IntechOpen Book Series will also publish a program of research-driven Thematic Edited Volumes that focus on specific areas and allow for a more in-depth overview of a particular subject.
\\n\\n
IntechOpen Book Series will be launching regularly to offer our authors and editors exciting opportunities to publish their research Open Access. We will begin by relaunching some of our existing Book Series in this innovative book format, and will expand in 2022 into rapidly growing research fields that are driving and advancing society.
With the desire to make book publishing more relevant for the digital age and offer innovative Open Access publishing options, we are thrilled to announce the launch of our new publishing format: IntechOpen Book Series.
\n\n
Designed to cover fast-moving research fields in rapidly expanding areas, our Book Series feature a Topic structure allowing us to present the most relevant sub-disciplines. Book Series are headed by Series Editors, and a team of Topic Editors supported by international Editorial Board members. Topics are always open for submissions, with an Annual Volume published each calendar year.
\n\n
After a robust peer-review process, accepted works are published quickly, thanks to Online First, ensuring research is made available to the scientific community without delay.
\n\n
Our innovative Book Series format brings you:
\n\n
\n\t
Topic Focused Publications - Each topic showcases high impact subject areas
\n\t
Renowned Editorial Expertise - Series Editors, Topic Editors, and a team of international Board Members that permanently support each Book Series
\n\t
Fast Publishing - quick turnaround which is unique for book publishing
\n\t
The benefit of ISSN and ISBN for increased citation and indexing possibilities
\n
\n\n\n\n
IntechOpen Book Series will also publish a program of research-driven Thematic Edited Volumes that focus on specific areas and allow for a more in-depth overview of a particular subject.
\n\n
IntechOpen Book Series will be launching regularly to offer our authors and editors exciting opportunities to publish their research Open Access. We will begin by relaunching some of our existing Book Series in this innovative book format, and will expand in 2022 into rapidly growing research fields that are driving and advancing society.
We invite you to explore our IntechOpen Book Series, find the right publishing program for you and reach your desired audience in record time.
\n\n
Note: Edited in October 2021
\n'}],latestNews:[{slug:"webinar-introduction-to-open-science-wednesday-18-may-1-pm-cest-20220518",title:"Webinar: Introduction to Open Science | Wednesday 18 May, 1 PM CEST"},{slug:"step-in-the-right-direction-intechopen-launches-a-portfolio-of-open-science-journals-20220414",title:"Step in the Right Direction: IntechOpen Launches a Portfolio of Open Science Journals"},{slug:"let-s-meet-at-london-book-fair-5-7-april-2022-olympia-london-20220321",title:"Let’s meet at London Book Fair, 5-7 April 2022, Olympia London"},{slug:"50-books-published-as-part-of-intechopen-and-knowledge-unlatched-ku-collaboration-20220316",title:"50 Books published as part of IntechOpen and Knowledge Unlatched (KU) Collaboration"},{slug:"intechopen-joins-the-united-nations-sustainable-development-goals-publishers-compact-20221702",title:"IntechOpen joins the United Nations Sustainable Development Goals Publishers Compact"},{slug:"intechopen-signs-exclusive-representation-agreement-with-lsr-libros-servicios-y-representaciones-s-a-de-c-v-20211123",title:"IntechOpen Signs Exclusive Representation Agreement with LSR Libros Servicios y Representaciones S.A. de C.V"},{slug:"intechopen-expands-partnership-with-research4life-20211110",title:"IntechOpen Expands Partnership with Research4Life"},{slug:"introducing-intechopen-book-series-a-new-publishing-format-for-oa-books-20210915",title:"Introducing IntechOpen Book Series - A New Publishing Format for OA Books"}]},book:{item:{type:"book",id:"10369",leadTitle:null,fullTitle:"Applications of RNA-Seq in Biology and Medicine",title:"Applications of RNA-Seq in Biology and Medicine",subtitle:null,reviewType:"peer-reviewed",abstract:"This book evaluates and comprehensively summarizes the scientific findings that have been achieved through RNA-sequencing (RNA-Seq) technology. RNA-Seq transcriptome profiling of healthy and diseased tissues allows FOR understanding the alterations in cellular phenotypes through the expression of differentially spliced RNA isoforms. Assessment of gene expression by RNA-Seq provides new insight into host response to pathogens, drugs, allergens, and other environmental triggers. RNA-Seq allows us to accurately capture all subtypes of RNA molecules, in any sequenced organism or single-cell type, under different experimental conditions. Merging genomics and transcriptomic profiling provides novel information underlying causative DNA mutations. Combining RNA-Seq with immunoprecipitation and cross-linking techniques is a clever multi-omics strategy assessing transcriptional, post-transcriptional and post-translational levels of gene expression regulation.",isbn:"978-1-83962-815-3",printIsbn:"978-1-83962-686-9",pdfIsbn:"978-1-83962-816-0",doi:"10.5772/intechopen.91555",price:119,priceEur:129,priceUsd:155,slug:"applications-of-rna-seq-in-biology-and-medicine",numberOfPages:142,isOpenForSubmission:!1,isInWos:null,isInBkci:!1,hash:"62399ea4ed0544b946dcbd1853b2d1b8",bookSignature:"Irina Vlasova-St. Louis",publishedDate:"October 13th 2021",coverURL:"https://cdn.intechopen.com/books/images_new/10369.jpg",numberOfDownloads:1111,numberOfWosCitations:0,numberOfCrossrefCitations:0,numberOfCrossrefCitationsByBook:0,numberOfDimensionsCitations:1,numberOfDimensionsCitationsByBook:0,hasAltmetrics:1,numberOfTotalCitations:1,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"September 25th 2020",dateEndSecondStepPublish:"October 23rd 2020",dateEndThirdStepPublish:"December 22nd 2020",dateEndFourthStepPublish:"March 12th 2021",dateEndFifthStepPublish:"May 11th 2021",currentStepOfPublishingProcess:5,indexedIn:"1,2,3,4,5,6",editedByType:"Edited by",kuFlag:!1,featuredMarkup:null,editors:[{id:"211159",title:"Prof.",name:"Irina",middleName:null,surname:"Vlasova-St. Louis",slug:"irina-vlasova-st.-louis",fullName:"Irina Vlasova-St. Louis",profilePictureURL:"https://mts.intechopen.com/storage/users/211159/images/system/211159.png",biography:"Dr. Vlasova-St. Louis earned her MD and Ph.D. degrees from Ural State Medical Academy, Russia. She completed her postdoctoral training at the University of Minnesota, USA, and fellowship sponsored by the Lymphoma Research Foundation. She served as an Assistant Professor at the Department of Medicine, University of Minnesota. \r\nDr. Vlasova-St. Louis has expertise in several biological disciplines including infectious diseases, immunology, and bioinformatics. By integrating state-of-the-art techniques such as next-generation sequencing, she made numerous biomedical discoveries studying normal and pathological conditions at the molecular, cellular, and organismal levels. \r\nCurrently, Dr. St. Louis is a COVID-19 Associate, sponsored by the Association of Public Health Laboratories and the Center for Disease Control and Prevention. She leads the molecular surveillance program of novel SARS-CoV-2 variants. Additionally, she is conducting research at Johns Hopkins University within the Advanced Academic Program: Individualized Genomics and Health.",institutionString:"University of Minnesota",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"3",totalChapterViews:"0",totalEditedBooks:"1",institution:{name:"Johns Hopkins University",institutionURL:null,country:{name:"United States of America"}}}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null,coeditorOne:null,coeditorTwo:null,coeditorThree:null,coeditorFour:null,coeditorFive:null,topics:[{id:"380",title:"Molecular Biology",slug:"biochemistry-genetics-and-molecular-biology-biochemistry-molecular-biology"}],chapters:[{id:"78478",title:"Introductory Chapter: Applications of RNA-Seq Diagnostics in Biology and Medicine",doi:"10.5772/intechopen.99882",slug:"introductory-chapter-applications-of-rna-seq-diagnostics-in-biology-and-medicine",totalDownloads:116,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:1,abstract:null,signatures:"Irina Vlasova-St. Louis",downloadPdfUrl:"/chapter/pdf-download/78478",previewPdfUrl:"/chapter/pdf-preview/78478",authors:[{id:"211159",title:"Prof.",name:"Irina",surname:"Vlasova-St. Louis",slug:"irina-vlasova-st.-louis",fullName:"Irina Vlasova-St. Louis"}],corrections:null},{id:"76720",title:"RNA Sequencing in Potentially Malignant Disorders",doi:"10.5772/intechopen.97712",slug:"rna-sequencing-in-potentially-malignant-disorders",totalDownloads:181,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"RNA sequencing is a molecular technique which utilizes next generation sequencing to identify and quantify ribonucleic acid (RNA) in a given sample. This technique is utilized in the detection of changes in gene expression. Potentially malignant oral disorders are one of the most troublesome lesions seen in the oral cavity which predisposes to the development of oral cancer. Though there are many methods employed in the diagnosis of these disorders, biopsy followed by histological examination is the gold standard procedure followed in the diagnosis. RNA sequencing has been receiving attention among researchers. Many studies have been conducted to analyze the application of RNA sequencing in the diagnosis of PMODs as well as in the malignant transformation to oral squamous cell carcinoma. The article attempts to summarize the progress in RNA sequencing pertaining to Potentially malignant disorders.",signatures:"Ramya Ramadoss, Rajkumar Krishnan, Lekshmy Jayan and Priyadharini Shankaran",downloadPdfUrl:"/chapter/pdf-download/76720",previewPdfUrl:"/chapter/pdf-preview/76720",authors:[{id:"334988",title:"Dr.",name:"Ramya",surname:"Ramadoss",slug:"ramya-ramadoss",fullName:"Ramya Ramadoss"},{id:"334997",title:"Dr.",name:"Rajkumar",surname:"Krishnan",slug:"rajkumar-krishnan",fullName:"Rajkumar Krishnan"},{id:"350018",title:"Dr.",name:"Lekshmy",surname:"Jayan",slug:"lekshmy-jayan",fullName:"Lekshmy Jayan"},{id:"415408",title:"Dr.",name:"Priyadharini",surname:"Shankaran",slug:"priyadharini-shankaran",fullName:"Priyadharini Shankaran"}],corrections:null},{id:"75458",title:"Insights into Oropharyngeal Microbiota, Biofilms and Associated Diseases from Metagenomics and Transcriptomic Approaches",doi:"10.5772/intechopen.96449",slug:"insights-into-oropharyngeal-microbiota-biofilms-and-associated-diseases-from-metagenomics-and-transc",totalDownloads:105,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"Oral cavity is an ecologically complex environment and hosts a diverse microbial community. Most of these organisms are commensals, however, on occasion, some have the potential to become pathogenic causing damage to the human host. Complex interactions between pathogenic bacteria, the microbiota, and the host can modify pathogen physiology and behavior. Most bacteria in the environment do not exist in free-living state but are found as complex matrix enclosed aggregates known as biofilms. There has been research interest in microbial biofilms because of their importance in industrial and biomedical settings. Bacteria respond to environmental cues to fine-tune the transition from planktonic growth to biofilm by directing gene expression changes favorable for sessile community establishment. Meta-approaches have been used to identify complex microbial associations within human oral cavity leading to important insights. Comparative gene expression analysis using deep sequencing of RNA and metagenomics studies done under varying conditions have been successfully used in understanding and identifying possible triggers of pathogenicity and biofilm formation in oral commensals.",signatures:"Richa Priyadarshini, Karthik Krishnan and Rashmi Niranjan",downloadPdfUrl:"/chapter/pdf-download/75458",previewPdfUrl:"/chapter/pdf-preview/75458",authors:[{id:"262335",title:"Dr.",name:"Richa",surname:"Priydarshini",slug:"richa-priydarshini",fullName:"Richa Priydarshini"},{id:"263707",title:"Dr.",name:"Karthik",surname:"Krishnan",slug:"karthik-krishnan",fullName:"Karthik Krishnan"},{id:"346817",title:"Ms.",name:"Rashmi",surname:"Niranjan",slug:"rashmi-niranjan",fullName:"Rashmi Niranjan"}],corrections:null},{id:"76156",title:"Assessing Host-Pathogen Interaction Networks via RNA-Seq Profiling: A Systems Biology Approach",doi:"10.5772/intechopen.96706",slug:"assessing-host-pathogen-interaction-networks-via-rna-seq-profiling-a-systems-biology-approach",totalDownloads:171,totalCrossrefCites:0,totalDimensionsCites:0,hasAltmetrics:0,abstract:"RNA sequencing is a valuable tool brought about by advances in next generation sequencing (NGS) technology. Initially used for transcriptome mapping, it has grown to become one of the ‘gold standards’ for studying molecular changes that occur in niche environments or within and across infections. It employs high-throughput sequencing with many advantages over previous methods. In this chapter, we review the experimental approaches of RNA sequencing from isolating samples all the way to data analysis methods. We focus on a number of NGS platforms that offer RNA sequencing with each having their own strengths and drawbacks. The focus will also be on how RNA sequencing has led to developments in the field of host-pathogen interactions using the dual RNA sequencing technique. Besides dual RNA sequencing, this review also explores the application of other RNA sequencing techniques such as single cell RNA sequencing as well as the potential use of newer techniques like ‘spatialomics’ and ribosome-profiling in host-pathogen interaction studies. 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In particular, there are two notable standouts: human immunodeficiency virus (HIV) and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Detection of these disease-causing viral transcripts, by next-generation RNA sequencing (RNA-Seq), represents the most immediate opportunity for advances in diagnostic, therapeutic, and preventive applicability in infectious diseases (e.g., AIDS and COVID-19). Moreover, RNA-Seq technologies add significant value to public health studies by first, providing real-time surveillance of known viral strains, and second, by the augmentation of epidemiological databases, construction of annotations and classifications of novel sequence variants. This chapter intends to recapitulate the current knowledge of HIV and SARS-CoV-2 transcriptome architecture, pathogenicity, and some features of the host immune response. 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The transcriptome is a complete collection of transcripts found in a cell or tissue or organism at a given time point or specific developmental or environmental or physiological condition. The emergence and evolution of RNA-Seq chemistries have changed the landscape and the pace of transcriptome research in life sciences over a decade. This chapter introduces RNA-Seq and surveys its recent food and agriculture applications, ranging from differential gene expression, variants calling and detection, allele-specific expression, alternative splicing, alternative polyadenylation site usage, microRNA profiling, circular RNAs, single-cell RNA-Seq, metatranscriptomics, and systems biology. A few popular RNA-Seq databases and analysis tools are also presented for each application. We began to witness the broader impacts of RNA-Seq in addressing complex biological questions in food and agriculture.",signatures:"Venkateswara R. Sripathi, Varsha C. Anche, Zachary B. Gossett and Lloyd T. 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The book presents state-of-the-art techniques for calculating ground motion amplification due to sediments above the engineering bedrock employing strong-motion recordings and microtremor data. It also explains liquefaction phenomena through interpretive structural modeling techniques. Finally, the book presents pile foundations’ seismic behavior on liquefiable soils and remedial countermeasures against earthquake attacks.",isbn:"978-1-83962-429-2",printIsbn:"978-1-83962-424-7",pdfIsbn:"978-1-83962-430-8",doi:"10.5772/intechopen.87816",price:119,priceEur:129,priceUsd:155,slug:"earthquakes-from-tectonics-to-buildings",numberOfPages:224,isOpenForSubmission:!1,isSalesforceBook:!1,isNomenclature:!1,hash:"1f9859a0a16af53d80bf3952fba7a272",bookSignature:"Walter Salazar",publishedDate:"May 19th 2021",coverURL:"https://cdn.intechopen.com/books/images_new/9993.jpg",keywords:null,numberOfDownloads:2979,numberOfWosCitations:1,numberOfCrossrefCitations:7,numberOfDimensionsCitations:9,numberOfTotalCitations:17,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"June 9th 2020",dateEndSecondStepPublish:"September 10th 2020",dateEndThirdStepPublish:"November 9th 2020",dateEndFourthStepPublish:"January 28th 2021",dateEndFifthStepPublish:"March 29th 2021",dateConfirmationOfParticipation:null,remainingDaysToSecondStep:"2 years",secondStepPassed:!0,areRegistrationsClosed:!0,currentStepOfPublishingProcess:5,editedByType:"Edited by",kuFlag:!1,biosketch:'Dr. Salazar has been recently presented with a Distinguished Salvadoran national Award on 2011 and led the Seismic Hazard/Risk Assessment projects at the University of the West Indies (UWI) – Seismic Research Centre, Trinidad and has been appointed to be a peer reviewer of several scientific journals including Natural Hazards, Journal of Seismology and International Journal of Disaster Risk Science (Springer). He is also a peer reviewer of "Soil Dynamics and Earthquake Engineering" (Elsevier).',coeditorOneBiosketch:null,coeditorTwoBiosketch:null,coeditorThreeBiosketch:null,coeditorFourBiosketch:null,coeditorFiveBiosketch:null,editors:[{id:"236461",title:"Dr.",name:"Walter",middleName:null,surname:"Salazar",slug:"walter-salazar",fullName:"Walter Salazar",profilePictureURL:"https://mts.intechopen.com/storage/users/236461/images/system/236461.jpg",biography:"Dr. Walter Salazar is a structural civil engineer who obtained a doctoral degree in Engineering Seismology from the Interdisciplinary Graduate School of Science and Engineering, Tokyo Institute of Technology, Japan, in 2004. Dr. Salazar has been active in site-effects and seismic hazard research, producing several peer-reviewed maps for El Salvador, Jamaica, and the Eastern Caribbean. He has published sixty articles in peer-reviewed journals, books, and international conferences. In 2011, he received a Distinguished Salvadoran National Award. He is a peer reviewer for several scientific journals. Currently, Dr. Salazar is a Professor of Structural Engineering at the Catholic University of El Salvador.",institutionString:"Catholic University of El Salvador",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"2",totalChapterViews:"0",totalEditedBooks:"1",institution:{name:"Catholic University of El Salvador",institutionURL:null,country:{name:"El Salvador"}}}],coeditorOne:null,coeditorTwo:null,coeditorThree:null,coeditorFour:null,coeditorFive:null,topics:[{id:"654",title:"Seismology",slug:"seismology"}],chapters:[{id:"74492",title:"Tentative Intracontinental Seismic Activity in South Siberia and Russian Far East",slug:"tentative-intracontinental-seismic-activity-in-south-siberia-and-russian-far-east",totalDownloads:303,totalCrossrefCites:0,authors:[{id:"325581",title:"Dr.",name:"Yuriy",surname:"Gatinsky",slug:"yuriy-gatinsky",fullName:"Yuriy Gatinsky"},{id:"325590",title:"Dr.",name:"Tatiana",surname:"Prokhorova",slug:"tatiana-prokhorova",fullName:"Tatiana 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Science",slug:"seismological-data-acquisition-and-analysis-within-the-scope-of-citizen-science",totalDownloads:523,totalCrossrefCites:1,authors:[{id:"324000",title:"Emeritus Prof.",name:"Ewald",surname:"Brückl",slug:"ewald-bruckl",fullName:"Ewald Brückl"},{id:"339983",title:"Mr.",name:"Peter",surname:"Carniel",slug:"peter-carniel",fullName:"Peter Carniel"},{id:"339987",title:"Dr.",name:"Stefan",surname:"Mertl",slug:"stefan-mertl",fullName:"Stefan Mertl"},{id:"339993",title:"MSc.",name:"Rita",surname:"Meurers",slug:"rita-meurers",fullName:"Rita Meurers"}]},{id:"75465",title:"Seismicity at Newdigate, Surrey, during 2018–2019: A Candidate Mechanism Indicating Causation by Nearby Oil Production",slug:"seismicity-at-newdigate-surrey-during-2018-2019-a-candidate-mechanism-indicating-causation-by-nearby",totalDownloads:303,totalCrossrefCites:1,authors:[{id:"330592",title:"Dr.",name:"Rob",surname:"Westaway",slug:"rob-westaway",fullName:"Rob Westaway"}]},{id:"74862",title:"S-Wave Site 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Aiello"}],productType:{id:"1",chapterContentType:"chapter",authoredCaption:"Edited by"}}]},chapter:{item:{type:"chapter",id:"45362",title:"Baculovirus Display: A Novel Tool for Vaccination",doi:"10.5772/55572",slug:"baculovirus-display-a-novel-tool-for-vaccination",body:'\n
\n
1. Introduction
\n
Baculoviruses are enveloped viruses that infect insect larvae mainly from the order Lepidoptera. Their genomes are circular double-stranded DNA molecules of about 80 to 180 kbp and are packed in rod-shaped nucleocapsids with a typical size of 40-50 nm in diameter and 200-400 nm in length.
\n
Among the numerous baculoviruses, Autographa californica multiplenucleopolyhedrovirus (AcMNPV) is the most widely studied and used in biotechnology.
\n
During its infection cycle it produces two phenotypes. Occlusion derived viruses (ODV) initiate the infection at the larvae midgut. After this primary infection, the viral progeny consists of budded viruses (BV) that carry on the systemic infection in larvae. These types of virions differ in their efficiencies of infection for different cell types; ODV infect midgut epithelial cells up to 10,000 fold more efficiently than BV. In contrast, BV are up to 1,000-fold more efficient at infecting cultured cells than ODV. As the viral propagation in cell culture is mediated by BV phenotype (Rohrmann, 2011), most of the knowledge regarding baculovirus infection cycle is based on studies performed in insect cells infected by BV (Figure 1).
\n
Figure 1.
Structure of the budded virus.
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Cell entry is mediated by a class III viral glycoprotein located at the virion surface, Gp64, which interacts with an unknown cell receptor (Backovic & Jardetzky, 2009). This interaction triggers clathrin-dependent endosomal internalization. This internalized vesicle becomes subsequently acidified. This causes a conformational change in Gp64 that result in the fusion of the viral envelope with the endosome membrane. Thus the nucleocapsid is released in the cytoplasm and migrates to the nucleus. Once in the nucleus, DNA is uncoated and the transcriptional cascade begins (Figure 2).
