Constructing conjugate vaccine against Salmonella Typhimurium using lipid-A free lipopolysaccharide

Background

Salmonella enterica serotype Typhimurium is a nontyphoidal and common foodborne pathogen that causes serious threat to humans. There is no licensed vaccine to prevent the nontyphoid bacterial infection caused by S. Typhimurium.

Methods

To develop conjugate vaccines, the bacterial lipid-A free lipopolysaccharide (LFPS) is prepared as the immunogen and used to synthesize the LFPS–linker–protein conjugates 6a–9b. The designed bifunctional linkers 1–5 comprising either an o-phenylenediamine or amine moiety are specifically attached to the exposed 3-deoxy-D-manno-octulosonic acid (Kdo), an α-ketoacid saccharide of LFPS, via condensation reaction or decarboxylative amidation. In addition to bovine serum albumin and ovalbumin, the S. Typhimurium flagellin (FliC) is also used as a self-adjuvanting protein carrier.

Results

The synthesized conjugate vaccines are characterized by sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE) and fast performance liquid chromatography (FPLC), and their contents of polysaccharides and protein are determined by phenol–sulfuric acid assay and bicinchoninic acid assay, respectively. Enzyme-linked immunosorbent assay (ELISA) shows that immunization of mouse with the LFPS–linker–protein vaccines at a dosage of 2.5 μg is sufficient to elicit serum immunoglobulin G (IgG) specific to S. Typhimurium lipopolysaccharide (LPS). The straight-chain amide linkers in conjugates 7a–9b do not interfere with the desired immune response. Vaccines 7a and 7b derived from either unfractionated LFPS or the high-mass portion show equal efficacy in induction of IgG antibodies. The challenge experiments are performed by oral gavage of S. Typhimurium pathogen, and vaccine 7c having FliC as the self-adjuvanting protein carrier exhibits a high vaccine efficacy of 74% with 80% mice survival rate at day 28 post the pathogen challenge.

Conclusions

This study demonstrates that lipid-A free lipopolysaccharide prepared from Gram-negative bacteria is an appropriate immunogen, in which the exposed Kdo is connected to bifunctional linkers to form conjugate vaccines. The decarboxylative amidation of Kdo is a novel and useful method to construct a relatively robust and low immunogenic straight-chain amide linkage. The vaccine efficacy is enhanced by using bacterial flagellin as the self-adjuvanting carrier protein.

Graphical abstract

Responses of midbrain auditory neurons to two different environmental sounds-A new approach on cross-sound modeling

When modeling auditory responses to environmental sounds, results are satisfactory if both training and testing are restricted to datasets of one type of sound. To predict 'cross-sound' responses (i.e., to predict the response to one type of sound e.g., rat Eating sound, after training with another type of sound e.g., rat Drinking sound), performance is typically poor. Here we implemented a novel approach to improve such cross-sound modeling (single unit datasets were collected at the auditory midbrain of anesthetized rats). The method had two key features: (a) population responses (e.g., average of 32 units) instead of responses of individual units were analyzed; and (b) the long sound segment was first divided into short segments (single sound-bouts), their similarity was then computed over a new metric involving the response (called Stimulus Response Model map or SRM map), and finally similar sound-bouts (regardless of sound type) and their associated responses (peri-stimulus time histograms, PSTHs) were modelled. Specifically, a committee machine model (artificial neural networks with 20 stratified spectral inputs) was trained with datasets from one sound type before predicting PSTH responses to another sound type. Model performance was markedly improved up to 92%. Results also suggested the involvement of different neural mechanisms in generating the early and late responses to amplitude transients in the broad-band environmental sounds. We concluded that it is possible to perform rather satisfactory cross-sound modeling on datasets grouped together based on their similarities in terms of the new metric of SRM map.

Importance of clothing removal in scalds

OBJECTIVE

To test the hypothesis that prompt removal of clothing after scalds lessens the severity of injury.

