To inactivate the TmLIG4 locus, the disruption vector pAg1N-TmLIG

To inactivate the TmLIG4 locus, the disruption vector pAg1N-TmLIG4/T was constructed. The primers TmLIG4-F1/Apa I

and TmLIG4-R1/Xho I were used in PCR to amplify the CB-839 nmr upstream region of TmLIG4 locus (nucleotide positions −2069 to −60), while the primers TmLIG4-F2/Xba I and TmLIG4-R2/EcoR I amplified the downstream region (nucleotide positions 3359 to 5021). The upstream fragment was digested with Apa I and Xho I and subcloned in the binary vector pAg1-nptII upstream of the nptII cassette, conferring resistance to the aminoglycoside G418 (19). Subsequently, the second fragment was double digested with Xba I/EcoR I and inserted downstream of the cassette (Fig. 1). The TmSSU1 and TmFKBP12 loci were disrupted using the disruption constructs pAg1H-TmSSU1/T and pAg1H-TmFKBP12/T, respectively. Two fragments (F1, nucleotide positions −2149 to 13) and (F2, nucleotide positions 911 to 2831) from the TmFKBP12 locus were amplified by PCR and subcloned upstream and downstream of the hph cassette (24) in the binary vector pAg1-hph by Spe I/Bgl II double digestion of F1 and Xba I/EcoR I of F2. Similarly, pAg1H-TmSSU1/T was constructed by amplification of two fragments (F1, nucleotide positions −2195 to 2) and (F2, nucleotide positions 1367 to 3497) from the TmSSU1 locus.

The two fragments were subcloned upstream and downstream of the hph CP-690550 molecular weight cassette in pAg1-hph by Spe I/Bgl II double digestion of F1 and Xba I/EcoR I of F2. In addition, tnr and TmKu80 genes were

inactivated by pAg1-tnr/T (23) and pAg1-TmKu80/T vectors (14), respectively. The primers used for construction of the above described disruption vectors are listed in supplementary Table 1. Transformation of T. mentagrophytes strains was performed as previously described (23). Fifteen colonies were picked at random in each experiment and tested Methane monooxygenase by PCR. Putative mutants selected by PCR were then subjected to Southern blotting analysis. Total DNA was extracted from growing mycelia as previously described (25). Subsequently, they were digested with the appropriate restriction endonucleases, fractionated on 0.8% (w/v) agarose gels, blotted onto Hybond N+ membranes (GE Healthcare, Little Chalfont, UK) and hybridized using the ECL Direct Nucleic Acid Labeling and Detection system (GE Healthcare). Partial fragments of the TmLIG4 locus (707 bp, nucleotide positions −1155 to −448), the TmSSU1 locus (527 bp, nucleotide positions −674 to −147) and the TmFKBP12 locus (405 bp, nucleotide positions −392 to 13) were used as hybridisation probes. Probes used for Southern hybridisation of TmKu80 and tnr loci have been described previously (14, 23). To estimate the copy number of the TmLIG4 locus in TIMM2789, total DNA was digested with a panel of five restriction enzymes, BamH I, Hind III, Sal I, Pst I and Xho I. Subsequently, they were analyzed by Southern hybridization. Two primers, TmLIG4/GW4F and TmLIG4GW4R, were used as the hybridization probe (Supplementary table 1).

Simple back-projection produces a blurred image because it assume

Simple back-projection produces a blurred image because it assumes that the density distribution along the path of each ray is uniform. The density of each pixel of the projected image, however, can be related to those of the pixels in neighboring positions of the adjacent projections. The smaller the difference in the angle between adjacent projections, the greater is the resolution, and the wider the range of angles, the more complete is the three-dimensional selleck compound image. DeRosier and Klug used Fourier transforms to quantify density information of each image [7], but this approach has been superseded by developments in the digitization of images and computation. Initially, the success of electron tomography was largely restricted

to defining the three-dimensional structures of viruses and macromolecules. Its impact on other aspects of biological ultrastructure was limited until the development of dual axis tomography in the 1990s. Here, two stacks of projected images are used, the first being gained by rotating the object through a wide range of angles around R788 one axis (typically 120° in one degree steps), and then through a similar range around a second axis perpendicular to the first. Improvements in computation have meant that electron tomography

