35 results on '"Mina Davoudi"'
Search Results
2. Ontogenic shifts in cellular fate are linked to proteotype changes in lineage-biased hematopoietic progenitor cells
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Maria Jassinskaja, Kristýna Pimková, Nejc Arh, Emil Johansson, Mina Davoudi, Carlos-Filipe Pereira, Ewa Sitnicka, and Jenny Hansson
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fetal hematopoiesis ,adult hematopoiesis ,proteomics ,hematopoietic progenitor cells ,lymphopoiesis ,myelopoiesis ,Biology (General) ,QH301-705.5 - Abstract
Summary: The process of hematopoiesis is subject to substantial ontogenic remodeling that is accompanied by alterations in cellular fate during both development and disease. We combine state-of-the-art mass spectrometry with extensive functional assays to gain insight into ontogeny-specific proteomic mechanisms regulating hematopoiesis. Through deep coverage of the cellular proteome of fetal and adult lympho-myeloid multipotent progenitors (LMPPs), common lymphoid progenitors (CLPs), and granulocyte-monocyte progenitors (GMPs), we establish that features traditionally attributed to adult hematopoiesis are conserved across lymphoid and myeloid lineages, whereas generic fetal features are suppressed in GMPs. We reveal molecular and functional evidence for a diminished granulocyte differentiation capacity in fetal LMPPs and GMPs relative to their adult counterparts. Our data indicate an ontogeny-specific requirement of myosin activity for myelopoiesis in LMPPs. Finally, we uncover an ontogenic shift in the monocytic differentiation capacity of GMPs, partially driven by a differential expression of Irf8 during fetal and adult life.
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- 2021
- Full Text
- View/download PDF
3. The role of full-length apoE in clearance of Gram-negative bacteria and their endotoxins
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Ganna Petruk, Malin Elvén, Erik Hartman, Mina Davoudi, Artur Schmidtchen, Manoj Puthia, and Jitka Petrlova
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antimicrobial peptides ,bacteria ,host defense ,innate immunity ,infection ,aggregation ,Biochemistry ,QD415-436 - Abstract
ApoE is a well-known lipid-binding protein that plays a main role in the metabolism and transport of lipids. More recently, apoE-derived peptides have been shown to exert antimicrobial effects. Here, we investigated the antibacterial activity of apoE using in vitro assays, advanced imaging techniques, and in vivo mouse models. The formation of macromolecular complexes of apoE and endotoxins from Gram-negative bacteria was explored using gel shift assays, transmission electron microscopy, and CD spectroscopy followed by calculation of the α-helical content. The binding affinity of apoE to endotoxins was also confirmed by fluorescent spectroscopy detecting the quenching and shifting of tryptophan intrinsic fluorescence. We showed that apoE exhibits antibacterial activity particularly against Gram-negative bacteria such as Pseudomonas aeruginosa and Escherichia coli. ApoE protein folding was affected by binding of bacterial endotoxin components such as lipopolysaccharide (LPS) and lipid A, yielding similar increases in the apoE α-helical content. Moreover, high-molecular-weight complexes of apoE were formed in the presence of LPS, but not to the same extent as with lipid A. Together, our results demonstrate the ability of apoE to kill Gram-negative bacteria, interact with their endotoxins, which leads to the structural changes in apoE and the formation of aggregate-like complexes.
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- 2021
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4. COX7A2L/SCAFI and Pre-Complex III Modify Respiratory Chain Supercomplex Formation in Different Mouse Strains with a Bcs1l Mutation.
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Mina Davoudi, Heike Kotarsky, Eva Hansson, Jukka Kallijärvi, and Vineta Fellman
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Medicine ,Science - Abstract
The COX7A2L (Supercomplex Assembly Factor I, SCAFI) protein has been proposed to be a mitochondrial supercomplex assembly factor required for respirasome (supercomplex containing complexes I, III, and IV) formation. In the C57BL/6 mouse strain a homozygous in-frame 6-base-pair deletion in the COX7a2l/SCAF1 gene resulting in unstable protein and suggesting loss of function was previously identified. The loss of SCAFI was shown to impede respirasome formation, a major concern for the use of C57BL mouse strains in mitochondrial research. In contradiction, another recent study suggested that supercomplex formation is independent of SCAFI isoforms. We investigated whether SCAFI isoform status affected the disease severity and supercomplex formation in the liver of Bcs1lc.232A>G knock-in mice with incomplete complex III assembly. In homozygotes (Bcs1lG/G) of mixed (C57BL/6:129/Sv) genetic background, the lifespan was similar in mice with wild-type SCAFI allele and in those homozygous (SCAFIshort/short) for the deleted SCAF1 variant (34±3 days; n = 6 vs. 32±2 days; n = 7, respectively). SCAFI heterozygosity (SCAFIlong/short) resulted in decreased SCAFI protein but respirasome assembly was unaffected. Congenic (C57BL/6) mice were of the genotype SCAFIshort/short and had no detectable SCAFI protein. In their liver mitochondria, respirasome composition was altered as compared to mixed background mice. Complex IV was mainly present as monomers and dimers, and only low amounts were found in combination with complex I and complex III or with precomplex III. The main supercomplex in the liver mitochondria of C57BL/6 mice comprised only complexes I and III. In conclusion, in liver mitochondria of C57BL/6 mice, supercomplexes had markedly reduced amount of, but were not completely depleted of, complex IV, supporting a role for COX7A2L/SCAFI in supercomplex assembly. However, the disease progression of the Bcs1l mutant mice was unrelated to SCAFI isoforms and supercomplex composition, suggesting that other genetic factors contribute to the different survival in the different genetic backgrounds.
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- 2016
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5. Complex I function and supercomplex formation are preserved in liver mitochondria despite progressive complex III deficiency.
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Mina Davoudi, Heike Kotarsky, Eva Hansson, and Vineta Fellman
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Medicine ,Science - Abstract
Functional oxidative phosphorylation requires appropriately assembled mitochondrial respiratory complexes and their supercomplexes formed mainly of complexes I, III and IV. BCS1L is the chaperone needed to incorporate the catalytic subunit, Rieske iron-sulfur protein, into complex III at the final stage of its assembly. In cell culture studies, this subunit has been considered necessary for supercomplex formation and for maintaining the stability of complex I. Our aim was to assess the importance of fully assembled complex III for supercomplex formation in intact liver tissue. We used our transgenic mouse model with a homozygous c.232A>G mutation in Bcs1l leading to decreased expression of BCS1L and progressive decrease of Rieske iron-sulfur protein in complex III, resulting in hepatopathy. We studied supercomplex formation at different ages using blue native gel electrophoresis and complex activity using high-resolution respirometry. In isolated liver mitochondria of young and healthy homozygous mutant mice, we found similar supercomplexes as in wild type. In homozygotes aged 27-29 days with liver disorder, complex III was predominantly a pre-complex lacking Rieske iron-sulfur protein. However, the main supercomplex was clearly detected and contained complex III mainly in the pre-complex form. Oxygen consumption of complex IV was similar and that of complex I was twofold compared with controls. These complexes in free form were more abundant in homozygotes than in controls, and the mRNA of complex I subunits were upregulated. In conclusion, when complex III assembly is deficient, the pre-complex without Rieske iron-sulfur protein can participate with available fully assembled complex III in supercomplex formation, complex I function is preserved, and respiratory chain stability is maintained.
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- 2014
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6. Metabolite profiles reveal energy failure and impaired beta-oxidation in liver of mice with complex III deficiency due to a BCS1L mutation.
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Heike Kotarsky, Matthias Keller, Mina Davoudi, Per Levéen, Riitta Karikoski, David P Enot, and Vineta Fellman
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Medicine ,Science - Abstract
BACKGROUND & AIMS: Liver is a target organ in many mitochondrial disorders, especially if the complex III assembly factor BCS1L is mutated. To reveal disease mechanism due to such mutations, we have produced a transgenic mouse model with c.232A>G mutation in Bcs1l, the causative mutation for GRACILE syndrome. The homozygous mice develop mitochondrial hepatopathy with steatosis and fibrosis after weaning. Our aim was to assess cellular mechanisms for disease onset and progression using metabolomics. METHODS: With mass spectrometry we analyzed metabolite patterns in liver samples obtained from homozygotes and littermate controls of three ages. As oxidative stress might be a mechanism for mitochondrial hepatopathy, we also assessed H(2)O(2) production and expression of antioxidants. RESULTS: Homozygotes had a similar metabolic profile at 14 days of age as controls, with the exception of slightly decreased AMP. At 24 days, when hepatocytes display first histopathological signs, increases in succinate, fumarate and AMP were found associated with impaired glucose turnover and beta-oxidation. At end stage disease after 30 days, these changes were pronounced with decreased carbohydrates, high levels of acylcarnitines and amino acids, and elevated biogenic amines, especially putrescine. Signs of oxidative stress were present in end-stage disease. CONCLUSIONS: The findings suggest an early Krebs cycle defect with increases of its intermediates, which might play a role in disease onset. During disease progression, carbohydrate and fatty acid metabolism deteriorate leading to a starvation-like condition. The mouse model is valuable for further investigations on mechanisms in mitochondrial hepatopathy and for interventions.
