Is Retiring In Spain Worth It? Heres What You Need To Know – STL.News

(STL.News) As retirement approaches you may be starting to think about how you want your twilight years to look. And for many, this means living a Mediterranean lifestyle. If you can imagine yourself while away the hours on a sunny beach and then hitting the tapas bars after dark, then Spain should be on your list.

But, what is the reality of returning in Spain like? Surely, there must be some challenges? Anytime you are considering an international move there need to be things to consider.

In this article, I will go over several of the things to be aware of before booking your one way flight to Spain.

Spain is a small country with a climate that varies wildly depending on where you live. You can find just about any type of weather you prefer, but you also could find weather that doesnt suit you if you dont choose well.

For instance, many people envision year round warm to hot weather with swimming in the Mediterranean for most of the year being an option. For this, you need to look at properties in Southern Spain. To get a feel for the area you can stay for a while in the Vista Lago Residences before you commit to buying.

If you like more temperate environs, then head up into the Pyrenees and find four seasons that stay mild so you dont have any extreme temperatures. If the rain of the Pacific Northwest is your thing, then Galicia on Spains Atlantic coast is the right place for you.

Spain loves its bureaucracy so be prepared to have lots of papers stamped at several different offices. Getting your residence is going to be a headache but is doable. If you plan to live there permanently, then you need a long term visa that allows you to stay in Spain indefinitely as long as you continue to renew the paperwork.

If you only plan to stay less than 90 days then you dont need any visa at all, but you will have restrictions when it comes to opening bank accounts and working.

The cost of living can be more or less than you experienced when living in the US depending on where you are coming from and where you end up. The closer to the beach, the higher the prices. Or, if you want to live in a city like Madrid or Barcelona, then your cost is going to be much higher than a small village.

If you are coming from California or the Northeast US, then you will no doubt find the cost of living very favorable. Particularly with the cost of fresh food and health care being much more affordable.

Even eating out is much more affordable, especially if you like to eat the tapas or small appetizers that are ubiquitous.

There is little downside to retiring in Spain as it has all the modern conveniences you would expect, low cost of living, high quality of life and a very healthy lifestyle. Where it falls flat is the insane amount of bureaucracy. If you can get used to wasting time in various offices then you can enjoy your life there.

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Is Retiring In Spain Worth It? Heres What You Need To Know - STL.News

Women fit at 40 and beyond: Challenges, prevention and wellness – Star of Mysore

By S.N. Tejaswini, Associate Professor, JSS College of Physiotherapy

Women experience unique healthcare challenges and are more likely to be diagnosed with certain unique diseases compared to men. 38 percent of women suffer from one or more chronic diseases, compared to 30 percent of men. As women grow older their health needs change and starts developing chronic problems which are often neglected.

Heart disease is the leading cause of death in women. The risk of heart disease is due to unhealthy lifestyle, like diabetes, hypertension, obesity and lack of physical activity.

Cancer is the second leading cause of death globally. Cancers of the breast, lung, colon, skin and uterus is often common in many women. Approximately 70 percent of deaths from cancer occur in low and middle income countries. High body mass index, low fruit and vegetable intake, lack of physical activity, tobacco use, and alcohol use. Tobacco use is the most important risk so raising awareness about symptoms and risk factors for particular cancers is an important component of prevention and early diagnosis.

Weight gain and disorders

Less activity plus the natural loss of muscle mass can both contribute to a slower metabolism as you get older. Weight gain usually happens due to various reasons like hypothyroidism, polycystic ovary syndrome, depression and anxiety, insomnia, perimenopause, dehydration, ovarian cancer, diabetes, and pregnancy-induced weight gain. Metabolic disorders like diabetes, hypertension, and obesity increase your risk of heart disease and stroke. Stress, unhealthy eating habits, lack of physical activity can even more prone for worsening the problem. If you have metabolic syndrome or any of its components, aggressive lifestyle changes can delay or even prevent the development of serious health problems.

Depression: Women are twice as likely to experience depression than men. The condition will affect one in five women at some point in their lives, most commonly between ages 40 and 59. Depression can impact every area of a womans life in her physical health, social life, relationships, career and sense of self-worth due to various factors such as reproductive hormones, social pressures and unique female response to stress. However, women should understand that and its important to know you are not alone.

Osteoporosis is a disease in which bones become fragile and more likely to break and is most prevalent in post-menopausal women. Women tend to have smaller, thinner bones than men. Estrogens hormone in women that protects bones decreases with strength when women reach menopause, which can cause bone loss. Therefore, the chance of developing osteoporosis increases as women reach menopause. Early menopause can cause early bone loss and disease well before the age of 65. Women lose more than 30 percent of their bone mass within five years after menopause. Additionally, inadequate physical activity (weight-bearing exercise), smoking and drinking too much alcohol increase your risk.

Prevention and wellness

To prevent disease and promote healthy behaviours, initiatives related to promoting healthy lifestyles which include eating nutritious foods, exercising, maintaining a healthy weight and reducing risky behaviours can help prevent many chronic diseases. Women represent the cornerstone of a familys overall health, ensuring they have access to quality care also can lead to improved health for children and families.

Access for health: Take control by talking with your doctor about your risk factors. If you have health problems like high cholesterol, high blood pressure or diabetes that increase your risk of heart disease and stroke, follow your doctors treatment recommendations.

Healthy lifestyle diet

Eat a healthy diet rich in calcium and Vitamin D. Vitamin D is essential to absorbing calcium. Eating plenty of vegetables, fruits, lean protein and whole grains and limiting saturated fat and salt in your diet get at least 30 minutes a day of weight-bearing physical activity. Get outdoors in the sun. If you feel constantly on the edge or under assault, your lifestyle habits might suffer and so might your immune system. Take steps to reduce stress or learn to deal with stress in healthy ways.

Barriers to physical activity

Understanding common barriers to physical activity and creating strategies to overcome them may help make physical activity part of daily life. People experience a variety of personal and environmental barriers to engaging in regular physical activity. Some of the personal barriers to physical exercise that women face includes family responsibilities, cultural or social beliefs, economic or employment status, level of education, lack of time, willpower, fear of injury, lack of skill, confidence in their ability to be physically active, lack of resources for recreational facilities and of exercise equipment and also the environmental factors such as traffic and pollution may also have an effect. The top three barriers to engage in the physical activity across the adult lifespan are time, energy and motivation.

Develop a set of regular activities that are always available like indoor cycling, aerobic dance, indoor swimming, calisthenics, stair climbing, rope skipping, mall walking, dancing and gymnasium games. Engage daily routine activities as part of exercise like climb the stairs, walk to buy something from shop, involve in aerobic exercise.

Look upon your retirement as an opportunity to become more active instead of less. Spend more time gardening, walking, and playing with your grandchildren. Now that you have the time, make regular physical activity a part of every day. Go for a walk every morning or every evening before dinner. Involve yourself to an exercise cycle, reading a favourite book or magazine.

Benefits of physical activity

Your body hears everything that your mind says so dont limit your challenges, challenge your limits. Stay fit stay healthy.

Suggestions for overcoming physical activity barriers

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Women fit at 40 and beyond: Challenges, prevention and wellness - Star of Mysore

Free diabetes and nutrition program offered through Zoom – Kennebec Journal & Morning Sentinel

Spectrum Generations, in partnership with Healthy Living for ME, will offer a free workshop to help individuals with diabetes, prediabetes, their caregivers or family members.

Living Well with Diabetes will be offered through Zoom beginning Monday, Aug. 13, and running through Thursday, Sept. 17. Workshops participants will meet weekly from 9:30 to 11:30 a.m., according to a news release from Augusta-based agency.

Topics such as testing your blood sugar, menu planning, stress management, increasing activity level, treating low blood sugar, caring for your feet, and healthy eating will be discussed.

This series is free and open to the public but registration is required. For more information and to register, call 207-620-1642 or email [emailprotected]. Technical support is available.

Healthy Living for ME is a statewide network of evidence-based programs that empower adults to address and better manage their health issues. All workshops are listed at healthylivingforme.org.

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Free diabetes and nutrition program offered through Zoom - Kennebec Journal & Morning Sentinel

The 9 Benefits of Adding Chia Seeds to a Vegan Diet – LIVEKINDLY

Chia seeds might be tiny, but they contain a wealth of important nutrients.

These little seeds come from the flowering Salvia hispanica plant, part of the mint family. Chia seeds are native to central and southern Mexico and widely thought to be a staple ingredient for Mesoamerican cultures. There is evidence that the small grey-brown seeds were cultivated by pre-Columbian Aztecs.

Are chia seeds good for you? In recent years, chia seeds have been popularised as superfooda marketing term for ingredients and food with notable nutritional density. Common superfoods include dark leafy greens, certain berries, turmeric, and cacao.

Chia seeds are commonly ground, stirred into, and sprinkled onto health-foods such as oatmeal, smoothies, yogurt, and puddings. The gel produced from ground chia seeds can even be used as an egg replacer in baking and pancakes.

They are both versatile and nutritions; but what are the health benefits of eating chia seeds?

Despite being high in nutrients, chia seeds are extremely low in calories. Two tablespoons of the seedsapproximately 28gcontain 18 percent of the recommended daily intake (RDI) of calcium. This size serving of chia seeds contains a total of just 137 calories.

It also contains 30 percent of the RDI of both manganese and magnesium, and 27 percent of the RDI of phosphorous. Chia seeds are rich in zinc, potassium, and B vitamin. Overall, and calorie for calorie, chia seeds are an extremely efficient source of nutrients.

In addition to various nutrients, a 28g portion of chia seeds also contains approximately 11g of fiber. The RDI of fiber is 30g, and many people do not reach this recommended daily amount. High fiber diets can lower cholesterol, thereby reducing the risk of heart disease. They can also regulate blood sugar levels and may reduce the risk of developing type-2 diabetes.

According to Minh Nguyen, a registered dietician with the Physicians Committee for Responsible Medicine (PCRM), dietary fiber drastically reduces the risk of certain health conditions, including cancer.

You can lower the risk of colorectal cancer with fiber, he said. Whole grains, as well. About three servings of whole grains daily can significantly reduce colorectal cancer risk.

Additionally, most fiber does not end up as usable calories in the body. So subtracting the high fiber content of chia seeds, 28g contains just 101 calories.

Antioxidants may prevent or delay certain types of cell damage. The exact effects of antioxidants on the body are unconfirmed. But substantial research indicates that ingesting them as part of a whole, plant-based diet may have various health benefits.

According to a study published by the National Center for Biotechnology Information, chia seeds are a potential source of antioxidants due to the presence of chlorogenic acid, caffeic acid, myricetin, quercetin, and kaempferol. These substances are widely believed to protect the heart and liverand have anti-aging and anti-carcinogenic characteristics.

Chia seeds are approximately 14 percent protein, which is relatively high for plant foods. They also contain all essential amino acids for human nutrition, including isoleucine, leucine, lysine, methionine, phenylalanine, threonine, tryptophan, histidine, and valine. These amino acids help build proteins, grow muscle, and transport nutrients.

Protein is an essential nutrient for the human body. It is particularly important to build and maintain body tissue. But, according to PCRM, quality is preferable to quantity. Plant-protein is often lower in fat and cholesterol than animal-based protein. Many key sources of plant protein, such as legumes, pulses, and chia seeds, are also high in fiber.

Chia seeds are extremely high in omega-3 fatty acids. They even contain more, gram for gram, than salmon. Omega-3 fatty acids have various anti-inflammatory properties and may also support better heart and brain health.

Dr. Brooke Scheller, DCN, CNS, and Director of Nutrition at meal delivery service Freshly, told LIVEKINDLY that chia seeds are a great way to incorporate healthy fats into a vegan diet.

Healthy fats are critical in leveling blood sugar which impacts our stress levels, she said. In fact, our brain is made up of fat, much of which is in the form of our omega 3 fatty acids. You may have heard of these healthy fats touted for their benefit on heart health or to reduce inflammation. However, omega 3 fats help to support the brain and improve our stress response.

Humans are unable to synthesize the omega-3 fatty acid alpha-Linolenic acid (ALA) and must incorporate it into their diet. Chia seeds can increase blood levels of ALA for conversion into EPA and DHA omega-3 fatty acids for use in the body. Chia seeds make a valuable source of ALA for vegetarians and vegans, but best compounded with additional supplements.

Because chia seeds contain high quantities of calcium, magnesium, and protein, they also help support healthy bones. Calcium is essential for healthy bones, and several studies indicate potential benefits from the long-term intake of chia seeds. A 25g portion of chia contains 157mg of calcium, which is greater than the calcium content of 100ml of dairy milk.

Several studies indicate that the regular consumption of chia seeds could significantly reduce blood pressure for those with hypertension. The high omega-3 fatty acid content can work as a blood thinner, reducing overall blood pressure.

While chia seeds are safe to eat, intake should be moderated by those already taking blood pressureor blood sugarmedications. Eating very large quantities of chia seeds could potentially interact with typical medications taken to treat these conditions.

Blood pressure reduction can also support improved overall heart health, and some proponents suggest they may reduce the risk of cardiovascular disease. In general, evidence indicates that a whole foods plant-based diet supports improved cardiovascular health. And high fiber, high protein foods such as chia seeds can be extremely beneficial.

Diets that are high in nutrient-dense plant foods such as chia seeds are associated with a lower risk of cardiovascular disease and all-cause mortality.

Due to the combination of fat, protein, and fiber in chia seeds, the body digests them slowly. This provides slow-release energy and can help keep blood sugar levels stable throughout the day. The high amount of fiber in chia seeds can slow the absorption of sugar into the blood and decrease blood sugar levels overall.

Due to this high concentration of soluble fiber, Chia seeds expand in the stomach. This can help you feel fuller for longer and reduce snacking. Some health experts indicate that chia seeds can support healthy weight loss as part of a well-rounded diet and combined with exercise.

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The 9 Benefits of Adding Chia Seeds to a Vegan Diet - LIVEKINDLY

Global Radiocontrast Agent Market 2020 with Coronavirus/COVID-19 After Effects Analysis by Major Key Players | GE Healthcare (US), Bracco Imaging…

Global Radiocontrast Agent Market: Past, Current, and Future Market Analysis, Trends, and Opportunities, 2016-2026

The new report published by the Market Research Store global Radiocontrast Agent market is slated for a rapid growth in the coming years. The research study projects that the market is expected to grow at a good CAGR of XX% during the forecast period. The valuation for the Radiocontrast Agent market made by our research analysts is around USD XX Million in 2019 and anticipates USD XX Million by the end of 2026.

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The competitive landscape evaluation of the Radiocontrast Agent market players include GE Healthcare (US), Bracco Imaging (Italy), Bayer HealthCare (Germany), Guerbet (France), Lantheus (US), Daiichi Sankyo (Japan), Unijules Life Sciences (India), J.B. Chemicals and Pharmaceuticals (India), Spago Nanomedicine (Sweden), Taejoon Pharm (South Korea), Jodas (India), Magnus Health (India). The information that is profiled for each of the market player will include their primary foundation business model as well as their current business strategy, SWOT analysis, their market share, revenue, pricing, gross margin , and the recent developments.

Radiocontrast Agent Market Report Insights

Overview of the Radiocontrast Agent market, its scope, and target audience. In-depth description about the market drivers, restraints, future market opportunities, and challenges. Details about the advanced technologies, including big data & analytics, artificial intelligence, and social media platforms used by the global Radiocontrast Agent Market Primary legislations that will have a great impact on the global platform. Comprehensive analysis about the key players in the global Radiocontrast Agent market. Recent developments, mergers and acquisitions, collaborations, R&D projects are mentioned in the Radiocontrast Agent market report.

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Radiocontrast Agent Market Segmentation

Global Radiocontrast Agent market: By Type Analysis

Barium-based Radiocontrast Agent, Iodinated Radiocontrast Agent, Gadolinium-based Radiocontrast Agent, Microbubble Radiocontrast Agent

Global Radiocontrast Agent market: By Application Analysis

Radiology, Interventional Radiology, Interventional Cardiology

Global Radiocontrast Agent market: By Regional Analysis North America Europe Asia Pacific Latin America Middle East and Africa

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In the segmentation part of the report a thorough research of each and every segment is done. For in-depth information some of the major segments have been segregated into sub-segments. In the regional segmentation also our research analysts have not only concentrated on the major regions but have also included the country-wise analysis of the Radiocontrast Agent market.

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Global Radiocontrast Agent Market 2020 with Coronavirus/COVID-19 After Effects Analysis by Major Key Players | GE Healthcare (US), Bracco Imaging...

A Movie of the Evolving Universe, Potentially Scary – Scientific American

After the COVID-19 rules about social distancing went into effect, I developed a morning routine of jogging through the woods near my home. During the first months, I focused on the green branches that stretch upward towards the sky, but recently I started to notice the debris of tree trunks lying on the ground. There are many such remnants, eaten by termites, rotting and ultimately dispersing into the underlying soil. A glimpse at the forest reveals a sequence of evolutionary phases in the history of trees that lived or died at different times.

The phenomenon happens in other contexts. For example, I recently completed a nine-year term as chair of the Astronomy Department at Harvard. And only now have I begun to notice the former chairs scattered around me, just like those tree trunks in the woods.

Entering a new stage of life can be humbling. We acquire a false sense of permanence from reviewing the frozen past, as if it were a statue that will never erode. But this view is shortsighted, since each moment can also be seen a new beginning, shaped by forces beyond our control and swirling on a grander scale.

Old-fashioned astronomy was also permeated by a false sense of permanence. Astronomers collected still images of the universe, creating the impression that nothing really changes under the sunor above it, either. But just like the revelation from my stroll through the woods, these snapshots showed stars and galaxies of different ages, at various evolutionary phases along their history. Computer simulations helped us patch together the full story by solving the equations of motion for matter, starting from the initial conditions imprinted on the cosmic microwave background at early cosmic times. By generating snapshots of an artificial cosmos similar to those captured by telescopes, these simulations unraveled our cosmic roots. The scientific insight that emerged is that the likely origins for our existence were quantum fluctuations in the early universe. Perhaps we should add Quantum Mechanics Day to our annual celebrations of Mothers Day and Fathers Day.

