Dual Drug Targeting of Mutant Bcr‐Abl Induces Inactive Conformation: New Strategy for the Treatment of Chronic Myeloid Leukemia and Overcoming Monotherapy Resistance

Bcr‐Abl is an oncogenic fusion protein which expression enhances tumorigenesis, and has been highly associated with chronic myeloid leukemia (CML). Acquired drug resistance in mutant Bcr‐Abl has enhanced pathogenesis with the use of single therapy agents such as nilotinib. Moreover, allosteric targeting has been identified to consequentially inhibit Bcr‐Abl activity, which led to the recent development of ABL‐001 (asciminib) that selectively binds the myristoyl pocket. Experimental studies have revealed that the combination of nilotinib and ABL‐001 induced a ‘bent’ conformation in the C‐terminal helix of Bcr‐Abl; a benchmark of inhibition, thereby exhibiting a greater potency in the treatment of CML, surmounting the setbacks of drug resistance, disease regression and relapse. Therefore, we report the first account of the dynamics and conformational analysis of oncogenic T334I Bcr‐Abl by dual targeting. Our findings revealed that unlike in the Bcr‐Abl‐Nilotinib complex, dual targeting by both inhibitors induced the bent conformation in the C‐terminal helix that varied with time. This was coupled with significant alteration in Bcr‐Abl stability, flexibility, and compactness and an overall structural re‐orientation inwards towards the hydrophobic core, which reduced the solvent‐exposed residues indicative of protein folding. This study will facilitate allosteric targeting and the design of more potent allosteric inhibitors for resistive target proteins in cancer.     

Prolonged mate guarding and sperm competition in the weevil Diaprepes abbreviatus (L.)

The hypothesis that prolonged copulatory mate guarding coexistswith last male sperm precedence was tested for the sugarcanerootstalk borer weevil, Diaprepes abbreviatus (L.) (Coleoptera:Curculionidae). Male D. abbreviatus showed a long copulatoryguarding. Both males and females were less likely to rematewhen prolonged guarding occurred compared with terminating copulationearly. Guarding was generally terminated by the struggling behaviorof the female. Mating experiments using normal and sterile (X-rayirradiated) males revealed a similar value of last-male spermprecedence for both irradiated and normal males. The P₂ valuesof normal and sterile males were similar when all ovipositedeggs were counted over 30 days. These data made it possibleto calculate the expected gain to a male from prolonged guardingcompared with leaving a female early and seeking out an additionalmate. We show that guarding has the higher fitness. Eggs weredeposited in clutches in which normal fertilized eggs were groupedtogether and were attached to a group of sterile eggs. This,together with identifying the form of the cul-de-sac typespermatheca,allowed us to suggest a unique repositioning process, whichhas not been described elsewhere, as the likely mechanism bywhich last-male sperm precedence was achieved.     

Costs and Impacts of Scaling up Voluntary Medical Male Circumcision in Tanzania

Background

Given the proven effectiveness of voluntary medical male circumcision (VMMC) in preventing the spread of HIV, Tanzania is scaling up VMMC as an HIV prevention strategy. This study will inform policymakers about the potential costs and benefits of scaling up VMMC services in Tanzania.

Methodology

The analysis first assessed the unit costs of delivering VMMC at the facility level in three regions—Iringa, Kagera, and Mbeya—via three currently used VMMC service delivery models (routine, campaign, and mobile/island outreach). Subsequently, using these unit cost data estimates, the study used the Decision Makers'' Program Planning Tool (DMPPT) to estimate the costs and impact of a scaled-up VMMC program.

Results

Increasing VMMC could substantially reduce HIV infection. Scaling up adult VMMC to reach 87.9% coverage by 2015 would avert nearly 23,000 new adult HIV infections through 2015 and an additional 167,500 from 2016 through 2025—at an additional cost of US$253.7 million through 2015 and US$302.3 million from 2016 through 2025. Average cost per HIV infection averted would be US$11,300 during 2010–2015 and US$3,200 during 2010–2025. Scaling up VMMC in Tanzania will yield significant net benefits (benefits of treatment costs averted minus the cost of performing circumcisions) in the long run—around US$4,200 in net benefits for each infection averted.