is now the method of choice for revealing the three-dimensional structure of objects with recent reports of 0.24 nm resolution [22]. Using electron tomography, Wagner et al. [25] have examined the vesicular system of endothelial cells in thick sections of muscle capillaries. They reveal isolated single vesicles in the cytoplasm and chains of fused vesicles forming channels between the plasma and the interstitial fluid. Cell press These images would have been controversial 20–30 years ago, particularly as they show terbium, which had been in the vascular perfusate, labeling trans-endothelial channels, and so implying a role of the vesicular system as a permeability pathway. From the time of Palade’s first electron micrographs of microvessels [14], it was speculated that the caveolae and small vesicles had

a role in permeability, acting as ferry-boats or shuttles across the endothelium. While such a mechanism could not account for the very rapid exchange of water and low molecular weight solutes between the plasma and the interstitial fluid, it could be responsible for the low but finite permeability of microvascular walls to macromolecules. About the same time as this role for the vesicles was first being discussed, Grotte [10] published his investigations on the passage of dextrans of differing molecular size between the plasma and the lymph. He proposed that large molecules crossed the endothelial barrier through a very small population of pores with radii in the range of 15–20 nm. These became known as the large pores in contrast to Pappenheimer’s small pores with radii of 3–4 nm that were believed to be the pathway for rapid exchanges of fluid and small solute molecules.

Early in the disease process systemic mRNA expression of T-bet an

Early in the disease process systemic mRNA expression of T-bet and Rorγ was increased in STAT6–/– mice. We conclude that STAT6 is required for attenuation of Th1 and Th17 nephritogenic immune responses and protection from crescentic glomerulonephritis. Glomerulonephritis (GN) is a common cause of renal disease, including end-stage renal failure. Experimental crescentic GN is the murine homologue of rapidly progressive

GN, the most severe form of GN. Severe injury in this model is mediated by cellular immunity and CD4+ T cells are key components of renal injury [1,2]. Upon activation, naive CD4+ cells tend to differentiate into subsets (T helper cells – Th1, Th2 and Th17) that engage immune effectors in different ways. In proliferative forms of MLN2238 cell line GN, T cells direct adaptive immune responses that drive glomerular disease, but also, in rapidly progressive GN, CD4+ cells themselves accumulate in glomeruli as effectors. These effector Fer-1 price T helper cells activate innate immune effector cells, predominantly neutrophils and macrophages, which activate and damage intrinsic renal cells. While humoral immunity influences the patterns and severity of some forms of GN, in this model severe renal injury is driven by cell-mediated immunity [3] and occurs independently

of autologous antibodies [4]. There is evidence that both Th1 [5] and Th17 [6] responses are pathogenic in experimental crescentic GN. Deficiencies in the key transcription factors, T-bet for Th1 cells [7] and retinoic acid-related orphan receptor-γt (Rorγt) for Th17

cells [8], result in significantly attenuated renal injury. Traditionally, Th2 cells have been considered essential for host protection from parasitic infections, while Meloxicam aberrant Th2 responses have been associated with allergy and asthma. In experimental crescentic GN, some Th2-associated cytokines are reno-protective [9]. The signal transducer and activation of transcription (STAT) proteins provide a direct link between cytokine receptors and cytokine induced gene transcription [10]. Activation of the interleukin (IL)-4 receptor on undifferentiated T cells results in the activation of STAT6 with expression of IL-4 related genes [11]. STAT6 is considered central to mounting effective Th2 responses, including the production of Th2 cytokines IL-4 and IL-5, and the key transcription factor GATA binding protein 3 (GATA3) [12]. STAT6-deficient mice have impaired Th2 immune responses, but otherwise are phenotypically normal and produce normal numbers of CD4+ T cells [13]. While early studies suggested that STAT6 was an absolute requirement for IL-4 production [14,15], subsequently it was demonstrated that STAT6-deficient mice can produce IL-4 in response to parasitic infection [16,17]. STAT6 deficiency is protective in several Th2-associated disease models, including allergic asthma [18,19] and eosinophilia with airway hypersensitivity [20].

