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Towards in silico lead optimization: scores from ensembles of protein/ligand conformations reliably correlate with biological activity.

Accurately ranking protein/ligand interactions and distinguishing subtle differences between homologous compounds in a virtual focused library in silico is essential in a structure-based drug discovery program. In order to establish a predictive model to design novel inhibitors of dihydrofolate reductase (DHFR) from the parasitic protozoa, Cryptosporidium hominis, we docked a series of 30 DHFR inhibitors with measured inhibition constants against the crystal structure of the protein. By including protein flexibility and averaging the energies of the 25 lowest protein/ligand conformers we obtained more accurate total nonbonded energies from which we calculated a predicted biological activity. The calculated and measured biological activities showed reliable correlations of 72.9%. Additionally, visual analysis of the ensemble of protein/ligand conformations revealed alternative ligand binding pockets in the active site. Using the same principles we then created a homology model of DHFR from Toxoplasma gondii and docked 11 inhibitors. A correlation of 50.2% between docking score and activity validates both the method and the model. The correlations presented here are particularly compelling considering the high structural similarity of the ligands and the fact that we have used structures derived from crystallographic data and homology modeling. These docking principles may be useful in any lead optimization study where accurate ranking of similar compounds is desired.

Algorithms↗

Detection of human somatic cell structural gene mutations by two-dimensional electrophoresis.

The feasibility of detecting human somatic structural gene mutations by two dimensional electrophoresis has been investigated. A lymphoblastoid cell line was grown as a mass culture in the presence of ethylnitrosourea, after which cells were regrown as single cell clones. A total of 257 polypeptide spots were analyzed in gels derived from 186 clones. Four structural mutations were detected by visual analysis of the gels. Computer analysis of gels corresponding to the mutant clones was also undertaken. At a spot size threshold of 200 spots to be matched using a computer algorithm, all four mutant polypeptides were detected. These results indicate the usefulness of the two-dimensional approach for mutagenesis studies at the protein level.

Clone Cells↗

Dimensional complexity and power spectral measures of the EEG during functional versus predicative problem solving.

Electroencephalograms were recorded in 22 men while solving tasks of visual-pattern completion and during mental relaxation. They were primed (by foregoing trials) to solve these tasks either in a predicative or functional mode of thinking. Predicative thinking required that in order to complete the pattern the subject had to get involved with the logic of the static structure of the pattern and therefore had to recognize the recurrence of certain features of the elements (e.g., shape, color, and size). Functional thinking required involvement in a dynamic reading of the logic of the pattern and therefore to search for operations and actions to be performed on the pattern elements (e.g., pushing, mirroring, and rotating). The EEG complexity during predicative thinking decreased in comparison to functional thinking and mental relaxation, with this reduction being most pronounced over the right parietal cortex. A reduction in dimensional complexity during functional thinking as compared to mental relaxation, which was concentrated over the left central cortex, although significant, was less clear. The reduced EEG complexity during predicative thought, dominant over the right hemisphere, could reflect increased competitive inhibition among respective cortical neuron assemblies in association with the visual analysis of static element features, converging upon those predicates relevant for the solution.

Adult↗

Differentiation of periodic from nonperiodic low-frequency heart rate fluctuations.

Periodic low-frequency (LF) fluctuations of heart rate (HR) may be of diagnostic and prognostic value in diverse pathologic cardiopulmonary conditions. Two principal components of LF HR rate variations may be distinguished: periodic fluctuations and nonperiodic, nonstationary changes. The frequency content of these two components may overlap considerably. In order to avoid a tedious work-intensive visual analysis an efficient computer-based method for detection, differentiation, and quantitation of these signals is required. Two methods for separating periodic from nonperiodic HR changes are presented, namely, detrending and bandwidth (BW) calculation. A group of healthy individuals was evaluated in order to assess these methods in individuals with significant LF periodic episodes (15 patients) contrasted to those without LF periodic episodes (94 patients). The commonly used method of detrending consists of a fitted polynomial which by subtraction removes low frequencies originating from nonstationary changes without affecting periodic fluctuations. We found, however, that the frequencies involved in nonstationary and periodic fluctuations often overlap and thus the detrending method may not be highly efficient. In a second method we postulated different shapes for power spectrum curves of periodic and nonperiodic episodes. This latter method is based on BW calculation of the LF component of the R-R power spectrum and proved to be more efficient in detecting periodic episodes. It showed higher significance levels for the difference between the periodic and nonperiodic groups when the BW or the ratio between peak power and BW in the LF range was used. This new, alternative detection method may be employed in further studies which seek to elucidate the clinical relevance of the LF range and, in particular, the mechanisms for such long-wavelength periodic fluctuations.

