40 results on '"McCue L"'
Search Results
2. Different rates of cognitive decline in autosomal dominant and late-onset Alzheimer disease
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Buckles, VD, Xiong, C, Bateman, RJ, Hassenstab, J, Allegri, R, Berman, SB, Chhatwal, JP, Danek, A, Fagan, AM, Ghetti, B, Goate, A, Graff-Radford, N, Jucker, M, Levin, J, Marcus, DS, Masters, CL, McCue, L, McDade, E, Mori, H, Moulder, KL, Noble, JM, Paumier, K, Preische, O, Ringman, JM, Fox, NC, Salloway, S, Schofield, PR, Martins, R, Voglein, J, Morris, JC, Buckles, VD, Xiong, C, Bateman, RJ, Hassenstab, J, Allegri, R, Berman, SB, Chhatwal, JP, Danek, A, Fagan, AM, Ghetti, B, Goate, A, Graff-Radford, N, Jucker, M, Levin, J, Marcus, DS, Masters, CL, McCue, L, McDade, E, Mori, H, Moulder, KL, Noble, JM, Paumier, K, Preische, O, Ringman, JM, Fox, NC, Salloway, S, Schofield, PR, Martins, R, Voglein, J, and Morris, JC
- Abstract
As prevention trials advance with autosomal dominant Alzheimer disease (ADAD) participants, understanding the similarities and differences between ADAD and “sporadic” late-onset AD (LOAD) is critical to determine generalizability of findings between these cohorts. Cognitive trajectories of ADAD mutation carriers (MCs) and autopsy-confirmed LOAD individuals were compared to address this question. Longitudinal rates of change on cognitive measures were compared in ADAD MCs (n = 310) and autopsy-confirmed LOAD participants (n = 163) before and after symptom onset (estimated/observed). LOAD participants declined more rapidly in the presymptomatic (preclinical) period and performed more poorly at symptom onset than ADAD participants on a cognitive composite. After symptom onset, however, the younger ADAD MCs declined more rapidly. The similar but not identical cognitive trajectories (declining but at different rates) for ADAD and LOAD suggest common AD pathologies but with some differences.
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- 2022
3. 0055 Potential for using mobile apps to deliver safety interventions to commercial fishermen
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Bellantoni, J, primary, Bulzacchelli, M, additional, Whitehill, J, additional, McCue, L, additional, and Dzugan, J, additional
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- 2021
- Full Text
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4. Taking A Break From Academia
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Watford, B., Crumpton-Young, L., Davidson, S., Mccue, L., and Noel Schulz
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- 2020
5. Uncertainty Analysis for Parametric Roll Using Non-intrusive Polynomial Chaos
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Wu W., McCue L., BULIAN, GABRIELE, Vadim Belenky, Wu, W., Bulian, Gabriele, and Mccue, L.
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ship stability ,Parametric roll ,uncertainty ,polynomial chaos ,response surface ,polynomial chao - Abstract
In this paper, uncertainty analysis is carried out on both a simple parametric roll model which can be modeled as a Mathieu equation and a 1.5 degree-of-freedom parametric roll model in regular seas. For both cases, the uncertainty is brought into the system due to the error in predicting the damping coefficients. The non-intrusive polynomial chaos method has been used to assess how the parameters’ uncertainty affects the prediction of parametric roll. The principle aim of this work is to demonstrate computational efficiency without loss of accuracy in probing the effects of parametric uncertainty on ship dynamical systems modeled when using polynomial chaos as compared to the more traditional Monte Carlo method.
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- 2011
6. A numerical feasibility study of a parametric roll advance warning system
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MCCUE L. S, BULIAN, GABRIELE, MCCUE L., S, and Bulian, Gabriele
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- 2007
7. Coupling between sloshing and ship roll motion: Comparison between nonlinear potential theory and SPH
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DELORME L, MCCUE L, SOUTO IGLESIAS A., BULIAN, GABRIELE, Delorme, L, Bulian, Gabriele, Mccue, L, and SOUTO IGLESIAS, A.
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- 2006
8. Non-intrusive polynomial chaos for efficient uncertainty analysis in parametric roll simulations
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Cooper, M. D., primary, Wu, W., additional, and McCue, L. S., additional
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- 2015
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9. The Gibbs Centroid Sampler
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Thompson, W. A., primary, Newberg, L. A., additional, Conlan, S., additional, McCue, L. A., additional, and Lawrence, C. E., additional
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- 2007
- Full Text
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10. Phylogenetic footprinting of transcription factor binding sites in proteobacterial genomes
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McCue, L. A., primary
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- 2001
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11. Analysis of a gene that suppresses the morphological defect of bald mutants of Streptomyces griseus
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McCue, L A, primary, Kwak, J, additional, Wang, J, additional, and Kendrick, K E, additional
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- 1996
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12. Identification and characterization of mycobacterial proteins differentially expressed under standing and shaking culture conditions, including Rv2623 from a novel class of putative ATP-binding proteins.
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Florczyk, M A, McCue, L A, Stack, R F, Hauer, C R, and McDonough, K A
- Abstract
The environmental signals that affect gene regulation in Mycobacterium tuberculosis remain largely unknown despite their importance to tuberculosis pathogenesis. Other work has shown that several promoters, including acr (also known as hspX) (alpha-crystallin homolog), are upregulated in shallow standing cultures compared with constantly shaking cultures. Each of these promoters is also induced to a similar extent within macrophages. The present study used two-dimensional gel electrophoresis and mass spectrometry to further characterize differences in mycobacterial protein expression during growth under standing and shaking culture conditions. Metabolic labeling of M. bovis BCG showed that at least 45 proteins were differentially expressed under standing and shaking culture conditions. Rv2623, CysA2-CysA3, Gap, and Acr were identified from each of four spots or gel bands that were specifically increased in bacteria from standing cultures. An additional standing-induced spot contained two comigrating proteins, GlcB and KatG. The greatest induction was observed with Rv2623, a 32-kDa protein of unknown function that was strongly expressed under standing conditions and absent in shaking cultures. Analysis using PROBE, a multiple sequence alignment and database mining tool, classified M. tuberculosis Rv2623 as a member of a novel class of ATP-binding proteins that may be involved in M. tuberculosis's response to environmental signals. These studies demonstrate the power of combined proteomic and computational approaches and demonstrate that subtle differences in bacterial culture conditions may have important implications for the study of gene expression in mycobacteria.
