The Modified Vilkki Procedure: Vascularized Metatarsophalangeal Joint Transfer to Reconstruct a Full-Length Radius in Type III Radial Hypoplasia

2020 ◽  
Vol 45 (1) ◽  
pp. 70.e1-70.e10 ◽  
Author(s):  
Suresh K. Nayar ◽  
Simo K. Vilkki ◽  
James P. Higgins ◽  
Ryan D. Katz
Author(s):  
F Carboni ◽  
F Angiolini ◽  
M Fabbrini ◽  
B Brogioni ◽  
A Corrado ◽  
...  

Abstract Recent structural studies demonstrated that the epitope recognized by a monoclonal antibody representative of the protective response against the type III Group B Streptococcus polysaccharide was comprised within two of the repeating units that constitute the full-length native structure. Here we took advantage of this discovery to design a novel vaccine based on multivalent presentation of the identified minimal epitope on a carrier protein. We show that highly glycosylated short oligosaccharide conjugates elicit functional immune responses comparable to the full-length native polysaccharide. The obtained results pave the way to the design of well-defined glycoconjugate vaccines based on short synthetic oligosaccharides.


1991 ◽  
Vol 174 (1) ◽  
pp. 179-191 ◽  
Author(s):  
M E Pereira ◽  
J S Mejia ◽  
E Ortega-Barria ◽  
D Matzilevich ◽  
R P Prioli

Trypanosoma cruzi expresses a developmentally regulated neuraminidase (TCNA) implicated in parasite invasion of cells. We isolated full-length DNA clones encoding TCNA. Sequence analysis demonstrated an open reading frame coding for a polypeptide of 1,162 amino acids. In the N-terminus there is a cysteine-rich domain containing a stretch of 332 amino acids nearly 30% identical to the Clostridium perfringens neuraminidase, three repeat motifs highly conserved in bacterial and viral neuraminidases, and two segments with similarity to the YWTD repeats found in the low density lipoprotein (LDL) receptor and in other vertebrate and invertebrate proteins. This domain is connected by a structure characteristic of type III modules of fibronectin to a long terminal repeat (LTR) consisting of 44 full length copies of twelve amino acids rich (75%) in serine, threonine, and proline. LTR is unusual in that it contains at least 117 potential phosphorylation sites. At the extreme C-terminus is a hydrophobic segment of 35 amino acids, which could mediate anchorage of TCNA to membranes via a glycosylphosphatidylinositol linkage. This is the first time a protozoan protein has been found to contain a YWTD repeat and a fibronectin type III module. The domain structure of TCNA suggests that the enzyme may have functions additional to its catalytic activity such as in protein-protein interaction, which could play a role in T. cruzi binding to host cells.


2021 ◽  
Author(s):  
Shoichi Tachiyama ◽  
Ryan Skaar ◽  
Yunjie Chang ◽  
Brittany Carroll ◽  
Meenakumari Muthuramalingam ◽  
...  

Shigella flexneri, causative agent of bacillary dysentery (shigellosis), uses a type III secretion system (T3SS) as its primary virulence factor. The T3SS injectisome delivers effector proteins into host cells to promote entry and create an important intracellular niche. The injectisome's cytoplasmic sorting platform (SP) is a critical assembly that contributes to substrate selection and energizing secretion. The SP consists of oligomeric Spa33 "pods" that associate with the basal body via MxiK and connect to the Spa47 ATPase via MxiN. The pods contain heterotrimers of Spa33 with one full-length copy associated with two copies of a C-terminal domain (Spa33C). The structure of Spa33C is known, but the precise makeup and structure of the pods in situ remains elusive. We show here that recombinant wild-type Spa33 can be prepared as a heterotrimer that forms distinct stable complexes with MxiK and MxiN. In two-hybrid analyses, association of the Spa33 complex with these proteins occurs via the full-length Spa33 component. Furthermore, these complexes each have distinct biophysical properties. Based on these properties, new high-resolution cryo-electron tomography data and architectural similarities between the Spa33 and flagellar FliM-FliN complexes, we provide a preliminary model of the Spa33 heterotrimers within the SP pods. From these findings and evolving models of SP interfaces and dynamics in the Yersinia and Salmonella T3SS, we suggest a model for SP function in which two distinct complexes come together within the context of the SP to contribute to form the complete pod structures during the recruitment of T3SS secretion substrates.


Author(s):  
Shoichi Tachiyama ◽  
Ryan Skaar ◽  
Yunjie Chang ◽  
Brittany L. Carroll ◽  
Meenakumari Muthuramalingam ◽  
...  

