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Topic:Strangles

Strangles is a highly contagious bacterial infection affecting horses, caused by the bacterium Streptococcus equi subspecies equi. It primarily impacts the upper respiratory tract and is characterized by fever, nasal discharge, and swelling of the lymph nodes, which may abscess and rupture. Transmission occurs through direct contact with infected horses or contaminated environments. Diagnosis is typically confirmed through bacterial culture or PCR testing of nasal swabs or abscess material. Management of strangles involves isolation of affected animals, supportive care, and in some cases, antibiotic treatment. This page compiles peer-reviewed research studies and scholarly articles that explore the epidemiology, pathogenesis, diagnostic methods, treatment options, and prevention strategies for strangles in equine populations.
Development of a Real-Time Recombinase-Aided Amplification Method for the Rapid Detection of Streptococcus equi subsp. equi.
Microorganisms    April 11, 2024   Volume 12, Issue 4 777 doi: 10.3390/microorganisms12040777
Zu H, Sun R, Li J, Guo X, Wang M, Guo W, Wang X. subspecies () is the causative pathogen of strangles in horses, donkeys, and other equine animals. Strangles has spread globally and causes significant losses to the horse industry. In response to the urgent need for effective disease control, this study introduces a novel nucleic acid diagnostic method known as a real-time recombinase-assisted amplification (RAA) assay, developed based on the gene, for the rapid detection of nucleic acid. The real-time RAA method employs specifically designed probes and primers targeting the gene, enhancing the overall specificity and sensitivity of the ...
Dynamics analysis of strangles with asymptomatic infected horses and long-term subclinical carriers.
Mathematical biosciences and engineering : MBE    December 6, 2023   Volume 20, Issue 10 18386-18412 doi: 10.3934/mbe.2023817
Shi L, Hu J, Jin Z.Strangles is one of the most prevalent horse diseases globally. The infected horses may be asymptomatic and can still carry the infectious pathogen after it recovers, which are named asymptomatic infected horses and long-term subclinical carriers, respectively. Based on these horses, this paper establishes a dynamical model to screen, measure, and model the spread of strangles. The basic reproduction number $ mathcal{R}_0 $ is computed through a next generation matrix method. By constructing Lyapunov functions, we concluded that the disease-free equilibrium is globally asymptotically stable if...
Complete genome sequencing and comparative genomic analysis of three donkey Streptococcus equi subsp. equi isolates.
Frontiers in microbiology    November 1, 2023   Volume 14 1285027 doi: 10.3389/fmicb.2023.1285027
Zhang Y, Lv F, Su Y, Zhang H, Zhang B.Streptococcus equi subspecies equi (S. equi) is the causative agent of strangles, which is one of the most common and highly contagious respiratory infectious illnesses in horses. Streptococcus equi (S. equi) is a horse-specific pathogen that originated from the closely related zoonotic pathogen Streptococcus equi subspecies zooepidemicus (S. zooepidemicus). Despite decades of research, the movement of genetic material across host-restricted diseases remains a mystery. Unassigned: Three S. equi donkey isolates (HTP133, HTP232, and HT1112) were recently isolated from a strangles epidemic on don...
Evaluating Trends in Strangles Outbreaks Using Temperature and Precipitation Data in the United States of America for 2018-2022.
Pathogens (Basel, Switzerland)    August 29, 2023   Volume 12, Issue 9 1106 doi: 10.3390/pathogens12091106
Thomas BA, Saylor RK, Taylor ZP, Rhodes DVL.Strangles is a highly contagious upper respiratory infection of equids that is globally distributed. The causative agent of strangles, subspecies , can be spread through indirect contact with infected fomites, and studies have shown this microbe to live well in varying environmental conditions. The purpose of this study was to analyze strangles case numbers across the United States of America from 2018 to 2022 to investigate potential temporal or weather patterns associated with outbreaks. Diagnosed case records were obtained from the Equine Disease Communication Center, university databases,...
A case of bacteremia and pneumonia caused by Streptococcus equi subspecies equi infection in a 70-year-old female following horse exposure in rural Wyoming.
