Hydroxyl radical scavenging of the compatible solute ectoine generates two N-acetimides.

Living cells employ various defence mechanisms against reactive oxygen species and free radicals. Besides protecting enzymes such as superoxide dismutase, catalase and peroxidase, non-enzymatic antioxidant molecules also play an important role as radical scavengers. Within bacteria the amino acid derivative ectoine (2-methyl-3,4,5,6-tetrahydropyrimidine-4-carboxylate) is the most abundant compatible solute and stress protectant. Although this compound is already produced commercially for applications as moisturizer and skin-care product, it has been a matter of debate whether ectoine also has radical-scavenging activity. Here we report on its hydroxyl radical scavenging activity in comparison to other compatible solutes and describe the reaction products obtained when ectoine is exposed to hydroxyl radicals generated by the Fenton reaction. In a sodium salicylate scavenging test system this compatible solute performed as well as mannitol. As a consequence of its reaction with hydroxyl radicals, ectoine was converted into two major products: N-acetimide aspartate and N-acetimide-ß-alanine. We propose a reaction mechanism in which the heterocycle of the compatible solute ectoine is cleaved and further oxidized at the C-terminus. The proven radical scavenging ability of ectoine will help to explain observed effects as anti-inflammatory compound in skin, lung and bowel disease.

Healing the Professional Culture of Medicine.

The past decade has been a time of great change for US physicians. Many physicians feel that the care delivery system has become a barrier to providing high-quality care rather than facilitating it. Although physician distress and some of the contributing factors are now widely recognized, much of the distress physicians are experiencing is related to insidious issues affecting the cultures of our profession, our health care organizations, and the health care delivery system. Culture refers to the shared and fundamental beliefs of a group that are so widely accepted that they are implicit and often no longer recognized. When challenges with culture arise, they almost always relate to a problem with a subcomponent of the culture even as the larger culture does many things well. In this perspective, we consider the role of culture in many of the problems facing our health care delivery system and contributing to the high prevalence of professional burnout plaguing US physicians. A framework, drawn from the field of organizational science, to address these issues and heal our professional culture is considered.

Aciculin interacts with filamin C and Xin and is essential for myofibril assembly, remodeling and maintenance.

Filamin C (FLNc) and Xin actin-binding repeat-containing proteins (XIRPs) are multi-adaptor proteins that are mainly expressed in cardiac and skeletal muscles and which play important roles in the assembly and repair of myofibrils and their attachment to the membrane. We identified the dystrophin-binding protein aciculin (also known as phosphoglucomutase-like protein 5, PGM5) as a new interaction partner of FLNc and Xin. All three proteins colocalized at intercalated discs of cardiac muscle and myotendinous junctions of skeletal muscle, whereas FLNc and aciculin also colocalized in mature Z-discs. Bimolecular fluorescence complementation experiments in developing cultured mammalian skeletal muscle cells demonstrated that Xin and aciculin also interact in FLNc-containing immature myofibrils and areas of myofibrillar remodeling and repair induced by electrical pulse stimulation (EPS). Fluorescence recovery after photobleaching (FRAP) experiments showed that aciculin is a highly dynamic and mobile protein. Aciculin knockdown in myotubes led to failure in myofibril assembly, alignment and membrane attachment, and a massive reduction in myofibril number. A highly similar phenotype was found upon depletion of aciculin in zebrafish embryos. Our results point to a thus far unappreciated, but essential, function of aciculin in myofibril formation, maintenance and remodeling.