\n
Figure 2.
\n Baculovirus replication cycle. Infection cycle initiates when a budded virus (BV) interacts with the cell membrane and is endocytosed. When the endocytic vesicle is acidified, GP64 fusion protein, located at the BV membrane, trigger the fusion of the plasma membrane and the BV envelope releasing the nucleocapsid in the cytoplasm. The nucleocapsid is then transported to the nuclus where it transcribes its genes, replicates its DNA in the virogenic stroma where new nucleocapsids are assembled. Nucleocapsids then egress from the nucleus, travel to the cytoplasmic membrane and bud through aquiring an envelope containing the surface protein GP64.
\n
AcMNPV genome encodes about 150 genes which are transcribed in a temporal fashion. Firstly, immediate early genes are transcribed by the host RNA-polymerase II. These genes generally encode for transcription factors, like Ie1, that aid the subsequent transcription of genes. After this early phase DNA replication occurs. Immediately after DNA replication there may be a transient period when proteins are not bound to the DNA and this might expose late promoters and facilitate their activation (Rohrmann, 2011). Baculoviruses also encode a novel RNA polymerase that transcribes late and very late genes and that recognizes the unique baculoviral promoter consensus sequence DTAAG. During the systemic infection nucleocapsids are assembled in the virogenic stroma. The envelope proteins are synthesized, translated in association with the endoplasmic reticulum, glycosylated and transported to and incorporated into the cytoplasmic membrane via the Golgi apparatus. Nucleocapsids destined to become BV exit the nucleus. They move to the cytoplasmic membrane at the site where envelope proteins (Gp64 and F protein) concentrate, and bud through obtaining their envelopes. Early in the systemic infection more BV are produced which spread the infection throughout the insect. Finally, late in infection, occluded virions are produced, and the cell dies releasing the occlusion bodies.
\n
There are many biotechnological uses for baculoviruses. One of the most widespread is their use as insecticide agents. There have been much work on the development of baculoviruses to control insects but the acceptance and use of viruses for insect control has been limited. This can be attributed to their slow speed of kill and their limited host range. At present many research groups are working with the aim of overcoming these limitations developing novel strategies such as baculovirus-mediated expression of toxic proteins for insects. Moreover, recombinant baculoviruses have been extensively used as expression vectors in insect cell cultures. A variety of technological improvements have eliminated the tedious procedures to isolate the recombinant viruses turning the baculovirus-based expression system in a safe, easy to use and scale up system. (Kost et al., 2005).
\n
Another application of baculovirus is their use as expression vectors for eukariotic proteins. Their ability to include quite large DNA extra fragments in their genomes and the possibility to use their very strong polihedryn promoter, which activates upon infection, make baculoviruses a very useful tool in biotechnology for the production of recombinant proteins in insect cells.
\n
In addition, protein expression in larvae or cell culture is not the only application of baculoviruses. In fact, baculoviruses are widely used in the development of strategies for displaying foreign peptides and proteins on the virus surface as well as mammalian cell transduction using different mammalian expression cassettes. Baculovirus display consists of the expression of proteins or peptides in the surface of a baculovirus. This is achieved by fusing the protein of interest with the major baculoviral envelope glycoprotein Gp64, resulting in the localization of the chimeric protein on the viral envelope and the plasmatic membraneof infected cells. The surface displaying of antigenic epitopes make baculoviruses efficient vaccine vehicles capable of mounting a strong specific immune response.
\n
The aim of this chapter will be to describe the biotechnological utilities of baculovirus display. Particularly, it will describe this technique for vaccination and gene delivery. It will discuss the adjuvant effects of baculoviruses and the immunity response of recombinant viruses. Moreover, other applications of baculovirus display such as gene therapy and high throughput screening of antibodies and antigenic epitopes libraries will also be addressed.
\n
\n
\n
2. Baculoviral fusion proteins
\n
Entry of enveloped viruses into host cells requires fusion of the viral envelope with the cytoplasmic membrane by the action of viral envelope fusion proteins. If the fusion occurs at the cell surface, viral fusion proteins typically act at neutral pH. On the other hand, in receptor-mediated endocytosis the major fusion protein activity is most often observed at the acidic endosomal pH (Monsma & Blissard, 1995).
\n
In general, baculovirus fusion proteins mediate the membrane fusion at the late endosomal phase. For this reason, the major fusogenic activity was observed at low pH. Although it has been possible to identify which are the proteins that build fusogenic function, which is the cell receptor that recognizes these proteins remains a mystery.
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Baculoviruses can be divided into two different groups according to the surface glycoprotein they use to mediate the fusion between the endosomal membrane and the viral envelope. One group is composed by viruses that use Gp64 as its fusogenic protein whereas the other group uses the F protein to mediate membrane fusion. This division is coincident with a phylogenetic separation of lepidopteran NPVs into the two major Groups I and II. These two groups differ significantly in gene content, most notably Group I NPVs use GP64 as their BV fusion protein, whereas Group II NPVs lack gp64 and utilize F protein (Zanotto et al., 1993).
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AcMNPV is one of the most widely described baculovirus and belongs to Group I. It presents on its surface the major glycoprotein Gp64 and the residual F protein. While the F protein does not develop any specific function, Gp64 has been identified as the glycoprotein responsible for membrane fusion.
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In this section it will be described the structure and function of glycoprotein Gp64 as responsible for the fusion of membranes and its biotechnological applications for the presentation of foreign antigens.
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2.1. Gp64: Structure and function
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Three classes of viral membrane fusion proteins havebeen identified. Class I which contain N-terminalhydrophobic fusion peptides, Class II, which fusion peptides are located in internal loops, and Class III that exhibit distinctstructural features in their architectures as well as in theirmembrane interacting fusion loops. Gp64 belongs to this latter group.
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The major envelope protein of the budded virions, GP64, has been shown to mediate acid-triggered membrane fusion both in virions and when expressed alone in transfected cells. The native GP64 is a phosphoglycoprotein fatty acid acylated near the transmembrane domain (Monsma & Blissard, 1995). The Gp64 open reading frame (ORF) of AcMNPV encodes a 512 aminoacids polypeptide with 15 cysteine residues. The resulting disulfide bonds participate in the formation of the native structure.
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As a member of the Class III fusion proteins, Gp64 is composed of five domains that result in a macromolecular structure very distinct from any reported class I or class II fusion protein. However, Gp64 conserves the typical characteristics of viral fusion proteins. It includes a fusion domain which mediates the fusion between the cell membrane and viral envelope; a transmembrane domain which anchors the protein in the lipidic bilayer and a multimerization domain that allows the protein to form trimmers. The detailed structure of AcMNPV Gp64 is shown in Figure 3 (Backovic & Jardetzky, 2009) Baculovirus gp64 also contains a seven residue C-terminal tail domain (CTD). Deletion of this domain does not significantly affect the ability to mediate fusion, but reduces the baculovirus titers to 50%. These data indicate that CTD is involved in virus budding (Figure 3).
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Figure 3.
\n GP64 structure. a. Trimmeric structure of baculovirus major surface glycoprotein Gp64 obtained using the Expasy tool Make multimer.py in www.expasy.org. b. Gp64 polypeptide scheme showing different functional domains useful for antigen surface display.
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Budded virions of baculoviruses enter cells by endocytosis. Gp64 is the major component of the viral envelope, and the unique protein with fusogenic activity in AcMNPV. Gp64 is triggered to induce the fusion at the low pH of endosomes. In addition Gp64 is distinguished from any other fusion protein in its ability of going through a reversible conformational change, unlike class I and class II fusion proteins, for which the post-fusion conformation is thermodynamically more stable and the conformational rearrangement is irreversible.
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2.2. Gp64 for protein display
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Gp64 is expressed early and late in the infection of an insect cell. It is a 64 kDa protein which forms trimmers and locates in the BV envelope with a polarized distribution. As Gp64 is a transmembrane protein that exposes an outer domain, it can be used to display a selected protein on the BV surface. A chimeric Gp64 can be constructed to contain the protein of interest allowing it to be incorporated in the BV structure upon infection of insect cells (Grabherr & Ernst, 2010).
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In order to facilitate the construction of a chimeric protein it was shown that is not necessary to conserve the complete structure of Gp64. The signal peptide (SP), the multimerization domain, the transmembrane (TM) and the cytoplasmic tail domain (CTD)were shown to be enough for the surface display, whereas the rest of the protein can be eliminated. This strategy avoids the need of dealing with large transfer vectors as well as permitting to increase the number of displayed proteins.
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3. Baculovirus as immunogens
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The innate immune system provides the first line of host defense against infection. It is extremely important to mount a strong specific immune response by expressing co-stimulating factors necessary for the activation of adaptative immunity cells.
AcMNPV induces pro-inflammatory cytokines secretion through a MyD88/TLR9-dependent signaling pathway, while other signaling molecules may participate in IFN-α production in response to AcMNPV.
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Toll-like receptors (TLRs) are a family of transmembrane proteins that recognize and bind endogenous and exogenous ligands. Signaling through TLR generally culminates in the production of pro-inflammatory cytokines resulting in modulation of several aspects of the innate immune response (Han et al., 2010). In the case of baculovirus, it has been reported that BVs could induce cytokine production through the TLR9 signaling pathway in mammals.
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TLR9 was shown to be responsible in vivo for immune system stimulation by oligodeoxynucleotides containing unmethylated CpG motifs. Like bacteria, AcMNPV contains a significant number of potentially bioactive CpG motifs. Indeed, a number of studies demonstrate that AcMNPV can stimulate professional Antigen Presenting Cells (APCs) by this pathway. Furthermore, Abe et al. demonstrated that internalization and endosomal maturation are required for TLR9 activation by CpG-rich DNA. They showed that the inhibition of endosomal maturation abolishes the immune system activation of AcMNPV in a dose-dependent manner. These results imply that immune system activation by AcMNPV through TLR9 requires membrane fusion via Gp64 as well as the liberation of the viral genome into cytoplasmic TLR9-containing vesicles (Figure 4.a)
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On the other hand, despite BVs cannot replicate in mammalian or other vertebrate animal cells (Via et al., 1983), recent studies showed that BVs have strong adjuvant properties in mice, promoting potent humoral and CD8+ T cell adaptive responses (Abe et al., 2003; Gronowski et al., 1999). In addition, BVs induce the production of inflammatory cytokines by the in vivo maturation of dendritic cells (Figura 4.c).
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Zoth et al. evaluated the effect of baculovirus administration on the innate immune response of chickens. They found an upregulation of IFN-γ and IL-6 in the baculovirustreated chicken spleens and a decrease of the TGF-β gene expression. These facts indicated a strong pro-inflammatory immune response. Moreover, they demonstrated that BV induced modifications in the mononuclear cells pattern of different organs using flow cytometry.
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The duration of the BV-induced response is very limited. This fact represents one of the many interesting benefits of the use of baculovirus for stimulating innate immunity, because the potential damage for a strong inflammatory immune response on an extended time period could be avoided (Chimeno Zoth et al., 2012)
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On the other hand, it could be presumed that baculovirus inoculation produced an indirect effect on monocytes/macrophages. Zoth et al. also showed an increase of both the mRNA and the protein levels of IFN-γ, and a priming effect of Nitric Oxyde (NO) response in splenocytes of chickens treated with baculoviruses. NO acts as a multi-functional mediator with diverse physiological and pathological roles in host defense, (MacMicking et al., 1997). The production of NO by activated monocytes/macrophages is an important innate immune response sign of cellular antiviral and bactericidal activity.
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Moreover, Kitajima et al. demonstrated that AcMNPV inoculation of mice induced NK cells activation. They observed that in AcMNPV inoculated animals there was up to fourfold increase in the number of NK cells in spleen, liver, bone marrow and thymus. Furthermore, it was analyzedt he antitumor ability of AcMNPV-induced NK cells and they concluded that AcMNPV injection induces a NKT cell and IFN-γ independent NK cell cytotoxicity against tumor cells in mice (Kitajima et al., 2007) These findings will be approached in section 7.
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In conclusion, the strong immune response induced by AcMNPV makes it a promising candidate for a novel, adjuvant- containing vaccine vehicle against infectious diseases (Abe et al., 2005).
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Figure 4.
\n Immune response induced by baculovirus summarized. a. Activation of immune cells by inoculation with AcMNPV wild type. b. Immune response triggered by AcMNPV displaying a Gp64 fused antigen. c. Immune response generated by antigen coding AcMNPV under the control of CMV Ie1 promoter.
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4. Baculovirus display
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Eukaryotic systems represent a highly interesting model for the study of higher eukaryotic structures and interaction mechanisms because they provide posttranslational modifications and complex protein folding, in contrast to prokaryotic systems. Moreover, displaying a protein on the surface of a cell or a virus is a very successful strategy, for recreating and maturing binding properties such as antigenic recognition (Grabherr & Ernst, 2010).
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Several strategies have been developed for displaying heterologous peptides or proteins on the baculovirus envelope by fusing the peptide or protein to gp64. In most instances the vector is designed with the aim of obtaining baculovirus particles that contain both wild-type gp64 and chimeric gp64 molecules. Furthermore, baculoviruses displaying proteins fused to Gp64 have proven to be very effective immunogens and they have been used successfully to generate antibody responses to a variety of displayed proteins (Kost et al., 2005).
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Given that baculoviruses are able to mount a robust innate immune response by activating professional APCs, it is expected that baculovirus expressing an heterologous antigen on its surface could generate a specific response against this antigen. In fact, several works showed that baculoviruses expressing chimeric Gp64 on its surface were able to mount a very strong humoral response against the antigen displayed (Figure 4.b).
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Xu et al. demonstrated in several works that baculovirus surface display of different proteins of Japanese Encephalitis Virus and swine fever virus generated high titers of specific antibodies useful for the protection against the disease. More specifically, they found that inoculation with recombinant baculoviruses produced a specific IgG response comparable with the response mounted by the preexistent attenuated vaccine and high neutralizing antibody titers against the virus (\n Xu et al., 2008\n ; \n Xu & Liu, 2008\n ; Xu et al., 2009; Xu et al., 2011).
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Furthermore, numerous studies used baculovirus display for the development of new generation vaccines and obtained similar results to those showed by Xu et al. In this context, baculovirus surface display conferred protection and induced a strong humoral response against avian reovirus (Lin et al., 2008), human enterovirus (Meng et al., 2011), influenza (Jin et al., 2008; Prabakaran et al., 2010), malaria (Yoshida et al., 2009), etc.
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In the next sub-sections the different strategies for efficient baculovirus display will be discussed. These include baculovirus display using the entire Gp64 for the generation of the chimeric proteins, baculovirus display based on single peptide insertion in Gp64 and a truncated Gp64 system with several cloning advantages will be considered (Figure 5).
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Figure 5.
\n Different kinds of baculovirus display. a. Baculovirus surface display using the entire Gp64. b. Baculovirus surface display using only TM, MMD and CTD as fusion partner of the antigenic target. c. Baculovirus display using recombinant Gp64 expressing a small peptide.
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Baculovirus display strategies have also been used for modification of the viral surface to command baculovirus mediated transduction of mammalian cells. In addition, capsid modifications may allow novel approaches for enhancing baculovirus mediated gene delivery. These studies will be discussedlater.
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4.1. Chimeric proteins using the entire Gp64
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Gp64 can serve as a fusion partner that together with a chosen target protein gets incorporated into the cell membrane and into budded virions. In the first reports of baculovirus display proteins were fused to the complete gp64. In these works the target proteins were cloned into a vector providing N-terminal fusion with the gp64 signal peptide and C-terminal fusion with the full length gp64 coding region. (Boublik et al., 1995; Grabherr & Ernst, 2010). The conservation of the biological function of several proteins when they were expressed by the baculovirus display system, e.g HIV gp120, indicated that large, complex proteins could be displayed on the surface of baculovirus particles in a functional form.
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The mechanism of incorporation into the viral particle was proposed to be due to oligomerization of the chimeric Gp64 with wild-type Gp64. In addition the CTD of the chimeric Gp64 may play an important role in the nucleocapsid recognition for budding process (Figure 5.a)
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For the purpose of antigen display various epitopes were presented and shown to induce immune response in mice.
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The advantages of this method reside in that all needed sequences for glycoprotein transport and maturation are present in the entire sequence of Gp64. Complete Gp64 fused antigens will be synthetized through the glycoprotein synthesis pathway and will be directed to plasmatic membrane and also budded virus envelope.
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However, the utilization of entire Gp64 may cause some problems in the cloning process due to the length of the subsequent transfer vector.
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4.2. Peptide insertion on Gp64
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Another strategy consists in peptides directly engineered into the native Gp64 of AcMNPV in order to increase the avidity of the displayed target. In this case a short peptide is inserted into the sequence of the wild type Gp64, being this protein the only variant expressed in the virion, in contrast to the previous approach where both wt and the modified versions coexisted in the BV surface. It has been reported that this method resulted very efficient to mount a robust specific antibody response against the inserted peptide with a significantly increased avidity.
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However, manipulating the native gp64 envelope protein may cause some problems. Given that no wild-type gp64 exists in order to guarantee functional cell fusion and virus budding, it is possible that the overall incorporation of the recombinant protein into cell membrane or viral envelope as well as viral titers decrease considerably. For this reason, insertion sites for foreign fragments must be chosen carefully. Moreover, the size of the peptides for insertion results in a limiting condition. Indeed, only small peptides have been inserted into the native gp64 with a maximum size of 23 amino acids (Figure 5.c).
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Alternatively, expressing a second copy of gp64 displaying the target peptide in addition to the wild type Gp64 represents an effective solution (Grabherr & Ernst, 2010; Spenger et al., 2002).
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4.3. SP, TM and CTD display systems
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More recently, several reports demonstrated that using only the signal peptide region (SP),transmembrane region (TM) and the cytoplasmic tail domain (CTD) was enough for surface display on the insect cell surface as well as on the budded virions. The resulting smaller transfer vectors represented a significant improvement for the increased cloning efficiencies and the number of displayed chimeric proteins (Grabherr & Ernst, 2010; Spenger et al., 2002; Xu et al., 2009).
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This method conserves the advantages of the baculovirus surface display using the entire Gp64, reducing significantly possible cloning troubles (Figure 5.b).
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5. Baculovirus and cellular immunity
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Apart from infecting insect cells, baculoviruses are able to transduce different types of animal cells such as human, rodent, rabbit, porcine, bovine, fish and avian cells (Hu, 2005; Hu, 2006) In addition, baculovirus can transduce embryonic stem cells, adult stem cells and induced pluripotent stem cells (Chen et al., 2011).
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Baculovirus are safer than other transduction vectors because they don´t integrate its DNA into host genome, nor replicates it inside the transduced cells (Chen et al., 2011; Merrihew et al., 2001). It has been demonstrated that humans do not possess pre-existing antibodies and specific T-cells against baculoviruses (Strauss et al., 2007). For this reason, baculoviruses may avoid the pre-existing immunity problem caused by other viral vectors.
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Thus, the coding sequence of a protein of interest can be cloned into the viral genome under the control of a suitable promoter. Then, the inoculation of an animal with the recombinant virus results in the expression of the heterologous protein inside different cell types. The expression of a foreign protein in the cytoplasm trigger the MHC class I antigen presentation of proteasome processed peptides of the recombinant protein. In this way, joined to the adjuvancy showed by baculoviruses, transduction of animal cells may induce a strong cellular immune response (Figure 4.c).
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Yoshida et al. have developed a baculovirus based dual expression system, with the aim to develop multifunctional vaccines capable of inducing strong humoral and cellular immune responses. In this study a chimeric protein was constructed with the display necessary sequences of Gp64 and the entire open reading frame of thePlasmodium berghei circumsporozoite protein (PbCSP) under the control of polyhedron and CMV Ie1 promoters. ELISPOT assays with splenocytes from immunized mice with the recombinant baculovirus showed significative IFN-γ secretion compared with the results for immunization with a recombinant AcMNPV without the CMV Ie1 promoter when the splenocytes was stimulated with a PbCSP synthetic peptide. In addition, this baculovirus based dual system showed to be more protective than the simple baculovirus display system (Yoshida et al., 2009)
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On the other hand, Hervas-Stubbs et al. demonstrated that baculoviruses induced strong humoral and cellular immune responses by co-administration of AcMNPV wt. and a purified antigen.They showed that budded baculoviruses had strong adjuvant properties, promoting humoral and CTL responses against coadministered antigen. They observed also that baculovirus could induced DC maturation, and the production of inflammatory mediators through mechanisms primarily mediated by IFN-α and IFN-β.It has been shown previously that type I IFNs act directly on naive B cells and CD4+ and CD8+ T cells, promoting clonal expansion and differentiation (Curtinsger 2005; (Bon & Lucchetti, 2006).
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5.1. Baculovirus and mammalian cell transduction
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Baculovirus entry into mammalian cells represents an important goal for immune response induction and most recently for different genic therapies. It was initially suggested that baculovirus entry depended on electrostatic interactions, heparin sulfate and phospholipids (Duisit et al., 1999; Tani et al., 2001), but the exact cell surface molecules and the involved mechanism remained unknown. Based on the mechanism of Gp64 mediated membrane fusion and the entry pathway of baculoviruses in insect cells, it was also proposed that clathrin-mediated endocytosis and macropinocytosis play roles in baculovirus entry (Long et al., 2006; Matilainen et al., 2005) In contrast, Laakkonen et al.(2008) discovered that baculovirus could enter some types of mammal cells, such as hepatic cells, by a pathway independent of clathrin-mediated endocytosis and macropinocytosis suggesting that phagocytosis might play a role (Chen et al., 2011).
