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Computational and experimental analysis of the glycophosphatidylinositol-anchored proteome of the human parasitic nematode Brugia malayi
Authors: Fana B. Mersha aff001; Leslie K. Cortes aff001; Ashley N. Luck aff001; Colleen M. McClung aff001; Cristian I. Ruse aff001; Christopher H. Taron aff001; Jeremy M. Foster aff001
Authors place of work: New England Biolabs, Ipswich MA, United States of America aff001
Published in the journal: PLoS ONE 14(9)
Category: Research Article
doi: https://doi.org/10.1371/journal.pone.0216849Summary
Further characterization of essential systems in the parasitic filarial nematode Brugia malayi is needed to better understand its biology, its interaction with its hosts, and to identify critical components that can be exploited to develop novel treatments. The production of glycophosphatidylinositol-anchored proteins (GPI-APs) is essential for eukaryotic cellular and physiological function. In addition, GPI-APs perform many important roles for cells. In this study, we characterized the B. malayi GPI-anchored proteome using both computational and experimental approaches. We used bioinformatic strategies to show the presence or absence of B. malayi GPI-AP biosynthetic pathway genes and to compile a putative B. malayi GPI-AP proteome using available prediction programs. We verified these in silico analyses using proteomics to identify GPI-AP candidates prepared from the surface of intact worms and from membrane enriched extracts. Our study represents the first description of the GPI-anchored proteome in B. malayi and lays the groundwork for further exploration of this essential protein modification as a target for novel anthelmintic therapeutic strategies.
Keywords:
Biology and life sciences – Cell biology – Biochemistry – Organisms – Eukaryota – Research and analysis methods – Animal studies – Experimental organism systems – Model organisms – Enzymology – Enzymes – proteins – Database and informatics methods – Animals – Invertebrates – Animal models – Cellular structures and organelles – Nematoda – Caenorhabditis – Caenorhabditis elegans – Lipids – Protein domains – Cell membranes – Membrane proteins – Biological databases – Proteomes – Brugia – Brugia malayi – Transferases – proteomics – Proteomic databases
Introduction
Brugia malayi is one of three related parasitic filarial nematodes responsible for human lymphatic filariasis, a disease that threatens more than 800 million people in 54 countries [1]. Adult worms reside in the lymphatic system where they can survive for an average of 6 to 8 years in immunocompetent individuals. Female worms release millions of progeny (microfilariae) during their lifetime which enter the bloodstream from where they can be ingested by feeding mosquitoes. After larval molting and development within the insect vector, infective third stage larvae upon a blood meal can be transmitted to other humans in which they undergo further molting as they mature and migrate to the lymphatics thus completing the life cycle [2, 3]. Human lymphatic filariasis infections range from being asymptomatic to causing severe chronic symptoms that include damage to the lymphatic system and kidneys, and eventual clogging of lymphatic vessels with swelling of genitalia and limbs (elephantiasis) [2, 3]. Although more than 850 million people received treatments for lymphatic filariasis as part of the WHO effort to eliminate the disease [1], improvement of the current drug options would facilitate better control measures. Current treatments are only effective at reducing the levels of microfilariae circulating in blood so that further transmission is prevented, but they do not kill adult worms which cause the severe symptoms associated with this disease [1, 4]. In addition, there is evidence of emerging resistance to drugs used in current treatments of filarial infections [5, 6].
Many proteins are covalently attached to the surface of eukaryotic cells via a glycophosphatidylinositol (GPI) anchor. GPI precursors are synthesized in a step wise manner onto a phosphatidylinositol (PI) lipid moiety in the endoplasmic reticulum and transferred en bloc to proteins through the action of over 20 biosynthetic proteins. GPI-anchored proteins (GPI-APs) are transported via the secretory pathway and ultimately reside on the extracellular face of the plasma membrane and in lipid rafts [7]. This GPI-AP biosynthetic pathway is presumed to be ubiquitous in eukaryotes, and has been widely studied in mammals [8], fungi [9], plants[10] and protozoa [11, 12].
GPI anchors are critical for the proper localization and function of their appended proteins [13]. In mammals, interruption of GPI anchor biosynthesis during development is embryonic lethal [14] and an acquired defect in GPI anchoring causes the human hemolytic disease paroxysmal nocturnal hemoglobinuria (PNH) [8]. In lower eukaryotes, GPI anchoring is essential in the yeast Saccharomyces cerevisiae [15] and in the bloodstream form of the protozoan parasite Trypanosoma brucei [16]. Generation of gene knockout and conditional mutations of the GPI-AP biosynthetic pathway genes in the free-living nematode Caenorhabditis elegans showed that GPI-anchoring is essential for egg and oocyte development [17], and for epithelial integrity during embryogenesis [17, 18]. Additionally, in the plant Arabidopsis thaliana, GPIs are critical for proper cell wall formation and coordinated cell growth [10]. The phylogenetic breadth of these studies points toward the process of GPI-anchoring of proteins being critical throughout eukaryotic cell biology.
Many types of plasma membrane proteins possess GPI anchors. Examples include adhesion molecules, surface receptors, prions, cell wall structural proteins and various types of enzymes [13]. In protozoan human parasites, GPI-APs are critical determinants of host-parasite interactions. For example, in T. brucei, the highly variable GPI-anchored variant surface glycoprotein coats the cell surface and allows the parasite to evade the host immune system [19]. In the malarial parasite Plasmodium falciparum, infectious merozoites are coated mainly with GPI-anchored MSP-1 and MSP-2 proteins [20]. Though MSP-2 function is poorly understood, MSP-1 plays a role in the binding and invasion of red blood cells by the merozoite. As such, MSP-1 has been identified as an antigen for naturally acquired immunity against malaria and is being investigated as a potential vaccine candidate [20, 21]. These studies highlight the importance of understanding the repertoire of GPI-APs present in parasites. However, little is known about the GPI assembly and the GPI-anchored proteome in filarial parasitic nematodes such as B. malayi.
Here, we provide the first characterization of the GPI-anchored proteome of B. malayi. We report the conservation of GPI biosynthesis pathway genes and the prediction of putative GPI-anchored proteins encoded in the B. malayi genome. We further confirm the presence of B. malayi proteins that have the GPI anchor post-translational modification and identify B. malayi GPI-AP using enrichment techniques and proteomic analysis. Our study gives a better understanding of the B. malayi GPI-anchored proteome and the roles for GPI-APs and may ultimately help identify new therapeutic or diagnostic targets.
Materials & methods
GPI-AP synthesis pathway prediction
Human and C. elegans proteins encoded by each gene in the GPI-AP synthesis pathway [17] were used to search for orthologs in the B. malayi genome at Wormbase (release WS265) using BLASTP and TBLASTN (https://www.wormbase.org/tools/blast_blat)[22] and also cross checked against the KEGG GPI-AP synthesis pathway [23] and against Pfam [24]. For the three orthologs not identified using human and C. elegans proteins, Pfam domains of PIG-H (PF10181), PIG-Y (PF15159), and DPM2 (PF07297) were used to find the top ten most diverse members of the family identified on NCBI Conserved Protein Domain Database [25] and those proteins were used to search for orthologs in the C. elegans and B. malayi genomes both using BLASTP at NCBI [26] and Wormbase. Similarly, a taxonomic neighbor with an identified PIG-H (Aedes aegypti Q16JH1), PIG-Y (Anopheles minimus A0A182WPC2) and DPM2 (Steinernema glaseri A0A1I7ZJZ8) was used to search for orthologs. No matches for these three missing orthologs were found.
FLAER dot blot
FLAER (Alexa 488 labeled proaerolysin variant) was obtained from Cedarlane Labs (Burlington, Canada). Escherichia coli strain OP50 was cultured overnight in liquid LB media. C. elegans N2 Bristol was cultured as previously described [27]. Total lysates for E. coli OP50 and C. elegans were prepared by sonication in cold sucrose buffer (10 mM Tris-HCl, pH 7.5, 250 mM sucrose, 1 mM EDTA) with 1X Calbiochem protease inhibitor cocktail set III (MilliporeSigma, Burlington MA). Soluble lysates were prepared by collecting the supernatant after centrifugation of the lysate at 1000 x g for 10 minutes at 4°C. B. malayi adult worms (TRS Labs Inc., Athens GA) were cultured in plates containing 40 ml GIBCO RPMI-1640 culture medium (ThermoFisher Scientific, Waltham MA) supplemented with 0.4 ml of 100X Antibiotic Antimycotic Solution which contains 10,000 units penicillin, 10 mg streptomycin and 25 μg amphotericin B per ml (Sigma, St. Louis, MO, USA). Each plate had approximately 100 female worms and 90 male worms. After 48 hours at 37°C in 5% CO2 in air, worms were washed 4 times in 10 ml of the same medium. Worms from two plates were transferred to new plates with 5 ml medium and served as the mock control while worms from a different set of two plates were transferred to new plates with 5 ml culture medium containing 15 μg Bacillus cereus phosphatidylinositol-specific phospholipase C (PI-PLC) [28]. After incubation for 30 minutes at 37°C, the medium was collected and worms were washed with an additional 10 ml fresh medium. The samples containing the released proteins for either mock treated or PI-PLC treated were pooled and used to prepare B. malayi surface fractions for LC-MS/MS analysis described below. To prepare B. malayi total lysate, the washed worms were resuspended in 2 ml cold sucrose buffer with 1X Calbiochem protease inhibitor cocktail set III (MilliporeSigma) and homogenized using Precellys SK38 beads (Bertin Instruments, Rockville, MD) in a MiniLys homogenizer (Bertin Instruments, Rockville, MD) by agitating at 5000 rpm for 10 seconds eight times and cooling samples on ice between each homogenization. Debris was pelleted at 1000 x g, 4°C, 10 minutes and the total lysate transferred to a new tube. To ensure complete lysis and to wash the beads, homogenization was repeated on pellet/debris and like samples were pooled. The protein concentration was measured by Bradford assay (Bio-Rad, Hercules, CA) and samples were spotted in a 1 : 1 dilution series on nitrocellulose membrane. The C. elegans lysates served as a positive control while E. coli lysates, bovine serum albumin (New England Biolabs) and buffer served as negative controls. After the samples dried, the nitrocellulose membrane was washed in binding buffer (50 mM NaH2PO4, pH 7.5, and 0.3% TWEEN 20) for 20 minutes and incubated overnight with 3 nM FLAER in the same buffer at 4°C. The membrane was washed six times in binding buffer and fluorescence detected on an Amersham Typhoon imager (GE Healthcare Life Sciences).
