Managed care: Toward open-source practices in managed behavioral health.
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to L McCarter.
Explore the source record for details and available documents.
Vibrio parahaemolyticus is a ubiquitous marine bacterium and human pathogen. The organism possesses multiple cell types appropriate for life under different circumstances. The swimmer cell, with a single polar flagellum, is adapted to life in liquid environments. The polar flagellum is powered by the sodium motive force and can propel the bacterium at fast speeds. The swarmer cell, propelled by many proton-powered lateral flagella, can move through highly viscous environments, colonize surfaces, and form multicellular communities which sometimes display highly periodic architecture. Signals that induce differentiation to the surface-adapted cell type are both physical and chemical in nature. Surface-induced gene expression may aid survival, whether attached to inanimate surfaces or in a host organism. Genetic rearrangements create additional phenotypic versatility, which is manifested as variable opaque and translucent colony morphotypes. Discovery that a LuxR homolog controls the opaque cell type implicates intercellular signaling as an additional survival strategy. The alternating identities of V. parahaemolyticus may play important roles in attachment and detachment, how bacterial populations adapt to growth on surfaces, form structured communities, and develop biofilms.
Certain marine Vibrio species swim in sea water, propelled by a polar flagellum, and swarm over surfaces using numerous lateral flagella. The polar and the lateral flagellar motors are powered by sodium- and proton-motive forces, respectively. The lateral flagella are produced in media of high viscosity, and the relevant viscosity sensor is the polar flagellum. The cell might monitor either the rotation rate of the flagellar motor or the mechanical force applied against the flagellum. To test these possibilities, we examined the effects of amiloride and its derivatives, which inhibit the rotation of the sodium-driven motor, on lateral flagellar gene (laf) expression in Vibrio parahaemolyticus. Phenamil, an amiloride analogue that inhibits swimming at micromolar concentrations, induced laf transcription in media devoid of viscous agents in a dose-dependent manner. The relationship between the average swimming speed and laf induction in the presence of various concentrations of phenamil was very similar to that observed when viscosity was changed. These results indicate that marine Vibrio sense a decrease in the rotation rate of (or the sodium influx through) the polar flagellar motor as a trigger for laf induction. Alternative mechanisms for laf induction are also discussed.
This study examines attitudinal differences related to osteoporosis between first and second generation Japanese-American women. In an interview, the women completed a battery of tests assessing their attitudes, values, and beliefs about the diagnosis, treatment, and follow-up care of osteoporosis. The groups differed in their general knowledge of osteoporosis, perceptions of the disease, attributions of its causes, anticipated and preferred support mechanisms for care, and anticipated areas of concern for self-or other-care. There were also considerable differences in treatment compliance and feelings toward physicians. The findings were discussed in relation to the effects of culture on health-care attitudes and behaviors.
Various species of marine Vibrio produce two distinct types of flagella, each adapted for a different type of motility. A single, sheathed polar flagellum is suited for swimming in liquid medium, and numerous unsheathed lateral flagella, which are produced only under viscous conditions, are suited for swarming over viscous surfaces. Both types of flagella are driven by reversible motors embedded in the cytoplasmic membrane. Here we report that the energy source for the polar flagellar motor of Vibrio parahaemolyticus is the sodium-motive force, whereas the lateral flagellar motors are driven by the proton-motive force. This is evidence that two distinct types of flagella powered by different energy sources are functionally active in one cell.
Bacteria of the genus Vibrio are remarkably diverse, and until recently the methodology for genetic analysis consisted of a patchwork of different approaches, many of which were narrowly applicable to a single species. The invention of the recombinant DNA technology and the subsequent innovations in transposon mutagenesis and in transductive and conjugative gene transfer techniques have led to the development of very powerful and general strategies for genetic analysis of species of Vibrio. The striking synergy of combining recombinant DNA, transposon, and gene transfer methods is particularly evident in the construction of transposons which generate gene fusions and of broad host range plasmids which deliver transposons and mutated genes and which mobilize chromosomes. With such tools it should be possible to perform advanced genetic analysis on the many undomesticated species of Vibrio still to be explored.
