bili The Incompatibility of Faith and Anxiety By feeds.gty.org Published On :: Wed, 29 Apr 2020 00:00:00 PST If you worry, what kind of faith do you manifest? “Little faith,” according to Jesus (Matthew 6:30). If you are a child of God, you by definition have a heavenly Father. To act like you don’t, nervously asking, “What will I eat? What will I drink? What will I wear for clothing?” is to act like an unbeliever in God’s eyes (vv. 31-32).READ MORE Full Article
bili Sperm containing coronavirus raises possibility of sexually transmitted Covid-19, Chinese study shows By www.scmp.com Published On :: Fri, 08 May 2020 01:38:28 +0800 Chinese researchers have found Covid-19 in the sperm of a small number of men, raising the possibility that the virus could be spread via sex.The study by physicians at China’s Shangqiu Municipal Hospital looked at only 38 men at the hospital who had tested positive with disease, and of that already small group found that a minority – only six – were found to have SARS-CoV-2 in their semen.Eyes are ‘important route’ for coronavirus into body, Hong Kong experts find“The virus responsible for… Full Article
bili Tokyo 2020 ‘fake sustainability’: new Olympics report attracts heat from orangutan and rainforest activists By www.scmp.com Published On :: Fri, 08 May 2020 17:05:40 +0800 There was a collective sigh of relief when Japanese Prime Minister Shinzo Abe and International Olympic Committee (IOC) president Thomas Bach shook elbows over the postponement of the Tokyo 2020 Olympic Games in March because of the coronavirus pandemic. What with the unprecedented postponement of an Olympics and subsequent uncertainties over athletes, logistics, sponsors, a Tokyo 2020 main office employee contracting Covid-19, and the increasing friction between Abe’s and Tokyo governor (and… Full Article
bili Covid-19 responses increasing vulnerability of the disabled By www.nation.co.ke Published On :: 2020-05-09T06:15:16Z Many individuals with disabilities have been hard hit due to loss of income. Full Article
bili Promoting skilled labor mobility and migration in Southeast Asia -- by Aiko Kikkawa Takenaka, Eric Suan By blogs.adb.org Published On :: Wed, 28 Aug 2019 09:35:34 +0800 Members of the Association of Southeast Asian Nations are working together to encourage the free flow of skilled labor within their countries. Full Article
bili The housing unaffordability crisis in Asia -- by Matthias Helble By blogs.adb.org Published On :: Mon, 02 Dec 2019 11:51:04 +0800 The poor and middle class are struggling to find affordable housing across the region, but there are some basic steps cities can take to improve the situation. Full Article
bili Five myths about population, aging and environmental sustainability -- by Jane O'Sullivan, Francesco Ricciardi, Susann Roth By blogs.adb.org Published On :: Mon, 09 Dec 2019 14:06:16 +0800 For sustainable development, universal wellbeing should be the goal, rather than endless growth. Minimizing further growth in human populations is only part of the solution, but an essential part. Full Article
bili COVID-19 highlights Asian banks’ vulnerability to U.S. dollar debt -- by Cyn-Young Park (朴信永), Peter Rosenkranz By blogs.adb.org Published On :: Tue, 14 Apr 2020 15:51:06 +0800 The pandemic provides an opportunity for regional financial cooperation on reforms to make Asian banks more resilient to crises. Full Article
bili Microchip Solves Interoperability Challenges of Delivering up to 90 Watts of Power Over Ethernet Wiring By www.microchip.com Published On :: 10/22/2019 11:48:37 PM Microchip Solves Interoperability Challenges of Delivering up to 90 Watts of Power Over Ethernet Wiring Full Article
bili Microchip Expands Silicon Carbide (SiC) Family of Power Electronics to Provide System Level Improvements in Efficiency, Size and Reliability By www.microchip.com Published On :: 3/16/2020 2:53:00 PM Microchip Expands Silicon Carbide (SiC) Family of Power Electronics to Provide System Level Improvements in Efficiency, Size and Reliability Full Article
bili ADB Needs to Strengthen Project Sustainability to Enhance Performance By feedproxy.google.com Published On :: 2020-04-27 00:00:00 ADB needs to address issues causing weak sustainability of its projects to improve performance, says the 2020 Annual Evaluation Review (AER) conducted by ADB’s Independent Evaluation Department. Full Article