Predicted B. malayi GPI-APome
The B. malayi proteome (brugia_malayi.PRJNA10729.WBPS10.protein.fa) was downloaded from Wormbase in May 2018 and analyzed for GPI-APs with three GPI-AP prediction tools:
GPI-SOM (http://gpi.unibe.ch)[29]
PredGPI (http://gpcr.biocomp.unibo.it/predgpi/pred.htm)[30]
big-PI (http://mendel.imp.ac.at/gpi/gpi_server.html)[31].
For PREDGPI and big-PI, we further restricted the data set by using Signal-P 4.1 (http://www.cbs.dtu.dk/services/SignalP/)[32] to require that the proteins have a N-terminal signal sequence. For all three datasets, we also ran the transmembrane prediction program TMHMM v2.0 (http://www.cbs.dtu.dk/services/TMHMM) [33] and removed any proteins that had more than three predicted transmembrane domains to eliminate multipass transmembrane proteins.
To compare the predicted GPI-APs to previously published proteomic studies which use pub_locus ID, we cross-referenced the Wormbase and Uniprot databases to correlate Wormbase ID to the PUB_loci/pub_locus numbers.
Protein sample preparation for LC-MS/MS
B. malayi surface fractions
The pooled supernatant and wash from the mock treated worms and the PI-PLC treated worms described above to prepare B. malayi samples for FLAER Dot Blot were collected. The pools were each filtered through a 0.22-micron filter and concentrated using VivaSpin 10,000 MWCO concentrator (GE Healthcare Life Sciences).
B. malayi membrane fractions
150 B. malayi adult female worms were resuspended in 2 ml cold sucrose buffer with 1X Calbiochem protease inhibitor cocktail set III (MilliporeSigma), homogenized, and total lysate was prepared as described above. The lysate was then centrifuged at 100,000 x g for 1 hour at 4°C to pellet the membrane fraction away from cytosolic supernatant [34]. The resulting pellet was washed with 10 ml of 150 mM Tris-HCl, pH 8.0 and ultracentrifugation was repeated. The pellet containing the washed membrane fraction was collected. The washed membrane pellet was resuspended in 2 ml cold 1X phosphate buffered saline and divided into 2 x 1ml aliquots. 3 μg PI-PLC [28] was added to one aliquot and both samples were incubated at 37°C for 30 minutes. An equal volume of sucrose buffer was added to each sample to fill the ultracentrifuge tubes and both samples were centrifuged at 100,000 x g for 1 hour at 4°C. The supernatants were collected and concentrated using VivaSpin 5000 MWCO (GE Healthcare) concentrators and then dialyzed into 25 mM ammonium bicarbonate, pH 7.5 containing 40 mM NaCl. An additional washed membrane sample was prepared from 18 female and 12 male worms as described above without the PI-PLC treatment and then GPI-AP enriched as previously described [35]. Briefly, the washed membrane pellet was resuspended in 0.1 ml water and then brought to 10 : 10 : 3 dichloromethane:methanol: water by adding 0.7 ml 1 : 1 dichloromethane:methanol until the pellet was solubilized. Then 1 : 1 methanol:water in 0.1 ml increments was added until a phase separation occurred. The sample was centrifuged at 2000 x g for 10 minutes. The upper aqueous phase and interphase was collected and the extraction was repeated by adding one volume dichloromethane. The upper aqueous phase was collected and dried to a pellet in a Speed Vac. This delipidated pellet was resuspended in 0.1 ml PBS and mixed with an equal volume of water-saturated butanol and centrifuged at 1000 x g for 10 minutes after mixing well. The upper butanol phase was removed and the extraction was repeated on the lower aqueous phase. The aqueous phase containing the GPI-AP enriched sample from the second butanol extraction was collected and dried in a Speed Vac.
Mass spectrometry and analysis
Surface samples
Surface samples were digested with Trypsin-ultra, Mass Spectrometry Grade (New England Biolabs, Ipswich MA) overnight at 37°C using a filter aided sample preparation kit (Expedeon, San Diego CA). For a complete protocol see [36]. Each sample was analyzed using an automated 3-step MudPIT protocol on a Q Exactive mass spectrometer (ThermoFisher Scientific, Waltham MA) using HCD fragmentation.
Membrane samples
Membrane samples were digested with Trypsin-ultra, Mass Spectrometry Grade (New England Biolabs) upon addition of ProteaseMax (Promega, Madison WI) for 3 hours at 37°C. Each sample was analyzed using an 8-step MudPIT protocol on an LTQ-Orbitrap XL (ThermoFisher Scientific) using CID fragmentation.
The mass spectrometry proteomics data have been deposited to the ProteomeXchange Consortium via the PRIDE [37] partner repository with the dataset identifier PXD014949.
LC-MS/MS data analysis
Spectral data were searched against the combined B. malayi proteome (brugia_malayi.PRJNA10729.WBPS10.protein.fa) from Wormbase [22] and the Wolbachia endosymbiont of B. malayi proteome from NCBI [26], both downloaded in May 2018 and then analyzed using Byonic software (Protein Metrics, Cupertino, CA). Common contaminants such as keratins, caseins, trypsin, and BSA were removed from the analysis. Protein output was set at 1% FDR. Other parameters used for each Mass Spectrometry dataset were:
QExactiveQTOF: Cleavage site = RK; Cterminal side = Fully specific; missed cleavage = 2; Mass tolerance = 10 ppm; QTOF/HCD fragmentation with 20 ppm fragment mass tolerance. Fixed modifications = carbamidomethyl @ C/+57.021464. Variable Modifications = Oxidation/ +15.994915 @ M, Deamidation /+0.984016 @ N,Q, Carbamyl @ K/ 43.005814.
LTQ-Orbitrap XL: Cleavage site = RK; Cterminal side = Fully specific; missed cleavage = 2; Mass tolerance = 20 ppm; CID low energy fragmentation with 0.6 Dalton fragment mass tolerance. Fixed modifications = carbamidomethyl @ C/+57.021464. Oxidation/ +15.994915 @ M, Deamidation /+0.984016 @ N,Q.
All protein matches that were limited to one unique peptide are highlighted in red in S2–S6 Tables and were not used in further protein identification analysis.
To compare the LC-MS/MS proteins to published proteomic studies that used different protein IDs, we cross referenced the Wormbase [22] and UniProt [38] databases to correlate Wormbase ID from our data to the PUB_loci/pub_locus numbers or to UniProtKB ID for the B. malayi proteome and to the UniProt database to correlate NCBI ID with UniProtKB ID or wBm gene numbers for the Wolbachia proteome. The synonyms we found associated with each protein in our dataset are listed in S7 Table.
Results and discussion
B. malayi GPI-AP biosynthesis
While the overall process for forming GPIs and attaching them to proteins is remarkably well-conserved across eukaryotes, organism-specific differences are known and have been previously reviewed [39]. Thus, it is possible to gain initial insights into the various steps of GPI anchoring through examination of a genome for the presence or absence of GPI synthesis machinery. Using protein sequence homology, the GPI synthesis pathway of C. elegans was predicted [17]. Here, we conducted a similar analysis to identify B. malayi orthologs and additional C. elegans orthologs of the GPI-AP synthesis pathway genes encoded in the their respective genomes using the KEGG pathway [23], Pfam [24], and BLASTP [40] (Fig 1, Table 1).
Fig. 1. The conserved steps in the GPI-AP synthesis pathway.
Tab. 1. GPI-AP synthesis pathway.
Remarkably, orthologs to three genes encoding components of the first step, PIG-H, PIG-Y, and DPM2 are not found in either B. malayi or C. elegans genomes. These genes are part of the seven-member GPI-GlcNAc transferase complex that transfers the N-acetylated glucosamine (GlcNAc) to the lipid phosphatidylinositol (PI) on the cytoplasmic side of the endoplasmic reticulum (Step 1 in Fig 1 and Table 1). While DPM2’s role for stabilizing the complex is not essential, both PIG-H and PIG-Y directly interact with the catalytic subunit PIG-A and are critical for the activity of the complex [41]. Though the smaller size (PIG-H is 188 amino acids; PIG-Y is 71 amino acids; DPM2 is 84 amino acids) and relative hydrophobicity of these membrane proteins can make it more difficult to identify them by sequence homology, the absence of PIG-H and PIG-Y in all sequenced nematode genomes using Pfam (PF10181 for PIG H and PF15159 for PIG-Y) [24] and BLASTP in NCBI [26] suggests that this represents a true difference between nematodes and other species. If the functions of these genes are carried out by analogous but divergent proteins, the filarial parasite GPI-GlcNAc transferase complex could differ enough from the human enzyme complex to be explored further as a therapeutic target.
As well as playing a stabilizing role in the GPI-GlcNAc transferase complex, DPM2 is a component of the dolichol phosphate mannosyltransferase (DPM) complex (Table 1). The mannose donor, dolichol-P-mannose (DP-Man in Fig 1) required for GPI anchor synthesis (Steps 4, 5, 7, 8 in Fig 1 and Table 1) as well as other glycosylation pathways, is synthesized by this enzyme complex [42, 43]. In humans, there are three proteins in this complex: DPM1, DPM2 and DPM3. DPM1 is the catalytic subunit bound to the membrane by DPM3 while DPM2 stabilizes DPM3 [42]. In S. cerevisiae and T. brucei, the complex is missing DPM3 but their respective DPM1 orthologs have a transmembrane domain which the human DPM1 does not have [43]. In contrast, C. elegans and B. malayi have a human-like DPM1 ortholog without a transmembrane domain and a DPM3 ortholog to bind the DPM1 to the membrane but no DPM2 ortholog was identified (S1 Fig).