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- 2001
13. Functional classification of cNMP-binding proteins and nucleotide cyclases with implications for novel regulatory pathways in Mycobacterium tuberculosis.
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McCue, L A, McDonough, K A, and Lawrence, C E
- Abstract
We have analyzed the cyclic nucleotide (cNMP)-binding protein and nucleotide cyclase superfamilies using Bayesian computational methods of protein family identification and classification. In addition to the known cNMP-binding proteins (cNMP-dependent kinases, cNMP-gated channels, cAMP-guanine nucleotide exchange factors, and bacterial cAMP-dependent transcription factors), new functional groups of cNMP-binding proteins were identified, including putative ABC-transporter subunits, translocases, and esterases. Classification of the nucleotide cyclases revealed subtle differences in sequence conservation of the active site that distinguish the five classes of cyclases: the multicellular eukaryotic adenylyl cyclases, the eukaryotic receptor-type guanylyl cyclases, the eukaryotic soluble guanylyl cyclases, the unicellular eukaryotic and prokaryotic adenylyl cyclases, and the putative prokaryotic guanylyl cyclases. Phylogenetic distribution of the cNMP-binding proteins and cyclases was analyzed, with particular attention to the 22 complete archaeal and eubacterial genome sequences. Mycobacterium tuberculosis H37Rv and Synechocystis PCC6803 were each found to encode several more putative cNMP-binding proteins than other prokaryotes; many of these proteins are of unknown function. M. tuberculosis also encodes several more putative nucleotide cyclases than other prokaryotic species.
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- 2000
14. Phylogenetic footprinting of transcription factor binding sites in proteobacterial genomes
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McCue, L. A., Thompson, William, Carmack, C. Steven, Ryan, Michael P., Liu, Jun, Derbyshire, Victoria, and Lawrence, Charles E.
- Abstract
Toward the goal of identifying complete sets of transcription factor (TF)-binding sites in the genomes of several gamma proteobacteria, and hence describing their transcription regulatory networks, we present a phylogenetic footprinting method for identifying these sites. Probable transcription regulatory sites upstream of Escherichia coli genes were identified by cross-species comparison using an extended Gibbs sampling algorithm. Close examination of a study set of 184 genes with documented transcription regulatory sites revealed that when orthologous data were available from at least two other gamma proteobacterial species, 81% of our predictions corresponded with the documented sites, and 67% corresponded when data from only one other species were available. That the remaining predictions included bona fide TF-binding sites was proven by affinity purification of a putative transcription factor (YijC) bound to such a site upstream of the fabA gene. Predicted regulatory sites for 2097 E.coli genes are available at http://www.wadsworth.org/resnres/bioinfo/.
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- 2001
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15. Identification of bldA mutants of Streptomyces griseus
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Kwak, J., McCue, L. A., and Kendrick, K. E.
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- 1996
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16. Exploring the oceans of Europa with biologically-inspired underwater vehicles
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David Allen, Jones, M. C., Mccue, L. S., Moore, W. B., Philen, M., and Woolsey, C. A.
17. A bayesian integration model of high-throughput proteomics and metabolomics data for improved early detection of microbial infections
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Webb-Robertson, B. -J M., Mccue, L. A., Beagley, N., Mcdermott, J. E., Wunschel, D. S., Varnum, S. M., Hu, J. Z., Nancy Isern, Buchko, G. W., Mcateer, K., Pounds, J. G., Skerrett, S. J., Liggitt, D., and Frevert, C. W.
18. Mapping a mission profile for the exploration of Europa's ocean
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Allen, D. W., Jones, M. C., Mccue, L. S., Craig Woolsey, and Moore, W. B.
19. VESPA: software to facilitate genomic annotation of prokaryotic organisms through integration of proteomic and transcriptomic data
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Peterson Elena S, McCue Lee Ann, Schrimpe-Rutledge Alexandra C, Jensen Jeffrey L, Walker Hyunjoo, Kobold Markus A, Webb Samantha R, Payne Samuel H, Ansong Charles, Adkins Joshua N, Cannon William R, and Webb-Robertson Bobbie-Jo M
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Biotechnology ,TP248.13-248.65 ,Genetics ,QH426-470 - Abstract
Abstract Background The procedural aspects of genome sequencing and assembly have become relatively inexpensive, yet the full, accurate structural annotation of these genomes remains a challenge. Next-generation sequencing transcriptomics (RNA-Seq), global microarrays, and tandem mass spectrometry (MS/MS)-based proteomics have demonstrated immense value to genome curators as individual sources of information, however, integrating these data types to validate and improve structural annotation remains a major challenge. Current visual and statistical analytic tools are focused on a single data type, or existing software tools are retrofitted to analyze new data forms. We present Visual Exploration and Statistics to Promote Annotation (VESPA) is a new interactive visual analysis software tool focused on assisting scientists with the annotation of prokaryotic genomes though the integration of proteomics and transcriptomics data with current genome location coordinates. Results VESPA is a desktop Java™ application that integrates high-throughput proteomics data (peptide-centric) and transcriptomics (probe or RNA-Seq) data into a genomic context, all of which can be visualized at three levels of genomic resolution. Data is interrogated via searches linked to the genome visualizations to find regions with high likelihood of mis-annotation. Search results are linked to exports for further validation outside of VESPA or potential coding-regions can be analyzed concurrently with the software through interaction with BLAST. VESPA is demonstrated on two use cases (Yersinia pestis Pestoides F and Synechococcus sp. PCC 7002) to demonstrate the rapid manner in which mis-annotations can be found and explored in VESPA using either proteomics data alone, or in combination with transcriptomic data. Conclusions VESPA is an interactive visual analytics tool that integrates high-throughput data into a genomic context to facilitate the discovery of structural mis-annotations in prokaryotic genomes. Data is evaluated via visual analysis across multiple levels of genomic resolution, linked searches and interaction with existing bioinformatics tools. We highlight the novel functionality of VESPA and core programming requirements for visualization of these large heterogeneous datasets for a client-side application. The software is freely available at https://www.biopilot.org/docs/Software/Vespa.php.
