Digital Commons Network^™

Loss Of P53 And Smad4 Induces Adenosquamous Subtype Pancreatic Cancer In The Absence Of An Oncogenic Kras Mutation, Daowei Yang, Xinlei Sun, Rohan Moniruzzaman, Hua Wang, Citu Citu, Zhongming Zhao, Ignacio I Wistuba, Huamin Wang, Anirban Maitra, Yang Chen

Faculty, Staff and Student Publications

Pancreatic cancer is associated with an oncogenic KRAS mutation in approximately 90% of cases. However, a non-negligible proportion of pancreatic cancer cases harbor wild-type KRAS (KRAS-WT). This study establishes genetically engineered mouse models that develop spontaneous pancreatic cancer in the context of KRAS-WT. The Trp53

Creb-Binding Protein/P300 Bromodomain Inhibition Reduces Neutrophil Accumulation And Activates Antitumor Immunity In Triple-Negative Breast Cancer, Xueying Yuan, Xiaoxin Hao, Hilda L Chan, Na Zhao, Diego A Pedroza, Fengshuo Liu, Kang Le, Alex J Smith, Sebastian J Calderon, Nadia Lieu, Michael J Soth, Philip Jones, Xiang Hf Zhang, Jeffrey M Rosen

Faculty, Staff and Students Publications

Tumor-associated neutrophils (TANs) have been shown to promote immunosuppression and tumor progression, and a high TAN frequency predicts poor prognosis in triple-negative breast cancer (TNBC). Dysregulation of CREB-binding protein (CBP)/P300 function has been observed with multiple cancer types. The bromodomain (BRD) of CBP/P300 has been shown to regulate its activity. In this study, we found that IACS-70654, a selective CBP/P300 BRD inhibitor, reduced TANs and inhibited the growth of neutrophil-enriched TNBC models. In the bone marrow, CBP/P300 BRD inhibition reduced the tumor-driven abnormal differentiation and proliferation of neutrophil progenitors. Inhibition of CBP/P300 BRD also stimulated the immune response by inducing …

Solvation Free Energy In Governing Equations For Dna Hybridization, Protein–Ligand Binding, And Protein Folding, Caroline Harmon, Austin Bui, Jasmin M. Espejo, Marc Gancayco, Jennifer M. Le, Juan Rangel, Daryl K. Eggers

Faculty Research, Scholarly, and Creative Activity

This work examines the thermodynamics of model biomolecular interactions using a governing equation that accounts for the participation of bulk water in the equilibria. In the first example, the binding affinities of two DNA duplexes, one of nine and one of 10 base pairs in length, are measured and characterized by isothermal titration calorimetry (ITC) as a function of concentration. The results indicate that the change in solvation free energy that accompanies duplex formation (ΔGS) is large and unfavorable. The duplex with the larger number of G:C pairings yields the largest change in solvation free energy, ΔG …

Economic Development, Undernutrition And Diabetes, Kaivan Munshi, Swapnil Singh, Nancy Luke, Anu Mary Oommen

Cowles Foundation Discussion Papers

This research connects two seemingly unrelated facts that have recently been documented in developing countries, with important consequences for global health: (i) the weak association between nutritional status and income, and (ii) the elevated risk of diabetes among normalweight individuals. The model that we develop to reconcile these facts is based on a set point for body size that is adapted to (low) pre-modern food supply, but subsequently fails to adjust to rapid economic change. During the process of development, some individuals thus remain at their low-BMI set point, despite the increase in their income (food consumption), while others who …

Quality Of Life Changes In Middle-Aged Men After An Acute Stroke Or Traumatic Brain Injury, Angela J. Garner

Walden Dissertations and Doctoral Studies

Surviving a stroke or traumatic brain injury (TBI) can bring about life changes and negatively impact future quality of life. Studies that focus specifically on men who suffer these injuries is limited. The purpose of this qualitative study was to explore quality of life of middle-aged men who suffered an acute stroke or TBI. The transactional model of stress and coping and the social identity theory were theoretical frameworks. Common themes were established during data analysis. Three research questions explored the narratives of masculine identity and quality of life in middle-aged men who experience a stroke or TBI. How having …

The Lived Experiences Of Developing A Strong Black Woman Schema For Resilient Black Women With Adverse Childhood Experiences, Lindsey Erin Dickson

