Artem S Rogovskyy, Vasilis C Pliasas, Ryan Buhrer, Keith Lewy, Dominique J Wiener, Yoonsung Jung, Jonathan Bova, Yuliya Rogovska, Sun J Kim, Eunhye Grace Jeon
As white-footed mice, Peromyscus leucopus, are considered the primary animal reservoir of Borreliella burgdorferi sensu stricto (Bb), the main agent of Lyme disease (LD) in the United States, these animals represent the most relevant model to study borrelial spirochetes in the context of their natural life cycle. Previous studies have consistently demonstrated that although white-footed mice respond immunologically to the invasion of the Lyme pathogen, P. leucopus adults do not develop a clinically detectable disease. This tolerance, which is common for mammalian reservoirs of different pathogens, contrasts with detrimental anti-borrelial responses of C3H mice, a widely used animal model of LD, which always result in a clinical manifestation (e.g., arthritis). The current investigation is a follow-up of our recent study that already showed a relative quiescence of the spleen transcriptome for Bb-infected white-footed mice compared to the infected C3H mice. In an effort to identify the mechanism behind this tolerance, in this study, we have evaluated an extensive list of hematological and biochemical parameters measured in white-footed mice after their 70-day-long borrelial infection. Despite missing reference intervals for Peromyscus mice, our sex- and age-matched uninfected controls allowed us to assess the blood and serum parameters. In addition, for our assessment, we also utilized behavioral, immunological, and histological analyses. Collectively, by using the metrics reported herein, the present results have demonstrated clinical unresponsiveness of P. leucopus mice to the borrelial infection, presenting no restriction to a long-term host-pathogen co-existence.
{"title":"Do white-footed mice, the main reservoir of the Lyme disease pathogen in the United States, clinically respond to the borrelial tenancy?","authors":"Artem S Rogovskyy, Vasilis C Pliasas, Ryan Buhrer, Keith Lewy, Dominique J Wiener, Yoonsung Jung, Jonathan Bova, Yuliya Rogovska, Sun J Kim, Eunhye Grace Jeon","doi":"10.1128/iai.00382-24","DOIUrl":"https://doi.org/10.1128/iai.00382-24","url":null,"abstract":"<p><p>As white-footed mice, <i>Peromyscus leucopus</i>, are considered the primary animal reservoir of <i>Borreliella burgdorferi sensu stricto</i> (<i>Bb</i>), the main agent of Lyme disease (LD) in the United States, these animals represent the most relevant model to study borrelial spirochetes in the context of their natural life cycle. Previous studies have consistently demonstrated that although white-footed mice respond immunologically to the invasion of the Lyme pathogen, <i>P. leucopus</i> adults do not develop a clinically detectable disease. This tolerance, which is common for mammalian reservoirs of different pathogens, contrasts with detrimental anti-borrelial responses of C3H mice, a widely used animal model of LD, which always result in a clinical manifestation (e.g., arthritis). The current investigation is a follow-up of our recent study that already showed a relative quiescence of the spleen transcriptome for <i>Bb</i>-infected white-footed mice compared to the infected C3H mice. In an effort to identify the mechanism behind this tolerance, in this study, we have evaluated an extensive list of hematological and biochemical parameters measured in white-footed mice after their 70-day-long borrelial infection. Despite missing reference intervals for <i>Peromyscus</i> mice, our sex- and age-matched uninfected controls allowed us to assess the blood and serum parameters. In addition, for our assessment, we also utilized behavioral, immunological, and histological analyses. Collectively, by using the metrics reported herein, the present results have demonstrated clinical unresponsiveness of <i>P. leucopus</i> mice to the borrelial infection, presenting no restriction to a long-term host-pathogen co-existence.</p>","PeriodicalId":13541,"journal":{"name":"Infection and Immunity","volume":" ","pages":"e0038224"},"PeriodicalIF":2.9,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142619583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-12Epub Date: 2024-09-30DOI: 10.1128/iai.00302-24
Jee-Yon Lee, Derek J Bays, Hannah P Savage, Andreas J Bäumler
The gut microbiome, composed of the colonic microbiota and their host environment, is important for many aspects of human health. A gut microbiome imbalance (gut dysbiosis) is associated with major causes of human morbidity and mortality. Despite the central part our gut microbiome plays in health and disease, mechanisms that maintain homeostasis and properties that demarcate dysbiosis remain largely undefined. Here we discuss that sorting taxa into meaningful ecological units reveals that the availability of respiratory electron acceptors, such as oxygen, in the host environment has a dominant influence on gut microbiome health. During homeostasis, host functions that limit the diffusion of oxygen into the colonic lumen shelter a microbial community dominated by primary fermenters from atmospheric oxygen. In turn, primary fermenters break down unabsorbed nutrients into fermentation products that support host nutrition. This symbiotic relationship is disrupted when host functions that limit the luminal availability of host-derived electron acceptors become weakened. The resulting changes in the host environment drive alterations in the microbiota composition, which feature an elevated abundance of facultatively anaerobic microbes. Thus, the part of the gut microbiome that becomes imbalanced during dysbiosis is the host environment, whereas changes in the microbiota composition are secondary to this underlying cause. This shift in our understanding of dysbiosis provides a novel starting point for therapeutic strategies to restore microbiome health. Such strategies can either target the microbes through metabolism-based editing or strengthen the host functions that control their environment.
