Set-off under Uninsured Motorist\u27s Coverage

The limits of liability under uninsured motorist coverage are fixed either by policy provisions or by statute. ... These various indemnity provisions were created so as to effectively limit any payments made by the insurance carrier under the uninsured motorist endorsement in combination with any other sources of indemnification to the maximum limit of the uninsured motorist coverage. The intent of the insurance underwriter is to limit its payment under the uninsured motorist coverage to the minimum amount where the insured is indemnified or partially indemnified from more than one source. The scope of this paper will specifically be concerned with the enforceability of these various limitation provisions, with respect to the insured\u27s indemnification from medical payments and workmen\u27s compensation sources

Protease-activated receptor-2 : a novel pathogenic pathway in a murine model of osteoarthritis

Osteoarthritis (OA) is a global clinical challenge for which no effective disease modifying agents currently exist. Herein we identify protease-activated receptor-2 (PAR-2) as a novel pathogenic mechanism and potential therapeutic target in OA. Experimental OA was induced in wild-type and PAR-2 deficient mice by sectioning the medial menisco-tibial ligament (MMTL), leading to development of a mild arthropathy. Cartilage degradation and increased subchondral bone formation were assessed as indicators of OA pathology. Four weeks following MMTL section, cartilage erosion and increased subchondral bone formation was evident in wild type mice but substantially reduced in PAR-2 deficient mice. Crucially, therapeutic inhibition of PAR-2 in wild type mice,using either a PAR-2 antagonist or a monoclonal antibody targeting the protease cleavage site of PAR-2, was also equally effective at reducing OA progression in vivo. PAR-2 wasupregulated in chondrocytes of wild-type but not sham-operated mice. Wild type mice showed further joint degradation eight weeks following induction of OA, but PAR-2 deficient mice were still protected. The substantial protection from pathology afforded by PAR-2 deficiency following induction of OA provides proof of concept that PAR-2 has a key role in OA and suggests this receptor as a potential therapeutic target. Osteoarthritis (OA) is a chronic disabling condition currently affecting millions globally 1 with radiological evidence of OA in approximately 80% of the population aged over 65. 2OA is characterised by cartilage degradation and increased subchondral bone formation (osteosclerosis). Despite extensive pathophysiologic investigations, clinical management has not altered significantly and comprises administration of analgesics and non-steroidal anti-inflammatory agents and recourse upon joint failure to arthroplasty. No unifying pathogenetic model exists - suggested hypotheses encompass primary cartilage metabolic dysregulation, enthesial disease together with biomechanical dysregulation. Thus far, no critical checkpoint pathway has been identified that is essential for disease progression and which might by corollary represent a valid, disease-modifying OA therapeutic target. Protease-activated receptor-2 (PAR-2) is a G-protein coupled receptor whose 'tethered' ligand is activated by serine proteases. 3 PAR-2 is present in chondrocytes in cartilage from OA patients 4, and following its activation, matrix metalloproteases (MMPs) are generated. 5 However, these previous observations are associative and do not establish the role of PAR-2 in the pathogenesis of OA. We here sought direct evidence of a causal relationship between PAR-2 expression and cartilage and bone pathology in a murine model of OA

Essential role for proteinase-activated receptor-2 in arthritis

Using physiological, pharmacological, and gene disruption approaches, we demonstrate that proteinase-activated receptor-2 (PAR-2) plays a pivotal role in mediating chronic inflammation. Using an adjuvant monoarthritis model of chronic inflammation, joint swelling was substantially inhibited in PAR-2-deficient mice, being reduced by more than fourfold compared with wild-type mice, with virtually no histological evidence of joint damage. Mice heterozygous for PAR-2 gene disruption showed an intermediate phenotype. PAR-2 expression, normally limited to endothelial cells in small arterioles, was substantially upregulated 2 weeks after induction of inflammation, both in synovium and in other periarticular tissues. PAR-2 agonists showed potent proinflammatory effects as intra-articular injection of ASKH95, a novel synthetic PAR-2 agonist, induced prolonged joint swelling and synovial hyperemia. Given the absence of the chronic inflammatory response in the PAR-2-deficient mice, our findings demonstrate a key role for PAR-2 in mediating chronic inflammation, thereby identifying a novel and important therapeutic target for the management of chronic inflammatory diseases such as rheumatoid arthritis

MAP kinase phosphatase 2 deficient mice develop attenuated experimental autoimmune encephalomyelitis through regulating dendritic cells and T cells

