Class II diterpene cyclases (DTCs) define the widespread labdane-related diterpenoids. These are particularly prevalent in plants due to the requisite production of gibberellin (GA) phytohormones, specifically from gene duplication and neofunctionalization of the relevant DTC. Alteration of product outcome can be predicted/engineered to some extent by changes in the ancestral histidine-asparagine catalytic base dyad found in the ent-copalyl pyrophosphate (ent-CPP) synthases (CPSs) involved in GA biosynthesis. It has been shown such changes can switch product outcome in CPSs, with substitution of alanine for either leading to incorporation of water - i.e., production of 8α-hydroxy-ent-labda-13-en-15-yl pyrophosphate (ent-LPP), while replacing the histidine with tyrosine leads to production of a rearranged product - i.e., ent-kolavenyl pyrophosphate (ent-KPP). Indeed, native ent-KPP synthases from dicots with such substitution have been found, and restoration of the ancestral residue results in production of ent-CPP. Observation of a similar ent-KPP synthase and, strikingly, an ent-LPP synthase with serine in place of the asparagine, along with another DTC with such substitution but still producing ent-CPP, was recently made in non-seed plants. Here the role of these substitutions was examined by ancestral residue restoration. Notably, while this led to the production of ent-CPP in the first two concordant cases, in the latter incongruent DTC this had little effect. This presumably reflects extended adaptation, consistent with its more distant phylogenetic relationship to those from GA biosynthesis. This demonstrates both the utility but also limitations of the ability of changes to the ancestral catalytic base dyad to affect product outcome.
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http://dx.doi.org/10.1016/j.phytochem.2025.114459 | DOI Listing |
Gac Sanit
March 2025
Financial Economics and Accounting Department, University of Alicante, Alicante, Spain.
Objective: To review several behavioral economics-based interventions ("healthy nudges") aimed at mitigating the overuse and underuse of healthcare resources -phenomena associated with poorer health outcomes and increased costs.
Method: A comparative case study approach is used to assess the effectiveness of ten studies designed to improve treatment adherence and prevent underuse, as well as those focused on improving prescribing practices to address overuse.
Results: First, healthy nudges are generally effective, although there is considerable variability in their outcomes.
Br J Anaesth
March 2025
Department of Surgical Interventional Sciences, McGill University Health Center, Montreal, QC, Canada; Department of Anesthesia, McGill University, Montreal, QC, Canada; Department of Surgery, McGill University, Montreal, QC, Canada. Electronic address:
Background: In the UK, total intravenous anaesthesia (TIVA) is used in 25% of general anaesthetics and is gaining traction because of its lower environmental impact and effectiveness in reducing postoperative nausea and vomiting (PONV). Although meta-analyses have compared TIVA and inhalational anaesthesia (IA), the optimal delivery method-manual infusion or target-controlled infusion (TCI)-remains underexplored. This review addresses this gap, leveraging the rapidly growing body of evidence to guide optimal anaesthetic practice.
View Article and Find Full Text PDFInt Psychogeriatr
March 2025
Department of Pharmacy Administration and Clinical Pharmacy, School of Pharmaceutical Sciences, Peking University, Beijing 100191, China; International Research Center for Medicinal Administration, Peking University, Beijing 100191, China.
To examine the prevalence of treatment indications for antidepressants and assessed temporal trends in antidepressant prescribing for depression among adult patients in primary health care facilities (PHFs) in China. Descriptive study of antidepressant prescriptions written by primary care physicians. Setting participants: Patients aged 18 years and above in 67 PHFs in Dongcheng district in Beijing between 1 January 2014 and 31 December 2022.
View Article and Find Full Text PDFJ Gastroenterol Hepatol
March 2025
Department of Radiology, Yunnan Cancer Center, Yunnan Cancer Hospital, The Third Affiliated Hospital of Kunming Medical University, Kunming, China.
This review provides an in-depth exploration of the evolving role of immunotherapy in gastrointestinal (GI) cancers, with a particular focus on immune checkpoint inhibitors (ICIs) and their associated predictive biomarkers. We present a detailed analysis of established biomarkers, such as PD-L1, microsatellite instability (MSI), tumor mutational burden (TMB), and the tumor microenvironment (TME), as well as emerging biomarkers, including gut microbiota and Epstein-Barr virus (EBV). The predictive value of these biomarkers in guiding clinical decision-making and optimizing immunotherapy outcomes is thoroughly discussed.
View Article and Find Full Text PDFJ Am Coll Cardiol
March 2025
Cedars Sinai Medical Center, Los Angeles, California, USA. Electronic address:
This updated Heart Valve Collaboratory framework addresses the growing concern for transcatheter valve failure (TVF) following transcatheter aortic valve replacement (TAVR). With the increasing volume of redo-TAV and surgical TAV explantation, there is a critical need for standardized pathways and protocols for evaluating TVF using echocardiography and cardiac computed tomography (CT) angiography. This document clarifies prior definitions of bioprosthetic valve deterioration and bioprosthetic valve failure in a practical, imaging directed context for TAVR.
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