METHODS

This experimental study and case series was carried out in the Burn Centre of a tertiary hospital in Hong Kong. An experimental burn model using Allevyn (Smith & Nephew Medical Limited, Hull, England) as a skin substitute was designed to test the effect of delayed clothing removal on skin temperature using hot water and congee. Data of patients admitted with scalding by congee over a 10-year period (January 2005 to December 2014) were also studied.

RESULTS

A significant reduction in the temperature of the skin model following a hot water scald was detected only if clothing was removed within the first 10 seconds of injury. With congee scalds, the temperature of the skin model progressively increased with further delay in clothing removal. During the study period, 35 patients were admitted with congee scalds to our unit via the emergency department. The majority were children. Definite conclusions supporting the importance of clothing removal could not be drawn due to our small sample size. Nonetheless, our data suggest that appropriate prehospital burn management can reduce patient morbidity.

CONCLUSIONS

Prompt removal of clothing after scalding by congee may reduce post-burn morbidity.

Management of secondary lymphoedema

Lymphoedema is a chronic, progressive condition. There is no cure but it is most easily managed with early recognition and therapy; those who do not have treatment tend to worsen rapidly and advanced disease is more difficult to treat than early disease. Surgery for lymphoedema is often regarded as a last resort but traditional excisional techniques that have been slightly modified for modern practice have shown good results, whilst newer microsurgical reconstruction techniques show promise although long-term results are lacking. This report provides an update on the therapy of lymphoedema.

Double free flaps for reconstruction of complex/composite defects in head and neck surgery

OBJECTIVE. To demonstrate the feasibility of double free flap surgery in head and neck reconstruction. DESIGN. Descriptive case series. SETTING. A university-affiliated hospital in Hong Kong. PATIENTS. Twelve patients with head and neck cancer (encountered over a 2.5-year period) who had reconstructive surgery with planned simultaneous double free flaps. RESULTS. The mean total operating time was 660 minutes and there were no flap failures. Postoperative stays ranged from 11 to 82 days; nine patients were discharged within 3 weeks and seven were able to maintain their weight with oral feeding. The survival rate up to 1 year was 64%. CONCLUSION. The use of double free flaps is an option worth considering for complex head and neck defects in carefully selected patients.

Modeling complex responses of FM-sensitive cells in the auditory midbrain using a committee machine

Frequency modulation (FM) is an important building block of complex sounds that include speech signals. Exploring the neural mechanisms of FM coding with computer modeling could help understand how speech sounds are processed in the brain. Here, we modeled the single unit responses of auditory neurons recorded from the midbrain of anesthetized rats. These neurons displayed spectral temporal receptive fields (STRFs) that had multiple-trigger features, and were more complex than those with single-trigger features. Their responses have not been modeled satisfactorily with simple artificial neural networks, unlike neurons with simple-trigger features. To improve model performance, here we tested an approach with the committee machine. For a given neuron, the peri-stimulus time histogram (PSTH) was first generated in response to a repeated random FM tone, and peaks in the PSTH were segregated into groups based on the similarity of their pre-spike FM trigger features. Each group was then modeled using an artificial neural network with simple architecture, and, when necessary, by increasing the number of neurons in the hidden layer. After initial training, the artificial neural networks with their optimized weighting coefficients were pooled into a committee machine for training. Finally, the model performance was tested by prediction of the response of the same cell to a novel FM tone. The results showed improvement over simple artificial neural networks, supporting that trigger-feature-based modeling can be extended to cells with complex responses. This article is part of a Special Issue entitled Neural Coding 2012. This article is part of a Special Issue entitled Neural Coding 2012.

Analgesic effects of preoperative gabapentin after tongue reconstruction with the anterolateral thigh flap

OBJECTIVE

To investigate gabapentin's role in head and neck cancer surgery following the demonstration of the effectiveness of gabapentin in reducing postoperative pain.

DESIGN

Non-randomised open-label trial.

SETTING

Prince of Wales Hospital, Hong Kong.

MAIN OUTCOME MEASURES

Pain scores, analgesic usage, and the frequency of adverse effects.