Shigella flexneri, causative agent of bacillary dysentery (shigellosis), uses a type III secretion system (T3SS) as its primary virulence factor. The T3SS injectisome delivers effector proteins into host cells to promote entry and create an important intracellular niche. The injectisome’s cytoplasmic sorting platform (SP) is a critical assembly that contributes to substrate selection and energizing secretion. The SP consists of oligomeric Spa33 “pods” that associate with the basal body via MxiK and connect to the Spa47 ATPase via MxiN. The pods contain heterotrimers of Spa33 with one full-length copy associated with two copies of a C-terminal domain (Spa33C). The structure of Spa33C is known, but the precise makeup and structure of the pods in situ remains elusive. We show here that recombinant wild-type Spa33 can be prepared as a heterotrimer that forms distinct stable complexes with MxiK and MxiN. In two-hybrid analyses, association of the Spa33 complex with these proteins occurs via the full-length Spa33 component. Furthermore, these complexes each have distinct biophysical properties. Based on these properties, new high-resolution cryo-electron tomography data and architectural similarities between the Spa33 and flagellar FliM-FliN complexes, we provide a preliminary model of the Spa33 heterotrimers within the SP pods. From these findings and evolving models of SP interfaces and dynamics in the Yersinia and Salmonella T3SS, we suggest a model for SP function in which two distinct complexes come together within the context of the SP to contribute to form the complete pod structures during the recruitment of T3SS secretion substrates.


2018 ◽  
Vol 43 (9) ◽  
pp. 907-918 ◽  
Author(s):  
Simo K. Vilkki ◽  
Pasi Paavilainen

Vascularized second metatarsophalangeal joint transfer offers a possibility to reconstruct the radial support which is lacking in radial dysplasia. Our experience from 1987 to 2017 with 34 congenital radial club hand reconstructions have allowed a possibility for long-term evaluation of the method. Compared with conventional methods, second metatarsophalangeal joint transfer results in better wrist mobility and does not restrict typical ulnar growth. The balance of the wrist remains good until age 11. Thereafter, the growth of the vascularized bone graft transfer matches only partially the distal ulnar growth in adolescence, resulting in mild recurrence of radial deviation. A new option to create a two-bone forearm in selected Bayne-Klug Type III radial dysplasia cases will allow a relatively good pro-supination ability. Potentially, a proximal fibular epiphyseal transfer could be a future solution. Currently, a safe harvest of the proximal fibula at childhood remains controversial.


2020 ◽  
Author(s):  
Lucas Kuhlen ◽  
Steven Johnson ◽  
Jerry Y. Cao ◽  
Justin C. Deme ◽  
Susan M. Lea

AbstractType three secretion is the mechanism of protein secretion found in bacterial flagella and injectisomes. At its centre is the export apparatus (EA), a complex of five membrane proteins through which secretion substrates pass the inner membrane. While the complex formed by four of the EA proteins has been well characterised structurally, little is known about the structure of the membrane domain of the largest subunit, FlhA in flagella, SctV in injectisomes. Furthermore, FlhA/SctV is most often studied as a monomer and only a single structure of an SctV homologue assembled into the biologically relevant nonameric ring is available. FlhA has been shown to bind to chaperone-substrate complexes in an open state, but in the assembled ring structure SctV is in a closed state. Here, we identify FlhA and SctV homologues that can be recombinantly produced in the oligomeric state and study them using cryo-electron microscopy. The structures of the cytoplasmic domains from both FlhA and SctV are in the open state and we observe a conserved interaction between a short stretch of residues at the N-terminus of the cytoplasmic domain, known as FlhAL/SctVL, with a groove on the adjacent protomer’s cytoplasmic domain, which stabilises the nonameric ring assembly. This represents the first structure of SctV in the open state, the first observation of the SctVL interaction with the adjacent protomer and confirms the importance of FlhAL for the stability of the FlhA nonameric ring.ImportanceBacterial flagella are assembled from proteins secreted through a type III secretion system. A related type III secretion system is found in injectisomes, molecular syringes that bridge three membranes to secrete proteins directly from the bacterial cytoplasm into eukaryotic host cells. The major protein of the export apparatus of type III secretion is made up of a membrane and a cytoplasmic domain, which in the flagellar system can adopt an open or a closed state, is known to form a nonameric ring in vivo. We produced the full-length proteins from both injectisome and flagellar systems in the assembled state. The structures of the cytoplasmic domains demonstrate the conserved principle of the N-terminus of one subunit binding the membrane proximal face of the adjacent subunit to stabilise the assembled ring. Our structure of the homologue from the injectisome also demonstrates that the open state of the cytoplasmic domain is not unique to flagella.


2015 ◽  
Vol 113 (11) ◽  
pp. 2313-2320 ◽  
Author(s):  
Anum Azam ◽  
Cheng Li ◽  
Kevin J. Metcalf ◽  
Danielle Tullman-Ercek

2006 ◽  
Vol 348 (3) ◽  
pp. 814-818 ◽  
Author(s):  
Tadayuki Toratani ◽  
Yuichiro Kezuka ◽  
Takamasa Nonaka ◽  
Yuzuru Hiragi ◽  
Takeshi Watanabe

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