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- 2012
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20. Fnr (EtrA) acts as a fine-tuning regulator of anaerobic metabolism in Shewanella oneidensis MR-1
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Gralnick Jeffrey A, Rodrigues Jorge LM, Murray Alison E, Cruz-García Claribel, McCue Lee, Romine Margaret F, Löffler Frank E, and Tiedje James M
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Microbiology ,QR1-502 - Abstract
Abstract Background EtrA in Shewanella oneidensis MR-1, a model organism for study of adaptation to varied redox niches, shares 73.6% and 50.8% amino acid sequence identity with the oxygen-sensing regulators Fnr in E. coli and Anr in Pseudomonas aeruginosa, respectively; however, its regulatory role of anaerobic metabolism in Shewanella spp. is complex and not well understood. Results The expression of the nap genes, nrfA, cymA and hcp was significantly reduced in etrA deletion mutant EtrA7-1; however, limited anaerobic growth and nitrate reduction occurred, suggesting that multiple regulators control nitrate reduction in this strain. Dimethyl sulfoxide (DMSO) and fumarate reductase gene expression was down-regulated at least 2-fold in the mutant, which, showed lower or no reduction of these electron acceptors when compared to the wild type, suggesting both respiratory pathways are under EtrA control. Transcript analysis further suggested a role of EtrA in prophage activation and down-regulation of genes implicated in aerobic metabolism. Conclusion In contrast to previous studies that attributed a minor regulatory role to EtrA in Shewanella spp., this study demonstrates that EtrA acts as a global transcriptional regulator and, in conjunction with other regulators, fine-tunes the expression of genes involved in anaerobic metabolism in S. oneidensis strain MR-1. Transcriptomic and sequence analyses of the genes differentially expressed showed that those mostly affected by the mutation belonged to the "Energy metabolism" category, while stress-related genes were indirectly regulated in the mutant possibly as a result of a secondary perturbation (e.g. oxidative stress, starvation). We also conclude based on sequence, physiological and expression analyses that this regulator is more appropriately termed Fnr and recommend this descriptor be used in future publications.
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- 2011
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21. The tricarboxylic acid cycle in Shewanella oneidensis is independent of Fur and RyhB control
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Parsons Andrea B, McCue Lee, Yang Yunfeng, Feng Sheng, and Zhou Jizhong
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Microbiology ,QR1-502 - Abstract
Abstract Background It is well established in E. coli and Vibrio cholerae that strains harboring mutations in the ferric uptake regulator gene (fur) are unable to utilize tricarboxylic acid (TCA) compounds, due to the down-regulation of key TCA cycle enzymes, such as AcnA and SdhABCD. This down-regulation is mediated by a Fur-regulated small regulatory RNA named RyhB. It is unclear in the γ-proteobacterium S. oneidensis whether TCA is also regulated by Fur and RyhB. Results In the present study, we showed that a fur deletion mutant of S. oneidensis could utilize TCA compounds. Consistently, expression of the TCA cycle genes acnA and sdhA was not down-regulated in the mutant. To explore this observation further, we identified a ryhB gene in Shewanella species and experimentally demonstrated the gene expression. Further experiments suggested that RyhB was up-regulated in fur mutant, but that AcnA and SdhA were not controlled by RyhB. Conclusions These cumulative results delineate an important difference of the Fur-RyhB regulatory cycle between S. oneidensis and other γ-proteobacteria. This work represents a step forward for understanding the unique regulation in S. oneidensis.
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- 2010
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22. PhyloScan: identification of transcription factor binding sites using cross-species evidence
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Newberg Lee A, McCue Lee, Carmack C Steven, and Lawrence Charles E
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Biology (General) ,QH301-705.5 ,Genetics ,QH426-470 - Abstract
Abstract Background When transcription factor binding sites are known for a particular transcription factor, it is possible to construct a motif model that can be used to scan sequences for additional sites. However, few statistically significant sites are revealed when a transcription factor binding site motif model is used to scan a genome-scale database. Methods We have developed a scanning algorithm, PhyloScan, which combines evidence from matching sites found in orthologous data from several related species with evidence from multiple sites within an intergenic region, to better detect regulons. The orthologous sequence data may be multiply aligned, unaligned, or a combination of aligned and unaligned. In aligned data, PhyloScan statistically accounts for the phylogenetic dependence of the species contributing data to the alignment and, in unaligned data, the evidence for sites is combined assuming phylogenetic independence of the species. The statistical significance of the gene predictions is calculated directly, without employing training sets. Results In a test of our methodology on synthetic data modeled on seven Enterobacteriales, four Vibrionales, and three Pasteurellales species, PhyloScan produces better sensitivity and specificity than MONKEY, an advanced scanning approach that also searches a genome for transcription factor binding sites using phylogenetic information. The application of the algorithm to real sequence data from seven Enterobacteriales species identifies novel Crp and PurR transcription factor binding sites, thus providing several new potential sites for these transcription factors. These sites enable targeted experimental validation and thus further delineation of the Crp and PurR regulons in E. coli. Conclusion Better sensitivity and specificity can be achieved through a combination of (1) using mixed alignable and non-alignable sequence data and (2) combining evidence from multiple sites within an intergenic region.
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- 2007
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23. Molecular analysis of sporulation in Streptomyces griseus
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McCue, L. A., Kwak, J., Babcock, M. J., and Kendrick, K. E.
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- 1992
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24. An Overview of the Minisymposium on Extreme Ship Dynamics Presented at the 2005 SIAM Conference on Applications of Dynamical Systems
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Louis Delorme, Leigh McCue, Alberto Francescutto, Alexander F. Vakakis, Gabriele Bulian, Laura K. Alford, Armin W. Troesch, Claudio Lugni, William F. Belknap, Mccue, L, Alford, L, Belknap, W, Bulian, Gabriele, Delorme, L, Francescutto, Alberto, Lugni, C, Troesch, A., and Vakakis, A.
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Engineering ,Seakeeping ,Dynamical systems theory ,Computer simulation ,business.industry ,Mechanical Engineering ,Capsize ,Dynamical systems ,Parametric roll ,Hydrodynamics ,Ships ,Ship dynamics ,Mechanical engineering ,Ocean Engineering ,Dynamical system ,Hydrodynamic ,Aerospace engineering ,business ,Parametric statistics - Abstract
This paper provides an overview of the work presented during the two-part minisymposium on Extreme Ship Dynamics at the 2005 Society for Industrial and Applied Mathematics (SIAM) Conference on Applications of Dynamical Systems held in Snowbird, Utah, from May 22 to 26, 2005. The topics covered included theoretical and experimental treatments of seakeeping, capsize, general oscillators, parametric roll, and hydrodynamics. A roundtable discussion focused on means to validate numerical simulation tools.