bili ADB Needs to Strengthen Project Sustainability to Enhance Performance By feedproxy.google.com Published On :: 2020-04-27 00:00:00 ADB needs to address issues causing weak sustainability of its projects to improve performance, says the 2020 Annual Evaluation Review (AER) conducted by ADB’s Independent Evaluation Department. Full Article News Release
bili How to boost accountability and learning in aid for COVID-19 - Marvin Taylor-Dormond and Stoyan Tenev By feedproxy.google.com Published On :: 2020-04-28 00:00:00 The world is experiencing what some may think is a “typical” black swan event: rare, extremely impactful, and only retrospectively predictable. Full Article Op-Ed / Opinion
bili Institutional and Governance Dimensions of Flood Risk Management: A Flood Footprint and Accountability Mechanism By feedproxy.google.com Published On :: 2019-12-20 00:00:00 This working paper proposes flood footprint and accountability to coordinate risk management projects through appropriate spatial planning at river basin scale. Full Article Publication
bili ASEAN Catalytic Green Finance Facility: Investment Principles and Eligibility Criteria By feedproxy.google.com Published On :: 2020-04-23 00:00:00 This document outlines the investment principles and eligibility criteria that will guide the selection of projects to be supported by the ASEAN Catalytic Green Finance Facility (ACGF). Full Article Institutional Document
bili SST and SK hynix system ic Partner to Expand Availability of Embedded SuperFlash Technology By www.microchip.com Published On :: 12/11/2018 12:46:49 PM SST and SK hynix system ic Partner to Expand Availability of Embedded SuperFlash Technology Full Article
bili Microchip Joins Responsible Business Alliance (RBA) – the Global Industry Coalition Dedicated to Corporate Social Responsibility By www.microchip.com Published On :: 1/16/2020 8:36:00 AM Microchip Joins Responsible Business Alliance (RBA) – the Global Industry Coalition Dedicated to Corporate Social Responsibility Full Article
bili Limited Impact of Business Development Programs on Profitability in the Presence of Ambiguity Aversion By feedproxy.google.com Published On :: 2020-04-22 00:00:00 This paper presents an analysis of business development programs (BDPs) based on a theoretical framework aimed at understanding the mixed effect of business training on entrepreneurs. Full Article
bili Loan No. 3409-SRI: Supporting Electricity Supply Reliability Improvement Project [CEB/PMU/SESRIP/2017/ICB/05] By feedproxy.google.com Published On :: Full Article
bili Loan/Grant Nos. 2869/0294-KGZ: Power Sector Rehabilitation Project [ADB-L2869/G0294--KGZ/ICB-1/2017] By feedproxy.google.com Published On :: Full Article
bili Loan No. 3409-SRI: Supporting Electricity Supply Reliability Improvement Project [CEB/PMU/SESRIP/2017/ICB/02] By feedproxy.google.com Published On :: Full Article
bili Limited Impact of Business Development Programs on Profitability in the Presence of Ambiguity Aversion By www.adb.org Published On :: 2020-04-22 00:00:00 This paper presents an analysis of business development programs (BDPs) based on a theoretical framework aimed at understanding the mixed effect of business training on entrepreneurs. Full Article
bili Keeping Sustainability at Heart with Our Manufacturing Plant in India By news.harman.com Published On :: Fri, 21 Apr 2017 14:11:00 GMT Sustainability is a key component to everything we do at HARMAN. A good example of that is our manufacturing plant, located within Chakan, the industrial area in Pune, India. Inaugurated in 2014 as our first manufacturing plant in India, it has a ... Full Article
bili Your decision-making ability is a superpower physics can't explain By www.newscientist.com Published On :: Wed, 12 Feb 2020 06:00:00 +0000 In a universe that unthinkingly follows the rules, human agency is an anomaly. Can physics ever make sense of our power to change the physical world at will? Full Article
bili Solar storms may interfere with the ability of whales to navigate By www.newscientist.com Published On :: Mon, 24 Feb 2020 16:00:14 +0000 Healthy grey whales are four times more likely to become stranded when solar activity produces lots of radio noise, suggesting solar storms may be blinding their ability to sense magnetic fields Full Article
bili Gamifying hate: How alt-right extremists recruit and mobilise online By www.newscientist.com Published On :: Wed, 04 Mar 2020 18:00:00 +0000 Julia Ebner infiltrated the hidden forums that extremists use. Her experiences lay bare how they hijack social media and video games to spread hate – and how to beat them Full Article