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- 2012
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7. Degradable dendritic nanogels as carriers for antimicrobial peptides
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Randi Nordström, Michael Malkoch, Artur Schmidtchen, Martin Malmsten, Oliver C. J. Andrén, Mina Davoudi, and Shalini Singh
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Anions ,Degradable ,Carboxylic acid ,Antimicrobial peptides ,Nanogels ,02 engineering and technology ,010402 general chemistry ,Physical Chemistry ,01 natural sciences ,Polyethylene Glycols ,Biomaterials ,Nanogel ,Pharmaceutical Sciences ,Drug Delivery Systems ,Colloid and Surface Chemistry ,Dendritic ,Escherichia coli ,Humans ,Pharmaceutical sciences ,Escherichia coli Infections ,Fysikalisk kemi ,chemistry.chemical_classification ,Drug Carriers ,Membrane ,Hyperbranched ,Farmaceutiska vetenskaper ,021001 nanoscience & nanotechnology ,Combinatorial chemistry ,Anti-Bacterial Agents ,0104 chemical sciences ,Surfaces, Coatings and Films ,Electronic, Optical and Magnetic Materials ,chemistry ,drug delivery ,Antimicrobial peptide ,0210 nano-technology ,Antimicrobial Cationic Peptides - Abstract
In the present study, we investigate degradable anionic dendritic nanogels (DNG) as carriers for antimicrobial peptides (AMPs). In such systems, the dendritic part contains carboxylic acid-based anionic binding sites for cationic AMPs, whereas linear poly(ethylene glycol) (PEG) chains form a shell for promotion of biological stealth. In order to clarify factors influencing membrane interactions of such systems, we here address effects of nanogel charge, cross-linking, and degradation on peptide loading/release, as well as consequences of these factors for lipid membrane interactions and antimicrobial effects. The DNGs were found to bind the AMPs LL-37 (LLGDFFRKSKEKIGKEFKRIVQRIKDFLRNLVPRTES) and DPK-060 (GKHKNKGKKNGKHNGWKWWW). For the smaller DPK-060 peptide, loading was found to increase with increasing nanogel charge density. For the larger LL-37, on the other hand, peptide loading was largely insensitive to nanogel charge density. In line with this, results on the secondary structure, as well as on the absence of stabilization from proteolytic degradation by the nanogels, show that the larger LL-37 is unable to enter into the interior of the nanogels. While 40-60% nanogel degradation occurred over 10 days, promoted at high ionic strength and lower cross-linking density/higher anionic charge content, peptide release at physiological ionic strength was substantially faster, and membrane destabilization not relying on nanogel degradation. Ellipsometry and liposome leakage experiments showed both free peptide and peptide/DNG complexes to cause membrane destabilization, indicated also by antimicrobial activities being comparable for nanogel-bound and free peptide. Finally, the DNGs were demonstrated to display low toxicity towards erythrocytes even at peptide concentrations of 100 µM.
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- 2019
- Full Text
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8. Ontogenic shifts in cellular fate are linked to proteotype changes in lineage-biased hematopoietic progenitor cells
- Author
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Emil Johansson, Kristýna Pimková, Mina Davoudi, Nejc Arh, Carlos Filipe Pereira, Maria Jassinskaja, Jenny Hansson, and Ewa Sitnicka
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0301 basic medicine ,Proteomics ,Myeloid ,Proteome ,adult hematopoiesis ,Biology ,myelopoiesis ,General Biochemistry, Genetics and Molecular Biology ,Monocytes ,Immunophenotyping ,fetal hematopoiesis ,03 medical and health sciences ,0302 clinical medicine ,Fetus ,Myosin ,medicine ,Animals ,Humans ,Cell Lineage ,Lymphopoiesis ,Progenitor cell ,lcsh:QH301-705.5 ,Myeloid Progenitor Cells ,rho-Associated Kinases ,Cell Differentiation ,lymphopoiesis ,Lymphoid Progenitor Cells ,Hematopoietic Stem Cells ,Cell biology ,Mice, Inbred C57BL ,Haematopoiesis ,Adult Stem Cells ,Kinetics ,030104 developmental biology ,medicine.anatomical_structure ,HEK293 Cells ,lcsh:Biology (General) ,Interferon Regulatory Factors ,Myelopoiesis ,IRF8 ,030217 neurology & neurosurgery ,hematopoietic progenitor cells ,Granulocytes - Abstract
Summary: The process of hematopoiesis is subject to substantial ontogenic remodeling that is accompanied by alterations in cellular fate during both development and disease. We combine state-of-the-art mass spectrometry with extensive functional assays to gain insight into ontogeny-specific proteomic mechanisms regulating hematopoiesis. Through deep coverage of the cellular proteome of fetal and adult lympho-myeloid multipotent progenitors (LMPPs), common lymphoid progenitors (CLPs), and granulocyte-monocyte progenitors (GMPs), we establish that features traditionally attributed to adult hematopoiesis are conserved across lymphoid and myeloid lineages, whereas generic fetal features are suppressed in GMPs. We reveal molecular and functional evidence for a diminished granulocyte differentiation capacity in fetal LMPPs and GMPs relative to their adult counterparts. Our data indicate an ontogeny-specific requirement of myosin activity for myelopoiesis in LMPPs. Finally, we uncover an ontogenic shift in the monocytic differentiation capacity of GMPs, partially driven by a differential expression of Irf8 during fetal and adult life.
- Published
- 2020
9. The role of full-length apoE in clearance of Gram-negative bacteria and their endotoxins
- Author
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Erik Hartman, Malin Elvén, Artur Schmidtchen, Jitka Petrlova, Manoj Puthia, Mina Davoudi, and Ganna Petruk
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0301 basic medicine ,Apolipoprotein E ,Gram-negative bacteria ,Lipopolysaccharide ,Antimicrobial peptides ,QD415-436 ,030204 cardiovascular system & hematology ,medicine.disease_cause ,Biochemistry ,Lipid A ,antimicrobial peptides ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Endocrinology ,LTA, lipoteichoic acid ,medicine ,AMP, antimicrobial peptide ,bacteria ,TEM, transmission electron microscopy ,innate immunity ,lipid A ,Escherichia coli ,biology ,lipopolysaccharide ,aggregation ,PBS-T, PBS-Tween ,VCA, viable count assay ,TH, Todd-Hewitt ,Cell Biology ,λmax, maximum absorbance ,biology.organism_classification ,infection ,CD ,Endotoxins ,030104 developmental biology ,host defense ,chemistry ,LPS, lipopolysaccharide ,lipids (amino acids, peptides, and proteins) ,Lipoteichoic acid ,RDA, radial diffusion assay ,Bacteria ,Research Article - Abstract
ApoE is a well-known lipid-binding protein that plays a main role in the metabolism and transport of lipids. More recently, apoE-derived peptides have been shown to exert antimicrobial effects. Here, we investigated the antibacterial activity of apoE using in vitro assays, advanced imaging techniques, and in vivo mouse models. The formation of macromolecular complexes of apoE and endotoxins from Gram-negative bacteria was explored using gel shift assays, transmission electron microscopy, and CD spectroscopy followed by calculation of the α-helical content. The binding affinity of apoE to endotoxins was also confirmed by fluorescent spectroscopy detecting the quenching and shifting of tryptophan intrinsic fluorescence. We showed that apoE exhibits antibacterial activity particularly against Gram-negative bacteria such as Pseudomonas aeruginosa and Escherichia coli. ApoE protein folding was affected by binding of bacterial endotoxin components such as lipopolysaccharide (LPS) and lipid A, yielding similar increases in the apoE α-helical content. Moreover, high-molecular-weight complexes of apoE were formed in the presence of LPS, but not to the same extent as with lipid A. Together, our results demonstrate the ability of apoE to kill Gram-negative bacteria, interact with their endotoxins, which leads to the structural changes in apoE and the formation of aggregate-like complexes., Graphical abstract
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- 2021
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10. A novel derivative of the fungal antimicrobial peptide plectasin is active against Mycobacterium tuberculosis
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Erik Tenland, Magdalena Otrocka, Matthias Mörgelin, Mina Davoudi, Gabriela Godaly, Brian D. Robertson, Izabela Glegola-Madejska, Maria Lerm, Artur Schmidtchen, Nader Alaridah, Nitya Krishnan, Anna Rönnholm, Manoj Puthia, Erik Sturegård, and Sadaf Kalsum
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0301 basic medicine ,Microbiology (medical) ,Tuberculosis ,Time Factors ,030106 microbiology ,Immunology ,Antimicrobial peptides ,Antitubercular Agents ,Microbiology ,Article ,Microbiology in the medical area ,Mycobacterium tuberculosis ,03 medical and health sciences ,In vivo ,Drug Resistance, Multiple, Bacterial ,medicine ,Mikrobiologi inom det medicinska området ,Animals ,Humans ,Tuberculosis treatment ,Lung ,Tuberculosis, Pulmonary ,Cells, Cultured ,Mice, Inbred BALB C ,biology ,Dose-Response Relationship, Drug ,business.industry ,Intracellular parasite ,Macrophages ,11 Medical And Health Sciences ,Plectasin ,Antimicrobial ,biology.organism_classification ,medicine.disease ,Peptide Fragments ,3. Good health ,Disease Models, Animal ,030104 developmental biology ,Infectious Diseases ,Female ,business ,Peptides ,Rifampicin ,medicine.drug - Abstract
Tuberculosis has been reaffirmed as the infectious disease causing most deaths in the world. Co-infection with HIV and the increase in multi-drug resistant Mycobacterium tuberculosis strains complicate treatment and increases mortality rates, making the development of new drugs an urgent priority. In this study we have identified a promising candidate by screening antimicrobial peptides for their capacity to inhibit mycobacterial growth. This non-toxic peptide, NZX, is capable of inhibiting both clinical strains of M. tuberculosis and an MDR strain at therapeutic concentrations. The therapeutic potential of NZX is further supported in vivo where NZX significantly lowered the bacterial load with only five days of treatment, comparable to rifampicin treatment over the same period. NZX possesses intracellular inhibitory capacity and co-localizes with intracellular bacteria in infected murine lungs. In conclusion, the data presented strongly supports the therapeutic potential of NZX in future anti-TB treatment. Funding Agencies|UK Medical Research Council; Swedish Heart-Lung Foundation [20150733]; Alfred Osterlunds Foundation; Royal Physiographic Society of Lund; Swedish Research Council; European Unions Seventh Framework Programme (FP7/2007-2013) [604182]
- Published
- 2018
11. Cubosomes for topical delivery of the antimicrobial peptide LL-37
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Margit Mahlapuu, Mina Davoudi, Joakim Håkansson, Jenny Johansson, Lovisa Ringstad, Karin Hallstensson, Martin Andersson, Therese M.-L. Andersson, Per Tomas Larsson, and Lukas Boge
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Staphylococcus aureus ,Swine ,Sonication ,Administration, Topical ,Pharmaceutical Science ,Peptide ,02 engineering and technology ,Microbial Sensitivity Tests ,medicine.disease_cause ,030226 pharmacology & pharmacy ,Glycerides ,03 medical and health sciences ,0302 clinical medicine ,Drug Delivery Systems ,Dynamic light scattering ,Anti-Infective Agents ,X-Ray Diffraction ,Cathelicidins ,Scattering, Small Angle ,medicine ,Escherichia coli ,Animals ,Humans ,chemistry.chemical_classification ,Ethanol ,Chemistry ,Vesicle ,General Medicine ,021001 nanoscience & nanotechnology ,Antimicrobial ,Skin Irritancy Tests ,In vitro ,Liquid Crystals ,Disease Models, Animal ,Drug Liberation ,Treatment Outcome ,Biophysics ,Wound Infection ,Nanoparticles ,Staphylococcal Skin Infections ,Epidermis ,0210 nano-technology ,Ex vivo ,Biotechnology ,Antimicrobial Cationic Peptides - Abstract
In this study, the use of cubosomes for topical delivery of the antimicrobial peptide (AMP) LL-37 was investigated. Topical delivery of AMPs is of great interest for treatment of skin infections caused by bacteria, such as Staphylococcus aureus. AMP containing cubosomes were produced by three different preparation protocols and compared: (i) pre-loading, where LL-37 was incorporated into a liquid crystalline gel, which thereafter was dispersed into nanoparticles, (ii) post-loading, where LL-37 was let to adsorb onto pre-formed cubosomes, and (iii) hydrotrope-loading, where LL-37 was incorporated during the spontaneously formed cubosomes in an ethanol/glycerol monooleate mixture. Particle size and size distribution were analyzed using dynamic light scattering (DLS), liquid crystalline structure by small angle x-ray scattering (SAXS) and release of LL-37 by a fluorescamine assay. Proteolytic protection of LL-37 as well as bactericidal effect after enzyme exposure was investigated. The skin irritation potential of cubosomes was examined by an in vitro epidermis model. Finally, the bacterial killing property of the cubosomes was examined by an ex vivo pig skin wound infection model with Staphylococcus aureus. Data showed that a high loading of LL-37 induced formation of vesicles in case of cubosomes prepared by sonication (pre-loading). No release of LL-37 was observed from the cubosomes, indicating strong association of the peptide to the particles. Proteolysis studies showed that LL-37 was fully protected against enzymatic attacks while associated with the cubosomes, also denoting strong association of the peptide to the particles. As a consequence, bactericidal effect after enzyme exposure remained, compared to pure LL-37 which was subjected to proteolysis. No skin irritation potential of the cubosomes was found, thus enabling for topical administration. The ex vivo wound infection model showed that LL-37 in pre-loaded cubosomes killed bacteria most efficient.
