-
Články
- Časopisy
- Kurzy
- Témy
- Kongresy
- Videa
- Podcasty
The virulence domain of Shigella IcsA contains a subregion with specific host cell adhesion function
Authors: Jilong Qin aff001; Matthew Thomas Doyle aff001; Elizabeth Ngoc Hoa Tran aff001; Renato Morona aff001
Authors place of work: School of Biological Sciences, Department of Molecular & Biomedical Sciences, Research Centre for Infectious Diseases, University of Adelaide, Adelaide, Australia aff001
Published in the journal: PLoS ONE 15(1)
Category: Research Article
doi: https://doi.org/10.1371/journal.pone.0227425Summary
Shigella species cause bacillary dysentery, especially among young individuals. Shigellae target the human colon for invasion; however, the initial adhesion mechanism is poorly understood. The Shigella surface protein IcsA, in addition to its role in actin-based motility, acts as a host cell adhesin through unknown mechanism(s). Here we confirmed the role of IcsA in cell adhesion and defined the region required for IcsA adhesin activity. Purified IcsA passenger domain was able block S. flexneri adherence and was also used as a molecular probe that recognised multiple components from host cells. The region within IcsA’s functional passenger domain (aa 138–148) was identified by mutagenesis. Upon the deletion of this region, the purified IcsAΔ138–148 was found to no longer block S. flexneri adherence and had reduced ability to interact with host molecules. Furthermore, S. flexneri expressing IcsAΔ138–148 was found to be significantly defective in both cell adherence and invasion. Taken together, our data identify an adherence region within the IcsA functional domain and provides useful information for designing therapeutics for Shigella infection.
Keywords:
HeLa cells – Adhesins – Host cells – Nitrocellulose – Shigella – Centrifugation – Shigella flexneri – Shigellosis
Introduction
Shigellae are Gram-negative bacteria that cause severe bloody diarrhoea in humans [1] and rhesus monkeys [2]. Shigellosis is life threating to children under 4 years of age [3] and is a growing health problem in developed countries due to decreased susceptibility to antibiotics [4]. Shigella spp. are primate specific pathogens that target the colon [1, 5] and it has been demonstrated in the rabbit ligated ileum model [6], and in vitro colonoids [7], that Shigella can be taken up by M cells. However, Shigella has been reported to target the human colonic crypts where M cells were not present [8], strongly indicating that an alternative route of entry exists. Indeed, the mechanisms by which Shigella species initially adhere to host cells, a prerequisite for subsequent invasion and establishing infection, remains poorly understood.
A role in host cell adhesion has been recently revealed for the essential surface displayed virulence factor IcsA [9]. IcsA is 100% conserved in Shigella species and is a member of the secreted autotransporter (AT) superfamily. IcsA contains a signal sequence (aa 1–52) at its N-terminus for secretion across the inner membrane; a passenger domain (aa 53–740) which confers its function; a β-barrel domain (aa 813–1102) which is responsible for passenger domain translocation across the outer membrane; and an unstructured linker region (aa 741–812) that connects the passenger with the β-barrel. IcsA also belongs to the AIDA subfamily with members that are well characterised adhesins, such as AIDA-I and Ag43, both of which are known to have β-helix passenger structures [10–12]. The IcsA passenger also possesses these β-helix structures [13–16]. IcsA has been well studied with respect to its function in actin based motility (ABM) [17, 18], where polarly distributed IcsA recruits host N-WASP protein [19–21], resulting in the subsequent polymerisation of host cell actin at one pole of the bacterium to facilitate bacterial inter - and intracellular motility [22]. Recently, IcsA has been found contributing to S. flexneri biofilm formation in the presence of bile salt deoxycholate (DOC) by promoting cell-to-cell contact and aggregative bacterial growth [23]. Besides ABM and biofilm formation, however, knockouts of the type 3 secretion tip complex proteins IpaD or IpaB in Shigella flexneri result in polar adhesion to host cells in an IcsA-dependent manner [9]. IcsA was also found to contribute to DOC induced hyper-adherence, and expressing IcsA in E. coli promotes adherence to host cells, confirming that IcsA is sufficient to promote bacterial adherence [9]. While IcsA’s expression level and cellular distribution is not altered in the hyper-adherent Shigella compared to the wild type strain, data suggest that the conformation of IcsA is different in hyper-adherent strains [9].
In this study, the direct role of IcsA in Shigella-host-cell adherence was demonstrated via adherence inhibition with purified IcsA passenger domain, and adherence blocking with anti-IcsA antibodies. Fluorescently labelled IcsA passenger was also able to bind to host cell surfaces. Indirect probing with purified IcsA passenger protein recognised several host molecules through far Western blotting. Through screening of an IcsA 5 aa insertion library [24], the region responsible for adhesin activity was identified and characterised.
Materials and methods
Ethics statement
The anti-GST antibody and anti-IcsA antibody were produced under the National Health and Medical Research Council (NHMRC) Australian Code of Practice for the Care and Use of Animals for Scientific Purposes, and was approved by the University of Adelaide Animal Ethics Committee.
Bacterial strains and tissue culture
The bacterial strains used in this study are listed in S1 Table. For adherence assays, bacterial strains were streaked onto Tryptic Soy Agar with 0.2% (w/v) Congo Red, and after incubation at 37°C overnight, red colonies were selected and incubated in Lysogeny broth (LB) overnight with appropriate antibiotics (tetracycline, 10 μg ml−1; kanamycin, 50 μg ml−1; chloramphenicol, 25 μg ml−1 and ampicillin, 100 μg ml−1). For all assays, overnight bacterial cultures were subcultured (1 : 20) in the presence or absence of 2.5 mM sodium deoxycholate and grown to a mid-exponential phase (OD600 reading of 0.6–0.8) before use.
HeLa cells were maintained and grown in minimal essential medium (MEM) supplemented with L-glutamine, 10% (v/v) fetal calf serum (FCS), and penicillin/streptomycin. Cell cultures were maintained at 37°C with 5% CO2 for growth. The day prior to the bacterial adherence assay and invasion assay, or for microscopy, HeLa cells were seeded at 4.5×105/well into 24-well plates or onto glass coverslips respectively. For plaque assays, HeLa cells were seeded into 6-well plates and were allowed to grow confluent.
Mutagenesis and DNA manipulation
S. flexneri 2a ΔipaD or ΔipaB strains were generated using the λ red mutagenesis method as described previously [25]. Briefly, primers (S2 Table) were designed to PCR amplify the kanamycin cassette flanked with 50 bp of the start and the end of the coding sequences of IpaD or IpaB. The fragments were then electroporated into WT S. flexneri 2457T or a ΔicsA knockout strain to generate ΔipaD/ΔipaB or ΔipaDΔicsA/ΔipaBΔicsA mutant strains. The kanamycin cassette was then eliminated by the introduction of pCP20 to avoid potential polar effects.
Site-directed mutagenesis was performed on pIcsA plasmid [24] using the QuikChange II® system (Agilent) as per the manufacturers protocol. The primers used are listed in S2 Table.
For alanine scanning of the amino region 138 to 148 in the IcsA passenger domain, codons of each amino acid were substituted with a codon of alanine and changed via inverse PCR with the primers listed in S2 Table.
The hyper-adherent mutant library was generated by transforming plasmids from the IcsA 5 aa insertion library [24] into S. flexneri 2a ΔipaDΔicsA via chemical transformation as described by Sambrook and Russell [26].
For IcsA production, the IcsA passenger sequence from amino acid 53 to 740 was amplified using primers MD80/81 (S2 Table) from pIcsA, and cloned into the pBADhisB vector (Invitrogen) between the XhoI and KpnI sites, resulting in pBADhisB::IcsA53-740. The vector was then optimised for purification by inverse PCR to replace the His×6 tag with a N-terminus fused His×12 tag, resulting in pMDBAD::IcsA53-740. For the IcsAΔ138–148 production, the coding sequence of amino acids 138 to 148 in the IcsA passenger domain was deleted via inverse PCR, resulting in pMDBAD::IcsA53-740(Δ138–148).
Protein purification and refolding
For IcsA passenger domain production, an overnight culture of E. coli TOP10 transformed with pMDBAD::IcsA53-740 was sub-cultured 1 in 1000 into auto-induction 2 L Terrific Broth medium [27] that contained a mixture of glucose and arabinose in the ratio of 0.1%:0.3% (w/v), and incubated at 37°C overnight. Cells were then harvested by centrifugation (10,000 ×g, 10 min), resuspended in 80 ml TBS [50 mM Tris, 150 mM NaCl, pH 7.0] and lysed using a cell disruptor (30 kpsi, Constant Systems Ltd) in the presence of two EDTA-free protease inhibitor tablets (Roche). Inclusion bodies (IBs) were recovered by centrifugation of the cell lysates (20,000 ×g, 10 min), and pre-cleaned by detergent wash [50 mM Tris, 1 M NaCl, 2% (v/v) Triton X-100, 4 mM DDM and 2% (w/v) DOC, pH 8.0] to exclude membrane fractions. IcsA passenger protein from the IBs was then solubilised in 50 ml protein solubilisation buffer [8 M urea, 50 mM NaCl, 50 mM Tris, 10 mM imidazole, pH 8] for 2 h, followed by centrifugation (185,000 ×g, 1 hr). Solubilised IcsA passenger protein was then loaded on a His-trap column, washed and eluted with increasing concentration of imidazole. IcsA passenger protein was then further purified through an HiLoad 16/600 Superdex 200pg column (GE Healthcare) and eluted fractions containing purified protein were confirmed by SDS-PAGE. IcsA passenger domain-containing fractions were then pooled and subjected to refolding.
Purified IcsA passenger protein was diluted 1 : 20 into base buffer [50 mM NaCl, 50 mM Tris, pH 8.0] with different screening ingredients or conditions including 10% (v/v) glycerol, 1.5 M NaCl, 1% (v/v) NP-40, 0.5 M urea, 10 mM DTT, 1% (w/v) glycine, 100 mM MgCl2 or pH 7.0. The mixtures were then incubated for 16 h at 4°C, and ultracentrifuged (185,000 ×g, 30 min) to separate the insoluble and soluble fractions. Samples of both insoluble and soluble fractions were compared by electrophoresis into a 12% polyacrylamide SDS-PAGE gel and subjected to Western transfer and Ponceau S staining. Conditions that yielded the least aggregation were then used, and the purified IcsA passenger protein was refolded by dialysing against optimised buffer [0.5 M urea, 10% (v/v) glycerol, 50 mM NaCl and 50 mM Tris-HCl pH 7.0] at room temperature for 48 h. Dialysed IcsA passenger protein was then ultracentrifuged (185,000 ×g, 1 h) and the resulting supernatant was quantified using the protein BCA assay (Thermo Fisher) and stored at -80°C. With this protocol a yield of IcsA of approximately 10 mg protein was obtained from a 2 L overnight culture.
Proteinase accessibility assay
Proteinase accessibility assay was performed as described by May and Morona [24] with modifications. Refolded IcsA passenger protein was incubated with Human Neutrophil Elastase (hNE, EPC Elastin Products) in dialysis buffer at the molecular ratio of 1000 : 1 at 37°C for 1.5 h. Aliquots were taken at different time points (0 min, 5 min, 10 min, 15 min, 30 min, 45 min, 60 min and 90 min) and immediately resuspended with an equal volume of SDS-PAGE sample buffer [29] followed by incubation at 100°C for 10 min. A sample of IcsA passenger protein was also heated at 65°C for 15 min, cooled to room temperature, and digested as above to serve as a control. Fractions taken from different time points were then analysed by SDS-PAGE and stained with Coomassie blue G250 (Sigma).