Walden Dissertations and Doctoral Studies

Adverse childhood experiences (ACEs) encompass a spectrum of adversities that can impact mental and physical health in adulthood, particularly in Black women. Although there was a substantial body of research on the consequences of ACEs and the coping strategies employed by Black women, there remained a gap in understanding the nuanced experiences of those who develop a Strong Black Woman (SBW) schema. The purpose of this qualitative phenomenological study was to explore the lived experiences of developing an SBW schema among resilient Black women who had faced ACEs. The research was grounded in resilience theory and SBW schema and provided …

The Lived Experiences Of African American Women Regarding Their Prenatal Care, Alison R. Edinboro

Walden Dissertations and Doctoral Studies

The practical manifestation of health inequality can cause a severe societal problem for the African American community. African American women are at risk of their lives and often live in abject poverty. The purpose of this qualitative hermeneutic phenomenological design study was to understand the personal viewpoint and perspective of the lived experiences of African American women regarding their prenatal care experiences. The research question will address perceptions of African American women regarding their prenatal care experience in Southern New York." The qualitative dissertation employs a researcher-designed interview protocol based on Kleinman’s explanatory model of illness. After conducting semi-structured interviews …

Perfusion-Weighted Imaging With Dynamic Contrast Enhancement (Pwi/Dce) Morphologic, Qualitative, Semiquantitative, And Radiomics Features Predicting Undifferentiated Pleomorphic Sarcoma (Ups) Treatment Response, R F Valenzuela, E Duran-Sierra, M Canjirathinkal, B Amini, K E Torres, R S Benjamin, J Ma, W L Wang, K P Hwang, R J Stafford, C Wu, A M Zarzour, A J Bishop, S Lo, J E Madewell, R Kumar, W A Murphy, C M Costelloe

Faculty, Staff and Student Publications

Undifferentiated pleomorphic sarcoma (UPS) is the largest subgroup of soft tissue sarcomas. This study determined the value of perfusion-weighted imaging with dynamic-contrast-enhancement (PWI/DCE) morphologic, qualitative, and semiquantitative features for predicting UPS pathology-assessed treatment effect (PATE). This retrospective study included 33 surgically excised extremity UPS patients with pre-surgical MRI. Volumetric tumor segmentation from PWI/DCE was obtained at Baseline (BL), Post-Chemotherapy (PC), and Post-Radiation Therapy (PRT). The surgical specimens' PATE separated cases into Responders (R) (≥ 90%, 16 patients), Partial-Responders (PR) (89 - 31%, 10 patients), and Non-Responders (NR) (≤ 30%, seven patients). Seven semiquantitative kinetic parameters and maps were extracted from …

Detecting Altered Hepatic Lipid Oxidation By Mri In An Animal Model Of Masld, Marc Mcleod, Mario C Chang, Anna Rushin, Mukundan Ragavan, Rohit Mahar, Gaurav Sharma, Arshee Badar, Anthony Giacalone, Max E Glanz, Vinay R Malut, Dalton Graham, Nishanth E Sunny, James A Bankson, Kenneth Cusi, Matthew E Merritt

Faculty, Staff and Student Publications

Metabolic dysfunction-associated steatotic liver disease (MASLD) prevalence is increasing annually and affects over a third of US adults. MASLD can progress to metabolic dysfunction-associated steatohepatitis (MASH), characterized by severe hepatocyte injury, inflammation, and eventual advanced fibrosis or cirrhosis. MASH is predicted to become the primary cause of liver transplant by 2030. Although the etiology of MASLD/MASH is incompletely understood, dysregulated fatty acid oxidation is implicated in disease pathogenesis. Here, we develop a method for estimating hepatic β-oxidation from the metabolism of [D

Gut Phageome In Mexican Americans: A Population At High Risk For Metabolic Dysfunction-Associated Steatotic Liver Disease And Diabetes, Suet-Ying Kwan, Caroline M Sabotta, Lorenzo R Cruz, Matthew C Wong, Nadim J Ajami, Joseph B Mccormick, Susan P Fisher-Hoch, Laura Beretta

