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1.
RSF ; 2(1): 69-89, 2016 Apr.
Article in English | MEDLINE | ID: mdl-30148209

ABSTRACT

Has access to selective postsecondary schools expanded or contracted? Evaluating this question has proven a difficult task because data are limited, particularly with regard to family income. We complement previous work and provide a replicable model of institutional analysis. This paper presents a detailed, quantitative assessment of admissions at the University of Wisconsin-Madison, an elite flagship public university-the type that is supposed to offer excellent opportunities to students from all backgrounds. We use an innovative measure of family income to compare applicant, admissions, and enrollment trends for low-income and minority students from 1972 to 2007. The unique aspects of this study include the more reliable measure of income and the ability to look at the full process from applications, admissions, and matriculations (demand and supply), not generally available in national datasets.

2.
Mol Ther ; 20(10): 1981-7, 2012 Oct.
Article in English | MEDLINE | ID: mdl-22871666

ABSTRACT

Genetic fumarylacetoacetate hydrolase (Fah) deficiency is unique in that healthy gene-corrected hepatocytes have a strong growth advantage and can repopulate the diseased liver. Unfortunately, similar positive selection of gene-corrected cells is absent in most inborn errors of liver metabolism and it is difficult to reach the cell replacement index required for therapeutic benefit. Therefore, methods to transiently create a growth advantage for genetically modified hepatocytes in any genetic background would be advantageous. To mimic the selective pressure of Fah deficiency in normal animals, an efficient in vivo small molecule inhibitor of FAH, 4-[(2-carboxyethyl)-hydroxyphosphinyl]-3-oxobutyrate (CEHPOBA) was developed. Microarray analysis demonstrated that pharmacological inhibition of FAH produced highly similar gene expression changes to genetic deficiency. As proof of principle, hepatocytes lacking homogentisic acid dioxygenase (Hgd) and hence resistant to FAH inhibition were transplanted into sex-mismatched wild-type recipients. Time course analyses of 4-6 weeks of CEHPOBA administration after transplantation showed a linear relationship between treatment length and replacement index. Compared to controls, recipients treated with the FAH-inhibitor had 20-100-fold increases in liver repopulation. We conclude that pharmacological inhibition of FAH is a promising approach to in vivo selection of hepatocytes.


Subject(s)
Alkaptonuria/therapy , Enzyme Inhibitors/administration & dosage , Hepatocytes/transplantation , Hydrolases/antagonists & inhibitors , Alkaptonuria/metabolism , Animals , Butyrates/administration & dosage , Female , Gene Expression , Genetic Therapy , Hepatocytes/enzymology , Homogentisate 1,2-Dioxygenase/genetics , Hydrolases/genetics , Kinetics , Liver/cytology , Liver/metabolism , Male , Mice , Microarray Analysis , Organophosphorus Compounds/administration & dosage
3.
Prev Chronic Dis ; 7(5): A100, 2010 Sep.
Article in English | MEDLINE | ID: mdl-20712927

ABSTRACT

The track record in paying for performance in education is not good; nevertheless, emphasis on accountability and performance has gained momentum in the last 25 years. This emphasis includes systems of merit pay, career ladders, and national board certification. The general failures of these efforts have led some reformers to suggest that teacher pay be directly related to student value-added performance. This suggestion remains controversial but is also the hottest topic in paying for performance in education. Although many similarities exist between education and health care, major differences may make it even harder to install pay-for-performance systems in health than in education. If those systems are to be tried, experiments should begin in a bottom-up fashion at the unit level, rather than being imposed systemwide.


Subject(s)
Delivery of Health Care/economics , Delivery of Health Care/standards , Education/economics , Education/standards , Faculty/standards , Health Personnel/standards , Physician Incentive Plans , Quality Assurance, Health Care/economics , Teaching/standards , United States
4.
Biochemistry ; 46(49): 14075-86, 2007 Dec 11.
Article in English | MEDLINE | ID: mdl-18020427