Fluorescent labelling
For protein labelling, refolded IcsA53-740 protein (that has three cysteine residues available for labelling with Dylight 594 (DL594) maleimide), mutant IcsA protein (IcsA53-740(Δ138–148)), or bovine serum albumin (BSA) protein (Sigma) were incubated with DL594 maleimide (Thermo Fisher) at the molecular ratio of 1 : 2 overnight at room temperature, and subsequently dialysed against dialysis buffer to remove excessive dye. Successfully labelled protein was analysed via SDS-PAGE and the fluorescence was confirmed using a ChemiDoc imaging system (BioRad).
IcsA immunofluorescent labelling on bacterial surfaces was performed as described previously [30]. Briefly, Shigella grown to an OD600 of 0.5 was collected and fixed in PBS containing 3.7% (v/v) formaldehyde and centrifuged onto poly-L-lysine-coated coverslips. Bacteria was then incubated with rabbit anti-IcsA antibody for 1 h, washed with PBS, and labelled with Alexa 488-conjugated donkey anti-rabbit antibody for another 1 h. Samples were then mounted with 20% (v/v) Mowiol 4–88 (Calbiochem), 4 mg ml−1 p-phenylenediamine, and imaged with an Olympus fluorescent microscope (IX-70).
SDS-PAGE and Western blotting
For SDS-PAGE, samples were resuspended in an equal volume of 2× SDS-PAGE sample buffer [29], and immediately heated at 100°C for 10 min. A total of 20 μl from each sample was then electrophoresed on Any kDTM gels (BioRad) or hand-cast 12% SDS acrylamide (BioRad) gels. For Western immunoblotting, samples were then transferred onto a nitrocellulose membrane, blocked with TBST [TBS, 0.05% (v/v) Tween-20] containing 5% (w/v) skim milk, and incubated with rabbit anti-IcsA antibody [28], rabbit anti-GST antibody (in house made), or mouse anti-His antibody (Genscript) for 4 h. The membrane was then washed with TBST and incubated with HRP-conjugated goat anti-mouse antibody (Biomediq DPC) or HRP-conjugated goat anti-rabbit antibody (Biomediq DPC) for 1 h. The membrane was then washed with TBS and incubated with Chemiluminescence Substrate (Sigma) for 5 min. Chemiluminescence was detected using a ChemiDoc imaging system (BioRad).
Confocal microscopy
To visualise the binding of IcsA to host cell surfaces, fluorescently labelled IcsA53-740 protein (2.8 μM), IcsA53-740(Δ138–148) protein (2.8 μM) or BSA protein (5 μM) were added onto confluent HeLa cell monolayers grown on coverslips in 24-well trays and incubated at 37°C with 5% CO2 for 15 min followed by washing with PBS. Monolayers were then fixed with 3.7% (v/v) formaldehyde in PBS, washed with PBS, incubated with 1% (v/v) Triton in PBS for 10 min, and then stained with AlexaFluor 488 phalloidin (Invitrogen) diluted to 1 : 100 in PBS containing 10% (v/v) FCS. Monolayers were then washed with PBS and DNA was stained using 10 μg ml−1 DAPI for 1 min, followed by another PBS wash. Coverslips were then mounted with 20% (v/v) Mowiol 4–88 (Calbiochem), 4 mg ml−1 p-phenylenediamine, and imaged with an Olympus confocal laser scanning microscope (FV3000).
Adherence, invasion and plaque formation assays
For whole cell adherence assays, Shigella grown to an OD600 of 0.4–0.6 were collected, washed with MEM, and inoculated to HeLa cell monolayers at the multiplicity of infection (MOI) of 100. Centrifugation (500 ×g, 5 min) was used as outlined in the results. After 15 min of incubation, HeLa cell monolayers were washed with PBS and lysed using PBS containing 0.1% (v/v) Triton X-100 at 37°C for 10 min. The remaining Shigella bacteria were enumerated by serial dilution plating onto LB agar.
For invasion assays, Shigella grown to an OD600 of 0.4–0.6 in the presence of DOC were used to infect HeLa cell monolayer at the MOI of 100. Gentamycin (40 μg ml-1) was added after 45 min post infection and HeLa monolayers were incubated for another 45 min before being lysed and treated as above.
Plaque formation was performed as described previously [30]. Briefly, HeLa cells grown to confluency in six-well trays were washed with PBS and Dulbecco’s modified Eagle’s medium (DMEM) sequentially before infection with of Shigella (1.25 ×105 cfu) grown to an OD600 of 0.5. At 90 min post infection, an overlay [DMEM, 5% (v/v) FCS, 20 μg ml-1 gentamycin, 0.5% (w/v) agarose] was added to each well. The second overlay containing 0.1% (w/v) Neutral Red was added at 48 h post infection and images of plaques were taken after another 2 h incubation.
Adherence blocking assays using purified IcsA or anti-IcsA antibody
For both adherence blocking assays, HeLa cells grown to confluence were washed with PBS, and replenished with culture medium devoid of antibiotics. For the IcsA adherence blocking assays, IcsA53-740 protein at different concentrations (2.5 μM, 1.25 μM, 250 nM and 25 nM) along with S. flexneri 2a strains were added onto monolayers at the MOI of 100 : 1. After an incubation of 15 min at 37°C with 5% CO2, samples were centrifuged (500 ×g, 5 min) and incubated for another 15 min as above.
For the antibody adherence blocking assays, bacteria were washed with PBS and replenished in the culture medium (as above) and incubated with either rabbit anti-IcsA pAbs (3.125 μg/ml and 0.3125 μg/ml) or rabbit pre-immune serum (concentration of IgG 100 μg/ml) for 15 min. Bacteria with antibodies were then added onto cell monolayers at the MOI of 100 and incubated for another 15 min at 37°C with 5% CO2. For both assays, unbound Shigella bacteria were washed three times with PBS, and monolayers were lysed using 0.1% (v/v) Triton X-100 at 37°C for 10 min. The remaining Shigella bacteria were enumerated by serial dilution plating onto LB agar.
Statistical analysis
The statistical analysis on Shigella adherence and invasion assays was performed using GraphPad Prism 8.0.0. Data were normalised against the relevant control and significance was calculated using either a student t test or one-way ANOVA followed by Dunnett’s multiple comparisons test against the control.
Protein lysates, cell fractionation and far Western blotting
HeLa cells grown to confluence on 100 mm dishes (approximately 8.8×108 cells) were recovered either by using a cell scraper or trypsin digestion, and washed with PBS followed by centrifugation (4,000 ×g, 5 min, 4°C). Pellets were lysed using RIPA buffer [25 mM Tris-HCl, 150 mM NaCl, 1% (v/v) NP-40, 0.5% (w/v) deoxycholate, 0.1% (w/v) SDS, 1 mM Na3VO4, 1 mM phenylmethylsulfonyl fluoride (PMSF), 10 μg/ml leupeptin] as described previously [31]. Lysates were then ultracentrifuged (185,000 ×g, 30 min, 4°C) and resuspended in the same volume of SDS-PAGE sample buffer, incubated at 95°C for 10 min, then electrophoresed into a 4–12% gradient SDS-PAGE gel (Thermo Fisher) and transferred onto a nitrocellulose membrane.
Cell fractionation was performed as described by Laarmann and Schmidt [32]. Briefly, HeLa cells were scraped from the 100 mm dishes into PBS containing 1 mM Pefabloc and 10 μg ml−1 leupeptin, and then sonicated on ice. The sonicated mix was then ultracentrifuged (108,000 ×g, 30 min, 4°C). The supernatant was isolated as the cytosolic fraction and the pellet was washed with PBS before resuspension in buffer containing 0.1 M Na2CO3/1 M NaCl (pH 11) and incubated on ice for 30 min. The extracted membrane lysate was then ultracentrifuged as above, resulting in a membrane associated fraction in the supernatant and the integral membrane fraction in the pellet. The pellet was solubilised in 2% (w/v) CHAPS in sonication buffer, and ultracentrifuged again, resulting in the detergent resistant integral membrane fraction in the pellet. All fractions were solubilised in SDS-PAGE sample buffer incubated at 95°C for 10 min, then electrophoresed into a 4–12% gradient SDS-PAGE gel (Thermo Fisher), and transferred onto a nitrocellulose membrane.
For far Western blotting, the membrane was blocked in 5% (w/v) skim milk in TBST [50 mM Tris, pH 7.0, 150 mM NaCl, 0.1% Tween 20] and incubated with 12.5 μg IcsA53-740 or IcsA53-740(Δ138–148) in TBST with 5% (w/v) skim milk overnight at 4°C. The membrane was then washed with TBS three times and the interaction between IcsA53-740 or IcsA53-740(Δ138–148) and host cell proteins was detected with the anti-IcsA antibody as above.
N-WASP pull down
For N-WASP pull down experiments, approximately 60 μg mini-N-WASP-GST protein purified as described previously [33] was mixed with either 12.5 μg IcsA53-740 or IcsA53-740(Δ138–148), and incubated with 200 μl glutathione SepharoseTM 4B (GE Healthcare) resin overnight at 4°C. IcsA53-740 and IcsA53-740(Δ138–148) were mixed with or without GST, incubated with glutathione SepharoseTM 4B (GE Healthcare) resin and served as controls. Resins were washed sequentially with PBS; PBS containing 1 mM DTT; PBS containing 0.1% (v/v) NP-40; and PBS for three times each. Protein was eluted in 50 μl PBS containing 20 mM reduced glutathione.
IcsA structure prediction
The structure of IcsA passenger was acquired using I-TASSER [34] and analysed using Chimera [35].
Results
Purification of IcsA passenger protein and refolding
In order to validate the role of IcsA in Shigella adherence in vitro, the IcsA passenger domain (53–740) without the previously described unstructured region (741–758) [15] was expressed from a pBAD vector with an N-terminal His×12 tag for purification (S1A Fig). IcsA53-740 was purified from urea solubilised inclusion bodies via nickel affinity purification. Fractions containing IcsA53-740 were pooled and further purified by size exclusion chromatography (S1B Fig) and refolded via dialysis. This purification strategy has significant advantages including high yields and reduced endogenous degradation of the autotransporter passenger domain, a type of domain family that is notoriously difficult to purify in a stable and soluble state.
Since human neutrophil elastase (hNE) has been reported to specifically target Shigella surface virulence factors [36] and has previously been used to assess the conformation and folding of IcsA [9], we conducted hNE digestions on the purified IcsA53-740 to assess the success of refolding. The purified IcsA53-740 showed several resistant fragments, with sizes of approximately 70 kDa, 60 kD, 40 kDa, 12 kDa and 5 kDa (S1D Fig), suggesting that the protein has a compact structure which is resistant to hNE proteolysis. Heat denaturation at 65°C for 5 min resulted in IcsA53-740 becoming susceptible to hNE, with complete digestion into fragments less than 15 kDa within the first 5 min (S1E Fig). In addition, the refolded IcsA53-740 was able to interact with mini-N-WASP protein (S2 Fig). Together, these data suggest that the purified IcsA53-740 was successfully refolded and was functional after purification from inclusion bodies.
Adherence of hyper-adhesion Shigella mutants is highly IcsA dependent
While previous data strongly indicated that IcsA has adhesin activity [9], this has not been directly demonstrated. We hypothesised that the passenger domain of IcsA directly binds specifically to host cell surface factors in a way that pre-treatment of host cells with purified IcsA53-740 would block the adherence of subsequently added S. flexneri. As expected, an ΔipaD mutant strain exhibited an increased adherence phenotype to HeLa cells compared to wild type S. flexneri (Fig 1A). This increase in adherence is dependent on the presence of IcsA because deletion of IcsA abolished the hyper-adherence (Fig 1A). More importantly, addition of the purified IcsA53-740, but not the dialysis buffer or BSA protein, was able to inhibit the adherence of the ΔipaD mutant to HeLa cells in a dose dependent manner (Fig 1A). This inhibition was also confirmed for a hyper-adherent ΔipaB mutant (S3 Fig). Moreover, these data also confirmed that the purified IcsA53-740 protein was folded in a functional conformation. To confirm that endogenous IcsA on the bacterial surface has a direct contribution to the adherence observed for the ΔipaD mutant, an adherence blocking assay using polyclonal anti-IcsA antibodies was also conducted (Fig 1B). It was found that pre-treatment of bacteria with anti-IcsA antibodies, but not the rabbit pre-immune serum, was able to significantly block the adherence of the ΔipaD mutant to host cells (Fig 1B). Collectively, these data confirmed a direct role of IcsA in the S. flexneri hyper-adherence activity exhibited by ΔipaD and ΔipaB mutants.