Adolescent↗

Detection of seizure activity in EEG by an artificial neural network: a preliminary study.

Neural networks, inspired by the organizational principles of the human brain, have recently been used in various fields of application such as pattern recognition, identification, classification, speech, vision, signal processing, and control systems. In this study, a two-layered neural network has been trained for the recognition of temporal patterns of the electroencephalogram (EEG). This network is called a Learning Vector Quantization (LVQ) neural network since it learns the characteristics of the signal presented to it as a vector. The first layer is a competitive layer which learns to classify the input vectors. The second, linear, layer transforms the output of the competitive layer to target classes defined by the user. We have tested and evaluated the LVQ network. The network successfully detects epileptiform discharges (EDs) when trained using EEG records scored by a neurologist. Epochs of EEG containing EDs from one subject have been used for training the network, and EEGs of other subjects have been used for testing the network. The results demonstrate that the LVQ detector can generalize the learning to previously "unseen" records of subjects. This study shows that the LVQ network offers a practical solution for ED detection which is easily adjusted to an individual neurologist's style and is as sensitive and specific as an expert visual analysis.

Adolescent↗

Continuous microwave enhances the healing process of septic and aseptic wounds in rabbits.

Evidence indicates that local application of continuous microwave (CM) has positive effects, for instance, on skin grafts and white blood cells. To investigate the role of CM on local wound healing under different conditions (septic and aseptic), a study was performed in an animal model. Seventy-two rabbits were randomly assigned to four groups of 18 each: group 1 and group 2 consisted of animals with aseptic wounds, and group 3 and group 4 consisted of animals with infected wounds. In the medial third of the dorsolateral body of each animal a wound was prepared under local anesthesia. Animals of groups 1 and 3 received CM treatment, and those of groups 2 and 4 served as controls. The treatment consisted of an irradiation with CM (fixed frequency 37 GHz, power flow density 1 mW/cm2) for 30 min once per day for 5 (group 1) or 7 days (group 3). No other conservative or surgical methods were applied. Aseptic wounds were covered with a sterile dressing. Infected wounds of controls (group 4) were irrigated with 10% NaCl once a day. Measurements were visual analysis, planimetric, bacterial, and immunological tests. The wound surface of treated animals with aseptic wounds became dry and plicated faster, the daily decrease of the wound surface area being more than twice as large as that in the control group (group 2, P < 0.05). Complete epithelization and adhesion of wounds appeared around Day 19 (95% Cl, 18.3 to 20.1) in group 3 and around Day 31 (95% Cl, 29.5 to 32.7) in group 4.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗

Individual functional anatomy of verb generation.

Examination of the individual functional anatomy of language is of particular interest in clinical neurology to explain the variability of aphasic symptoms after focal lesions and to avoid damage of language-related brain areas by surgery. For a silent verb generation task, we examined whether activation PET with 3D data acquisition, multiple replication of conditions, and coregistration with MRI provides results that are consistent and reproducible enough to be useful clinically. Visual analysis was performed on PET-MRI fusion images, including renderings of the brain surface. Quantitative analysis was based on volumes of interest. In seven right-handed normals, activation of the triangular part of the left inferior frontal cortex [Brodman area (BA) 45] was the most significant finding that was present in each subject. Two subjects showed minor anatomical variants of the ascending or horizontal ramus of the sylvian fissure that were associated with the least activation of BA 45. In the left hemisphere the other frontal gyri, the superior temporal and posterior part of the middle temporal gyrus, and the paracingulate gyrus were also significantly activated. There was significant bilateral cerebellar activation, but it was significantly more intense on the right than on the left side. The consistency and high interindividual reproducibility of these findings suggest that this technique may be useful for clinical assessment of language-related areas.

Acoustic Stimulation↗

Contribution of T2 relaxation time mapping in the evaluation of cryptogenic temporal lobe epilepsy.