Vibrio parahaemolyticus distinguishes between life in a liquid environment and life on a surface. Growth on a surface induces differentiation from a swimmer cell to a swarmer cell type. Each cell type is adapted for locomotion under different circumstances. Swimmer cells synthesize a single polar flagellum (Fla) for movement in a liquid medium, and swarmer cells produce an additional distinct flagellar system, the lateral flagella (Laf), for movement across a solid substratum, called swarming. Recognition of surfaces is necessary for swarmer cell differentiation and involves detection of physical signals peculiar to that circumstance and subsequent transduction of information to affect expression of swarmer cell genes (laf). The polar flagellum functions as a tactile sensor controlling swarmer cell differentiation by sensing forces that restrict its movement. Surface recognition also involves a second signal, i.e. nutritional limitation for iron. Studying surface-induced differentiation could reveal a novel mechanism of gene control and lead to an understanding of the processes of surface colonization by pathogens and other bacteria.
Vibrio parahaemolyticus synthesizes two distinct flagellar organelles, the polar flagellum (Fla), which propels the bacterium in a liquid environment (swimming), and the lateral flagella (Laf), which are responsible for movement over surfaces (swarming). Chemotactic control of each of these flagellar systems was evaluated separately by analyzing the behavioral responses of strains defective in either motility system, i.e., Fla+ Laf- (swimming only) or Fla- Laf+ (swarming only) mutants. Capillary assays, modified by using viscous solutions to measure swarming motility, were used to quantitate chemotaxis by the Fla+ Laf- or Fla- Laf+ mutants. The behavior of the mutants was very similar with respect to the attractant compounds and the concentrations which elicited responses. The effect of chemotaxis gene defects on the operation of the two flagellar systems was also examined. A locus previously shown to encode functions required for chemotactic control of the polar flagellum was cloned and mutated by transposon Tn5 insertion in Escherichia coli, and the defects in this locus, che-4 and che-5, were then transferred to the Fla+ Laf- or Fla- Laf+ strains of V. parahaemolyticus. Introduction of the che mutations into these strains prevented chemotaxis into capillary tubes and greatly diminished movement of bacteria over the surface of agar media or through semisolid media. We conclude that the two flagellar organelles, which consist of independent motor-propeller structures, are directed by a common chemosensory control system.
Vibrio parahaemolyticus has two distinct cell types, the swimmer cell and the swarmer cell, adapted for locomotion in different circumstances. The swimmer cell, produced when the bacterium is grown in liquid media, is a short rod with a single sheathed polar flagellum. The swarmer cell, produced when V. parahaemolyticus is grown on solidified media, is greatly elongated and synthesizes, in addition to the polar flagellum, numerous unsheathed lateral flagella which are responsible for translocation over surfaces. We are interested in understanding how this bacterium differentiates in response to contact with surfaces and have determined in earlier work that the polar flagellum acts as a tactile sensor which controls transcription of genes (laf) encoding the swarmer cell phenotype. Surface recognition involves sensing of forces that obstruct movement of the polar flagellum. In this report we show that a second signal, iron limitation, is also required for swarmer cell differentiation. Production of lateral flagella occurred only when polar flagellar function was perturbed and iron-limiting growth conditions were imposed. The same conditions were required to induce light production in strains of V. parahaemolyticus in which a laf gene was transcriptionally fused to the lux operon encoding the enzymes for bioluminescence. The lafA gene encoding the lateral flagellin subunit was cloned and used in Northern (RNA) blot measurements. Examination of mRNA levels revealed that transcription of lafA is dependent on growth in iron-depleted media. The control of differentiation by multiple environmental stimuli is discussed.
Swarmer cell genes, laf, are induced when V. parahaemolyticus is grown on the surface of solidified media, embedded in solidified media, suspended in viscous media, or agglutinated with antibody in liquid media. These conditions have in common the constraint of the movement of the polar flagellum. To test the hypothesis that the polar flagellum functions as a sensor necessary for control of swarmer cell formation, we have constructed a variety of mutations in genes encoding components of the polar flagellum, fla. The consequence of such mutations is the constitutive expression of laf genes. So, the performance of the polar flagellum is coupled to the transcription of laf genes such that when function is perturbed, either physically or genetically, swarmer cell genes are induced. Because the polar flagellum appears to be capable of sensing external forces influencing its motion, we suggest it is acting as a dynamometer.