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- 2018
12. Membrane interactions of microgels as carriers of antimicrobial peptides
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Anita-Monika Umerska, Randi Nordström, Mina Davoudi, Michael Malkoch, Oliver C. J. Andrén, Lina Nyström, Artur Schmidtchen, Martin Malmsten, Fiber and Polymer Technology, Royal Institute of Technology, Royal Institute of Technology [Stockholm] (KTH ), Micro et Nanomédecines Translationnelles (MINT), and Université d'Angers (UA)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut de Chimie du CNRS (INC)-Centre National de la Recherche Scientifique (CNRS)
- Subjects
Circular dichroism ,Surface Properties ,[SDV]Life Sciences [q-bio] ,Antimicrobial peptides ,Peptide ,02 engineering and technology ,010402 general chemistry ,Physical Chemistry ,01 natural sciences ,Biomaterials ,Cell membrane ,Colloid and Surface Chemistry ,Lipid membrane ,medicine ,Lipid bilayer ,Fysikalisk kemi ,chemistry.chemical_classification ,Bacteria ,Chemistry ,Cell Membrane ,021001 nanoscience & nanotechnology ,Antimicrobial ,Anti-Bacterial Agents ,0104 chemical sciences ,Surfaces, Coatings and Films ,Electronic, Optical and Magnetic Materials ,medicine.anatomical_structure ,Membrane ,Biochemistry ,Drug delivery ,drug delivery ,Biophysics ,Microgel ,0210 nano-technology ,Antimicrobial peptide ,Gels ,Antimicrobial Cationic Peptides - Abstract
International audience; Microgels are interesting as potential delivery systems for antimicrobial peptides. In order to elucidate membrane interactions of such systems, we here investigate effects of microgel charge density on antimicrobial peptide loading and release, as well as consequences of this for membrane interactions and antimicrobial effects, using ellipsometry, circular dichroism spectroscopy, nanoparticle tracking analysis, dynamic light scattering and z-potential measurements. Anionic poly(ethyl acrylate-co-methacrylic acid) microgels were found to incorporate considerable amounts of the cationic antimicrobial peptides LL-37 (LLGDFFRKSKEKIGKEFKRIVQRIKDFLRNLVPRTES) and DPK-060 (GKHKNKGKKNGKHNGWKWWW) and to protect incorporated peptides from degradation by infection-related proteases at high microgel charge density. As a result of their net negative z-potential also at high peptide loading, neither empty nor peptide-loaded microgels adsorb at supported bacteria-mimicking membranes. Instead, membrane disruption is mediated almost exclusively by peptide release. Mirroring this, antimicrobial effects against several clinically relevant bacteria (methicillin-resistant Staphylococcus aureus (MRSA), Escherichia coli, and Pseudomonas aeruginosa) were found to be promoted by factors facilitating peptide release, such as decreasing peptide length and decreasing microgel charge density. Microgels were further demonstrated to display low toxicity towards erythrocytes. Taken together, the results demonstrate some interesting opportunities for the use of microgels as delivery systems for antimicrobial peptides, but also highlight several key factors which need to be controlled for their successful use
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- 2018
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13. Penicillin allergy status and its effect on antibiotic prescribing, patient outcomes and antimicrobial resistance (ALABAMA): protocol for a multicentre, parallel-arm, open-label, randomised pragmatic trial
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Sarah Tonkin-Crine, Sinisa Savic, Robert M West, Ly-Mee Yu, Sue Pavitt, Ushma Galal, Christopher C Butler, Marta Wanat, Johanna Cook, Bethany Shinkins, Mina Davoudianfar, Emily Bongard, Philip Howard, Marta Santillo, Jenny Boards, Jonathan A T Sandoe, Ruben Mujica-Mota, Razan Saman, Kelsey Fiona Armitage, Catherine E Porter, Shadia Ahmed, and Kate Corfield
- Subjects
Medicine - Abstract
Introduction Incorrect penicillin allergy records are recognised as an important barrier to the safe treatment of infection and affect an estimated 2.7 million people in England. Penicillin allergy records are associated with worse health outcome and antimicrobial resistance. The ALlergy AntiBiotics And Microbial resistAnce (ALABAMA) trial aims to determine if an intervention package, centred around a penicillin allergy assessment pathway (PAAP) initiated in primary care, is safe and effective in improving patient health outcomes and antibiotic prescribing.Methods and analysis The ALABAMA trial is a multicentre, parallel-arm, open-label, randomised pragmatic trial with a nested pilot study. Adults (≥18 years) with a penicillin allergy record and who have received antibiotics in the previous 24 months will be eligible for participation. Between 1592 and 2090 participants will be recruited from participating National Health Service general practices in England. Participants will be randomised to either usual care or intervention to undergo a pre-emptive PAAP using a 1:1 allocation ratio. The primary outcome measure is the percentage of treatment response failures within 28 days of an index prescription. 2090 and 1592 participants are estimated to provide 90% and 80% power, respectively, to detect a clinically important absolute difference of 7.9% in primary outcome at 1 year between groups. The trial includes a mixed-methods process evaluation and cost-effectiveness evaluation.Ethics and dissemination This trial has been approved by London Bridge Research Ethics Committee (ref: 19/LO/0176). It will be conducted in compliance with Good Clinical Practice guidelines according to the Declaration of Helsinki. Informed consent will be obtained from all subjects involved in the study. The primary trial results will be submitted for publication to an international, peer-reviewed journal.Trial registration ISRCTN20579216.
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- 2023
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14. Conformational Aspects of High Content Packing of Antimicrobial Peptides in Polymer Microgels
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Aritreyee Datta, Shalini Singh, Martin Malmsten, Anirban Bhunia, Artur Schmidtchen, Mina Davoudi, and Bruno C. Borro
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0301 basic medicine ,chemistry.chemical_classification ,Circular dichroism ,Materials science ,Polymers ,Molecular Conformation ,Isothermal titration calorimetry ,Peptide ,Turn (biochemistry) ,03 medical and health sciences ,030104 developmental biology ,Membrane ,chemistry ,Anti-Infective Agents ,Ionic strength ,Polymer chemistry ,Drug delivery ,Biophysics ,General Materials Science ,Gels ,Hydrophobic and Hydrophilic Interactions ,Alpha helix - Abstract
Successful use of microgels as delivery systems of antimicrobial peptides (AMPs) requires control of factors determining peptide loading and release to/from the microgels as well as of membrane interactions of both microgel particles and released peptides. Addressing these, we here investigate effects of microgel charge density and conformationally induced peptide amphiphilicity on AMP loading and release using detailed nuclear magnetic resonance (NMR) structural studies combined with ellipsometry, isothermal titration calorimetry, circular dichroism, and light scattering. In parallel, consequences of peptide loading and release for membrane interactions and antimicrobial effects were investigated. In doing so, poly(ethyl acrylate-co-methacrylic acid) microgels were found to incorporate the cationic AMPs EFK17a (EFKRIVQRIKDFLRNLV) and its partially d-amino acid-substituted variant EFK17da (E(dF)KR(dI)VQR(dI)KD(dF)LRNLV). Peptide incorporation was found to increase with increasing with microgel charge density and peptide amphiphilicity. After microgel incorporation, which appeared to occur preferentially in the microgel core, NMR showed EFK17a to form a helix with pronounced amphiphilicity, while EFK17da displayed a folded conformation, stabilized by a hydrophobic hub consisting of aromatic/aromatic and aliphatic/aromatic interactions, resulting in much lower amphiphilicity. Under wide ranges of peptide loading, the microgels displayed net negative z-potential. Such negatively charged microgels do not bind to, nor lyse, bacteria-mimicking membranes. Instead, membrane disruption in these systems is mediated largely by peptide release, which in turn is promoted at higher ionic strength and lower peptide amphiphilicity. Analogously, antimicrobial effects against Escherichia coli were found to be dictated by peptide release. Taken together, the findings show that peptide loading, packing, and release strongly affect the performance of microgels as AMP delivery systems, effects that can be tuned by (conformationally induced) peptide amphiphilicity and by microgel charge density.