[2] Consequently, the pressure natriuresis relationship is shifte

[2] Consequently, the pressure natriuresis relationship is shifted to the right, leading to increased arterial

pressure (Fig. 2). Increased arterial pressure would increase intraglomerular pressure causing hyperfiltration in the remaining nephrons, followed by glomerular hypertrophy and over time, glomerular sclerosis and obsolescence. This further nephron loss then reinitiates a cascade of events, further increasing arterial pressure (Fig. 1).[2] We see two important limitations of the hypothesis set out above. Fulvestrant chemical structure Firstly, it focuses entirely on the glomerulus. It is well established that in response to acute alterations in glomerular filtration rate (GFR), neurohumoral adaptations can alter tubular sodium reabsorption in a manner that maintains homeostasis of extracellular

fluid volume.[4] For an increase in blood pressure to occur following a chronic reduction in GFR, alterations in tubular structure and function must also occur to drive the retention of sodium. In turn, altered tubular function could cause a rightward shift of the pressure natriuresis curve which would drive the development of hypertension (Fig. 2). The second important limitation arises from the fact that nephron loss in adulthood (e.g. from nephrectomy) is less likely to result in hypertension AZD5363 than congenital nephron deficiency.[5, 6] Approximately 50% of children born with only one kidney (unilateral renal agenesis) have reduced GFR, and develop Ponatinib hypertension

and microalbuminuria by the age of 18.[7] In contrast, following kidney donation in adulthood (thus inducing a 50% loss of nephrons), total GFR is well-maintained,[8] although there is an increased risk of hypertension.[9] We believe these observations indicate that altered tubular development may contribute to the pro-hypertensive effects of congenital nephron deficiency. Compensatory renal growth is a characteristic adaptation in models of renal mass reduction. Reduction in renal mass induced by either uninephrectomy or 5/6th renal ablation results in significantly increased SNGFR and filtered load of sodium, accompanied by compensatory growth of the tubules and glomeruli.[2, 10] This growth is observed regardless of whether renal mass reduction is performed in the young or in the adult. In this article, we will review the evidence that the compensatory growth of the tubules and the glomeruli, which occurs following reduction in renal mass in-utero or early in the postnatal period in the immature kidney, differs from the adaptations that occur when renal mass is reduced in adulthood. We will initially focus on the postnatal adaptations that normally occur in the kidney after birth, which are critical for attainment of normal adult renal function.

As with other types of myofibrillar myopathies [28,29], the typic

As with other types of myofibrillar myopathies [28,29], the typical light microscopy features of Chinese desminopathy patients included: (i) abnormal fibre regions harbouring amorphous materials, nemaline-like structures, and cytoplasmic bodies in MGT-stained sections. We found that amorphous materials were more common than other changes; (ii) sharply abnormal regions with a decrease in oxidative enzyme activity including core and rubbed-out fibres; (iii) rimmed vacuoles; and (iv) ectopic aggregations of desmin and other

proteins. However, our observations illustrated the broad variability in myopathological changes from patient to patient. A relationship between pathological changes and mutation positions in the desmin gene could not be established, even in Small molecule library individuals from the same family. In two related Dutch families with the S13F mutation in the head domain, muscle biopsies showed dystrophic changes in three patients and mild myopathic changes in the other one. All presented with no occurrence of amorphous materials in the fibres [28]. In our observations, the index case of the S12F mutation of the head domain had a dystrophy-like change with amorphous material in the PR-171 research buy abnormal fibres, while his elder brother

showed myopathy-like changes with numerous cytoplasmic bodies which has been described by Pica et al. in a Chinese patient with the S13F mutation [22]. Most rod domain mutations were reported to show amorphous accumulations in abnormal fibre regions in MGT staining [6]. However, we PtdIns(3,4)P2 found that amorphous materials were also dominant in patients with mutations in the tail domain. Our observations suggest that it is difficult to predict the mutation positions in the desmin

gene from the different light microscopy features. Electron microscopy plays a central role in the diagnostic workup of myofibrillar myopathy. Most reports have emphasized that granulofilamentous electron-dense materials between myofibrils or in subsarcolemmal areas are ultrastructural features of desminopathy [30], and these were identified in all our patients. Other ultrastructural features included cytoplasmic bodies, nemaline bodies, and ‘ring like structures’[22,31,32]. We could not find any differences between desminopathy and filaminopathy, resulting from defects in the filamin c gene, in the cytoplasmic bodies in electron microscopy [33]. The ‘ring-like structure’, a phenomenon firstly described by Pruszczyk et al. in a patient with the E413K mutation in the tail domain, was similar to granular electron dense material originating from the level of the Z-disc [32]. The ‘ring-like structure’ consists of highly electron-dense materials with a hole in the centre. We found both typical nemaline bodies and ‘ring-like structures’ in two of our patients with a mutation in the rod domain. As the ‘ring-like structure’ was only observed in desminopathy, this pathological change may be another useful indicator in the genetic analysis of the desmin gene.

