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Microfluidic-prepared DOTAP nanoparticles induce strong T-cell responses in mice
Authors: Yasunari Haseda aff001; Lisa Munakata aff002; Jie Meng aff001; Ryo Suzuki aff002; Taiki Aoshi aff001
Authors place of work: Vaccine Dynamics Project, BIKEN Innovative Vaccine Research Alliance Laboratories, Research Institute for Microbial Diseases, Osaka University, Suita, Osaka, Japan aff001; Laboratory of Drug and Gene Delivery Research, Faculty of Pharma-Science, Teikyo University, Itabashi-ku, Tokyo, Japan aff002; Vaccine Dynamics Project, BIKEN Center for Innovative Vaccine Research and Development, The Research Foundation for Microbial Diseases of Osaka University, Suita, Osaka, Japan aff003
Published in the journal: PLoS ONE 15(1)
Category: Research Article
doi: https://doi.org/10.1371/journal.pone.0227891Summary
For the induction of antigen-specific T-cell responses by vaccination, an appropriate immune adjuvant is required. Vaccine adjuvants generally provide two functions, namely, immune potentiator and delivery, and many adjuvants that can efficiently induce T-cell responses are known to have the combination of these two functions. In this study, we explored a cationic lipid DOTAP-based adjuvant. We found that the microfluidic preparation of DOTAP nanoparticles induced stronger CD4+ and CD8+ T-cell responses than liposomal DOTAP. The further addition of Type-A CpG D35 in DOTAP nanoparticles increased the induction of T-cell responses, particularly in CD4+ T cells. Further investigations revealed that the size of DOTAP nanoparticles, prepared buffer conditions, and physicochemical interaction with vaccine antigen are important factors for the efficient induction of T-cell responses with a relatively small antigen dose. These results suggested that microfluidic-prepared DOTAP nanoparticles plus D35 are a promising adjuvant for a vaccine that induces therapeutic T-cell responses for treating cancer and infectious diseases.
Keywords:
Immune response – Lipids – T cells – Cytotoxic T cells – Enzyme-linked immunoassays – Immunologic adjuvants – Nanoparticles – Antigens
Introduction
The induction of antigen-specific T-cell responses by vaccination has been shown to be protective against infectious diseases [1, 2] and cancer [3–5]. To induce antigen-specific T-cell responses, particularly by using protein antigen, there is a need to include an appropriate immune adjuvant. Immune adjuvants can be divided into two functional categories: immune potentiator and delivery system [6, 7]. Immune potentiators generally stimulate various innate immune pattern recognition receptors. Typical immune potentiators are pathogen-associated molecular patterns, which are mainly various toll-like receptor (TLR) agonists including poly I:C (TLR3), MPL (TLR4), and CpG (TLR9) [8–10]. Delivery systems feature various particles consisting of synthetic polymers, liposomes, and oil emulsions [11, 12]. However, many adjuvants that can efficiently induce T-cell responses are adjuvant combinations that exhibit both immune potentiator and delivery system functions, such as GSK adjuvant systems, ISCOMATRIX, and CAF family adjuvants [13–17]. Interestingly, most of these are composed of lipid plus immune stimulator.
Cationic lipids (such as 1,2-dioleoyl-3-trimethylammonium-propane [DOTAP]) have been used as antigen carriers for cancer vaccines and showed effective adjuvant activity by themselves [18–21]. Furthermore, combinations of a cationic lipid (such as dimethyldioctadecylammonium [DDA]) and a synthetic immune potentiator have been shown to be promising adjuvant combinations to induce both CD4+ and CD8+ T-cell responses [22, 23]. The cationic lipid DOTAP has also been used as a carrier of immune potentiators, such as CpG immunostimulatory oligodeoxynucleotide (ODN), to the endosomal compartment where the CpG receptor TLR9 resides [24, 25]. It has also been shown that the combination of DOTAP and CpG ODN enhanced CpG-mediated biological activities in vivo [26, 27].
The recently developed microfluidic method enables smaller (under 100 nm) formulations of lipid nanoparticles to be created [28–32]; this was not achievable using the conventional lipid film hydration method [33]. This microfluidic technology has been commonly applied to form siRNA–lipid nanoparticles, but its application for producing lipid-based vaccine adjuvants has not been widely examined.
In this study, we examined microfluidic-prepared DOTAP for the induction of T-cell responses against model protein antigens and compared the adjuvanticity among different preparations of DOTAP in mice. We found that the preparation method, size, and interaction with antigen are important factors influencing the adjuvanticity of DOTAP-based lipid particle adjuvant. We also demonstrated that the combination of DOTAP and Type-A CpG ODN is a simple and promising adjuvant for efficiently inducing both CD4+ and CD8+ T-cell responses against protein antigen.
Materials and methods
Materials
Low-endotoxin ovalbumin (OVA) was purchased from WAKO. D35 (g^gtgcatcgatgcagggg^g^g) and K3 (a^t^c^g^a^c^t^c^t^c^g^a^g^c^g^t^t^c^t^c) were purchased from GeneDesign (Osaka, Japan). C2395 (t^c^g^t^c^g^t^t^t^t^c^g^g^c^g^c^g^c^g^c^c^g) and P21889 (t^c^g^t^c^g^a^c^g^a^t^c^g^g^c^g^c^g^c^g^c^c^g) were synthesized by GeneDesign (Osaka, Japan); ^ indicates phosphorotihoate bonds. DOTAP was purchased from Lipoid GmbH. DOTAP liposomal transfection reagent (1 mg/mL) (Roche; Cat. No. 11 202 375 001) was purchased from Sigma. Hen egg lysozyme (HEL) was purchased from Sigma.
Preparation of DOTAP particles by NanoAssemblr (DOTAP-Nano)
DOTAP-Nano was prepared with the NanoAssemblr Benchtop (Precision NanoSystems Inc., BC, Canada), which can mediate bottom-up self-assembly for nanoparticle synthesis with microfluidic mixing technology. Briefly, DOTAP was dissolved in ethanol. The lipid solution (10 mg/mL) in ethanol and 25 mM acetate buffer (pH 4.0) were injected into the microfluidic mixer at a 1 : 3 volume and at a combined final flow rate of 15 mL/min (3.75 mL/min ethanol, 11.25 mL/min aqueous). The DOTAP-Nano mixtures were immediately dialyzed (50 kDa MWCO dialysis tubing; Repligen Corporation, MA) against 5% glucose solution to remove ethanol. DOTAP-Nano was then concentrated to approximately 1.5–2.0 mg/mL DOTAP by using Amicon Ultra Centrifugal filters (100 kDa MWCO; Merck KGaA, Darmstadt, Germany) and sterilized through a 0.22 μm PVDF filter (Merck KGaA). The preparation of all lipid nanoparticles was performed at room temperature.
Preparation of DOTAP particles by lipid film hydration method (DOTAP-film)
DOTAP was dissolved in chloroform (5–10 mg/mL). After drying to form a thin lipid film on the bottom of a round-bottomed flask, the lipid film was hydrated in 5% glucose, freezed/thawed five times and then sonicated once. Thereafter, lipid was filtered through a 0.45 μm PVDF filter (Merck KGaA).
Physical parameter analysis of DOTAP particle preparation and antigen/adjuvant interaction
The size distribution was measured by dynamic light scattering (DLS), and the zeta potential was measured by particle electrophoresis with Zetasizer Nano-ZS90 (Malvern Panalytical Ltd., UK). A representative size distribution and polydispersity index of DOTAP-Nano, DOTAP-Lipo, and DOTAP-film with or without antigen and D35 were shown in S1 Fig. DOTAP-nano with B, C, P type CpG interaction was also evaluated by DLS and ultrafiltration. Representative results are shown in S2 Fig.
Mice and immunization
Mice were purchased from CLEA Japan. Female C57BL/6 or BALB/c mice aged 4–10 weeks old were used for all experiments. All animal experiments were approved by the Animal Care and Use Committee of Osaka University. Mice were housed in a room maintained at constant room temperature (22–24°C) with a 12-hour-light/12-hour-dark cycle (lights on at 8 : 00 am, lights off at 8 : 00 pm) and had free access to food and water. The experiment was performed in accordance with the Regulations on Animal Experiments at Osaka University (Permit No. Biken-AP-H26-12-2). In most of the experiments, three mice per group (total 129 mice for immunization experiments presented in this study) were immunized with antigen (OVA, HEL: 10 μg) only or with antigen plus adjuvants (CpG ODNs: 10 μg, DOTAP-Nano/-Lipo: 100 μg). A mixture of DOTAP-nano/antigen and DOTAP-nano/antigen/CpG were prepared by simply adding each components in 5% glucose solution and vortexed. A mixture with a total volume of 100 μL per mouse was injected once at the tail base (50 μL right side and 50 μL left side) on day 0, and the mice were sacrificed for T cell response assay on day 7. For three times immunization experiment, the mice were immunized at the tail base with two weeks’ intervals such as immunization at day 0, day14, and day 28, and then the mice were sacrificed 7 days later of the last immunization such as day 35 for T cell and antibody response assays.
Splenocyte preparation and in vitro stimulation for ELISA
The mice were sacrificed by cervical dislocation, and their spleens were collected; single-cell suspensions were prepared. Red blood cells were lysed with ACK lysis buffer (150 mM NH4Cl, 10 mM KHCO3, 0.1 mM Na2EDTA), and cells were washed with RPMI 1640 and suspended in R-10 medium (RPMI 1640 medium supplemented with 10% fetal calf serum, 100 units/mL penicillin, and 100 μg/mL streptomycin). Splenocytes were plated on 96-well flat plates at 2 × 106 cells/well/200 μL. OVA257-264 peptide (SIINFEKL), OVA full protein, HEL107-116 peptide (AWVAWRNRCK), and HEL full protein at 5 μg/mL (final concentration) were added to the cell cultures and incubated at 37°C in a CO2 incubator. The overnight cultured supernatant was collected and subjected to mouse IFN-gamma ELISA (Mouse IFN-γ DuoSet ELISA kits [R&D Systems]).
Bone marrow (BM) preparation
The femurs and tibiae of mice (total three mice for this BM experiment) were removed, and the surrounding muscle tissues were cut using scissors. The marrow was flushed out with RPMI 1640 by using a syringe with a 25G needle. The cells were treated with ACK lysis buffer for 5 min. After washing the cells once in RPMI 1640 and counting them, BM cells were suspended in R-10 medium.
Human peripheral blood mononuclear cells (PBMCs)
PBMCs were prepared from healthy Japanese adult volunteers who had provided written informed consent to participate in this study. All experiments using human PBMCs were approved by the Institutional Review Board of the Research Institute for Microbial Diseases, Osaka University (Permit No. 26–5). After preparing PBMCs using Ficoll-Paque PLUS (GE) and LeucoSep (Greiner), they were washed twice with RPMI 1640 medium and resuspended in R-10 medium (RPMI 1640 medium supplemented with 10% fetal calf serum, 100 units/mL penicillin, and 100μg/mL streptomycin).
In vitro stimulation and cytokine ELISA
Human PBMCs or mouse BM cells were plated on 96-well plates at 1 × 106 cells/well/200 μL. D35 (1 μM = 6.3 μg/mL) and DOTAP-Nano/-Lipo or D35+DOTAP-Nano/-Lipo were added to the cell cultures overnight at 37°C in a CO2 incubator. The centrifuged supernatant was collected and used for cytokine ELISA. Human IFN-α was measured with human IFN-α pan-ELISA development kit (Mabtech). Mouse IFN-α/β (type I IFN) production was measured using B16-Blue IFN-α/β reporter cells (InvivoGen).