- Published
- 2017
15. Membrane interactions and antimicrobial effects of layered double hydroxide nanoparticles
- Author
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Lina Nyström, Randi Nordström, Mina Davoudi, Martin Malmsten, S. Malekkhaiat Häffner, Artur Schmidtchen, Zhi Ping Xu, and Lee Kong Chian School of Medicine (LKCMedicine)
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Lipopolysaccharides ,Membrane lipids ,Antimicrobial peptides ,General Physics and Astronomy ,Nanoparticle ,02 engineering and technology ,Microbial Sensitivity Tests ,010402 general chemistry ,Gram-Positive Bacteria ,01 natural sciences ,chemistry.chemical_compound ,Membrane Lipids ,Anti-Infective Agents ,Hydroxides ,Physical and Theoretical Chemistry ,Particle Size ,Liposome ,021001 nanoscience & nanotechnology ,Antimicrobial ,0104 chemical sciences ,Membrane ,Biochemistry ,chemistry ,Liposomes ,Biophysics ,Hydroxide ,Nanoparticles ,Peptidoglycan ,0210 nano-technology ,Bacteria Flocculation ,Peptides - Abstract
Membrane interactions are critical for the successful use of inorganic nanoparticles as antimicrobial agents and as carriers of, or co-actives with, antimicrobial peptides (AMPs). In order to contribute to an increased understanding of these, we here investigate effects of particle size (42–208 nm) on layered double hydroxide (LDH) interactions with both bacteria-mimicking and mammalian-mimicking lipid membranes. LDH binding to bacteria-mimicking membranes, extraction of anionic lipids, as well as resulting membrane destabilization, was found to increase with decreasing particle size, also translating into size-dependent synergistic effects with the antimicrobial peptide LL-37. Due to strong interactions with anionic lipopolysaccharide and peptidoglycan layers, direct membrane disruption of both Gram-negative and Gram-positive bacteria is suppressed. However, LDH nanoparticles cause size-dependent charge reversal and resulting flocculation of both liposomes and bacteria, which may provide a mechanism for bacterial confinement or clearance. Taken together, these findings demonstrate a set of previously unknown behaviors, including synergistic membrane destabilization and dual confinement/killing of bacteria through combined LDH/AMP exposure, of potential therapeutic interest. Accepted version
- Published
- 2017
16. COX7A2L/SCAFI and Pre-Complex III Modify Respiratory Chain Supercomplex Formation in Different Mouse Strains with a Bcs1/Mutation
- Author
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Jukka Kallijärvi, Mina Davoudi, Heike Kotarsky, Vineta Fellman, Eva Hansson, Children's Hospital, Lastentautien yksikkö, and Clinicum
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0301 basic medicine ,Glycogens ,Heredity ,BCS1L ,Mutant ,Glycobiology ,Respiratory chain ,lcsh:Medicine ,PROTEIN ,Mitochondria, Liver ,Mitochondrion ,medicine.disease_cause ,Biochemistry ,Electron Transport Complex III ,Mice ,Oxidative Damage ,0302 clinical medicine ,MITOCHONDRIA ,Protein Isoforms ,lcsh:Science ,RCF1 ,Energy-Producing Organelles ,Mutation ,Multidisciplinary ,Physics ,Animal Models ,Physical sciences ,Genetic Mapping ,Chemistry ,Experimental Organism Systems ,Cellular Structures and Organelles ,Research Article ,Chemical physics ,Mouse Models ,Variant Genotypes ,Complement factor I ,Bioenergetics ,Biology ,Research and Analysis Methods ,Electron Transport Complex IV ,Mitochondrial Proteins ,03 medical and health sciences ,Model Organisms ,Species Specificity ,Genetics ,medicine ,Animals ,Alleles ,lcsh:R ,Biology and Life Sciences ,Dimers (Chemical physics) ,Cell Biology ,Molecular biology ,Mice, Mutant Strains ,030104 developmental biology ,Genetic Loci ,Coenzyme Q – cytochrome c reductase ,Genetics of Disease ,Respirasome ,ATPases Associated with Diverse Cellular Activities ,lcsh:Q ,3111 Biomedicine ,Reactive Oxygen Species ,030217 neurology & neurosurgery ,Molecular Chaperones - Abstract
The COX7A2L (Supercomplex Assembly Factor I, SCAFI) protein has been proposed to be a mitochondrial supercomplex assembly factor required for respirasome (supercomplex containing complexes I, III, and IV) formation. In the C57BU6 mouse strain a homozygous in-frame 6-base-pair deletion in the COX7a2I/SCAF1 gene resulting in unstable protein and suggesting loss of function was previously identified. The loss of SCAFI was shown to impede respirasome formation, a major concern for the use of C57BL mouse strains in mitochondrial research. In contradiction, another recent study suggested that supercomplex formation is independent of SCAFI isoforms. We investigated whether SCAFI isoform status affected the disease severity and supercomplex formation in the liver of Bcs1a232A>G knock-in mice with incomplete complex III assembly. In homozygotes (Bcs1/(G/G)) of mixed (C57BL/6:129/Sv) genetic background, the lifespan was similar in mice with wild-type SCAFI allele and in those homozygous (SCAF/(short/short)) for the deleted SCAF1 variant (34 3 days; n = 6 vs. 32 +/- 2 days; n = 7, respectively). SCAFI heterozygosity (SCAF/(long/short)) resulted in decreased SCAFI protein but respirasome assembly was unaffected. Congenic (C57BL/6) mice were of the genotype SCAF(short/short) and had no detectable SCAFI protein. In their liver mitochondria, respirasome composition was altered as compared to mixed background mice. Complex IV was mainly present as monomers and dimers, and only low amounts were found in combination with complex I and complex III or with precomplex III. The main supercomplex in the liver mitochondria of C57BU6 mice comprised only complexes I and III. In conclusion, in liver mitochondria of C57BL/6 mice, supercomplexes had markedly reduced amount of, but were not completely depleted of, complex IV, supporting a role for COX7A2L/SCAFI in supercomplex assembly. However, the disease progression of the Bcs1/mutant mice was unrelated to SCAFI isoforms and supercomplex composition, suggesting that other genetic factors contribute to the different survival in the different genetic backgrounds.
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- 2016
17. Membrane interactions of mesoporous silica nanoparticles as carriers of antimicrobial peptides
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Alexander Pochert, Mina Davoudi, Martin Malmsten, Mika Lindén, Randi Nordström, Artur Schmidtchen, Katharina Braun, Lee Kong Chian School of Medicine (LKCMedicine), and Lee Kong Chian School of Medicine
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Erythrocytes ,Cell Survival ,Surface Properties ,Silicon dioxide ,Antimicrobial peptides ,Nanoparticle ,Microbial Sensitivity Tests ,02 engineering and technology ,010402 general chemistry ,01 natural sciences ,Biomaterials ,chemistry.chemical_compound ,antimicrobial peptides ,Colloid and Surface Chemistry ,Escherichia coli ,Humans ,Organic chemistry ,Particle Size ,membrane ,Drug Carriers ,Chemistry ,Mesoporous silica ,Silicon Dioxide ,021001 nanoscience & nanotechnology ,Anti-Bacterial Agents ,0104 chemical sciences ,Surfaces, Coatings and Films ,Electronic, Optical and Magnetic Materials ,Surface coating ,Membrane ,Chemical engineering ,Nanoparticles ,Adsorption ,0210 nano-technology ,Mesoporous material ,Drug carrier ,Porosity - Abstract
Membrane interactions are critical for the successful use of mesoporous silica nanoparticles as delivery systems for antimicrobial peptides (AMPs). In order to elucidate these, we here investigate effects of nanoparticle charge and porosity on AMP loading and release, as well as consequences of this for membrane interactions and antimicrobial effects. Anionic mesoporous silica particles were found to incorporate considerable amounts of the cationic AMP LLGDFFRKSKEKIGKEFKRIVQRIKDFLRNLVPRTES (LL-37), whereas loading is much lower for non-porous or positively charged silica nanoparticles. Due to preferential pore localization, anionic mesoporous particles, but not the other particles, protect LL-37 from degradation by infection-related proteases. For anionic mesoporous nanoparticles, membrane disruption is mediated almost exclusively by peptide release. In contrast, non-porous silica particles build up a resilient LL-37 surface coating due to their higher negative surface charge, and display largely particle-mediated membrane interactions and antimicrobial effects. For positively charged mesoporous silica nanoparticles, LL-37 incorporation promotes the membrane binding and disruption displayed by the particles in the absence of peptide, but also causes toxicity against human erythrocytes. Thus, the use of mesoporous silica nanoparticles as AMP delivery systems requires consideration of membrane interactions and selectivity of both free peptide and the peptide-loaded nanoparticles, the latter critically dependent on nanoparticle properties. Accepted version
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- 2016
18. Boosting Antimicrobial Peptides by Hydrophobic Oligopeptide End Tags
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Anna Chalupka, Jan Alenfall, Artur Schmidtchen, Matthias Mörgelin, Mina Davoudi, Mukesh Pasupuleti, and Martin Malmsten
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Keratinocytes ,Staphylococcus aureus ,Antifungal Agents ,Swine ,Antimicrobial peptides ,Peptide binding ,Microbial Sensitivity Tests ,Biology ,medicine.disease_cause ,Hemolysis ,Biochemistry ,Microbiology ,Bacterial Proteins ,In vivo ,Candida albicans ,Escherichia coli ,medicine ,Animals ,Humans ,Genomics, Proteomics, and Bioinformatics ,Aureolysin ,Molecular Biology ,Cells, Cultured ,Cell Proliferation ,Oligopeptide ,Liposome ,L-Lactate Dehydrogenase ,Kininogens ,Circular Dichroism ,Serine Endopeptidases ,Metalloendopeptidases ,Cell Biology ,Anti-Bacterial Agents ,Female ,Leukocyte Elastase ,Hydrophobic and Hydrophilic Interactions ,Oligopeptides ,Ex vivo ,Antimicrobial Cationic Peptides - Abstract
A novel approach for boosting antimicrobial peptides through end tagging with hydrophobic oligopeptide stretches is demonstrated. Focusing on two peptides derived from kininogen, GKHKNKGKKNGKHNGWK (GKH17) and HKHGHGHGKHKNKGKKN (HKH17), tagging resulted in enhanced killing of Gram-positive Staphylococcus aureus, Gram-negative Escherichia coli, and fungal Candida albicans. Microbicidal potency increased with tag length, also in plasma, and was larger for Trp and Phe stretches than for aliphatic ones. The enhanced microbicidal effects correlated to a higher degree of bacterial wall rupture. Analogously, tagging promoted peptide binding to model phospholipid membranes and liposome rupture, particularly for anionic and cholesterol-void membranes. Tagged peptides displayed low toxicity, particularly in the presence of serum, and resisted degradation by human leukocyte elastase and by staphylococcal aureolysin and V8 proteinase. The biological relevance of these findings was demonstrated ex vivo and in vivo in porcine S. aureus skin infection models. The generality of end tagging for facile boosting of antimicrobial peptides without the need for post-synthesis modification was also demonstrated.
