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Novel MscL agonists that allow multiple antibiotics cytoplasmic access activate the channel through a common binding site
Authors: Robin Wray aff001; Junmei Wang aff002; Irene Iscla aff001; Paul Blount aff001
Authors place of work: Department of Physiology, UT Southwestern Medical Center, Dallas, Texas, United States of America aff001; Department of Pharmaceutical Sciences and Computational Chemical Genomics Screening Center, University of Pittsburgh School of Pharmacy, Pittsburg, Pennsylvania, United States of America aff002
Published in the journal: PLoS ONE 15(1)
Category: Research Article
doi: https://doi.org/10.1371/journal.pone.0228153Summary
The antibiotic resistance crisis is becoming dire, yet in the past several years few potential antibiotics or adjuvants with novel modes of action have been identified. The bacterial mechanosensitive channel of large conductance, MscL, found in the majority of bacterial species, including pathogens, normally functions as an emergency release valve, sensing membrane tension upon low-osmotic stress and discharging cytoplasmic solutes before cell lysis. Opening the huge ~30Å diameter pore of MscL inappropriately is detrimental to the cell, allowing solutes from and even passage of drugs into to cytoplasm. Thus, MscL is a potential novel drug target. However, there are no known natural agonists, and small compounds that modulate MscL activity are just now being identified. Here we describe a small compound, K05, that specifically modulates MscL activity and we compare results with those obtained for the recently characterized MscL agonist 011A. While the structure of K05 only vaguely resembles 011A, many of the findings, including the binding pocket, are similar. On the other hand, both in vivo and molecular dynamic simulations indicate that the two compounds modulate MscL activity in significantly different ways.
Keywords:
Cysteine – Staphylococcus aureus – antibiotics – Antibiotic resistance – Biochemical simulations – Glutamate – Molecular dynamics – Free energy
Introduction
Multi-drug resistance (MDR) in pathogenic bacteria is a major threat to human health. In 2013 the Centers for Disease Control (CDC) of US declared that the human race is now in the “post-antibiotic era,” and in 2014, the World Health Organization (WHO) warned “the antibiotic resistance crisis is becoming dire” [1, 2]. Multidrug resistant bacteria have been declared a substantial threat to U.S. public health and national security by the Infectious Diseases Society of America and the Institute of Medicine, as well as the federal Interagency Task Force on Antimicrobial Resistance. Nearly two million Americans per year develop healthcare-associated infections, resulting in 99,000 deaths, most due to antibacterial resistant pathogens [1, 3]. However, there are relatively few novel antibiotics being developed [4]. Thus, fighting MDR bacterial infections in patients is becoming increasingly difficult [3, 5]. New drugs and, more importantly, novel targets are essential.
In bacteria, mechanosensitive (MS) channels appear to play the role of emergency release valves. Briefly, when bacteria are exposed to high osmolarity they transport (K+, glutamate, betaine, and proline) and synthesize (glutamate, trehalose, proline and betaine) solutes to balance the increase in external osmolarity to keep cell turgor high, a requisite for cell growth and division. When the osmotic environment acutely decreases, water rushes in, turgor increases, and cell integrity is threatened. MS channels release cytoplasmic pressure by allowing the rapid efflux of cytosolic molecules from the cell [6]. There are two families of MS channels found in bacteria: the mechanosensitive channel of large conductance, MscL, and small conductance, MscS. Both appear to directly sense tension in the membrane [7, 8]. MscS channels and its homologues are more sensitive, open a smaller pore, may be more regulated [9, 10] and appear to lead to a more controlled efflux; a single bacterial species may have more than one homologue expressed. On the other hand, the majority of bacteria, including most pathogens, contain a single copy of mscL, which is highly conserved between species (see [11] for more discussion and sequence alignment). MscL is thought to be the last-ditch effort for a bacteria to survive osmotic downshock [6, 12]
The MscL channel has the largest gated pore known, is thought to be able to pass not-so-small proteins including thioredoxin, elongation factor Tu and DNAK ([13, 14] and see [15]), and is estimated to be on the order of 30Å in diameter [16]. Thus, it is not surprising that forward genetic experiments revealed that MscL channel mutants that are more sensitive to membrane tension and appear to gate inappropriately in vivo lead to bacterial slowed growth, or even decreased viability [17, 18].
Several MscL properties such as its conservation, being upregulated during the stationary phase and the fact that the inappropriate opening of its 30Å pore can decrease bacterial growth and viability, make this channel an ideal antibiotic target. This led us to the identification MscL agonists for their potential as antibiotics with the novel mechanism of essentially permeabilizing the bacterial membrane by the opening of its big pore. We thus performed a high throughput screen (HTS) to identify compounds that slowed bacterial growth in a MscL-dependent manner [19]. The goal was to find compounds that gated the MscL channel inappropriately and could be used to study channel gating and potentially serve as antimicrobial agents. Surprisingly, four known antibiotics, with other known mechanisms of action, were identified in the screen. Analyses demonstrated that some antibiotics appear to gate MscL and use it as a pathway to cross the cytoplasmic membrane [19]. The best characterized is dihydrostreptomycin (DHS) [20], where it appears that not only is MscL a primary way the bulky and multi-charged DHS molecule passes across the membrane, but it is also responsible for a DHS-dependent K+ flux from the cell that was observed prior to any decrease in viability [21]. It was these findings that hinted that MscL agonists may specifically permeabilize bacterial membranes to allow access of common antibiotics and could potentially be used as an adjuvant bypassing some forms of antibiotic resistance. We also identified several novel compounds not known to have antimicrobial activities, and have begun to characterize them [11, 22]. Here, we characterize a new novel small-molecule compound that we coin as K05 that directly binds to and modulates MscL gating. We find that it has the characteristics anticipated for a MscL-specific agonist, including slowing bacterial growth of several bacterial species, increasing the potency of common antibiotics, and decreasing the viability of stationary cultures. We compare and contrast this compound with what is known for others that gate the MscL channel.
Results
Small compound, K05, decrease E. coli growth and viability of stationary cells in a MscL-dependent manner by directly activating Eco-MscL channels
The K05 compound was identified by an HTS designed to look for agonists to the MscL channel [19]. To confirm that this compound decreased cell growth in a MscL-dependent manner, we assayed the influence of K05 on cell growth in a ΔmscL E. coli strain, and one expressing the MscL channel. As shown in Fig 1A, K05 decreases E. coli cell growth in a dose-dependent manner only when MscL is expressed.
Fig. 1. K05 affects both growing and stationary E. coli cultures in a MscL-dependent manner. (A) percentage of growth (OD600), normalized to untreated samples, for K05 treated (red) relative to non-treated (blue) in Eco-MscL-expressing cultures; the ΔmscL is shown in black. (n = 3–4) (B) The percent reduction in CFU’s after treatment with 80 μM of compound K05 after cultures have reached stationary phase. (n = 4) *** p<0.0004 by unpaired Student t-test. (C) Representative traces of Eco-MscL channels recorded by patch clamp experiments of native membranes. MscL channel activity is shown before (upper trace) and after (lower trace) addition of 50μM compound K05 to the bath. (D) Quantification of the effect of K05 on the probability of opening of MscL (NPo). (n = 6) p<0.02 paired Student t-test. MscL is constitutively expressed, and one study even suggests it is up-regulated in stationary cultures [23]. As a channel, it also does not require any metabolic energy to gate, only a stimulus. Thus, in theory the gating of MscL in stationary cells could release metabolites required to achieve a renewed growth phase, decreasing the viability of cells within the culture. We therefore tested quiescent/stationary cultures for their sensitivity to the K05 compound. As shown in Fig 1B, when stationary cultures were treated with the K05 compound, a significant decrease in viability was noted. This appears to be MscL specific because MscL-null cells, and those expressing only the other major E. coli MS channel, MscS, did not show this decreased viability. Because both MscL and MscS normally sense membrane tension, these data support the notion that K05 directly interacts with the MscL channel and is not simply adding tension to the membrane.
We used electrophysiology to test if K05 increased the activity of the MscL channel. We tested the MscL activity directly in E. coli inside-out patches of native membranes as previously described [24]. As seen in Fig 1C and 1D, compound K05, when added to the bath, significantly increased the activity of channels given a threshold membrane-tension stimulus.
K05 treatment leads to cellular efflux of potassium (K+) and glutamate of E. coli MscL-expressing cells
It is known from several studies that the inappropriate gating of MscL leads to fluxing of K+ and glutamate from the cytoplasm [17, 20]. We therefore tested for K+ and glutamate remaining intracellular after K05 treatment. We found that K05 treatment led to a 38% reduction of K+ (p<0.0001) and 16% reduction of glutamate (p<0.01) only for MscL-expressing cells; no significant reduction in either osmoprotectant was observed in a MscL-null strain. These data are plotted in S1 Fig.