There are some missing pages in the photo album made up of our observations, however: the period known as the cosmic dawn, for example, when the first stars and galaxies turned on. These missing pages will be filled in the coming decade by the next generation of telescopes, such as the James Webb Space Telescope (JWST), the ground-based "extremely large" telescopes and the Hydrogen Epoch of Reionization Array (HERA).

To reveal a more literal gap in the sky, the Event Horizon Telescope recently captured a still image of the silhouette of the black hole in the giant galaxy M87. The next goal is to obtain a sequence of images or a video, showing the time variability of the accretion flow around the black hole.

The tradition of still images makes sense when dealing with systems like galaxies, which evolve on a timescale of billions of years. But the universe also exhibits transient fireworks that flare up and dim during a human lifetime. Observing them is the motivation behind the Legacy Survey of Space and Time (LSST) on the Vera C. Rubin Observatory, which will have its first light soon. LSST will be a filming project, documenting nearly a thousand deep multicolor images per patch of the southern sky over a decade and recording the most extensive video of the universe ever taken with its plethora of transients in full glory.

Some of the LSST flares are expected to be the counterparts of gravitational wave sources detected by LIGO/Virgo or LISA. Their discovery will usher in multi-messenger astronomy based on both gravitational and electromagnetic waves emitted by the same sources, providing new insights about the central engines that power these transients. The related standard sirens could serve as new rulers for measuring precise distances in cosmology.

Within the Milky Way, transient events close to Earth could lead to catastrophe. A supernova explosion, for example, could cause a mass extinction on an unprecedented scale. If a meteor similar to the one that hit the unpopulated regions near Chelyabinsk in 2013 or Tunguska in 1908 hit New York City, it could cause a far larger death toll and economic damage than COVID-19. Or consider the impact of a blob of hot gas from the Sun, a so-called coronal mass ejection of the type that missed the Earth in 2012. Such an event could shut off communication systems, disable satellites and damage power grids. Altogether, astronomical alerts about such celestial threats could be crucial for securing the longevity of our species.

Of greatest relevance for our long-term survival is identifying large objects on a collision course with the Earth, similar to the Chicxulub asteroid that killed the dinosaurs 66 million years ago. In 2005, Congress passed a bill requiring NASA to find and track at least 90 percent of all near-Earth objects larger than 140 meters (enough to cause regional devastation) by 2020. Only a third of these objects have been identified in the sky so far. In a recent paper with my undergraduate student Amir Siraj, we explained some puzzling properties of the Chicxulub asteroid as a tidal breakup of a long-period comet that passed close to the sun. If future sky surveys alert us to another fragment whose apparent size grows rapidly against the sky, wed better have a contingency plan to deflect its trajectoryor else immediately call our realtor.

Keeping up with the challenge of precision cosmology for the next few decades can demonstrate that the Hubble constant, which describes the expansion rate of the universe, is not really a constant, in accordance with the expected Sandage-Loeb test. In the long run, the only thing that stays constant is change. The accelerated expansion of the universe under the influence of so-called dark energy will be the ultimate manifestation of extragalactic social distancing in the post-COVID-19 era, preventing any future contact between us and civilizations outside our galaxy.

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A Movie of the Evolving Universe, Potentially Scary - Scientific American

Testosterone Replacement Therapy Market 2020 : Top Countries Data, Market Size with Industry Current Trends, Application, Growth Factors, Development…

Testosterone Replacement Therapy Market 2020 Research Report provides Emerging Market trends, Market Segmentation, regional outlook and comprehensive analysis on different market segments. It also provides key analysis on the market status of the Testosterone Replacement Therapy manufacturers with best facts and figures, meaning, definition, SWOT analysis, expert opinions and the latest developments across the globe.This report also studies the global market competition landscape, market drivers and trends, opportunities and challenges, risks and entry barriers, sales channels, distributors and Porters Five Forces Analysis.

COVID-19 can affect the global economy in three main ways: by directly affecting production and demand, by creating supply chain and market disruption, and by its financial impact on firms and financial markets.

Final Report will add the analysis of the impact of COVID-19 on this industry.

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Short Description About Testosterone Replacement Therapy Market :

Testosterone replacement therapy (TRT) is a class of hormone replacement therapy in which androgens, often testosterone, are replaced. Testosterone replacement therapy (TRT) is an FDA-approved medical treatment for men of any age who have low testosterone, a hormone necessary for male sexual development.

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The research covers the current Testosterone Replacement Therapy market size of the market and its growth rates based on 5-year records with company outline ofKey players/manufacturers:

Scope of the Testosterone Replacement Therapy Market Report:

Testosterone deficiency, also referred to as hypogonadism, is a common problem among men aged between 40 and 79 years, with some studies stating that nearly 30% of all men worldwide are affected by hypogonadism. As the incidence of testosterone deficiency increases, it is expected that the demand for TRT will also show a simultaneous increase. The global average price of testosterone replacement therapy is in the decreasing trend, from 45.4 USD/Unit in 2012 to 34.9 USD/Unit in 2016. With the situation of global economy, prices will be in decreasing trend in the following five years. The classification of testosterone replacement therapy includes gels, injections, patches and other types, and the proportion of gels in 2016 is about 72%. Testosterone replacement therapy is widely sold in hospitals, clinics and other field. The most proportion of testosterone replacement therapy is sold in clinics, and the consumption proportion is about 43%. North America region is the largest supplier of testosterone replacement therapy, with a production market share nearly 86% in 2016. Europe is the second largest supplier of Testosterone Replacement Therapy, enjoying production market share nearly 9.9% in 2016. North America is the largest consumption place, with a consumption market share nearly 83% in 2016. Following North America, Europe is the second largest consumption place with the consumption market share of 12%. Market competition is intense. AbbVie, Endo International, Eli Lilly, Pfizer, Actavis (Allergan)

Bayer, etc. are the leaders of the industry. The top five players together held about 80% of the market in the same year and they hold key technologies and patents, with high-end customers; have been formed in the monopoly position in the industry.

The worldwide market for Testosterone Replacement Therapy is expected to grow at a CAGR of roughly -4.2% over the next five years, will reach 1410 million US$ in 2024, from 1820 million US$ in 2019, according to a new study.

This report focuses on the Testosterone Replacement Therapy in global market, especially in North America, Europe and Asia-Pacific, South America, Middle East and Africa. This report categorizes the market based on manufacturers, regions, type and application.

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Report further studies the market development status and future Testosterone Replacement Therapy Market trend across the world. Also, it splits Testosterone Replacement Therapy market Segmentation by Type and by Applications to fully and deeply research and reveal market profile and prospects.

Major Classifications are as follows:

Major Applications are as follows:

Geographically, this report is segmented into several key regions, with sales, revenue, market share and growth Rate of Testosterone Replacement Therapy in these regions, from 2014 to 2024, covering

This Testosterone Replacement Therapy Market Research/Analysis Report Contains Answers to your following Questions

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Major Points from Table of Contents:

1. Market Overview1.1 Testosterone Replacement Therapy Introduction1.2 Market Analysis by Type1.3 Market Analysis by Applications1.4 Market Dynamics1.4.1 Market Opportunities1.4.2 Market Risk1.4.3 Market Driving Force

2.Manufacturers Profiles

2.4.1 Business Overview2.4.2 Testosterone Replacement Therapy Type and Applications2.4.2.1 Product A2.4.2.2 Product B

3.Global Testosterone Replacement Therapy Sales, Revenue, Market Share and Competition By Manufacturer (2019-2020)

3.1 Global Testosterone Replacement Therapy Sales and Market Share by Manufacturer (2019-2020)3.2 Global Testosterone Replacement Therapy Revenue and Market Share by Manufacturer (2019-2020)3.3 Market Concentration Rates3.3.1 Top 3 Testosterone Replacement Therapy Manufacturer Market Share in 20203.3.2 Top 6 Testosterone Replacement Therapy Manufacturer Market Share in 20203.4 Market Competition Trend

4.Global Testosterone Replacement Therapy Market Analysis by Regions

4.1 Global Testosterone Replacement Therapy Sales, Revenue and Market Share by Regions4.1.1 Global Testosterone Replacement Therapy Sales and Market Share by Regions (2014-2019)4.1.2 Global Testosterone Replacement Therapy Revenue and Market Share by Regions (2014-2019)4.2 North America Testosterone Replacement Therapy Sales and Growth Rate (2014-2019)4.3 Europe Testosterone Replacement Therapy Sales and Growth Rate (2014-2019)4.4 Asia-Pacific Testosterone Replacement Therapy Sales and Growth Rate (2014-2019)4.6 South America Testosterone Replacement Therapy Sales and Growth Rate (2014-2019)4.6 Middle East and Africa Testosterone Replacement Therapy Sales and Growth Rate (2014-2019)

5.Testosterone Replacement Therapy Market Forecast (2020-2024)5.1 Global Testosterone Replacement Therapy Sales, Revenue and Growth Rate (2020-2024)5.2 Testosterone Replacement Therapy Market Forecast by Regions (2020-2024)5.3 Testosterone Replacement Therapy Market Forecast by Type (2020-2024)5.3.1 Global Testosterone Replacement Therapy Sales Forecast by Type (2020-2024)5.3.2 Global Testosterone Replacement Therapy Market Share Forecast by Type (2020-2024)5.4 Testosterone Replacement Therapy Market Forecast by Application (2020-2024)5.4.1 Global Testosterone Replacement Therapy Sales Forecast by Application (2020-2024)5.4.2 Global Testosterone Replacement Therapy Market Share Forecast by Application (2020-2024)

6.Sales Channel, Distributors, Traders and Dealers6.1 Sales Channel6.1.1 Direct Marketing6.1.2 Indirect Marketing6.1.3 Marketing Channel Future Trend6.2 Distributors, Traders and Dealers

7.Research Findings and Conclusion

8.Appendix8.1 Methodology8.2 Data Source

Continued..

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Healthy snacks, setting small goals best ways to lose the pandemic 15 weight gain – cleveland.com

CLEVELAND, Ohio We dont need fancy research studies to deliver the same message that comes across loud and clear when we try to wriggle into pre-COVID-19 jeans. As a country, weve put on weight. Call it the Pandemic 15.

When normal life was upended, we indulged in Netflix and chill, with the chill augmented by ice cream. Nightly glasses of wine were an antidote to a day of Zoom work meetings. We baked the sourdough bread, and we ate it with relish. With gyms closed, exercise seemed like even more of a chore than usual.

About 22% of adults said they had gained five to 10 pounds since stay-at-home orders went into place, according to a survey conducted by Grand Canyon University in Arizona. Risk factors for weight gain while sheltering in place were inadequate sleep, snacking after dinner, lack of dietary restraint, eating in response to stress, and reduced physical activity.

In times of major stress, people feel as if they have so much disruption in their lives no routine, kids home from school, working from home that they dont have the bandwidth to think about diet and exercise, said Gary Foster, chief science officer at WW, formerly known as Weight Watchers.

People werent thinking (the pandemic) would last this long, Foster said.

An Italian study found that obese people in northern Italy had significantly gained weight 1 month after the beginning of a lockdown. Lack of exercise, boredom, anxiety and depression, and consumption of unhealthy foods were correlated with significantly higher weight gains.

People prone to emotional eating did just that, even if they had established healthy habits before the pandemic, said Meghann Featherstun, clinical dietician and wellness coach at University Hospitals.

The lack of work or school schedules was a big factor in changing our eating patterns, said Emily Iammarino, a pediatric dietitian at MetroHealth Systems.

When youre home, that routine and schedule can really go out the window and its easy to find yourself eating meals at odd hours and snacking a lot in between, Iammarino said in an email. Youll be snacking on some pretzels while listening in on a Zoom conference and before you know it, the bag is empty.

Another big factor is the lack of physical activity, Iammarino said. At work, walking to your car, the bathroom, printer or water cooler, adds up over time, Iammarino said. Many people arent going shopping, out to eat, or to the gym as much as they used to, increasing the time spent just sitting at home.

Some people gained weight during the disruption. Others used their new daily routine to renew a commitment to a healthy goal, make more time for exercise and take control of their food intake, Featherstun said.

I have seen both ends of the spectrum, Featherstun said.

At UH, enrollment in a seven-week workplace health and wellness class for employees swelled recently, Featherstun said. More employees felt they had time to participate because they are working from home, she said.

The UH wellness program, which focuses on balanced meals, food behaviors and exercise, always had an online component, but was exclusively online starting in April, she said.

Other weight-loss support groups also offered online help to people struggling to maintain healthy habits despite the disruption in their lives.

When state-wide shutdowns occurred across the country, WW quickly changed its weekly meetings into virtual workshops, giving members a sense of community at a time when they couldnt be with family or friends, Foster said.

The pandemic can be an obstacle to health and wellness, or good time reimagine how your family eats and set new routines, Foster said.

Its an opportunity for a reboot, he said.

Here are idea about how to work towards a healthy lifestyle, from Foster, Iammarino and Featherstun:

Eat proper meals; dont graze all day. Hide the chips and place fruits and veggies in a prominent place in the refrigerator.

Think of one small change you can do today, such as eating breakfast, choosing healthy snacks or moving your home office further away from the kitchen.

Look for small wins. Whats important is progress, not perfection.

Set specific and reasonable goals. It might be walking for 15 minutes, or drinking a glass of water with meals.

Experiment with new healthy recipes. Make extra batches so that you have homecooked meals waiting and dont have to rely on fast food.

Switch up your exercise routine. If youve mostly been doing workouts in your living room, start going for walks, and vice versa.

Expect setbacks and dont let them derail you from your health and wellness goals. Just get back to your routine as soon as possible.

Practice self-compassion. Berating yourself for a slip-up calling yourself a lazy idiot with no willpower is not productive. Talk to yourself as you would a friend, by being honest by not harsh.

Expect to lose about 1-2 pounds a week. Slow and steady wins the race, Featherstun said.

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Healthy snacks, setting small goals best ways to lose the pandemic 15 weight gain - cleveland.com

Nanomedicine & Nanodrugs ZPH | Nanomedicinezph.com

Transferring this new technology in three branches:

Maturing the project from 2012 (8 years), in the right place and at the right time our nanoformulations started to navigate the medical evolution landscape in three challenge areas of (1) ZPH antibiotics innovation, (2) ZPH anti-cancer drugs, (3) and uncovering opportunities of a new ZPH nano-formulation against HIV/infectious diseases.

For each of these directions, the synthesis design was modified smartly (the key of success!). This remarkably refers to the obedience of our nanoformulation for an on-demand modification, and its very powerful medical potentials per se. Then, what we create is truly a multi-functional nanoplatform!

Nanomedicine & Nanodrugs ZPH can use the knowledge obtained in the development of antibiotics, anti-cancers (till now against 8 cancer cell lines) and anti-HIVs for drug development in other areas of diseases. Since there should be still hidden potentials for such a powerful nano-formulation design for more big successes, as well, that should be bravely tested. For example; brain cancer, pancreas cancer, etc., which have shown only small gains in survival with current drugs.

This nano-formulation is like this expression: Wie ein Held zum Siegen! (Symphony No.9, Op.125)

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Nanomedicine & Nanodrugs ZPH | Nanomedicinezph.com

Mark Andrews: Healthy living can leave a nasty taste in the mouth – expressandstar.com

But never mind all that. Boris has now decided to take on another challenge: what we have got on our plates. The Prime Minister has called for 'a summer of weight loss' as he seeks to get to grips with the nation's obesity crisis.

I must admit, the idea of this sounds quite appealing, in a Mad Lizzie or Mr Motivator kind of way. I could quite easily imagine Boris appearing on breakfast television each morning in a nylon tracksuit and headband, teaching us all how to do sit ups in time to Agadoo, what's not to like? You certainly couldn't imagine Angela Merkel or Theresa May doing that.

Sadly, I don't think Boris Johnson is going to be doing that either. The Summer of Weight Loss which isn't quite up there with The Summer of Love is going to be more about telling us to improve our diets rather than encouraging workouts to popular novelty songs.

Obesity has never been a problem I have had to contend with. At school I was always the gangly, lanky kid, known among many other things as 'Sticks'. While all the talk is about overweight youngsters today, I spent my youth desperately trying to put on weight. Yet no matter how many Mars bars, pork scratchings or other similar delicacies I consumed, I remained stubbornly scrawny.

I did briefly flirt with weight training in my late 20s, but quickly became bored with the time consuming monotony of it all. After a few months of squats, bench presses and curls, I concluded I would rather remain a wimp and have a life, than dedicate my life to the pursuit of physical perfection. And 20 years on, with the big 5-0 looming large and half a lifetime of dietary abuse behind me, I'm still decidedly slim. OK, you probably wouldn't call me Sticks these days, and I have got a bit of a tub around the belly, but considering the amount of junk I have eaten over the years, you would think I might have a little more to show for it.

As it happens, I've been trying to clean my act up over the past few years. After being called into the doctors' surgery for one of those mid-life health check-ups, I was advised to change my diet. While obesity is not a problem, cholesterol is. Nothing serious, but it was suggested that I should be getting my five fruit and vegetables a day, and taking a drink which lowers cholesterol.

This change to my lifestyle has raised one or two eyebrows. When my brother spotted the shiny new electronic scales in the kitchen, he asked me if I had become a drug dealer. And it hasn't always been easy. In the early days, my pork scratching consumption probably increased, as every time I ate a pre-sliced apple or dried fruit bar, my immediate reaction was to reach for a piece of pig to take away the taste. But I have got used to vegetables by smothering them in sauce, I have discovered which fruit bars taste palatable and which don't. I realised that my cravings for fatty pork go away if I ate rice cakes or cashews. Except that I've since discovered that rice cakes are also unhealthy something to do with carbohydrates and that the cream I have been putting on my strawberries is probably also killing me. So although I've changed my diet from eating things I do like to things I don't, I've still not quite cracked it.

And that is why I fear the Government's strategy is going to fail. There was a feature in one of the Sunday newspapers the other week, offering suggestions for 'painless ways to get your five a day'. I scanned it and my heart sank. It was full of all sorts of exotic and fancy recipes, pasta this, fruit salad that, in other words all the sorts of food that people who like the taste of fruit and vegetables will enjoy. And which those of us who don't will hate. Which helps no-one.

