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Ultrastructure of light-activated axons following optogenetic stimulation to produce late-phase long-term potentiation
Authors: Masaaki Kuwajima aff001; Olga I. Ostrovskaya aff001; Guan Cao aff001; Seth A. Weisberg aff002; Kristen M. Harris aff001; Boris V. Zemelman aff001
Authors place of work: Center for Learning and Memory, The University of Texas at Austin, Austin, Texas, United States of America aff001; Department of Neuroscience, The University of Texas at Austin, Austin, Texas, United States of America aff002
Published in the journal: PLoS ONE 15(1)
Category: Research Article
doi: https://doi.org/10.1371/journal.pone.0226797Summary
Analysis of neuronal compartments has revealed many state-dependent changes in geometry but establishing synapse-specific mechanisms at the nanoscale has proven elusive. We co-expressed channelrhodopsin2-GFP and mAPEX2 in a subset of hippocampal CA3 neurons and used trains of light to induce late-phase long-term potentiation (L-LTP) in area CA1. L-LTP was shown to be specific to the labeled axons by severing CA3 inputs, which prevented back-propagating recruitment of unlabeled axons. Membrane-associated mAPEX2 tolerated microwave-enhanced chemical fixation and drove tyramide signal amplification to deposit Alexa Fluor dyes in the light-activated axons. Subsequent post-embedding immunogold labeling resulted in outstanding ultrastructure and clear distinctions between labeled (activated), and unlabeled axons without obscuring subcellular organelles. The gold-labeled axons in potentiated slices were reconstructed through serial section electron microscopy; presynaptic vesicles and other constituents could be quantified unambiguously. The genetic specification, reliable physiology, and compatibility with established methods for ultrastructural preservation make this an ideal approach to link synapse ultrastructure and function in intact circuits.
Keywords:
Neurons – Functional electrical stimulation – Synapses – Electron microscopy – Light pulses – Axons – Immunogold labeling – Glutaraldehyde fixation
Introduction
The cellular correlates of learning and memory have been the subjects of intense study and speculation. We and others have used patterns of activity that produce late-phase long-term potentiation (L-LTP), a form of synaptic plasticity resulting in an increased synaptic efficacy. L-LTP is protein synthesis dependent and lasts more than three hours. Although some structural changes occur early following the induction of LTP, the lasting changes are most likely to reflect mechanisms of memory. Post hoc three-dimensional reconstruction from serial section electron microscopy (3DEM) of synapses and resident structures has revealed alterations that occur and are sustained long after the induction of LTP [1–4]. Mechanistic interpretation has been limited, however, because it has only been possible to compare subpopulations of synapses near LTP-producing versus control sites, rather than identify potentiated synapses. Genetic targeting to tag and stimulate individual cells can be achieved by co-expressing channelrhodopsin2 (ChR2) and a modified ascorbate peroxidase [5,6]. Here, we adapted this approach to potentiate a subset of CA3→CA1 hippocampal axons and to identify synapses recently involved in L-LTP.
Optical modulation of plasticity is routinely used across brain areas, and in vivo experiments have revealed a correlation between behavioral memory and optically-induced synaptic plasticity (LTP and long-term depression [LTD]) [7,8]. In slice preparations, past efforts using various protocols to induce LTP using ChR2 have been limited to whole-cell recordings and short post-induction times [9–12]. In the hippocampal CA3→CA1 pathway, a previous study used optical stimulation to induce late-phase LTD in vivo [13]; however, in this pathway, optically induced L-LTP to our knowledge has not been demonstrated.
We expressed ChR2 and labeled a subset of CA3→CA1 Schaffer collateral and commissural fiber axons using a single virus and then produced L-LTP using high-frequency light pulses. This approach generated a mosaic of labeled and unlabeled axons and allowed a within-preparation comparison of identified synapses having distinct histories of activation. As proof of concept, we reconstructed a labeled axon through 3DEM from a slice that displayed optically induced L-LTP. The tissue quality was superb, demonstrating that we could identify genetically tagged activated axons. The approach proved compatible with conventional tissue fixation and the processing methods needed to preserve subcellular organelles. Hence, it provides a reliable strategy to study synapse-specific mechanisms of synaptic plasticity.
Materials and methods
Animals
This study was carried out in accordance with the recommendations in the Guide for the Care and Use of Laboratory Animals of the National Institutes of Health. All animal procedures were approved by the University of Texas at Austin Animal Care and Use Committee (protocol number AUP-2012-00056 and its successors). All mice were housed under reversed light/dark cycles in an AAALAC-accredited facility managed by the University of Texas Animal Resource Center. We used 8–12 week old male 129S6/SvEvTac mice (Taconic Biosciences, RRID:IMSR_TAC:129sve) for all LTP experiments. Male C57B/6J mice (The Jackson Laboratory, RRID:IMSR_JAX:000664) were also used for earlier experiments, which are indicated as such in figure captions where applicable. All efforts were made to minimize suffering.
AAV assembly and production
A channelrhodopsin2ET/TC [14] fusion protein was assembled with superfolder green fluorescent protein (GFP) [15] fitted with C-terminal Kir2.1 ER export signal [16]. To generate mAPEX2, we modified the wild type ascorbate peroxidase from P. sativum (APX) [17] to include an N-terminal palmitoylation tag from growth-associated protein 43 (GAP-43) [18], amino acid substitutions K14D, W41F, E112K [5], and A134P [6], and a C-terminal hemagglutinin epitope tag (HA tag: YPYDVPDYA). ChR2 and codon-optimized mAPEX2 were separated by the self-cleaving porcine teschovirus P2A peptide [19] to produce both proteins from a single transcript. In earlier experiments, we used a version of the rAAV that encoded myc-tagged mAPEX1 with the first three mutations instead of mAPEX2 (indicated in figure captions where applicable).
In addition to the two proteins, the recombinant adeno-associated virus (rAAV) construct comprised an enhanced human synapsin promoter [20], the woodchuck post-transcriptional regulatory element and SV40 polyadenylation sequence. Viruses were assembled using a modified helper-free system (Stratagene) as serotype 2/1 (rep/cap) and purified on sequential cesium gradients according to published methods [21]. Titers were measured using a payload-independent qPCR technique [22]. Typical titers were >1010 viral genomes/μl.