B. malayi orthologs were identified for twenty one of twenty-four GPI anchor synthesis proteins and all four remodeling proteins. Excluding the three missing orthologs for the GPI-GlcNAc transferase complex, the pathway appears similar to the human and yeast GPI anchor synthetic pathways [9]. In addition to the mannosyltransferases that add the first (Man-1), second (Man-2), and third (Man-3) GPI core mannoses, a fourth mannosyltransferase (mannosyltransferase IV) was also identified in both B. malayi and C. elegans. Fourth mannose (Man-4) addition is essential in yeast, and although less common, Man-4 is present on some human GPI-APs but is absent from GPIs of T. brucei [44, 45]. Ethanolamine phosphate (EtN-P) transferases I, II and III, that add side-branching EtN-P moieties to Man-1, Man-2 and Man-3 of the GPI glycan, respectively, are each present in B. malayi. EtN-P transferases I and II are found in yeast and mammals but are absent in trypanosomes [39]. A carboxy-terminal GPI attachment signal sequence directs the transfer of the GPI precursor to a protein’s omega site via the GPI-transamidase enzyme complex. The result is a covalent amide linkage between the protein and the phosphoethanolamine moiety of the GPI anchor [11]. Thus, equivalent to the human and C. elegans pathway, the B. malayi GPI anchor synthesis pathway has the enzymes needed to build and transfer to proteins a trimannosyl - (and possibly tetramannosyl-) GPI precursor bearing EtN-P on its innermost two mannoses (Fig 1). Additionally, B. malayi orthologs were also identified for Post GPI attachment proteins (PGAP) that can remodel the GPI anchor after it is attached to the protein.
Detection of GPI-APs in B. malayi
To verify that GPI-APs are present in B. malayi, we used FLAER, an Alexa 488-labeled proaerolysin variant, that binds specifically to GPI-APs [46] and in C. elegans showed the presence of GPI-APs in germline cells and somatic cells [17]. In a dot blot, the total extracts from both C. elegans and B. malayi adult worms were bound by FLAER and produced a signal that was dependent on protein concentration indicating the presence of GPI-APs in these samples (Fig 2). E. coli extracts, purified BSA and buffer controls did not react with FLAER showing only background signal. A dot blot of the same samples with no FLAER showed no autofluorescence (S2 Fig). This data demonstrates that GPI-APs are present in B. malayi and that the structure of the GPI sugar core is sufficiently similar to previously studied GPI-APs (at least in the glycophosphatidylinositol moiety) as aerolysin requires both polypeptide and GPI, but not lipid, for binding [47].
Fig. 2. FLAER Dot Blot.
B. malayi and C. elegans lysates react with FLAER in a concentration dependent manner. Samples: BSA, E.coli OP50 total and soluble lysate, C. elegans N2 total and soluble lysate, B. malayi total lysate 1: B. malayi total lysate untreated, B. malayi total lysate 2: B. malayi surface PI-PLC treated total lysate. After 1:1 series dilution, samples were spotted on to a nitrocellulose membrane and incubated overnight with FLAER reagent.
The FLAER signal for both B. malayi lysates was stronger than those of C. elegans even though all the samples were normalized by protein concentration. While it is possible that B. malayi produce more GPI-APs than free living nematodes, this observation could also be due to a difference in reproductive production. Female B. malayi are estimated to release tens of thousands of microfilaria per day [48, 49] whereas C. elegans release a maximum of 1000 progeny during their 3 day lifecycle [50]. The greater number of eggs, embryos and/or immature microfilariae present in B. malayi adult females may be responsible for the higher level of GPI-AP signal as it was shown in C. elegans that germline cells stained brightly with FLAER [17]. Finally, there was no discernable decrease in signal when comparing total extracts prepared from B. malayi that were untreated (B. malayi total lysate 1) to those that were treated with phosphatidylinositol-specific phospholipase C (PI-PLC) (B. malayi total lysate 2) prior to homogenization and lysis. It is possible that cleavage of the GPI-APs by PI-PLC was not efficient or was inhibited due to limited access of PI-PLC to GPI-AP either by the surface coat of B. malayi or clustering of GPI-AP in lipid rafts. Also, accessible GPI-APs on intact adult B. malayi might represent only a small proportion of the total pool of GPI-APs which includes not only all the GPI-AP present in non-surface cells but also all the immature progeny as well. It is estimated that B. malayi have approximately 2000 somatic cells but the majority of the signal in the total extract of female adult B. malayi may derive from the tens of thousands of eggs, embryos and/or immature microfilariae [49]. Lastly, normal turnover or endogenous PI-PLC may have already released most accessible GPI-APs. Nevertheless, the B. malayi total extracts did react with FLAER demonstrating the presence of GPI-AP in these filarial nematodes.
Computational prediction of the B. malayi GPI-APome
The B. malayi GPI-anchored proteome (GPI-APome) was assembled using available GPI-AP prediction algorithms. Three programs (GPI-SOM, PredGPI, and bigPI) were used to search the B. malayi proteome and identify 210 predicted GPI-APs (S1 Table). The data from each program is plotted in Fig 3A using UpSetR analysis [51] to compare the intersecting sets. Sixteen proteins were identified by all three programs; two or more programs identified 62 proteins; 148 proteins were identified by a single prediction program. These 210 predicted GPI-APs represent 1.5% of the 13,409 proteins in the B. malayi predicted proteome. This is comparable to other computationally predicted GPI anchored proteomes [30, 52, 53].
Fig. 3. UpSetR analysis of B. malayi predicted GPI-APome and proteomic comparison.
Of the 210 predicted GPI-APs, 112 were detected in previous B. malayi proteomic studies (Fig 3B, S1 Table). Protein identifications are those reported by each individual study. All of the predicted GPI-AP matches except for one, were found in the body wall, digestive, and reproductive proteomic analysis [57] and/or the stage specific proteome study [58]. Only 25 predicted GPI-APs were found in excretory or secretory proteomes [55, 56] with no predicted GPI-APs exclusive to these proteomes. Two predicted GPI-APs were found in the recent adult extracellular vesicle proteome [54] with one protein exclusive to that proteome. Thus, roughly half of our computationally predicted GPI-APome comprises proteins that have been found in proteomes expected to harbor GPI-APs.
Conversely, 98 of the predicted B. malayi GPI-APs, noted as “No Match” in Fig 3B, have not been identified in any previous B. malayi proteomic study. Forty-six of these proteins have synonym IDs allowing for comparison to previous proteomes but they were not found in those studies. Possibly, some GPI-APs are only expressed transiently or at life stages not investigated in earlier studies or that protein abundance for those predicted GPI-AP was not high enough for identification. However, the remaining 52 proteins did not have a synonym ID and are likely from newly defined genes or gene models with updated genome versions since the previous proteomes were analyzed.
Bm7382, microfilaria surface antigen (other synonyms: Bm-103, Bm1_01550, Bma-MSA-1), was predicted to be a GPI-AP by two programs (S1 Table) and has been shown to localize to the hypodermis and cuticle of B. malayi adult female worms, L3 larvae, and microfiliariae [59]. This protein has already been in a vaccine trial utilizing the Mongolian gerbil model for B. malayi individually and as a fusion with another protein with promising results [59]. This further supports the idea that GPI-APs may make promising therapeutic targets.
Mass spectrometry identification of potential B. malayi GPI-APs
A proteomics strategy was used to identify putative GPI-APs from adult B. malayi. Three different sample types were prepared for analysis. Firstly, intact adult worms were treated with PI-PLC to enzymatically release and solubilize the protein away from the lipid moiety [60]. (See Fig 1 for cleavage site position). A mock-treatment with no PI-PLC was performed as a negative control. The samples derived from treatment of the intact worms have been named “Surface” but it should be noted that the proteins could originate from any exposed surface like the mouth, vagina, or rectum of the worm. Secondly, a membrane fraction of B. malayi adult female worms was prepared by ultracentrifugation of a total lysate in a sucrose buffer to separate membrane proteins from soluble proteins. This membrane fraction was also treated with PI-PLC or mock-treated without PI-PLC as a negative control. Lastly, a GPI-AP enriched sample was prepared by performing a series of organic solvent partitions [35] to extract GPI-APs from a membrane fraction. This sample was not treated with PI-PLC. Proteins in all three samples types were digested with trypsin and the resulting peptides analyzed by LC-MS/MS.
The data from analysis of these five samples was used to identify peptides corresponding to ~ 1400 proteins in the predicted B. malayi proteome and 27 from its endosymbiont Wolbachia proteome (S2 to S6 Tables). By excluding all proteins having a single unique peptide and reducing isoforms to one protein, a reduced dataset of 1012 proteins was compiled (S7 Table). We used UpSetR [51] to visualize the intersections of these identified proteins in our five samples (Fig 4). The membrane samples yielded the highest number of identified proteins with a total of 890 proteins; 653 proteins were identified in the membrane mock control sample; 680 were identified in the membrane PI-PLC treated sample; 101 proteins were identified in the organic solvent GPI-AP enriched sample (“Membrane Enrich”). The samples derived from intact worms (“Surface”) yielded a total of 333 proteins with 281 proteins identified in the surface mock control sample and 209 proteins identified in the PI-PLC treated surface sample.
Fig. 4. UpSetR data analysis of LC-MS/MS data from the five protein samples.
