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Computer-aided active-site-directed modeling of the herpes simplex virus 1 and human thymidine kinase.

Thymidine kinase (TK), which is induced by Herpes Simplex Virus 1 (HSV1), plays a key role in the antiviral activity of guanine derivatives such as aciclovir (ACV). In contrast, ACV shows only low affinity to the corresponding host cell enzyme. In order to define the differences in substrate binding of the two enzymes on molecular level, models for the three-dimensional (3-D) structures of the active sites of HSV1-TK and human TK were developed. The reconstruction of the active sites of HSV1-TK and human TK were developed. The reconstruction of the active sites started from primary and secondary structure analysis of various kinases. The results were validated to homologous enzymes with known 3-D structures. The models predict that both enzymes consist of a central core beta-sheet structure, connected by loops and alpha-helices very similar to the overall structure of other nucleotide binding enzymes. The phosphate binding site is made up of a highly conserved glycine-rich loop at the N-terminus of the proteins and a conserved region at the C-terminus. The thymidine recognition site was found about 100 amino acids downstream from the phosphate binding loop. The differing substrate specificity of human and HSV1-TK can be explained by amino-acid substitutions in the homologous regions. To achieve a better understanding of the structure of the active site and how the thymidine kinase proteins interact with their substrates, the corresponding complexes of thymidine and dihydroxypropoxyguanine (DHPG) with HSV1 and human TK were built. For the docking of the guanine derivative, the X-ray structure of Elongation Factor Tu (EF-Tu), co-crystallized with guanosine diphosphate, was taken as reference. Fitting of thymidine into the active sites was done with respect to similar interactions found in thymidylate kinase. To complement the analysis of the 3-D structures of the two kinases and the substrate enzyme interactions, site-directed mutagenesis of the thymidine recognition site of HSV1-TK has been undertaken, changing Asp162 in the thymidine recognition site into Asn. First investigations reveal that the enzymatic activity of the mutant protein is destroyed.

Amino Acid Sequence↗

Concanavalin A-perioxidase-diaminobenzidine (Con-A-PO-DAB)-alcian blue (AB): a reliable method for dual staining of complex carbohydrates.

A method has been established for the dual staining of complex carbohydrates in light microscopy. It is a combined concanavalin A-peroxidase-diaminobenzidine (Con-A-PO-DAB)-alcian blue (AB) (pH 2.5) method, and with this method it is possible to color alpha-D-glucosyl and alpha-D-mannosyl residues and acidic groupings of complex carbohydrates in tissues brown and blue respectively. Histochemical experiments using histological sections with reactive complex carbohydrates and casein films containing carbohydrates of known chemical structure have substantiated the validity of the above significance of the dual staining. Thus, the present dual staining method is a reliable one and a new addition to a series of dual staining techniques hitherto employed in the light microscopic histochemistry of complex carbohydrates.

3,3'-Diaminobenzidine↗

Recidivism and mental illness: the role of communities.

This study examined the impact of community characteristics on rehospitalization of chronically mentally ill (CMI) clients from public psychiatric hospitals in Virginia. The relationship between rehospitalization, often termed recidivism, and community attributes was explained within the theoretical context of community ecology (Hawley 1950). A small area analysis approach that employed path analysis was used to assess the relationship between rehospitalization and selected community variables including: available health care resources, socioeconomic factors, race, presence of psychopathology, and household composition. The path model was estimated and validated using a linear structural relations computer program (LISREL VI). Results reveal female-headed households and socioeconomic status to be significant predictors of rehospitalization. A discussion of implications of the findings for community mental health services delivery and research is provided.

Chronic Disease↗

Perceived social support: psychometric properties of the MSPSS in normal and pathological groups in a developing country.

The factorial structure, reliability and construct validity of the Multidimensional Scale of Perceived Social Support (MSPSS) were investigated in Turkey to check the generality of some of the previous findings from Western samples. Using samples consisting of normals and subjects with medical or mental health problems, the original three factors (subscales) were obtained. The internal consistencies of the MSPSS and its subscales were high. In general, the scales correlated significantly in the expected direction with measures of depression and anxiety, thus supporting the construct validity of the MSPSS. Among the samples, subjects with psychiatric/psychological problems perceived, in general, the least social support. This result further contributed to the construct validity of the scale.

Adolescent↗

The Dubai Community Psychiatric Survey: II. Development of the Socio-cultural Change Questionnaire.

