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Protein and polypeptide heteropolymers containing non-α-backbone monomers are highly desirable as potential materials and therapeutics but many remain difficult or impossible to biosynthesize in cells using traditional genetic code expansion. Here we describe a next-generation approach to such materials that relies instead on proximity-guided intramolecular rearrangements that edit the protein backbone post-translationally. This approach relies on orthogonal aminoacyl-tRNA synthetase enzymes that accept α-hydroxy acid monomers whose side chains contain masked nucleophiles. Introduction of such an α-hydroxy acid into a protein translated in vivo, followed by nucleophile unmasking, sets up a thermodynamically favored intramolecular backbone extension acyl rearrangement (BEAR) reaction that edits the protein to install an extended-backbone monomer. In the examples described here, BEAR reactions are used to generate protein heteropolymers containing a β-backbone, γ-backbone or δ-backbone. This report represents a general strategy to install extended backbones into genetically encoded proteins and peptides expressed in cells.
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http://dx.doi.org/10.1038/s41589-025-01999-w | DOI Listing |
Clin Spine Surg
September 2025
Department of Orthopaedic Surgery, Duke University, Durham, NC.
Study Design: Narrative review.
Objective: To synthesize current knowledge on radiographic parameters, classification systems, and compensatory mechanisms essential to the diagnosis and surgical planning of cervical spine deformity (CD) correction.
Summary Of Background Data: CD encompasses a heterogeneous set of conditions associated with neurological impairment and impaired health-related quality of life.
Biomed Eng Lett
September 2025
Department of Mechanical Engineering, Sejong University, 209, Neungdong-Ro, Gwangjin-gu, Seoul, 05006 Republic of Korea.
Cage subsidence is a common complication following transforaminal lumbar interbody fusion (TLIF) that can lead to poor clinical outcomes, including recurrent pain and segmental instability. Conventional TLIF cage designs often fail to distribute stress evenly, increasing the risk of endplate damage and subsequent subsidence. This study aims to evaluate the effect of a modified TLIF cage with upper and lower open windows (lattice structure) in reducing cage subsidence in patients with lumbar degenerative disc disease (LDDD).
View Article and Find Full Text PDFNeurochirurgie
September 2025
Neurosurgery Department, Pasteur 2 Hospital, University Hospital of Nice, France.
Background: Posterior lumbar fusion (PLF) has become one of the most common spinal surgery procedures. Early symptomatic loosening of the pedicle screw could be a critical complication, leading to pseudarthrosis. However, revision strategies for pedicle screw loosening are still under debate.
View Article and Find Full Text PDFProc Inst Mech Eng H
September 2025
IDMEC, Instituto Superior Técnico, Universidade de Lisboa, Lisbon, Portugal.
Low back pain is estimated to affect more than 70% of the population. Recently, interspinous posterior devices are gaining attention as a less invasive alternative to the traditional pedicle screw systems. However, since most of these devices are not suitable for the L5-S1 segment, the goals for this study are to design a tailored fixation system for the L5-S1 level and to study its effects on the degenerated spine.
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