Compound K05 increases the potency of common antibiotics when used at sub-threshold concentrations
MscL opens a very large channel upon activation, and in theory could allow cytoplasmic access for common antibiotics by essentially permeabilizing the bacterial membrane. As a first assay to determine if K05 could accelerate the passage of known antibiotics into the cytoplasm, we tested if it could enhance dihydrostreptomycin (DHS) potency. A complication is that the E. coli MscL channel (Eco-MscL) is one of the primary pathways for DHS to enter the cell [20]. However, the Hemophilus influenza MscL (Hin-MscL) does not bind well to DHS [20]. We therefore heterologously expressed the Hin-MscL in an E. coli MscL-null strain. As seen in Fig 2A, combinatorial treatment of 2.25 μM DHS, a normally sub-threshold concentration, and varying concentrations of compound K05 with E. coli cells expressing Hin-MscL led to much larger decreases in growth than that observed with treatment of compound K05 alone.
Fig. 2. K05 increases the potency of common antibiotics. Concentration dependent effect of K05 in: (A) E.coli MJF455 cultures carrying empty plasmid or expressing (Hin-MscL) grown in the presence or the absence of 2.25 μM DHS. (B) E.coli MJF455 cultures carrying empty plasmid or expressing Eco-MscL grown in the presence or the absence of 1 μM kanamycin or (C) 0.5 μM tetracycline. (D) Minimal inhibitory concentration curves for 2 μM ampicillin for E. coli strains MJF367, MJF455 and MJF451 are shown as indicated. Note that MscL and MscS channels are expressed at endogenous protein levels. Values represent the mean of three experiments and error bars are the SEM. (n = 3). We next tested to see if K05 could increase the potency of a sub-threshold concentration of the antibiotics tetracycline (Tet) and kanamycin (Kan). When K05 was used in combination with either of these antibiotics, a much larger reduction in growth was observed in an Eco-MscL-dependent manner (Fig 2B and 2C). Note that while both DHS and Kan are in the aminoglycoside family of antibiotics, Tet is of another family, demonstrating the general nature of the phenomenon. Together, these data suggest that K05 holds promise to be used as an adjuvant, permeabilizing the membrane and facilitating antibiotics access to the E. coli cytoplasm.
Ampicillin (Amp) does not require cytoplasmic access but compromises the cell wall integrity, and thus we speculated that even subthreshold concentrations of Amp could potentially increase K05 efficacy. Since our plasmid, pB10d, confers resistance to ampicillin (Amp), in order to test this antibiotic, we modified our assay by utilizing null strains, and the MscL endogenously-expressing parental strain. Indeed, K05 efficacy was increased, even for endogenous levels of MscL (Fig 2D).
DHS is a cidal antibiotic, leading to decreased viability. Hence, the decrease in OD600 observed should be coupled with a significant decrease in viability. Therefore, viability was also tested of three conditions: K05 (70 μM), DHS (2.25 μM) and a combination of the two at these concentrations, for both empty plasmid and Hin-MscL. There was no reduction in viability with DHS alone, and a significant but modest reduction for K05 alone. However, the combination of the two showed a greater than 98% reduction in viability for the Hin-MscL expressing bacteria (Fig 3).
Fig. 3. MscL dependent decrease in viability in the presence of K05 and DHS. Viability of bacterial cultures treated with 70 μM compound K05, 2.25 μM DHS or a combination of the two. Values represent the percentage of colony forming units (CFU) of the treated, relative to the untreated samples. E.coli MJF455 cultures carrying empty plasmid (null grey) or expressing Hin-MscL (green) are shown. (n = 4) **p<0.002, ****p<1.8 10−10 Student t-test unpaired vs empty plasmid. Compound K05 decreases growth of cultures and viability of stationary phase cultures of pathogenic bacterial models in a MscL-dependent manner
MscL-null strains of two species of bacteria that are used as pathogenic bacterial models have been generated: Staphylococcal aureus (S. aureus) strain R4220 [25] and a species often used as a model system for Mycobacterium tuberculosis (M. tuberculosis), the non-pathogenic Mycobacterium smegmatis (M. smegmatis) [11]. We tested these strains for MscL-dependent sensitivity to the K05 compound. As seen in Fig 4A and 4B, both strains showed a MscL-dependent decreased growth upon K05 treatment.
Fig. 4. K05 affects both growing and stationary cultures of pathogenic bacterial models in a MscL-dependent manner. Growth inhibition by increasing concentrations of compound K05 are shown for (A) S. aureus R4220 WT (red) and ΔmscL R4220 S. aureus (grey) strains and (B). M. smegmatis MC2155 WT (green) and MC2155 ΔmscL (grey). Curves represent the percentage growth (OD600) of K05 treated, relative to untreated. Values represent the mean SEM of at least three experiments n = 3 (C). Viability of stationary phase cultures after treatment with 80 μM of compound K05. Values represent the percent reduction in CFU’s normalized by the untreated shown for the S. aureus R4220 WT and null (red) and M. smegmatis MC2155 WT and null (green) Note that WT stains are expressing endogenous levels of MscL. *p<0.03 (n = 4); ***p<1.5 10−5 (n = 7) Student t-test unpaired. We also tested the ability of K05 to decrease the viability of these species when stationary phase cultures were treated. As seen in Fig 4C, both strains also showed a MscL-dependent significant decrease in viability of stationary non-metabolizing cultures.
Compound K05 increases the potency of tetracycline in S. aureus and M. smegmatis cultures
We next tested the two pathogenic model species to see if K05 would increase the potency of a threshold concentration of Tet. As seen in Fig 5, both of these species showed MscL-dependent modest but significant decreases in growth when Tet and K05 were combined.
Fig. 5. K05 increases the potency of tetracycline in a MscL-dependent manner. Two model systems for pathogenic bacteria, S. aureus (A) and M. smegmatis (B) were treated with the K05 compound, Tet or a combination of both. Values represent bacterial growth (OD600) as a percentage of the untreated. **p<0.005 (n = 3–4); *p<0.02 (n = 3) Student t-test paired. K05 binds to a well-studied cytoplasmic binding site at the subunit interface
The observation that K05 influences channel activity in patch clamp when applied to the cytoplasmic side of the protein implies that either the binding site is in the center of the pore, which is accessible to either side, or, perhaps more likely, K05 can easily cross the membrane. This finding, and many of the findings of the compound decreasing growth, and decreasing viability of stationary cultures, are reminiscent of another compound, 011A, that we recently reported [11, 22]. On the other hand, while K05 and 011A have some vague structural similarities, they are quite distinct (Fig 6A). This difference between the two compounds is rooted in the basic molecular properties. Unlike 011A, which is an acid, K05 is a neutral molecule and it has no violation of the Lipinski’s “Rule of 5”: molecular weight = 489, ClogP = 4.47, numbers of H-bond acceptors and donors are 9 and 3, respectively. K05 also has a high membrane permeability with a calculated logPeff of 3.99 using the GastroPlus software (https://www.simulations-plus.com).
Fig. 6. Compounds 011A and K05 show a similar binding profile in the Eco-MscL channel. (A) Chemical structures of compounds 011A and K05 are shown as stick figures. (B) Reduction in bacterial growth (OD600) for cultures of the MJF455 strain carrying empty plasmid (null), or expressing Eco-MscL, and cysteine mutants Inset: Compound K05 blocks the binding of MTS-PEG5000 to Eco-MscL K97C mutant in a dose-dependent manner. (C) B. subtilis-MscL constructs treated with compounds 011A (orange) and K05 (blue) at 60uM relative to non-treated Values for B and C represent the mean of four experiments and error bars are the SEM. (D) Binding pocket of the K05 (brown) and 011A (green) compounds as determined by the Sybyl program (left) and the key residues interacting with compound K05 (right). The binding site for 011A was previously determined four independent ways: searching for partial suppressors in a cysteine library we previously generated (Eco-MscL contains no endogenous cysteines) [26–31], performing a competition assay between a the compound and a thiol reaction using methoxypoly(ethyleneglycol)-5000-amidopropionylmethanethio-sulfonate (MTS-PEG5000), assaying and modifying the proposed binding site of orthologues and finally, molecular docking. We used this array of assays again here to determine if compound K05 had a binding site that overlapped with 011A.
We assayed cysteine mutants in and around the region of 011A binding site with K05 to see if the same mutants were partial/full suppressors. As seen in Fig 6B, Eco-MscL cysteine mutants show the same suppressor profile for 011A and K05: I96C and K97C are almost complete suppressors, while V16C is only a partial suppressor of the slowed growth of E. coli cultures. In contrast, only small changes are seen with E6C, F10C and I25C, the latter of which is the primary suppressor and part of the binding site for DHS [20].