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- 2006
25. The Receptivity to Safety-Related Mobile Apps Among Commercial Fishing Captains: Descriptive Exploratory Study.
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Bulzacchelli MT, Bellantoni JM, McCue L, and Dzugan J
- Abstract
Background: Mobile apps addressing a variety of workplace safety issues have proliferated over the last decade as mobile technology has advanced and smartphone ownership has increased. Workplace safety interventions are often designed for a specific work site. However, some of the most dangerous jobs are ones in which workers frequently change field locations, such as commercial fishing. Mobile apps may be particularly suitable for delivering safety interventions to these workers., Objective: We sought to gauge the potential for using mobile apps to deliver safety interventions to commercial fishing workers. The purpose of this paper is to describe how fishermen use their mobile devices during fishing operations and identify any mobile apps they already use for safety., Methods: Participants comprised commercial fishing captains who already owned an iOS or Android smartphone or tablet. They completed a questionnaire that asked about their current mobile device use and their use of safety-related mobile apps, in addition to questions about their fishing operations. We performed descriptive analyses of the data., Results: A total of 61 participants completed the questionnaire. The most common types of mobile devices participants reported owning were iPhones (n=36, 59%) and Android phones (n=24, 39%). Most participants (n=53, 87%) reported using their mobile device for both work and personal purposes, including while out at sea (n=52, 85%). Over half of the participants reported that they had either safety-related apps (n=17, 28%) or apps that help them with their work (n=35, 57%). The types of apps most frequently mentioned were apps for weather, wind, tides, and navigation., Conclusions: The results of this study indicate that some commercial fishing captains who own a mobile device are receptive to using safety-related apps for work. Apps that help avoid hazards by monitoring environmental conditions and apps optimized for use on smartphones may be most likely to be adopted and used. Overall, these results suggest that mobile apps are a promising avenue for improving safety among workers in commercial fishing and similar occupations., (©Maria T Bulzacchelli, Jenna M Bellantoni, Leigh McCue, Jerry Dzugan. Originally published in JMIR Formative Research (https://formative.jmir.org), 08.11.2022.)
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- 2022
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26. Different rates of cognitive decline in autosomal dominant and late-onset Alzheimer disease.
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Buckles VD, Xiong C, Bateman RJ, Hassenstab J, Allegri R, Berman SB, Chhatwal JP, Danek A, Fagan AM, Ghetti B, Goate A, Graff-Radford N, Jucker M, Levin J, Marcus DS, Masters CL, McCue L, McDade E, Mori H, Moulder KL, Noble JM, Paumier K, Preische O, Ringman JM, Fox NC, Salloway S, Schofield PR, Martins R, Vöglein J, and Morris JC
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- Humans, Alzheimer Disease pathology, Alzheimer Disease physiopathology, Cognitive Dysfunction physiopathology
- Abstract
As prevention trials advance with autosomal dominant Alzheimer disease (ADAD) participants, understanding the similarities and differences between ADAD and "sporadic" late-onset AD (LOAD) is critical to determine generalizability of findings between these cohorts. Cognitive trajectories of ADAD mutation carriers (MCs) and autopsy-confirmed LOAD individuals were compared to address this question. Longitudinal rates of change on cognitive measures were compared in ADAD MCs (n = 310) and autopsy-confirmed LOAD participants (n = 163) before and after symptom onset (estimated/observed). LOAD participants declined more rapidly in the presymptomatic (preclinical) period and performed more poorly at symptom onset than ADAD participants on a cognitive composite. After symptom onset, however, the younger ADAD MCs declined more rapidly. The similar but not identical cognitive trajectories (declining but at different rates) for ADAD and LOAD suggest common AD pathologies but with some differences., (© 2021 the Alzheimer's Association.)
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- 2022
- Full Text
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27. Development of a Comprehensive Battery to Collect Social and Structural Determinants of Health (SSDOH) in Cognitively Normal or Very Mildly Impaired Persons.
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Streitz ML, Denny A, Xiong C, McCue L, Stites SD, Midgett S, Mechanic-Hamilton D, Moulder KL, Morris JC, and Balls-Berry J
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- Child, Humans, Pilot Projects, Reproducibility of Results, Social Determinants of Health, Alzheimer Disease psychology, Cognition Disorders psychology
- Abstract
Introduction: Research addressing Alzheimer disease and related dementias must examine nonbiological factors influencing the risk for and expression of Alzheimer disease and related dementias. These factors address the interplay of cognition with lived experiences and social and structural determinants of health (SSDOH). However, coordinated measures of SSDOH are limited., Methods: The Knight Alzheimer Disease Research Center (ADRC) at Washington University in St. Louis developed and piloted a comprehensive battery to measure SSDOH. One hundred and twelve participants, very mildly cognitively impaired or unimpaired, enrolled in memory studies completed the electronic SSDOH battery. The Clinical Dementia Rating (CDR) determined the presence or absence of cognitive impairment., Results: Four domains demonstrated above acceptable intraclass correlation scores for test-retest reliability (≥0.70), including adverse childhood events, discrimination, social status, and early education. Twenty very mildly impaired participants completed the electronic pilot study., Conclusion: Our findings indicate that participants with early-stage symptomatic Alzheimer disease are able to participate in electronic SSDOH data collection. In collaboration with the University of Pennsylvania ADRC, we replaced/modified certain assessments to increase intraclass correlation. The resulting battery, Social and Structural Life-courses Influencing Aging and Dementia (SS-DIAD), can serve as a SSDOH collection tool and is currently utilized in cognitively impaired and unimpaired research participants at both ADRCs., Competing Interests: The authors declare no conflicts of interest., (Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.)
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- 2022
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28. African Americans Have Differences in CSF Soluble TREM2 and Associated Genetic Variants.