In this study we compared the results of visual analysis of MR imaging with T2 relaxation time mapping of the mesial structures in a group of 97 patients with cryptogenic temporal lobe epilepsy. All patients underwent a clinical neurological examination, neuropsychological investigation, prolonged video-EEG monitoring, SPECT imaging, MR imaging, and T2 relaxation time mapping. T2 relaxation times were estimated with a Carr-Purcell-Meiboom-Gill pulse sequence with 48 echoes (15 to 720 ms). The mean T2 relaxation time value was 118.5 +/- 2 ms in the hippocampi and 120.3 +/- 1.9 ms in the amygdala of 21 healthy subjects used as controls. T2 relaxation mapping revealed mesial temporal sclerosis in 91.8% of the patients (often involving both the hippocampus and the amygdala) and evidenced bilateral involvement in 44.6% of the patients against 72.2 and 6.2%, respectively, for MR imaging. The ipsilateral and contralateral hippocampal T2 relaxation time values did significantly correlate with seizure frequency and the contralateral hippocampal T2 relaxation time value with the duration of epilepsy. In conclusion, this quantitative method is highly sensitive for the detection of mesial temporal sclerosis and permits a better evaluation of the apparently normal contralateral mesial structures.

Adolescent↗

Real-time interactive viewing of 4D kinematic MR joint studies.

Assessment of soft tissue in normal and abnormal joint motion today gets feasible by acquiring time series of 3D MRI images. However, slice-by-slice viewing of such 4D kinematic images is cumbersome, and does not allow appreciating the movement in a convenient way. Simply presenting slice data in a cine-loop will be compromised by through-plane displacements of anatomy and "jerks" between frames, both of which hamper visual analysis of the movement. To overcome these limitations, we have implemented a demonstrator for viewing 4D kinematic MRI datasets. It allows to view any user defined anatomical structure from any viewing perspective in real-time. Smoothly displaying the movement in a cine-loop is realized by image post processing, fixing any user defined anatomical structure after image acquisition.

Algorithms↗

Myocardial scintigraphy with iodine-123 phenylpentadecanoic acid and thallium-201 in patients with coronary artery disease: a comparative dual-isotope study.

To characterise the clinical usefulness of serial myocardial scintigraphy with iodine-123 phenylpentadecanoic acid (IPPA) in comparison with thallium-201, dual-isotope investigations were performed in 41 patients with angiographically documented coronary artery disease. Both tracers were administered simultaneously during symptom-limited ergometry. Planar scintigrams were acquired immediately after stress, and delayed imaging was performed after 1 h for IPPA and 4 h for 201Tl. Scintigrams were evaluated both qualitatively and quantitatively using a newly developed algorithm for automated image superposition. Initial myocardial uptake of both tracers was closely correlated (r = 0.75, p < 0.001). Both tracers also revealed a similar sensitivity for the identification of individual coronary artery stenoses > or = 75% (IP-PA: 70.0%, 201Tl: 66.3%, P = NS) with identical specificity (69.8%). The number of persistent defects, however, was significantly higher with IPPA (P = 0.021), suggesting that visual analysis of serial IPPA scintigrams may overestimate the presence of myocardial scar tissue. On the other hand, previous Q wave myocardial infarction was associated with a decreased regional IPPA clearance (29% +/- 11% vs 44% +/- 11% in normal myocardium, P < 0.05). The data indicate that serial myocardial scintigraphy with IPPA is essentially as sensitive as scintigraphy with 201Tl for the detection of stress-induced perfusion abnormalities. Quantitative analysis of myocardial IPPA kinetics, however, is required for the evaluation of tissue viability.

Algorithms↗

Binding of protein chemotactic factors to the surfaces of neutrophil leukocytes and its modification with lipid-specific bacterial toxins.

The binding to neutrophil leukoyctes of human serum albumin (HSA), which is chemokinetic for leukocytes, i.e. influences their rate of locomotion, and of alkali-denatured HSA, which is chemotactic for leukocytes, i.e. influences their direction of locomotion, was studied. Native serum albumin showed low affinity binding to the neutrophil surface. Denatured serum albumin showed saturable binding with a Ka of approximately 1-(6) litres per mole to about 10(6) binding sites per cell. Another protein chemotactic factor, alpha5-casein, gave similar binding. These results exclude that chemotactic reactions to denatured proteins are mediated in a completely non-specific manner and suggest the presence on the cell of a restricted number of defined recognition sites. Binding was reduced following treatment of the cells with either of two lipid-specific bacterial toxins, perfringolysin, the theta-toxin of Clostridium perfringens, an oxygen-labile cholesterol-specific toxin, and Staphylococcus aureus Sphingomyelinase C. Both have previously been shown to reduce chemotactic reactions and both were used at doses which did not reduce cell viability. These results suggest an important, and possiblly direct, role for membrane lipid in the binding sites for chemotactic factors. Visual analysis of the behaviour of perfringolysin-treated neutrophils showed that these cells were still capable of chemotactic locomotion. The cells appeared to be less efficient than normal in detecting chemotactic gradients only when at a distance from the gradient source, a finding which is consistent with reduced binding of the chemotactic factor to the cell surface.