Fig. 1. Inhibition of the IcsA-mediated adherence by purified IcsA passenger protein and anti-IcsA antibodies. A. IcsA adherence blocking assay. Shigella grown to an OD600 of 0.5 were collected and used to infect HeLa cell monolayer at the MOI of 100. Purified IcsA53-740 protein at the concentration of 2.5 μM (IcsA100), 1.25 μM (IcsA50), 250 nM (IcsA10) and 25 nM (IcsA1) were applied at the same time. Refolding buffer and BSA at the concentration of 2.8 μM were used as negative controls. After 15 min incubation, the cell monolayers were washed and lysed. Lysates were serial diluted before dotting on an agar plate for enumeration. Data are normalised against ΔipaD (defined as 100%) and are the mean with SEM of three independent experiments. Significance was calculated using one-way ANOVA followed by Dunnett’s multiple comparisons test against ΔipaD, and p values are as follows: **, p<0.01; ***, p<0.001. B. Antibody adherence blocking assay. Shigella grown to an OD600 of 0.5 were collected and incubated with 3.125 μg/ml (αIcsA10), 0.3125 μg/ml (αIcsA1) of anti-IcsA antibodies or rabbit pre-immune serum with 100 μg/ml IgG for 15 min before infecting HeLa cell monolayers at the MOI of 100. After an extend 15 min incubation, cell monolayers were treated as in A. Data are normalised against the ΔipaD (defined as 100%) and are the mean with SEM of three independent experiments. Significance was calculated using a student t test, and p values are as follows: **, p<0.01. IcsA binds specifically to the host cells
Evidence was next generated to determine whether that the IcsA passenger domain binds specifically to host cell molecules as potential receptors for adherence. The purified IcsA53-740 was fluorescently labelled by reacting with DL594 maleimide (Fig 2A). BSA protein labelled with DL594 was used as a control (Fig 2A). Unlike the control BSA - DL594, IcsA53-740 - DL594 was detected on the surface of the HeLa cells (Fig 2B). To investigate whether the interaction between IcsA53-740 and the HeLa cell surface was specified by a host cell displayed factor, trypsin treated, or untreated HeLa cells lysates were subjected to far Western blotting with IcsA53-740 protein (Fig 3A). Two trypsin sensitive molecules (~60 kDa and >200 kDa) were recognised by IcsA53-740 protein (Fig 3A). The anti-IcsA antibody showed no cross reaction to the HeLa cell lysate (Fig 3A). To further validate the cell surface location of these IcsA targets, HeLa cells were fractionated (Fig 3B), and subjected to far Western blotting with purified IcsA53-740. IcsA interacting components from integral membrane fractions (Fig 3B, lane 4) were detected and two of which were corresponding in size (>200 kDa and ~60 kDa) to the trypsin sensitive molecules from whole cell lysate (Fig 3A). Apart from these two molecules, we also detected bands at approximately 25 kDa and 20 kDa that interacted with IcsA53-740 (Fig 3B lane 4). A molecule at ~ 200 kDa was detected across the all fractions (Fig 3B, lane 1, 2 & 4). These data suggest that the interactions between the IcsA53-740 passenger domain and the host cell surface is specific and complex.
Fig. 2. IcsA binds to the surface of HeLa cells. A. Fluorescent labelling of IcsA53-740. IcsA53-740 protein and BSA protein were reacted with DL594 maleimide overnight and dialysed against protein solubilisation buffer. Labelled fluorescent protein probes were detected at the 650 nm after SDS-PAGE. B. IcsA53-740-DL594 labelled HeLa cells. IcsA53-740-DL594 at the concentration of 2.8 μM was applied to cells for 15 min. Samples were then permeabilised and stained with phalloidin and DAPI sequentially. Images were acquired by confocal microscopy with the orthogonal view (position as shown by the dashed yellow line) of a z stack shown below. Cells were stained in the same way with BSA-DL594at 28 μM as a negative control. Scale bars = 10 μm. Fig. 3. Interactions between IcsA passenger protein and host cell molecules. A. Far Western blotting of HeLa cell lysates with IcsA53-740. Confluent HeLa cells were recovered either by trypsinisation or cell scraper and lysed by RIPA buffer. Lysates were then separated by SDS-PAGE, transferred onto a nitrocellulose membrane, and probed with IcsA53-740 passenger protein or BSA as a negative control. Membranes were subsequently probed with anti-IcsA antibody. B. Far Western blotting of HeLa cell fractions with IcsA53-740. HeLa cells were lysed and cytosolic and membrane fractions were isolated. All fractions were subjected to far Western blotting, as in A. IcsA amino acid region 138–148 is required for adhesion
To identify functional regions required in adhesin activity, we utilised our previously generated plasmid collection that express IcsA mutants harbouring 5 amino acid insertions across the passenger domain [24] to screen for defects in S. flexneri adherence. These plasmids were introduced into S. flexneri ΔipaDΔicsA and transformants were used in adherence assays with HeLa cells. In a preliminary experiment attempting to repeat the result of Brotcke-Zumsteg, Goosmann, et al. [9], the IcsAi148 mutant but not the IcsAi386 mutant had an adherence defect (S4A Fig). The screening was then focused on the N-terminus of IcsA passenger domain and three sites (i138, i140 and i148) were found to result in mutated IcsA protein having significant defect in adherence activity (S4B Fig). To further investigate this region (138–148), the amino acids from 138 to 148 were each substituted for alanine and the resulting mutants were screened via HeLa adherence assays (S4C Fig). However, none of these mutants conferred a significant defect in adherence indicating that a larger region, rather than individual residues, drives host receptor interactions. Subsequently, the adjacent amino acids to the i138, i140 and i148 insertion sites (138 and 139, 140 and 141, and 148 and 149 respectively) were randomly substituted and screened for the defects in adherence. Two IcsA mutants (IcsAI138P and IcsAQ148C/G149N) were found to cause complete loss of IcsA adherence function (Fig 4A). A deletion spanning this region (IcsAΔ138–148), was likewise defective in adherence (Fig 4B). To rule out any confounding effects caused by centrifugation, adherence assays were also performed with passive settling of bacteria (Fig 4C). Compared to the point mutants IcsAI138P and IcsAQ148C/G149N, the deletion mutant (IcsAΔ138–148) was found to have the greatest defect in adherence (Fig 4C).
Fig. 4. Identification of IcsA adherence function regions. A. Screening for adherence related regions using IcsA point mutants and adherence assays. Mid-exponential phase S. flexneri were collected and used to infect HeLa cell monolayers at a MOI of 100 for 15 min. Monolayers were washed, lysed, and lysates were serial diluted before spotting on an agar plate for enumeration. Data are normalised against ΔipaD (defined as 100%) and are the mean with SEM of three independent experiments. Significance was calculated using one-way ANOVA followed by Dunnett’s multiple comparisons test against ΔipaDΔicsA[pIcsA], and p values are as follows: *, p<0.05. B. Adherence assay of the IcsAΔ138–148 mutant. Significance was calculated using a student t test, and p values are as follows: *, p<0.05. C. Adherence assay of IcsA adherent defective mutants. Adherence assays were performed as above with passive settling of bacteria. Significance was calculated using a student t test, and p values are as follows: *, p<0.05. The adherence functional region 138 to 148 is within the glycine repeat region [24], thus deletion of this region might affect IcsA biogenesis and/or its ABM function. To test this, the expression, polar localisation, and ABM function of IcsAΔ138–148 were confirmed by Western blotting (S5A Fig), immunofluorescent staining (S5B Fig), and plaque formation (S5C Fig) respectively. There was no difference in IcsA expression level, its surface localisation, and the size of plaques formed, between IcsA and IcsAΔ138–148. This rules out any major defects in IcsA biogenesis and ABM function for this mutant.
To validate that IcsAΔ138–148 has a defect in adherence in vitro, IcsA53-740(Δ138–148) was expressed, purified, and refolded in an equivalent manner to IcsA53-740. Refolded IcsA53-740(Δ138–148) was able to interact with mini-N-WASP protein in vitro (S2 Fig), confirming that the region 138–148 is not essential for IcsA’s ABM function, and that purified IcsA53-740(Δ138–148) protein was functional. However, relative to IcsA53-740, IcsA53-740(Δ138–148) was unable to block the adherence of S. flexneri ΔipaD (Fig 5A). Moreover, in far Western blotting of HeLa cell lysates, unlike IcsA53-740, IcsA53-740(Δ138–148) had greatly reduced interaction with host molecules (Fig 5B), given that the deletion of 138–148 did not affect the recognition via anti-IcsA antibody (S2 Fig). Fluorescently labelled IcsA53-740(Δ138–148) (Fig 6A) was prepared and used to label HeLa cells, but no staining was detected (Fig 6C). These data further supporting the notion that residues 138 to 148 affect IcsA’s adhesin function.
Fig. 5. Confirmation of the IcsA adherence related region 138–148. A. IcsA adherence blocking assay. Shigella grown to an OD600 of 0.5 were collected and used to infect HeLa cell monolayer at the MOI of 100. Purified wild type (IcsA53-740) or mutant (IcsA53-740(Δ138–148)) IcsA passenger protein at the concentration of 1.25 μM were applied at the same time. Refolding buffer was used as a negative control. After 15 min incubation, the cell monolayers were washed and lysed. Lysates were serial diluted before dotting on an agar plate for enumeration. Data are normalised against the mean of ΔipaD (defined as 100%) and are the mean with SEM of three independent experiments. Significance was calculated using a student t test, and p values are as follows: **, p<0.01. B. Far Western blotting of HeLa cell lysates with wild type (IcsA53-740) or mutant (IcsA53-740(Δ138–148)) IcsA passenger protein. HeLa cells grown on 100 mm dish were recovered either by trypsin or cell scraper, and lysed by RIPA buffer. Lysates were then separated by 12% SDS-PAGE, transferred onto a nitrocellulose membrane, and probed by either IcsA53-740 or mutant IcsA53-740(Δ138–148) protein (12.5 μg) overnight at 4°C. The membrane was then washed by TBST and subjected to Western blotting with anti-IcsA antibody. Note that B contains two membranes (indicated by the dashed line) that were incubated with antibodies and imaged together. Fig. 6. IcsAΔ138–148 is defective in binding to HeLa cells. A. Fluorescent labelling of IcsA53-740 and IcsA53-740(Δ138–148). IcsA53-740and IcsA53-740(Δ138–148) were reacted with DL594 maleimide overnight and dialysed against protein solubilisation buffer. Labelled fluorescent protein probes were detected at the 650 nm after SDS-PAGE. B. IcsA53-740 protein labelled HeLa cells. IcsA53-740-DL594 at the concentration of 1.5 μM was applied in the assay. After an incubation of 15 min with HeLa monolayers, samples were then permeabilised and stained with phalloidin and DAPI sequentially. Image was acquired by confocal microscopy. C. IcsA53-740(Δ138–148) protein labelled HeLa cells. IcsA53-740(Δ138–148)-DL594 at the concentration of 1.5 μM was applied in the assay and samples were treated the same as in A. Scale bars = 10 μm. In the human gut, Shigella virulence is activated by, among other stimuli, bile salt components such as DOC [37].The impact of the aa 138–148 region on DOC induced hyper-adherence was investigated. As expected, DOC at the physiological concentration 2.5 mM was able to enhance the adherence of Shigella significantly (Fig 7A). However, the IcsAΔ138–148 mutant displayed a significant defect in the DOC enhanced adherence (Fig 7A), which again confirmed that the region from 138–148 is required for the IcsA-mediated adherence. Moreover, invasion of HeLa cells by S. flexneri ΔicsA complemented with IcsAΔ138–148 to HeLa cells was also significantly attenuated (Fig 7B), indicating that the IcsA-mediated adherence is required for Shigella invasion.