Faculty, Staff and Student Publications

Mexican Americans are disproportionally affected by metabolic dysfunction-associated steatotic liver disease (MASLD), which often co-occurs with diabetes. Despite extensive evidence on the causative role of the gut microbiome in MASLD, studies determining the involvement of the gut phageome are scarce. In this cross-sectional study, we characterized the gut phageome in Mexican Americans of South Texas by stool shotgun metagenomic sequencing of 340 subjects, concurrently screened for liver steatosis by transient elastography. Inter-individual variations in the phageome were associated with gender, country of birth, diabetes, and liver steatosis. The phage signatures for diabetes and liver steatosis were subsequently determined. Enrichment of …

Dual-Peptide Functionalized Hydrogel For Enhancing Biosynthesis And Immunomodulation In Primary And Stem Cells For Therapeutic Applications, Xiaohong Tan

McKelvey School of Engineering Graduate Student Theses & Dissertations

Intervertebral disc (IVD) degeneration significantly contributes to disability and the economic burden of musculoskeletal diseases. Early changes in IVD degeneration include reduced cellularity and altered phenotype in nucleus pulposus (NP) cells, leading to diminished capacity for extracellular matrix (ECM) and glycosaminoglycan production. Cell supplementation, particularly with bone marrow-derived human mesenchymal stem cells (MSCs), has been explored to promote ECM synthesis and repair. MSCs offer potential for either direct cell replacement or by secreting factors to support disc repair by restoring biosynthetic activity of remaining endogenous NP cells and ameliorating inflammation. Biomaterials have been extensively studied to preserve and restore the …

Dual-Peptide Functionalized Hydrogel For Enhancing Biosynthesis And Immunomodulation In Primary And Stem Cells For Therapeutic Applications, Xiaohong Tan

McKelvey School of Engineering Graduate Student Theses & Dissertations

Intervertebral disc (IVD) degeneration significantly contributes to disability and the economic burden of musculoskeletal diseases. Early changes in IVD degeneration include reduced cellularity and altered phenotype in nucleus pulposus (NP) cells, leading to diminished capacity for extracellular matrix (ECM) and glycosaminoglycan production. Cell supplementation, particularly with bone marrow-derived human mesenchymal stem cells (MSCs), has been explored to promote ECM synthesis and repair. MSCs offer potential for either direct cell replacement or by secreting factors to support disc repair by restoring biosynthetic activity of remaining endogenous NP cells and ameliorating inflammation. Biomaterials have been extensively studied to preserve and restore the …

Mechanisms Of Uropathogenic E. Coli Reservoir Formation In The Gastrointestinal Tract, Philippe Nimma Azimzadeh

Arts & Sciences Graduate Student Theses and Dissertations

Urinary tract infections (UTI) are an extremely common affliction affecting 150 million people worldwide each year. UTIs are a leading cause of antibiotic therapy among otherwise healthy adult women, accounting for 15% of all outpatient antibiotic prescriptions. Uropathogenic Escherichia coli (UPEC) cause over 80% of community-acquired UTIs. Even when infection is cleared from the urine by clinical antibiotic regimens, 27% of women will experience recurrent UTI (rUTI) within months. Greater than 60% of rUTIs are caused by the same strain of E. coli that caused the initial infection, suggesting that one or more host-associated reservoirs of UPEC can re-inoculate the …

Mechanisms Of Uropathogenic E. Coli Reservoir Formation In The Gastrointestinal Tract, Philippe Nimma Azimzadeh

Arts & Sciences Graduate Student Theses and Dissertations

Urinary tract infections (UTI) are an extremely common affliction affecting 150 million people worldwide each year. UTIs are a leading cause of antibiotic therapy among otherwise healthy adult women, accounting for 15% of all outpatient antibiotic prescriptions. Uropathogenic Escherichia coli (UPEC) cause over 80% of community-acquired UTIs. Even when infection is cleared from the urine by clinical antibiotic regimens, 27% of women will experience recurrent UTI (rUTI) within months. Greater than 60% of rUTIs are caused by the same strain of E. coli that caused the initial infection, suggesting that one or more host-associated reservoirs of UPEC can re-inoculate the …

Development Of A Maturity Assessment Tool To Evaluate And Strengthen National Immunization Technical Advisory Groups (Nitags), Eliza Dryer, Abigail Shefer, Shalini Desai, Lance Rodewald, Magdalena Bastías, Nathalie El Omeiri, Sidy Ndiaye, Kori Cook, Louise Henaff, Erin Kennedy

