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BioMed Research International Molecular Biomarkers: Tools of Medicine Guest Editors: Prabir K. Mandal, Shivani Soni, R. Renee Reams, Tiziano Verri, and Sudhish Mishra Molecular Biomarkers: Tools of Medicine BioMed Research International Molecular Biomarkers: Tools of Medicine Guest Editors: Prabir K. Mandal, Shivani Soni, R. Renee Reams, Tiziano Verri, and Sudhish Mishra Copyright©2013HindawiPublishingCorporation.Allrightsreserved. Thisisaspecialissuepublishedin“BioMedResearchInternational.”AllarticlesareopenaccessarticlesdistributedundertheCreative CommonsAttributionLicense,whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginal workisproperlycited. Contents MolecularBiomarkers:ToolsofMedicine,PrabirK.Mandal,ShivaniSoni,R.ReneeReams,TizianoVerri, AnitaMandal,andSudhishMishra Volume2013,ArticleID595496,2pages DefectsinBaseExcisionRepairSensitizeCellstoManganeseinS.cerevisiae,AdrienneP.Stephenson, TryphonK.Mazu,JanaS.Miles,MilesD.Freeman,R.ReneeReams,andHernanFlores-Rozas Volume2013,ArticleID295635,9pages PracticalGuidanceforImplementingPredictiveBiomarkersintoEarlyPhaseClinicalStudies, MatthewJ.MartonandRussellWeiner Volume2013,ArticleID891391,9pages CirculatingmicroRNAsandKallikreinsbeforeandafterRadicalProstatectomy:AreTheyReallyProstate CancerMarkers?,MariaGiuliaEgidi,GiovanniCochetti,MariaRitaServa,GabriellaGuelfi,Danilo Zampini,LucaMechelli,andEttoreMearini Volume2013,ArticleID241780,11pages ANovelDifferentialPredictModelBasedonMatrix-AssistedLaserIonizationTime-of-FlightMass SpectrometryandSerumFerritinforAcuteGraft-versus-HostDisease,Chun-yanZhang, Shu-hongWang,Wen-rongHuang,Guang-hongGuo,Zhu-hongZhang,Wen-junMou,LiYu, andYa-PingTian Volume2013,ArticleID563751,14pages TheuseofMultidimensionalDatatoIdentifytheMolecularBiomarkerforPancreaticDuctal Adenocarcinoma,LiweiZhuang,YueQi,YunWu,NannanLiu,andYiliFu Volume2013,ArticleID798054,6pages ClinicalEvaluationandCost-EffectivenessAnalysisofSerumTumorMarkersinLungCancer, RongWang,GuoqingWang,NanZhang,XueLi,andYundeLiu Volume2013,ArticleID195692,7pages ImmuneParametersinThePrognosisandTherapyMonitoringofCutaneousMelanomaPatients: Experience,Role,andLimitations,MonicaNeagu,CarolinaConstantin,andSabinaZurac Volume2013,ArticleID107940,13pages ComparativeGeneExpressionProfilinginHumanCumulusCellsaccordingtoOvarianGonadotropin Treatments,SaidAssou,DelphineHaouzi,Herve´ Dechaud,AnnaGala,AliceFerrie`res, andSamirHamamah Volume2013,ArticleID354582,13pages Aptamers:NovelMoleculesasDiagnosticMarkersinBacterialandViralInfections?,Fla´viaM.Zimbres, AttilaTa´rnok,HenningUlrich,andCarstenWrenger Volume2013,ArticleID731516,7pages DistributionofABOBloodGroupandMajorCardiovascularRiskFactorswithCoronaryHeartDisease, SantanuBiswas,PradipK.Ghoshal,BhubaneswarHalder,andNripendranathMandal Volume2013,ArticleID782941,5pages ImmunomodulatoryEffectofContinuousVenovenousHemofiltrationduringSepsis:PreliminaryData, GiuseppeServillo,MariaVargas,AntonioPastore,AlfredoProcino,MicheleIannuzzi,AlfredoCapuano, AndreaMemoli,EleonoraRiccio,andBrunoMemoli Volume2013,ArticleID108951,6pages AcetylcholinesteraseasaBiomarkerinEnvironmentalandOccupationalMedicine:NewInsightsand FuturePerspectives,MariaGiuliaLionetto,RobertoCaricato,AntonioCalisi,MariaElenaGiordano, andTrifoneSchettino Volume2013,ArticleID321213,8pages PolyisoprenylatedMethylatedProteinMethylEsteraseIsBothSensitivetoCurcuminandOverexpressed inColorectalCancer:ImplicationsforChemopreventionandTreatment,FelixAmissah, RandolphDuverna,ByronJ.Aguilar,RosemaryA.Poku,andNazariusS.Lamango Volume2013,ArticleID416534,13pages EmergingTherapeuticBiomarkersinEndometrialCancer,PeixinDong,MasanoriKaneuchi, YosukeKonno,HidemichiWatari,SatokoSudo,andNoriakiSakuragi Volume2013,ArticleID130362,11pages MouseProstateEpithelialLuminalCellsLineageOriginateintheBasalLayerWherethePrimitive