Fig. 7. The adherence region IcsA 138–148 is required for Shigella adhesion and invasion during DOC stimulation. A. Adherence assay. Shigella grown to an OD600 of 0.5 in the presence of 2.5 mM DOC were collected and used to infect HeLa cell monolayer at the MOI of 100. After 15 min incubation, the cell monolayers were washed and lysed. Lysates were serial diluted before dotting on an agar plate for enumeration. Data are normalised against 2457T (defined as 100%) and are the mean with SEM of three independent experiments. B. Invasion assay. Shigella grown to an OD600 of 0.5 in the presence of 2.5 mM DOC were collected and used to infect HeLa cell monolayer at the MOI of 100. At the 45 min post-infection, gentamicin was added and incubated with the cell monolayers for another 45 min. Cell monolayers were then treated as in A. Significance was calculated using a student t test, and p values are as follows: *, p<0.05; **, p<0.01. Discussion
In this work we have generated evidence that IcsA directly contributes to adherence of Shigella species to host cells. We were able to block the hyper-adherence phenotype of S. flexneri ΔipaD strains using either purified IcsA53-740 passenger domain or anti-IcsA antibody. Purified IcsA53-740 was able to bind host cell surfaces and recognised a multitude of host cell molecules. In addition, IcsA residues 138–148 were shown to be critical for adhesin function and purified IcsA53-740(Δ138–148) could no longer block Shigella adherence to host cells and was unable to recognise host cell molecules via far Western immunoblotting.
IcsA does not have detectable adherence activity in wild-type S. flexneri unless exposed to environmental stimuli (such as DOC) [37], or via activation of the T3SS [9]. IcsA adherence activity is strongly associated to a conformational change as detected by proteinase accessibility [9]. Nevertheless, in E. coli, heterogeneously expressed IcsA can promote bacterial adherence to host cells [9], presumably because the conformation, stimuli, folding, or modification of IcsA is different to that of the S. flexneri. Indeed, through hNE digestion analysis on our refolded IcsA53-740, we detected a resistant fragment of ~40 kD similarly to that reported previously for the hNE digestion of IcsA on intact S. flexneri bacteria [9], where a fragment around 40 kDa was more resistant to degradation by hNE in those strains with increased IcsA-mediated adherence. It is plausible that in Shigella, IcsA’s function in adherence is carefully downregulated by some mechanism governed by the T3SS before it encounters an environmental cue, such as DOC, whereas in E. coli, lack of such a regulating system allows IcsA to exert its adherence function constitutively.
The purified and refolded IcsA53-740 passenger domain retains its activity as a Shigella adhesin. Due to this, pre-incubation of the HeLa cells with purified IcsA53-740protein blocks the adherence of S. flexneri ΔipaD and ΔipaB strain. The minimum IcsA concentration in our experiments showing significant adherence blocking was 1.25 μM, which is approximately 10,000 times to the IcsA molecules expressed per input bacteria, assuming that each bacterium expresses approximately 4,000 IcsA molecules on the surface [38]. This is likely because purified IcsA53-740 must bind to many host cell receptors to block adherence. Indeed, comparable concentrations of antigens were also used to block virus entry [39] and bacteria adherence [40] to host cells. This is also supported by both the fluorescent labelling of HeLa cell surface and the far Western immunoblotting with purified IcsA53-740, indicating a specific and complex interaction between IcsA and host cells. It was not surprising that IcsA53-740 recognised other molecules from both cytosolic and membrane associated fractions, as IcsA is known to interact with cytosolic molecules responsible for actin based motility [19] and is recognised by host cell autophagic systems [41]. In our antibody blocking assay, the anti-IcsA antibody at 3.125 μg/ml blocked the Shigella adherence significantly, which is comparable to the concentrations of antibodies used in other studies [42–44]. Given that our data support a model where IcsA may recognise multiple receptors on host cells, and that anti-IcsA antibodies were able to neutralise Shigella adherence in vitro, this strongly suggests that the IcsA passenger domain has excellent vaccine potential.
The previous study using our IcsA insertion library found insertions at sites 148 and 386 affected IcsA-mediated Shigella adherence [9]. However, in the present study i138, i140, and i148, but not i386, were found to result in decreased IcsA-mediated adherence. The discrepancy at the site 386 is possibly due to the differences in the screening system. In the previous study [9], IcsA mutants with normal ABM function and defects in DOC-enhanced Shigella invasion were selected, whereas in this study, the adherence region was screened directly by assessing the adherence of Shigella IcsA insertion mutants to HeLa cells. While alanine scanning mutagenesis of the region 138–148 showed no significant defect in adherence, it is likely that the entire region 138–148 is required for multiple contacts between IcsA and host cell receptors such that the overall interface stability between IcsA and receptor cannot be significantly reduced by any single alanine substitution. Nevertheless, site-directed mutagenesis on the IcsAi-adjacent amino acids revealed substitution mutants (I138P and Q148C/G149N) that resulted in significant defects in adherence. Moreover, deletion of the entire region (138–148) in the IcsA passenger domain also reproduced the defect of the 5aa insertions, and was much more severe compared to the double mutants.
We speculate that this 138–148 IcsA region is involved in host cell receptor binding events. Indeed, in a predicted IcsA passenger structure (S6 Fig), the predicted β-rung harbouring aa 138–148 is smaller than the adjacent β-helixes and generates a groove in the IcsA passenger domain that might function as a putative receptor binding cleft. The Q148C found next to another cysteine (C130) in space located on the adjacent β-strand in the β-helix potentially allows the formation of a disulfide bond that might obstruct this binding cleft. Furthermore, purified mutant IcsA53-740(Δ138–148) passenger domain was unable to block adherence and showed reduced interactions to host cell components further supporting our speculations that this region might be a binding cleft for host receptors. Even DOC-stimulated hyper-adherence of S. flexneri expressing mutant IcsA (IcsAΔ138–148) consistently showed a defect in adherence and host cell invasion. IcsA has established functional roles in binding of host cell cytosolic factors to nucleate ABM, and the IcsA passenger domain can also accommodate further functions in adhesion via a specific binding region. Therefore, IcsA is a truly multifunctional virulence factor providing an avenue for Shigella to quickly respond to the pathogenic niche for adhesion, invasion, and spreading [45].
Supporting information
S1 Fig [s]
Expression, purification and refolding of the IcsA passenger protein.S2 Fig [upper]
Purified IcsA protein was able to interact with mini-N-WASP.S3 Fig [icsa1]
Inhibition of the IcsA-mediated adherence of with IcsA protein.S4 Fig [tif]
Screening of the IcsA mutants via adherence assays.S5 Fig [tif]
The region 138–148 does not affect IcsA’s expression, localization and ABM function.S6 Fig [tif]
Structural analysis of the amino group substitution sites in the IcsA passenger domain.S1 Raw Images [pdf]
Raw image files of Western immunoblotting and SDS-PAGE gels in the manuscript.S1 Table [pdf]
Strains and plasmids.S2 Table [pdf]
Oligonucleotides.
Zdroje
1. Speelman P, Kabir I, Islam M. Distribution and spread of colonic lesions in shigellosis: a colonoscopic study. J Infect Dis. 1984;150(6):899–903. Epub 1984/12/01. doi: 10.1093/infdis/150.6.899 6501931.
2. Good RC, May BD, Kawatomari T. Enteric pathogens in monkeys. J Bacteriol. 1969;97(3):1048–55. Epub 1969/03/01. 4180466; PubMed Central PMCID: PMC249813.
3. Kotloff KL, Riddle MS, Platts-Mills JA, Pavlinac P, Zaidi AKM. Shigellosis. Lancet. 2018;391(10122):801–12. Epub 2017/12/20. doi: 10.1016/S0140-6736(17)33296-8 29254859.
4. Kozyreva VK, Jospin G, Greninger AL, Watt JP, Eisen JA, Chaturvedi V. Recent outbreaks of shigellosis in California caused by two distinct populations of Shigella sonnei with either increased virulence or fluoroquinolone resistance. Msphere. 2016;1(6). Epub 2016/12/29. doi: 10.1128/mSphere.00344-16 28028547; PubMed Central PMCID: PMC5177732.
5. Anand BS, Malhotra V, Bhattacharya SK, Datta P, Datta D, Sen D, et al. Rectal histology in acute bacillary dysentery. Gastroenterology. 1986;90(3):654–60. Epub 1986/03/01. doi: 10.1016/0016-5085(86)91120-0 3510937.
6. Wassef JS, Keren DF, Mailloux JL. Role of M cells in initial antigen uptake and in ulcer formation in the rabbit intestinal loop model of shigellosis. Infect Immun. 1989;57(3):858–63. Epub 1989/03/01. 2645214; PubMed Central PMCID: PMC313189.
7. Ranganathan S, Doucet M, Grassel CL, Delaine-Elias B, Zachos NC, Barry EM. Evaluating Shigella flexneri pathogenesis in the human enteroid model. Infect Immun. 2019;87(4). Epub 2019/01/16. doi: 10.1128/IAI.00740-18 30642900; PubMed Central PMCID: PMC6434113.
8. Arena ET, Campbell-Valois FX, Tinevez JY, Nigro G, Sachse M, Moya-Nilges M, et al. Bioimage analysis of Shigella infection reveals targeting of colonic crypts. Proc Natl Acad Sci U S A. 2015;112(25):E3282–90. Epub 2015/06/10. doi: 10.1073/pnas.1509091112 26056271; PubMed Central PMCID: PMC4485126.
9. Brotcke-Zumsteg A, Goosmann C, Brinkmann V, Morona R, Zychlinsky A. IcsA is a Shigella flexneri adhesin regulated by the type III secretion system and required for pathogenesis. Cell Host Microbe. 2014;15(4):435–45. doi: 10.1016/j.chom.2014.03.001 24721572
10. Emsley P, Charles IG, Fairweather NF, Isaacs NW. Structure of Bordetella pertussis virulence factor P.69 pertactin. Nature. 1996;381(6577):90–2. Epub 1996/05/02. doi: 10.1038/381090a0 8609998.
11. Charbonneau ME, Janvore J, Mourez M. Autoprocessing of the Escherichia coli AIDA-I autotransporter: a new mechanism involving acidic residues in the junction region. J Biol Chem. 2009;284(25):17340–51. Epub 2009/04/29. doi: 10.1074/jbc.M109.010108 19398552; PubMed Central PMCID: PMC2719369.
12. Heras B, Totsika M, Peters KM, Paxman JJ, Gee CL, Jarrott RJ, et al. The antigen 43 structure reveals a molecular Velcro-like mechanism of autotransporter-mediated bacterial clumping. Proc Natl Acad Sci U S A. 2014;111(1):457–62. Epub 2013/12/18. doi: 10.1073/pnas.1311592111 24335802; PubMed Central PMCID: PMC3890832.
13. Doyle MT, Tran EN, Morona R. The passenger-associated transport repeat promotes virulence factor secretion efficiency and delineates a distinct autotransporter subtype. Mol Microbiol. 2015;97(2):315–29. Epub 2015/04/15. doi: 10.1111/mmi.13027 25869731.
14. Doyle MT, Grabowicz M, Morona R. A small conserved motif supports polarity augmentation of Shigella flexneri IcsA. Microbiology. 2015;161(11):2087–97. Epub 2015/09/01. doi: 10.1099/mic.0.000165 26315462.