Annals of clinical microbiology and antimicrobials    August 2, 2023   Volume 22, Issue 1 65 doi: 10.1186/s12941-023-00602-1
Bohlman T, Waddell H, Schumaker B.The occurrence of zoonotic infections following an animal exposure continues to be an important consideration for all patients, especially those within agricultural communities. Streptococcus equi subspecies equi (S. equi subsp. equi) is a bacteria known to cause a common infection called 'Strangles' in horses. This article highlights a new case of pneumonia and bacteremia in a patient caused by S. equi subsp. equi following strangles exposure in a horse. Rarely has there been reported horse to human transmission of subsp. equi. Methods: A 70-year-old woman attended a rural emergency departmen...
Development of a novel real-time PCR multiplex assay for detection of Streptococcus equi subspecies equi and Streptococcus equi subspecies zooepidemicus.
Veterinary microbiology    June 3, 2023   Volume 284 109797 doi: 10.1016/j.vetmic.2023.109797
Morris ERA, Schroeder ME, Ferro PJ, Waller AS, McGlennon AA, Bustos CP, Gressler LT, Wu J, Lawhon SD, Boyle AG, Lingsweiler S, Paul N, Dimitrov K....Strangles is a contagious bacterial disease of horses caused by Streptococcus equi subspecies equi (SEE) that occurs globally. Rapid and accurate identification of infected horses is essential for controlling strangles. Because of limitations of existing PCR assays for SEE, we sought to identify novel primers and probes that enable simultaneous detection and differentiation of infection with SEE and S. equi subsp. zooepidemicus (SEZ). Comparative genomics of U.S. strains of SEE and SEZ (n = 50 each) identified SE00768 from SEE and comB from SEZ as target genes. Primers and probes for real-ti...
Factors Influencing Equine Affiliate Opinion on Reporting of Equine Strangles in the United States.
Journal of equine veterinary science    April 28, 2023   Volume 128 104534 doi: 10.1016/j.jevs.2023.104534
Martin KH, Redding LE, Boyle AG.Although equine strangles is reportable in all states, synchronous reporting of this disease does not occur across the country. States have variable regulations on reporting (actionable, notifiable, and monitored) and no mandatory comprehensive databases exist for tracking prevalence. In this study, which is a companion to our recent publication on veterinarians' opinions on this topic, we solicited equine affiliates' (including horse owners, horse business owners/trainers, breeders, and barn managers) opinions on reporting of strangles and factors influencing their opinion. A total of 518 equ...
Strangles in equines: An overview.
Microbial pathogenesis    March 15, 2023   Volume 178 106070 doi: 10.1016/j.micpath.2023.106070
Chhabra D, Bhatia T, Goutam U, Manuja A, Kumar B.Strangles, caused by Streptococcus equi subspecies equi, is a highly infectious respiratory disease affecting horses and other equines. The disease is economically important and compromises the productivity of equine farm significantly. The disease is characterized by pyrexia, mucopurulent nasal discharge, and abscess formation in the lymph nodes of the head and neck of horses. The disease transmission occurs either directly by coming in contact with infectious exudates or indirectly via fomite transmission. Besides this, carrier animals are the primary and most problematic source of disease i...
Streptococcus equi Subspecies equi.
The Veterinary clinics of North America. Equine practice    February 1, 2023   Volume 39, Issue 1 115-131 doi: 10.1016/j.cveq.2022.11.006
Boyle AG.Strangles, caused by the bacteria Streptococcus equi subsp equi, is a highly contagious disease of equids classically characterized by a high fever and enlarged lymph nodes of the head. Diagnostic sampling depends on the stage of the disease. The goal of treating strangles is to control transmission and to eliminate infection while providing future host immunity. Daily temperature checking and isolation of febrile horses is the key to controlling outbreaks. Eradication of this disease will not be possible until S equi carriers are eliminated from the equine population.
A Human Case of an Infection by the Pathogenic Streptococci that Causes “Strangles” in Horses.
European journal of case reports in internal medicine    January 23, 2023   Volume 10, Issue 1 003719 doi: 10.12890/2023_003719
Gosai F, Gosai N.Strangles is a contagious upper respiratory tract infection primarily affecting equines. It is rare disease with zoonotic transmission. It is caused by the bacterium, . We present the rare case of strangles in an elderly patient complicated by bacteraemia, osteomyelitis and native valve endocarditis. The patient was treated successfully with appropriate antibiotics and no surgical intervention was needed. In an age of accelerated emerging zoonosis, this is an important entity clinicians should be aware of to prevent delay in diagnosis and poor outcome. Conclusions: Strangles is a disease of eq...
