survey among thesis supervisors at a large German university hospital

Objectives: To identify underlying causes for failure of medical thesis projects and the constantly high drop-out rate in Germany from the supervisors' perspective and to compare the results with the students' perspective. Setting: Cross-sectional survey. Online questionnaire for survey of medical thesis supervisors among the staff of Charité—Universitätsmedizin Berlin, Germany. Published, earlier longitudinal survey among students for comparison. Participants: 1069 thesis supervisors participated. Data extraction and synthesis: Data are presented using descriptive statistics, and the χ2 test served to compare the results among supervisors with the earlier data from the longitudinal survey of doctoral students. Primary and secondary outcomes: Not applicable. This survey is an observational study. Results: Of 3653 potential participants, 1069 (29.3%) supervising 3744 doctoral candidates participated in the study. Supervisors considered themselves to be highly motivated and to offer adequate supervision. On the other hand, 87% stated that they did not feel well prepared for thesis supervision. Supervisors gave lack of timeliness of doctoral students and personal differences (p=0.024 and p=0.001) as the main reasons for terminating thesis projects. Doctoral students predominantly mentioned methodological problems and difficult subjects as critical issues (p=0.001 and p<0.001). Specifically, students felt ill prepared for the statistical part of their research—49.5% stated that they never received statistical assistance, whereas 97% of supervisors claimed to help their students with statistical analysis. Conclusions: The authors found that both thesis supervisors and medical students feel ill prepared for their roles in the process of a medical dissertation. Contradictory reasons for terminating medical thesis projects based on supervisors' and students' self- assessment suggest a lack of communication and true scientific collaboration between supervisors and doctoral students as the major underlying issue that requires resolution

Functional analysis of the murine cytomegalovirus genes m142 and m143

Human cytomegalovirus (HCMV) infection causes clinical symptoms in immunocompromised individuals such as transplantant recipients and AIDS patients. The virus is also responsible for severe complications in unborn children and young infants. The species specificity of HCMV prevents the direct study of mechanisms controlling the infection in animal models. Instead, the murine cytomegalovirus (MCMV) is used as a model system. Human and murine CMVs have large double-stranded DNA genomes, encoding nearly 170 genes. About 30% of the genes are committed to essential tasks of the virus. The remaining genes are involved in virus pathogenesis or host interaction and are dispensable for virus replication. The CMV genes are classified in gene families, based on sequence homology. In the present work, the function of two genes of the US22 gene family was analyzed. The MCMV genes m142 and m143 are the only members of this family that are essential for virus replication. These genes also differ from the remaining ten US22 gene family members in that they lack 1 of 4 conserved sequence motifs that are characteristic of this family. The same conserved motif is missing in the HCMV US22 family members TRS1 and IRS1, suggesting a possible functional homology. To demonstrate an essential role of m142 and m143, the genes were deleted from the MCMV genome, and the mutants were reconstituted on complementing cells. Infection of non-complementing cells with the deletion mutants did not result in virus replication. Virus growth was rescued by reinsertion of the corresponding genes. Cells infected with the viral deletion mutants synthesized reduced amounts of viral DNA, and viral late genes were not expressed. However, RNA analyses showed that late transcripts were present, excluding a role of m142 and m143 in regulation of gene transcription. Metabolic labelling experiments showed that total protein synthesis at late times postinfection was impaired in cells infected with deletion mutants. Moreover, the dsRNA-dependent protein kinase R (PKR) and its target protein, the translation initiation factor 2&#945; (eIF2&#945;) were phosphorylated in these cells. This suggested that the m142 and m143 are required for blocking the PKR-mediated shut-down of protein synthesis. Expression of the HCMV gene TRS1, a known inhibitor of PKR activation, rescued the replication of the deletion mutants, supporting the observation that m142 and m143 are required to inhibit this innate immune response of the host cell.Die Infektion mit dem humanen Cytomegalovirus (HCMV) kann bei immunsupprimierten Personen wie Transplantatempfängern oder AIDS Patienten, aber auch bei Neugeborenen klinische Symptome hervorrufen. Die Spezies-Spezifität des humanen CMV lässt keine Untersuchung viraler Mechanismen im Tiermodell zu, jedoch steht mit dem murinen CMV (MCMV) ein geeignetes und verbreitetes Modell zur Verfügung. Beide CMVs besitzen große doppelsträngige DNA Genome, die ca. 170 Gene beinhalten. Hiervon sind ca. 30% essentiell für die virale Replikation. Die anderen Gene sind für die Pathogenesse und Interaktion mit den Wirtszellen von Bedeutung. Die Gene des CMV werden auf Grund von Sequenzhomologien in Familien gruppiert. In der vorliegenden Arbeit wird die Funktion der Gene m142 und m143 des MCMV analysiert. Beide Gene sind die einzigen für die Virusreplikation essentiellen Mitglieder der US22 Genfamilie. Darüber hinaus unterscheiden sie sich von den anderen 10 US22 Mitgliedern darin, daß ihnen eine von vier konservierten Sequenzmotiven fehlt. Dieses fehlende Motiv kommt auch bei den HCMV US22 Mitgliedern TRS1 und IRS1 nicht vor, was einen möglichen Hinweis auf eine funktionelle Homologie gibt. Um die essentielle Rolle der m142 und m143 Gene zu belegen, wurden letztere aus dem MCMV Genom entfernt und die Virusmutanten auf komplimentierenden Zellen rekonstituiert. Die Infektion nicht komplimentierender Zellen mit den Virusmutanten erzeugte keine Infektion, konnte jedoch mit der Reinsertion der Gene wieder hergestellt werden. Infizierte Zellen, die mit den Virusmutanten infiziert wurden, produzierten geringere Mengen viraler DNA. Obwohl die Expression später viraler Gene nicht stattfand, konnten späte virale Transkripte nachgewiesen und somit eine Rolle von m142 und m143 bei der Regulation der viralen Transkription ausgeschlossen werden. In Experimenten, in denen Zellen metabolisch markiert wurden, wurde gezeigt, daß die Gesamtproteinsynthese zu späten Zeitpunkten nach Infektion mit den Virusmutanten gehemmt war. Des weiteren wurde eine Phosphorylierung der dsRNA-abhängigen Proteinkinase R (PKR) sowie des Zielproteins, des Translations Initiationsfaktors 2&#945; (eIF2&#945;), nachgewiesen. Dies läßt vermuten, daß m142 und m143 die PKR-vermittelte Stillegung der Proteinsynthese verhindern. Durch Expression des HCMV TRS1 Gens, einem bekannten Inhibitor der PKR-Aktivierung, konnte die Replikation der Virusmutanten wieder hergestellt werden. Dies unterstützt die Ansicht, daß m142 und m143 für die Inhibition der Angeborenen Immunanwort der infizierten Wirtszelle erforderlich sind