bili RPM to EPM: User-Centric Experiences Arrive in Mobility By news.harman.com Published On :: Thu, 11 Apr 2019 14:00:00 GMT With an action-packed Mobile World Congress behind us, HARMAN continued the momentum by revealing a range of breakthrough in-car audio and infotainment experiences at the Geneva International Motor Show 2019. At this event in Switzerland, HARMAN’s... Full Article
bili HARMAN Ushers in the Future of Mobility at Auto Shanghai 2019 By news.harman.com Published On :: Tue, 07 May 2019 13:28:00 GMT For eight consecutive days beginning on April 18th, the world’s largest motor show attracted hundreds of thousands of visitors from the automotive world. With China becoming a leading market for electromobility, autonomous driving and connected car... Full Article
bili Your decision-making ability is a superpower physics can't explain By www.newscientist.com Published On :: Wed, 12 Feb 2020 06:00:00 +0000 In a universe that unthinkingly follows the rules, human agency is an anomaly. Can physics ever make sense of our power to change the physical world at will? Full Article
bili Gamifying hate: How alt-right extremists recruit and mobilise online By www.newscientist.com Published On :: Wed, 04 Mar 2020 18:00:00 +0000 Julia Ebner infiltrated the hidden forums that extremists use. Her experiences lay bare how they hijack social media and video games to spread hate – and how to beat them Full Article
bili People put on ventilators for covid-19 may need lengthy rehabilitation By www.newscientist.com Published On :: Thu, 30 Apr 2020 18:29:27 +0000 Healthcare systems need to prepare for the extensive physiotherapy and mental rehabilitation that people put on ventilators for covid-19 will need as they recover Full Article
bili Steroids Could Harm Heart's Pumping Ability By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Steroids Could Harm Heart's Pumping AbilityCategory: Health NewsCreated: 4/27/2010 4:10:00 PMLast Editorial Review: 4/28/2010 12:00:00 AM Full Article
bili More Evidence Bilingualism Aids Thinking Skills By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: More Evidence Bilingualism Aids Thinking SkillsCategory: Health NewsCreated: 4/30/2012 6:06:00 PMLast Editorial Review: 5/1/2012 12:00:00 AM Full Article
bili Preemies' Increased Survival Comes With No Rise in Disabilities: Study By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Preemies' Increased Survival Comes With No Rise in Disabilities: StudyCategory: Health NewsCreated: 4/30/2013 12:35:00 PMLast Editorial Review: 5/1/2013 12:00:00 AM Full Article
bili Even Routine Housework May Help Stave Off Disability By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Even Routine Housework May Help Stave Off DisabilityCategory: Health NewsCreated: 4/30/2014 9:35:00 AMLast Editorial Review: 4/30/2014 12:00:00 AM Full Article
bili First Generic Abilify Approved By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: First Generic Abilify ApprovedCategory: Health NewsCreated: 4/29/2015 12:00:00 AMLast Editorial Review: 4/30/2015 12:00:00 AM Full Article
bili Bystander CPR Not Only Saves Lives, It Lessens Disability: Study By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Bystander CPR Not Only Saves Lives, It Lessens Disability: StudyCategory: Health NewsCreated: 5/4/2017 12:00:00 AMLast Editorial Review: 5/5/2017 12:00:00 AM Full Article
bili Androgens May Explain Male Vulnerability to COVID-19 By www.webmd.com Published On :: Fri, 08 May 2020 12:34:26 EST Striking differences in how men and women are affected by COVID-19 might be explained by deleterious effects of androgens in males, say Italian researchers. Full Article
bili COVID-19 Daily: Male Vulnerability, Semen Study By www.webmd.com Published On :: Fri, 08 May 2020 13:08:15 EST These are the coronavirus stories you need to know about today. Full Article
bili What Is an Umbilical Hernia Repair Surgery? By www.medicinenet.com Published On :: Mon, 13 Apr 2020 00:00:00 PDT Title: What Is an Umbilical Hernia Repair Surgery?Category: Procedures and TestsCreated: 4/13/2020 12:00:00 AMLast Editorial Review: 4/13/2020 12:00:00 AM Full Article
bili What Is the Recovery Time for An Umbilical Hernia Surgery? By www.medicinenet.com Published On :: Wed, 15 Apr 2020 00:00:00 PDT Title: What Is the Recovery Time for An Umbilical Hernia Surgery?Category: Procedures and TestsCreated: 4/15/2020 12:00:00 AMLast Editorial Review: 4/15/2020 12:00:00 AM Full Article