15. Kuhnel K, Diezmann D. Crystal structure of the autochaperone region from the Shigella flexneri autotransporter IcsA. J Bacteriol. 2011;193(8):2042–5. Epub 2011/02/22. doi: 10.1128/JB.00790-10 21335457; PubMed Central PMCID: PMC3133035.
16. Leupold S, Busing P, Mas PJ, Hart DJ, Scrima A. Structural insights into the architecture of the Shigella flexneri virulence factor IcsA/VirG and motifs involved in polar distribution and secretion. J Struct Biol. 2017;198(1):19–27. Epub 2017/03/08. doi: 10.1016/j.jsb.2017.03.003 28268178.
17. Goldberg MB, Barzu O, Parsot C, Sansonetti PJ. Unipolar localization and ATPase activity of IcsA, a Shigella flexneri protein involved in intracellular movement. Infect Agents Dis. 1993;2(4):210–1. Epub 1993/08/01. 8173795.
18. Goldberg MB, Theriot JA. Shigella flexneri surface protein IcsA is sufficient to direct actin-based motility. Proc Natl Acad Sci U S A. 1995;92(14):6572–6. Epub 1995/07/03. doi: 10.1073/pnas.92.14.6572 7604035; PubMed Central PMCID: PMC41560.
19. Teh MY, Morona R. Identification of Shigella flexneri IcsA residues affecting interaction with N-WASP, and evidence for IcsA-IcsA co-operative interaction. PloS one. 2013;8(2):e55152. Epub 2013/02/14. doi: 10.1371/journal.pone.0055152 23405119; PubMed Central PMCID: PMC3566212.
20. Suzuki T, Sasakawa C. N-WASP is an important protein for the actin-based motility of Shigella flexneri in the infected epithelial cells. Jpn J Med Sci Biol. 1998;51 Suppl:S63–8. Epub 1999/04/22. doi: 10.7883/yoken1952.51.supplement1_s63 10211437.
21. Suzuki T, Mimuro H, Suetsugu S, Miki H, Takenawa T, Sasakawa C. Neural Wiskott-Aldrich syndrome protein (N-WASP) is the specific ligand for Shigella VirG among the WASP family and determines the host cell type allowing actin-based spreading. Cell Microbiol. 2002;4(4):223–33. Epub 2002/04/16. doi: 10.1046/j.1462-5822.2002.00185.x 11952639.
22. Egile C, Loisel TP, Laurent V, Li R, Pantaloni D, Sansonetti PJ, et al. Activation of the CDC42 effector N-WASP by the Shigella flexneri IcsA protein promotes actin nucleation by Arp2/3 complex and bacterial actin-based motility. J Cell Biol. 1999;146(6):1319–32. Epub 1999/09/24. doi: 10.1083/jcb.146.6.1319 10491394; PubMed Central PMCID: PMC2156126.
23. Koseoglu VK, Hall CP, Rodriguez-Lopez EM, Agaisse H. The autotransporter IcsA promotes Shigella flexneri biofilm formation in the presence of bile salts. Infect Immun. 2019;87(7):e00861–18. Epub 2019/04/17. doi: 10.1128/IAI.00861-18 30988059; PubMed Central PMCID: PMC6589070.
24. May KL, Morona R. Mutagenesis of the Shigella flexneri autotransporter IcsA reveals novel functional regions involved in IcsA biogenesis and recruitment of host neural Wiscott-Aldrich syndrome protein. J Bacteriol. 2008;190(13):4666–76. Epub 2008/05/06. doi: 10.1128/JB.00093-08 18456802; PubMed Central PMCID: PMC2446779.
25. Datsenko KA, Wanner BL. One-step inactivation of chromosomal genes in Escherichia coli K-12 using PCR products. Proc Natl Acad Sci U S A. 2000;97(12):6640–5. Epub 2000/06/01. doi: 10.1073/pnas.120163297 10829079; PubMed Central PMCID: PMC18686.
26. Sambrook J, Russell DW. The inoue method for preparation and transformation of competent E. Coli: "ultra-competent" cells. CSH Protoc. 2006;2006(1). Epub 2006/01/01. doi: 10.1101/pdb.prot3944 22485385.
27. Tartoff KD, Hobbs CA. Improved media for growing plasmid and cosmid clones. Bethesda Research Laboratories Focus. 1987;9(12).
28. Van den Bosch L, Manning PA, Morona R. Regulation of O-antigen chain length is required for Shigella flexneri virulence. Mol Microbiol. 1997;23(4):765–75. Epub 1997/02/01. doi: 10.1046/j.1365-2958.1997.2541625.x 9157247.
29. Lugtenberg B, Meijers J, Peters R, van der Hoek P, van Alphen L. Electrophoretic resolution of the ‘major outer membrane protein’ of Escherichia coli K12 into four bands. FEBS Lett. 1975;58(1–2):254–8. doi: 10.1016/0014-5793(75)80272-9
30. May KL, Grabowicz M, Polyak SW, Morona R. Self-association of the Shigella flexneri IcsA autotransporter protein. Microbiology. 2012;158(Pt 7):1874–83. Epub 2012/04/21. doi: 10.1099/mic.0.056465-0 22516224.
31. Suzuki T, Miki H, Takenawa T, Sasakawa C. Neural Wiskott-Aldrich syndrome protein is implicated in the actin-based motility of Shigella flexneri. The EMBO journal. 1998;17(10):2767–76. Epub 1998/06/10. doi: 10.1093/emboj/17.10.2767 9582270; PubMed Central PMCID: PMC1170617.
32. Laarmann S, Schmidt MA. The Escherichia coli AIDA autotransporter adhesin recognizes an integral membrane glycoprotein as receptor. Microbiology. 2003;149(Pt 7):1871–82. Epub 2003/07/12. doi: 10.1099/mic.0.26264-0 12855738.
33. Papayannopoulos V, Co C, Prehoda KE, Snapper S, Taunton J, Lim WA. A polybasic motif allows N-WASP to act as a sensor of PIP(2) density. Mol Cell. 2005;17(2):181–91. Epub 2005/01/25. doi: 10.1016/j.molcel.2004.11.054 15664188.
34. Roy A, Kucukural A, Zhang Y. I-TASSER: a unified platform for automated protein structure and function prediction. Nat Protoc. 2010;5(4):725–38. Epub 2010/04/03. doi: 10.1038/nprot.2010.5 20360767; PubMed Central PMCID: PMC2849174.
35. Pettersen EF, Goddard TD, Huang CC, Couch GS, Greenblatt DM, Meng EC, et al. UCSF Chimera—a visualization system for exploratory research and analysis. J Comput Chem. 2004;25(13):1605–12. Epub 2004/07/21. doi: 10.1002/jcc.20084 15264254.
36. Weinrauch Y, Drujan D, Shapiro SD, Weiss J, Zychlinsky A. Neutrophil elastase targets virulence factors of enterobacteria. Nature. 2002;417(6884):91–4. Epub 2002/05/23. doi: 10.1038/417091a 12018205.
37. Pope LM, Reed KE, Payne SM. Increased protein secretion and adherence to HeLa cells by Shigella spp. following growth in the presence of bile salts. Infect Immun. 1995;63(9):3642–8. Epub 1995/09/01. 7642302; PubMed Central PMCID: PMC173505.
38. Magdalena J, Goldberg MB. Quantification of Shigella IcsA required for bacterial actin polymerization. Cell Motil Cytoskel. 2002;51(4):187–96. Epub 2002/04/27. doi: 10.1002/cm.10024 11977093.
39. Tiwari V, Liu J, Valyi-Nagy T, Shukla D. Anti-heparan sulfate peptides that block herpes simplex virus infection in vivo. J Biol Chem. 2011;286(28):25406–15. Epub 2011/05/21. doi: 10.1074/jbc.M110.201103 21596749; PubMed Central PMCID: PMC3137111.
40. Rose L, Shivshankar P, Hinojosa E, Rodriguez A, Sanchez CJ, Orihuela CJ. Antibodies against PsrP, a novel Streptococcus pneumoniae adhesin, block adhesion and protect mice against pneumococcal challenge. J Infect Dis. 2008;198(3):375–83. Epub 2008/05/30. doi: 10.1086/589775 18507531.
41. Ogawa M, Yoshimori T, Suzuki T, Sagara H, Mizushima N, Sasakawa C. Escape of intracellular Shigella from autophagy. Science. 2005;307(5710):727–31. Epub 2004/12/04. doi: 10.1126/science.1106036 15576571.
42. Zhao WD, Liu DX, Wei JY, Miao ZW, Zhang K, Su ZK, et al. Caspr1 is a host receptor for meningitis-causing Escherichia coli. Nat Commun. 2018;9(1):2296. Epub 2018/06/14. doi: 10.1038/s41467-018-04637-3 29895952; PubMed Central PMCID: PMC5997682.
43. Perez-Zsolt D, Erkizia I, Pino M, Garcia-Gallo M, Martin MT, Benet S, et al. Anti-Siglec-1 antibodies block Ebola viral uptake and decrease cytoplasmic viral entry. Nat Microbiol. 2019;4(9):1558–70. Epub 2019/06/05. doi: 10.1038/s41564-019-0453-2 31160823.
44. Amerighi F, Valeri M, Donnarumma D, Maccari S, Moschioni M, Taddei A, et al. Identification of a monoclonal antibody against pneumococcal pilus 1 ancillary protein impairing bacterial adhesion to human epithelial cells. J Infect Dis. 2016;213(4):516–22. Epub 2015/09/25. doi: 10.1093/infdis/jiv461 26401026.
45. Koseoglu VK, Agaisse H. Evolutionary perspectives on the moonlighting functions of bacterial factors that support actin-based motility. MBio. 2019;10(4). Epub 2019/08/29. doi: 10.1128/mBio.01520-19 31455648; PubMed Central PMCID: PMC6712393.
Článek Disparate effects of antibiotic-induced microbiome change and enhanced fitness in Daphnia magnaČlánek Effects of Transcranial Direct Current Stimulation on GABA and Glx in Children: A pilot studyČlánek Role of ecology in shaping external nasal morphology in bats and implications for olfactory trackingČlánek Influence of light on the infection of Aureococcus anophagefferens CCMP 1984 by a “giant virus”Článek A network analysis revealed the essential and common downstream proteins related to inguinal herniaČlánek Forecasting stock prices with long-short term memory neural network based on attention mechanismČlánek Regional versus local wind speed and direction at a narrow beach with a high and steep foreduneČlánek Patient perceived value of teleophthalmology in an urban, low income US population with diabetesČlánek A study to better understand under-utilization of laboratory tests for antenatal care in SenegalČlánek Design and evaluation of a laboratory-based wheelchair castor testing protocol using community dataČlánek Effects of Allium hookeri on gut microbiome related to growth performance in young broiler chickensČlánek Identification and characterization of miRNAs involved in cold acclimation of zebrafish ZF4 cellsČlánek Research on motion planning for an indoor spray arm based on an improved potential field methodČlánek Eye-gaze information input based on pupillary response to visual stimulus with luminance modulationČlánek Disruption in daily eating-fasting and activity-rest cycles in Indian adolescents attending schoolČlánek Umbilical cord separation time, predictors and healing complications in newborns with dry careČlánek Analysis of attitudinal components towards statistics among students from different academic degreesČlánek Comparison of Monocyte Distribution Width (MDW) and Procalcitonin for early recognition of sepsisČlánek Transcriptome analysis of Actinidia chinensis in response to Botryosphaeria dothidea infectionČlánek Sofosbuvir-based regimen for genotype 2 HCV infected patients in Taiwan: A real world experience
Článok vyšiel v časopisePLOS One
Najčítanejšie tento týždeň
2020 Číslo 1- Metamizol jako analgetikum první volby: kdy, pro koho, jak a proč?