Membrane Enrich: sample from membrane preparation that was enriched for GPI-APs using successive organic solvent partitioning; Surface PI-PLC and Surface Mock Control: released proteins from intact worms treated with PI-PLC or no enzyme; Membrane Mock Control and Membrane PI-PLC: released proteins from membrane preparation treated with no enzyme or PI-PLC. Starred columns represent sets only containing proteins from experimentally GPI-AP enriched samples. The number of predicted GPI-APs found in each dataset is indicated in orange.
The high number of proteins identified in the mock-treated control samples likely reflects the release of proteins and peptides through normal turnover processes, B. malayi proteases that remain in the sample, and possibly an endogenous PI-PLC (Bm5477). We had expected the PI-PLC treated samples to identify similar proteins as the mock controls and to identify additional GPI-APs that had been specifically released by the added enzyme. However, the small amount of protein recovered from intact worms, either with or without PI-PLC treatment, limited the depth of our LC-MS/MS analysis. Furthermore, it is possible that GPI-APs on intact worms are protected from PI-PLC cleavage due to their inclusion in densely packed lipid rafts or due to the surface coat.
Treatment of membrane fractions by PI-PLC produced different results. The membrane PI-PLC treated sample identified more proteins than its corresponding mock control sample (Fig 4, S5 and S6 Tables). The sets denoted by a red star in Fig 4 include proteins exclusively found in samples that should be enriched for GPI-APs (e.g., membrane PI-PLC, surface PI-PLC, and organic solvent GPI-AP enriched samples). The 243 proteins in these samples comprise experimentally enriched putative GPI-APs present in adult B. malayi.
To support the identification of GPI-APs, we compared the 1012 proteins from our LC-MS/MS data to the 210 proteins in our computationally predicted GPI-APome. Thirty-five candidate GPI-APs were present in both analyses and are listed in Table 2 and are noted in Fig 4 in orange as predicted GPI-AP. The membrane set had the highest number of GPI-APs exclusively found in PI-PLC treated or organic solvent-enriched GPI-AP samples (Table 2; highlighted boxes in the unique peptides column). This is also shown in Fig 4 where the membrane PI-PLC set contained more than 25% of computationally predicted GPI-APs while the remaining predicted GPI-APs were scattered throughout other sets. The surface PI-PLC exclusive set in Fig 4 showed no matches with the predicted GPI-APome, further supporting our conclusion that PI-PLC does not efficiently release GPI-APs from the surface of intact worms. The identification of GPI-APs may be improved by further repetition of these enrichment experiments and application of statistical methods. Nonetheless, we have provided an initial characterization of the adult B. malayi GPI-anchored proteome.
Tab. 2. Correlation of computational and experimental identification of candidate B. malayi GPI-APs.
We searched for examples of previously identified GPI-APs amongst these thirty-five proteins to help validate our results. About 25% of the proteins are orthologs of proteins previously reported to be GPI-anchored in other organisms and are noted in Table 2. Phosphatase was the first GPI-AP to be identified by PI-PLC release [61]. Bm2418, a putative phosphatase, is predicted to be a GPI-AP by both GPI-SOM and PredGPI and is present in the B. malayi membrane PI-PLC sample. Bm2418 is an ortholog of C. elegans PHO-1 and PHO-4 proteins which were also identified as GPI-APs in the C. elegans lipid raft proteome [62] and the C. elegans GPI-AP study [17], respectively.
Another well studied GPI-AP is acetylcholinesterase [63–65]. This enzyme activity has been previously characterized in B. malayi [66]. Here, we show that Bm6639 (Bma-ace-3), which is predicted to have acetylcholinesterase activity, is also predicted to be a GPI-AP by two programs and is present in the membrane PI-PLC sample. Bm11557, a third GPI-AP ortholog example, is a putative superoxide dismutase and was only found in the two surface samples. Superoxide dismutase has been shown to be a GPI-AP in the slime mold Dictyostelium where its role in chemotaxis was elucidated and because of its localization to the plasma membrane is thought to play a role in the concentration of extracellular superoxide and possibly in the flux of superoxide radicals into the cell [67]. Bm8928, predicted to be part of an acetyl-choline gated channel complex, is present in all five samples we analyzed by LC-MS/MS. It is predicted to be a GPI-AP in B. malayi by two programs and its C. elegans ortholog Y12A6A.1 (34% ID with Bm8928) was identified as a GPI-AP in the C. elegans lipid raft proteome (21). Bm7648 is another matching ortholog to a GPI-AP found in the C. elegans lipid raft proteome [62] and Bm1904, Bm1972a, Bm5444 are matching orthologs of GPI-APs identified in the C. elegans GPI-AP study [17]. These previously studied GPI-AP orthologs support the identity of the thirty-five B. malayi GPI-AP proteins we identified by the combination of both computational and experimental methods as being GPI-APs.
GPI-APs with potential diagnostic, therapeutic or vaccine applications given that they either are not present in the human proteome or are highly divergent are noted with ~, ~~, or ~~~, in Table 2. Bm294, Bm357, Bm4616, Bm7941, Bm8924, and Bm8928 have >50% identity only to proteins from other filarial nematodes (~~~) like other Brugia spp. and Onchocerca spp. Bm13388, Bm3016, and Bm9073 have >50% identity only to proteins from other parasitic nematodes (~~) which include Strongyloides as well as filarial nematodes. Bm1370, Bm17473, Bm18112, Bm2391, Bm2565, Bm3215, Bm5834, Bm6104, Bm7648, and Bm8494 have >50% identity only to proteins found in nematodes (~) including C. elegans but still remain distinct from proteins of other phyla. While the majority of these proteins remain uncharacterized, some information on their possible role is available, especially for the nematode-specific proteins with C. elegans orthologs. Bm3215 is an ortholog of C. elegans Mlt-9, a protein that has an important role in molting and has no human homolog. Mlt-9 is present in the hypodermis and seam at a critical time in worm development and RNAi silencing of mlt-9 disrupts L3 to L4 and L4 to adult molting [68]. Bm2565 is an ortholog of C. elegans C34C12.7, an uncharacterized protein that contains a PAN domain, which confers protein-protein or protein-carbohydrate interaction [69]. As well as finding Bm2565 in the membrane PI-PLC sample, this protein was also one of the few GPI-APs identified in the surface PI-PLC sample. Its localization to the surface along with having a PAN domain signifies that it is likely a receptor binding protein making it and the molting protein Bm3215 potential therapeutic or diagnostic targets.
The parasitic nematode-specific proteins highlight proteins involved in the ability of these parasites to successfully live and reproduce within their hosts and the filarial nematode specific proteins presumably have even more specialized roles. Bm13388 is interesting because, to date, the only homology for this protein is in Strongyloides ratti, Loa loa and Onchocerca volvulus. Bm13388 was only found in the membrane PI-PLC sample and is predicted to be GPI-AP by both GPI-SOM and bigPI. It has been shown to be one of the top fifteen proteins expressed in the extracellular vesicle proteome of adult females [54]. Since this protein is released into the host in extracellular vesicles and is specific to parasite nematodes, it may play an important role in the way these parasitic nematodes interact with the host.
We compared the 1012 proteins we compiled from all LC-MS/MS data to previously published proteomic studies and found new evidence for the expression of 84 B. malayi and 3 Wolbachia proteins. These are noted in S7 Table with the Wormbase ID of the novel identified proteins highlighted in red for 29 proteins when a synonym ID for comparison was found or in green for 58 proteins when no synonym was found, likely signifying a new gene model in updated genome versions. For the 954 proteins that had matches with previous proteomes, the intersection data is summarized with UpSetR [51] analysis in S3 Fig. As expected from our similar analysis with the predicted GPI-APome (Fig 3B), there were fewer matches with proteins from excretory-secretory proteomes [55, 56] and the extracellular vesicle proteome [54]. The majority of the matches (944 of 954) were found in the two largest proteome datasets: the 2011 stage specific proteome set [58] and the 2015 proteomes of the body wall, digestive tract and reproductive tract [57]. Thus, the corroborating proteins we identified in these previously published proteomes gives additional insights on their life stage and/or tissue expression.
The C. elegans lipid raft study identified 44 proteins of which 21 were predicted to be GPI-APs [62]. We found B. malayi orthologs for 17 of these 44 lipid raft associated proteins in our LC-MS/MS data (S7 Table) showing that our method also captured lipid raft proteins. Of these 17 proteins, 4 were predicted to be GPI-APs in C. elegans [62] while two of the B. malayi orthologs (Bm2418 and Bm8928) were predicted GPI-APs in our computational GPI-APome. Similarly, in our LC-MS/MS data, we found B. malayi orthologs for 7 out of 22 proteins identified in a C. elegans GPI-AP proteomic study [17]. Of these seven, four (Bm1904, Bm1972, Bm2418, Bm5444) were present in our predicted B. malayi GPI-APome. This variability in GPI-AP prediction suggests that the prediction programs give a reasonable first indication of potential GPI-APs. Combined with experimental approaches, such as those reported here, a more comprehensive representation of the GPI-APome is gained.
Conclusions
Our study both computationally and experimentally defines the GPI-APome in the parasitic nematode B. malayi, the first such study in any parasitic worm. This proteome includes both novel and previously identified GPI-anchored proteins that likely play an important role during the parasite’s lifecycle. Better understanding of the GPI-APome and its synthesis pathway may lead to the identification of new strategies for diagnosis and treatment for this important parasite.
Supporting information
S1 Fig [tif]
Dolichol phosphate mannosyltransferase comparison.S2 Fig [tif]
Mock control dot blot.S3 Fig [tif]
UpSetR proteomic comparison of LC-MS/MS data to published proteomics data.S1 Table [s]
. predicted GPI-APome.S2 Table [xlsx]
. surface mock control LC-MS/MS.S3 Table [xlsx]
. surface PI-PLC LC-MS/MS.S4 Table [xlsx]
. membrane mock control LC-MS/MS.S5 Table [xlsx]
. membrane PI-PLC LC-MS/MS.S6 Table [xlsx]
. membrane enrich GPI-AP LC-MS/MS.S7 Table [xlsx]
. compiled LC-MS/MS with proteomic comparison.