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These data suggest that baculovirus entry pathway varies with cell types and will be necessary more studies to elucidate the complete mechanisms. Nevertheless, all studies determined that baculovirus envelope protein gp64 is pivotal for entry and for the activation of dendritic cells (DCs) (Abe et al., 2005; Niu et al., 2008; Schutz et al., 2006).
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Once inside the cells, baculovirus is transported to the endosome. Then, virions are released by the acid-triggered gp64 fusion (Kukkonen et al., 2003) and subsequently transported into the nucleus (Laakkonen et al., 2008; van Loo et al., 2001) reorganizing the actin cytoskeleton (Matilainen et al., 2005); Salminen et al., 2005). A major component of type III intermediate filaments, vimentin, also participates in intracellular trafficking (Mahonen et al., 2010). Inside the nucleus, baculoviral DNA could be recognized by the cellular transcription machinery and recombinant proteins could be expressed.
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5.2. Baculovirus capsid display
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As was described before in this section, several authors reported strategies in which the coding sequence of an antigen was cloned driven by the cytomegalovirus (CMV) promoter to obtain antigen specific T cell immune responses, resulting in high levels of protection against parasitic diseases.
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In addition to the baculovirus surface display on the envelope, heterologous protein has been displayed on the capsid by fusion with the major capsid protein VP39 without any interference in the virus assembly (Molinari et al., 2011). Kukkonen et al. fused the enhanced green fluorescent protein (EGFP) with VP39 with the aim to improve the nuclear traffic of BV in mammalian cells, and shown no interference with virus titer (Kukkonen et al., 2003). This finding suggested the possibility of performing insertions into the inner capsid of the BV particle. VP39 is the most abundant protein of the nucleocapsid and consist in a 39 KDa polypeptide with monomers arranged in stacked rings around the nucleoprotein core (Molinari et al., 2011).
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In the section 5.1 it were described the possible mechanisms of entry of baculovirus in mammalian cells. Besides the complete mechanism diverge in different cell types, endosome trafficking and Gp64 mediated fusion are always involved. Under these circumstances, it seems unlikely that the antigen displayed on the BV envelope would be able to efficiently reach the cytoplasm and consequently would be preferentially presented by MHC class II pathway. For this reason, antigen displayed on the envelope of baculovirus failed to produce a robust CD8+ T cell response, but was very effective to induce a CD4+ T and B cell responses.
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However, antigen capsid display should be able to reach the cytosol and preferentially trigger MHC class I presentation pathway and mount a strong CD8+ T cell response (Molinari et al., 2011).
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In this context, Molinari et al. developed a capsid display system and probed it fusing OVA with VP39 (BV-OVA) and showed that OVA could enter into the MHC class I pathway. Consequently, it was observed that inoculation of an animal model with the recombinant baculovirus triggered the activation of naive CD8+ T cells inducing an OVA-specific cytotoxic response. Though the mechanism involved in OVA MHC class I presentation was not elucidated, all these data suggest that capsid display is more convenient over envelope surface display for CTL activation. One of the proposed hypothesis consists of the possibility of the entire baculovirus capsid digestion by proteasome generating MHC class I binding peptides.
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In summary, baculovirus are internalized by DCs and induce their maturation and the production of the pro-inflammatory cytokines IL-6 and IL-12 and are able to mount a type I IFN response (Section 3). Finally, Molinari et al. also examined the efficacy of the strong CTL and innate immune response elicited by baculovirus by the capacity of BV-OVA to confer protection against the classical MO5 melanoma tumor model. It was observed that inoculation with the BV-OVA protect against this tumor model.
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Other researchers used capsid display as an alternative for mammalian cells transduction. In the work presented by Song et al. the ZnO binding peptide has been fused to the N-terminus of VP39 while retaining the viral infectivity and conferring the ability to bind nanosizedZnO powders (Chen et al., 2011; Song et al., 2010).
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In conclusion, capsid display results in a very attractive alternative for cells transduction and for triggering MHC class I presentation of antigenic peptides. In this way, capsid display showed to be strongly effective to mount a robust cellular response against heterologous proteins promoting both IFN secretion and cytotoxicCD8+ T cells activation.
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6. Baculovirus and complement
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Complement is an important component of the innate immune system and plays an important role in the recognition and elimination of pathogens. Complement can be activated by three separate pathways: the classical, alternative, and lectin pathways (Ricklin et al., 2010). The classical activation pathway begins with the binding of the complement protein C1q to the pathogen surface or to antibody-antigen complex. The alternative complement activation pathway is initiated by spontaneous hydrolysis of the C3 protein into C3a and C3b and the subsequently attaching of C3b to amine and carbohydrate groups on the target surface. Finally, the lectin pathway is activated by the recognition of specific carbohydrate patterns on the pathogen surface by mannose-binding proteins. Once complement was activated, a cascade of proteolysis events of complement proteins leads to the recruitment of the membrane attack complex (MAC) and the subsequently target membrane perforation (Kaikkonen et al., 2011) (Figure 6.a.b).
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On the other hand, complement must be regulated. There are two different types of complement regulators: Surface-bound regulators, and soluble regulators. Surface-bound regulators consists in a group of molecules integratedby factors that accelerate decay of the convertases (complement receptor 1, CR1; decay accelerating factor, DAF), act as a cofactor for the factor I-mediated degradation of C3b and C4b (CR1; membrane cofactor protein, MCP), or prevent the formation of the membrane attack complex (CD59) (Hourcade et al., 2000; Ricklin et al., 2010). Soluble regulators also mediate the first two functions of surface-bound regulators. C4bbinding protein (C4BP), factor H (FH) and FH like protein-1 (FHL-1) are examples of the members of this group (Kaikkonen et al., 2011) (Figure 6.c).
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In this context, baculovirus engineering with the aim to confer it resistance to complement inactivation results very attractive to improve the efficiency of baculoviruses for gene delivery.
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Figure 6.
The two major complement activation pathways in baculoviruses: The classical pathway is triggered by the binding of C1 to antigen-bound antibody molecules. The classical pathway utilize C2 and C4 to generate the C3-convertase C4b2a. The alternative pathway is initiated by the spontaneous hydrolysis of C3. Then, the complete complement cascade (from C3 proteolysis to formation of membran attack complex (MAC)) proceeds. Adapted from Kaikkonnen et al. 2011.
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6.1. Complement activation by baculoviruses
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As particulated antigens, baculoviruses are vulnerable to the action of the complement. This fact was observed in several studies which demonstrate that baculovirus-mediated gene transfer into hepatocytes is strongly reduced in the presence of untreated human serum.
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The complement cascade is usually activated to protect the host from foreign elements. The complement activating properties of various gene transfer vectors was demonstrated. The mechanism of complement activation by liposomes and synthetic DNA complexes depends mainly on the formulation, charge and size. Murine retroviruses are effectively lysed by primate complement triggered by the classical pathway, involving direct binding of C1q and C1s to the envelope and/or to antibody-antigen complexes. Comparatively, Hoffmann et al. found baculovirus survival in C1q-depleted human serum indicating baculovirus-mediated activation of the complement cascade through the classical pathway.
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Given that there is no evidence of pre-existing anti baculovirus antibodies in human sera, this data suggests that baculoviruses activate the complement cascade by an antibody-independent activation of the classical pathway (Hofmann & Strauss, 1998).
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6.2. Strategies for complement inactivation
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At present there are different strategies which help to avoid complement attack during baculovirus treatment (Huser et al., 2001; Kaikkonen et al., 2010). As noted previously, the surface of baculovirus particles can easily be engineered. As an example,desired peptides or proteins can be displayed as fusion proteins (Boublik et al., 1995; Makela & Oker-Blom, 2008; Oker-Blom et al., (2003). The most widely used technique for surface engineering makes use of the trimeric major baculoviral envelope glycoprotein GP64 as a fusion partner (Kadlec et al., 2008). In this section, diverse strategies for complement inactivation mediated by baculoviruses will be discussed. In particular, the discussion will be focused in the use of polymers for baculovirus surface coating, pseudotyping of baculoviruses by the expression on VSV-G protein and surface display of eukaryotic complement inhibitors.
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6.2.1. Polymer coating
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With the aim to protect baculoviral vectors against complement inactivation, using polymers should be appropriated. The coating is based on the electrostatic interaction between the virus particle and the polymer. In the case of baculovirus, the negative charge of its surface allows coating with positively charged polymers such aspolyethylenimine (PEI) (Yang et al., 2009). It was observed that the 25 kDa PEI protected the virions against complement destruction resulting in a 10% to nearly 100% of vector survival in samples treated with human and rat serum, respectively. In addition,Kim et al. observed thatafter intraportal delivery the PEI-treated viruses exhibited improved transduction of liver and spleen compared to non-coated virions(Kim et al., 2009).
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Additionally, another polymer, PEG (Mw 5000), has also been reported to increasebaculovirus transduction efficiency in vitro and in mouse brain and lung (Kim et al., 2007; Kim et al., 2010; Kim et al., 2006). Although serum stability of the PEG-coatedbaculoviruses was not directly studied, these results support the notion that PEG coating can be used to protect baculovirus vectors against the immune system and prolong its survival time in circulation (Jevsevar et al., 2010).
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Nevertheless, it is necessary adjust the ratiosof PEI or PEG and virus particles, and the polymer sizeto preserve virus infectivity and minimize cytotoxicity.
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6.2.2. Pseudotyping
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Pseudotyping consists in a process in which the natural envelope proteins of the virus are replaced with surface proteins from another virus. This strategy has been shown to mitigate the problem of complement attack (Tani et al., 2003). Unlikechemical engineering which is limited and requires extensive optimization to retain virus infectivity, pseudotyping conserves virus infectivity and allows virusevasion ofcomplement-mediated destruction.The most widely used method of pseudotyping of baculoviruses relies on the employ of the VSV-Gprotein. Several researches have shown that VSV-G is capable to improve transduction efficiency of baculovirus in vertebrate cells (Barsoum et al., 1997; Pieroni et al., 2001; Tani et al., 2003; Tani et al., 2001). VSV-G can alsoreplace GP64 and allow productive infection, replication, and propagation of thevirus in Sf9 insect cells (Kitagawa et al., 2005; Mangor et al., 2001). However, pseudotyping is typically performed by co-expressing both the desired molecule and Gp64.
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Other reportsalso demonstrated increased gene delivery into mouse after direct intramuscular injection of VSV-Gpseudotypedbaculovirus (Pieroni & La Monica, 2001; Pieroni et al., 2001). Additionall, Tani et al. found that the VSV-Gmodified baculovirusexhibited greater resistance to human, rabbit, guinea pig, rat, hamster and mouse serum inactivation compared to the unmodified control baculovirus (Tani et al., 2003). Furthermore, co-display of a short transmembrane fragment of VSV-G was found to give similar complement protection as intact VSV-G (Kaikkonen et al., 2010). These results suggest that envelope modification of the baculovirus can change its immunogenic properties and protect them for complement inactivation.
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6.2.3. Display of complement inhibitors
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The last strategy for complement inactivation that will be discussed in this section consists in the baculovirus surface display of eukaryotic complement inhibitors. Several reports showed that genetic modificatedviruses expressing complement regulators presented an improved survival rate, unlike wild type controls. In this context, the most promising results to increase the serum stability of baculovirus vectors by genetic means have been attained by displaying complement regulating proteins fused to Gp64 on the virion surface (Huser et al., 2001; Kaikkonen et al., 2010). The first described research generated a recombinant baculovirus which expressed on its surface the DAF complement regulator. Kaikkonen et al. have recently verified the protective nature of DAF-display and studied the efficacy of other complement regulatory proteins (FHL-1, C4BP and MCP) and their combinations for complement inactivation and consequently baculovirus survival rates. (Kaikkonen et al., 2010). Their resultsconcluded that serum stability was dependent on the displayed complement regulatory protein and the source of serum.
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In general, the complement regulators DAF and MCP gave the best results. Conversely, simultaneous co-display of soluble complement regulatory proteins did not provide further benefit.Best protection was gained in mouse serum (70%), while the worst protection rate was obtained with rat serum (13%). In the case of human serum, about 30% of the viral particles were still competent to transduce mammalian cells after 1 h preincubation with serum (Kaikkonen et al., 2010).
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All these data suggest that engineering of baculoviral vectors for complement inactivation result very convenient not only to reduce the number of necessary inoculations for an efficient transduction, but also to avoid the undesired mortality induced by high doses of non-modified vectors.
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7. Other applications
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The use of baculoviruses as vectors for the generation of immunity is not the only possible application for these viruses. Their ability to transduce mammalian cells and their capacity to allow the introduction of large amounts of heterologous DNA in their genomes represent remarkable advantages. In addition to the biosafety benefits of baculovirus in comparison with other viral vectors, these features make baculoviruses as adequate vectors for in vivo animal transduction. The absence of preliminary immune cells against baculoviruses makes them a promising tool for human treatment.
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In this section, two different novel applications for baculoviruses will be discussed. In first place, the use of baculoviruses for gene therapy and the goals and limitations of this practice will be analyzed. Then, the construction of displaying libraries using baculovirus display system will be exemplified.
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7.1. Gene therapy
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There are two different categories in which gene therapy vectors can be classified: nonviral and viral vectors. Non-viral vectors consist in polycation conjugated polymers that allow delivery of the DNA. Positively charged liposomes are one example of this type of vectors. Although these vectors are advantageous in biosafety, its application is restricted by the low efficiency in the delivery and expression of transgenes. (Verma & Somia, 1997). On the other hand, viral vectors, such as retroviral, lentiviral, adenoviral, and adeno-associated viral (AAV) vectors, have a higher efficiency in cell entry and transduction by expressing different transgenes. Advantages and disadvantages depend on each particular viral vector. The mechanism used for replication and protein expression, and the biological hazard inherent in its use are some of the features to be analyzed at the moment in which a viral vector is chosen for gene therapy. In comparison with these common viral vectors, baculoviruses possess a number of advantages.
\n
In first place, baculovirus-mediated transduction does not present any toxic effect against mammalian cells and does not disturb cell growth even at high MOI (Gao et al., 2002; Hofmann et al., 1995). In contrast, cell proliferation may be retarded by transgene products because they could be toxic and even induce apoptosis in some cells (Detrait et al., 2002; Liu & Carstens, 1999). Furthermore, baculoviruses do not replicate in transduced mammalian cells (Kost & Condreay, 2002). These features of baculoviruses are particularly important because other viral vectors are human pathogens, and consequently represent a biological risk.
\n
Another advantage of baculoviruses as gene therapy vectors consists in its large cloning capacity. The baculovirus (AcMNPV) genome is a large circularized DNA molecule with 130 kb of length and a maximum cloning capacity of at least 38 kb. This flexibility results particularly advantageous in contrast to retroviral and AAV vectors whose cloning capacities are limited (Hu, 2008).
\n
In comparison with other viral vectors, baculoviruses are easy to produce. Retroviral, lentiviral, and AAV vectors require transfection of plasmids encoding essential genes into packaging cells for its production. In contrast, baculovirus can be easily propagated by infecting insect cells in suspension culture or monolayer and harvesting the supernatant 3–4 days postinfection. In addition, the construction, propagation, and handling of baculoviruses can be performed in Biosafety Level 1 laboratories without the need for specialized equipment.
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Finally, one of the most important advantages is that baculoviruses do not present preexisting immunity in mammalian. One of the problems associated with other viral vectors is that most people are exposed to these viruses and develop specific humoral response. Circulating antibodies can significantly reduce the efficiency of transduction with the viral vector. The use of baculovirus vectors in gene therapy, therefore, may avoid the problem of preexisting immunity (Hu, 2008).
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However, baculoviruses have a number of disadvantages as gene therapy vectors. One of these is that baculovirus induce a transient expression in mammalian cells. In vivo, transgene expression typically declines by day 7 and disappears by day 14 (Airenne et al., 2000; Lehtolainen et al., 2002). The duration of in vitro transgene expression using baculoviruses is significantly shorter than expression mediated by retroviral, lentiviral, and AAV vectors.
\n
Baculoviral vectors differ mainly than other viral vectors in the time that the carried genes can persist in the host nucleus. In the case of retroviral, lentiviral and adenoviral vectors, viral DNA can remain into the nucleus either in an integrated or episomal form, for a longer period. In fact, Tjia et al. demonstrated that baculoviral DNA persists in the nuclei of transduced mammalian cells for only 24–48 h (Tjia et al., 1983).
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Another disadvantage of using baculovirus as gene therapy vector is the inactivation by complement. As described in previous sections, contact between baculoviruses and serum complement results in rapid inactivation of budded virions. There are need several modifications for reduce the negative effect of complement in baculovirus-mediated transduction. However, the complement system is not a problem only for baculovirus. It is also a potent barrier to in vivo administration of other gene delivery systems such as liposomes, murine retrovirus, and various synthetic DNA complexes (Hu, 2008).
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Additionally, baculoviruses as enveloped virus are very fragile. The envelope structure is essential for virus infectivity because of the anchored Gp64, responsible of viral and cellular membrane fusion. (Blissard & Wenz, 1992). For this reason it renders virus vulnerable to mechanical force and results in relatively low virus stability, a common problem also observed for other enveloped viruses such as retrovirus. Ultracentrifugation is often necessary for budded virions purification, but also leads to significant loss of infectivity probably because of the viral envelopes damage. Labile thermal stability, in conjunction with the tendency to be inactivated by serum complement, may further restrict the in vivo application of baculovirus gene delivery vectors.
\n
\n In vivo gene therapy\n
\n
Due to their ability to transduce various cell types, baculoviruses have captured increasing interest as vectors for in vivo gene delivery. Baculovirus-mediated gene delivery was tested in different tissues that including rabbit carotid artery, rat liver, rat brain, mouse brain, mouse skeletal muscle, mouse cerebral cortex and testis, and mouse liver (Hu, 2006). However, for baculovirus-mediated in vivo gene therapy in all of these tissues the complement system appears to be a significant barrier.
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Baculovirus vectors have also been injected into the rodent brain where complement proteins may be absent because of the blood–brain barrier (Hu, 2008; Lehtolainen et al., 2002). After injection into the brain, baculoviruses specifically transduced the epithelium of the choroids plexus in ventricles and the obtained transduction efficiency was very high.
\n
As discussed in previous sections, baculoviruses can be alternatively pseudotyped by displaying VSVG on the envelope. This modified virus enhanced gene transfer efficiencies into mouse skeletal muscle and the transgene expression in mice. The VSVG-modified baculovirus also exhibited greater resistance to inactivation by the complement system present in animal sera.
\n
Moreover, it has been shown that transduction of different cell lines with a baculovirus expressing shRNAs (short-hairpin RNAs) effectively knocked down expression of the target mRNA and protein (Nicholson et al., 2005). Additionally, baculoviruses have been used to mediate RNA interference (RNAi). The recombinant baculovirus encoding RNAi sequence was efficient in suppressing expression of the target gene by 95% in cultured cells and by 82% in vivo in rat brain. These data suggest that baculoviruses may be also used as delivery vectors for RNA interference therapies (Hu, 2008; Ong et al., (2005).\n
\n
\n
\n
7.2. Libraries
\n
Surface display libraries represent a very useful methodology for selecting binding proteins out of defined pools of protein variants. Although prokaryotic expression systems such as phage display technology or protein targeting to the cellular surface of Escherichia coli are widely used, they fail allowing the functional display of complex proteins such as eukaryotic glycoproteins which require a high degree of modification and processing. (Ernst 1998)
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Eukaryotic expression libraries, in contrast, are a powerful tool for finding new ligands, identification of cellular interaction partners and affinity maturation of antibody and antibody fragments (Grabherr & Ernst, 2010).
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As discussed before, the expression of foreign proteins on the surface of insect cells, in occlusion bodies and on the baculovirus surface make baculoviruses an important resource in biotechnology. Moreover, fusion proteins with the baculoviral envelope protein Gp64 as well as different foreign membrane proteins such as the influenza virus hemagglutinin or VSV-G protein have shown to be targeted to the surface of infected insect cells in several researches about baculovirus display. Then, it is possible take advantage of baculovirus display systems with the aim to generate a surface display library for high trhoughput screening.
\n
Ernst et al. expressed a specific antibody epitope in the context of the influenza virus hemagglutinin, randomizing the adjacent amino acid. This procedure results in the construction of a baculovirus surface display library capable to allow the selection of the displayed peptide with optimal antigenicity. Furthermore, baculovirus surface display libraries served to identify MHC class I and II mimotopes (Grabherr & Ernst, 2010; Wang, 2005).
\n
In comparison with bacterial phage display in which cross infection does not occur and every infected cell just propagates one individual phage, in baculovirus surface display cross infection is very probably. The situation may result advantageous or disadvantageous depending the aim of the library. For the assembly of a multisubunit protein, this fact is highly advantageous. However, when the library is performed to screening different proteins, these cross infections have to be considered (Grabherr & Ernst, 2010). Adjusting the multiplicity of infection (moi) usually result convenient for avoid the cross infection problem.
\n
In conclusion, baculovirus insect cell system consists in a highly useful tool for constructing and screening of surface display libraries, specially for the expression of eukaryotic complex proteins (Ernst et al., 1998).
\n
\n
\n
\n
8. Perspectives and conclusions
\n
There are many biotechnological uses for baculoviruses. One of the most widespread is the use of baculoviruses as insecticide agents. Moreover, recombinant baculoviruses have been extensively used as expression vectors in insect cell cultures. A variety of technological improvements have eliminated the tedious procedures to isolate the recombinant viruses turning the baculovirus-based expression system in a safe, easy to use and scale up system (Kost et al., 2005).
\n
In addition, protein expression in larvae or cell culture is not the only application of baculoviruses. In fact, baculoviruses are widely used in the development of strategies for displaying foreign peptides and proteins on the virus surface as well as mammalian cell transduction using different mammalian expression cassettes.