Given the similarity in the suppressor profile of cysteine mutants, we wanted to further validate the hypothesis that 011A and K05 truly had similar binding sites. We have found that using purified cysteine mutants and MTS-PEG5000, that a competition assay with small compounds is reliable for determining a binding site; this has been used for both DHS [20] and 011A [22]. Using this assay for a detergent-solubilized and purified Eco-MscL K97C mutant, we found that compound K05 can compete for and inhibit the modification of the cysteine by MTS-PEG5000, as indicated in the Fig 6B inset. A concentration-dependent decrease of the upper PEG5000-modified band was observed after the addition of K05. This was also previously observed for the 011A compound [22].
The MscL channel from Bacillus subtilis (B. subtilis) is one of the very few orthologues that does not have a K at the equivalent to the E. coli 97 residue position, but instead has an R. When the B. subtilis MscL is heterologously expressed in an E. coli MscL-null strain, the strain is also largely resistant to the K05 compound (Fig 6C). These data contrast those obtained for MscL orthologues from other organisms that have a K at the equivalent of position 97, including Clostridium perfringens, Hemophilus influenza, and S. aureus (S2 Fig). As seen in Fig 6C, mutating the B. subtilis residue that is equivalent to the E. coli 97 site, R88, to K (B.sub R88K) makes this orthologue now sensitive to compound K05 treatment. In contrast, mutating the Eco-MscL to K97R significantly decreases the sensitivity of the Eco-MscL to compound K05 treatment. Again, as shown (Fig 6C and S2 Fig), these data mirror those previously observed for compound 011A [22].
To better compare and contrast the binding of compounds 011A and K05, we first performed flexible-ligand docking following the protocol previously used [22]. The docking score, -7.22 is comparable to that of 011A, -7.09 kcal/mol. As shown in Fig 6D, the nitrobenzene fragment sticks out the binding pocket and penetrates deep into the lipid, a major difference from 011A. A hydrogen bond is formed between the compound K05 ligand and the main chain of F7. However, both the 011A and K05 have contacts with F10 and I25. The second-best docking pose, which has a docking score of -6.66 kcal/mol, is essentially similar to the best docking pose except that the nitro functional group pointing to an opposite direction (S3A Fig). Two more docking poses, Docking Poses 3 and 4, which have docking scores of -6.55 and -6.48 kcal/mol, are distinct from the best two docking poses. Particularly for Docking Pose 3, the K05 structure is flipped and the nitro function group is residing inside of the binding pocket (S3B Fig). The detailed interactions between Eco-MscL and K05 are shown in Fig 6D and S4, S5, S6 and S7 Figs.
Together, the data strongly suggest that although compounds 011A and K05 do not have a noticeable strong similarity in their scaffold, they appear to bind to a common binding site at the interface of two subunits, an area that has been shown previously to move in a very defined way upon gating [29].
Molecular dynamics (MD) simulations strongly support the hypothesis that K05 directly binds to and modulates MscL activity
To better characterize the protein-ligand interaction, we performed conventional molecular dynamics (MD) simulations to investigate the dynamics of the ligand binding for three distinct docking poses, namely, Docking Poses 1, 3 and 4. For Docking Pose 1, the system reached equilibrium phase after 20 nanoseconds (ns) according to the Root-mean-square deviation (RMSD) ~ Simulation Time curve for the secondary structures (red curve of S8 Fig). We identified two conformation clusters based on the RMSD curves for the ligand. The green curve, obtained by performing least-square (LS) fittings, represents the conformational change of the ligand during the MD simulation. In contrast, the blue curve (No Fit) measures not only conformational change, but also the translational and rotational movement of the ligand. The representative conformations of the two clusters are shown in S3D and S9 Figs. For both conformational clusters, the nitrobenzene group penetrates into the lipid. The major difference of the ligand conformations lies in that there is ~180 rotation along the single bond linking the nitrobenzene and furan functional group, otherwise, the two representative conformations are very similar. It is pointed out that the RMSDs of the ligand shown in S8 Fig are much higher when the aforementioned rotation occurs than otherwise. A ‘smart’ program, which can automatic detect the equivalent atoms, is desired to overcome the defect of the current LS fitting program for RMSD calculations. For Docking Poses 3 and 4, the MD trajectories are less stable than that of Docking Pose 1 as indicated by the RMSD ~ Simulation Time curves (S10 and S11 Figs). For Docking Pose 1, the curve for the secondary structures are overall below 2 Å, while the curves are mostly above the 2 Å for Docking Poses 3 and 4. As long as the RMSD curve of the whole Eco-MscL is considered, the difference is more obvious.
After the system reached equilibrium, 135 and 1350 MD snapshots were evenly recorded for the MM-PBSA (Molecular Mechanics-Poisson Boltzmann Surface Area) [32–36] free energy calculation and MM-GBSA (Molecular Mechanics-Generalized Born Surface Area) [33–35] free energy decomposition, respectively. There are many approaches for free energy calculations including the pathway-based approaches, such as free energy perturbation and thermodynamic integration, [37, 38], the aforementioned endpoints-based methods, MM-PB/GBSA, and potential of mean force (PMF) based methods [39, 40]. Although MM-PBSA itself is not theoretically rigorous as the FEP/TI, [41] it is widely used these days due to its relatively less computer-resource demanding and easier to run. One can achieve satisfactory prediction in relative free energy calculations for many systems with the MM-PBSA method [32, 42]. In this work, we applied the MM-PBSA method to identify the most favorable binding mode from a set of docking poses following an established protocol [43].
We first calculated the MM-PBSA free energies for the Eco-MscL/K05 complex to identify which binding mode was most favorable. As shown in S1 Table, the binding mode represented by Docking Pose 1 has the smallest MM-PBSA free energies for all the three considered lipid dielectric constants. This result is consistent with the RMSD ~ Simulation plots which reveal Docking Pose 1 is the most stable. If not specifically pointed out, the discussion is referred to Docking Pose 1 in the remaining text. Sequentially, we conducted MM-PBSA binding free energy calculations for the best docking pose. As shown in S2 Table, the MM-PBSA binding free energy is slightly lower for the first conformation cluster when εlip = 1 and 2, while it is lower for the second conformation cluster when εlip = 4. The overall binding affinity is worse than that of 011A, which is -10.32 kcal/mol using a lipid dielectric constant of 4. Note that although the binding free energy for Pose 3 is much smaller than that of Pose 1, it is not a favorable binding pose as its MM-PBSA free energy of the complex is much worse than that of Pose 1 (S1 Table). As an endpoint method, MM-PBSA results are affected by the setting of parameters [32]. The desolvation penalty decreases with the increase of lipid dielectric constant, leading to increase of binding affinities. Although, we did not measure the inhibitor constant, the calculated binding affinities, -6.55 kal/mol with εlip = 1, -7.90 kcal/mol with εlip = 2 and -8.37 kcal/mol with εlip = 4, are in reasonable range. We performed MM-GBSA free energy decomposition to identify hotspots of the protein-ligand binding. The hotspots, which have interactions with the ligand better than -1.0 kcal/mol, include residues F7, F10, F25, F85, L86, A89 and F93. V16 has an interaction of -0.90 kcal/mol (S3 Table). The free energy decomposition results only partially explain the cysteine mutation profile of K05. It is noted that the simulations and analyses for 011A were detailed in two recent publications [11, 22].