Rat hippocampal neurons
Hippocampal neurons obtained from rats (embryonic day 19) were grown in dissociated cultures [23] on coverslips and were infected on day 8 after plating with the rAAV construct encoding mAPEX1. At 6–10 days post-infection, the neurons used for immunostaining were fixed with 4% formaldehyde in phosphate-buffered saline (PBS) for 15 min. For labeling with 3,3′-diaminobenzidine (DAB; Sigma-Aldrich), the neurons were fixed for 30 min with 2% formaldehyde and 6% glutaraldehyde. All glutaraldehyde-containing fixative was prepared in 0.1 M sodium cacodylate buffer (pH = 7.4) with 2 mM CaCl2 and 4 mM MgSO4.
Stereotaxic injections
Mice under isoflurane anesthesia (1–4% mixed in O2) were placed in a stereotaxic apparatus and prepared for injections with craniotomies over the hippocampal area CA3. Unilateral injections were performed using a pulled glass pipette (10–15 μm diameter tip) mounted on a Nanoject II small-volume injector (Drummond Scientific). Approximately 30 nl of virus was deposited at each injection site at 1–2 minute intervals (from bregma in mm: AP +1.9, ML -2.3, DV 1.8, 1.6, 1.4; AP +2.1, ML -2.5, DV 1.8, 1.6, 1.4). The pipette was left in place for 3–5 min before being removed from the brain. Carprofen (5 mg/kg, sc; TW Medical Cat# PF-8507) was injected 20 min before the end of surgery, and mice were monitored daily thereafter to ensure full recovery. Two rAAV-injected mice (129S6/SvEvTac) were perfusion-fixed under heavy isoflurane anesthesia with 4% paraformaldehyde in 0.02 M phosphate buffer (PB) to verify injection sites, and 15 mice (four 129S6/SvEvTac and 11 C57B/6J) were perfusion-fixed with glutaraldehyde (up to 2.5%) and formaldehyde (up to 2%), followed by 20 mM glycine in cacodylate buffer to quench free aldehydes, to verify enzymatic activity of mAPEX2 with Ni-DBA staining as described below.
Histology and light microscopy
For immunostaining, the fixed neurons were permeabilized with 0.2% Triton X-100 in PBS for 5 min, rinsed in PBS, and blocked in 5% bovine serum albumin (BSA; Sigma-Aldrich) and 5% normal goat serum (NGS; VectorLabs) for 15 min. The cells were then incubated overnight at 4°C with rabbit anti-myc (1 : 250; Sigma-Aldrich Cat# C3956, RRID:AB_439680) in PBS with 2% BSA, 3% NGS, 0.1% Triton X-100, followed by PBS washes and incubation for 1 hr with goat anti-rabbit IgG conjugated with Cy5 (1 : 100; Jackson ImmunoResearch Labs Cat# 111-175-144, RRID:AB_2338013) in PBS with 2% BSA, 3% NGS, 0.1% Triton X-100. After PBS washes, the coverslips containing neurons were mounted on glass microscope slides with Aqua/Poly antifade mountant (PolyScience) for epifluorescence microscopy.
For DAB-labeling, the neurons were rinsed with cacodylate buffer and treated with 20 mM glycine. Then the neurons were rinsed several times before being incubated with DAB (0.5 mg/ml) and H2O2 (0.03%) in cacodylate buffer for 30 min. After buffer rinses, the coverslips were dehydrated in ethanol, cleared in xylenes, and mounted on glass slides with DPX (Electron Microscopy Sciences) for brightfield microscopy.
To verify injection sites, the perfusion-fixed brain was vibratome-sectioned (100 μm thickness) for epifluorescent microscopy to visualize GFP. To assess enzymatic activity of mAPEX2, the vibratome-sections (50 μm thickness) of the fixed brain containing the dorsal hippocampus were incubated with Ni-DAB solution (2.5 mM ammonium Ni [II] sulfate and 0.8 mM DAB in 0.1 M PB) for 20 min, before H2O2 (final concentration 0.0003%) was added and incubated for 10 min. After PB rinses, some of the Ni-DAB labeled sections were processed for EM as described below. Otherwise, they were mounted on glass microscope slides, dehydrated in ethanol, cleared with xylenes, and coverslips were applied with DPX. Epifluorescence and brightfield images were acquired on a Zeiss Axio Imager.Z2 microscope with AxioCamMR3 camera, or a Zeiss Axio Imager.M2 with AxioCamHRc3 camera.
Instead of the TSA labeling (described below), some of the vibratome sections collected from fixed hippocampal slices were permeabilized and blocked with PBS containing 0.3% Triton X-100, 1% BSA, and 10% NGS. The vibraslices were then incubated for overnight at RT with rabbit anti-HA antibody (1 : 1000; Cell Signaling Technology Cat# 3724, RRID:AB_1549585), followed by 1 hr with the Cy5-conjugated goat anti-rabbit IgG. After PBS rinses, the vibraslices were mounted on glass microscope slides and coverslips were applied with Aqua/Poly mountant for imaging with a Leica TCS SP5 confocal microscope. Single channel stacks (8 bit, 2048 × 2048 pixels at 19.1 or 28.6 nm/pixel) were acquired for GFP (458 nm laser) and Cy5 (633 nm laser) with 63× objective (oil, NA 1.32) at 4× zoom.
Slice preparation, electrophysiology, optical stimulation
Six weeks after rAAV injections, the mice were anesthetized deeply with isoflurane and then decapitated. The brain was removed from the cranium, and the left hippocampus was dissected out and rinsed with room temperature (RT) artificial cerebrospinal fluid (aCSF; pH = 7.4) containing (in mM) 117 NaCl, 5.3 KCl, 26 NaHCO3, 1 NaH2PO4, 2.5 CaCl2, 1.3 MgSO4, and 10 D-glucose, and bubbled with 95% O2-5% CO2. Slices (400 μm thickness; 4 per animal) from the dorsal hippocampus were cut at 70° transverse to the long axis on a Stoelting tissue chopper and transferred in oxygenated aCSF to the supporting nets of interface chambers in the Synchroslice system (Lohmann Research Equipment). The entire dissection and slice preparation took ~5 min. This rapid dissection, together with the interface chamber design, provides for high-quality ultrastructure during long acute slice experiments [24–27]. Hippocampal slices were placed on a net at the liquid-gas interface between 30–31°C aCSF and humidified 95% O2-5% CO2 atmosphere bubbled through 35–36°C deionized water. For experiments in which the area CA3 was cut, the dissection was made using the 25-gauge needle on a 1-ml syringe after the slices were transferred into the chambers.
