1
|
Hartley MG, Norville IH, Richards MI, Barnes KB, Bewley KR, Vipond J, Rayner E, Vente A, Armstrong SJ, Harding SV. Finafloxacin, a Novel Fluoroquinolone, Reduces the Clinical Signs of Infection and Pathology in a Mouse Model of Q Fever. Front Microbiol 2021; 12:760698. [PMID: 34917048 PMCID: PMC8670379 DOI: 10.3389/fmicb.2021.760698] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2021] [Accepted: 10/26/2021] [Indexed: 11/21/2022] Open
Abstract
Finafloxacin is a novel fluoroquinolone with optimal antibacterial activity in low pH environments, therefore offering a therapeutic advantage over some traditional antibiotics, in treating bacterial infections associated with acidic foci. Coxiella burnetii, the causative agent of Q fever, is a bacterium which resides and replicates in acidic intracellular parasitic vacuoles. The efficacy of finafloxacin was evaluated in vivo using the A/J mouse model of inhalational Q fever and was compared to doxycycline, the standard treatment for this infection and ciprofloxacin, a comparator fluoroquinolone. Finafloxacin reduced the severity of the clinical signs of infection and weight loss associated with Q fever, but did not reduce the level of bacterial colonization in tissues compared to doxycycline or ciprofloxacin. However, histopathological analysis suggested that treatment with finafloxacin reduced tissue damage associated with C. burnetii infection. In addition, we report for the first time, the use of viable counts on axenic media to evaluate antibiotic efficacy in vivo.
Collapse
Affiliation(s)
- M Gill Hartley
- CBR Division, Defence Science and Technology Laboratory (Dstl), Porton Down, Salisbury, United Kingdom
| | - Isobel H Norville
- CBR Division, Defence Science and Technology Laboratory (Dstl), Porton Down, Salisbury, United Kingdom.,College of Life and Environmental Sciences, University of Exeter, Exeter, United Kingdom
| | - Mark I Richards
- CBR Division, Defence Science and Technology Laboratory (Dstl), Porton Down, Salisbury, United Kingdom
| | - Kay B Barnes
- CBR Division, Defence Science and Technology Laboratory (Dstl), Porton Down, Salisbury, United Kingdom
| | - Kevin R Bewley
- Public Health England, Porton Down, Salisbury, United Kingdom
| | - Julia Vipond
- Public Health England, Porton Down, Salisbury, United Kingdom
| | - Emma Rayner
- Public Health England, Porton Down, Salisbury, United Kingdom
| | | | - Stuart J Armstrong
- CBR Division, Defence Science and Technology Laboratory (Dstl), Porton Down, Salisbury, United Kingdom
| | - Sarah V Harding
- CBR Division, Defence Science and Technology Laboratory (Dstl), Porton Down, Salisbury, United Kingdom
| |
Collapse
|
2
|
Funnell SGP, Tree JA, Hatch GJ, Bate SR, Hall G, Pearson G, Rayner EL, Roberts ADG, Vipond J. Dose-dependant acute or subacute disease caused by Burkholderia pseudomallei strain NCTC 13392 in a BALB/c aerosol model of infection. J Appl Microbiol 2019; 127:1224-1235. [PMID: 31330088 PMCID: PMC6747009 DOI: 10.1111/jam.14396] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2019] [Revised: 06/21/2019] [Accepted: 06/25/2019] [Indexed: 01/26/2023]
Abstract
AIMS The goal of this study was to examine, for the first time, the virulence and pathogenicity of aerosolized Burkholderia pseudomallei, strain NCTC 13392, in BALB/c mice in order to develop an animal model for testing novel medical countermeasures (MCMs) for the treatment of human acute and subacute (a disease state between acute and chronic) melioidosis. METHODS AND RESULTS BALB/c mice were exposed to varying doses of aerosolized bacteria. Acute disease was seen in animals exposed to a very-high dose (≥103 CFU per animal) and death occurred 3-4 days postchallenge (pc). Bacteria were detected in the lungs, liver, kidney and spleen. In contrast, animals exposed to a low dose (<10 CFU per animal) survived to the end of the study (day 30 pc) but developed weight loss, a bacterial tissue burden and increasing clinical signs of infection from day 20 pc onwards, mimicking a subacute form of the disease. Pathological changes in the tissues mirrored these findings. CONCLUSIONS This proof of concept study has shown that B. pseudomallei strain NCTC 13392 is virulent and pathogenic in BALB/c mice, when delivered by aerosol. By varying the doses of aerosolized bacteria it was possible to mimic characteristics of both human acute and subacute melioidosis, at the same time, within the same study. SIGNIFICANCE AND IMPACT OF THE STUDY Burkholderia pseudomallei, the aetiological agent of melioidosis, causes a serious and often fatal disease in humans and animals. Novel MCMs are urgently needed for both public health and biodefense purposes. The present model provides a useful tool for the assessment and evaluation of new MCMs (e.g. therapeutics and vaccines) and offers the potential for testing new treatments for both subacute to chronic and acute melioidosis prior to human clinical trials.