Bacterial Toxins↗

Three-phase bone scan pattern in asymptomatic uncemented total knee arthroplasty.

In this study we investigated the bone scan pattern in a homogeneous group of asymptomatic patients implanted with the same type of total knee arthroplasty (TKA) and with a minimum follow-up of 2 years. Twenty-nine patients (21 females, 8 males, mean age 62 years), with a total of 30 uncemented Hofmann TKAs, were entered in the study. The time interval from surgery to scintigraphic evaluation ranged from 2 to 4 years. Bone scan was performed using the three-phase technique and images were interpreted by visual analysis using a three-point scale for the dynamic and blood pool phases and a five-point scale for the bone phase. Areas of increased periprosthetic technetium-99m methylene diphosphonate (MDP) uptake were observed until 4 years after surgery. However, comparing the TKAs implanted 2, 3 and 4 years previously, a decreasing pattern in tracer uptake intensity was noted this being more evident in the femoral and lateral tibial components. In some cases, a persistently elevated tracer uptake, not exceeding a moderate grade, was found in the medial tibial component. In conclusion, increased periprosthetic 99mTc-MDP uptake is a common finding in asymptomatic uncemented Hofmann TKAs for a prolonged period after surgery, but the uptake intensity is generally mild or moderate and shows a characteristic decreasing pattern over time. Furthermore, in contrast with other types of asymptomatic knee implants previously investigated, no case of high or very high bone uptake was recorded with this type of implant. We may speculate that scintigraphic parameters of normality, and pathology, should be determined for each type of TKA. It is likely that, with the uncemented Hofmann TKA, a high or very high tracer uptake or a progressive increase in the uptake intensity is suggestive of the presence of complications.

Female↗

Value of Lesion Morphology and of Residual Stenosis in Predicting Late Clinical Outcomes and Restenosis Rate Post-PTCA in Single-Vessel Disease.

The study assessed an impact of stenosis morphology before coronary angioplasty (PTCA) and of residual diameter stenosis after the procedure on major adverse cardiac events and restenosis rate at 1 year after intervention in single-vessel disease. Visual analysis of stenoses, using the ABC lesion score system and on-line quantitative evaluation (ACA, DCI, Philips), was performed in 70 patients undergoing PTCA. Recurrence of angina at rest and/or positive treadmill exercise test (TET) >/=6 weeks after PTCA and/or major cardiac events were considered as evidence of restenosis. At 1 year follow-up 56 patients (80%) were event free, without angina at rest and without positive TET, with residual diameter (RD) after PTCA a mean of 2.00 +/- 0.48 mm. In the restenosis group (n = 14) RD was a mean of 1.58 +/- 0.43 mm (p < 0.01): there were three patients with angina at rest, five with Positive TET, and six with cardiac events. In this group, one-half of the stenoses was in class C of the lesion. Residual diameter stenosis, measured objectively after balloon angioplasty, and evaluation of lesion morphology before PTCA can predict late clinical outcomes after the procedure in single-vessel disease.

Journal Article↗

Angioplasty for stable versus unstable angina pectoris: are unstable patients more likely to get restenosis? A quantitative angiographic study in 339 consecutive patients.

Current evidence with regard to the possible association between clinical expression of coronary disease prior to the time of angioplasty, and the subsequent risk of restenosis following successful dilatation, remains inconclusive. To prospectively compare the incidence of restenosis in stable versus unstable angina pectoris patients, follow-up angiography was performed in 85 percent of patients from a consecutive series with a successful PTCA, irrespective of presence or absence of recurrent ischemic symptoms. Furthermore, changes in lesion severity were assessed quantitatively by an automated edge-detection technique rather than visual analysis. Employing such a study design and follow-up protocol, it was found that the incidence of restenosis in patients with stable coronary artery disease was similar to that of patients with unstable rest angina, irrespective of the type of angiographic definition used.