PATIENTS

In patients undergoing anterolateral thigh flap reconstruction after resection of tongue carcinoma, those who had an oral dose of gabapentin before surgery were compared to those who did not.

RESULTS

Postoperative pain was reduced in the gabapentin group (1.2) compared to the control group (1.7) [P=0.05]. In the gabapentin group, mean morphine (patient-controlled analgesia) use (3.5 mg), sedation scores (1.0), and antiemetic usage (0 mg metoclopramide) were all significantly reduced in comparison to the controls with respective figures of 11.4 mg, 1.6, and 12.2 mg.

CONCLUSION

Single preoperative doses of gabapentin led to significant reductions in postoperative pain and nausea with reduced analgesic and antiemetic usage, without additional side-effects or increases in operative complications.

Modeling frequency modulated responses of midbrain auditory neurons based on trigger features and artificial neural networks

Frequency modulation (FM) is an important building block of communication signals for animals and human. Attempts to predict the response of central neurons to FM sounds have not been very successful, though achieving successful results could bring insights regarding the underlying neural mechanisms. Here we proposed a new method to predict responses of FM-sensitive neurons in the auditory midbrain. First we recorded single unit responses in anesthetized rats using a random FM tone to construct their spectro-temporal receptive fields (STRFs). Training of neurons in the artificial neural network to respond to a second random FM tone was based on the temporal information derived from the STRF. Specifically, the time window covered by the presumed trigger feature and its delay time to spike occurrence were used to train a finite impulse response neural network (FIRNN) to respond to this random FM. Finally we tested the model performance in predicting the response to another similar FM stimuli (third random FM tone). We found good performance in predicting the time of responses if not also the response magnitudes. Furthermore, the weighting function of the FIRNN showed temporal 'bumps' suggesting temporal integration of synaptic inputs from different frequency laminae. This article is part of a Special Issue entitled: Neural Coding.

Fine frequency-modulation trigger features of midbrain auditory neurons extracted by the progressive thresholding method--a preliminary study

Spectro-temporal receptive fields (STRFs) are commonly used to characterize response properties of central auditory neurons and for visualizing 'trigger features'. However, trigger features in STRF maps typically have a blurry appearance. Therefore it is unclear what details could be embedded in them. To investigate this, we developed a new method called 'progressive thresholding' to resolve fine structures in the STRFs, and applied the method to FM responses recorded from single units at the auditory midbrain of anesthetized rats. Random FM tones of a narrow frequency range (approximately 0.5 octave) were first presented to evoked spike responses at the cell's best frequency. Perispike modulating time waveforms collected (50 msec long, n = 1500 to 4000 tracings) were used to generate STRF based on spike-triggered-averaging. After supra-threshold areas of pixel counts had been determined through a step of progressive thresholding in the map, those peri-spike modulating waveforms passing through each area were dejittered systematically. At what seemed to be an optimal threshold, multiple trigger features (up to a maximum of 4 fine bands) were extracted from the initially simple-looking STRF. Results show that fine FM trigger features are present in STRFs and that they can be resolved with the present method of analysis.

Epithelioid haemangioendothelioma of the anterior skull base: what is the optimal treatment?

We report an unusual malignant tumour affecting an unusual site. Epithelioid haemangioendothelioma was formerly considered a tumour of intermediate malignancy but has been reclassified as fully malignant. It is important to be aware of this clinical entity as the best hope of cure is timely radical resection. There is a paucity of evidence concerning the efficacy of alternative treatments because the tumour is very rare.

Convergence of the chiral expansion in two-flavor lattice QCD

We test the convergence property of the chiral perturbation theory using a lattice QCD calculation of pion mass and decay constant with two dynamical quark flavors. The lattice calculation is performed using the overlap fermion formulation, which realizes exact chiral symmetry at finite lattice spacing. By comparing various expansion prescriptions, we find that the chiral expansion is well saturated at the next-to-leading order for pions lighter than approximately 450 MeV. Better convergence behavior is found, in particular, for a resummed expansion parameter xi, with which the lattice data in the pion mass region 290-750 MeV can be fitted well with the next-to-next-to-leading order formulas. We obtain the results in two-flavor QCD for the low energy constants l[over ]_{3} and l[over ]_{4} as well as the pion decay constant, the chiral condensate, and the average up and down quark mass.