Zdroje
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- Transcriptome divergence during leaf development in two contrasting switchgrass (Panicum virgatum L.) cultivars
- Study on Dalfampridine in the treatment of Multiple Sclerosis Mobility Disability: A meta-analysis
- Circulating progenitor cells and the expression of Cxcl12, Cxcr4 and angiopoietin-like 4 during wound healing in the murine ear
- EUSKOR: End-to-end coreference resolution system for Basque
- Inactivating pathogenic bacteria in greywater by biosynthesized Cu/Zn nanoparticles from secondary metabolite of Aspergillus iizukae; optimization, mechanism and techno economic analysis
- Exopolysaccharide producing rhizobacteria and their impact on growth and drought tolerance of wheat grown under rainfed conditions
- Structural equation modeling for hypertension and type 2 diabetes based on multiple SNPs and multiple phenotypes
- Correction: Association between ultraviolet radiation exposure dose and cataract in Han people living in China and Taiwan: A cross-sectional study
- Short-term exercise training improves cardiac function associated to a better antioxidant response and lower type 3 iodothyronine deiodinase activity after myocardial infarction
- Unexpected low genetic variation in the South American hystricognath rodent Lagostomus maximus (Rodentia: Chinchillidae)
- PRC2 activates interferon-stimulated genes indirectly by repressing miRNAs in glioblastoma
- Surgical resection is sufficient for incidentally discovered solitary pulmonary nodule caused by nontuberculous mycobacteria in asymptomatic patients
- “I do all I can but I still fail them”: Health system barriers to providing Option B+ to pregnant and lactating women in Malawi
- Impact of major illnesses and geographic regions on do-not-resuscitate rate and its potential cost savings in Taiwan
- Implementation of intermittent theta burst stimulation compared to conventional repetitive transcranial magnetic stimulation in patients with treatment resistant depression: A cost analysis
- Genome-wide analysis of DNA methylation profile identifies differentially methylated loci associated with human intervertebral disc degeneration
- Correction: Artificial neural networks reveal individual differences in metacognitive monitoring of memory
- Combining fish and environmental PCR for diagnostics of diseased laboratory zebrafish in recirculating systems
- Reading skill modulates the effect of parafoveal distractors on foveal lexical decision in deaf students
- Association between the posterior part of the circle of Willis and the vertebral artery hypoplasia
- Exposure to marital conflict: Gender differences in internalizing and externalizing problems among children
- Ethanol locks for the prevention of catheter-related infection in patients with central venous catheter: A systematic review and meta-analysis of randomized controlled trials
- The effect of age and perturbation time on online control during rapid pointing
- Oilseed rape (Brassica napus) resistance to growth of Leptosphaeria maculans in leaves of young plants contributes to quantitative resistance in stems of adult plants
- Lymphocyte proliferation induced by high-affinity peptides for HLA-B*51:01 in Behçet’s uveitis
- Sensitization of avian pathogenic Escherichia coli to amoxicillin in vitro and in vivo in the presence of surfactin
- Genomic characterization of the complete terpene synthase gene family from Cannabis sativa
- Inhibition of gap junctional intercellular communication by an anti-migraine agent, flunarizine
- Levels of serum eosinophil cationic protein are associated with hookworm infection and intensity in endemic communities in Ghana
- Plant growth promoting rhizobacterium Stenotrophomonas maltophilia BJ01 augments endurance against N2 starvation by modulating physiology and biochemical activities of Arachis hypogea
- Hierarchical integrated and segregated processing in the functional brain default mode network within attention-deficit/hyperactivity disorder
- Rising co-payments coincide with unwanted effects on continuity of healthcare for patients with schizophrenia in the Netherlands
- Analysis of Zobellella denitrificans ZD1 draft genome: Genes and gene clusters responsible for high polyhydroxybutyrate (PHB) production from glycerol under saline conditions and its CRISPR-Cas system
- False-negative errors in next-generation sequencing contribute substantially to inconsistency of mutation databases
- Identification of potassium phosphite responsive miRNAs and their targets in potato
- Quantification of bell-shaped size selectivity in shrimp trawl fisheries using square mesh panels and a sorting cone after a Nordmøre grid
- Deactivation of somatosensory and visual cortices during vestibular stimulation is associated with older age and poorer balance
- Combined immunization with attenuated live influenza vaccine and chimeric pneumococcal recombinant protein improves the outcome of virus-bacterial infection in mice
- Flooding performance evaluation of alkyl aryl sulfonate in various alkaline environments
- An artificial intelligent diagnostic system on mobile Android terminals for cholelithiasis by lightweight convolutional neural network
- Enhanced detection of prion infectivity from blood by preanalytical enrichment with peptoid-conjugated beads
- COI metabarcoding primer choice affects richness and recovery of indicator taxa in freshwater systems
- Retraction: APRIL Induces Tumorigenesis and Metastasis of Colorectal Cancer Cells via Activation of the PI3K/Akt Pathway
- The intake pattern and feed preference of layer hens selected for high or low feed conversion ratio
- Individualized pattern recognition for detecting mind wandering from EEG during live lectures
- Ontogenetic expression of thyroid hormone signaling genes: An in vitro and in vivo species comparison
- Post-activation potentiation effect of eccentric overload and traditional weightlifting exercise on jumping and sprinting performance in male athletes
- Effectiveness of different central venous catheter fixation suture techniques: An in vitro crossover study
- Quantitative detection of ALK fusion breakpoints in plasma cell-free DNA from patients with non-small cell lung cancer using PCR-based target sequencing with a tiling primer set and two-step mapping/alignment
- Nuclei deformation reveals pressure distributions in 3D cell clusters
- Strategies for increasing diagnostic yield of community-onset bacteraemia within the emergency department: A retrospective study
- Rapid evolution of Mexican H7N3 highly pathogenic avian influenza viruses in poultry
- Certified service dogs – A cost-effectiveness analysis appraisal
- Endothelial dysfunction and low-grade inflammation in the transition to renal replacement therapy
- Assessing the impact of a research funder’s recommendation to consider core outcome sets
- Validity of six consumer-level activity monitors for measuring steps in patients with chronic heart failure
- Detection of deceptive motions in rugby from visual motion cues
- The impact of antenatal care on neonatal mortality in sub-Saharan Africa: A systematic review and meta-analysis
- Epidemiological investigation and management of bloody diarrhea among children in India
- Irisin promotes C2C12 myoblast proliferation via ERK-dependent CCL7 upregulation
- Bacteria isolated from Bengal cat (Felis catus × Prionailurus bengalensis) anal sac secretions produce volatile compounds potentially associated with animal signaling
- Petri net–based model of the human DNA base excision repair pathway
- Complexation and conformation of lead ion with poly-γ-glutamic acid in soluble state
- The effects of sympathetic activity induced by ice water on blood flow and brachial artery flow-mediated dilatation response in healthy volunteers
- The Youth-Physical Activity Towards Health (Y-PATH) intervention: Results of a 24 month cluster randomised controlled trial
- The COPD multi-dimensional phenotype: A new classification from the STORICO Italian observational study
- Morphological identification of Amphitetranychus species (Acari: Tetranychidae) with crossbreeding, esterase zymograms and DNA barcode data
- Maintaining hope after a disabling stroke: A longitudinal qualitative study of patients’ experiences, views, information needs and approaches towards making treatment decisions
- Cultural differences in the use of acoustic cues for musical emotion experience
- Effects of a rifampicin pre-treatment on linezolid pharmacokinetics
- High prevalence of multidrug resistant Enterobacteriaceae among residents of long term care facilities in Amsterdam, the Netherlands
- Infection/inflammation-associated preterm delivery within 14 days of presentation with symptoms of preterm labour: A multivariate predictive model
- Prognostic value of preoperative hydronephrosis in patients with bladder cancer undergoing radical cystectomy: A meta-analysis
- Correction: Early life predictors of midlife allostatic load: A prospective cohort study
- PCR-free whole exome sequencing: Cost-effective and efficient in detecting rare mutations
- Epstein-Barr virus genome packaging factors accumulate in BMRF1-cores within viral replication compartments
- Symbiotic incompatibility between soybean and Bradyrhizobium arises from one amino acid determinant in soybean Rj2 protein
- Does anticoagulation needed for distally located incidental pulmonary thromboembolism in patients with active cancer?
- Control of human testis-specific gene expression
- Speaking up culture of medical students within an academic teaching hospital: Need of faculty working in patient safety
- Appraisal on the wound healing potential of Melaleuca alternifolia and Rosmarinus officinalis L. essential oil-loaded chitosan topical preparations
- Understanding parental perspectives on outcomes following paediatric encephalitis: A qualitative study
- Results of scoping review do not support mild traumatic brain injury being associated with a high incidence of chronic cognitive impairment: Commentary on McInnes et al. 2017
- Native seed, soil and atmosphere respond to boreal forest topsoil (LFH) storage
- Development of a quantitative polymerase chain reaction assay and environmental DNA sampling methods for Giant Gartersnake (Thamnophis gigas)
- Genetic diversity and population structure of four Chinese rabbit breeds
- Knowledge, attitude and behaviors towards patients with mental illness: Results from a national Lebanese study
- Correction: An impact evaluation of two rounds of mass drug administration on the prevalence of active trachoma: A clustered cross sectional survey
- Comparative prognostic accuracy of sepsis scores for hospital mortality in adults with suspected infection in non-ICU and ICU at an academic public hospital
- Graph convolutional network approach applied to predict hourly bike-sharing demands considering spatial, temporal, and global effects
- Impact of traffic variability on geographic accessibility to 24/7 emergency healthcare for the urban poor: A GIS study in Dhaka, Bangladesh
- Feeling the heat: Elevated temperature affects male display activity of a lekking grassland bird
- Constructing a comprehensive disaster resilience index: The case of Italy
- Intraocular pressure according to different types of tonometry (non-contact and Goldmann applanation) in patients with different degrees of bilateral tearing
- Prevalent vertebral fracture is dominantly associated with spinal microstructural deterioration rather than bone mineral density in patients with type 2 diabetes mellitus
- Silent volumetric multi-contrast 7 Tesla MRI of ocular tumors using Zero Echo Time imaging
- Nonverbal synchrony in virtual reality
- Do speed cameras reduce road traffic collisions?