Molecular Features and Antimicrobial Susceptibilities of Streptococcus equi ssp. equi Isolates from Strangles Cases in Indonesia.
Veterinary sciences    January 10, 2023   Volume 10, Issue 1 49 doi: 10.3390/vetsci10010049
Rotinsulu DA, Ewers C, Kerner K, Amrozi A, Soejoedono RD, Semmler T, Bauerfeind R.Strangles, caused by ssp. (), is a highly infectious and frequent disease of equines worldwide. No data are available regarding the molecular epidemiology of strangles in Indonesia. This study aimed to characterize isolates obtained from suspected strangles cases in Indonesia in 2018. Isolates originated from seven diseased horses on four different farms located in three provinces of Indonesia. Whole genome sequences of these isolates were determined and used for typing, multilocus sequence typing (MLST), and core genome MLS typing (cgMLST). Genomes were also screened for known antimicrobi...
Estimation of the basic reproduction number for Streptococcus equi spp. equi outbreaks by meta-analysis of strangles outbreak reports.
Equine veterinary journal    August 9, 2022   Volume 55, Issue 3 506-514 doi: 10.1111/evj.13865
Houben RMAC, van Maanen K, Kemp-Symonds JG, Waller AS, Sloet van Oldruitenborgh-Oosterbaan MM, Heesterbeek H.Streptococcus equi spp. equi (S. equi), the cause of strangles in horses, is considered a highly contagious pathogen affecting equines and the equine industry worldwide. Fundamental epidemiological characteristics of outbreaks, such as the basic reproduction number (R ), are not well described. Objective: Estimate R for S. equi in equine populations from outbreak data. Methods: Systematic review and meta-analysis of published and unpublished data. Methods: A literature search for outbreak reports was carried out. Depending on data available in the reports, the early epidemic growth rate or fin...
Factors Influencing Veterinarian Opinion on Reporting of Equine Strangles in the United States.
Journal of equine veterinary science    April 10, 2022   Volume 114 103947 doi: 10.1016/j.jevs.2022.103947
Martin KH, Redding LE, Boyle AG.Although equine strangles is reportable in all states, synchronous reporting of this disease does not occur across the country. States have variable regulations on reporting (actionable, notifiable, and monitored) and no mandatory comprehensive databases exist for tracking prevalence. In this study, we solicited veterinarians' opinions on reporting of strangles and factors influencing their opinion. Two hundred and fifty veterinarians practicing within the United States A structured survey was administered online. A total of 250 veterinarians participated: 84 participants (34%) believed that s...
Conservation of vaccine antigen sequences encoded by sequenced strains of Streptococcus equi subsp. equi.
Equine veterinary journal    January 19, 2022   Volume 55, Issue 1 92-101 doi: 10.1111/evj.13552
Frosth S, Morris ERA, Wilson H, Frykberg L, Jacobsson K, Parkhill J, Flock JI, Wood T, Guss B, Aanensen DM, Boyle AG, Riihimäki M, Cohen ND....Streptococcus equi subspecies equi (S equi) is the cause of Strangles, one of the most prevalent diseases of horses worldwide. Variation within the immunodominant SeM protein has been documented, but a new eight-component fusion protein vaccine, Strangvac, does not contain live S equi or SeM and conservation of the antigens it contains have not been reported. Objective: To define the diversity of the eight Strangvac antigens across a diverse S equi population. Methods: Genomic description. Methods: Antigen sequences from the genomes of 759 S equi isolates from 19 countries, recovered between 1...
Differences in the Accessory Genomes and Methylomes of Strains of Streptococcus equi subsp. equi and of Streptococcus equi subsp. zooepidemicus Obtained from the Respiratory Tract of Horses from Texas.
Microbiology spectrum    January 12, 2022   Volume 10, Issue 1 e0076421 doi: 10.1128/spectrum.00764-21
Morris ERA, Wu J, Bordin AI, Lawhon SD, Cohen ND.Streptococcus equi subsp. (SEE) is a host-restricted equine pathogen considered to have evolved from Streptococcus equi subsp. (SEZ). SEZ is promiscuous in host range and is commonly recovered from horses as a commensal. Comparison of a single strain each of SEE and SEZ using whole-genome sequencing, supplemented by PCR of selected genes in additional SEE and SEZ strains, was used to characterize the evolution of SEE. But the known genetic variability of SEZ warrants comparison of the whole genomes of multiple SEE and SEZ strains. To fill this knowledge gap, we utilized whole-genome sequenci...