Staff and Researcher Publications

As dozens of new National Immunization Technical Advisory Groups (NITAGs) were established worldwide in the past decade, and as existing NITAGs continued to play an important role in vaccine policy, global NITAG partners recognized a need for a standardized assessment tool to evaluate and strengthen their functions. This article describes the development of the NITAG Maturity Assessment Tool (NMAT), a stepwise evaluation tool that assesses NITAGs on seven key indicators of structure and process. A draft tool was developed through an iterative, consensus-based process with an expert working group before it was piloted with an economically and geographically diverse convenience …

The Estrogen Receptor-Related Orphan Receptors Regulate Autophagy Through Tfeb, Mckenna Losby, Matthew Hayes, Aurore Valfort, Danesh H Sopariwala, Ryan Sanders, John K Walker, Weiyi Xu, Vihang A Narkar, Lilei Zhang, Cyrielle Billon, Thomas P Burris

Faculty, Staff and Students Publications

Autophagy is an essential self-degradative and recycling mechanism that maintains cellular homeostasis. Estrogen receptor-related orphan receptors (ERRs) are fundamental in regulating cardiac metabolism and function. Previously, we showed that ERR agonists improve cardiac function in models of heart failure and induce autophagy. Here, we characterized a mechanism by which ERRs induce the autophagy pathway in cardiomyocytes. Transcription factor EB (TFEB) is a master regulator of the autophagy-lysosome pathway and has been shown to be crucial regulator of genes that control autophagy. We discovered that TFEB is a direct ERR target gene whose expression is induced by ERR agonists. Activation of …

Vglut2-Based Glutamatergic Signaling In Central Noradrenergic Neurons Is Dispensable For Normal Breathing And Chemosensory Reflexes, Yuan Chang, Savannah Lusk, Andersen Chang, Christopher S Ward, Russell S Ray

Faculty, Staff and Students Publications

Central noradrenergic (NA) neurons are key constituents of the respiratory homeostatic network. NA dysfunction is implicated in several developmental respiratory disorders including Congenital Central Hyperventilation Syndrome (CCHS), Sudden Infant Death Syndrome (SIDS), and Rett Syndrome. The current unchallenged paradigm in the field, supported by multiple studies, is that glutamate co-transmission in subsets of central NA neurons plays a role in breathing control. If true, NA-glutamate co-transmission may also be mechanistically important in respiratory disorders. However, the requirement of NA-derived glutamate in breathing has not been directly tested and the extent of glutamate co-transmission in the central NA system remains uncharacterized. …

14-Month-Old Female With Anti-Mda5 Juvenile Dermatomyositis Complicated By Liver Disease: A Case Report., Mitch Kinkor, Sameena Hameed, Alexander Kats, Voytek Slowik, Emily Fox, Maria Ibarra

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Juvenile Dermatomyositis (JDM) is a rare disorder with subtypes associated with different myositis-specific antibodies (MSAs) including anti-MDA5. Hepatic involvement in JDM is rare and has not previously been documented in anti-MDA5 JDM. There is a lack of formal research on treatment protocols for anti-MDA5 JDM, though tofacitinib is a highly regarded emerging therapy.

CASE PRESENTATION: A previously healthy 14-month-old Hispanic female presented to a pediatric rheumatology clinic with eight months of worsening rash, weakness, periorbital edema, intermittent fevers, and weight loss. Her physical exam was notable for fever, thinning of hair, heliotrope rash, periorbital edema, violaceous macules on her …

Drivers Of Coral Reef Benthic Changes And Implications On Ecosystem Functioning And Services, Miriam Reverter

School of Biological and Marine Sciences

Increasing anthropogenic stressors will likely result in many coral reefs undergoing compositional and functional benthic changes, including towards non-hard coral dominated communities. The decline of reef building species and the increase of alternative (i.e., non reef-building) organisms profoundly affect the functioning of coral reefs and the services provided, but this remains poorly understood, especially for non-algal alternative communities. Here, we propose a standardised framework to study coral reef benthic changes and review the knowledge on coral reef shifts and their implications on coral reef functioning and service provisioning using this framework, which contains the five following elements: 1) contextual information, …