After 3 hr of incubation, the optical fiber (300 μm core diameter; 0.39 NA; ThorLabs FT300UMT) and recording electrode (Thomas Recording) were positioned 400–600 μm apart in middle stratum radiatum of the area CA1 with the fiber placed toward the area CA3. An optimal position of the recording electrode was chosen by probing several points across CA1 and SR to achieve larger responses. One-ms pulses of laser (λ = 473 nm; maximal output ~14.5 mW as measured by a Thorlabs S130C light meter) were delivered from source (ThorLabs S1FC473MM) controlled by a pulse generator (A.M.P. Instruments Master-8). The light meter placed directly under the hippocampal slices showed approximately 30% loss of laser power through the slice thickness, while the recording site was approximately 100 μm deep from the top surface. GluN receptors were blocked by adding 4 μl of 25 mM d,l-2-amino-5-phosphonovaleric acid (APV; Abcam Cat# ab144498) to the 1 ml of aCSF in the interface recording chamber, which achieved an effective concentration of 50 μM d-APV. Tetrodotoxin (TTX; final concentration 1 μM; Abcam Cat# ab120055) and 6,7-dinitroquinoxaline-2,3-dione (DNQX; final concentration 20 μM; Abcam Cat# ab144496) were added to block voltage-gated sodium channels and GluA receptors, respectively.
For electrical stimulation experiments, we replaced the optical fiber with a concentric bipolar electrode (FHC, Inc.), which was used to deliver 200 μs biphasic current pulses (100–300 μA), lasting 100 μs each for positive and negative components of the stimulus. The initial eEPSP slope was ∼50% of the maximal eEPSP slope based on the input-output (IO) curve for each slice. IO curves were recorded by using a sequence of pulses applied each 30 s with increasing stimulus intensity in 25 μA increments. Test pulses were given at 1 pulse per 2.5 min unless stated otherwise, and eEPSP was recorded. Paired-pulse ratio (PPR) was measured by applying two optical stimuli spaced 50–200 ms apart with 50 ms increment, every 30 s.
Microwave-enhanced chemical fixation of hippocampal slices and TSA labeling
At end of recordings, the slices were immersed in fixative containing 1% glutaraldehyde and 4% formaldehyde, and were microwaved immediately for 8–10 s at 700 W (modified from ref. 27). The fixed slices were stored overnight at RT in the same fixative or in cacodylate buffer. After being immersed in 20 mM glycine for 20 min and buffer rinses, the area CA1 was dissected out under a stereoscope with a microknife and embedded into 9% agarose. Vibratome sections (50 μm thickness) were then collected from the area of optical stimulation to the location of the recording electrode. ChR2-GFP expression was confirmed with epifluorescence microscopy. The sections were transferred to 0.1 M PB and then incubated with tyramide-conjugated Alexa Fluor 647 (Thermo Fisher Scientific Cat# T20951) for 15 min in dark before H2O2 was added (final concentration 0.0015%) and incubated for additional 10 min in dark. After washes with PB, the vibraslices were washed in cacodylate buffer before being processed for 3DEM.
Tissue processing for 3DEM
TSA-labeled vibratome section was embedded into 9% agarose to protect it during the subsequent processing, as described previously [28,29]. The tissue was immersed for 5 min in reduced osmium solution containing 1% osmium tetroxide (OsO4; Electron Microscopy Sciences) and 1.5% potassium ferrocyanide (Sigma-Aldrich) in cacodylate buffer. After several buffer rinses, the tissue was immersed in 1% OsO4 and two cycles of microwave irradiation (175 W; 1 min on → 1 min off → 1 min on) were applied with cooling to ~15°C in between. The tissue was rinsed in buffer several times, twice in purified water, and then immersed in 50% ethanol before being dehydrated in ascending concentrations of ethanol (50%, 70%, 90%, 100%) containing 1% uranyl acetate (UA; Electron Microscopy Sciences) with application of microwave irradiation (250 W, 40 s per ethanolic UA step). Ethanol was replaced by propylene oxide, and the tissue was infiltrated and embedded into LX-112 resin (Ladd Research). Embedded tissue was trimmed under a stereomicroscope to expose the region of interest containing the middle stratum radiatum of the area CA1. Serial thin sections (~60 nm thickness) were cut with a diamond knife (Diatome Ultra35) on a ultramicrotome (Leica Ultracut UC6 or UC7) and collected on Synaptek TEM grids (Be-Cu or gilded; Electron Microscopy Sciences or Ted Pella) coated with film of polyetherimide (PEI; Goodfellow).
Post-embedding immunogold labeling and gold enhancement
Serial thin sections on gilded grids (4–6 sections per grid) were rinsed with Tris-buffered saline (TBS; pH = 7.6) containing 0.01% Triton X-100 (TBS-T) and then blocked with 2% human serum albumin (HSA; Sigma-Aldrich) and 10% NGS in TBS-T for 30 min. The sections were then incubated overnight at 4°C with TBS-T containing 1% HSA, 1% NGS, and mouse anti-Cy5/Alexa Fluor 647 (cocktail of antibodies at 1 : 100 each from Sigma-Aldrich [Cat# C1117, RRID:AB_477654] and Miltenyi Biotec [custom-ordered antibody used in their Anti-Cy5/Anti-Alexa Fluor 647 MicroBeads, Cat# 130-091-395]). After extensive washes with TBS-T and TBS (pH = 8.2; TBS-8.2), the sections were incubated for 90 min at RT with TBS-8.2 containing 1% NGS, 0.5% polyethylene glycol, and goat anti-mouse antibody conjugated with colloidal gold (5 or 15 nm diameter; BBI Solutions Cat# EM.GMHL5 or EM.GMHL15; 1 : 100). The sections were subsequently washed with TBS-8.2 containing additional 500 mM NaCl to reduce nonspecific antibody binding and then with TBS-8.2. The sections labeled with 5 nm gold were further rinsed with purified water, incubated with gold enhancement solution (GoldEnhance EM Plus; Nanoprobes) for 5 min at RT under ambient room light, and extensively washed in purified water. Shortening the incubation time for gold enhancement should reduce formation of background particles. All sections were stained with saturated aqueous solution of UA followed by lead citrate [30] for 5 min each.
