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Biomedical subjects

J Markey

Publications and source records attributed to J Markey.

6 recordsLinked to original sources

Copper trafficking: the solution structure of Bacillus subtilis CopZ.

A sequence with a high homology (39% residue identity) with that of the copper-transport CopZ protein from Enterococcus hirae and with the same MXCXXC metal-binding motif has been identified in the genome of Bacillus subtilis, and the corresponding protein has been expressed. The protein, constituted by 73 amino acids, does bind copper(I) under reducing conditions and fully folded in both copper-bound and copper-free forms under the present experimental conditions. The solution structure of the copper-bound form was determined through NMR spectroscopy on an 15N-labeled sample. A total of 1508 meaningful nuclear Overhauser effects, 38 dihedral phi angles, and 48 dihedral psi angles were used in the structural calculations, which lead to a family of 30 conformers with an average rmsd to the mean structure of 0.32 +/- 0.06 A for the backbone and of 0.85 +/- 0.07 A for the heavy atoms. NMR data on the apoprotein also show that, also in this form, the protein is in a folded state and essentially maintains the complete secondary structure. Some disorder is observed in the loop devoted to copper binding. These results are compared with those reported for CopZ from E. hirae whose structure is well-defined only in the apo form. The different behaviors of copper-loaded E. hirae and B. subtilis are tentatively accounted for on the basis of the presence of dithiothreitol used in the latter case, which would stabilize the monomeric form. The comparison is extended to other similar proteins, with particular attention to the copper-binding loop. The nature and the location of conserved residues around the metal-binding site are discussed with respect to their relevance for the metal-binding process. Proposals for the role of CopZ are also presented.

Amino Acid Sequence↗

Knowledge based lipid management system for general practitioners.

The aim of this system is to provide computer generated interpretative reports with management advice for General Practitioners (GPs). The lipid domain was chosen because of its importance in preventive medicine. Request forms to elicit extra clinical information were designed and distributed to a group of randomly selected GPs. Interpretation of laboratory and clinical data categorizes patients according to risk of coronary heart disease. The management system is rule based and provides advice on lifestyle modifications, diet and drug intervention. Previous clinical and laboratory results are taken into account in determining a management strategy. To date 435 request forms have been processed: 309 (71%) from first visits and 126 (29%) from follow-up visits. Normal lipid profiles were found in 19% of cases. There was 93% agreement between management advice given by the system and the expert. The system has now been modified and further evaluation is under way.

Artificial Intelligence↗

Latex allergy: implications for healthcare personnel and infusion therapy patients.

The health care arena has been dramatically impacted by the implementation of universal precautions and OSHA standards, mandating the use of disposable gloves. These directives promote the judicious use of gloves as a barrier against contact with blood and body fluids. An increasing number of hypersensitivity reactions to latex are being reported by the medical community. The FDA cites that 6%-7% of surgical personnel are latex sensitive as well as 18%-40% of spina bifida patients. Sensitivity reactions range from mild delayed symptomatology in the form of eczematous contact dermatitis, to severe systemic reactions including death. Besides gloves, latex is found in catheters, i.v. tubing, injection caps and anesthesia masks. Latex sensitivity creates yet another infusion therapy challenge for the i.v. clinician.

Drug Hypersensitivity↗