It's always the same. It's always about trying to convince those of us who don't like healthy food that we've got it wrong, rather than helping us to make it palatable enough to tolerate.

What we want to know is which are the blandest tasting fruits that we can slip into our diets without noticing, and what sauces it is safe to use to mask the flavour of your vegetables. If I can't put cream on my strawberries, what should I use? Which are the least harmful crackers?

In other words, if the Summer of Weight Loss is really going to work, it is going to need to be given a bit of a populist twist, it needs to be kept simple, and made attractive to those who are not its natural followers. Which you would think would be right up Boris's street.

The rest is here:
Mark Andrews: Healthy living can leave a nasty taste in the mouth - expressandstar.com

One good choice leads to another! – The Times of India Blog

The first small choice you make has the potential to dictate the final outcome of your plan

Making important choices, taking big decisions, or facing a life-changing task always seems intimidating, till you decide to tackle the undertaking in smaller bits.

The first choice you make, however small, dictates the final outcome. The job no longer seems formidable. In fact, it starts looking pretty manageable now. You started and got into the swing. The energy is swirling around you. You got a positive stroke with your first achievement, however small. For instance, if you started with just a 15-minute walk, you already feel good as you invested that time and energy towards the larger goal.

You have made an investment and henceforth your choices will be made with that knowledge at the back of your mind. You have a sense of responsibility towards this investment.

Now when you try and take a bite of chocolate, you will have those 15 minutes to answer to. When you decide your meal, your goal of a healthy lifestyle will never be far from your mind and will end up dictating your choice. Once you start eating healthy, that is another investment you make, because you sacrificed some things in order to make your healthy choice. To make that sacrifice worthwhile, you will be automatically driven to several other choices that will all add up towards achieving your ultimate goal.

What happened here? Well, you made a good choice to begin with! And one good choice inevitably leads to another and yet another building up towards achieving the plan you set out with. So, if you have a goal and a plan, stick to it and follow it step by step. Soon you will see it falling into place on its own, and the same choices that seemed heartbreakingly tough initially, will now be easy stepping stones towards your now very achievable goal!

We have all heard stories of how one act of kindness has a ripple effect and the potential to change the world. If positivity can be spread so easily, does it not follow that negativity has the same potential? Just as a good choice leads to several good choices, a bad choice can also carry us along on a whirlpool of disaster. Is not the choice then clear?

Any choice that we make carries the power of all our future choices and the direction our lives will take. That first choice can navigate our journey towards the goals that we consider important. One positive choice, just a baby step, not even a giant leap, can shift the course of our lives. One small shift in attitude reframing one negative into a positive or training your mind to one small discipline could help open paths that have remained forever shut to us. One small child we choose to help can improve things for a generation to come.

Understanding the ease of a positive choice and its huge repercussion, will help us lead life with a purpose that will automatically align with our passions. Be the change and watch yourself change in the process.

DISCLAIMER : Views expressed above are the author's own.

Original post:
One good choice leads to another! - The Times of India Blog

mTOR and the Science of Aging and Chronic Disease – The Doctor Weighs In

What if you could age slower and maintain your ability to be active and enjoy your family well into your 70s or 80s or beyond? What if you could delay the onset of chronic disease by almost a decade? Well, that is no longer a dream. Thanks to advances in the science of aging and chronic disease, we know that there are things that you can do now to impact your health and, perhaps, your longevity.

Lets start our discussion by diving into some of the basic science related to prolongation of a healthy lifespan. Dont worry, we are going to start with a video and its going to be fun.

First, check out this very entertaining short TED talk by Cynthia Kenyon who is a top scientist at the University of California at San Francisco Medical School. Then come back to this post for an expanded discussion.

The importance of Dr. Kenyons work and that of contemporary aging researchers is that they showed, for the first time, that aging and age-related chronic diseases arent things that just happen to us. [1] They are, in fact, related to an evolutionarily-conserved complex, highly regulated, and interconnected series of biochemical pathways.

Central to these pathways is a molecule called mTOR which stands for mechanistic Target of Rapamycin. It is so-named because rapamycin, a naturally occurring substance, inhibits the many of the activities of mTOR triggering a variety of metabolic and clinical outcomes. The most well-known of which is the extension of healthy lifespan.[2, 3]

mTOR exists as a complex of proteins called mTOR complex or mTORC. There are actually two different forms mTORC known as mTORC1 and mTORC2. Activation of the complexes occurs via different pathways. Once activated the mTOR complexes, in turn, activate or inhibit pathways critical to cell function. [2, 3]

mTORC1 and 2 are activated or inactivated depending on the availability of nutrients in the cells environment (e.g., glucose, amino acids and various growth factors). In fact, you can think of mTORC as integrating and responding to the energy status of the cells environment.

When times are good and energy, oxygen, nutrients, and growth factors is plentiful, mTORC1 is activated and stimulates metabolic pathways that lead to growth. When times are tough, those pathways are suppressed and the pathways related to survival are activated.

Here are some of the cellular functions mTORC1 regulates [2,4]:

The last two functions are inhibited when energy, nutrients, and growth factors are plentiful.

mTORC2 is activated by insulin and growth factors. [2,4] It regulates the following:

Rapamycin inhibits most but not all of the activities of mTORC1. However, it does not inhibit mTORC2 in the short run. There is some evidence that chronic administration of rapamycin, however, can inhibit mTORC2.[4] Further, there are important feedback pathways between mTORC1 and mTORC2.

Living organisms on our planet are subject to varying availability of nutrients and other sources of energy. In order to survive, they must be able to sample the energy availability in their surroundings and adjust accordingly.

mTOR-linked pathways provide that mechanism. Receptors found in cell membranes have both an external-facing component and an internal-facing component. The external component binds to nutrients, such as glucose, amino acids, oxygen, and various growth factors. As described above, this leads to the activation or inactivation of different intermediate proteins that ultimately activate or inhibit mTOR.

For example, during times of energetic stress, a protein known as AMPK is activated. This in turn inhibits mTORC1 and leads to activation or inhibition of other intermediate compounds. The result is a state of cellular activity that favors prolongation of lifespan.[5]

Although the pathways are incompletely understood, it is of note that dietary restriction a self-induced famine in a way is also associated with longevity.[5] We must remember, though, because of complex feedback loops, the ability to prolong lifespan via these mechanisms is not limitless.

On the other hand, during times of plenty, the availability of glucose increases. In addition to reducing the activation of AMPK, it also triggers the release of the hormone insulin and insulin-like growth factor). This leads to mTOR activation and creation of a state that favors growth and development including such things as elevated lipid levels that favor the development of chronic diseases.

Understanding the molecular biology of the mTOR pathways has some very practical applications. For example, as we have already pointed out, restricting calories is associated with reduced levels of some factors that inhibit mTORC1 and is associated with lifespan extension.[5] Intermittent fastingand exercise also reduce mTOR activity.

Also, restricting carbohydrates in people with Type 2 diabetes is known to lower blood glucose, insulin, and IGF-1 levels. The benefits of this type of diet does not require weight loss, although many do lose weight with carbohydrate restriction. [6] In fact, some experts have called for dietary carbohydrate restriction to be the first intervention prescribed in diabetes management. [6]

The prevailing American high-carbohydrate, high-fat fast-food diet, on the other hand, drives extra calorie intake and as well as higher levels of the factors that activate mTORC1. This, unfortunately, leads to metabolic conditions that accelerate the development of chronic diseases such as diabetes and heart artery problems.[6]

Metformin is the most commonly prescribed drug for Type 2 diabetes. It interferes with the same signaling pathways that we have been discussing. Specifically, it leads to the reduction of glucose, IGF-1, insulin levels. This, in turn, leads to inhibition of mTORC1. This results in a metabolic state that favors important health outcomes, such as:

Further, the drug has been proven to be safe with relatively few serious side effects. And, it is cheap, making it accessible even for people without health insurance.

Metformin is the also first drug approved by the FDA to enter a clinical trial to assess its effect on prolongation of a healthy lifespan. According to American Association for Aging Research, the Targeting Aging with Metformin (TAME) trials are a series of nationwide, six-year clinical trials at 14 leading research institutions across the country that will engage over 3,000 individuals between the ages of 65-79.

These trials will test whether those taking metformin experience delayed development or progression of age-related chronic diseasessuch as heart disease, cancer, and dementia.

As mentioned, the drug rapamycin inhibits mTORC1 activity and is associated with a prolonged lifespan. However, systemic rapamycin has unacceptable side effects, so its use is limited in humans.

It is used, however, for local applications. One example is the use of Sirolimus (the brand name of rapamycin) in early versions of drug-eluting stents (DES) used to treat coronary artery disease. [7]

More recently, scientists have modified rapamycin to create less toxic forms of the drug. They are known as rapalogs. These include everolimus, zotarolimus, and biolimus. Together with improved stent platform materials, the use of these DESs have been shown to lower thrombotic events related to the stents. [8]

There are a number of drugs that are used for cardiovascular disease that specifically impact the mTORC pathways by various mechanisms. For example, lisinopril (ACE inhibitor), losartan (angiotensin receptor blocker), atorvastatin (statin), and eplerenone (mineralocorticoid receptor blocker) all reduce oxidative particle formation. Indirectly, this lead to the inhibition of mTORC.

This, as we know, leads to metabolic changes that favor healthy aging. These effects on the mTOR-related signaling pathways may be the reason why these medications lower the risk of heart attack and stroke more than they reduce the target risk factors of blood pressure, lipid, and glucose levels.

On the other hand, tobacco smoke increases oxidative stress and favors the activation of mTORC pathways. This may eventually lead to Chronic Obstructive Lung Disease (COPD) and lung cancer.

Interfering with this core signaling is a form of precision medicine that impacts the molecular biology that causes cardiovascular disease, cancer, and accelerated aging. These medications are antioxidants that work.

Here is the most shocking insight. The same core signaling that causes accelerated aging, chronic disease, and ultimately death is essential to produce a perfectly developed newborn. At the moment of conception, there is a single cell that will ultimately become all the cells in the body with their vastly different functions.

The DNA for every cell in your body is the same. Epigenetic regulation determines which genes are turned on or off in a particular cell type. For example, normal EGFR function is necessary to establish pregnancy successfully at the very beginning of life. However, it contributes to chronic disease development later.

Angiotensin II is required to form a normal fetal kidney, but inappropriate activation later in life contributes to developing hypertension, chronic kidney disease, and congestive heart failure.

mTOR activation via nutrient sensing and growth factor signaling in the fetus directs a master symphony of switching genes on in just the right place, at just the right time, with just the right intensity for an exact amount of time to produce a perfect infant.

However, the same genes that are essential to coordinate normal development cause disease and death with chaotic activation later.

The human genome project did not give us the answers for accelerated aging and common chronic diseases. These problems are caused by normal genes that are inappropriately switched on later in life by things like aging, unhealthy diets, and tobacco smoke.

Specific highly effective generic medications with few side effects can block the signaling from those genes and lead to dramatically better clinical outcomes at a lower cost. Caloric restriction, intermittent fasting, exercise, and the specific medications mentioned all impact the same signaling.

New science, new systems, and new payment models can improve our health at a lower cost. All the necessary elements are available. It is time to bring the stakeholders together and get started.

2. Papadopoli D, Boulay K, Kazak L, et al. mTOR as a central regulator of lifespan and aging [version 1; peer-review: 3 approved] latest versions as of 07/27/20. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6611156/pdf/f1000research-8-18802.pdf

3. Weichhart T. mTOR as regulator of lifespan, aging and cellular senescence. Gerontology. (2018) 64(2):127-134.

4. Samidurai A, Kukreja R, Das A. Emerging role of mTOR signaling-related miRNAs in cardiovascular diseases. Oxidative Medicine and Cellular Longevity. Volume 2018, Article II6141902, 23 pages https//:doi.org/10.1155/2018/6141902.

5. Longo V, Antebi A, Bartke A, et al. Interventions to Slow Aging in Humans: Are We Ready? Aging Cell (2015) 14, 497-510.

6. Feinman R, Pogozelski W, Astrup, A, et al. Dietary carbohydrate restriction as the f first approach in diabetes management: Critical review and evidence base. Nutrition(2015) 31:1-13.

7. Serruys P, Regar E, Carter A. Rapamycin eluting stent: the onset of a new era in interventional cardiology.Heart(2002) 87:305-305.

8. Im E, Hong, M-K. Drug-eluting stents to prevent stent thrombosis and restenosis (2016) 14(1):87-104

Healthy Life Extended by Eight Years in a Landmark Study

Heart Attacks: When Will We Finally Do What Needs to Be Done

Is There Really a Way to Reverse Diabetes?

A Unifying Hypothesis of Chronic Disease and Aging

Erectile Dysfunction: Is It a Sign of Heart Disease?

Why We Need to Unlock the Full Potential of Primary Care

Reshaping Healthcare: What We Can Learn From Alaska

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mTOR and the Science of Aging and Chronic Disease - The Doctor Weighs In

Covid-19 Impact on Testosterone Replacement Therapy Market Analysis and Forecast 2020 to 2025| AbbVie, Allergan, Bayer – Owned

The globalTestosterone Replacement Therapy Marketis carefully researched in the report while largely concentrating on top players and their business tactics, geographical expansion, market segments, competitive landscape, manufacturing, and pricing and cost structures. Each section of the research study is specially prepared to explore key aspects of the global Testosterone Replacement Therapy market. For instance, the market dynamics section digs deep into the drivers, restraints, trends, and opportunities of the global Testosterone Replacement Therapy market. With qualitative and quantitative analysis, we help you with thorough and comprehensive research on the global Testosterone Replacement Therapy market. We have also focused on SWOT, PESTLE, and Porters Five Forces analyses of the global Testosterone Replacement Therapy market.

Leading players of the global Testosterone Replacement Therapy market are analyzed taking into account their market share, recent developments, new product launches, partnerships, mergers or acquisitions, and markets served. We also provide an exhaustive analysis of their product portfolios to explore the products and applications they concentrate on when operating in the global Testosterone Replacement Therapy market. Furthermore, the report offers two separate market forecasts one for the production side and another for the consumption side of the global Testosterone Replacement Therapy market. It also provides useful recommendations for new as well as established players of the global Testosterone Replacement Therapy market.

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Major Players: AbbVie, Allergan, Bayer , Eli Lilly and Company, Kyowa Kirin International, Novartis , Pfizer

Regions and Countries:U.S, Canada, France, Germany, UK, Italy, Rest of Europe, India, China, Japan, Singapore, South Korea, Australia, Rest of APAC, Brazil, Mexico, Argentina, Rest of LATAM, Saudi Arabia, South Africa, UAE.

Report Objectives

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Table of Contents

Report Overview:It includes major players of the global Testosterone Replacement Therapy market covered in the research study, research scope, and Market segments by type, market segments by application, years considered for the research study, and objectives of the report.

Global Growth Trends:This section focuses on industry trends where market drivers and top market trends are shed light upon. It also provides growth rates of key producers operating in the global Testosterone Replacement Therapy market. Furthermore, it offers production and capacity analysis where marketing pricing trends, capacity, production, and production value of the global Testosterone Replacement Therapy market are discussed.

Market Share by Manufacturers:Here, the report provides details about revenue by manufacturers, production and capacity by manufacturers, price by manufacturers, expansion plans, mergers and acquisitions, and products, market entry dates, distribution, and market areas of key manufacturers.

Market Size by Type:This section concentrates on product type segments where production value market share, price, and production market share by product type are discussed.

Market Size by Application:Besides an overview of the global Testosterone Replacement Therapy market by application, it gives a study on the consumption in the global Testosterone Replacement Therapy market by application.

Production by Region:Here, the production value growth rate, production growth rate, import and export, and key players of each regional market are provided.

Consumption by Region:This section provides information on the consumption in each regional market studied in the report. The consumption is discussed on the basis of country, application, and product type.

Company Profiles:Almost all leading players of the global Testosterone Replacement Therapy market are profiled in this section. The analysts have provided information about their recent developments in the global Testosterone Replacement Therapy market, products, revenue, production, business, and company.

Market Forecast by Production:The production and production value forecasts included in this section are for the global Testosterone Replacement Therapy market as well as for key regional markets.

Market Forecast by Consumption:The consumption and consumption value forecasts included in this section are for the global Testosterone Replacement Therapy market as well as for key regional markets.

Value Chain and Sales Analysis:It deeply analyzes customers, distributors, sales channels, and value chain of the global Testosterone Replacement Therapy market.

Key Findings:This section gives a quick look at important findings of the research study.

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About Us:Limra Global Market Research is a one-stop place having a wide database of market research reports for all domains. Our market research reports provide the best study of the market, its growth, and the latest trends in the market along with high accuracy and great reliability. Limra Global Market Research caters to major corporations as well as non-profit organizations. The information provided in the reports will not help our clients enhance their knowledge and decision making skills, but also provide enormous opportunities for growth by giving the newest trends in the market.

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Covid-19 Impact on Testosterone Replacement Therapy Market Analysis and Forecast 2020 to 2025| AbbVie, Allergan, Bayer - Owned

Low Testosterone (Male Hypogonadism) Management and …

How is low testosterone treated?

Low testosterone is treated with testosterone replacement therapy, which can be given in several different ways:

(Oral testosterone is not approved for use in the United States.)

Potential benefits of testosterone replacement therapy may include:

The side effects of testosterone replacement therapy include:

Laboratory abnormalities that can occur with testosterone replacement include:

If you are taking hormone replacement therapy, regular follow-up appointments with your physician are important.

Guidelines suggest discussing the potential risk vs. benefit of evaluating prostate cancer risk and prostate monitoring. The doctor and patient will decide together regarding prostate cancer monitoring. For patients who choose monitoring, clinicians should assess prostate cancer risk before starting testosterone treatment, and 3 to 12 months after starting testosterone:

Testosterone replacement therapy may cause the prostate to grow. If a man has early prostate cancer, there is concern that testosterone may stimulate the cancer's growth. Therefore, men who have prostate cancer should not take testosterone replacement therapy. It is important for all men considering testosterone replacement therapy to undergo prostate screening before starting this therapy.

Other men who should not take testosterone replacement therapy include those who have:

Last reviewed by a Cleveland Clinic medical professional on 04/10/2018.

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Low Testosterone (Male Hypogonadism) Management and ...