{"title":"The human gut microbiome in health and disease: time for a new chapter?","authors":"Jee-Yon Lee, Derek J Bays, Hannah P Savage, Andreas J Bäumler","doi":"10.1128/iai.00302-24","DOIUrl":"10.1128/iai.00302-24","url":null,"abstract":"<p><p>The gut microbiome, composed of the colonic microbiota and their host environment, is important for many aspects of human health. A gut microbiome imbalance (gut dysbiosis) is associated with major causes of human morbidity and mortality. Despite the central part our gut microbiome plays in health and disease, mechanisms that maintain homeostasis and properties that demarcate dysbiosis remain largely undefined. Here we discuss that sorting taxa into meaningful ecological units reveals that the availability of respiratory electron acceptors, such as oxygen, in the host environment has a dominant influence on gut microbiome health. During homeostasis, host functions that limit the diffusion of oxygen into the colonic lumen shelter a microbial community dominated by primary fermenters from atmospheric oxygen. In turn, primary fermenters break down unabsorbed nutrients into fermentation products that support host nutrition. This symbiotic relationship is disrupted when host functions that limit the luminal availability of host-derived electron acceptors become weakened. The resulting changes in the host environment drive alterations in the microbiota composition, which feature an elevated abundance of facultatively anaerobic microbes. Thus, the part of the gut microbiome that becomes imbalanced during dysbiosis is the host environment, whereas changes in the microbiota composition are secondary to this underlying cause. This shift in our understanding of dysbiosis provides a novel starting point for therapeutic strategies to restore microbiome health. Such strategies can either target the microbes through metabolism-based editing or strengthen the host functions that control their environment.</p>","PeriodicalId":13541,"journal":{"name":"Infection and Immunity","volume":" ","pages":"e0030224"},"PeriodicalIF":2.9,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11556149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142345961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-12Epub Date: 2024-10-02DOI: 10.1128/iai.00335-24
A P Fratzke, J A Szule, S M Butler, E J van Schaik, J E Samuel
Local and systemic reactogenic responses to Q-VAX have prevented licensing of this vaccine outside of Australia. These reactogenic responses occur in previously sensitized individuals and have not been well defined at the cellular level, in part because many studies have been done in guinea pigs that have limited molecular tools. We previously characterized a mouse model of reactogenicity where local reaction sites showed an influx of CD8+ and IFNγ-expressing IL17a+ CD4+ T cells consistent with a Th1 delayed-type hypersensitivity. In this study, we determined, using depletion and adoptive transfer experiments, that both anti-Coxiella antibodies and CD4+ T cells were essential for localized reactions at the site of vaccination. Furthermore, IFNγ depletion showed significant histological changes at the local reaction sites demonstrating the essential nature of this cytokine to reactogenicity. In addition to the cells and cytokines required for this response, we determined that whole cell vaccine (WCV) material remained at the site of vaccination for at least 26 weeks post-injection. Transmission electron microscopy (TEM) of these sites demonstrated intact rod-shaped bacteria at 2 weeks post-injection and partially degraded bacteria within macrophages at 26 weeks post-injection. Finally, because small cell variants (SCVs) are an environmentally stable form, we determined that local reactions were more severe when the WCV material was prepared with higher levels of SCVs compared to typical WCV or with higher levels of large cell variant (LCV). These studies support the hypothesis that antigen persistence at the site of injection contributes to this reactogenicity and that anti-Coxiella antibodies, CD4+ T cells, and IFNγ each contribute to this process.
Q-VAX 的局部和全身性致敏反应阻碍了该疫苗在澳大利亚以外的地区获得许可。这些致反应性反应发生在先前已致敏的个体身上,但尚未在细胞水平上得到很好的定义,部分原因是许多研究都是在豚鼠身上进行的,而豚鼠的分子工具有限。我们之前研究了一种小鼠致敏反应模型,在该模型中,局部反应部位出现了大量 CD8+ 和表达 IL17a+ 的 CD4+ T 细胞,这与 Th1 迟发型超敏反应一致。在本研究中,我们利用去势和收养性转移实验确定,抗柯西氏杆菌抗体和 CD4+ T 细胞对疫苗接种部位的局部反应至关重要。此外,IFNγ耗竭显示局部反应部位的组织学发生了显著变化,证明了这种细胞因子对反应发生的重要性。除了这种反应所需的细胞和细胞因子外,我们还确定全细胞疫苗(WCV)材料在注射后至少 26 周仍留在接种部位。这些部位的透射电子显微镜(TEM)显示,在注射后 2 周,细菌呈完整的杆状,而在注射后 26 周,巨噬细胞内的细菌部分降解。最后,由于小细胞变异体(SCV)是一种环境稳定的形式,我们确定,与典型的 WCV 相比,当制备的 WCV 材料中 SCV 含量较高或大细胞变异体(LCV)含量较高时,局部反应更为严重。这些研究支持这样的假设,即抗原在注射部位的持续存在导致了这种致反应性,而抗柯西氏菌抗体、CD4+ T 细胞和 IFNγ 都有助于这一过程。
{"title":"Molecular mechanisms of <i>Coxiella burnetii</i> formalin-fixed cellular vaccine reactogenicity.","authors":"A P Fratzke, J A Szule, S M Butler, E J van Schaik, J E Samuel","doi":"10.1128/iai.00335-24","DOIUrl":"10.1128/iai.00335-24","url":null,"abstract":"<p><p>Local and systemic reactogenic responses to Q-VAX have prevented licensing of this vaccine outside of Australia. These reactogenic responses occur in previously sensitized individuals and have not been well defined at the cellular level, in part because many studies have been done in guinea pigs that have limited molecular tools. We previously characterized a mouse model of reactogenicity where local reaction sites showed an influx of CD8+ and IFNγ-expressing IL17a+ CD4+ T cells consistent with a Th1 delayed-type hypersensitivity. In this study, we determined, using depletion and adoptive transfer experiments, that both anti-<i>Coxiella</i> antibodies and CD4+ T cells were essential for localized reactions at the site of vaccination. Furthermore, IFNγ depletion showed significant histological changes at the local reaction sites demonstrating the essential nature of this cytokine to reactogenicity. In addition to the cells and cytokines required for this response, we determined that whole cell vaccine (WCV) material remained at the site of vaccination for at least 26 weeks post-injection. Transmission electron microscopy (TEM) of these sites demonstrated intact rod-shaped bacteria at 2 weeks post-injection and partially degraded bacteria within macrophages at 26 weeks post-injection. Finally, because small cell variants (SCVs) are an environmentally stable form, we determined that local reactions were more severe when the WCV material was prepared with higher levels of SCVs compared to typical WCV or with higher levels of large cell variant (LCV). These studies support the hypothesis that antigen persistence at the site of injection contributes to this reactogenicity and that anti-<i>Coxiella</i> antibodies, CD4+ T cells, and IFNγ each contribute to this process.</p>","PeriodicalId":13541,"journal":{"name":"Infection and Immunity","volume":" ","pages":"e0033524"},"PeriodicalIF":2.9,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11556133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142361365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-12Epub Date: 2024-10-11DOI: 10.1128/iai.00419-24