In one of the two publications, we have demonstrated that compound 011A could facilitate the passage of dihydrostreptomycin (DHS) in virtual “passing through” experiments in which the compound was bound to MscL and the facilitation of the passage of DHS through the channel was monitored [11]; note that the passage was accelerated by external electric field (EFF) which was applied only to DHS. We therefore further studied the gating mechanism of K05 by performing such passing-through experiments through nonequilibrium MD simulation. The passing-through events were observed by measuring the distance between the geometric centers of DHS and five lysine residues (106, 242, 378, 514 and 650) of the pentameric complex. Interestingly, we found that there is a substantial difference between the gating mechanism of K05 to that of 011A. 011A has a stronger effect on inducing channel opening and the EEF needed to induce the passage of DHS is much smaller. We have observed 18 successful passing-through events among 36 independent MD runs with an EEF of 0.1 Volt/Å [11]. However, no successful passage of DHS was observed for K05 with the same EEF among 14 independent MD runs. Only after the EEF was increased to 0.15 and 0.2 Volt/Å we could observe the successful passage of DHS. As shown in S12 Fig, DHS passed through the Eco-MscL 15 times in a successful virtual passing-through experiment using an EEF of 0.2 Volt/Å. Next, we calculated the residue-based channel radius parameter, r, which is defined as the mean distance between the geometric center five equivalent residues (residues at the same position of the five chains) and the geometric centers of individual residues for the collected MD snapshots. The larger the r, the more open the channel is at the positions of the five residues. The channel radius parameters as well as their standard errors were listed in S4 Table for seven scenarios, which are MscL only (I), MscL/011A (II), MscL/K05 (III), MscL/011A/DHS with channel open induced by EEF (IV), MscL/K05/DHS with channel open induced by EEF (V), MscL/011A with channel open without DHS (VI), and MscL/K05 with channel open without DHS (VII). For Scenarios I to III, and VI to VII, MD snapshots come from conventional MD simulations. In contrast, the snapshots of Scenarios IV and V were collected from the “passing-through” experiment. The change of r parameters to the references value of Scenario I, Δr, are shown in S13 to S15 Figs for Residues 10–40. The relative positions of residue 10–40 are shown in S16 Fig. As shown in S13 Fig, 011A has a better capacity to open MscL channel than K05, which is consistent to the observation that a smaller EEF is required to induce DHS passage. As to Scenarios 4–5, when the MscL channel was opening, allowing DHS passage, K05 opened the channel wider than 011A at the positions of residues 21–32. Note that in none of these cases does the channel achieve the fully open state predicted with a 30Å pore because of the time limitations of the simulations. However, the results do suggest that the primary and initial conformational changes induced by compound 011A binding is quite different than that for compound K05 binding; the former seems to affect the cytoplasmic “gate” more prevalently, while the latter affects the pore “vestibule” more in the center and periplasmic region of the first transmembrane domain (TM1).
We then investigated how well K05 can maintain the channel-opening conformation. We performed 100-nanosecond conventional MD simulations from a channel-opening conformation after removing DHS. As shown in S17 Fig, both 011A and K05 can maintain MscL channel-open conformations for 80 ns if a threshold of 3.0 Å for RMSDs of the secondary structures is applied. However, the mainchain RMSDs of helices are relatively smaller for compound 011A than for compound K05, suggesting 011A can better maintain the channel-opening conformation than K05. This result is consistent with the observation that the Δ r profiles of Scenarios 4 and 6 are similar. In contrast, the MscL channel narrowed, closing significantly for compound K05 as suggested by Δr profiles of Scenarios 5 and 7. As shown in S15 Fig, the channel constriction occurred around residues 10–22 (the cytoplasmic side). It is noted that although we only performed 100 ns MD simulations, the system needs much longer time to restore to the channel-close conformation from the channel-open conformation induced by the passage of DHS. In sum, these data show that compounds 011A and K05 have significantly different mechanisms of regulating MscL channel gating with compound 011A opening the channel more fully at the gate and achieving a more stable opening structure.
We then performed MM-GBSA binding free decomposition for the Scenario 7. We found that the binding profile is quite different from that of Scenario 3. The identified hotspots were listed in S3 Table. The binding profile of Scenario 7 may help to explain some of the findings of the suppressor profile of the cysteine mutants (Fig 6B). The contribution of F10 and I25 to the ligand binding is negligible. Although the interaction energy between V16 is small, its four neighbors, G14, N15, V17 and D18 are all hotspot residues. Therefore, mutation of V16 could interfere with the binding of K05 to Eco-MscL at the channel-opening state.
Discussion
Given that MscL is the largest known gated pore, it is not surprising that when MscL gates at inappropriate times, it is detrimental to the cell [17, 18, 26, 27, 30, 31]. This finding alone suggested that MscL could be a drug target for isolating novel antibiotics. However, there are no known endogenous agonists to the MscL channel, and early studies were only successful at discovering non-specific modulators.
Historically, it was found that amphipaths that intercalate asymmetrically into the membrane could modulate or gate bacterial osmosensors and MS channels [44–46], and indeed they have also been shown to modulate MscL activity [47]. However, these compounds simply change the pressures within the membrane and are therefore non-specific [48]. In one study [49], a compound found through in silico screening was found to inhibit growth of MscL-expressing cells, but it also has some influence on cells expressing MscS, suggesting that at least some of its action was non-specific, presumably through the membrane. It also still inhibited the growth of cells not expressing MscL or MscS, albeit at higher concentrations, demonstrating that it has at least one other mode of action [50]. Thus, until recently, there were no agonists that directly bound to MscL and modified its activity.
We tried to bypass some of these issues by using a HTS approach. In our search for MscL-specific agonists we performed a secondary screen and removed candidates that effected slowed growth on MscS-expressing cells [19]. To our surprise, we identified some known antibiotics. Subsequent studies confirmed that the influences on growth and viability of the aminoglycosides spectinomycin and DHS were specific to MscL; MscS expression had no influence. But MscL expression only increased the potency of these antibiotics, consistent with the primary mode of action being the inhibition or disruption of protein synthesis. In a subsequent study, we demonstrated that DHS does indeed directly binds to, modulates, and passes through the MscL channel pore, appearing to be one of the major pathways for cytoplasm access [20].
More recently, novel compounds identified in the HTS have begun to be characterized. One of them, compound 120, is a sulfonamide compound that genetic experiments have confirmed has the common primary mode of action of antimicrobial sulfonamides of inhibiting folate synthesis; presumably it was identified by the HTS because, like DHS, it uses MscL as a primary pathway for cytoplasmic access [22]. However, another sulfonamide compound identified, 011, did not appear to have any action through the folate pathway, and in fact, had increased potency when the sulfonamide portion of the structure was removed, yielding a compound coined 011A [22]. We thus continued to study the 011A compound, its ability to affect the growth of other bacterial species and increase potency of commonly used antibiotics [11].
Several independent lines of evidence clearly indicate that the K05 binding site overlaps with that previously found for the 011A compound [22]. These include molecular docking, searching for partial suppressors in a cysteine library we previously generated, performing a competition assay between the compound and a thiol reaction using methoxypoly(ethyleneglycol)-5000-amidopropionylmethanethio-sulfonate (MTS-PEG5000), and assaying and modifying the proposed binding site of orthologues. While 011A appears to have tighter binding, as determined by MM/PBSA computational analysis, K05 opens the channel wider, but not in a stable manner. This shared binding pocket, which is at the interface of two subunits, has been shown to be functionally important in the gating process [29, 30, 51, 52].
We used the same in vivo assays to study the K05 compound that we used to characterize the 011A compound. Although the compounds have only vague structural similarities, they led to what are essentially the same results. There are also no obvious differences seen in the electrophysiological recordings. On the other hand, it is curious that the K05 compound shows better efficacy in the assay for the inhibition of cellular growth (35% decreases with K05, but only 25% decreases with 011A), but less efficacy in decreasing the viability of stationary cells (about 30% for K05 but 50% for 011A). We have established a set of computational and experimental means to study and develop more efficient MscL channel modulators which also indicate significant differences. In our MD simulations we find that although 011A binds tighter, has a greater probability of allowing DHS to pass, and maintains the opening structure longer, K05 causes a more dramatic yet transient change in channel opening, especially toward the channel vestibule. These results suggest that although the 011A and K05 compounds share a binding pocket, they modulate the channel in different ways–perhaps K05 leads to a more sensitive channel, but with more rapid kinetics due to the lower binding affinity, while the tighter binding of 011A leads to a more fully open channel, thus allowing larger (and, in stationary cultures, less replaceable) chemicals/components into or out of the cytoplasm.
In future studies, it will be of interest to modify the structure of K05 to further improve its binding affinity and select for compounds that fully open the channel. During MD simulations of the first docking pose, we observed that the nitro functional group penetrates deep into lipids. This is perhaps not surprising as nitro functional groups can reside in both hydrophobic and hydrophilic environments as shown by studies on the hydrogen bonding and membrane permeability of nitro functional groups conducted a half-century ago [53–55]. Given that nitro groups can have toxicity issues [56], it may be worthwhile to test other groups such as isopropyl. Prior to costly chemical synthesis, the binding and potency of newly designed compounds, as well as their ability of opening MscL channel, can be initially evaluated using our established computational protocols.
Conclusions
We have now studied two compounds that appear to have MscL gating as a primary mode of action: the previously characterized compound 011A [11, 22], and K05, which is characterized here. Both compounds inhibit growth, inhibit viability of stationary cultures, and appear to allow passage of antibiotics and osmoprotectants into and out of the cell, respectively. However, physiologically, and in MD simulations, there are some differences in the effects of these compounds, suggesting they modulate channel activity in subtly different ways: one likely interpretation is that compound K05 leads to a more dramatic change in channel opening, but the partial or full openings cannot be maintained, which probably prohibits larger molecules to pass; 011A binding tighter and leading to more full openings that are maintained longer, allowing these larger molecules to pass. The reason this is not seen in patch clamp may be due to differences between patch and in vivo, such as the membrane potential (-20mV in patch, approx. -160mV in vivo), or perhaps that the asymmetry between headgroups seen in the bilayer in vivo is lost in patch. Interestingly, the binding pocket for both 011A and K05 lies between two protein domains: an N-terminal surface helix, S1, and the cytoplasmic portion of the second transmembrane domain from a different subunit. These domains have been shown to slide against one another as the channel opens; inhibiting this movement locks the channel closed [29]. Our data now suggest that disrupting this interaction by binding a small compound in this region can facilitate this movement, thus making the channel more likely to open. This protein-protein interface between subunits is thus a target binding pocket for finding additional compounds in the future that are MscL modulators, possibly even agonists with higher affinity and/or greater efficacy.