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Schindler SE, Cruchaga C, Joseph A, McCue L, Farias FHG, Wilkins CH, Deming Y, Henson RL, Mikesell RJ, Piccio L, Llibre-Guerra JJ, Moulder KL, Fagan AM, Ances BM, Benzinger TLS, Xiong C, Holtzman DM, and Morris JC
- Abstract
Objective: To evaluate for racial differences in triggering receptor expressed on myeloid cells 2 (TREM2), a key immune mediator in Alzheimer disease, the levels of CSF soluble TREM2 (sTREM2), and the frequency of associated genetic variants were compared in groups of individuals who self-reported their race as African American (AA) or non-Hispanic White (NHW)., Methods: Community-dwelling older research participants underwent measurement of CSF sTREM2 concentrations and genetic analyses., Results: The primary cohort included 91 AAs and 868 NHWs. CSF sTREM2 levels were lower in the AA compared with the NHW group (1,336 ± 470 vs 1,856 ± 624 pg/mL, p < 0.0001). AAs were more likely to carry TREM2 coding variants (15% vs 3%, p < 0.0001), which were associated with lower CSF sTREM2. AAs were less likely to carry the rs1582763 minor allele (8% vs 37%, p < 0.0001), located near MS4A4A , which was associated with higher CSF sTREM2. These findings were replicated in an independent cohort of 23 AAs and 917 NHWs: CSF sTREM2 levels were lower in the AA group ( p = 0.03), AAs were more likely to carry coding TREM2 variants (22% vs 4%, p = 0.002), and AAs were less likely to carry the rs1582763 minor allele (16% vs 37%, p = 0.003)., Conclusions: On average, AAs had lower CSF sTREM2 levels compared with NHWs, potentially because AAs are more likely to carry genetic variants associated with lower CSF sTREM2 levels. Importantly, CSF sTREM2 reflects TREM2-mediated microglial activity, a critical step in the immune response to amyloid plaques. These findings suggest that race may be associated with risk for genetic variants that influence Alzheimer disease-related inflammation., (Copyright © 2021 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Neurology.)
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- 2021
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29. Anticholinergic Burden Does Not Influence Delirium Subtype or the Delirium-Mortality Association in Hospitalized Older Adults: Results from a Prospective Cohort Study.
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Rawle MJ, McCue L, Sampson EL, Davis D, and Vickerstaff V
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- Aged, Cohort Studies, Female, Humans, Male, Prospective Studies, Retrospective Studies, Cholinergic Antagonists adverse effects, Delirium chemically induced, Delirium epidemiology
- Abstract
Background: Anticholinergic burden (ACB) is associated with an increased risk of delirium in the older population outside of the acute hospital setting. In acute settings, delirium is associated with increased mortality, and this association is greater with full syndromal delirium (FSD) than with subsyndromal delirium (SSD). Little is known about the impact of ACB on delirium prevalence or subtype in hospitalized older adults or the impact on mortality in this population., Objectives: Our objectives were to determine whether ACB moderates associations between the subtype of delirium experienced by hospitalized older adults and to explore factors (including ACB) that might moderate consequent associations between delirium and mortality in hospital inpatients., Methods: We conducted a retrospective analysis of a cohort of 784 older adults with unplanned admission to a North London acute medical unit between June and December 2007. Univariate regression analyses were performed to explore associations between ACB, as represented by the Anticholinergic Burden Scale (ACBS), delirium subtype (FSD vs. SSD), and mortality., Results: The mean age of the sample was 83 ± standard deviation (SD) 7.4 years, and the majority of patients were female (59%), lived in their own homes (71%), were without dementia (75%), and died between hospital admission and the end of the 2-year follow-up period (59%). Mean length of admission was 13.2 ± 14.4 days. Prescription data revealed an ACBS score of 1 in 26% of the cohort, of 2 in 12%, and of ≥ 3 in 16%. The mean total ACBS score for the cohort was 1.1 ± 1.4 (range 0-9). Patients with high ACB on admission were more likely to have severe dementia, to have multiple comorbidities, and to live in residential care. Higher ACB was not associated with delirium of either subtype in hospitalized older adults. Delirium itself was associated with increased mortality, and greater associations were seen in FSD (hazard ratio [HR] 2.27; 95% confidence interval [CI] 1.70-3.01) than in SSD (HR 1.58; 95% CI 1.2-2.09); however, ACB had no impact on this relationship., Conclusions: ACB was not found to be associated with increased delirium of either subtype or to have a demonstrable impact on mortality in delirium. Prior suggestions of links between ACB and mortality in similar populations may be mediated by higher levels of functional dependence, greater levels of residential home residence, or an increased prevalence of dementia in this population.
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- 2021
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30. Reduced non-rapid eye movement sleep is associated with tau pathology in early Alzheimer's disease.
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Lucey BP, McCullough A, Landsness EC, Toedebusch CD, McLeland JS, Zaza AM, Fagan AM, McCue L, Xiong C, Morris JC, Benzinger TLS, and Holtzman DM
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- Aged, Alzheimer Disease cerebrospinal fluid, Alzheimer Disease diagnostic imaging, Amyloid metabolism, Amyloid beta-Peptides metabolism, Female, Humans, Male, Positron-Emission Tomography, Sleep, Slow-Wave, tau Proteins cerebrospinal fluid, Alzheimer Disease pathology, Alzheimer Disease physiopathology, Eye Movements physiology, Sleep physiology, tau Proteins metabolism
- Abstract
In Alzheimer's disease (AD), deposition of insoluble amyloid-β (Aβ) is followed by intracellular aggregation of tau in the neocortex and subsequent neuronal cell loss, synaptic loss, brain atrophy, and cognitive impairment. By the time even the earliest clinical symptoms are detectable, Aβ accumulation is close to reaching its peak and neocortical tau pathology is frequently already present. The period in which AD pathology is accumulating in the absence of cognitive symptoms represents a clinically relevant time window for therapeutic intervention. Sleep is increasingly recognized as a potential marker for AD pathology and future risk of cognitive impairment. Previous studies in animal models and humans have associated decreased non-rapid eye movement (NREM) sleep slow wave activity (SWA) with Aβ deposition. In this study, we analyzed cognitive performance, brain imaging, and cerebrospinal fluid (CSF) AD biomarkers in participants enrolled in longitudinal studies of aging. In addition, we monitored their sleep using a single-channel electroencephalography (EEG) device worn on the forehead. After adjusting for multiple covariates such as age and sex, we found that NREM SWA showed an inverse relationship with AD pathology, particularly tauopathy, and that this association was most evident at the lowest frequencies of NREM SWA. Given that our study participants were predominantly cognitively normal, this suggested that changes in NREM SWA, especially at 1 to 2 Hz, might be able to discriminate tau pathology and cognitive impairment either before or at the earliest stages of symptomatic AD., (Copyright © 2019 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works.)
- Published
- 2019
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31. Longitudinal decreases in multiple cerebrospinal fluid biomarkers of neuronal injury in symptomatic late onset Alzheimer's disease.
