Recombinant Escherichia coli O7:K1 S-adenosylmethionine decarboxylase proenzyme (speD)

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Product Specs

Form
Lyophilized powder. We will preferentially ship the format we have in stock. If you have special format requirements, please note them when ordering.
Lead Time
Delivery time varies by purchasing method and location. Consult your local distributor for specific delivery times. All proteins are shipped with blue ice packs by default. Contact us in advance for dry ice shipping (extra fees apply).
Notes
Avoid repeated freeze-thaw cycles. Working aliquots are stable at 4°C for up to one week.
Reconstitution
Briefly centrifuge the vial before opening. Reconstitute protein in sterile deionized water to 0.1-1.0 mg/mL. Add 5-50% glycerol (final concentration) and aliquot for long-term storage at -20°C/-80°C. Our default final glycerol concentration is 50%.
Shelf Life
Shelf life depends on storage conditions, buffer components, temperature, and protein stability. Liquid form is generally stable for 6 months at -20°C/-80°C. Lyophilized form is generally stable for 12 months at -20°C/-80°C.
Storage Condition
Store at -20°C/-80°C upon receipt. Aliquot for multiple uses. Avoid repeated freeze-thaw cycles.
Tag Info
The tag type is determined during manufacturing. If you require a specific tag, please inform us, and we will prioritize its development.
Synonyms
speD; ECIAI39_0120; S-adenosylmethionine decarboxylase proenzyme; AdoMetDC; SAMDC; EC 4.1.1.50) [Cleaved into: S-adenosylmethionine decarboxylase beta chain; S-adenosylmethionine decarboxylase alpha chain]
Buffer Before Lyophilization
Tris/PBS-based buffer, 6% Trehalose.
Datasheet
Please contact us to get it.
Expression Region
1-111
Protein Length
full length protein
Purity
>85% (SDS-PAGE)
Species
Escherichia coli O7:K1 (strain IAI39 / ExPEC)
Target Names
speD
Target Protein Sequence
MKKLKLHGFN NLTKSLSFCI YDICYAKTAE ERDGYIAYID ELYNANRLTE ILSETCSIIG ANILNIARQD YEPQGASVTI LVSEEPVDPK LIDKTEHPGP LPETVVAHLD K
Uniprot No.

Target Background

Function
Catalyzes the decarboxylation of S-adenosylmethionine to S-adenosylmethioninamine (dcAdoMet), which is the propylamine donor needed for spermine and spermidine synthesis from putrescine.
Database Links
Protein Families
Prokaryotic AdoMetDC family, Type 2 subfamily

Q&A

What is S-adenosylmethionine decarboxylase proenzyme (SpeD) and how does it function?

S-adenosylmethionine decarboxylase proenzyme (SpeD) is a critical enzyme in polyamine biosynthesis that catalyzes the decarboxylation of S-adenosylmethionine (AdoMet) to produce decarboxylated AdoMet (dcAdoMet). This enzyme is initially synthesized as a single polypeptide (proenzyme) with a molecular weight of approximately 30,400 Da, which undergoes autocatalytic cleavage at the Lys111-Ser112 peptide bond. This processing results in two subunits: an α-subunit (Mr = 12,400) and a β-subunit (Mr = 18,000) . The α-subunit contains the essential pyruvoyl cofactor that is required for enzymatic activity.

SpeD plays a rate-limiting role in polyamine biosynthesis by providing dcAdoMet, which serves as the aminopropyl donor for the conversion of putrescine to spermidine by spermidine synthase (SpeE) . This reaction is part of a pathway that produces essential polyamines required for normal cellular growth and development in most organisms.

What is the significance of the autocatalytic processing of SpeD?

The autocatalytic processing of SpeD represents a remarkable example of post-translational modification that generates a critical catalytic cofactor. During this process, the serine residue at position 112 (which becomes the N-terminus of the α-subunit after cleavage) is converted to a pyruvoyl group through dehydration and rearrangement mechanisms. The pyruvoyl group serves as the essential cofactor for enzymatic activity, allowing SpeD to function without requiring external cofactors like pyridoxal phosphate that many other decarboxylases need .

This self-processing mechanism has been confirmed through pulse-chase experiments with strains containing a speD+ plasmid, which demonstrated a clear precursor-product relationship between the proenzyme and the enzyme subunits . Understanding this processing is crucial for producing functionally active recombinant SpeD and designing inhibitors that might target either the processing event or the active enzyme.