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- 2009
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- View/download PDF
19. A mouse model of mitochondrial complex III dysfunction induced by myxothiazol
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Mina Davoudi, Vineta Fellman, Heike Kotarsky, Sanna Marjavaara, Jukka Kallijärvi, Eva Ekvall Hansson, and Per Levéen
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Ubiquinol ,Antifungal Agents ,BCS1L ,Biophysics ,Respiratory chain ,Mitochondrion ,Biology ,Biochemistry ,03 medical and health sciences ,chemistry.chemical_compound ,Electron Transport Complex III ,Mice ,0302 clinical medicine ,Gene expression ,Animals ,Molecular Biology ,030304 developmental biology ,0303 health sciences ,Myxothiazol ,Cell Biology ,Molecular biology ,In vitro ,3. Good health ,Mitochondria ,Mice, Inbred C57BL ,Disease Models, Animal ,Thiazoles ,chemistry ,Liver ,Cell culture ,Methacrylates ,lipids (amino acids, peptides, and proteins) ,030217 neurology & neurosurgery - Abstract
Myxothiazol is a respiratory chain complex III (CIII) inhibitor that binds to the ubiquinol oxidation site Qo of CIII. It blocks electron transfer from ubiquinol to cytochrome b and thus inhibits CIII activity. It has been utilized as a tool in studies of respiratory chain function in in vitro and cell culture models. We developed a mouse model of biochemically induced and reversible CIII inhibition using myxothiazol. We administered myxothiazol intraperitoneally at a dose of 0.56 mg/kg to C57Bl/J6 mice every 24 h and assessed CIII activity, histology, lipid content, supercomplex formation, and gene expression in the livers of the mice. A reversible CIII activity decrease to 50% of control value occurred at 2 h post-injection. At 74 h only minor histological changes in the liver were found, supercomplex formation was preserved and no significant changes in the expression of genes indicating hepatotoxicity or inflammation were found. Thus, myxothiazol-induced CIII inhibition can be induced in mice for four days in a row without overt hepatotoxicity or lethality. This model could be utilized in further studies of respiratory chain function and pharmacological approaches to mitochondrial hepatopathies.
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- 2014
20. Effect of experimental complex III deficiency on respiratory chain assembly and function
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Mina Davoudi
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lipids (amino acids, peptides, and proteins) ,Pediatrics - Abstract
The assembly of respiratory chain complexes in the mitochondrial inner membrane requires specific factors. Once assembled to form a mature functional complex, complex III (CIII) is a dimer consisting of two monomers, each with eleven subunits. To date, seven assembly factors for CIII are known, of which BCS1L incorporates the Rieske iron-sulfur protein (RISP) in the last stage of the assembly. The most severe CIII deficiency, due to a mutation in BCS1L (homozygous c.232A>G), is GRACILE syndrome (growth restriction, aminoaciduria, cholestasis, iron accumulation, lactic acidosis, and early death, MIM 603358). To clarify the mechanisms of BCS1L-related disorders, especially possible changes in supercomplex formation, the specific aims of this thesis were to investigate CIII assembly and supercomplexes in a mouse model harboring the Bcs1l mutation c.232A>G. In homozygotes, the mutation results in a progressive CIII deficiency mimicking the human syndrome. To elucidate the role of the RISP subunit, wild type mice were exposed to CIII inhibition with myxothiazol administration. The result showed that complex I can interact with pre-complex III and form a supercomplex in the absence of mature holo-CIII. When RISP was inhibited in CIII by myxothiazol, supercomplex formation was not affected. The supercomplex assembly factor I (Scafi) is required for inclusion of complex IV in supercomplexes. Liver metabolomics of the progressive CIII deficiency in homozygous mice showed a starvation-like situation and signs of oxidative stress at the end stage of the disease. In conclusion, supercomplex formation is a dynamic process that in the case of mutations in BCS1L or supercomplex assembly factor I is modified to incorporate the pre-complex of CIII and an increased amount of complex I to maintain respiratory chain function. Kroppens förmåga att omvandla matens energi till energi som kan användas i organen sker i små organeller som finns i alla kroppens celler, mitokondrierna. Avvikelser i mitokondrierna förorsakar därför ofta svåra sjukdomar. GRACILE syndrom är en medfödd mitokondriell sjukdom, som leder till svår tillväxthämning, problem med ämnesomsättningen och tidig död. Det finns ingen behandling för dessa barn. Sjukdomen beror på en mutation i BCS1L genen. Detta leder till ett förändrat BCS1L protein, som inte längre kan bygga ihop komplex III i andningskedjan. Andningskedjan finns i mitokondrierna och har till uppgift att skapa cellernas energi, ATP. Andningskedjan består av fyra stora proteinkomplex. Om BCS1L proteinet inte kan bygga ihop komplex III blir andningskedjan mindre effektiv och kan inte längre producera tillräckligt ATP. För att förstå komplex III bättre och på sikt kunna hjälpa patienter med mitokondriesjukdom p.g.a. minskad komplex III funktion har vi skapat en musmodell där vi kan undersöka hur komplexen och deras samspel i andningskedjan påverkas av en mutation i BCS1L. Mutation i motsvarande gen i möss leder till snarlik sjukdomsbild som de nyfödda barnen har. Genom att isolera mitokondrier och membranproteiner från muslever analyserade vi proteinsammansättningen i sjuka möss och jämförde med kontroller. Resultatet visade att mutationen leder till att ett bristfälligt ihop byggt komplex III kan delta i formation av sammansatta komplex, så kallade superkomplex, och på så sätt kompensera för bristen. Vi studerade två musstammar med olika superkomplex och visade att variationen i superkomplexstrukturen inte hade betydelse för mössens överlevnad. Våra studier visade att andningskedjans komplex kan bilda fungerande kombinationer på ett dynamiskt sätt om komplex III har en avvikande struktur och på så sätt upprätthålla andningskedjans funktion åtminstone en tid.
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- 2014
21. Complex I Function and Supercomplex Formation Are Preserved in Liver Mitochondria Despite Progressive Complex III Deficiency
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Vineta Fellman, Mina Davoudi, Heike Kotarsky, Eva Hansson, Children's Hospital, Lastentautien yksikkö, and Clinicum
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IRON-OVERLOAD ,BCS1L ,Mouse ,Respiratory chain ,PROTEIN ,lcsh:Medicine ,Mitochondria, Liver ,Nonalcoholic Steatohepatitis ,Pediatrics ,Liver disorder ,Electron Transport Complex III ,Mice ,RESPIRASOME ,3123 Gynaecology and paediatrics ,Molecular Cell Biology ,Electrophoresis, Gel, Two-Dimensional ,lcsh:Science ,MUTATION ,Multidisciplinary ,biology ,CYTOCHROME BC(1) COMPLEX ,Liver Diseases ,Animal Models ,ABSENCE ,Cellular Structures ,Biochemistry ,Electron Transport Complex I ,Medicine ,Electrophoresis, Polyacrylamide Gel ,RESPIRATORY-CHAIN ,GRACILE SYNDROME ,Research Article ,MAMMALIAN MITOCHONDRIA ,PERMEABILITY TRANSITION ,Protein subunit ,education ,Blotting, Western ,Mice, Transgenic ,Gastroenterology and Hepatology ,Electron Transport ,Oxygen Consumption ,Model Organisms ,Animals ,Biology ,lcsh:R ,Subcellular Organelles ,Chaperone (protein) ,Coenzyme Q – cytochrome c reductase ,Metabolic Disorders ,Respirasome ,biology.protein ,ATPases Associated with Diverse Cellular Activities ,lcsh:Q ,Neonatology ,Molecular Chaperones - Abstract
Functional oxidative phosphorylation requires appropriately assembled mitochondrial respiratory complexes and their supercomplexes formed mainly of complexes I, III and IV. BCS1L is the chaperone needed to incorporate the catalytic subunit, Rieske iron-sulfur protein, into complex III at the final stage of its assembly. In cell culture studies, this subunit has been considered necessary for supercomplex formation and for maintaining the stability of complex I. Our aim was to assess the importance of fully assembled complex III for supercomplex formation in intact liver tissue. We used our transgenic mouse model with a homozygous c.232A>G mutation in Bcs1l leading to decreased expression of BCS1L and progressive decrease of Rieske iron-sulfur protein in complex III, resulting in hepatopathy. We studied supercomplex formation at different ages using blue native gel electrophoresis and complex activity using high-resolution respirometry. In isolated liver mitochondria of young and healthy homozygous mutant mice, we found similar supercomplexes as in wild type. In homozygotes aged 27-29 days with liver disorder, complex III was predominantly a pre-complex lacking Rieske iron-sulfur protein. However, the main supercomplex was clearly detected and contained complex III mainly in the pre-complex form. Oxygen consumption of complex IV was similar and that of complex I was twofold compared with controls. These complexes in free form were more abundant in homozygotes than in controls, and the mRNA of complex I subunits were upregulated. In conclusion, when complex III assembly is deficient, the pre-complex without Rieske iron-sulfur protein can participate with available fully assembled complex III in supercomplex formation, complex I function is preserved, and respiratory chain stability is maintained.