The Dubai Community Psychiatric Survey was carried out to assess the effect of very rapid social change on the mental health of women in Dubai, one of the United Arab Emirates. In order to measure social change at an individual level, we developed a questionnaire covering behaviour and attitudes in a wide range of situations, the Socio-cultural Change Questionnaire (ScCQ). In this paper we give an account of the considerations that determined the form of the ScCQ, its structural characteristics, and its validity.

Adaptation, Psychological↗

Play in orphanages.

OBJECTIVES: This paper attempts to validate the programme of structured play lasting 90 minutes a day, for use in orphanages, to check if it can be replicated in other orphanages, with similar results. METHODS: A 2-week workshop on the structured play scheme was conducted at the Missionaries of Charity Orphanage in Delhi, the venue of the original project. 15 MOC sisters from 6 centers attended the workshop. The authors selected the MOC orphanage at Chandigarh to track the benefits of the programme. The development quotient of all the residents between the ages of 6 months - 3 years was assessed by a pediatric-clinical-psychologist using the Development Assessment Scale for Indian Infants (DAS II) scale. A reassessment of all these children was done again 3 months after initiating the programme of structured play here. RESULTS: The mean motor and mental scores at the orphanage in Chandigarh before the start of the intervention were 57.9 and 58.2 respectively. Post intervention assessments showed a rise of 23 points in both the scores. CONCLUSION: The development of children in orphanages rises dramatically after initiating a programme of play. The pre-intervention development scores is similar to that in a pilot study and the benefits after play was also similar. The play programme can be easily replicated in other orphanages with similar results.

Caregivers↗

Assessing trophic interactions in a guild of primary parasitoids and facultative hyperparasitoids: stable isotope analysis.

Facultative hyperparasitism is likely to be the most common form of intraguild predation among parasitoids. However, difficulties associated with studying facultative hyperparasitoids in the field have hampered a thorough understanding of their trophic ecology. In this study, we used a combination of stable isotope analysis and published natural history information to infer trophic interactions in a guild of field-collected primary parasitoids and facultative hyperparasitoids that attack a gall-making midge on Baccharis pilularis. Our three a priori hypotheses were: (1) stable isotope values should increase incrementally from the host plant to higher trophic levels; (2) the two species of ectoparasitoids should exhibit higher stable isotope signatures than the two endoparasitoids, and; (3) the two facultative hyperparasitoids should exhibit stable isotope signatures that fall between zero and one trophic level steps above that observed for the primary parasitoids. Food webs inferred from stable isotope data generally agreed with previously published accounts of community structure. As expected, both delta(13)C and delta(15)N were progressively enriched in the heavy isotope from the host plant to the herbivorous midge to the parasitic wasps. Multivariate analysis of stable isotope data revealed that the two primary ectoparasitoids occupied a similar trophic niche, but were significantly different from the primary endoparasitoids. We attribute this result to "coincidental intraguild predation" by ectoparasitoids that develop on already-parasitized midge larvae. One of the facultative hyperparasitoids, Zatropis capitis, exhibited a stable isotope signature approximately one trophic step above the primary parasitoids. Unexpectedly, the second facultative hyperparasitoid, Mesopolobus sp., appeared to be developing as a primary parasitoid at all sites. Coupled with independent assessments of community structure, stable isotope analysis validated trophic links constructed by previous researchers and identified potential taxon-specific differences in trophic interactions for two facultative hyperparasitoids in the B. pilularis gall community.

Animals↗

The functional study of novel KLHL3 missense mutations associated with pseudohypoaldosteronism type II.

BACKGROUND: Pseudohypoaldosteronism type II (PHA II) is an inherited tubulopathy, clinically defined by three hallmark features, including secondary hypertension, hyperchloremic metabolic acidosis, and persistent hyperkalemia occurring despite maintained glomerular filtration function. Herein, we aim to investigate the association of kelch like family member 3 (KLHL3) gene mutations with PHA II. METHODS: Compound heterozygous KLHL3 mutations were identified through whole-exome sequencing and Sanger validation. AlphaFold-based structural modeling, site-directed mutagenesis of Flag-tagged plasmids, and co-immunoprecipitation (Co-IP)/immunoblotting in vivo were combined to analyze mutant protein interactions and ubiquitination effects. RESULTS: A Chinese patient was identified with two previously unreported KLHL3 variants (c.131G > A [p.R44Q] and c.744 C > G [p.Y248*]), exhibiting a biochemical triad of asymptomatic hyperkalemia, mild metabolic acidosis, and borderline hypertension. Administration of thiazide diuretics effectively normalized the patient’s hyperkalemia and hypertension. A p.R44Q missense mutation predicted as variants of uncertain significance (VOUS) by American College of Medical Genetics and Genomics (ACMG) guidelines, and a p.Y248* nonsense mutation predicted as variants of likely pathogenic. Functional study revealed that the two KLHL3 mutations impair its ubiquitination of with-no-lysine kinase 1 (WNK1) and with-no-lysine kinase 4 (WNK4), and further increase phosphorylation of both SPAK (sterile20/sporulation-specific protein-1 related proline/alanine-rich kinase)/OSR1 (oxidative stress response kinase-1) and Na-Cl-cotransporter (NCC). CONCLUSIONS: Our study characterized two previously unreported KLHL3 mutations, followed by comprehensive in vitro functional analyses to elucidate their pathophysiological contributions at the molecular level.

