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Karni-Schmidt O, Friedler A, Zupnick A, McKinney K, Mattia M, Beckerman R, Bouvet P, Sheetz M, Fersht A, Prives C. Correction: Energy-dependent nucleolar localization of p53 in vitro requires two discrete regions within the p53 carboxyl terminus. Oncogene 2018; 37:4901-4902. [PMID: 30068941 DOI: 10.1038/s41388-018-0321-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
Following the publication of this article the authors noted that two images were duplicated in Figure 2B. The corrected figure 2B is below. The authors wish to apologize for any inconvenience caused.
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Affiliation(s)
- O Karni-Schmidt
- Department of Biological Sciences, Columbia University, New York, USA
| | - A Friedler
- Department of MRC-CPE, Center for Protein Engineering, Medical Research Council, Cambridge, UK.,Department of Organic Chemistry, The Hebrew University of Jerusalem, Givat Ram, Jerusalem, Israel
| | - A Zupnick
- Department of Biological Sciences, Columbia University, New York, USA
| | - K McKinney
- Department of Biological Sciences, Columbia University, New York, USA
| | - M Mattia
- Department of Biological Sciences, Columbia University, New York, USA
| | - R Beckerman
- Department of Biological Sciences, Columbia University, New York, USA
| | - P Bouvet
- Laboratoire de Biologie Mole´culaire de la Cellule/UMR 5161, Ecole Normale Supe´rieure de Lyon 46, Alle´e d'Italie, 69364, Lyon Cedex, France
| | - M Sheetz
- Department of Biological Sciences, Columbia University, New York, USA
| | - A Fersht
- Department of MRC-CPE, Center for Protein Engineering, Medical Research Council, Cambridge, UK
| | - C Prives
- Department of Biological Sciences, Columbia University, New York, USA.
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2
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Patel NU, Lind KE, McKinney K, Clark TJ, Pokharel SS, Meier JM, Stamm ER, Garg K, Haugen B. Clinical Validation of a Predictive Model for the Presence of Cervical Lymph Node Metastasis in Papillary Thyroid Cancer. AJNR Am J Neuroradiol 2018; 39:756-761. [PMID: 29449283 DOI: 10.3174/ajnr.a5554] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2017] [Accepted: 12/09/2017] [Indexed: 11/07/2022]
Abstract
BACKGROUND AND PURPOSE Ultrasound is a standard technique to detect lymph node metastasis in papillary thyroid cancer. Cystic changes and microcalcifications are the most specific features of metastasis, but with low sensitivity. This prospective study compared the diagnostic accuracy of a predictive model for sonographic evaluation of lymph nodes relative to the radiologist's standard assessment in detecting papillary thyroid cancer metastasis in patients after thyroidectomy. MATERIALS AND METHODS Cervical lymph node sonographic images were reported by a radiologist (R method) per standard practice. The same images were independently evaluated by another radiologist using a sonographic predictive model (M method). A test was considered positive for metastasis if the R or M method suggested lymph node biopsy. The result of lymph node biopsy or surgical pathology was used as the reference standard. We estimated relative true-positive fraction and relative false-positive fraction using log-linear models for correlated binary data for the M method compared with the R method. RESULTS A total of 237 lymph nodes in 103 patients were evaluated. Our analysis of relative true-positive fraction and relative false-positive fraction included 54 nodes with pathologic results in which at least 1 method (R or M) was positive. The M method had a higher relative true-positive fraction of 1.46 (95% CI, 1.12-1.91; P = .006) and a lower relative false-positive fraction of 0.58 (95% CI, 0.36-0.92; P = .02) compared with the R method. CONCLUSIONS The sonographic predictive model outperformed the standard assessment to detect lymph node metastasis in patients with papillary thyroid cancer and may reduce unnecessary biopsies.