ABSTRACT

Orotate phosphoribosyltransferase (OPRTase, EC 2.4.2.10) catalyzes the Mg2+-dependent condensation of orotic acid (OA) with PRPP (5-alpha-d-phosphorylribose 1-diphosphate) to yield diphosphate (PPi) and the nucleotide OMP (orotidine 5'-monophosphate). We have determined the structures of three forms of Saccharomyces cerevisiae OPRTase representing different structural and enzymatic intermediates. The structures include the apoenzyme (2.35 A resolution); a ternary complex of enzyme, Mg2+-PRPP, and OA (1.74 A resolution); and the binary product complex of enzyme with OMP (1.89 A resolution). While the overall structure of the S. cerevisiae OPRTase is similar to that of the Salmonella typhimurium enzyme, as judged by comparison of the two apoenzymes, large conformational transitions occur proceeding from the apoenzyme structure to those of the substrate and product complexes. Comparison of these structures reveals a rotation of the upper hood domain onto the bound ligands by an average of 19.5 degrees in the OMP structure and an average of 24.6 degrees in the OA/Mg2+-PRPP ternary complex. As expected, the conserved loop, composed of residues 104-116, moves extensively and adopts a single stable conformation during the catalytic cycle in order to sequester the substrates from bulk solvent in the ternary complex. The OA and Mg2+-PRPP molecules bound in the ternary complex are oriented for proper attack of the N1 atom of OA onto the C1 atom of the ribose ring. This orientation of substrates, combined with the positioning of the flexible loop, provides a clear picture of a catalytically poised reaction complex for type I phosphoribosyltransferases. The structural asymmetry present in these structures, as well as that found in a recent structure of the S. typhimurium enzyme, combined with the closure of the flexible loop from one subunit into the active site of the opposing subunit in the ternary complex is consistent with the kinetic data [McClard, R. W., et al. (2006) Biochemistry 45, 5330-5342] that demonstrate induced nonequivalence and cooperativity of OPRTase.


Subject(s)
Orotate Phosphoribosyltransferase/chemistry , Orotate Phosphoribosyltransferase/metabolism , Binding Sites , Crystallography, X-Ray , Magnesium/metabolism , Models, Molecular , Protein Conformation , Saccharomyces cerevisiae/enzymology
5.
Biochem J ; 402(2): 251-60, 2007 Mar 01.
Article in English | MEDLINE | ID: mdl-17064256

ABSTRACT

FAH (fumarylacetoacetate hydrolase) catalyses the final step of tyrosine catabolism to produce fumarate and acetoacetate. HT1 (hereditary tyrosinaemia type 1) results from deficiency of this enzyme. Previously, we prepared a partial mimic of the putative tetrahedral intermediate in the reaction catalysed by FAH co-crystallized with the enzyme to reveal details of the mechanism [Bateman, Bhanumoorthy, Witte, McClard, Grompe and Timm (2001) J. Biol. Chem. 276, 15284-15291]. We have now successfully synthesized complete mimics CEHPOBA {4-[(2-carboxyethyl)-hydroxyphosphinyl]-3-oxobutyrate} and COPHPAA {3-[(3-carboxy-2-oxopropyl)hydroxyphosphinyl]acrylate}, which inhibit FAH in slow-onset tight-binding mode with K(i) values of 41 and 12 nM respectively. A high-resolution (1.35 A; 1 A=0.1 nm) crystal structure of the FAH.CEHPOBA complex was solved to reveal the affinity determinants for these compounds and to provide further insight into the mechanism of FAH catalysis. These compounds are active in vivo, and CEHPOBA demonstrated a notable dose-dependent increase in SA (succinylacetone; a metabolite seen in patients with HT1) in mouse serum after repeated injections, and, following a single injection (1 mumol/g; intraperitoneal), only a modest regain of FAH enzyme activity was detected in liver protein isolates after 24 h. These potent inhibitors provide a means to chemically phenocopy the metabolic defects of either HT1 or FAH knockout mice and promise future pharmacological utility for hepatocyte transplantation.


Subject(s)
Biomimetic Materials/chemistry , Biomimetic Materials/pharmacokinetics , Butyrates/chemistry , Butyrates/pharmacokinetics , Hydrolases/antagonists & inhibitors , Organophosphorus Compounds/chemistry , Organophosphorus Compounds/pharmacokinetics , Phosphinic Acids/chemistry , Phosphinic Acids/pharmacokinetics , Protease Inhibitors/chemistry , Protease Inhibitors/pharmacokinetics , Animals , Binding Sites , Biomimetic Materials/chemical synthesis , Butyrates/blood , Butyrates/chemical synthesis , Crystallography, X-Ray , Humans , Hydrolases/chemistry , Hydrolases/metabolism , Kinetics , Male , Mice , Mice, Inbred C57BL , Models, Molecular , Molecular Structure , Organophosphorus Compounds/blood , Organophosphorus Compounds/chemical synthesis , Phosphinic Acids/blood , Phosphinic Acids/chemical synthesis , Protease Inhibitors/blood , Protease Inhibitors/chemical synthesis , Protein Structure, Tertiary , Time Factors
6.
Bioorg Med Chem Lett ; 16(23): 6112-5, 2006 Dec 01.
Article in English | MEDLINE | ID: mdl-16979338

ABSTRACT

A mimic of the putative transition-state intermediate has been synthesized and found to be a very slow-onset inhibitor of yeast orotate phosphoribosyltransferase. The mechanism of inhibition may involve a rate-determining isomerization of the enzyme to a form receptive to the inhibitor, which then remains tightly bound.


