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Biomedical subjects

J N Wilson

Publications and source records attributed to J N Wilson.

At least 19 recordsLinked to original sources

A hallmark of balancing selection is present at the promoter region of interleukin 10.

As an anti-inflammatory mediator IL10 is beneficial in certain contexts and deleterious in others. As increased production of IL10 favours protection against inflammatory disease, whereas low production promotes elimination of foreign pathogens by the host, we investigated the possible influence of balancing selection at this locus. We began by resequencing 48 European and 48 African chromosomes across 2.2 kb of the IL10 promoter region, and compared this with four neighbouring gene regions: MK2, IL19, IL20 and IL24. Analysis of nucleotide diversity showed a positive Tajima's D-test for IL10 in Europeans, of borderline statistical significance (1.89, P=0.05). Analysis of F(st) values showed significant population divergence at MK2, IL19, IL20 and IL24 (P<0.01) but not at IL10. Taken together, these findings are consistent with the hypothesis that balancing selection has played a role in the evolution of polymorphisms in the IL10 promoter region.

Base Sequence↗

Reactions of glutaric acid on the TiO2(001) single crystal. Effect of surface reduction on the reaction pathway.

The detailed reaction of glutaric acid (a C(5) dicarboxylic acid) has been studied by temperature programmed desorption (TPD) and X-ray photoelectron spectroscopy (XPS). Upon adsorption at 300 K, both carboxylic acid functions are deprotonated to give adsorbed glutarate species. The reaction of these species differs significantly on the oxidized surface from that on the reduced surface. On the oxidized surface, two competing reactions are seen: (i) decomposition to two molecules of CO and one molecule of propene and (ii) dehydration to ketene. Upon sputtering with hydrogen ions (reducing the surface states of Ti ions and implanting hydrogen atoms in the lattice), the main observed reaction is reduction to the dialdehyde and the dialcohol. The yield of these two products, not seen on the oxidized surface, reaches 80% on the highly reduced surface. Another compound is seen on the reduced surface with m/z = 70. The analysis of its fragmentation pattern tends to assign it to cyclopentane that is formed by an intramolecular reductive coupling reaction on the O-defect sites.

Journal Article↗

Analysis of IL10 haplotypic associations with severe malaria.

We investigated the association between severe malaria and genetic variation of IL10 in Gambian children, as several lines of evidence indicate that IL10 is protective against severe malaria and that IL10 production is genetically determined. We began by identifying five informative SNPs in the Gambian population that were genotyped in a combined case-control and intrafamilial study including 654 cases of severe malaria, 579 sets of parents and 459 ethnically matched controls. No significant associations were identified with individual SNPs. One haplotype of frequency 0.11 was strongly associated with protection against severe malaria in the case-control analysis (odds ratio 0.52, P=0.00002), but the transmission disequilibrium test in families showed no significant effect. These findings raise the question of whether IL10 associations with severe malaria might be confounded by foetal survival rates or other sources of transmission bias.

Case-Control Studies↗

Reactions of ammonia on stoichiometric and reduced TiO(2)(001) single crystal surfaces.

The reaction of NH(3) on the surface of the 011-faceted structure of the TiO(2)(001) single crystal is studied and compared to that on the O-defected surface. Temperature-programmed desorption (TPD) conducted after NH(3) adsorption at 300 K shows only molecular desorption at 340 K. Modeling of TPD signals as a function of surface coverage indicated that the activation energy, E(d), and pre-exponential factor, v(eff), decrease with increasing coverage. Near zero surface coverage, E(d) was found to be equal to 92 kJ/mol and v(eff) to be close to 10(13) /s. Both parameters decreased to approximately 52 kJ/mol and approximately 10(7) /s at saturation coverage. The decrease is due to a repulsive interaction of adsorbed NH(3) molecules on the surface. Computing of the TPD results show that saturation is obtained at 1/2 monolayer coverage (referred to Ti atoms). Both the amount and shape of NH(3) peak change on the reduced (Ar(+)-sputtered) surfaces. The desorption peak at 340 K is considerably attenuated on mildly reduced surfaces (TiO( approximately )(1.9)) and has totally disappeared on the heavily reduced surfaces (TiO(1.6)(-)(1.7)), where the main desorption peak is found at 440 K. This 440-K desorption is most likely due to NH(x) + H recombination resulting from ammonia dissociation upon adsorption on Ti atoms in low oxidation states.

Ammonia↗

Evidence for second-phonon nuclear wobbling.

