geological controls on coalbed prospectivity in part of the North Staffordshire Coalfield, UK
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R. M. Tisdale, F. J. MacCarthy, and W. B. Ayers
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Prospectivity mapping ,Mining engineering ,Geology ,Ocean Engineering ,Water Science and Technology - Published
- 1996
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14. Inhibition of influenza virus transcription by 2'-deoxy-2'-fluoroguanosine
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S Court, Marilyn Ford, M Tisdale, K Klumpp, and M Ellis
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Transcription, Genetic ,viruses ,Orthomyxoviridae ,RNA-dependent RNA polymerase ,RNA polymerase II ,Virus Replication ,medicine.disease_cause ,Antiviral Agents ,Virus ,Viral Proteins ,Methionine ,Transcription (biology) ,Influenza A virus ,medicine ,Pharmacology (medical) ,RNA, Messenger ,Uridine ,Pharmacology ,biology ,Deoxyguanosine ,Nucleic Acid Hybridization ,RNA ,Drug Resistance, Microbial ,DNA-Directed RNA Polymerases ,biology.organism_classification ,Virology ,Molecular biology ,Reverse transcriptase ,Infectious Diseases ,Ribonucleoproteins ,biology.protein ,RNA, Viral ,Electrophoresis, Polyacrylamide Gel ,Reassortant Viruses ,Research Article - Abstract
The nucleoside analog 2'-deoxy-2'-fluoroguanosine (2'-fluorodGuo) is phosphorylated by cellular enzymes and reversibly inhibits influenza virus replication in chick embryo cells within the first 4 h of infection. RNA hybridization studies revealed that primary and secondary transcription of influenza virus RNA were blocked at a compound concentration of 10 microM, but no inhibition of cell protein synthesis was seen even at high compound concentrations (200 microM). In vitro, the triphosphate of 2'-fluorodGuo is a competitive inhibitor of influenza virus transcriptase activity from disrupted virus, with a Ki of 1.0 microM. The cellular polymerases DNA polymerase alpha and RNA polymerase II were only weakly inhibited or were insusceptible to 2'-fluorodGTP. In kinetic studies with the influenza virus transcriptase, 2'-fluorodGTP, in the absence of GTP, blocked elongation of the virus RNA chain. Similarly, by using purified ribonucleoprotein complexes it was found that the addition of a single nucleotide of 2'-fluorodGTP to the virus RNA caused chain termination, which resulted in the blockage of further virus transcription. Furthermore, the specificity for influenza virus transcriptase was confirmed when the transcriptase from partially resistant virus was found to be 10-fold less susceptible to 2'-fluorodGTP (Ki = 13.1 microM).
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- 1995
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15. Influence of stereochemistry on antiviral activities and resistance profiles of dideoxycytidine nucleosides
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N. A. Van Draanen, Devron Averett, R E Dornsife, R W Jansen, George W. Koszalka, M Tisdale, N R Parry, and Joel Van Tuttle
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Hepatitis B virus ,Cell Survival ,Thymus Gland ,Drug resistance ,Biology ,medicine.disease_cause ,Antiviral Agents ,Virus ,Cell Line ,Colony-Forming Units Assay ,Structure-Activity Relationship ,Zalcitabine ,Deoxycytidine Kinase ,medicine ,Animals ,Humans ,Pharmacology (medical) ,Progenitor cell ,Cytotoxicity ,Pharmacology ,integumentary system ,fungi ,Drug Resistance, Microbial ,biology.organism_classification ,Molecular biology ,HIV Reverse Transcriptase ,In vitro ,Infectious Diseases ,Hepadnaviridae ,Biochemistry ,Viruses ,HIV-1 ,Reverse Transcriptase Inhibitors ,Cattle ,Zidovudine ,Research Article ,medicine.drug - Abstract
beta-L-2',3'-Dideoxycytidine (beta-L-ddC) and beta-L-5-fluoro-2',3'-dideoxycytidine (5-F-beta-L-ddC) were prepared and shown to have potent activity against human immunodeficiency virus type 1 (HIV-1) and hepatitis B virus (HBV). These compounds were compared with beta-D-2',3'-dideoxycytidine (beta-D-ddC) and two beta-L-oxathiolane nucleosides (beta-L-3'-thio-2',3'-dideoxycytidine and beta-L-5-fluoro-3'-thio-2',3'-dideoxycytidine) in terms of anti-HIV and anti-HBV activity, cytotoxicity, and development of HIV-1 resistance. Compared with beta-D-ddC, the beta-L-dideoxycytidine nucleosides had similar anti-HIV-1 activities, significantly greater anti-HBV activities, and decreased toxicities to a B-cell line, T-cell lines, and human bone marrow progenitor cells. HIV-1 strains resistant to beta-D-ddC were susceptible to the beta-L-ddC analogs. Compared with the beta-L-oxathiolane nucleosides, beta-L-ddC and 5-F-beta-L-ddC had similar anti-HIV-1 activities, decreased anti-HBV activities, and greater toxicities to B- and T-cell lines and bone marrow progenitor cells. There were similarities between the beta-L-ddC and beta-L-oxathiolane nucleosides in the rate of development and pattern of resistant HIV-1 selection. While the in vitro activity and cytotoxicity profiles of the beta-L-ddC nucleosides differed from those of the beta-D-ddC and beta-L-oxathiolane nucleosides, the data presented herein suggest that the sugar configuration of a dideoxynucleoside analog may play a major role in the rate of development and the pattern of HIV-1 resistance.
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- 1994
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16. Enzymatic analysis of two HIV-1 reverse transcriptase mutants with mutations in carboxyl-terminal amino acid residues conserved among retroviral ribonucleases H
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Silke Volkmann, Karin Moelling, M Tisdale, and Birgitta M. Wöhrl
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Small RNA ,biology ,RNase P ,Mutant ,Cell Biology ,RNA hydrolysis ,Biochemistry ,Molecular biology ,RNase PH ,Reverse transcriptase ,RNase MRP ,biology.protein ,RNase H ,Molecular Biology - Abstract
The reverse transcriptase (RT) of HIV-1 has been mutagenized within the carboxyl-terminal domain which harbors the RNase H. Two amino acids highly conserved among all 14 known RT sequences but not in the bacterial RNase H have been mutagenized resulting in the mutant proteins N494D and Q475E. They were expressed as recombinant proteins, purified, and analyzed for their in vitro properties in comparison to the p66 homodimeric wild-type and a previously described H539N mutant. The N494D mutant closely resembles the wild-type RNase H, exhibits an endonuclease activity and a processive RNase H activity, gives rise to small RNA hydrolysis products, and acts in concert with the RT. The Q475E mutant is more defective and resembles the H539N mutant, exhibits a retarded endonuclease activity and an impaired 3'-->5' processive RNA cleavage activity, gives rise to predominantly larger RNA hydrolysis products, is less processive in the presence of competitor substrate, and is defective in its ability to hydrolyze the polypurine tract and homopolymeric hybrids. Short homopolymeric stretches cause a pausing of the RT of wild-type and mutants which results in a coordinated action of the RNase H. Pausing of the RT correlates with RNase H cleavages about 20 nucleotides behind the point of synthesis. The defects of the mutant enzymes can be interpreted on the basis of the known crystallography data.
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- 1993
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17. ChemInform Abstract: 8-Bromo-6-alkylamino-2-trifluoromethyl-9H-purineswith in vitro Activity Against Influenza A Virus
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James A. Linn, James L. Kelley, and M. Tisdale
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chemistry.chemical_compound ,Trifluoromethyl ,chemistry ,Stereochemistry ,Influenza A virus ,medicine ,Purine derivative ,Nanotechnology ,General Medicine ,medicine.disease_cause ,In vitro - Published
- 2010
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18. Evaluation of intravenous zanamivir against experimental influenza A (H5N1) virus infection in cynomolgus macaques
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Frank H. M. Pistoor, M. Tisdale, G. van Amerongen, James H. M. Simon, A.D.M.E. Osterhaus, Koert J. Stittelaar, R.F. van Lavieren, and Virology
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Male ,medicine.drug_class ,Influenza A (H5N1) Virus ,Biology ,Pharmacology ,medicine.disease_cause ,Antiviral Agents ,Virus ,Zanamivir ,Virology ,Influenza, Human ,medicine ,Animals ,Humans ,Influenza A Virus, H5N1 Subtype ,Neuraminidase inhibitor ,medicine.disease ,Influenza A virus subtype H5N1 ,Disease Models, Animal ,Pneumonia ,Macaca ,Viral disease ,Viral load ,medicine.drug - Abstract
We investigated the prophylactic and therapeutic efficacy of an intravenous (IV) formulation of zanamivir in a macaque infection model for highly pathogenic influenza A (H5N1) virus. Antiviral efficacy was dose-dependent, with no reduction in viral load observed at 2 mg/kg, but a significant reduction observed at 10 mg/kg (p = 0.039) and at 20 mg/kg in the combined prophylactic and therapeutic groups (p = 0.049) with both prophylaxis (commencing 12 h before infection) and therapy (commencing 4 h after infection) showing similar reductions in viral load. Combined gross pathology and microscopic pneumonia scores in the treated animals relative to untreated controls were significantly reduced at 10 mg/kg (p = 0.02) and at 20 mg/kg in the prophylaxis group (p, = 0.02), but were not significant in the treatment group (p = 0.145). in this new animal model for evaluation of influenza antivirals, despite variability observed between individual animals, IV zanamivir showed evidence of efficacy against highly pathogenic H5N1 virus. (C) 2008 Elsevier B.V. All rights reserved.