Saswat Hota, Manish Kumar
The TolC family protein of Leptospira is a type I outer membrane efflux protein. Phylogenetic analysis revealed significant sequence conservation among pathogenic Leptospira species (83%-98% identity) compared with intermediate and saprophytic species. Structural modeling indicated a composition of six β-strands and 10 α-helices arranged in two repeats, resembling bacterial outer membrane efflux proteins. Recombinant TolC (rTolC), expressed in a heterologous host and purified via Ni-NTA chromatography, maintained its secondary structural integrity, as verified by circular dichroism spectroscopy. Polyclonal antibodies against rTolC detected native TolC expression in pathogenic Leptospira but not in nonpathogenic ones. Immunoassays and detergent fractionation assays indicated surface localization of TolC. The rTolC's recognition by sera from leptospirosis-infected hosts across species suggests its utility as a diagnostic marker. Notably, rTolC demonstrated binding affinity for various extracellular matrix components, including collagen and chondroitin sulfate A, as well as plasma proteins such as factor H, C3b, and plasminogen, indicating potential roles in tissue adhesion and immune evasion. Functional assays demonstrated that rTolC-bound FH retained cofactor activity for C3b cleavage, highlighting TolC's role in complement regulation. The rTolC protein inhibited both the alternative and the classical pathway-mediated membrane attack complex (MAC) deposition in vitro. Blocking surface-expressed TolC on leptospires using specific antibodies reduced FH acquisition by Leptospira and increased MAC deposition on the spirochete. These findings indicate that TolC contributes to leptospiral virulence by promoting host tissue colonization and evading the immune response, presenting it as a potential target for diagnostic and therapeutic strategies.
{"title":"Unveiling the impact of <i>Leptospira</i> TolC efflux protein on host tissue adherence, complement evasion, and diagnostic potential.","authors":"Saswat Hota, Manish Kumar","doi":"10.1128/iai.00419-24","DOIUrl":"10.1128/iai.00419-24","url":null,"abstract":"<p><p>The TolC family protein of <i>Leptospira</i> is a type I outer membrane efflux protein. Phylogenetic analysis revealed significant sequence conservation among pathogenic <i>Leptospira</i> species (83%-98% identity) compared with intermediate and saprophytic species. Structural modeling indicated a composition of six β-strands and 10 α-helices arranged in two repeats, resembling bacterial outer membrane efflux proteins. Recombinant TolC (rTolC), expressed in a heterologous host and purified via Ni-NTA chromatography, maintained its secondary structural integrity, as verified by circular dichroism spectroscopy. Polyclonal antibodies against rTolC detected native TolC expression in pathogenic <i>Leptospira</i> but not in nonpathogenic ones. Immunoassays and detergent fractionation assays indicated surface localization of TolC. The rTolC's recognition by sera from leptospirosis-infected hosts across species suggests its utility as a diagnostic marker. Notably, rTolC demonstrated binding affinity for various extracellular matrix components, including collagen and chondroitin sulfate A, as well as plasma proteins such as factor H, C3b, and plasminogen, indicating potential roles in tissue adhesion and immune evasion. Functional assays demonstrated that rTolC-bound FH retained cofactor activity for C3b cleavage, highlighting TolC's role in complement regulation. The rTolC protein inhibited both the alternative and the classical pathway-mediated membrane attack complex (MAC) deposition <i>in vitro</i>. Blocking surface-expressed TolC on leptospires using specific antibodies reduced FH acquisition by <i>Leptospira</i> and increased MAC deposition on the spirochete. These findings indicate that TolC contributes to leptospiral virulence by promoting host tissue colonization and evading the immune response, presenting it as a potential target for diagnostic and therapeutic strategies.</p>","PeriodicalId":13541,"journal":{"name":"Infection and Immunity","volume":" ","pages":"e0041924"},"PeriodicalIF":2.9,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11556070/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142400164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-12Epub Date: 2024-10-22DOI: 10.1128/iai.00396-24
Gavin Z Chambers, Kathryn M F Chambers, Richard T Marconi
Lyme disease, caused by Borreliella burgdorferi and related species, is a growing health threat to companion animals across North America and Europe. Vaccination is an important preventive tool used widely in dogs living in, or near, endemic regions. In this report, we assessed anti-outer surface protein (Osp) A and anti-OspC antibody responses in B. burgdorferi-infected and -naïve mice (C3H/HeN) after immunization with a murine-optimized single dose of the Lyme disease subunit vaccine, Vanguard crLyme. crLyme is comprised of OspA and an OspC chimeritope-based immunogen designated as CH14. Mice that were infected and immunized developed higher levels of anti-OspC antibodies (Abs) than those infected only or that received one vaccine dose. The anti-OspC Abs that developed in the infected/immunized mice bound to all OspC variants tested (n = 22), whereas OspC Abs in serum from infected mice bound predominantly to the OspC variant (type A) produced by the infecting B. burgdorferi strain. Consistent with the absence of OspA expression in infected mammals, none of the infected mice developed Abs to OspA and did not develop anti-OspA Abs after single dose immunization. Lastly, serum from infected/immunized mice displayed significantly higher and broader killing activity than serum from non-immunized infected mice. The results of this study demonstrate that a single vaccination of actively infected mice results in strong anti-OspC Ab responses. This study contributes to our understanding of Ab responses to vaccination in actively infected mammals.