Stem/EarlyProgenitorCellsReside:ImplicationsforIdentifyingProstateCancerStemCells, JianjunZhou,LionelFeigenbaum,CaroleYee,HongbinSong,andClaytonYates Volume2013,ArticleID913179,8pages HindawiPublishingCorporation BioMedResearchInternational Volume2013,ArticleID595496,2pages http://dx.doi.org/10.1155/2013/595496 Editorial Molecular Biomarkers: Tools of Medicine PrabirK.Mandal,1ShivaniSoni,2R.ReneeReams,3TizianoVerri,4 AnitaMandal,1andSudhishMishra5 1DepartmentofBiology,EdwardWatersCollege,1658KingsRoad,Jacksonville,FL32209,USA 2DepartmentofBiologicalSciences,AlabamaStateUniversity,RoomNo.325,LifeScienceBuilding1627, HallStreet,Montgomery,AL36104,USA 3CollegeofPharmacy&PharmaceuticalSciences,FloridaA&MUniversity,1520MLKingBoulevard,Tallahassee,FL32307,USA 4LaboratoryofGeneralPhysiology,DepartmentofBiologicalandEnvironmentalSciencesandTechnologies, UniversityofSalento,I-73100Lecce,Italy 5DepartmentofTranslationalScienceandMolecularMedicine,MSUCollegeofHumanMedicineandVanAndelInstitute, 333BostwickAvenueNE,GrandRapids,MI49503,USA CorrespondenceshouldbeaddressedtoPrabirK.Mandal;[email protected] Received11October2013;Accepted11October2013 Copyright©2013PrabirK.Mandaletal. This is an open access article distributed under the Creative Commons Attribution License,whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkisproperly cited. Molecularbiomarkersareemergingasthekeyindicesforthe showed a significant decrease, highlighting the potential managementofpatientswithsignificantdiseases.Motivated usefulnessofkallikreinsapartfromPSAaspotentialprostate bythesystematicefforttodefinethehumangenome,thecre- cancermarkers. ation of rapid analytic technologies for evaluating nucleic In the paper entitled “A novel differential predict model acids and proteins has provided the technological “boom” basedonmatrixx-assistedlaserionizationtimeofflightmass forthedevelopmentofmolecularbiomarkers.Collaboration spectrometry and serum ferritin for acute graft-versus-host andcooperationbetweenstakeholdersinvolvedinbiomarker disease,”. C.-Y. Zhang et al. investigated the possibility of development, application, and regulation may be the most pre warning the risk of an acute graft-versus-host disease expeditiousroutetowardthetranslationoflaboratorydiscov- (aGVHD)beforeandafterallogeneichematopoieticstemcell eryintopatientmanagement.Insummary,intensiveresearch transplantation (allo-HSCT) by serum profiling combining hasoriginatedmultiplefactorsorbiomarkersthatarelikelyto with serum ferritinin. Their joint prewarning model could behelpfulindiagnosis,characterization,andtherapyselec- predicttheriskofaGVHD,especiallysevereaGVHDbefore tion of different patients. A thorough understanding of the transplantwhichprovideareliablemethodtocontinuously relevance of each biomarker will be the key to efficiently monitortheconditionofpatients. diagnoseadiseaseanddirectthepatientstowardsthedrugs In the paper entitled “The use of multidimensional data morelikelytobeofbenefitbasedontheirparticularprofile. to identify the molecular biomarker for pancreatic ductal The papers selected for this special issue represent an adenocarcinoma,” L. Zhuang et al. presented that they have excellent panel for addressing the molecular biomarkers as adopted an integrative approach to simultaneously identify thefuturetoolsofmedicine.Thisspecialissuecontainsthir- biomarker and generate testable hypothesis from multidi- teenpapers. mensionalomicsdata.TheyhavefoundthatPER2expression Inthepaperentitled“CirculatingmicroRNAsandkallik- washighlyassociatedwiththesurvivaldata,thusrepresent- reins before and after radical prostatectomy: are they really ing a novel biomarker for earlier detection of pancreatic prostate cancer markers?,” M. G. Egidi et al. presented 38 ductaladenocarcinoma(PDAC). patientswithprostatecancer.TheysuggestedthattwomiR- In the paper entitled “Clinical evaluation and cost- NAs(miR-21andmiR-141)couldbeinvolvedinpostsurgi- effectivenessanalysisofserumtumormarkersinlungcancer,” calinflammatoryprocesses.Postoperativeserumkallikreins R. Wang et al. showed that combinations of four tumor 2 BioMedResearchInternational markers(SCCA,NSE,CEA,andCYFRA21-1)improvedthe and inhibition are a human biological marker of pesticide sensitivityforlungcanceranddifferentcombinationpanels poisoning.Thus,itisusedtostudytheeffectsoftheexposure had their own usefulness. NSE, CEA, and CYFRA21-1 were toorganophosphateandcarbamatepesticidesonNSinoccu- theoptimalcombinationpanelwithhighestYouden’sindex pational and environmental medicine. This paper reviews (0.64), higher sensitivity(75.76%), and specificity (88.57%), anddiscussestherecentfindingsaboutAChE,includingits whichcanaidinclinicaldiagnosisoflungcancer. sensitivity to other pollutants and expression of different Inthepaperentitled“Immuneparametersintheprognosis splicevariants.Theseinsightsopennewperspectivesforthe and therapy monitoring of cutaneous melanoma patients: use of this biomarker in environmental and occupational experience, role, and limitations,” M. Neagu et al. reported humanhealthmonitoring. the follow-up for 36 months of the immune parameters of In the paper entitled “Polyisoprenylated methylated pro- patients diagnosed in stages I–IV, namely, pre- and post- tein methyl esterase is both sensitive to curcumin and over- surgery immunecirculatingperipheralcells andcirculating expressed in colorectal cancer: implications for chemopreven- intercommunicatingcytokines. tion and treatment,” F. Amissah et al. discussed polyiso- Inthepaperentitled“Comparativegeneexpressionprofil- prenylatedmethylatedproteinmethylesterase(PMPMEase) inginhumancumuluscellsaccordingtoovariangonadotropin which cocatalyzes the polyisoprenylation pathway required treatments,”S.Assouetal.providedanexclusivestudychar- toprocessvariousmonomericGproteins.Mutationofthese acterizing gene expression profiles in cumulus cells (CCs) G proteins is considered to be responsible for 50% of col- ofperiovulatoryfolliclesfrompatientsundergoingHP-hMG orectalcancers.Thisinterestingfindingsuggeststhatelevated andrFSHgonadotropintreatmentsduringinvitrofertiliza- PMPMEaseactivityanditsoverexpressioncanbeoneofthe tioncycles. Thisprojecthascharacterizedtheexpression of candidate markers for early diagnosis of colorectal cancer. thesegenesasbiomarkersofinvitroembryoquality. Susceptibility of this enzyme to curcumin also suggests Inthepaperentitled“Aptamers:novelmoleculesasdiag- that PMPMEase can be a potential candidate for targeted nosticmarkersinbacterialandviralinfections?,”F.M.Zimbres anticancertherapy. et al. urged an urgent need to discover novel diagnostic In the paper, entitled “Emerging therapeutic biomarkers as well as therapeutic tools against infectious agents. They in endometrial cancer,” P. Dong et al. reviewed the current viewedthatthesystematicevolutionofligandsbyexponential status of molecular therapies tested in clinical trials and enrichment (SELEX) represents a powerful technology to mainlydiscussedthepotentialtherapeuticcandidatesthatare targetselectivepathogenicfactorsaswellasentirebacteriaor possiblyusedtodevelopmoreeffectiveandspecifictherapies viruses. SELEXuses a large combinatorialoligonucleic acid againstendometrialcancerprogressionandmetastasis. library(DNAorRNA)whichisprocessedbyahigh-fluxin In the paper entitled “Mouse prostate epithelial luminal vitroscreenofiterativecycles. cells lineages originate in the basal layer where the primitive In the paper entitled “Distribution of ABO blood group stem/early progenitor cells reside: implications for identifying and major cardiovascular risk factors with coronary heart prostate cancer stem cells” J. Zhou et al. have developed an disease,” S. Biswas et al. viewed that the AB