18 research outputs found

    Traumatic Brain Injury Service, Walter Reed National Military Medical Center 4. National Intrepid Center of Excellence, Walter Reed National Military Medical Center 5. National Institute of Nursing Research , National Institutes of Health 6. RTI Internati

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    Abstract Traumatic brain injury, depression and posttraumatic stress disorder (PTSD) are neurocognitive syndromes often associated with impairment of physical and mental health, as well as functional status. These syndromes are also frequent in military service members (SMs) after combat, although their presentation is often delayed until months after their return. The objective of this prospective cohort study was the identification of independent predictors of neurocognitive syndromes upon return from deployment could facilitate early intervention to prevent disability. We completed a comprehensive baseline assessment, followed by serial evaluations at three, six, and 12 months, to assess for new-onset PTSD, depression, or postconcussive syndrome (PCS) in order to identify baseline factors most strongly associated with subsequent neurocognitive syndromes. On serial follow-up, seven participants developed at least one neurocognitive syndrome: five with PTSD, one with depression and PTSD, and one with PCS. On univariate analysis, 60 items were associated with syndrome development at p < 0.15. Decision trees and ensemble tree multivariate models yielded four common independent predictors of PTSD: right superior longitudinal fasciculus tract volume on MRI; resting state connectivity between the right amygdala and left superior temporal gyrus (BA41/42) on functional MRI; and single nucleotide polymorphisms in the genes coding for myelin basic protein as well as brain-derived neurotrophic factor. Our findings require follow-up studies with greater sample size and suggest that neuroimaging and molecular biomarkers may help distinguish those at high risk for post-deployment neurocognitive syndromes

    Traumatic Brain Injury Service, Walter Reed National Military Medical Center 4. National Intrepid Center of Excellence, Walter Reed National Military Medical Center 5. National Institute of Nursing Research , National Institutes of Health 6. RTI Internati

    Get PDF
    Abstract Traumatic brain injury, depression and posttraumatic stress disorder (PTSD) are neurocognitive syndromes often associated with impairment of physical and mental health, as well as functional status. These syndromes are also frequent in military service members (SMs) after combat, although their presentation is often delayed until months after their return. The objective of this prospective cohort study was the identification of independent predictors of neurocognitive syndromes upon return from deployment could facilitate early intervention to prevent disability. We completed a comprehensive baseline assessment, followed by serial evaluations at three, six, and 12 months, to assess for new-onset PTSD, depression, or postconcussive syndrome (PCS) in order to identify baseline factors most strongly associated with subsequent neurocognitive syndromes. On serial follow-up, seven participants developed at least one neurocognitive syndrome: five with PTSD, one with depression and PTSD, and one with PCS. On univariate analysis, 60 items were associated with syndrome development at p < 0.15. Decision trees and ensemble tree multivariate models yielded four common independent predictors of PTSD: right superior longitudinal fasciculus tract volume on MRI; resting state connectivity between the right amygdala and left superior temporal gyrus (BA41/42) on functional MRI; and single nucleotide polymorphisms in the genes coding for myelin basic protein as well as brain-derived neurotrophic factor. Our findings require follow-up studies with greater sample size and suggest that neuroimaging and molecular biomarkers may help distinguish those at high risk for post-deployment neurocognitive syndromes

    Functional Stability of Unliganded Envelope Glycoprotein Spikes among Isolates of Human Immunodeficiency Virus Type 1 (HIV-1)

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    The HIV-1 envelope glycoprotein (Env) spike is challenging to study at the molecular level, due in part to its genetic variability, structural heterogeneity and lability. However, the extent of lability in Env function, particularly for primary isolates across clades, has not been explored. Here, we probe stability of function for variant Envs of a range of isolates from chronic and acute infection, and from clades A, B and C, all on a constant virus backbone. Stability is elucidated in terms of the sensitivity of isolate infectivity to destabilizing conditions. A heat-gradient assay was used to determine T90 values, the temperature at which HIV-1 infectivity is decreased by 90% in 1 h, which ranged between ∼40 to 49°C (n = 34). For select Envs (n = 10), the half-lives of infectivity decay at 37°C were also determined and these correlated significantly with the T90 (p = 0.029), though two ‘outliers’ were identified. Specificity in functional Env stability was also evident. For example, Env variant HIV-1ADA was found to be labile to heat, 37°C decay, and guanidinium hydrochloride but not to urea or extremes of pH, when compared to its thermostable counterpart, HIV-1JR-CSF. Blue native PAGE analyses revealed that Env-dependent viral inactivation preceded complete dissociation of Env trimers. The viral membrane and membrane-proximal external region (MPER) of gp41 were also shown to be important for maintaining trimer stability at physiological temperature. Overall, our results indicate that primary HIV-1 Envs can have diverse sensitivities to functional inactivation in vitro, including at physiological temperature, and suggest that parameters of functional Env stability may be helpful in the study and optimization of native Env mimetics and vaccines