Serum and antibody titer
Mice (n = 3 per group) were anesthetized with 3.0% isoflurane. Blood was collected using a heparin-coated microcapillary and centrifuged (6500 g, >20 min). The levels of OVA-specific antibodies in plasma were determined by ELISA. Ninety-six-well plates were coated with 100 μg/ml OVA or standard antibodies (total IgG: MBL, IgG1, IgG2c; Southern Biotech) in a carbonate buffer (pH 9.6). The wells were blocked with Blockace (KAC Co., Ltd., Japan), and diluted plasma from the immunized mice was incubated on the antigen-coated plates. After washing, goat antimouse total IgG-, IgG1-, or IgG2c-conjugated HRP (Southern Biotech) was added and incubated for 2 h at room temperature. After additional washing, the plates were incubated with TMB (KPL) for 5–15 min, the reaction was stopped with 2N H2SO4, and the absorbance at OD450 was measured.
Ultrafiltration (UF)
Protein only or protein plus DOTAP-Nano in glucose and PBS buffer was loaded into Amicon Ultra Centrifugal filter units (100k) (Merck Millipore) and centrifuged at 14,000 g for 1 min. Thereafter, protein concentration in flow through (FT) was calculated by Qubit Protein Assay Kit (Thermo Fisher Scientific).
Statistical analysis
The statistical significance of the differences was calculated using GraphPad Prism 6 software. The data are presented as mean ± SD, and unpaired t-test or one-way analysis of variance was used for statistical analysis. Significant differences are indicated with asterisks (*P < 0.05 and **P < 0.01).
Results
NanoAssemblr-prepared DOTAP nanoparticles (DOTAP-Nano) induced stronger T-cell responses than commercially available liposomal DOTAP (DOTAP-Lipo) as vaccine adjuvant
First, we compared two formulations of cationic lipid DOTAP for the T-cell-inducing adjuvant activity against model protein antigen OVA in mice. One is referred to as “DOTAP-Nano,” which was prepared by microfluidic methods using the NanoAssemblr system in our laboratory, and the other is called “DOTAP-Lipo,” which is a commonly used reagent for transfecting nucleic acids and is commercially available from Sigma in a “ready-to-use” format. Mice were immunized at the tail base with OVA antigen (10 μg/mouse) mixed with either one of the two different preparations of DOTAP as adjuvant. Seven days later, the splenocytes were stimulated in vitro with OVA257-264 peptide to detect the OVA-specific MHC class I–restricted CD8+ T-cell responses and with whole OVA protein to detect the OVA-specific MHC class II–restricted CD4+ T-cell responses. Although these two DOTAP preparations were made from the same chemical molecule, the resultant inductions of T-cell response were surprisingly very different. DOTAP-Nano prepared with NanoAssemblr induced robust CD8+ T-cell responses (Fig 1A; left) and CD4+ T-cell responses (Fig 1A; right), whereas DOTAP-Lipo showed almost no adjuvant effect (Fig 1A).
Fig. 1. Particle preparations of DOTAP influenced the adjuvanticity. (A) C57BL/6J mice were immunized with OVA (10 μg) and DOTAP (100 μg) at the tail base. After seven days, splenocytes were collected and stimulated with OVA257-264 peptide, which induced an MHC class I–restricted CD8+ T-cell response, or with OVA protein, which induced an MHC class II–restricted CD4+ T-cell response. Twenty-four hours later, mouse IFN-gamma in the culture supernatant was determined by ELISA. The bar graph indicates the mean ± SD of three mice per group.(B) The sizes of OVA only, lipid particle only, and lipid mixed with OVA were determined by the dynamic light scattering (DLS) method. An increase in particle size indicates that the lipid particle interacts with OVA protein. Each dot indicates one measurement. (C) The zeta potential of lipid particles in the indicated buffer conditions was measured by a zetasizer. Each dot indicates one measurement. (D) The sizes of lipid particles and lipids mixed with OVA were measured by DLS under the indicated buffer conditions. An increase in particle size indicates that the lipid particle interacts with OVA protein. Each dot indicates one measurement. (E) C57BL/6J mice were immunized at the tail base with OVA mixed with either DOTAP-Nano or DOTAP-Lipo under the indicated buffer conditions. After seven days, splenocytes were stimulated with OVA257-264 peptide, which induced an MHC class I–restricted CD8+ T-cell response, and with OVA protein, which induced an MHC class II–restricted CD4+ T-cell response. Twenty-four hours later, mouse IFN-gamma in the culture supernatant was determined by ELISA. The bar graph indicates the mean ± SD of three mice per group. We then investigated the mechanisms underlying this difference in adjuvant effect. In other cationic lipid DDA-based liposomal adjuvants, cationic charge-dependent antigen absorption has been reported to influence adjuvanticity [34]; thus, we examined the interaction between DOTAP particles and OVA antigens by DLS measurement. The size of DOTAP-Nano itself was approximately 50 nm, and the addition of OVA antigen into the DOTAP-Nano containing solution increased the size to approximately 2000 nm (Fig 1B; left), thus indicating that DOTAP-Nano interacted with OVA antigen and formed large lipid and protein complexes. On the contrary, DOTAP-Lipo itself showed a size of approximately 130 nm, and the addition of OVA did not cause any changes in size, thus indicating that DOTAP-Lipo did not interact with OVA antigen (Fig 1B; right).
These results suggested that the difference in adjuvanticity of the two DOTAP preparations arose from the difference in physical interaction between antigen and cationic lipid. Although many other factors can affect antigen–lipid physical interactions, the electrostatic interaction was expected to be the main factor because the isoelectric point of OVA is approximately 4.5 and because DOTAP is always cationic within a broad pH range. The electrostatic interaction is also known to be influenced by the buffer system. In the experiments mentioned above, DOTAP-Nano was prepared in 5% glucose solution, and DOTAP-Lipo was immersed in MES-buffered saline (pH6.2) by the manufacturer. Therefore, the experiments reported in Fig 1A and 1B were actually performed under different buffer conditions: DOTAP-Nano plus OVA immunization and DLS measurement were performed in the buffer conditions of a 1 : 1 mixture of 5% glucose and PBS (Glu/PBS), whereas DOTAP-Lipo plus OVA was performed in MES-buffered saline conditions.
To examine the effects of these differences in buffer conditions on the DOTAP–antigen interaction in detail, we prepared DOTAP-Nano in MES-buffered saline instead of 5% glucose solution and similarly exchanged the buffer of DOTAP-Lipo from MES-buffered saline to Glu/PBS by UF. The zeta potential of DOTAP-Nano in 5% glucose was approximately 200 mV (Fig 1C). For both DOTAP-Nano and DOTAP-Lipo prepared in Glu/PBS, the zeta potential was approximately 70 mV. In MES-buffered saline, both values were approximately 30 mV (Fig 1C). The zeta potentials changed in a manner dependent on the buffer conditions, but the two preparations of DOTAP showed very similar zeta potentials under the same buffer conditions (Fig 1C). We also examined the interaction between DOTAP and OVA antigen in Glu/PBS or MES-buffered saline. In Glu/PBS, both DOTAP-Nano and DOTAP-Lipo showed apparent interactions with OVA, but this was not the case in the MES-buffered saline (Fig 1D). Consistent with these interactions, both DOTAP preparations in Glu/PBS showed robust CD8+ T-cell responses (Fig 1E; left) but not in MES-buffered saline (Fig 1E; left). In the case of CD4+ T-cell responses, MES-buffer DOTAP-Nano showed slight reductions in CD4+ T-cell responses; however, a comparable amount of IFN-γ production was still detected as that in Glu/PBS (Fig 1E; right). Interestingly, even under the Glu/PBS buffer conditions, DOTAP-Lipo did not induce strong CD4+ T-cell responses (Fig 1E; right). These results suggested that the low adjuvanticity of DOTAP-Lipo for the induction of CD8+ T-cell responses was mainly derived from the lack of interaction with OVA antigen, which was likely caused by MES-buffer-dependent zeta potential reduction (Fig 1C and 1D). For the induction of CD4+ T-cell responses, NanoAssemblr-formulated DOTAP-Nano showed better adjuvanticity irrespective of the buffer conditions, thus suggesting that the adjuvanticity for the induction of CD4+ T-cell responses was not necessarily dependent on the interaction between adjuvant and antigen; instead, it may be dominantly dependent on the size of DOTAP particles. However, we could not rule out the possibility of the weak interaction between DOTAP-Nano and OVA in MES-buffered conditions (potentially reflected in the slight increase of size shown in Fig 1D) also influencing the adjuvanticity of DOTAP-Nano for the induction of CD4+ T-cell responses in MES buffer (Fig 1E).
DOTAP-Nano induces stronger T-cell responses than the DOTAP prepared by the lipid film hydration method (DOTAP-film)
The abovementioned results showed that buffer conditions influenced the interaction between DOTAP and antigen and the resultant induction of T-cell responses. However, the effect of differences in lipid particle preparation on the adjuvanticity was still not clarified because DOTAP-Nano was prepared by ourselves and because DOTAP-Lipo had already been made in advance commercially. To directly compare the influence of the differences in preparation method on the adjuvanticity, we prepared “DOTAP-film” by using the same DOTAP powder as that in the DOTAP-Nano preparation in our laboratory. DOTAP-film was formed by the conventional lipid film hydration method, and it was directly compared with DOTAP-Nano prepared with NanoAssemblr.
Either DOTAP-Nano or DOTAP-film was mixed with OVA antigen and was immunized under Glu/PBS buffer conditions into mice. DOTAP-Nano induced stronger T-cell responses than DOTAP-film in both CD8+ T-cell (class I) and CD4+ T-cell (class II) responses (Fig 2A). DLS measurement revealed that DOTAP-Nano itself is approximately 40 nm, and DOTAP-film is approximately 100 nm. In terms of OVA interaction, both DOTAP-Nano and DOTAP-film showed similar interactions as expected (Fig 2B). These results indicated that NanoAssemblr-formulated DOTAP-Nano has better adjuvanticity than DOTAP-film even though these two DOTAP preparations showed similar interactions with OVA antigen. This result shows that particle size is an important factor for the adjuvanticity of DOTAP particles.