bili Abilify vs. Invega By www.medicinenet.com Published On :: Fri, 10 Apr 2020 00:00:00 PDT Title: Abilify vs. InvegaCategory: MedicationsCreated: 9/29/2017 12:00:00 AMLast Editorial Review: 4/10/2020 12:00:00 AM Full Article
bili Haldol (haloperidol) vs. Abilify (aripiprazole) By www.medicinenet.com Published On :: Fri, 10 Apr 2020 00:00:00 PDT Title: Haldol (haloperidol) vs. Abilify (aripiprazole)Category: MedicationsCreated: 7/30/2019 12:00:00 AMLast Editorial Review: 4/10/2020 12:00:00 AM Full Article
bili Many Seniors Leave Hospital With New Disabilities By www.medicinenet.com Published On :: Tue, 3 Mar 2020 00:00:00 PDT Title: Many Seniors Leave Hospital With New DisabilitiesCategory: Health NewsCreated: 3/2/2020 12:00:00 AMLast Editorial Review: 3/3/2020 12:00:00 AM Full Article
bili Genetic and Chemical-Genetic Interactions Map Biogenesis and Permeability Determinants of the Outer Membrane of Escherichia coli By mbio.asm.org Published On :: 2020-03-10T01:30:41-07:00 ABSTRACT Gram-negative bacteria are intrinsically resistant to many antibiotics due to their outer membrane barrier. Although the outer membrane has been studied for decades, there is much to uncover about the biology and permeability of this complex structure. Investigating synthetic genetic interactions can reveal a great deal of information about genetic function and pathway interconnectivity. Here, we performed synthetic genetic arrays (SGAs) in Escherichia coli by crossing a subset of gene deletion strains implicated in outer membrane permeability with nonessential gene and small RNA (sRNA) deletion collections. Some 155,400 double-deletion strains were grown on rich microbiological medium with and without subinhibitory concentrations of two antibiotics excluded by the outer membrane, vancomycin and rifampin, to probe both genetic interactions and permeability. The genetic interactions of interest were synthetic sick or lethal (SSL) gene deletions that were detrimental to the cell in combination but had a negligible impact on viability individually. On average, there were ~30, ~36, and ~40 SSL interactions per gene under no-drug, rifampin, and vancomycin conditions, respectively; however, many of these involved frequent interactors. Our data sets have been compiled into an interactive database called the Outer Membrane Interaction (OMI) Explorer, where genetic interactions can be searched, visualized across the genome, compared between conditions, and enriched for gene ontology (GO) terms. A set of SSL interactions revealed connectivity and permeability links between enterobacterial common antigen (ECA) and lipopolysaccharide (LPS) of the outer membrane. This data set provides a novel platform to generate hypotheses about outer membrane biology and permeability. IMPORTANCE Gram-negative bacteria are a major concern for public health, particularly due to the rise of antibiotic resistance. It is important to understand the biology and permeability of the outer membrane of these bacteria in order to increase the efficacy of antibiotics that have difficulty penetrating this structure. Here, we studied the genetic interactions of a subset of outer membrane-related gene deletions in the model Gram-negative bacterium E. coli. We systematically combined these mutants with 3,985 nonessential gene and small RNA deletion mutations in the genome. We examined the viability of these double-deletion strains and probed their permeability characteristics using two antibiotics that have difficulty crossing the outer membrane barrier. An understanding of the genetic basis for outer membrane integrity can assist in the development of new antibiotics with favorable permeability properties and the discovery of compounds capable of increasing outer membrane permeability to enhance the activity of existing antibiotics. Full Article
bili Epstein-Barr Virus Epitope-Major Histocompatibility Complex Interaction Combined with Convergent Recombination Drives Selection of Diverse T Cell Receptor {alpha} and {beta} Repertoires By mbio.asm.org Published On :: 2020-03-17T01:30:14-07:00 ABSTRACT Recognition modes of individual T cell receptors (TCRs) are well studied, but factors driving the selection of TCR repertoires from primary through persistent human virus infections are less well understood. Using deep sequencing, we demonstrate a high degree of diversity of Epstein-Barr virus (EBV)-specific clonotypes in acute infectious mononucleosis (AIM). Only 9% of unique clonotypes detected in AIM persisted into convalescence; the majority (91%) of unique clonotypes detected