    Triangulum II: A Very Metal-poor and Dynamically Hot Stellar System

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    We present a study of the recently discovered compact stellar system Triangulum II. From observations conducted with the DEIMOS spectrograph on Keck II, we obtained spectra for 13 member stars that follow the CMD features of this very faint stellar system and include two bright red giant branch stars. Tri II has a very negative radial velocity (=-383.7^{+3.0}_{-3.3} km/s) that translates to ~ -264 km/s and confirms it is a Milky Way satellite. We show that, despite the small data set, there is evidence that Tri II has complex internal kinematics. Its radial velocity dispersion increases from 4.4^{+2.8}_{-2.0} km/s in the central 2' to 14.1^{+5.8}_{-4.2} km/s outwards. The velocity dispersion of the full sample is inferred to be \sigma_{vr}=9.9^{+3.2}_{-2.2} km/s. From the two bright RGB member stars we measure an average metallicity =-2.6+/-0.2, placing Tri II among the most metal-poor Milky Way dwarf galaxies. In addition, the spectra of the fainter member stars exhibit differences in their line widths that could be the indication of a metallicity dispersion in the system. All these properties paint a complex picture for Tri II, whose nature and current state are largely speculative. The inferred metallicity properties of the system however lead us to favor a scenario in which Tri II is a dwarf galaxy that is either disrupting or embedded in a stellar stream.Comment: 8 pages, 6 figures, 2 tables. ApJ, in press. v2: only minor changes to the tex

    Quantitative Investigation of the Role of Intra-/Intercellular Dynamics in Bacterial Quorum Sensing

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    Bacteria utilize diffusible signals to regulate population density-dependent coordinated gene expression in a process called quorum sensing (QS). While the intracellular regulatory mechanisms of QS are well-understood, the effect of spatiotemporal changes in the population configuration on the sensitivity and robustness of the QS response remains largely unexplored. Using a microfluidic device, we quantitatively characterized the emergent behavior of a population of swimming <i>E. coli</i> bacteria engineered with the <i>lux</i> QS system and a GFP reporter. We show that the QS activation time follows a power law with respect to bacterial population density, but this trend is disrupted significantly by microscale variations in population configuration and genetic circuit noise. We then developed a computational model that integrates population dynamics with genetic circuit dynamics to enable accurate (less than 7% error) quantitation of the bacterial QS activation time. Through modeling and experimental analyses, we show that changes in spatial configuration of swimming bacteria can drastically alter the QS activation time, by up to 22%. The integrative model developed herein also enables examination of the performance robustness of synthetic circuits with respect to growth rate, circuit sensitivity, and the population’s initial size and spatial structure. Our framework facilitates quantitative tuning of microbial systems performance through rational engineering of synthetic ribosomal binding sites. We have demonstrated this through modulation of QS activation time over an order of magnitude. Altogether, we conclude that predictive engineering of QS-based bacterial systems requires not only the precise temporal modulation of gene expression (intracellular dynamics) but also accounting for the spatiotemporal changes in population configuration (intercellular dynamics)

    Quantitative Investigation of the Role of Intra-/Intercellular Dynamics in Bacterial Quorum Sensing

    No full text
    Bacteria utilize diffusible signals to regulate population density-dependent coordinated gene expression in a process called quorum sensing (QS). While the intracellular regulatory mechanisms of QS are well-understood, the effect of spatiotemporal changes in the population configuration on the sensitivity and robustness of the QS response remains largely unexplored. Using a microfluidic device, we quantitatively characterized the emergent behavior of a population of swimming <i>E. coli</i> bacteria engineered with the <i>lux</i> QS system and a GFP reporter. We show that the QS activation time follows a power law with respect to bacterial population density, but this trend is disrupted significantly by microscale variations in population configuration and genetic circuit noise. We then developed a computational model that integrates population dynamics with genetic circuit dynamics to enable accurate (less than 7% error) quantitation of the bacterial QS activation time. Through modeling and experimental analyses, we show that changes in spatial configuration of swimming bacteria can drastically alter the QS activation time, by up to 22%. The integrative model developed herein also enables examination of the performance robustness of synthetic circuits with respect to growth rate, circuit sensitivity, and the population’s initial size and spatial structure. Our framework facilitates quantitative tuning of microbial systems performance through rational engineering of synthetic ribosomal binding sites. We have demonstrated this through modulation of QS activation time over an order of magnitude. Altogether, we conclude that predictive engineering of QS-based bacterial systems requires not only the precise temporal modulation of gene expression (intracellular dynamics) but also accounting for the spatiotemporal changes in population configuration (intercellular dynamics)

    Motion Enhanced Multi‐Level Tracker (MEMTrack): A Deep Learning‐Based Approach to Microrobot Tracking in Dense and Low‐Contrast Environments

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    Tracking microrobots is challenging due to their minute size and high speed. In biomedical applications, this challenge is exacerbated by the dense surrounding environments with feature sizes and shapes comparable to microrobots. Herein, Motion Enhanced Multi‐level Tracker (MEMTrack) is introduced for detecting and tracking microrobots in dense and low‐contrast environments. Informed by the physics of microrobot motion, synthetic motion features for deep learning‐based object detection and a modified Simple Online and Real‐time Tracking (SORT)algorithm with interpolation are used for tracking. MEMTrack is trained and tested using bacterial micromotors in collagen (tissue phantom), achieving precision and recall of 76% and 51%, respectively. Compared to the state‐of‐the‐art baseline models, MEMTrack provides a minimum of 2.6‐fold higher precision with a reasonably high recall. MEMTrack's generalizability to unseen (aqueous) media and its versatility in tracking microrobots of different shapes, sizes, and motion characteristics are shown. Finally, it is shown that MEMTrack localizes objects with a root‐mean‐square error of less than 1.84 μm and quantifies the average speed of all tested systems with no statistically significant difference from the laboriously produced manual tracking data. MEMTrack significantly advances microrobot localization and tracking in dense and low‐contrast settings and can impact fundamental and translational microrobotic research
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