Acquisition, alignment, and analysis of serial tSEM images
Serial section images (8-bit TIFF; field size = 24,576 × 24,576 pixels) were acquired on a Zeiss Supra40 field emission scanning electron microscope in transmission mode (tSEM) [31] with ATLAS package, running at 28 kV, at 1.8 nm pixel size with 1.2 μs dwell time and 3.5 mm working distance. Serial tSEM images were aligned automatically using Fiji [32] (RRID:SCR_002285; http://fiji.sc) with the TrakEM2 plugin [33] (RRID:SCR_008954; http://www.ini.uzh.ch/~acardona/trakem2.html). The images were aligned rigidly first, followed by application of elastic alignment [34]. The aligned image stack was cropped to 14,424 × 19,512 pixels (image field size = 912 μm2) with Fiji/TrakEM2 and imported into Reconstruct [35] (RRID:SCR_002716; http://synapseweb.clm.utexas.edu/software-0) for 3D reconstruction and analyses. An image of grating replica (Electron Microscopy Sciences Cat# 80051), acquired along with serial section images, was used to calibrate pixel size. Mean section thickness was estimated based on the diameter of longitudinally sectioned mitochondria [36]. In serial tSEM images of sections that were immunolabeled, we first identified all axons containing any gold particles. An axon was considered as positively labeled if it contained gold particles (> 10 nm diameter after gold enhancement) outside mitochondria in at least two of three serial sections. To measure the density of enhanced gold particles, all particles were counted in four immunolabeled sections and categorized as positive labels or background. Particle densities were calculated from these counts divided by their respective areas in each of the analyzed sections. The density of axonal boutons was calculated based on the unbiased volume method [37], in which all boutons that did not intersect the exclusion planes were counted in a sub-volume of the 3DEM series encompassing 8 × 8 × 4.1 μm.
Control for immunogold labeling
To control for non-specific binding of the primary and secondary antibodies, we collected serial thin sections from rAAV-injected tissue that was not labeled with tyramide-conjugated dye, but otherwise underwent immunogold labeling. This tissue was derived from the same slice as the one used for 3D reconstruction of a labeled axon as described above. In three consecutive sections (image field size = 1,520 μm2) from this control series, we counted axons containing at least one enhanced gold particle (> 10 nm diameter). None of these axons qualified as positively labeled, indicating the false positive rate is negligible.
An additional control was performed for non-specific antibody binding, in which another set of serial thin sections from rAAV-injected, tyramide-labeled tissue underwent immunogold labeling with the primary antibody omitted. These sections also showed no axons that qualified as positively labeled in the EM images. To control for self-nucleation of gold enhancement reagent, a tSEM image was also acquired from serial thin sections of the area CA1 that were not immunolabeled, but were incubated with the gold enhancement reagent as above and then stained with UA and lead citrate.
To measure the size of enhanced gold particles, the antibody conjugated with 5 nm gold was blotted on a PEI-coated TEM grid and then treated with the gold enhancement reagent as above. We acquired a tSEM image from a square field encompassing 4,096 pixels per side at 1.8 nm/pixel and thresholded the image to identify a total of 527 particles for their size measurement with the particle analysis function of Fiji. This measures the maximum caliper, which is the longest distance between any two points along the selection boundary. Enhanced particles that obviously formed from two or more 5 nm particles placed in close proximity, as evidenced by the presence of negative curvatures, were excluded from this analysis.
Confocal image analysis
Fiji was used for processing and analysis of the confocal images. Maximum intensity projection images were generated from 5 optical sections encompassing 51.5 × 34.3 × 3.2 μm in x, y, and z. Image stacks from Cy5 channel were corrected for bleaching (the simple ratio method under bleach correction function in Fiji) before they were projected. Projected images from GFP and Cy5 channels were merged and thresholded to identify all puncta (≥ 100 nm diameter) labeled with either of the fluorophores, which were then assessed for co-expression in single channel images. A total of 682 labeled puncta were identified, excluding those at edges of the image. Acquisition of single channel image stacks for each of the fluorophores, rather than dual-channel stacks, caused a slight mismatch in their z-positions, which may have contributed to a small fraction of puncta to appear as single-labeled. The density of GFP-positive puncta was calculated from three additional confocal image stacks, encompassing 39.1 × 39.1 × 4.4 μm (two image stacks) or 58.6 × 58.6 × 3.2 μm (one image stack).
Analysis of physiology recordings
The initial acquisition and analysis of EPSP were performed with SynchroBrain software (Lohmann Research Equipment). The initial maximum slope was measured over a 0.2–0.8 ms time frame that was held constant for all recordings in each slice. To calculate the magnitude of LTP, EPSP slopes were normalized to the average slopes obtained during the last 30 min of baseline recordings before the delivery of the first HFS. Then values across slices (mean ± SEM) were presented as times baseline. LTP magnitude at 30, 60, 120, and 180 min post-HFS was calculated by averaging the values for the preceding 20 min. Prism software package (Graphpad Software) was used for statistical analysis and plotting. The main tests performed were Student’s t-test and analysis of variance (ANOVA). Specific statistical tests and results are shown in the corresponding figure captions.
Results
Potentiation of synapses using light
We designed an adeno-associated virus vector (rAAV) for stimulating and tracking individual neurons and the trajectories of their axons. The construct encoded two proteins: a ChR2 [14] fused to GFP [15] and an APX from P. sativum [17] to generate the electron-dense deposits detected in EM. We chose ChR2ET/TC based on its conductance and ability to sustain optical stimulation up to 60 Hz [14]. We modified APX to include amino acid substitutions for increased stability and enzymatic activity [5,6]. We enhanced its membrane and synapse targeting by adding a palmitoylation signal from growth-associated protein 43 (GAP-43) [18] to produce mAPEX2 (Fig 1A). A virus encoding ChR2 and mAPEX2 ensured that both proteins co-localized in the same cells. The observations from dissociated neurons and acute hippocampal slices reflect ChR2-GFP and mAPEX2 co-expression at the cellular and synaptic levels (Fig 1B and 1C).