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Affiliation(s)
- N U Patel
- From the Department of Radiology (N.U.P., K.E.L., K.M., T.J.C., S.S.P., E.R.S., J.M.M., K.G.)
| | - K E Lind
- From the Department of Radiology (N.U.P., K.E.L., K.M., T.J.C., S.S.P., E.R.S., J.M.M., K.G.).,Department of Health Systems, Management and Policy (K.E.L.), Colorado School of Public Health, Aurora, Colorado
| | - K McKinney
- From the Department of Radiology (N.U.P., K.E.L., K.M., T.J.C., S.S.P., E.R.S., J.M.M., K.G.)
| | - T J Clark
- From the Department of Radiology (N.U.P., K.E.L., K.M., T.J.C., S.S.P., E.R.S., J.M.M., K.G.)
| | - S S Pokharel
- From the Department of Radiology (N.U.P., K.E.L., K.M., T.J.C., S.S.P., E.R.S., J.M.M., K.G.)
| | - J M Meier
- From the Department of Radiology (N.U.P., K.E.L., K.M., T.J.C., S.S.P., E.R.S., J.M.M., K.G.)
| | - E R Stamm
- From the Department of Radiology (N.U.P., K.E.L., K.M., T.J.C., S.S.P., E.R.S., J.M.M., K.G.)
| | - K Garg
- From the Department of Radiology (N.U.P., K.E.L., K.M., T.J.C., S.S.P., E.R.S., J.M.M., K.G.)
| | - B Haugen
- Division of Endocrinology (B.H.), University of Colorado School of Medicine, Aurora, Colorado
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Stumpf P, Jones B, Amini A, Chang S, Edil B, Gajdos C, Goodman K, McCarter M, McKinney K, Meier J, Pokharel S, Schulick R, Wagh M, Wani S, Schefter T. Contouring of Pancreatic Tumor Volume Is Highly Variable on Interobserver Analysis in the Planning of Stereotactic Body Radiation Therapy. Int J Radiat Oncol Biol Phys 2016. [DOI: 10.1016/j.ijrobp.2016.06.1130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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4
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Wohlfahrt G, Amelynck C, Ammann C, Arneth A, Bamberger I, Goldstein AH, Gu L, Guenther A, Hansel A, Heinesch B, Holst T, Hörtnagl L, Karl T, Laffineur Q, Neftel A, McKinney K, Munger JW, Pallardy SG, Schade GW, Seco R, Schoon N. An ecosystem-scale perspective of the net land methanol flux: synthesis of micrometeorological flux measurements. Atmos Chem Phys 2015; 15:2577-2613. [PMID: 25983744 PMCID: PMC4430827 DOI: 10.5194/acpd-15-2577-2015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Methanol is the second most abundant volatile organic compound in the troposphere and plays a significant role in atmospheric chemistry. While there is consensus about the dominant role of living plants as the major source and the reaction with OH as the major sink of methanol, global methanol budgets diverge considerably in terms of source/sink estimates reflecting uncertainties in the approaches used to model, and the empirical data used to separately constrain these terms. Here we compiled micrometeorological methanol flux data from eight different study sites and reviewed the corresponding literature in order to provide a first cross-site synthesis of the terrestrial ecosystem-scale methanol exchange and present an independent data-driven view of the land-atmosphere methanol exchange. Our study shows that the controls of plant growth on the production, and thus the methanol emission magnitude, and stomatal conductance on the hourly methanol emission variability, established at the leaf level, hold across sites at the ecosystem-level. Unequivocal evidence for bi-directional methanol exchange at the ecosystem scale is presented. Deposition, which at some sites even exceeds methanol emissions, represents an emerging feature of ecosystem-scale measurements and is likely related to environmental factors favouring the formation of surface wetness. Methanol may adsorb to or dissolve in this surface water and eventually be chemically or biologically removed from it. Management activities in agriculture and forestry are shown to increase local methanol emission by orders of magnitude; they are however neglected at present in global budgets. While contemporary net land methanol budgets are overall consistent with the grand mean of the micrometeorological methanol flux measurements, we caution that the present approach of simulating methanol emission and deposition separately is prone to opposing systematic errors and does not allow taking full advantage of the rich information content of micrometeorological flux measurements.