Fig. 2. DOTAP-Nano showed better adjuvanticity than DOTAP-film preparation. (A) C57BL/6J mice were immunized with OVA (10 μg) and DOTAP (100 μg) at the tail base under the same buffer conditions of Glu/PBS. After seven days, splenocytes were collected and stimulated with OVA257-264 peptide and OVA protein. Twenty-four hours later, mouse IFN-gamma in the culture supernatant was measured by ELISA. The bar graph indicates the mean ± SD of three mice per group. (B) The sizes of lipid particles and lipids mixed with OVA were measured by DLS under Glu/PBS buffer conditions. An increase in particle size indicates that the lipid particle interacts with OVA protein. Each dot indicates one measurement. DOTAP-Nano plus Type-A CpG D35 induced better overall T-cell responses than other Type-B, -C, and -P CpG ODNs
DOTAP has also been used as a carrier of CpG ODNs and is known to enhance CpG-mediated adjuvanticity. Four different types of CpG ODN, namely, Type-A, Type-B, Type-C, and Type-P, have been reported [35, 36], and the outcome of their combinations with DOTAP sometimes differed depending on the CpG type [27]. Therefore, each type of CpG ODN was added into the DOTAP-Nano/OVA complex, and the T-cell responses induced by adjuvanticity were examined. We chose D35, K3, C2395, and P21889 as representatives of each type of CpG ODN. Mice were immunized with a mixture of DOTAP-Nano/OVA with each CpG ODN, and the OVA-specific T-cell responses were determined seven days later. OVA-specific CD8+ T-cell responses were strongly induced by DOTAP-Nano/OVA and DOTAP-Nano/OVA plus D35. DOTAP-Nano/OVA plus other types of CpG including K3, C2395, and P21889 were relatively ineffective (Fig 3). In the case of P21889, the addition of this CpG ODN was even suppressive, particularly for the induction of CD8+ T-cell responses (Fig 3; right). OVA-specific CD4+ T-cell responses were increased by the addition of any type of CpG ODNs (Fig 3; left). However, among them, the addition of D35 or C2395 induced relatively stronger CD4+ T-cell responses (Fig 3; left). These results suggested that the addition of Type-A CpG (such as D35) to DOTAP-Nano/OVA induced comparable CD8+ and better CD4+ T-cell responses than DOTAP-Nano/OVA only.
Fig. 3. Addition of Type-A CpG further enhanced the adjuvanticity of DOTAP-Nano. C57BL/6J mice were immunized with OVA (10 μg), OVA plus DOTAP (100 μg), and OVA/DOTAP plus the indicated CpG adjuvant (10 μg) at the tail base. After seven days, splenocytes were collected and stimulated with OVA257-264 peptide and OVA protein. Twenty-four hours later, mouse IFN-gamma in the culture supernatant was measured by ELISA. The bar graph indicates the mean ± SD of three mice per group. Antigen interaction with DOTAP-Nano is essential even in combination with CpG ODNs
The adjuvanticity of DOTAP-Nano is dependent on the interaction with antigen (Fig 1), and the adjuvanticity of DOTAP-Nano is further enhanced by adding D35, which is a Type-A CpG ODN (Fig 3). Considering that antigen–adjuvant interaction is not always necessary for some immune-potentiating particle adjuvants including advax [37], AS03 [38], and MF59 [39], we also examined whether the addition of D35 into the OVA antigen-noninteracting DOTAP-Lipo in MES-buffered saline showed adjuvanticity.
OVA immunization with DOTAP-Lipo plus D35 (in MES-buffered saline; under these conditions, DOTAP does not interact with OVA, as shown in Fig 1) did not induce T-cell responses compared with DOTAP-Nano plus D35 (in Glu/PBS buffer; interacting with OVA) (Fig 4A). The DLS evaluation of the interaction between lipid and D35 showed that D35 similarly interacted with DOTAP-Nano and DOTAP-Lipo (Fig 4B). To confirm that these lipids and nucleic acid interactions are functional, mouse BM cells or human PBMCs were stimulated with D35 only or in combination with D35 plus either DOTAP-Nano or DOTAP-Lipo. Both DOTAP-Nano and DOTAP-Lipo worked as efficient systems for delivering D35 into mouse and human cells, thus resulting in increased IFN-α production (Fig 4C). These results suggested that both DOTAP-Nano and DOTAP-Lipo interacted with D35 and enhanced D35-mediated IFN-α production (which is a potent immunostimulatory cytokine). However, the D35-mediated induction of IFN-α still did not result in the strong induction of a T-cell response in the case of DOTAP-Lipo adjuvant (in MES-buffered saline; not interacting with OVA); this suggested that the interaction between DOTAP and antigen is essential even when D35 is included in DOTAP particle adjuvant.
Fig. 4. Antigen interaction is essential for the adjuvanticity of DOTAP-Nano plus D35. (A) C57BL/6J mice were immunized with OVA (10 μg) and DOTAP (100 μg) with D35 at the tail base. After seven days, splenocytes were collected and stimulated with OVA257-264 peptide and OVA protein. Twenty-four hours later, mouse IFN-gamma in the culture supernatant was measured by ELISA. The bar graph indicates the mean ± SD of three mice per group. (B) Particle size was measured by DLS. The sizes of D35 only, lipid particles only, and lipids mixed with D35 were measured under the indicated buffer conditions. An increase in particle size indicates that the particle interacts with D35. Each dot indicates one measurement. (C) Mouse BM (left panel) or human PBMCs (right panel) were incubated with D35 (6.3 μg/mL) mixed with DOTAP-Nano or DOTAP-Lipo. DOTAP-Nano and DOTAP-Lipo only were also included as controls. Twenty-four hours later, the mouse IFNα/β concentration in the supernatant was measured by B16-Blue reporter cell assay. Human IFN-α concentration was measured by ELISA. DOTAP-Nano did not work as an adjuvant for noninteracting HEL antigen
To further investigate the necessity of antigen–lipid interaction, we tested HEL as another model antigen. The isoelectric point of HEL is approximately 11 (i.e., HEL antigen is positively charged in physiological pH solution), thus suggesting that HEL and DOTAP do not show electrostatic interaction. BALB/c mice were similarly immunized with HEL with DOTAP-Nano plus D35 in Glu/PBS, and CD4+ T-cell responses against HEL107-116/I-Ed were evaluated by IFN-γ ELISA. HEL plus Freund’s complete adjuvant immunization induced IFN-γ responses, whereas HEL with DOTAP-Nano plus D35 did not induce CD4+ T-cell responses (Fig 5A). The DLS measurement of the interaction between lipid and antigen also confirmed that HEL antigen did not interact with DOTAP-Nano, whereas OVA antigen interacted with DOTAP-Nano in Glu/PBS (Fig 5B). To further clarify whether these interactions are physically stable, OVA or HEL was mixed with DOTAP-Nano, and then free antigen and lipid/antigen complex were separated by UF. In the case of OVA, FT solution did not contain a detectable level of OVA protein (Fig 5C; left). In the case of HEL, almost 100% of HEL protein was detected in the FT (Fig 5C; right). These results suggested that DOTAP-Nano plus D35 adjuvanticity was completely dependent on the presence of a physically stable electrostatic interaction with antigen protein.
Fig. 5. DOTAP-Nano plus D35 did not show adjuvanticity for HEL antigen. (A) BALB/cByJ mice were immunized with HEL (10 μg) and DOTAP (100 μg) plus D35 (10 μg) at the tail base. After seven days, splenocytes were collected and stimulated with HEL 107–116 peptide or HEL protein for the CD4+ T-cell responses. Twenty-four hours later, mouse IFN-γ in the culture supernatant was measured by ELISA. The bar graph indicates the mean ± SD of three mice per group. (B) The particle size was measured by DLS. DOTAP-Nano was mixed with HEL or OVA. DOTAP-Nano and HEL did not show any interactions. Each dot indicates one measurement. (C) OVA or HEL was mixed with DOTAP-Nano under Glu/PBS buffer conditions. The mixtures were ultrafiltrated to separate lipid binding antigen and free antigen in the flow through (FT). The protein concentration in the FT solution was measured. In the case of OVA mixed with DOTAP-Nano, no free OVA was detected in the FT solution (left graph). In the case of HEL, almost all HEL was detected in the FT (right graph). DOTAP-Nano plus D35 induced detectable T-cell responses upon immunization with a relatively low dose of antigen
Finally, we tested more practical aspects of using the DOTAP-Nano-based adjuvant. We chose DOTAP-Nano plus D35 adjuvant in this experiment and examined the combination of different OVA antigen doses (1, 10, and 100 μg) and different D35 doses (1, 10, 20, and 30 μg; notably, the ratio of D35:DOTAP weights was kept at 1 : 10, and DOTAP was proportionally increased as the amount of D35 increased) for the induction of T-cell responses. Mice were immunized, and splenocytes were evaluated seven days later for the induction of OVA-specific T-cell responses. OVA257-264 peptide–specific MHC class I–restricted CD8+ T-cell responses were induced in a manner that is dependent on both antigen and adjuvant (DOTAP-Nano plus D35). Increased amounts of antigen and adjuvant resulted in better CD8+ T-cell responses (Fig 6A; left). In CD4+ T-cell responses, dose proportionality was not clearly observed among the examined combinations (Fig 6A; right). These results suggested that DOTAP-Nano plus D35 efficiently induced T-cell responses in mice even with a relatively small amount of antigen such as 1 μg of OVA and only a single immunization.
Fig. 6. DOTAP-Nano plus D35 induces T-cell responses upon immunization with a small amount of OVA antigen. (A) C57BL/6J mice were immunized with the indicated combination of OVA and adjuvant (DOTAP-Nano plus D35) at the tail base. After seven days, splenocytes were collected and stimulated with OVA257-264 peptide and OVA protein for CD8+ and CD4+ T-cell responses, respectively. Twenty-four hours later, mouse IFN-gamma in the culture supernatant was measured by ELISA. The bar graph indicates the mean ± SD of three mice per group. (B) C57BL/6J mice were immunized three times at a two-week interval, with the indicated combination of OVA and adjuvant (DOTAP-Nano plus D35) at the tail base. Seven days after the last immunization, splenocytes were collected and stimulated with OVA257-264 peptide and OVA protein for CD8+ and CD4+ T-cell responses, respectively. Twenty-four hours later, mouse IFN-gamma in the culture supernatant was measured by ELISA. The bar graph indicates the mean ± SD of three mice per group. (C) Serum was collected seven days after the last immunization from C57BL/6J mice, as shown in Fig 6B. OVA-specific antibody responses were evaluated as described in the method section. The bar graph indicates the mean ± SD of three mice per group. DOTAP-Nano plus D35 adjuvant was also examined in the prime-boost protocol. Mice were immunized with the combinations of different OVA doses (0.01, 0.1, and 1 μg) and different DOTAP-Nano plus D35 adjuvant doses (1, 5, and 10 μg as the amounts of D35) three times at two-week intervals. In this immunization protocol, DOTAP-Nano plus D35 adjuvant induced both CD8+ and CD4+ T-cell responses even upon immunization with 0.1 μg of OVA antigen (Fig 6B). We also examined OVA-specific antibody responses in this prime-boost immunization protocol. OVA-specific total IgG, IgG1, and IgG2c were clearly detected in a manner that is dependent on both antigen and adjuvant doses (Fig 6C). Among these antibody responses, IgG2c responses required relatively strong antigen and adjuvant dose immunization. Taken together, these results suggested that DOTAP-Nano plus D35 is a highly efficient adjuvant for inducing both CD8+ and CD4+ T-cell responses with a relatively small amount of antigen and that it is capable of inducing efficient antibody responses with the prime-boost protocol.
Discussion
DOTAP is one of the most popularly used cationic lipid for vaccine formulation and development studies ([18–21, 24–27]. However, what physicochemical factors are important for the DOTAP mediated biological effects is not fully understood yet. In this study, we examined the adjuvanticity of DOTAP nanoparticles, particularly for the induction of T-cell responses. Our results suggested that there are three important factors affecting the adjuvanticity of DOTAP nanoparticles: 1) preparation method, 2) size, and 3) interaction with antigen.
