A cytoplasmically inherited genetic element in yeast, [PSI+], was confirmed to be a prionlike aggregate of the cellular protein Sup35 by differential centrifugation analysis and microscopic localization of a Sup35-green fluorescent protein fusion. Aggregation depended on the intracellular concentration and functional state of the chaperone protein Hsp104 in the same manner as did [PSI+] inheritance. The amino-terminal and carboxy-terminal domains of Sup35 contributed to the unusual behavior of [PSI+]. [PSI+] altered the conformational state of newly synthesized prion proteins, inducing them to aggregate as well, thus fulfilling a major tenet of the prion hypothesis.

The [PSI+] factor of S. cerevisiae represents a new form of inheritance: cytosolic transmission of an altered phenotype is apparently based upon inheritance of an altered protein structure rather than an altered nucleic acid. The molecular basis of its propagation is unknown. We report that purified Sup35 and subdomains that induce [PSI+] elements in vivo form highly ordered fibers in vitro. Fibers bind Congo red and are rich in beta sheet, characteristics of amyloids found in certain human diseases, including the prion diseases. Some fibers have distinct structures and these, once initiated, are self-perpetuating. Preformed fibers greatly accelerate fiber formation by unpolymerized protein. These data support a "protein-only" seeded polymerization model for the inheritance of [PSI+].

Adult BALB/c mice of both sexes were infected intranasally with 106 viable P. brasiliensis conidia. Animals were sacrificed at intervals up to 6 months and studied by histopathology and organ cultures. At the time of challenge lung sections showed that instilled conidia had reached the alveoli; at 12 h such conidia were transforming into yeast cells, with multiple buds appearing by 18 h. Initially, the cellular infiltrate was composed of polymorphonuclear leukocytes; 6 days later, lymphocytes, plasmocytes and macrophages predominated. Multinucleated giant cells appeared only after 6 weeks. The rate of pulmonary infection as determined by organ culture was high (82 of the 83 mice studied). The experimental infection was progressive as indicated by increasing numbers of viable fungi with time. The results of this study demonstrate that the conidia produced by P. brasiliensis mycelial form are infectious, producing active disease in healthy animals.

The ferritin Iron regulatory element (IRE), a conserved sequence of 28 nucleotides in a hairpin loop, is a conserved mRNA-spedflc translational regulatory element; flanking the IRE are regions of varying sequence, which form 9-17 base pairs close to the 5' cap. P-90 is a ferritin mRNAspecific translation regulatory protein purified from animal liver and reticulocytes. To study the P-90-RNA interaction, protein nucleases (RNase Si and Ti) and chemical nucleases FeEDTA and/or 1,10-phenanthroline-Cu were used as probes of an oligonucleotide (n = 55), containing the IRE and flanking regions (FL), and natural ferritin mRNA. Footprints and "toeprints" showed that P-90 binding was confined to the stem and loop of the IRE itself. However, P-90 altered the structure of the flanking region by increasing base stacking or helicity (RNase V1 sensitivity). Comparison of the reactivity of the IRE and flanking regions in natural mRNA and the 55-mer showed that long-range interactions included protecting bulges, singlestranded, and stacked regions from protein nucleases as well as stabilizing the P-90-RNA interaction. Structural integration of the IRE with the base-paired fanking regions was indicated by common features of reactivity (periodic hypersensitivity to FeEDTA) and changes in the FL region caused by P-90. The increased secondary structure of the IRE flanking regions caused by P-90 binding to the IRE provides a likely mechanism for blocking initiation of ferritin mRNA translation, since the combined structure (IRE + FL) is so close (8-17 nucleotides) to the cap.Ferritin mRNAs, encoding the subunits of a large iron storage protein, contain a regulatory sequence in the 5' noncoding region that is conserved among all vertebrates studied (reviewed in ref. 1). The conserved mRNA sequence, IRE or iron regulatory element, is a 28-nucleotide hairpin loop, which is required for self-regulation of ferritin synthesis by iron; IRE flanking sequences form a 9-to 17-base-paired stem near the cap (2,'3). Increased cellular iron, which is the best-known regulatory signal, increases ferritin synthesis and iron storage by recruiting ferritin mRNA for polyribosomes, while decreasing transferrin receptor synthesis and iron uptake by degrading the receptor mRNA (4-9). Concerted regulation of the mRNA for the two metabolically related proteins uses the same RNA-protein interactions combined with additional sequences (1,7,8,(10)(11)(12)(13)(14). Opposite effects of iron on translation of ferritin mRNA and destabilization of the transferrin receptor mRNA coincide with the different locations ofthe IRE, in either the 5' noncoding region (ferritin mRNA) or the 3' noncoding region (transferrin receptor mRNA).Cell-free extracts from animal cells (rabbit reticulocytes) reproduce the ferritin mRNA-specific block in translation initiation, independently of added iron (10), indicating the presence of trans-acting factors. Ferritin mRNA-specific trans-acting factors have not been detected in plants (5, 10); § wheat germ extracts were used to...