Fig. 1. Viral expression of ChR2-GFP and mAPEX, and induction of optical L-LTP. (A) The rAAV was designed to co-express ChR2-GFP and mAPEX under a single synapsin promoter in neurons. During translation, the P2A peptide self-cleaves to yield the two proteins. (B) Cultured hippocampal neurons infected with the rAAV co-expressed ChR2-GFP and mAPEX1. Scale bars = 25 μm. (C) ChR2-GFP was co-expressed with mAPEX2 in the same axons in the area CA1 (dotted white lines). Yellow and magenta lines indicate ChR2-GFP only and mAPEX2 only puncta, respectively. Scale bars = 2 μm. (D) GFP fluorescence images (left) and experimental configurations (right) in ipsilateral (top, ipsi) and contralateral (bottom, contra) hippocampal slices. Scale bars = 500 μm. (E) Electrical (top) and optical (bottom) EPSPs evoked by a train of 50 Hz stimulations, recorded from CA1 middle stratum radiatum (C57B/6J strain). Responses to the first 40 pulses are shown and the stimulation artifacts are clipped from the eEPSP data. The inset shows HFS protocol for LTP induction. Scale bars = 1 ms, 2 mV (electrical), 1 mV (optical). (F) Optical HFS induced L-LTP in the Schaffer collateral and commissural pathways. Left: Representative oEPSP traces from ipsilateral (top) and contralateral (bottom) slices before (light shaded line) and 3 hr after (solid line) HFS. Right: Time course of oEPSP slope (mean ± SEM) showing optical L-LTP in ipsilateral (pink) and contralateral (purple) slices. Addition of APV blocked L-LTP (grey). The number of slices is indicated in parentheses. Scale bars = 4 ms, 1 mV. We injected the rAAV vector into stratum pyramidale of the hippocampal area CA3 in one hemisphere of the adult mouse brain (S1A Fig). Epifluorescence microscopy confirmed robust expression of ChR2-GFP in the CA3 neurons and in Schaffer collaterals extending into ipsilateral area CA1. The contralateral hippocampus showed GFP-labeled commissural/associational fibers in the areas CA1 and CA3 (S1B Fig).
Four to six weeks after virus injection we prepared acute transverse slices from ipsilateral or contralateral hippocampus, four per hemisphere, covering the dorsal region. The slices were allowed to recover for 3 hr in interface chambers [38]. We then applied pulses of blue light (473 nm wavelength; ~14.5 mW power) via an optical fiber (300 μm diameter) positioned over the area CA1 stratum radiatum in each chamber (Fig 1D) and examined the ChR2 responses. Typically, 2–4 slices displayed optical responses. In these slices, optically-evoked field excitatory postsynaptic potentials (oEPSP) and population spike shapes recorded within different strata of area CA1 resembled the waveforms observed previously with electrical stimulation (eEPSP) [39–41], confirming a similar propagation of the signal. Although oEPSP were similar to eEPSP, we noticed a difference in the shape of the waveform: the initial activation stage consisted of more than one component, visible as change in slope. We assume this could be due to asynchrony of fiber firing at different sites along stratum radiatum because of the relatively larger area stimulated by light compared to concentric bipolar stimulating electrodes. In accordance with prior reports, oEPSP had comparable slopes and amplitudes between ipsilateral and contralateral groups of fibers [11,42], although these parameters were significantly smaller than in electrical responses (S1D Fig). Light-evoked short-term plasticity [43], measured as paired-pulse ratio (PPR), was also detected (S1E Fig). Optical responses were blocked by TTX (S1F Fig) and DNQX (S1F Fig), demonstrating their dependence on voltage-gated sodium channels and GluA receptors, respectively.
Next, we confirmed that ChR2 could follow trains of light pulses needed to induce L-LTP. Stimuli were delivered at 50 Hz (Fig 1E), a frequency sufficient for LTP induction [10,44] that also allows more time for ChR2 to recover between stimulation episodes [14] than the higher frequencies (100 Hz or higher, including theta-burst) typically used for electrical induction of LTP. Optical stimulation resulted in the trains of evoked oEPSP in CA1 stratum radiatum (Fig 1E, bottom) in a pattern comparable to the one evoked by 50 Hz electrical stimulation (Fig 1E, top). However, optical responses exhibited smaller initial amplitudes and underwent stronger desensitization during the trains of light stimuli.
Smaller amplitudes in our optical experiments could be due to incomplete ChR2 activation or to the presence of ChR2 in a relatively small subset of axons. To differentiate between these possibilities, we recorded oEPSP under varied light stimulus intensity. Input-output curves of oEPSP slope as a function of light intensity showed an apparent saturation at maximum level of ~14.5 mW (S2 Fig). Thus, our optical stimulation protocol maximized activation of all the targeted axons.
Optical stimulus regimes produced L-LTP that lasted for at least 3 hr (Fig 1F). Optically stimulated ipsilateral and contralateral slices showed the same degree of potentiation. However, the likelihood of achieving L-LTP varied, and the success rate was 67% and 42% for ipsilateral and contralateral slices, respectively. Optical L-LTP induction was blocked by application of 2-amino-5-phosphonovaleric acid (APV), reflecting a dependence on GluN receptors (Fig 1F).
To isolate the rAAV-targeted CA3 axons as the sole source of excitatory synaptic transmission and to avoid possible recruitment of unlabeled fibers, we recorded oEPSP from contralateral slices with the area CA3 severed pre-recovery (Fig 2A). Using contralateral slices additionally eliminated the likelihood that CA1 neurons could be labeled with ChR2 and stimulated independently of the CA3 axons. Severing CA3 had little effect on the likelihood or magnitude of L-LTP from electrical stimulation (Fig 2B). In contrast, the induction rate was reduced from 42% to 33% in contralateral sections with severed CA3, and the magnitude of LTP was smaller at 1 hr compared to intact sections, but nearly identical by 3 hr (Fig 2C and 2D). The magnitude of electrical LTP in intact and cut slices was similar at 1 hr and 3 hr post-stimulation (Fig 2B and 2D). We conclude that the optical stimulation of genetically specified CA3 commissural fibers is sufficient to induce L-LTP in the area CA1.