\n
As described in this chapter, baculovirus surface display based on the generation of Gp64 chimeric proteins result in a very efficient technology capable to induce a strong immune response against specific antigens (Xu et al., 2009). The ability of baculoviruses to activate innate immune system cells guarantees the mount of a robust immune response and the generation of immunological memory. More specifically, AcMNPV induces pro-inflammatory cytokines secretion through a MyD88/TLR9-dependent signaling pathway (Abe et al., 2005; Chimeno Zoth et al., 2012).
\n
It was showed by several authors that baculovirus surface display induced high specific antibody titers against various virus families and parasitic pathogens (Jordan et al., 2009; Meng et al., 2011; Prabakaran et al., 2010; Yoshida et al., 2009). Furthermore, it was demonstrated that many of these titers had neutralizing properties.
\n
On the other hand, it was discussed before that baculoviruses could also transduce mammalian cells (Kost et al., 2005). This feature results very interesting because it allows intracellular expression of heterologous proteins and its subsequent presentation through the MHC class I pathway. In this context, several authors demonstrate that baculoviruses can also induce a specific cellular immune response either by cloning the desired antigen under the control of a suitable promoter, or through the capsid display technique. CTL activation and IFN-γ secretion was detected in all of these researches (Yoshida et al., 2009).
\n
Finally, baculovirus were shown to be useful as gene therapy vectors so as to create libraries of binding proteins.
\n
For all these reasons, we conclude that baculoviruses represent a very useful tool in biotechnology as vaccination vectors. Its adjuvant capacity makes baculoviruses in a promising alternative for the generation of immunological memory.
\n
\n \n',keywords:null,chapterPDFUrl:"https://cdn.intechopen.com/pdfs/45362.pdf",chapterXML:"https://mts.intechopen.com/source/xml/45362.xml",downloadPdfUrl:"/chapter/pdf-download/45362",previewPdfUrl:"/chapter/pdf-preview/45362",totalDownloads:3056,totalViews:977,totalCrossrefCites:2,totalDimensionsCites:6,totalAltmetricsMentions:0,impactScore:2,impactScorePercentile:82,impactScoreQuartile:4,hasAltmetrics:0,dateSubmitted:"June 12th 2012",dateReviewed:"December 19th 2012",datePrePublished:null,datePublished:"November 20th 2013",dateFinished:"June 19th 2013",readingETA:"0",abstract:null,reviewType:"peer-reviewed",bibtexUrl:"/chapter/bibtex/45362",risUrl:"/chapter/ris/45362",book:{id:"3505",slug:"current-issues-in-molecular-virology-viral-genetics-and-biotechnological-applications"},signatures:"Matías L. Pidre, M. Leticia Ferrelli, Santiago Haase and Víctor\nRomanowski",authors:[{id:"90590",title:"Prof.",name:"Victor",middleName:null,surname:"Romanowski",fullName:"Victor Romanowski",slug:"victor-romanowski",email:"vromanowski@gmail.com",position:"Professor",profilePictureURL:"https://mts.intechopen.com/storage/users/90590/images/4014_n.jpg",institution:null},{id:"90607",title:"Dr.",name:"Maria Leticia",middleName:null,surname:"Ferrelli",fullName:"Maria Leticia Ferrelli",slug:"maria-leticia-ferrelli",email:"lferrelli@biol.unlp.edu.ar",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institution:{name:"National University of La Plata",institutionURL:null,country:{name:"Argentina"}}},{id:"163171",title:"Ph.D. Student",name:"Matias",middleName:"Luis",surname:"Pidre",fullName:"Matias Pidre",slug:"matias-pidre",email:"mlpidre@gmail.com",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institution:{name:"National University of La Plata",institutionURL:null,country:{name:"Argentina"}}},{id:"163273",title:"Mr.",name:"Santiago",middleName:null,surname:"Haase",fullName:"Santiago Haase",slug:"santiago-haase",email:"shaase@biol.unlp.edu.ar",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institution:null}],sections:[{id:"sec_1",title:"1. Introduction",level:"1"},{id:"sec_2",title:"2. Baculoviral fusion proteins",level:"1"},{id:"sec_2_2",title:"2.1. Gp64: Structure and function",level:"2"},{id:"sec_3_2",title:"2.2. Gp64 for protein display",level:"2"},{id:"sec_5",title:"3. Baculovirus as immunogens",level:"1"},{id:"sec_6",title:"4. Baculovirus display",level:"1"},{id:"sec_6_2",title:"4.1. Chimeric proteins using the entire Gp64",level:"2"},{id:"sec_7_2",title:"4.2. Peptide insertion on Gp64",level:"2"},{id:"sec_8_2",title:"4.3. SP, TM and CTD display systems",level:"2"},{id:"sec_10",title:"5. Baculovirus and cellular immunity",level:"1"},{id:"sec_10_2",title:"5.1. Baculovirus and mammalian cell transduction",level:"2"},{id:"sec_11_2",title:"5.2. Baculovirus capsid display",level:"2"},{id:"sec_13",title:"6. Baculovirus and complement",level:"1"},{id:"sec_13_2",title:"6.1. Complement activation by baculoviruses",level:"2"},{id:"sec_14_2",title:"6.2. Strategies for complement inactivation",level:"2"},{id:"sec_14_3",title:"6.2.1. Polymer coating",level:"3"},{id:"sec_15_3",title:"6.2.2. Pseudotyping",level:"3"},{id:"sec_16_3",title:"6.2.3. Display of complement inhibitors",level:"3"},{id:"sec_19",title:"7. Other applications",level:"1"},{id:"sec_19_2",title:"7.1. Gene therapy",level:"2"},{id:"sec_20_2",title:"7.2. Libraries",level:"2"},{id:"sec_22",title:"8. Perspectives and conclusions",level:"1"}],chapterReferences:[{id:"B1",body:'\n \n \n \n Abe\n T\n \n \n Hemmi\n H\n \n \n Miyamoto\n H\n \n \n Moriishi\n K\n \n \n Tamura\n S\n \n \n Takaku\n H\n \n \n Akira\n S\n \n \n Matsuura\n Y\n \n \n 2005Involvement of the Toll-Like Receptor 9 Signaling Pathway in the Induction of Innate Immunity by Baculovirus. 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Instituto de Biotecnología y Biología Molecular, Facultad de Ciencias Exactas, Universidad Nacional de La Plata, Conicet, Argentina
Instituto de Biotecnología y Biología Molecular, Facultad de Ciencias Exactas, Universidad Nacional de La Plata, Conicet, Argentina
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1. Introduction
Surgical approaches to the cervical spine include anterior, posterior, trans-oral, lateral trans-mandibular which can be done by open, tubular MIS or full endoscopic as described recently.
Anterior cervical spine surgery is commonly performed for the treatment of varieties of cervical spine pathologies that include degenerative, trauma, tumors, deformities and infections [1].
Techniques of anterior cervical spine surgery include anterior cervical discectomy and fusion (ACDF), anterior cervical corpectomy and fusion (ACCF), for primary stability and fusion different type of devices are used, such as cages, plates, cylinders, as well as bone growth promoters, substitutes, and bone morphogenic protein (BMP) have been use. In selected cases, discectomy alone is also performed especially through MIS or endoscopic techniques [2].
Anterior cervical discectomy and fusion (ACDF) was first described by Smith Robinson in 1968, when he performed discectomy and fusion was done using tricortical bone graft, during 1990s more than 500,000 anterior cervical discectomy and fusion (ACDF) was done in USA [3].
Anterior cervical spine surgery is safe and effective harboring a wide range of indications with a low rate of morbidity and mortality [4]. Complications following anterior cervical spine surgery include airway complications, dysphagia, dysphonia, infection, implant failure, non-union, neurological deficit, vascular injuries, implant subsidence, adjacent level disease and even death [5, 6, 7, 8, 9, 10].
Dysphagia is one of the most common complications following anterior cervical spine surgeries, dysphagia is a symptom indicative of an abnormality in the neural control of, or the structures involved in, any phase of the swallowing process, which involve both voluntary and involuntary/reflex responses. Oropharyngeal dysphagia is an impairment in the speed and/or safe delivery of food materials from entry in the mouth to the upper portion of the esophagus. If present, the patient is at an increased risk of aspiration and may be unable to swallow properly liquids, foods, or saliva. The condition is considered long standing if it is still present more than 4 weeks after surgery [11].
Dysphagia following anterior cervical surgery can occur in the three phases of swallowing process (oral & transport phase, pharyngeal & esophageal) [12].
2. Incidence and prevalence
Postoperative dysphagia is the most common complications following ACSS, the incidence ranges between 1 and 79% [1, 11, 13]. The criteria used to define and detected dysphagia may influence the reported incidence, many factors impact the exact incidence which include:
The severity of dysphagia (mild, moderate, or severe), most of the cases fortunately presents with mild dysphagia.
Timing of postoperative detection (immediate postoperative <2 weeks, 2 weeks, 4–6 weeks, 8–12 weeks). The earlier the detection the higher the incidence [14, 15].
Measurement tools (repeated questionnaires or patients self-reported). The repeated questioning provides a higher incidence than self-reported [16, 17, 18].
Surgical Techniques & Approaches (Revision, ACSS, PCSS, Standalone cage, Cervical Plate, ACDF, ACCD, & Single vs. multilevel) Revision, ACSS, multilevel surgery, cervical plating, ACCD are associated with a higher incidence [19].
Type and design of the study & sample size (retrospective or prospective, no. of the patients in the study, and the presence of control group or not). most of the studies are no controlled retrospective in nature with an intrinsic inability to detect preoperative swallowing difficulties, with no control group [20], the higher sample size the less incidence [21].
The incidence ranges between 28 and 57% in the intermediate and long term postoperative period (1–6 weeks), [17, 22], Riley et al. on a multicentric study that enrolled 454 patient who underwent ACSS in a multicentric study between 1998 and 2001 found that the incidence of postoperative dysphagia was 28.2, 6.8 and 7.8% at 3, 6, and 24 months, respectively, and at both 6 and 24 months the prevalence rate of persistent dysphagia was 21% [21]. On another study, the average incidence varied along the post-operative time after ACSS: 53.2% at 1 month, 31.6% at 2–4 months, 19.8% at 6 months, 16.8% at 12 months and 12.9 at 24 months [11].
Lee et al. reported an overall prevalence rate of postoperative dysphagia over time as the following: 54.0% at 1 month; 33.6% at 2 months; 18.6% at 6 months; 15.2% at 1 year; and 13.6% at 2 years [19].
Later, Riley et al. in a systematic review found that the incidence of postoperative dysphagia decreased with time after surgery and reach plateau at rate of 13–21% at one year [1].
3. Natural history
Most cases of postoperative dysphagia are mild and transient, resolving gradually within 3 months [19, 23, 24] without any specific treatment. Most of the cases of postoperative dysphagia resolve within 1 year, however, about 5–7% of cases of dysphagia after ACSS are still present 6–24 months after surgery [11].
Yue et al. reported 15% rate of dysphagia after 5 years of ACSS [24]. The predominant cause of persistent postoperative dysphagia appears to be an increase of the thickness of posterior pharyngeal wall above the upper esophageal sphincter [25].
4. Pathophysiology
Anterior cervical spine surgery impact both physiological and anatomical function of the swallowing, and these factors impact the neural, muscular & mucosal structures [19, 26]. However, in some cases dysphagia can occur in the absence of any noticed postoperative complication in anterior cervical spine surgery (ACSS).
We can summarize the etiology of dysphagia following anterior cervical spine surgery as the following:
4.1 Prevertebral soft tissue swelling
Prevertebral soft tissue swelling is result of hemorrhage or intraoperative soft tissue trauma which leads to oedema which may cause transient dysfunction of the esophageal movement by impairing the upper esophageal sphincters. Nevertheless, Kang et al. failed to find a significant correlation between the thickness of prevertebral soft tissue and the incidence of dysphagia [27, 28].
4.2 Extrinsic esophageal compression
The presence of anterior cervical osteophyte, diffuse idiopathic skeletal hyperostosis can cause dysphagia secondary to mechanical impingement of esophagus, as well as inflammation causing adhesion and fibrosis.
In ACDF with plating, the presence of a plate can contributes to the same pathophysiology cause of dysphagia. Although the concept is not yet fully established, it has been proven that a thicker cervical plate is associated with a higher incidence of dysphagia [22].
Several studies confirmed that standalone cages are associated with less incidence of dysphagia when compared with ACDF with plating. However, this conclusion is not universally accepted [29].
4.3 Esophageal retraction
Retraction of esophagus during surgery to expose the anterior cervical spine is one of the possible cause of postoperative dysphagia while some studies concluded that esophageal retraction may cause ischemia of the esophageal wall which in turn compromise the motility [12], one study failed to confirm the association between the intraoperative pressure of esophageal retraction and postoperative dysphagia [30].
4.4 Neural traction
Intraoperative nerve traction or injury is another possible cause of postoperative dysphagia. Different nerves traction will cause different esophageal segment dysphagia. For example damage or traction to Hypoglossal nerve will impact the oral phase of swallowing, while injury or traction to the connection between the pharyngeal plexus and pharyngeal muscle will impact the pharyngeal phase of swallowing. Injury of the recurrent laryngeal nerve (RLN) and superior laryngeal nerve (SLN) are both operative in the development of postoperative dysphagia, reason why a sound knowledge of their anatomy and meticulous surgical technique are essential to decrease the postoperative dysphagia [11].
Anderson et al. [11] summarized the causes of oropharyngeal dysphagia as seen in Table 1.
Categories of causes
Representative conditions
Collagen diseases
Scleroderma, dermatomyositis
Conditions that give rise to fixed mechanical obstruction
Significant tension during lateralization of the larynx (RLN most at risk with surgery involving C3–C4 and C5–T1)
RLN injury, which can cause vocal fold paresis or paralysis
RLN stretch injury and/or RLN compression injury from ET cuff compression
RLN palsy, which can cause vocal fold paresis or paralysis
Use of rh-BMP-2
Early local inflammatory response to rh-BMP-2 (dose-related)
Concurrent intraoperative traction on both the RLN and pharyngeal plexus
RLN injury
Other aspects of operative approach
Direct esophageal injury
Impaired opening of the upper esophageal sphincter
Localized denervation of portions of the esophagus and hypopharynx
Pharyngeal wall ischemia
Hemostatic or coagulopathy
Hematoma formation
Operative technique
Use of instrumentation
Any mechanical irritation or impingement against the esophagus
Differences in postoperative cervical kyphotic-lordotic deformity
Thickness or anterior profile of anterior cervical plates and instrumentation
Irritation and inflammation
Plate on the esophagus
Mass effect
Use of graft
Craft (implant) protrusion, graft extrusion or cord compression
Improper halo or collar positioning
Cervical hyperextension
Table 2.
Causes of oropharyngeal dysphagia according to operative approach and operative technique.
Abbreviations: ET, endotracheal; rhBMP-2, recombinant human bone morphogenetic protein-2; RLN, recurrent laryngeal nerve; SLN, superior laryngeal nerve.
5. Risk factors
5.1 Patient-related
5.1.1 Age
Smith-Hammond et al. [20] found that older patients have an higher risk of dysphagia following ACDF, while Lee et al. [19] and Bazaz et al. [19] found the no correlation between the age and the risk of dysphagia.
5.1.2 Sex
Female gender harbors an increased risk of dysphagia following ACDF [13, 19], while other studies failed to find the association between sex and dysphagia [21, 31].
5.1.3 Smoking
Many studies found that smoking is associated with and increased the risk of dysphagia following ACDF, due to its detrimental effect on soft tissue, as well as poor surgical outcomes after ACSS [5, 32].
5.1.4 Co-morbidities
Specifically the Chronic Obstructive Pulmonary Disease (COPD) increase the risk of overall postoperative mortality and morbidities following anterior cervical spine surgery [33], many studies were found the risk of dysphagia is increase in patients with COPD following ACDF [32].
5.2 Surgery-related
5.2.1 Duration of surgery
The longer the surgical time, which happens in complex procedures or in surgeries performed by less experienced surgeons, the higher contribution to the development of dysphagia, although some studies failed conclude it.
5.2.2 Multilevel surgery
Some studies have shown that multiple levels surgeries represent a significant risk factor for dysphagia [19], however others did not find any correlation between the multilevel and risk of dysphagia [31].
5.2.3 Revision surgery
In cases of revision surgeries, the presence of scar tissue can distort the anatomy compared to index surgery, rendering esophageal injury more likely [19].
5.2.4 Implant
Depending on the surgical indications related to the pathology, the level affected and the presence of deformity, different implants are used in anterior cervical surgeries. According to his/her experience and preferences, the surgeon may use stand-alone cage, hybrid cage, cervical plating, or total disc replacement [34].
The use of cervical plate in ACDF remain a controversy issue, especially in single and two levels degenerative disc disease, but many studies support its use in more than 2 levels in degenerative spine, in trauma, tumor, infections, especially if corpectomies are advocated.
Plating has the advantage of increase fusion rate, better lordotic reconstruction, enhanced primary stability of the construct, superior disc height preservation and lower subsidence rate [35]. However these benefits come at the cost of screw pullout, loosening of plate, hardware breakage, increase in the operative time and overall costs, and increased risk of dysphagia [34].
Total disc arthroplasty (TDR) become popularized in last decades as a motion preserving technique in the anterior cervical surgeries, avoiding the fusion and decrease the adverse effect of ACDF, in selected indications. However, studies found no difference in the risk of dysphagia when comparing between TDR and ACDF [36].
5.2.5 Bone morphogenetic protein (BMP)
Bone morphogenetic protein is used during cervical surgery to increase the fusion rate especially in cases of accrued risk of pseudoarthrosis. Some studies found that BMP may constitute a risk factor for dysphagia following ACDF as it induces inflammation and oedema which will affect the surrounding soft tissue, including the esophagus [37, 38].
5.2.6 Surgical level: several
Studies found that a high level of cervical spine surgery, such as C3-4, is associated with more dysphagia than the lower levels. In the upper cervical spine, the risk of superior laryngeal nerve injury is amplified which entails an increased risk of dysphagia. As the retropharyngeal space in the upper cervical spine is more generous than in inferior cervical spine, the soft tissue swelling will be potentially more severe [39].
5.2.7 Blood loss
Significant blood loss impacts in the overall surgical outcome and is associated with many adverse effects that includes postoperative recovery and infection rate. In fact, some studies have shown than blood loss superior to 300 ml is associated with an enhanced risk of dysphagia following ACSS [21].
6. Clinical signs & symptoms
Patients present with dysphagia due to alteration in swallowing mechanisms that include [25]:
Increased aspiration.
Thickening of the pharyngeal wall.
Poorer pharyngeal constriction and peristalsis.
Prolonged transit time.
Reduced hyoid displacement.
Reduced opening of the pharyngoesophageal segment opening.
Impaired epiglottic inversion
As a result of dysphagia, patients may develop other symptoms that may include:
Reflexive coughing or wet/gurgle voice during or right after swallowing.
Extra effort or time needed to chew or swallow.
Food or liquid leaking from the mouth or getting stuck in the mouth.
Recurring pneumonia or chest congestion after eating.
Persistent & severe dysphagia may result in weight loss, dehydration, risk of aspiration pneumonia, chronic lung disease and psychological problems [40].
The presence of long-standing dysphagia should raise the suspicion of esophageal perforation and thus be adamantly investigated.
7. Assessment and evaluation
7.1 Patient-reported outcome
Non-validated questionaries to evaluate the severity of dysphagia following ACSS include:
7.1.1 Bazaz dysphagia questionnaire
Depending on liquid and/or solid food difficulty swelling, they graded the severity into none, mild, moderate, and severe, as described in Table 3 [13].
It is a modification of Bazaz Dysphagia Score into a ten-points scale recorded daily for four days, with dysphagia being defined as a cumulative four-day score of ≥12 [30] . As seen in Table 4.
Points
Severity of dysphagia
Definition
0
None
No episodes of difficulty swallowing
1–3
Mild
Only rare episodes of difficulty swallowing
4–6
Moderate
Occasional swallowing difficulty with solid foods
7–10
Severe
Swallowing difficulty with solids and liquids
Table 4.
Modified Bazaz dysphagia scoring system [15]. Assessment is undertaken on the day of operation and on the first, third and fifth post-operative days; the scores are added together, with dysphagia defined as a cumulative score of ≥ 12.
7.1.3 Dysphagia numerical rating scale
Assess the postoperative dysphagia using numeric scale [31].
7.1.4 Dysphagia disability index
Includes also physical function and emotional domains [31].
7.1.5 Swallowing-quality of life (SWAL-QOL) questionnaire
Swallowing-quality of life (SWAL-QOL) questionnaire is a validated 93-item questionnaire that quantifies dysphagia on the basis of severity and duration as well as its psychological impact [32], although it is has been shown to be valid and reliable, its length and complexity make it less practical in the clinical setting.
7.2 Videoflouroscopic swallow evaluation (VSE)
Videoflouroscopic swallow evaluation (VSE) is a gold standard for the assessment of swallowing impairment also referred to as a modified barium swallow study [41].
8. Treatment
The aim of treatment in postoperative dysphagia following ACSS is to maximize the food transit, minimize or prevent respiratory aspiration and related adverse effect [42].
Currently there is no specific treatment for dysphagia, as many patients with postoperative dysphagia will resolve with time. The available treatment include behavioral, postural changes, sensory input enhancement, swallowing maneuvers, voluntary control in effort exerted during swallowing and diet modification [43].
The best form of treatment is prevention, as discussed in the next section.
For persistent dysphagia that extends for more than 12–18 months, some authors recommend surgical treatment to debride the adhesion or anterior cervical instrumentation to immobilize the spine to avoid esophagus tethering and traction [44].
9. Prevention
Many studies evaluated the techniques and recommendation to decrease the incidence of postoperative dysphasia following ACSS.