Incubation of a 90-kilodalton ferritin repressor protein (FRP), either free or complexed with an L-ferritin transcript, with hemin or Co3+-protoporphyrin IX prevented subsequent repression of ferritin synthesis in a wheat germ extract. Neither FeCl3 in combinations with H2O2, nor Fe3+ or Fe2+ chelated with EDTA, nor Zn2+-protoporphyrin IX, nor protoporphyrin IX caused significant inactivation of FRP. FRP that had been inactivated by hemin remained chemically intact, as revealed by SDS-polyacrylamide gel electrophoresis. Inclusion of chelators of iron or free radical scavengers did not alter the inactivation produced by hemin. These and other results indicate that hemin derepresses ferritin synthesis in vitro.

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Chimeric antigen receptor (CAR) T-cell therapy can induce durable remissions of relapsed/refractory B-acute lymphoblastic leukemia (ALL). However, case reports suggested differential outcomes mediated by leukemia cytogenetics. We identified children and young adults with relapsed/refractory CD19+ ALL/lymphoblastic lymphoma treated on 5 CD19-directed CAR T-cell (CTL019 or humanized CART19) clinical trials or with commercial tisagenlecleucel from April 2012 to April 2019. Patients were hierarchically categorized according to leukemia cytogenetics: High-risk lesions were defined as KMT2A (MLL) rearrangements, Philadelphia-chromosome (Ph+), Ph-like, hypodiploidy, or TCF3/HLF; favorable as hyperdiploidy or ETV6/RUNX1; and intermediate as iAMP21, IKZF1 deletion, or TCF3/PBX1. Of 231 patients aged 1-29, 74 (32%) were categorized as high-risk, 28 (12%) as intermediate, 43 (19%) as favorable, and 86 (37%) as uninformative. Overall CR rate was 94%, with no difference between strata. There was no difference in relapse free survival (RFS, p=0.8112), with 2-year RFS for the high-risk group of 63% (95%CI 52-77). There was similarly no difference seen in OS (p=0.5488) with 2-year OS for the high-risk group of 70% (95%CI 60-82). For patients with KMT2A-rearranged infant ALL (n=13), 2-year RFS was 67% (95%CI 45-99), and OS was 62% (95%CI 40-95), with multivariable analysis demonstrating no increased risk of relapse (HR 0.70, 95%CI 0.21-2.90, p=0.7040), but a higher proportion of relapses associated with myeloid lineage switch, and a 3.6-fold increased risk of all-cause death (95%CI 1.04-12.75, p=0.0434). CTL019/huCART19/tisagenlecleucel are effective at achieving durable remissions across cytogenetic categories. Relapsed/refractory patients with high-risk cytogenetics, including KMT2A-rearranged infant ALL, demonstrated high RFS and OS probabilities at 2 years.

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