We next analysed whether costimulation with sc CD86/anti-CD33 or

We next analysed whether costimulation with sc CD86/anti-CD33 or sc CD80/anti-CD33 antibodies (used at 10 μg/ml from now on) could increase Ca2+ signals following focal stimulation by pre-loaded CHO cells. Analysing parental Jurkat T cells (Fig. 4a), E6-1 Jurkat T cells (Fig. 4b) or naïve, unstimulated primary CD3+ T cells (Fig. 4c), we could not observe any significant differences between stimulation with dscFv anti-CD33/anti-CD3 alone or in combination with sc CD80/anti-CD33 or sc CD86/anti-CD33. However, the differences with respect to the proliferation and the killing capacity between dscFv anti-CD33/anti-CD3

with or without costimulation (Figs 1, 2) were always analysed after 4 days. During this time, T cells had reached effector status. In a next step, we mimicked these conditions. To generate effector T cells without Crizotinib research buy exposing them to dscFv anti-CD33/anti-CD3 before the actual Ca2+ imaging experiment, naïve T cells were stimulated either with PHA and IL-2 or with anti-CD3/anti-CD28-coated beads. We have previously shown that this protocol generates an almost pure effector T-cell population.23 We repeated the Ca2+ imaging experiments with these effector T cells and observed clear differences between stimulation with dscFv anti-CD33/anti-CD3 alone and stimulation with dscFv anti-CD33/anti-CD3 in combination with the costimulatory

molecules. Stimulation of the effector T cells with dscFv anti-CD33/anti-CD3 in combination with sc CD86/anti-CD33 induced larger Ca2+ signals than dscFv anti-CD33/anti-CD3 in combination with sc CD80/anti-CD33 or dscFv anti-CD33/anti-CD3 alone (Fig. 4d), which Pexidartinib cost matches with the proliferation and cytotoxicity data shown in Figs 1 and 2. Because CD28 and CTLA-4 are the main receptors for CD80 and CD86 on T cells, we analysed their expression. We did not detect significant CD28 expression

on parental Jurkat T cells, however, it was clearly expressed on E6-1 Jurkat T-cells Tyrosine-protein kinase BLK (Fig. 4e,f). It was also modestly expressed on naïve T cells but up-regulated during T-cell maturation, following stimulation of naïve T cells with IL-2 and PHA or anti-CD3/anti-CD28-coated beads (Fig. 4g,h). There was no detectable CTLA-4 surface expression on both Jurkat T-cell lines (Fig. 4e,f ) and naïve T cells (Fig. 4g) but there was a clear up-regulation during T-cell maturation (Fig. 4h). CD28 is recruited to the immunological synapse (IS) even in the absence of CD80 or CD86 costimulation. However, its localization at the IS can be disrupted by CTLA-4, which needs ligand binding to be recruited to the IS.37 Costimulation should therefore influence effector T-cell signalling much more than signalling in naïve cells because only effector cells express CD28 and CTLA-4 at high levels. This is indeed the case as shown in Fig. 4(d,h). Interfering with the function of CD28 should cancel the difference between CD80 and CD86 costimulation in effector T cells.

Candida Pra1 binds human ligands, including (i) fibrinogen, an ex

Candida Pra1 binds human ligands, including (i) fibrinogen, an extracellular matrix protein [[23]], (ii) Factor H and FHL1 (factor H-like protein 1), two plasma proteins that regulate the alternative complement pathway [[24]], (iii) C4BP, the soluble regulator of the classical pathway regulator