Multiple-band trigger features of midbrain auditory neurons revealed in composite spectro-temporal receptive fields

Receptive fields of single units in the auditory midbrain of anesthetized rats were studied using random FM-tone stimuli of narrow frequency-ranges. Peri-spike averaging of the modulating waveform first produced a spectro-temporal receptive field (STRF). Combining STRFs obtained from the same unit at different frequency regions generated a composite receptive field covering a wider frequency range of 2 to 3 octaves. About 20% of the composite STRFs (26/122) showed a pattern of multiple-bands which were not clear in the non-composite maps. Multiple-bands in a given composite map were often oriented in the same direction (representing upward or downward FM ramp) separated at rather regular frequency intervals. They reflect multiple FM trigger features in the stimulus rather than repetitive firing to a single trigger feature. Results showed that the subcortical auditory pathways are capable of detecting multiple FM features and such sensitivity could be useful in detecting multiple-harmonic FM bands present in the vocalization sounds.

Properties of Matter matter in assessment of scald injuries

Gathering information on the thermal characteristics of the causative agent in scald injuries provides clues as to the likely depth of injury. We theorize that viscosity and thermal capacity may have important roles to play when we view scalds as contact burns due to a liquid. From a 4-year review of our scald patients, we found that scalds due to thick food/drinks such as congee (a porridge made from rice) were associated with a higher rate of surgery. We determined the rate of cooling of seven common food/drinks and found little difference between water, tea, coffee and noodles, other than the starting temperatures. However, the rate of cooling of congee was significantly slower indicating a greater thermal capacity. A "drip" model found that a skin substitute exposed to congee cooled significantly more slowly compared to other food/drinks, suggesting that its greater viscosity plays a role. This supports the theory that the viscosity of food/drink is important.

Long-term changes of response in the inferior colliculus of senescence accelerated mice after early sound exposure

Early sound exposure could alter auditory sensitivity in young animals. For example, the distribution of frequency tuning at the midbrain inferior colliculus (IC) is altered following early exposure to a tone at a moderate intensity level. Whether such neonatal change is still present in the old animals remains unknown. We studied the long-term effects of early sound exposure using a mutant strain of mice expressing accelerated senescence (SAM). Experimental animals were first exposed to a 9-kHz tone (53 dB sound pressure level (SPL)) for 30 days (10 h/day) after birth. Control animals received no tones. At the age of 15 months, responses of single IC units to sounds were studied electrophysiologically under urethane anesthesia. In the control group, we found an overall reduction in sensitivity to tones particularly at high frequencies, in comparison with normal non-senescent mice. Moreover, neurons exhibited increased spontaneous activities. These signs are consistent with accelerated senescence. Early sound exposure produced two effects in the experimental group. Firstly, IC units showed an apparent 'clustering' of best frequencies towards the frequency of the exposing tone (i.e., 9 kHz). Secondly, there was a further loss in sensitivity to tones particularly at high frequencies. Results suggest that early sound exposure has produced a long-lasting effect on frequency tuning of IC neurons. Acoustic overstimulation early in life may also accelerate the senescence of neurons or structures in the auditory system.

Similarities of FM and AM receptive space of single units at the auditory midbrain

Complex sounds, including human speech, contain time-varying signals like frequency modulation (FM) and amplitude modulation (AM) components. In spite of various attempts to characterize their neuronal coding in the mammalian auditory systems, a unified view of their responses has not been reached. We compared FM and AM coding in terms of receptive space with reference to the input-output relationship of the underlying neural circuits. Using extracellular recording, single unit responses to a novel stimulus (i.e. random AM or FM tone) were obtained at the auditory midbrain of the anesthetized rat. Responses could be classified into three general types, corresponding to selective sensitivity to one of the following aspects of the modulation: (a) steady state, (b) dynamic state, or (c) steady-and-dynamic states. Such response typing was basically similar between FM and AM stimuli. Furthermore, the receptive space of each unit could be characterized in a three-dimensional Cartesian co-ordinate system formed by three modulation parameters: velocity, range and intensity. This representation applies to both FM and AM responses. We concluded that the FM and AM codings are very similar at the auditory midbrain and may likely involve similar neural mechanisms.