Angina Pectoris↗

Prenatal diagnosis of idiopathic neonatal hemochromatosis with MRI.

Intrauterine diagnosis of perinatal hemochromatosis is difficult. Noninvasive detection of hepatic iron deposition is crucial. We report the first case diagnosed intrauterine with magnetic resonance imaging (MRI). By visual analysis, if the fetal liver is less intense than maternal or fetal fat signal for T2* gradient echo image, hemochromatosis should be suggested.

Female↗

Quantitative planar and tomographic thallium-201 myocardial perfusion imaging.

Quantification of thallium myocardial studies affords the advantage of objectivity over visual analysis. Moreover, comparison of patient profiles to normal limits gives nonexpert readers a sense of confidence for interpreting these studies. Quantification of the washout rate from planar scintigrams aids in overcoming any lack of contrast. Tomography has excellent contrast resolution and identifies most stress perfusion defects without the need for washout calculations. Moreover, with the use of polar displays such as the Bullseye map, the perfusion defect is better characterized by tomography in terms of its location, shape, and size. The main caveat in the use of tomography is that it is technically demanding. The decision as to which method to use depends largely on the application and on the instrumentation and technical expertise available.

Coronary Disease↗

The major selenium-containing protein in human peripheral granulocytes.

Previously, a selenium-containing protein with subunit molecular weight of 15 kDa was found in peripheral human granulocytes. In continuation of this work, the present communication accounts for purification, identification, and characterization of this major selenium-containing protein. The protein was purified on a heparin-Sepharose column followed by Sephacryl S-200 column chromatography. Sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) analysis visualized two bands with subunit molecular weights around 15 kDa. o-Phthaldialdehyde precolumn derivatization and reverse-phase high-performance liquid chromatography showed that the protein contains selenocysteine or selenocystine residues. High-performance gel filtration and isoelectric focusing revealed that the protein had an apparent molecular weight of 32 kDa and a pI value of 7.9. The addition of the protein synthesis inhibitor puromycin to the cell culture medium decreased the 15-kDa protein synthesis. These data suggest that the major selenium-containing protein in peripheral human granulocytes might be a protein with two subunits around 15 kDa. Enzyme studies showed that the protein had peroxidase activity assayed with H2O2 as a substrate and O-dianisidine as a hydrogen donor. This enzymatic activity competed with glutathione peroxidase on the consumption of H2O2, leading to an "inhibiton" of glutathione peroxidase (GSH-Px) activity. Sodium azide could eliminate the inhibition of the protein to GSH-Px. All of the above results implicated that the protein might be a H2O2-dependent selenium containing peroxidase different from GSH-Px. Therefore, the biological function of the protein could be related to eliminating H2O2 generated in the respiratory burst reaction of granulocytes, thus protecting these cells from oxidative damage during phagocytosis.

Blood Proteins↗

A basic study on lesion detectability for hot spot imaging of positron emitters with dedicated PET and positron coincidence gamma camera.

The aim of this study was to explore the correlations of detectability and the semi-quantification for hot spot imaging with positron emitters in positron emission tomography (PET) and with a positron coincidence detection system (PCD). Phantom study results for the measurement of the lesion-to-background (L/B) ratio ranged from 2.0 to 30.3, and detectability for hot spot lesion of PET and PCD were performed to correspond to clinical conditions. The detectability and semi-quantitative evaluation of hot spots from 4.4 mm to 36.9 mm in diameter were performed from the PET and PCD images. There were strong correlations between the L/B ratios derived from PET and PCD hot spot images and actual L/B ratios; but the L/B ratio derived from PET was higher than that from PCD with a significant difference of 10% to 54.8%. The detectability of hot spot imaging of PCD was lower than that of PET at 64.8% (PCD) versus 77.8% (PET). Even the actual L/B ratio was 8.0, hot spots more than 10.6 mm in diameter could be clearly identified with PCD imaging. The same identification could be achieved with PET imaging even when the actual L/B ratio was 4.0. This detailed investigation indicated that FDG PCD yielded results comparable to FDG PET on visual analysis and semi-quantitative analysis in detecting hot spots in phantoms, but semi-quantitative analysis of the L/B ratio with FDG PCD was inferior to that with FDG PET and the detectability of PCD in smaller hot spots was significantly poor.

Gamma Cameras↗