Subject(s)
Enzyme Inhibitors/chemical synthesis , Enzyme Inhibitors/pharmacology , Molecular Mimicry , Orotate Phosphoribosyltransferase/antagonists & inhibitors , Orotate Phosphoribosyltransferase/metabolism , Pyrimidine Nucleotides/chemistry , Pyrimidine Nucleotides/pharmacology , Enzyme Activation/drug effects , Enzyme Inhibitors/chemistry , Molecular Structure , Pyrimidine Nucleotides/chemical synthesis , Saccharomyces cerevisiae/drug effects , Saccharomyces cerevisiae/enzymology
7.
Biochemistry ; 45(16): 5330-42, 2006 Apr 25.
Article in English | MEDLINE | ID: mdl-16618122

ABSTRACT

A ping-pong bi-bi kinetic mechanism ascribed to yeast orotate phosphoribosyltransferase (OPRTase) [Victor, J., Greenberg, L. B., and Sloan, D. L. (1979) J. Biol. Chem. 254, 2647-2655] has been shown to be inoperative [Witte, J. F., Tsou, R., and McClard, R. W. (1999) Arch. Biochem. Biophys. 361, 106-112]. Radiolabeled orotidine 5'-phosphate (OMP), generated in situ from [7-(14)C]-orotate and alpha-d-5-phoshorylribose 1-diphosphate (PRPP), binds tightly enough to OPRTase (a dimer composed of identical subunits) that the complex survives gel-filtration chromatography. When a sample of OMP.OPRTase is extensively dialyzed, a 1:1 (per OPRTase dimer) complex is detected by (31)P NMR. Titration of the apoenzyme with OMP yields a (31)P NMR spectrum with peaks for both free and enzyme-bound OMP when OMP is in excess; the complex maintains an OMP/enzyme ratio of 1:1 even when OMP is in substantial excess. A red shift in the UV spectrum of the OMP.OPRTase complex was exploited to measure K(d(OMP)) = 0.84 muM and to verify the 1:1 binding stoichiometry. PRPP forms a Mg(2+)-dependent 1:1 complex with the enzyme as observed by (31)P NMR. Isothermal titration calorimetry (ITC) experiments revealed 1:1 stoichiometries for both OMP and Mg(2+)-PRPP with OPRTase yielding K(d) values of 0.68 and 10 microM, respectively. The binding of either 1 equiv of OMP or PRPP is mutually exclusive. ITC experiments demonstrate that the binding of OMP is largely driven by increased entropy, suggesting substantial distal disordering of the protein. Analytical gel-filtration chromatography confirms that the OMP.OPRTase complex involves the dimeric form of enzyme. The off rate for release of OMP, determined by magnetization inversion transfer, was determined to be 27 s(-)(1). This off rate is somewhat less than the k(cat) in the biosynthetic direction (about 39 s(-)(1)); thus, the release of OMP from OMP.OPRTase may not be kinetically relevant to the steady-state reaction cycle. The body of available data can be explained in terms of alternating site catalysis with either a classical Theorell-Chance mechanism or, far more likely, a novel "double Theorell-Chance" mechanism unique to alternating site catalysis, leading us to propose co-temporal binding of orotate and the release of diphosphate as well as the binding of PRPP and the release of OMP that occur via ternary complexes in alternating site fashion across the two highly cooperative subunits of the enzyme. This novel "double Theorell-Chance" mechanism yields a steady-state rate equation indistinguishable in form from the observed classical ping-pong bi-bi kinetics.


Subject(s)
Orotate Phosphoribosyltransferase/metabolism , Phosphoribosyl Pyrophosphate/metabolism , Saccharomyces cerevisiae/enzymology , Binding Sites , Calorimetry , Catalysis , Chromatography, Gel , Kinetics , Magnetic Resonance Spectroscopy , Models, Chemical , Molecular Structure , Orotate Phosphoribosyltransferase/genetics , Phosphoribosyl Pyrophosphate/chemistry , Substrate Specificity , Titrimetry , Uridine Monophosphate/analogs & derivatives , Uridine Monophosphate/chemistry , Uridine Monophosphate/metabolism
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