Materials and methods
Strains and cell growth
The following bacterial strains were used in this study: S. aureus R4220 and R4220 ΔmscL [25], M. smegmatis MC2155 and MC2155 ΔmscL [11], E. coli MJF367 (ΔmscL::Cam), MJF451 (ΔmscS) [57], E. coli MJF455 (ΔmscL::Cam, ΔmscS) [57] and E. coli strain MJF612 (Frag1 ΔmscL::cm, ΔmscS, ΔmscK::kan, ΔybdG::aprΔ) [58]. Note that mostly endogenous expression levels (not overexpression) was evaluated in this study unless specifically noted. For expression in the E. coli strains MscL constructs using the pb10d plasmid were used. For M. smegmatis MscL was expressed in the MscL null strain using plasmid pNH02 [11].
E. coli strains were either grown in citrate-phosphate-defined media (CphM) pH 7.0, consisting of per liter: 8.57 g of Na2HPO4, 0.87 g of K2HPO4, 1.34 g of citric acid, 1.0 g NH4SO4, 0.001 g of thiamine, 0.1 g of MgSO47H2O, 0.002 g of (NH4)2SO4.FeSO4.H2O, or K10 media consisting of per liter: 6.53g of Na2HPO4, 3.17g of NaH2PO4, 1.06g (NH4)2SO4, 0.75g KCL, in a shaker incubator at 37 °C, rotated at 250 cycles per minute. Ampicillin was added for strains carrying plasmid constructs (100 μg/ml) and expression induced by addition of 1 mM isopropyl-β-D-thiogalactopyranoside (IPTG) (Anatrace, Maumee, OH). S. aureus strains were grown in Lennox Broth medium (LB) (Fisher Scientific, Pittsburgh, PA) at 37 °C, and rotated at 250 cycles per minute. M. smegmatis strains were grown on 7H10 plates (BD Bioscience, Sparks, MD), made per manufacture instructions, and then in into 7H9 media consisting per liter: of 4.7 g 7H9 Difco Middlebrook powder (BD Bioscience, Sparks, MD), 4ml 50% glycerol and 0.05% tween 80, at 37 °C, and rotated at 130 cycles per min (see details in [11]).
In vivo assays
Minimal inhibitory concentration curves were performed as previously described [11, 22]. Briefly, overnight cultures E. coli MJF455 carrying the indicated constructs were diluted 1 : 50 in CphM and grown until an OD600 of 0.2 was reached, expression was then induced by the addition of IPTG for 30 minutes. Cultures were diluted 1 : 200 in pre-warmed CphM, 100 μg/ml ampicillin, 2 mM IPTG and 100 μl added to wells of 96 well plate (Greiner bio-one, Monroe, NC) containing 100ul of CphM with K05 at two times its final concentration solubilized in sterile dimethyl sulfoxide (DMSO) (Sigma-Aldrich, St. Louis, MO), with a final concentration of DMSO at 0.9%. For endogenous expression of MscL MJF367, MJF451, MJF455, R4220 and MC2155 strains were used without the addition of antibiotics until an OD600 of about 0.35 was reached. Then cultures diluted 1 : 200 for all strains but M. smegmatis MC2155 which was diluted 1 : 2, in the same growth media with or without the antibiotic being tested at two times their final concentrations. The following antibiotics were used: Dihydrostreptomycin sesquisulfate (DHS) (Sigma Aldrich St. Louis, MO), kanamycin A (Kan) (Sigma Aldrich St. Louis, MO), Tetracycline Hydrochloride (Tet) (Thermo Fisher Scientific Waltham, MA) and Ampicillin Sodium Salt (Amp) (Thermo Fisher Scientific Waltham, MA). 100 μL of these mixtures were immediately added to 100 μL of media with or without compound K05 (2X final concentration), in a 96 well plate as described above. As described in [11] for agonist 011A, K05 was also added only after the antibiotics. The above plates were sealed with a sterile breathable film to prevent evaporation (Axygen, Union City, CA), wrapped in aluminum foil and placed in a 37 °C shaker, rotated at 110 Cycles per minute for 16–17 hours and OD620 was then taken with a Multiskan Ascent 354 (Thermo Fisher Scientific Waltham, MA) plate reader.
Viability at stationary phase
Assessment of viability after treatment of stationary phase cultures with K05, was performed as previously described [11, 22]. Briefly, for the Eco-MscL construct expressed in MJF455 strain, cultures were grown from a single colony in degassed CphM with an argon gas overlay, caped and sealed. Cultures were induced at an OD600 of 0.2 with the addition of 1mM IPTG, argon added, sealed and grown overnight. Overnight cultures were then divided, compound K05 or mock (DMSO only) were added at 80μM with a final DMSO concentration of 0.9%, argon added and sealed in a glass culture tube for 6 hours in a 37°C shaker. Final OD600 was taken and cultures were then diluted 1 : 20 into pre-warmed CphM, serially diluted from 103 to 106 and liquid drops of 5 μl for each dilution were placed on pre-warmed LB plates and placed in a 37°C incubator. The next morning colony-forming units were calculated to determine cell viability, as previously described [51, 59]. For the other bacterial species, compound K05 was added at 40uM for S. aureus or 20uM for M. smegmatis and times were increased to 48 hours for the M. smegmatis MC2155 and MC2155 ΔmscL strains.
Electrophysiology
Giant spheroplasts were generated from the E. coli strain MJF612 and used in patch-clamp experiments as described previously [24]. Excised, inside-out patches were examined at room temperature under symmetrical conditions using a buffer comprised of 200 mM KCl, 90 mM MgCl2, 10 mM CaCl2, and 5 mM HEPES pH 6–7 (Sigma, St. Louis, MO). For every data set the same patch is recorded before and after perfusion of the 50μM of K05 compound in the bath chamber. Recordings were performed at –20 mV (positive pipette). Data were acquired at a sampling rate of 20 kHz with a 5 kHz filter using an AxoPatch 200B amplifier in conjunction with Axoscope software (Axon Instruments, Union City, CA). A piezoelectric pressure transducer (World Precision Instruments, Sarasota, FL) was used to monitor the pressure throughout the experiments. Measurements were performed using Clampfit10 from Pclamp10 (Axon Instruments, Union City, CA).
Steady state glutamate
The E. coli MJF455 strain was used carrying either the pb10d empty vector or expressing WT Eco-MscL in the same pb10d vector. Overnight cultures were inoculated from a single colony in K10 media. The next day cultures were diluted 1 : 100 in the same K10 media and expression was induced with 1 mM IPTG for 1 hour after an OD600 of 0.2 was reached. The cultures were then split in two; mock (DMSO only) or treated with compound K05 at 70 μm with a final DMSO concentration of 0.9% for all samples. Cultures were grown overnight for 17 hours in a 37°C shaker when the final OD600 was recorded. For each sample 6 ml was pelleted. Pellets were brought up in the same media adjusting volume for OD and sonicated for 2 min. Glutamate measurements were performed using the EnzyChrom Glutamate Assay Kit (BioAssay Systems, Hayward, CA, US) per the manufacturer’s instructions. Viability assays were done in conjunction.
Steady state K+
The MJF455 strain was used for the K+ steady state experiments carrying either the pb10d empty vector or expressing WT Eco-MscL in the same pb10d vector. Overnight cultures grown in K10 media from a single colony were diluted 1 : 25 into the same media, grown to an OD600 of 0.2, when expression was induced with 1 mM IPTG for 1 hour. Cultures were then split into; mock (DMSO only), or treated with K05 at 70 μm, with a final DMSO concentration of 0.9%. Cultures were then grown for 17 hours in a 37°C shaker. Final OD600 was then recorded and the volume of cells to be used was adjusted for OD. Typical OD600 values ranged from 1.0 to 1.3 and approximately 950 μl-1.2 ml of the cultures were passed through a 0.45-μm filter and washed with K0 media (K10 with the KCL replaced by NaCl) having the same osmolality, without ampicillin or supplements. Filters were placed in a plastic beaker, covered with foil and dried in an 80°C oven overnight. The next day 3 ml of double distilled water was added to each beaker and K+ was measured using a Jenway flame photometer (Cole-Palmer, East Norwalk, CT).