Murine Cytomegalovirus m142 and m143 Are both Required To Block Protein Kinase R-Mediated Shutdown of Protein Synthesis

Cytomegaloviruses carry the US22 family of genes, which have common sequence motifs but diverse functions. Only two of the 12 US22 family genes of murine cytomegalovirus (MCMV) are essential for virus replication, but their functions have remained unknown. In the present study, we deleted the essential US22 family genes, m142 and m143, from the MCMV genome and propagated the mutant viruses on complementing cells. The m142 and the m143 deletion mutants were both unable to replicate in noncomplementing cells at low and high multiplicities of infection. In cells infected with the deletion mutants, viral immediate-early and early proteins were expressed, but viral DNA replication and synthesis of the late-gene product glycoprotein B were inhibited, even though mRNAs of late genes were present. Global protein synthesis was impaired in these cells, which correlated with phosphorylation of the double-stranded RNA-dependent protein kinase R (PKR) and its target protein, the eukaryotic translation initiation factor 2α, suggesting that m142 and m143 are necessary to block the PKR-mediated shutdown of protein synthesis. Replication of the m142 and m143 knockout mutants was partially restored by expression of the human cytomegalovirus TRS1 gene, a known double-stranded-RNA-binding protein that inhibits PKR activation. These results indicate that m142 and m143 are both required for inhibition of the PKR-mediated host antiviral response

Specific Inhibition of the PKR-Mediated Antiviral Response by the Murine Cytomegalovirus Proteins m142 and m143▿

Double-stranded RNA (dsRNA) produced during viral infection activates several cellular antiviral responses. Among the best characterized is the shutoff of protein synthesis mediated by the dsRNA-dependent protein kinase (PKR) and the oligoadenylate synthetase (OAS)/RNase L system. As viral replication depends on protein synthesis, many viruses have evolved mechanisms for counteracting the PKR and OAS/RNase L pathways. The murine cytomegalovirus (MCMV) proteins m142 and m143 have been characterized as dsRNA binding proteins that inhibit PKR activation, phosphorylation of the translation initiation factor eIF2α, and a subsequent protein synthesis shutoff. In the present study we analyzed the contribution of the PKR- and the OAS-dependent pathways to the control of MCMV replication in the absence or presence of m142 and m143. We show that the induction of eIF2α phosphorylation during infection with an m142- and m143-deficient MCMV is specifically mediated by PKR, not by the related eIF2α kinases PERK or GCN2. PKR antagonists of vaccinia virus (E3L) or herpes simplex virus (γ34.5) rescued the replication defect of an MCMV strain with deletions of both m142 and m143. Moreover, m142 and m143 bound to each other and interacted with PKR. By contrast, an activation of the OAS/RNase L pathway by MCMV was not detected in the presence or absence of m142 and m143, suggesting that these viral proteins have little or no influence on this pathway. Consistently, an m142- and m143-deficient MCMV strain replicated to high titers in fibroblasts lacking PKR but did not replicate in cells lacking RNase L. Hence, the PKR-mediated antiviral response is responsible for the essentiality of m142 and m143