Although the underlying detailed mechanisms need to be examined extensively in future works, the relatively small DOTAP nanoparticle preparations obtained using a microfluidic processor such as NanoAssemblr showed better adjuvant activity than those obtained using conventional particle preparation, such as the hydration film method. Although DOTAP-Nano and DOTAP-film showed similar lipid–OVA interactions, the adjuvanticity was still better in DOTAP-Nano (Fig 2). Microfluidics has been commonly used to prepare siRNA-containing lipid nanoparticle formulations but has not really been examined as a method for preparing lipid nanoparticle adjuvants. This study demonstrated that microfluidic preparation itself can affect the adjuvanticity of DOTAP nanoparticles. Furthermore, other factors such as interaction with antigen (Fig 2A and 2B) and differences in buffer conditions (Fig 1E; right) were also important.
The relatively small particle size (<100 nm) prepared by microfluidics could influence the biodistribution of DOTAP nanoparticles. Currently, experiments examining the biodistribution in tissue, such as in draining lymph nodes, are ongoing. However, thus far, we have not observed any apparent differences of biodistribution between the small and large preparations of DOTAP (unpublished data).
Another important factor is the interaction between DOTAP nanoparticles and antigens. The difference in DOTAP–antigen interaction depending on the buffer conditions resulted in clear differences in the induction of a T-cell response by protein vaccine antigen. DOTAP nanoparticles did not induce strong T-cell responses without DOTAP–antigen interaction (Fig 1). We also confirmed this result by using different antigens of HEL, which did not interact with DOTAP (Fig 5B and 5C), and the HEL DOTAP adjuvant combination did not result in the induction of T-cell responses (Fig 5A). Interestingly, T-cell responses against HEL antigen were not observed in this case even when using DOTAP-Nano plus D35. DOTAP-Nano plus D35 enhanced IFN-α induction in mouse and human cells and has been shown to stimulate the induction of T-cell responses, including cross-presentation [40–42]. In this case, strong immunostimulatory cytokine induction or inflammatory responses could compensate for the lack of lipid–antigen interaction and result in the induction of a T-cell response, which has been shown in other originally antigen-noninteracting adjuvants such as advax [37], AS03 [38], and MF59 [39]. These adjuvants do not require antigen–adjuvant interactions to induce T-cell responses. However, in the case of DOTAP-Nano plus D35, the T-cell response agonist HEL was also dependent on DOTAP–antigen interaction, thus suggesting that antigen interaction is almost obligatory in the case of DOTAP nanoparticle adjuvant.
In this study, we did not sufficiently investigate the following points, which are considered important in understanding the mechanisms of induction of DOTAP-Nano (plus D35)-mediated T-cell responses: 1) innate immune mechanisms of DOTAP-Nano recognition because DOTAP-Nano itself induced strong CD8+ T-cell responses without D35 (Fig 3) and 2) the size-dependent differences in biodistribution of DOTAP at the cellular and tissue levels. These two points are generally important in understanding the mechanism of action of particle adjuvants. Therefore, future experiments should be performed to understand the mechanism of action of DOTAP-Nano adjuvant.
In summary, we demonstrated that antigen–adjuvant interaction is essential for the induction of T-cell responses by DOTAP-Nano adjuvant even if a TLR ligand such as DOTAP-Nano plus D35 is included. Furthermore, interestingly, the microfluidic preparation method itself and the resulting small DOTAP nanoparticles (<100 nm) showed better T-cell response–inducing adjuvanticity, thus suggesting that microfluidic-prepared lipid particles are a promising adjuvant candidate for future T-cell response–inducing vaccines.
Supporting information
S1 Fig [pdi]
Particle characterizations.S2 Fig [ft]
Physical complex formation between DOTAP-nano and different types of CpGs.
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- Community- and trophic-level responses of soil nematodes to removal of a non-native tree at different stages of invasion
- Association of ECG parameters with late gadolinium enhancement and outcome in patients with clinical suspicion of acute or subacute myocarditis referred for CMR imaging
- Sonographic measurement of normal common bile duct diameter and associated factors at the University of Gondar comprehensive specialized hospital and selected private imaging center in Gondar town, North West Ethiopia
- Catchment-scale export of antibiotic resistance genes and bacteria from an agricultural watershed in central Iowa
- Impact of multi-drug resistant bacteria on economic and clinical outcomes of healthcare-associated infections in adults: Systematic review and meta-analysis
- Characterization of a universal screening approach for congenital CMV infection based on a highly-sensitive, quantitative, multiplex real-time PCR assay
- Proof-of-concept for a non-invasive, portable, and wireless device for cardiovascular monitoring in pediatric patients
- On PTV definition for glioblastoma based on fiber tracking of diffusion tensor imaging data
- Multiregional origins of the domesticated tetraploid wheats
- Racism against Totonaco women in Veracruz: Intercultural competences for health professionals are necessary
- Increased inflammation and endothelial markers in patients with late severe post-thrombotic syndrome
- Genes associated with body weight gain and feed intake identified by meta-analysis of the mesenteric fat from crossbred beef steers
- Intraoperative computed tomography imaging for dose calculation in intraoperative electron radiation therapy: Initial clinical observations
- Multiple paedomorphic lineages of soft-substrate burrowing invertebrates: parallels in the origin of Xenocratena and Xenoturbella
- Human lung epithelial BEAS-2B cells exhibit characteristics of mesenchymal stem cells
- Simple non-mydriatic retinal photography is feasible and demonstrates retinal microvascular dilation in Chronic Obstructive Pulmonary Disease (COPD)
- Evaluating poverty alleviation strategies in a developing country
- RNAmountAlign: Efficient software for local, global, semiglobal pairwise and multiple RNA sequence/structure alignment
- Maternal depressive symptoms and children’s cognitive development: Does early childcare and child’s sex matter?
- Pan-cancer analysis of somatic mutations and epigenetic alterations in insulated neighbourhood boundaries
- Evaluation of a bioengineered ACL matrix’s osteointegration with BMP-2 supplementation
- Psychosocial profiles of physical activity fluctuation in office employees: A latent profile analysis
- Prevalence and characteristics of Livestock-Associated Methicillin-Resistant Staphylococcus aureus (LA-MRSA) isolated from chicken meat in the province of Quebec, Canada
- HIV treatment response among female sex workers participating in a treatment as prevention demonstration project in Cotonou, Benin
- Soluble AXL as a marker of disease progression and survival in melanoma
- Using machine learning methods to determine a typology of patients with HIV-HCV infection to be treated with antivirals
- Quantifying tourism booms and the increasing footprint in the Arctic with social media data
- Gender differences influence over insomnia in Korean population: A cross-sectional study
- Impact of scion/rootstock reciprocal effects on metabolomics of fruit juice and phloem sap in grafted Citrus reticulata
- Adapting cognitive diagnosis computerized adaptive testing item selection rules to traditional item response theory
- Usability assessment of seven HIV self-test devices conducted with lay-users in Johannesburg, South Africa
- Autumn shifts in cold tolerance metabolites in overwintering adult mountain pine beetles
- Management of veterinary anaesthesia in small animals: A survey of current practice in Quebec
- Genetic structure of the European hedgehog (Erinaceus europaeus) in Denmark
- Molecular karyotyping of Siberian wild rye (Elymus sibiricus L.) with oligonucleotide fluorescence in situ hybridization (FISH) probes
- Umbilical cord separation time, predictors and healing complications in newborns with dry care
- The strain distribution in the lumbar anterior longitudinal ligament is affected by the loading condition and bony features: An in vitro full-field analysis
- Marine resource congestion in China: Identifying, measuring, and assessing its impact on sustainable development of the marine economy
- Analysis of attitudinal components towards statistics among students from different academic degrees
- Effects of fatigue induced by repeated-sprint on kicking accuracy and velocity in female soccer players
- A pre-clinical validation plan to evaluate analytical sensitivities of molecular diagnostics such as BD MAX MDR-TB, Xpert MTB/Rif Ultra and FluoroType MTB
- Leadership for success in transforming medical abortion policy in Canada
- Clinical correlates associated with the long-term response of bipolar disorder patients to lithium, valproate or lamotrigine: A retrospective study
- Determinants of change in long-acting or permanent contraceptives use in Ethiopia; A multivariate decomposition analysis of data from the Ethiopian demographic and health survey
- Forecasting stock prices with long-short term memory neural network based on attention mechanism
- On the genus Crossaster (Echinodermata: Asteroidea) and its distribution
- Intracellular and in vivo evaluation of imidazo[2,1-b]thiazole-5-carboxamide anti-tuberculosis compounds
- Serum amyloid P component promotes formation of distinct aggregated lysozyme morphologies and reduces toxicity in Drosophila flies expressing F57I lysozyme
- Optogenetically induced cellular habituation in non-neuronal cells
- An integrated vitamin E-coated polymer hybrid nanoplatform: A lucrative option for an enhanced in vitro macrophage retention for an anti-hepatitis B therapeutic prospect
- The effect of strontium and silicon substituted hydroxyapatite electrochemical coatings on bone ingrowth and osseointegration of selective laser sintered porous metal implants
- Modeling the Theory of Planned Behaviour to predict adherence to preventive dental visits in preschool children
- Molecular prevalence of Bartonella, Babesia, and hemotropic Mycoplasma species in dogs with hemangiosarcoma from across the United States
- Color discrimination and gas chromatography-mass spectrometry fingerprint based on chemometrics analysis for the quality evaluation of Schizonepetae Spica
- Comparisons of recurrence-free survival and overall survival between microwave versus radiofrequency ablation treatment for hepatocellular carcinoma: A multiple centers retrospective cohort study with propensity score matching
- Transcriptome-wide identification of novel circular RNAs in soybean in response to low-phosphorus stress
- Oral misoprostol, low dose vaginal misoprostol, and vaginal dinoprostone for labor induction: Randomized controlled trial
- The association between dietary patterns before and in early pregnancy and the risk of gestational diabetes mellitus (GDM): Data from the Malaysian SECOST cohort
- Gene expression noise in a complex artificial toxin expression system
- Dynamic Extreme Aneuploidy (DEA) in the vegetable pathogen Phytophthora capsici and the potential for rapid asexual evolution
- Assertive, trainable and older dogs are perceived as more dominant in multi-dog households
- Prediction of Uropathogens by Flow Cytometry and Dip-stick Test Results of Urine Through Multivariable Logistic Regression Analysis
- Accelerated brain aging towards transcriptional inversion in a zebrafish model of the K115fs mutation of human PSEN2
- Copper to Tuscany – Coals to Newcastle? The dynamics of metalwork exchange in early Italy
- The Brazilian TP53 mutation (R337H) and sarcomas
- Interleukin 6 is increased in preclinical HNSCC models of acquired cetuximab resistance, but is not required for maintenance of resistance
- Detection of amitraz resistance and reduced treatment efficacy in the Varroa Mite, Varroa destructor, within commercial beekeeping operations
- Impact of viral disease hypophagia on pig jejunal function and integrity
- Enzyme response of activated sludge to a mixture of emerging contaminants in continuous exposure
- Molecular evidence for horizontal transmission of chelonid alphaherpesvirus 5 at green turtle (Chelonia mydas) foraging grounds in Queensland, Australia
- Technology anxiety and resistance to change behavioral study of a wearable cardiac warming system using an extended TAM for older adults
- Evaluation and validation of 2D biomechanical models of the knee for radiograph-based preoperative planning in total knee arthroplasty
- Soil-Transmitted Helminth infections reduction in Bhutan: A report of 29 years of deworming
- Age-related differences in the temporal dynamics of spectral power during memory encoding
- cagA gene EPIYA motif genetic characterization from Colombian Helicobacter pylori isolates: Standardization of a molecular test for rapid clinical laboratory detection