- A zero-shot learning approach to the development of brain-computer interfaces for image retrieval
- Use of non-HIV medication among people living with HIV and receiving antiretroviral treatment in Côte d’Ivoire, West Africa: A cross-sectional study
- DNA barcoding of southern African crustaceans reveals a mix of invasive species and potential cryptic diversity
- Development of an international external quality assurance program for HIV-1 incidence using the Limiting Antigen Avidity assay
- Correction: The mean cell volume difference (dMCV) reflects serum hypertonicity in diabetic dogs
- Structural characteristics of lipocalin allergens: Crystal structure of the immunogenic dog allergen Can f 6
- Transport oil product consumption and GHG emission reduction potential in China: An electric vehicle-based scenario analysis
- Ontogenetic shift in the energy allocation strategy and physiological condition of larval plaice (Pleuronectes platessa)
- Increased proliferation and altered cell cycle regulation in pancreatic stem cells derived from patients with congenital hyperinsulinism
- Diagnostic accuracy of Xpert MTB/RIF assay and non-molecular methods for the diagnosis of tuberculosis lymphadenitis
- Assessment of glucose-6-phosphate dehydrogenase activity using CareStart G6PD rapid diagnostic test and associated genetic variants in Plasmodium vivax malaria endemic setting in Mauritania
- Spatial distribution of breast cancer in Sudan 2010-2016
- Human-induced fire regime shifts during 19th century industrialization: A robust fire regime reconstruction using northern Polish lake sediments
- Enhanced effectiveness of oil dispersants in destabilizing water-in-oil emulsions
- Development of UV spectrophotometry methods for concurrent quantification of amlodipine and celecoxib by manipulation of ratio spectra in pure and pharmaceutical formulation
- Iron and manganese co-limit growth of the Southern Ocean diatom Chaetoceros debilis
- Bilateral and unilateral load-velocity profiling in a machine-based, single-joint, lower body exercise
- Veterans Health Administration nurses’ training and beliefs related to care of patients with traumatic brain injury
- Supplementation strategies affect the feed intake and performance of grazing replacement heifers
- Active transcutaneous bone conduction hearing implants: Systematic review and meta-analysis
- Parameterization-induced uncertainties and impacts of crop management harmonization in a global gridded crop model ensemble
- Acidification effects on isolation of extracellular vesicles from bovine milk
- GPR40 full agonism exerts feeding suppression and weight loss through afferent vagal nerve
- Mining version history to predict the class instability
- Humpback whale song occurrence reflects ecosystem variability in feeding and migratory habitat of the northeast Pacific
- A phase 2 study of an oral mTORC1/mTORC2 kinase inhibitor (CC-223) for non-pancreatic neuroendocrine tumors with or without carcinoid symptoms
- Asprosin response in hypoglycemia is not related to hypoglycemia unawareness but rather to insulin resistance in type 1 diabetes
- Muscle oxygenation maintained during repeated-sprints despite inspiratory muscle loading
- Reconstructing systematic persistent impacts of promotional marketing with empirical nonlinear dynamics
- Trans-national conservation and infrastructure development in the Heart of Borneo
- Prediction of cardiovascular disease risk among people with severe mental illness: A cohort study
- Data in question: A survey of European biobank professionals on ethical, legal and societal challenges of biobank research
- Hypertensive APOL1 risk allele carriers demonstrate greater blood pressure reduction with angiotensin receptor blockade compared to low risk carriers
- Reconstructing birth in Australopithecus sediba
- Value of contrast-enhanced ultrasound for preoperative assessment of liver reserve function in patients with liver tumors
- Correction: Identifying obesity/overweight status in children and adolescents; A cross-sectional medical record review of physicians’ weight screening practice in outpatient clinics, Saudi Arabia
- Incidence and risk factors of loss to follow-up among HIV-infected children in an antiretroviral treatment program
- Changes in intracellular folate metabolism during high-dose methotrexate and Leucovorin rescue therapy in children with acute lymphoblastic leukemia
- Functional role and evolutionary contributions of floral gland morphoanatomy in the Paleotropical genus Acridocarpus (Malpighiaceae)
- On the efficiency of HIV transmission: Insights through discrete time HIV models
- Metabolic cost calculations of gait using musculoskeletal energy models, a comparison study
- Comparison of molecular profile in triple-negative inflammatory and non-inflammatory breast cancer not of mesenchymal stem-like subtype
- Evolutionary analysis of six chloroplast genomes from three Persea americana ecological races: Insights into sequence divergences and phylogenetic relationships
- Cultural transmission in a food preparation task: The role of interactivity, innovation and storytelling
- Correction: Effects of affective priming through music on the use of emotion words
- Safety and immunogenicity of investigational seasonal influenza hemagglutinin DNA vaccine followed by trivalent inactivated vaccine administered intradermally or intramuscularly in healthy adults: An open-label randomized phase 1 clinical trial
- Estimation of vaccination coverage from electronic healthcare records; methods performance evaluation – A contribution of the ADVANCE-project
- Dietary phytogenics and galactomannan oligosaccharides in low fish meal and fish oil-based diets for European sea bass (Dicentrarchus labrax) juveniles: Effects on gut health and implications on in vivo gut bacterial translocation
- Suicide by hanging: Results from a national survey in Switzerland and its implications for suicide prevention
- Gene dysregulation in peripheral blood of moyamoya disease and comparison with other vascular disorders
- Genome wide genetic dissection of wheat quality and yield related traits and their relationship with grain shape and size traits in an elite × non-adapted bread wheat cross
- Safety and tolerability of artesunate-amodiaquine, artemether-lumefantrine and quinine plus clindamycin in the treatment of uncomplicated Plasmodium falciparum malaria in Kinshasa, the Democratic Republic of the Congo
- Factors influencing the admission decision for Medical Psychiatry Units: A concept mapping approach
- Comparison of post-traumatic changes in circulating and bone marrow leukocytes between BALB/c and CD-1 mouse strains
- Physiological stress reactivity and recovery related to behavioral traits in dogs (Canis familiaris)
- Associations between birth order with mental wellbeing and psychological distress in midlife: Findings from the 1970 British Cohort Study (BCS70)
- Non-steroidal anti-inflammatory drugs use in older adults decreases risk of Alzheimer’s disease mortality
- The cost-effectiveness of neonatal versus prenatal screening for congenital toxoplasmosis
- Ancient technology and punctuated change: Detecting the emergence of the Edomite Kingdom in the Southern Levant
- Flowers as viral hot spots: Honey bees (Apis mellifera) unevenly deposit viruses across plant species
- Randomized control trial of Tools of the Mind: Marked benefits to kindergarten children and their teachers
- Preserving cultural heritage: Analyzing the antifungal potential of ionic liquids tested in paper restoration
- PNPLA3 rs738409 G allele carriers with genotype 1b HCV cirrhosis have lower viral load but develop liver failure at younger age
- Correction: Unraveling the genetic complexity underlying sorghum response to water availability
- Impact of tear metrics on the reliability of perimetry in patients with dry eye
- Using DNA barcoding to improve invasive pest identification at U.S. ports-of-entry
- Correction: Effects of Lactobacillus plantarum 15-1 and fructooligosaccharides on the response of broilers to pathogenic Escherichia coli O78 challenge
- Physico-chemical characterization and transcriptome analysis of 5-methyltryptophan resistant lines in rice
- Patient factors affecting successful linkage to treatment in a cervical cancer prevention program in Kenya: A prospective cohort study
- Is this a man’s world? The effect of gender diversity and gender equality on firm innovativeness
- Procalcitonin to stop antibiotics after cardiovascular surgery in a pediatric intensive care unit—The PROSACAB study
- Temporal trends, predictors, and outcomes of acute kidney injury and hemodialysis use in acute myocardial infarction-related cardiogenic shock
- Quantitation of free glycation compounds in saliva
- Resolving an 87-year-old taxonomical curiosity with the description of Psylla frodobagginsi sp. nov. (Hemiptera: Sternorrhyncha: Psyllidae), a second distinct Psylla species on the New Zealand endemic plant kōwhai
- The effect of cathodal tDCS on fear extinction: A cross-measures study
- Physiological responses to affiliation during conversation: Comparing neurotypical males and males with Asperger syndrome
- Human cord blood (hCB)-CD34+ humanized mice fail to reject human acute myeloid leukemia cells
- Investigating the dispersal of antibiotic resistance associated genes from manure application to soil and drainage waters in simulated agricultural farmland systems
- Continuous norming of psychometric tests: A simulation study of parametric and semi-parametric approaches
- Phylogenetic microbiota profiling in fecal samples depends on combination of sequencing depth and choice of NGS analysis method
- Cost-effectiveness of apixaban compared to other anticoagulants in patients with atrial fibrillation in the real-world and trial settings
- Biochemical profile and in vitro biological activities of extracts from seven folk medicinal plants growing wild in southern Tunisia
- Low genetic differentiation yet high phenotypic variation in the invasive populations of Spartina alterniflora in Guangxi, China
- A mathematical model for designing networks of C-Reactive Protein point of care testing
- Prevalence of hypochondriac symptoms among health science students in China: A systematic review and meta-analysis
- Femtosecond laser induced step-like structures inside transparent hydrogel due to laser induced threshold reduction
- From In Situ to satellite observations of pelagic Sargassum distribution and aggregation in the Tropical North Atlantic Ocean
- The polyether ionophore salinomycin targets multiple cellular pathways to block proliferative vitreoretinopathy pathology
- BRAF V600E and Pten deletion in mice produces a histiocytic disorder with features of Langerhans cell histiocytosis
- HIV prevalence and risk behavior among male and female adults screened for enrolment into a vaccine preparedness study in Maputo, Mozambique
- Sputum microbiota and inflammation at stable state and during exacerbations in a cohort of chronic obstructive pulmonary disease (COPD) patients
- Direct estimation of the parameters of a delayed, intermittent activation feedback model of postural sway during quiet standing
- Occurrence mechanism and coping paths of accidents of highly aggregated tourist crowds based on system dynamics
- Correction: Low Dose Aerosol Fitness at the Innate Phase of Murine Infection Better Predicts Virulence amongst Clinical Strains of Mycobacterium tuberculosis
- Effects of enalapril and paricalcitol treatment on diabetic nephropathy and renal expressions of TNF-α, p53, caspase-3 and Bcl-2 in STZ-induced diabetic rats
- Correction: Public reaction to Chikungunya outbreaks in Italy—Insights from an extensive novel data streams-based structural equation modeling analysis
- Correction: Comparison of neurodegenerative types using different brain MRI analysis metrics in older adults with normal cognition, mild cognitive impairment, and Alzheimer’s dementia
- Intra-individual variability of sleep and nocturnal cardiac autonomic activity in elite female soccer players during an international tournament
- Therapeutic efficacy of equine botulism heptavalent antitoxin against all seven botulinum neurotoxins in symptomatic guinea pigs
- Interleukin 10 knock-down in bovine monocyte-derived macrophages has distinct effects during infection with two divergent strains of Mycobacterium bovis
- Clinical outcomes of bortezomib-based therapy in Taiwanese patients with multiple myeloma: A nationwide population-based study and a single-institute analysis
- Scope and efficacy of the broad-spectrum topical antiseptic choline geranate
- Hematological and biochemical parameters for Chinese rhesus macaque
- Veterinary peer study groups as a method of continuous education—A new approach to identify and address factors associated with antimicrobial prescribing
- Correction: The prognosis of heart failure patients: Does sodium level play a significant role?