Why is the E. coli O7:K1 strain significant in SpeD research?

E. coli O7:K1 strains, like their O1:K1:H7/NM counterparts, are extraintestinal pathogenic E. coli (ExPEC) associated with serious human infections including neonatal meningitis, urinary tract infections, and septicemia . The O7 refers to a specific lipopolysaccharide (LPS) antigen, while K1 indicates a particular capsular polysaccharide that has been linked to virulence, especially in strains causing neonatal meningitis .

Research on SpeD in these pathogenic strains is significant because:

  • Polyamines are essential for bacterial growth and virulence

  • The K1 capsule is a major virulence determinant in strains causing meningitis

  • SpeD inhibitors could represent novel therapeutic agents against these pathogens

  • Understanding strain-specific variations in SpeD might explain differences in pathogenicity

Studies have shown that the gene for the K1 capsular antigen (neuC) is present in these strains, as determined by PCR testing, and is often associated with specific phylogenetic groups .

What are the optimal methods for expression and purification of recombinant E. coli O7:K1 SpeD?

The expression and purification of recombinant E. coli O7:K1 SpeD typically follows this optimized protocol:

Expression System Design:

  • Amplify the speD gene from E. coli O7:K1 genomic DNA using specific primers

  • Clone into an expression vector (commonly pET series) with a histidine tag

  • Transform into E. coli BL21(DE3) or similar expression strain

  • Induce expression with IPTG when culture reaches OD600 of 0.6-0.8

Purification Protocol:

  • Harvest cells and lyse by sonication or pressure disruption

  • Clarify lysate by centrifugation

  • Purify using Ni-NTA affinity chromatography

  • Further purify by ion exchange chromatography

  • Perform final polishing using size exclusion chromatography

  • Analyze by SDS-PAGE to confirm presence of both α and β subunits

Particular attention should be paid to buffer conditions, as they can affect the autocatalytic processing. Typically, buffers containing 50 mM Tris-HCl (pH 7.5-8.0), 100-300 mM NaCl, and 5-10% glycerol are used throughout the purification process. The presence of reducing agents like DTT or β-mercaptoethanol (1-5 mM) is often beneficial to maintain protein stability.

How can the enzymatic activity of SpeD be measured accurately?

Several complementary approaches can be used to measure SpeD enzymatic activity:

Table 1: Comparison of Methods for Measuring SpeD Activity

MethodPrincipleAdvantagesLimitationsDetection Limit
Radiometric AssayMeasures 14CO2 released from 14C-labeled AdoMetHigh sensitivity, direct measurementRequires radioactive materials, specialized equipment~0.1 nmol/min/mg
Coupled Enzyme AssayCouples CO2 release to spectrophotometric detectionNon-radioactive, continuous measurementPotential interference from coupling enzymes~1 nmol/min/mg
LC-MS AnalysisDirect detection of dcAdoMet formationHighly specific, can measure multiple parametersRequires specialized equipment, not continuous~5 pmol
Spectrophotometric AssayUses chromogenic/fluorogenic substrate analogsSimple, high-throughput compatibleLimited by availability of specialty substrates~5-10 nmol/min/mg

For reliable kinetic analysis, it is recommended to:

  • Use highly purified recombinant SpeD

  • Maintain constant temperature (typically 37°C)

  • Control pH carefully (optimal range 7.5-8.0)

  • Measure initial reaction rates at varying substrate concentrations

  • Calculate Km and kcat values using appropriate enzyme kinetics models

  • Include proper controls to account for non-enzymatic decarboxylation

The coupled assay for CO2 release detection has been successfully used to characterize SpeD homologs with different substrate specificities and represents a good balance between sensitivity and practicality for most research purposes .

What experimental designs are most appropriate for studying SpeD function in vivo?

When studying SpeD function in vivo, several experimental designs offer complementary insights:

Genetic Manipulation Approaches:

  • Gene Knockout Studies: Creating speD deletion mutants using techniques like λ-Red recombination allows direct assessment of the phenotypic consequences of SpeD deficiency.

  • Complementation Experiments: Reintroducing wild-type or mutated speD genes into knockout strains helps identify essential residues or domains.