- Masturbační chování žen v ČR − dotazníková studie
- Nejasný stín na plicích – kazuistika
- Úspěšná resuscitativní thorakotomie v přednemocniční neodkladné péči
- Časná postcovidová péče u pacientů starších 65 let
-
Všetky články tohto čísla
- ETAPOD: A forecast model for prediction of black pod disease outbreak in Nigeria
- Disparate effects of antibiotic-induced microbiome change and enhanced fitness in Daphnia magna
- Deliver on Your Own: Disrespectful Maternity Care in rural Kenya
- Number of days required to estimate physical activity constructs objectively measured in different age groups: Findings from three Brazilian (Pelotas) population-based birth cohorts
- Exploring the mechanism of olfactory recognition in the initial stage by modeling the emission spectrum of electron transfer
- Risk of complications among diabetics self-reporting oral health status in Canada: A population-based cohort study
- Practical considerations in the use of a porcine model (Sus scrofa domesticus) to assess prevention of postoperative peritubal adhesions
- Transcriptional Differences in Peanut (Arachis hypogaea L.) Seeds at the Freshly Harvested, After-ripening and Newly Germinated Seed Stages: Insights into the Regulatory Networks of Seed Dormancy Release and Germination
- Identifying maintenance hosts for infection with Dichelobacter nodosus in free-ranging wild ruminants in Switzerland: A prevalence study
- Model order reduction for left ventricular mechanics via congruency training
- Production, purification and evaluation of biodegradation potential of PHB depolymerase of Stenotrophomonas sp. RZS7
- The impact of a wireless audio system on communication in robotic-assisted laparoscopic surgery: A prospective controlled trial
- Seroprevalence of viral and vector-borne bacterial pathogens in domestic dogs (Canis familiaris) in northern Botswana
- Musical expertise generalizes to superior temporal scaling in a Morse code tapping task
- Cross-cultural adaptation and psychometric evaluation of the Yoruba version of Oswestry disability index
- Post-transcriptional regulation of Rad51c by miR-222 contributes cellular transformation
- Can scientists fill the science journalism void? Online public engagement with science stories authored by scientists
- Retention and predictors of attrition among patients who started antiretroviral therapy in Zimbabwe’s national antiretroviral therapy programme between 2012 and 2015
- Prognostics for pain in osteoarthritis: Do clinical measures predict pain after total joint replacement?
- Effects of Transcranial Direct Current Stimulation on GABA and Glx in Children: A pilot study
- Evaluation of rice wild relatives as a source of traits for adaptation to iron toxicity and enhanced grain quality
- Brief communication: Long-term absence of Langerhans cells alters the gene expression profile of keratinocytes and dendritic epidermal T cells
- APOBEC3B reporter myeloma cell lines identify DNA damage response pathways leading to APOBEC3B expression
- Morphological diversity within a core collection of subterranean clover (Trifolium subterraneum L.): Lessons in pasture adaptation from the wild
- Feasibility of real-time in vivo 89Zr-DFO-labeled CAR T-cell trafficking using PET imaging
- Repository-based plasmid design
- A new method of recording from the giant fiber of Drosophila melanogaster shows that the strength of its auditory inputs remains constant with age
- Aberrant cervical innate immunity predicts onset of dysbiosis and sexually transmitted infections in women of reproductive age
- Safe mobility, socioeconomic inequalities, and aging: A 12-year multilevel interrupted time-series analysis of road traffic death rates in a Latin American country
- THAP11F80L cobalamin disorder-associated mutation reveals normal and pathogenic THAP11 functions in gene expression and cell proliferation
- Lesion of striatal patches disrupts habitual behaviors and increases behavioral variability
- A clinical method for estimating the modulus of elasticity of the human cornea in vivo
- Patient perceived value of teleophthalmology in an urban, low income US population with diabetes
- Evidence in support of chromosomal sex influencing plasma based metabolome vs APOE genotype influencing brain metabolome profile in humanized APOE male and female mice
- Accelerated sparsity based reconstruction of compressively sensed multichannel EEG signals
- Microvesicles from Lactobacillus reuteri (DSM-17938) completely reproduce modulation of gut motility by bacteria in mice
- Dense carbon-nanotube coating scaffolds stimulate osteogenic differentiation of mesenchymal stem cells
- Gamma Knife radiosurgery for vestibular schwannomas: Evaluation of planning using the sphericity degree of the target volume
- Purification and molecular characterization of phospholipase, antigen 5 and hyaluronidases from the venom of the Asian hornet (Vespa velutina)
- Why are animal source foods rarely consumed by 6-23 months old children in rural communities of Northern Ethiopia? A qualitative study
- A study to better understand under-utilization of laboratory tests for antenatal care in Senegal
- Physicians’ perspectives regarding non-medical switching of prescription medications: Results of an internet e-survey
- Effectiveness of information technology–enabled ‘SMART Eating’ health promotion intervention: A cluster randomized controlled trial
- Cauda Equina Syndrome Core Outcome Set (CESCOS): An international patient and healthcare professional consensus for research studies
- A new species of Macrocypraea (Gastropoda, Cypraeidae) from Trindade Island, Brazil, including phenotypic differentiation from remaining congeneric species
- Long term conjugated linoleic acid supplementation modestly improved growth performance but induced testicular tissue apoptosis and reduced sperm quality in male rabbit
- A new approach to the temporal significance of house orientations in European Early Neolithic settlements
- Persistence of chikungunya ECSA genotype and local outbreak in an upper medium class neighborhood in Northeast Brazil
- In vivo elongation of thin filaments results in heart failure
- Disparity in depressive symptoms between heterosexual and sexual minority men in China: The role of social support
- Effect of classroom intervention on student food selection and plate waste: Evidence from a randomized control trial
- Mating strategy is determinant of adenovirus prevalence in European bats
- Preventing HIV and HSV-2 through knowledge and attitudes: A replication study of a multi-component community-based intervention in Zimbabwe
- Randomized clinical trial analyzing maintenance of peripheral venous catheters in an internal medicine unit: Heparin vs. saline
- Patient-related factors may influence nursing perception of sleep in the Intensive Care Unit
- A randomized trial of a behavioral intervention to decrease hospital length of stay by decreasing bedrest
- Color image segmentation using adaptive hierarchical-histogram thresholding
- The role of demographic history and selection in shaping genetic diversity of the Galápagos penguin (Spheniscus mendiculus)
- Attitudes towards animal study registries and their characteristics: An online survey of three cohorts of animal researchers
- Risk perception and behavioral change during epidemics: Comparing models of individual and collective learning
- Risk factors for third-generation cephalosporin resistant Enterobacteriaceae in gestational urine cultures: A retrospective cohort study based on centralized electronic health records
- Residential neighbourhood greenspace is associated with reduced risk of cardiovascular disease: A prospective cohort study
- Potential socioeconomic impacts from ocean acidification and climate change effects on Atlantic Canadian fisheries
- Prevention and control of cholera with household and community water, sanitation and hygiene (WASH) interventions: A scoping review of current international guidelines
- Female finches prefer courtship signals indicating male vigor and neuromuscular ability
- The effect of spatial position and age within an egg-clutch on embryonic development and key metabolic enzymes in two clownfish species, Amphiprion ocellaris and Amphiprion frenatus
- The impact of translated reminder letters and phone calls on mammography screening booking rates: Two randomised controlled trials
- Application of a genetic algorithm to the keyboard layout problem
- Design and evaluation of a laboratory-based wheelchair castor testing protocol using community data
- Relationship between diabetic macular edema and choroidal layer thickness
- Evaluation of the predictive ability of ultrasound-based assessment of breast cancer using BI-RADS natural language reporting against commercial transcriptome-based tests
- A Comprehensive Data Gathering Network Architecture in Large-Scale Visual Sensor Networks
- Recovery of health-related quality of life after burn injuries: An individual participant data meta-analysis
- Modeling aggressive market order placements with Hawkes factor models
- Role of ecology in shaping external nasal morphology in bats and implications for olfactory tracking
- High expression of olfactomedin-4 is correlated with chemoresistance and poor prognosis in pancreatic cancer
- Development and validation of a prognostic model predicting symptomatic hemorrhagic transformation in acute ischemic stroke at scale in the OHDSI network
- Complex patterns of cell growth in the placenta in normal pregnancy and as adaptations to maternal diet restriction
- Tofu intake is inversely associated with risk of breast cancer: A meta-analysis of observational studies
- Influence of light on the infection of Aureococcus anophagefferens CCMP 1984 by a “giant virus”
- Temporal ordering of input modulates connectivity formation in a developmental neuronal network model of the cortex
- Healthy lifestyle index and its association with hypertension among community adults in Sri Lanka: A cross-sectional study
- From organ to cell: Multi-level telomere length assessment in patients with idiopathic pulmonary fibrosis
- How do critical care staff respond to organisational challenge? A qualitative exploration into personality types and cognitive processing in critical care
- Effects of supplemental creatine and guanidinoacetic acid on spatial memory and the brain of weaned Yucatan miniature pigs
- Community-Based Health Planning and Services Plus programme in Ghana: A qualitative study with stakeholders in two Systems Learning Districts on improving the implementation of primary health care
- An investigation of transportation practices in an Ontario swine system using descriptive network analysis
- Comparison of gridded precipitation datasets for rainfall-runoff and inundation modeling in the Mekong River Basin
- Functional interactions in patients with hemianopia: A graph theory-based connectivity study of resting fMRI signal
- The effects of dual-task cognitive interference on gait and turning in Huntington’s disease
- Effects of Allium hookeri on gut microbiome related to growth performance in young broiler chickens
- Novel imaging biomarkers for mapping the impact of mild mitochondrial uncoupling in the outer retina in vivo
- Hyperkalemia treatment modalities: A descriptive observational study focused on medication and healthcare resource utilization
- Long term impact of PositiveLinks: Clinic-deployed mobile technology to improve engagement with HIV care
- Comparison of post-transplantation diabetes mellitus incidence and risk factors between kidney and liver transplantation patients
- A definition-by-example approach and visual language for activity patterns in engineering disciplines
- A network analysis revealed the essential and common downstream proteins related to inguinal hernia
- Use of conventional cardiac troponin assay for diagnosis of non-ST-elevation myocardial infarction: ‘The Ottawa Troponin Pathway’
- Identification and characterization of miRNAs involved in cold acclimation of zebrafish ZF4 cells
- Research on motion planning for an indoor spray arm based on an improved potential field method
- Detailed analysis of the transverse arch of hallux valgus feet with and without pain using weightbearing ultrasound imaging and precise force sensors
- Surrogate R-spondins for tissue-specific potentiation of Wnt Signaling
- Apolipoprotein-AI mimetic peptides D-4F and L-5F decrease hepatic inflammation and increase insulin sensitivity in C57BL/6 mice
- Treating patients with driving phobia by virtual reality exposure therapy – a pilot study
- Efficient processing of raster and vector data
- Therapeutic hypothermia after out of hospital cardiac arrest improve 1-year survival rate for selective patients
- Carotid plaques and neurological impairment in patients with acute cerebral infarction
- Deep learning based image reconstruction algorithm for limited-angle translational computed tomography
- Association between coffee drinking and telomere length in the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial
- Hyperbaric oxygen preconditioning and the role of NADPH oxidase inhibition in postischemic acute kidney injury induced in spontaneously hypertensive rats
- Rad51 paralogs and the risk of unselected breast cancer: A case-control study
- Diagnostic differences in respiratory breathing patterns and work of breathing indices in children with Duchenne muscular dystrophy
- The role of narrative in collaborative reasoning and intelligence analysis: A case study
- Proportions of CD4 test results indicating advanced HIV disease remain consistently high at primary health care facilities across four high HIV burden countries
- Modelling of amino acid turnover in the horse during training and racing: A basis for developing a novel supplementation strategy
- Single-modal and multi-modal false arrhythmia alarm reduction using attention-based convolutional and recurrent neural networks
- Eye-gaze information input based on pupillary response to visual stimulus with luminance modulation
- Trends of litter decomposition and soil organic matter stocks across forested swamp environments of the southeastern US
- Post mortem evaluation of inflammation, oxidative stress, and PPARγ activation in a nonhuman primate model of cardiac sympathetic neurodegeneration
- Were ancient foxes far more carnivorous than recent ones?—Carnassial morphological evidence
- Disruption in daily eating-fasting and activity-rest cycles in Indian adolescents attending school
- Plasma proteome profiling of freshwater and seawater life stages of rainbow trout (Oncorhynchus mykiss)
- Percent amplitude of fluctuation: A simple measure for resting-state fMRI signal at single voxel level
- Antimicrobial activity of Asteraceae species against bacterial pathogens isolated from postmenopausal women
- Are changes in depressive symptoms, general health and residential area socio-economic status associated with trajectories of waist circumference and body mass index?