Collapse
Affiliation(s)
- S G P Funnell
- National Infection Service, Public Health England (PHE), Salisbury, Wiltshire, UK
| | - J A Tree
- National Infection Service, Public Health England (PHE), Salisbury, Wiltshire, UK
| | - G J Hatch
- National Infection Service, Public Health England (PHE), Salisbury, Wiltshire, UK
| | - S R Bate
- National Infection Service, Public Health England (PHE), Salisbury, Wiltshire, UK
| | - G Hall
- National Infection Service, Public Health England (PHE), Salisbury, Wiltshire, UK
| | - G Pearson
- National Infection Service, Public Health England (PHE), Salisbury, Wiltshire, UK
| | - E L Rayner
- National Infection Service, Public Health England (PHE), Salisbury, Wiltshire, UK
| | - A D G Roberts
- National Infection Service, Public Health England (PHE), Salisbury, Wiltshire, UK
| | - J Vipond
- National Infection Service, Public Health England (PHE), Salisbury, Wiltshire, UK
| |
Collapse
|
3
|
Tongue SC, Duncan AJ, Vipond J, Stocker P, Gunn GJ. Blowfly strike in sheep: self-help surveillance for shepherds is unsustainable. Vet Rec 2017; 180:280. [PMID: 28119476 DOI: 10.1136/vr.104011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/02/2017] [Indexed: 11/03/2022]
Affiliation(s)
- S C Tongue
- Epidemiology Research Unit (Inverness), SRUC (Scotland's Rural College), West Mains Road, Edinburgh EH9 3JG, UK
| | - A J Duncan
- Epidemiology Research Unit (Inverness), SRUC (Scotland's Rural College), West Mains Road, Edinburgh EH9 3JG, UK
| | - J Vipond
- SAC Consulting, SRUC, West Mains Road, Edinburgh EH9 3JG, UK
| | - P Stocker
- National Sheep Association (NSA), The Sheep Centre, Malvern, Worcestershire WR13 6PH, UK
| | - G J Gunn
- Epidemiology Research Unit (Inverness), SRUC (Scotland's Rural College), West Mains Road, Edinburgh EH9 3JG, UK
| |
Collapse
|
4
|
Tree JA, Hall G, Rees P, Vipond J, Funnell SGP, Roberts AD. Repeated high-dose (5 × 10(8) TCID50) toxicity study of a third generation smallpox vaccine (IMVAMUNE) in New Zealand white rabbits. Hum Vaccin Immunother 2016; 12:1795-801. [PMID: 26836234 PMCID: PMC4964806 DOI: 10.1080/21645515.2015.1134070] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2015] [Revised: 12/02/2015] [Accepted: 12/15/2015] [Indexed: 11/04/2022] Open
Abstract
Concern over the release of variola virus as an agent of bioterrorism remains high and a rapid vaccination regimen is desirable for use in the event of a confirmed release of virus. A single, high-dose (5×10(8) TCID50) of Bavarian Nordic's IMVAMUNE was tested in a Phase-II clinical trial, in humans, as a substitute for the standard (1×10(8) TCID50), using a 2-dose, 28-days apart regimen. Prior to this clinical trial taking place a Good Laboratory Practice, repeated high-dose, toxicology study was performed using IMVAMUNE, in New Zealand white rabbits and the results are reported here. Male and female rabbits were dosed twice, subcutaneously, with 5×10(8) TCID50 of IMVAMUNE (test) or saline (control), 7-days apart. The clinical condition, body-weight, food consumption, haematology, blood chemistry, immunogenicity, organ-weight, and macroscopic and microscopic pathology were investigated. Haematological investigations indicated changes within the white blood cell profile that were attributed to treatment with IMVAMUNE; these comprised slight increases in neutrophil and monocyte numbers, on study days 1-3 and a marginal increase in lymphocyte numbers on day 10. Macroscopic pathology revealed reddening at the sites of administration and thickened skin in IMVAMUNE, treated animals. After the second dose of IMVAMUNE 9/10 rabbits seroconverted, as detected by antibody ELISA on day 10, by day 21, 10/10 rabbits seroconverted. Treatment-related changes were not detected in other parameters. In conclusion, the subcutaneous injection of 2 high-doses of IMVAMUNE, to rabbits, was well tolerated producing only minor changes at the site of administration. Vaccinia-specific antibodies were raised in IMVAMUNE-vaccinated rabbits only.