Mitogen-activated protein kinase phosphatases (MKPs) play key roles in inflammation and immune mediated diseases. Here we investigated the mechanisms by which MKP-2 modulates central nervous system (CNS) inflammation in experimental autoimmune encephalomyelitis (EAE). Our results show that MKP-2 mRNA levels in the spinal cord and lymphoid organs of EAE mice were increased compared with naive controls, indicating an important role for MKP-2 in EAE development. Indeed, MKP-2-/- mice developed reduced EAE severity, associated with diminished CNS immune cell infiltration, decreased proinflammatory cytokine production and reduced frequency of CD4+ and CD8+ T cells in spleens and lymph nodes. In addition, MKP-2-/- CD11c+ dendritic cells (DCs) had reduced expression of MHC-II and CD40 compared with MKP-2+/+ mice. Subsequent experiments revealed that CD4+ T cells from naïve MKP-2-/- mice had decreased cell proliferation and IL-2 and IL-17 production relative to wild type controls. Furthermore, co-culture experiments showed that bone marrow derived DCs of MKP-2-/-mice had impaired capability in antigen presentation and T cell activation. While MKP-2 also modulates macrophage activation, our study suggests that MKP-2 is essential to the pathogenic response of EAE, and it acts mainly via regulating the important antigen presenting DC function and T cell activation

Proteinase-activated receptors (PARs) as targets for antiplatelet therapy

Since the identification of the proteinase-activated receptor (PAR) family as mediators of serine protease activity in the 1990s, there has been tremendous progress in the elucidation of their pathophysiological roles. The development of drugs that target PARs has been the focus of many laboratories for the potential treatment of thrombosis, cancer and other inflammatory diseases. Understanding the mechanisms of PAR activation and G protein signalling pathways evoked in response to the growing list of endogenous proteases has yielded great insight into receptor regulation at the molecular level. This has led to the development of new selective modulators of PAR activity, particularly PAR1. The mixed success of targeting PARs has been best exemplified in the context of inhibiting PAR1 as a new antiplatelet therapy. The development of the competitive PAR1 antagonist, vorapaxar (Zontivity), has clearly shown the value in targeting PAR1 in acute coronary syndrome (ACS); however the severity of associated bleeding with this drug has limited its use in the clinic. Due to the efficacy of thrombin acting via PAR1, strategies to selectively inhibit specific PAR1-mediated G protein signalling pathways or to target the second thrombin platelet receptor, PAR4, are being devised. The rationale behind these alternative approaches is to bias downstream thrombin activity via PARs to allow for inhibition of pro-thrombotic pathways but maintain other pathways that may preserve haemostatic balance and improve bleeding profiles for widespread clinical use. This review summarizes the structural determinants that regulate PARs and the modulators of PAR activity developed to date

Protease-activated receptor 2 : are common functions in glial and immune cells linked to inflammation-related CNS disorders?

Protease-activated receptors (PARs) are a novel family of G-protein coupled receptors (GPCRs) whose activation requires the cleavage of the N-terminus by a serine protease. However recent evidence reveals that alternative routes of activation also occur and that PARs signal via multiple pathways and that pathway activation is activator-dependent. Given our increased understanding of PAR function both under physiological and pathophysiological conditions; one aspect that has remained a constant is the link between PAR2 and inflammation. PAR2 is expressed in immune cells of both the innate and adaptive immune system and has been shown to play a role in several peripheral inflammatory conditions. PAR2 is similarly expressed on astrocytes and microglia within the CNS and its activation is either protective or detrimental to CNS function depending on the conditions or disease state investigated. With a clear similarity between the function of PAR2 on both immune cells and CNS glial cells, here we have reviewed their roles in both these systems. We suggest that the recent development of novel PAR2 modulators, including those that show biased signalling, will further increase our understanding of PAR2 function and the development of potential therapeutics for CNS disorders in which inflammation is proposed to play a role

Creative Movement with Te and Ch'i – Global Virtual and Embodied Connection During the COVID-19 Pandemic

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Conflicting evidence for the role of JNK as a target in breast cancer cell proliferation: comparisons between pharmacological inhibition and selective shRNA knockdown approaches

As a target, the JNK pathway has been implicated in roles including cell death, proliferation, and inflammation in variety of contexts which span cardiovascular disease, neurodegenerative pathologies, and cancer. JNK1 and JNK2 have recently been demonstrated to function independently, highlighting a new parameter in the study of the JNK pathway. In order for JNK1 and JNK2-specific roles to be defined, better tools need to be employed. Previous studies have relied upon the broad spectrum JNK inhibitor, SP600125, to characterize the role of JNK signaling in a number of cell lines, including the breast cancer cell line MCF-7. In line with previous literature, our study has demonstrated that SP600125 treatment inhibited c-Jun and JNK phosphorylation and MCF-7 proliferation. However, in addition to targeting JNK1, JNK2, and JNK3, SP600125 has been previously demonstrated to suppress the activity of a number of other serine/threonine kinases, making SP600125 an inadequate tool for JNK isoform-specific roles to be determined. In this study, lentiviral shRNA was employed to selectively knockdown JNK1, JNK2, and JNK1/2 in MCF-7 cells. Using this approach, JNK phosphorylation was fully inhibited following stable knockdown of respective JNK isoforms. Interestingly, despite suppression of JNK phosphorylation, MCF-7 cell proliferation, cell cycle progression, or cell death remained unaffected. These findings raise the question of whether JNK phosphorylation really is pivotal in MCF-7 cell growth and death or if suppression of these events is a result of one of the many off-targets cited for SP600125