- Mugharat an-Nachcharini: A specialized sheep-hunting camp reveals high-altitude habitats in the earliest Neolithic of the Central Levant
- Spectral characteristics of urine from patients with end-stage kidney disease analyzed using Raman Chemometric Urinalysis (Rametrix)
- Clinicians’ communication with patients receiving a MCI diagnosis: The ABIDE project
- Quantitative PCR provides a simple and accessible method for quantitative microbiota profiling
- Fast quantitative time lapse displacement imaging of endothelial cell invasion
- Two novel mutations in MSX1 causing oligodontia
- 7,200 years old constructions and mudbrick technology: The evidence from Tel Tsaf, Jordan Valley, Israel
- Tuberculosis recurrences and predictive factors in a vulnerable population in Catalonia
- Dome-shaped macula in children and adolescents
- Barriers in the access, diagnosis and treatment completion for tuberculosis patients in central and western Nepal: A qualitative study among patients, community members and health care workers
- Evaluation of KRAS, NRAS and BRAF mutations detection in plasma using an automated system for patients with metastatic colorectal cancer
- Targeted transcriptomic study of the implication of central metabolic pathways in mannosylerythritol lipids biosynthesis in Pseudozyma antarctica T-34
- Preliminary evidences of the presence of extracellular DNA single stranded forms in soil
- A comparison of quality of life between patients treated with different dialysis modalities in Taiwan
- The effectiveness of substance use interventions for homeless and vulnerably housed persons: A systematic review of systematic reviews on supervised consumption facilities, managed alcohol programs, and pharmacological agents for opioid use disorder
- Spatiotemporal characteristics and driving forces of construction land expansion in Yangtze River economic belt, China
- Comparison of Monocyte Distribution Width (MDW) and Procalcitonin for early recognition of sepsis
- Morphological association between the muscles and bones in the craniofacial region
- Transcriptome analysis of Actinidia chinensis in response to Botryosphaeria dothidea infection
- Evaluating two decision aids for Australian men supporting informed decisions about prostate cancer screening: A randomised controlled trial
- Serum galectins as potential biomarkers of inflammatory bowel diseases
- Linguistic Z-number weighted averaging operators and their application to portfolio selection problem
- Comparative study on skin protection activity of polyphenol-rich extract and polysaccharide-rich extract from Sargassum vachellianum
- Real-world data about emotional stress, disability and need for social care in a German IBD patient cohort
- The regenerative compatibility: A synergy between healthy ecosystems, environmental attitudes, and restorative experiences
- Fusion of augmented reality imaging with the endoscopic view for endonasal skull base surgery; a novel application for surgical navigation based on intraoperative cone beam computed tomography and optical tracking
- Functional characterization of NK cells in Mexican pediatric patients with acute lymphoblastic leukemia: Report from the Mexican Interinstitutional Group for the Identification of the Causes of Childhood Leukemia
- Radiomics signature for prediction of lateral lymph node metastasis in conventional papillary thyroid carcinoma
- Antenatal depression and its association with adverse birth outcomes in low and middle-income countries: A systematic review and meta-analysis
- Perceptions of risk and influences of choice in pregnant women with obesity. An evidence synthesis of qualitative research
- The role of refugee and migrant migration status on medication adherence: Mediation through illness perceptions
- Job stress and emotional exhaustion at work in Spanish workers: Does unhealthy work affect the decision to drive?
- Correction: Amphibians on the hotspot: Molecular biology and conservation in the South American Atlantic Rainforest
- Sexual risk classes among youth experiencing homelessness: Relation to childhood adversities, current mental symptoms, substance use, and HIV testing
- Time for change is now: Experiences of participants in a community-based approach for iron and folic acid supplementation in a rural county in Kenya, a qualitative study
- Non-invasive genetic monitoring for the threatened valley elderberry longhorn beetle
- Statistical learning for turboshaft helicopter accidents using logistic regression
- Vegetation change over seven years in the largest protected Pacific Northwest Bunchgrass Prairie remnant
- The effect of various metal-salts on the sedimentation of soil in a water-based suspension
- Using electronic health record system triggers to target delivery of a patient-centered intervention to improve venous thromboembolism prevention for hospitalized patients: Is there a differential effect by race?
- Effects of CK2β subunit down-regulation on Akt signalling in HK-2 renal cells
- Novel broad-spectrum activity-based probes to profile malarial cysteine proteases
- Health-related quality of life in cancer patients treated with immune checkpoint inhibitors: A systematic review on reporting of methods in randomized controlled trials
- Environmental tobacco smoke (ETS) and hyperlipidemia modified by perceived work stress
- Association between opioid analgesic therapy and initiation of buprenorphine management: An analysis of prescription drug monitoring program data
- Effect of a community-based approach of iron and folic acid supplementation on compliance by pregnant women in Kiambu County, Kenya: A quasi-experimental study
- Radiocarbon dating of two old African baobabs from India
- Improvement project in higher education institutions: A BPEP-based model
- An updated evaluation of serum sHER2, CA15.3, and CEA levels as biomarkers for the response of patients with metastatic breast cancer to trastuzumab-based therapies
- Genome-wide association study of metabolic syndrome in Korean populations
- The diagnostic accuracy of liver fibrosis in non-viral liver diseases using acoustic radiation force impulse elastography: A systematic review and meta-analysis
- Drug therapy problems and treatment satisfaction among ambulatory patients with epilepsy in a specialized hospital in Ethiopia
- Short- & long-term effects of monetary and non-monetary incentives to cooperate in public good games: An experiment
- Niche modeling reveals life history shifts in birds at La Brea over the last twenty millennia
- Morphological consequences of artificial cranial deformation: Modularity and integration
- Distributed flux balance analysis simulations of serial biomass fermentation by two organisms
- Plasma kynurenines and prognosis in patients with heart failure
- Occurrence and distribution of anthropogenic persistent organic pollutants in coastal sediments and mud shrimps from the wetland of central Taiwan
- Intensified visual clutter induces increased sympathetic signalling, poorer postural control, and faster torsional eye movements during visual rotation
- Restoration of cortical symmetry and binaural function: Cortical auditory evoked responses in adult cochlear implant users with single sided deafness
- A smartphone-enabled wireless and batteryless implantable blood flow sensor for remote monitoring of prosthetic heart valve function
- Gut microbiota composition alterations are associated with the onset of diabetes in kidney transplant recipients
- Shock index and TIMI risk index as valuable prognostic tools in patients with acute coronary syndrome complicated by cardiogenic shock
- Merit overrules theory of mind when young children share resources with others
- Economic burden of maternal morbidity – A systematic review of cost-of-illness studies
- Comparison of balance changes after inspiratory muscle or Otago exercise training
- Correction: Escherichia coli and Salmonella spp. isolated from Australian meat chickens remain susceptible to critically important antimicrobial agents
- Metabolic analysis of amino acids and vitamin B6 pathways in lymphoma survivors with cancer related chronic fatigue
- Cell-free DNA donor fraction analysis in pediatric and adult heart transplant patients by multiplexed allele-specific quantitative PCR: Validation of a rapid and highly sensitive clinical test for stratification of rejection probability
- Immunopathogenesis of canine chronic ulcerative stomatitis
- Correction: Quantification of speech and synchrony in the conversation of adults with autism spectrum disorder
- Efficacy and safety of ultrasonic circular cyclocoagulation with second-generation probe in glaucoma: A retrospective study
- Generalizing findings from a randomized controlled trial to a real-world study of the iLookOut, an online education program to improve early childhood care and education providers’ knowledge and attitudes about reporting child maltreatment
- Self-selection of food ingredients and agricultural by-products by the house cricket, Acheta domesticus (Orthoptera: Gryllidae): A holistic approach to develop optimized diets
- Machine learning detection of Atrial Fibrillation using wearable technology
- Comparative proteomic analysis of different stages of breast cancer tissues using ultra high performance liquid chromatography tandem mass spectrometer
- A cross-sectional study of psychopathy and khat abuse among prisoners in the correctional institution in Jimma, Ethiopia
- Head impulse compensatory saccades: Visual dependence is most evident in bilateral vestibular loss
- Complementarity of empirical and process-based approaches to modelling mosquito population dynamics with Aedes albopictus as an example—Application to the development of an operational mapping tool of vector populations
- Pepsin promotes laryngopharyngeal neoplasia by modulating signaling pathways to induce cell proliferation
- When and what to test for: A cost-effectiveness analysis of febrile illness test-and-treat strategies in the era of responsible antibiotic use
- Comparison of effects and safety in providing controlled hypotension during surgery between dexmedetomidine and magnesium sulphate: A meta-analysis of randomized controlled trials
- The gene encoding the ketogenic enzyme HMGCS2 displays a unique expression during gonad development in mice
- Seroepidemiological study of rubella in Vojvodina, Serbia: 24 years after the introduction of the MMR vaccine in the national immunization programme
- Efficacy of a mitochondrion-targeting agent for reducing the level of urinary protein in rats with puromycin aminonucleoside-induced minimal-change nephrotic syndrome
- Association of endothelial nitric oxide synthase (NOS3) gene polymorphisms with primary open-angle glaucoma in a Saudi cohort
- Antitrust analysis with upward pricing pressure and cost efficiencies
- Machine learning models for identifying preterm infants at risk of cerebral hemorrhage
- Natural selection contributes to food web stability
- Pyramiding QTLs controlling tolerance against drought, salinity, and submergence in rice through marker assisted breeding
- Diversity and plant growth-promoting functions of diazotrophic/N-scavenging bacteria isolated from the soils and rhizospheres of two species of Solanum
- Sustainability effects of motor control stabilisation exercises on pain and function in chronic nonspecific low back pain patients: A systematic review with meta-analysis and meta-regression
- Sofosbuvir-based regimen for genotype 2 HCV infected patients in Taiwan: A real world experience
- The virulence domain of Shigella IcsA contains a subregion with specific host cell adhesion function
- Sequencing artifacts derived from a library preparation method using enzymatic fragmentation
- Analysis of the Rdr1 gene family in different Rosaceae genomes reveals an origin of an R-gene cluster after the split of Rubeae within the Rosoideae subfamily
- Concomitant phytonutrient and transcriptome analysis of mature fruit and leaf tissues of tomato (Solanum lycopersicum L. cv. Oregon Spring) grown using organic and conventional fertilizer
- Quantitative analysis of adsorption and desorption of volatile organic compounds on reusable zeolite filters using gas chromatography
- Comparing bioinformatic pipelines for microbial 16S rRNA amplicon sequencing
- TMEM98 is a negative regulator of FRAT mediated Wnt/ß-catenin signalling
- Modeling migration patterns in the USA under sea level rise
- Quo vadis Pantanal? Expected precipitation extremes and drought dynamics from changing sea surface temperature
- Cloud-computing and machine learning in support of country-level land cover and ecosystem extent mapping in Liberia and Gabon
- An exploratory study on the quality of patient screening and counseling for hypertension management in Tanzania
- Relation of fibroblast growth factor receptor 2 expression to hepatocellular carcinoma recurrence after liver resection
- The Brief Measure of Emotional Preoperative Stress (B-MEPS) as a new predictive tool for postoperative pain: A prospective observational cohort study
- The impact of diabetes mellitus medication on the incidence of endogenous endophthalmitis
- Correction: Chl1 DNA helicase and Scc2 function in chromosome condensation through cohesin deposition
- Clinical and pathological features of thrombotic microangiopathy influencing long-term kidney transplant outcomes
