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  • Article
    Apostol E, Cojocaru A, Ion A, Dorobantu AM, Orzan OA.
    Cureus. 2024 Feb;16(2):e53457.
    Calciphylaxis is a debilitating condition associated with significant morbidity and mortality, often associated with patients with end-stage renal disease, in which the calcification of cutaneous arterioles and small arteries occurs, leading to subsequent ischemia and cutaneous infarction. Herein, we report the case of a diabetic patient with end-stage kidney disease on dialysis, presenting multiple intensely painful necrotic plaques on the lower extremities. The suspicion of calciphylaxis was raised based on the patient's medical history and clinical presentation, subsequently confirmed by radiological examination, which revealed calcifications along vascular pathways. Diagnosis can be established based on clinical and paraclinical grounds alone, and some clinicians may forego skin biopsy and initiate treatment presumptively. The management of calciphylaxis remains a challenge and requires a multidisciplinary approach since most patients experience intense pain that is often unresponsive to conventional analgesics, leading to a reduced quality of life.
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  • Article
    Kesel S, Mader A, Höfler C, Mascher T, Leisner M.
    PLoS One. 2013;8(1):e53457.
    BACKGROUND: Two-component signal transduction systems are one means of bacteria to respond to external stimuli. The LiaFSR two-component system of Bacillus subtilis consists of a regular two-component system LiaRS comprising the core Histidine Kinase (HK) LiaS and the Response Regulator (RR) LiaR and additionally the accessory protein LiaF, which acts as a negative regulator of LiaRS-dependent signal transduction. The complete LiaFSR system was shown to respond to various peptide antibiotics interfering with cell wall biosynthesis, including bacitracin.
    METHODOLOGY AND PRINCIPAL FINDINGS: Here we study the response of the LiaFSR system to various concentrations of the peptide antibiotic bacitracin. Using quantitative fluorescence microscopy, we performed a whole population study analyzed on the single cell level. We investigated switching from the non-induced 'OFF' state into the bacitracin-induced 'ON' state by monitoring gene expression of a fluorescent reporter from the RR-regulated liaI promoter. We found that switching into the 'ON' state occurred within less than 20 min in a well-defined switching window, independent of the bacitracin concentration. The switching rate and the basal expression rate decreased at low bacitracin concentrations, establishing clear heterogeneity 60 min after bacitracin induction. Finally, we performed time-lapse microscopy of single cells confirming the quantitative response as obtained in the whole population analysis for high bacitracin concentrations.
    CONCLUSION: The LiaFSR system exhibits an immediate, heterogeneous and graded response to the inducer bacitracin in the exponential growth phase.
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  • Article
    Arimoro FO, Meme FK, Keke UN.
    Environ Sci Pollut Res Int. 2021 Oct;28(38):53444-53457.
    Cement factory waste water impacts on the ecology of macroinvertebrate assemblages of the Oinyi River, North Central area of Nigeria, were evaluated bi-monthly for 1 year as part of a study to understand the effects of pollution processes in the lotic system that may initiate the development of policy and improved regulation. Three sampling stations, each 100 m long, were selected along 11-km stretch of the river. Station 1, located upstream of the discharge point from the cement factory plant; station 2, immediately downstream of the effluent discharge point; and station 3, 4 km downstream, were sampled. The waste water from the cement effluent factory impacted negatively on the water chemistry by elevating the levels of some heavy metals (Mn, Zn, Cu, and Ni), and other physicochemical parameters such as turbidity, chemical oxygen demand (COD), conductivity, and total suspended solid. A total of 81 macroinvertebrate taxa combined were recorded from the river. The community structure, diversity, and abundance depicted distinct variation between the effluent-impacted site, and the upstream station as the most sensitive macroinvertebrate taxa such as Neoperla and Cheumatopsyche species was completely missing from the effluent-impacted site. The preponderance of some dipteran taxa (Tanypus sp., Eristalis tenax, Simulum sp., Empis sp., and Atherix sp.) and drastic reduction in the Ephemeroptera-Plecoptera-Trichoptera (EPT) organisms in the impacted station is an indication that the chemical components of the cement effluent waste water were lethal to some aquatic forms. Extrapolations from canonical correspondence analysis (CCA) results revealed that turbidity, conductivity, BOD, orthophosphate-phosphorus, and heavy metals were strongly associated with the impacted station. Generally, the community structure of station 1 was more diverse with more sensitive taxa, different from those of stations 2 and 3, which were prone to intense human activities. The need for careful consideration of the water quality and indicator organisms is important for restoration of this river.
    Digital Access Access Options
  • Book
    editors, Linda van Le, Victoria L. Handa ; video editor, Danielle Patterson.
    Summary: "With expert guidance on all aspects of gynecologic surgery, Te Linde's Operative Gynecology, Thirteenth Edition, edited by Drs. Linda Van Le and Victoria L. Handa, remains your go-to resource from preoperative to postoperative care. Comprehensive, step-by-step instructions on how to perform all contemporary gynecologic procedures, updated diagnostic and management approaches, a greatly expanded illustration program, and new procedural videos, edited by Dr. Danielle Patterson, make this classic text an ideal reference for trainees as well as experienced practitioners." Provided by publisher

    Contents:
    Section I: Preparing for surgery
    Section II: Basic principles of gynecologic surgery
    Section III: Postoperative care
    Section IV: Contemporary gynecologic surgical procedures
    Section V: Gynecologic oncology
    Section VI: Surgery for pelvic floor disorders
    Section VII: Complications of pelvic surgery
    Section VIII: Surgical management of selected gynecologic conditions.
    Digital Access LWW Health Library [2024]
  • Article
    Im YJ, Na Y, Kang GB, Rho SH, Kim MK, Lee JH, Chung CH, Eom SH.
    J Biol Chem. 2004 Dec 17;279(51):53451-7.
    ATP-dependent Lon proteases catalyze the degradation of various regulatory proteins and abnormal proteins within cells. Methanococcus jannaschii Lon (Mj-Lon) is a homologue of Escherichia coli Lon (Ec-Lon) but has two transmembrane helices within its N-terminal ATPase domain. We solved the crystal structure of the proteolytic domain of Mj-Lon using multiwavelength anomalous dispersion, refining it to 1.9-angstroms resolution. The structure displays an overall fold conserved in the proteolytic domain of Ec-Lon; however, the active site shows uniquely configured catalytic Ser-Lys-Asp residues that are not seen in Ec-Lon, which contains a catalytic dyad. In Mj-Lon, the C-terminal half of the beta4-alpha2 segment is an alpha-helix, whereas it is a beta-strand in Ec-Lon. Consequently, the configurations of the active sites differ due to the formation of a salt bridge between Asp-547 and Lys-593 in Mj-Lon. Moreover, unlike Ec-Lon, Mj-Lon has a buried cavity in the region of the active site containing three water molecules, one of which is hydrogen-bonded to catalytic Ser-550. The geometry and environment of the active site residues in Mj-Lon suggest that the charged Lys-593 assists in lowering the pK(a) of the Ser-550 hydroxyl group via its electrostatic potential, and the water in the cavity acts as a proton acceptor during catalysis. Extensive sequence alignment and comparison of the structures of the proteolytic domains clearly indicate that Lon proteases can be classified into two groups depending on active site configuration and the presence of DGPSA or (D/E)GDSA consensus sequences, as represented by Ec-Lon and Mj-Lon.
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