blood group in vivo cell fate tracing mouse model and an in vivo slow- decreases the risk of CHD in healthy controls; it might be cyclingcelllabelmousemodeltoprovidefurtherinsightinto due to the higher concentration of high density lipoprotein thisquestion.Throughgeneticmanipulationintheanimals, cholesterol(HDL-c),whiletheObloodgroupincreasesthe theirfindingsindicatethatthebasalcelllineagecanproduce riskofCHDduetolowerHDL-clevelsinBengalipopulation moredifferentiatedluminalcells;theputativemouseprostate ofeasternpartofIndia. stemcells(whichareslow-cyclingandresponsiblefortissue In the paper entitled “Immunomodulatory effect of con- maintenance)likelyresideinthebasallayer. tinuousveno-venoushemofiltrationduringsepsis:preliminary Thoughtheselectedtopicsandpapersarenotanexhaus- data,”G.Servilloetal.reportedthatseveresepsisandseptic tiverepresentationoftheentireareaofmolecularbiomarkers shockaretheprimarycausesofmultipleorgandysfunction andtoolsofmedicine,yettheyrepresenttherichandmany- syndrome (MODS), which is the most frequent cause of facetedknowledgethatwehavetheprivilegeofsharingwith death in intensive care unit patients. Many pro- and anti- thereaders. inflammatorymediators,suchasinterleukin-6(IL-6),playa key role in septic syndrome. Continuous renal replacement Acknowledgments therapy (CRRT) removes in a nonselective way pro- and anti-inflammatory mediators. The authors investigate the Wewouldliketothanktheauthorsfortheirexcellentcontri- effectsofcontinuousvenovenoushemofiltration(CVVH)as butionsandpatience.Lastbutnottheleast,thefundamental immunomodulatorytreatmentofsepsisinaprospectiveclin- workofallreviewersonthesepapersisalsogreatlyacknowl- icalstudy. edged. In the paper entitled “Acetylcholinesterase as biomarker PrabirK.Mandal in environmental and occupational medicine: new insights ShivaniSoni and future perspectives,” M. G. Lionetto et al. viewed that R.ReneeReams Acetylcholinesterase(AChE)isakeyenzymeinthenervous TizianoVerri system(NS),sinceitterminatesnerveimpulsesbycatalyzing Anita Mandal thehydrolysisofacetylcholine.Asaspecificmoleculartarget Sudhish Mishra oforganophosphateandcarbamatepesticides,AChEactivity HindawiPublishingCorporation BioMedResearchInternational Volume2013,ArticleID295635,9pages http://dx.doi.org/10.1155/2013/295635 Research Article Defects in Base Excision Repair Sensitize Cells to S. cerevisiae Manganese in AdrienneP.Stephenson,TryphonK.Mazu,JanaS.Miles,MilesD.Freeman, R.ReneeReams,andHernanFlores-Rozas FloridaA&MUniversity,CollegeofPharmacy&PharmaceuticalSciences,1520MartinLutherKingBoulevard, DysonBuildingRoom221,Tallahassee,FL32307,USA CorrespondenceshouldbeaddressedtoHernanFlores-Rozas;[email protected] Received1July2013;Accepted10September2013 AcademicEditor:ShivaniSoni Copyright©2013AdrienneP.Stephensonetal.ThisisanopenaccessarticledistributedundertheCreativeCommonsAttribution License,whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkisproperly cited. Manganese(Mn)isessentialfornormalphysiologicfunctioning;therefore,deficienciesandexcessintakeofmanganesecanresult 2+ indisease.Inhumans,prolongedexposuretomanganesecausesneurotoxicitycharacterizedbyParkinson-likesymptoms.Mn has beenshowntomediateDNAdamagepossiblythroughthegenerationofreactiveoxygenspecies.Inarecentpublication,weshowed thatMninducedoxidativeDNAdamageandcausedlesionsinthymines.Thisstudyfurtherinvestigatesthemechanismsbywhich 2+ 2+ cellsprocessMn -mediatedDNAdamageusingtheyeastS.cerevisiae.ThestrainsmostsensitivetoMn werethosedefective 2+ inbaseexcisionrepair,glutathionesynthesis,andsuperoxidedismutasemutants.Mn causedadose-dependentincreaseinthe accumulationofmutationsusingtheCAN1andlys2-10Amutatorassays.ThespectrumofCAN1mutantsindicatesthatexposureto 2+ Mnresultsinaccumulationofbasesubstitutionsandframeshiftmutations.ThesensitivityofcellstoMn aswellasitsmutagenic 2+ 2+ effectwasreducedbyN-acetylcysteine,glutathione,andMg .ThesedatasuggestthatMn causesoxidativeDNAdamagethat requiresbaseexcisionrepairforprocessingandthatMninterfereswithpolymerasefidelity.Thestatusofbaseexcisionrepairmay provideabiomarkerforthesensitivityofindividualstomanganese. 