[[25]], (iv) C3, a central complement protein and several C3 activation fragments [[26]], (v) plasminogen, the coagulation cascade component [[24]], and (vi) the integrin CR3 which ABT-888 molecular weight is a central inflammatory receptor [[27]]. Because of this interaction with a diverse array of human immune effectors, Candida Pra1 is considered a central fungal virulence factor, blocking complement activation and effector functions at multiple steps [[15, 28]]. Cheng et al. [1] now describe that Candida Pra1 blocks this complement and PBMS-mediated cytokine response. Z-IETD-FMK datasheet Given that, in evolutionary terms, complement is one of the oldest elements of innate immunity, the reporting of novel exciting complement effector functions – especially those that link innate and adaptive immunity – predicts that in the future additional important aspects of the complement system will be identified. These new facets,

in combination with already existing concepts, will reveal further complexity of the intense immune battle between the human host and pathogens like C. albicans. The work of the authors is funded by the Deutsche Forschungsgemeinschaft (Zi432 and the Schwerpunktprogramm SPP1160 and SK46). The authors declare no financial or commercial conflict of interest. “
“Helicobacter Tenoxicam pylori CagA protein is considered a major virulence factor associated with gastric cancer. There are two major types of CagA

proteins: the Western and East Asian CagA. The East Asian CagA-positive H. pylori infection is more closely associated with gastric cancer. The prevalence of gastric cancer is quite low in the Philippines, although Philippine populations are considered to originate from an East Asia source. This study investigates the characteristics of the cagA gene and CagA protein in Philippine H. pylori strains and compares them with previously characterized reference strains worldwide. The full-length cagA gene was sequenced from 19 Philippine isolates and phylogenetic relationships between the Philippine and 40 reference strains were analyzed. All Philippine strains examined were cagA positive, and 73.7% (14/19) strains were Western CagA-positive. The phylogenetic tree based on the deduced amino acid sequence of CagA indicated that the Philippine strains were classified into the two major groups of CagA protein: the Western and the East Asian group. These findings suggest that the modern Western influence may have resulted in more Western type H. pylori strains in the Philippines.

5%), thrombotic microangiopathy(TMA)(7 4%), post partum

h

5%), thrombotic microangiopathy(TMA)(7.4%), post partum

hemorrhage(2.1%) and glomerular diseases(8.5%). About 74 patients(79%) required hemodialysis with mean duration of dialysis dependency being 14 days. About 53 patients(56%) recovered completely, 33(35%) had only partial recovery and had progressed to chronic kidney disease at 3 months of follow up. Mortality occurred in 8 patients(9%). E.coli was the commonest organism isolated in urine and high vaginal swab, followed by klebsiella. The most common organism grown in blood culture was E.coli followed by Staph.aureus. Fetal outcome included alive and healthy baby in 40(42.6%), intra-uterine growth retardation in 2(2.1%), adverse fetal outcome comprising Caspase activity of intra-uterine death and still born in 52 cases(55.3%). Renal biopsy was done in 32 patients(34%). Cortical necrosis was noted in 11, TMA in 7, acute tubular necrosis in 6, lupus nephritis in 4 and one each of immunoglobulin nephropathy, diffuse mesangial proliferation, focal segmental glomerulosclerosis and pauci-immune necrotising glomerulonephritis. Cortical necrosis(p = 0.0055) in biopsy predicted progression to CKD. Conclusion: Post partum septicemia(39.3%) still remains as an important contributor of morbidity and mortality in PRAKI. Severe pre-eclampsia(20%) and glomerular disease(8.5%) manifesting during pregnancy were also common.

Mortality NVP-LDE225 clinical trial rate observed was 9%. ALHOMRANY MOHAMMED A King Khalid University Introduction: Acute kidney injury (AKI) is a major worldwide health problem. There is not enough data on the frequency of such problem among hospitalized patients in Saudi Arabia. This study was conducted to determine the frequency and the etiologies of AKI in hospitalized patients. Methods: Hospital based prospective study of all cases of AKI during the period from January 2010–December 2012. Results: A total of 150 cases of AKI were GPX6 seen during the study period with estimated frequency of 0.6% of all hospitalized cases of the same period. Among all case there were 88 (59%) male and 62 (41%) female

with a mean age of 58.91 ± 22.5 year. Community acquired Kidney injury (CAKI) was 38% and hospital acquired (HAKI) was 62% of the cases. Acute tubular necrosis (ATN) was the main cause of AKI and it represents 63% of all cases, followed by pre-renal failure in 23.3%. Among the cases of ATN, sepsis was the main predisposing factor in 40% followed by ischaemic ATN (20.4%), Rhabdomyolysis (majority due to RTA) 17%, malaria (5.3%) and snake bites (2.6%). Full recovery of renal failure was achieved in 48% of all cases and only one patient (0.7%) became dialysis dependent. Over all mortality was 40%. Elderly (age > 60), HAKI patients, peak serum BUN (>160 mg/dl), duration of KI (>one week), need for dialysis and associated medical diseases like chronic liver diseases are associated with poor prognosis.