- Extracellular vesicles of U937 macrophage cell line infected with DENV-2 induce activation in endothelial cells EA.hy926
- Link-centric analysis of variation by demographics in mobile phone communication patterns
- Tobacco smoking and health-related quality of life among university students: Mediating effect of depression
- The Shapley value for a fair division of group discounts for coordinating cooling loads
- Incidence of hospital-acquired pressure ulcers in patients with "minimal risk" according to the "Norton-MI" scale
- Lipoprotein(a) plasma levels are not associated with survival after acute coronary syndromes: An observational cohort study
- Use of Nanotrap particles for the capture and enrichment of Zika, chikungunya and dengue viruses in urine
- Pancreatic secretory trypsin inhibitor reduces multi-organ injury caused by gut ischemia/reperfusion in mice
- Biochemical characterization of Ty1 retrotransposon protease
- Lateral pressure equalisation as a principle for designing support surfaces to prevent deep tissue pressure ulcers
- The validation of the Beijing version of the Montreal Cognitive Assessment in Chinese patients undergoing hemodialysis
- Inflammasome expression is higher in ovarian tumors than in normal ovary
- HCV genotype profile in Brazil of mono-infected and HIV co-infected individuals: A survey representative of an entire country
- Engaging with change: Information and communication technology professionals’ perspectives on change at the mid-point in the UK/EU Brexit process
- Adherence to iron-folic acid supplement and associated factors among antenatal care attending pregnant mothers in governmental health institutions of Adwa town, Tigray, Ethiopia: Cross-sectional study
- Flower, seed, and fruit development in three Tunisian species of Polygonum: Implications for their taxonomy and evolution of distyly in Polygonaceae
- Development of a risk score for prediction of poor treatment outcomes among patients with multidrug-resistant tuberculosis
- Preclinical evaluation of AT-527, a novel guanosine nucleotide prodrug with potent, pan-genotypic activity against hepatitis C virus
- Aqueous extract from Mangifera indica Linn. (Anacardiaceae) leaves exerts long-term hypoglycemic effect, increases insulin sensitivity and plasma insulin levels on diabetic Wistar rats
- Discovery of Jogalong virus, a novel hepacivirus identified in a Culex annulirostris (Skuse) mosquito from the Kimberley region of Western Australia
- Clinical, cytogenetic and molecular genetic characterization of a tandem fusion translocation in a male Holstein cattle with congenital hypospadias and a ventricular septal defect
- Detection of Torque Teno Virus (TTV) and TTV-Like Minivirus in patients with presumed infectious endophthalmitis in India
- CD4 rate of increase is preferred to CD4 threshold for predicting outcomes among virologically suppressed HIV-infected adults on antiretroviral therapy
- Estimating the basic reproduction number of a pathogen in a single host when only a single founder successfully infects
- What drugs modify the risk of iatrogenic impulse-control disorders in Parkinson’s disease? A preliminary pharmacoepidemiologic study
- Evaluating emotional distress and health-related quality of life in patients with heart failure and their family caregivers: Testing dyadic dynamics using the Actor-Partner Interdependence Model
- Community- and trophic-level responses of soil nematodes to removal of a non-native tree at different stages of invasion
- Association of ECG parameters with late gadolinium enhancement and outcome in patients with clinical suspicion of acute or subacute myocarditis referred for CMR imaging
- Catchment-scale export of antibiotic resistance genes and bacteria from an agricultural watershed in central Iowa
- Impact of multi-drug resistant bacteria on economic and clinical outcomes of healthcare-associated infections in adults: Systematic review and meta-analysis
- Characterization of a universal screening approach for congenital CMV infection based on a highly-sensitive, quantitative, multiplex real-time PCR assay
- Proof-of-concept for a non-invasive, portable, and wireless device for cardiovascular monitoring in pediatric patients
- On PTV definition for glioblastoma based on fiber tracking of diffusion tensor imaging data
- Genes associated with body weight gain and feed intake identified by meta-analysis of the mesenteric fat from crossbred beef steers
- Intraoperative computed tomography imaging for dose calculation in intraoperative electron radiation therapy: Initial clinical observations
- Human lung epithelial BEAS-2B cells exhibit characteristics of mesenchymal stem cells
- Simple non-mydriatic retinal photography is feasible and demonstrates retinal microvascular dilation in Chronic Obstructive Pulmonary Disease (COPD)
- Maternal depressive symptoms and children’s cognitive development: Does early childcare and child’s sex matter?
- Evaluation of a bioengineered ACL matrix’s osteointegration with BMP-2 supplementation
- Psychosocial profiles of physical activity fluctuation in office employees: A latent profile analysis
- Prevalence and characteristics of Livestock-Associated Methicillin-Resistant Staphylococcus aureus (LA-MRSA) isolated from chicken meat in the province of Quebec, Canada
- Soluble AXL as a marker of disease progression and survival in melanoma
- Using machine learning methods to determine a typology of patients with HIV-HCV infection to be treated with antivirals
- Gender differences influence over insomnia in Korean population: A cross-sectional study
- Impact of scion/rootstock reciprocal effects on metabolomics of fruit juice and phloem sap in grafted Citrus reticulata
- Adapting cognitive diagnosis computerized adaptive testing item selection rules to traditional item response theory
- Autumn shifts in cold tolerance metabolites in overwintering adult mountain pine beetles
- Umbilical cord separation time, predictors and healing complications in newborns with dry care
- Analysis of attitudinal components towards statistics among students from different academic degrees
- Effects of fatigue induced by repeated-sprint on kicking accuracy and velocity in female soccer players
- A pre-clinical validation plan to evaluate analytical sensitivities of molecular diagnostics such as BD MAX MDR-TB, Xpert MTB/Rif Ultra and FluoroType MTB
- Leadership for success in transforming medical abortion policy in Canada
- Clinical correlates associated with the long-term response of bipolar disorder patients to lithium, valproate or lamotrigine: A retrospective study
- Forecasting stock prices with long-short term memory neural network based on attention mechanism
- On the genus Crossaster (Echinodermata: Asteroidea) and its distribution
- Intracellular and in vivo evaluation of imidazo[2,1-b]thiazole-5-carboxamide anti-tuberculosis compounds
- An integrated vitamin E-coated polymer hybrid nanoplatform: A lucrative option for an enhanced in vitro macrophage retention for an anti-hepatitis B therapeutic prospect
- The effect of strontium and silicon substituted hydroxyapatite electrochemical coatings on bone ingrowth and osseointegration of selective laser sintered porous metal implants
- Molecular prevalence of Bartonella, Babesia, and hemotropic Mycoplasma species in dogs with hemangiosarcoma from across the United States
- Color discrimination and gas chromatography-mass spectrometry fingerprint based on chemometrics analysis for the quality evaluation of Schizonepetae Spica
- Comparisons of recurrence-free survival and overall survival between microwave versus radiofrequency ablation treatment for hepatocellular carcinoma: A multiple centers retrospective cohort study with propensity score matching
- Oral misoprostol, low dose vaginal misoprostol, and vaginal dinoprostone for labor induction: Randomized controlled trial
- The association between dietary patterns before and in early pregnancy and the risk of gestational diabetes mellitus (GDM): Data from the Malaysian SECOST cohort
- Dynamic Extreme Aneuploidy (DEA) in the vegetable pathogen Phytophthora capsici and the potential for rapid asexual evolution
- Assertive, trainable and older dogs are perceived as more dominant in multi-dog households
- Prediction of Uropathogens by Flow Cytometry and Dip-stick Test Results of Urine Through Multivariable Logistic Regression Analysis
- Interleukin 6 is increased in preclinical HNSCC models of acquired cetuximab resistance, but is not required for maintenance of resistance
- Impact of viral disease hypophagia on pig jejunal function and integrity
- Molecular evidence for horizontal transmission of chelonid alphaherpesvirus 5 at green turtle (Chelonia mydas) foraging grounds in Queensland, Australia
- Evaluation and validation of 2D biomechanical models of the knee for radiograph-based preoperative planning in total knee arthroplasty
- Soil-Transmitted Helminth infections reduction in Bhutan: A report of 29 years of deworming
- cagA gene EPIYA motif genetic characterization from Colombian Helicobacter pylori isolates: Standardization of a molecular test for rapid clinical laboratory detection
- Spectral characteristics of urine from patients with end-stage kidney disease analyzed using Raman Chemometric Urinalysis (Rametrix)
- Fast quantitative time lapse displacement imaging of endothelial cell invasion
- Two novel mutations in MSX1 causing oligodontia
- Dome-shaped macula in children and adolescents
- Targeted transcriptomic study of the implication of central metabolic pathways in mannosylerythritol lipids biosynthesis in Pseudozyma antarctica T-34
- Preliminary evidences of the presence of extracellular DNA single stranded forms in soil
- A comparison of quality of life between patients treated with different dialysis modalities in Taiwan
- Comparison of Monocyte Distribution Width (MDW) and Procalcitonin for early recognition of sepsis
- Morphological association between the muscles and bones in the craniofacial region
- Transcriptome analysis of Actinidia chinensis in response to Botryosphaeria dothidea infection
- Comparative study on skin protection activity of polyphenol-rich extract and polysaccharide-rich extract from Sargassum vachellianum
- Real-world data about emotional stress, disability and need for social care in a German IBD patient cohort
- The regenerative compatibility: A synergy between healthy ecosystems, environmental attitudes, and restorative experiences
- Antenatal depression and its association with adverse birth outcomes in low and middle-income countries: A systematic review and meta-analysis
- Perceptions of risk and influences of choice in pregnant women with obesity. An evidence synthesis of qualitative research
- The role of refugee and migrant migration status on medication adherence: Mediation through illness perceptions
- Sexual risk classes among youth experiencing homelessness: Relation to childhood adversities, current mental symptoms, substance use, and HIV testing
- Effects of CK2β subunit down-regulation on Akt signalling in HK-2 renal cells
- Novel broad-spectrum activity-based probes to profile malarial cysteine proteases
- Association between opioid analgesic therapy and initiation of buprenorphine management: An analysis of prescription drug monitoring program data
- Effect of a community-based approach of iron and folic acid supplementation on compliance by pregnant women in Kiambu County, Kenya: A quasi-experimental study
- Improvement project in higher education institutions: A BPEP-based model
- An updated evaluation of serum sHER2, CA15.3, and CEA levels as biomarkers for the response of patients with metastatic breast cancer to trastuzumab-based therapies
- Genome-wide association study of metabolic syndrome in Korean populations
- Drug therapy problems and treatment satisfaction among ambulatory patients with epilepsy in a specialized hospital in Ethiopia
- Plasma kynurenines and prognosis in patients with heart failure
- Occurrence and distribution of anthropogenic persistent organic pollutants in coastal sediments and mud shrimps from the wetland of central Taiwan
- Intensified visual clutter induces increased sympathetic signalling, poorer postural control, and faster torsional eye movements during visual rotation
- Gut microbiota composition alterations are associated with the onset of diabetes in kidney transplant recipients
- Shock index and TIMI risk index as valuable prognostic tools in patients with acute coronary syndrome complicated by cardiogenic shock
- Merit overrules theory of mind when young children share resources with others