  • Conditional Expression Systems: Using inducible promoters to control speD expression enables temporal regulation of SpeD activity.

Single-Subject Experimental Designs (SSEDs):
These designs, as outlined in the literature, can be adapted for studying SpeD inhibitors or genetic modifications :

  • Multiple Baseline Design: Evaluate interventions across different bacterial strains or conditions

  • Withdrawal/Reversal Design (A-B-A): Measure outcomes under normal conditions, with intervention, then after intervention removal

  • Changing Criterion Design: Incrementally adjust intervention intensity to establish dose-response relationships

  • Alternating Treatments Design: Compare different interventions by alternating their application

In Vivo Infection Models:
For pathogenic E. coli O7:K1, animal models can be used to study SpeD's role in virulence:

  • Neonatal rat meningitis model

  • Mouse urinary tract infection model

  • Septicemia models

When designing these experiments, it's essential to include appropriate controls, use systematic measurement techniques, collect sufficient data points per experimental phase (at least 5 for standard designs), and employ proper statistical analysis methods .

How have SpeD homologs evolved different substrate specificities across bacterial species?

The evolution of substrate specificity in SpeD homologs represents a fascinating case of enzyme neofunctionalization. Phylogenetic analysis reveals several key patterns:

  • Multiple Independent Origins: L-arginine decarboxylase activity emerged at least three separate times from AdoMetDC/SpeD ancestors, while L-ornithine decarboxylase activity appears to have arisen only once, possibly from L-arginine decarboxylases .

  • Retained Catalytic Mechanism: Despite substrate switching, these homologs maintain the pyruvoyl cofactor mechanism, demonstrating the versatility of this catalytic strategy.

  • Horizontal Gene Transfer: The prevalent mode of dissemination for these neofunctionalized enzymes appears to be horizontal gene transfer rather than vertical inheritance .

The molecular basis for these substrate specificity changes likely involves mutations in the substrate-binding pocket that alter its size, shape, and electrostatic properties. Key residues that contact the substrate would be primary targets for such changes.

Research approaches to study this evolutionary process include:

  • Ancestral sequence reconstruction to infer evolutionary trajectories

  • Site-directed mutagenesis to test the effects of specific amino acid changes

  • Comparative structural analysis of homologs with different specificities

  • Directed evolution experiments to recreate potential evolutionary pathways

These studies reveal "unsuspected polyamine metabolic plasticity" across prokaryotes , with important implications for understanding metabolic evolution and potentially designing enzymes with novel activities.

What are the current challenges in identifying novel SpeD inhibitors through computational approaches?

The development of novel SpeD inhibitors through computational approaches involves several challenges and opportunities:

Computational Strategy Pipeline:

  • Structure-Based Modeling: Building accurate computational models of SpeD requires addressing:

    • The dynamic nature of the enzyme's active site

    • Correct representation of the pyruvoyl cofactor

    • Accounting for post-translational processing

    • Modeling both proenzyme and mature enzyme forms

  • Virtual Screening Approaches: High-throughput in silico screening against large compound libraries can be performed using:

    • Molecular docking to predict binding modes and affinities

    • Pharmacophore modeling based on known inhibitors

    • Fragment-based approaches to build novel inhibitors

    • Machine learning methods to identify patterns in structure-activity relationships

  • Refinement Techniques:

    • Molecular dynamics simulations to assess binding stability

    • Free energy calculations to prioritize candidates

    • QSAR modeling to guide optimization efforts

Validation Requirements:
Computational predictions must be validated through biochemical assays. A "simple, economic and non-radioactive enzymatic assay" has been developed that can be adapted for high-throughput screening of potential inhibitors .

Challenges Specific to SpeD:

  • Addressing both the proenzyme processing and mature enzyme activity

  • Designing selective inhibitors that don't affect human AdoMetDC

  • Accounting for species-specific variations in SpeD structure

  • Developing inhibitors that can penetrate the bacterial cell envelope

This dual computational-experimental approach has successfully identified novel human AdoMetDC inhibitors with unique scaffolds , suggesting similar strategies could be effective for bacterial SpeD.

What do fusion proteins containing SpeD-like domains reveal about enzyme evolution?

The discovery of fusion proteins containing SpeD-like domains provides remarkable insights into enzyme evolution:

Structural and Functional Features:

  • These fusion proteins combine "bona fide AdoMetDC/SpeD with homologous L-ornithine decarboxylases" in a single polypeptide .