Humans↗

Cubic phases of lipid-containing systems. Structure analysis and biological implications.

Of the six cubic phases identified so far in lipid-containing systems, the structures of only two have been determined unambiguously. We tackle the structure determination of the other four. We use for that purpose a novel pattern recognition approach, which consists of generating all the sets of phase angles (phi-sets) compatible with the observed reflections, and of screening them in a search for the "best" one. Two criteria are used for screening: both involve the parameter [(delta rho)4] (delta rho is a dimensionless function proportional to the Fourier transform of the set of observed structure factors). One is a test of smoothness, based upon the postulate that the "best" phi-set is that whose [(delta rho)4] is minimum; this criterion, equivalent to maximum entropy, is fulfilled when the system is devoid of heavy atoms, and when the polar and the hydrocarbon moieties occupy almost equal volumes. The other criterion is based upon the notion that [(delta rho)4] takes the same (or similar) values in thermodynamic phases with the same (or similar) chemical composition, whatever the structure of the phases. The validity of the two criteria is verified using numerous examples. The six cubic phases are analysed using this approach. The structure of three of them (Q230, Q224, Q229) can be described in terms of two three-dimensional networks of connected rods, mutually intertwined and unconnected: in Q230 the rods are coplanarly joined 3 by 3; in Q224 the rods are tetrahedrally joined 4 by 4; in Q229 the rods are cubically joined 6 by 6. The structures of Q212 and Q227 are related to those of Q230 and Q224, respectively; one of the two networks of rods is preserved, the other is replaced by a lattice of closed micelles. The structure of Q223 appears to consist of a cage-like continuous three-dimensional network of connected globules, coplanarly joined 3 by 3 at one end and 4 by 4 at the other, enclosing a three-dimensional lattice of closed micelles. The analogies of the structures of Q230, Q224, Q229 with the three fundamental cubic infinite periodic minimal surfaces are discussed. More interestingly, the structures of, on the one hand Q230, Q224, Q229 and of Q212, Q227, Q223 on the other, are shown to provide topological generalizations of the two paradigms of lipid organization; namely, the bilayer and the monolayer.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗

The Hamilton Anxiety Scale: reliability, validity and sensitivity to change in anxiety and depressive disorders.

The Hamilton Anxiety Scale (HAM-A) was tested for reliability and validity in two different samples, one sample (n = 97) defined by anxiety disorders, the other sample (n = 101) defined by depressive disorders. The reliability and the concurrent validity of the HAM-A and its subscales proved to be sufficient. Internal validity tested by latent structure analysis was insufficient. The major problems with the HAM-A are that (1) anxiolytic and antidepressant effects cannot be clearly distinguished; (2) the subscale of somatic anxiety is strongly related to somatic side effects. The applicability of the HAM-A in anxiolytic treatment studies is therefore limited. More specific anxiety scales are needed.

Agoraphobia↗

The case report. II. Style and form.

When you have completed the first draft of your manuscript, put it aside for a couple of weeks before you begin your critical review and revision, so that you will examine it with a fresh eye and renewed interest. Read your composition several times, concentrating on a specific criterion each time. Begin with the general principles of originality and validity; next move to structure and organization, then to grammatical propriety and usage, and finally to readability. Sensitize yourself to the recurrent maladies in medical writing--the verbosity, jargon, imprecision, barbarisms, stereotypy, illogical locutions, improper sequence of tenses, and generally unappealing style. Remember, you are writing to convey an important message, so make sure your style and form illumine rather than eclipse or becloud that message.

Humans↗

Dynamical electron scattering from negatively stained protein microcrystals.