- Published
- 2008
19. A dose-ranging study to evaluate the antiretroviral activity and safety of amprenavir alone and in combination with abacavir in HIV-infected adults with limited antiretroviral experience
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R T, Schooley, N, Clumeck, R, Haubrich, M, Thompson, S A, Danner, M E, van Der Ende, D, Sereni, F, Antunes, D, Blake, R E, Myers, M, Tisdale, J, Millard, N, Mustafa, and P, Nacci
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Adult ,Male ,Sulfonamides ,Time Factors ,Dose-Response Relationship, Drug ,Genotype ,Maximum Tolerated Dose ,Anti-HIV Agents ,Administration, Oral ,HIV Infections ,HIV Protease Inhibitors ,Dideoxynucleosides ,Phenotype ,Treatment Outcome ,HIV-1 ,Humans ,Drug Therapy, Combination ,Female ,Carbamates ,Furans - Abstract
To evaluate the antiretroviral activity and safety of multiple escalating doses of amprenavir administered alone, and in combination with abacavir in HIV-1-infected adults.Sixty-two HIV-1-infected subjects were enrolled in a multicentre, open-label, non-randomized, dose-escalating trial.Subjects were assigned to one of six dose groups and received amprenavir 300 mg twice daily, 300 mg three times daily, 900, 1050, or 1,200 mg twice daily for 4 weeks. One dose group received amprenavir 900 mg twice daily in combination with abacavir 300 mg twice daily for 4 weeks. Antiretroviral activity was assessed by measuring changes from baseline in plasma HIV-1 RNA levels and CD4 cell counts. Safety was evaluated by monitoring clinical adverse events and changes in laboratory values. Genotypic and phenotypic analyses were performed using ABI sequencing and the recombinant virus assay, respectively.At week 4, amprenavir monotherapy (900, 1,050, or 1,200 mg twice daily) resulted in marked decreases in plasma HIV-1 RNA levels (1.3-1.6 log10 copies/ml), and substantial increases in CD4 cell counts in the two dose groups who received 1,050 mg twice daily (118 x 10(6) cells/mm3) or 1,200 mg twice daily (114 x 10(6) cells/mm3). Amprenavir/abacavir resulted in median plasma HIV-1 RNA reductions of 1.8 log10 copies/ml, and median CD4 cell count increases of 138 x 10(6) cells/mm3. Amprenavir was reasonably well tolerated with few treatment-limiting adverse events. No known active site mutations associated with amprenavir resistance were selected in any of the dose groups, and no significant phenotypic resistance to amprenavir developed during 4 weeks of therapy.The antiviral effect of amprenavir monotherapy increased with escalating doses, and all amprenavir doses were reasonably well tolerated over 4 weeks of therapy. Amprenavir/abacavir combination therapy elicited a potent antiviral effect. The three highest doses of amprenavir (900, 1,050 and 1,200 mg twice daily) were selected to design subsequent Phase II and III studies that confirmed the safety profile and efficacy of amprenavir in combination regimens and led to the approval of amprenavir in the USA in 1999.
- Published
- 2001
20. A dose-ranging study to evaluate the antiretroviral activity and safety of amprenavir alone and in combination with abacavir in HIV-infected adults with limited antiretroviral experience
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D. Blake, F. Antunes, N. Clumeck, P. Nacci, M. E. Van Der Ende, Richard Haubrich, J. Millard, S. A. Danner, M. Tisdale, Robert T. Schooley, R. E. Myers, N. Mustafa, M. Thompson, D. Sereni, Internal medicine, and Erasmus MC other
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Pharmacology ,Combination therapy ,Nucleoside analogue ,business.industry ,Drug interaction ,Dose-ranging study ,Amprenavir ,Infectious Diseases ,SDG 3 - Good Health and Well-being ,Pharmacokinetics ,Abacavir ,medicine ,Pharmacology (medical) ,business ,Adverse effect ,medicine.drug - Abstract
Objective To evaluate the antiretroviral activity and safety of multiple escalating doses of amprenavir administered alone, and in combination with abacavir in HIV-1-infected adults. Design Sixty-two HIV-1-infected subjects were enrolled in a multicentre, open-label, non-randomized, dose-escalating trial. Methods Subjects were assigned to one of six dose groups and received amprenavir 300 mg twice daily, 300mg three times daily, 900, 1050, or 1200 mg twice daily for 4 weeks. One dose group received amprenavir 900 mg twice daily in combination with abacavir 300 mg twice daily for 4 weeks. Antiretroviral activity was assessed by measuring changes from baseline in plasma HIV-1 RNA levels and CD4 cell counts. Safety was evaluated by monitoring clinical adverse events and changes in laboratory values. Genotypic and phenotypic analyses were performed using ABI sequencing and the recombinant virus assay, respectively. Results At week 4, amprenavir monotherapy (900, 1050, or 1200 mg twice daily) resulted in marked decreases in plasma HIV-1 RNA levels (1.3–1.6 log10 copies/ml), and substantial increases in CD4 cell counts in the two dose groups who received 1050 mg twice daily (118x106 cells/mm3) or 1200 mg twice daily (114x106 cells/mm3). Amprenavir/abacavir resulted in median plasma HIV-1 RNA reductions of 1.8 log10 copies/ml, and median CD4 cell count increases of 138x106 cells/mm3. Amprenavir was reasonably well tolerated with few treatment-limiting adverse events. No known active site mutations associated with amprenavir resistance were selected in any of the dose groups, and no significant phenotypic resistance to amprenavir developed during 4 weeks of therapy. Conclusions The antiviral effect of amprenavir monotherapy increased with escalating doses, and all amprenavir doses were reasonably well tolerated over 4 weeks of therapy. Amprenavir/abacavir combination therapy elicited a potent antiviral effect. The three highest doses of amprenavir (900, 1050 and 1200 mg twice daily) were selected to design subsequent Phase II and III studies that confirmed the safety profile and efficacy of amprenavir in combination regimens and led to the approval of amprenavir in the USA in 1999.
- Published
- 2001
21. Structural and kinetic analyses of the protease from an amprenavir-resistant human immunodeficiency virus type 1 mutant rendered resistant to saquinavir and resensitized to amprenavir
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B. G. Rao, L. Zuchowski, James Black, M. Tisdale, W. Markland, J. D. Parsons, and R. Tung
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Models, Molecular ,Protein Conformation ,medicine.medical_treatment ,Immunology ,Mutant ,Biology ,medicine.disease_cause ,Crystallography, X-Ray ,Microbiology ,Amprenavir ,HIV Protease ,Virology ,Vaccines and Antiviral Agents ,medicine ,HIV Protease Inhibitor ,Humans ,Protease inhibitor (pharmacology) ,Furans ,Saquinavir ,Mutation ,Sulfonamides ,Protease ,Protease binding ,Drug Resistance, Microbial ,HIV Protease Inhibitors ,Kinetics ,Insect Science ,HIV-1 ,Carbamates ,medicine.drug - Abstract
Recent drug regimens have had much success in the treatment of human immunodeficiency virus (HIV)-infected individuals; however, the incidence of resistance to such drugs has become a problem that is likely to increase in importance with long-term therapy of this chronic illness. An analysis and understanding of the molecular interactions between the drug(s) and the mutated viral target(s) is crucial for further progress in the field of AIDS therapy. The protease inhibitor amprenavir (APV) generates a signature set of HIV type 1 (HIV-1) protease mutations associated with in vitro resistance (M46I/L, I47V, and I50V [triple mutant]). Passage of the triple-mutant APV-resistant HIV-1 strain in MT4 cells, in the presence of increasing concentrations of saquinavir (SQV), gave rise to a new variant containing M46I, G48V, I50V, and I84L mutations in the protease and a resulting phenotype that was resistant to SQV and, unexpectedly, resensitized to APV. This phenotype was consistent with a subsequent kinetic analysis of the mutant protease, together with X-ray crystallographic analysis and computational modeling which elucidated the structural basis of these observations. The switch in protease inhibitor sensitivities resulted from (i) the I50V mutation, which reduced the area of contact with APV and SQV; (ii) the compensating I84L mutation, which improved hydrophobic packing with APV; and (iii) the G-to-V mutation at residue 48, which introduced steric repulsion with the P3 group of SQV. This analysis establishes the fine detail necessary for understanding the loss of protease binding for SQV in the quadruple mutant and gain in binding for APV, demonstrating the powerful combination of virology, molecular biology, enzymology, and protein structural and modeling studies in the elucidation and understanding of viral drug resistance.