Basic response determinants of single neurons to amplitude modulation in the auditory midbrain

Amplitude-modulated (AM) signals represent important components of environmental sounds. While single-cell responses to AM tones in the central auditory system were often studied using repetitive modulation, owing to its presence in vocalization signals, the AM response has not been fully depicted in terms of receptive field in the stimulus domain. This study was aimed to characterize the receptive field of AM response with respect to nonrepetitive AM stimuli and to understand how complex acoustic signals may be coded in the brain. A novel AM stimulus was implemented with a random envelope and a systemic change in intensity across trials. From 393 single units recorded in the inferior colliculus (IC) of urethane-anesthetized rats, responses to the AM stimulus were first characterized in terms of dot-raster pattern. Three types of response were identified: type I showing a monotonic response to mainly the steady states of the AM envelope and type II to rising phases of the AM envelope with a clear intensity preference. Type III showed a mixed response of both type I and type II. A small number of units, called type IV, responded to both rising and falling phases of the modulation. Using perispike averaging, the AM receptive field, or "level temporal receptive field" (LTRF), was displayed in a "stimulus level versus perispike time" plane. The LTRF, particularly of the type II response, clearly revealed triggering features of the cell. The triggering features are consistent with the representation of the cell's response in a receptive space formed by the Cartesian axes of the velocity of amplitude modulation, the intensity of the sound, and the range of modulation. We therefore considered these stimulus parameters as the three basic determinants of the AM response in the auditory midbrain.

Effect of acupuncture at nei-kuan on left ventricular function in patients with coronary artery disease

Effect of acupuncture at Nei-Kuan (EH-6) on left ventricular ejection fraction (LVEF) was examined in 22 patients with angiographically proved coronary artery disease (CAD) and 22 normal subjects. Serial equilibrium radionuclide angiography was done to measure LVEF at 4 different times (at baseline, at 1 to 15 minutes, and 16 to 30 minutes during acupuncture, and immediately after acupuncture). One week later, each patient had an identical imaging protocol with acupuncture performed at a dummy point. Our results showed that in normal subjects, the mean values of LVEF did not change significantly during or after acupuncture. In contrast, in patients with CAD, the mean values of LVEF in the initial 15 minutes of acupuncture significantly increased from baseline (42.5 +/- 15.6% vs. 40.6 +/- 15.4%, p < 0.05). The increase persisted through the next 15 minutes of acupuncture and 15 minutes after acupuncture, but became insignificant at one week. Thus, acupuncture at Nei-Kuan can temporarily improve LV function in patients with CAD.

Transient frequency and intensity sensitivities of central auditory neurons determined with sweep tone

To determine the transient frequency and intensity sensitivities of central auditory neurons, we implemented an exponential sweep tone stimulus (2 sec in period, mean sweep rate 3.3 octave/sec), intensity of which varied systematically across trials. Response of single units to the stimulus was studied at the inferior colliculus (IC) of urethane-anesthetized rats. Most IC units responded to the sweep tone by one or more transient increases in discharge rate. The area of increased discharge, or response area (RA), was delineated on the frequency-intensity plane. The tip of RA gives the best frequency (BF) and minimum threshold (MT) of the cell. We also compared the BF and MT concurrently obtained with another method, viz., the conventional 'audio-visual' method of subjective judgment. Results showed that for the same population of cells (n=130), correlation between the two methods is better for BF (r=0.91) than for MT (r=0.78). Such discrepancy was discussed in relation to the response characteristics of these central auditory neurons.