Multislice n-beam dynamical calculations have been carried out at 20 and 15.6 A resolution to simulate the electron scattering from a negatively-stained protein microcrystal using a model based on the crystal structure of E. coli matrix porin. Images at t = 100 A, i.e. the thickness of reconstituted vesicle preparation, correspond to the projected potential of the kinematical structure. The kinematical model is valid at least to t = 500 A, beyond which the projected-image symmetry does not correspond to the actual structure. If a crystallographic residual limit R = 0.20 is imposed, the electron diffraction intensity data correspond to the kinematical data up to t = 700 and 1000 A, respectively, for 15.6 and 20 A resolution.

Computers↗

New antagonists of the vasopressin receptor mediated contraction in rat tail artery.

A perfused isolated rat tail artery preparation was employed to study antagonistic properties of four newly synthesized arginine-vasopressin (AVP) analogues against the V1 receptor. The activity of the agents SCATyr(Me)AVP, OCATyr(Me)AVP, OCAAVP and SCAAVP was related to that of a recognized antagonist d(CH2)5Tyr(Me)AVP. SCATyr(Me)AVP elicited outstanding antagonistic properties by blocking at concentration of 10(-7) M nearly completely the constrictory activity of AVP. At concentration of 10(-9) M the agent inhibited the AVP-induced constriction of artery about 40 times more effectively than the oxytocin (OXT)-induced constriction. The results obtained prove the validity of the structure-activity relationship based search for new potent V1 receptor antagonists.

Angiotensin Receptor Antagonists↗

Ion-chromatographic determination of carbocisteine in pharmaceuticals based on non-suppressed conductimetric detection.

A novel method for the determination of carbocisteine (S-CMC), a mucolytic and expectorant drug with an acidic amino acid structure, was developed and validated, using non-suppressed ion-chromatographic system with conductimetric detection, and anion or cation exchange columns. Among the various combinations of column type and eluent composition tested, a cation exchange column with a 0.25 mM tri-fluoroacetic acid (TFA) as eluent in isocratic mode at 1.2 ml/min gave the best results. S-CMC was very well separated from all common amino acids (resolution > 2.6). The retention time was 3.5 min and the asymmetry factor 1.1. A linear calibration curve from 17 to 400 microg/ml (r = 0.99994), with a detection limit of 0.14 microg (5.6 microg/ml-25 microl injection volume) and a precision of 1.5% R.S.D. (100 microg/ml, n = 3) was achieved. The proposed method was applied for the determination of S-CMC content in intensely colored commercial formulations (syrups). No interference from excipients was found and the only pretreatment step was the appropriate dilution with the mobile phase. Recovery from standard additions was ranged from 96.0 to 104.9% and precision (R.S.D., n = 3) 1.8-3.6%.

Carbocysteine↗

Gender differences regarding psychopathological, family and social characteristics in adolescents with abnormal eating behavior.

OBJECTIVE: (1) To identify gender differences regarding psychopathological, family and social characteristics in adolescents with abnormal eating behavior; (2) to study risk factors for this abnormal eating in boys and girls. METHOD: Adolescents participating in this community-based longitudinal study completed, at the age of 13 (t(1)) and 15 years (t(2)), a semi-structured interview and the validated Spanish versions of several self-reported questionnaires measuring eating and general psychopathology. A control group of 150 pupils and 159 adolescents with abnormal eating behavior were selected. RESULTS: Girls with abnormal eating showed significantly more psychiatric morbidity and boys more social difficulties. Body dissatisfaction and psychiatric morbidity predicted abnormal eating at t(2) only in girls. DISCUSSION: The findings contribute to the debate on gender differences in abnormal eating behavior etiology.

Adolescent↗

Food safety practices and readiness to implement HACCP programs in assisted-living facilities in Iowa.

OBJECTIVE: To evaluate current food-handling practices and employee food safety knowledge and attitudes and to provide baseline data for implementing the Hazard Analysis and Critical Control Point (HACCP) program in assisted-living foodservices for elderly persons. DESIGN: Food-handling practices were observed at each assisted-living facility using a structured observation form. A validated questionnaire was used to determine demographic information and employees' attitudes and knowledge about food safety. SUBJECTS/SETTING: A convenience sample of 40 assisted-living facilities in Iowa was recruited from a list obtained from the Iowa Department of Elder Affairs. STATISTICAL ANALYSES PERFORMED: Descriptive statistics were used to summarize data. One-way analysis of variance was used to assess differences in attitudes and food safety knowledge among the managers, cooks, and other foodservice employees. Multiple linear regression determined the relationship between manager and facility demographics and the food safety practice score. RESULTS: Proper food-handling practices were followed in many assisted-living facilities, but areas in need of improvement were identified. Some HACCP prerequisite programs were found to be inadequate, including a lack of written standard operating procedures, documentation of food safety practices, and training. Temperatures and chemical concentrations need to be checked routinely. Foodservice employees had a significant amount of food safety knowledge (14.6+/-3.0 out of 20 possible points), and employees with food safety certification scored higher than those with no certification (15.6+/-2.6 and 13.9+/-3.1, respectively; P </=.001). CONCLUSIONS: Training programs, both basic food safety and the HACCP program, will support improvement of safe food-handling practices and implementation of prerequisite programs and the HACCP program. Developing prerequisite programs, including sanitation standard operating procedures, will aid assisted-living facilities in moving toward HACCP program implementation.