Conclusion

VMMC could have an immediate impact on HIV transmission, but the full impact on prevalence and deaths will only be apparent in the longer term because VMMC averts infections some years into the future among people who have been circumcised. Given the health and economic benefits of investing in VMMC, the scale-up of services should continue to be a central component of the national HIV prevention strategy in Tanzania.     

Range expansion of the globally Vulnerable Karamoja apalis Apalis karamojae in the Serengeti ecosystem

The underlying causes of change in geographic range size are less well understood in African birds than in north temperate species. Here, we examine factors associated with range expansion in the Karamoja apalis (Apalis karamojae), a globally Vulnerable warbler confined to north‐east Uganda, north‐central Tanzania and southern Kenya. In Tanzania, it was originally known only from the Wembere Steppe, but since 1993 (and possibly as early as 1983) has extended its range into the Serengeti ecosystem, c. 140 km to the north, reaching southern Kenya by 2004. Changes in the warbler’s range within the Serengeti have broadly reflected a cyclical change in the density of its main habitat, Acacia drepanolobium woodland, which was low in the 1970s, high during the 1980s and 1990s, and declined in the early 2000s. Karamoja apalis records in the Serengeti showed a 5 year time lag behind A. drepanolobium density, which was in turn negatively correlated with the area of grassland burnt 10 years earlier. Previous studies in the Serengeti have also linked Acacia regeneration to changes in grazing pressure, as increasing wildebeest (Connochaetes taurinus) numbers have reduced the volume of combustible material present, and hence the frequency of damaging ‘hot burns’. We conclude that this globally threatened warbler appears to have benefited from changes in ungulate populations in the Serengeti, which have influenced burning intensity and hence tree regeneration. The warbler’s range now appears to be declining, however, following a recent reduction in the density and annual survival of A. drepanolobium in the northern Serengeti.     

An internal standard for porphyrin analysis

The routine clinical analysis of the porphyrin precursors of heme requires an internal standard to determine the efficiency of the analytical procedure used. 2-Vinyl-4-hydroxymethyldeuteroporphyrin IX has been prepared as an internal standard. Its application to porphyrin analysis has been demonstrated using high-performance liquid chromatographic resolution of the uro- to protoporphyrins in normal and porphyric urine.     

Effects of short-term W-CDMA mobile phone base station exposure on women with or without mobile phone related symptoms

To investigate possible health effects of mobile phone use, we conducted a double-blind, cross-over provocation study to confirm whether subjects with mobile phone related symptoms (MPRS) are more susceptible than control subjects to the effect of electromagnetic fields (EMF) emitted from base stations. We sent questionnaires to 5,000 women and obtained 2,472 valid responses from possible candidates; from these, we recruited 11 subjects with MPRS and 43 controls. There were four EMF exposure conditions, each of which lasted 30 min: continuous, intermittent, and sham exposure with and without noise. Subjects were exposed to EMF of 2.14 GHz, 10 V/m (W-CDMA), in a shielded room to simulate whole-body exposure to EMF from base stations, although the exposure strength we used was higher than that commonly received from base stations. We measured several psychological and cognitive parameters pre- and post-exposure, and monitored autonomic functions. Subjects were asked to report on their perception of EMF and level of discomfort during the experiment. The MPRS group did not differ from the controls in their ability to detect exposure to EMF; nevertheless they consistently experienced more discomfort, regardless of whether or not they were actually exposed to EMF, and despite the lack of significant changes in their autonomic functions. Thus, the two groups did not differ in their responses to real or sham EMF exposure according to any psychological, cognitive or autonomic assessment. In conclusion, we found no evidence of any causal link between hypersensitivity symptoms and exposure to EMF from base stations.