MTS-Peg5000 competition experiments
MscL protein purification procedure and competition experiments were performed as previously described [20]. Briefly, 5 μg of purified MscL protein in buffer containing 50 mM KPi pH 7.5, 150 mM NaCl, 4 mM DM, was added to 0.2 ml PCR tubes. For each sample the following conditions were set up (i) mock-buffer and protein only, (ii) PEG-buffer and protein, (iii) experimental-buffer, protein, plus K05 at 1.5 mM, 3 mM in 2% DMSO. Samples were incubated for 15 min at 22°C. Methoxypoly (ethyleneglycol)-5000-amidopropionyl-methanethiosulfonate (MTS-Peg5000) at 50 μM was then added to all conditions excluding mock incubated for 10 min. Reactions were then stopped by adding 20 μl of non-reducing sample buffer with a final concentration of 5 mM Iodoacidamide, ran on a 4–20% gel and western blots preformed. Blots were probed with the primary antibody, Penta-His at 1 : 4,000 (Qiagen, Germantown, MD.) and secondary, goat anti-mouse at 1 : 70,000 (Bio-Rad, Hercules, CA.).
Molecular docking
Molecular docking was conducted as previous [22] using a representative structure of a 150-nanosecond molecular dynamics trajectory of Eco-MscL with a DHS molecule within the gated pore, described previously [20]. The binding pocket was identified by the SiteID module of the Sybyl-X2.11 software package [60]. Then flexible-ligand docking was performed for K05 with the Glide module of the Schrodinger software package following the standard procedure [61]. The top docking poses were manually examined and we found that the Top 2 docking poses are very similar and other docking poses have much worse docking scores (S2A Fig). Therefore, only the best docking pose was selected for further study.
Molecular dynamics simulations and binding free energy calculations
There are three different types of simulations conducted in this study. First, conventional molecular dynamics simulation was performed for the Eco-MscL/K05 complex from the docking study. The simulation box consists of one copy of MS channel protein, one copy of K05, a lipid bilayer (230 POPC molecules) with 0.1 M KCl and about 32000 TIP3P [62] water molecules. For the force field parameters, the partial atomic charges of K05 were derived using the RESP program [63] to fit the HF/6-31G* electrostatic potentials generated with the GAUSSIAN 16 software package [64]. The other force field parameters of K05 came from GAFF [65]. We applied the AMBER FF14SB [66] and LIPID14 [67] force fields to model proteins and lipids, respectively. MD simulations were performed to produce isothermal-isobaric ensembles and the Particle Mesh Ewald (PME) method [68] was applied to calculate the full electrostatic energy of a unit cell in a macroscopic lattice of repeating images. For each MD simulation, the system was first relaxed to remove any possible steric clashes by a set of 2,000-step minimizations with the main chain atoms restrained using the harmonic restraint force constants which decreased from 20 to 10, 5, and 1 kcal/mol/Å2, progressively. After that, the system was further relaxed by a 5,000-step minimization without any constraints or restraints. There were three phases for the subsequent MD simulations: the relaxation phase, the equilibrium phase, and the sampling phase. In the relaxation phase, the simulation system was heated up progressively from 50 K to 250 K at steps of 50 K. At each temperature, a 1-nanosecond MD simulation was run without any restraints or constraints. In the following equilibrium phase, the system was equilibrated at 298 K, 1 bar for 15 ns. Finally, a 135-nanosecond MD simulation was performed at 298 K, 1 bar to produce NTP (constant temperature and pressure) ensembles. Integration of the equations of motion was conducted at a time step of 1 femtosecond (fs) for the first phase and 2 fs for the last two phases. In total, 1350 snapshots were recorded from the last phase and used for the MM-GBSA analysis and 135 snapshots were evenly selected for MM-PBSA binding free energy calculations. To investigate when the MD system reached equilibrium, we calculated RMSDs ~ Time curves for the mainchain atoms of the whole protein, the mainchain atoms of the secondary structures, and the heavy atoms of K05. For the ligand, both the LS-Fit and No Fit RMSDs were calculated. The latter were calculated directly without LS fitting after the ligand was translated and rotated using a transformation matrix which came from the LS fitting of the MscL secondary structures.
Second, we performed nonequilibrium MD simulations to study the passage of DHS through the MscL channel. The basic molecular dynamic simulation protocol was the same for described previously [20]. An external electric field (EEF) was applied to DHS to facilitate its passage. Starting from a small EEF value, 0.1 Volt/Å, we gradually increased the EEF value so that the successful passage of DHS occurred within 100 nanoseconds. Eventually, we repeated the passing-through experiments 15 times using an EEF of 0.2 Volt/ Å. Last we performed a conventional MD simulation starting from a MscL channel-open conformation with DHS removed. The channel-open conformation was selected from a virtual passing-through experiment when DHS was about to exit from the channel. By studying the RMSD ~ Time curves and the channel radius parameters, we can evaluate how well K05 can maintain the channel-open conformation. We found that K05 can maintain RMSDs for the secondary structures below 3.0 Å (the threshold) for about 80 ns. After that, the RMSDs kept increasing and we stopped simulations at 110 ns (S17 Fig).
The following is basic protocols of binding free energy calculations and decomposition analysis. For each MD snapshot, the molecular mechanical (MM) energy (EMM) and the Poisson-Boltzmann Surface Area (PBSA) were calculated without further minimization. Unlike the regular MM-PBSA analysis for global proteins, two external dielectrics (εwat = 80 for water and εlip = 4.0 for the lipid bilayer) were applied for this system. The membrane center offset parameter (mctrdz), which varies from snapshot to snapshot, were calculated using the coordinate centers of Eco-MscL and the POPC bilayer. The thickness of membrane was set to 18 Å, as described previously. For K05 itself, the implicit membrane option was turned off and the external dielectric constant was set to 80. The nonpolar solvation energies were calculated using solvent accessible surface areas (SAS) using the following equation: ΔGnonpolar = 0.0054 × SAS + 0.92. The entropic term was estimated using a method described somewhere else [69]. To investigate how different values of εlip affect the binding free energy result, we also conducted MM-PBSA analysis using εlip of 1 and 2. For MM-GBSA free energy decomposition, the GB model developed by Hawkins et al. [70] was applied to take the solvent effect into account using the internal and external dielectrics of 1.0 and 4.0, respectively. All the MD simulations and the followed free energy analysis were performed using the AMBER14 software package [71].
Supporting information
S1 Fig [null]
K05 induces a MscL-dependent reduction in K+ and glutamate steady state.S2 Fig [od600]
MscL orthologues show a similar growth restriction profile for 011A and K05.S3 Fig [pdf]
Comparison between top docking poses and the representative conformations of the two clusters sampled by MD simulations.S4 Fig [pdf]
Binding pocket (left) and the key residues interacting with K05 (right) for Docking Pose 3.S5 Fig [pdf]
Binding pocket (left) and the key residues interacting with K05 (right) for Docking Pose 4.S6 Fig [pdf]
2D-Diagram of detailed interactions between K05 and Eco-MscL (Panel A), 011A and Eco-MscL (Panel B) reviewed by the best docking poses.S7 Fig [pdf]
2D-Diagram of detailed interactions between K05 and Eco-MscL revealed by Docking Pose 3 (Panel A), and Docking Pose 4 (Panel B).S8 Fig [pdf]
The RMSD (Root-mean-square deviation) ~ Simulation Time plot for Docking Pose 1.S9 Fig [a]
A representative conformation of the first (Panels A-C) and second (Panels D-F) conformational clusters.S10 Fig [pdf]
The RMSD (Root-mean-square deviation) ~ Simulation Time plot for Docking Pose 3.S11 Fig [pdf]
The RMSD (Root-mean-square deviation) ~ Simulation Time plot for Docking Pose 4.S12 Fig [pdf]
Passing-through experiment induced by an external electric field of 0.2 Volt/Å applied to DHS.S13 Fig [pdf]
The changes of channel radii upon ligand binding. = − , where is the channel radii for the MscL/011A or MscL/K05 complex and is that for MscL protein only.S14 Fig [pdf]
The changes of channel radii upon ligand binding. = − , where is the channel radii for the MscL/011A or MscL/K05 complex and is that for MscL protein only.S15 Fig [pdf]
The changes of channel radii upon ligand binding. = − , where is the channel radii for the MscL/011A or MscL/K05 complex and is that for MscL protein only.S16 Fig [pdf]
Residues (10–40) for which channel radii were calculated are shown on a subunit structure.S17 Fig [ss]
The RMSD (Root-mean-square deviation) ~ Simulation Time plots. MD simulations were performed starting from MscL channel-open conformations.S1 Table [pdf]
List of MM-PBSA free energy components (in kcal/mol) for three top docking poses.S2 Table [pdf]
List of free energy components (in kcal/mol) for MM-PBSA binding free energy calculation.S3 Table [pdf]
Hotspot residue identification using MM-GBSA binding free energy decomposition analysis for Eco-MscL/K05.S4 Table [pdf]
List of radius parameters (in Å) of cycles formed by the same residues in the five chains.
