Publications by authors named "STARR T"

Within ovarian cancer research, patient-derived xenograft (PDX) models recapitulate histologic features and genomic aberrations found in original tumors. However, conflicting data from published studies have demonstrated significant transcriptional differences between PDXs and original tumors, challenging the fidelity of these models. We employed a quantitative mass spectrometry-based proteomic approach coupled with generation of patient-specific databases using RNA-seq data to investigate the proteogenomic landscape of serially-passaged PDX models established from two patients with distinct subtypes of ovarian cancer.

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  • Ventriculitis in critically ill neurocritical care patients increases the risk of complications and death, prompting a need for improved antibiotic dosing strategies.
  • The study aimed to create a population pharmacokinetic (PK) model for piperacillin-tazobactam (PTZ) by analyzing samples from neurosurgical patients to determine effective dosing for cerebrospinal fluid (CSF) treatment.
  • Results showed significant inter-individual variability in drug penetration into CSF, making it difficult to recommend optimal dosing regimens despite some patients achieving high plasma drug levels.
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  • OmpA is an important outer membrane protein that influences bacterial virulence, adhesion, and membrane integrity, but its exact role has been unclear for over 50 years.
  • This study reveals that OmpA plays a key role in organizing the outer membrane protein structure and connects it to the cell wall, helping to maintain the bacteria's protective barrier.
  • The research shows that both parts of OmpA—its β-barrel domain and cell wall-binding domain—are essential for strengthening the bacterial envelope, making it more resilient and crucial for bacterial survival.
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Porcine delta-coronavirus (PDCoV) spillovers were recently detected in febrile children, underscoring the recurrent zoonoses of divergent CoVs. To date, no vaccines or specific therapeutics are approved for use in humans against PDCoV. To prepare for possible future PDCoV epidemics, we isolated PDCoV spike (S)-directed monoclonal antibodies (mAbs) from humanized mice and found that two, designated PD33 and PD41, broadly neutralized a panel of PDCoV variants.

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The recurring spillover of pathogenic coronaviruses and demonstrated capacity of sarbecoviruses, such SARS-CoV-2, to rapidly evolve in humans underscores the need to better understand immune responses to this virus family. For this purpose, we characterized the functional breadth and potency of antibodies targeting the receptor binding domain (RBD) of the spike glycoprotein that exhibited cross-reactivity against SARS-CoV-2 variants, SARS-CoV-1 and sarbecoviruses from diverse clades and animal origins with spillover potential. One neutralizing antibody, C68.

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  • - SARS-CoV-2 has evolved to evade current monoclonal antibodies (mAbs), emphasizing the need for more resilient treatments that can neutralize various viral strains.
  • - A new human mAb called VIR-7229 has shown the ability to effectively neutralize multiple variants of SARS-CoV-2 and other related viruses, due to its unique targeting of a critical viral region known as the receptor-binding motif (RBM).
  • - VIR-7229 demonstrates a high resistance to the emergence of virus escape mutants, making it a promising candidate for future therapies against evolving coronaviruses.
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Introduction: The process of co-creation can enable more effective, agile and integrated healthcare solutions achieving outcomes that effectively translate to healthcare delivery. Collaborative knowledge generation is particularly important in fields such as pediatric chronic pain where there is a complex interplay between biological, social, environmental, emotional, familial and school factors. The co-creation initiative described here was designed to amplify the voices of youth with chronic pain and their families and a variety of key stakeholders and generate novel approaches to the management of chronic pediatric pain in the setting of the South Australian Pediatric Chronic Pain Service.

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Purpose: Dexmedetomidine increases sleep and reduces delirium in postoperative patients, but it is expensive and requires a monitored environment. Clonidine, another 2-agonist, is cheaper and is used safely for other purposes in wards. We assessed whether clonidine would improve sleep in postoperative high-dependency unit (HDU) patients.

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Deep mutational scanning experiments aid in the surveillance and forecasting of viral evolution by providing prospective measurements of mutational effects on viral traits, but epistatic shifts in the impacts of mutations can hinder viral forecasting when measurements were made in outdated strain backgrounds. Here, we report measurements of the impact of all single amino acid mutations on ACE2-binding affinity and protein folding and expression in the SARS-CoV-2 Omicron BA.2.

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  • Diaphragmatic hernias (DH) are defects in the diaphragm allowing abdominal contents into the thoracic cavity, which can be either congenital (like Bochdalek hernia) or acquired, often due to trauma.
  • A 69-year-old female experienced acute abdominal pain and was found to have a right posterolateral DH containing part of her colon, leading to an urgent surgical intervention.
  • The surgery initially attempted laparoscopically was converted to an open procedure for better access, successfully repairing the hernia without tension or mesh, and the patient was discharged shortly after.
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Unlabelled: The outer membrane is the defining structure of Gram-negative bacteria. We previously demonstrated that it is critical for the mechanical integrity of the cell envelope and therefore to the robustness of the bacterial cell as a whole. Here, to determine the key molecules and moieties within the outer membrane that underlie its contribution to cell envelope mechanics, we measured cell-envelope stiffness across several sets of mutants with altered outer-membrane sugar content, protein content, and electric charge.

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DPP4 was considered a canonical receptor for merbecoviruses until the recent discovery of African bat-borne MERS-related coronaviruses using ACE2. The extent and diversity with which merbecoviruses engage ACE2 and their receptor species tropism remain unknown. Here, we reveal that HKU5 enters host cells utilizing (P.