The nucleus 163Lu has been populated through the reaction 139La(29Si,5n) with a beam energy of 157 MeV. Three triaxial, strongly deformed (TSD) bands have been observed with very similar rotational properties. The first excited TSD band has earlier been assigned as a one-phonon wobbling excitation built on the lowest-lying (yrast) TSD band. The large B(E2)(out)/B(E2)(in) value obtainable for one of four observed transitions between the second and first excited TSD bands is in good agreement with particle-rotor calculations for a two-phonon wobbling excitation.

Journal Article↗

Superdeformation in the doubly magic nucleus (40)(20)Ca(20).

A rotational band with seven gamma-ray transitions between states with spin 2 Planck's constant and 16 Planck's constant has been observed in the doubly magic, self-conjugate nucleus (40)(20)Ca(20). The measured transition quadrupole moment of 1.80(+0.39)(-0.29)eb indicates a superdeformed shape with a deformation beta(2) = 0.59(+0.11)(-0.07). The features of this band are explained by cranked relativistic mean field calculations to arise from an 8-particle 8-hole excitation.

Journal Article↗

Evidence for the wobbling mode in nuclei.

The nucleus (163)Lu has been populated through the fusion-evaporation reaction (139)La((29)Si,5n)(163)Lu with a beam energy of 152 MeV. The electromagnetic properties of several connecting transitions between two presumably triaxial, strongly deformed (TSD) bands have been studied. Evidence is presented for the assignment of the excited TSD band as a wobbling mode built on the yrast TSD band, based on comparisons to new calculations in which an aligned particle is coupled to a strongly deformed triaxial rotor. The wobbling mode is uniquely related to triaxiality in nuclei.

Journal Article↗

Analysis of the relationship between immunogenicity and immunity for viral subunit vaccines.

The prevention of viral infection by vaccination relies on stimulating an appropriate immune response in order to reduce the probability with which a virus can establish an infection. Post-vaccination antibody responses have therefore been associated with reducing the probability with which an individual can be infected (i.e., the vaccine's "impact"). Quantifying this relationship is essential in evaluating new vaccines, especially since comparisons between vaccines, and vaccine licensure, may be dependent on antibody responses alone. In this paper two principal questions are identified which need to be addressed in the evaluation of subunit vaccines: i) how do specific antibody levels relate to complete protection from infection or disease and ii) how do antigenic subunits interact in developing protection when combined together in a single vaccine. The aim is to identify explicitly certain assumptions that are frequently made implicitly in the discussion of vaccine action. First, antibody levels are related to levels of protection through a novel statistical analysis of incidence data from a published hepatitis B vaccine trial. The antibody response observed after influenza A virus infection is discussed in relation to the selection of neutralisation escape variants. Finally, by way of example, a theoretical situation is examined and three simple models of subunit vaccine action are constructed in order to describe how antibody levels may be related to population level phenomena such as the elimination of an infection by mass vaccination.

Animals↗

Predictions of the emergence of vaccine-resistant hepatitis B in The Gambia using a mathematical model.

Vaccine escape variants of hepatitis B virus (HBV) have been identified world-wide. A mathematical model of HBV transmission is used to investigate the potential pattern of emergence of such variants. Attention is focused on The Gambia as a country with high quality epidemiological data, universal infant immunization and in which escape mutants after childhood infections have been observed. We predict that a variant cannot become dominant for at least 20 years from the start of vaccination, even when using a vaccine which affords no cross protection. The dominant factor responsible for this long time scale is the low rate of infectious contacts between infected and susceptible individuals (we estimate the basic reproduction number of hepatitis B in The Gambia to be 1.7). A variant strain that achieves high prevalence will also take many years to control, and it is questionable whether emergence will be identifiable by sero-surveillance until of high prevalence. The sensitivity of the model predictions to epidemiological and demographic factors is explored.

Adolescent↗

Do we need 3 doses of hepatitis B vaccine?

The hepatitis B virus (HBV) vaccine may provide protection through the clonal expansion of specific memory cells without necessarily having to produce high serum antibody levels. We develop a mathematical model which distinguishes between the accumulation of sensitive memory B and T-helper cells prior to a booster and the high circulating antibody levels present in an individual after a booster. We suggest this immune memory accumulates primarily in an antigen-independent fashion. These phenomena suggest individuals may be immune to infection six months after the priming vaccine dose(s) regardless of whether they receive a booster or not. This hypothesis is supported by immunogenicity data and by two independent vaccine efficacy trials comparing 0, 1 month schedules with 0, 1 and 6 month schedules.

Hepatitis B Vaccines↗

The predicted pattern of emergence of vaccine-resistant hepatitis B: a cause for concern?