Etudes biophysiques de l'interaction entre la protéine humaine TRBP et un précurseur de microARN oncogène

Les microARNs sont une classe de petits ARNs non codants qui régulent l'expression des gènes via un mecanisme d'interference par ARN. Les microARNs humains sont produits par une série de réactions enzymatiques. En particulier, dans le cytoplasme le precurseur de miRNA (pre-miRNA) est reconnu et clivé par un complexe contenant l'enzyme RNAse III Dicer et plusieurs cofacteurs protéiques. La proteine TRBP (HIV TAR RNA binding protein) est l'un de ces cofacteurs et augmente la stabilité du complexe, influe sur la cinétique, la position du clivage et a role potentiel dans la reconnaissance du substrat et dans le transfet du produit vers le complexe RISC (RNA-induced silencing complex) effecteur de l'interference par ARN. TRBP est composé de 3 domaines de liaison aux ARN doubles brin (dsRBDs). La région d'interaction de TRBP avec les ARNs est composé des deux premiers dsRBDs liés par une région interdomaine non charactérizée. La présente étude rapporte la caractérisation biophysique in vitro de la région d'interaction avec les ARNs de TRBP dans l'état apo de TRBP ou dans l'état lié avec les deux precurseurs cytoplasmique successifs du microARN oncogène miR-155 comprenant la tige boucle pre-miR-155 et le duplex miR-155/miR-155* résultat du clivage de pre-miR-155 par Dicer. L'étude montre que la région d'intéraction de TRBP avec les ARNs est monomerique, est composée de deux dsRBDs independants en solution et que la région interdomaine de 60 résidus est flexible. Le premier dsRBD, non caractérisé précédement en solution est le siège d'un equilibre plié/déplié integral dans une grande gamme de conditions physico-chimiques. Les deux premiers dsRBDs de TRBP peuvent interagir avec un même precurseur de microARN et deux régions d'interaction de TRBP avec les ARNs peuvent interagir avec un même precuseur. La région d'interaction de TRBP avec les ARNs interagit avec pre-miR-155 et le duplex miR-155/miR-155* avec des affinités très similaires. Dans le complexe avec une région d'interaction de TRBP avec les ARN liée à pre-miR-155 ou au duplexe miR-155/miR-155*, aucune indice de contact entre les deux dsRBDs n'a été detecté et la protéine interagit avec les deux precurseurs par la même surface d'interaction. Les informations récoltées suggèrent que TRBP peut jouer un rôle avant et après le clivage des pre-miARN par Dicer, notamment dans le complexe de chargement de RISC.MicroRNAs (miRNA) are a class of small non-coding RNAs that regulate gene expression through RNA interference (RNAi). Human miRNAs are generated via a series of enzymatic processing steps. In particular, in the cytoplasm, the precursor miRNA (pre-miRNA) is recognized and cleaved by a complex containing the RNase III enzyme Dicer and several non-catalytic accessory proteins. HIV TAR element-binding protein (TRBP) is a constituent of the Dicer complex, which augments complex stability, has effect on the cleavage kinetics and on the cleavage site and potentially functions in substrate recognition and product transfer to the RNA-induced silencing complex (RISC). TRBP is composed of three double stranded RNA binding domains (dsRBDs). The RNA binding region of TRBP is composed of the first two dsRBDs and an uncharacterized interdomain region. The present study reports the in vitro biophysical characterization of the RNA binding region of TRBP in the apo state and in the RNA bound state with the two successive cytoplasmic precursors of the oncogenic human microRNA miR-155, the hairpin pre-miR-155 and the related Dicer product miR-155/miR-155* duplex. The study shows that the RNA binding region of TRBP is monomeric and comprises two independent double-stranded RNA-binding domains connected by a 60 residues flexible linker. The first dsRBD, uncharacterized previously in solution, undergoes a full folding/unfolding equilibrium in a wide range of physico-chemical conditions. The two first dsRBDs of TRBP can interact with one microRNA precursor and two RNA binding regions can interact with one precursor molecule. The RNA-binding region of TRBP interacts with both pre-miR-155 and miR-155/miR-155* duplex with similar affinities. In the complex with one RNA binding region of TRBP bound to either pre-miR-155 or miR-155/miR-155* duplex, no evidence of contact between the two dsRBDs were observed and the protein interacts with both precursors via the same protein binding surface. The data presented here suggest that the RNA binding region of TRBP can play a role before and after processing of pre-miRNAs by Dicer, including in the RISC loading complex.SAVOIE-SCD - Bib.électronique (730659901) / SudocGRENOBLE1/INP-Bib.électronique (384210012) / SudocGRENOBLE2/3-Bib.électronique (384219901) / SudocSudocFranceF