- Published
- 2000
22. A novel genotype encoding a single amino acid insertion and five other substitutions between residues 64 and 74 of the HIV-1 reverse transcriptase confers high-level cross-resistance to nucleoside reverse transcriptase inhibitors. Abacavir CNA2007 International Study Group
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A, Rakik, M, Ait-Khaled, P, Griffin, T A, Thomas, M, Tisdale, and J P, Kleim
- Subjects
Genotype ,Zalcitabine ,Drug Resistance, Microbial ,HIV Infections ,Polymerase Chain Reaction ,HIV Reverse Transcriptase ,Cohort Studies ,Didanosine ,Phenotype ,Amino Acid Substitution ,HIV-1 ,Humans ,Reverse Transcriptase Inhibitors ,Codon - Abstract
We investigated HIV-1 reverse transcriptase (RT) polymorphisms of plasma isolates from 98 HIV-1-infected study subjects with2 years of antiretroviral therapy who were failing their current protease inhibitor (PI)-containing regimen. In 1 patient, we detected a virus with a heavily mutated beta3-beta4 connecting loop of the HIV-1 RT fingers subdomain, consisting of a single aspartate codon insertion between positions 69 and 70 and five additional variations: 64N, K65, K66, 67G, 68Y, T69, Ins D, 70R, W71, R72, K73, 74I. Mutants with the recently described 2-aa insertions between codons 68 and 70 of RT were detected in another 3 patients. Among the four isolates with the 1- or 2-aa insertions, the novel genotype was the most refractory to therapy and displayed the highest level of phenotypic resistance to nucleoside reverse transcriptase inhibitors (NRTIs). Follow-up samples demonstrated that the novel mutant represents a stable genetic rearrangement and that the amino acid insertions can coexist with nonnucleoside analogue reverse transcriptase inhibitors (NNRTI) mutations resulting in phenotypic resistance to both NRTIs and NNRTIs. An increasing number of HIV-1 isolates containing various insertions in the beta3-beta4 hairpin of the HIV-1 RT fingers subdomain appear to emerge after prolonged therapy with different NRTIs, and these polymorphisms can confer multiple drug resistance against NRTIs.
- Published
- 2000
23. Resistance profile of the human immunodeficiency virus type 1 reverse transcriptase inhibitor abacavir (1592U89) after monotherapy and combination therapy. CNA2001 Investigative Group
- Author
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P R, Harrigan, C, Stone, P, Griffin, I, Nájera, S, Bloor, S, Kemp, M, Tisdale, and B, Larder
- Subjects
Acquired Immunodeficiency Syndrome ,Anti-HIV Agents ,Mutation ,Drug Resistance ,Humans ,RNA, Viral ,Reverse Transcriptase Inhibitors ,Drug Therapy, Combination ,Codon ,Polymerase Chain Reaction ,Zidovudine ,Dideoxynucleosides ,HIV Reverse Transcriptase - Abstract
Abacavir (1592U89) is a nucleoside inhibitor of human immunodeficiency virus (HIV) type 1 reverse transcriptase (RT). Resistance to abacavir was studied with abacavir alone and with abacavir in combination with other nucleoside analogues in cell culture, in virus isolates from zidovudine/lamivudine clinical trials, and in the first dose-escalating 12-week clinical trial (CNA2001) to evaluate abacavir clinical potency. Abacavir alone in vitro selected for mutations at HIV RT codons K65R, L74V, Y115F, and M184V. However, abacavir combined with zidovudine selected against virus with the M184V mutation. Abacavir therapy in vivo resulted in large decreases in HIV load (1 log), even in 1 subject who had the M184V mutation at baseline. A total of 51% of subjects showed new mutations at any of codons K65R, L74V, and M184V after abacavir monotherapy, compared with 11% who received zidovudine/abacavir. Small changes (2- to 4-fold) in abacavir susceptibility were detected. On stopping therapy, reselection of the pretherapy sequence occurred within 4 weeks.
- Published
- 2000
24. 1592U89, a novel carbocyclic nucleoside analog with potent, selective anti-human immunodeficiency virus activity
- Author
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Thomas A. Krenitsky, Steven S. Good, Susan Mary Daluge, J E Reardon, M.B. Faletto, Wayne H. Miller, Devron Averett, M Tisdale, R E Dornsife, M H St Clair, Lawrence R. Boone, and N R Parry
- Subjects
Male ,Guanine analog ,Adenosine Deaminase ,Anti-HIV Agents ,Lymphocyte ,Administration, Oral ,Pharmacology ,Biology ,Antiviral Agents ,Structure-Activity Relationship ,In vivo ,medicine ,Animals ,Humans ,Pharmacology (medical) ,IC50 ,Biotransformation ,Cells, Cultured ,Acquired Immunodeficiency Syndrome ,Biological activity ,Drug Resistance, Microbial ,Virology ,Reverse transcriptase ,In vitro ,Dideoxynucleosides ,Rats ,Macaca fascicularis ,Infectious Diseases ,medicine.anatomical_structure ,Enzyme inhibitor ,Area Under Curve ,Injections, Intravenous ,biology.protein ,HIV-1 ,Female ,Half-Life ,Research Article - Abstract
1592U89, (-)-(1S,4R)-4-[2-amino-6-(cyclopropylamino)-9H-purin-9-yl]-2-cyclo pentene-1-methanol, is a carbocyclic nucleoside with a unique biological profile giving potent, selective anti-human immunodeficiency virus (HIV) activity. 1592U89 was selected after evaluation of a wide variety of analogs containing a cyclopentene substitution for the 2'-deoxyriboside of natural deoxynucleosides, optimizing in vitro anti-HIV potency, oral bioavailability, and central nervous system (CNS) penetration. 1592U89 was equivalent in potency to 3'-azido-3'-deoxythymidine (AZT) in human peripheral blood lymphocyte (PBL) cultures against clinical isolates of HIV type 1 (HIV-1) from antiretroviral drug-naive patients (average 50% inhibitory concentration [IC50], 0.26 microM for 1592U89 and 0.23 microM for AZT). 1592U89 showed minimal cross-resistance (approximately twofold) with AZT and other approved HIV reverse transcriptase (RT) inhibitors. 1592U89 was synergistic in combination with AZT, the nonnucleoside RT inhibitor nevirapine, and the protease inhibitor 141W94 in MT4 cells against HIV-1 (IIIB). 1592U89 was anabolized intracellularly to its 5'-monophosphate in CD4+ CEM cells and in PBLs, but the di- and triphosphates of 1592U89 were not detected. The only triphosphate found in cells incubated with 1592U89 was that of the guanine analog (-)-carbovir (CBV). However, the in vivo pharmacokinetic, distribution, and toxicological profiles of 1592U89 were distinct from and improved over those of CBV, probably because CBV itself was not appreciably formed from 1592U89 in cells or animals (
- Published
- 1997
25. Antiviral, metabolic, and pharmacokinetic properties of the isomeric dideoxynucleoside 4(S)-(6-amino-9H-purin-9-yl)tetrahydro-2(S)-furanmethanol
- Author
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H.C. Krasny, R E Dornsife, L R Boone, I Najera, R J Hazen, M Tisdale, Vasu Nair, M H St Clair, J E Reardon, and M T Paff
- Subjects
Hepatitis B virus ,Adenosine Deaminase ,Viral Plaque Assay ,medicine.disease_cause ,Antiviral Agents ,Polymerase Chain Reaction ,Virus ,Zidovudine ,Adenosine deaminase ,In vivo ,medicine ,Animals ,Humans ,Pharmacology (medical) ,Phosphorylation ,Cells, Cultured ,Nucleic Acid Synthesis Inhibitors ,Pharmacology ,Erythroid Precursor Cells ,biology ,Dideoxynucleosides ,Antibody-Dependent Cell Cytotoxicity ,Biological activity ,Drug Resistance, Microbial ,Molecular biology ,In vitro ,Rats ,Infectious Diseases ,Biochemistry ,DNA, Viral ,Dideoxyadenosine ,HIV-2 ,biology.protein ,HIV-1 ,medicine.drug ,Research Article - Abstract
4(S)-(6-Amino-9H-purin-9-yl)tetrahydro-2(S)-furanmethanol(IsoddA)isthemostantivirallyactivemember of a novel class of optically active isomeric dideoxynucleosides in which the base has been transposed from the natural 1*position to the 2*position and the absolute configuration is (S,S). IsoddA was active against human immunodeficiency virus type 1 (HIV-1) (strain IIIB), HIV-2 (strain ZY), and HIV-1 clinical isolates. Combinations of the compound with zidovudine (3*-azido-3*-deoxythymidine), 2*,3*-dideoxyinosine, or 5-fluoro-2*deoxy-3*-thiacytidine showed synergistic inhibition of HIV. A moderate reduction of activity was observed with clinical isolates resistant to zidovudine. An IsoddA-resistant virus (eightfold-increased 50% inhibitory concentration) was selected in vitro by repeated passage of HIV-1 (HXB2) in the presence of increasing concentrations of IsoddA. The reverse transcriptase-coding region of the mutant virus contained a single base change resulting in a change at codon 184 from Met to Val. IsoddA was also active against hepatitis B virus (HBV) in vitro; however, it lacked substantial selective activity in an in vivo HBV model. IsoddA was inefficiently phosphorylated in CEM cells; however, the half-life of the triphosphate was 9.4 h, and IsoddATP was a potent inhibitor of HIV-1 reverse transcriptase, with aKiof 16 nM. The cytotoxicity 50% inhibitory concentrations of IsoddA were greater than 100 mM for CEM, MOLT-4, IM9, and the HepG2-derived HBV-infected 2.2.15 (subcloneP5A)celllinesbutwere12and11 mMforhumangranulocyte-macrophage(CFU-GM)anderythroid (BFU-E) progenitor cells, respectively. When given orally to rats and mice, the compound was very well absorbed and rapidly eliminated. However, there was no detectable brain penetration by IsoddA in rats. Catabolic metabolites were not detected, and this is consistent with the observed resistance of the compound to metabolic degradation by adenosine deaminase.