莱姆病由勃氏鲍雷利菌及相关菌种引起,对北美和欧洲伴侣动物的健康威胁日益严重。接种疫苗是一种重要的预防手段,广泛用于生活在流行地区或附近的狗。在本报告中,我们评估了感染 B. burgdorferi- 和未感染 B. burgdorferi- 的小鼠(C3H/HeN)在接种小鼠优化的单剂量莱姆病亚单位疫苗 Vanguard crLyme 后的抗外源表面蛋白(Osp)A 和抗 OspC 抗体反应。与只感染或只接种一剂疫苗的小鼠相比,感染并接种疫苗的小鼠产生了更高水平的抗 OspC 抗体(Abs)。感染/免疫小鼠体内产生的抗OspC抗体与测试的所有OspC变体(n = 22)结合,而感染小鼠血清中的OspC抗体主要与感染的B. burgdorferi菌株产生的OspC变体(A型)结合。与受感染的哺乳动物体内没有 OspA 表达相一致的是,没有一只受感染的小鼠产生 OspA 抗体,单剂量免疫后也没有产生抗 OspA 抗体。最后,与未免疫的受感染小鼠的血清相比,受感染/免疫小鼠的血清显示出明显更高和更广泛的杀伤活性。本研究结果表明,对活跃的感染小鼠进行一次疫苗接种可产生强烈的抗 OspC Ab 反应。这项研究有助于我们了解活性感染哺乳动物对疫苗接种的抗体反应。
{"title":"A single immunization of <i>Borreliella burgdorferi</i>-infected mice with Vanguard crLyme elicits robust antibody responses to diverse strains and variants of outer surface protein C.","authors":"Gavin Z Chambers, Kathryn M F Chambers, Richard T Marconi","doi":"10.1128/iai.00396-24","DOIUrl":"10.1128/iai.00396-24","url":null,"abstract":"<p><p>Lyme disease, caused by <i>Borreliella burgdorferi</i> and related species<i>,</i> is a growing health threat to companion animals across North America and Europe. Vaccination is an important preventive tool used widely in dogs living in, or near, endemic regions. In this report, we assessed anti-outer surface protein (Osp) A and anti-OspC antibody responses in <i>B. burgdorferi</i>-infected and -naïve mice (C3H/HeN) after immunization with a murine-optimized single dose of the Lyme disease subunit vaccine, Vanguard crLyme. crLyme is comprised of OspA and an OspC chimeritope-based immunogen designated as CH14. Mice that were infected and immunized developed higher levels of anti-OspC antibodies (Abs) than those infected only or that received one vaccine dose. The anti-OspC Abs that developed in the infected/immunized mice bound to all OspC variants tested (<i>n</i> = 22), whereas OspC Abs in serum from infected mice bound predominantly to the OspC variant (type A) produced by the infecting <i>B. burgdorferi</i> strain. Consistent with the absence of OspA expression in infected mammals, none of the infected mice developed Abs to OspA and did not develop anti-OspA Abs after single dose immunization. Lastly, serum from infected/immunized mice displayed significantly higher and broader killing activity than serum from non-immunized infected mice. The results of this study demonstrate that a single vaccination of actively infected mice results in strong anti-OspC Ab responses. This study contributes to our understanding of Ab responses to vaccination in actively infected mammals.</p>","PeriodicalId":13541,"journal":{"name":"Infection and Immunity","volume":" ","pages":"e0039624"},"PeriodicalIF":2.9,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11556006/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142464292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-12Epub Date: 2024-10-11DOI: 10.1128/iai.00239-24
Sally R Robinson, Denise Ann Dayao, Jhon A Medina, Cara J Martone, Anne K Yauch, Troy Hinkley, Jesse H Erasmus, Charles B Shoemaker, Saul Tzipori
Hemolytic uremic syndrome (HUS) is a systemic sequelae from gastrointestinal infection with Shiga toxin (Stx) producing Escherichia coli (STEC) that can result in acute kidney injury, lasting renal disease, and death. Despite a window for intervention between hemorrhagic diarrhea and onset of HUS, no specific therapies exist to prevent or treat HUS following STEC infection. Furthermore, there is no way to predict which patients with STEC will develop HUS or any rapid way to determine which Stx variant is present. To address this, we have broadened the therpay to neutralize additional toxin variants. It contains a multimer of nanobodies derived from camelid heavy chain antibody fragments (VHHs). An improved VHH-based neutralizing agent (VNA2) is delivered intramuscularly as RNA combined with LION nanoparticles rather than mRNA, that replicates on administration (repRNA), resulting in a rapidly circulating VNA that can bind systemic toxin. The RNA/VNA2-Stx administered intramuscularly prevents toxicity and death in a mouse model of acute Stx toxicity.