Surveillance of strangles in UK horses between 2015 and 2019 based on laboratory detection of Streptococcus equi.
The Veterinary record    September 27, 2021   Volume 189, Issue 12 e948 doi: 10.1002/vetr.948
McGlennon A, Waller A, Verheyen K, Slater J, Grewar J, Aanensen D, Newton R.Previously national surveillance data for monitoring strangles (Streptococcus equi infection) in UK horses was limited. Improved awareness and knowledge of positive diagnoses would permit the optimisation of biosecurity protocols, decreasing the prevalence of strangles. Methods: Seven UK laboratories reported positive strangles diagnoses between 1 January 2015 and 31 December 2019 based on identifying Streptococcus equi via agent detection assays from field-based practitioner-submitted samples. Associated clinical history and animal signalment were collected where provided, and descriptive ana...
Dataset of single nucleotide polymorphisms and comprehensive proteomic analysis of Streptococcus equi subsp. equi ATCC 39506.
Data in brief    September 23, 2021   Volume 38 107402 doi: 10.1016/j.dib.2021.107402
Lee H, Yun SH, Hyon JY, Lee SY, Yi YS, Choi CW, Jun S, Park EC, Kim SI. subspecies () is an opportunistic pathogen and a major causative agent of equine strangles, a contagious respiratory infection in horses and other equines. In this study, we provide the dataset associated with our research publication "-derived extracellular vesicles as a vaccine candidate against infections" [1]. We describe the genomic differences between 4047 and ATCC 39506 and outline the comprehensive proteome information of various fractions, including the whole cell lysate, membrane proteome, secretory proteome, and extracellular vesicle proteome. In addition, we included a dataset...
Differences in the genome, methylome, and transcriptome do not differentiate isolates of Streptococcus equi subsp. equi from horses with acute clinical signs from isolates of inapparent carriers.
PloS one    June 14, 2021   Volume 16, Issue 6 e0252804 doi: 10.1371/journal.pone.0252804
Morris ERA, Boyle AG, Riihimäki M, Aspán A, Anis E, Hillhouse AE, Ivanov I, Bordin AI, Pringle J, Cohen ND.Streptococcus equi subsp. equi (SEE) is a host-restricted bacterium that causes the common infectious upper respiratory disease known as strangles in horses. Perpetuation of SEE infection appears attributable to inapparent carrier horses because it neither persists long-term in the environment nor infects other host mammals or vectors, and infection results in short-lived immunity. Whether pathogen factors enable SEE to remain in horses without causing clinical signs remains poorly understood. Thus, our objective was to use next-generation sequencing technologies to characterize the genome, me...
Enhanced immune effects and protection conferred by simultaneously targeting GAPDH, SeM, and EAG of S. equi via TLR4.
Research in veterinary science    June 8, 2021   Volume 138 100-108 doi: 10.1016/j.rvsc.2021.06.001
Chen X, Zhao Y, Su L, Wang L, Ma X, Zhang B, Su Y.Strangles, which is caused by Streptococcus equi subspecies equi, is one of the most prevalent equine infectious diseases and poses heavy economic losses worldwide. Although various vaccines have been used for decades, they seemed to be sub-optimal to demonstrate effective protection, and the antigen component of vaccines against S. equi remains to be optimized. In the present study, three target antigens (M-like protein, α2-macroglobulin and IgG-binding protein, and glyceraldehyde-3-phosphate dehydrogenase) were selected and expressed. Mice were immunized and challenged, and their immune res...
Nasopharyngeal Microbiomes in Donkeys Shedding Streptococcus equi Subspecies equi in Comparison to Healthy Donkeys.
Frontiers in veterinary science    April 22, 2021   Volume 8 645627 doi: 10.3389/fvets.2021.645627
Zhu Y, Chen S, Yi Z, Holyoak R, Wang T, Ding Z, Li J. subsp. equi () is the pathogen causing strangles, a highly infectious disease that can affect equids including donkeys of all ages. It can persistently colonize the upper respiratory tract of animals asymptomatically for years, which serves as a source of infection. Several strangles outbreaks have been reported in the donkey industry in China in the last few years and pose a great threat to health, production, and the welfare of donkeys. Nasopharyngeal swab samples for culture and PCR are used widely in strangles diagnosis. Additionally, microbiomes within and on the body are essential to ho...