- Published
- 1995
26. In vitro selection and characterization of human immunodeficiency virus type 1 (HIV-1) isolates with reduced sensitivity to hydroxyethylamino sulfonamide inhibitors of HIV-1 aspartyl protease
- Author
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O Futer, E E Blair, A B Cullinan, J. A. Partaledis, R E Myers, K Yamaguchi, B Maschera, C Falcione, S. Pazhanisamy, and M. Tisdale
- Subjects
Models, Molecular ,Protein Conformation ,medicine.medical_treatment ,T-Lymphocytes ,Immunology ,Mutant ,Molecular Sequence Data ,Microbial Sensitivity Tests ,Biology ,medicine.disease_cause ,Virus Replication ,Microbiology ,Polymerase Chain Reaction ,Virus ,Cell Line ,Structure-Activity Relationship ,HIV Protease ,Serial passage ,Virology ,medicine ,HIV Protease Inhibitor ,Humans ,Point Mutation ,Amino Acid Sequence ,Furans ,DNA Primers ,chemistry.chemical_classification ,Mutation ,Sulfonamides ,Protease ,Base Sequence ,Molecular Structure ,Point mutation ,HIV Protease Inhibitors ,Molecular biology ,Recombinant Proteins ,Kinetics ,Enzyme ,chemistry ,Insect Science ,HIV-1 ,Mutagenesis, Site-Directed ,Carbamates ,Research Article - Abstract
Human immunodeficiency virus type 1 (HIV-1) variants with reduced sensitivity to the hydroxyethylamino sulfonamide protease inhibitors VB-11,328 and VX-478 have been selected in vitro by two independent serial passage protocols with HIV-1 in CEM-SS and MT-4 cell lines. Virus populations with greater than 100-fold-increased resistance to both inhibitors compared with the parental virus have been obtained. DNA sequence analyses of the protease genes from VB-11,328- and VX-478-resistant variants reveal a sequential accumulation of point mutations, with similar resistance patterns occurring for the two inhibitors. The deduced amino acid substitutions in the resistant protease are Leu-10-->Phe, Met-46-->Ile, Ile-47-->Val, and Ile-50-->Val. This is the first observation in HIV protease resistance studies of an Ile-50-->Val mutation, a mutation that appears to arise uniquely against the sulfonamide inhibitor class. When the substitutions observed were introduced as single mutations into an HIV-1 infectious clone (HXB2), only the Ile-50-->Val mutant showed reduced sensitivity (two- to threefold) to VB-11,328 and VX-478. A triple protease mutant infectious clone carrying the mutations Met-46-->Ile, Ile-47-->Val, and Ile-50-->Val, however, showed much greater reduction in sensitivity (14- to 20-fold) to VB-11,328 and VX-478. The same mutations were studied in recombinant HIV protease. The mutant protease Ile-50-->Val displays a much lower affinity for the inhibitors than the parent enzyme (< or = 80-fold). The protease triply mutated at Met-46-->Ile, Ile-47-->Val, and Ile-50-->Val shows an even greater decrease in inhibitor binding (< or = 270-fold). The sulfonamide-resistant HIV protease variants remain sensitive to inhibitors from other chemical classes (Ro 31-8959 and L-735,524), suggesting possibilities for clinical use of HIV protease inhibitors in combination or serially.
- Published
- 1995
27. Efficacy of 2'-deoxy-2'-fluororibosides against influenza A and B viruses in ferrets
- Author
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S Russell, A Leone, Clive Sweet, M. Tisdale, and K. J. Jakeman
- Subjects
Adenosine ,Time Factors ,medicine.medical_treatment ,Orthomyxoviridae ,medicine.disease_cause ,Antiviral Agents ,Virus ,medicine ,Influenza A virus ,Animals ,Pharmacology (medical) ,Prodrugs ,Pharmacology ,Chemotherapy ,biology ,Dose-Response Relationship, Drug ,Influenzavirus B ,Ferrets ,Deoxyguanosine ,Prodrug ,biology.organism_classification ,Virology ,Influenza B virus ,Infectious Diseases ,medicine.anatomical_structure ,Viral disease ,Respiratory tract ,Research Article - Abstract
Single-dose treatments (5 to 40 mg/kg of body weight given intraperitoneally) of ferrets with 2'-deoxy-2'-fluoroguanosine or its prodrug, 2,6-diamino-purine-2'-fluororiboside, 1 h after infection with influenza A virus significantly inhibited replication of virus in the upper respiratory tract, resulting in amelioration of fever and nasal inflammation. Replication of virus in the lower respiratory tract was also reduced > 100-fold, but three doses were required to prevent replication in the lungs. In ferrets infected with influenza B virus, single-dose treatment (40 mg/kg given intraperitoneally) produced a similar but reduced response in comparison with that in ferrets infected with influenza A virus, indicating that dosing was not optimal for this virus.
- Published
- 1994
28. Isolation and characterization of monoclonal antibodies raised against the reverse transcriptase of human immunodeficiency virus type 2 and cross-reactivity with that of type 1
- Author
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W, Snowden, N, Coughlan, M, Tisdale, and D K, Stammers
- Subjects
Hybridomas ,Blotting, Western ,Molecular Sequence Data ,Antibodies, Monoclonal ,RNA-Directed DNA Polymerase ,Cross Reactions ,HIV Reverse Transcriptase ,Epitopes ,Mice ,HIV-2 ,HIV-1 ,Mutagenesis, Site-Directed ,Animals ,Humans ,Amino Acid Sequence - Abstract
Monoclonal antibodies to human immunodeficiency virus (HIV)-2 reverse transcriptase have been raised with the ultimate goal of generating Fab fragments for future co-crystallization studies. A number of mouse monoclonal antibodies to recombinant HIV-2 reverse transcriptase have been obtained and characterized in terms of the possible epitopes they recognise together with cross-reactivity with a related reverse transcriptase. The antibodies were shown to fall into three groups that recognize different regions of the reverse transcriptase enzyme. One antibody, which recognizes part of the RNase H domain, demonstrated cross-reactivity between the HIV-1 and HIV-2 reverse transcriptase.
- Published
- 1993
29. Enzymatic analysis of two HIV-1 reverse transcriptase mutants with mutations in carboxyl-terminal amino acid residues conserved among retroviral ribonucleases H
- Author
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S, Volkmann, B M, Wöhrl, M, Tisdale, and K, Moelling
- Subjects
Structure-Activity Relationship ,Base Sequence ,Molecular Sequence Data ,Ribonuclease H ,Mutagenesis, Site-Directed ,RNA-Directed DNA Polymerase ,Amino Acid Sequence ,DNA ,Templates, Genetic ,In Vitro Techniques ,HIV Reverse Transcriptase - Abstract
The reverse transcriptase (RT) of HIV-1 has been mutagenized within the carboxyl-terminal domain which harbors the RNase H. Two amino acids highly conserved among all 14 known RT sequences but not in the bacterial RNase H have been mutagenized resulting in the mutant proteins N494D and Q475E. They were expressed as recombinant proteins, purified, and analyzed for their in vitro properties in comparison to the p66 homodimeric wild-type and a previously described H539N mutant. The N494D mutant closely resembles the wild-type RNase H, exhibits an endonuclease activity and a processive RNase H activity, gives rise to small RNA hydrolysis products, and acts in concert with the RT. The Q475E mutant is more defective and resembles the H539N mutant, exhibits a retarded endonuclease activity and an impaired 3'--5' processive RNA cleavage activity, gives rise to predominantly larger RNA hydrolysis products, is less processive in the presence of competitor substrate, and is defective in its ability to hydrolyze the polypurine tract and homopolymeric hybrids. Short homopolymeric stretches cause a pausing of the RT of wild-type and mutants which results in a coordinated action of the RNase H. Pausing of the RT correlates with RNase H cleavages about 20 nucleotides behind the point of synthesis. The defects of the mutant enzymes can be interpreted on the basis of the known crystallography data.