- Multidisciplinary investigation of two Egyptian child mummies curated at the University of Tartu Art Museum, Estonia (Late/Graeco-Roman Periods)
- Occupational exposure to particulate matter from air pollution in the outdoor workplaces in Almaty during the cold season
- Morphological adjustment in free-living Steinernema feltiae infective juveniles to increasing concentration of Nemafric-BL phytonematicide
- Murine Surf4 is essential for early embryonic development
- Using mHealth to improve health care delivery in India: A qualitative examination of the perspectives of community health workers and beneficiaries
- Algorithmic handwriting analysis of the Samaria inscriptions illuminates bureaucratic apparatus in biblical Israel
- Key necroptotic proteins are required for Smac mimetic-mediated sensitization of cholangiocarcinoma cells to TNF-α and chemotherapeutic gemcitabine-induced necroptosis
- Concurrent lipidomics and proteomics on malignant plasma cells from multiple myeloma patients: Probing the lipid metabolome
- Short treatment with antalarmin alters adrenal gland receptors in the rat model of endometriosis
- Is it really always only the others who are to blame? GP’s view on medical overuse. A questionnaire study
- Serum visfatin and vaspin levels in hepatocellular carcinoma (HCC)
- Retraction: SDR9C7 Promotes Lymph Node Metastases in Patients with Esophageal Squamous Cell Carcinoma
- iTRAQ proteomics reveals the regulatory response to Magnaporthe oryzae in durable resistant vs. susceptible rice genotypes
- A smartphone-based test for the assessment of attention deficits in delirium: A case-control diagnostic test accuracy study in older hospitalised patients
- Association between tuberculosis and depression on negative outcomes of tuberculosis treatment: A systematic review and meta-analysis
- Incidence and predictors of loss to follow up among adult HIV patients on antiretroviral therapy in University of Gondar Comprehensive Specialized Hospital: A competing risk regression modeling
- Point-of-care diagnostic (POCD) method for detecting Bursaphelenchus xylophilus in pinewood using recombinase polymerase amplification (RPA) with the portable optical isothermal device (POID)
- Bioluminescent imaging of Arabidopsis thaliana using an enhanced Nano-lantern luminescence reporter system
- Biosynthetic pathway of indole-3-acetic acid in ectomycorrhizal fungi collected from northern Thailand
- Clinical implications of elevated serum interleukin-6 in IgG4-related disease
- Downscaling NLDAS-2 daily maximum air temperatures using MODIS land surface temperatures
- Sex-specific and opposite modulatory aspects revealed by PPI network and pathway analysis of ischemic stroke in humans
- Plasma Trimethylamine-N-oxide and impaired glucose regulation: Results from The Oral Infections, Glucose Intolerance and Insulin Resistance Study (ORIGINS)
- Self-esteem and other risk factors for depressive symptoms among adolescents in United Arab Emirates
- Control of the microsporidian parasite Nosema ceranae in honey bees (Apis mellifera) using nutraceutical and immuno-stimulatory compounds
- The effect of storage conditions on microbial communities in stool
- Role of donor genotype in RT-QuIC seeding activity of chronic wasting disease prions using human and bank vole substrates
- Influence of flow on phosphorus-dynamics and particle size in agricultural drainage ditch sediments
- A prospective, randomized, double-blind trial to compare body weight-adjusted and fixed doses of palonosetron for preventing postoperative nausea and vomiting in obese female patients
- Application of computerized 3D-CT texture analysis of pancreas for the assessment of patients with diabetes
- Predictive validation and forecasts of short-term changes in healthcare expenditure associated with changes in smoking behavior in the United States
- An information-based approach to handle various types of uncertainty in fuzzy bodies of evidence
- Oral magnesium supplementation for leg cramps in pregnancy—An observational controlled trial
- Health care professionals’ knowledge of commonly used sedative, analgesic and neuromuscular drugs: A single center (Rambam Health Care Campus), prospective, observational survey
- Campylobacter portucalensis sp. nov., a new species of Campylobacter isolated from the preputial mucosa of bulls
- OGG1 deficiency alters the intestinal microbiome and increases intestinal inflammation in a mouse model
- Transgenic interleukin 11 expression causes cross-tissue fibro-inflammation and an inflammatory bowel phenotype in mice
- Novel method to measure temporal windows based on eye movements during viewing of the Necker cube
- Whole blood transcriptomic analysis of beef cattle at arrival identifies potential predictive molecules and mechanisms that indicate animals that naturally resist bovine respiratory disease
- Effects of smoke flavoring using different wood chips and barbecuing on the formation of polycyclic aromatic hydrocarbons and heterocyclic aromatic amines in salmon fillets
- Sleep quality and sex modify the relationships between trait energy and fatigue on state energy and fatigue
- The role of peer, parental, and school norms in predicting adolescents’ attitudes and behaviours of majority and different minority ethnic groups in Croatia
- Filtered beauty in Oslo and Tokyo: A spatial frequency analysis of facial attractiveness
- The impact of rehabilitation frequency on the risk of stroke in patients with rheumatoid arthritis
- Availability, prices and affordability of selected antibiotics and medicines against non-communicable diseases in western Cameroon and northeast DR Congo
- The effect of mutations derived from mouse-adapted H3N2 seasonal influenza A virus to pathogenicity and host adaptation
- Detection of posttraumatic pneumothorax using electrical impedance tomography—An observer-blinded study in pigs with blunt chest trauma
- Educators’ perceptions of organisational readiness for implementation of a pre-adolescent transdisciplinary school health intervention for inter-generational outcomes
- Beyond the heterodimer model for mineralocorticoid and glucocorticoid receptor interactions in nuclei and at DNA
- The effects of sport expertise and shot results on basketball players’ action anticipation
- Framework and algorithms for identifying honest blocks in blockchain
- Efficacy and safety of anti-viral therapy for Hepatitis B virus-associated glomerulonephritis: A meta-analysis
- Selective transmission of some HIV-1 subtype C variants might depend on Envelope stimulating dendritic cells to secrete IL-10
- Noise reduction and quantification of fiber orientations in greyscale images
- Exploring the impact of terminology differences in blood and organ donor decision making
- Ontogenetic similarities between giraffe and sauropod neck osteological mobility
- Load transfer mechanism and critical length of anchorage zone for anchor bolt
- Income inequalities in stroke incidence and mortality: Trends in stroke-free and stroke-affected life years based on German health insurance data
- Community’s perception, experiences and health seeking behavior towards newborn illnesses in Debre Libanos District, North Shoa, Oromia, Ethiopia: Qualitative study
- Platelet indices significantly correlate with liver fibrosis in HCV-infected patients
- Reanalysis of the Bridge et al. study of suicide following release of 13 Reasons Why
- Validation of the easyscreen flavivirus dengue alphavirus detection kit based on 3base amplification technology and its application to the 2016/17 Vanuatu dengue outbreak
- The nitrate content of fresh and cooked vegetables and their health-related risks
- Bioreactor for mobilization of mesenchymal stem/stromal cells into scaffolds under mechanical stimulation: Preliminary results
- Serotonin transporter dependent modulation of food-seeking behavior
- Implicit task switching in Parkinson’s disease is preserved when on medication
- Root treatment with oxathiapiprolin, benthiavalicarb or their mixture provides prolonged systemic protection against oomycete foliar pathogens
- Real-world effectiveness and safety of ranibizumab for the treatment of myopic choroidal neovascularization: Results from the LUMINOUS study
- Non-gradient and genotype-dependent patterns of RSV gene expression
- Multiplex real-time PCR for the detection of Clavibacter michiganensis subsp. michiganensis, Pseudomonas syringae pv. tomato and pathogenic Xanthomonas species on tomato plants
- The 24-hour urinary cortisol in post-traumatic stress disorder: A meta-analysis
- Parasites modulate the gut-microbiome in insects: A proof-of-concept study
- The dynamics of shapes of vesicle membranes with time dependent spontaneous curvature
- Vascularization and biocompatibility of poly(ε-caprolactone) fiber mats for rotator cuff tear repair
- The shield of self-compassion: A buffer against disordered eating risk from physical appearance perfectionism
- Disease-specific out-of-pocket healthcare expenditure in urban Bangladesh: A Bayesian analysis
- Advanced biofilm analysis in streams receiving organic deicer runoff
- Upregulation of long non-coding RNA ROR1-AS1 promotes cell growth and migration in bladder cancer by regulation of miR-504
- Method development and validation for rapid identification of epigallocatechin gallate using ultra-high performance liquid chromatography
- Neonatal sepsis in Iran: A systematic review and meta-analysis on national prevalence and causative pathogens
- Drug-eluting versus bare-metal stents for first myocardial infarction in patients with atrial fibrillation: A nationwide population-based cohort study
- Same-day antiretroviral therapy initiation for HIV-infected adults in South Africa: Analysis of routine data
- Health-related quality of life among patients with type 2 diabetes mellitus in Eastern Province, Saudi Arabia: A cross-sectional study
- Photocatalytic biocidal effect of copper doped TiO2 nanotube coated surfaces under laminar flow, illuminated with UVA light on Legionella pneumophila
- The interoceptive hippocampus: Mouse brain endocrine receptor expression highlights a dentate gyrus (DG)–cornu ammonis (CA) challenge–sufficiency axis
- Educational attainment and HIV testing and counselling service utilisation during antenatal care in Ghana: Analysis of Demographic and Health Surveys
- Dissection of flag leaf metabolic shifts and their relationship with those occurring simultaneously in developing seed by application of non-targeted metabolomics
- Centromeres of Cucumis melo L. comprise Cmcent and two novel repeats, CmSat162 and CmSat189
- Acute high-intensity and moderate-intensity interval exercise do not change corticospinal excitability in low fit, young adults
- “I like the way I am, but I feel like I could get a little bit bigger”: Perceptions of body image among adolescents and youth living with HIV in Durban, South Africa
- Nanoparticle-based ‘turn-on’ scattering and post-sample fluorescence for ultrasensitive detection of water pollution in wider window
- The relationship of moral sensitivity and patient safety attitudes with nursing students’ perceptions of disclosure of patient safety incidents: A cross-sectional study
- Insights into the strategy of micro-environmental adaptation: Transcriptomic analysis of two alvinocaridid shrimps at a hydrothermal vent
- Thirty-day readmission after medical-surgical hospitalization for people who experience imprisonment in Ontario, Canada: A retrospective cohort study
- The effect of long-term brine discharge from desalination plants on benthic foraminifera
- Hyper-spectral response and estimation model of soil degradation in Kenli County, the Yellow River Delta
- Prescribing trends of glaucoma drugs in six major cities of China from 2013 to 2017
- Significant changes in synovial fluid microRNAs after high tibial osteotomy in medial compartmental knee osteoarthritis: Identification of potential prognostic biomarkers
- Reassortment and adaptive mutations of an emerging avian influenza virus H7N4 subtype in China
- Ischemia and reperfusion injury in superficial inferior epigastric artery-based vascularized lymph node flaps
- High failure rates of protease inhibitor-based antiretroviral treatment in rural Tanzania – A prospective cohort study
- Switchable resolution in soft x-ray tomography of single cells
- Mitochondrial DNA variations and mitochondrial dysfunction in Fanconi anemia
- Extended-spectrum beta-lactamase (ESBL)-producing and non-ESBL-producing Escherichia coli isolates causing bacteremia in the Netherlands (2014 – 2016) differ in clonal distribution, antimicrobial resistance gene and virulence gene content
- Molecular characterization of blaKHM-1 encoding plasmid in an Enterobacter hormaechei subsp. hoffmannii isolate from blood culture
- PR3 levels are impaired in plasma and PBMCs from Arabs with cardiovascular diseases
- Sex differences in self-regulation in early, middle and late adolescence: A large-scale cross-sectional study
- Interaction between elevated temperature and different types of Na-salicylate treatment in Brachypodium dystachion
- A highway crash risk assessment method based on traffic safety state division