{"title":"An anti-Shiga toxin VHH nanobody multimer protects mice against fatal toxicosis when administered intramuscularly as repRNA.","authors":"Sally R Robinson, Denise Ann Dayao, Jhon A Medina, Cara J Martone, Anne K Yauch, Troy Hinkley, Jesse H Erasmus, Charles B Shoemaker, Saul Tzipori","doi":"10.1128/iai.00239-24","DOIUrl":"10.1128/iai.00239-24","url":null,"abstract":"<p><p>Hemolytic uremic syndrome (HUS) is a systemic sequelae from gastrointestinal infection with Shiga toxin (Stx) producing <i>Escherichia coli</i> (STEC) that can result in acute kidney injury, lasting renal disease, and death. Despite a window for intervention between hemorrhagic diarrhea and onset of HUS, no specific therapies exist to prevent or treat HUS following STEC infection. Furthermore, there is no way to predict which patients with STEC will develop HUS or any rapid way to determine which Stx variant is present. To address this, we have broadened the therpay to neutralize additional toxin variants. It contains a multimer of nanobodies derived from camelid heavy chain antibody fragments (VHHs). An improved <u>V</u>HH-based <u>n</u>eutralizing <u>a</u>gent (VNA2) is delivered intramuscularly as RNA combined with LION nanoparticles rather than mRNA, that replicates on administration (repRNA), resulting in a rapidly circulating VNA that can bind systemic toxin. The RNA/VNA2-Stx administered intramuscularly prevents toxicity and death in a mouse model of acute Stx toxicity.</p>","PeriodicalId":13541,"journal":{"name":"Infection and Immunity","volume":" ","pages":"e0023924"},"PeriodicalIF":2.9,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11556087/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142400163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-12Epub Date: 2024-10-22DOI: 10.1128/iai.00309-24
Louis-Philippe Leroux, Visnu Chaparro, Alexandra Plouffe, Brent Johnston, Maritza Jaramillo
CXCL16 is a multifaceted chemokine expressed by macrophages and other immune cells in response to viral and bacterial pathogens. However, few studies have investigated its role in parasitic infections. The obligate intracellular parasite Toxoplasma gondii (T. gondii) is the causative agent of toxoplasmosis, an infection with potentially deleterious consequences in immunocompromised individuals and the developing fetus of acutely infected pregnant women. Chemokines are critical mediators of host defense and, as such, dysregulation of their expression is a subversion strategy often employed by the parasite to ensure its survival. Herein, we report that types I and II T. gondii strains upregulated the expression of both transmembrane and soluble forms of CXCL16 in infected bone marrow-derived macrophages (BMDM). Exposure to soluble T. gondii antigens (STAg) and to excreted-secreted proteins (TgESP) led to the induction of CXCL16. Cxcl16 mRNA abundance and CXCL16 protein levels increased in a time-dependent manner upon T. gondii infection. Importantly, conditioned medium (CM) collected from T. gondii-infected wild-type (WT) macrophage cultures promoted the migration of RAW264.7 cells expressing CXCR6, the cognate receptor of CXCL16, an effect that was significantly reduced by a neutralizing anti-CXCL16 antibody or use of CM from CXCL16 knockout (KO) macrophages. Lastly, T. gondii-driven CXCL16 expression appeared to modulate cytokine-induced (IL-4 + IL-13) alternative macrophage activation and M2 phenotypic marker expression. Further investigation is required to determine whether this chemokine contributes to the pathogenesis of toxoplasmosis and to elucidate the underlying molecular mechanisms.
CXCL16 是一种多方面的趋化因子,由巨噬细胞和其他免疫细胞表达,以应对病毒和细菌病原体。然而,很少有研究调查了它在寄生虫感染中的作用。细胞内寄生虫弓形虫(T. gondii)是弓形虫病的病原体,这种感染对免疫力低下的人和急性感染孕妇的发育中胎儿具有潜在的有害影响。趋化因子是宿主防御的关键介质,因此,寄生虫为确保其生存而经常采用的一种颠覆策略就是对趋化因子的表达进行失调。在此,我们报告了 I 型和 II 型淋球菌菌株在受感染的骨髓源性巨噬细胞(BMDM)中上调 CXCL16 跨膜和可溶性形式的表达。接触可溶性淋球菌抗原(STAg)和排泄-分泌蛋白(TgESP)会诱导 CXCL16。淋球菌感染后,Cxcl16 mRNA丰度和CXCL16蛋白水平以时间依赖性方式增加。重要的是,从T. gondi感染的野生型(WT)巨噬细胞培养物中收集的条件培养基(CM)能促进表达CXCL16同源受体CXCR6的RAW264.7细胞的迁移,中和抗CXCL16抗体或使用CXCL16基因敲除(KO)巨噬细胞的CM能显著降低这种效应。最后,淋球菌驱动的 CXCL16 表达似乎能调节细胞因子诱导的(IL-4 + IL-13)替代巨噬细胞活化和 M2 表型标记表达。要确定这种趋化因子是否有助于弓形虫病的发病机制并阐明其潜在的分子机制,还需要进一步的研究。
{"title":"<i>Toxoplasma gondii</i> infection induces the expression of the chemokine CXCL16 in macrophages to promote chemoattraction of CXCR6<sup>+</sup> cells.","authors":"Louis-Philippe Leroux, Visnu Chaparro, Alexandra Plouffe, Brent Johnston, Maritza Jaramillo","doi":"10.1128/iai.00309-24","DOIUrl":"10.1128/iai.00309-24","url":null,"abstract":"<p><p>CXCL16 is a multifaceted chemokine expressed by macrophages and other immune cells in response to viral and bacterial pathogens. However, few studies have investigated its role in parasitic infections. The obligate intracellular parasite <i>Toxoplasma gondii</i> (<i>T. gondii</i>) is the causative agent of toxoplasmosis, an infection with potentially deleterious consequences in immunocompromised individuals and the developing fetus of acutely infected pregnant women. Chemokines are critical mediators of host defense and, as such, dysregulation of their expression is a subversion strategy often employed by the parasite to ensure its