62 research outputs found

    Glycans as receptors for influenza pathogenesis

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    Influenza A viruses, members of the Orthomyxoviridae family, are responsible for annual seasonal influenza epidemics and occasional global pandemics. The binding of viral coat glycoprotein hemagglutinin (HA) to sialylated glycan receptors on host epithelial cells is the critical initial step in the infection and transmission of these viruses. Scientists believe that a switch in the binding specificity of HA from Neu5Acα2-3Gal linked (α2-3) to Neu5Acα2-6Gal linked (α2-6) glycans is essential for the crossover of the viruses from avian to human hosts. However, studies have shown that the classification of glycan binding preference of HA based on sialic acid linkage alone is insufficient to establish a correlation between receptor specificity of HA and the efficient transmission of influenza A viruses. A recent study reported extensive diversity in the structure and composition of α2-6 glycans (which goes beyond the sialic acid linkage) in human upper respiratory epithelia and identified different glycan structural topologies. Biochemical examination of the multivalent HA binding to these diverse sialylated glycan structures also demonstrated that high affinity binding of HA to α2-6 glycans with a characteristic umbrella-like structural topology is critical for efficient human adaptation and human-human transmission of influenza A viruses. This review summarizes studies which suggest a new paradigm for understanding the role of the structure of sialylated glycan receptors in influenza virus pathogenesis.National Institute of General Medical Sciences (U.S.) (Glue Grant U54 GM62116)National Institutes of Health (U.S.) (Grant GM57073)Singapore-MIT Alliance for Research and Technolog

    Use of Nasal Non-Invasive Ventilation with a RAM Cannula in the Outpatient Home Setting

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    Background: Nasal non-invasive-ventilation (Nasal NIV) is a mode of ventilatory support providing positive pressure to patients via a nasal interface. The RAM Cannula is an oxygen delivery device that can be used as an alternative approach to deliver positive pressure. Together they have been successfully used to provide respiratory support in neonatal in-patient settings. Objective: To describe the outpatient use of Nasal NIV/RAM Cannula as a feasible alternative for home respiratory support in children with chronic respiratory failure. Methods: We performed a retrospective case series of 18 children (4 months to 19 years old) using the Nasal NIV/RAM Cannula in the Pediatric Pulmonary Clinic at the McGovern Medical School, UTHealth (2014-16). Consideration for Nasal NIV/RAM Cannula utilization included: inability to wean-off in-patient respiratory support, comfort for dyspnea, intolerability of conventional mask interfaces and tracheostomy avoidance. Results: Average age was 7 years. 50% were Caucasian, 38% African-American and 11% Hispanics. Pulmonary disorders included: chest wall weakness (38%), central control abnormalities (33%), obstructive lung disease (16%) and restrictive lung disease (11%). Indications for Nasal NIV/RAM Cannula initiation included: CPAP/BPAP masks intolerability (11%), dyspnea secondary to chest wall weakness (38%) and tracheostomy avoidance (50%). Average length of use of Nasal NIV/RAM Cannula was 8.4 months. Successful implementation of Nasal NIV/Ram Cannula was 94%. One patient required a tracheostomy following the use of Nasal NIV/RAM Cannula. Significant decrease in arterial PaCO2 pre and post Nasal NIV/RAM cannula initiation was notable (p=0.001). Conclusion: Outpatient use of Nasal NIV/RAM Cannula may prove to be a feasible and save treatment alternative for children with chronic respiratory failure, chest wall weakness, dyspnea and traditional nasal/face mask intolerance to avoid tracheostomy. </jats:sec

    Machine Learning Driven Simulation in the Automotive Industry

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    The current thesis investigates data-driven simulation decision-making with field-quality consumer data. This is accomplished by outlining the benefits and uses of combining machine learning and simulation in the literature and by locating barriers to the use of machine learning (ML) in the simulation subsystems at a case study organization. Additionally, an implementation is carried out to demonstrate how Scania departments can use this technology to analyze their current data and produce results that support the exploration of the simulation space and the identification of potential design issues so that preventative measures can be taken during concept development. The thesis' findings provide an overview of the literature on the relationship between machine learning and simulation technologies, as well as limitations of using machine learning in simulation systems at large scale manufacturing organizations. Support vector machines, logistic regression, and Random Forest classifiers are used to demonstrate one possible use of machine learning in simulation

    Determinants of Glycan Receptor Specificity of H2N2 Influenza A Virus Hemagglutinin

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    The H2N2 subtype of influenza A virus was responsible for the Asian pandemic of 1957-58. However, unlike other subtypes that have caused pandemics such as H1N1 and H3N2, which continue to circulate among humans, H2N2 stopped circulating in the human population in 1968. Strains of H2 subtype still continue to circulate in birds and occasionally pigs and could be reintroduced into the human population through antigenic drift or shift. Such an event is a potential global health concern because of the waning population immunity to H2 hemagglutinin (HA). The first step in such a cross-species transmission and human adaptation of influenza A virus is the ability for its surface glycoprotein HA to bind to glycan receptors expressed in the human upper respiratory epithelia. Recent structural and biochemical studies have focused on understanding the glycan receptor binding specificity of the 1957-58 pandemic H2N2 HA. However, there has been considerable HA sequence divergence in the recent avian-adapted H2 strains from the pandemic H2N2 strain. Using a combination of structural modeling, quantitative glycan binding and human respiratory tissue binding methods, we systematically identify mutations in the HA from a recent avian-adapted H2N2 strain (A/Chicken/PA/2004) that make its quantitative glycan receptor binding affinity (defined using an apparent binding constant) comparable to that of a prototypic pandemic H2N2 (A/Albany/6/58) HA.National Institute of General Medical Sciences (U.S.) (GM57073)National Institute of General Medical Sciences (U.S.) (U54 GM62116)Singapore. Agency for Science, Technology and ResearchSingapore-MIT Alliance for Research and Technolog

    Nonclassical Structures within the N-qubit Pauli Group

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    Structures that demonstrate nonclassicality are of foundational interest in quantum mechanics, and can also be seen as resources for numerous applications in quantum information processing- particularly in the Hilbert space of N qubits. The theory of entanglement, quantum contextuality, and quantum nonlocality within the N-qubit Pauli group is further developed in this the-sis. The Strong Kochen-Specker theorem and the structures that prove it are introduced and explored in detail. The pattern of connections between structures that show entanglement, contextuality, and nonlocality is explained. Computational search algorithms and related tools were developed and used to perform complete searches for minimal nonclassical structures within the N-qubit Pauli group up to values of N limited by our computational re-sources. Our results are surveyed and prescriptions are given for using the elementary nonclassical structures we have found to construct more complex types of such structures. Families of nonclassical structures are presented for all values of N, including the most compact family of projector-based parity proofs of the Kochen-Specker theorem yet discovered in all dimensions of the form 2N, where N ≥ 2. The applications of our results and their connection with other work is also discussed
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