Stigmatized and Getting High

The first time I was asked to sell my medication was after a small party sophomore year. I was starting to fall asleep in the midst of chattering people and drunken laughter. My 12 hours of focus was up. Concerned people around me started asking why I was suddenly so sleepy and without thinking about it, my boyfriend answered “Her medication has worn off, so she’s getting kinda sleepy.” Someone asked, “What type of medication does that?!” We both froze. [excerpt

Current and Emerging Therapies for the Treatment of Cystic Fibrosis or Mitigation of Its Symptoms

Clinical presentation of the chronic, heritable condition cystic fibrosis (CF) is complex, with a diverse range of symptoms often affecting multiple organs with varying severity. The primary source of morbidity and mortality is due to progressive destruction of the airways attributable to chronic inflammation arising from microbial colonisation. Antimicrobial therapy combined with practises to remove obstructive mucopurulent deposits form the cornerstone of current therapy. However, new treatment options are emerging which offer, for the first time, the opportunity to effect remission from the underlying cause of CF. Here, we discuss these therapies, their mechanisms of action, and their successes and failures in order to illustrate the shift in the nature of how CF will likely be managed into the future

Probing the structure of copper(II)-casiopeina type coordination complexes [Cu(O-O)(N-N)]+ by EPR and ENDOR spectroscopy

Although copper based complexes have been widely used in homogeneous catalysis, more recently they are attracting considerable attention as pharmaceutical therapeutic agents. Of paramount importance in their efficacy of use is their structure and electronic properties, which can be thoroughly probed using advanced EPR techniques. In this study, a series of [Cu(acac)(N-N)]+ Casiopeina type complexes were investigated, bearing a series of diimine N-N ligands (including bipy, phen, Py-bipy and dppz). All complexes displayed rhombic g and CuA tensors, although the extent of rhombicity was dependent on the N-N ligand. Greater Cu(II)-N2 in-plane distortion, away from the square planar arrangement, was detected by CW W-band EPR for the smaller bipy and phen ligands compared to the larger Py-bipy and dppz ligands. Changes in ligand spin density distributions (over the 1H and 14N nuclei) were revealed by CW Q-band ENDOR. The largest components of the 1H imine and 14N hyperfine coupling decreased as the ligand size increased, following the trend bipy > phen > Py-bipy > dppz. These results indicate how even small structural and electronic (spin density) perturbations within the Casiopeina family of Cu(II) complexes can be probed by advanced EPR methods

Evaluation of a fecal shedding test to detect badger social groups infected with Mycobacterium bovis

Bovine Tuberculosis (bTB) is an economically important disease affecting the cattle industry in England and Wales. bTB, caused by Mycobacterium bovis, also causes disease in the Eurasian badger (Meles meles), a secondary maintenance host. Disease transmission between these two species is bidirectional. Infected badgers shed M. bovis in their faeces. The UK Animal and Plant Health Agency (APHA) organised a comparative trial to determine the performance of tests in detecting M. bovis in badger faeces for the Department for Environment, Food, and Rural Affairs (DEFRA). Here we present the performance of the existing Warwick Fast24-qPCR test, and its modified version based on a high-throughput DNA extraction method (Fast96-qPCR). We found Fast24-qPCR to have a sensitivity of 96.7% (95%CI 94.5-99%, n=244) and a specificity of 99% (95%CI 97.8-100%, n=292). Fast96-qPCR requires further optimisation. Determining the disease status of badger social groups requires multiple tests per group. Therefore to increase specificity further, we independently repeated the Fast24-qPCR test on positive samples, increasing stringency by requiring a 2nd positive result. Fast24-qPCR with repeat testing had a sensitivity of 87.3% (95%CI 83.1-91.5%, n=244), and a specificity of 100% (95%CI 100-100, n=201) on an individual sample level. At the social group level, this repeat testing gives Fast24-qPCR high herd specificity, while testing multiple samples per group provides high herd sensitivity. With Fast24-qPCR we provide a social group level test with sufficient specificity and sensitivity to monitor shedding in badgers via latrine sampling, delivering a potentially valuable tool to measure the impacts of bTB control measures

Understanding the coordination modes of [Cu(acac)2(imidazole)n=1,2] adducts by EPR, ENDOR, HYSCORE, and DFT analysis