Adult↗

Mitigating pH-induced instability in deruxtecan-based ADCs: an onboard-mixing icIEF approach for robust charge heterogeneity characterization.

Accurate charge variant analysis of antibody-drug conjugates (ADCs) is essential for understanding product heterogeneity and ensuring quality control. However, Deruxtecan (DXd)-based ADCs present a unique analytical challenge due to the intrinsic instability of the payload, where the lactone ring readily undergoes hydrolysis under alkaline conditions, resulting in time-dependent shifts in charge distribution during imaged capillary isoelectric focusing (icIEF). In this study, we describe the development of an onboard-mixing icIEF method designed to minimize pH-induced degradation during sample preparation. By separating ADC samples from carrier ampholytes (CAs) prior to injection and enabling real-time mixing within the instrument, this approach effectively suppresses premature lactone ring opening and stabilizes charge variant profiles. Comparative studies between conventional premixing and onboard-mixing approach demonstrated that the latter significantly enhances reproducibility, particularly for acidic variants that are highly sensitive to structural conversion. Comprehensive method validation confirmed excellent precision, linearity, and sensitivity, with consistent performance across run-to-run and intra-day analyses. The results underscore the importance of controlling microenvironmental pH exposure in the analysis of chemically instable ADCs. The proposed onboard-mixing strategy provides a robust and efficient solution for icIEF-based characterization, reducing analytical artifacts while simplifying method development. This approach is broadly applicable to ADCs and other biotherapeutics containing pH-sensitive functional groups.

Hydrogen-Ion Concentration↗

An evaluation of the effectiveness of an educational programme promoting the introduction of routine antenatal enquiry for domestic violence.

OBJECTIVE: a feasibility study to evaluate the effect of an educational programme on midwives' knowledge, skills, attitudes and implementation of routine antenatal enquiry for domestic violence. DESIGN: pre-, post- and follow-up survey. SETTING: an acute Trust within the South West of England. PARTICIPANTS: 79 of the 82 community midwives (96%) working in the Trust participated in the training programme, with 70 (85%) participating at all three stages of the research. MEASUREMENTS: participating community midwives completed a 38-item questionnaire at three points during the study: before the educational programme to provide base-line data, post-test immediately after the programme, and at 6 months follow-up. The questionnaire was divided into the following categories: views of professional education, knowledge of domestic violence, attitudes to domestic violence, efficacy beliefs and issues of practice development. The aim of the study was to identify any differences between pre- and post-implementation test data in relation to all the areas identified. Repeated multivariate analysis of variance was used to examine changes between pre-, post- and follow-up measures of knowledge, attitudes and efficacy. Hierarchical regression was used to identify potential influences on post-training disclosure rates using pre-, post- and follow-up measures as predictors. FINDINGS: the programme was positively received by participants, particularly in relation to an increased awareness and confidence in dealing with domestic violence. It was also associated with improvements in knowledge, attitudes and efficacy at post-test. These changes declined but remained above pre-test levels at 6 months follow-up. Levels of current and previous experiences of abuse obtained by midwives were predicted by past experience of dealing with the issue and efficacy scores immediately after and at 6 months after programme delivery. Rates of enquiry after programme introduction were lower than anticipated, with midwives routinely asking only 50% of the time. However, the key barrier identified was the presence of a male partner. IMPLICATIONS FOR PRACTICE: the effect of routine enquiry for domestic violence on midwifery role development needs further exploration before universal introduction. Seeing women alone at least once during a pregnancy would clearly increase opportunities for directly asking about violence and allowing safe disclosure. Where enquiry is introduced, midwives should be given access to validated educational programmes and structured ongoing support if enquiry is to be sustained over time. Although further evaluations are necessary, it may be advisable to focus on skills-based programmes that increase midwives' confidence and prioritise support and safety aspects for midwives and women during enquiry about domestic violence.

Adult↗