- Published
- 1993
30. Rapid purification and characterisation of HIV-1 reverse transcriptase and RNaseH engineered to incorporate a C-terminal tripeptide alpha-tubulin epitope
- Author
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David K. Stammers, C. Bradley, C.K. Ross, M. Tisdale, S. Court, and V. Parmar
- Subjects
Genes, Viral ,Protein subunit ,Blotting, Western ,Molecular Sequence Data ,Restriction Mapping ,Ribonuclease H ,RNaseH ,Biophysics ,Tripeptide ,Biology ,Biochemistry ,Polymerase Chain Reaction ,Epitope ,Chromatography, Affinity ,Epitopes ,Affinity chromatography ,HIV Protease ,Structural Biology ,Tubulin ,Endoribonucleases ,Genetics ,Amino Acid Sequence ,Site-directed mutagenesis ,RNase H ,Molecular Biology ,Peptide sequence ,Viral Structural Proteins ,α-Tubulin epitope ,RNA-Directed DNA Polymerase ,Cell Biology ,Molecular biology ,HIV reverse transcriptase ,Reverse transcriptase ,Recombinant Proteins ,Immunoaffinity purification ,Molecular Weight ,biology.protein ,HIV-1 ,Mutagenesis, Site-Directed ,Electrophoresis, Polyacrylamide Gel ,Protein engineering ,Genetic Engineering - Abstract
The C-termini of p66 and p51 forms of HIV-1 reverse transcriptase have been engineered to contain a Glu-Glu-Phe sequence recognized by a monoclonal antibody to α-tubulin YL12. Mututed RTs were purified in a single step using peptide elution from columns of immobilized YL12. The known sequence requirements of the YL12 epitope arc consistent with protein eluting from the column with an intact C-terminus. Kinetic parameters of these mutated RTs are essentially unchanged from wild-type enzyme. The p15 RNaseH domain has been purified using this method and shown to have low enzyme activity compared to the parental p66 subunit.
- Published
- 1991
31. 141W94
- Author
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G.R. Painter, S. Ching, D. Reynolds, M.S. Clair, B.M. Sadler, M. Elkins, R. Blum, R. Dornsife, D.J. Livingston, J.A. Partadelis, S. Pazhanisamy, R.D. Tung, and M. Tisdale
- Subjects
Pharmacology ,Pharmacology (medical) - Published
- 1996
- Full Text
- View/download PDF
32. Differentiation of genotypic resistance profiles for amprenavir and lopinavir, a valuable aid for choice of therapy in protease inhibitor-experienced HIV-1-infected subjects.
- Author
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D. Paulsen, R. Elston, W. Snowden, M. Tisdale, and L. Ross
- Published
- 2003
- Full Text
- View/download PDF
33. AN ELECTRON MICROSCOPIC STUDY OF THE DEVELOPMENT OF THE CLEAVAGE FURROW IN MAMMALIAN CELLS
- Author
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Robert C. Buck and James M. Tisdale
- Subjects
Cell division ,Cytoplasm ,Endoplasmic reticulum ,Vesicle ,Cleavage (crystal) ,Cleavage furrow ,Cell Biology ,Telophase ,Biology ,Cell junction ,Cell biology - Abstract
The process of cytoplasmic cleavage has been studied in thin sections of rat erythroblasts and the cells of mouse leukemia and Walker 256 carcinoma of the rat. The development of the cleavage furrow begins in relation to the mid-body, which, earlier, appears on the equatorial plane in association with the continuous fibers of the spindle. The earliest evidence of a cleavage furrow is the presence of a vesicle or vesicles close to the mid-body. Subsequently, many smaller vesicles are seen in the equatorial plane. The cleavage furrow probably develops by the fusion of these vesicles so that a new plasma membrane is formed between the daughter cells, and extends from the telophase intercellular bridge to the cell margin. During the stage of formation of the vesicles, cisternae, believed to be part of the endoplasmic reticulum, assume an intimate relationship with the cleavage plane, and they may perhaps be involved in the formation of the vesicles.
- Published
- 1962
- Full Text
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34. THE FINE STRUCTURE OF THE MID-BODY OF THE RAT ERYTHROBLAST
- Author
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Robert C. Buck and James M. Tisdale
- Subjects
Microscopy ,Erythroblasts ,Cell Membrane ,Mitosis ,Electrons ,Cell Biology ,Anatomy ,Biology ,Ridge (differential geometry) ,Article ,law.invention ,Spindle apparatus ,Rats ,Microscopy, Electron ,law ,Erythroblast ,Bone Marrow ,Biophysics ,Animals ,Cleavage furrow ,Electron microscope ,Telophase ,Cytokinesis ,Cytoskeleton - Abstract
The development of the mid-body has been studied in mitotic erythroblasts of the rat bone marrow by means of thin sections examined with the electron microscope. A differentiated region on the continuous spindle fibers, consisting of a localized increase in density, is observed at the equatorial plane. The mid-body seems to develop by the aggregation of such denser lengths of spindle fiber. Its appearance precedes that of the cleavage furrow. A plate-like arrangement of fibrillary material lies transversely across the telophase intercellular bridge. Later, this material becomes amorphous and assumes the form of a dense ring closely applied to a ridge in the plasma membrane encircling the middle of the bridge. Although the mid-body forms in association with the spindle fibers, it is a structurally distinct part, and the changes which it undergoes are not shared by the rest of the bundle of continuous fibers.
- Published
- 1962
35. Peat resource estimation in South Carolina. Second quarterly report (year 2)
- Author
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A. D. Cohen, M. Tisdale, T. J. Vigerstad, N. K. Olsen, D. Corvinus, Richard A. Knight, and M. Andrejko
- Subjects
chemistry.chemical_classification ,Hydrology ,Resource (biology) ,Peat ,business.industry ,Fossil fuel ,Sampling (statistics) ,Forestry ,chemistry ,Soil water ,Organic matter ,business ,Energy source ,Bay ,Geology - Abstract
The objectives of this program are to assess the magnitude of the resources and locate areas of highest potential for peat deposits in South Carolina. The energy potential of these peat resources is also being evaluated. This report presents the results of progress made during the last quarter in: assessing data and prioritizing peat areas to be surveyed; procurement of equipment and supplies; and preliminary peat resource assessment. A summary of the results of all new field surveys conducted during the quarter is included. Approximate locations of potential major peat deposits have been identified. Preliminary sampling studies indicate that Pigeon Bay may have the thickest and best quality peat in Berkeley County. Probes indicate peats up to 12 feet thick are located near the Black River in Georgetown County. Samples from areas designated as organic soils by the USDA were analyzed for moisture, organic, and ash content. (DMC)
- Published
- 1981
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- View/download PDF
36. Characterization of human immunodeficiency virus type 1 reverse transcriptase by using monoclonal antibodies: role of the C terminus in antibody reactivity and enzyme function
- Author
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P. Ertl, K. L. Powell, G. Darby, D. J. M. Purifoy, M. Tisdale, and Brendan Larder
- Subjects
Male ,Antigenicity ,medicine.drug_class ,Immunology ,Enzyme-Linked Immunosorbent Assay ,Biology ,Monoclonal antibody ,Microbiology ,Virus ,Epitope ,Chromatography, Affinity ,law.invention ,Epitopes ,Mice ,law ,Virology ,medicine ,Animals ,chemistry.chemical_classification ,Immunoassay ,Mice, Inbred BALB C ,Hybridomas ,Antibodies, Monoclonal ,HIV ,RNA-Directed DNA Polymerase ,Molecular biology ,Reverse transcriptase ,Recombinant Proteins ,Enzyme ,chemistry ,Insect Science ,Mutation ,biology.protein ,Recombinant DNA ,Electrophoresis, Polyacrylamide Gel ,Antibody ,Research Article - Abstract
We describe the production of eight monoclonal antibodies reactive with human immunodeficiency virus type 1 reverse transcriptase (RT) by immunization of mice with purified recombinant RT. These antibodies were found to react with one or the other of two regions of the enzyme and were found to be useful in immunodeficiency purification of large amounts of the enzyme. One epitope located at the C terminus of the enzyme was of particular interest, since it was present in only the larger, 66-kilodalton (kDa) RT species and not its smaller, 51-kDa counterpart. To define this epitope, a series of mutants was made which synthesized C-terminally truncated RT. These mutants indicated that the same region of the enzyme, when deleted, both removed the C-terminal epitope and drastically reduced RT activity, indicating the importance of this region in the function of the enzyme; however, even the 51-kDa enzyme component had demonstrable activity.