survival. Herein, we report that types I and II <i>T. gondii</i> strains upregulated the expression of both transmembrane and soluble forms of CXCL16 in infected bone marrow-derived macrophages (BMDM). Exposure to soluble <i>T. gondii</i> antigens (STAg) and to excreted-secreted proteins (TgESP) led to the induction of CXCL16. <i>Cxcl16</i> mRNA abundance and CXCL16 protein levels increased in a time-dependent manner upon <i>T. gondii</i> infection. Importantly, conditioned medium (CM) collected from <i>T. gondii</i>-infected wild-type (WT) macrophage cultures promoted the migration of RAW264.7 cells expressing CXCR6, the cognate receptor of CXCL16, an effect that was significantly reduced by a neutralizing anti-CXCL16 antibody or use of CM from CXCL16 knockout (KO) macrophages. Lastly, <i>T. gondii</i>-driven CXCL16 expression appeared to modulate cytokine-induced (IL-4 + IL-13) alternative macrophage activation and M2 phenotypic marker expression. Further investigation is required to determine whether this chemokine contributes to the pathogenesis of toxoplasmosis and to elucidate the underlying molecular mechanisms.</p>","PeriodicalId":13541,"journal":{"name":"Infection and Immunity","volume":" ","pages":"e0030924"},"PeriodicalIF":2.9,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11556035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142464291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-12Epub Date: 2024-09-26DOI: 10.1128/iai.00345-24
Rebecca S Dookie, Ana Villegas-Mendez, Antonn Cheeseman, Adam P Jones, Ruben Barroso, Jordan R Barrett, Simon J Draper, Chris J Janse, Jane L Grogan, Andrew S MacDonald, Kevin N Couper
Pro-inflammatory immune responses are rapidly suppressed during blood-stage malaria but the molecular mechanisms driving this regulation are still incompletely understood. In this study, we show that the co-inhibitory receptors TIGIT and PD-1 are upregulated and co-expressed by antigen-specific CD4+ T cells (ovalbumin-specific OT-II cells) during non-lethal Plasmodium yoelii expressing ovalbumin (PyNL-OVA) blood-stage infection. Synergistic blockade of TIGIT and PD-L1, but not individual blockade of each receptor, during the early stages of infection significantly improved parasite control during the peak stages (days 10-15) of infection. Mechanistically, this protection was correlated with significantly increased plasma levels of IFN-γ, TNF, and IL-2, and an increase in the frequencies of IFN-γ-producing antigen-specific T-bet+ CD4+ T cells (OT-II cells), but not antigen-specific CD8+ T cells (OT-I cells), along with expansion of the splenic red pulp and monocyte-derived macrophage populations. Collectively, our study identifies a novel role for TIGIT in combination with the PD1-PD-L1 axis in regulating specific components of the pro-inflammatory immune response and restricting parasite control during the acute stages of blood-stage PyNL infection.
{"title":"Synergistic blockade of TIGIT and PD-L1 increases type-1 inflammation and improves parasite control during murine blood-stage <i>Plasmodium yoelii</i> non-lethal infection.","authors":"Rebecca S Dookie, Ana Villegas-Mendez, Antonn Cheeseman, Adam P Jones, Ruben Barroso, Jordan R Barrett, Simon J Draper, Chris J Janse, Jane L Grogan, Andrew S MacDonald, Kevin N Couper","doi":"10.1128/iai.00345-24","DOIUrl":"10.1128/iai.00345-24","url":null,"abstract":"<p><p>Pro-inflammatory immune responses are rapidly suppressed during blood-stage malaria but the molecular mechanisms driving this regulation are still incompletely understood. In this study, we show that the co-inhibitory receptors TIGIT and PD-1 are upregulated and co-expressed by antigen-specific CD4<sup>+</sup> T cells (ovalbumin-specific OT-II cells) during non-lethal <i>Plasmodium yoelii</i> expressing ovalbumin (<i>Py</i>NL<i>-OVA</i>) blood-stage infection. Synergistic blockade of TIGIT and PD-L1, but not individual blockade of each receptor, during the early stages of infection significantly improved parasite control during the peak stages (days 10-15) of infection. Mechanistically, this protection was correlated with significantly increased plasma levels of IFN-γ, TNF, and IL-2, and an increase in the frequencies of IFN-γ-producing antigen-specific T-bet<sup>+</sup> CD4<sup>+</sup> T cells (OT-II cells), but not antigen-specific CD8<sup>+</sup> T cells (OT-I cells), along with expansion of the splenic red pulp and monocyte-derived macrophage populations. Collectively, our study identifies a novel role for TIGIT in combination with the PD1-PD-L1 axis in regulating specific components of the pro-inflammatory immune response and restricting parasite control during the acute stages of blood-stage <i>Py</i>NL infection.</p>","PeriodicalId":13541,"journal":{"name":"Infection and Immunity","volume":" ","pages":"e0034524"},"PeriodicalIF":2.9,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11556036/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142345960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-12Epub Date: 2024-09-26DOI: 10.1128/iai.00284-24
Savannah E Sanchez, Travis J Chiarelli, Margaret A Park, Jason A Carlyon