in AIM were not detected in convalescence and were seeming replaced by equally diverse "de novo" clonotypes. The persistent clonotypes had a greater probability of being generated than nonpersistent clonotypes due to convergence recombination of multiple nucleotide sequences to encode the same amino acid sequence, as well as the use of shorter complementarity-determining regions 3 (CDR3s) with fewer nucleotide additions (i.e., sequences closer to germ line). Moreover, the two most immunodominant HLA-A2-restricted EBV epitopes, BRLF1109 and BMLF1280, show highly distinct antigen-specific public (i.e., shared between individuals) features. In fact, TCRα CDR3 motifs played a dominant role, while TCRβ played a minimal role, in the selection of TCR repertoire to an immunodominant EBV epitope, BRLF1. This contrasts with the majority of previously reported repertoires, which appear to be selected either on TCRβ CDR3 interactions with peptide/major histocompatibility complex (MHC) or in combination with TCRα CDR3. Understanding of how TCR-peptide-MHC complex interactions drive repertoire selection can be used to develop optimal strategies for vaccine design or generation of appropriate adoptive immunotherapies for viral infections in transplant settings or for cancer. IMPORTANCE Several lines of evidence suggest that TCRα and TCRβ repertoires play a role in disease outcomes and treatment strategies during viral infections in transplant patients and in cancer and autoimmune disease therapy. Our data suggest that it is essential that we understand the basic principles of how to drive optimum repertoires for both TCR chains, α and β. We address this important issue by characterizing the CD8 TCR repertoire to a common persistent human viral infection (EBV), which is controlled by appropriate CD8 T cell responses. The ultimate goal would be to determine if the individuals who are infected asymptomatically develop a different TCR repertoire than those that develop the immunopathology of AIM. Here, we begin by doing an in-depth characterization of both CD8 T cell TCRα and TCRβ repertoires to two immunodominant EBV epitopes over the course of AIM, identifying potential factors that may be driving their selection. Full Article
bili Contextual Flexibility in Pseudomonas aeruginosa Central Carbon Metabolism during Growth in Single Carbon Sources By mbio.asm.org Published On :: 2020-03-17T01:30:15-07:00 ABSTRACT Pseudomonas aeruginosa is an opportunistic human pathogen, particularly noted for causing infections in the lungs of people with cystic fibrosis (CF). Previous studies have shown that the gene expression profile of P. aeruginosa appears to converge toward a common metabolic program as the organism adapts to the CF airway environment. However, we still have only a limited understanding of how these transcriptional changes impact metabolic flux at the systems level. To address this, we analyzed the transcriptome, proteome, and fluxome of P. aeruginosa grown on glycerol or acetate. These carbon sources were chosen because they are the primary breakdown products of an airway surfactant, phosphatidylcholine, which is known to be a major carbon source for P. aeruginosa in CF airways. We show that the fluxes of carbon throughout central metabolism are radically different among carbon sources. For example, the newly recognized "EDEMP cycle" (which incorporates elements of the Entner-Doudoroff [ED] pathway, the Embden-Meyerhof-Parnas [EMP] pathway, and the pentose phosphate [PP] pathway) plays an important role in supplying NADPH during growth on glycerol. In contrast, the EDEMP cycle is attenuated during growth on acetate, and instead, NADPH is primarily supplied by the reaction catalyzed by isocitrate dehydrogenase(s). Perhaps more importantly, our proteomic and transcriptomic analyses revealed a global remodeling of gene expression during growth on the different carbon sources, with unanticipated impacts on aerobic denitrification, electron transport chain architecture, and the redox economy of the cell. Collectively, these data highlight the remarkable metabolic plasticity of P. aeruginosa; that plasticity allows the organism to seamlessly segue between different carbon sources, maximizing the energetic yield from each. IMPORTANCE Pseudomonas aeruginosa is an opportunistic human pathogen that is well known for causing infections in the airways of people with cystic fibrosis. Although it is clear that P. aeruginosa is metabolically well adapted to life in the