Fig. 2. Optical stimulation of CA3→CA1 commissural fibers was sufficient for L-LTP. (A) Representative image of a contralateral slice with CA3 cut off from CA1. Scale bar = 500 μm. (B-C). LTP induced by electrical (B) and optical (C) HFS in intact and cut slices. The example traces show EPSPs recorded before (light shaded lines) and 3 hr after HFS (solid lines). Optical LTP magnitude (C) at 30 and 60 min post-HFS was significantly different between intact and cut slices (oEPSP slope F(1, 17) = 4.74, p < 0.05; Time F(3, 51) = 0.95, p > 0.05; Interaction F(3, 51) = 6.60, p < 0.0001; repeated measures two-way ANOVA with Bonferroni’s post-hoc tests). Scale bars = 2 ms, 2 mV (B); 1 ms, 0.5 mV (C). (D) Summary data for oEPSP slope change at different time points following optical HFS in intact and cut slices. The intact slices showed significant changes in LTP magnitude in the last 120 min of recordings (F(1.28, 12.8) = 5.75, p < 0.05; repeated measures one-way ANOVA). The box plots show medians and interquartile ranges, with whiskers extending from minimum to maximum values. The number of slices used for each condition is indicated in parentheses. Post hoc labeling and reconstruction of potentiated synapses
Post hoc 3DEM analysis of activated synapses and subcellular organelles requires well-preserved slice tissue, which is typically achieved by chemical fixation with glutaraldehyde. Thus, the expressed EM tag must retain its enzymatic activity to produce electron-dense deposits in fixed samples. Like the original APEX [5,6], we verified that mAPEX2 was active after glutaraldehyde fixation by observing conversion of 3,3’-diaminobenzidine (DAB) into osmiophilic polymers, which appear dark brown under light microscopy or as amorphous electron-dense deposits under EM (S3 Fig).
We fixed brain slices that displayed L-LTP following optical stimulation at the 3 hr time point and had robust GFP labeling (Fig 3A, Step 1; see Materials and Methods). Orthogonal vibratome sections spanning area CA1 (Fig 3A, Steps 2–3) were incubated with tyramide conjugated with Alexa Fluor 647. Membrane-associated mAPEX2 then catalyzed the tyramide signal amplification reaction (TSA) locally upon the addition of H2O2 (Fig 3A, Step 4). After heavy metal staining and epoxy embedding, serial thin sections (~60 nm thickness) were collected from a region of interest containing the middle of stratum radiatum (Fig 3A, Steps 5–7). For the series shown in Figs 3A (Step 7), 3C, and 4, a total of 72 sections were collected from portions of tissue at least 10 μm from the surface of a 50 μm thick vibratome section.
Fig. 3. mAPEX2-catalyzed labeling and 3DEM identification of rAAV-targeted axons. In a subset of sections, at the beginning and end of the series, we labeled the axons expressing mAPEX2 that now contained the dye-tyramide molecules with anti-dye antibodies, then gold-conjugated secondary antibodies (Fig 3A, Step 8). This limited labeling ensured that the ultrastructure was visible while having sufficient labeling to identify the genetically-targeted axons unambiguously (Fig 3B and 3B’). We considered an axon to be positively labeled if it contained gold particles in at least two of three serial sections per grid. We tested 5 nm and 15 nm colloidal gold particles. Staining with smaller particles suffered from relatively low signal-to-noise, limited visibility of the gold particles (nominal particle size = 5 nm vs. pixel size = 1.8–2.0 nm), and difficulty in distinguishing the particles from artifacts and subcellular features of similar size (Fig 3B’ and S4 Fig). Working with 15 nm gold particles improved particle visibility (Fig 3B”) but reduced labeling sensitivity, making labeled axons harder to identify. We boosted the visibility of 5 nm particles by increasing their size with a gold enhancement technique [45] (Fig 3A, Step 9). The enhanced particles were of high contrast and uniformly electron-dense with smooth edges, which made them distinct from artifacts and subcellular structures of similar size (e.g., glycogen granules, darkly stained membrane, and precipitation from post-section staining; Fig 3C and 3C’, and S4 Fig). Enhancement of immunogold particles blotted on a blank grid resulted in particles with diameter ranging from 2.5 nm to 85.3 nm (median = 37.1 nm), significantly improving their ease of identification (Fig 3C” and S5 Fig). Control sections devoid of immunogold labeling, but treated with the enhancement reagent, showed electron-dense particles with the diameter ≤ 10 nm, likely resulting from reagent self-nucleation (S5 Fig). We therefore excluded these small particles during identification of labeled axons. Thus, in the gold enhanced material, our criterion for positively labeled axons was the presence of particles > 10 nm in diameter in at least two of three consecutive sections.
In this 3DEM series, 23 axons (2 axons per 100 μm2) were positively labeled, and 170 axons (19 axons per 100 μm2) contained enhanced gold particles but did not meet the criteria. The 23 axons that were confirmed positive could include true and false positives, while the 170 negative axons would reflect true and false negatives. To estimate the numbers in each category, we performed control immunogold labeling on serial thin sections from the same rAAV-injected tissue that otherwise did not undergo labeling with the tyramide-conjugated dye. In these sections, we found 223 axons containing at least one enhanced gold particle (15 axons per 100 μm2). None of these axons qualified as positively labeled, indicating that the false positive rate is negligible. Thus, we deemed as true negatives the 15 of 19 axons per 100 μm2 that did not meet the criteria in the tyramide-labeled series. This suggests that the remaining 4 of 19 axons could be false negatives under our current labeling protocol for 3DEM, and that positively labeled axons could represent ~30% (2 positively labeled out of 6 containing gold particles) of rAAV targeted axons.
We also measured the density of boutons belonging to positively labeled axons in the 3DEM series (12 per 1,000 μm3), and that of GFP-positive puncta in three confocal image volumes (mean = 35 per 1,000 μm3; range = 20 to 47 per 1,000 μm3). Although measured from tissue samples from different animals, these observations also suggest that the confirmed positives could represent ~30% of the rAAV targeted axons. However, frequency of potential false negatives relative to the total number of axonal boutons is small (~1%, or about 10–30 of 2604 boutons per 1,000 μm3). It will be possible to uncover ultrastructural correlates of potentiation by comparing labeled axons from slices that have and have not received optical stimulations. To show that the plasticity-related ultrastructural changes are restricted to the positively labeled axons, one could also analyze unlabeled axons from slices with or without optical stimulations. In this case, the contribution of false negatives to the pool of unlabeled axons in either preparation will be extremely low, on the order of 1%.
The density of positive particles within labeled axons after gold enhancement was 2.85 ± 0.88 per μm2, while the overall background particle density was 0.33 ± 0.02 per μm2 (mean ± SEM; n = 4 sections). Thus, the signal-to noise ratio was 8.7.