9.1 Steroid therapy
The intra-operative local application of steroids in is regarded as a preventive measure to abort the development of postoperative dysphagia. This is based on the pathogenesis, as soft tissue swelling, and local inflammation will be decrease when the steroids are used. In this respect the use of IV Methylprednisolone is recommended [45], while the local application of triamcinolone in the retropharyngeal space may decrease the incidence of dysphagia postoperatively [46].
9.2 Endotracheal tube pressure
Excessive endotracheal tube pressure may impact locally by increasing transmural pressure translating in a putative risk of soft tissue injury and dysphagia development following ACSS, Accordingly, some authors recommend decreasing the endotracheal tube pressure to 20 mmHg during the period of cervical traction [47], or the release of the endotracheal tube pressure and reinflate it after retractor placement to minimize the pressure related damage to the RLN [48].
9.3 Cervical plate design
A plate can cause postoperative dysphagia due to mass effect or induction of inflammation, plate redesign to a low profile by decreasing its thickness will endure a minimization of postoperative dysphagia [22]. Equally, the use of a zero profile cage and plate or hybrid cage has shown a smaller incidence of postoperative dysphagia [49].
9.4 Tracheal traction exercises
The concept behind the preoperative tracheal traction exercise is to increase the compliance of the esophagus, thereby reducing the pressure required by retraction to expose an adequate operative field, the exercises were performed twice daily (15 times each time) for three days, starting four days before the operation [50].
9.5 Surgical techniques
An effort to limit the operative time should be undertaken to decrease the postoperative dysphagia. Appropriate surgical training should focus on acquiring a sound knowledge of anatomical variation of the RLN & SLN, a meticulous plan by plan surgical dissection, control of blood loss to better identify anatomical structures, avoid excessive blade retraction to reduce mechanical transmural esophageal pressure and anchoring the blades under the dissected longus coli to avoid injury to RLN and SLN [11, 48, 51].
10. Conclusion
Dysphagia following anterior cervical spine surgery is a common complication, in most cases it is mild and resolved with time, no specific treatment is required.
There are risk factors to increase the risk that include multiple levels, smoking, cervical plating, increase the operative time, revision surgeries.
Conflict of interest
The authors declare no conflict of interest.
\n',keywords:"dysphagia, ACDF, cervical plating anterior cervical spine surgery",chapterPDFUrl:"https://cdn.intechopen.com/pdfs/80123.pdf",chapterXML:"https://mts.intechopen.com/source/xml/80123.xml",downloadPdfUrl:"/chapter/pdf-download/80123",previewPdfUrl:"/chapter/pdf-preview/80123",totalDownloads:59,totalViews:0,totalCrossrefCites:0,dateSubmitted:"November 22nd 2021",dateReviewed:"November 28th 2021",datePrePublished:"February 23rd 2022",datePublished:null,dateFinished:"January 19th 2022",readingETA:"0",abstract:"Dysphasia is regarded as one of the common complications following anterior cervical discectomy and fusion, the reported incidence varies widely and is depending on several factors, such as smoking, multi levels, anterior plating, we will discuss historical review, pathogenesis, epidemiology, clinical presentation including presentation including perioperative and postoperative recommendation and will end up with different stops and tricks to decrease this complication, in each topics we will review the evidence based articles.",reviewType:"peer-reviewed",bibtexUrl:"/chapter/bibtex/80123",risUrl:"/chapter/ris/80123",signatures:"Ghazwan Hasan and Oscar L. Alves",book:{id:"11044",type:"book",title:"Dysphagia - New Advances",subtitle:null,fullTitle:"Dysphagia - New Advances",slug:null,publishedDate:null,bookSignature:"Associate Prof. Monjur Ahmed",coverURL:"https://cdn.intechopen.com/books/images_new/11044.jpg",licenceType:"CC BY 3.0",editedByType:null,isbn:"978-1-78985-410-7",printIsbn:"978-1-78985-409-1",pdfIsbn:"978-1-83962-510-7",isAvailableForWebshopOrdering:!0,editors:[{id:"206355",title:"Associate Prof.",name:"Monjur",middleName:null,surname:"Ahmed",slug:"monjur-ahmed",fullName:"Monjur Ahmed"}],productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"}},authors:null,sections:[{id:"sec_1",title:"1. Introduction",level:"1"},{id:"sec_2",title:"2. Incidence and prevalence",level:"1"},{id:"sec_3",title:"3. Natural history",level:"1"},{id:"sec_4",title:"4. Pathophysiology",level:"1"},{id:"sec_4_2",title:"4.1 Prevertebral soft tissue swelling",level:"2"},{id:"sec_5_2",title:"4.2 Extrinsic esophageal compression",level:"2"},{id:"sec_6_2",title:"4.3 Esophageal retraction",level:"2"},{id:"sec_7_2",title:"4.4 Neural traction",level:"2"},{id:"sec_9",title:"5. Risk factors",level:"1"},{id:"sec_9_2",title:"5.1 Patient-related",level:"2"},{id:"sec_9_3",title:"5.1.1 Age",level:"3"},{id:"sec_10_3",title:"5.1.2 Sex",level:"3"},{id:"sec_11_3",title:"5.1.3 Smoking",level:"3"},{id:"sec_12_3",title:"5.1.4 Co-morbidities",level:"3"},{id:"sec_14_2",title:"5.2 Surgery-related",level:"2"},{id:"sec_14_3",title:"5.2.1 Duration of surgery",level:"3"},{id:"sec_15_3",title:"5.2.2 Multilevel surgery",level:"3"},{id:"sec_16_3",title:"5.2.3 Revision surgery",level:"3"},{id:"sec_17_3",title:"5.2.4 Implant",level:"3"},{id:"sec_18_3",title:"5.2.5 Bone morphogenetic protein (BMP)",level:"3"},{id:"sec_19_3",title:"5.2.6 Surgical level: several",level:"3"},{id:"sec_20_3",title:"5.2.7 Blood loss",level:"3"},{id:"sec_23",title:"6. Clinical signs & symptoms",level:"1"},{id:"sec_24",title:"7. Assessment and evaluation",level:"1"},{id:"sec_24_2",title:"7.1 Patient-reported outcome",level:"2"},{id:"sec_24_3",title:"Table 3.",level:"3"},{id:"sec_25_3",title:"Table 4.",level:"3"},{id:"sec_26_3",title:"7.1.3 Dysphagia numerical rating scale",level:"3"},{id:"sec_27_3",title:"7.1.4 Dysphagia disability index",level:"3"},{id:"sec_28_3",title:"7.1.5 Swallowing-quality of life (SWAL-QOL) questionnaire",level:"3"},{id:"sec_30_2",title:"7.2 Videoflouroscopic swallow evaluation (VSE)",level:"2"},{id:"sec_32",title:"8. Treatment",level:"1"},{id:"sec_33",title:"9. Prevention",level:"1"},{id:"sec_33_2",title:"9.1 Steroid therapy",level:"2"},{id:"sec_34_2",title:"9.2 Endotracheal tube pressure",level:"2"},{id:"sec_35_2",title:"9.3 Cervical plate design",level:"2"},{id:"sec_36_2",title:"9.4 Tracheal traction exercises",level:"2"},{id:"sec_37_2",title:"9.5 Surgical techniques",level:"2"},{id:"sec_39",title:"10. Conclusion",level:"1"},{id:"sec_43",title:"Conflict of interest",level:"1"}],chapterReferences:[{id:"B1",body:'Riley LH 3rd, Vaccaro AR, Dettori JR, Hashimoto R. Postoperative dysphagia in anterior cervical spine surgery. Spine (Phila Pa 1976). 2010;35(Suppl. 9):S76-S85'},{id:"B2",body:'Quillo-Olvera J, Lin GX, Kim JS. Percutaneous endoscopic cervical discectomy: A technical review. Annals of Translational Medicine. 2018;6(6):100'},{id:"B3",body:'Angevine PD, Arons RR, McCormick PC. National and regional rates and variation of cervical discectomy with and without anterior fusion, 1990-1999. Spine (Phila Pa 1976). 2003;28(9):931-939; discussion 40'},{id:"B4",body:'Wang H, Meng Y, Liu H, Wang X, Hong Y. The impact of smoking on outcomes following anterior cervical fusion-nonfusion hybrid surgery: A retrospective single-center cohort study. BMC Musculoskeletal Disorders. 2021;22(1):612'},{id:"B5",body:'Hasan GARH, Al-Naser LM, Sheta RA. 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Spine (Phila Pa 1976). 2012;37(15):1292-1296'},{id:"B51",body:'Razfar A, Sadr-Hosseini SM, Rosen CA, Snyderman CH, Gooding W, Abla AA, et al. Prevention and management of dysphonia during anterior cervical spine surgery. The Laryngoscope. 2012;122(10):2179-2183'}],footnotes:[],contributors:[{corresp:"yes",contributorFullName:"Ghazwan Hasan",address:"dr.bayaty@gmail.com",affiliation:'
Royal Private Hospital, Iraq
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IntechOpen publishes all of the aforementioned formats in compliance with the requirements and criteria established by the European Commission for the Horizon 2020 Program.
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Authors requiring additional information are welcome to send their inquiries to funders@intechopen.com
Publishing with IntechOpen means that your scientific publications already meet these basic requirements. It also means that through our utilization of open licensing, our publications are also able to be copied, shared, searched, linked, crawled, and mined for text and data, optimizing our authors' compliance as suggested by the European Commission.
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Metadata for all publications is also automatically deposited in IntechOpen's OAI repository, making them available through the Open Access Infrastructure for Research in Europe's (OpenAIRE) search interface further establishing our compliance.
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In other words, publishing with IntechOpen guarantees compliance.
When choosing a publication, Horizon 2020 grant recipients are encouraged to provide open access to various types of scientific publications including monographs, edited books and conference proceedings.
\n\n
IntechOpen publishes all of the aforementioned formats in compliance with the requirements and criteria established by the European Commission for the Horizon 2020 Program.
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Authors requiring additional information are welcome to send their inquiries to funders@intechopen.com
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The chapter will also address, the evolution of the materials used for fabricating microfluidic chips, and will discuss the application‐oriented pros and cons regarding especially their critical strategies and properties for devices assembly and biocompatibility, as well their potential for downstream biochemical surface modification are presented.",book:{id:"5099",slug:"advances-in-microfluidics-new-applications-in-biology-energy-and-materials-sciences",title:"Advances in Microfluidics",fullTitle:"Advances in Microfluidics - New Applications in Biology, Energy, and Materials Sciences"},signatures:"Emmanuel Roy, Antoine Pallandre, Bacem Zribi, Marie‐Charlotte\nHorny, François Damien Delapierre, Andrea Cattoni, Jean Gamby\nand Anne‐Marie Haghiri‐Gosnet",authors:[{id:"45172",title:"Prof.",name:"Anne-Marie",middleName:null,surname:"Haghiri-Gosnet",slug:"anne-marie-haghiri-gosnet",fullName:"Anne-Marie Haghiri-Gosnet"}]},{id:"29686",doi:"10.5772/38072",title:"Smart Microfluidics: The Role of Stimuli- Responsive Polymers in Microfluidic Devices",slug:"smart-microfluidics-the-role-of-stimuli-responsive-polymers-in-microfluidic-devices",totalDownloads:4646,totalCrossrefCites:3,totalDimensionsCites:9,abstract:null,book:{id:"1792",slug:"advances-in-microfluidics",title:"Advances in Microfluidics",fullTitle:"Advances in Microfluidics"},signatures:"Simona Argentiere, Giuseppe Gigli, Mariangela Mortato Irini Gerges and Laura Blasi",authors:[{id:"12979",title:"Prof.",name:"Giuseppe",middleName:null,surname:"Gigli",slug:"giuseppe-gigli",fullName:"Giuseppe Gigli"},{id:"115443",title:"Dr.",name:"Simona",middleName:null,surname:"Argentiere",slug:"simona-argentiere",fullName:"Simona Argentiere"},{id:"115444",title:"Dr.",name:"Laura",middleName:null,surname:"Blasi",slug:"laura-blasi",fullName:"Laura Blasi"},{id:"138512",title:"Dr.",name:"Mariangela",middleName:null,surname:"Mortato",slug:"mariangela-mortato",fullName:"Mariangela Mortato"},{id:"138513",title:"Dr.",name:"Irini",middleName:null,surname:"Gerges",slug:"irini-gerges",fullName:"Irini Gerges"}]},{id:"29682",doi:"10.5772/34690",title:"Hydrodynamic Focusing in Microfluidic Devices",slug:"hydrodynamic-focusing-in-microfluidic-devices",totalDownloads:7494,totalCrossrefCites:7,totalDimensionsCites:9,abstract:null,book:{id:"1792",slug:"advances-in-microfluidics",title:"Advances in Microfluidics",fullTitle:"Advances in Microfluidics"},signatures:"Marek Dziubinski",authors:[{id:"101230",title:"Prof.",name:"Marek",middleName:"Stanislaw",surname:"Dziubinski",slug:"marek-dziubinski",fullName:"Marek Dziubinski"}]},{id:"51264",doi:"10.5772/64284",title:"Microfluidics in CO2 Capture, Sequestration, and Applications",slug:"microfluidics-in-co2-capture-sequestration-and-applications",totalDownloads:2008,totalCrossrefCites:5,totalDimensionsCites:7,abstract:"The abnormal climate change has made the reduction of CO2 emission that received worldwide attention. The integration of CO2 capture-sequestration application for enhanced oil recovery (EOR) technology will be the new trend. Several scholars have applied microfluidics in CO2 capture, oil and gas analysis, and CO2 sequestration. The mass transfer process for CO2 capture can be intensified owing to the large specific surface/volume ratio and high contact area in microchannels. The small amount of feeding volumes of oil and gas samples and the quick response for the analysis make the microfluidics a promising tool for the oil and gas analysis. Moreover, microfluidics can reveal the transport mechanism at microscale for multiphase interfacial phenomena in microchannels within porous media during the CO2 flooding process in line with the pressure, temperature, and material properties of the rock within the oil reservoir. This chapter will elaborate the progress of the application of microfluidic technology in the utilization of CO2, including the mechanism of mass transfer for CO2 in microreactors, the advantages of microfluidics in oil and gas analysis, and the fundamentals of microfluidics in CO2 flooding, oil recovery improvement, and CO2 sequestration.",book:{id:"5099",slug:"advances-in-microfluidics-new-applications-in-biology-energy-and-materials-sciences",title:"Advances in Microfluidics",fullTitle:"Advances in Microfluidics - New Applications in Biology, Energy, and Materials Sciences"},signatures:"Taotao Fu",authors:[{id:"177065",title:"Associate Prof.",name:"Taotao",middleName:null,surname:"Fu",slug:"taotao-fu",fullName:"Taotao Fu"}]}],mostDownloadedChaptersLast30Days:[{id:"51263",title:"High and Efficient Production of Nanomaterials by Microfluidic Reactor Approaches",slug:"high-and-efficient-production-of-nanomaterials-by-microfluidic-reactor-approaches",totalDownloads:2647,totalCrossrefCites:5,totalDimensionsCites:15,abstract:"This chapter overviews different approaches for the synthesis of nanostructured materials based on alternative methodologies to the most conventional and widespread colloidal wet chemical route and with a great potential applicability to large-scale and continuous production of nanomaterials. Their major outcomes, current progress in synthesis of micro and nanostructures by using microfluidics techniques and potential applications for the next future are reviewed throughout three different sections. Emphasis is placed on nanomaterials production basics, nanomaterials production techniques and microfluidic reactors (types, materials, designs). The integration of nanoparticle and microreactor technologies delivers enormous possibilities for the further development of novel materials and reactors. In this chapter, recent achievements in the synthesis of nanoparticles in microfluidic reactors are stated. A variety of strategies for synthesizing inorganic and polymeric nanoparticles are presented and compared, including continuous flow, gas–liquid segmented flow and droplet-based microreactors",book:{id:"5099",slug:"advances-in-microfluidics-new-applications-in-biology-energy-and-materials-sciences",title:"Advances in Microfluidics",fullTitle:"Advances in Microfluidics - New Applications in Biology, Energy, and Materials Sciences"},signatures:"Victor Sebastian Cabeza",authors:[{id:"177071",title:"Dr.",name:"Victor",middleName:null,surname:"Sebastian",slug:"victor-sebastian",fullName:"Victor Sebastian"}]},{id:"52333",title:"Advances in Low Volume Sample Analysis Using Microfluidic Separation Techniques",slug:"advances-in-low-volume-sample-analysis-using-microfluidic-separation-techniques",totalDownloads:1749,totalCrossrefCites:3,totalDimensionsCites:3,abstract:"During the last decades, a great interest has been shown for miniaturised separation techniques. The use of microfluidic techniques fulfills the constant needs for increasing sample throughput and analysis sensitivity, while reducing costs and sample volume consumption. In this chapter, three microfluidic separation techniques will be addressed: capillary electrophoresis, gas chromatography and liquid chromatography. A special attention will be paid to miniaturised liquid chromatography, with a deep investigation of its advantages compared with classical liquid chromatography. Sample preparation adapted to low volumes (a few µl) will also be discussed.",book:{id:"5099",slug:"advances-in-microfluidics-new-applications-in-biology-energy-and-materials-sciences",title:"Advances in Microfluidics",fullTitle:"Advances in Microfluidics - New Applications in Biology, Energy, and Materials Sciences"},signatures:"Virginie Houbart and Marianne Fillet",authors:[{id:"177056",title:"Prof.",name:"Marianne",middleName:null,surname:"Fillet",slug:"marianne-fillet",fullName:"Marianne Fillet"}]},{id:"29687",title:"Robust Extraction Interface for Coupling Droplet-Based and Continuous Flow Microfluidics",slug:"robust-extraction-interface-for-coupling-droplet-based-and-continuous-flow-microfluidics",totalDownloads:2290,totalCrossrefCites:0,totalDimensionsCites:1,abstract:null,book:{id:"1792",slug:"advances-in-microfluidics",title:"Advances in Microfluidics",fullTitle:"Advances in Microfluidics"},signatures:"Xuefei Sun, Keqi Tang, Richard D. Smith and Ryan T. Kelly",authors:[{id:"111896",title:"Dr.",name:"Ryan",middleName:null,surname:"Kelly",slug:"ryan-kelly",fullName:"Ryan Kelly"},{id:"111900",title:"Dr.",name:"Xuefei",middleName:null,surname:"Sun",slug:"xuefei-sun",fullName:"Xuefei Sun"},{id:"135791",title:"Dr.",name:"Richard",middleName:null,surname:"Smith",slug:"richard-smith",fullName:"Richard Smith"},{id:"135792",title:"Dr.",name:"Keqi",middleName:null,surname:"Tang",slug:"keqi-tang",fullName:"Keqi Tang"}]},{id:"51262",title:"Electroosmotic Flow Pump",slug:"electroosmotic-flow-pump",totalDownloads:2515,totalCrossrefCites:0,totalDimensionsCites:4,abstract:"Electroosmotic flow (EOF) pumping has been widely used to manipulate fluids such as liquid sample reagents in microfluidic systems. In this chapter, we will introduce the research progress on EOF pumps in the fields of microfluidic science and technology and briefly present their microfluidic applications in recent years. The chapter focuses on pump channel materials, electrodes, and their fabrication techniques in microfluidics.",book:{id:"5099",slug:"advances-in-microfluidics-new-applications-in-biology-energy-and-materials-sciences",title:"Advances in Microfluidics",fullTitle:"Advances in Microfluidics - New Applications in Biology, Energy, and Materials Sciences"},signatures:"Meng Gao and Lin Gui",authors:[{id:"176994",title:"Prof.",name:"Lin",middleName:null,surname:"Gui",slug:"lin-gui",fullName:"Lin Gui"},{id:"177064",title:"Ph.D.",name:"Meng",middleName:null,surname:"Gao",slug:"meng-gao",fullName:"Meng Gao"}]},{id:"51878",title:"Application of Microfluidics in Stem Cell Culture",slug:"application-of-microfluidics-in-stem-cell-culture",totalDownloads:2195,totalCrossrefCites:1,totalDimensionsCites:2,abstract:"In this chapter, we review the recent developments, including our studies on the microfabricated devices applicable to stem cell culture. We will focus on the application of pluripotent stem cells including embryonic stem cells and induced pluripotent stem cells. In the first section, we provide a background on microfluidic devices, including their fabrication technology, characteristics, and the advantages of their application in stem cell culture. The second section outlines the use of micropatterning technology in stem cell culture. The use of microwell array technology in stem cell culture is explored in the third section. In the fourth section, we discuss the use of the microfluidic perfusion culture system for stem cell culture, and the last section is a summary of the current state of the art and perspectives of microfluidic technologies in stem cell culture.",book:{id:"5099",slug:"advances-in-microfluidics-new-applications-in-biology-energy-and-materials-sciences",title:"Advances in Microfluidics",fullTitle:"Advances in Microfluidics - New Applications in Biology, Energy, and Materials Sciences"},signatures:"Shinji Sugiura, Kohji Nakazawa, Toshiyuki Kanamori and Kiyoshi\nOhnuma",authors:[{id:"83549",title:"Dr.",name:"Kiyoshi",middleName:null,surname:"Ohnuma",slug:"kiyoshi-ohnuma",fullName:"Kiyoshi Ohnuma"},{id:"177083",title:"Dr.",name:"Shinji",middleName:null,surname:"Sugiura",slug:"shinji-sugiura",fullName:"Shinji Sugiura"},{id:"177084",title:"Prof.",name:"Kohji",middleName:null,surname:"Nakazawa",slug:"kohji-nakazawa",fullName:"Kohji Nakazawa"},{id:"177085",title:"Dr.",name:"Toshiyuki",middleName:null,surname:"Kanamori",slug:"toshiyuki-kanamori",fullName:"Toshiyuki Kanamori"}]}],onlineFirstChaptersFilter:{topicId:"697",limit:6,offset:0},onlineFirstChaptersCollection:[],onlineFirstChaptersTotal:0},preDownload:{success:null,errors:{}},subscriptionForm:{success:null,errors:{}},aboutIntechopen:{},privacyPolicy:{},peerReviewing:{},howOpenAccessPublishingWithIntechopenWorks:{},sponsorshipBooks:{sponsorshipBooks:[],offset:8,limit:8,total:0},allSeries:{pteSeriesList:[{id:"14",title:"Artificial Intelligence",numberOfPublishedBooks:9,numberOfPublishedChapters:89,numberOfOpenTopics:6,numberOfUpcomingTopics:0,issn:"2633-1403",doi:"10.5772/intechopen.79920",isOpenForSubmission:!0},{id:"7",title:"Biomedical Engineering",numberOfPublishedBooks:12,numberOfPublishedChapters:104,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2631-5343",doi:"10.5772/intechopen.71985",isOpenForSubmission:!0}],lsSeriesList:[{id:"11",title:"Biochemistry",numberOfPublishedBooks:31,numberOfPublishedChapters:314,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2632-0983",doi:"10.5772/intechopen.72877",isOpenForSubmission:!0},{id:"25",title:"Environmental Sciences",numberOfPublishedBooks:1,numberOfPublishedChapters:11,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2754-6713",doi:"10.5772/intechopen.100362",isOpenForSubmission:!0},{id:"10",title:"Physiology",numberOfPublishedBooks:11,numberOfPublishedChapters:141,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2631-8261",doi:"10.5772/intechopen.72796",isOpenForSubmission:!0}],hsSeriesList:[{id:"3",title:"Dentistry",numberOfPublishedBooks:8,numberOfPublishedChapters:129,numberOfOpenTopics:2,numberOfUpcomingTopics:0,issn:"2631-6218",doi:"10.5772/intechopen.71199",isOpenForSubmission:!0},{id:"6",title:"Infectious Diseases",numberOfPublishedBooks:13,numberOfPublishedChapters:113,numberOfOpenTopics:3,numberOfUpcomingTopics:1,issn:"2631-6188",doi:"10.5772/intechopen.71852",isOpenForSubmission:!0},{id:"13",title:"Veterinary Medicine and Science",numberOfPublishedBooks:11,numberOfPublishedChapters:105,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2632-0517",doi:"10.5772/intechopen.73681",isOpenForSubmission:!0}],sshSeriesList:[{id:"22",title:"Business, Management and Economics",numberOfPublishedBooks:1,numberOfPublishedChapters:18,numberOfOpenTopics:2,numberOfUpcomingTopics:1,issn:"2753-894X",doi:"10.5772/intechopen.100359",isOpenForSubmission:!0},{id:"23",title:"Education and Human Development",numberOfPublishedBooks:0,numberOfPublishedChapters:5,numberOfOpenTopics:1,numberOfUpcomingTopics:1,issn:null,doi:"10.5772/intechopen.100360",isOpenForSubmission:!0},{id:"24",title:"Sustainable Development",numberOfPublishedBooks:0,numberOfPublishedChapters:14,numberOfOpenTopics:5,numberOfUpcomingTopics:0,issn:null,doi:"10.5772/intechopen.100361",isOpenForSubmission:!0}],testimonialsList:[{id:"13",text:"The collaboration with and support of the technical staff of IntechOpen is fantastic. The whole process of submitting an article and editing of the submitted article goes extremely smooth and fast, the number of reads and downloads of chapters is high, and the contributions are also frequently cited.",author:{id:"55578",name:"Antonio",surname:"Jurado-Navas",institutionString:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRisIQAS/Profile_Picture_1626166543950",slug:"antonio-jurado-navas",institution:{id:"720",name:"University of Malaga",country:{id:null,name:"Spain"}}}},{id:"6",text:"It is great to work with the IntechOpen to produce a worthwhile collection of research that also becomes a great educational resource and guide for future research endeavors.",author:{id:"259298",name:"Edward",surname:"Narayan",institutionString:null,profilePictureURL:"https://mts.intechopen.com/storage/users/259298/images/system/259298.jpeg",slug:"edward-narayan",institution:{id:"3",name:"University of Queensland",country:{id:null,name:"Australia"}}}}]},series:{item:{id:"24",title:"Sustainable Development",doi:"10.5772/intechopen.100361",issn:null,scope:"
\r\n\tTransforming our World: the 2030 Agenda for Sustainable Development endorsed by United Nations and 193 Member States, came into effect on Jan 1, 2016, to guide decision making and actions to the year 2030 and beyond. Central to this Agenda are 17 Goals, 169 associated targets and over 230 indicators that are reviewed annually. The vision envisaged in the implementation of the SDGs is centered on the five Ps: People, Planet, Prosperity, Peace and Partnership. This call for renewed focused efforts ensure we have a safe and healthy planet for current and future generations.