Orientia tsutsugamushi a causal agent of scrub typhus, is an obligate intracellular bacterium that, akin to other rickettsiae, is dependent on host cell-derived nutrients for survival and thus pathogenesis. Based on limited experimental evidence and genome-based in silico predictions, O. tsutsugamushi is hypothesized to parasitize host central carbon metabolism (CCM). Here, we (re-)evaluated O. tsutsugamushi dependency on host cell CCM as initiated by glucose and glutamine. Orientia infection had no effect on host glucose and glutamine consumption or lactate accumulation, indicating no change in overall flux through CCM. However, host cell mitochondrial activity and ATP levels were reduced during infection and correspond with lower intracellular glutamine and glutamate pools. To further probe the essentiality of host CCM in O. tsutsugamushi proliferation, we developed a minimal medium for host cell cultivation and paired it with chemical inhibitors to restrict the intermediates and processes related to glucose and glutamine metabolism. These conditions failed to negatively impact O. tsutsugamushi intracellular growth, suggesting the bacterium is adept at scavenging from host CCM. Accordingly, untargeted metabolomics was utilized to evaluate minor changes in host CCM metabolic intermediates across O. tsutsugamushi infection and revealed that pathogen proliferation corresponds with reductions in critical CCM building blocks, including amino acids and TCA cycle intermediates, as well as increases in lipid catabolism. This study directly correlates O. tsutsugamushi proliferation to alterations in host CCM and identifies metabolic intermediates that are likely critical for pathogen fitness.IMPORTANCEObligate intracellular bacterial pathogens have evolved strategies to reside and proliferate within the eukaryotic intracellular environment. At the crux of this parasitism is the balance between host and pathogen metabolic requirements. The physiological basis driving O. tsutsugamushi dependency on its mammalian host remains undefined. By evaluating alterations in host metabolism during O. tsutsugamushi proliferation, we discovered that bacterial growth is independent of the host's nutritional environment but appears dependent on host gluconeogenic substrates, including amino acids. Given that O. tsutsugamushi replication is essential for its virulence, this study provides experimental evidence for the first time in the post-genomic era of metabolic intermediates potentially parasitized by a scrub typhus agent.
恙虫病的病原体 O. tsutsugamushi 是一种强制性细胞内细菌,它与其他立克次体一样,依赖宿主细胞中的营养物质生存,因此也依赖宿主的致病机理。根据有限的实验证据和基于基因组的硅学预测,假设恙虫病菌寄生于宿主的碳代谢中枢(CCM)。在这里,我们(重新)评估了恙虫卵对宿主细胞由葡萄糖和谷氨酰胺启动的 CCM 的依赖性。Orientia感染对宿主的葡萄糖和谷氨酰胺消耗或乳酸盐积累没有影响,这表明通过CCM的总体通量没有变化。不过,宿主细胞线粒体活性和 ATP 水平在感染期间有所降低,这与细胞内谷氨酰胺和谷氨酸池较低有关。为了进一步探究宿主 CCM 在恙虫增殖过程中的重要性,我们开发了一种用于宿主细胞培养的最小培养基,并将其与化学抑制剂搭配使用,以限制与葡萄糖和谷氨酰胺代谢相关的中间产物和过程。这些条件未能对O. tsutsugamushi的细胞内生长产生负面影响,这表明该细菌善于从宿主CCM中进行清除。因此,利用非靶向代谢组学评估了恙虫病菌感染宿主 CCM 代谢中间产物的微小变化,结果发现病原体的增殖与关键 CCM 构建模块(包括氨基酸和 TCA 循环中间产物)的减少以及脂质分解代谢的增加相对应。这项研究将恙虫病菌的增殖与宿主 CCM 的改变直接联系起来,并确定了可能对病原体健康至关重要的代谢中间产物。寄生的关键在于宿主和病原体代谢需求之间的平衡。恙虫病依赖哺乳动物宿主的生理基础仍未确定。通过评估O. tsutsugamushi增殖过程中宿主新陈代谢的变化,我们发现细菌的生长与宿主的营养环境无关,但似乎依赖于宿主的葡萄糖底物,包括氨基酸。鉴于恙虫病菌的复制对其毒力至关重要,本研究首次在后基因组时代提供了恙虫病菌可能寄生的代谢中间产物的实验证据。
{"title":"<i>Orientia tsutsugamushi</i> infection reduces host gluconeogenic but not glycolytic substrates.","authors":"Savannah E Sanchez, Travis J Chiarelli, Margaret A Park, Jason A Carlyon","doi":"10.1128/iai.00284-24","DOIUrl":"10.1128/iai.00284-24","url":null,"abstract":"<p><p><i>Orientia tsutsugamushi</i> a causal agent of scrub typhus, is an obligate intracellular bacterium that, akin to other rickettsiae, is dependent on host cell-derived nutrients for survival and thus pathogenesis. Based on limited experimental evidence and genome-based <i>in silico</i> predictions, <i>O. tsutsugamushi</i> is hypothesized to parasitize host central carbon metabolism (CCM). Here, we (re-)evaluated <i>O. tsutsugamushi</i> dependency on host cell CCM as initiated by glucose and glutamine. <i>Orientia</i> infection had no effect on host glucose and glutamine consumption or lactate accumulation, indicating no change in overall flux through CCM. However, host cell mitochondrial activity and ATP levels were reduced during infection and correspond with lower intracellular glutamine and glutamate pools. To further probe the essentiality of host CCM in <i>O. tsutsugamushi</i> proliferation, we developed a minimal medium for host cell cultivation and paired it with chemical inhibitors to restrict the intermediates and processes related to glucose and glutamine metabolism. These conditions failed to negatively impact <i>O. tsutsugamushi</i> intracellular growth, suggesting the bacterium is adept at scavenging from host CCM. Accordingly, untargeted metabolomics was utilized to evaluate minor changes in host CCM metabolic intermediates across <i>O. tsutsugamushi</i> infection and revealed that pathogen proliferation corresponds with reductions in critical CCM building blocks, including amino acids and TCA cycle intermediates, as well as increases in lipid catabolism. This study directly correlates <i>O. tsutsugamushi</i> proliferation to alterations