Finally, we reconstructed a labeled axon from an rAAV-infected CA3 neuron forming synapses onto dendritic spines in middle stratum radiatum of the area CA1 from a slice that showed optically induced L-LTP (Fig 4 and S1 Video). This axon contained gold particles in the first three sections and three of the last four sections that were immunolabeled (Fig 4A and 4C). This axon had two multi-synaptic boutons, one of which was reconstructed only partially because it was at one edge of the serial section series (Fig 4B). This partial bouton formed synapses with two spines (s1 and s2 in Fig 4B; also see S1 Video). One of these spines (s1) had another branch that formed a synapse with a separate axonal bouton that was unlabeled. The synapses on the branched spine (s1) were both macular and of similar sizes (0.029 μm2 and 0.021 μm2). The bouton that was completely reconstructed contained two mitochondria and formed synapses with two spines from different dendrites (Fig 4B; S1 Video). One of these synapses was perforated (area = 0.11 μm2), while the other was macular (area = 0.037 μm2). These findings are consistent with synapses on this axon having been potentiated [46].
Fig. 4. Post-embedding immunogold labeling for Alexa Fluor dyes deposited by mAPEX2-driven TSA reaction allowed for 3DEM identification of rAAV-targeted axons, while maintaining excellent ultrastructure. Discussion
Genetic targeting of specific neuron populations for imaging and activation has transformed structure-function studies of brain circuitry. Until now, however, tools for examining the ultrastructure of genetically specified neurons post-manipulation have been lacking. Here we describe methods for inducing activity-dependent plasticity in a genetically defined subset of neuronal synapses and for identifying optogenetically potentiated axons. We demonstrate light-evoked L-LTP in acute hippocampal slices. Previous ultrastructural studies of potentiated synapses examined effects across differentially activated populations of synapses, but the histories of individual synapses were unknown. The unilateral infection of CA3 neurons yields CA3→CA1 projections that co-express a light-dependent actuator and an EM tag from a single rAAV amid a larger population of unlabeled axons. Hence the advance of our approach is that recently potentiated synapses can be compared to neighboring unstimulated synapses in the same block of tissue.
Light stimulation of CA3 axons resulted in robust oEPSP in ChR2-expressing hippocampal slices
In hippocampal slices prepared from rAAV injected animals, light pulses induced oEPSP that depended on voltage-gated sodium channels and GluA receptors. The light intensity used for optical high-frequency stimulation (HFS) was shown to achieve the maximal responses. Furthermore, the expressed ChR2 reliably responded to light trains delivered at 50 Hz, a frequency sufficient to produce L-LTP [10,44]. Together these findings ensure that synapses identified by the post hoc 3DEM analysis were activated during the optogenetic LTP induction protocol.
Optical L-LTP was produced in intact hippocampal slices expressing ChR2-GFP and mAPEX2
We used high-frequency optical stimulation to induce GluN receptor-dependent L-LTP lasting at least 3 hr in a subpopulation of CA3→CA1 synapses containing presynaptically expressed ChR2. Recent reports suggest molecular and synaptic asymmetry between right and left hippocampus affecting LTP induction and endurance [11,47]. These findings prompted us to explore induction and expression of optical L-LTP in both hemispheres. The rAAV was injected into the left (ipsilateral) or right (contralateral) hippocampus, and all slices were prepared from the left hemisphere. L-LTP reached similar magnitudes whether the ipsilateral Schaffer collaterals or contralateral commissural axons were optically stimulated.
This discrepancy with the prior papers could be due to technical differences, including recording configurations (field vs. single-cell recordings) or plane of hippocampal slices (transverse vs. coronal). Our findings are also consistent with prior studies using electrical stimulation. For example, in rat hippocampal slices where Schaffer collaterals or commissural fibers were isolated by kainic acid lesion, the properties of LTP produced independently by each pathway were similar to those observed in unlesioned slices [42,48]. Recent in vivo studies with intact brain also detected a robust LTP mediated by Schaffer or commissural axons [49].
Optical L-LTP did not require recruitment of unlabeled axons
In order to make direct comparisons between synapses with different activation histories, optical HFS must activate only the rAAV-targeted axons. In the intact contralateral system, the measured oEPSP responses could be contaminated if back-propagating action potentials from labeled commissural fibers were to recruit neighboring unlabeled CA3 neurons through recurrent collaterals. To test whether our oEPSP responses had been amplified through light-independent intra-hippocampal connections, we compared optical stimulation in contralateral slices with intact or severed area CA3. Compared to intact slices, the cut slices had a lower success rate for L-LTP (42% vs. 33%), yet these results suggest L-LTP could certainly be achieved without recruitment of unlabeled axons.
There was a slower rise to maximum LTP magnitude in the cut slices that might have been caused by reduced synchronicity of firing if unlabeled axons are recruited in the intact system. Other experiments have witnessed this slow rise to LTP. For example, LTP can be produced with a slow onset with frequencies normally used for induction of LTD (1–5 Hz) [50]. Sometimes weak presynaptic stimulation paired with depolarization of postsynaptic neurons results in LTP with a similar slow rise early during expression [51,52]. Induction of mGluR-dependent [53] or BDNF-dependent LTP [54] both show slow rises in LTP magnitude. Furthermore, at the developmental onset of L-LTP the expression can also have a slow rise [38]. Each of these conditions is also submaximal in the induction paradigms, not unlike activation of less than all the axons with light versus electrical stimulation. However, since both intact and cut slices expressed optically induced L-LTP of the same magnitude at 2 and 3 hr post induction, the recruitment of unlabeled axons was unlikely to be the critical factor.
mAPEX2 labeled axons are compatible with ultrastructural analysis of synapses
To study synaptic connectivity and function, it is necessary to know which synapses were engaged. This level of analysis has been limited by the availability of ultrastructural tools to identify activated synapses. We aimed to label the targeted axons discretely without obscuring or compromising the integrity of their subcellular and synaptic components. Since the genetically encoded mAPEX2 was expressed in the tissue and compatible with microwave-enhanced chemical fixation containing glutaraldehyde, it replaced the use of pre-embedding antibody labeling to identify rAAV-targeted axons. mAPEX2 accommodates tyramide-conjugated fluorescent dyes, which are then deposited in the targeted cells by the TSA reaction [55]. The combination of mAPEX2-driven TSA reaction and post-embedding immunogold labeling allowed reliable identification of the targeted cells throughout the 50 μm vibraslices, at depths not accessible by pre-embedding antibody methods (< 10 μm). These features revealed optimal preservation of ultrastructure in acute slice tissue for analyses of synapses and organelles after targeted optogenetic manipulations. We show that this process is compatible with conventional fixation, processing, epoxy infiltration, and post-embedding immunogold labeling [56,57]. We show that only a subset of serial sections need be labeled to track axons from the targeted cells, and even in the labeled sections, the particles did not obscure objects of interest.