Myotube Guidance: Shaping Up The Musculoskeletal System, Aaron N Johnson

2020-Current year OA Pubs

Myofibers are highly specialized contractile cells of skeletal muscles, and dysregulation of myofiber morphogenesis is emerging as a contributing cause of myopathies and structural birth defects. Myotubes are the myofiber precursors and undergo a dramatic morphological transition into long bipolar myofibers that are attached to tendons on two ends. Similar to axon growth cones, myotube leading edges navigate toward target cells and form cell-cell connections. The process of myotube guidance connects myotubes with the correct tendons, orients myofiber morphology with the overall body plan, and generates a functional musculoskeletal system. Navigational signaling, addition of mass and volume, and identification of …

Adamts12 Promotes Fibrosis By Restructuring Extracellular Matrix To Enable Activation Of Injury-Responsive Fibroblasts, Konrad Hoeft, Benjamin D. Humphreys, Et Al.

2020-Current year OA Pubs

Fibrosis represents the uncontrolled replacement of parenchymal tissue with extracellular matrix (ECM) produced by myofibroblasts. While genetic fate-tracing and single-cell RNA-Seq technologies have helped elucidate fibroblast heterogeneity and ontogeny beyond fibroblast to myofibroblast differentiation, newly identified fibroblast populations remain ill defined, with respect to both the molecular cues driving their differentiation and their subsequent role in fibrosis. Using an unbiased approach, we identified the metalloprotease ADAMTS12 as a fibroblast-specific gene that is strongly upregulated during active fibrogenesis in humans and mice. Functional in vivo KO studies in mice confirmed that Adamts12 was critical during fibrogenesis in both heart and kidney. …

Systematic Review On Isolation, Purification, Characterization, And Industrial Applications Of Thermophilic Microbial Α- Amylases, Rugaiyah A. Arfah, Sarlan Sarlan, Abdul Karim, Anita Anita, Ahyar Ahmad, Paulina Taba, Harningsih Karim, Siti Halimah Larekeng, Dorothea Agnes Rampisela, Rusdina Bte Ladju

Karbala International Journal of Modern Science

The α-amylase enzyme, sourced from diverse organisms, including plants, animals, and bacteria, plays a crucial role in multiple industries, notably food processing sectors like cakes, fruit juices, and starch syrup. Research identifies thermophilic organisms as prime sources of this enzyme thriving at temperatures ranging from 41°C to 122°C. The enzyme purification was carried out using liquid-liquid extraction, which involved the exchange of substances between two liquid phases that were immiscible or partially soluble. The optimal temperature for α-amylase was 45 to 90°C. The best pH for bacterial and fungal α-amylases ranged from 5.0 to 10.5 and 5.0 to 9.0. Based …

Examining Changes In Pain Sensitivity Following 8 Minutes Of Cycling At Varying Exercise Intensities, Brandi B. Antonio, Jeffrey Stout, Danielle Sterner, Abigail Anderson, David Fukuda

International Journal of Exercise Science

International Journal of Exercise Science 17(7): 1337-1351, 2024. This study assessed the effect of an eight-minute cycling intervention using varying intensities on exercise-induced hypoalgesia (EIH). The main objective of this study was to examine the effect of varying intensities on pressure pain threshold (PPT) and heat pain threshold (HPT) at the thigh and forearm, tested pre- and post-cycling intervention. Healthy male participants (n = 16) performed a graded exercise test on a cycle ergometer to establish their peak power output (PPO). In subsequent visits, participants completed five different 8-minute cycling interventions, with intensities randomly assigned to one of three …

Inter-Individual Responses To Acute Resistance Training In The Blood Pressure Dipping Response In Normotensive And Hypertensive Men, Elizabeth Carpio-Rivera, José Moncada-Jiménez, Alejandro Salicetti-Fonseca, Andrea Solera-Herrera

International Journal of Exercise Science

International Journal of Exercise Science 17(3): 1361-1376, 2024. The blood pressure dipping response to acute resistance training exercise (RTE) is scarce in the literature. We determined the inter-individual blood pressure (BP) dipping variability of normotensive (NT) and hypertensive (HT) men completing two modalities of a single session of RTE. Volunteers (NT n = 21, HT n = 20) underwent a non-exercise control (CTRL), RTE high-sets low-repetitions (HSLR), and RTE high-repetitions low-sets (HRLS) conditions. Twenty-four-hour ambulatory BP monitoring recorded diurnal and nocturnal systolic (SBP) and diastolic (DBP) BP. Non-significant interactions were found between the category of individuals and the experimental conditions …