The interaction of imidazole with a [Cu(acac)2] complex was studied using electron paramagnetic resonance (EPR), electron nuclear double resonance (ENDOR), hyperfine sublevel correlation spectroscopy (HYSCORE), and density functional theory (DFT). At low Im ratios (Cu:Im 1:10), a 5-coordinate [Cu(acac)2Imn=1] monoadduct is formed in frozen solution with the spin Hamiltonian parameters g1 = 2.063, g2 = 2.063, g3 = 2.307, A1 = 26, A2 = 15, and A3 = 472 MHz with Im coordinating along the axial direction. At higher Im concentrations (Cu:Im 1:50), a 6- coordinate [Cu(acac)2Imn=2] bis-adduct is formed with the spin Hamiltonian parameters g1 = 2.059, g2 = 2.059, g3 = 2.288, A1 = 30, A2 = 30, and A3 = 498 MHz with a poorly resolved 14N superhyperfine pattern. The isotropic EPR spectra revealed a distribution of species ([Cu(acac)2], [Cu(acac)2Imn=1], and [Cu(acac)2Imn=2]) at Cu:Im ratios of 1:0, 1:10, and 1:50. The superhyperfine pattern originates from two strongly coordinating N3 imino nitrogens of the Im ring. Angular selective 14N ENDOR analysis revealed the NA tensor of [34.8, 43.5, 34.0] MHz, with e2qQ/h = 2.2 MHz and η = 0.2 for N3. The hyperfine and quadrupole values for the remote N1 amine nitrogens (from HYSCORE) were found to be [1.5, 1.4, 2.5] MHz with e2qQ/h = 1.4 MHz and η = 0.9. 1H ENDOR also revealed three sets of HA tensors corresponding to the nearly equivalent H2/H4 protons in addition to the H5 and H1 protons of the Im ring. The spin Hamiltonian parameters for the geometry optimized structures of [Cu(acac)2Imn=2], including cis-mixed plane, trans-axial, and trans-equatorial, were calculated. The best agreement between theory and experiment indicated the preferred coordination is trans-equatorial [Cu(acac)2Imn=2]. A number of other Im derivatives were also investigated. 4(5)-methyl-imidazole forms a [Cu(acac)2(Im-3)n=2] trans-equatorial adduct, whereas the bulkier 2-methyl-imidazole (Im-2) and benzimidazole (Im-4) form the [Cu(acac)2(Im-2,4)n=1] monoadduct only. Our data therefore show that subtle changes in the substrate structure lead to controllable changes in coordination behavior, which could in turn lead to rational design of complexes for use in catalysis, imaging, and medicine

Evaluation of In Vitro Virulence Characteristics of the Genus Pandoraea in Lung Epithelial Cells

Pandoraea species are emerging opportunistic pathogens capable of causing chronic lung infections in cystic fibrosis patients. This study examined the interactions of 17 Pandoraea isolates from the five identified species (Pandoraea apista, Pandoraea norimbergensis, Pandoraea pulmonicula, Pandoraea sputorum and Pandoraea pnomenusa) plus two Pandoraea genomospecies isolates with lung epithelial cells and their ability to form biofilms in vitro. Only three isolates showed an ability to invade A549 lung epithelial cells, and only one isolate was able to form biofilms. In contrast, all isolates triggered a pronounced pro-inflammatory response, with elevation of both interleukin (IL)-6 (two- to 19-fold) and IL-8 (10- to 50-fold) above that observed for a control strain of Escherichia coli. This property is likely to be a major factor in the pathogenesis of the genus

The experience of family carers attending a joint reminiscence group with people with dementia: A thematic analysis

Reminiscence therapy has the potential to improve quality of life for people with dementia. In recent years reminiscence groups have extended to include family members, but carers' experience of attending joint sessions is undocumented. This qualitative study explored the experience of 18 family carers attending 'Remembering Yesterday Caring Today' groups. Semi-structured interviews were transcribed and subjected to thematic analysis. Five themes were identified: experiencing carer support; shared experience; expectations (met and unmet), carer perspectives of the person with dementia's experience; and learning and comparing. Family carers' experiences varied, with some experiencing the intervention as entirely positive whereas others had more mixed feelings. Negative aspects included the lack of respite from their relative, the lack of emphasis on their own needs, and experiencing additional stress and guilt through not being able to implement newly acquired skills. These findings may explain the failure of a recent trial of joint reminiscence groups to replicate previous findings of positive benefit. More targeted research within subgroups of carers is required to justify the continued use of joint reminiscence groups in dementia care

The pseudokinase MLKL mediates programmed hepatocellular necrosis independently of RIPK3 during hepatitis

Although necrosis and necroinflammation are central features of many liver diseases, the role of programmed necrosis in the context of inflammation-dependent hepatocellular death remains to be fully determined. Here, we have demonstrated that the pseudokinase mixed lineage kinase domain-like protein (MLKL), which plays a key role in the execution of receptor interacting protein (RIP) lcinase-dependent necroptosis, is upregulated and activated in human autoimmune hepatitis and in a murine model of inflammation-dependent hepatitis. Using genetic and pharmacologic approaches, we determined that hepatocellular necrosis in experimental hepatitis is driven by an MLKL-dependent pathway that occurs independently of RIPK3. Moreover, we have provided evidence that the cytotoxic activity of the proinflammatory cytokine IFN-gamma in hepatic inflammation is strongly connected to induction of MLKL expression via activation of the transcription factor STAT1. In summary, our results reveal a pathway for MLKL-dependent programmed necrosis that is executed in the absence of RIPK3 and potentially drives the pathogenesis of severe liver diseases

High yield production of a soluble human interleukin-3 variant from E. coli with wild-type bioactivity and improved radiolabeling properties

Human interleukin-3 (hIL-3) is a polypeptide growth factor that regulates the proliferation, differentiation, survival and function of hematopoietic progenitors and many mature blood cell lineages. Although recombinant hIL-3 is a widely used laboratory reagent in hematology, standard methods for its preparation, including those employed by commercial suppliers, remain arduous owing to a reliance on refolding insoluble protein expressed in E. coli. In addition, wild-type hIL-3 is a poor substrate for radio-iodination, which has been a long-standing hindrance to its use in receptor binding assays. To overcome these problems, we developed a method for expression of hIL-3 in E. coli as a soluble protein, with typical yields of >3mg of purified hIL-3 per litre of shaking microbial culture. Additionally, we introduced a non-native tyrosine residue into our hIL-3 analog, which allowed radio-iodination to high specific activities for receptor binding studies whilst not compromising bioactivity. The method presented herein provides a cost-effective and convenient route to milligram quantities of a hIL-3 analog with wild-type bioactivity that, unlike wild-type hIL‑3, can be efficiently radio-iodinated for receptor binding studies