Exploring the Utility of Recombinant Snake Venom Serine Protease Toxins as Immunogens for Generating Experimental Snakebite Antivenoms

Snakebite is a neglected tropical disease that causes high rates of global mortality and morbidity. Although snakebite can cause a variety of pathologies in victims, haemotoxic effects are particularly common and are typically characterised by haemorrhage and/or venom-induced consumption coagulopathy. Despite polyclonal antibody-based antivenoms being the mainstay life-saving therapy for snakebite, they are associated with limited cross-snake species efficacy, as there is often extensive toxin variation between snake venoms, including those used as immunogens for antivenom production. This restricts the therapeutic utility of any antivenom to certain geographical regions. In this study, we explored the feasibility of using recombinantly expressed toxins as immunogens to stimulate focused, pathology-specific, antibodies in order to broadly counteract specific toxins associated with snakebite envenoming. Three snake venom serine proteases (SVSP) toxins, sourced from geographically diverse and medically important viper snake venoms, were successfully expressed in HEK293F mammalian cells and used for murine immunisation. Analyses of the resulting antibody responses revealed that ancrod and RVV-V stimulated the strongest immune responses, and that experimental antivenoms directed against these recombinant SVSP toxins, and a mixture of the three different immunogens, extensively recognised and exhibited immunological binding towards a variety of native snake venoms. While the experimental antivenoms showed some reduction in abnormal clotting parameters stimulated by the toxin immunogens and crude venom, specifically reducing the depletion of fibrinogen levels and prolongation of prothrombin times, fibrinogen degradation experiments revealed that they broadly protected against venom- and toxin-induced fibrinogenolytic functional activities. Overall, our findings further strengthen the case for the use of recombinant venom toxins as supplemental immunogens to stimulate focused and desirable antibody responses capable of neutralising venom-induced pathological effects, and therefore potentially circumventing some of the limitations associated with current snakebite therapies.     

A Warhead Substitution Study on the Coronavirus Main Protease Inhibitor Nirmatrelvir

The SARS-CoV-2 pandemic is currently causing an unprecedented global health emergency since its emergence in December 2019. In December 2021, the FDA granted emergency use authorization to nirmatrelvir, a SARS-CoV-2 main protease inhibitor, for treating infected patients. This peptidomimetic is designed with a nitrile warhead, which forms a covalent bond to the viral protease. Herein, we investigate nirmatrelvir analogs with different warheads and their inhibitory activities. In addition, antiviral activities against human alphacoronavirus 229E was also investigated along with a cell-based assay. We discovered that the hydroxymethylketone and ketobenzothiazole warheads were equipotent to the nitrile warhead, suggesting that these analogs can also be used for treating coronavirus infections.     

国内真菌性角膜溃疡治疗进展

真菌性角膜角膜溃疡发病率逐年上升,目前主要采用抗真菌药物治疗、手术治疗、抗真菌药物联合手术治疗以及中西结合治疗,尚无特效的治疗方法。本文就治疗该病的最新进展进行了综述。     

Technical considerations in distal pancreatectomy with splenic preservation

Splenic preservation may be attempted when distal pancreatectomy is performed for nonmalignant disease. The splenic artery and vein can be preserved with meticulous control of the multiple small, thin-walled branches that tether these vessels to the pancreas, allowing splenic salvage. Mobilization of the spleen into the operative field, ligation of the short gastric vessels and splenectomy are not performed. Thus, the operative procedure may be accomplished in carefully selected patients with little increase in operative time or blood loss over conventional distal pancreatectomy with splenectomy.     

Encapsulated bacteria deform lipid vesicles into flagellated swimmers

We study a synthetic system of motile Escherichia coli bacteria encapsulated inside giant lipid vesicles. Forces exerted by the bacteria on the inner side of the membrane are sufficient to extrude membrane tubes filled with one or several bacteria. We show that a physical coupling between the membrane tube and the flagella of the enclosed cells transforms the tube into an effective helical flagellum propelling the vesicle. We develop a simple theoretical model to estimate the propulsive force from the speed of the vesicles and demonstrate the good efficiency of this coupling mechanism. Together, these results point to design principles for conferring motility to synthetic cells.