- Published
- 1988
37. Peat resource estimation in South Carolina. Final report, Year 2
- Author
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M. Tisdale, M. Andrejko, M. Holmes, and D. Corvinus
- Subjects
Soil map ,chemistry.chemical_classification ,Resource (biology) ,Peat ,business.industry ,Fossil fuel ,Forestry ,chemistry ,Environmental protection ,Environmental science ,Organic matter ,Coal ,business ,Energy source ,Hydropower - Abstract
South Carolina has few indigenous energy resources. Most widely known and utilized are hydropower, wood, and solar. Peat is a material composed of partially decomposed organic matter that, after burial for long periods of time, may eventually become coal. Peat is utilized as an energy resource for the production of electricity and for home heating in Europe and the Soviet Union. There are peat deposits in South Carolina, but peat has never been used as an energy resource within the state. This report presents the results of the two years of a planned four-year study of the quantity and energy potential of peat in South Carolina. In this year's survey two activities were undertaken. The first was to visit highly probable peat deposits to confirm the presence of fuel-grade peat. The second was to survey and characterize in more detail the areas judged to be of highest potential as major resources. The factors carrying the greatest weight in our determination of priority areas were: (1) a description of peat deposits in the scientific literature or from discussions with state and federal soil scientists; (2) mention of organic soils on soil maps or in the literature; and (3) information from farmersmore » and other local citizens.« less
- Published
- 1982
- Full Text
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38. Structural studies of the acquired immunodeficiency syndrome virus reverse transcriptase
- Author
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B A, Larder, D J, Purifoy, K L, Powell, C, Bradley, S, Kemp, M, Tisdale, P, Ertl, G K, Darby, and D, Stammers
- Subjects
Chemistry ,Chemical Phenomena ,Escherichia coli ,HIV ,Humans ,RNA-Directed DNA Polymerase ,Antiviral Agents ,Recombinant Proteins - Abstract
The clinical success of zidovudine has established the human immunodeficiency virus (HIV) reverse transcriptase (RT) as a valid target for the design of drugs to treat acquired immunodeficiency syndrome. In order to facilitate structural studies of this enzyme, expression systems in Escherichia coli, which allow the production of large amounts of RT, have been established. Using this recombinant material the RT has been purified and crystallized. Crystallographic studies currently underway are aimed at elucidating the three-dimensional structure of HIV RT. The availability of a bacterial expression system has enabled structural/functional studies of the RT by site-directed mutagenesis. These studies have identified amino acid residues that are essential for activity of the enzyme and might be involved in substrate binding. It is hoped that structural information of this nature will allow the rational design of HIV RT inhibitors.
- Published
- 1988
39. Peat resource estimation in South Carolina. First quarterly report (year 2)
- Author
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null Cohen, Dr., A. D., M. Tisdale, M. Holmes, D. Corvinus, M. Andrejko, N. K. Olson, and null Vigerstad, Dr., T. J.
- Published
- 1981
- Full Text
- View/download PDF
40. Fecal Microbiota Functional Gene Effects Related to Single-Dose Antibiotic Treatment of Travelers' Diarrhea.
- Author
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Johnson RC, Van Nostrand JD, Tisdale M, Swierczewski B, Simons MP, Connor P, Fraser J, Melton-Celsa AR, Tribble DR, and Riddle MS
- Abstract
Background: Travelers' diarrhea (TD) is common among military personnel deployed to tropical and subtropical regions. It remains unclear how TD and subsequent antibiotic treatment impact the resident microflora within the gut, especially given increased prevalence of antibiotic resistance among enteric pathogens and acquisition of multidrug-resistant organisms. We examined functional properties of the fecal microflora in response to TD, along with subsequent antibiotic treatment., Methods: Fecal samples from US and UK military service members deployed to Djibouti, Kenya, and Honduras who presented with acute watery diarrhea were collected. A sample was collected at acute presentation to the clinic (day 0, before antibiotics), as well as 7 and/or 21 days following a single dose of antibiotics (azithromycin [500 mg], levofloxacin [500 mg], or rifaximin [1650 mg], all with loperamide). Each stool sample underwent culture and TaqMan reverse transcription polymerase chain reaction analyses for pathogen and antibiotic resistance gene detection. Purified DNA from each sample was analyzed using the HumiChip3.1 functional gene array., Results: In total, 108 day 1 samples, 50 day 7 samples, and 94 day 21 samples were available for analysis from 119 subjects. Geographic location and disease severity were associated with distinct functional compositions of fecal samples. There were no overt functional differences between pre- and postantibiotic treatment samples, nor was there increased acquisition of antibiotic resistance determinants for any of the antibiotic regimens., Conclusions: These results indicate that single-dose antibiotic regimens may not drastically alter the functional or antibiotic resistance composition of fecal microflora, which should inform clinical practice guidelines and antimicrobial stewardship., Clinical Trials Registration Number: NCT01618591., (Published by Oxford University Press on behalf of Infectious Diseases Society of America 2021.)
- Published
- 2021
- Full Text
- View/download PDF
41. Virus susceptibility analyses from a phase IV clinical trial of inhaled zanamivir treatment in children infected with influenza.
- Author
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Yates PJ, Mehta N, Horton J, and Tisdale M
- Subjects
- Amino Acid Substitution genetics, Amino Acid Substitution physiology, Drug Resistance, Viral genetics, Humans, Molecular Sequence Data, Mutation, Neuraminidase chemistry, Polymerase Chain Reaction, Viral Proteins chemistry, Influenza, Human drug therapy, Influenza, Human virology, Neuraminidase genetics, Viral Proteins genetics, Zanamivir therapeutic use
- Abstract
A zanamivir postapproval efficacy study was conducted in children (n = 279) in Japan during three influenza seasons. Pharyngeal swab specimens (n = 714) were obtained for detailed resistance analysis. From 371 cultured viruses, 3 viruses (A/H1N1) from two subjects showed reduced susceptibility to zanamivir at day 1 (before treatment), 1 had an N74S amino acid substitution (fold shift, 46), and 2 (day 1 and day 2) had a Q136K amino acid substitution (fold shifts, 292 and 301). Q136K was detected only in cultured virus and not in the swab. From the remaining 118 cultured viruses obtained during or after treatment with zanamivir, no shifts in virus susceptibility were detected. Neuraminidase (NA) population sequencing showed that viruses from 12 subjects had emergent amino acid substitutions, but 3 with susceptibility data were not zanamivir resistant. The remainder may be natural variants. Further analysis is planned. Hemagglutinin (HA) sequencing showed that viruses from 20 subjects had 9 HA amino acid substitutions that were previously implicated in resistance to neuraminidase inhibitors in in vitro assays or that were close to the receptor binding site. Their role in in vivo resistance appears to be less important but is not well understood. NA clonal sequence analysis was undertaken to determine if minority species of resistant viruses were present. A total of 1,682 clones from 90 subjects were analyzed. Single clones from 12 subjects contained amino acid substitutions close to the NA active site. It is unclear whether these single amino acid substitutions could have been amplified after drug pressure or are just chance mutations introduced during PCR.
- Published
- 2013
- Full Text
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42. Human endogenous retrovirus transcription profiles of the kidney and kidney-derived cell lines.
- Author
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Haupt S, Tisdale M, Vincendeau M, Clements MA, Gauthier DT, Lance R, Semmes OJ, Turqueti-Neves A, Noessner E, Leib-Mösch C, and Greenwood AD
- Subjects
- Carcinoma, Renal Cell virology, Cell Line, Humans, Kidney Neoplasms virology, Microarray Analysis, Endogenous Retroviruses pathogenicity, Gene Expression Profiling, Kidney virology, Transcription, Genetic
- Abstract
The human genome comprises approximately 8-9 % of human endogenous retroviruses (HERVs) that are transcribed with tissue specificity. However, relatively few organs have been examined in detail for individual differences in HERV transcription pattern, nor have tissue-to-cell culture comparisons been frequently performed. Using an HERV-specific DNA microarray, a core HERV transcription profile was established for the human kidney comparing 10 tissue samples. This core represents HERV groups expressed uniformly or nearly so in non-tumour kidney tissue. The profiles obtained from non-tumour tissues were compared to 10 renal tumour tissues (renal cell carcinoma, RCC) derived from the same individuals and additionally, to 22 RCC cell lines. No RCC cell line or tumour-specific differences were observed, suggesting that HERV transcription is not altered in RCC. However, when comparing tissue transcription to cell line transcription, there were consistent differences. The differences were irrespective of cancer state and included cell lines derived from non-tumour kidney tissue, suggesting that a specific alteration of HERV transcription occurs when establishing cell lines. In contrast to previous publications, all known HERV-derived tumour antigens, including those identified in RCC, were expressed both in multiple RCC cell lines and several non-tumour tissue-derived cell lines, a result that contrasts with findings from patient samples. The results establish the core kidney transcription pattern of HERVs and reveal differences between cell culture lines and tissue samples.
- Published
- 2011
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43. Genetic variation at hair length candidate genes in elephants and the extinct woolly mammoth.