Collapse
Affiliation(s)
- Julia A. Tree
- National Infection Service, Public Health England, Porton Down, Salisbury, Wiltshire, UK
| | - Graham Hall
- National Infection Service, Public Health England, Porton Down, Salisbury, Wiltshire, UK
| | - Peter Rees
- Envigo CRS Limited, Occold, Eye, Suffolk, UK
| | - Julia Vipond
- National Infection Service, Public Health England, Porton Down, Salisbury, Wiltshire, UK
| | - Simon G. P. Funnell
- National Infection Service, Public Health England, Porton Down, Salisbury, Wiltshire, UK
| | - Allen D. Roberts
- National Infection Service, Public Health England, Porton Down, Salisbury, Wiltshire, UK
| |
Collapse
|
5
|
Tree JA, Hall G, Pearson G, Rayner E, Graham VA, Steeds K, Bewley KR, Hatch GJ, Dennis M, Taylor I, Roberts AD, Funnell SGP, Vipond J. Sequence of pathogenic events in cynomolgus macaques infected with aerosolized monkeypox virus. J Virol 2015; 89:4335-44. [PMID: 25653439 PMCID: PMC4442344 DOI: 10.1128/jvi.03029-14] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2014] [Accepted: 01/26/2015] [Indexed: 11/20/2022] Open
Abstract
UNLABELLED To evaluate new vaccines when human efficacy studies are not possible, the FDA's "Animal Rule" requires well-characterized models of infection. Thus, in the present study, the early pathogenic events of monkeypox infection in nonhuman primates, a surrogate for variola virus infection, were characterized. Cynomolgus macaques were exposed to aerosolized monkeypox virus (10(5) PFU). Clinical observations, viral loads, immune responses, and pathological changes were examined on days 2, 4, 6, 8, 10, and 12 postchallenge. Viral DNA (vDNA) was detected in the lungs on day 2 postchallenge, and viral antigen was detected, by immunostaining, in the epithelium of bronchi, bronchioles, and alveolar walls. Lesions comprised rare foci of dysplastic and sloughed cells in respiratory bronchioles. By day 4, vDNA was detected in the throat, tonsil, and spleen, and monkeypox antigen was detected in the lung, hilar and submandibular lymph nodes, spleen, and colon. Lung lesions comprised focal epithelial necrosis and inflammation. Body temperature peaked on day 6, pox lesions appeared on the skin, and lesions, with positive immunostaining, were present in the lung, tonsil, spleen, lymph nodes, and colon. By day 8, vDNA was present in 9/13 tissues. Blood concentrations of interleukin 1ra (IL-1ra), IL-6, and gamma interferon (IFN-γ) increased markedly. By day 10, circulating IgG antibody concentrations increased, and on day 12, animals showed early signs of recovery. These results define early events occurring in an inhalational macaque monkeypox infection model, supporting its use as a surrogate model for human smallpox. IMPORTANCE Bioterrorism poses a major threat to public health, as the deliberate release of infectious agents, such smallpox or a related virus, monkeypox, would have catastrophic consequences. The development and testing of new medical countermeasures, e.g., vaccines, are thus priorities; however, tests for efficacy in humans cannot be performed because it would be unethical and field trials are not feasible. To overcome this, the FDA may grant marketing approval of a new product based upon the "Animal Rule," in which interventions are tested for efficacy in well-characterized animal models. Monkeypox virus infection of nonhuman primates (NHPs) presents a potential surrogate disease model for smallpox. Previously, the later stages of monkeypox infection were defined, but the early course of infection remains unstudied. Here, the early pathogenic events of inhalational monkeypox infection in NHPs were characterized, and the results support the use of this surrogate model for testing human smallpox interventions.