- A brain connectivity characterization of children with different levels of mathematical achievement based on graph metrics
- Quantifying the level of difficulty to treat major depressive disorder with antidepressants: Treatment Resistance to Antidepressants Evaluation Scale
- Occupational gender segregation and economic growth in U.S. local labor markets, 1980 through 2010
- The association of telomere length and telomerase activity with adverse outcomes in older patients with non-ST-elevation acute coronary syndrome
- Construction of a high-density genetic map and fine mapping of a candidate gene locus for a novel branched-spike mutant in barley
- Alterations of aqueous humor Aβ levels in Aβ-infused and transgenic mouse models of Alzheimer disease
- Parameters impacting the live birth rate per transfer after frozen single euploid blastocyst transfer
- Deep2Full: Evaluating strategies for selecting the minimal mutational experiments for optimal computational predictions of deep mutational scan outcomes
- Economic compensation interventions to increase uptake of voluntary medical male circumcision for HIV prevention: A systematic review and meta-analysis
- Distinctive effect of anesthetics on the effect of limb remote ischemic postconditioning following ischemic stroke
- Natural hybridization between Phyllagathis and Sporoxeia species produces a hybrid without reproductive organs
- Preliminary evaluation of a novel nine-biomarker profile for the prediction of autism spectrum disorder
- The impact of peer attachment on prosocial behavior, emotional difficulties and conduct problems in adolescence: The mediating role of empathy
- Spatial and climatic variables independently drive elevational gradients in ant species richness in the Eastern Himalaya
- What is the qualitative evidence concerning the risks, diagnosis, management and consequences of gastrointestinal infections in the community in the United Kingdom? A systematic review and meta-ethnography
- Naringenin protects AlCl3/D-galactose induced neurotoxicity in rat model of AD via attenuation of acetylcholinesterase levels and inhibition of oxidative stress
- Key barriers and enablers associated with uptake and continuation of oral pre-exposure prophylaxis (PrEP) in the public sector in Zimbabwe: Qualitative perspectives of general population clients at high risk for HIV
- Characterizing the University of California’s tenure-track teaching position from the faculty and administrator perspectives
- Restoration of Mal overcomes the defects of apoptosis in lung cancer cells
- Patient preferences for maintenance therapy in Crohn’s disease: A discrete-choice experiment
- Diagnostic performance of serum interferon gamma, matrix metalloproteinases, and periostin measurements for pulmonary tuberculosis in Japanese patients with pneumonia
- Hesperidin improves insulin resistance via down-regulation of inflammatory responses: Biochemical analysis and in silico validation
- Accuracy of intraocular lens power calculation formulas using a swept-source optical biometer
- Characterization of black patina from the Tiber River embankments using Next-Generation Sequencing
- Comparison of blood lactate and perceived exertion responses in two matched time-under-tension protocols
- Fibrin hydrogels are safe, degradable scaffolds for sub-retinal implantation
- Post-translational modifications of Drosophila melanogaster HOX protein, Sex combs reduced
- Problem gambling, associations with comorbid health conditions, substance use, and behavioural addictions: Opportunities for pathways to treatment
- Liganded T3 receptor β2 inhibits the positive feedback autoregulation of the gene for GATA2, a transcription factor critical for thyrotropin production
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- Impact of long-term storage and freeze-thawing on eight circulating microRNAs in plasma samples
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- High prevalence of off-label and unlicensed paediatric prescribing in a hospital in Indonesia during the period Aug.—Oct. 2014
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- Association of benzodiazepines, opioids and tricyclic antidepressants use and falls in trauma patients: Conditional effect of age
- Burden and risk factors of cutaneous leishmaniasis in a peri-urban settlement in Kenya, 2016
- Predicting strike susceptibility and collision patterns of the common buzzard at wind turbine structures in the federal state of Brandenburg, Germany
- Embryonic thermal manipulation has short and long-term effects on the development and the physiology of the Japanese quail
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- Human-raptor conflict in rural settlements of Colombia
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- Adverse drug reaction reporting practice and associated factors among medical doctors in government hospitals in Addis Ababa, Ethiopia
- TaWAK6 encoding wall-associated kinase is involved in wheat resistance to leaf rust similar to adult plant resistance
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- Perceived relative social status and cognitive load influence acceptance of unfair offers in the Ultimatum Game
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- Structure-function analyses of candidate small molecule RPN13 inhibitors with antitumor properties
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- Multiple fragmented habitat-patch use in an urban breeding passerine, the Short-toed Treecreeper
- Histological and immunohistochemical characterization of the porcine ocular surface
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- Wind energy development and wildlife conservation in Lithuania: A mapping tool for conflict assessment
- Characteristics and prognosis of primary treatment-naïve oral cavity squamous cell carcinoma in Norway, a descriptive retrospective study
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- Peer distribution of HIV self-test kits to men who have sex with men to identify undiagnosed HIV infection in Uganda: A pilot study
- Error rates of human reviewers during abstract screening in systematic reviews
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- And the nominees are: Using design-awards datasets to build computational aesthetic evaluation model
- Service delivery interventions to increase uptake of voluntary medical male circumcision for HIV prevention: A systematic review
- Multidimensional Scales of Perceived Self-Efficacy (MSPSE): Measurement invariance across Italian and Colombian adolescents
- Diversity of Mycobacteriaceae from aquatic environment at the São Paulo Zoological Park Foundation in Brazil
- A graph-based algorithm for RNA-seq data normalization
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- Pharmacokinetics, absolute bioavailability and tolerability of ketamine after intranasal administration to dexmedetomidine sedated dogs
- Spatial variation in fertilizer prices in Sub-Saharan Africa
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- The impact of computed radiography and teleradiology on patients’ diagnosis and treatment in Mweso, the Democratic Republic of Congo
- Differential effects of synthetic psychoactive cathinones and amphetamine stimulants on the gut microbiome in mice
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- Effect of temperature variation on hospital admissions and outcomes in dogs with myxomatous mitral valve disease and new onset pulmonary edema
- The development of the Police Practices Scale: Understanding policing approaches towards street-based female sex workers in a U.S. City
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- Microbiota in foods from Inuit traditional hunting
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- In vivo expression of peptidylarginine deiminase in Drosophila melanogaster
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- Aromatase deficiency in hematopoietic cells improves glucose tolerance in male mice through skeletal muscle-specific effects
- If host is refractory, insistent parasite goes berserk: Trypanosomatid Blastocrithidia raabei in the dock bug Coreus marginatus
- Antimicrobial resistance patterns and molecular resistance markers of Campylobacter jejuni isolates from human diarrheal cases
- Protective role of brain derived neurotrophic factor (BDNF) in obstructive sleep apnea syndrome (OSAS) patients
- An IL-18-centered inflammatory network as a biomarker for cerebral white matter injury
- Prevalence of antiphospholipid antibodies in Behçet's disease: A systematic review and meta-analysis
- Chemical analysis of snus products from the United States and northern Europe
- Effect of prednisolone on glyoxalase 1 in an inbred mouse model of aristolochic acid nephropathy using a proteomics method with fluorogenic derivatization-liquid chromatography-tandem mass spectrometry
- Impact of early-onset persistent stunting on cognitive development at 5 years of age: Results from a multi-country cohort study
- Aggregation of CAT tails blocks their degradation and causes proteotoxicity in S. cerevisiae
- Expression of concern: Compensatory increase of transglutaminase 2 is responsible for resistance to mTOR inhibitor treatment
- Common mental illness among epilepsy patients in Bahir Dar city, Ethiopia: A cross-sectional study
- Staging dementia based on caregiver reported patient symptoms: Implications from a latent class analysis
- Health-related quality of life and its determinants among ambulatory patients with epilepsy at Ambo General Hospital, Ethiopia: Using WHOQOL-BREF
- In silico analysis and high-risk pathogenic phenotype predictions of non-synonymous single nucleotide polymorphisms in human Crystallin beta A4 gene associated with congenital cataract
- Fungal diversity in canopy soil of silver beech, Nothofagus menziesii (Nothofagaceae)
- Referral decisions and its predictors related to orthopaedic care. A retrospective study in a novel primary care setting
- Readiness to prescribe: Using educational design to untie the Gordian Knot
- Influence of gelation on the retention of purple cactus pear extract in microencapsulated double emulsions
- Factors related to met needs for rehabilitation 6 years after stroke
- Association of cataract and sun exposure in geographically diverse populations of India: The CASE study. First Report of the ICMR-EYE SEE Study Group
- Investigation of injury severity in urban expressway crashes: A case study from Beijing
- Clinical outcomes of incident peritoneal dialysis patients coming from kidney transplantation program: A case-control study
- Evaluation of the factors influencing the housing safety awareness of residents in Shanghai
- Morphometric study of the diaphragmatic surface of the liver in the human fetus
- Food insecurity and dietary diversity among lactating mothers in the urban municipality in the mountains of Nepal
- Genetic characterization of Bacillus anthracis strains circulating in Italy from 1972 to 2018
- Promising antifungal activity of new oxadiazole against Candida krusei
- An atlas of personality, emotion and behaviour
- Long-term effects of intracranial islet grafting on cognitive functioning in a rat metabolic model of sporadic Alzheimer's disease-like dementia
- Compartmentalized profiling of amniotic fluid cytokines in women with preterm labor
- Comparison of the myometrial transcriptome from singleton and twin pregnancies by RNA-Seq
- Adverse reproductive effects of S100A9 on bovine sperm and early embryonic development in vitro
- Functional dynamics of bacterial species in the mouse gut microbiome revealed by metagenomic and metatranscriptomic analyses
- Astrocyte senescence promotes glutamate toxicity in cortical neurons
- Primary ciliary dyskinesia and psychological well-being in adolescence
- Dipeptidyl peptidase-4 is increased in the abdominal aortic aneurysm vessel wall and is associated with aneurysm disease processes
- Primary care physician knowledge, attitudes, and diagnostic testing practices for norovirus and acute gastroenteritis
- Microfluidic-prepared DOTAP nanoparticles induce strong T-cell responses in mice
- Intraocular scattering as a predictor of driving performance in older adults with cataracts
- Reduced bone mineral density among HIV infected patients on anti-retroviral therapy in Blantyre, Malawi: Prevalence and associated factors
- Correction: Extraversion personality, perceived health and activity participation among community-dwelling aging adults in Hong Kong
- A rainwater control optimization design approach for airports based on a self-organizing feature map neural network model
- Influence of inflammasome NLRP3, and IL1B and IL2 gene polymorphisms in periodontitis susceptibility
- 18F-FDG-PET/MRI in the diagnostic work-up of limbic encephalitis
- The socioeconomic impact of orthopaedic trauma: A systematic review and meta-analysis
- Treatment patterns among patients with moderate-to-severe ulcerative colitis in the United States and Europe
- City to city learning and knowledge exchange for climate resilience in southern Africa
- Nuclear translocation of Atox1 potentiates activin A-induced cell migration and colony formation in colon cancer
- Activity-dependent switches between dynamic regimes of extracellular matrix expression