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Affiliation(s)
- G. Wohlfahrt
- Institute of Ecology, University of Innsbruck, Innsbruck, Austria
- European Academy of Bolzano, Bolzano, Italy
| | - C. Amelynck
- Belgian Institute for Space Aeronomy, Brussels, Belgium
| | - C. Ammann
- Research Station Agroscope, Climate and Air Pollution Group, Zürich, Switzerland
| | - A. Arneth
- Karlsruhe Institute of Technology, IMK-IFU, Garmisch-Partenkirchen, Germany
| | - I. Bamberger
- Karlsruhe Institute of Technology, IMK-IFU, Garmisch-Partenkirchen, Germany
- Institute of Agricultural Sciences, ETH Zürich, Zürich, Switzerland
| | - A. H. Goldstein
- Department of Environmental Science, Policy, and Management, University of California, Berkeley, CA, USA
| | - L. Gu
- Environmental Sciences Division, Oak Ridge National Laboratory, Oak Ridge, TN, USA
| | - A. Guenther
- Atmospheric Sciences and Global Change Division, Pacific Northwest National Laboratory, Richland, WA, USA
| | - A. Hansel
- Institute of Ion Physics and Applied Physics, University of Innsbruck, Innsbruck, Austria
| | - B. Heinesch
- Exchanges Ecosystems-Atmosphere, Department Biosystem Engineering (BIOSE), University of Liege, Gembloux, Belgium
| | - T. Holst
- Department of Physical Geography and Ecosystem Science, Lund University, Lund, Sweden
| | - L. Hörtnagl
- Institute of Agricultural Sciences, ETH Zürich, Zürich, Switzerland
| | - T. Karl
- Institute of Meteorology and Geophysics, University of Innsbruck, Innsbruck, Austria
| | - Q. Laffineur
- Royal Meteorological Institute, Brussels, Belgium
| | - A. Neftel
- Research Station Agroscope, Climate and Air Pollution Group, Zürich, Switzerland
| | - K. McKinney
- School of Engineering and Applied Sciences, Harvard University, Cambridge, MA, USA
| | - J. W. Munger
- School of Engineering and Applied Sciences, Harvard University, Cambridge, MA, USA
| | - S. G. Pallardy
- Department of Forestry, University of Missouri, Columbia, MO, USA
| | - G. W. Schade
- Department of Atmospheric Sciences, Texas A&M University, College Station, TX, USA
| | - R. Seco
- Department of Earth System Science, University of California, Irvine CA 92697, USA
| | - N. Schoon
- Belgian Institute for Space Aeronomy, Brussels, Belgium
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5
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Wohlfahrt G, Amelynck C, Ammann C, Arneth A, Bamberger I, Goldstein AH, Gu L, Guenther A, Hansel A, Heinesch B, Holst T, Hörtnagl L, Karl T, Laffineur Q, Neftel A, McKinney K, Munger JW, Pallardy SG, Schade GW, Seco R, Schoon N. An ecosystem-scale perspective of the net land methanol flux: synthesis of micrometeorological flux measurements. Atmos Chem Phys 2015. [PMID: 25983744 PMCID: PMC4430827 DOI: 10.5194/acp-15-7413-2015] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
Abstract
Methanol is the second most abundant volatile organic compound in the troposphere and plays a significant role in atmospheric chemistry. While there is consensus about the dominant role of living plants as the major source and the reaction with OH as the major sink of methanol, global methanol budgets diverge considerably in terms of source/sink estimates reflecting uncertainties in the approaches used to model, and the empirical data used to separately constrain these terms. Here we compiled micrometeorological methanol flux data from eight different study sites and reviewed the corresponding literature in order to provide a first cross-site synthesis of the terrestrial ecosystem-scale methanol exchange and present an independent data-driven view of the land-atmosphere methanol exchange. Our study shows that the controls of plant growth on the production, and thus the methanol emission magnitude, and stomatal conductance on the hourly methanol emission variability, established at the leaf level, hold across sites at the ecosystem-level. Unequivocal evidence for bi-directional methanol exchange at the ecosystem scale is presented. Deposition, which at some sites even exceeds methanol emissions, represents an emerging feature of ecosystem-scale measurements and is likely related to environmental factors favouring the formation of surface wetness. Methanol may adsorb to or dissolve in this surface water and eventually be chemically or biologically removed from it. Management activities in agriculture and forestry are shown to increase local methanol emission by orders of magnitude; they are however neglected at present in global budgets. While contemporary net land methanol budgets are overall consistent with the grand mean of the micrometeorological methanol flux measurements, we caution that the present approach of simulating methanol emission and deposition separately is prone to opposing systematic errors and does not allow taking full advantage of the rich information content of micrometeorological flux measurements.