Collapse
Affiliation(s)
- J A Tree
- Microbiological Services, Public Health England, Porton Down, Salisbury, Wiltshire, United Kingdom
| | - G Hall
- Microbiological Services, Public Health England, Porton Down, Salisbury, Wiltshire, United Kingdom
| | - G Pearson
- Microbiological Services, Public Health England, Porton Down, Salisbury, Wiltshire, United Kingdom
| | - E Rayner
- Microbiological Services, Public Health England, Porton Down, Salisbury, Wiltshire, United Kingdom
| | - V A Graham
- Microbiological Services, Public Health England, Porton Down, Salisbury, Wiltshire, United Kingdom
| | - K Steeds
- Microbiological Services, Public Health England, Porton Down, Salisbury, Wiltshire, United Kingdom
| | - K R Bewley
- Microbiological Services, Public Health England, Porton Down, Salisbury, Wiltshire, United Kingdom
| | - G J Hatch
- Microbiological Services, Public Health England, Porton Down, Salisbury, Wiltshire, United Kingdom
| | - M Dennis
- Microbiological Services, Public Health England, Porton Down, Salisbury, Wiltshire, United Kingdom
| | - I Taylor
- Microbiological Services, Public Health England, Porton Down, Salisbury, Wiltshire, United Kingdom
| | - A D Roberts
- Microbiological Services, Public Health England, Porton Down, Salisbury, Wiltshire, United Kingdom
| | - S G P Funnell
- Microbiological Services, Public Health England, Porton Down, Salisbury, Wiltshire, United Kingdom
| | - J Vipond
- Microbiological Services, Public Health England, Porton Down, Salisbury, Wiltshire, United Kingdom
| |
Collapse
|
6
|
Hatch GJ, Graham VA, Bewley KR, Tree JA, Dennis M, Taylor I, Funnell SGP, Bate SR, Steeds K, Tipton T, Bean T, Hudson L, Atkinson DJ, McLuckie G, Charlwood M, Roberts ADG, Vipond J. Assessment of the protective effect of Imvamune and Acam2000 vaccines against aerosolized monkeypox virus in cynomolgus macaques. J Virol 2013; 87:7805-15. [PMID: 23658452 PMCID: PMC3700201 DOI: 10.1128/jvi.03481-12] [Citation(s) in RCA: 76] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2013] [Accepted: 04/30/2013] [Indexed: 12/17/2022] Open
Abstract
To support the licensure of a new and safer vaccine to protect people against smallpox, a monkeypox model of infection in cynomolgus macaques, which simulates smallpox in humans, was used to evaluate two vaccines, Acam2000 and Imvamune, for protection against disease. Animals vaccinated with a single immunization of Imvamune were not protected completely from severe and/or lethal infection, whereas those receiving either a prime and boost of Imvamune or a single immunization with Acam2000 were protected completely. Additional parameters, including clinical observations, radiographs, viral load in blood, throat swabs, and selected tissues, vaccinia virus-specific antibody responses, immunophenotyping, extracellular cytokine levels, and histopathology were assessed. There was no significant difference (P > 0.05) between the levels of neutralizing antibody in animals vaccinated with a single immunization of Acam2000 (132 U/ml) and the prime-boost Imvamune regime (69 U/ml) prior to challenge with monkeypox virus. After challenge, there was evidence of viral excretion from the throats of 2 of 6 animals in the prime-boost Imvamune group, whereas there was no confirmation of excreted live virus in the Acam2000 group. This evaluation of different human smallpox vaccines in cynomolgus macaques helps to provide information about optimal vaccine strategies in the absence of human challenge studies.