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- A mathematical model for assessing the effectiveness of controlling relapse in Plasmodium vivax malaria endemic in the Republic of Korea
- Cryo-focused ion beam preparation of perovskite based solar cells for atom probe tomography
- Physiological and transcriptomic responses of Lanzhou Lily (Lilium davidii, var. unicolor) to cold stress
- Unusual genome expansion and transcription suppression in ectomycorrhizal Tricholoma matsutake by insertions of transposable elements
- Estimating associations between antidepressant use and incident mild cognitive impairment in older adults with depression
- The use of telephone communication between nurse navigators and their patients
- CNP mediated selective toxicity on melanoma cells is accompanied by mitochondrial dysfunction
- HIV RNA measurement in dried blood spots of HIV-infected patients in Thailand using Abbott m2000 system
- Retraction: Oncogenic Fibulin-5 Promotes Nasopharyngeal Carcinoma Cell Metastasis through the FLJ10540/AKT Pathway and Correlates with Poor Prognosis
- Ultra-rapid cooling of ibex sperm by spheres method does not induce a vitreous extracellular state and increases the membrane damages
- Some animals are more equal than others: Validation of a new scale to measure how attitudes to animals depend on species and human purpose of use
- Observation and quantification of the morphological effect of trypan blue rupturing dead or dying cells
- The visual perception of emotion from masks
- Hexavalent chromium removal and total chromium biosorption from aqueous solution by Quercus crassipes acorn shell in a continuous up-flow fixed-bed column: Influencing parameters, kinetics, and mechanism
- The predictive value of anthropometric indices for cardiometabolic risk factors in Chinese children and adolescents: A national multicenter school-based study
- Lean back and wait for the alarm? Testing an automated alarm system for nosocomial outbreaks to provide support for infection control professionals
- Regional disparities in health care resources in traditional Chinese medicine county hospitals in China
- Analysis on hydraulic characteristics of improved sandy soil with soft rock
- Development and use of a scale to assess gender differences in appraisal of mistreatment during childbirth among Ethiopian midwifery students
- Factors for starting biosimilar TNF inhibitors in patients with rheumatic diseases in the real world
- Correction: Force field generalization and the internal representation of motor learning
- Prevalence and foetomaternal effects of iron deficiency anaemia among pregnant women in Lagos, Nigeria
- Socioeconomic risk factors for fatal opioid overdoses in the United States: Findings from the Mortality Disparities in American Communities Study (MDAC)
- Microbiome signatures in neonatal central line associated bloodstream infections
- Interventions for incarcerated adults with opioid use disorder in the United States: A systematic review with a focus on social determinants of health
- Opening gap width influences distal tibial rotation below the osteotomy site following open wedge high tibial osteotomy
- The impact of lowbush blueberry (Vaccinium angustifolium Ait.) and cranberry (Vaccinium macrocarpon Ait.) pollination on honey bee (Apis mellifera L.) colony health status
- Surveys of knowledge and awareness of antibiotic use and antimicrobial resistance in general population: A systematic review
- Managerial capacity among district health managers and its association with district performance: A comparative descriptive study of six districts in the Eastern Region of Ghana
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- Reconstruction of a regulated two-cell metabolic model to study biohydrogen production in a diazotrophic cyanobacterium Anabaena variabilis ATCC 29413
- Cochlear dysfunction is associated with styrene exposure in humans
- Intra-individual variation of particles in exhaled air and of the contents of Surfactant protein A and albumin
- Revisits, readmissions, and outcomes for pediatric traumatic brain injury in California, 2005-2014
- Enhanced handover mechanism using mobility prediction in wireless networks
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- Pharyngeal microbiome alterations during Neisseria gonorrhoeae infection
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- Assessment of time management practice and associated factors among primary hospitals employees in north Gondar, northwest Ethiopia
- Genetic diversity and population structure of feral rapeseed (Brassica napus L.) in Japan
- Are the current gRNA ranking prediction algorithms useful for genome editing in plants?
- Difference between physical therapist estimation and psychological patient-reported outcome measures in patients with low back pain
- Heterogeneity in the distribution of 159 drug-response related SNPs in world populations and their genetic relatedness
- Metabolic and lipidomic profiling of steatotic human livers during ex situ normothermic machine perfusion guides resuscitation strategies
- Investigating cumulative effects of pre-performance routine interventions in beach volleyball serving
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- MicroRNA expression and DNA methylation profiles do not distinguish between primary and recurrent well-differentiated liposarcoma
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- Cytoplasmic factories, virus assembly, and DNA replication kinetics collectively constrain the formation of poxvirus recombinants
- The wavelet power spectrum of perfusion weighted MRI correlates with tumor vascularity in biopsy-proven glioblastoma samples
- Agreement between cardiovascular disease risk assessment tools: An application to the United Arab Emirates population
- Constructing HLM to examine multi-level poverty-contributing factors of farmer households: Why and how?
- Patterns of symptoms possibly indicative of cancer and associated help-seeking behaviour in a large sample of United Kingdom residents—The USEFUL study
- An automated alarm system for food safety by using electronic invoices
- Neural effects of acute stress on appetite: A magnetoencephalography study
- Use of magnetic resonance imaging to determine laterality of meniscal size in healthy volunteers
- Co-prevalence of extracranial carotid aneurysms differs between European intracranial aneurysm cohorts
- Thermal biology of two tropical lizards from the Ecuadorian Andes and their vulnerability to climate change
- When weight is an encumbrance; avoidance of stairs by different demographic groups
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- From the host's point of view: Effects of variation in burying beetle brood care and brood size on the interaction with parasitic mites
- Kernel-based Gaussian process for anomaly detection in sparse gamma-ray data
- Unmet care needs of children with ADHD
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- Identification of Korean cancer survivors’ unmet needs and desired psychosocial assistance: A focus group study
- Evaluation of inactivated Bordetella pertussis as a delivery system for the immunization of mice with Pneumococcal Surface Antigen A
- The role of moral reasoning & personality in explaining lyrical preferences
- Would you like to participate in this trial? The practice of informed consent in intrapartum research in the last 30 years
- Correction: Mutation spectrums of TSC1 and TSC2 in Chinese women with lymphangioleiomyomatosis (LAM)
- Forward lunge before and after anterior cruciate ligament reconstruction: Faster movement but unchanged knee joint biomechanics
- Challenges associated with homologous directed repair using CRISPR-Cas9 and TALEN to edit the DMD genetic mutation in canine Duchenne muscular dystrophy
- Integrated targeted serum metabolomic profile and its association with gender, age, disease severity, and pattern identification in acne
- A prospective case-control study on miRNA circulating levels in subjects born small for gestational age (SGA) evaluated from childhood into young adulthood
- Polymer-fiber-coupled field-effect sensors for label-free deep brain recordings
- Global depth perception alters local timing sensitivity
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- Module for SWC neuron morphology file validation and correction enabled for high throughput batch processing
- Reduced gray matter volume and cortical thickness associated with traffic-related air pollution in a longitudinally studied pediatric cohort
- Recombinant human soluble thrombomodulin is associated with attenuation of sepsis-induced renal impairment by inhibition of extracellular histone release
- Human and climatic drivers affect spatial fishing patterns in a multiple-use marine protected area: The Galapagos Marine Reserve
- Correction: Leisure-time physical activity and sports in the Brazilian population: A social disparity analysis
- Application of the mixture item response theory model to the Self-Administered Food Security Survey Module for Children
- Numerical simulation of atmospheric CO2 concentration and flux over the Korean Peninsula using WRF-VPRM model during Korus-AQ 2016 campaign
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- Improved multi-parametric prediction of tissue outcome in acute ischemic stroke patients using spatial features
- Genome-wide association and epistatic interactions of flowering time in soybean cultivar
- Correction: Association between workplace bullying and burnout, professional quality of life, and turnover intention among clinical nurses
- Correction: Estimation of membrane bending modulus of stiffness tuned human red blood cells from micropore filtration studies
- Correction: Limited indirect effects of an infant pneumococcal vaccination program in an aging population
- Correction: Targeting of the Plzf Gene in the Rat by Transcription Activator-Like Effector Nuclease Results in Caudal Regression Syndrome in Spontaneously Hypertensive Rats
- Fieldwork-based determination of design priorities for point-of-use drinking water quality sensors for use in resource-limited environments
- Young women’s reproductive health conversations: Roles of maternal figures and clinical practices
- Correction: Differential recordings of local field potential: A genuine tool to quantify functional connectivity
- Survival of medial versus lateral unicompartmental knee arthroplasty: A meta-analysis
- Novel MscL agonists that allow multiple antibiotics cytoplasmic access activate the channel through a common binding site
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- Exploring prior diseases associated with incident late-onset Alzheimer’s disease dementia
- Hypertension prevalence in patients attending tertiary pain management services, a registry-based Australian cohort study
- SRL pathogenicity island contributes to the metabolism of D-aspartate via an aspartate racemase in Shigella flexneri YSH6000
- Correction: Comprehensive genome-wide analysis of the pear (Pyrus bretschneideri) laccase gene (PbLAC) family and functional identification of PbLAC1 involved in lignin biosynthesis
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- Correction: Health conditions associated with overweight in climacteric women
- Correction: Determining Glomerular Filtration Rate in Homozygous Sickle Cell Disease: Utility of Serum Creatinine Based Estimating Equations
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- Correction: Cumulative viral load as a predictor of CD4+ T-cell response to antiretroviral therapy using Bayesian statistical models
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- Retraction: Outer Membrane Protein A (OmpA) of Shigella flexneri 2a Induces TLR2-Mediated Activation of B Cells: Involvement of Protein Tyrosine Kinase, ERK and NF-κB
- Retraction: Biofabrication of streptomycin-conjugated calcium phosphate nanoparticles using red ginseng extract and investigation of their antibacterial potential
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- Retraction: MiR-30a-5p Antisense Oligonucleotide Suppresses Glioma Cell Growth by Targeting SEPT7
- Correction: Dynamics of plasma micronutrient concentrations and their correlation with serum proteins and thyroid hormones in patients with paracoccidioidomycosis
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- Correction: Tissue-Specific Expressed Antibody Variable Gene Repertoires
- Retraction: Immunoglobulin G Expression in Lung Cancer and Its Effects on Metastasis
- Correction: Causal knowledge promotes behavioral self-regulation: An example using climate change dynamics
- Retraction: Use of Granulocyte Colony-Stimulating Factor for the Treatment of Thin Endometrium in Experimental Rats
- Correction: Dynamic mechanical and nanofibrous topological combinatory cues designed for periodontal ligament engineering
- Correction: Evaluating the foundations that help avert antimicrobial resistance: Performance of essential water sanitation and hygiene functions in hospitals and requirements for action in Kenya
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- Correction: Strategies for achieving high sequencing accuracy for low diversity samples and avoiding sample bleeding using illumina platform
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