The interaction of active and passive matter lies at the heart of biology. Active matter (1) consists of collections of entities that consume energy from their environment to generate mechanical forces, which often result in motion. Thus, the cell membrane, whose essential component is a passive lipid bilayer, can actively remodel during cell growth; motility; and, ultimately, cell evolution, under the forces exerted by a host of active agents. For example, continuous polymerization–depolymerization of actin in the cytoskeleton deforms the eukaryotic cell membrane into two- and one-dimensional protrusions (lamellipodia and filopodia) that can move the whole cell (2, 3). Similar actin-supported membrane protrusions are thought to have facilitated the accidental engulfment of bacteria that led to the emergence of eukaryotic cells (4). The biophysics of active membranes has therefore been subjected to interdisciplinary scrutiny (5). More recently, learning how to create active membranes systems that deform, divide, and propel has become a priority area in the drive to synthesize life ab initio (6).Lipid vesicles enclosing natural or artificial microswimmers are becoming a model system for studying active membranes in vitro (7–15). Such composites have also direct biological relevance. For instance, from inside their eukaryotic hosts, bacterial pathogens such as Rickettsia rickettsii or Listeria monocytogenes (16, 17) continue their life cycles by hijacking the actin polymerization–depolymerization apparatus of their hosts and pushing out a tube-like protuberance from the plasma membrane. The pathogens then contact other host cells or escape into the surrounding medium by means of these membrane tubes (18).To date, research in coupling swimmers with membranes has mostly been theoretical and numerical. Such models have predicted a range of interfacial morphological changes and, in some cases, net motion of the interface (7–13). The experimental realization of these systems was only recently achieved by encapsulating swimming Bacillus subtilis bacteria (14) and synthetic Janus particles (15) in giant lipid vesicles. Both experiments reported nonequilibrium membrane fluctuations and vesicle deformations, ranging from tubular protrusions to dendritic shapes. However, net motion of the vesicles was not observed in either case.Here we present a similar experimental design but with markedly different outcome. Escherichia coli, another common motile bacterium, also extrudes membrane tubes but in addition sets the whole vesicle into motion. We demonstrate that such motion is due to a physical coupling between the flagella bundle of the enclosed cells and the tubes. The tube–flagella composite functions as a helical propeller for the entire vesicle.In biology, the specificity of interactions between bacteria and the membranes of eukaryotic hosts underlies the plethora of parasitic and symbiotic relations that have emerged between cells (18–20). Likewise, our observations illustrate the importance of small details in the design of active matter systems (21). Encapsulated bacteria propelled by a single bundle of helical flagella can generate net motion of the vesicles, whereas encapsulated swimmers propelled at similar speeds by phoresis fail to do so (15). These observations illustrate the fact that it is dangerous to proceed from coarse-grained simulations or theory that neglect such details to predict the behavior of particular systems. At the same time, our results point to a design principle for conferring motility to artificial cell models.     

腹部及盆腔急性出血的介入治疗

目的探讨腹部急性出血选择性血管造影诊断及介入治疗价值。方法回顾性分析80例行选择性动脉血管造影及血管内介入治疗的腹部及盆腔急性出血患者的临床资料。结果80例均采用Seldinger技术,经股动脉插管后作选择性血管造影,用碘化油、明胶海绵或弹簧圈栓塞治疗,80例中完全止血68例、再出血9例、无效3例。结论介入方法不仅可确定出血部位,而且可达到止血目的,效果确切。     

牙列缺损的计算机三维建模

目的 建立牙列缺损的计算机三维模型。方法 采用表面绘制法,依据CT扫描头颅骨标本获得的二维断层图像数据在3D Studio Max中沿牙体长轴放样、微调并赋以材质,得到牙列缺损的计算机三维模型。结果 能在计算机中方便快速地模拟任意类型的牙列缺损,并可全方位地旋转、放大和缩小。结论 提供了一种牙列缺损三维建模的新方法,有利于三维义齿专家系统的开发和计算机辅助教学。