  • They possess "two, unprecedented internal protein-derived pyruvoyl cofactors" , a unique feature as most pyruvoyl enzymes contain only one such cofactor.

  • These proteins may exhibit dual catalytic activities, potentially allowing for coordinated production of different decarboxylated products.

Evolutionary Significance:
These fusion proteins suggest "a plausible model for the evolution of the eukaryotic AdoMetDC" , representing potential evolutionary intermediates between prokaryotic and eukaryotic forms. The fusion event appears to have involved a bacterial speD gene and a degraded speD homologous pyruvoyl-dependent ODC.

Mechanistic Hypotheses:

  • Domain Specialization: Each domain may have specialized for a different substrate while maintaining the common pyruvoyl-based catalytic mechanism.

  • Substrate Channeling: The fusion might enable efficient transfer of metabolites between active sites, enhancing pathway efficiency.

  • Regulatory Coupling: The arrangement could coordinate the production of different polyamines in response to cellular needs.

Experimental approaches to study these fusion proteins include:

  • Determining their three-dimensional structures

  • Characterizing the biochemical properties of both domains

  • Investigating potential substrate channeling through kinetic studies

  • Creating artificial fusion proteins to test evolutionary hypotheses

These fusion proteins highlight the remarkable plasticity of enzyme evolution and offer a window into how new enzymatic functions emerge through gene fusion events.

How does phylogenetic analysis inform our understanding of SpeD evolution across domains of life?

Phylogenetic analysis of SpeD and its homologs has revealed several key insights about enzyme evolution across the domains of life:

Evolutionary Trajectory:
Phylogenetic studies indicate that AdoMetDC/SpeD represents an ancient enzyme family with remarkable functional plasticity. The analyses show distinct evolutionary lineages:

  • Classical AdoMetDC/SpeD: Maintained the ancestral function of decarboxylating S-adenosylmethionine

  • L-arginine Decarboxylases: Emerged at least three separate times from AdoMetDC/SpeD ancestors

  • L-ornithine Decarboxylases: Arose once, potentially from AdoMetDC/SpeD-derived L-arginine decarboxylases

Transfer Mechanisms:
Horizontal gene transfer appears to be the predominant mode for disseminating these neofunctionalized enzymes across bacterial and archaeal species, rather than vertical inheritance and divergence . This highlights the importance of horizontal transfer in metabolic innovation.

Bridging Domains:
The phylogenetic analysis provides evidence for the evolution of eukaryotic AdoMetDC from prokaryotic precursors, specifically through a fusion event involving a bacterial speD gene and a degraded speD homologous pyruvoyl-dependent ODC . This represents a significant evolutionary transition between prokaryotic and eukaryotic polyamine metabolism.

Methodological Approach:
Modern phylogenetic analysis of SpeD involves:

  • Collecting sequences from diverse organisms across all domains of life

  • Performing multiple sequence alignments with attention to catalytic residues

  • Constructing phylogenetic trees using maximum likelihood or Bayesian methods

  • Mapping biochemical functions onto the trees to identify patterns of functional divergence

  • Integrating genomic context information to understand metabolic roles

This comprehensive analysis reveals polyamine metabolism to be more diverse and adaptable than previously recognized, with important implications for understanding both basic metabolism and potential antimicrobial targets.

How does SpeD inhibition affect bacterial pathogenesis in animal models?

SpeD inhibition represents a promising approach for attenuating bacterial virulence, particularly in pathogenic E. coli O7:K1 strains. The effects of SpeD inhibition on pathogenesis operate through multiple mechanisms:

Impact on Bacterial Physiology:

  • Polyamine Depletion: Inhibiting SpeD blocks the synthesis of spermidine and spermine, essential polyamines for optimal bacterial growth .

  • Altered Gene Expression: Polyamines influence DNA and RNA structure, affecting the expression of numerous genes including virulence factors.

  • Compromised Stress Response: Polyamines help bacteria withstand various environmental stresses encountered during infection.