\r\n
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\r\n\tThis Series focuses on covering research and applied research involving the five Ps through the following topics:
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\r\n\t1. Sustainable Economy and Fair Society that relates to SDG 1 on No Poverty, SDG 2 on Zero Hunger, SDG 8 on Decent Work and Economic Growth, SDG 10 on Reduced Inequalities, SDG 12 on Responsible Consumption and Production, and SDG 17 Partnership for the Goals
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\r\n\t2. Health and Wellbeing focusing on SDG 3 on Good Health and Wellbeing and SDG 6 on Clean Water and Sanitation
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\r\n\t3. Inclusivity and Social Equality involving SDG 4 on Quality Education, SDG 5 on Gender Equality, and SDG 16 on Peace, Justice and Strong Institutions
\r\n
\r\n\t
\r\n
\r\n\t4. Climate Change and Environmental Sustainability comprising SDG 13 on Climate Action, SDG 14 on Life Below Water, and SDG 15 on Life on Land
\r\n
\r\n\t
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\r\n\t5. Urban Planning and Environmental Management embracing SDG 7 on Affordable Clean Energy, SDG 9 on Industry, Innovation and Infrastructure, and SDG 11 on Sustainable Cities and Communities.
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\r\n\tThe series also seeks to support the use of cross cutting SDGs, as many of the goals listed above, targets and indicators are all interconnected to impact our lives and the decisions we make on a daily basis, making them impossible to tie to a single topic.
",coverUrl:"https://cdn.intechopen.com/series/covers/24.jpg",latestPublicationDate:"June 23rd, 2022",hasOnlineFirst:!0,numberOfPublishedBooks:0,editor:{id:"262440",title:"Prof.",name:"Usha",middleName:null,surname:"Iyer-Raniga",slug:"usha-iyer-raniga",fullName:"Usha Iyer-Raniga",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRYSXQA4/Profile_Picture_2022-02-28T13:55:36.jpeg",biography:"Usha Iyer-Raniga is a professor in the School of Property and Construction Management at RMIT University. Usha co-leads the One Planet Network’s Sustainable Buildings and Construction Programme (SBC), a United Nations 10 Year Framework of Programmes on Sustainable Consumption and Production (UN 10FYP SCP) aligned with Sustainable Development Goal 12. The work also directly impacts SDG 11 on Sustainable Cities and Communities. She completed her undergraduate degree as an architect before obtaining her Masters degree from Canada and her Doctorate in Australia. Usha has been a keynote speaker as well as an invited speaker at national and international conferences, seminars and workshops. Her teaching experience includes teaching in Asian countries. She has advised Austrade, APEC, national, state and local governments. She serves as a reviewer and a member of the scientific committee for national and international refereed journals and refereed conferences. She is on the editorial board for refereed journals and has worked on Special Issues. Usha has served and continues to serve on the Boards of several not-for-profit organisations and she has also served as panel judge for a number of awards including the Premiers Sustainability Award in Victoria and the International Green Gown Awards. Usha has published over 100 publications, including research and consulting reports. 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She serves as an Associate Editor for the International Journal of the Analytic Hierarchy Process. She is a member of AHP Academy and a member of several editorial boards. 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Saxena",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRET3QAO/Profile_Picture_2022-05-10T10:10:26.jpeg",institutionString:"King George's Medical University",institution:{name:"King George's Medical University",institutionURL:null,country:{name:"India"}}}],equalEditorOne:null,equalEditorTwo:null,equalEditorThree:null}]},subseriesFiltersForPublishedBooks:[{group:"subseries",caption:"Bacterial Infectious Diseases",value:3,count:2},{group:"subseries",caption:"Parasitic Infectious Diseases",value:5,count:4},{group:"subseries",caption:"Viral Infectious Diseases",value:6,count:7}],publicationYearFilters:[{group:"publicationYear",caption:"2022",value:2022,count:2},{group:"publicationYear",caption:"2021",value:2021,count:4},{group:"publicationYear",caption:"2020",value:2020,count:3},{group:"publicationYear",caption:"2019",value:2019,count:3},{group:"publicationYear",caption:"2018",value:2018,count:1}],authors:{paginationCount:250,paginationItems:[{id:"274452",title:"Dr.",name:"Yousif",middleName:"Mohamed",surname:"Abdallah",slug:"yousif-abdallah",fullName:"Yousif Abdallah",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/274452/images/8324_n.jpg",biography:"I certainly enjoyed my experience in Radiotherapy and Nuclear Medicine, particularly it has been in different institutions and hospitals with different Medical Cultures and allocated resources. Radiotherapy and Nuclear Medicine Technology has always been my aspiration and my life. As years passed I accumulated a tremendous amount of skills and knowledge in Radiotherapy and Nuclear Medicine, Conventional Radiology, Radiation Protection, Bioinformatics Technology, PACS, Image processing, clinically and lecturing that will enable me to provide a valuable service to the community as a Researcher and Consultant in this field. My method of translating this into day to day in clinical practice is non-exhaustible and my habit of exchanging knowledge and expertise with others in those fields is the code and secret of success.",institutionString:null,institution:{name:"Majmaah University",country:{name:"Saudi Arabia"}}},{id:"313277",title:"Dr.",name:"Bartłomiej",middleName:null,surname:"Płaczek",slug:"bartlomiej-placzek",fullName:"Bartłomiej Płaczek",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/313277/images/system/313277.jpg",biography:"Bartłomiej Płaczek, MSc (2002), Ph.D. (2005), Habilitation (2016), is a professor at the University of Silesia, Institute of Computer Science, Poland, and an expert from the National Centre for Research and Development. His research interests include sensor networks, smart sensors, intelligent systems, and image processing with applications in healthcare and medicine. He is the author or co-author of more than seventy papers in peer-reviewed journals and conferences as well as the co-author of several books. He serves as a reviewer for many scientific journals, international conferences, and research foundations. Since 2010, Dr. Placzek has been a reviewer of grants and projects (including EU projects) in the field of information technologies.",institutionString:"University of Silesia",institution:{name:"University of Silesia",country:{name:"Poland"}}},{id:"35000",title:"Prof.",name:"Ulrich H.P",middleName:"H.P.",surname:"Fischer",slug:"ulrich-h.p-fischer",fullName:"Ulrich H.P Fischer",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/35000/images/3052_n.jpg",biography:"Academic and Professional Background\nUlrich H. P. has Diploma and PhD degrees in Physics from the Free University Berlin, Germany. He has been working on research positions in the Heinrich-Hertz-Institute in Germany. Several international research projects has been performed with European partners from France, Netherlands, Norway and the UK. He is currently Professor of Communications Systems at the Harz University of Applied Sciences, Germany.\n\nPublications and Publishing\nHe has edited one book, a special interest book about ‘Optoelectronic Packaging’ (VDE, Berlin, Germany), and has published over 100 papers and is owner of several international patents for WDM over POF key elements.\n\nKey Research and Consulting Interests\nUlrich’s research activity has always been related to Spectroscopy and Optical Communications Technology. Specific current interests include the validation of complex instruments, and the application of VR technology to the development and testing of measurement systems. He has been reviewer for several publications of the Optical Society of America\\'s including Photonics Technology Letters and Applied Optics.\n\nPersonal Interests\nThese include motor cycling in a very relaxed manner and performing martial arts.",institutionString:null,institution:{name:"Charité",country:{name:"Germany"}}},{id:"341622",title:"Ph.D.",name:"Eduardo",middleName:null,surname:"Rojas Alvarez",slug:"eduardo-rojas-alvarez",fullName:"Eduardo Rojas Alvarez",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/341622/images/15892_n.jpg",biography:null,institutionString:null,institution:{name:"University of Cuenca",country:{name:"Ecuador"}}},{id:"215610",title:"Prof.",name:"Muhammad",middleName:null,surname:"Sarfraz",slug:"muhammad-sarfraz",fullName:"Muhammad Sarfraz",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/215610/images/system/215610.jpeg",biography:"Muhammad Sarfraz is a professor in the Department of Information Science, Kuwait University. His research interests include computer graphics, computer vision, image processing, machine learning, pattern recognition, soft computing, data science, intelligent systems, information technology, and information systems. Prof. Sarfraz has been a keynote/invited speaker on various platforms around the globe. He has advised various students for their MSc and Ph.D. theses. He has published more than 400 publications as books, journal articles, and conference papers. He is a member of various professional societies and a chair and member of the International Advisory Committees and Organizing Committees of various international conferences. Prof. Sarfraz is also an editor-in-chief and editor of various international journals.",institutionString:"Kuwait University",institution:{name:"Kuwait University",country:{name:"Kuwait"}}},{id:"32650",title:"Prof.",name:"Lukas",middleName:"Willem",surname:"Snyman",slug:"lukas-snyman",fullName:"Lukas Snyman",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/32650/images/4136_n.jpg",biography:"Lukas Willem Snyman received his basic education at primary and high schools in South Africa, Eastern Cape. He enrolled at today's Nelson Metropolitan University and graduated from this university with a BSc in Physics and Mathematics, B.Sc Honors in Physics, MSc in Semiconductor Physics, and a Ph.D. in Semiconductor Physics in 1987. After his studies, he chose an academic career and devoted his energy to the teaching of physics to first, second, and third-year students. After positions as a lecturer at the University of Port Elizabeth, he accepted a position as Associate Professor at the University of Pretoria, South Africa.\r\n\r\nIn 1992, he motivates the concept of 'television and computer-based education” as means to reach large student numbers with only the best of teaching expertise and publishes an article on the concept in the SA Journal of Higher Education of 1993 (and later in 2003). The University of Pretoria subsequently approved a series of test projects on the concept with outreach to Mamelodi and Eerste Rust in 1993. In 1994, the University established a 'Unit for Telematic Education ' as a support section for multiple faculties at the University of Pretoria. In subsequent years, the concept of 'telematic education” subsequently becomes well established in academic circles in South Africa, grew in popularity, and is adopted by many universities and colleges throughout South Africa as a medium of enhancing education and training, as a method to reaching out to far out communities, and as a means to enhance study from the home environment.\r\n\r\nProfessor Snyman in subsequent years pursued research in semiconductor physics, semiconductor devices, microelectronics, and optoelectronics.\r\n\r\nIn 2000 he joined the TUT as a full professor. Here served for a period as head of the Department of Electronic Engineering. Here he makes contributions to solar energy development, microwave and optoelectronic device development, silicon photonics, as well as contributions to new mobile telecommunication systems and network planning in SA.\r\n\r\nCurrently, he teaches electronics and telecommunications at the TUT to audiences ranging from first-year students to Ph.D. level.\r\n\r\nFor his research in the field of 'Silicon Photonics” since 1990, he has published (as author and co-author) about thirty internationally reviewed articles in scientific journals, contributed to more than forty international conferences, about 25 South African provisional patents (as inventor and co-inventor), 8 PCT international patent applications until now. Of these, two USA patents applications, two European Patents, two Korean patents, and ten SA patents have been granted. A further 4 USA patents, 5 European patents, 3 Korean patents, 3 Chinese patents, and 3 Japanese patents are currently under consideration.\r\n\r\nRecently he has also published an extensive scholarly chapter in an internet open access book on 'Integrating Microphotonic Systems and MOEMS into standard Silicon CMOS Integrated circuitry”.\r\n\r\nFurthermore, Professor Snyman recently steered a new initiative at the TUT by introducing a 'Laboratory for Innovative Electronic Systems ' at the Department of Electrical Engineering. The model of this laboratory or center is to primarily combine outputs as achieved by high-level research with lower-level system development and entrepreneurship in a technical university environment. Students are allocated to projects at different levels with PhDs and Master students allocated to the generation of new knowledge and new technologies, while students at the diploma and Baccalaureus level are allocated to electronic systems development with a direct and a near application for application in industry or the commercial and public sectors in South Africa.\r\n\r\nProfessor Snyman received the WIRSAM Award of 1983 and the WIRSAM Award in 1985 in South Africa for best research papers by a young scientist at two international conferences on electron microscopy in South Africa. He subsequently received the SA Microelectronics Award for the best dissertation emanating from studies executed at a South African university in the field of Physics and Microelectronics in South Africa in 1987. In October of 2011, Professor Snyman received the prestigious Institutional Award for 'Innovator of the Year” for 2010 at the Tshwane University of Technology, South Africa. This award was based on the number of patents recognized and granted by local and international institutions as well as for his contributions concerning innovation at the TUT.",institutionString:null,institution:{name:"University of South Africa",country:{name:"South Africa"}}},{id:"317279",title:"Mr.",name:"Ali",middleName:"Usama",surname:"Syed",slug:"ali-syed",fullName:"Ali Syed",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/317279/images/16024_n.png",biography:"A creative, talented, and innovative young professional who is dedicated, well organized, and capable research fellow with two years of experience in graduate-level research, published in engineering journals and book, with related expertise in Bio-robotics, equally passionate about the aesthetics of the mechanical and electronic system, obtained expertise in the use of MS Office, MATLAB, SolidWorks, LabVIEW, Proteus, Fusion 360, having a grasp on python, C++ and assembly language, possess proven ability in acquiring research grants, previous appointments with social and educational societies with experience in administration, current affiliations with IEEE and Web of Science, a confident presenter at conferences and teacher in classrooms, able to explain complex information to audiences of all levels.",institutionString:null,institution:{name:"Air University",country:{name:"Pakistan"}}},{id:"75526",title:"Ph.D.",name:"Zihni Onur",middleName:null,surname:"Uygun",slug:"zihni-onur-uygun",fullName:"Zihni Onur Uygun",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/75526/images/12_n.jpg",biography:"My undergraduate education and my Master of Science educations at Ege University and at Çanakkale Onsekiz Mart University have given me a firm foundation in Biochemistry, Analytical Chemistry, Biosensors, Bioelectronics, Physical Chemistry and Medicine. After obtaining my degree as a MSc in analytical chemistry, I started working as a research assistant in Ege University Medical Faculty in 2014. In parallel, I enrolled to the MSc program at the Department of Medical Biochemistry at Ege University to gain deeper knowledge on medical and biochemical sciences as well as clinical chemistry in 2014. In my PhD I deeply researched on biosensors and bioelectronics and finished in 2020. Now I have eleven SCI-Expanded Index published papers, 6 international book chapters, referee assignments for different SCIE journals, one international patent pending, several international awards, projects and bursaries. In parallel to my research assistant position at Ege University Medical Faculty, Department of Medical Biochemistry, in April 2016, I also founded a Start-Up Company (Denosens Biotechnology LTD) by the support of The Scientific and Technological Research Council of Turkey. Currently, I am also working as a CEO in Denosens Biotechnology. The main purposes of the company, which carries out R&D as a research center, are to develop new generation biosensors and sensors for both point-of-care diagnostics; such as glucose, lactate, cholesterol and cancer biomarker detections. My specific experimental and instrumental skills are Biochemistry, Biosensor, Analytical Chemistry, Electrochemistry, Mobile phone based point-of-care diagnostic device, POCTs and Patient interface designs, HPLC, Tandem Mass Spectrometry, Spectrophotometry, ELISA.",institutionString:null,institution:{name:"Ege University",country:{name:"Turkey"}}},{id:"267434",title:"Dr.",name:"Rohit",middleName:null,surname:"Raja",slug:"rohit-raja",fullName:"Rohit Raja",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/267434/images/system/267434.jpg",biography:"Dr. Rohit Raja received Ph.D. in Computer Science and Engineering from Dr. CVRAMAN University in 2016. His main research interest includes Face recognition and Identification, Digital Image Processing, Signal Processing, and Networking. Presently he is working as Associate Professor in IT Department, Guru Ghasidas Vishwavidyalaya (A Central University), Bilaspur (CG), India. He has authored several Journal and Conference Papers. He has good Academics & Research experience in various areas of CSE and IT. He has filed and successfully published 27 Patents. He has received many time invitations to be a Guest at IEEE Conferences. He has published 100 research papers in various International/National Journals (including IEEE, Springer, etc.) and Proceedings of the reputed International/ National Conferences (including Springer and IEEE). He has been nominated to the board of editors/reviewers of many peer-reviewed and refereed Journals (including IEEE, Springer).",institutionString:"Guru Ghasidas Vishwavidyalaya",institution:{name:"Guru Ghasidas Vishwavidyalaya",country:{name:"India"}}},{id:"246502",title:"Dr.",name:"Jaya T.",middleName:"T",surname:"Varkey",slug:"jaya-t.-varkey",fullName:"Jaya T. Varkey",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/246502/images/11160_n.jpg",biography:"Jaya T. Varkey, PhD, graduated with a degree in Chemistry from Cochin University of Science and Technology, Kerala, India. She obtained a PhD in Chemistry from the School of Chemical Sciences, Mahatma Gandhi University, Kerala, India, and completed a post-doctoral fellowship at the University of Minnesota, USA. She is a research guide at Mahatma Gandhi University and Associate Professor in Chemistry, St. Teresa’s College, Kochi, Kerala, India.\nDr. Varkey received a National Young Scientist award from the Indian Science Congress (1995), a UGC Research award (2016–2018), an Indian National Science Academy (INSA) Visiting Scientist award (2018–2019), and a Best Innovative Faculty award from the All India Association for Christian Higher Education (AIACHE) (2019). She Hashas received the Sr. Mary Cecil prize for best research paper three times. She was also awarded a start-up to develop a tea bag water filter. \nDr. Varkey has published two international books and twenty-seven international journal publications. She is an editorial board member for five international journals.",institutionString:"St. Teresa’s College",institution:null},{id:"250668",title:"Dr.",name:"Ali",middleName:null,surname:"Nabipour Chakoli",slug:"ali-nabipour-chakoli",fullName:"Ali Nabipour Chakoli",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/250668/images/system/250668.jpg",biography:"Academic Qualification:\r\n•\tPhD in Materials Physics and Chemistry, From: Sep. 2006, to: Sep. 2010, School of Materials Science and Engineering, Harbin Institute of Technology, Thesis: Structure and Shape Memory Effect of Functionalized MWCNTs/poly (L-lactide-co-ε-caprolactone) Nanocomposites. Supervisor: Prof. Wei Cai,\r\n•\tM.Sc in Applied Physics, From: 1996, to: 1998, Faculty of Physics & Nuclear Science, Amirkabir Uni. of Technology, Tehran, Iran, Thesis: Determination of Boron in Micro alloy Steels with solid state nuclear track detectors by neutron induced auto radiography, Supervisors: Dr. M. Hosseini Ashrafi and Dr. A. Hosseini.