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Roca AL, Ishida Y, Nikolaidis N, Kolokotronis SO, Fratpietro S, Stewardson K, Hensley S, Tisdale M, Boeskorov G, and Greenwood AD
- Subjects
- Amino Acid Sequence, Animals, Fossils, Humans, Molecular Sequence Data, Sequence Alignment, Sequence Analysis, DNA, Elephants genetics, Extinction, Biological, Fibroblast Growth Factor 5 genetics, Genetic Variation, Hair
- Abstract
Background: Like humans, the living elephants are unusual among mammals in being sparsely covered with hair. Relative to extant elephants, the extinct woolly mammoth, Mammuthus primigenius, had a dense hair cover and extremely long hair, which likely were adaptations to its subarctic habitat. The fibroblast growth factor 5 (FGF5) gene affects hair length in a diverse set of mammalian species. Mutations in FGF5 lead to recessive long hair phenotypes in mice, dogs, and cats; and the gene has been implicated in hair length variation in rabbits. Thus, FGF5 represents a leading candidate gene for the phenotypic differences in hair length notable between extant elephants and the woolly mammoth. We therefore sequenced the three exons (except for the 3' UTR) and a portion of the promoter of FGF5 from the living elephantid species (Asian, African savanna and African forest elephants) and, using protocols for ancient DNA, from a woolly mammoth., Results: Between the extant elephants and the mammoth, two single base substitutions were observed in FGF5, neither of which alters the amino acid sequence. Modeling of the protein structure suggests that the elephantid proteins fold similarly to the human FGF5 protein. Bioinformatics analyses and DNA sequencing of another locus that has been implicated in hair cover in humans, type I hair keratin pseudogene (KRTHAP1), also yielded negative results. Interestingly, KRTHAP1 is a pseudogene in elephantids as in humans (although fully functional in non-human primates)., Conclusion: The data suggest that the coding sequence of the FGF5 gene is not the critical determinant of hair length differences among elephantids. The results are discussed in the context of hairlessness among mammals and in terms of the potential impact of large body size, subarctic conditions, and an aquatic ancestor on hair cover in the Proboscidea.
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- 2009
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44. Evaluation of intravenous zanamivir against experimental influenza A (H5N1) virus infection in cynomolgus macaques.
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Stittelaar KJ, Tisdale M, van Amerongen G, van Lavieren RF, Pistoor F, Simon J, and Osterhaus AD
- Subjects
- Animals, Disease Models, Animal, Humans, Influenza A Virus, H5N1 Subtype physiology, Influenza, Human prevention & control, Influenza, Human virology, Macaca, Male, Antiviral Agents administration & dosage, Influenza A Virus, H5N1 Subtype drug effects, Influenza, Human drug therapy, Zanamivir administration & dosage
- Abstract
We investigated the prophylactic and therapeutic efficacy of an intravenous (IV) formulation of zanamivir in a macaque infection model for highly pathogenic influenza A (H5N1) virus. Antiviral efficacy was dose-dependent, with no reduction in viral load observed at 2 mg/kg, but a significant reduction observed at 10 mg/kg (p=0.039) and at 20 mg/kg in the combined prophylactic and therapeutic groups (p=0.049) with both prophylaxis (commencing 12 h before infection) and therapy (commencing 4 h after infection) showing similar reductions in viral load. Combined gross pathology and microscopic pneumonia scores in the treated animals relative to untreated controls were significantly reduced at 10 mg/kg (p=0.02) and at 20 mg/kg in the prophylaxis group (p=0.02), but were not significant in the treatment group (p=0.145). In this new animal model for evaluation of influenza antivirals, despite variability observed between individual animals, IV zanamivir showed evidence of efficacy against highly pathogenic H5N1 virus.
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- 2008
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45. Efficacy and safety of inhaled zanamivir in the prevention of influenza in community-dwelling, high-risk adult and adolescent subjects: a 28-day, multicenter, randomized, double-blind, placebo-controlled trial.
- Author
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LaForce C, Man CY, Henderson FW, McElhaney JE, Hampel FC Jr, Bettis R, Kudule L, Harris J, Yates P, Tisdale M, and Webster A
- Subjects
- Administration, Inhalation, Adolescent, Adult, Aged, Aged, 80 and over, Antiviral Agents adverse effects, Double-Blind Method, Europe, Female, Humans, Influenza, Human virology, Male, Middle Aged, North America, Risk Assessment, Risk Factors, Time Factors, Treatment Outcome, Zanamivir adverse effects, Antiviral Agents administration & dosage, Influenza, Human prevention & control, Zanamivir administration & dosage
- Abstract
Background: Influenza can cause significant morbidity and mortality in subjects at high risk for complications, including the elderly (age >or=65 years) and those with chronic respiratory, cardiovascular, or metabolic conditions. Effective prophylaxis can significantly reduce the disease burden in this population. Previous studies conducted primarily in non-high-risk subjects have reported the efficacy of inhaled zanamivir in preventing influenza., Objective: This study investigated the efficacy and safety of zanamivir in preventing influenza in community-dwelling adult and adolescent subjects at high risk for complications of influenza., Methods: This was a multicenter, randomized, double-blind, placebo-controlled, parallel-group study in community-dwelling subjects aged >or=12 years who were at high risk for developing complications of influenza, were able to use the Diskhaler device (Glaxo Group Limited, Research Triangle Park, North Carolina), and were able to take the first dose of study medication within 5 days of laboratory-confirmed local influenza activity. Eligible subjects were randomized to receive inhaled zanamivir 10 mg or placebo once daily for 28 days. The primary end point was the proportion of randomized subjects who developed symptomatic influenza during prophylaxis, as confirmed by culture and/or serology. All adverse events (AEs) occurring after the first dose of study medication were recorded., Results: The study enrolled 3363 subjects, of whom 58% were female and 93% were white; the mean age of participants was 60.4 years (range, 12-94 years), and 4% were adolescents. Significantly fewer zanamivir-treated subjects developed symptomatic, laboratory- confirmed influenza during prophylaxis compared with placebo recipients (4/1678 vs 23/1685, respectively), representing a relative risk (RR) of 0.17 (95% CI, 0.07-0.44; P < 0.001) and a protective efficacy of 83%. The incidence of complications was reduced in zanamivir-treated subjects compared with placebo recipients (1/1678 and 8/1685), representing an RR of 0.12 (95% CI, 0.02-0.73; P = 0.042) and a protective efficacy of 88%. The numbers of zanamivir recipients (151/1678 [9%]) and placebo recipients (169/1685 [ 10 % ] ) who developed symptomatic influenza-like illness regardless of laboratory confirmation did not differ significantly (RR = 0.86; 95% CI, 0.70-1.06), indicating that zanamivir was not effective in preventing influenza-like illness that was not caused by influenza infection. Similarly, there was no significant difference in the numbers of zanamivir and placebo recipients who developed laboratory-confirmed infection regardless of symptoms (39/1678 [2%] and 52/1685 [3%], respectively; RR = 0.76; 95% CI, 0.50-1.15). Of these, 64 subjects (35 and 29) were asymptomatic; seroconversion occurred in all but 1 subject, indicating that zanamivir prophylaxis did not prevent asymptomatic seroconversion. During prophylaxis, 51% of subjects in both treatment groups reported at least 1 AE. There were no major differences in the frequency or nature of AEs between groups. The most commonly reported AEs (>or=3% of subjects in each treatment group) were consistent with upper respiratory viral infection (headache: 17% zanamivir, 18% placebo; cough: 14% and 15%, respectively; throat and tonsil discomfort/pain: 13% and 14%). There were no differences between groups in the overall incidence of viral respiratory infections (5% in both groups) or ear, nose, and throat infections (2% in both groups). None of the analyzed isolates from confirmed cases of influenza exhibited reduced susceptibility to zanamivir or genotypic evidence of resistance., Conclusions: Zanamivir, administered once daily for 28 days, was efficacious in preventing infection with the predominant circulating strains in the 2000- 2001 influenza season in the Northern Hemisphere (influenza A/New Calendonia/20/99-1ike and influenza B/ Sichuan/379/99-like) in these high-risk community- dwelling subjects aged >or=12 years. Zanamivir was well tolerated, with a safety profile comparable to that of placebo. No emergence of resistant virus was detected., (Copyright 2007 Excerpta Medica, Inc.)
- Published
- 2007
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46. Mutations conferring zanamivir resistance in human influenza virus N2 neuraminidases compromise virus fitness and are not stably maintained in vitro.