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Deep mutational scanning experiments aid in the surveillance and forecasting of viral evolution by providing prospective measurements of mutational effects on viral traits, but epistatic shifts in the impacts of mutations can hinder viral forecasting when measurements were made in outdated strain backgrounds. Here, we report measurements of the impact of all single amino acid mutations on ACE2-binding affinity and protein folding and expression in the SARS-CoV-2 Omicron BA.2.

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  • A study investigated if continuous infusion of β-lactam antibiotics reduces death risk in critically ill sepsis patients, comparing this method to intermittent infusion.
  • Conducted in 104 ICUs across several countries from 2018 to 2023, the trial involved over 7,200 participants receiving either piperacillin-tazobactam or meropenem.
  • Results showed a slight decrease in 90-day mortality for continuous infusion (24.9%) versus intermittent infusion (26.8%), but the difference was not statistically significant (-1.9% difference).
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Pain science education (PSE) is an important component of pediatric pain care; however, access to services is limited. To disseminate pain science concepts on social media, we partnered with adolescents with chronic pain to codesign content. We engaged 7 adolescent codesigners (aged 13-18 years) with lived experience of chronic pain to take part in 4 codesign workshops.

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A protein's genetic architecture - the set of causal rules by which its sequence produces its functions - also determines its possible evolutionary trajectories. Prior research has proposed that the genetic architecture of proteins is very complex, with pervasive epistatic interactions that constrain evolution and make function difficult to predict from sequence. Most of this work has analyzed only the direct paths between two proteins of interest - excluding the vast majority of possible genotypes and evolutionary trajectories - and has considered only a single protein function, leaving unaddressed the genetic architecture of functional specificity and its impact on the evolution of new functions.

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  • The study highlights the need to understand immune responses to pathogenic coronaviruses, particularly in the context of rapid evolution, using antibodies targeting the receptor binding domain (RBD) of the spike glycoprotein.
  • An antibody named C68.61 was identified for its exceptional ability to neutralize SARS-CoV-2 variants as well as other sarbecoviruses without leading to escape variants, indicating a conserved target epitope.
  • The research also discovered 11 additional cross-reactive antibodies that can potentially serve as therapeutic options for pandemic preparedness by recognizing conserved regions across multiple sarbecoviruses.
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Porcine deltacoronavirus (PDCoV) spillovers were recently detected in children with acute undifferentiated febrile illness, underscoring recurrent zoonoses of divergent coronaviruses. To date, no vaccines or specific therapeutics are approved for use in humans against PDCoV. To prepare for possible future PDCoV epidemics, we isolated human spike (S)-directed monoclonal antibodies from transgenic mice and found that two of them, designated PD33 and PD41, broadly neutralized a panel of PDCoV variants.

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  • Oncogenic drivers significantly alter the tumor inflammatory microenvironment (TIME) in colorectal cancer (CRC), with a focus on identifying differences in immune cell composition between wild-type (WT) and oncogenic mutant (MT) CRC.
  • A large analysis of 7,801 CRC specimens revealed distinct immune infiltration patterns, showing higher neutrophil levels and lower B cell levels in microsatellite stable (MSS) MT tumors compared to their WT counterparts, along with notable differences in tumor mutation burden (TMB) and mismatch repair deficiency.
  • Overall, findings indicate that mutant CRC tumors exhibit pronounced immunoevasive characteristics, as evidenced by unique patterns of immune cell infiltration related to specific genetic mutations.
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  • The study explores how substitutions in SARS-CoV-2 variants can influence future mutations through a process called epistasis, focusing on the mutations like N501Y that contributed to the emergence of Omicron.
  • Researchers conducted deep mutational scans on the spike receptor-binding domain of recent variants like Omicron BQ.1.1 and XBB.1.5 to assess the effects of various amino acid mutations and single-codon deletions on ACE2-binding and protein expression.
  • Findings indicate that while some mutations enhance ACE2 binding and certain deletions are tolerated, the ongoing mutations have not caused drastic changes as seen with N501Y, suggesting a more gradual evolution influenced by epistatic interactions among recent variants.
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The reliance on viral vectors for the production of genetically engineered immune cells for adoptive cellular therapies remains a translational bottleneck. Here we report a method leveraging the DNA repair pathway homology-mediated end joining, as well as optimized reagent composition and delivery, for the Cas9-induced targeted integration of large DNA payloads into primary human T cells with low toxicity and at efficiencies nearing those of viral vectors (targeted knock-in of 1-6.7 kb payloads at rates of up to 70% at multiple targeted genomic loci and with cell viabilities of over 80%).

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  • The BLING III study is a large, multi-center trial assessing the effectiveness of continuous vs. intermittent β-lactam antibiotic infusions in 7,000 critically ill sepsis patients.
  • The statistical analysis plan was created by the trial's statistician and investigators, approved by the management committee, and includes detailed methods for analyzing various outcomes.
  • To ensure transparency and prevent bias, the statistical plan was published before data collection was finished, with interim analyses conducted by a Data Safety and Monitoring Committee.
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Although Rhinolophus bats harbor diverse clade 3 sarbecoviruses, the structural determinants of receptor tropism along with the antigenicity of their spike (S) glycoproteins remain uncharacterized. Here, we show that the African Rhinolophus bat clade 3 sarbecovirus PRD-0038 S has a broad angiotensin-converting enzyme 2 (ACE2) usage and that receptor-binding domain (RBD) mutations further expand receptor promiscuity and enable human ACE2 utilization. We determine a cryo-EM structure of the PRD-0038 RBD bound to Rhinolophus alcyone ACE2, explaining receptor tropism and highlighting differences with SARS-CoV-1 and SARS-CoV-2.

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