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  1. Article ; Online: Legionella pneumophila macrophage infectivity potentiator protein appendage domains modulate protein dynamics and inhibitor binding.

    Wiedemann, C / Whittaker, J J / Pérez Carrillo, V H / Goretzki, B / Dajka, M / Tebbe, F / Harder, J-M / Krajczy, P R / Joseph, B / Hausch, F / Guskov, A / Hellmich, U A

    International journal of biological macromolecules

    2023  Volume 252, Page(s) 126366

    Abstract: Macrophage infectivity potentiator (MIP) proteins are widespread in human pathogens including Legionella pneumophila, the causative agent of Legionnaires' disease and protozoans such as Trypanosoma cruzi. All MIP proteins contain a FKBP (FK506 binding ... ...

    Abstract Macrophage infectivity potentiator (MIP) proteins are widespread in human pathogens including Legionella pneumophila, the causative agent of Legionnaires' disease and protozoans such as Trypanosoma cruzi. All MIP proteins contain a FKBP (FK506 binding protein)-like prolyl-cis/trans-isomerase domain that hence presents an attractive drug target. Some MIPs such as the Legionella pneumophila protein (LpMIP) have additional appendage domains of mostly unknown function. In full-length, homodimeric LpMIP, the N-terminal dimerization domain is linked to the FKBP-like domain via a long, free-standing stalk helix. Combining X-ray crystallography, NMR and EPR spectroscopy and SAXS, we elucidated the importance of the stalk helix for protein dynamics and inhibitor binding to the FKBP-like domain and bidirectional crosstalk between the different protein regions. The first comparison of a microbial MIP and a human FKBP in complex with the same synthetic inhibitor was made possible by high-resolution structures of LpMIP with a [4.3.1]-aza-bicyclic sulfonamide and provides a basis for designing pathogen-selective inhibitors. Through stereospecific methylation, the affinity of inhibitors to L. pneumophila and T. cruzi MIP was greatly improved. The resulting X-ray inhibitor-complex structures of LpMIP and TcMIP at 1.49 and 1.34 Å, respectively, provide a starting point for developing potent inhibitors against MIPs from multiple pathogenic microorganisms.
    MeSH term(s) Humans ; Legionella pneumophila/metabolism ; Scattering, Small Angle ; X-Ray Diffraction ; Bacterial Proteins/chemistry ; Tacrolimus Binding Proteins/chemistry ; Legionnaires' Disease ; Macrophages/metabolism
    Chemical Substances Bacterial Proteins ; Tacrolimus Binding Proteins (EC 5.2.1.-)
    Language English
    Publishing date 2023-08-24
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 282732-3
    ISSN 1879-0003 ; 0141-8130
    ISSN (online) 1879-0003
    ISSN 0141-8130
    DOI 10.1016/j.ijbiomac.2023.126366
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Postpartum vérzés ellátása arteria hypogastrica embolisatióval.

    Emődi, Sándor / Pohánka, Róbert / Mosonyi, Attila / Dajka, Miklós

    Orvosi hetilap

    2018  Volume 159, Issue 39, Page(s) 1602–1606

    Abstract: Selective embolization of the hypogastric artery is nowadays commonly used for the haemostasis of gynaecological cancer patients. Also re-embolization is possible in the cases of repeated bleedings. We present this method based on the summary of three ... ...

    Title translation Embolization of the hypogastric artery in postpartum haemorrhage. Case report.
    Abstract Selective embolization of the hypogastric artery is nowadays commonly used for the haemostasis of gynaecological cancer patients. Also re-embolization is possible in the cases of repeated bleedings. We present this method based on the summary of three obstetrical patients in our hospital. In these patients, primary management failed to control bleeding after parturition caused by anatomic reasons which made it difficult to access the bleeding and to achieve haemostasis. During intervention we catheterized the visceral branch of the internal iliac artery selectively via an access in the common femoral artery. Thereafter we blocked the artery with Spongostan fillings. We had one patient, where we applied embolization in retroperitoneal haemorrhage after Caesarean section and supravaginal amputation of the uterus. In two other cases we successfully managed vaginal haematoma by embolization, whereas multiple surgical treatments were unsuccessful. The advantage of this method is that it does not require laparotomy or vaginal exploration. The disadvantage is that a well-equipped laboratory of angiography and an interventional radiologist are also required. Orv Hetil. 2018; 159(39): 1602-1606.
    MeSH term(s) Adult ; Embolization, Therapeutic/methods ; Female ; Humans ; Iliac Artery ; Postpartum Hemorrhage/therapy ; Treatment Outcome ; Uterus/blood supply
    Language Hungarian
    Publishing date 2018-12-13
    Publishing country Hungary
    Document type Case Reports ; Journal Article
    ZDB-ID 123879-6
    ISSN 1788-6120 ; 0030-6002
    ISSN (online) 1788-6120
    ISSN 0030-6002
    DOI 10.1556/650.2018.31186
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Intra-arterial Thrombolysis in Second Trimester of Pregnancy. A Case Report.

    Pongrácz, Endre / Farkas, Szabolcs / Dajka, Miklós / Csiba, László

    Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures)

    2015  Volume 1, Issue 1, Page(s) 24–27

    Abstract: Here we present a successful intra-arterial thrombolysis performed in the second trimester of pregnancy (21 weeks). The intervention resulted in complete recanalization of the occluded right middle cerebral artery and favourable clinical and gestational ... ...

    Abstract Here we present a successful intra-arterial thrombolysis performed in the second trimester of pregnancy (21 weeks). The intervention resulted in complete recanalization of the occluded right middle cerebral artery and favourable clinical and gestational outcome. Together with cases described in respective medical literature our report affirms that in pregnancy acute ischemic stroke could be treated effectively applying intra-arterial thrombolysis (using rt-PA). This therapy could provide opportunity to help in such desperate situations.
    Language English
    Publishing date 2015-03-01
    Publishing country Poland
    Document type Case Reports
    ISSN 2393-1809
    ISSN 2393-1809
    DOI 10.1515/jccm-2015-0005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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