Physiological And Psychological Differences Between 20% Grade Incline-Walking And Level-Grade Jogging At Isocaloric Intensity, Motoki Sato, Taj Krieger, Alexis D. Gidley, Brianne Weaver, Craig A. Johnson, David E. Lankford

International Journal of Exercise Science

International Journal of Exercise Science 17(6): 1318-1336, 2024. High-incline walking is a relatively new trend with little comparative information. This study compared physiological and psychological differences between high-incline walking at 20% grade (HIW) and level-grade jogging (LGJ) at isocaloric intensities in young adults. Twenty-two participants (M = 11, F = 11) aged 19–31 years completed the study. Participants completed HIW and LGJ on a treadmill for twenty minutes on two separate occasions and matched at isocaloric intensities. Rating of perceived exertion (RPE), maintainability (HCM), and affective valence using the Feeling Scale (FS) were measured at minutes 2, 10, and 20. …

Comparison Of Lower Limb Mass, Thigh Circumference, And Balance Ability After Anterior Cruciate Ligament Reconstruction And In Control Participants, Micah B. Hebert, Laura L. Dill, Paul T. Stuhr, Deanna J. Schmidt

International Journal of Exercise Science

International Journal of Exercise Science 17(1): 1306-1317, 2024. Injury of the anterior cruciate ligament (ACL) in the knee is common, with up to 250,000 cases annually in the United States. Such injuries can lead to muscle atrophy, impaired balance, and limited movement. This study aimed to compare the lower limbs of individuals with ACL reconstruction to a Control group. We hypothesized that ACL participants would exhibit greater asymmetry between lower limbs as compared to Controls. Data were collected from 12 ACL participants and 30 Control participants. Measurements included lower limb muscle mass assessed using bioelectrical impedance, thigh circumference at 10 …

Wmdds Bulletin Winter 2020

West Michigan District Dental Society Bulletin

In the Winter 2020 issue, the reader will find the following feature articles:

• 2020 Silent Bell Recipient: W. Erick Rupprecht, DDS
• Dentists Beyond the Chair: Aquarist and Fish Breeder – Chase Klinesteker, DDS

Also included are your monthly tripartite update, news from West Michigan counties, the President's Message and Editor's Letter.

Wmdds Bulletin Fall 2020

West Michigan District Dental Society Bulletin

In the Fall 2020 issue, the reader will find the following feature articles:

• Looking to Leadership: Personal Experiences During the Pandemic
• Dentists Doing Good: WMDF Golf Outing
• Dentists Beyond the Chair: Maintaining a Pollinator Habitat and 52 Acre Farm
• 2020 WMDDS Directory Corrections/Additions

Also included are your monthly tripartite update, news from West Michigan counties, the President's Message and Editor's Letter.

The Quadruple Helix Of Strategic Alliances And Its Application For Community Development In Las Acequias De Atrisco, Jorge Garcia

Regeneración: A Xicanacimiento Studies Journal

In today’s society, the development of Information Communication Technologies (ICT) is imminent yet, large segments of the world remain marginalized. I contend that peer-to-peer and inter-institutional networks can be used to connect local with global systems to close this divide. Using today’s virtual and digital technologies the gap can be bridged using collaboration platforms using different knowledge systems that do not simply replicate the same information. The suggested model represents forming strategic alliances for information sharing and collaboration to empower and support local knowledge systems. The examples discussed show our efforts toward an inclusive approach with communities in full partnership, …

Partial Purification Of Alzheimer’S Amyloid-𝛽 Specific Antibody Using Ammonium Sulfate, Noor Yousaf

Undergraduate Research Symposium

Alzheimer's disease (AD) is the most common neurodegenerative disease. The trigger for AD is the accumulation of amyloid-beta protein (Aβ) as senile plaques in the brain. Prior to forming the fiber-like structures found in the plaques, Aβ undergoes an oligomerization process that produces intermediate structures called protofibrils. Substantial data from the Nichols laboratory demonstrated that soluble Aβ protofibrils were highly inflammatory compared to other forms of Aβ. Based on these findings, a serum polyclonal antibody, named Antibody St. Louis or AbSL, was developed to target Aβ protofibrils. A significant challenge with serum antibodies is the presence of many other biological …