Collapse
Affiliation(s)
- Graham J Hatch
- Microbiological Services, Public Health England, Salisbury, Wiltshire, United Kingdom.
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
7
|
Vipond J, Cross ML, Lambeth MR, Clark S, Aldwell FE, Williams A. Immunogenicity of orally-delivered lipid-formulated BCG vaccines and protection against Mycobacterium tuberculosis infection. Microbes Infect 2008; 10:1577-81. [DOI: 10.1016/j.micinf.2008.09.004] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2008] [Revised: 09/02/2008] [Accepted: 09/03/2008] [Indexed: 11/16/2022]
|
8
|
Clark S, Cross ML, Smith A, Court P, Vipond J, Nadian A, Hewinson RG, Batchelor HK, Perrie Y, Williams A, Aldwell FE, Chambers MA. Assessment of different formulations of oral Mycobacterium bovis Bacille Calmette-Guérin (BCG) vaccine in rodent models for immunogenicity and protection against aerosol challenge with M. bovis. Vaccine 2008; 26:5791-7. [PMID: 18789366 DOI: 10.1016/j.vaccine.2008.08.028] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2008] [Revised: 08/19/2008] [Accepted: 08/19/2008] [Indexed: 10/21/2022]
Abstract
Bovine tuberculosis (bTB) caused by infection with Mycobacterium bovis is causing considerable economic loss to farmers and Government in the United Kingdom as its incidence is increasing. Efforts to control bTB in the UK are hampered by the infection in Eurasian badgers (Meles meles) that represent a wildlife reservoir and source of recurrent M. bovis exposure to cattle. Vaccination of badgers with the human TB vaccine, M. bovis Bacille Calmette-Guérin (BCG), in oral bait represents a possible disease control tool and holds the best prospect for reaching badger populations over a wide geographical area. Using mouse and guinea pig models, we evaluated the immunogenicity and protective efficacy, respectively, of candidate badger oral vaccines based on formulation of BCG in lipid matrix, alginate beads, or a novel microcapsular hybrid of both lipid and alginate. Two different oral doses of BCG were evaluated in each formulation for their protective efficacy in guinea pigs, while a single dose was evaluated in mice. In mice, significant immune responses (based on lymphocyte proliferation and expression of IFN-gamma) were only seen with the lipid matrix and the lipid in alginate microcapsular formulation, corresponding to the isolation of viable BCG from alimentary tract lymph nodes. In guinea pigs, only BCG formulated in lipid matrix conferred protection to the spleen and lungs following aerosol route challenge with M. bovis. Protection was seen with delivery doses in the range 10(6)-10(7) CFU, although this was more consistent in the spleen at the higher dose. No protection in terms of organ CFU was seen with BCG administered in alginate beads or in lipid in alginate microcapsules, although 10(7) in the latter formulation conferred protection in terms of increasing body weight after challenge and a smaller lung to body weight ratio at necropsy. These results highlight the potential for lipid, rather than alginate, -based vaccine formulations as suitable delivery vehicles for an oral BCG vaccine in badgers.