We develop an epidemiological model of hepatitis B virus (HBV) in The Gambia in order to investigate the possible patterns of emergence of a vaccine-resistant strain. Under pessimistic assumptions (e.g., the current vaccine provides no cross-immunity against the variant) the model predicts the variant will not become dominant over the wild-type for at least 50 years. Therefore the current low prevalence of variant infections is not evidence for high cross-immunity of the vaccine or for low infectiousness of the variant, but may simply be a consequence of the epidemiology of HBV. The efficacy of the present vaccine against possible variants needs to be evaluated now to determine whether vaccine modifications are required. However, the model also suggests that serological surveillance may be unable to determine this efficacy for 40-50 years.

Adult↗

Current status of HBV vaccine escape variants--a mathematical model of their epidemiology.

We present a deterministic model of the possible emergence of a vaccine escape variant of hepatitis B virus (HBV). The model identifies the key unknowns determining this process: the protection afforded by the current vaccines against particular HBV variants; the infectiousness of these variants; and the current prevalence of individuals infectious with the variants (each factor relative to wild-type). By making pessimistic assumptions about these unknowns we show that even a highly infectious variant, under a vaccine programme that affords no protection against the variant, would still take decades to emerge. Thus the current low prevalence of variants is not evidence for the cross-reactivity of the current vaccines or for a lack of infectiousness in the variants. As any vaccine failure will be inapparent for decades it may be sensible to recommend vaccine modifications now rather than later.

Hepatitis B Vaccines↗

A new mtDNA mutation showing accumulation with time and restriction to skeletal muscle.

We have identified a new mutation in mtDNA, involving tRNALeu(CUN) in a patient manifesting an isolated skeletal myopathy. This heteroplasmic A-->G transition at position 12320 affects the T psi C loop at a conserved site and was not found in 120 controls. Analysis of cultured fibroblasts, white blood cells/platelets, and skeletal muscle showed that only skeletal muscle contained the mutation and that only this tissue demonstrated a biochemical defect of respiratory-chain activity. In a series of four muscle-biopsy specimens taken over a 12-year period, there was a gradual increase, from 70% to 90%, in the overall level of mutation, as well as a marked clinical deterioration. Single-fiber PCR confirmed that the proportion of mutant mtDNA was highest in cytochrome c oxidase-negative fibers. This study, which reports a mutation involving tRNALeu(CUN), demonstrates clearly that mtDNA point mutations can accumulate over time and may be restricted in their tissue distribution. Furthermore, clinical deterioration seemed to follow the increase in the level of mutation, although, interestingly, the appearance of fibers deficient in respiratory-chain activity showed a lag period.

Base Sequence↗

Biochemical and molecular studies of mitochondrial function in diabetes insipidus, diabetes mellitus, optic atrophy, and deafness.

OBJECTIVE: To determine if diabetes insipidus, diabetes mellitus, optic atrophy, and deafness (DIDMOAD) combined with a cerebellar syndrome is associated with a systemic disorder of respiratory chain function as found in similar genetic syndromes. CASE: A muscle biopsy was taken from a patient with DIDMOAD, and a mitochondrial fraction was prepared. Respiratory chain function was assessed by analysis of intermediary metabolites, histochemical analysis of muscle biopsy, measurement of the activity of individual respiratory chain complexes, oxidative flux through the respiratory chain, and cytochrome concentration and compared with a population with normal respiratory chain function. Mitochondrial DNA from skeletal muscle, brain, and pancreas was examined for major rearrangements and specific point mutations. Brain tissue was examined neuropathologically for abnormalities, particularly those previously described in association with DIDMOAD. RESULTS: No abnormality was found in mitochondrial oxidation, individual complex activity, or cytochrome concentration. Histochemical analysis and electron microscopy showed no abnormality known to be associated with mitochondrial dysfunction. A single-base substitution at position 12308 of the mitochondrial genome was found, but no major rearrangement of mitochondrial DNA was demonstrated. Neuropathological examination revealed severe demyelination and gliosis in the optic nerves and loss of Purkinje cells associated with gliosis in the white matter in the cerebellum. CONCLUSIONS: We have found no evidence that DIDMOAD is associated with a systemic abnormality of respiratory chain function. The mitochondrial DNA single-base substitution noted is likely to be a polymorphism rather than a pathogenic point mutation. We have confirmed that DIDMOAD may be associated with a neurodegenerative disorder, but the cause of this remains undetermined.

Adult↗

Bone marrow transplantation: critical care implications.

Bone marrow transplantation is an effective treatment for a growing list of disease processes both malignant and non-malignant. Complications associated with marrow transplantation may be related to ablative therapy, immunosuppression, graft-versus-host disease, and recurrence of the underlying disease. Survival depends upon prompt recognition of problems and timely institution of specific interventions, both medical and nursing. Nurses caring for bone marrow transplant recipients face a never-ending and ever-changing challenge to stay on top of the day-to-day problems and patient care crises that can occur.

Bone Marrow Transplantation↗