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- 2014
22. Metabolite profiles reveal energy failure and impaired beta-oxidation in liver of mice with complex III deficiency due to a BCS1L mutation
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Mina Davoudi, Per Levéen, Vineta Fellman, David Enot, Riitta Karikoski, Heike Kotarsky, Matthias Keller, Haartman Institute (-2014), Department of Pathology, Lastentautien yksikkö, and Children's Hospital
- Subjects
Mitochondrial Diseases ,Anatomy and Physiology ,Mouse ,GRACILE syndrome ,Succinic Acid ,Medizin ,lcsh:Medicine ,Mitochondrion ,medicine.disease_cause ,Biochemistry ,Pediatrics ,Antioxidants ,Mass Spectrometry ,Electron Transport Complex III ,Mice ,0302 clinical medicine ,Fumarates ,lcsh:Science ,Beta oxidation ,Protein Metabolism ,2. Zero hunger ,0303 health sciences ,Multidisciplinary ,Liver Diseases ,Fatty liver ,Animal Models ,Lipids ,Oxygen Metabolism ,3. Good health ,Liver ,030220 oncology & carcinogenesis ,Carbohydrate Metabolism ,Medicine ,Research Article ,medicine.medical_specialty ,Mitochondrial disease ,Mitochondrial Hepatopathy ,Gastroenterology and Hepatology ,Biology ,03 medical and health sciences ,Model Organisms ,Internal medicine ,medicine ,Genetics ,Animals ,030304 developmental biology ,Clinical Genetics ,lcsh:R ,Human Genetics ,Hydrogen Peroxide ,medicine.disease ,Lipid Metabolism ,Adenosine Monophosphate ,Oxidative Stress ,Endocrinology ,Metabolism ,Mutation ,ATPases Associated with Diverse Cellular Activities ,lcsh:Q ,3111 Biomedicine ,Steatosis ,Physiological Processes ,Energy Metabolism ,Oxidative stress ,Molecular Chaperones - Abstract
AIMS: Liver is a target organ in many mitochondrial disorders, especially if the complex III assembly factor BCS1L is mutated. To reveal disease mechanism due to such mutations, we have produced a transgenic mouse model with c.232A>G mutation in Bcs1l, the causative mutation for GRACILE syndrome. The homozygous mice develop mitochondrial hepatopathy with steatosis and fibrosis after weaning. Our aim was to assess cellular mechanisms for disease onset and progression using metabolomics. METHODS: With mass spectrometry we analyzed metabolite patterns in liver samples obtained from homozygotes and littermate controls of three ages. As oxidative stress might be a mechanism for mitochondrial hepatopathy, we also assessed H(2)O(2) production and expression of antioxidants. RESULTS: Homozygotes had a similar metabolic profile at 14 days of age as controls, with the exception of slightly decreased AMP. At 24 days, when hepatocytes display first histopathological signs, increases in succinate, fumarate and AMP were found associated with impaired glucose turnover and beta-oxidation. At end stage disease after 30 days, these changes were pronounced with decreased carbohydrates, high levels of acylcarnitines and amino acids, and elevated biogenic amines, especially putrescine. Signs of oxidative stress were present in end-stage disease. CONCLUSIONS: The findings suggest an early Krebs cycle defect with increases of its intermediates, which might play a role in disease onset. During disease progression, carbohydrate and fatty acid metabolism deteriorate leading to a starvation-like condition. The mouse model is valuable for further investigations on mechanisms in mitochondrial hepatopathy and for interventions.
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- 2012
23. Antimicrobial activity of a C-terminal peptide from human extracellular superoxide dismutase
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Artur Schmidtchen, Mina Davoudi, Martin Malmsten, and Mukesh Pasupuleti
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Medicine(all) ,Innate immune system ,biology ,Biochemistry, Genetics and Molecular Biology(all) ,business.industry ,Effector ,Antimicrobial peptides ,lcsh:R ,Short Report ,lcsh:Medicine ,Endogeny ,General Medicine ,biology.organism_classification ,Antimicrobial ,General Biochemistry, Genetics and Molecular Biology ,Microbiology ,lcsh:Biology (General) ,Medicine ,Pharmaceutical sciences ,business ,lcsh:Science (General) ,Protein secondary structure ,lcsh:QH301-705.5 ,Bacteria ,lcsh:Q1-390 - Abstract
Background Antimicrobial peptides (AMP) are important effectors of the innate immune system. Although there is increasing evidence that AMPs influence bacteria in a multitude of ways, bacterial wall rupture plays the pivotal role in the bactericidal action of AMPs. Structurally, AMPs share many similarities with endogenous heparin-binding peptides with respect to secondary structure, cationicity, and amphipathicity. Findings In this study, we show that RQA21 (RQAREHSERKKRRRESECKAA), a cationic and hydrophilic heparin-binding peptide corresponding to the C-terminal region of extracellular superoxide dismutase (SOD), exerts antimicrobial activity against Escherichia coli, Pseudomonas aeruginosa, Staphylococcus aureus, Bacillus subtilis and Candida albicans. The peptide was also found to induce membrane leakage of negatively charged liposomes. However, its antibacterial effects were abrogated in physiological salt conditions as well as in plasma. Conclusion The results provide further evidence that heparin-binding peptide regions are multifunctional, but also illustrate that cationicity alone is not sufficient for AMP function at physiological conditions. However, our observation, apart from providing a link between heparin-binding peptides and AMPs, raises the hypothesis that proteolytically generated C-terminal SOD-derived peptides could interact with, and possibly counteract bacteria. Further studies are therefore merited to study a possible role of SOD in host defence.
- Published
- 2009
24. Managing Penicillin Allergy in Primary Care: An Important but Neglected Aspect of Antibiotic Stewardship
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Marta Wanat, Sibyl Anthierens, Marta Santillo, Catherine Porter, Joanne Fielding, Mina Davoudianfar, Emily Bongard, Ly-Mee Yu, Christopher Butler, Louise Savic, Sinisa Savic, Johanna Cook, Kelsey Armitage, Philip Howard, Sue Pavitt, Jonathan A. T. Sandoe, and Sarah Tonkin-Crine
- Subjects
penicillin allergy ,general practice ,intervention development ,Medicine - Abstract
An estimated 2.7 million people in the UK are potentially prevented from accessing highly effective and inexpensive penicillins as a result of incorrect penicillin allergy records. Removing incorrect penicillin allergy records may lead to improved patient outcomes and contribute to the tackling of antibiotic resistance. We aim to develop and evaluate whether the ‘Penicillin Allergy Assessment Pathway’ (PAAP) is effective in improving patient outcomes. At the first stage of this work, we have focused on understanding patients’ and primary care clinicians’ views of attending and referring to penicillin allergy testing, and then prescribing and consuming penicillin following a negative test result.
- Published
- 2023
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- View/download PDF
25. Antimicrobial peptides derived from growth factors
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Martin Malmsten, Artur Schmidtchen, Matthias Mörgelin, Mina Davoudi, Björn Walse, Victoria Rydengård, and Mukesh Pasupuleti
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Models, Molecular ,Staphylococcus aureus ,Heparin-binding EGF-like growth factor ,Clinical Biochemistry ,Antimicrobial peptides ,Molecular Sequence Data ,Peptide ,Microbial Sensitivity Tests ,In Vitro Techniques ,Fibroblast growth factor ,Microbiology ,Endocrinology ,Amphiregulin ,Candida albicans ,Escherichia coli ,Humans ,Amino Acid Sequence ,Growth Substances ,Peptide sequence ,chemistry.chemical_classification ,biology ,Bacteria ,Epidermal Growth Factor ,Cell Biology ,biology.organism_classification ,Antimicrobial ,Microscopy, Electron ,Biochemistry ,chemistry ,Pseudomonas aeruginosa ,Intercellular Signaling Peptides and Proteins ,Antimicrobial Cationic Peptides ,Bacillus subtilis ,Heparin-binding EGF-like Growth Factor - Abstract
Growth factors, comprising diverse protein and peptide families, are involved in a multitude of developmental processes, including embryogenesis, angiogenesis, and wound healing. Here we show that peptides derived from HB-EGF, amphiregulin, hepatocyte growth factor, PDGF-A and PDGF-B, as well as various FGFs are antimicrobial, demonstrating a previously unknown activity of growth factor-derived peptides. The peptides killed the Gram-negative bacteria Escherichia coli, Pseudomonas aeruginosa, and the Gram-positive Bacillus subtilis, as well as the fungus Candida albicans. Several peptides were also active against the Gram-positive S. aureus. Electron microscopy analysis of peptide-treated bacteria, paired with analysis of peptide effects on liposomes, showed that the peptides exerted membrane-breaking effects similar to those seen after treatment with the "classical" human antimicrobial peptide LL-37. Furthermore, HB-EGF was antibacterial per se, and its epitope GKRKKKGKGLGKKRDPCLRKYK retained its activity in presence of physiological salt and plasma. No discernible hemolysis was noted for the growth factor-derived peptides. Besides providing novel templates for design of peptide-based antimicrobials, our findings demonstrate a previously undisclosed link between the family of growth factors and antimicrobial peptides, both of which are induced during tissue remodelling and repair.
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- 2007
26. Antimicrobial activity of histidine-rich peptides is dependent on acidic conditions
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Matthias Mörgelin, Martin Malmsten, Mina Davoudi, Lukasz A. Kacprzyk, Mukesh Pasupuleti, Victoria Rydengård, and Artur Schmidtchen
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Infectious Medicine ,Histidine-rich glycoprotein ,Antimicrobial peptides ,Molecular Sequence Data ,Biophysics ,Peptide ,Biology ,medicine.disease_cause ,Biochemistry ,Microbiology ,Heparin-binding ,medicine ,Amino Acid Sequence ,Candida albicans ,Escherichia coli ,Histidine ,chemistry.chemical_classification ,pH ,Heparin ,Circular Dichroism ,Cell Membrane ,Proteins ,Cell Biology ,Hydrogen-Ion Concentration ,medicine.disease ,Antimicrobial ,biology.organism_classification ,Hemolysis ,Anti-Bacterial Agents ,Dermatology and Venereal Diseases ,chemistry ,Liposomes ,Antimicrobial peptide ,Bacteria - Abstract
Synthetic peptides composed of multiples of the consensus heparin-binding Cardin and Weintraub sequences AKKARA and ARKKAAKA are antimicrobial. Replacement of lysine and arginine by histidine in these peptides completely abrogates their antimicrobial and heparin-binding activities at neutral pH. However, the antibacterial activity against Gram-negative (Escherichia coli, Pseudomonas aeruginosa) and Gram-positive bacteria (Bacillus subtilis and Staphylococcus aureus) as well as the fungus Candida albicans, was restored at acidic conditions (pH 5.5). Fluorescence microscopy and FACS analysis showed that the binding of the histidine-rich peptides to E. coli and Candida was significantly enhanced at pH 5.5. Likewise, fluorescence studies for assessment of membrane permeation as well as electron microscopy analysis of peptide-treated bacteria, paired with studies of peptide effects on liposomes, demonstrated that the peptides induce membrane lysis only at acidic pH. No discernible hemolysis was noted for the histidine-rich peptides. Similar pH-dependent antimicrobial activities were demonstrated for peptides derived from histidine-rich and heparin-binding regions of human kininogen and histidine-rich glycoprotein. The results demonstrate that the presence of an acidic environment is an important regulator of the activity of histidine-rich antimicrobial peptides.