Experimental Observations in Animal Models:
While specific data for E. coli O7:K1 SpeD inhibition in animal models isn't detailed in the search results, research on related polyamine biosynthesis inhibitors has shown:

  • Reduced bacterial loads in tissues

  • Decreased biofilm formation

  • Enhanced susceptibility to host immune defenses

  • Lower mortality rates in infection models

Research Approach for Animal Studies:
To properly evaluate SpeD inhibition effects on pathogenesis:

  • Use appropriate infection models based on the pathogen's natural disease process:

    • Neonatal rat meningitis model for K1 strains

    • Mouse urinary tract infection model for ExPEC strains

    • Systemic infection models for septicemia studies

  • Include proper controls:

    • Wild-type untreated control

    • Vehicle control

    • Positive control (established antibiotic)

  • Measure multiple parameters:

    • Bacterial burden in tissues

    • Inflammatory markers

    • Survival rates

    • Polyamine levels in bacteria and host tissues

  • Consider combination therapies:

    • SpeD inhibitors plus conventional antibiotics

    • SpeD inhibitors plus host-directed therapies

Given that SpeD is a rate-limiting enzyme in polyamine biosynthesis, it represents an attractive drug target with potential for developing new antimicrobial strategies .

What is the relationship between SpeD function and extraintestinal pathogenic E. coli virulence?

Extraintestinal pathogenic E. coli (ExPEC) strains, including O7:K1 variants, rely on SpeD function for full virulence potential through several interconnected mechanisms:

Phylogenetic Context:
ExPEC strains primarily belong to phylogenetic groups B2 and D. The O1:K1:H7/NM strains (similar to O7:K1) show significant differences in their phylogenetic distribution, with B2 being more prevalent among avian pathogenic E. coli (APEC) (95% vs. 53% in human ExPEC) . This phylogenetic background influences how SpeD function contributes to virulence.

Virulence Factor Expression:
Polyamines produced through the SpeD-dependent pathway affect the expression of numerous virulence factors:

  • Adhesins: Polyamines regulate the expression of fimbriae and other adhesins needed for host colonization

  • Iron Acquisition Systems: Polyamines influence siderophore production

  • Capsular Polysaccharides: The K1 capsule, crucial for ExPEC virulence, may be affected by polyamine levels

Host-Pathogen Interactions:

  • Biofilm Formation: Polyamines contribute to biofilm development, which enhances bacterial persistence

  • Immune Evasion: The K1 capsule helps ExPEC evade host immune responses, and its expression may be modulated by polyamine levels

  • Stress Resistance: Polyamines enhance bacterial survival under stressful conditions encountered during infection

Clonal Group Considerations:
Research has identified specific clonal groups with different virulence potentials:

  • B2 O1:K1:H7/NM ST95: Detected in strains of both animal and human origin, suggesting zoonotic potential

  • D O1:K1:H7/NM ST59: Found almost exclusively in humans, carrying pathogenic genes linked to phylogenetic group D

The role of SpeD may vary between these clonal groups, potentially contributing to host specificity and differential virulence.

Understanding this relationship could lead to targeted therapeutic approaches for ExPEC infections, which represent a significant health burden and are increasingly resistant to conventional antibiotics.

How can structure-based design improve the development of specific SpeD inhibitors?

Structure-based design offers a powerful approach for developing specific SpeD inhibitors by leveraging the unique structural features of the enzyme. This process involves several interconnected stages:

Key Structural Insights:

  • Proenzyme Processing: SpeD undergoes autocatalytic cleavage at the Lys111-Ser112 bond to form active enzyme . This processing site represents a potential target for inhibitors that prevent enzyme maturation.

  • Pyruvoyl Cofactor: The pyruvoyl group at the N-terminus of the α-subunit is essential for catalysis . Compounds that interact with this cofactor could specifically inhibit SpeD activity.

  • Substrate Binding Pocket: Understanding the structural determinants of substrate specificity is crucial for designing selective inhibitors that distinguish between SpeD and human AdoMetDC.