CF lung, little is currently known about how the organism metabolizes the nutrients available in the airways. In this work, we used a combination of gene expression and isotope tracer ("fluxomic") analyses to find out exactly where the input carbon goes during growth on two CF-relevant carbon sources, acetate and glycerol (derived from the breakdown of lung surfactant). We found that carbon is routed ("fluxed") through very different pathways during growth on these substrates and that this is accompanied by an unexpected remodeling of the cell’s electron transfer pathways. Having access to this "blueprint" is important because the metabolism of P. aeruginosa is increasingly being recognized as a target for the development of much-needed antimicrobial agents. Full Article
bili Localized Hypermutation is the Major Driver of Meningococcal Genetic Variability during Persistent Asymptomatic Carriage By mbio.asm.org Published On :: 2020-03-24T01:31:01-07:00 ABSTRACT Host persistence of bacteria is facilitated by mutational and recombinatorial processes that counteract loss of genetic variation during transmission and selection from evolving host responses. Genetic variation was investigated during persistent asymptomatic carriage of Neisseria meningitidis. Interrogation of whole-genome sequences for paired isolates from 25 carriers showed that de novo mutations were infrequent, while horizontal gene transfer occurred in 16% of carriers. Examination of multiple isolates per time point enabled separation of sporadic and transient allelic variation from directional variation. A comprehensive comparative analysis of directional allelic variation with hypermutation of simple sequence repeats and hyperrecombination of class 1 type IV pilus genes detected an average of seven events per carrier and 2:1 bias for changes due to localized hypermutation. Directional genetic variation was focused on the outer membrane with 69% of events occurring in genes encoding enzymatic modifiers of surface structures or outer membrane proteins. Multiple carriers exhibited directional and opposed switching of allelic variants of the surface-located Opa proteins that enables continuous expression of these adhesins alongside antigenic variation. A trend for switching from PilC1 to PilC2 expression was detected, indicating selection for specific alterations in the activities of the type IV pilus, whereas phase variation of restriction modification (RM) systems, as well as associated phasevarions, was infrequent. We conclude that asymptomatic meningococcal carriage on mucosal surfaces is facilitated by frequent localized hypermutation and horizontal gene transfer affecting genes encoding surface modifiers such that optimization of adhesive functions occurs alongside escape of immune responses by antigenic variation. IMPORTANCE Many bacterial pathogens coexist with host organisms, rarely causing disease while adapting to host responses. Neisseria meningitidis, a major cause of meningitis and septicemia, is a frequent persistent colonizer of asymptomatic teenagers/young adults. To assess how genetic variation contributes to host persistence, whole-genome sequencing and hypermutable sequence analyses were performed on multiple isolates obtained from students naturally colonized with meningococci. High frequencies of gene transfer were observed, occurring in 16% of carriers and affecting 51% of all nonhypermutable variable genes. Comparative analyses showed that hypermutable sequences were the major mechanism of variation, causing 2-fold more changes in gene function than other mechanisms. Genetic variation was focused on genes affecting the outer membrane, with directional changes in proteins responsible for bacterial adhesion to host surfaces. This comprehensive examination of genetic plasticity in individual hosts provides a significant new platform for rationale design of approaches to prevent the spread of this pathogen. Full Article