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Affiliation(s)
- G. Wohlfahrt
- Institute of Ecology, University of Innsbruck, Innsbruck, Austria
- European Academy of Bolzano, Bolzano, Italy
| | - C. Amelynck
- Belgian Institute for Space Aeronomy, Brussels, Belgium
| | - C. Ammann
- Research Station Agroscope, Climate and Air Pollution Group, Zürich, Switzerland
| | - A. Arneth
- Karlsruhe Institute of Technology, IMK-IFU, Garmisch-Partenkirchen, Germany
| | - I. Bamberger
- Karlsruhe Institute of Technology, IMK-IFU, Garmisch-Partenkirchen, Germany
- Institute of Agricultural Sciences, ETH Zürich, Zürich, Switzerland
| | - A. H. Goldstein
- Department of Environmental Science, Policy, and Management, University of California, Berkeley, CA, USA
| | - L. Gu
- Environmental Sciences Division, Oak Ridge National Laboratory, Oak Ridge, TN, USA
| | - A. Guenther
- Atmospheric Sciences and Global Change Division, Pacific Northwest National Laboratory, Richland, WA, USA
| | - A. Hansel
- Institute of Ion Physics and Applied Physics, University of Innsbruck, Innsbruck, Austria
| | - B. Heinesch
- Exchanges Ecosystems-Atmosphere, Department Biosystem Engineering (BIOSE), University of Liege, Gembloux, Belgium
| | - T. Holst
- Department of Physical Geography and Ecosystem Science, Lund University, Lund, Sweden
| | - L. Hörtnagl
- Institute of Agricultural Sciences, ETH Zürich, Zürich, Switzerland
| | - T. Karl
- Institute of Meteorology and Geophysics, University of Innsbruck, Innsbruck, Austria
| | - Q. Laffineur
- Royal Meteorological Institute, Brussels, Belgium
| | - A. Neftel
- Research Station Agroscope, Climate and Air Pollution Group, Zürich, Switzerland
| | - K. McKinney
- School of Engineering and Applied Sciences, Harvard University, Cambridge, MA, USA
| | - J. W. Munger
- School of Engineering and Applied Sciences, Harvard University, Cambridge, MA, USA
| | - S. G. Pallardy
- Department of Forestry, University of Missouri, Columbia, MO, USA
| | - G. W. Schade
- Department of Atmospheric Sciences, Texas A&M University, College Station, TX, USA
| | - R. Seco
- Department of Earth System Science, University of California, Irvine CA 92697, USA
| | - N. Schoon
- Belgian Institute for Space Aeronomy, Brussels, Belgium
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6
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Karni-Schmidt O, Friedler A, Zupnick A, McKinney K, Mattia M, Beckerman R, Bouvet P, Sheetz M, Fersht A, Prives C. Energy-dependent nucleolar localization of p53 in vitro requires two discrete regions within the p53 carboxyl terminus. Oncogene 2007; 26:3878-91. [PMID: 17237827 DOI: 10.1038/sj.onc.1210162] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
The p53 tumor suppressor is a nucleocytoplasmic shuttling protein that is found predominantly in the nucleus of cells. In addition to mutation, abnormal p53 cellular localization is one of the mechanisms that inactivate p53 function. To further understand features of p53 that contribute to the regulation of its trafficking within the cell, we analysed the subnuclear localization of wild-type and mutant p53 in human cells that were either permeabilized with detergent or treated with the proteasome inhibitor MG132. We, here, show that either endogenously expressed or exogenously added p53 protein localizes to the nucleolus in detergent-permeabilized cells in a concentration- and ATP hydrolysis-dependent manner. Two discrete regions within the carboxyl terminus of p53 are essential for nucleolar localization in permeabilized cells. Similarly, localization of p53 to the nucleolus after proteasome inhibition in unpermeabilized cells requires sequences within the carboxyl terminus of p53. Interestingly, genotoxic stress markedly decreases the association of p53 with the nucleolus, and phosphorylation of p53 at S392, a site that is modified by such stress, partially impairs its nucleolar localization. The possible significance of these findings is discussed.