In enteric bacteria products of nitrogen regulatory genes ntrA, ntrB and ntrC are known to regulate transcription both positively and negatively at glnA, the structural gene encoding glutamine synthetase [L-glutamate:ammonia-ligase (ADP-forming), EC 6.3.1.2]. We have characterized two types of cis-acting mutations in the glnA promoter-regulatory region. One type, which we have called promoter Up [glnAp (Up)], elevates transcription of glnA to high levels without need for ntr-mediated activation but leaves expression sensitive to ntr-mediated repression. The other type renders glnA transcription insensitive to repression but leaves it normally responsive to activation. Properties of the two types of promoter-regulatory mutations suggest that sites for ntr-mediated activation of glnA transcription are functionally distinct from sites for ntr-mediated repression.
The nitrogen regulatory locus "glnR" of Escherichia coli and Salmonella typhimurium is composed of two cistrons, which we propose to call ntrB and ntrC (nitrogen regulation B and C). Frameshift mutations in ntrB and ntrC were isolated on a lambda phage that carries the E. coli ntrB and ntrC genes and the closely linked glnA gene, the structural gene encoding glutamine synthetase [L-glutamate:ammonia ligase (ADP-forming), EC 6.3.1.2]; mutations were selected as suppressors of glnF (which we propose to rename ntrA), a selection used previously to isolate glnR mutations. Phage DNA from one mutant (ntrB) failed to direct synthesis of a 36-kilodalton (kDal) protein whose synthesis was directed by DNA from the parent phage (ntrB+) in a coupled in vitro transcription/translation system. DNA from three other mutants (ntrC) failed to direct synthesis of a 54-kDal protein; DNA from two of these mutants instead directed synthesis of smaller proteins, 53 and 50 kDal, respectively. In all four cases, DNA from frameshift revertants directed synthesis of both the 36-kDal and 54-kDal proteins. These results suggested that ntrB and ntrC were separate genes which encoded 36-kDal and 54-kDal protein products, respectively. Frameshift mutations in ntrB and ntrC complemented each other with regard to regulation of glnA expression in vivo and growth on arginine as nitrogen source, another nitrogen-controlled phenotype; this confirmed that ntrB and ntrC are separate cistrons that encode diffusible products. The ntrB and ntrC genes were also defined in S. typhimurium. Studies of mutant strains provided information on the roles of the ntrB and ntrC products in activation and repression of glnA expression and raised the possibility that these products function as a protein complex in regulating expression of nitrogen-controlled genes.
Explore the source record for details and available documents.
The product of the glnR gene is required for nitrogen regulation of the synthesis of glutamine synthesis (Gln synthetase) [L-glutamate:ammonia ligase (ADP-forming), EC 6.3.1.2] and two periplasmic transport proteins that are subject to nitrogen control in Salmonella. Strains with mutations to loss of function of the glnR product [e.g., a strain with a Tn10 insertion or one with an ICR-induced (frameshift) mutation in glnR] have about 3% as much Gln synthetase as a fully derepressed wild-type strain and are unable to increase synthesis of this enzyme or periplasmic transport proteins in response to nitrogen limitation. The structural gene for Gln synthetase, glnA, and those for the periplasmic transport proteins are unlinked on the chromosome; thus, glnR appears to encode a diffusible positive regulatory element. Consistent with this, the mutant glnR allele is recessive to the wild-type allele with regard to expression of glnA (synthesis of Gln synthetase). Although glnR is closely linked to glnA, strains with mutations to complete loss of function of the glnR product can be distinguished from glnA strains by their ability to produce detectable Gln synthetase and to grow in the absence of glutamine. To demonstrate unequivocally that glnR is distinct from glnA, we have purified and characterized Gln synthetase from a strain with a Tn10 insertion in glnR. Because the properties of Gln synthetase from the insertion mutant, most importantly the carboxyl-terminal sequence of amino acids, are the same as those of synthetase from wild type, the Tn10 insertion cannot be in glnA (if it were, the carboxyl terminus of Gln synthetase would have to be altered); therefore we conclude that the Tn10 insertion is in a regulatory gene, glnR, which is distinct from glnA. A model for the function of the glnR product together with the previously defined glnF product in mediating nitrogen control is discussed.
Explore the source record for details and available documents.
Explore the source record for details and available documents.