Horses vaccinated with live attenuated intranasal strangles vaccine seroconvert to SEQ2190 and SeM.
Equine veterinary journal    March 18, 2021   Volume 54, Issue 2 299-305 doi: 10.1111/evj.13443
Boyle AG, Mitchell C, Stefanovski D, Waller AS.The dual antigen iELISA uses two Streptococcus equi subsp equi surface protein antigens composed of N-terminal portions of SEQ2190 (Antigen A) and SeM (Antigen C). It is currently used to identify animals exposed to S. equi which have developed an immune response to the target antigens. Objective: To determine the usefulness of the dual antigen iELISA in a population of horses vaccinated with Pinnacle IN. We hypothesised that horses vaccinated for strangles with a live attenuated, non-encapsulated SeM-2 strain of S. equi, would seroconvert when tested 5 weeks later by the dual antigen iELIS...
Detection of Streptococcus equi subsp. equi in guttural pouch lavage samples using a loop-mediated isothermal nucleic acid amplification microfluidic device.
Journal of veterinary internal medicine    March 17, 2021   Volume 35, Issue 3 1597-1603 doi: 10.1111/jvim.16105
Boyle AG, Rankin SC, O'Shea K, Stefanovski D, Peng J, Song J, Bau HH.Rapid point-of-care (POC) detection of Streptococcus equi subsp. equi (S. equi) would theoretically reduce the spread of strangles by identifying index and carrier horses. Objective: That the eqbE isothermal amplification (LAMP) assay, and the same eqbE LAMP assay tested in a microfluidic device format, are comparable to a triplex real-time quantitative polymerase chain reaction (qPCR) assay that is commonly used in diagnostic labs. Methods: Sixty-eight guttural pouch lavage (GPL) specimens from horses recovering from strangles. Methods: Guttural pouch lavage specimens were tested for S. equi ...
Globetrotting strangles: the unbridled national and international transmission of Streptococcus equi between horses.
Microbial genomics    March 8, 2021   Volume 7, Issue 3 mgen000528 doi: 10.1099/mgen.0.000528
Mitchell C, Steward KF, Charbonneau ARL, Walsh S, Wilson H, Timoney JF, Wernery U, Joseph M, Craig D, van Maanen K, Hoogkamer-van Gennep A, Leon A....The equine disease strangles, which is characterized by the formation of abscesses in the lymph nodes of the head and neck, is one of the most frequently diagnosed infectious diseases of horses around the world. The causal agent, subspecies , establishes a persistent infection in approximately 10 % of animals that recover from the acute disease. Such 'carrier' animals appear healthy and are rarely identified during routine veterinary examinations pre-purchase or transit, but can transmit to naïve animals initiating new episodes of disease. Here, we report the analysis and visualization of...
Novel seM-types of Streptococcus equi subsp. equi identified in isolates circulating in Argentina.
Equine veterinary journal    February 23, 2021   Volume 54, Issue 1 132-138 doi: 10.1111/evj.13420
Bustos CP, Muñoz AJ, Guida N, Waller A, Mesplet M.Strangles is a worldwide infectious disease caused by Streptococcus equi subsp. equi that affects the upper respiratory tract of horses. Streptococcus equi subsp. equi characterisation by seM-typing is internationally used for epidemiological studies and comparison of isolates. Objective: To identify and to compare the seM-types of Argentinian isolates of Streptococcus equi subsp. equi. Methods: Investigation of bacterial isolates using molecular and phylogenetic approaches. Methods: A total of 59 Argentinian isolates of Streptococcus equi subsp. equi obtained between 2007 and 2019 were studie...
Effects of srtA variation on phagocytosis resistance and immune response of Streptococcus equi.
Infection, genetics and evolution : journal of molecular epidemiology and evolutionary genetics in infectious diseases    January 24, 2021   Volume 89 104732 doi: 10.1016/j.meegid.2021.104732
Zhang H, Zhou T, Su L, Wang H, Zhang B, Su Y.Strangles, which is caused by Streptococcus equi subspecies equi (S. equi), is one of the most prevalent equine infectious diseases with worldwide distribution and leads to serious economic loss in the horse industry. Sortase A (srtA) is a transpeptidase that anchors multiple virulence-associated surface proteins to the cell surface of S. equi. srtA plays a major role in S. equi infection and colonization of the host cell. In this study, we aimed to investigate the effects of srtA mutation on the phagocytic activity and immunogenicity of S. equi. The point-mutated recombinant sortases, includi...