- Author
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Sutphen CL, McCue L, Herries EM, Xiong C, Ladenson JH, Holtzman DM, and Fagan AM
- Subjects
- Aged, Cognition, Cognitive Dysfunction cerebrospinal fluid, Cognitive Dysfunction diagnosis, Female, Humans, Longitudinal Studies, Male, Neurocalcin cerebrospinal fluid, Synaptosomal-Associated Protein 25 cerebrospinal fluid, tau Proteins cerebrospinal fluid, Age of Onset, Alzheimer Disease cerebrospinal fluid, Alzheimer Disease diagnosis, Amyloid beta-Peptides cerebrospinal fluid, Biomarkers cerebrospinal fluid
- Abstract
Introduction: Individuals in early stages of Alzheimer's disease are a targeted population for secondary prevention trials aimed at preserving normal cognition. Understanding within-person biomarker(s) change over time is critical for trial enrollment and design., Methods: Longitudinal cerebrospinal fluid samples from the Alzheimer's Disease Neuroimaging Initiative were assayed for novel markers of neuronal/synaptic injury (visinin-like protein 1, Ng, and SNAP-25) and neuroinflammation (YKL-40) and compared with β amyloid 42, tau, and phospho-tau181. General linear mixed models were used to compare within-person rates of change in three clinical groups (cognitively normal, mild cognitive impairment, and Alzheimer's disease) further defined by β amyloid status., Results: Levels of injury markers were highly positively correlated. Despite elevated baseline levels as a function of clinical status and amyloid-positivity, within-person decreases in these measures were observed in the early symptomatic, amyloid-positive Alzheimer's disease group., Discussion: Knowledge of within-person biomarker change will impact interpretation of biomarker outcomes in clinical trials that are dependent on disease stage., (Copyright © 2018 The Authors. Published by Elsevier Inc. All rights reserved.)
- Published
- 2018
- Full Text
- View/download PDF
32. ApoE4 markedly exacerbates tau-mediated neurodegeneration in a mouse model of tauopathy.
- Author
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Shi Y, Yamada K, Liddelow SA, Smith ST, Zhao L, Luo W, Tsai RM, Spina S, Grinberg LT, Rojas JC, Gallardo G, Wang K, Roh J, Robinson G, Finn MB, Jiang H, Sullivan PM, Baufeld C, Wood MW, Sutphen C, McCue L, Xiong C, Del-Aguila JL, Morris JC, Cruchaga C, Fagan AM, Miller BL, Boxer AL, Seeley WW, Butovsky O, Barres BA, Paul SM, and Holtzman DM
- Subjects
- Alleles, Animals, Apolipoprotein E4 deficiency, Apolipoprotein E4 genetics, Cell Survival drug effects, Coculture Techniques, Disease Models, Animal, Disease Progression, Gene Knock-In Techniques, Genotype, Humans, Immunity, Innate, Inflammation genetics, Inflammation metabolism, Inflammation pathology, Mice, Mice, Knockout, Mice, Transgenic, Microglia immunology, Microglia metabolism, Neurons drug effects, Neurons metabolism, Neurons pathology, Phosphoproteins analysis, Phosphoproteins genetics, Phosphoproteins metabolism, Phosphorylation, Tauopathies genetics, Tumor Necrosis Factor-alpha metabolism, tau Proteins genetics, Apolipoprotein E4 metabolism, Apolipoprotein E4 toxicity, Tauopathies metabolism, Tauopathies pathology, tau Proteins metabolism
- Abstract
APOE4 is the strongest genetic risk factor for late-onset Alzheimer disease. ApoE4 increases brain amyloid-β pathology relative to other ApoE isoforms. However, whether APOE independently influences tau pathology, the other major proteinopathy of Alzheimer disease and other tauopathies, or tau-mediated neurodegeneration, is not clear. By generating P301S tau transgenic mice on either a human ApoE knock-in (KI) or ApoE knockout (KO) background, here we show that P301S/E4 mice have significantly higher tau levels in the brain and a greater extent of somatodendritic tau redistribution by three months of age compared with P301S/E2, P301S/E3, and P301S/EKO mice. By nine months of age, P301S mice with different ApoE genotypes display distinct phosphorylated tau protein (p-tau) staining patterns. P301S/E4 mice develop markedly more brain atrophy and neuroinflammation than P301S/E2 and P301S/E3 mice, whereas P301S/EKO mice are largely protected from these changes. In vitro, E4-expressing microglia exhibit higher innate immune reactivity after lipopolysaccharide treatment. Co-culturing P301S tau-expressing neurons with E4-expressing mixed glia results in a significantly higher level of tumour-necrosis factor-α (TNF-α) secretion and markedly reduced neuronal viability compared with neuron/E2 and neuron/E3 co-cultures. Neurons co-cultured with EKO glia showed the greatest viability with the lowest level of secreted TNF-α. Treatment of P301S neurons with recombinant ApoE (E2, E3, E4) also leads to some neuronal damage and death compared with the absence of ApoE, with ApoE4 exacerbating the effect. In individuals with a sporadic primary tauopathy, the presence of an ε4 allele is associated with more severe regional neurodegeneration. In individuals who are positive for amyloid-β pathology with symptomatic Alzheimer disease who usually have tau pathology, ε4-carriers demonstrate greater rates of disease progression. Our results demonstrate that ApoE affects tau pathogenesis, neuroinflammation, and tau-mediated neurodegeneration independently of amyloid-β pathology. ApoE4 exerts a 'toxic' gain of function whereas the absence of ApoE is protective.
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- 2017
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33. Imaging and cerebrospinal fluid biomarkers in early preclinical alzheimer disease.