Collapse
Affiliation(s)
- Simon Clark
- Health Protection Agency, Porton Down, Salisbury SP4 0JG, United Kingdom
| | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
9
|
Vipond J, Clark SO, Hatch GJ, Vipond R, Marie Agger E, Tree JA, Williams A, Marsh PD. Re-formulation of selected DNA vaccine candidates and their evaluation as protein vaccines using a guinea pig aerosol infection model of tuberculosis. Tuberculosis (Edinb) 2006; 86:218-24. [PMID: 16520093 DOI: 10.1016/j.tube.2006.01.014] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2005] [Accepted: 01/20/2006] [Indexed: 10/24/2022]
Abstract
A selection of previously identified protective Mycobacterium tuberculosis DNA vaccines were re-formulated as proteins and administered with a Th1-inducing adjuvant to help stimulate the relevant immune responses necessary for protection. All three candidate-vaccines conferred high levels of antigen-specific cellular and humoral responses, as indicated by lymphocyte proliferation and serum IgG levels. Protective efficacy was also assessed in comparison with the current vaccine, BCG (the 'gold-standard' against which new vaccines are tested), and a saline (negative) control. One candidate (Rv1806-1807) induced protection in the guinea pig aerosol infection model 30 days post-challenge on the basis of reducing the bacterial burden of M. tuberculosis in the lungs.
Collapse
MESH Headings
- Adjuvants, Immunologic
- Animals
- Antibodies, Bacterial/blood
- Antigens, Bacterial/immunology
- Cell Proliferation
- Cells, Cultured
- Disease Models, Animal
- Epitopes
- Escherichia coli/genetics
- Female
- Genes, Bacterial
- Genetic Vectors
- Guinea Pigs
- Immunity, Cellular
- Immunoglobulin G/blood
- Lung/microbiology
- Mycobacterium tuberculosis/genetics
- Mycobacterium tuberculosis/immunology
- Mycobacterium tuberculosis/isolation & purification
- Th1 Cells/immunology
- Tuberculosis Vaccines/administration & dosage
- Tuberculosis Vaccines/immunology
- Tuberculosis, Pulmonary/immunology
- Tuberculosis, Pulmonary/prevention & control
- Vaccines, DNA/administration & dosage
- Vaccines, DNA/immunology
- Vaccines, Subunit/administration & dosage
- Vaccines, Subunit/immunology
Collapse
Affiliation(s)
- Julia Vipond
- Research Division, Health Protection Agency, Salisbury, UK.
| | | | | | | | | | | | | | | |
Collapse
|
10
|
Abstract
Nitric oxide (NO) is extremely toxic to Clostridium botulinum, but its molecular targets are unknown. Here, we identify a heme protein sensor (SONO) that displays femtomolar affinity for NO. The crystal structure of the SONO heme domain reveals a previously undescribed fold and a strategically placed tyrosine residue that modulates heme-nitrosyl coordination. Furthermore, the domain architecture of a SONO ortholog cloned from Chlamydomonas reinhardtii indicates that NO signaling through cyclic guanosine monophosphate arose before the origin of multicellular eukaryotes. Our findings have broad implications for understanding bacterial responses to NO, as well as for the activation of mammalian NO-sensitive guanylyl cyclase.
Collapse
Affiliation(s)
- Pierre Nioche
- Structural Biology Research Center and Department of Biochemistry and Molecular Biology, University of Texas Medical School, Houston, TX 77030, USA
| | | | | | | | | | | |
Collapse
|
11
|
Bullard MJ, Vipond J. Amiodarone for out-of-hospital cardiac arrest. CAN J EMERG MED 2000; 2:191-2. [PMID: 17621396 DOI: 10.1017/s1481803500004905] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- M J Bullard
- University of Alberta, Edmonton, Alberta, Canada
| | | |
Collapse
|
12
|
Nelson SH, Vipond J, Reese K, McKenna K. "Transfer trauma" as a legal argument against closing a state mental hospital. Hosp Community Psychiatry 1983; 34:1160-2. [PMID: 6642466 DOI: 10.1176/ps.34.12.1160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
|