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Zürcher T, Yates PJ, Daly J, Sahasrabudhe A, Walters M, Dash L, Tisdale M, and McKimm-Breschkin JL
- Subjects
- Animals, Antiviral Agents chemistry, Baculoviridae enzymology, Baculoviridae genetics, Cell Line, Cells, Cultured, Dogs, Enzyme Inhibitors chemistry, Guanidines chemistry, Humans, Influenza A Virus, H3N2 Subtype drug effects, Influenza A Virus, H3N2 Subtype enzymology, Influenza A Virus, H3N2 Subtype genetics, Neuraminidase antagonists & inhibitors, Neuraminidase genetics, Pyrans chemistry, Sialic Acids chemistry, Spodoptera, Virus Replication, Zanamivir, Antiviral Agents pharmacology, Drug Resistance, Viral genetics, Enzyme Inhibitors pharmacology, Guanidines pharmacology, Influenza A Virus, H3N2 Subtype physiology, Mutation, Pyrans pharmacology, Sialic Acids pharmacology
- Abstract
Background: Viruses resistant to zanamivir have been generated in vitro, but no resistant virus has yet been isolated from a zanamivir-treated immunocompetent patient. In contrast most resistant viruses isolated from oseltamivir-treated patients correspond to those selected in vitro. However, despite mutations being in conserved residues in the neuraminidase (NA) they do not confer resistance in all NA subtypes., Objectives and Methods: We have used reverse genetics and the recombinant baculovirus expression system for investigating reasons for the lack of isolation of zanamivir-resistant H3N2 viruses and for further exploring subtype-specific oseltamivir resistance., Results: H3N2 viruses generated by reverse genetics with H274Y, R292K E119V and E119D mutations were rescued. Those with E119G, E119A or R152K mutations could only be rescued in the presence of exogenous NA and after passage in the absence of exogenous NA only isolates that had reverted to the wild-type NA or, surprisingly, E119G/A to E119V NA were isolated. Mutations conferring zanamivir resistance significantly affected enzyme activity, virus replication or NA thermal stability. E119V viruses were stable and grew to similar titres as wild-type virus, consistent with their isolation from oseltamivir-treated patients. Mutations conferring oseltamivir resistance in N1 (H274Y) and B (R152K) NAs also conferred resistance in recombinant G70C N9 NA expressed in insect cells., Conclusions: These data suggest that zanamivir-resistant H3N2 viruses may not readily arise in vivo due to their poor viability. The G70C N9 NA may also provide a useful model for understanding the structural basis of subtype-specific drug resistance.
- Published
- 2006
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47. In vitro development of resistance to human immunodeficiency virus protease inhibitor GW640385.
- Author
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Yates PJ, Hazen R, St Clair M, Boone L, Tisdale M, and Elston RC
- Subjects
- Amino Acid Sequence, Amino Acid Substitution, Base Sequence, Cloning, Molecular, Drug Resistance, Viral drug effects, Genes, gag, Genetic Variation, HIV Protease genetics, Humans, In Vitro Techniques, Microbial Sensitivity Tests, Molecular Sequence Data, Selection, Genetic, Drug Resistance, Viral genetics, HIV Protease Inhibitors pharmacology, HIV-1 drug effects, HIV-1 genetics, Virus Replication genetics
- Abstract
Development of in vitro resistance to GW640385, a new human immunodeficiency virus type 1 protease inhibitor, was studied. Variants characterized included one with <4-fold resistance and amino acid substitutions Q58E/A71V (protease) and P452K (Gag) and one with >50-fold resistance and amino acid substitutions L10F/G16E/E21K/A28S/M46I/F53L/A71V (protease) and L449F/P453T (Gag). The A28S substitution substantially reduced replication capacity.
- Published
- 2006
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48. Effect of concurrent zidovudine use on the resistance pathway selected by abacavir-containing regimens.
- Author
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Lanier ER, Givens N, Stone C, Griffin P, Gibb D, Walker S, Tisdale M, Irlbeck D, Underwood M, St Clair M, and Ait-Khaled M
- Subjects
- Drug Resistance, Viral genetics, Drug Therapy, Combination, Genes, Viral genetics, HIV Infections drug therapy, HIV Infections genetics, HIV-1 drug effects, HIV-1 genetics, Humans, Lamivudine therapeutic use, Mutation genetics, Phenotype, Point Mutation genetics, Retrospective Studies, Anti-HIV Agents therapeutic use, Dideoxynucleosides therapeutic use, Reverse Transcriptase Inhibitors therapeutic use, Zidovudine therapeutic use
- Abstract
Objectives: Abacavir (ABC) selects for four mutations (K65R, L74V, Y115F and M184V) in HIV-1 reverse transcriptase (RT), both in vitro and during monotherapy in vivo. The aim of this analysis was to compare the selection of these and other nucleoside reverse transcriptase inhibitor (NRTI)-associated mutations by ABC-containing therapies in the presence and absence of concurrent lamivudine (3TC) and/or zidovudine (ZDV) and to assess the effect of these mutations on phenotypic susceptibility to the NRTIs., Design: This study was a retrospective analysis of the patterns of NRTI-associated mutations selected following virological failure in six multicentre trials conducted during the development of ABC., Methods: Virological failure was defined as confirmed vRNA above 400 HIV-1 RNA copies/mL. RT genotype and phenotype were determined using standard methods., Results: K65R was selected infrequently by ABC-containing regimens in the absence of ZDV (13 of 127 patients), while L74V/I was selected more frequently (51 of 127 patients). Selection of both K65R and L74V/I was significantly reduced by co-administration of ZDV with ABC (one of 86 and two of 86 patients, respectively). Y115F was uncommon in the absence (seven of 127 patients) or presence (four of 86 patients) of ZDV. M184V was the most frequently selected mutation by ABC alone (24 of 70 patients) and by ABC plus 3TC (48 of 70 patients). Thymidine analogue mutations were associated with ZDV use. The K65R mutation conferred the broadest phenotypic cross-resistance of the mutations studied., Conclusions: The resistance pathway selected upon virological failure of ABC-containing regimens is significantly altered by concurrent ZDV use, but not by concurrent 3TC use. These data may have important implications for the efficacy of subsequent lines of NRTI therapies.
- Published
- 2004
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49. Phenotypic impact of HIV reverse transcriptase M184I/V mutations in combination with single thymidine analog mutations on nucleoside reverse transcriptase inhibitor resistance.
- Author
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Ross L, Parkin N, Chappey C, Fisher R, Clair MS, Bates M, Tisdale M, and Lanier ER
- Subjects
- Adenine therapeutic use, Algorithms, Databases, Genetic, Didanosine therapeutic use, Dideoxynucleosides therapeutic use, Drug Resistance, Multiple, Viral, HIV genetics, HIV Infections blood, HIV Infections drug therapy, Humans, Mutation, Organophosphorus Compounds therapeutic use, Phenotype, Stavudine therapeutic use, Tenofovir, Thymidine analogs & derivatives, Zalcitabine therapeutic use, Zidovudine therapeutic use, Adenine analogs & derivatives, Anti-HIV Agents therapeutic use, HIV Infections genetics, Organophosphonates, Reverse Transcriptase Inhibitors therapeutic use, Thymidine genetics
- Abstract
Objectives: To analyse the impact of the M184I/V mutation and individual thymidine-associated mutations (TAM) on nucleoside reverse transcriptase inhibitor (NRTI) phenotypic susceptibility and compare these results with those obtained using commercial and public algorithms., Design: An HIV genotypic/phenotypic database with over 27 000 samples was used to obtain the median fold change (5-95th percentile) in NRTI phenotypic susceptibility for viruses from patients containing individual TAM with or without the M184I or V mutation and for wild-type patient viruses., Results: The resulting data indicated that in vitro, individual TAM do not have an equivalent impact on NRTI resistance, with some individual TAM having little or no impact on NRTI resistance (e.g. M41L or K219Q/E/H/R). In the presence of the M184I/V mutation, re-sensitization to some drugs, including zidovudine, stavudine and tenofovir was observed despite the presence of a TAM. For didanosine and abacavir, the presence of the M184V mutation and a single TAM did not result in a fold-change increase associated with decreased drug susceptibility. Analysis of public and commercial algorithms revealed a lack of concordance regarding the impact of these mutations, and with the observed phenotypic data., Conclusion: These analyses should assist in the creation of rules for genotypic drug resistance algorithms for a better reflection of the impact of individual TAM and also the impact of M184I/V on resistance. These data provide additional evidence that retaining lamivudine in those treatment regimens in which TAM can be selected may provide some therapeutic benefit by maintaining the M184V mutation.
- Published
- 2004
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50. Human immunodeficiency virus type 1 reverse transcriptase mutation selection during in vitro exposure to tenofovir alone or combined with abacavir or lamivudine.
- Author
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Stone C, Ait-Khaled M, Craig C, Griffin P, and Tisdale M
- Subjects
- Cloning, Molecular, Drug Combinations, Drug Resistance, Viral, Genotype, HIV drug effects, Humans, Mutation genetics, Tenofovir, Adenine analogs & derivatives, Adenine pharmacology, Anti-HIV Agents pharmacology, Dideoxynucleosides pharmacology, HIV Reverse Transcriptase genetics, Lamivudine pharmacology, Organophosphonates, Organophosphorus Compounds pharmacology, Reverse Transcriptase Inhibitors pharmacology
- Abstract
Mutations selected or deselected during passage of human immunodeficiency virus strain HXB2 or resistant variants with tenofovir (TFV), abacavir (ABC), and lamivudine (3TC) differed depending on the drug combination and virus genotype. In the wild-type virus, TFV-ABC and TFV-3TC selected K65R (with reduced susceptibility to all three inhibitors) and then Y115F. TFV-containing regimens might increase K65R selection, which confers multiple nucleoside reverse transcriptase inhibitor resistance.
- Published
- 2004
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