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Vlassenko AG, McCue L, Jasielec MS, Su Y, Gordon BA, Xiong C, Holtzman DM, Benzinger TL, Morris JC, and Fagan AM
- Subjects
- Aged, Aged, 80 and over, Early Diagnosis, Female, Follow-Up Studies, Humans, Male, Middle Aged, Alzheimer Disease cerebrospinal fluid, Alzheimer Disease diagnostic imaging, Amyloid beta-Peptides cerebrospinal fluid, Aniline Compounds, Disease Progression, Peptide Fragments cerebrospinal fluid, Prodromal Symptoms, Thiazoles
- Abstract
Objective: Deposition of amyloid β (Aβ)-containing plaques as evidenced by amyloid imaging and cerebrospinal fluid (CSF) Aβ1-42 (Aβ42) is an early indicator of preclinical Alzheimer disease (AD). To better understand their relationship during the earliest preclinical stages, we investigated baseline CSF markers in cognitively normal individuals at different stages of amyloid deposition defined by longitudinal amyloid imaging with Pittsburgh compound B (PIB): (1) PIB-negative at baseline and follow-up (PIB(-) ; normal), (2) PIB-negative at baseline but PIB-positive at follow-up (PIB converters; early preclinical AD), and (3) PIB-positive at baseline and follow-up (PIB(+) ; preclinical AD)., Methods: Cognitively normal individuals (n = 164) who had undergone baseline PIB scan and CSF collection within 1 year of each other and at least 1 additional PIB follow-up were included. Amyloid status was defined dichotomously using an a priori mean cortical cutoff., Results: PIB converters (n = 20) at baseline exhibited significantly lower CSF Aβ42 compared to those who remained PIB-negative (n = 123), but higher compared to the PIB(+) group (n = 21). A robust negative correlation (r = -0.879, p = 0.0001) between CSF Aβ42 and absolute (but subthreshold) PIB binding was observed during this early preclinical stage. The negative correlation was not as strong once individuals were PIB-positive (r = -0.456, p = 0.038), and there was no correlation in the stable PIB(-) group (p = 0.905) or in the group (n = 10) with early symptomatic AD (p = 0.537)., Interpretation: CSF Aβ42 levels are tightly coupled with cortical amyloid load in the earliest stages of preclinical AD, and begin to decrease dramatically prior to the point when an abnormal threshold of cortical accumulation is detected with amyloid imaging. Ann Neurol 2016;80:379-387., Competing Interests: Potential conflicts of interests AGV, LM, MSJ, BG, YS, CX, DMH, TLSB, JCM, and AMF have no conflict to report., (© 2016 American Neurological Association.)
- Published
- 2016
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34. Control of graft-versus-host disease with maintenance of the graft-versus-leukemia effect in a murine allogeneic transplant model using retrovirally transduced murine suicidal lymphocytes.
- Author
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Kornblau SM, Aycox PG, Stephens C, McCue LD, Champlin RE, and Marini FC
- Subjects
- Animals, Cytokines biosynthesis, Dose-Response Relationship, Immunologic, Female, Ganciclovir administration & dosage, Ganciclovir pharmacokinetics, Graft vs Host Disease immunology, Injections, Intraperitoneal, Injections, Subcutaneous, Leukemia immunology, Male, Mice, Mice, Inbred AKR, Phenotype, Retroviridae genetics, Survival Rate, T-Lymphocytes immunology, Transduction, Genetic, Transplantation, Homologous, Bone Marrow Transplantation, Disease Models, Animal, Graft vs Host Disease prevention & control, Leukemia therapy, T-Lymphocytes transplantation
- Abstract
Objective: Limited clinical trials have validated the hypothesis of controlling graft-versus-host disease (GVHD) arising from stem cell transplant utilizing suicidal T-lymphocytes that have been transduced to express the HSV-TK gene. However, clinical utility has been limited by diminished T-cell function arising from the production process. To evaluate strategies for harnessing the graft-versus-leukemia (GVL) effect while improving the safety and function of suicidal lymphocytes, we have developed techniques to produce fully functional, retrovirally transduced, HSV-TK-positive murine T cells (TK+TC)., Methods: Utilizing a murine major histocompatibility complex-matched transplant model, we evaluated the ability of TK+TC to generate a GVL effect and the ability to control GVHD in experiments where we varied the dose of TK+TC, ganciclovir (GCV) dose, the start of GCV administration (day 4, 7, 10, 13, 15, or 19) posttransplantation, and the GCV administration route (osmotic pump versus intraperitoneal)., Results: At TK+TC doses in excess of the standard lethal dose (SLD) of unmanipulated T-cells, GCV administration completely (2 x SLD) and partially (4 x SLD) controlled GVHD. Additionally, GVHD remained reversible despite delaying administration of GCV for a week after GVHD developed. Importantly, GVHD was controlled with a 1-log but not 2-log reduction in GCV dose, and this "partial suicide" preserved more circulating TK+TC compared with standard-dose GCV. Survival of leukemia-positive mice receiving TK+TC and GCV was significantly increased compared with control cohorts not receiving GCV or transplanted with unmanipulated T cells, thereby demonstrating a GVL effect., Conclusion: Retrovirally transduced suicidal lymphocytes generate a potent GVL effect while simultaneously enabling control of GVHD, which results in improved leukemia and GVHD-free survival.
- Published
- 2007
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- View/download PDF
35. Identification and characterization of a developmentally regulated protein, EshA, required for sporogenic hyphal branches in Streptomyces griseus.
- Author
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Kwak J, McCue LA, Trczianka K, and Kendrick KE
- Subjects
- Amino Acid Sequence, Bacterial Proteins chemistry, Base Sequence, Culture Media, Electrophoresis, Gel, Two-Dimensional methods, Molecular Sequence Data, Nucleotides, Cyclic metabolism, Streptomyces griseus genetics, Bacterial Proteins genetics, Bacterial Proteins metabolism, Gene Expression Regulation, Bacterial, Spores, Bacterial physiology, Streptomyces griseus physiology
- Abstract
To identify sporulation-specific proteins that might serve as targets of developmental regulatory factors in Streptomyces, we examined total proteins of Streptomyces griseus by two-dimensional gel electrophoresis. Among five proteins that were present at high levels during sporulation but absent from vegetative cells, two of the proteins, P3 and P4, were absent from developmental mutants that undergo aberrant morphogenesis. The deduced amino acid sequence of the gene that encodes P3 (EshA) showed extensive similarity to proteins from mycobacteria and a cyanobacterium, Synechococcus, that are abundant during nutritional stress but whose functions are unknown. Uniquely among these proteins, EshA contains a cyclic nucleotide-binding domain, suggesting that the activity of EshA may be modulated by a cyclic nucleotide. The eshA gene was strongly expressed from a single transcription start site only during sporulation, and accumulation of the eshA transcript depended on a developmental gene, bldA. During submerged sporulation, a null mutant strain that produced no EshA could not extend sporogenic hyphae from new branch points but instead accelerated septation and spore maturation at the preexisting vegetative filaments. These results indicated that EshA is required for the growth of sporogenic hyphae and localization of septation and spore maturation but not for spore viability.
- Published
- 2001
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36. Soluble expression and complex formation of proteins required for HCMV DNA replication using the SFV expression system.