\r\n•\tB.Sc. in Applied Physics, From: 1991, to: 1996, Faculty of Physics & Nuclear Science, Amirkabir Uni. of Technology, Tehran, Iran, Thesis: Design of shielding for Am-Be neutron sources for In Vivo neutron activation analysis, Supervisor: Dr. M. Hosseini Ashrafi.\r\n\r\nResearch Experiences:\r\n1.\tNanomaterials, Carbon Nanotubes, Graphene: Synthesis, Functionalization and Characterization,\r\n2.\tMWCNTs/Polymer Composites: Fabrication and Characterization, \r\n3.\tShape Memory Polymers, Biodegradable Polymers, ORC, Collagen,\r\n4.\tMaterials Analysis and Characterizations: TEM, SEM, XPS, FT-IR, Raman, DSC, DMA, TGA, XRD, GPC, Fluoroscopy, \r\n5.\tInteraction of Radiation with Mater, Nuclear Safety and Security, NDT(RT),\r\n6.\tRadiation Detectors, Calibration (SSDL),\r\n7.\tCompleted IAEA e-learning Courses:\r\nNuclear Security (15 Modules),\r\nNuclear Safety:\r\nTSA 2: Regulatory Protection in Occupational Exposure,\r\nTips & Tricks: Radiation Protection in Radiography,\r\nSafety and Quality in Radiotherapy,\r\nCourse on Sealed Radioactive Sources,\r\nCourse on Fundamentals of Environmental Remediation,\r\nCourse on Planning for Environmental Remediation,\r\nKnowledge Management Orientation Course,\r\nFood Irradiation - Technology, Applications and Good Practices,\r\nEmployment:\r\nFrom 2010 to now: Academic staff, Nuclear Science and Technology Research Institute, Kargar Shomali, Tehran, Iran, P.O. Box: 14395-836.\r\nFrom 1997 to 2006: Expert of Materials Analysis and Characterization. Research Center of Agriculture and Medicine. Rajaeeshahr, Karaj, Iran, P. O. Box: 31585-498.",institutionString:"Atomic Energy Organization of Iran",institution:{name:"Atomic Energy Organization of Iran",country:{name:"Iran"}}},{id:"248279",title:"Dr.",name:"Monika",middleName:"Elzbieta",surname:"Machoy",slug:"monika-machoy",fullName:"Monika Machoy",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/248279/images/system/248279.jpeg",biography:"Monika Elżbieta Machoy, MD, graduated with distinction from the Faculty of Medicine and Dentistry at the Pomeranian Medical University in 2009, defended her PhD thesis with summa cum laude in 2016 and is currently employed as a researcher at the Department of Orthodontics of the Pomeranian Medical University. She expanded her professional knowledge during a one-year scholarship program at the Ernst Moritz Arndt University in Greifswald, Germany and during a three-year internship at the Technical University in Dresden, Germany. She has been a speaker at numerous orthodontic conferences, among others, American Association of Orthodontics, European Orthodontic Symposium and numerous conferences of the Polish Orthodontic Society. She conducts research focusing on the effect of orthodontic treatment on dental and periodontal tissues and the causes of pain in orthodontic patients.",institutionString:"Pomeranian Medical University",institution:{name:"Pomeranian Medical University",country:{name:"Poland"}}},{id:"252743",title:"Prof.",name:"Aswini",middleName:"Kumar",surname:"Kar",slug:"aswini-kar",fullName:"Aswini Kar",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/252743/images/10381_n.jpg",biography:"uploaded in cv",institutionString:null,institution:{name:"KIIT University",country:{name:"India"}}},{id:"204256",title:"Dr.",name:"Anil",middleName:"Kumar",surname:"Kumar Sahu",slug:"anil-kumar-sahu",fullName:"Anil Kumar Sahu",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/204256/images/14201_n.jpg",biography:"I have nearly 11 years of research and teaching experience. I have done my master degree from University Institute of Pharmacy, Pt. Ravi Shankar Shukla University, Raipur, Chhattisgarh India. I have published 16 review and research articles in international and national journals and published 4 chapters in IntechOpen, the world’s leading publisher of Open access books. I have presented many papers at national and international conferences. I have received research award from Indian Drug Manufacturers Association in year 2015. My research interest extends from novel lymphatic drug delivery systems, oral delivery system for herbal bioactive to formulation optimization.",institutionString:null,institution:{name:"Chhattisgarh Swami Vivekanand Technical University",country:{name:"India"}}},{id:"253468",title:"Dr.",name:"Mariusz",middleName:null,surname:"Marzec",slug:"mariusz-marzec",fullName:"Mariusz Marzec",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/253468/images/system/253468.png",biography:"An assistant professor at Department of Biomedical Computer Systems, at Institute of Computer Science, Silesian University in Katowice. Scientific interests: computer analysis and processing of images, biomedical images, databases and programming languages. He is an author and co-author of scientific publications covering analysis and processing of biomedical images and development of database systems.",institutionString:"University of Silesia",institution:null},{id:"212432",title:"Prof.",name:"Hadi",middleName:null,surname:"Mohammadi",slug:"hadi-mohammadi",fullName:"Hadi Mohammadi",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/212432/images/system/212432.jpeg",biography:"Dr. Hadi Mohammadi is a biomedical engineer with hands-on experience in the design and development of many engineering structures and medical devices through various projects that he has been involved in over the past twenty years. Dr. Mohammadi received his BSc. and MSc. degrees in Mechanical Engineering from Sharif University of Technology, Tehran, Iran, and his PhD. degree in Biomedical Engineering (biomaterials) from the University of Western Ontario. He was a postdoctoral trainee for almost four years at University of Calgary and Harvard Medical School. He is an industry innovator having created the technology to produce lifelike synthetic platforms that can be used for the simulation of almost all cardiovascular reconstructive surgeries. He’s been heavily involved in the design and development of cardiovascular devices and technology for the past 10 years. He is currently an Assistant Professor with the University of British Colombia, Canada.",institutionString:"University of British Columbia",institution:{name:"University of British Columbia",country:{name:"Canada"}}},{id:"254463",title:"Prof.",name:"Haisheng",middleName:null,surname:"Yang",slug:"haisheng-yang",fullName:"Haisheng Yang",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/254463/images/system/254463.jpeg",biography:"Haisheng Yang, Ph.D., Professor and Director of the Department of Biomedical Engineering, College of Life Science and Bioengineering, Beijing University of Technology. He received his Ph.D. degree in Mechanics/Biomechanics from Harbin Institute of Technology (jointly with University of California, Berkeley). Afterwards, he worked as a Postdoctoral Research Associate in the Purdue Musculoskeletal Biology and Mechanics Lab at the Department of Basic Medical Sciences, Purdue University, USA. He also conducted research in the Research Centre of Shriners Hospitals for Children-Canada at McGill University, Canada. Dr. Yang has over 10 years research experience in orthopaedic biomechanics and mechanobiology of bone adaptation and regeneration. He earned an award from Beijing Overseas Talents Aggregation program in 2017 and serves as Beijing Distinguished Professor.",institutionString:null,institution:{name:"Beijing University of Technology",country:{name:"China"}}},{id:"89721",title:"Dr.",name:"Mehmet",middleName:"Cuneyt",surname:"Ozmen",slug:"mehmet-ozmen",fullName:"Mehmet Ozmen",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/89721/images/7289_n.jpg",biography:null,institutionString:null,institution:{name:"Gazi University",country:{name:"Turkey"}}},{id:"243698",title:"M.D.",name:"Xiaogang",middleName:null,surname:"Wang",slug:"xiaogang-wang",fullName:"Xiaogang Wang",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/243698/images/system/243698.png",biography:"Dr. Xiaogang Wang, a faculty member of Shanxi Eye Hospital specializing in the treatment of cataract and retinal disease and a tutor for postgraduate students of Shanxi Medical University, worked in the COOL Lab as an international visiting scholar under the supervision of Dr. David Huang and Yali Jia from October 2012 through November 2013. Dr. Wang earned an MD from Shanxi Medical University and a Ph.D. from Shanghai Jiao Tong University. Dr. Wang was awarded two research project grants focused on multimodal optical coherence tomography imaging and deep learning in cataract and retinal disease, from the National Natural Science Foundation of China. He has published around 30 peer-reviewed journal papers and four book chapters and co-edited one book.",institutionString:"Shanxi Eye Hospital",institution:{name:"Shanxi Eye Hospital",country:{name:"China"}}},{id:"242893",title:"Ph.D. Student",name:"Joaquim",middleName:null,surname:"De Moura",slug:"joaquim-de-moura",fullName:"Joaquim De Moura",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/242893/images/7133_n.jpg",biography:"Joaquim de Moura received his degree in Computer Engineering in 2014 from the University of A Coruña (Spain). In 2016, he received his M.Sc degree in Computer Engineering from the same university. He is currently pursuing his Ph.D degree in Computer Science in a collaborative project between ophthalmology centers in Galicia and the University of A Coruña. His research interests include computer vision, machine learning algorithms and analysis and medical imaging processing of various kinds.",institutionString:null,institution:{name:"University of A Coruña",country:{name:"Spain"}}},{id:"294334",title:"B.Sc.",name:"Marc",middleName:null,surname:"Bruggeman",slug:"marc-bruggeman",fullName:"Marc Bruggeman",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/294334/images/8242_n.jpg",biography:"Chemical engineer graduate, with a passion for material science and specific interest in polymers - their near infinite applications intrigue me. \n\nI plan to continue my scientific career in the field of polymeric biomaterials as I am fascinated by intelligent, bioactive and biomimetic materials for use in both consumer and medical applications.",institutionString:null,institution:null},{id:"255757",title:"Dr.",name:"Igor",middleName:"Victorovich",surname:"Lakhno",slug:"igor-lakhno",fullName:"Igor Lakhno",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/255757/images/system/255757.jpg",biography:"Igor Victorovich Lakhno was born in 1971 in Kharkiv (Ukraine). \nMD – 1994, Kharkiv National Medical Univesity.\nOb&Gyn; – 1997, master courses in Kharkiv Medical Academy of Postgraduate Education.\nPh.D. – 1999, Kharkiv National Medical Univesity.\nDSC – 2019, PL Shupik National Academy of Postgraduate Education \nProfessor – 2021, Department of Obstetrics and Gynecology of VN Karazin Kharkiv National University\nHead of Department – 2021, Department of Perinatology, Obstetrics and gynecology of Kharkiv Medical Academy of Postgraduate Education\nIgor Lakhno has been graduated from international training courses on reproductive medicine and family planning held at Debrecen University (Hungary) in 1997. Since 1998 Lakhno Igor has worked as an associate professor in the department of obstetrics and gynecology of VN Karazin National University and an associate professor of the perinatology, obstetrics, and gynecology department of Kharkiv Medical Academy of Postgraduate Education. Since June 2019 he’s been a professor in the department of obstetrics and gynecology of VN Karazin National University and a professor of the perinatology, obstetrics, and gynecology department. He’s affiliated with Kharkiv Medical Academy of Postgraduate Education as a Head of Department from November 2021. Igor Lakhno has participated in several international projects on fetal non-invasive electrocardiography (with Dr. J. A. Behar (Technion), Prof. D. Hoyer (Jena University), and José Alejandro Díaz Méndez (National Institute of Astrophysics, Optics, and Electronics, Mexico). He’s an author of about 200 printed works and there are 31 of them in Scopus or Web of Science databases. Igor Lakhno is a member of the Editorial Board of Reproductive Health of Woman, Emergency Medicine, and Technology Transfer Innovative Solutions in Medicine (Estonia). He is a medical Editor of “Z turbotoyu pro zhinku”. Igor Lakhno is a reviewer of the Journal of Obstetrics and Gynaecology (Taylor and Francis), British Journal of Obstetrics and Gynecology (Wiley), Informatics in Medicine Unlocked (Elsevier), The Journal of Obstetrics and Gynecology Research (Wiley), Endocrine, Metabolic & Immune Disorders-Drug Targets (Bentham Open), The Open Biomedical Engineering Journal (Bentham Open), etc. He’s defended a dissertation for a DSc degree “Pre-eclampsia: prediction, prevention, and treatment”. Three years ago Igor Lakhno has participated in a training course on innovative technologies in medical education at Lublin Medical University (Poland). Lakhno Igor has participated as a speaker in several international conferences and congresses (International Conference on Biological Oscillations April 10th-14th 2016, Lancaster, UK, The 9th conference of the European Study Group on Cardiovascular Oscillations). His main scientific interests: are obstetrics, women’s health, fetal medicine, and cardiovascular medicine. \nIgor Lakhno is a consultant at Kharkiv municipal perinatal center. He’s graduated from training courses on endoscopy in gynecology. He has 28 years of practical experience in the field.",institutionString:null,institution:null},{id:"244950",title:"Dr.",name:"Salvatore",middleName:null,surname:"Di Lauro",slug:"salvatore-di-lauro",fullName:"Salvatore Di Lauro",position:null,profilePictureURL:"https://intech-files.s3.amazonaws.com/0030O00002bSF1HQAW/ProfilePicture%202021-12-20%2014%3A54%3A14.482",biography:"Name:\n\tSALVATORE DI LAURO\nAddress:\n\tHospital Clínico Universitario Valladolid\nAvda Ramón y Cajal 3\n47005, Valladolid\nSpain\nPhone number: \nFax\nE-mail:\n\t+34 983420000 ext 292\n+34 983420084\nsadilauro@live.it\nDate and place of Birth:\nID Number\nMedical Licence \nLanguages\t09-05-1985. Villaricca (Italy)\n\nY1281863H\n474707061\nItalian (native language)\nSpanish (read, written, spoken)\nEnglish (read, written, spoken)\nPortuguese (read, spoken)\nFrench (read)\n\t\t\nCurrent position (title and company)\tDate (Year)\nVitreo-Retinal consultant in ophthalmology. Hospital Clinico Universitario Valladolid. Sacyl. National Health System.\nVitreo-Retinal consultant in ophthalmology. Instituto Oftalmologico Recoletas. Red Hospitalaria Recoletas. Private practise.\t2017-today\n\n2019-today\n\t\n\t\nEducation (High school, university and postgraduate training > 3 months)\tDate (Year)\nDegree in Medicine and Surgery. University of Neaples 'Federico II”\nResident in Opthalmology. Hospital Clinico Universitario Valladolid\nMaster in Vitreo-Retina. IOBA. University of Valladolid\nFellow of the European Board of Ophthalmology. Paris\nMaster in Research in Ophthalmology. University of Valladolid\t2003-2009\n2012-2016\n2016-2017\n2016\n2012-2013\n\t\nEmployments (company and positions)\tDate (Year)\nResident in Ophthalmology. Hospital Clinico Universitario Valladolid. Sacyl.\nFellow in Vitreo-Retina. IOBA. University of Valladolid\nVitreo-Retinal consultant in ophthalmology. Hospital Clinico Universitario Valladolid. Sacyl. National Health System.\nVitreo-Retinal consultant in ophthalmology. Instituto Oftalmologico Recoletas. Red Hospitalaria Recoletas. \n\t2012-2016\n2016-2017\n2017-today\n\n2019-Today\n\n\n\t\nClinical Research Experience (tasks and role)\tDate (Year)\nAssociated investigator\n\n' FIS PI20/00740: DESARROLLO DE UNA CALCULADORA DE RIESGO DE\nAPARICION DE RETINOPATIA DIABETICA BASADA EN TECNICAS DE IMAGEN MULTIMODAL EN PACIENTES DIABETICOS TIPO 1. Grant by: Ministerio de Ciencia e Innovacion \n\n' (BIO/VA23/14) Estudio clínico multicéntrico y prospectivo para validar dos\nbiomarcadores ubicados en los genes p53 y MDM2 en la predicción de los resultados funcionales de la cirugía del desprendimiento de retina regmatógeno. Grant by: Gerencia Regional de Salud de la Junta de Castilla y León.\n' Estudio multicéntrico, aleatorizado, con enmascaramiento doble, en 2 grupos\nparalelos y de 52 semanas de duración para comparar la eficacia, seguridad e inmunogenicidad de SOK583A1 respecto a Eylea® en pacientes con degeneración macular neovascular asociada a la edad' (CSOK583A12301; N.EUDRA: 2019-004838-41; FASE III). Grant by Hexal AG\n\n' Estudio de fase III, aleatorizado, doble ciego, con grupos paralelos, multicéntrico para comparar la eficacia y la seguridad de QL1205 frente a Lucentis® en pacientes con degeneración macular neovascular asociada a la edad. (EUDRACT: 2018-004486-13). Grant by Qilu Pharmaceutical Co\n\n' Estudio NEUTON: Ensayo clinico en fase IV para evaluar la eficacia de aflibercept en pacientes Naive con Edema MacUlar secundario a Oclusion de Vena CenTral de la Retina (OVCR) en regimen de tratamientO iNdividualizado Treat and Extend (TAE)”, (2014-000975-21). Grant by Fundacion Retinaplus\n\n' Evaluación de la seguridad y bioactividad de anillos de tensión capsular en conejo. Proyecto Procusens. Grant by AJL, S.A.\n\n'Estudio epidemiológico, prospectivo, multicéntrico y abierto\\npara valorar la frecuencia de la conjuntivitis adenovírica diagnosticada mediante el test AdenoPlus®\\nTest en pacientes enfermos de conjuntivitis aguda”\\n. National, multicenter study. Grant by: NICOX.\n\nEuropean multicentric trial: 'Evaluation of clinical outcomes following the use of Systane Hydration in patients with dry eye”. Study Phase 4. Grant by: Alcon Labs'\n\nVLPs Injection and Activation in a Rabbit Model of Uveal Melanoma. Grant by Aura Bioscience\n\nUpdating and characterization of a rabbit model of uveal melanoma. Grant by Aura Bioscience\n\nEnsayo clínico en fase IV para evaluar las variantes genéticas de la vía del VEGF como biomarcadores de eficacia del tratamiento con aflibercept en pacientes con degeneración macular asociada a la edad (DMAE) neovascular. Estudio BIOIMAGE. IMO-AFLI-2013-01\n\nEstudio In-Eye:Ensayo clínico en fase IV, abierto, aleatorizado, de 2 brazos,\nmulticçentrico y de 12 meses de duración, para evaluar la eficacia y seguridad de un régimen de PRN flexible individualizado de 'esperar y extender' versus un régimen PRN según criterios de estabilización mediante evaluaciones mensuales de inyecciones intravítreas de ranibizumab 0,5 mg en pacientes naive con neovascularización coriodea secunaria a la degeneración macular relacionada con la edad. CP: CRFB002AES03T\n\nTREND: Estudio Fase IIIb multicéntrico, randomizado, de 12 meses de\nseguimiento con evaluador de la agudeza visual enmascarado, para evaluar la eficacia y la seguridad de ranibizumab 0.5mg en un régimen de tratar y extender comparado con un régimen mensual, en pacientes con degeneración macular neovascular asociada a la edad. CP: CRFB002A2411 Código Eudra CT:\n2013-002626-23\n\n\n\nPublications\t\n\n2021\n\n\n\n\n2015\n\n\n\n\n2021\n\n\n\n\n\n2021\n\n\n\n\n2015\n\n\n\n\n2015\n\n\n2014\n\n\n\n\n2015-16\n\n\n\n2015\n\n\n2014\n\n\n2014\n\n\n\n\n2014\n\n\n\n\n\n\n\n2014\n\nJose Carlos Pastor; Jimena Rojas; Salvador Pastor-Idoate; Salvatore Di Lauro; Lucia Gonzalez-Buendia; Santiago Delgado-Tirado. Proliferative vitreoretinopathy: A new concept of disease pathogenesis and practical\nconsequences. Progress in Retinal and Eye Research. 51, pp. 125 - 155. 03/2016. DOI: 10.1016/j.preteyeres.2015.07.005\n\n\nLabrador-Velandia S; Alonso-Alonso ML; Di Lauro S; García-Gutierrez MT; Srivastava GK; Pastor JC; Fernandez-Bueno I. Mesenchymal stem cells provide paracrine neuroprotective resources that delay degeneration of co-cultured organotypic neuroretinal cultures.Experimental Eye Research. 185, 17/05/2019. DOI: 10.1016/j.exer.2019.05.011\n\nSalvatore Di Lauro; Maria Teresa Garcia Gutierrez; Ivan Fernandez Bueno. Quantification of pigment epithelium-derived factor (PEDF) in an ex vivo coculture of retinal pigment epithelium cells and neuroretina.\nJournal of Allbiosolution. 2019. ISSN 2605-3535\n\nSonia Labrador Velandia; Salvatore Di Lauro; Alonso-Alonso ML; Tabera Bartolomé S; Srivastava GK; Pastor JC; Fernandez-Bueno I. Biocompatibility of intravitreal injection of human mesenchymal stem cells in immunocompetent rabbits. Graefe's archive for clinical and experimental ophthalmology. 256 - 1, pp. 125 - 134. 01/2018. DOI: 10.1007/s00417-017-3842-3\n\n\nSalvatore Di Lauro, David Rodriguez-Crespo, Manuel J Gayoso, Maria T Garcia-Gutierrez, J Carlos Pastor, Girish K Srivastava, Ivan Fernandez-Bueno. A novel coculture model of porcine central neuroretina explants and retinal pigment epithelium cells. Molecular Vision. 