1.Introduction in the agriculture and forest industries [8] as well as in the case of miners, smelters, welders, and workers in battery Manganese(Mn)isatraceelementthathasbeenextensively factories[9].Theincreaseinatmosphericlevelscouldresult documentedforitsvariedroleinthebody’shomeostasis.As inpotentialhealthrisks. anessentialnutrient,Mnisrequiredforthenormalfunction At elevated levels of exposure, Mn has been shown to and development of the brain [1], metabolism of proteins, cause manganism, which is an excess of manganese in the lipids,andcarbohydrates[2–4],andalsoasafunctionalunit basalganglia[10].Manganismischaracterizedbyneurologi- for many enzymes [3–5]. Therefore, deficiencies that affect calsymptomsresemblingthedystonicmovementassociated fetal development [6] and excess Mn (environmentalexpo- withParkinson’sdisease(PD)[11–13]andthereforeisarisk sureand/orelevateddietaryMn[7]),canresultindisorders factorforidiopathicParkinson’sdisease(IPD).AlthoughMn anddisease. hasbeenstudiedforyears,themechanismbywhichitcauses There is increasing concern for the use of organic neuronaldamageisnotwellunderstood.Studiessuggestthat compoundscontainingmanganese in industrialsettings. In neurotoxicity is not caused by a single factor but that it recentyears,methylcyclopentadienylmanganesetricarbonyl appears to be regulated by a number of factors including (MMT) gained approval for use in the United States as an apoptosis,oxidativeinjury,DNAdamage,mitochondrialdys- octaneenhancingfueladditiveusedinunleadedautomotive function,andneuroinflammation[14–18]. gasoline.ExposuretoMnhasalsoincreasedthroughoccupa- The mutagenicity of Mn has been extensively docu- tionandenvironmentalsettings.Thisincludesagrochemicals mented [19]. Mn has been shown to cause damage to DNA suchasthefungicides,manebandmancozeb,andpesticides in multiple cell-based assays [18, 20], to interfere with the 2 BioMedResearchInternational fidelityofDNAreplication[21],toactivatetheDNAdamage Table1:Strainsusedinthisstudy. response [22], to induce mutations in T4 phage replication [23]andyeastmitochondriareplication[24,25],and,inhibit Gene ORF Function repairfactorPARPinhumancells[26],albeitnotscoringas HSP104 YLL026W Proteindisaggregase a direct mutagen in the Ames test [27]. Despite its muta- Nucleotideexcisionrepair RAD2 YGR258C genicity,Mnisnotclassifiedasacarcinogeninhumans.The endonuclease reasonsforthisdiscrepancyarestillnotclear. RAD52 YML032C Homologousrecombination Research on manganese toxicity has increased in recent SOD2 YHR008C Mitochondrialsuperoxidedismutase years. However, the mechanisms underlying its multiple RAD18 YCR066W Postreplicationrepair toxicities(neurotoxicity,genotoxicity,mutagenicity,etc.)[19] CTA1 YDR256C Catalaseactivity remainamystery.Itispossiblethatredundantmechanisms ofDNArepairexistwhichareeffectivetohandlethelevelsof SOD1 YJR104C Superoxidedismutaseactivity Mntowhichcellsareexposed. MLH1 YMR167W Mismatchrepair The goal of the current study is to gain insight into GSH2 YOL049W Glutathionesynthetaseactivity the pathways that are involved in DNA damage/repair that GSH1 YJL101C Glutamate-cysteineligaseactivity contributetoprotectingcellsfromthetoxicityofmanganese APN1 YKL114C Baseexcisionrepair (Mn).TheyeastS.cerevisiaewasutilizedasamodelsystemto UBC13 YDR092W DNApostreplicationrepair study the genotoxic effects of Mn. Yeast has proven to be anexcellenteukaryoticmodelforstudyingmetal,andplayers RAD27 YKL113C Baseexcisionrepair,DNAreplication identified through genetic studies virtually all have homo- RAD30 YDR419W BypasssynthesisDNApolymerase