Eye Health Ingredients Market Repository of Analysis and Information for Every Facet of the Market – Kentucky Journal 24

Global Eye Health Ingredients Market: Overview

Toxic impurities in contact with eyes cause adverse effects on eyesight leading to unhealthy vision. Antioxidants such as Lutein and Zeaxanthin of the carotenoid family are some of the eye health ingredients. Use of antioxidants as eye health ingredients is expected to grow steadily over the forecast period. Increase in number of eye health supplements is also projected to enhance the growth of eye health ingredients market during the forecast period. In addition, protection from UV radiation, elimination of free radicals, need for powerful vision, and high demand for vision sustenance are some of the prominent factors driving the eye health ingredients market.

Increasing eye health problems including cataract, glaucoma, diabetic retinopathy, and Age-Related Macular Degeneration (AMD) are expected to fuel the growth of the global eye health ingredient market. Also, large spending on nutritional products has influenced the pharmaceutical industry growth. Increasing exposure to digital displays, rising prevalence of allergies, and changing lifestyle have resulted in more eye diseases, which, in turn, is projected to bolster the growth of global eye health ingredients market.Eye Health Ingredients Market size was worth over USD xx million in 2018 and is set to exceed 1.8 kilo tons by 2025.

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Some of the key players involved in the global eye health ingredients market are Amway, MacuShield, Bausch & Lomb Incorporated, Novartis AG, Solgar Inc., Swanson Health Products, Allied Biotech Corporation, BASF SE, DSM, Kemin Industries Inc., Davos Life Science Pte ltd., Wilmar International Limited, and Vitae Naturals.

Global Eye Health IngredientsMarket: Segmentation

By Source Type

Natural SourcesSynthetic SourcesBy Ingredient Type

LuteinZeaxanthinVitamin ABeta-caroteneBilberry extractsForm Type

PowderLiquidOthers (Capsule, Soft Gels, Tablets)By Application:

HumanAnimalBy Disease Indication

CataractAge related Macular Degeneration (AMD)Dry Eye SyndromeOthers

Natural source segment accounted for the largest market share in the global eye health ingredients market in 2017. The growing consumer awareness regarding benefits of natural health sources is expected to fuel the demand for natural eye health ingredients. Lutein and zeaxanthin, the most commonly used ingredients, are usually combined with other health beneficial components such as vitamins A, C, B, and minerals such as zinc and selenium.

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North America is expected to be the most lucrative market for eye health ingredients followed by Europe and Asia Pacific. Increasing incidence of low vision and blindness among the people in North America has led to an increased demand for eye health ingredients. Rising geriatric population coupled with increasing consumer spending on healthcare, preference toward healthy lifestyle, and factors such as occupational hazards and smoking, which cause eye-related diseases, are expected to propel the growth of eye health ingredients market globally during the forecast period. The Food and Drug Administration (FDA) does not recommend a safe upper limit for eye health ingredients such as lutein, zeaxanthin, beta carotene, and bilberry extract, making consumers apprehensive about the dosage levels in both functional foods and dietary supplements. Technological advancements and innovations put forth by the manufacturers to expand their portfolio are expected to augment the market growth.

In February 2016, Waitaki Biosciences, one of the key manufacturers of natural nutritional products, launched CassiPure, anthocyanin rich blackcurrant extracts for eye health and immune support. Similarly, in July 2016, Nestle Taiwan launched upgraded Nestle Good Health Nutrition product for eye health among the middle-aged population, particularly for those who spend several hours a day using smart phones.

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Eye Health Ingredients Market Repository of Analysis and Information for Every Facet of the Market - Kentucky Journal 24

A nucleotidyltransferase toxin inhibits growth of Mycobacterium tuberculosis through inactivation of tRNA acceptor stems – Science Advances

INTRODUCTION

Toxin-antitoxin (TA) systems are widely distributed throughout prokaryotic genomes and have been shown to help bacteria to survive predation by bacteriophages, immune responses, and antibiotic treatments (15). In many cases, however, the roles of chromosomal TA systems remain largely unknown, primarily due to the lack of a phenotype associated with deletion mutants under in vitro laboratory conditions (69). TA systems are also widespread among mobile genetic elements, including plasmids, superintegrons, cryptic prophages, and conjugative transposons, where they contribute to their stability (10, 11).

TA systems encode two components, a toxic protein that targets an essential cellular process and an antagonistic antitoxin, which blocks toxin activity when cells are growing under favorable conditions. Although the processes that lead to toxin activation remain under debate, it has been proposed that under certain stress conditions, increased toxin transcription and synthesis may lead to activation (8, 12). This, in turn, reduces growth rate, which can provide a means to survive with minimal metabolic burden until favorable conditions return (13).

TA systems are divided into six types according to the nature of the toxin and antitoxin (whether they are RNA or protein) and the mechanism of toxin antagonism (3). Type II systems, in which a protein toxin is sequestered by a protein antitoxin, have been most extensively studied. They are also remarkably abundant in Mycobacterium tuberculosis, which potentially encodes more than 80 type II TA systems, and are thought to have contributed to the success of M. tuberculosis as a human pathogen (1416). Many of the putative M. tuberculosis toxins tested thus far were shown to inhibit bacterial growth, suggesting that these TA systems are functionally active and could modulate M. tuberculosis growth under certain conditions, thereby contributing to survival in the human host (15, 17). Accordingly, many M. tuberculosis TA operons were shown to be induced in response to relevant stressors, including hypoxia, the presence of antimicrobial drugs, or macrophage engulfment (14, 17). As M. tuberculosis encodes, among others, more than 50 VapBC, 10 MazEF, 3 HigBA, and 3 RelBE TA systems, it might be expected that there is redundancy between them, alongside condition-specific applications for each system. Furthermore, the highly toxic nature of some of these toxins suggests that their antibacterial mechanisms could be developed into antimicrobials (18).

This study focuses on a family of four putative toxins from M. tuberculosis, namely, Rv0078A, Rv0836c, Rv1045, and Rv2826c, which share a conserved nucleotidyltransferase (NTase)like domain annotated as domain of unknown function (DUF) 1814 (Fig. 1A). The most well-characterized example of this DUF1814 family is AbiEii from Streptococcus agalactiae, which shares 18.3% sequence identity with Rv1045, and was identified within the AbiE abortive infection bacteriophage-defense systems (19). AbiEii was shown to constitute a new type of TA system, type IV, based on the observation that no interaction could be detected between the toxin and the antitoxin proteins (20). The DUF1814 family of proteins is widespread in bacterial, archaeal, and fungal genomes (20), though not all examples are genetically linked to putative antitoxins. As putative NTases, DUF1814 proteins contain four conserved motifs. The N-terminal motifs I and II are found in DNA polymerase and are proposed to coordinate a metal ion for nucleotide binding and transfer (20). The C-terminal motif III is similar to that of tRNA NTases that add the 3-CCA motif to immature tRNAs and may be important for base stacking with substrates (21). The C-terminal motif IV is unique to DUF1814 proteins and is proposed to form a catalytic site with motif III (20).

(A) Scaled representation of the four M. tuberculosis TA systems containing NTase-like toxin genes with original and revised nomenclature (left), and corresponding toxicity and antitoxicity assays in M. smegmatis (right). For toxicity and antitoxicity assays, cotransformants of M. smegmatis mc2 155 containing pGMC-vector, -MenT1, -MenT2, -MenT3, or -MenT4 (toxins) and pLAM-vector, -MenA1, -MenA2, -MenA3, or -MenA4 (antitoxins) were plated on LB-agar in the presence or absence of anhydrotetracycline (Atc; 100 ng ml1) and acetamide (Ace; 0.2%) inducers for toxin and antitoxin expression, respectively. Plates were incubated for 3 days at 37C. T and A denote toxin and antitoxin, respectively. and + represent absence or presence of inducer, respectively. (B) M. smegmatis strain mc2 155 transformed with plasmid pGMCS-TetR-P1-RBS1-MenT3 was grown in complete 7H9 medium with Sm. At time 0, the culture was divided into two. Half was kept in the same medium (pale blue bars) and half was additionally treated with Atc (200 ng ml1) (dark blue bars). Samples were harvested at the indicated times, washed, diluted, and plated on LB-agar with Sm but without Atc. Colonies were counted after 3 days at 37C. Shown values are the average of three biological replicates with SD. CFU, colony-forming unit. (C) Samples of the same cultures as in (B) were harvested after 8 or 24 hours, labeled with the LIVE/DEAD BacLite dyes [Syto 9; propidium iodide (PI)], and analyzed by fluorescence-activated cell sorting. The percentage of PI-positive cells is shown for each sample (pale blue bars, no Atc; dark blue bars, 200 ng ml1 Atc). Shown values are the average of three biological replicates with SD. (D) M. tuberculosis wild-type (WT) H37Rv or mutant strain H37Rv (menA3-menT3)::dif6 were transformed with 100 ng of plasmids expressing either menA3, menT3, or menA3-menT3. These plasmids encode a consensus Shine-Dalgarno sequence (RBS1), except for Weak-RBS-menT3, which encodes a near-consensus sequence (RBS4) to weaken expression. After phenotypic expression, half of the transformation mix was plated on 7H11 oleic acidalbumin-dextrose-catalase (OADC) plates with Sm, and the other half was plated on 7H11 OADC Sm plates supplemented with Atc (200 ng ml1). Plates were imaged after 20 days at 37C; data are representative of three independent experiments. (E) Mutant strain H37Rv (menA3-menT3)::dif6 was transformed with 100 ng of plasmids expressing either menT3 WT or mutant alleles introducing the D80A, K189A, or D211A substitutions. After phenotypic expression, half of the transformation mix was plated on 7H11 OADC plates with Sm, and the other half was plated on 7H11 OADC Sm plates supplemented with Atc (200 ng ml1). Pictures were taken after 20 days at 37C; data are representative of three independent experiments.

In M. tuberculosis, the DUF1814 toxins are encoded downstream of a variety of putative antitoxins (Fig. 1A). The toxin gene rv0078A is paired with a short upstream open reading frame encoding a 68amino acid antitoxin, Rv0078B, related to MazE antitoxins, which is predicted to be disordered and lacking a DNA-binding domain (16). Toxin gene rv0836c lies downstream of a COG4861 gene, encoding a much larger putative antitoxin than the cognate toxin (Fig. 1A). Rv1045 and Rv2826c toxins are downstream of their cognate putative antitoxins Rv1044 and Rv2827c, respectively, both of which are COG5340 transcriptional regulator family proteins (Fig. 1A). COG5340 proteins include the S. agalactiae AbiEi antitoxin partner of AbiEii, which has previously been shown to bind to and repress the abiE promoter, similar to autoregulation observed in type II TA loci (22). An earlier transposon site hybridization study identified both the Rv1044 and Rv2827c antitoxins as essential for growth (23). Saturating transposon mutagenesis has additionally demonstrated that Rv1044 is essential, while transposon insertions in Rv2827c impart a growth defect (24). The fact that both antitoxins are important for M. tuberculosis growth strongly suggests that their putative cognate Rv1045 and Rv2826c toxins inhibit growth in M. tuberculosis.

Here, we undertook a series of microbiological, structural, genetic, and biochemical studies to investigate the DUF1814 toxins of M. tuberculosis and reveal their mode of action. We show that the Rv1045 toxin is a tRNA NTase that is active in M. tuberculosis and blocks translation through a previously undescribed mechanism involving inactivation of serine tRNAs.

We first investigated the activity of the putative TA systems containing NTase-like DUF1814 toxins in Mycobacterium smegmatis, which is closely related to M. tuberculosis and does not encode similar antitoxins (15). On the basis of the findings presented below, we renamed these putative systems as mycobacterial AbiE-like NTase toxins (MenT) and antitoxins (MenA), numbered according to their order in the M. tuberculosis genome (Fig. 1A). Toxins and antitoxins were expressed in trans, with the toxins cloned into the pGMC-integrative plasmid under the control of an anhydrotetracycline (Atc)inducible promoter and the antitoxins into the compatible pLAM plasmid under the control of an acetamide (Ace)inducible promoter (Fig. 1A). Among the four putative toxins, only MenT1 has been tested so far and was shown to be toxic in M. smegmatis when expressed without the upstream open reading frame encoding MenA1, suggesting that MenA1-MenT1 form a functional TA system (16). Accordingly, the data presented in Fig. 1A show that MenT1 toxicity was efficiently counteracted by MenA1 expressed in trans. Both MenA3-MenT3 and MenA4-MenT4 also acted as TA pairs, while MenT2 expression was not toxic (Fig. 1A). Inhibition of MenT4 toxicity could only be achieved when the putative antitoxin was expressed in the context of the menA4-menT4 operon (Fig. 1A). Expression of MenA4 alone from pLAM was toxic (fig. S1A), indicating that MenA4-MenT4 might not function as a typical TA pair under these conditions. Similar experiments performed in Escherichia coli confirmed the phenotypes observed in M. smegmatis for MenA2-MenT2, MenA3-MenT3, and MenA4-MenT4 (including MenA4 toxicity), but not for MenT1, which exhibited no detectable toxicity in E. coli (fig. S1B). Last, coexpression of the active toxins with noncognate antitoxins did not reveal any detectable cross-talk between the different TA pairs (fig. S1, A and C). Note that cross-talk assays with MenA4 antitoxin expressed from pLAM in M. smegmatis could not be performed because of its toxicity.

Ectopic expression of MenT3 in the presence of inducer showed the most robust toxicity in both M. smegmatis and E. coli when compared to the other toxins (Fig. 1A and fig. S1). In M. smegmatis, only a few MenT3 transformants were obtained, even in the absence of inducer. Ectopic expression of MenT3 in M. smegmatis induced a rapid drop of about 3-log10 in colony-forming units only 2 hours after induction with Atc (Fig. 1B). LIVE/DEAD BacLight stains have previously been used to study the effects of toxin expression on cell viability in M. tuberculosis (18). Flow cytometry analysis of M. smegmatis expressing MenT3 revealed that the proportion of propidium iodidepermeable cells was substantially higher in MenT3-induced versus noninduced cells 8 or 24 hours after induction with Atc (Fig. 1C), indicating that MenT3 strongly affects cell viability.

To investigate the impact of MenA3 and MenT3 on M. tuberculosis growth, plasmids encoding the toxin, the antitoxin, or both, were introduced into H37Rv wild-type (WT) strain. The resulting transformants were not sensitive to ectopic expression of MenT3 (Fig. 1D), presumably because endogenous MenA3 was sufficient to neutralize the sum of endogenous and ectopic MenT3. To confirm this hypothesis, we attempted to construct a strain deleted for the menA3-menT3 operon. Previous work showed that menA3 cannot be disrupted by transposon insertion (24). Accordingly, we found that deletion of the menA3-menT3 operon in M. tuberculosis H37Rv strain could not be achieved, most likely because simultaneous disruption of both genes resulted in a toxic effect from residual MenT3. To circumvent this problem, we constructed the deletion in a derivative of H37Rv carrying a second copy of menA3 constitutively expressed from a pGMC integrative plasmid. Once the menA3-menT3 operon was deleted, it was then possible to remove the ectopic copy of menA3 by pGMC plasmid replacement (fig. S2). The menA3-menT3 mutant became highly sensitive to the MenT3 toxin, even in the absence of inducer (Fig. 1D). Therefore, to finally obtain transformants, menT3 was cloned downstream of a weaker Shine-Dalgarno sequence. Using this construct, we observed inducible MenT3 toxicity, which was fully abolished by the presence of the antitoxin (Fig. 1D). Together, these data demonstrate that the MenT3 toxin inhibits growth and that MenA3-MenT3 functions as a bona fide TA pair in M. tuberculosis.

A previous amino acid sequence alignment of DUF1814 putative NTases highlighted conserved residues, a number of which were confirmed as essential for AbiEii toxicity in S. agalactiae (20). To investigate whether some of these residues were important for MenT3 toxicity, we selected and engineered three conserved residues for substitution: D80A, localized in the DNA pol superfamily motif, and K189A and D211A, both toxin-specific residues. We then tested the impact of these substitutions on M. tuberculosis growth (Fig. 1E). All three substitutions abolished MenT3 toxicity in both M. tuberculosis (Fig. 1E) and E. coli (fig. S3A).

Next, we investigated whether the MenT3 toxin and MenA3 antitoxin could interact in vivo. Since this TA pair is functional in E. coli, we performed affinity-tagged in vivo copurification experiments in E. coli using His-tagged variants of MenT3 and MenA3, which were first confirmed to be active as toxin and antitoxin, respectively (fig. S4A). In strains coexpressing both the toxin and the antitoxin (with either the toxin or the antitoxin tagged), and with tagged toxin and tagged antitoxin alone as controls, the in vivo copurification revealed that a small but significant fraction of the MenT3 toxin and the MenA3 antitoxin copurified, whether the toxin or the antitoxin was used as bait (fig. S4, C and D). Similar results were obtained with the MenA1-MenT1 pair, which encodes a much shorter, unrelated antitoxin (fig. S4, B, E, and F). Together, these data show that both TA partners can interact, but it remains to be determined whether a direct interaction between an NTase toxin and its cognate antitoxin is required for toxin inhibition.