in host CCM and identifies metabolic intermediates that are likely critical for pathogen fitness.IMPORTANCEObligate intracellular bacterial pathogens have evolved strategies to reside and proliferate within the eukaryotic intracellular environment. At the crux of this parasitism is the balance between host and pathogen metabolic requirements. The physiological basis driving <i>O. tsutsugamushi</i> dependency on its mammalian host remains undefined. By evaluating alterations in host metabolism during <i>O. tsutsugamushi</i> proliferation, we discovered that bacterial growth is independent of the host's nutritional environment but appears dependent on host gluconeogenic substrates, including amino acids. Given that <i>O. tsutsugamushi</i> replication is essential for its virulence, this study provides experimental evidence for the first time in the post-genomic era of metabolic intermediates potentially parasitized by a scrub typhus agent.</p>","PeriodicalId":13541,"journal":{"name":"Infection and Immunity","volume":" ","pages":"e0028424"},"PeriodicalIF":2.9,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11556148/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142345959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Macallister C Harris, Hadley E Gary, Sarah K Cooper, David F Ackart, James E DiLisio, Randall J Basaraba, Tan-Yun Cheng, Ildiko van Rhijn, D Branch Moody, Brendan K Podell
CD1 is an antigen-presenting glycoprotein homologous to MHC I; however, CD1 proteins present lipid rather than peptide antigens. CD1 proteins are well established to present lipid antigens of Mycobacterium tuberculosis (Mtb) to T cells, but understanding the role of CD1-restricted immunity in vivo in response to Mtb infection has been limited by the availability of animal models naturally expressing the CD1 proteins implicated in human response: CD1a, CD1b, and CD1c. Guinea pigs, in contrast to other rodent models, express four CD1b orthologs, and here we utilize the guinea pig to establish the kinetics of gene and protein expression of CD1b orthologs, as well as the Mtb lipid-antigen and CD1b-restricted immune response at the tissue level over the course of Mtb infection. Our results indicate transient upregulation of CD1b expression during the effector phase of adaptive immunity that wanes with disease chronicity. Gene expression indicates that the upregulation of CD1b is the result of transcriptional induction across all CD1b orthologs. We show high CD1b3 expression on B cells, and identify CD1b3 as the predominant CD1b ortholog in pulmonary granuloma lesions. We identify ex vivo cytotoxic activity directed against CD1b that parallels the kinetic changes in CD1b expression in Mtb-infected lungs and spleen. This study confirms that CD1b expression is modulated by Mtb infection in lung and spleen, leading to pulmonary and extrapulmonary CD1b-restricted immunity as a component of the antigen-specific response to Mtb infection.
{"title":"Establishment of CD1b-restricted immunity to lipid antigens in the pulmonary response to <i>Mycobacterium tuberculosis</i> infection.","authors":"Macallister C Harris, Hadley E Gary, Sarah K Cooper, David F Ackart, James E DiLisio, Randall J Basaraba, Tan-Yun Cheng, Ildiko van Rhijn, D Branch Moody, Brendan K Podell","doi":"10.1128/iai.00380-24","DOIUrl":"10.1128/iai.00380-24","url":null,"abstract":"<p><p>CD1 is an antigen-presenting glycoprotein homologous to MHC I; however, CD1 proteins present lipid rather than peptide antigens. CD1 proteins are well established to present lipid antigens of <i>Mycobacterium tuberculosis</i> (Mtb) to T cells, but understanding the role of CD1-restricted immunity <i>in vivo</i> in response to Mtb infection has been limited by the availability of animal models naturally expressing the CD1 proteins implicated in human response: CD1a, CD1b, and CD1c. Guinea pigs, in contrast to other rodent models, express four CD1b orthologs, and here we utilize the guinea pig to establish the kinetics of gene and protein expression of CD1b orthologs, as well as the Mtb lipid-antigen and CD1b-restricted immune response at the tissue level over the course of Mtb infection. Our results indicate transient upregulation of CD1b expression during the effector phase of adaptive immunity that wanes with disease chronicity. Gene expression indicates that the upregulation of CD1b is the result of transcriptional induction across all CD1b orthologs. We show high CD1b3 expression on B cells, and identify CD1b3 as the predominant CD1b ortholog in pulmonary granuloma lesions. We identify <i>ex vivo</i> cytotoxic activity directed against CD1b that parallels the kinetic changes in CD1b expression in Mtb-infected lungs and spleen. This study confirms that CD1b expression is modulated by Mtb infection in lung and spleen, leading to pulmonary and extrapulmonary CD1b-restricted immunity as a component of the antigen-specific response to Mtb infection.</p>","PeriodicalId":13541,"journal":{"name":"Infection and Immunity","volume":" ","pages":"e0038024"},"PeriodicalIF":2.9,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142568336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}