- Maternal malaria but not schistosomiasis is associated with a higher risk of febrile infection in infant during the first 3 months of life: A mother-child cohort in Benin
- Systematic identification of facility-based stillbirths and neonatal deaths through the piloted use of an adapted RAPID tool in Liberia and Nepal
- Effects of salbutamol and phlorizin on acute pulmonary inflammation and disease severity in experimental sepsis
- Correction: Age, sex and storage time influence hair cortisol levels in a wild mammal population
- Reasons to care: Personal motivation as a key factor in the practice of the professional foster carer in Romania
- Determinants of clinical, functional and personal recovery for people with schizophrenia and other severe mental illnesses: A cross-sectional analysis
- Continuity of care for TB patients at a South African hospital: A qualitative participatory study of the experiences of hospital staff
- EGF receptor stimulation shifts breast cancer cell glucose metabolism toward glycolytic flux through PI3 kinase signaling
- The Better Management of Patients with Osteoarthritis Program: Outcomes after evidence-based education and exercise delivered nationwide in Sweden
- The negative effects of short-term extreme thermal events on the seagrass Posidonia oceanica are exacerbated by ammonium additions
- Pathogen invasion history elucidates contemporary host pathogen dynamics
- Chinese herbal formulae for the treatment of menopausal hot flushes: A systematic review and meta-analysis
- Healthcare resource utilization and costs for multiple sclerosis management in the Campania region of Italy: Comparison between centre-based and local service healthcare delivery
- Deconstruction of central line insertion guidelines based on the positive deviance approach—Reducing gaps between guidelines and implementation: A qualitative ethnographic research
- PBMCs transcriptome profiles identified breed-specific transcriptome signatures for PRRSV vaccination in German Landrace and Pietrain pigs
- The impact of admission serum lactate on children with moderate to severe traumatic brain injury
- Hypervirulent Klebsiella pneumoniae serotype K1 clinical isolates form robust biofilms at the air-liquid interface
- Determination of the bruise degree for cherry using Vis-NIR reflection spectroscopy coupled with multivariate analysis
- Genome-wide identification and expression profile analysis of nuclear factor Y family genes in Sorghum bicolor L. (Moench)
- Trends in maternal prepregnancy body mass index (BMI) and its association with birth and maternal outcomes in California, 2007–2016: A retrospective cohort study
- Distribution of the Duffy genotypes in Malaysian Borneo and its relation to Plasmodium knowlesi malaria susceptibility
- Hippocampal connectivity with sensorimotor cortex during volitional finger movements: Laterality and relationship to motor learning
- A self-adaptive deep learning method for automated eye laterality detection based on color fundus photography
- The effect of child marriage on the utilization of maternal health care in Nepal: A cross-sectional analysis of Demographic and Health Survey 2016
- Identification of QTLs for powdery mildew (Podosphaera aphanis; syn. Sphaerotheca macularis f. sp. fragariae) susceptibility in cultivated strawberry (Fragaria ×ananassa)
- Chemical volatiles present in cotton gin trash: A by-product of cotton processing
- PTP1B negatively regulates nitric oxide-mediated Pseudomonas aeruginosa killing by neutrophils
- Differential metabolomics networks analysis of menopausal status
- Experimental study of the temporal profile of breath alcohol concentration in a Chinese population after a light meal
- Association between regional brain volumes and BMI z-score change over one year in children
- Relationships between Potentially Toxic Elements in intertidal sediments and their bioaccumulation by benthic invertebrates
- Long-term outcomes of dialysis in patients with chronic kidney disease and new-onset atrial fibrillation: A population-based cohort study
- Hospital burden of pulmonary arterial hypertension in France
- Understanding the variability of Australian fire weather between 1973 and 2017
- Photon-counting cine-cardiac CT in the mouse
- Ecophysiological impacts of Esca, a devastating grapevine trunk disease, on Vitis vinifera L.
- Black “Reading the Mind in the Eyes” task: The development of a task assessing mentalizing from black faces
- Osmolytes ameliorate the effects of stress in the absence of the heat shock protein Hsp104 in Saccharomyces cerevisiae
- Reliable and robust method for abdominal muscle mass quantification using CT/MRI: An explorative study in healthy subjects
- Validation of the Rainbow Model of Integrated Care Measurement Tools (RMIC-MTs) in renal care for patient and care providers
- Multiple origins and the population genetic structure of Rubus takesimensis (Rosaceae) on Ulleung Island: Implications for the genetic consequences of anagenetic speciation
- Genetic profiling of fatty acid desaturase polymorphisms identifies patients who may benefit from high-dose omega-3 fatty acids in cardiac remodeling after acute myocardial infarction—Post-hoc analysis from the OMEGA-REMODEL randomized controlled trial
- A randomized controlled trial examining the efficacy of an internet-based cognitive behavioral therapy program for adolescents with anxiety disorders
- Optimising outputs from a validated online instrument to measure health-related quality of life (HRQL) in dogs
- Young adults’ perceptions of using wearables, social media and other technologies to detect worsening mental health: A qualitative study
- Characteristics of prescription in 29 Level 3 Neonatal Wards over a 2-year period (2017-2018). An inventory for future research
- Genetic characterization of fall armyworm (Spodoptera frugiperda) in Ecuador and comparisons with regional populations identify likely migratory relationships
- Correction: Lkb1 Deficiency Alters Goblet and Paneth Cell Differentiation in the Small Intestine
- Cardiac resynchronization therapy-heart failure (CRT-HF) clinic: A novel model of care
- Synteny and phylogenetic analysis of paralogous thyrostimulin beta subunits (GpB5) in vertebrates
- Dual-Subpopulation as reciprocal optional external archives for differential evolution
- NGS analysis in Marfan syndrome spectrum: Combination of rare and common genetic variants to improve genotype-phenotype correlation analysis
- Optimization of cataract surgery follow-up: A standard set of questions can predict unexpected management changes at postoperative week one
- Silymarin in non-cirrhotics with non-alcoholic steatohepatitis: A randomized, double-blind, placebo controlled trial
- Clinical evaluation of General Electric new Swiftscan solution in bone scintigraphy on NaI-camera: A head to head comparison with Siemens Symbia
- Pharmacist-led academic detailing improves statin therapy prescribing for Malaysian patients with type 2 diabetes: Quasi-experimental design
- Proton pump inhibitors attenuate myofibroblast formation associated with thyroid eye disease through the aryl hydrocarbon receptor
- Clinical outcomes with neoadjuvant versus adjuvant chemotherapy for triple negative breast cancer: A report from the National Cancer Database
- Identification and characterization of a novel heparan sulfate-binding domain in Activin A longest variants and implications for function
- Wikipedia network analysis of cancer interactions and world influence
- Using path signatures to predict a diagnosis of Alzheimer’s disease
- Development and verification of prediction models for preventing cardiovascular diseases
- Additive and heterozygous (dis)advantage GWAS models reveal candidate genes involved in the genotypic variation of maize hybrids to Azospirillum brasilense
- Fish tank granuloma: An emerging skin disease in Iran mimicking Cutaneous Leishmaniasis
- Transience effect in capture-recapture studies: The importance of its biological meaning
- Detailed global modelling of soil organic carbon in cropland, grassland and forest soils
- Oral dosing for antenatal corticosteroids in the Rhesus macaque
- Retraction: Modulation of the Pentose Phosphate Pathway Induces Endodermal Differentiation in Embryonic Stem Cells
- An analysis on HBsAg, Anti-HCV, Anti-HIV½ and VDRL test results in blood donors according to gender, age range and years
- Clinical factors associated with bacterial translocation in Japanese patients with type 2 diabetes: A retrospective study
- Meaningful work and resilience among teachers: The mediating role of work engagement and job crafting
- The conditional Fama-French model and endogenous illiquidity: A robust instrumental variables test
- Breast cancers utilize hypoxic glycogen stores via PYGB, the brain isoform of glycogen phosphorylase, to promote metastatic phenotypes
- Characterization of sequentially-staged cancer cells using electrorotation
- Vancomycin-laden calcium phosphate-calcium sulfate composite allows bone formation in a rat infection model
- Genetic evidence for plural introduction pathways of the invasive weed Paterson’s curse (Echium plantagineum L.) to southern Australia
- Risk of major autoimmune diseases in female breast cancer patients: A nationwide, population-based cohort study
- Real-time three-dimensional MRI for the assessment of dynamic carpal instability
- Interim report on the effective intraperitoneal therapy of insulin-dependent diabetes mellitus in pet dogs using “Neo-Islets,” aggregates of adipose stem and pancreatic islet cells (INAD 012-776)
- The frequency of bowel and bladder problems in multiple sclerosis and its relation to fatigue: A single centre experience
- Retraction: Analysis of Mycobacterium tuberculosis-Specific CD8 T-Cells in Patients with Active Tuberculosis and in Individuals with Latent Infection
- The association between role model presence and self-regulation in early adolescence: A cross-sectional study
- Correction: A controlled-release oral opioid supports S. aureus survival in injection drug preparation equipment and may increase bacteremia and endocarditis risk
- Methamphetamine regulation of activity and topology of ventral midbrain networks