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- 2007
27. In silico identification and biological evaluation of antimicrobial peptides based on human cathelicidin LL-37
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Martin Malmsten, Artur Schmidtchen, Pia Andersson, Mina Davoudi, Thorgerdur Sigurdardottir, and Mikael Bodelsson
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Lipopolysaccharides ,Models, Molecular ,medicine.medical_treatment ,Antimicrobial peptides ,Molecular Sequence Data ,Peptide ,DNA Fragmentation ,Candida parapsilosis ,medicine.disease_cause ,Muscle, Smooth, Vascular ,Protein Structure, Secondary ,Cathelicidin ,Microbiology ,Cathelicidins ,Sepsis ,medicine ,Animals ,Humans ,Pharmacology (medical) ,Amino Acid Sequence ,Candida albicans ,Mechanisms of Action: Physiological Effects ,Nitrites ,Pharmacology ,chemistry.chemical_classification ,Nitrates ,biology ,Blood Proteins ,biology.organism_classification ,Antimicrobial ,In vitro ,Peptide Fragments ,Chemotaxis, Leukocyte ,Infectious Diseases ,chemistry ,Biochemistry ,Staphylococcus aureus ,Liposomes ,Antimicrobial Cationic Peptides ,Granulocytes ,Protein Binding - Abstract
Bacterial lipopolysaccharides (LPS) are important triggers of the widespread inflammatory response, which contributes to the development of multiple organ failure during sepsis. The helical 37-amino-acid-long human antimicrobial peptide LL-37 not only possesses a broad-spectrum antimicrobial activity but also binds and neutralizes LPS. However, the use of LL-37 in sepsis treatment is hampered by the fact that it is also cytotoxic. To find a less toxic analog of LL-37, we used in silico analysis to identify amphipathic helical regions of LL-37. A 21-amino-acid fragment (GKE) was synthesized, the biological actions of which were compared to those of two equally long peptides derived from the N and C termini of LL-37 as well as native LL-37. GKE displayed antimicrobial activity against Escherichia coli , Pseudomonas aeruginosa , Staphylococcus aureus , Candida albicans , and Candida parapsilosis that was similar to or even stronger than LL-37. GKE, as well as the equally long control peptides, attracted granulocytes in a fashion similar to that of LL-37, while only GKE was as potent as LL-37 in inhibiting LPS-induced vascular nitric oxide production. GKE caused less hemolysis and apoptosis in human cultured smooth muscle cells than LL-37. In summary, we have identified an active domain of LL-37, GKE, which displays antimicrobial activity in vitro and LPS-binding activity similar to those of LL-37 but is less toxic. GKE therefore holds promise as a template for the development of peptide antibiotics for the treatment of sepsis.
- Published
- 2006
28. Bacterial killing by heparin-binding peptides from PRELP and thrombospondin
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Martin Malmsten, Mina Davoudi, and Artur Schmidtchen
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Antimicrobial peptides ,Molecular Sequence Data ,Peptide ,In Vitro Techniques ,Microbiology ,Escherichia coli ,Humans ,Amino Acid Sequence ,Molecular Biology ,Peptide sequence ,Glycoproteins ,chemistry.chemical_classification ,Thrombospondin ,Extracellular Matrix Proteins ,Innate immune system ,biology ,Bacteria ,Effector ,Blood Proteins ,Antimicrobial ,Peptide Fragments ,Extracellular Matrix ,Biochemistry ,chemistry ,Pseudomonas aeruginosa ,biology.protein ,Vitronectin ,Carrier Proteins ,Thrombospondins ,Antimicrobial Cationic Peptides ,Bacillus subtilis - Abstract
Antimicrobial peptides (AMP) are effector molecules of the innate immune system. A cross-functionality exists between AMPs and heparin-binding peptides. Here, we show that the peptides QPTRRPRPGTGPGRRPRPRPRP (QPT22), derived from proline arginine-rich end leucine-rich repeat protein (PRELP) and KRFKQDGGWSHWSPWSS (KRF17) from thrombospondin exert antimicrobial activities against the Gram-negative bacteria Escherichia coli and Pseudomonas aeruginosa, as well as against the Gram-positive Bacillus subtilis. Analysis by fluorescence microscopy demonstrated that QPT22 and KRF17 bind to bacterial membranes. Particularly QPT22 was found to induce membrane leakage of liposomes. The peptides displayed no hemolytic activities, nor did they exert membrane permeabilising effects on human epithelial cells. Additional peptides derived from heparin-binding regions of laminin, vitronectin, and fibronectin exerted similar antibacterial effects. Several peptides also showed activity against Staphylococcus aureus. Thus, the data disclose a novel antimicrobial activity of heparin-binding regions of matrix glycoproteins. The findings can be utilized in the development of novel AMPs for therapeutic use.
- Published
- 2005
29. Probiotics to reduce antibiotic administration in care home residents aged 65 years and older: the PRINCESS RCT
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Christopher C Butler, Eleri Owen-Jones, Mandy Lau, David Gillespie, Mark Lown, Philip C Calder, Helen Stanton, Mandy Wootton, Vivian Castro Herrera, Antony Bayer, Jane Davies, Alison Edwards, Mina Davoudianfar, Heather Rutter, Kerenza Hood, Michael Moore, Paul Little, Victoria Shepherd, Rachel Lowe, Elizabeth A Miles, Julia Townson, FD Richard Hobbs, and Nick A Francis
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probiotics ,aged ,long-term care ,infection ,anti-bacterial agents ,quality of life ,hospitalisation ,influenza vaccinations ,Medicine - Abstract
Background: Care homes are an increasingly important sector of care. Care home residents are particularly vulnerable to infections and are often prescribed antibiotics, driving antibiotic resistance. Probiotics may be a cheap and safe way to reduce antibiotic use. Efficacy and possible mechanisms of action are yet to be rigorously evaluated in this group. Objective: The objective was to evaluate efficacy and explore mechanisms of action of a daily oral probiotic combination in reducing antibiotic use and infections in care home residents. Design: This was a multicentre, parallel, individually randomised, placebo-controlled, double-blind trial, with qualitative evaluation and mechanistic studies. Setting: A total of 310 care home residents were randomised from 23 UK care homes (from December 2016 to May 2018). Participants: The participants were care home residents aged ≥ 65 years who were willing and able to give informed consent or, if they lacked capacity to consent, had a consultee to advise about participation on their behalf. Intervention: A daily capsule containing an oral probiotic combination of Lactobacillus rhamnosus GG and Bifidobacterium animalis subsp. lactis BB-12 (n = 155) or matched placebo (n = 155) for up to 1 year. Main outcome measures: The primary outcome was cumulative systemic antibiotic administration days for all-cause infections. Secondary outcomes included incidence and duration of infections, antibiotic-associated diarrhoea, quality of life, hospitalisations and the detection of resistant Enterobacterales cultured from stool samples (not exclusively). Methods: Participants were randomised (1 : 1) to receive capsules containing probiotic or matched placebo. Minimisation was implemented for recruiting care home and care home resident sex. Care home residents were followed up for 12 months with a review by a research nurse at 3 months and at 6–12 months post randomisation. Care home residents, consultees, care home staff and all members of the trial team, including assessors and statisticians, were blinded to group allocation. Results: Care home residents who were randomised to probiotic had a mean 12.9 cumulative systemic antibiotic administration days (standard error 1.49 days) (n = 152) and care home residents randomised to placebo had a mean 12.0 cumulative systemic antibiotic administration days (standard error 1.50 days) (n = 153) (adjusted incidence rate ratio = 1.13, 95% confidence interval 0.79 to 1.63; p = 0.495). There was no evidence of any beneficial effects on incidence and duration of infections, antibiotic-associated diarrhoea, quality of life, hospitalisations, the detection of resistant Enterobacterales cultured from stool samples or other secondary outcomes. There was no evidence that this probiotic combination improved blood immune cell numbers, subtypes or responses to seasonal influenza vaccination. Conclusions: Care home residents did not benefit from daily consumption of a combination of the probiotics Lactobacillus rhamnosus GG and Bifidobacterium animalis subsp. lactis BB-12 to reduce antibiotic consumption. Limitations: Limitations included the following: truncated follow-up of some participants; higher than expected probiotics in stool samples at baseline; fewer events than expected meant that study power may have been lower than anticipated; standard infection-related definitions were not used; and findings are not necessarily generalisable because effects may be strain specific and could vary according to patient population. Future work: Future work could involve further rigorous efficacy, mechanisms and effectiveness trials of other probiotics in other population groups and settings regarding antibiotic use and susceptibility to and recovery from infections, in which potential harms should be carefully studied. Trial registration: Current Controlled Trials ISRCTN16392920. Funding: This project was funded by the Efficacy and Mechanism Evaluation (EME) programme, a MRC and NIHR partnership. This will be published in full in Efficacy and Mechanism Evaluation; Vol. 8, No. 7. See the NIHR Journals Library website for further project information.
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- 2021
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30. Developing a behavioural intervention package to identify and amend incorrect penicillin allergy records in UK general practice and subsequently change antibiotic use
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Sarah Tonkin-Crine, Robert West, Sinisa Savic, Jonathan Sandoe, Ly-Mee Yu, Sue Pavitt, Christopher C Butler, Marta Wanat, Bethany Shinkins, Mina Davoudianfar, Emily Bongard, Philip Howard, Catherine Porter, Mandy East, Marta Santillo, Louise Savic, Joanne Fielding, and Jenny Boards
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Medicine - Abstract
Objectives To develop a behavioural intervention package to support clinicians and patients to amend incorrect penicillin allergy records in general practice. The intervention aimed to: (1) support clinicians to refer patients for penicillin allergy testing (PAT), (2) support patients to attend for PAT and (3) support clinicians and patients to prescribe or consume penicillin, when indicated, following a negative PAT result.Methods Theory-based, evidence-based and person-based approaches were used in the intervention development. We used evidence from a rapid review, two qualitative studies, and expert consultations with the clinical research team to identify the intervention ‘guiding principles’ and develop an intervention plan. Barriers and facilitators to the target behaviours were mapped to behaviour change theory in order to describe the proposed mechanisms of change. In the final stage, think-aloud interviews were conducted to optimise intervention materials.Results The collated evidence showed that the key barriers to referral of patients by clinicians were limited experience of referral and limited knowledge of referral criteria and PAT. Barriers for patients attending PAT were lack of knowledge of the benefits of testing and lack of motivation to get tested. The key barriers to the prescription and consumption of first-line penicillin following a negative test result were patient and clinician beliefs about the accuracy of PAT and whether taking penicillin was safe. Intervention materials were designed and developed to address these barriers.Conclusions We present a novel behavioural intervention package designed to address the multiple barriers to uptake of PAT in general practice by clinicians and patients. The intervention development details how behaviour change techniques have been incorporated to hypothesise how the intervention is likely to work to help amend incorrect penicillin allergy records. The intervention will go on to be tested in a feasibility trial and randomised controlled trial in England.