loguesinhumans.Inourstudy,weusetwowell-established NTG1 YAL015C Baseexcisionrepair mutator assays. The CAN1 assay was used to measure the Wildtype:strainBY4741(MATahis3Δ1leu2Δ0met15Δ0ura3Δ0). induction of forward mutations, and the lys2-10A reversion RDKY3590(MATa,ura3-52,leu2D1,trp1D63,hom3-10;lys210A). assay was used to assess replication fidelity. Furthermore, thisstudyexaminestheprotectiveeffectsoftheantioxidants 2+ N-acetylcysteine and glutathione, as well as Mg on Mn- glutathione (GSH) at the concentrations indicated in each inducedtoxicityandmutagenesis. figure.Survivalwascalculatedasdescribedabove. 2.MaterialsandMethods 2+ 2.4.MutationAnalysis. TheeffectofMn ontheaccumula- tionofmutationswasassessedbytheCAN1forwardmutation 2.1. General Genetic Methods and Strains. Yeast extract/ assay and the lys2-10A mutation reversion as previously peptone/dextrose (YPD, 1% yeast extract, 2% peptone, 2% described[30,31].Mutationratesweredeterminedbyfluctu- dextrose,2%agar)andsyntheticcomplete(SC,0.67%yeast ationanalysisusingatleastfiveindependentcolonies[29,32]. nitrogenbasewithoutaminoacid,0.087%aminoacidmix- Each fluctuation test was repeated at least three times. The ture, 2% dextrose, 2% agar) media or the corresponding CAN1 forward mutation assay relies on the introduction of drop-outmediawereasdescribedin[28,29].Homozygous mutations on the CAN1 gene which encodes the arginine haploid deletion strains library (Parental strain BY4741: MATa his3Δ1 leu2Δ0 met15Δ0 ura3Δ0) was obtained from permeaseallowingmutantcellstogrowonplatescontaining thetoxicarginineanalog,canavanine.Thelys2-10Areversion ThermoScientific(Pittsburgh,PA,USA). assayisbasedontherestorationoftheopen-readingframein 2.2. Chemicals. Manganese chloride tetrahydrate (MnCl2- amononucleotiderunof10adenineswithinthelys2alleleof 4H2O),N-acetylcysteine(NAC),glutathione(GSH),canava- strainRDKY3590(Table1),allowingmutantcellstogrowon nine, and yeast media were purchased from Sigma-Aldrich plateslackinglysine. (St.Louis,MO,USA). 2.5.DNASequenceAnalysis. Spectrumanalysiswascarried 2+ 𝑟 2.3. Sensitivity of Strains to Mn and Effect of NAC and outbyselectingmutants(Can )onselectiveminimummedia 2+ GSH. The concentration of Mn for strain exposure was drop-out plates containing canavanine [29]. Chromosomal determined experimentally using the wild type parental DNAwasisolatedfromthemutantsandtherelevantregionof strain,BY4741.Briefly,singlecoloniesweregrownfor16hon CAN1wasamplifiedbyPCRandsequenced[30].Sequence YPD with or without Mn2+ at 30∘C with shaking. Cells was carried out at MCLAB (San Francisco, CA, USA). were then washed with and resuspended in sterile water. Sequence analysis was carried out using Sequencher (Gene Serial dilutions were spotted onto YPD and plates were Codes,AnnArbor,MI,USA). ∘ incubated at 30 C. Cell growth was monitored daily and sensitivity was scored after 3 days. Colonies were counted 2.6. Statistical Analysis. Data analysis and graphing were and survival (in percentage) was calculated relative to the performed using the GraphPad Prism 4 software package. untreated control. Each strain was tested using at least five Specific analysis for each experiment is indicated in each 2+ independent colonies for each Mn concentration tested. figure legend. In most cases, the mean of at least three To determine the effect of thiol-based antioxidants, cells experimentsisplottedtogetherwiththestandarddeviation. 2+ were cotreated with Mn and N-acetylcysteine (NAC) or Differencesbetweenmeanvaluesandmultiplegroupswere

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data,” G. Servillo et al. reported that severe sepsis and septic shock are the [2] L. S. Hurley, “The roles of trace elements in foetal and neonatal development . repair: the forgotten archangel,” Nucleic Acids Research, vol. 41, pp.
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