Zdroje
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- 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
- Characterization of METTL16 as a cytoplasmic RNA binding protein
- Impact of long-term storage and freeze-thawing on eight circulating microRNAs in plasma samples
- Nanosheet wrapping-assisted coverslip-free imaging for looking deeper into a tissue at high resolution
- Assessment of dynamic cerebral autoregulation in humans: Is reproducibility dependent on blood pressure variability?
- Early diagnosis of sepsis in emergency departments, time to treatment, and association with mortality: An observational study
- Validity of cerebrovascular ICD-9-CM codes in healthcare administrative databases. The Umbria Data-Value Project
- Tuberculoid leprosy: An in vivo microvascular evaluation of cutaneous lesions
- Neuromuscular blockers in the acute respiratory distress syndrome: A meta-analysis
- Identification of putative Type-I sex pheromone biosynthesis-related genes expressed in the female pheromone gland of Streltzoviella insularis
- Redefining transcriptional regulation of the APOE gene and its association with Alzheimer’s disease
- Disease-relevant mutations alter amino acid co-evolution networks in the second nucleotide binding domain of CFTR
- A bushel of viruses: Identification of seventeen novel putative viruses by RNA-seq in six apple trees
- Torque teno virus viral load is related to age, CMV infection and HLA type but not to Alzheimer's disease
- The variability of bacterial communities in both the endosphere and ectosphere of different niches in Chinese chives (Allium tuberosum)
- Tripartite factors leading to molecular divergence between human and murine smooth muscle
- Characterization of dermal skin innervation in fibromyalgia syndrome
- A neonatal nonhuman primate model of gestational Zika virus infection with evidence of microencephaly, seizures and cardiomyopathy
- A scoping review of importation and predictive models related to vector-borne diseases, pathogens, reservoirs, or vectors (1999–2016)
- Assessment of climate change impact on the malaria vector Anopheles hyrcanus, West Nile disease, and incidence of melanoma in the Vojvodina Province (Serbia) using data from a regional climate model
- Associations of cigarette smoking and burden of thoracic aortic calcification in asymptomatic individuals: A dose-response relationship
- Healthcare utilization of Mexican-American Medicare beneficiaries with and without Alzheimer’s disease and related dementias
- Evaluation of questionnaire as an instrument to measure the level of nutritional and weight gain knowledge in pregnant women in Poland. A pilot study
- TranCEP: Predicting the substrate class of transmembrane transport proteins using compositional, evolutionary, and positional information
- Non-Invasive Functional-Brain-Imaging with an OPM-based Magnetoencephalography System
- Expression of acyl-CoA-binding protein 5 from Rhodnius prolixus and its inhibition by RNA interference
- Transforming assessment of speech in children with cleft palate via online crowdsourcing
- High prevalence of off-label and unlicensed paediatric prescribing in a hospital in Indonesia during the period Aug.—Oct. 2014
- General practice management of rotator cuff related shoulder pain: A reliance on ultrasound and injection guided care
- Estimating the population size of female sex workers and transgender women in Sri Lanka
- Can helmet decrease mortality of craniocerebral trauma patients in a motorcycle accident?: A propensity score matching
- Obesity, smoking habits, and serum phosphate levels predicts mortality after life-style intervention
- Treatment of children under 4 years of age with medulloblastoma and ependymoma in the HIT2000/HIT-REZ 2005 trials: Neuropsychological outcome 5 years after treatment
- Can a semi-quantitative method replace the current quantitative method for the annual screening of microalbuminuria in patients with diabetes? Diagnostic accuracy and cost-saving analysis considering the potential health burden
- A two-arm parallel double-blind randomised controlled pilot trial of the efficacy of Omega-3 polyunsaturated fatty acids for the treatment of women with endometriosis-associated pain (PurFECT1)
- 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
- High-order radiomics features based on T2 FLAIR MRI predict multiple glioma immunohistochemical features: A more precise and personalized gliomas management
- Human-raptor conflict in rural settlements of Colombia
- Regional adaptations and parallel mutations in Feline panleukopenia virus strains from China revealed by nearly-full length genome analysis
- Long-term ecological research in southern Brazil grasslands: Effects of grazing exclusion and deferred grazing on plant and arthropod communities
- Assessment of peritoneal microbial features and tumor marker levels as potential diagnostic tools for ovarian cancer
- Survival analysis of 230 patients with unresectable hepatocellular carcinoma treated with bland transarterial embolization
- 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
- Deficiency syndromes in top predators associated with large-scale changes in the Baltic Sea ecosystem
- The inhibitor of apoptosis proteins antagonist Debio 1143 promotes the PD-1 blockade-mediated HIV load reduction in blood and tissues of humanized mice
- Allele specific expression of Dof genes responding to hormones and abiotic stresses in sugarcane
- Perceived relative social status and cognitive load influence acceptance of unfair offers in the Ultimatum Game
- Quantitative evaluation of choriocapillaris using optical coherence tomography and optical coherence tomography angiography in patients with central serous chorioretinopathy after half-dose photodynamic therapy
- Structure-function analyses of candidate small molecule RPN13 inhibitors with antitumor properties
- Extracting lung function measurements to enhance phenotyping of chronic obstructive pulmonary disease (COPD) in an electronic health record using automated tools
- Multiple fragmented habitat-patch use in an urban breeding passerine, the Short-toed Treecreeper
- Histological and immunohistochemical characterization of the porcine ocular surface
- Household environmental tobacco smoke exposure in healthy young children in Hong Kong: Prevalence and risk factors
- 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
- Effect of epoch length on intensity classification and on accuracy of measurement under controlled conditions on treadmill: Towards a better understanding of accelerometer measurement
- 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
- Faecal analyses and alimentary tracers reveal the foraging ecology of two sympatric bats
- Urethral realignment with maximal urethral length and bladder neck preservation in robot-assisted radical prostatectomy: Urinary continence recovery
- Error metrics determination in functionally approximated circuits using SAT solvers
- Spatial movement pattern recognition in soccer based on relative player movements
- A novel visual ranking system based on arterial spin labeling perfusion imaging for evaluating perfusion disturbance in patients with ischemic stroke
- Prospective Validation of the Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) Score for Necrotizing Fasciitis of the Extremities
- The importance of transporters and cell polarization for the evaluation of human stem cell-derived hepatic cells
- Incidence, trends, and outcomes of infection sites among hospitalizations of sepsis: A nationwide study
- Morphological and functional characteristics of mitral annular calcification and their relationship to stroke
- 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
- Parents’ underestimation of their child’s weight status. Moderating factors and change over time: A cross-sectional study
- Pharmacokinetics, absolute bioavailability and tolerability of ketamine after intranasal administration to dexmedetomidine sedated dogs
- Spatial variation in fertilizer prices in Sub-Saharan Africa
- Knowledge, beliefs, and concerns about bone health from a systematic review and metasynthesis of qualitative studies
- Successful isolation of Treponema pallidum strains from patients’ cryopreserved ulcer exudate using the rabbit model
- Effects of size and elasticity on the relation between flow velocity and wall shear stress in side-wall aneurysms: A lattice Boltzmann-based computer simulation study
- Pupil response to noxious corneal stimulation
- Incidence, risk factors and healthcare costs of central line-associated nosocomial bloodstream infections in hematologic and oncologic patients
- 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
- Hepatitis B and C virus infection among HIV patients within the public and private healthcare systems in Chile: A cross-sectional serosurvey
- Increased episodes of aspiration on videofluoroscopic swallow study in children with nasogastric tube placement
- Obstructive sleep apnea and hypopnea syndrome in patients admitted in a tertiary hospital in Cameroon: Prevalence and associated factors
- Association of single nucleotide polymorphisms with dyslipidemia in antiretroviral exposed HIV patients in a Ghanaian population: A case-control study
- Sonic Hedgehog upregulation does not enhance the survival and engraftment of stem cell-derived cardiomyocytes in infarcted hearts
- The pharmacokinetic parameters and the effect of a single and repeated doses of memantine on gastric myoelectric activity in experimental pigs
- Blind method for discovering number of clusters in multidimensional datasets by regression on linkage hierarchies generated from random data
- Predictive factors of first dosage intravenous immunoglobulin-related adverse effects in children
- Description and characterization of the artisanal elasmobranch fishery on Guatemala’s Caribbean coast
- Individual and community level determinants of short birth interval in Ethiopia: A multilevel analysis
- Effects of rejection intensity and rejection sensitivity on social approach behavior in women
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- The development and validation of a measurement instrument to investigate determinants of health care utilisation for low back pain in Ethiopia