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Affiliation(s)
- O Karni-Schmidt
- Department of Biological Sciences, Columbia University, New York, USA
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7
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Conlon O, McKinney K. HRT: Have we changed? Ir J Med Sci 2006; 175:58-61. [PMID: 17312831 DOI: 10.1007/bf03167969] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND In recent years, medical controversy, has surrounded the prescribing of hormone replacement therapy (HRT). AIM This study aimed to establish whether prescribing of HRT in Northern Ireland has changed and what the current prescribing patterns are. METHOD A structured questionnaire was sent by post to all medical staff in Obstetrics and Gynaecology in Northern Ireland. A stamped addressed envelope was included. RESULTS Overall 54% of respondents indicated that they had changed their prescribing practice on HRT in the past year. The primary indication for prescribing HRT was vasomotor symptoms (93%). Fifty-six per cent of doctors recommended 1-5 years as duration of use. Oral preparations were those most commonly prescribed (57%). The dose and type chosen were the same whether prescribing had changed or not. CONCLUSIONS More than half of all doctors who responded had changed their prescribing practices on HRT, yet some respondents still preferred more traditional prescribing.
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Affiliation(s)
- O Conlon
- Dept of Obstetrics and Gynaecology Daisy Hill Hospital, Newry.
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McKinney K. Does it take a village? Community effects on children, adolescents, and familiesA.Booth and A.C.Crouter (Eds.); Lawrence Erlbaum, Mahwah, NJ, 2001, price $34.50 paperback. J Adolesc 2003. [DOI: 10.1016/s0140-1971(02)00138-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- K McKinney
- Department of Health Promotion and Human Development University of Wisconsin‐Stevens Point 2100 Main StreetStevens PointWI54481‐3897USA
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Fahey DW, Gao RS, Carslaw KS, Kettleborough J, Popp PJ, Northway MJ, Holecek JC, Ciciora SC, McLaughlin RJ, Thompson TL, Winkler RH, Baumgardner DG, Gandrud B, Wennberg PO, Dhaniyala S, McKinney K, Peter T, Salawitch RJ, Bui TP, Elkins JW, Webster CR, Atlas EL, Jost H, Wilson JC, Herman RL, Kleinböhl A, von König M. The detection of large HNO3-containing particles in the winter Arctic stratosphere. Science 2001; 291:1026-31. [PMID: 11161213 DOI: 10.1126/science.1057265] [Citation(s) in RCA: 231] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Abstract
Large particles containing nitric acid (HNO3) were observed in the 1999/2000 Arctic winter stratosphere. These in situ observations were made over a large altitude range (16 to 21 kilometers) and horizontal extent (1800 kilometers) on several airborne sampling flights during a period of several weeks. With diameters of 10 to 20 micrometers, these sedimenting particles have significant potential to denitrify the lower stratosphere. A microphysical model of nitric acid trihydrate particles is able to simulate the growth and sedimentation of these large sizes in the lower stratosphere, but the nucleation process is not yet known. Accurate modeling of the formation of these large particles is essential for understanding Arctic denitrification and predicting future Arctic ozone abundances.