To begin investigations into the mechanism of toxicity of MenT3, we solved its structure to 1.6 resolution by x-ray crystallography (Fig. 2A and Table 1). MenT3 is a monomeric bi-lobed globular protein, with two hemispheres connected by a short linker (Fig. 2A). This monomeric assembly matches the expected size observed by size exclusion chromatography. Surface electrostatics show a distinct electropositive surface leading to a deeper recess (Fig. 2B, left), which contains residues D80, K189, and D211 that were needed for toxicity in vivo (Fig. 1E). This potentially indicates the position of the active site, and the electropositive surface may facilitate interaction with electronegative substrates such as nucleic acids. To further characterize the DUF1814 family, we also solved the MenT4 toxin structure to 1.2 resolution (Fig. 2C and Table 1). MenT4 is also monomeric (also observed by size exclusion chromatography) and the overall architecture is similar to, but not exactly the same as, MenT3. MenT4 has a bi-lobed globular structure and distinct electropositive patches close to a similarly positioned active site region (Fig. 2, C and D). Aligning MenT3 and MenT4 by sequence gave a poor root mean square deviation (RMSD) of 13.4 ; however, this can be improved to 4.7 using sequence-independent superposition, which demonstrates similarity in overall fold (Fig. 2E). A close-up of MenT3 residues D80, K189, and D211 show them clustered at the putative active site, and when overlaid, the homologous MenT4 residues, D69, K171, and D186, respectively, take up similar positions (Fig. 2F). There was also density for a phosphoserine at MenT3 S78, but the corresponding residue in MenT4, S67, was not phosphorylated (Fig. 2F). Searches for structural homologs of MenT3 and MenT4 were performed using the DALI server (25). Among multiple hits for NTases, the best match was for JHP933 from Helicobacter pylori, a predicted NTase encoded by the jhp0933 gene (26). JHP933 aligned to MenT3 with an RMSD of 2.4 , though multiple additional helices were resolved in the MenT3 structure (Fig. 2G). An analysis of the H. pylori genome revealed that the jhp0932 gene lies just upstream of jhp0933 and partially overlaps its coding sequence. The presence of these genes in what appears to be a classic TA configuration suggests that JHP933 may belong to the MenT3/MenT4 family of NTase-like toxins.

(A) Structure of monomeric MenT3 toxin, with views from front and back, shown as cyan cartoon representations. (B) Surface electrostatics of MenT3, viewed as in (A), with red for electronegative and blue for electropositive potential. (C) Structure of monomeric MenT4, with views from front and back, shown as salmon cartoon representations. (D) Surface electrostatics of MenT4, viewed as in (C), colored as per (B). (E) Superposition of MenT4 onto MenT3, viewed and colored as per (A) and (C). (F) Tilted close-up view of the toxin active sites, as indicated by the boxed region of (E). MenT3 residues S78 (phosphorylated), D80, K189, and D211 are indicated, along with the homologous MenT4 residues S67, D69, K171, and D186. (G) Alignment of JHP933 (PDB: 4O8S) as orange cartoon representation, against MenT3 viewed and colored as per (A, left).

MenT3 is the most toxic of the four M. tuberculosis NTase-like toxins tested, both in mycobacteria and in E. coli (Fig. 1 and fig. S1). We therefore took advantage of this robust toxicity to search for E. coli genes that were able to suppress MenT3-mediated growth inhibition when overexpressed. We reasoned that identification of such suppressors might potentially shed light on the cellular processes affected by the toxin. Details of the genetic selection used are described in Materials and Methods. Among the approximately 60,000 clones of the E. coli genomic plasmid library tested in this work, we identified 18 plasmids that passed two rounds of selection and appeared to encode bona fide suppressors of MenT3 toxicity. We observed that the toxin-resistant colonies were noticeably smaller and translucent compared to noninduced cells, indicating that, although notably reduced, MenT3 toxicity is not fully suppressed. Sequencing of the genomic regions encoded by the 18 suppressor plasmids revealed that several of these candidate plasmids harbored the same genomic fragments. Six different suppressor clones encompassing two different regions of the E. coli chromosome were identified. Two of the six suppressor plasmids harbored the ydeA gene, encoding an l-arabinose (l-ara) exporter protein known to decrease l-ara levels in E. coli (27). These suppressors were discarded as YdeA overexpression would presumably decrease toxicity of many toxic proteins expressed from the araBAD promoter. The four other suppressor plasmids harbored the rph gene, encoding the phosphorolytic ribonuclease (RNase PH), involved in the 3 processing of RNAs (Fig. 3A). RNase PH removes nucleotides downstream of the 3-CCA sequence, required for aminoacylation of tRNAs, from tRNA precursors with 3 extensions. It is also involved in other RNA maturation and quality control processes, including the maturation of rRNA (28).

(A) The E. coli K-12 genomic region containing the rph gene is shown. Suppressor plasmids that counteract MenT3 toxicity encoded rph, as depicted by small arrows under the adjacent genes pyrE, yicC, and dinD. The positions in base pair of the ends of each suppressor fragment, in relation to the E. coli K-12 chromosome, are indicated between brackets. (B) Overexpression of E. coli RNase PH partially suppresses MenT3 toxicity. E. coli DLT1900 strains containing either pK6-vector () or pK6-MenT3 (+) were cotransformed with p29SEN-vector () or p29SEN-Rph (RNase PH) (+). The resulting cotransformants were serially diluted, spotted onto LB-agar plates in the presence or absence of l-ara (0.1%) and IPTG (200 M) inducers, and incubated at 37C. (C) Deletion of rph further increases MenT3 toxicity. Transformants of E. coli DLT1900 WT and rph mutant strains containing plasmid pK6-MenT3 were serially diluted, spotted onto LB-agar plates with or without l-ara (0.01%), and incubated at 37C. (D) In vitro transcription/translation reactions assessing levels of DHFR control protein produced in the absence or presence of increasing concentrations of MenT3 toxin. Samples were separated by SDSpolyacrylamide gel electrophoresis and stained with InstantBlue. (E) For in vivo assays, transformants of E. coli BL21 (DE3) containing plasmid pET-MenT3 or the empty vector were grown in M9M at 37C. Following overexpression of MenT3, tRNAs were extracted, separated, and visualized by Northern blot using specific radiolabeled probes against tRNATrp. For in vitro assays, purified MenT3 (10 M) was added to transcription/translation assays producing GatZ protein. After 2 hours at 37C, tRNAs were extracted, separated, and visualized by Northern blot as performed for the in vivo samples. All images are representative of triplicate data.

Suppression of MenT3 toxicity by RNase PH overexpression was confirmed by cloning rph alone in a lowcopy number plasmid under the control of an isopropyl--d-thiogalactopyranoside (IPTG)inducible promoter and assaying for growth in the presence of MenT3 in E. coli (Fig. 3B). We also showed that the toxicity of MenT3 was enhanced when expressed in E. coli carrying a deletion of the rph gene, even with a 10-fold decrease in inducer levels (Fig. 3C), further reinforcing the genetic link between menT3 and rph. The primary role of RNase PH in processing tRNAs suggests that DUF1814 NTase-like toxins could act directly at the site of aminoacylation at the 3-end of tRNA, thus inhibiting translation. Whether endogenous RNase PH would be sufficiently induced in response to toxin expression to help restore the functional tRNA pool in recovering M. tuberculosis cells remains to be determined.

MenT3 WT and the MenT3(D80A) and MenT3(K189A) substitutions were overexpressed and purified for biochemical characterization. When tested in an in vitro transcription/translation reaction that uses recombinant E. coli components, purified MenT3 WT reduced production of the E. coli dihydrofolate reductase (DHFR) control protein in a concentration-dependent manner (Fig. 3D). Compared to MenT3 WT, MenT3(D80A) and MenT3(K189A) had a markedly reduced impact on the production of DHFR (fig. S5A). The same trend was observed when MenT3 WT, MenT3(D80A), and MenT3(K189A) were used in in vitro reactions producing WaaF and GatZ as test proteins (fig. S5, B and C). We also expressed and purified MenT4 WT and demonstrated that this, too, prevented the production of DHFR in a concentration-dependent manner in in vitro transcription/translation assays (fig. S5D).

The fact that MenT3 inhibited protein synthesis, and that RNase PH is involved in the removal of nucleotides following the 3-CCA sequence required for tRNA aminoacylation, suggested that tRNA charging might be affected by MenT3 expression in vivo. To address this hypothesis, we first used a method developed for E. coli, which separates charged from uncharged tRNAs and allows their detection by Northern blot after extraction in vivo (29). We chose tRNATrp as a model tRNA because (i) the tryptophanyl-tRNA can be well separated from uncharged tRNATrp and (ii) there is only one tRNATrp in E. coli (29). No charged tryptophanyl-tRNATrp could be detected following overexpression of MenT3 when compared to the empty vector control (Fig. 3E and fig. S5E). tRNATrp charging levels were also investigated in vitro by adding purified MenT3 to the transcription/translation assay described above (Fig. 3E). In this case, MenT3 also affected tRNATrp charging in vitro, thus supporting the hypothesis that the toxin inhibits protein synthesis by preventing aminoacylation of tRNA.

The observation that MenT3 is related to NTases (Fig. 2G) suggests that its mode of action is to directly transfer nucleotides to tRNAs, thereby preventing aminoacylation. We performed assays using radiolabeled tRNAs to track the addition of nucleotides by MenT3 WT, MenT3(D80A), and MenT3(K189A) (Fig. 4).

(A) Radiolabeled E. coli tRNATrp was incubated with 1, 0.1, 0.01, or 0.001 g of MenT3 WT or no toxin () for 20 min at 37C in the presence of unlabeled GTP, ATP, UTP, or CTP. Extended products are indicated with arrowheads throughout all panels. (B) Radiolabeled E. coli tRNATrp was incubated with 1, 0.1, or 0.01 g of MenT3 WT or MenT3(D80A) with CTP or UTP, as per conditions in (A). (C) Incubation of radiolabeled E. coli tRNATrp with 1, 0.1, 0.01, or 0.001 g of MenT3 WT or MenT3(K189A), with CTP, UTP, or a mixture of both, as per conditions in (A). (D) Radiolabeled E. coli tRNATrp preparations, made with or without a 3-CCA motif, were incubated with 1, 0.1, or 0.01 g of either MenT3 WT, MenT3(K189A), or no toxin (), for 20 min at 37C in the presence of unlabeled UTP or CTP. Note that the () CCA lanes have been overexposed to equalize intensity to the (+) CCA lanes of the same gel. Assays of the individual WT and MenT3 substitution proteins and tRNATrp CCA substrates shown in (A) to (D) were performed between two and four times.

MenT3 WT was incubated with tRNATrp from E. coli, as a model recipient tRNA, in the presence of guanosine 5-triphosphate (GTP), adenosine 5-triphosphate (ATP), uridine 5-triphosphate (UTP), or cytidine 5-triphosphate (CTP), and nucleotide transfer was monitored as an increase in tRNA size by high-resolution polyacrylamide gel electrophoresis (PAGE; Fig. 4A). At high concentrations of the enzyme, we found that MenT3 can add two to three extra nucleotides to tRNATrp in the presence of CTP or UTP, with a slight preference for CTP, suggesting that MenT3 is a pyrimidine-specific NTase (Fig. 4A). No transfer was observed with purines ATP or GTP as substrates (Fig. 4A). MenT3(D80A), which was unable to inhibit in vitro protein synthesis (fig. S5, A to C), had no NTase activity with either UTP or CTP (Fig. 4B). MenT3(K189A), which was also inactive in the in vitro transcription/translation assay (fig. S5, A to C), only lost its NTase activity in the presence of UTP, but retained some activity (albeit less than WT) in the presence of CTP, or both nucleotides (Fig. 4C). This could imply that K189A is important for substrate nucleotide selectivity. No synergistic effect was seen when MenT3 WT was incubated with a mixture of CTP and UTP, as the pattern with both nucleotides together resembled that of CTP alone (Fig. 4C).

Canonical tRNA NTases typically add the 3-CCA motif to tRNAs lacking an encoded 3-CCA that are processed at the level of the discriminator nucleotide (nucleotide 73). They also repair this motif when 3-exoribonucleases, such as RNase PH, fail to stop at the 3-CCA motif when processing tRNA precursors containing an encoded 3-CCA, typically removing the terminal A residue. Since M. tuberculosis contains a mixture of tRNA genes encoding or lacking a 3-CCA motif, we wondered whether MenT3 had a preference for one class (or another class) of substrate. While faint NTase activity was observed when MenT3 WT and MenT3(K189A) were incubated with CTP and tRNATrp lacking a 3-CCA, the data show that MenT3 had a clear preference for tRNAs that already possessed a 3-CCA motif (Fig. 4D). This is in contrast to the normal function of tRNA NTases, which prefer tRNAs lacking an intact 3-CCA. Again, MenT3 WT modified tRNATrp using both CTP and UTP as substrate, while MenT3(K189A) could only use CTP (Fig. 4D). Addition of nucleotides to mature tRNAs by MenT3 would completely abolish the ability of these tRNAs to be charged with their cognate amino acid and take part in translation, accounting for their cellular toxicity.

Our in vivo data show that toxins MenT3, as well as MenT1 and MenT4, are significantly less toxic in E. coli than in mycobacteria (Fig. 1 and fig. S1), which suggests that these toxins may have a tRNA target preference. We therefore asked whether MenT3 would exhibit some specificity toward the different tRNAs of M. tuberculosis. We made polymerase chain reaction (PCR) templates allowing us to in vitro transcribe the 45 different tRNAs of M. tuberculosis, each with a 3-CCA motif (fig. S6). As before, each radiolabeled tRNA was incubated with MenT3 and nonradiolabeled CTP (Fig. 5A). To our surprise, MenT3 appeared to be highly specific, preferentially modifying the four M. tuberculosis tRNASer isoacceptors, along with weak modification of tRNALeu5 (Fig. 5A). Although we cannot exclude that MenT3 can modify other tRNAs in vivo, the data show that the toxin presents a high degree of specificity toward different tRNAs in vitro, which may explain the variable toxicity observed in different bacteria.

(A) Radiolabeled M. tuberculosis tRNAs were incubated with 0.1 g of MenT3 WT (+) or no toxin () for 20 min at 37C in the presence of unlabeled CTP. E. coli tRNATrp (EcTrp) was used as a positive control. The global screen of all M. tuberculosis tRNA was performed once and the effect of MenT3 tRNASer2 was confirmed twice independently. (B) Schematic diagram of the MenT3 toxin mechanism of action. MenT3 elongates the 3-CCA motif of specific tRNAs, preventing their charging by aminoacyl-tRNA synthetases (AaRS), thereby interfering with translation and inhibiting bacterial growth.

Last, we asked whether the antitoxin MenA3 inhibited the NTase activity of MenT3 directly, or whether it could simply reverse its action by removing the added nucleotides in a manner similar to the RNase PH multicopy suppressor. Addition of MenA3 strongly inhibited the NTase activity of MenT3 on the natural substrate M. tuberculosis tRNASer2 when coincubated with the toxin at a molar ratio > 2.5. However, MenA3 failed to remove the added nucleotides from tRNASer2 when added after a preincubation of tRNASer2 with MenT3, even at high concentrations (fig. S7). This suggests that the antitoxin is likely to inhibit the toxin rather than reverse the reaction on the substrate.

This study has characterized a family of TA systems from M. tuberculosis containing NTase-like DUF1814 toxins, establishing MenT3 as a potent toxin in this problematic pathogen. We have solved the structures of the homologous toxins MenT3 and MenT4 by x-ray crystallography, revealing fold similarity and conserved residues within the proposed active sites, and have observed a similar mode of toxin activity, targeting protein synthesis. We have further elucidated the mechanism of toxicity for MenT3, showing that it functions as a pyrimidine-specific NTase preferentially targeting M. tuberculosis tRNASer in vitro (Fig. 5B).

The observation that the three NTase toxins identified in this work show different levels of toxicity when expressed in the same host, and that such toxic signatures can vary when expressed in different bacterial hosts (i.e., E. coli versus mycobacteria), is intriguing (Fig. 1 and fig. S1). The most marked example is MenT1, which shows robust toxicity in M. smegmatis but no toxicity in E. coli (Fig. 1A and fig. S1B). Although we cannot exclude this being a result of improper folding or expression of the toxin in E. coli, it is also reasonable to assume that the toxin may not be able to recognize its tRNA targets due, for example, to tRNA modification, or the absence of its preferred tRNA target (30). Another possibility is that tRNA targets are expressed at higher levels in E. coli and are thus sufficiently abundant to overcome the noxious effect of the toxin in vivo. The fact that M. tuberculosis and M. smegmatis only have 45 and 46 tRNA genes, respectively, while E. coli has 86, is in line with this hypothesis (30, 31).

The apparent in vitro specificity of MenT3 for certain M. tuberculosis tRNAs, especially tRNASer, is remarkable (Fig. 5A). We did not test other tRNAs in E. coli besides tRNATrp; it may well have been fortuitous that the only tRNA we tested in this organism was detectably modified by the toxin in vitro (Fig. 4A) and in vivo, inferred from the reduced charging levels following toxin expression (Fig. 3E). We checked whether the M. tuberculosis tRNAs that were substrates of MenT3 had any distinguishing features and were struck by the fact that all serine tRNAs and several leucine tRNAs were unique among M. tuberculosis tRNAs in that they had long variable arms (fig. S8A) (32). While this is intriguing and may contribute to substrate specificity, it cannot be the only recognition element because (i) two leucine tRNAs besides tRNALeu5 have variable loops but are not MenT3 substrates in vitro and (ii) E. coli tRNATrp does not have a variable loop (fig. S8B), but can be extended by the NTase activity of the toxin. It is also intriguing in this regard that M. tuberculosis tRNATrp is not a MenT3 substrate in vitro. E. coli and M. tuberculosis tRNATrp are highly homologous but do show differences in their variable- and T-arm sequences (fig. S8C). Substrate specificity therefore appears to come from a combination of multiple sequence and structure motifs. Having identified these tRNA targets in vitro, further work is now needed to confirm targeting in vivo in M. tuberculosis.

Our observed TA interactions raise questions regarding the molecular mechanisms of antitoxicity for DUF1814 toxins (fig. S4, C to F). Typically, in type II TA systems, antitoxin function is in part driven by its strong and direct interaction with the cognate toxin (3). While we have shown interactions between cognate toxins and antitoxins (fig. S4, C to F), the antitoxin interaction in vivo appears weak. We additionally demonstrated that coincubation of the MenA3 antitoxin with MenT3 is able to neutralize the NTase activity (fig. S7). This suggests that any interaction-based antitoxicity might be a transient and labile mechanism and, due to the difference in size and sequence between antitoxins MenA1 and MenA3 (Fig. 1A), may well differ between these systems.