- Validity of the French version of the Autonomy Preference Index and its adaptation for patients with advanced cancer
- The epidemiological characteristics and spatio-temporal analysis of childhood hand, foot and mouth disease in Korea, 2011-2017
- Exponential random graph model parameter estimation for very large directed networks
- The implementation of community-based diabetes and hypertension management care program in Indonesia
- 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
- A capability approach to assess aquaculture sustainability standard compliance
- Pre-collecting lymphatic vessels form detours following obstruction of lymphatic flow and function as collecting lymphatic vessels
- Construct validity and reliability of the Talent Development Environment Questionnaire in Caribbean youth track and field athletes
- Optimization of cytotoxic activity of Nocardia sp culture broths using a design of experiments
- Tissue-resident macrophages can be generated de novo in adult human skin from resident progenitor cells during substance P-mediated neurogenic inflammation ex vivo
- Microbiota in foods from Inuit traditional hunting
- Investigating Italian disinformation spreading on Twitter in the context of 2019 European elections
- In vivo expression of peptidylarginine deiminase in Drosophila melanogaster
- Modelling zero-truncated overdispersed antenatal health care count data of women in Bangladesh
- Detection and density of breeding marsh birds in Iowa wetlands
- A lineage-specific rapid diagnostic test (Chagas Sero K-SeT) identifies Brazilian Trypanosoma cruzi II/V/VI reservoir hosts among diverse mammalian orders
- 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
- Molecular sequencing and morphological identification reveal similar patterns in native bee communities across public and private grasslands of eastern North Dakota
- 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
- Knee joint distraction in regular care for treatment of knee osteoarthritis: A comparison with clinical trial data
- 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
- Association between regular exercise and asthma control among adults: The population-based Northern Finnish Asthma Study
- Pharyngeal microbiome alterations during Neisseria gonorrhoeae infection
- Assessment of the clinical utility of four NGS panels in myeloid malignancies. Suggestions for NGS panel choice or design
- 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
- Dispensing of antibiotics without prescription and associated factors in drug retail outlets of Eritrea: A simulated client method
- MicroRNA expression and DNA methylation profiles do not distinguish between primary and recurrent well-differentiated liposarcoma
- Assessment of acyl-CoA cholesterol acyltransferase (ACAT-1) role in ovarian cancer progression—An in vitro study
- 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
- Non-mycosis fungoides cutaneous lymphomas in a referral center in Taiwan: A retrospective case series and literature review
- 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
- Accelerometer-assessed outdoor physical activity is associated with meteorological conditions among older adults: Cross-sectional results from the OUTDOOR ACTIVE study
- 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
- How to detect a polytrauma patient at risk of complications: A validation and database analysis of four published scales
- 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
- Feline irradiated diet-induced demyelination; a model of the neuropathology of sub-acute combined degeneration?
- 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
- Is it time to stop sweeping data cleaning under the carpet? A novel algorithm for outlier management in growth data
- Changes in oak (Quercus robur) photosynthesis after winter moth (Operophtera brumata) herbivory are not explained by changes in chemical or structural leaf traits
- Mutual interaction between motor cortex activation and pain in fibromyalgia: EEG-fNIRS study
- Evaluation of liposomal ciprofloxacin formulations in a murine model of anthrax
- Analysis of cholesterol in mouse brain by HPLC with UV detection
- Sugar, amino acid and inorganic ion profiling of the honeydew from different hemipteran species feeding on Abies alba and Picea abies
- 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
- Epilepsy in a melanocyte-lineage mTOR hyperactivation mouse model: A novel epilepsy model
- Water consumption and prevalence of irritable bowel syndrome among adults
- Mixed evidence for the relationship between periodontitis and Alzheimer’s disease: A bidirectional Mendelian randomization study
- 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
- Modelling the number of antenatal care visits in Bangladesh to determine the risk factors for reduced antenatal care attendance
- Correction: Cumulative viral load as a predictor of CD4+ T-cell response to antiretroviral therapy using Bayesian statistical models
- Dominant negative effects by inactive Spa47 mutants inhibit T3SS function and Shigella virulence
- ICOS-deficient and ICOS YF mutant mice fail to control Toxoplasma gondii infection of the brain
- Diel patterns in swimming behavior of a vertically migrating deepwater shark, the bluntnose sixgill (Hexanchus griseus)
- Life history of northern Gulf of Mexico Warsaw grouper Hyporthodus nigritus inferred from otolith radiocarbon analysis
- Physiology education for intensive care medicine residents: A 15-minute interactive peer-led flipped classroom session
- Strengthening capacity for natural sciences research: A qualitative assessment to identify good practices, capacity gaps and investment priorities in African research institutions
- Systematic scoping review of the concept of ‘genetic identity’ and its relevance for germline modification
- Height of overburden fracture based on key strata theory in longwall face
- Laboratory strains of Bacillus anthracis lose their ability to rapidly grow and sporulate compared to wildlife outbreak strains
- Improvement of classification performance of Parkinson’s disease using shape features for machine learning on dopamine transporter single photon emission computed tomography
- Comparative pharmacokinetics and pharmacodynamics of the advanced Retinol-Binding Protein 4 antagonist in dog and cynomolgus monkey
- Correction: A handy method to remove bacterial contamination from fungal cultures
- Correction: Effect of statin on life prognosis in Japanese patients undergoing hemodialysis
- 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
- Receiver operating characteristic curve analysis of clinical signs for screening of convergence insufficiency in young adults
- Correction: Drivers of deforestation in the basin of the Usumacinta River: Inference on process from pattern analysis using generalised additive models
- Efficacy of fertilizing method for different potash sources in cotton (Gossypium hirsutum L.) nutrition under arid climatic conditions
- Podocyte autophagy is associated with foot process effacement and proteinuria in patients with minimal change nephrotic syndrome
- Effect of Lactobacillus acidophilus D2/CSL (CECT 4529) supplementation in drinking water on chicken crop and caeca microbiome
- 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
- Impact of lower limb osteoarthritis on health-related quality of life: A cross-sectional study to estimate the expressed loss of utility in the Spanish population
- Correction: Prevalence of damaged and missing teeth among women in the southern plains of Nepal: Findings of a simplified assessment tool
- 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
- From seed to flour: Sowing sustainability in the use of cantaloupe melon residue (Cucumis melo L. var. reticulatus)
- Core Scientific Dataset Model: A lightweight and portable model and file format for multi-dimensional scientific data
- Accounting for measurement error to assess the effect of air pollution on omic signals
- Leucine zipper transcription factor-like 1 binds adaptor protein complex-1 and 2 and participates in trafficking of transferrin receptor 1
- Barriers for tuberculosis case finding in Southwest Ethiopia: A qualitative study
- Genetic predisposition to celiac disease in Kazakhstan: Potential impact on the clinical practice in Central Asia
- A lower psoas muscle volume was associated with a higher rate of recurrence in male clear cell renal cell carcinoma
- Two angles of overqualification-the deviant behavior and creative performance: The role of career and survival job
- Cost-utility analysis of de-escalating biological disease-modifying anti-rheumatic drugs in patients with rheumatoid arthritis
- Efficient estimation of stereo thresholds: What slope should be assumed for the psychometric function?
- Learning efficient haptic shape exploration with a rigid tactile sensor array
- Effects of dietary supplementation with a microalga (Schizochytrium sp.) on the hemato-immunological, and intestinal histological parameters and gut microbiota of Nile tilapia in net cages
- Regional versus local wind speed and direction at a narrow beach with a high and steep foredune
- Fragmented QRS complex in patients with systemic lupus erythematosus at the time of diagnosis and its relationship with disease activity
- Severe thiamine deficiency in eastern Baltic cod (Gadus morhua)
- Transfer entropy as a variable selection methodology of cryptocurrencies in the framework of a high dimensional predictive model
- Psychometric validation of Czech version of the Sport Motivation Scale
- Correction: Multiple innate antibacterial immune defense elements are correlated in diverse ungulate species
- Recognition of personality disorder and anxiety disorder comorbidity in patients treated for depression in secondary psychiatric care
- Correction: Strategies for achieving high sequencing accuracy for low diversity samples and avoiding sample bleeding using illumina platform
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- Chemical analysis of snus products from the United States and northern Europe
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- Effect of Lactobacillus acidophilus D2/CSL (CECT 4529) supplementation in drinking water on chicken crop and caeca microbiome
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