Mannose-binding lectin in severe acute respiratory syndrome coronavirus infection

Little is known about the innate immune response to severe acute respiratory syndrome (SARS) coronavirus (CoV) infection. Mannose-binding lectin (MBL), a key molecule in innate immunity, functions as an ante-antibody before the specific antibody response. Here, we describe a case-control study that included 569 patients with SARS and 1188 control subjects and used in vitro assays to investigate the role that MBL plays in SARS-CoV infection. The distribution of MBL gene polymorphisms was significantly different between patients with SARS and control subjects, with a higher frequency of haplotypes associated with low or deficient serum levels of MBL in patients with SARS than in control subjects. Serum levels of MBL were also significantly lower in patients with SARS than in control subjects. There was, however, no association between MBL genotypes, which are associated with low or deficient serum levels of MBL, and mortality related to SARS. MBL could bind SARS-CoV in a dose- and calcium-dependent and mannan-inhibitable fashion in vitro, suggesting that binding is through the carbohydrate recognition domains of MBL. Furthermore, deposition of complement C4 on SARS-CoV was enhanced by MBL. Inhibition of the infectivity of SARS-CoV by MBL in fetal rhesus kidney cells (FRhK-4) was also observed. These results suggest that MBL contributes to the first-line host defense against SARS-CoV and that MBL deficiency is a susceptibility factor for acquisition of SARS. © 2005 by the Infectious Diseases Society of America. All rights reserved.published_or_final_versio

An Improved Coarse-Grained Model to Accurately Predict Red Blood Cell Morphology and Deformability

Accurate modelling of red blood cells (RBCs) has greater potential over experiments, as it can be more robust and significantly cheaper than equivalent experimental procedures to investigate the mechanical properties, rheology and dynamics of RBCs. The recent advances in numerical modelling techniques for RBC studies are reviewed in this study, and in particular, the discrete models for a triangulated surface to represent the in-plane stretching energy and out-of-plane bending energy of the RBC membrane are discussed. In addition, an improved RBC membrane model is presented based on coarse-grained (CG) technique that accurately and efficiently predicts the morphology and deformability of a RBC. The CG-RBC membrane model predicts the minimum energy configuration of the RBC from the competition between the in-plane stretching energy of the cytoskeleton and the out-of-plane bending energy of the lipid-bilayer under the given reference states of the cell surface area and volume. A quantitative evaluation of several cellular measurements including length, thickness and shape factor, is presented between the CG-RBC membrane model and three-dimensional (3D) confocal microscopy imaging generated RBC shapes at equivalent reference states. The CG-RBC membrane model predicts agreeable deformation characteristics of a healthy RBC with the analogous experimental observations corresponding to optical tweezers stretching deformations. The numerical approach presented here forms the foundation for investigations into RBC morphology and deformability under diverse shape-transforming scenarios, in vitro RBC storage, microvascular circulation and flow through microfluidic devices