The DUF4433 DarT toxin from M. tuberculosis was recently identified as a single-stranded DNA NTase that specifically and reversibly adenosine 5-diphosphate (ADP)ribosylates thymidines (33). Our study identifies MenT3 as an NTase toxin from the unrelated DUF1814 protein family. In comparison to DarT, MenT3 acts via a distinct and novel mode of toxicity where the MenT3 toxin preferentially targets M. tuberculosis tRNAs in vitro, preventing their charging with cognate amino acids by adding nucleotides to the 3-CCA acceptor stem (Fig. 5B). Accordingly, antitoxin function also appears to differ between these systems. Whereas DarT is counteracted enzymatically by the cognate antitoxin DarG via target de-ADP-ribosylation (33), we found that MenA3 was unable to reverse MenT3 toxicity by removing nucleotides, suggesting that MenA3 likely inhibits the toxin activity.

Increasing numbers of toxins have been identified that target tRNAs by various mechanisms (13). The M. tuberculosis type II VapC toxins function as endoribonucleases cleaving tRNAs (34), whereas TacT from Salmonella Typhimurium and AtaT from E. coli are tRNA acetyltransferases, modifying charged tRNAs to block translation (35, 36). That MenT3 provides yet another way to inhibit tRNA activity is perhaps not unusual, given the essential nature of translation to cellular growth and survival. This likely reflects the value of possessing multiple TA systems to promote adaptability to different stressful environments via tRNA metabolism, with downstream effects ranging from stalling cell growth to potentially altering translation output (13). It remains to be seen whether this mechanism is conserved among DUF1814-toxins; while MenT4 shares structural similarities to MenT3 and inhibits protein synthesis in vitro (Fig. 2 and fig. S5D), we have not yet explored the molecular mechanism behind its toxicity. Given the continued significance of M. tuberculosis worldwide, the mechanism used by the MenA3-MenT3 TA system highlights a new way to block protein synthesis. We propose that further exploring the molecular mechanisms of both toxicity and antitoxicity will provide useful insights into the regulation of bacterial growth.

E. coli DH5 (Invitrogen), DH10B (Thermo Fisher Scientific), BL21 (DE3) (Novagen), ER2566 (New England Biolabs), W3110 [strain American Type Culture Collection (ATCC) 27325], DLT1900 (37), and M. smegmatis mc2 155 (strain ATCC 700084) are as previously described. To construct BL21 (DE3) slyD, the slyD::KmR allele from JW3311 (Keio collection) was moved into BL21 (DE3) using bacteriophage P1-mediated transduction. To construct the unmarked DLT1900 rph mutant, the rph::KmR allele from JW3618 (Keio collection) was first moved into DLT1900 using bacteriophage P1-mediated transduction and by subsequent removing of the kanamycin (Km) resistance cassette using plasmid pCP20, as previously described (38). E. coli were routinely grown at 37C in LB medium or M9 minimal (M9M) medium supplemented when necessary with Km (50 g ml1), ampicillin (Ap; 50 g ml1), chloramphenicol (Cm; 34 g ml1), streptomycin (Sm; 25 g ml1), spectinomycin (Sp; 50 g ml1), IPTG (1 mM), l-ara (0.1% w/v), or d-glucose (glu; 0.2% w/v). M. smegmatis mc2 155 strains were routinely grown at 37C in either LB or 7H9 medium (Difco). M. tuberculosis H37Rv (WT; ATCC 27294) and mutant strains were routinely grown at 37C in complete 7H9 medium (Middlebrook 7H9 medium, Difco) supplemented with 10% albumin-dextrose-catalase (ADC; Difco) and 0.05% Tween 80 (Sigma-Aldrich), or on complete 7H11 solid medium (Middlebrook 7H11 agar medium, Difco) supplemented with 10% oleic acidADC (OADC; Difco). When required, mycobacterial growth media were supplemented with Km (50 g ml1), hygromycin (Hm; 50 g ml1), Sm (25 g ml1), zeocin (Zc; 25 g ml1), Ace (0.2% w/v), or Atc (100 or 200 ng ml1).

Plasmids pMPMK6 (39), p29SEN (40), pGMCS (41), pGMCZ (42), pLAM12 (43), pETDuet-1, pET15b and pRARE (Novagen), pBAD30 (44), and pTA100 (4) have been described. Primers used for plasmid construction are described in table S1. All the plasmids constructed in this work have been verified by sequencing. The pMPMK6 derivatives expressing the toxins, namely, pK6-MenT1, pK6-MenT2, pK6-MenT3, and pK6-MenT4, were constructed as follows: menT1, menT2, menT3, and menT4 were PCR-amplified from the M. tuberculosis H37Rv genome and cloned as Eco RI/Hind III fragments (menT1 and menT2) and Mfe I/Hind III fragments (menT3 and menT4) into Eco RI/Hind IIIdigested pMPMK6.

The p29SEN plasmid derivatives encoding the antitoxins, namely, p29SEN-MenA1, p29SEN-MenA2, p29SEN-MenA3, and p29SEN-MenA4, were constructed as follows: menA1, menA2, menA3, and menA4 were PCR-amplified from the M. tuberculosis H37Rv genome and cloned either as Eco RI/Hind III fragments (menA1, menA2, and menA3) or as Mfe I/Hind III fragments (menA4) into Eco RI/Hind IIIdigested p29SEN. For p29SEN-Rph, the rph gene was PCR-amplified from the E. coli DLT1900 genome and cloned as an Eco RI/Hind III fragment into Eco RI/Hind IIIdigested p29SEN.

To construct pGMC-MenT2, pGMC-MenT3, and pGMC-MenT4, menT2, menT3, and menT4 were PCR-amplified using pK6-MenT2, pK6-MenT3, and pK6-MenT4 templates, respectively, and cloned into pGMCS using In-Fusion HD Cloning Kits (Takara Bio). Plasmid pGMC-MenT1 and pGMC-MenT1-His were obtained following PCR amplification of menT1 and menT1-His using pK6-MenT1 as a template and homologous recombination in linearized pGMCS plasmid by In-Fusion HD Cloning Kits (Takara Bio). For pGMC-*MenA4-MenT4, the menA4-menT4 operon was PCR-amplified from the H37Rv genome and cloned into linearized pGMCS plasmid by In-Fusion HD Cloning Kits (Takara Bio).

To construct plasmids pLAM-MenA2, pLAM-MenA3, and pLAM-MenA4, menA2, menA3, and menA4 were PCR-amplified using p29SEN-MenA2, p29SEN-MenA3, and p29SEN-MenA4 as templates, respectively. These were cloned as Nde I/Eco RI fragments (menA2 and menA3) and Nde I/Mfe I fragments (menA4) into Nde I/Eco RIdigested pLAM12. Plasmid p29SEN-MenA1 was used to amplify menA1 and menA1-His, which were then cloned as Nde I/Eco RI fragments into Nde I/Eco RIdigested pLAM12 to produce pLAM-MenA1 and pLAM-MenA1-His, respectively.

The pET vector derivatives used in this work were constructed as follows. To construct plasmid pET-MenT3-His, menT3-His (with an added fragment encoding a Ser-Ser-Gly-His6 C-terminal tag) was PCR-amplified from pK6-MenT3 template and cloned as an Nde I/Mfe I fragment into Nde I/Mfe Idigested pETDuet-1. Plasmid pET-MenT3-His was used as a template to construct pET-MenT3-His(D80A) and pET-MenT3-His(K189A) by QuikChange site-directed mutagenesis (Agilent) using appropriate primers. Plasmid pET-MenA3-His, encoding an N-terminal His6-tagged MenA3 antitoxin, was constructed by PCR amplification of menA3-His using p29SEN-MenA3 as a template, Nde I/Hind III digestion, and cloning into Nde I/Hind IIIdigested pET15b plasmid. To construct plasmid pET-MenT3/MenA3-His, menA3-His was first PCR-amplified from p29SEN-MenA3 template and cloned as an Nco I/Hind III fragment into Nco I/Hind IIIdigested pETDuet-1. menT3 was then PCR-amplified from pK6-MenT3, digested with Nde I/Mfe I, and cloned into Nde I/Mfe Idigested pET-MenA3-His. To construct pET-MenT3-His/MenA3, menA3 was first PCR-amplified using p29SEN-MenA3 as a template and cloned as an Nco I/Hind III fragment into Nco I/Hind IIIdigested pET-MenT3-His. To generate pET-MenT1-His (expressing MenT1 with an N-terminal His6-Ser-Ser-Gly-tag), menT1-His was PCR-amplified from pK6-MenT1 and cloned as an Nde I/Mfe I fragment into Nde I/Mfe Idigested pETDuet-1. For pET-MenA1-His (expressing MenA1 with an N-terminal His6-Ser-Ser-Gly-tag), menA1-His was PCR-amplified from p29SEN-MenA1 template and cloned as an Nco I/Bam HI fragment into Nco I/Bam HIdigested pETDuet-1. For pET-MenT1/MenA1-His, menT1 was PCR-amplified from pK6-MenA1 and cloned as an Nde I/Mfe I fragment into Nde I/Mfe Idigested pET-MenA1-His. For pET-MenT1-His/MenA1, menA1 was PCR-amplified from p29SEN-MenA1 and cloned as an Nco I/Bam HI fragment into Nco I/Bam HIdigested pET-MenT1His.

To generate MenT3 and MenT4 expression constructs for crystallization and biochemistry, overlap PCRs were performed to fuse a sentrin protease (SENP)cleavable N-terminal His6-SUMO tag, amplified from the pBAT4 derivative (45), pSAT1-LIC (this study), to either menT3 or menT4, amplified from H37Rv genomic DNA. The resulting PCR products were cloned as either Kpn I/Hind III fragments into Kpn I/Hind IIIdigested pBAD30 (menT3), producing pTRB517, or as Xma I/Hind III fragments into Xma I/Hind IIIdigested pBAD30 (menT4) to generate pTRB544.

Plasmids pPF656 and pPF657 were constructed by amplifying menA3 and menT3 from H37Rv genomic DNA and cloning as Mfe I/Xma I fragments into Eco RI/Xma Idigested pTA100 and pBAD30, respectively. To express His6-SUMO-tagged MenT3(D80A), site-directed mutagenesis was carried out using pTRB517 as a template. Briefly, nonoverlapping inverse primers were used to amplify menT3(D80A), followed by incubation with a mix of T4 DNA ligase, T4 polynucleotide kinase, and DpnI at 37C to remove template and circularize amplified DNA. This reaction was then used to transform E. coli DH5, resulting in pTRB593. Similarly, this method was used to generate MenT3(D80A), MenT3(K189A), and MenT3(D211A) for functional testing, using pPF657 as a template, resulting in pTRB591, pTRB562, and pTRB592, respectively.

Plasmid pTRB491 was generated by amplifying menA3 from H37Rv genomic DNA and cloning into pSAT1-LIC via ligation-independent cloning (LIC). The pSAT1-LIC plasmid features a LIC site that fuses an N-terminal His6-SUMO tag to the target protein. To produce MenT3(K189A) protein, the mutated gene was amplified from pTRB562 and similarly cloned into pTRB550 via LIC, resulting in pTRB577. The pTRB550 plasmid features a His6-SUMO LIC site, originally amplified from pSAT1-LIC and cloned as an Eco RI/Hind III fragment into Eco RI/Hind IIIdigested pBAD30.

To produce plasmids for use in M. tuberculosis, menA3, menT3, or both genes were amplified by PCR using PrimeSTAR GXL DNA polymerase, with M. tuberculosis H37Rv genomic DNA as template and primer pairs clo-RBS1-MenA3-attB2/clo-MenA3-attB3, clo-RBS1-MenT3-attB2/clo-MenT3-attB3, clo-RBS4-MenT3-attB2/clo-MenT3-attB3, or clo-RBS1-MenA3-attB2/clo-MenT3-attB3, respectively (tables S1 and S2). RBS1 (AGGAAGACAGGCTGCCC) and RBS4 (ACGAAGACAGGCTGCCC), corresponding to a strong or weak Shine-Dalgarno sequence, respectively, were placed upstream from the ATG translation start of MenA3 or the GTG translation start of MenT3. Plasmids pGMCS-TetR-P1-RBS1-MenA3, pGMCS-TetR-P1-RBS1-MenA3-MenT3, pGMCS-TetR-P1-RBS1-MenT3, or pGMCS-TetR-P1-RBS4-MenT3 were constructed by multisite gateway recombination (18), using plasmid pDE43-MCS as the destination vector. These plasmids are integrative vectors (insertion at the attL5 mycobacteriophage insertion site in the glyV tRNA gene) and express MenA3, MenT3, or MenA3-MenT3 under the control of P1 (Pmyc1 tetO), a tetracycline-inducible promoter (table S2) (46).

Construction of MenT3 D80A, D211A, and K189A substitutions for use in M. tuberculosis was performed as follows: Plasmid pGMCS-TetR-P1-RBS4-MenT3 was amplified by PCR with PrimeSTAR GXL DNA polymerase and the oligonucleotides pairs InFus-MenT3D80A-right/InFus-MenT3D80A-left, InFus-MenT3D211A-right/InFus-MenT3D211A-left, or InFus-MenT3K189A-right/InFus-MenT3K189A-left (table S1). The amplified linear fragments were purified on agarose gels and circularized using the In-Fusion HD Cloning Kit (Takara), as recommended by the manufacturer. Plasmids used to transform Stellar recipient cells were verified by sequencing and introduced by electroporation into M. tuberculosis (menA3-menT3)::dif6/pGMCZ (see the next paragraph).

Mutant strains of M. tuberculosis H37Rv were constructed by allelic exchange using recombineering (43), as previously described (fig. S2) (47). Two ~0.5-kb DNA fragments flanking the menA3-menT3 operon were amplified by PCR using PrimeSTAR GXL DNA polymerase (Takara), M. tuberculosis H37Rv genomic DNA, and the primer pairs MenA3Am-For/MenA3Zc-Am-Rev or MenT3Zc-Av-For/MenT3Av-Rev, respectively (table S1). A three-fragment PCR fused these two fragments to a Zc-resistance cassette flanked by two dif6 variants of the M. tuberculosis dif site and the recombination substrate was recovered by agarose gel purifications. The recipient strain for recombineering was a derivative of M. tuberculosis H37Rv carrying two plasmids: pJV53H, an Hm-resistant pJV53-derived plasmid expressing recombineering enzymes (43), and the integrative plasmid pGMCS-P1-MenA3, constitutively expressing menA3 (table S2). This strain was grown in complete 7H9 medium supplemented with Hm until mid-log phase and expression of recombineering enzymes was induced by Ace (0.2%) overnight at 37C. After induction, electrotransformation was performed with 100 ng of the linear DNA fragment for allelic exchange. After a 48-hour incubation at 37C, mycobacteria were plated onto agar supplemented with Zc. Zc-resistant clones were restreaked on the same medium, grown in complete 7H9 without antibiotic, and verified to be carrying the expected allele replacement by PCR amplification of chromosomal DNA and subsequent DNA sequencing, using primers MenA3Am-For/MenT3Av-Rev (fig. S1C and table S1). Spontaneous loss of the Zc-resistance cassette by XerCD-dependent recombination and of the pJV53H plasmid was obtained by serial rounds of culture without antibiotics and phenotypic tests for ZcS and HmS. Plasmid pGMCS-P1-MenA3 was then removed by transformation with pGMCZ, a similar integrative vector but carrying resistance to Zc, resulting in the deleted strain M. tuberculosis (menA3-menT3)::dif6/pGMCZ.

E. coli MC4100 dnaKdnaJ::KmR tig:CmR double mutant (40) was partially digested with Sau3 AI restriction enzyme and DNA fragments of about 1.5 to 4 kb in size were purified, then ligated into linearized and dephosphorylated Bam HIdigested pMPM2 (ColE1 origin) plasmid (39), and used to transform E. coli DH10B. About 25,000 independent transformants were pooled to constitute the multicopy library. This library has previously been used as a tool to identify multicopy suppressors of chaperone mutants (48).

In vivo toxicity and antitoxicity assays by cognate or noncognate antitoxins in E. coli were performed as follows. E. coli DLT1900 were cotransformed with pMPMK6-vector, pK6-MenT1, -MenT2, -MenT3, or -MenT4 (toxins), and p29SEN-vector, p29SEN-MenA1, -MenA2, -MenA3, or -MenA4 (antitoxins). Transformants were re-seeded from overnight cultures and grown at 37C to mid-log phase in LB supplemented with Km and Ap, and then serially diluted and spotted on LB-agar plates supplemented with Km and Ap, with or without l-ara (0.1%) and/or IPTG (200 M). Plates were incubated at 37C overnight and then imaged and counted. MenT3 substitutions were tested for toxicity in E. coli DH5 carrying pBAD30-vector, -MenT3 WT (pPF657), -MenT3(D80A) (pTRB591), -MenT3(K189A) (pTRB562), or -MenT3(D211A) (pTRB592). Strains were grown to mid-log phase, then serially diluted, and spotted onto M9M-agar plates supplemented with Ap, with or without l-ara (0.1%). After a 2-day incubation at 37C, plates were imaged and counted.

In vivo toxicity and rescue assays by cognate or noncognate antitoxins in M. smegmatis were performed as follows. Cultures of mc2 155 strain grown in LB at 37C were cotransformed with the integrative pGMC-vector, -MenT1, -MenT2, -MenT3, or -MenT4 (toxins), and with pLAM12-vector, pLAM-MenA1, -MenA2, -MenA3, or -MenA4 (antitoxins). Samples were selected on LB-agar plates supplemented with Km and Sm for 3 days at 37C, in the presence or absence of Atc (100 ng ml1) and Ace (0.2%) for toxin and antitoxin expression, respectively. A similar procedure was applied for pGMC-*MenA4-MenT4 carrying the menA4-menT4 operon, with the exception that no cotransformation with pLAM12 derivatives or selection on Km was needed.

Exponentially growing cultures [OD600 (optical density at 600 nm) between 0.05 and 0.2] of M. smegmatis strain mc2 155 containing plasmid pGMCS-TetR-P1-RBS1-MenT3 were divided in two: Half was left in complete 7H9 growth medium with Sm (uninduced cultures), while the other half was additionally treated with Atc (200 ng ml1) to induce expression from the P1 promoter. For labeling with LIVE/DEAD BacLight (Molecular Probes) dyes, cells were harvested 8 hours after Atc induction. Cells were centrifuged, resuspended in phosphate-buffered saline buffer, and stained as recommended by the manufacturer. Labeled cells were analyzed by fluorescence-activated cell sorting using a BD LSRFortessa X20 flow cytometer. Flow cytometry data analysis was performed using FlowJo software.