bili Glycemic Variability in Diabetes Increases the Severity of Influenza By mbio.asm.org Published On :: 2020-03-24T01:31:01-07:00 ABSTRACT People with diabetes are two times more likely to die from influenza than people with no underlying medical condition. The mechanisms underlying this susceptibility are poorly understood. In healthy individuals, small and short-lived postprandial peaks in blood glucose levels occur. In diabetes mellitus, these fluctuations become greater and more frequent. This glycemic variability is associated with oxidative stress and hyperinflammation. However, the contribution of glycemic variability to the pathogenesis of influenza A virus (IAV) has not been explored. Here, we used an in vitro model of the pulmonary epithelial-endothelial barrier and novel murine models to investigate the role of glycemic variability in influenza severity. In vitro, a history of glycemic variability significantly increased influenza-driven cell death and destruction of the epithelial-endothelial barrier. In vivo, influenza virus-infected mice with a history of glycemic variability lost significantly more body weight than mice with constant blood glucose levels. This increased disease severity was associated with markers of oxidative stress and hyperinflammation both in vitro and in vivo. Together, these results provide the first indication that glycemic variability may help drive the increased risk of severe influenza in people with diabetes mellitus. IMPORTANCE Every winter, people with diabetes are at increased risk of severe influenza. At present, the mechanisms that cause this increased susceptibility are unclear. Here, we show that the fluctuations in blood glucose levels common in people with diabetes are associated with severe influenza. These data suggest that glycemic stability could become a greater clinical priority for patients with diabetes during outbreaks of influenza. Full Article
bili Characterization of the Efflux Capability and Substrate Specificity of Aspergillus fumigatus PDR5-like ABC Transporters Expressed in Saccharomyces cerevisiae By mbio.asm.org Published On :: 2020-03-24T01:31:01-07:00 ABSTRACT This research analyzed six Aspergillus fumigatus genes encoding putative efflux proteins for their roles as transporters. The A. fumigatus genes abcA, abcC, abcF, abcG, abcH, and abcI were cloned into plasmids and overexpressed in a Saccharomyces cerevisiae strain in which the highly active endogenous ABC transporter gene PDR5 was deleted. The activity of each transporter was measured by efflux of rhodamine 6G and accumulation of alanine β-naphthylamide. The transporters AbcA, AbcC, and AbcF had the strongest efflux activities of these compounds. All of the strains with plasmid-expressed transporters had more efflux activity than did the PDR5-deleted background strain. We performed broth microdilution drug susceptibility testing and agar spot assays using an array of compounds and antifungal drugs to determine the transporter specificity and drug susceptibility of the strains. The transporters AbcC and AbcF showed the broadest range of substrate specificity, while AbcG and AbcH had the narrowest range of substrates. Strains expressing the AbcA, AbcC, AbcF, or AbcI transporter were more resistant to fluconazole than was the PDR5-deleted background strain. Strains expressing AbcC and AbcF were additionally more resistant to clotrimazole, itraconazole, ketoconazole, and posaconazole than was the background strain. Finally, we analyzed the expression levels of the genes by reverse transcription-quantitative PCR (RT-qPCR) in triazole-susceptible and -resistant A. fumigatus clinical isolates. All of these transporters are expressed at a measurable level, and transporter expression varied significantly between strains, demonstrating the high degree of phenotypic variation, plasticity, and divergence of which this species is capable. IMPORTANCE One mechanism behind drug resistance is altered export out of the cell. This work is a multifaceted analysis of membrane efflux transporters in the human fungal pathogen A. fumigatus. Bioinformatics evidence infers that there is a relatively large number of genes in A. fumigatus that encode ABC efflux transporters. However, very few of these transporters have been directly characterized and analyzed for their potential role in drug resistance. Our objective was to determine if these undercharacterized proteins function as efflux transporters and then to better define whether their efflux substrates include antifungal drugs used to treat fungal infections. We chose six A. fumigatus potential plasma membrane ABC transporter genes for analysis and found that all six genes produced functional transporter proteins. We used two fungal systems to look for correlations between transporter function and drug resistance. These transporters have the potential to produce drug-resistant phenotypes in A. fumigatus. Continued characterization of these and other transporters may assist in the development of efflux inhibitor drugs. Full Article