- Metabolic analysis of amino acids and vitamin B6 pathways in lymphoma survivors with cancer related chronic fatigue
- Immunopathogenesis of canine chronic ulcerative stomatitis
- Generalizing findings from a randomized controlled trial to a real-world study of the iLookOut, an online education program to improve early childhood care and education providers’ knowledge and attitudes about reporting child maltreatment
- When and what to test for: A cost-effectiveness analysis of febrile illness test-and-treat strategies in the era of responsible antibiotic use
- Comparison of effects and safety in providing controlled hypotension during surgery between dexmedetomidine and magnesium sulphate: A meta-analysis of randomized controlled trials
- The gene encoding the ketogenic enzyme HMGCS2 displays a unique expression during gonad development in mice
- Efficacy of a mitochondrion-targeting agent for reducing the level of urinary protein in rats with puromycin aminonucleoside-induced minimal-change nephrotic syndrome
- Association of endothelial nitric oxide synthase (NOS3) gene polymorphisms with primary open-angle glaucoma in a Saudi cohort
- Antitrust analysis with upward pricing pressure and cost efficiencies
- Natural selection contributes to food web stability
- Pyramiding QTLs controlling tolerance against drought, salinity, and submergence in rice through marker assisted breeding
- Diversity and plant growth-promoting functions of diazotrophic/N-scavenging bacteria isolated from the soils and rhizospheres of two species of Solanum
- Sofosbuvir-based regimen for genotype 2 HCV infected patients in Taiwan: A real world experience
- The virulence domain of Shigella IcsA contains a subregion with specific host cell adhesion function
- Sequencing artifacts derived from a library preparation method using enzymatic fragmentation
- Quantitative analysis of adsorption and desorption of volatile organic compounds on reusable zeolite filters using gas chromatography
- Quo vadis Pantanal? Expected precipitation extremes and drought dynamics from changing sea surface temperature
- Cloud-computing and machine learning in support of country-level land cover and ecosystem extent mapping in Liberia and Gabon
- The Brief Measure of Emotional Preoperative Stress (B-MEPS) as a new predictive tool for postoperative pain: A prospective observational cohort study
- The impact of diabetes mellitus medication on the incidence of endogenous endophthalmitis
- Correction: Chl1 DNA helicase and Scc2 function in chromosome condensation through cohesin deposition
- Clinical and pathological features of thrombotic microangiopathy influencing long-term kidney transplant outcomes
- Occupational exposure to particulate matter from air pollution in the outdoor workplaces in Almaty during the cold season
- Morphological adjustment in free-living Steinernema feltiae infective juveniles to increasing concentration of Nemafric-BL phytonematicide
- Key necroptotic proteins are required for Smac mimetic-mediated sensitization of cholangiocarcinoma cells to TNF-α and chemotherapeutic gemcitabine-induced necroptosis
- Concurrent lipidomics and proteomics on malignant plasma cells from multiple myeloma patients: Probing the lipid metabolome
- Retraction: SDR9C7 Promotes Lymph Node Metastases in Patients with Esophageal Squamous Cell Carcinoma
- Association between tuberculosis and depression on negative outcomes of tuberculosis treatment: A systematic review and meta-analysis
- Bioluminescent imaging of Arabidopsis thaliana using an enhanced Nano-lantern luminescence reporter system
- Biosynthetic pathway of indole-3-acetic acid in ectomycorrhizal fungi collected from northern Thailand
- Sex-specific and opposite modulatory aspects revealed by PPI network and pathway analysis of ischemic stroke in humans
- Control of the microsporidian parasite Nosema ceranae in honey bees (Apis mellifera) using nutraceutical and immuno-stimulatory compounds
- Role of donor genotype in RT-QuIC seeding activity of chronic wasting disease prions using human and bank vole substrates
- Oral magnesium supplementation for leg cramps in pregnancy—An observational controlled trial
- Health care professionals’ knowledge of commonly used sedative, analgesic and neuromuscular drugs: A single center (Rambam Health Care Campus), prospective, observational survey
- Campylobacter portucalensis sp. nov., a new species of Campylobacter isolated from the preputial mucosa of bulls
- Transgenic interleukin 11 expression causes cross-tissue fibro-inflammation and an inflammatory bowel phenotype in mice
- Sleep quality and sex modify the relationships between trait energy and fatigue on state energy and fatigue
- The role of peer, parental, and school norms in predicting adolescents’ attitudes and behaviours of majority and different minority ethnic groups in Croatia
- Availability, prices and affordability of selected antibiotics and medicines against non-communicable diseases in western Cameroon and northeast DR Congo
- The effect of mutations derived from mouse-adapted H3N2 seasonal influenza A virus to pathogenicity and host adaptation
- Detection of posttraumatic pneumothorax using electrical impedance tomography—An observer-blinded study in pigs with blunt chest trauma
- Educators’ perceptions of organisational readiness for implementation of a pre-adolescent transdisciplinary school health intervention for inter-generational outcomes
- Beyond the heterodimer model for mineralocorticoid and glucocorticoid receptor interactions in nuclei and at DNA
- The effects of sport expertise and shot results on basketball players’ action anticipation
- Framework and algorithms for identifying honest blocks in blockchain
- Exploring the impact of terminology differences in blood and organ donor decision making
- Platelet indices significantly correlate with liver fibrosis in HCV-infected patients
- The nitrate content of fresh and cooked vegetables and their health-related risks
- Bioreactor for mobilization of mesenchymal stem/stromal cells into scaffolds under mechanical stimulation: Preliminary results
- Non-gradient and genotype-dependent patterns of RSV gene expression
- Multiplex real-time PCR for the detection of Clavibacter michiganensis subsp. michiganensis, Pseudomonas syringae pv. tomato and pathogenic Xanthomonas species on tomato plants
- The 24-hour urinary cortisol in post-traumatic stress disorder: A meta-analysis
- Drug-eluting versus bare-metal stents for first myocardial infarction in patients with atrial fibrillation: A nationwide population-based cohort study
- Health-related quality of life among patients with type 2 diabetes mellitus in Eastern Province, Saudi Arabia: A cross-sectional study
- “I like the way I am, but I feel like I could get a little bit bigger”: Perceptions of body image among adolescents and youth living with HIV in Durban, South Africa
- Nanoparticle-based ‘turn-on’ scattering and post-sample fluorescence for ultrasensitive detection of water pollution in wider window
- Insights into the strategy of micro-environmental adaptation: Transcriptomic analysis of two alvinocaridid shrimps at a hydrothermal vent
- Thirty-day readmission after medical-surgical hospitalization for people who experience imprisonment in Ontario, Canada: A retrospective cohort study
- Hyper-spectral response and estimation model of soil degradation in Kenli County, the Yellow River Delta
- The association of telomere length and telomerase activity with adverse outcomes in older patients with non-ST-elevation acute coronary syndrome
- Construction of a high-density genetic map and fine mapping of a candidate gene locus for a novel branched-spike mutant in barley
- Alterations of aqueous humor Aβ levels in Aβ-infused and transgenic mouse models of Alzheimer disease
- Natural hybridization between Phyllagathis and Sporoxeia species produces a hybrid without reproductive organs
- The impact of peer attachment on prosocial behavior, emotional difficulties and conduct problems in adolescence: The mediating role of empathy
- Diagnostic performance of serum interferon gamma, matrix metalloproteinases, and periostin measurements for pulmonary tuberculosis in Japanese patients with pneumonia
- Characterization of black patina from the Tiber River embankments using Next-Generation Sequencing
- Problem gambling, associations with comorbid health conditions, substance use, and behavioural addictions: Opportunities for pathways to treatment
- Nanosheet wrapping-assisted coverslip-free imaging for looking deeper into a tissue at high resolution
- Validity of cerebrovascular ICD-9-CM codes in healthcare administrative databases. The Umbria Data-Value Project
- Torque teno virus viral load is related to age, CMV infection and HLA type but not to Alzheimer's disease
- Associations of cigarette smoking and burden of thoracic aortic calcification in asymptomatic individuals: A dose-response relationship
- Transforming assessment of speech in children with cleft palate via online crowdsourcing
- Human-raptor conflict in rural settlements of Colombia
- Assessment of peritoneal microbial features and tumor marker levels as potential diagnostic tools for ovarian cancer
- Deficiency syndromes in top predators associated with large-scale changes in the Baltic Sea ecosystem
- Perceived relative social status and cognitive load influence acceptance of unfair offers in the Ultimatum Game
- Hepatitis B and C virus infection among HIV patients within the public and private healthcare systems in Chile: A cross-sectional serosurvey
- Retraction: Oncogenic Fibulin-5 Promotes Nasopharyngeal Carcinoma Cell Metastasis through the FLJ10540/AKT Pathway and Correlates with Poor Prognosis
- From seed to flour: Sowing sustainability in the use of cantaloupe melon residue (Cucumis melo L. var. reticulatus)
- Core Scientific Dataset Model: A lightweight and portable model and file format for multi-dimensional scientific data
- Accounting for measurement error to assess the effect of air pollution on omic signals
- Leucine zipper transcription factor-like 1 binds adaptor protein complex-1 and 2 and participates in trafficking of transferrin receptor 1
- Barriers for tuberculosis case finding in Southwest Ethiopia: A qualitative study
- Genetic predisposition to celiac disease in Kazakhstan: Potential impact on the clinical practice in Central Asia
- A lower psoas muscle volume was associated with a higher rate of recurrence in male clear cell renal cell carcinoma
- Two angles of overqualification-the deviant behavior and creative performance: The role of career and survival job
- Cost-utility analysis of de-escalating biological disease-modifying anti-rheumatic drugs in patients with rheumatoid arthritis
- Efficient estimation of stereo thresholds: What slope should be assumed for the psychometric function?
- Learning efficient haptic shape exploration with a rigid tactile sensor array
- Effects of dietary supplementation with a microalga (Schizochytrium sp.) on the hemato-immunological, and intestinal histological parameters and gut microbiota of Nile tilapia in net cages
- Regional versus local wind speed and direction at a narrow beach with a high and steep foredune
- Fragmented QRS complex in patients with systemic lupus erythematosus at the time of diagnosis and its relationship with disease activity
- Severe thiamine deficiency in eastern Baltic cod (Gadus morhua)
- Transfer entropy as a variable selection methodology of cryptocurrencies in the framework of a high dimensional predictive model
- Psychometric validation of Czech version of the Sport Motivation Scale
- Correction: Multiple innate antibacterial immune defense elements are correlated in diverse ungulate species
- Recognition of personality disorder and anxiety disorder comorbidity in patients treated for depression in secondary psychiatric care
- Correction: Strategies for achieving high sequencing accuracy for low diversity samples and avoiding sample bleeding using illumina platform
- PLOS One
- Archív čísel
- Aktuálne číslo
- Informácie o časopise
Najčítanejšie v tomto čísle- Psychometric validation of Czech version of the Sport Motivation Scale
- Comparison of Monocyte Distribution Width (MDW) and Procalcitonin for early recognition of sepsis
- Effects of supplemental creatine and guanidinoacetic acid on spatial memory and the brain of weaned Yucatan miniature pigs
- Alterations of aqueous humor Aβ levels in Aβ-infused and transgenic mouse models of Alzheimer disease
Prihlásenie#ADS_BOTTOM_SCRIPTS#Zabudnuté hesloZadajte e-mailovú adresu, s ktorou ste vytvárali účet. Budú Vám na ňu zasielané informácie k nastaveniu nového hesla.
- Časopisy