2016 - 22, pp. 243 - 253. 01/2016.\n\nSalvatore Di Lauro. Classifications for Proliferative Vitreoretinopathy ({PVR}): An Analysis of Their Use in Publications over the Last 15 Years. Journal of Ophthalmology. 2016, pp. 1 - 6. 01/2016. DOI: 10.1155/2016/7807596\n\nSalvatore Di Lauro; Rosa Maria Coco; Rosa Maria Sanabria; Enrique Rodriguez de la Rua; Jose Carlos Pastor. Loss of Visual Acuity after Successful Surgery for Macula-On Rhegmatogenous Retinal Detachment in a Prospective Multicentre Study. Journal of Ophthalmology. 2015:821864, 2015. DOI: 10.1155/2015/821864\n\nIvan Fernandez-Bueno; Salvatore Di Lauro; Ivan Alvarez; Jose Carlos Lopez; Maria Teresa Garcia-Gutierrez; Itziar Fernandez; Eva Larra; Jose Carlos Pastor. Safety and Biocompatibility of a New High-Density Polyethylene-Based\nSpherical Integrated Porous Orbital Implant: An Experimental Study in Rabbits. Journal of Ophthalmology. 2015:904096, 2015. DOI: 10.1155/2015/904096\n\nPastor JC; Pastor-Idoate S; Rodríguez-Hernandez I; Rojas J; Fernandez I; Gonzalez-Buendia L; Di Lauro S; Gonzalez-Sarmiento R. Genetics of PVR and RD. Ophthalmologica. 232 - Suppl 1, pp. 28 - 29. 2014\n\nRodriguez-Crespo D; Di Lauro S; Singh AK; Garcia-Gutierrez MT; Garrosa M; Pastor JC; Fernandez-Bueno I; Srivastava GK. Triple-layered mixed co-culture model of RPE cells with neuroretina for evaluating the neuroprotective effects of adipose-MSCs. Cell Tissue Res. 358 - 3, pp. 705 - 716. 2014.\nDOI: 10.1007/s00441-014-1987-5\n\nCarlo De Werra; Salvatore Condurro; Salvatore Tramontano; Mario Perone; Ivana Donzelli; Salvatore Di Lauro; Massimo Di Giuseppe; Rosa Di Micco; Annalisa Pascariello; Antonio Pastore; Giorgio Diamantis; Giuseppe Galloro. Hydatid disease of the liver: thirty years of surgical experience.Chirurgia italiana. 59 - 5, pp. 611 - 636.\n(Italia): 2007. ISSN 0009-4773\n\nChapters in books\n\t\n' Salvador Pastor Idoate; Salvatore Di Lauro; Jose Carlos Pastor Jimeno. PVR: Pathogenesis, Histopathology and Classification. Proliferative Vitreoretinopathy with Small Gauge Vitrectomy. Springer, 2018. ISBN 978-3-319-78445-8\nDOI: 10.1007/978-3-319-78446-5_2. \n\n' Salvatore Di Lauro; Maria Isabel Lopez Galvez. Quistes vítreos en una mujer joven. Problemas diagnósticos en patología retinocoroidea. Sociedad Española de Retina-Vitreo. 2018.\n\n' Salvatore Di Lauro; Salvador Pastor Idoate; Jose Carlos Pastor Jimeno. iOCT in PVR management. OCT Applications in Opthalmology. pp. 1 - 8. INTECH, 2018. DOI: 10.5772/intechopen.78774.\n\n' Rosa Coco Martin; Salvatore Di Lauro; Salvador Pastor Idoate; Jose Carlos Pastor. amponadores, manipuladores y tinciones en la cirugía del traumatismo ocular.Trauma Ocular. Ponencia de la SEO 2018..\n\n' LOPEZ GALVEZ; DI LAURO; CRESPO. OCT angiografia y complicaciones retinianas de la diabetes. PONENCIA SEO 2021, CAPITULO 20. (España): 2021.\n\n' Múltiples desprendimientos neurosensoriales bilaterales en paciente joven. Enfermedades Degenerativas De Retina Y Coroides. SERV 04/2016. \n' González-Buendía L; Di Lauro S; Pastor-Idoate S; Pastor Jimeno JC. Vitreorretinopatía proliferante (VRP) e inflamación: LA INFLAMACIÓN in «INMUNOMODULADORES Y ANTIINFLAMATORIOS: MÁS ALLÁ DE LOS CORTICOIDES. 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Recently, bioinspired systems have been successfully employing biomechanics to develop and improve assistive technology and rehabilitation devices. The research topic "Bioinspired Technology and Biomechanics" welcomes studies reporting recent advances in bioinspired technologies that contribute to individuals\' health, inclusion, and rehabilitation. Possible contributions can address (but are not limited to) the following research topics: Bioinspired design and control of exoskeletons, orthoses, and prostheses; Experimental evaluation of the effect of assistive devices (e.g., influence on gait, balance, and neuromuscular system); Bioinspired technologies for rehabilitation, including clinical studies reporting evaluations; Application of neuromuscular and biomechanical models to the development of bioinspired technology.',coverUrl:"https://cdn.intechopen.com/series_topics/covers/8.jpg",keywords:"Bioinspired Systems, Biomechanics, Assistive Technology, Rehabilitation"},{id:"9",title:"Biotechnology - Biosensors, Biomaterials and Tissue Engineering",scope:"The Biotechnology - Biosensors, Biomaterials and Tissue Engineering topic within the Biomedical Engineering Series aims to rapidly publish contributions on all aspects of biotechnology, biosensors, biomaterial and tissue engineering. We encourage the submission of manuscripts that provide novel and mechanistic insights that report significant advances in the fields. Topics can include but are not limited to: Biotechnology such as biotechnological products and process engineering; Biotechnologically relevant enzymes and proteins; Bioenergy and biofuels; Applied genetics and molecular biotechnology; Genomics, transcriptomics, proteomics; Applied microbial and cell physiology; Environmental biotechnology; Methods and protocols. Moreover, topics in biosensor technology, like sensors that incorporate enzymes, antibodies, nucleic acids, whole cells, tissues and organelles, and other biological or biologically inspired components will be considered, and topics exploring transducers, including those based on electrochemical and optical piezoelectric, thermal, magnetic, and micromechanical elements. Chapters exploring biomaterial approaches such as polymer synthesis and characterization, drug and gene vector design, biocompatibility, immunology and toxicology, and self-assembly at the nanoscale, are welcome. Finally, the tissue engineering subcategory will support topics such as the fundamentals of stem cells and progenitor cells and their proliferation, differentiation, bioreactors for three-dimensional culture and studies of phenotypic changes, stem and progenitor cells, both short and long term, ex vivo and in vivo implantation both in preclinical models and also in clinical trials.",coverUrl:"https://cdn.intechopen.com/series_topics/covers/9.jpg",keywords:"Biotechnology, Biosensors, Biomaterials, Tissue Engineering"}],annualVolumeBook:{},thematicCollection:[],selectedSeries:null,selectedSubseries:null},seriesLanding:{item:{id:"11",title:"Biochemistry",doi:"10.5772/intechopen.72877",issn:"2632-0983",scope:"Biochemistry, the study of chemical transformations occurring within living organisms, impacts all areas of life sciences, from molecular crystallography and genetics to ecology, medicine, and population biology. Biochemistry examines macromolecules - proteins, nucleic acids, carbohydrates, and lipids – and their building blocks, structures, functions, and interactions. Much of biochemistry is devoted to enzymes, proteins that catalyze chemical reactions, enzyme structures, mechanisms of action and their roles within cells. Biochemistry also studies small signaling molecules, coenzymes, inhibitors, vitamins, and hormones, which play roles in life processes. Biochemical experimentation, besides coopting classical chemistry methods, e.g., chromatography, adopted new techniques, e.g., X-ray diffraction, electron microscopy, NMR, radioisotopes, and developed sophisticated microbial genetic tools, e.g., auxotroph mutants and their revertants, fermentation, etc. More recently, biochemistry embraced the ‘big data’ omics systems. Initial biochemical studies have been exclusively analytic: dissecting, purifying, and examining individual components of a biological system; in the apt words of Efraim Racker (1913 –1991), “Don’t waste clean thinking on dirty enzymes.” Today, however, biochemistry is becoming more agglomerative and comprehensive, setting out to integrate and describe entirely particular biological systems. The ‘big data’ metabolomics can define the complement of small molecules, e.g., in a soil or biofilm sample; proteomics can distinguish all the comprising proteins, e.g., serum; metagenomics can identify all the genes in a complex environment, e.g., the bovine rumen. This Biochemistry Series will address the current research on biomolecules and the emerging trends with great promise.",coverUrl:"https://cdn.intechopen.com/series/covers/11.jpg",latestPublicationDate:"June 24th, 2022",hasOnlineFirst:!0,numberOfOpenTopics:4,numberOfPublishedChapters:314,numberOfPublishedBooks:31,editor:{id:"31610",title:"Dr.",name:"Miroslav",middleName:null,surname:"Blumenberg",fullName:"Miroslav Blumenberg",profilePictureURL:"https://mts.intechopen.com/storage/users/31610/images/system/31610.jpg",biography:"Miroslav Blumenberg, Ph.D., was born in Subotica and received his BSc in Belgrade, Yugoslavia. He completed his Ph.D. at MIT in Organic Chemistry; he followed up his Ph.D. with two postdoctoral study periods at Stanford University. Since 1983, he has been a faculty member of the RO Perelman Department of Dermatology, NYU School of Medicine, where he is codirector of a training grant in cutaneous biology. Dr. Blumenberg’s research is focused on the epidermis, expression of keratin genes, transcription profiling, keratinocyte differentiation, inflammatory diseases and cancers, and most recently the effects of the microbiome on the skin. He has published more than 100 peer-reviewed research articles and graduated numerous Ph.D. and postdoctoral students.",institutionString:null,institution:{name:"New York University Langone Medical Center",institutionURL:null,country:{name:"United States of America"}}},subseries:[{id:"14",title:"Cell and Molecular Biology",keywords:"Omics (Transcriptomics; Proteomics; Metabolomics), Molecular Biology, Cell Biology, Signal Transduction and Regulation, Cell Growth and Differentiation, Apoptosis, Necroptosis, Ferroptosis, Autophagy, Cell Cycle, Macromolecules and Complexes, Gene Expression",scope:"The Cell and Molecular Biology topic within the IntechOpen Biochemistry Series aims to rapidly publish contributions on all aspects of cell and molecular biology, including aspects related to biochemical and genetic research (not only in humans but all living beings). We encourage the submission of manuscripts that provide novel and mechanistic insights that report significant advances in the fields. Topics include, but are not limited to: Advanced techniques of cellular and molecular biology (Molecular methodologies, imaging techniques, and bioinformatics); Biological activities at the molecular level; Biological processes of cell functions, cell division, senescence, maintenance, and cell death; Biomolecules interactions; Cancer; Cell biology; Chemical biology; Computational biology; Cytochemistry; Developmental biology; Disease mechanisms and therapeutics; DNA, and RNA metabolism; Gene functions, genetics, and genomics; Genetics; Immunology; Medical microbiology; Molecular biology; Molecular genetics; Molecular processes of cell and organelle dynamics; Neuroscience; Protein biosynthesis, degradation, and functions; Regulation of molecular interactions in a cell; Signalling networks and system biology; Structural biology; Virology and microbiology.",annualVolume:11410,isOpenForSubmission:!0,coverUrl:"https://cdn.intechopen.com/series_topics/covers/14.jpg",editor:{id:"165627",title:"Dr.",name:"Rosa María",middleName:null,surname:"Martínez-Espinosa",fullName:"Rosa María Martínez-Espinosa",profilePictureURL:"https://mts.intechopen.com/storage/users/165627/images/system/165627.jpeg",institutionString:null,institution:{name:"University of Alicante",institutionURL:null,country:{name:"Spain"}}},editorTwo:null,editorThree:null,editorialBoard:[{id:"79367",title:"Dr.",name:"Ana Isabel",middleName:null,surname:"Flores",fullName:"Ana Isabel Flores",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRpIOQA0/Profile_Picture_1632418099564",institutionString:null,institution:{name:"Hospital Universitario 12 De Octubre",institutionURL:null,country:{name:"Spain"}}},{id:"328234",title:"Ph.D.",name:"Christian",middleName:null,surname:"Palavecino",fullName:"Christian Palavecino",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y000030DhEhQAK/Profile_Picture_1628835318625",institutionString:null,institution:{name:"Central University of Chile",institutionURL:null,country:{name:"Chile"}}},{id:"186585",title:"Dr.",name:"Francisco Javier",middleName:null,surname:"Martin-Romero",fullName:"Francisco Javier Martin-Romero",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bSB3HQAW/Profile_Picture_1631258137641",institutionString:null,institution:{name:"University of Extremadura",institutionURL:null,country:{name:"Spain"}}}]},{id:"15",title:"Chemical Biology",keywords:"Phenolic Compounds, Essential Oils, Modification of Biomolecules, Glycobiology, Combinatorial Chemistry, Therapeutic peptides, Enzyme Inhibitors",scope:"Chemical biology spans the fields of chemistry and biology involving the application of biological and chemical molecules and techniques. In recent years, the application of chemistry to biological molecules has gained significant interest in medicinal and pharmacological studies. This topic will be devoted to understanding the interplay between biomolecules and chemical compounds, their structure and function, and their potential applications in related fields. Being a part of the biochemistry discipline, the ideas and concepts that have emerged from Chemical Biology have affected other related areas. This topic will closely deal with all emerging trends in this discipline.",annualVolume:11411,isOpenForSubmission:!0,coverUrl:"https://cdn.intechopen.com/series_topics/covers/15.jpg",editor:{id:"441442",title:"Dr.",name:"Şükrü",middleName:null,surname:"Beydemir",fullName:"Şükrü Beydemir",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y00003GsUoIQAV/Profile_Picture_1634557147521",institutionString:null,institution:{name:"Anadolu University",institutionURL:null,country:{name:"Turkey"}}},editorTwo:{id:"13652",title:"Prof.",name:"Deniz",middleName:null,surname:"Ekinci",fullName:"Deniz Ekinci",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002aYLT1QAO/Profile_Picture_1634557223079",institutionString:null,institution:{name:"Ondokuz Mayıs University",institutionURL:null,country:{name:"Turkey"}}},editorThree:null,editorialBoard:[{id:"241413",title:"Dr.",name:"Azhar",middleName:null,surname:"Rasul",fullName:"Azhar Rasul",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRT1oQAG/Profile_Picture_1635251978933",institutionString:null,institution:{name:"Government College University, Faisalabad",institutionURL:null,country:{name:"Pakistan"}}},{id:"178316",title:"Ph.D.",name:"Sergey",middleName:null,surname:"Sedykh",fullName:"Sergey Sedykh",profilePictureURL:"https://mts.intechopen.com/storage/users/178316/images/system/178316.jfif",institutionString:null,institution:{name:"Novosibirsk State University",institutionURL:null,country:{name:"Russia"}}}]},{id:"17",title:"Metabolism",keywords:"Biomolecules Metabolism, Energy Metabolism, Metabolic Pathways, Key Metabolic Enzymes, Metabolic Adaptation",scope:"Metabolism is frequently defined in biochemistry textbooks as the overall process that allows living systems to acquire and use the free energy they need for their vital functions or the chemical processes that occur within a living organism to maintain life. Behind these definitions are hidden all the aspects of normal and pathological functioning of all processes that the topic ‘Metabolism’ will cover within the Biochemistry Series. Thus all studies on metabolism will be considered for publication.",annualVolume:11413,isOpenForSubmission:!0,coverUrl:"https://cdn.intechopen.com/series_topics/covers/17.jpg",editor:{id:"138626",title:"Dr.",name:"Yannis",middleName:null,surname:"Karamanos",fullName:"Yannis Karamanos",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002g6Jv2QAE/Profile_Picture_1629356660984",institutionString:null,institution:{name:"Artois University",institutionURL:null,country:{name:"France"}}},editorTwo:null,editorThree:null,editorialBoard:[{id:"243049",title:"Dr.",name:"Anca",middleName:null,surname:"Pantea Stoian",fullName:"Anca Pantea Stoian",profilePictureURL:"https://mts.intechopen.com/storage/users/243049/images/system/243049.jpg",institutionString:null,institution:{name:"Carol Davila University of Medicine and Pharmacy",institutionURL:null,country:{name:"Romania"}}},{id:"203824",title:"Dr.",name:"Attilio",middleName:null,surname:"Rigotti",fullName:"Attilio Rigotti",profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",institutionString:null,institution:{name:"Pontifical Catholic University of Chile",institutionURL:null,country:{name:"Chile"}}},{id:"300470",title:"Dr.",name:"Yanfei (Jacob)",middleName:null,surname:"Qi",fullName:"Yanfei (Jacob) Qi",profilePictureURL:"https://mts.intechopen.com/storage/users/300470/images/system/300470.jpg",institutionString:null,institution:{name:"Centenary Institute of Cancer Medicine and Cell Biology",institutionURL:null,country:{name:"Australia"}}}]},{id:"18",title:"Proteomics",keywords:"Mono- and Two-Dimensional Gel Electrophoresis (1-and 2-DE), Liquid Chromatography (LC), Mass Spectrometry/Tandem Mass Spectrometry (MS; MS/MS), Proteins",scope:"With the recognition that the human genome cannot provide answers to the etiology of a disorder, changes in the proteins expressed by a genome became a focus in research. Thus proteomics, an area of research that detects all protein forms expressed in an organism, including splice isoforms and post-translational modifications, is more suitable than genomics for a comprehensive understanding of the biochemical processes that govern life. The most common proteomics applications are currently in the clinical field for the identification, in a variety of biological matrices, of biomarkers for diagnosis and therapeutic intervention of disorders. From the comparison of proteomic profiles of control and disease or different physiological states, which may emerge, changes in protein expression can provide new insights into the roles played by some proteins in human pathologies. Understanding how proteins function and interact with each other is another goal of proteomics that makes this approach even more intriguing. Specialized technology and expertise are required to assess the proteome of any biological sample. Currently, proteomics relies mainly on mass spectrometry (MS) combined with electrophoretic (1 or 2-DE-MS) and/or chromatographic techniques (LC-MS/MS). MS is an excellent tool that has gained popularity in proteomics because of its ability to gather a complex body of information such as cataloging protein expression, identifying protein modification sites, and defining protein interactions. The Proteomics topic aims to attract contributions on all aspects of MS-based proteomics that, by pushing the boundaries of MS capabilities, may address biological problems that have not been resolved yet.",annualVolume:11414,isOpenForSubmission:!0,coverUrl:"https://cdn.intechopen.com/series_topics/covers/18.jpg",editor:{id:"200689",title:"Prof.",name:"Paolo",middleName:null,surname:"Iadarola",fullName:"Paolo Iadarola",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bSCl8QAG/Profile_Picture_1623568118342",institutionString:null,institution:{name:"University of Pavia",institutionURL:null,country:{name:"Italy"}}},editorTwo:{id:"201414",title:"Dr.",name:"Simona",middleName:null,surname:"Viglio",fullName:"Simona Viglio",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRKDHQA4/Profile_Picture_1630402531487",institutionString:null,institution:{name:"University of Pavia",institutionURL:null,country:{name:"Italy"}}},editorThree:null,editorialBoard:[{id:"72288",title:"Dr.",name:"Arli Aditya",middleName:null,surname:"Parikesit",fullName:"Arli Aditya Parikesit",profilePictureURL:"https://mts.intechopen.com/storage/users/72288/images/system/72288.jpg",institutionString:null,institution:{name:"Indonesia International Institute for Life Sciences",institutionURL:null,country:{name:"Indonesia"}}},{id:"40928",title:"Dr.",name:"Cesar",middleName:null,surname:"Lopez-Camarillo",fullName:"Cesar Lopez-Camarillo",profilePictureURL:"https://mts.intechopen.com/storage/users/40928/images/3884_n.png",institutionString:null,institution:{name:"Universidad Autónoma de la Ciudad de México",institutionURL:null,country:{name:"Mexico"}}},{id:"81926",title:"Dr.",name:"Shymaa",middleName:null,surname:"Enany",fullName:"Shymaa Enany",profilePictureURL:"https://mts.intechopen.com/storage/users/81926/images/system/81926.png",institutionString:"Suez Canal University",institution:{name:"Suez Canal University",institutionURL:null,country:{name:"Egypt"}}}]}]}},libraryRecommendation:{success:null,errors:{},institutions:[]},route:{name:"chapter.detail",path:"/chapters/45362",hash:"",query:{},params:{id:"45362"},fullPath:"/chapters/45362",meta:{},from:{name:null,path:"/",hash:"",query:{},params:{},fullPath:"/",meta:{}}}},function(){var e;(e=document.currentScript||document.scripts[document.scripts.length-1]).parentNode.removeChild(e)}()