L-LTP induced by electrical theta-burst stimulation in the area CA1 is associated with an increase in the abundance of multi-synaptic boutons in the population of stimulated axons [46]. The 3D reconstruction of a labeled axon from an optogenetically potentiated slice showed two neighboring multi-synaptic boutons, consistent with this prior report, but now from an identified axon. Future work will address whether such shifts in synapse configurations are dependent on activation history.
The methods described here provide reliable physiology and labeling compatible with conventional tissue fixation and the processing techniques needed to preserve subcellular organelles. They make an ideal approach to link synapse ultrastructure and function in intact circuits of genetically defined neurons.
Supporting information
S1 Fig [a]
Verification of rAAV injections and further characterization of oEPSP at CA3→CA1 synapses.S2 Fig [a]
Input-output (IO) curves recorded from the area CA1 in intact and cut slices.S3 Fig [dab]
Enzymatic activity of mAPEX is preserved after chemical fixation with glutaraldehyde.S4 Fig [ax]
Electron-dense artifacts and subcellular structures present in unlabeled sections.S5 Fig [a]
Electron-dense artifacts due to gold enhancement reagent.S1 Video [mp4]
A video of the reconstructed axon shown in .
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- Evaluating emotional distress and health-related quality of life in patients with heart failure and their family caregivers: Testing dyadic dynamics using the Actor-Partner Interdependence Model
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- Association of ECG parameters with late gadolinium enhancement and outcome in patients with clinical suspicion of acute or subacute myocarditis referred for CMR imaging
- Sonographic measurement of normal common bile duct diameter and associated factors at the University of Gondar comprehensive specialized hospital and selected private imaging center in Gondar town, North West Ethiopia
- Catchment-scale export of antibiotic resistance genes and bacteria from an agricultural watershed in central Iowa
- Impact of multi-drug resistant bacteria on economic and clinical outcomes of healthcare-associated infections in adults: Systematic review and meta-analysis
- Characterization of a universal screening approach for congenital CMV infection based on a highly-sensitive, quantitative, multiplex real-time PCR assay
- Proof-of-concept for a non-invasive, portable, and wireless device for cardiovascular monitoring in pediatric patients
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- Genes associated with body weight gain and feed intake identified by meta-analysis of the mesenteric fat from crossbred beef steers
- Intraoperative computed tomography imaging for dose calculation in intraoperative electron radiation therapy: Initial clinical observations
- Multiple paedomorphic lineages of soft-substrate burrowing invertebrates: parallels in the origin of Xenocratena and Xenoturbella
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- Evaluating poverty alleviation strategies in a developing country
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- Pan-cancer analysis of somatic mutations and epigenetic alterations in insulated neighbourhood boundaries
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- Prevalence and characteristics of Livestock-Associated Methicillin-Resistant Staphylococcus aureus (LA-MRSA) isolated from chicken meat in the province of Quebec, Canada
- HIV treatment response among female sex workers participating in a treatment as prevention demonstration project in Cotonou, Benin
- Soluble AXL as a marker of disease progression and survival in melanoma
- Using machine learning methods to determine a typology of patients with HIV-HCV infection to be treated with antivirals
- Quantifying tourism booms and the increasing footprint in the Arctic with social media data
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- Impact of scion/rootstock reciprocal effects on metabolomics of fruit juice and phloem sap in grafted Citrus reticulata
- Adapting cognitive diagnosis computerized adaptive testing item selection rules to traditional item response theory
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- Autumn shifts in cold tolerance metabolites in overwintering adult mountain pine beetles
- Management of veterinary anaesthesia in small animals: A survey of current practice in Quebec
- Genetic structure of the European hedgehog (Erinaceus europaeus) in Denmark
- Molecular karyotyping of Siberian wild rye (Elymus sibiricus L.) with oligonucleotide fluorescence in situ hybridization (FISH) probes
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- Analysis of attitudinal components towards statistics among students from different academic degrees
- Effects of fatigue induced by repeated-sprint on kicking accuracy and velocity in female soccer players
- A pre-clinical validation plan to evaluate analytical sensitivities of molecular diagnostics such as BD MAX MDR-TB, Xpert MTB/Rif Ultra and FluoroType MTB
- Leadership for success in transforming medical abortion policy in Canada
- Clinical correlates associated with the long-term response of bipolar disorder patients to lithium, valproate or lamotrigine: A retrospective study
- Determinants of change in long-acting or permanent contraceptives use in Ethiopia; A multivariate decomposition analysis of data from the Ethiopian demographic and health survey
- Forecasting stock prices with long-short term memory neural network based on attention mechanism
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- 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
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- 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
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- 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
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- Efficacy and safety of anti-viral therapy for Hepatitis B virus-associated glomerulonephritis: A meta-analysis
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- 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
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- 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
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- 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
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- The shield of self-compassion: A buffer against disordered eating risk from physical appearance perfectionism
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- Advanced biofilm analysis in streams receiving organic deicer runoff
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- 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
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- “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
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- 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
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- 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
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- 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
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- The impact of peer attachment on prosocial behavior, emotional difficulties and conduct problems in adolescence: The mediating role of empathy
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- 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
- The impact of IoT security labelling on consumer product choice and willingness to pay
- 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
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- 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)
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- Correction: Leisure-time physical activity and sports in the Brazilian population: A social disparity analysis
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- 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
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- Exploring prior diseases associated with incident late-onset Alzheimer’s disease dementia
- Hypertension prevalence in patients attending tertiary pain management services, a registry-based Australian cohort study
- SRL pathogenicity island contributes to the metabolism of D-aspartate via an aspartate racemase in Shigella flexneri YSH6000
- Correction: Comprehensive genome-wide analysis of the pear (Pyrus bretschneideri) laccase gene (PbLAC) family and functional identification of PbLAC1 involved in lignin biosynthesis
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- 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
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- 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
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- 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
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- 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
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- 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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