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Affiliation(s)
- D W Fahey
- Aeronomy Laboratory, Climate Monitoring and Diagnostics Laboratory, National Oceanic and Atmospheric Administration, Boulder, CO 80305, USA.
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10
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Brünker P, McKinney K, Sterner O, Minas W, Bailey JE. Isolation and characterization of the naphthocyclinone gene cluster from Streptomyces arenae DSM 40737 and heterologous expression of the polyketide synthase genes. Gene 1999; 227:125-35. [PMID: 10206788 DOI: 10.1016/s0378-1119(98)00618-0] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Streptomyces arenae produces the aromatic polyketide naphthocyclinone, which exhibits activity against Gram-positive bacteria. A cosmid clone containing the putative naphthocyclinone gene cluster was isolated from a genomic library of S. arenae by hybridization with a conserved region from the actinorhodin PKS of S. coelicolor. Sequence analysis of a 5.5-kb DNA fragment, which hybridizes with the actI probe, revealed three open reading frames coding for the minimal polyketide synthase. A strong sequence similarity was found to several previously described ketosynthases, chain length factors and acyl carrier proteins from other polyketide gene clusters. An additional open reading frame downstream of the PKS genes of S. arenae showed 53% identity to act VII probably encoding an aromatase. Another open reading frame was identified in a region of 1.436 bp upstream of the PKS genes, which, however, had no similarity to known genes in the database. Approximately 8 kb upstream of the PKS genes, a DNA fragment was identified that hybridizes to an actVII--actIV specific probe coding for a cyclase and a putative regulatory protein, respectively. Disruption of the proposed naphthocyclinone gene cluster by insertion of a thiostrepton resistance gene completely abolished production of naphthocyclinones in the mutant strain, showing that indeed the naphthocyclinone gene cluster had been isolated. Heterologous expression of the minimal PKS genes in S. coelicolor CH999 in the presence of the act ketoreductase led to the production of mutactin and dehydromutactin, indicating that the S. arenae polyketide synthase forms a C-16 backbone that is subsequently dimerized to build naphthocyclinone. The functions of the proposed cyclase and aromatase were examined by coexpression with genes from different polyketide core producers.
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Affiliation(s)
- P Brünker
- Institute of Biotechnology, ETH Zürich, Switzerland
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11
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Rosenfield DB, McCarthy M, McKinney K, Viswanath NS, Nudelman HB. Stuttering induced by theophylline. Ear Nose Throat J 1994; 73:914, 918-20. [PMID: 7882883] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023] Open
Abstract
We retrospectively evaluated three fluent asthmatic children who developed speech dysfluency following administration of theophylline. The dysfluency ceased in all three, following discontinuation of the medication. The medication was re-instituted in two patients, prompting return of dysfluency. It is unknown whether the patients had characteristics of "acquired stuttering" or "developmental stuttering." We urge appropriate testing should this complication again occur. This might then provide pharmacologic information regarding stuttering.
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Affiliation(s)
- D B Rosenfield
- Department of Neurology, Baylor College of Medicine, Houston, Texas 77030
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Abstract
There has been considerable controversy regarding the relationship between depression and anxiety. We review briefly the descriptive, longitudinal, genetic, biological, and treatment response data indicating that there is overlap between depression and anxiety. Several possible models are explored that provide different conceptions of how this relationship may best be understood: (1) that there are a variety of more or less discrete, but sometimes coexisting, syndromes within the spectrum of anxiety and depression; (2) that symptoms of depression and anxiety represent different external manifestations of a more basic underlying cause; (3) that one condition may predispose to the other; (4) that the association may be due to artifactual definitional overlap, particularly since the instruments used to measure depression and anxiety share so many items. All these propositions are supported. An important, practical question is discussed--should the mixed anxiety/depressive disorder that has been suggested by ICD-10 be included in DSM-IV?
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Affiliation(s)
- A Frances
- Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York, NY 10032
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13
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McKinney K. Administering nursing support services based on perceptions about quality. J Nurs Qual Assur 1989; 3:76-8. [PMID: 2913019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
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