M. tuberculosis strains H37Rv or H37Rv (menA3-menT3)::dif6/pGMCZ were transformed by electroporation with 100 ng of plasmids pGMCS-TetR-P1-RBS1-MenA3, pGMCS-TetR-P1-RBS1-MenA3-MenT3, pGMCS-TetR-P1-RBS1-MenT3, pGMCS-TetR-P1-RBS4-MenT3, pGMCS-TetR-P1-RBS4-MenT3(D80A), pGMCS-TetR-P1-RBS4-MenT3(K189A), or pGMCS-TetR-P1-RBS4-MenT3(D211A). After 3 days of phenotypic expression in 7H9 ADC Tween at 37C, the transformation mix was divided into two halves. One half was plated on 7H11 OADC with Sm; the other half was plated on 7H11 OADC Sm supplemented with Atc (200 ng ml1). Plates were imaged after 20 days of incubation at 37C.

To perform in vivo copurification assays, E. coli BL21 slyD was transformed with (i) pET-MenT3-His, pET-MenA3-His, pET-MenT3/MenA3-His, or pET-MenT3-His/MenA3, or with (ii) pET-MenT1-His, pET-MenA1-His, pET-MenT1/MenA1-His, or pET-MenT1-His/MenA1, and selected on LB-agar plates supplemented with Ap and glu (20%). Transformants were grown at 37C to an OD600 of approximately 0.4 and then protein expression was induced overnight at 20C with 1 mM IPTG. Cell lysis and affinity purification of the protein complexes were performed as described below for MenT3-His purification. Elution fractions were separated on SDS-PAGE and proteins revealed using InstantBlue Protein Stain (Expedeon, catalog no. ISB1L).

To purify MenT3 for biochemistry, BL21 (DE3) slyD transformed with pET-MenT3-His, pET-MenT3-His(D80A), or pET-MenT3-His(K189A) was grown to an OD600 of approximately 0.4 at 37C. IPTG (1 mM) was then added, and the culture was incubated overnight at 20C. Under such conditions, MenT3 expression in E. coli was better tolerated and led to a reasonable amount of soluble MenT3 that could be collected for purification. Cultures were centrifuged at 5000g for 10 min at 4C, pellets were resuspended in Lysis buffer [300 mM NaCl, 50 mM tris (pH 7.5), and protease inhibitor tablet (Roche); 20 ml of buffer per 1 liter of cell culture] and incubated for 30 min on ice. Lysis was performed using the One Shot cell disrupter at 1.5 kbar (One Shot model, Constant Systems Ltd.). Lysates were centrifuged for 30 min at 30,000g in 4C, and the resulting supernatants were gently mixed at 4C for 30 min with Ninitrilotriacetic acid agarose beads (Qiagen, catalog no. 30230) preequilibrated with buffer PD [300 mM NaCl and 50 mM tris (pH 7.5)], using a 10-ml poly-prep column (Bio-Rad, catalog no. 7311550). Columns were stabilized for 10 min at 4C and washed three times with 10 ml of buffer PD plus 25 mM imidazole, and proteins were then eluted with buffer PD containing 250 mM imidazole. Elutions (500 l) were collected and PD MiniTrap G-25 columns (GE Healthcare, catalog no. 16924748) were used to exchange buffer with buffer PD supplemented with 10% glycerol. Proteins were concentrated using Vivaspin 6 columns with a 5000-Da cutoff (Sartorius, catalog no. 184501257). Proteins were stored at 80C until further use.

For additional MenT3 and MenT3(K189A) expression, either for crystallization or biochemistry, E. coli ER2566 pRARE pPF656 was transformed with either pTRB517 or pTRB577, respectively. For MenT3(D80A) expression, E. coli ER2566 pRARE was transformed with pTRB593. MenT4 was expressed in E. coli BL21 (DE3) transformed with pTRB544. MenA3 was expressed in E. coli ER2566 transformed with pTRB491. For these expressions, the same procedure was followed: Overnight cultures were re-seeded 1:100 into 2-liter flasks containing 1-liter 2 YT. Cells were grown at 175 rpm in 37C until an OD600 of 0.3 was reached and then at 22C until OD600 0.5, whereupon expression was induced by the addition of l-ara (0.1%) for toxins and IPTG (1 mM) for antitoxins. Cells were left to grow overnight at 16C, shaking at 175 rpm.

For selenomethionine incorporation, starter cultures of ER2566 pRARE pPF656 pTRB517 were grown overnight in LB at 37C with 200 rpm shaking. Cells were pelleted, washed, and resuspended in M9M, and then sub-cultured into 500 ml of M9M in 2-liter baffled flasks to a starting OD600 of 0.075. Cells were grown at 37C with 175 rpm shaking until an OD600 of 0.6, whereupon cells were centrifuged at 4200g and resuspended in fresh M9M. This sample was divided between separate 2-liter baffled flasks containing new M9M and shaken at 175 rpm for a further 1 hour at 37C. Once an OD600 of 0.7 was reached, 12 ml of nutrient mix [l-lysine hydrate (4 mg ml1), l-threonine (4 mg ml1), l-phenylalanine (4 mg ml1), l-leucine (2 mg ml1), l-isoleucine (2 mg ml1), l-valine (2 mg ml1), and 4 mM CaCl2] was added to each flask to promote feedback inhibition of methionine synthesis, followed by 250 SelenoMethionine Solution (Molecular Dimensions) to a final concentration of 40 g ml1, and cells were left to incubate for 1 hour at 20C. Last, toxin and antitoxin expression were induced by the addition of l-ara (0.1%) and IPTG (1 mM), and samples were left to grow overnight at 175 rpm in 16C.

All five proteins were purified in the same manner. Bacteria were harvested by centrifugation at 4200g, and the pellets were resuspended in buffer A500 [20 mM tris-HCl (pH 7.9), 500 mM NaCl, 5 mM imidazole, and 10% glycerol]. Cells were lysed by sonication at 40 kpsi and then centrifuged (45,000g, 4C). The clarified lysate was next passed over a HisTrap HP column (GE Healthcare), washed for 10 column volumes with A500, followed by 10 column volumes of buffer A100 [20 mM tris-HCl (pH 7.9), 100 mM NaCl, 5 mM imidazole, and 10% glycerol], and then eluted directly onto a HiTrap Q HP column (GE Healthcare) with buffer B100 [20 mM tris-HCl (pH 7.9), 100 mM NaCl, 250 mM imidazole, and 10% glycerol]. The Q HP column was transferred to an kta Pure (GE Healthcare), washed with 3 column volumes of A100, and then proteins were eluted using a gradient from 100% A100 to 100% buffer C1000 [20 mM tris-HCl (pH 7.9), 1000 mM NaCl, and 10% glycerol]. Fractions containing the protein peak were analyzed by SDS-PAGE, pooled, and incubated overnight at 4C with hSENP2 SUMO protease to cleave the His6-SUMO tag from the target protein. The following day, the samples were passed through a second HisTrap HP column and the flow-through fractions containing untagged target protein were collected. These samples were concentrated and run over a HiPrep 16/60 Sephacryl S-200 size exclusion column (GE Healthcare) in buffer S [50 mM tris-HCl (pH 7.9), 500 mM KCl, and 10% glycerol]. Peak fractions were analyzed by SDS-PAGE, pooled, and concentrated. Optimal fractions were separated and either flash-frozen in liquid N2 for storage at 80C or dialyzed overnight at 4C into buffer X [20 mM tris-HCl (pH 7.9), 150 mM NaCl, and 2.5 mM dithiothreitol (DTT)] for crystallographic studies. Crystallization samples were quantified and stored on ice and then either used immediately or flash-frozen in liquid N2 for storage at 80C. Frozen crystallization samples still formed usable crystals 15 months after storage.

Native and selenomethionine-derivatized MenT3 were concentrated to 12 mg ml1 and MenT4 was concentrated to 6 mg ml1, all in buffer X (see above). Initial crystallization screens were performed using a Mosquito Xtal3 robot (TTP Labtech) to set 200:100 nl and 100:100 nl protein:condition sitting drops. After initial screening and optimization, both MenT3 protein samples formed thick, six-sided needles in condition G5 [0.2 M calcium acetate hydrate, 0.1 M tris (pH 8.5), and 25% w/v polyethylene glycol 2000 monomethyl ether] of Clear Strategy II HT-96 (Molecular Dimensions). MenT4 formed thin, six-sided needles in the same condition as MenT3. To harvest, 20 l of condition reservoir was added to 20 l of cryo buffer [25 mM tris-HCl (pH 7.9), 187.5 mM NaCl, 3.125 mM DTT, and 80% glycerol] and mixed quickly by vortexing; an equal volume of this mixture was then added to the drop. After addition of cryo buffer, crystals were immediately extracted using a nylon loop and flash-frozen in liquid N2.

Diffraction data were collected at Diamond Light Source on beamlines I04 (MenT3 native), I03 (MenT3 selenomethionine-derivatized), and I24 (MenT4 native) (Table 1). Single 360 datasets were collected for native MenT3 and MenT4. Two 360 datasets from MenT3 selenomethionine-derivatized crystals measured at the selenium peak (0.9793 ) were merged using iSpyB (Diamond Light Source). Additional MenT3 selenomethionine-derivatized datasets were collected at selenium high remote (0.9641 ) and inflection (0.9795 ) wavelengths. Diffraction data were processed with XDS (49), and then AIMLESS from CCP4 (50) was used to corroborate the space groups (Table 1). The crystal structure of MenT3 was solved by MAD by providing the SHELX suite in CCP4 with the native and three anomalous MenT3 datasets. The solved starting model for MenT3 was built in REFMAC within CCP4. The crystal structure of MenT4 was solved ab initio using ARCIMBOLDO (51). Both models were then iteratively refined and built using PHENIX (52) and COOT (53), respectively. The quality of the final model was assessed using COOT and the wwPDB validation server. Structural figures were generated using PyMOL (Schrdinger). Comparison against models within the Protein Data Bank (PDB) was performed using DALI (25).

The following genetic procedure was developed and applied to select for E. coli genes that confer resistance to the MenT3 toxin. E. coli strain DLT1900 was first transformed with pK6-MenT3 (KmR) plasmid and transformants were selected at 37C on LB-agar plates supplemented with Km and glu (0.2%) to repress toxin expression from the araBAD promoter of pK6-MenT3. DLT1900 containing pK6-MenT3 was then grown in LB supplemented with Km and glu, transformed with the pMPMA2-based multicopy library of E. coli genes, and plated on selective LB-agar supplemented with Km, Ap, and l-ara (0.1%) to induce toxin expression. Plates were incubated for 24 hours at 37C. A control aliquot of transformants plated on nonselective plates (no l-ara) indicated that the number of transformants tested during the selection procedure was approximately 60,000. Note that under such conditions, E. coli DLT1900 pK6-MenT3 transformed with pMPMA2 empty vector did not produce any colonies on selective plates. We identified 72 toxin-resistant colonies that grew on selective plates after 24 hours, although they were smaller and translucent, indicating that growth inhibition by the toxin is not fully blocked by the suppressors identified. Of the 72 toxin-resistant colonies identified, only 41 were able to grow in culture. Plasmids were extracted from the 41 cultures, used to re-transform DLT1900 pK6-MenT3, and plated as above, to validate growth rescue in the presence of MenT3. Of 41 clones, 18 suppressors passed the second round of selection and were sequenced using the pMPMA2-For and -Rev primers (table S1).

Assays were performed as previously described (54). Briefly, template DNAs of DHFR (P0ABQ4), WaaF-Strep (P37692), and GatZ-Strep (P0C8J8) were used for in vitro transcription/translation coupled assays (PURExpress, New England Biolabs). These were performed according to the manufacturers instructions, in the presence or absence of the toxin. Following protein synthesis reactions of 2 hours at 37C, samples were separated on SDS-PAGE and visualized by InstantBlue staining (DHFR) or Western blots using anti-Strep tag antibodies (WaaF-Strep and GatZ-Strep).

Prevention of E. coli tRNATrp aminoacylation by MenT3 was monitored using a combination of two previously published methods (29, 55). E. coli BL21 (DE3) transformed with pETDuet or pET-MenT3 was grown at 37C to OD600 0.1 in M9M, whereupon expression of MenT3 was induced with 1 mM IPTG until an OD600 of about 0.4. The bacterial culture (25 ml) was then kept on ice and centrifuged for 10 min at 5000g in 4C. The pellet was resuspended in 0.5 ml of cold 0.3 M sodium acetate (pH 4.5) and 10 mM EDTA and transferred to a precooled 1.5-ml microcentrifuge tube, and 0.5 ml of phenol (equilibrated with the same buffer) was then added. After gentle pipetting, the sample was transferred into phase-lock tubes with an additional 400 l of cold chloroform. After 30 seconds shaking, the sample was first incubated on ice for 15 min and then centrifuged for 20 min at 20,000g in 4C. The aqueous phase was then transferred to a new cold 1.5-ml tube. Five hundred microliters of cold isopropanol was added and immediately mixed. RNA was precipitated for 1 hour at 20C, before the sample was centrifuged for 30 min at 20,000g in 4C (55). The supernatant was discarded and 1 ml of cold 75% ethanol was carefully added without disturbing the RNA pellet. After further centrifugation for 10 min at 20,000g in 4C, the supernatant was removed and the pellet was air-dried until no ethanol remained. The pellet was then resuspended by vigorously mixing in 20 l of cold 10 mM sodium acetate (pH 4.5) and 1 mM EDTA. Samples were stored at 80C. Samples were separated on a denaturing urea acrylamide gel for 3 hours at 100 V in 4C, as previously described (29). Northern blot and visualization with a radiolabeled DNA probe against tRNATrp was performed as previously described (56). Note that to distinguish the band of aminoacylated tRNA from its deacylated counterpart on the Northern blot, a chemically deacylated aliquot of RNA sample prepared from strain containing the empty vector was subjected to alkaline treatment. In this case, 46 l of tris-HCl (pH 9.0) was added to a 4-l aliquot of the RNA sample and incubated for 2 hours at 37C. Fifteen microliters of 0.3 M sodium acetate at pH 4.5 was added and followed by 125 l of 96% ethanol. RNA was precipitated at 20C for 1 hour, resuspended, and separated as described above.

For in vitro tRNA charging, in vitro transcription/translation assays were performed as above, using gatZ as DNA template. After a 2-hour reaction at 37C with or without MenT3 toxin (10 M), tRNA extraction, separation, and visualization were performed as described for the in vivo samples.

Labeled tRNAs were prepared by in vitro transcription of PCR templates containing an integrated T7 RNA polymerase promoter sequence. The template for E. coli tRNATrp was made by PCR amplification of chromosomal DNA from strain MG1655 with the primers CC2556 and CC2557 (CC2591 for tRNATrp without CCA) (table S1). The oligos for M. tuberculosis tRNAs are given in table S1. The T7 RNA polymerase in vitro transcription reactions were performed in 25-l total volume, with a 5-l nucleotide mix of 2.5 mM ATP, 2.5 mM CTP, 2.5 mM GTP, and 60 M UTP and 2 to 4 l of 10 mCi ml1 of radiolabeled UTP [-P32]. Template (0.1 to 0.2 g) was used per reaction with 1.5 l of rRNasin (40 U ml1) (Promega), 5 l of 5 optimized transcription buffer (Promega), 2 l of T7 RNA polymerase (20 U ml1), and 2.5 l of 100 mM DTT. Template DNA was removed by the addition of 2 l of RQ DNase (1 U ml1) (Promega). Unincorporated nucleotides were removed by G50 spin columns (GE Healthcare) according to the manufacturers instructions, in a final volume of 30 l. For E. coli tRNATrp, the transcript reaction was gel-purified on a denaturing 5% acrylamide gel and eluted in 0.3 M sodium acetate for 4 hours overnight at 4C. The supernatant was removed, ethanol-precipitated, and resuspended in 20 to 30 l of nuclease-free H2O.

MenT3 NTase activity was assayed in 10-l reaction volumes containing 50 mM tris-HCl (pH 9.5), 10 mM MgCl2, and 2.5 mM rNTPs and incubated for 20 min at 37C. Fresh, uniformly labeled tRNA (0.5 l) was used per assay, with different dilutions of the protein (1, 0.1, 0.01, and 0.001 mg ml1) in 50 mM tris-HCl (pH 7.8), 300 mM NaCl, and 10% glycerol. The 10-l reactions were mixed directly with 10 l of RNA loading dye (95% formamide, 1 mM EDTA, 0.025% SDS, xylene cyanol, and bromophenol blue), denatured at 90C, and applied to 5% polyacrylamide-urea gels. The gel was vacuum-dried at 80C and exposed to a PhosphorImager screen.

The effect of MenA3 antitoxin was assayed using in vitro-transcribed tRNASer2 as a substrate. For the coincubation assay, MenT3 (5 M) and increasing molar ratios of MenA3 were incubated with tRNASer2 and 2.5 mM CTP in 10-l reaction volumes containing 50 mM tris-HCl (pH 9.5) and 10 mM MgCl2 for 20 min at 37C. For the postincubation assay, the reactions were first incubated for 20 min at 37C with MenT3 alone in 7-l reaction volumes, then 3 l containing different concentrations of MenA3 were added, and the reactions were incubated for a further 20 min at 37C.

The tRNA screening was performed using 0.5 l of uniformly labeled M. tuberculosis tRNAs, all containing the CCA motif. The activity was tested in 50 mM tris-HCl (pH 9.5), 10 mM MgCl2, and 2.5 mM rCTP in 10-l reaction volumes and incubated for 20 min at 37C. The transcripts were incubated with 1 l of MenT3 (0.1 mg ml1), or with nuclease-free water as a control. The reaction was stopped with 10 l of RNA loading dye (95% formamide, 1 mM EDTA, 0.025% SDS, xylene cyanol, and bromophenol blue), denatured at 90C, and applied to 5% polyacrylamide-urea gels. The gel was vacuum-dried at 80C and exposed to a PhosphorImager screen.