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- 2020
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31. Protocol for a double-blind placebo-controlled trial to evaluate the efficacy of probiotics in reducing antibiotics for infection in care home residents: the Probiotics to Reduce Infections iN CarE home reSidentS (PRINCESS) trial
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Nick A Francis, Kerenza Hood, Mark Lown, Chris C Butler, Rachel Lowe, James Downs, Victoria Shepherd, Mina Davoudianfar, Jane Davies, Alun Toghill, Eleri Owen-Jones, Katy Addison, Tony Bayer, Alison Edwards, Richard Fuller, Helen Stanton, and Mandy Wootton
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Medicine - Published
- 2019
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32. Socioeconomic circumstances and respiratory function from childhood to early adulthood: a systematic review and meta-analysis
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Nick A Francis, Kerenza Hood, Mark Lown, Chris C Butler, Rachel Lowe, James Downs, Victoria Shepherd, Mina Davoudianfar, Jane Davies, Alun Toghill, Eleri Owen-Jones, Katy Addison, Tony Bayer, Alison Edwards, Richard Fuller, Helen Stanton, and Mandy Wootton
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Medicine - Published
- 2019
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33. A novel experience-based internet intervention for smoking cessation: feasibility randomised controlled trial
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John Powell, Nikki Newhouse, Angela Martin, Sena Jawad, Ly-Mee Yu, Mina Davoudianfar, Louise Locock, and Sue Ziebland
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Smoking cessation ,Internet intervention ,Randomised controlled trial ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background The internet is frequently used to share experiences of health and illness, but this phenomenon has not been harnessed as an intervention to achieve health behaviour change. The aim of this study was to determine the feasibility of a randomised trial assessing the effects of a novel, experience-based website as a smoking cessation intervention. The secondary aim was to measure the potential impact on smoking behaviour of both the intervention and a comparator website. Methods A feasibility randomised controlled single-blind trial assessed a novel, experience-based website containing personal accounts of quitting smoking as a cessation intervention, and a comparator website providing factual information. Feasibility measures including recruitment, and usage of the interventions were recorded, and the following participant-reported outcomes were also measured: Smoking Abstinence Self-Efficacy Questionnaire, the single-item Motivation to Stop Scale, self-reported abstinence, quit attempts and health status outcomes. Eligible smokers from two English regions were entered into the trial and given access to their allocated website for two weeks. Results Eighty-seven smokers were randomised, 65 completed follow-up (75 %). Median usage was 15 min for the intervention, and 5 min for the comparator (range 0.5–213 min). Median logins for both sites was 2 (range 1–20). All participant-reported outcomes were similar between groups. Conclusions It was technically feasible to deliver a novel intervention harnessing the online sharing of personal experiences as a tool for smoking cessation, but recruitment was slow and actual use was relatively low, with attrition from the trial. Future work needs to maximize engagement and to understand how best to assess the value of such interventions in everyday use, rather than as an isolated ‘dose of information’. Trial registration ISRCTN29549695 DOI 10.1186/ISRCTN29549695 . Registered 17/05/2013.
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- 2016
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34. Effectiveness and cost-effectiveness of a fully self-guided internet-based intervention for sub-clinical social anxiety symptoms: Protocol for a randomised controlled trial
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John Powell, Helen Atherton, Veronika Williams, Angela Martin, Kylie Bennett, Anthony Bennett, Jill Mollison, Ly-Mee Yu, Yaling Yang, Louise Locock, Mina Davoudianfar, and Kathleen M Griffiths
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Computer applications to medicine. Medical informatics ,R858-859.7 - Abstract
Design and objective This paper describes the protocol for a large-scale pragmatic, randomised controlled trial and economic evaluation to investigate the effectiveness and cost-effectiveness of the self-directed E-Couch social anxiety module versus a waiting list control condition, for reducing sub-clinical social anxiety symptoms in the general population. Study population Community-based adults (aged 18+) with social anxiety symptoms that do not meet the criteria for social anxiety disorder recruited via a direct-to-consumer advertisement on national websites. Intervention and control Intervention is the self-guided E-Couch social anxiety module. Control group participants are placed on a waiting list to receive the intervention at the end of the trial. Both groups receive email and text message reminders. Outcome measures The primary outcome will be change in self-reported social anxiety score using the Social Phobia Inventory (SPIN). Secondary outcomes will be the changes in the following self-report measures: Brief Fear of Negative Evaluation scale (BFNE-S); depression (CES-D); mental wellbeing (SWEMWEBS); health status (SF36); use of health services; safety events; and adherence, retention, and attrition rates. All measures will be administered at baseline, 6 weeks, and 3, 6 and 12 months. Analysis A mixed effects model will be used to analyse the effect of the intervention on the primary and secondary outcomes (intention to treat analysis). Secondary analyses will explore moderators and mediators of effect. A prospective economic evaluation, conducted from a NHS and social care perspective, will provide estimates of cost utility and cost-effectiveness. An interview study will be conducted with 20 participants to explore issues including acceptability, adherence, retention and attrition. Trial registration numbers NCT02451878 and ISRCTN15819951
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- 2017
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35. Randomised controlled trial and economic analysis of an internet-based weight management programme: POWeR+ (Positive Online Weight Reduction)
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Paul Little, Beth Stuart, FD Richard Hobbs, Jo Kelly, Emily R Smith, Katherine J Bradbury, Stephanie Hughes, Peter WF Smith, Michael V Moore, Mike EJ Lean, Barrie M Margetts, Christopher D Byrne, Simon Griffin, Mina Davoudianfar, Julie Hooper, Guiqing Yao, Shihua Zhu, James Raftery, and Lucy Yardley
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obesity ,primary care ,weight loss ,internet ,Medical technology ,R855-855.5 - Abstract
Background: Behavioural counselling with intensive follow-up for obesity is effective, but in resource-constrained primary care settings briefer approaches are needed. Objectives: To estimate the clinical effectiveness and cost-effectiveness of an internet-based behavioural intervention with regular face-to-face or remote support in primary care, compared with brief advice. Design: Individually randomised three-arm parallel trial with health economic evaluation and nested qualitative interviews. Setting: Primary care general practices in the UK. Participants: Patients with a body mass index of ≥ 30 kg/m2 (or ≥ 28 kg/m2 with risk factors) identified from general practice records, recruited by postal invitation. Interventions: Positive Online Weight Reduction (POWeR+) is a 24-session, web-based weight management intervention completed over 6 months. Following online registration, the website randomly allocated participants using computer-generated random numbers to (1) the control intervention (n = 279), which had previously been demonstrated to be clinically effective (brief web-based information that minimised pressure to cut down foods, instead encouraging swaps to healthier choices and increasing fruit and vegetables, plus 6-monthly nurse weighing); (2) POWeR+F (n = 269), POWeR+ supplemented by face-to-face nurse support (up to seven contacts); or (3) POWeR+R (n = 270), POWeR+ supplemented by remote nurse support (up to five e-mails or brief telephone calls). Main outcome measures: The primary outcome was a modelled estimate of average weight reduction over 12 months, assessed blind to group where possible, using multiple imputation for missing data. The secondary outcome was the number of participants maintaining a 5% weight reduction at 12 months. Results: A total of 818 eligible individuals were randomised using computer-generated random numbers. Weight change, averaged over 12 months, was documented in 666 out of 818 participants (81%; control, n = 227; POWeR+F, n = 221; POWeR+R, n = 218). The control group maintained nearly 3 kg of weight loss per person (mean weight per person: baseline, 104.4 kg; 6 months, 101.9 kg; 12 months, 101.7 kg). Compared with the control group, the estimated additional weight reduction with POWeR+F was 1.5 kg [95% confidence interval (CI) 0.6 to 2.4 kg; p = 0.001] and with POWeR+R was 1.3 kg (95% CI 0.34 to 2.2 kg; p = 0.007). By 12 months the mean weight loss was not statistically significantly different between groups, but 20.8% of control participants, 29.2% of POWeR+F participants (risk ratio 1.56, 95% CI 0.96 to 2.51; p = 0.070) and 32.4% of POWeR+R participants (risk ratio 1.82, 95% CI 1.31 to 2.74; p = 0.004) maintained a clinically significant 5% weight reduction. The POWeR+R group had fewer individuals who reported doing another activity to help lose weight [control, 47.1% (64/136); POWeR+F, 37.2% (51/137); POWeR+R, 26.7% (40/150)]. The incremental cost to the health service per kilogram weight lost, compared with the control group, was £18 (95% CI –£129 to £195) for POWeR+F and –£25 (95% CI –£268 to £157) for POWeR+R. The probability of being cost-effective at a threshold of £100 per kilogram was 88% and 98% for POWeR+F and POWeR+R, respectively. POWeR+R was dominant compared with the control group. No harms were reported and participants using POWeR+ felt more enabled in managing their weight. The qualitative studies documented that POWeR+ was viewed positively by patients and that health-care professionals generally enjoyed supporting patients using POWeR+. Study limitations: Maintenance of weight loss after 1 year is unknown. Future work: Identifying strategies for longer-term engagement, impact in community settings and increasing physical activity. Conclusion: Clinically valuable weight loss (> 5%) is maintained in 20% of individuals using novel written materials with brief follow-up. A web-based behavioural programme and brief support results in greater mean weight loss and 10% more participants maintain valuable weight loss; it achieves greater enablement and fewer participants undertaking other weight-loss activities; and it is likely to be cost-effective. Trial registration: Current Controlled Trials ISRCTN21244703. Funding: This project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 21, No. 4. See the NIHR Journals Library website for further project information.
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- 2017
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