12 No difference in malignancy, graft or patient outcomes was see

12 No difference in malignancy, graft or patient outcomes was seen. There has been limited study of the use of urinary PD markers. It has been shown that high levels in urinary cells of mRNA for FOXP3,41 the CD8+ cell surface marker CD103,59 interferon-inducible protein-10 and the chemokine receptor

CXCR360 are associated with acute rejection. Such data suggest that measurement of urinary gene expression may have potential as a non-invasive means of PD monitoring. Studying PD variability by direct measurement of immune cell function Selleckchem Tanespimycin has enormous potential for personalizing immunosuppression, and thus for increasing the efficacy and safety of immunosuppressant drugs. A measurable impact of immunosuppression on T-cell biology has been clearly demonstrated. However, there has been no standardized analytical protocol for analysing the majority of PD markers, hampering comparison of results obtained by different centres. Additionally, although many Dabrafenib mw of the required assays are informative about mechanism, their labour intensive nature is likely to limit clinical use. Furthermore, the majority of studies have involved low

patient numbers, and data relating PD parameters to outcomes are extremely limited. It is important to consider that although theoretically,

measurement of T-cell function provides a more direct measure of the pharmacological activity and biological effects of immunosuppressant ADAM7 drugs, these measures generally require non-physiologic stimulation of cells in a non-physiologic environment. Given that in vivo immune responses are influenced by a multitude of factors including strength of antigen/T-cell receptor interaction, co-stimulatory signals, the activities of bystander cells, cytokines and endocrine hormones, it remains to be seen whether these markers will accurately reflect overall immune status. As such, outcome studies are vital before these parameters can be used to guide immunosuppressant drug dosing. Thus, while promising data for a number of PD approaches are emerging, large prospective systematic trials providing evidence of superiority of PD guided dosing as compared with current dosing will be required before these techniques can be routinely applied to clinical care. KB is currently supported by a National Health and Medical Research Council Medical/Dental Post-graduate Research Scholarship. CS is currently supported by a Lions Medical Research Fellowship.

The model is based on an extensive survey of the public literatur

The model is based on an extensive survey of the public literature and input from an independent scientific advisory board. It reproduces key disease features including activation and expansion of autoreactive lymphocytes in the pancreatic lymph nodes (PLNs), islet infiltration and β cell loss leading to hyperglycaemia. The model uses ordinary differential and algebraic equations to represent the pancreas and PLN as well as dynamic interactions of multiple cell types (e.g. dendritic cells, macrophages, CD4+ T lymphocytes, CD8+ T lymphocytes, regulatory T cells, β cells). The simulated features

of untreated pathogenesis and disease outcomes for multiple interventions compare favourably selleck chemical with published experimental data. Thus, a mathematical model reproducing type 1 diabetes pathophysiology in the NOD mouse, validated based on accurate reproduction of results from multiple

published interventions, is available for in silico hypothesis testing. Predictive biosimulation research evaluating therapeutic strategies and underlying biological mechanisms is intended to deprioritize hypotheses that selleck screening library impact disease outcome weakly and focus experimental research on hypotheses likely to provide insight into the disease and its treatment. While many therapeutic strategies have prevented or cured type 1 diabetes successfully in animal models such as the non-obese diabetic (NOD) mouse, all clinical trials to date have failed to do so in human subjects, suggesting that a more complex interpretation of the animal data may be warranted. In our previous evaluation of interventions attempting Anidulafungin (LY303366) to modulate disease in the NOD mouse, we found several cases where disparate

responses had been observed following administration of a particular intervention [1]. Closer examination suggested that in some cases, dose, timing and treatment duration could theoretically account for discrepant efficacy observed within the NOD mouse model and/or between NOD versus human treatment results, underscoring their probable importance in identifying appropriate protocols for human clinical trials. We therefore maintain that an improved understanding of how protocol parameters impact treatment efficacy can be expected to improve fundamentally our interpretation of animal results and facilitate translational efforts. While theoretically desirable, it can be prohibitively expensive and time-consuming to optimize treatment protocols and fully explore treatment mechanisms of action in the laboratory. An alternative is to use physiologically based mathematical models to execute rapid, cost-efficient in silico analysis, resulting in testable predictions and recommendations for key corroborating experiments.