Publications by authors named "Dunham S"

Proteo-SAFARI is a shiny application for fragment assignment by relative isotopes, an R-based software application designed for identification of protein fragment ions directly in the / domain. This program provides an open-source, user-friendly application for identification of fragment ions from a candidate protein sequence with support for custom covalent modifications and various visualizations of identified fragments. Additionally, Proteo-SAFARI includes a nonnegative least-squares fitting approach to determine the contributions of various hydrogen shifted fragment ions ( + 1, + 1, - 1, - 2) observed in UVPD mass spectra which exhibit overlapping isotopic distributions.

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Bacteriophages are an increasingly attractive option for the treatment of antibiotic-resistant infections, but their efficacy is difficult to discern due to the confounding effects of antibiotics. Phages are generally delivered in conjunction with antibiotics, and thus, when patients improve, it is unclear whether the phages, antibiotics, or both are responsible. This question is particularly relevant for enterococcus infections, as limited data suggest phages might restore antibiotic efficacy against resistant strains.

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Cardiac mapping is a crucial procedure for diagnosing and treating cardiac arrhythmias. Still, current clinical techniques face limitations including insufficient electrode coverage, poor conformability to complex heart chamber geometries, and high costs. This study explores the design, testing, and validation of a 64-electrode soft robotic catheter that addresses these challenges in cardiac mapping.

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Article Synopsis
  • Alzheimer's disease (AD) and related dementias (ADRDs) are complex neurodegenerative diseases that pose challenges for therapy development.
  • Research from the 2024 Society for Neuroscience meeting points to the gut microbiome's influence on AD development through the microbiota-gut-brain axis.
  • These findings suggest that targeting the gut microbiota could open new avenues for treating AD and ADRD.
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This case study documents the case of a 27-year-old female who presented with a complaint of left anterolateral thigh numbness, initially diagnosed as meralgia paresthetica with a differential diagnosis of lumbar radiculopathy. Over a span of two weeks, the patient endured emotional trauma and subsequently developed lesions in the area of complaint. The patient was diagnosed at a medical clinic with herpes zoster and was prescribed anti-viral medication which resulted in complete resolution.

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Protein glycosylation is implicated in a wide array of diseases, yet glycoprotein analysis remains elusive owing to the extreme heterogeneity of glycans, including microheterogeneity of some of the glycosites (amino acid residues). Various mass spectrometry (MS) strategies have proven tremendously successful for localizing and identifying glycans, typically utilizing a bottom-up workflow in which glycoproteins are digested to create glycopeptides to facilitate analysis. An emerging alternative is top-down MS that aims to characterize intact glycoproteins to allow precise identification and localization of glycans.

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Extracorporeal membrane oxygenation (ECMO) is a mechanical support treatment modality used in patients with refractory cardiac and/or pulmonary failure. Bleeding and thrombotic complications associated with ECMO are inherent concerns that require careful management. Anticoagulation optimization may help mitigate these risks by providing more adequate therapeutic anticoagulation and lessen the bleed risk.

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  • Rising antibiotic resistance has made treating infections from the bacterium STM difficult, especially in immunocompromised patients, leading to more severe diseases.
  • Researchers collected and characterized 18 distinct phages from California wastewater to explore their potential against STM, hypothesizing that a combined phage cocktail would be more effective than individual phages.
  • The study found that a three-phage cocktail significantly reduced bacterial growth, showed effectiveness against a large number of STM strains, and helped prevent the emergence of phage-resistant bacteria, indicating its promise as a treatment option for tough STM infections.
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Article Synopsis
  • Critical illness complicates medication treatment for severe diseases, as physiological changes in patients can affect how drugs are absorbed and processed in the body.
  • * ECMO (extracorporeal membrane oxygenation) can further alter drug pharmacokinetics, potentially leading to reduced drug concentrations due to factors like drug sequestration and increased volume of distribution.
  • * Due to these complexities, especially in selecting and dosing antimicrobials, therapeutic drug monitoring is crucial for ensuring effective treatment in critically ill patients, particularly those on ECMO support.
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As the development of new biotherapeutics advances, increasingly sophisticated tandem mass spectrometry methods are needed to characterize the most complex molecules, including antibody drug conjugates (ADCs). Lysine-linked ADCs, such as trastuzumab-emtansine (T-DM1), are among the most heterogeneous biotherapeutics. Here, we implement a workflow that combines limited proteolysis with HCD-triggered EThcD and UVPD mass spectrometry for the characterization of the resulting middle-down large-sized peptides of T-DM1.

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Introduction: Emerging evidence links changes in the gut microbiome to late-onset Alzheimer's disease (LOAD), necessitating examination of AD mouse models with consideration of the microbiome.

Methods: We used shotgun metagenomics and untargeted metabolomics to study the human amyloid beta knock-in (hAβ-KI) murine model for LOAD compared to both wild-type (WT) mice and a model for early-onset AD (3xTg-AD).

Results: Eighteen-month female (but not male) hAβ-KI microbiomes were distinct from WT microbiomes, with AD genotype accounting for 18% of the variance by permutational multivariate analysis of variance (PERMANOVA).

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The emergence of antibiotic-resistant bacteria (ARB) has necessitated the development of alternative therapies to deal with this global threat. Bacteriophages (viruses that target bacteria) that kill ARB are one such alternative. Although phages have been used clinically for decades with inconsistent results, a number of recent advances in phage selection, propagation, and purification have enabled a reevaluation of their utility in contemporary clinical medicine.