- Author
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McCue LA and Anders DG
- Subjects
- Amino Acid Sequence, Animals, Base Sequence, Cell Line, Cricetinae, DNA Primers, DNA-Directed DNA Polymerase isolation & purification, DNA-Directed DNA Polymerase metabolism, Genetic Vectors, Recombinant Fusion Proteins genetics, Recombinant Fusion Proteins isolation & purification, Recombinant Fusion Proteins metabolism, Cytomegalovirus genetics, DNA Replication, DNA-Directed DNA Polymerase genetics, Semliki forest virus genetics
- Abstract
Several of the viral proteins required for human cytomegalovirus (HCMV) DNA replication have been difficult to study due to their low abundance in infected cells and low solubility in bacterial or insect-cell expression systems. Therefore we used the Semliki Forest virus expression system to express these proteins in mammalian cells. All of the recombinant proteins were soluble, on the basis of ultracentrifugation properties and their ability to be immunoprecipitated from solution with specific antibodies. Pulse-chase analysis of the 86-kDa major immediate-early protein (IE86) revealed two expressed forms-a precursor and a product-indicating that this recombinant protein, like the native HCMV protein, is posttranslationally processed. The recombinant proteins (polymerase core and accessory as well as the IE86 and pUL84) formed stable complexes similar to those known to form in HCMV-infected cells. The recombinant DNA polymerase holoenzyme also exhibited enzyme activity that was phosphonoformic acid sensitive, as is the infected-cell DNA polymerase activity. This expression system offers many advantages for the expression and study of the HCMV replication proteins, including the expression of soluble, active proteins that are able to interact to form complexes. Additionally, the relative ease with which SFV recombinants can be made lends itself to the construction and evaluation of mutants., (Copyright 1998 Academic Press.)
- Published
- 1998
- Full Text
- View/download PDF
37. Bayesian protein family classifier.
- Author
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Qu K, McCue LA, and Lawrence CE
- Subjects
- Algorithms, Animals, Artificial Intelligence, Carrier Proteins classification, Carrier Proteins genetics, Carrier Proteins metabolism, Databases, Factual, Nucleotides, Cyclic metabolism, Sequence Alignment statistics & numerical data, Bayes Theorem, Proteins classification, Proteins genetics, Sequence Alignment methods
- Abstract
A Bayesian procedure for the simultaneous alignment and classification of sequences into subclasses is described. This Gibbs sampling algorithm iterates between an alignment step and a classification step. It employs Bayesian inference for the identification of the number of conserved columns, the number of motifs in each class, their size, and the size of the classes. Using Bayesian prediction, inter-class differences in all these variables are brought to bare on the classification. Application to a superfamily of cyclic nucleotide-binding proteins identifies both similarities and differences in the sequence characteristics of the five subclasses identified by the procedure: 1) cNMP-dependent kinases, 2) prokaryotic cAMP-dependent regulatory proteins, CRP-type, 3) prokaryotic regulatory proteins, FNR-type, 4) cAMP gated ion channel proteins of animals, and 5) cAMP gated ion channels of plants.
- Published
- 1998
38. The human cytomegalovirus genes and proteins required for DNA synthesis.
- Author
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Anders DG and McCue LA
- Subjects
- Animals, Binding Sites, Cytomegalovirus physiology, DNA Replication, Genetic Complementation Test, Humans, Peptide Chain Initiation, Translational, Replication Origin, Virus Replication, Cytomegalovirus genetics, DNA, Viral biosynthesis, Genes, Viral, Viral Proteins
- Abstract
Although the overall picture of HCMV DNA synthesis appears typical of the herpesviruses, some novel features are emerging. Six herpesvirus-group-common genes encode proteins that likely constitute the replication fork machinery, including a two-subunit DNA polymerase, a helicas-primase complex and a single-stranded DNA-binding protein. No homolog of the herpes simplex virus origin-binding helicase is evident, but at least one additional HCMV protein of unknown function, pUL84, appears to be required for initiation. Replication initiates within or near the large and structurally complex lytic-phase replicator, ori-Lyt, near the center of UL. Recent findings suggest that ori-Lyt-mediated initiation of DNA synthesis occurs through a mechanism distinct from that employed by herpes simplex virus.
- Published
- 1996
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39. Identification, expression, and deduced primary structure of transketolase and other enzymes encoded within the form II CO2 fixation operon of Rhodobacter sphaeroides.
- Author
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Chen JH, Gibson JL, McCue LA, and Tabita FR
- Subjects
- Amino Acid Sequence, Base Sequence, DNA, Bacterial genetics, Electrophoresis, Polyacrylamide Gel, Escherichia coli genetics, Gene Expression, Genes, Bacterial, Glyceraldehyde-3-Phosphate Dehydrogenases genetics, Molecular Sequence Data, Multigene Family, Open Reading Frames, Plasmids, Restriction Mapping, Sequence Alignment, Sequence Homology, Nucleic Acid, Carbon Dioxide metabolism, Operon, Rhodobacter sphaeroides genetics, Transketolase genetics
- Abstract
Previous studies had indicated that the form II or B cluster of CO2 fixation structural genes is part of a large operon in Rhodobacter sphaeroides (Gibson, J. L., Chen, J.-H., Tower, P. A., and Tabita, F. R. (1990) Biochemistry 29, 8085-8093). In this investigation, we have sequenced the DNA between the prkB and rbpL genes and provide evidence for three distinct open reading frames which encode additional structural genes of the Calvin reductive pentose phosphate pathway; these genes encode the enzymes transketolase, glyceraldehyde phosphate dehydrogenase, and aldolase. Noteworthy is transketolase, which may be expressed to high levels in Escherichia coli. This study thus represents the initial description of the primary structure of bacterial transketolase, a key enzyme of the reductive and the oxidative pentose phosphate pathways. Each of the genes are separated by short stretches of intergenic sequence, consistent with earlier evidence which suggested that these genes are cotranscribed and part of a large operon controlled by sequences upstream from fbpB.
- Published
- 1991
40. Radiation-induced leiomyosarcoma of the small intestine.
- Author
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McCue LJ and Norton AJ
- Subjects
- Adult, Duodenal Neoplasms etiology, Dysgerminoma radiotherapy, Humans, Male, Nutrition Disorders complications, Testicular Neoplasms radiotherapy, Intestinal Neoplasms etiology, Intestine, Small, Leiomyosarcoma etiology, Neoplasms, Radiation-Induced etiology, Radiotherapy adverse effects
- Published
- 1988
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