Structure-Based Design Workflow:

  • Structural Elucidation:

    • X-ray crystallography or cryo-EM of recombinant SpeD

    • Molecular dynamics simulations to capture protein flexibility

    • Comparison with human AdoMetDC structures to identify differential features

  • Virtual Screening and Rational Design:

    • Fragment-based approaches to identify initial binding scaffolds

    • Structure-based virtual screening of compound libraries

    • De novo design of compounds targeting specific structural features

    • Molecular docking to predict binding modes and affinities

  • Iterative Optimization:

    • Synthesis of designed compounds

    • Biochemical and cellular assays to validate inhibitory activity

    • Co-crystallization with SpeD to confirm binding modes

    • Structure-activity relationship studies to guide optimization

Targeting Strategies:

  • Competitive Inhibitors: Molecules that compete with AdoMet for binding to the active site

  • Transition State Analogs: Compounds mimicking the reaction's transition state

  • Covalent Inhibitors: Compounds forming covalent bonds with specific residues

  • Allosteric Inhibitors: Molecules binding outside the active site that induce conformational changes

This approach has successfully identified novel human AdoMetDC inhibitors with unique scaffolds , demonstrating the potential of structure-based methods for developing specific SpeD inhibitors as potential antimicrobial agents.

What are the major unresolved questions in SpeD research?

Despite significant advances in understanding SpeD structure, function, and evolution, several major questions remain unresolved:

  • Structural Dynamics During Catalysis: While we understand the static structure and processing of SpeD, the conformational changes during substrate binding and catalysis remain poorly characterized. How does the enzyme accommodate different substrates in its neofunctionalized forms?

  • Regulatory Mechanisms: How is SpeD expression and activity regulated in response to changing polyamine levels? Are there additional post-translational modifications beyond the autocatalytic processing?

  • Host-Pathogen Interface: How do polyamines produced through the SpeD pathway influence host-pathogen interactions during infection? Do they modulate host immune responses?

  • Evolutionary Trajectory: While neofunctionalization has been observed , the precise evolutionary steps and selective pressures that led to substrate switching remain to be fully elucidated.

  • Therapeutic Potential: Can SpeD inhibitors be developed that are sufficiently selective and potent to serve as viable antimicrobials? How can issues of bacterial penetration and potential resistance be addressed?

  • Fusion Protein Function: What is the precise functional advantage conferred by the fusion proteins containing two pyruvoyl cofactors ? Do they exhibit substrate channeling or regulatory coupling?

  • Species-Specific Variations: How do variations in SpeD sequence and structure across bacterial species influence enzyme function and inhibitor sensitivity?

  • Metabolic Integration: How does SpeD activity integrate with other metabolic pathways beyond polyamine biosynthesis?

Addressing these questions will require interdisciplinary approaches combining structural biology, biochemistry, genetics, computational biology, and infection models. The answers will not only advance basic science understanding but may also lead to novel therapeutic strategies targeting polyamine metabolism in pathogenic bacteria.

How might future developments in SpeD research impact antimicrobial strategies?

Future developments in SpeD research hold significant promise for advancing antimicrobial strategies through several interconnected pathways:

Novel Inhibitor Development:
The discovery of the structural and functional properties of SpeD, including its autocatalytic processing and pyruvoyl cofactor formation, provides multiple targetable features for inhibitor design . Future research may yield:

  • Proenzyme processing inhibitors that prevent maturation

  • Active site inhibitors that block substrate binding

  • Allosteric modulators that disrupt enzyme dynamics

  • Covalent inhibitors targeting the pyruvoyl cofactor

Pathogen-Specific Approaches:
Understanding the phylogenetic distribution and structural variations of SpeD across bacterial species could enable the development of pathogen-specific inhibitors . This precision approach might:

  • Target virulent clonal groups like B2 O1:K1:H7/NM ST95

  • Address specific ExPEC strains responsible for meningitis or UTIs

  • Design narrow-spectrum antimicrobials with reduced impact on beneficial microbiota

Combination Therapies:
Research into SpeD's role in bacterial physiology and pathogenesis will inform rational combination therapies:

  • SpeD inhibitors with conventional antibiotics to enhance efficacy

  • Multi-target approaches addressing multiple polyamine biosynthesis enzymes

  • Combinations with host-directed therapies to modulate immune responses

Diagnostic Applications:
Molecular characterization of SpeD variants could lead to diagnostic tools for:

  • Identifying pathogenic strains with specific virulence potential

  • Predicting antimicrobial susceptibility

  • Monitoring treatment efficacy through polyamine level measurement

One Health Approaches:
The finding that some ExPEC strains show zoonotic potential highlights the importance of considering SpeD inhibition in a One Health context, addressing:

  • Transmission dynamics between animal reservoirs and humans

  • Environmental persistence of pathogens

  • Coordinated intervention strategies across human and veterinary medicine

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