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Avian influenza A virus (AIV) is a significant cause of mortality in poultry, causing substantial economic loss, particularly in developing countries, and has zoonotic potential. For example, highly pathogenic avian influenza (HPAI) viruses of the H5 subtype have been circulating in Egypt for around two decades. In the last decade, H5N1 viruses of clade 2.

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Article Synopsis
  • The current outbreak of highly pathogenic avian influenza (HPAI) in the UK, caused by the A/H5N1 virus, is unprecedented, affecting both the poultry industry and wild bird populations, with potential public health risks.
  • A nationwide survey of backyard poultry keepers was conducted during a period of enforced biosecurity measures to assess their knowledge of HPAI, compliance with regulations, attitudes towards mandatory culling, and views on vaccination.
  • While awareness of the outbreak was high (99%), many backyard keepers showed a lack of knowledge about clinical signs and legal biosecurity requirements, with some downplaying the seriousness of HPAI and resisting compliance.
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We extend the highly-parallelizable open-source electronic transport code TRANSEC (Feldman2014B035445;https://gitlab.com/computational-physics2/transec/) to perform real-space atomic-scale electronic transport calculations with periodic boundary conditions in the lateral dimensions. We demonstrate the use of TRANSEC in periodic Cu and Rh bulk structures and in large periodic Rh point contacts, in preparation to perform calculations of reflection probability across Rh grain boundaries.

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Background: The scale of the outbreak of highly pathogenic avian influenza (HPAI) in 2021-23 due to the influenza A/H5N1 virus is unprecedented.

Methods: An online survey was designed to explore veterinarians' experiences of and confidence in treating avian species, experiences of dealing with suspected HPAI and perspectives on control measures in the UK. The survey ran between December 2021 and March 2022.

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Recent advances in top-down mass spectrometry strategies continue to improve the analysis of intact proteins. 193 nm ultraviolet photodissociation (UVPD) is one method well-suited for top-down analysis. UVPD is often performed using relatively low photon flux in order to limit multiple-generation dissociation of fragment ions and maximize sequence coverage.

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  • This study aims to enhance diagnostic accuracy for rapidly progressive dementia (RPD) by analyzing various cerebrospinal fluid (CSF) biomarkers, considering the overlap in symptoms and diagnostic challenges among different dementia types.
  • Researchers compared biomarker levels in 78 patients with RPD, 35 with typical neurodegenerative diseases, and 72 control subjects, focusing on multiple factors like neuroinflammation and neurodegeneration.
  • Results indicate that specific biomarkers can effectively distinguish between different underlying causes of RPD, with a multivariate model achieving 89% accuracy in identifying treatment-responsive cases.
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  • The study aimed to improve the early identification of patients experiencing rapidly progressive dementia (RPD) that can be treated effectively.
  • In a group of 226 patients, 155 were confirmed to have RPD, with 86 (55.5%) having causes that could respond to treatment, linked to specific clinical features like seizures and MRI results.
  • The research suggests that using the STAM P screening tool could help healthcare professionals recognize these treatable cases sooner, reducing delays in diagnosis and treatment.
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Polyubiquitination is an important post-translational modification (PTM) that regulates various biological functions. The linkage sites and topologies of polyubiquitination chains are important factors in determining the fate of polyubiquitinated proteins. Characterization of polyubiquitin chains is the first step in understanding the biological functions of protein ubiquitination, but it is challenging owing to the repeating nature of the ubiquitin chains and the difficulty in deciphering linkage positions.

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Understanding how smallscale ('backyard') poultry keepers interpret and respond to governmental directives designed to reduce the transmission of highly pathogenic avian influenza (HPAI) is of paramount importance in preparing for future HPAI outbreaks. Qualitative insights from open questions in an online survey conducted during the 2021-22 HPAI season (1,559 responses) shed light on smallscale poultry keepers' understanding of, and responses to, governmental directives to control HPAI exposure and onwards transmission. A follow-up participatory workshop (21 participants) explored the HPAI-related information sources used by smallscale poultry keepers, their trust in these sources, perceptions of HPAI-related risk, and interpretation of, opinions on and adherence to government regulations and communications regarding biosecurity and housing measures.

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The emergence of antibiotic resistant bacteria (ARB) has necessitated the development of alternative therapies to deal with this global threat. Bacteriophages (viruses that target bacteria) that kill ARB are one such alternative. While phages have been used clinically for decades with inconsistent results, a number of recent advances in phage selection, propagation and purification have enabled a reevaluation of their utility in contemporary clinical medicine.

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Empathize with the well patient.

Mult Scler Relat Disord

October 2023

The role of empathy in Doctor-Patient interactions with those with MS is explored through a candid account from both sides of the relationship. As "well patients" with MS become more common, the practice of humanistic medicine and intentional displays of empathy become essential for positive interactions.

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The authors present in this study the development of a novel method for creating stretchable electronics from dual-layer flex printed circuit boards (flex-PCBs) as a platform for soft robotic sensor arrays (SRSAs) for cardiac voltage mapping applications. There is a crucial need for devices that utilize multiple sensors and provide high performance signal acquisition for cardiac mapping. Previously, our group demonstrated how single-layer flex-PCB can be postprocessed to create a stretchable electronic sensing array.

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