Validation of a point-of-care polymerase chain reaction assay for detection of Streptococcus equi subspecies equi in rostral nasal swabs from horses with suspected strangles.
The Canadian veterinary journal = La revue veterinaire canadienne    January 5, 2021   Volume 62, Issue 1 51-54 
Willis AT, Barnum S, Pusterla N.This study aimed to validate a point-of-care polymerase chain reaction (PCR) assay for detection of subsp. in rostral nasal swabs from horses with suspected acute strangles and to compare the results against the molecular gold standard of quantitative polymerase chain reaction (qPCR). Two hundred thirty-two individual swabs of rostral nasal passages were characterized by qPCR as positive, subsp. positive, or and negative. The specificity and sensitivity of the point-of-care PCR assay were 89% and 84%, respectively. The limits of detection of the qPCR assay and the point-of-care PCR anal...
Investigation of a 24-Hour Culture Step to Determine the Viability of Streptococcus equi Subspecies equi Via Quantitative Polymerase Chain Reaction in Nasal Secretions From Horses With Suspected Strangles.
Journal of equine veterinary science    November 24, 2020   Volume 97 103328 doi: 10.1016/j.jevs.2020.103328
Pusterla N, Barnum SM, Byrne BA.Polymerase chain reaction (PCR)-based detection assays for Streptococcus equi subspecies equi often overestimate the prevalence of samples containing viable organisms. The objective of this study was to determine if viability could be determined using genome quantitation and detection of messenger RNA (mRNA) transcripts for the SeM gene of S. equi in pre- and post-cultured samples. Nasal secretions collected from 42 horses with suspected strangles were tested by culture and by quantitative PCR (qPCR) before and 24 hours after a culture step. Viable S. equi was determined based on the detecti...
Vaccination of yearling horses against poly-N-acetyl glucosamine fails to protect against infection with Streptococcus equi subspecies equi.
PloS one    October 15, 2020   Volume 15, Issue 10 e0240479 doi: 10.1371/journal.pone.0240479
Cohen ND, Cywes-Bentley C, Kahn SM, Bordin AI, Bray JM, Wehmeyer SG, Pier GB.Strangles is a common disease of horses with worldwide distribution caused by the bacterium Streptococcus equi subspecies equi (SEE). Although vaccines against strangles are available commercially, these products have limitations in safety and efficacy. The microbial surface antigen β 1→6 poly-N-acetylglucosamine (PNAG) is expressed by SEE. Here we show that intramuscular (IM) injection alone or a combination of IM plus intranasal (IN) immunization generated antibodies to PNAG that functioned to deposit complement and mediate opsonophagocytic killing of SEE ex vivo. However, immunization st...
Strangles Awareness Week: a new initiative to help stamp out strangles.
The Veterinary record    September 7, 2020   Volume 187, Issue 6 e42 doi: 10.1136/vr.m3493
Abigail McGlennon of the Animal Health Trust and Andrea Vilela of the Redwings Horse Sanctuary describe the creation and impact of a new initiative to tackle strangles in UK horses.
SpeS: A Novel Superantigen and Its Potential as a Vaccine Adjuvant against Strangles.
International journal of molecular sciences    June 23, 2020   Volume 21, Issue 12 4467 doi: 10.3390/ijms21124467
Dominguez-Medina CC, Rash NL, Robillard S, Robinson C, Efstratiou A, Broughton K, Parkhill J, Holden MTG, Lopez-Alvarez MR, Paillot R, Waller AS.Bacterial superantigens (sAgs) are powerful activators of the immune response that trigger unspecific T cell responses accompanied by the release of proinflammatory cytokines. () and () produce sAgs that play an important role in their ability to cause disease. Strangles, caused by , is one of the most common infectious diseases of horses worldwide. Here, we report the identification of a new sAg of , SpeS, and show that mutation of the putative T cell receptor (TCR)-binding motif (YAY to IAY) abrogated TCR-binding, whilst maintaining interaction with major histocompatibility complex (MHC) c...
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