- Evaluation and treatment of latent tuberculosis infection among healthcare workers in Korea: A multicentre cohort analysis
- Occult periprosthetic femoral fractures occur frequently during a long, trapezoidal, double-tapered cementless femoral stem fixation in primary THA
- TCF4 induces enzalutamide resistance via neuroendocrine differentiation in prostate cancer
- Structural characterization of EGFR exon 19 deletion mutation using molecular dynamics simulation
- Comparing infiltration rates in soils managed with conventional and alternative farming methods: A meta-analysis
- Correction: Permissivity of Primary Human Hepatocytes and Different Hepatoma Cell Lines to Cell Culture Adapted Hepatitis C Virus
- Radiomics features of the primary tumor fail to improve prediction of overall survival in large cohorts of CT- and PET-imaged head and neck cancer patients
- The complete mitochondrial genome of Calyptogena marissinica (Heterodonta: Veneroida: Vesicomyidae): Insight into the deep-sea adaptive evolution of vesicomyids
- Correction: In vitro larval rearing protocol for the stingless bee species Melipona scutellaris for toxicological studies
- Correction: Morphological and molecular identification of the dioecious “African species Volvox rousseletii (Chlorophyceae) in the water column of a Japanese lake based on field-collected and cultured materials
- Upper versus lower airway microbiome and metagenome in children with cystic fibrosis and their correlation with lung inflammation
- “…or else I close my ears” How women with obesity want to be approached and treated regarding gestational weight management: A qualitative interview study
- Does a spinal implant alter dual energy X-ray absorptiometry body composition measurements?
- Economic and livestock health impacts of birds on dairies: Evidence from a survey of Washington dairy operators
- Repair of subtotal tympanic membrane perforations: A temporal bone study of several tympanoplasty materials
- Shifts in temperature influence how Batrachochytrium dendrobatidis infects amphibian larvae
- Sequential two-step chromatographic purification of infectious poliovirus using ceramic fluoroapatite and ceramic hydroxyapatite columns
- Frequency and distribution of corneal astigmatism and keratometry features in adult life: Methodology and findings of the UK Biobank study
- Differences in the impedance of cochlear implant devices within 24 hours of their implantation
- Suppressive impact of metronomic chemotherapy using UFT and/or cyclophosphamide on mediators of breast cancer dissemination and invasion
- Expression of Concern: miRNA 17 Family Regulates Cisplatin-Resistant and Metastasis by Targeting TGFbetaR2 in NSCLC
- Group leaders establish cooperative norms that persist in subsequent interactions
- Addis Ababa population-based pattern of cancer therapy, Ethiopia
- Agreement between the Cochrane risk of bias tool and Physiotherapy Evidence Database (PEDro) scale: A meta-epidemiological study of randomized controlled trials of physical therapy interventions
- Oxidoreductase disulfide bond proteins DsbA and DsbB form an active redox pair in Chlamydia trachomatis, a bacterium with disulfide dependent infection and development
- DNA barcoding of coastal ray-finned fishes in Vietnam
- Comparison of climbing-specific strength and endurance between lead and boulder climbers
- The performance of different case definitions for severe influenza surveillance among HIV-infected and HIV-uninfected children aged <5 years in South Africa, 2011–2015
- Analgesic drug use in elderly persons: A population-based study in Southern Italy
- RCER: Reliable Cluster-based Energy-aware Routing protocol for heterogeneous Wireless Sensor Networks
- Beta-defensins and analogs in Helicobacter pylori infections: mRNA expression levels, DNA methylation, and antibacterial activity
- Changing educational gradient in long-term care-free life expectancy among German men, 1997-2012
- A non-parametric significance test to compare corpora
- Evaluating the impact of policies recommending PrEP to subpopulations of men and transgender women who have sex with men based on demographic and behavioral risk factors
- Different levels of statistical learning - Hidden potentials of sequence learning tasks
- Dry period heat stress induces microstructural changes in the lactating mammary gland
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- Preferences for formal and traditional sources of childbirth and postnatal care among women in rural Africa: A systematic review
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- Robust methods in Mendelian randomization via penalization of heterogeneous causal estimates
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- Multiple biomarkers of sepsis identified by novel time-lapse proteomics of patient serum
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- The female presence in different organisational positions and performance in secondary schools: Does a woman leader function as mediator?
- Beta power encodes contextual estimates of temporal event probability in the human brain
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- Using metabolite profiling to construct and validate a metabolite risk score for predicting future weight gain
- Comprehensive analysis of the internal structure and firmness in American cranberry (Vaccinium macrocarpon Ait.) fruit
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- Qualitative analysis of ward staff experiences during research of a novel suicide-prevention psychological therapy for psychiatric inpatients: Understanding the barriers and facilitators
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- Influence of musculotendon geometry variability in muscle forces and hip bone-on-bone forces during walking
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- The effect of the use of a decision aid with individual risk estimation on the mode of delivery after a caesarean section: A prospective cohort study
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- High-throughput RNA-sequencing identifies mesenchymal stem cell-induced immunological signature in a rat model of corneal allograft rejection
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- A mutation in mouse Krüppel-like factor 15 alters the gut microbiome and response to obesogenic diet
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- Repeated transspinal stimulation decreases soleus H-reflex excitability and restores spinal inhibition in human spinal cord injury
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- Retraction: Autophagy in Muscle of Glucose-Infusion Hyperglycemia Rats and Streptozotocin-Induced Hyperglycemia Rats via Selective Activation of m-TOR or FoxO3
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- Correction: Development of a high-throughput assay to measure measles neutralizing antibodies
- Correction: Provider preference for payment method under a national health insurance scheme: A survey of health insurance-credentialed health care providers in Ghana
- Correction: Second-line HIV treatment failure in sub-Saharan Africa: A systematic review and meta-analysis
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- Effect of poor glycaemic control on plasma levels and activity of protein C, protein S, and antithrombin III in type 2 diabetes mellitus
- Retraction: IL-21 Regulates the Differentiation of a Human γδ T Cell Subset Equipped with B Cell Helper Activity
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- Sodium alginate potentiates antioxidant defense and PR proteins against early blight disease caused by Alternaria solani in Solanum lycopersicum Linn.
- Ground reaction forces and muscle activity while walking on sand versus stable ground in individuals with pronated feet compared with healthy controls
- Correction: Roadway traffic crash prediction using a state-space model based support vector regression approach
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- Targeted in-vitro-stimulation reveals highly proliferative multi-virus-specific human central memory T cells as candidates for prophylactic T cell therapy
- Influence of ocean circulation and the Kuroshio large meander on the 2018 Japanese eel recruitment season
- Growth response of the ichthyotoxic haptophyte, Prymnesium parvum Carter, to changes in sulfate and fluoride concentrations
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- Characteristics of proximal early gastric cancer differentiating distal early gastric cancer
- Retraction: Impacts of rock properties on Danxia landform formation based on lithological experiments at Kongtongshan National Geopark, northwest China
- Correction: SVR12 rates higher than 99% after sofosbuvir/velpatasvir combination in HCV infected patients with F0-F1 fibrosis stage: A real world experience
- Retraction: Plexin-B1 Activates NF-κB and IL-8 to Promote a Pro-Angiogenic Response in Endothelial Cells
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- Association between temperature, sunlight hours and alcohol consumption
- Using graph learning to understand adverse pregnancy outcomes and stress pathways
- Correction: The step-to-step transition mode: A potential indicator of first-fall risk in elderly adults?
- Surgical referral systems in low- and middle-income countries: A review of the evidence
- In vivo clearance of nanoparticles by transcytosis across alveolar epithelial cells
- Correction: The Economic Impact of Malignant Catarrhal Fever on Pastoralist Livelihoods
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- Correction: Characterization of ecto- and endoparasite communities of wild Mediterranean teleosts by a metabarcoding approach
- Correction: Vascular Endothelial Growth Factor Receptor-2 Couples Cyclo-Oxygenase-2 with Pro-Angiogenic Actions of Leptin on Human Endothelial Cells
- Correction: Plant traits linked to field-scale flammability metrics in prescribed burns in Eucalyptus forest
- Correction: Maturation of three-dimensional, hiPSC-derived cardiomyocyte spheroids utilizing cyclic, uniaxial stretch and electrical stimulation
- Correction: To keep or not to keep? Decision making in adolescent pregnancies in Jamestown, Ghana
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