Acknowledgments: We thank D.-J. Bigot for plasmid constructs, and P. Bordes, M.-P. Castani-Cornet, L. Falquet, L. Poljak, L. Hadjeras, and H. Akarsu for valuable advice. We also thank K. Semeijn and R. Dy for initial plasmid construction and testing, and E. Naser (Genotoul TRI-IPBS imaging facility) for help with flow cytometry analysis. Funding: This work was supported by a scholarship from the China Scholarship Council (CSC) as part of a joint international PhD program with Toulouse University Paul Sabatier (Y.C.); Springboard Award (SBF0021104) from the Academy of Medical Sciences (B.U. and T.R.B.); University of Otago Research Grant (P.C.F.), the School of Biomedical Sciences Bequest Fund, and University of Otago (P.C.F.); CNRS (UPR 9073), Universit Paris VII-Denis Diderot, the Agence Nationale de la Recherche (ARNr-QC), and the Labex (Dynamo) program (A.T. and C.C.); European Commission (contracts NEWTBVAC n241745 and TBVAC2020 n643381), Centre National de la Recherche Scientifique, Universit Paul Sabatier, Agence Nationale de la Recherche (ANR-13-BSV8-0010-01), and Fondation pour la Recherche Mdicale (DEQ20160334902) (C.G. and O.N.); and grant SNF CRSII3_160703 (P.G.). Author contributions: Conceptualization, all authors. Investigation, Y.C., B.U., C.G., A.T., and M. M. Writing, all authors. Funding acquisition, P.C.F., C.C., O.N., P.G., and T.R.B. Supervision, C.C., O.N., P.G., and T.R.B. Competing interests: The authors declare that they have no competing interests. Data and materials availability: The crystal structures of MenT3 and MenT4 have been deposited in the Protein Data Bank under accession numbers 6Y5U and 6Y56, respectively. All data needed to evaluate the conclusions in the paper are present in the paper and/or the Supplementary Materials. Additional data related to this paper may be requested from the authors.

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A nucleotidyltransferase toxin inhibits growth of Mycobacterium tuberculosis through inactivation of tRNA acceptor stems - Science Advances

Riding the Wave of Home Fitness + Tech – GlobeNewswire

Los Angeles, CA, Aug. 01, 2020 (GLOBE NEWSWIRE) -- Howard Panes: an extremely successful entrepreneur, with a focus in Health and Fitness. Today, you can see him displaying his healthy lifestyle of working out consistently and modeling a healthy diet; homemade health shots included! But this healthy lifestyle is nothing new to Panes. Panes found his love for health and fitness during his pre-teen years. Looking up to bodybuilding icons such as Arnold Schwarzenegger and Sylvester Stallone, he desired to strengthen his mind, body and soul. At the age of twelve, his father bought him his first York barbell set, so he could start working out at home. He worked out consistently for about half a year at home but envisioned more for himself, leading him to ask his mother to take him to a gym. She agreed, and from there, Panes bodybuilding really took off. He began power lifting at a gym called Dembergs, in New Jersey, that was about a five-mile drive from his home. Panes can still clearly remember the first time he stepped foot inside. He recalls being a young teenager, walking into a gym filled with experienced bodybuilders, heavy lifting, yelling, sweating profusely, covering their hands in chalk and sniffing smelling salts. This is what made up a hardcore bodybuilding gym. He was intimated, but intimidation never made Panes back down. In fact, he ended up training at Dembergs for YEARS, leading to his first bodybuilding show in 1986. He was a lightweight coming in at 123 pounds and placed third. Fitness became ingrained as a part of Panes everyday life.

As Panes finished his senior year of high school, working out was on his mind 24/7. He says, it was like brushing your teeth in the morning. It was something I had to do. It made me feel great, gave me confidence, and helped clear my mind and set me up for a successful day. Working out is just part of my routine. You need a routine and exercise just really gets those endorphins going. It changes your mind for the whole day, in a positive way. With that being said, one of his biggest concerns about going to college was how he was going to find the time to work out two to three hours a day.

When he was looking at potential Universities, he was also concerned about the proximity of the gyms near the Universities because they would not allow students to use the same gym as the student athletes, forcing other students to look for gyms off campus. He ended up choosing Syracuse University, an astounding University that would also allow him to continue his work outs. His number one goal then became to get a car. A car would provide him a quick and efficient way to get to the gym, more specifically Hercules Gym, in Syracuse, New York. Hercules Gym was an Olympic Training Gym, which Panes describes as dirty, sweaty, and gritty, just the way he liked it. While most would be timid and recoil, Panes lived for that feeling of discomfort, because it motivated him to push further.

After he graduated college, he continued his passion for health and fitness, as well as his passion for entrepreneurship and innovation. He found ways to combine all of those and experiment with different projects, discovering what could be successful in the consumer market.

He started his own personal training company, HowFit, which became a part of many peoples lives, helping them lose weight, keep motivated and find confidence. His goal with his clients was to improve their overall quality of life. His clients would dedicate six months to a year to do Panes lifestyle enhancement program and change their lives. He says his clients would, get stronger, more flexible, lose weight, see improvements in their blood work and blood pressure, perform better at work, have more energy, and sleep better. I basically gave them the fountain of youth with my training programs!.

While his personal training company was widely successful, competitors such as Lifetime Fitness and Equinox began to pop up within the proximity of his company, making him lose a large percentage of business. With Panes always being a few steps ahead and having the goal of making money while he sleeps, he began creating other various business ventures. One of the many being XFuel, an energy shot that was specifically targeted towards gamers. He obtained and designed a Guitar Hero gamer trailer, stocked it up with XFuel shots and traveled around the US, attracting gamers to come play, while he simultaneously advertised his XFuel shots.

Over the past three years, Panes has been building a new fitness brand called Stealth. Stealth combines fitness and gaming in a proprietary software platform, which turns boring exercise into a fun, motivating experience. The first Stealth product, called Stealth Core Trainer, was launched via a very successful Kickstarter in late 2016. The product began shipping in mid-2017 and has become a huge sensation. Stealth Core Trainer turns the boring plank exercise into a fun gamified experience. You focus so much on playing the game that you forget youre working out. Thats why its called Stealth - sneaking fitness into your day without even thinking about it. The innovative design of Stealth Core Trainer moves in 360 degrees and is connected to your phone, so you plank while you play games. Stealth has exploded in popularity in 2020 because people are looking for at-home fitness solutions due to the coronavirus pandemic closing down gyms. There are now over 200,000 Stealth users, with a growing online community called StealthNation. Panes is, once again, in the process of building another Billion Dollar Brand!

Interviewed by: Lydia Haug

Media Details:Person Name: Howard PanesCompany: Stealth Body FitnessWebsite: http://www.stealthbodyfitness.comE-mail: Howie@stealthbodyfitness.com

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Riding the Wave of Home Fitness + Tech - GlobeNewswire

Plant-based Beverages Market Size Is Predicted To Value $22.9 Billion By 2027 | Grand View Research, Inc. – Virtual-Strategy Magazine

Grand View Research, Inc. Market Research And Consulting.

According to report published by Grand View Research, The global plant-based beverages market size is expected to reach USD 22.9 billion by 2027,registering a CAGR of 8.0% over the forecast period.

The globalplant-based beverages marketsize is expected to reach USD 22.9 billion by 2027,registering a CAGR of 8.0% over the forecast period, according to a new report by Grand View Research, Inc. With increasing awareness for healthy lifestyle, consumers are shifting from conventional food to more natural and healthy plant-based products. Moreover, the vegan population across the globe is propelling the demand for plant derived beverages and food products. Plant-based milk is also gaining wide popularity among vegan population as well as consumers with lactose intolerance condition.

Significant increase in the vegan population across major developed countries such as U.S., U.K., Germany, Australia, New Zealand, and Italy is one of the key factors driving the demand for plant-based beverages. According to the statistics provided by The Vegan Society, U.K. has the largest vegan population, which quadrupled from 2014 to 2019 whereas, the vegan population in U.S. reached 19.6 million in 2017, which was 600% more from 2014. These market trends are anticipated to boost the demand for plant-based beverages over the forecast period.

Lactose intolerance in one of the fastest growing disorders, which is anticipated to boost the scope for plant-based beverages. According to U.S. National Library of Medicine, an estimated 5% to 17% of Europe population suffers from lactose intolerance, whereas 44% of the Americans are lactose intolerant.

Asia Pacific is the largest plant-based beverage consuming region with a market share of more than 30% in 2019 owing to high concentration of buyers in countries such as China, Indonesia, Thailand, and Japan. However, North America is the fastest growing region with a CAGR of % from 2020 to 2027 owing to growing vegan population and increasing prevalence of lactose intolerance in U.S. and Canada.

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Further key findings from the report suggest:

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Grand View Research has segmented the global plant-based beverages market on the basis of product, application, and region:

Plant-based Beverages Product Outlook (Revenue, USD Million, 2016 2027)

Plant-based Beverages Flavor Outlook (Revenue, USD Million, 2016 2027)

Plant-based Beverages Regional Outlook (Revenue, USD Million, 2016 2027)

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Reduced Fat Butter Market: https://www.grandviewresearch.com/industry-analysis/reduced-fat-butter-market

Chia Seeds Market: https://www.grandviewresearch.com/industry-analysis/chia-seeds-market

About Grand View Research

Grand View Research provides syndicated as well as customized research reports and consulting services on 46 industries across 25 major countries worldwide. This U.S.-based market research and consulting company is registered in California and headquartered in San Francisco. Comprising over 425 analysts and consultants, the company adds 1200+ market research reports to its extensive database each year. Supported by an interactive market intelligence platform, the team at Grand View Research guides Fortune 500 companies and prominent academic institutes in comprehending the global and regional business environment and carefully identifying future opportunities.

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Plant-based Beverages Market Size Is Predicted To Value $22.9 Billion By 2027 | Grand View Research, Inc. - Virtual-Strategy Magazine

Healthy Living: Seven weight loss ‘myths’ you need to stop believing – Longford Leader

Has lockdown left your clothes feeling a little more snug? According to a survey by Kings College London and IPSOS Mori, 48% of people in the UK say theyve seen the scales creeping up during the pandemic.

Understandably, many of us have turned to food for comfort, plus our lifestyles suddenly became much more sedentary and giving ourselves a hard time for gaining a bit of weight is the last thing anyone needs.

But if you are thinking about embarking on a post-lockdown health kick, its a good idea to approach it sensibly.

So much is said about losing weight that its hard to know what advice you can trust. Between crash diets, Instagram fads and demonised food groups, theres a lot of conflicting information. Weight loss myths prevail and theyre particularly rife at the moment, with many people looking for ways to shed the extra pounds gained during the heightened stress of lockdown.

To help you on your way, we asked some experts to talk us through some of the most common weight loss myths

1. You can target problem areas

Many people have a part of their body theyre unhappy with, and targeting these so-called problem areas can often be a main motivator in their weight loss journey but regimes that promise to tackle specific areas are misleading.

Unfortunately, if your goal is to solely lose weight off somewhere specific, like your tummy, youre probably going to experience disappointment, says David Wiener, training specialist at Freeletics (freeletics.com). Weight is lost by eating a healthy, balanced diet along with regular exercise, but everyone is different and you cant predict where the fat will be shed from first.

Adding exercises that target the abs and core can help to tone muscle in this area, however, but fat loss is part of a bigger picture.

2. Carbs should be avoided

Most fad or celebrity diets always revolve around cutting out specific food groups, such as carbs, claiming that its a fast-track solution to weight loss, says Wiener.

Carbohydrates are a really important part of a balanced diet though. Wiener explains theyre the bodys main source of energy for the brain, and they also contain essential dietary fibre, which aids in digestion.

While they may [sometimes] be the higher calorie option on paper, the reality is carbs make you feel fuller for longer, which means youre less likely to binge on snacks throughout the day, Wiener adds.

3. Some foods speed up metabolism

The popular theory goes that the faster your metabolism, the more calories you burn and the easier it is to keep weight off. Foods and drinks such as green tea and protein-rich foods are renowned for being good at speeding up your metabolism, says Weiner, who warns that spiking your metabolism only lasts for a few hours at a time. These processes need energy; the amount of energy they need is dependent on an individuals body size, age, gender and genes.

So, while it may be possible for certain foods to spike your metabolism shortly after they are ingested, there is no scientific proof that they are beneficial for your overall metabolism.

4. Biology has no effect on weight loss

Weiner stresses that everybody is different when it comes to weight loss, and theres no simple one size fits all rule. Peoples bodies are affected differently because of varying metabolisms, hormones and muscle mass. Some diets or training regimes will have great success with some people and not with others, he says. You could take more time to lose weight than others, and thats totally fine. Just be patient and trust the process.

5. Detoxing is good for you

Detoxing often largely revolves around cutting out most of your usual food and just having detox juice or shakes instead. Although trendy, health experts often advise caution.

Jo Travers, registered dietitian and author of The Low-Fad Diet, says: A healthy, balanced diet is called such because it is healthy and balanced. When you cut certain foods, it ceases to be balanced and by definition, this means the gut isnt getting what it needs.

A juice detox is a key example. There is very little protein content in juice, so your body will be forced to break down muscle in order to complete important processes like making hormones, enzymes and neurotransmitters. This is usually why people rapidly lose weight on a juice fast; its mainly muscle.

6. Fats are bad when trying to lose weight

Just like carbs, fats often have a bad reputation in the world of dieting. Its not fat that makes you gain weight, its simply eating too many calories that makes you gain weight, says personal trainer Elliott Upton.

One important thing to remember with fats is they contain more calories than protein and carbs, so theyre just easier to overeat there are nine calories per gram of fat, compared to just four calories per gram with carbs and protein.

Certain fats are also very good for us and essential for healthy function. Losing weight and living a lean and healthy lifestyle actually requires some essential fats in your diet. Plus, fays become even more important if youre reducing your intake of carbs, as a low-fat and low-carb diet together is not sustainable, adds Upton.

He says healthy fats are vital to hormone production and they aid in the absorption of fat-soluble vitamins like A, D, E and K.

You should avoid man-made trans fats, which can be pro-inflammatory and are associated with myriad health complications. Healthy sources of fat to include in your weight loss diet are oily fish, like salmon and mackerel; nuts, like cashews, walnuts and almonds; seeds, like chia flax and sesame; and butters and oils.

7. Losing weight should always be a linear process

Losing weight is not always a straightforward and quick journey. Rather than quick-fix diets and fast weight loss, instead think in terms of a general lifestyle change that takes time.

As Wiener explains: Its normal for peoples weight to fluctuate up and down. For example, people are generally lighter in the morning than in the evening. And for women, holding onto water weight can often become more significant during their menstrual cycle.

The bottom line is that making small lifestyle changes and adopting healthy habits over time can help you lose weight in a sustainable, healthy and enjoyable way.

If youre concerned about your weight, its a good idea to speak to your GP, who can give you further advice on losing weight sensibly at home.

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Healthy Living: Seven weight loss 'myths' you need to stop believing - Longford Leader

HABRI Advocates the Human-Animal Bond – Pet Age

No matter where you are, the four words in these uncertain times seem to precede every commercial, every newscast and every other piece of media across the globe. True enough, in this brave new world of COVID-19, anxiety and fear seem to be the marching orders of the day. Finding ways to safely destress and maintain mental health becomes a major priority when all the world seems to be falling apart.

We, of course, know that one of the best sources of mental wellness comes directly from pet ownership. Numerous studies have shown that pet ownership and interactions with pets have direct, tangible benefits on a persons health. But, spreading the word of these benefits has become the watchwords for the Human Animal Bond Research Institute (HABRI).

Founded in 2010 by leaders throughout the pet industry, HABRI works to advance through science, education and advocacy, the vital role of the human-animal bond in the health and well-being of individuals, communities, and companion animals.

In doing so, the organization maintains the worlds largest online library of human-animal bond research, it funds scientific research to document the health benefits of companion animals, and it serves as a liaison to the public for that research.

HABRIs advocacy takes shape in numerous forms, starting with research. To date, HABRI has funded over $3M across 30-plus scientific research projects, demonstrating the health value of companion animals and pets on their owners. Its research partners have included University of Missouri, Tufts University, University of Georgia, and several other major research institutions. In May 2018, HABRI partnered with Mars Petcare to hold a summit on the role of pets in alleviating loneliness, social isolation and other mental ailments; a partnership which continues through this day.

The results of these HABRI-funded research studies have benefitted nearly every walk of life: pets have been shown to improve reading comprehension, reduce classroom disruptions and increase social skill acquisition for third and fourth grade children, have shown improved family function and reduced stress in homes with autistic children, have shown to reduce PTSD symptoms in veterans, and so much more.

HABRIs research partnerships continue to be in the vanguard, showing the benefits of pet ownership and in animal-companionship on the whole. Other research under HABRIs purview has included pet allergy prevention and immunity research, studies into the benefits of companion animals within the workplace, and the correlation between cardiovascular fitness to dog ownership.

Further, HABRIs research has even resulted in changes at the legislative level. The Pet and Women Safety Act, which passed in December 2018, now provides grants to domestic violence shelters to include service animals to aid in rehabilitating victims of domestic violence. Thanks to the tireless advocacy of those in the pet care community, these animals can now help countless individuals across the country.

This comes in conjunction with HABRIs Pet Night on Capitol Hill, a yearly reception in Washington, DC, that provides members of the pet care community to interact with members of Congress, soundly delivering the message that pets are vital for human health and quality of life. While COVID-19 has prevented an in-person Pet Night this year, HABRI was able to shift to Pet Week on Capitol Hill, which featured a full week of programming between legislators and pet care professionals.

And now, in a world that continually faces social isolation and loneliness due to COVID-19-based restrictions, the role of companion animals on our mental health becomes magnified to a powerful degree. HABRI has responded to this need by sharing numerous infographicsavailable on their websitedemonstrating the benefits of pet ownership on longevity, mental health, and more. In addition, HABRI maintains an active social media presence on Facebook, Twitter, Instagram and LinkedIn, sharing up-to-the-minute information on research initiatives, events within the pet care community, and other content that can easily be shared with all those interested in the bond between pets and their owners. Many thanks to Steve Feldman and Lindsey Melfi for contributing valuable content for this article. For those interested in supporting HABRI, viewing the organizations research or downloading HABRI posters, flyers or infographics, visit habri.org.

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HABRI Advocates the Human-Animal Bond - Pet Age