Recent evidence suggests that the net effect of electrostatics is generally to destabilize protein binding due to large desolvation penalties. A novel method for computing ligand-charge distributions that optimize the tradeoff between ligand desolvation penalty and favorable interactions with a binding site has been applied to a model for bamase. The result is a ligand-charge distribution with a favorable electrostatic contribution to binding due, in part, to ligand point charges whose direct interaction with the binding site is unfavorable, but which make strong intra-molecular interactions that are uncloaked on binding and thus act to lessen the ligand desolvation penalty.
Statins are indicated in patients with elevated levels of high-sensitivity C-reactive protein and normal low-density lipoprotein cholesterol based on results of the multicountry trial, Justification for the Use of Statins in Prevention: an Intervention Trial Evaluating Rosuvastatin (JUPITER) (2003-2008), but the benefit in real-world populations remains unknown. We sought to generalize JUPITER results to trial-eligible population using data from the UK Clinical Practice Research Datalink (CPRD), 2001-2014. We multiply imputed missing baseline characteristics for the CPRD population and selected the trial-eligible participants as the target population based on observed and imputed values. Trial participants were weighted to be representative of the CPRD population (n = 383,418) based on individual predicted probability of selection into the trial. Trial participants were also standardized to the CPRD population without missing values (n = 2,677). In JUPITER, rosuvastatin reduced cardiovascular risk with a 3-year risk difference of -2.0% (95% confidence interval (CI): -2.9, -1.1). The rosuvastatin effect was muted in the first 2 years but remained strong at 3 years after standardizing to the imputed CPRD population (3-year risk difference = -2.7%; 95% CI: -5.8, 0.4) and the CPRD population without missing data (3-year risk difference = -1.7%; 95% CI: -3.5, 0.1). The study serves as an illustration of possible approaches to understanding generalizability of trials using real-world databases given limitations due to missing data on inclusion/exclusion criteria.
Analytical expressions for various spectroscopic observables are derived for statically disordered circular aggregates using first order perturbation theory. Quantities relevant to single molecule spectroscopy experiments on circular aggregates such as the distribution of energy splittings between levels that are degenerate in the absence of disorder, and the distribution of intensity of levels that are forbidden in the absence of disorder are derived. For simplicity only diagonal disorder is considered here. The approach, however, can be extended to include other types of disorder. Expressions are written in terms of standard deviations of Gaussian disorder, the symmetry number of the aggregate, and in some cases intermolecular couplings. The approach is compared to numerical simulations and shows excellent agreement over a large range of parameters. The expressions, however, provide a more direct framework to examine and understand the effects of disorder on spectroscopy of aggregates than do the simulations. The potential utility of the expressions for quantifying disorder and intermolecular couplings from single molecule experiments is also demonstrated.
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