1. Last 7 days
    1. Four cases had other morphologies at initial biopsy, including pure GG (n = 3, pediatric) and PA (n = 1, adult) histologies. One of the GGs was a 16-year-old girl with an original biopsy demonstrating a pure thalamic GG

      [Paragraph-level] PMCID: PMC5822176 Section: RESULTS PassageIndex: 4

      Evidence Type(s): Oncogenic

      Justification: Oncogenic: The passage discusses the transformation of tumors associated with the K27M variant, indicating its role in tumor development and progression, particularly in the context of glioblastoma transformation.

      Gene→Variant (gene-first): 3417:K27M

      Genes: 3417

      Variants: K27M

    2. Table 1 summarizes the ages, gender, anatomical location, initial histological diagnoses, and p53 IHC labeling indices discerned prior to H3 K27M IHC in the 28 H3 K27M-mutant tumors identified in our databases. There wer

      [Paragraph-level] PMCID: PMC5822176 Section: RESULTS PassageIndex: 2

      Evidence Type(s): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage discusses the identification of H3 K27M-mutant tumors and provides demographic information, indicating that the variant is associated with specific histological diagnoses and patient characteristics. Oncogenic: The mention of H3 K27M in the context of tumors suggests that this somatic variant contributes to tumor development or progression, as it is identified in mutant tumors.

      Gene→Variant (gene-first): 3417:K27M

      Genes: 3417

      Variants: K27M

    3. Background: H3 K27M mutation was originally described in pediatric diffuse intrinsic pontine gliomas (DIPGs), but has been recently recognized to occur also in adult midline diffuse gliomas, as well as midline tumors wit

      [Paragraph-level] PMCID: PMC5822176 Section: ABSTRACT PassageIndex: 1

      Evidence Type(s): Diagnostic, Prognostic, Oncogenic

      Justification: Diagnostic: The passage discusses the H3 K27M mutation's association with various tumor types, indicating its role in defining and classifying these tumors, particularly in pediatric and adult cohorts. Prognostic: The passage mentions survival outcomes for patients with H3 K27M-mutant tumors, comparing mean survival times between adults and pediatric patients, which indicates a correlation with disease outcome. Oncogenic: The H3 K27M mutation is described as contributing to tumor development in various glioma types, indicating its role as a somatic variant involved in tumor progression.

      Gene→Variant (gene-first): 3417:K27M

      Genes: 3417

      Variants: K27M

    1. To identify somatic mutations in paediatric diffuse intrinsic pontine gliomas (DIPGs), we performed whole genome sequencing of 7 DIPGs and matched germline DNA, and targeted sequencing of an additional 43 DIPGs and 36 no

      [Paragraph-level] PMCID: PMC3288377 Section: ABSTRACT PassageIndex: 1

      Evidence Type(s): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage discusses the frequency of the p.K27M mutation in DIPGs and its association with this specific subtype of brain tumors, indicating its role in defining or classifying the disease. Oncogenic: The p.K27M and p.G34R mutations are described as somatic mutations found in pediatric gliomas, suggesting their contribution to tumor development or progression.

      Gene→Variant (gene-first): 3021:p.G34R 3021:p.K27M

      Genes: 3021

      Variants: p.G34R p.K27M

    1. CDK4/6 inhibition with endocrine therapy is now a standard of care for advanced estrogen receptor positive breast cancer. Mechanisms of CDK4/6 inhibitor resistance have been described pre-clinically, with limited evidenc

      [Paragraph-level] PMCID: PMC6368247 Section: ABSTRACT PassageIndex: 1

      Evidence Type(s): Predictive, Oncogenic

      Justification: Predictive: The passage discusses the emergence of the ESR1 Y537S mutation in the context of resistance to CDK4/6 inhibitors, indicating a correlation with treatment response and resistance. Oncogenic: The mention of the ESR1 Y537S mutation as a new driver mutation suggests that it contributes to tumor development or progression, particularly in the context of breast cancer.

      Gene→Variant (gene-first): 5728:Y537S

      Genes: 5728

      Variants: Y537S

    1. Twenty-seven patients with a median age of 49 years (range 23-82) were treated with BRAF inhibitors. Eleven patients received dabrafenib with trametinib, and 16 were treated with vemurafenib. Patients received 150 mg of

      [Paragraph-level] PMCID: PMC5122709 Section: RESULTS PassageIndex: 3

      Evidence Type(s): Predictive, Diagnostic, Oncogenic

      Justification: Predictive: The passage discusses patients treated with BRAF inhibitors, specifically mentioning the BRAF V600E mutation, which correlates with response to these therapies. Diagnostic: The passage states that all patients tested positive for the BRAF V600E mutation, indicating its use in defining or confirming the presence of a specific subtype of melanoma. Oncogenic: The BRAF V600E mutation is implicated in the development of melanoma, suggesting its role as a somatic variant contributing to tumor progression.

      Gene→Variant (gene-first): 673:V600E

      Genes: 673

      Variants: V600E

    1. Although activating mutations of FGFR3 are frequent in bladder tumors, little information is available on their specific effects in urothelial cells or the basis for the observed mutation spectrum. We investigated the ph

      [Paragraph-level] PMCID: PMC2789045 Section: ABSTRACT PassageIndex: 1

      Evidence Type(s): Functional, Oncogenic

      Justification: Functional: The passage discusses how the FGFR3 mutations (S249C, Y375C, and K652E) alter molecular signaling pathways, specifically the phosphorylation of various proteins, indicating a change in biochemical function. Oncogenic: The passage describes how the mutant FGFR3 variants induce morphological transformation, cell proliferation, and anchorage-independent growth, which are indicative of their role in tumor development and progression.

      Gene→Variant (gene-first): 2261:K652E 2261:S249C 2261:Y375C

      Genes: 2261

      Variants: K652E S249C Y375C

    1. Conclusion: Our findings suggested that the SNPs (rs16879870, rs2641256, rs2761591, rs854936) might play a crucial role in prognosis of HNSCC.

      [Paragraph-level] PMCID: PMC7099049 Section: ABSTRACT PassageIndex: 4

      Evidence Type(s): Prognostic

      Justification: Prognostic: The passage indicates that the SNPs are suggested to play a crucial role in the prognosis of HNSCC, which correlates with disease outcome.

      Gene→Variant (gene-first): NA:rs16879870 388325:rs2641256 341019:rs2761591 NA:rs854936

      Genes: NA 388325 341019

      Variants: rs16879870 rs2641256 rs2761591 rs854936

    2. Results: After combining the result of the two stages, 4 SNPs were significantly associated with HNSCC survival (rs16879870 at 6q14.3: adjusted HR = 2.02, 95%CI = 1.50-2.73, P = 3.88 x 10-6; rs2641256 at 17p13.2: adjuste

      [Paragraph-level] PMCID: PMC7099049 Section: ABSTRACT PassageIndex: 3

      Evidence Type(s): Prognostic, Functional

      Justification: Prognostic: The passage discusses the association of SNPs with HNSCC survival, indicating that these variants correlate with disease outcome, specifically overall survival, independent of therapy. Functional: The passage mentions that the genotype of rs16879870 and rs854936 is significantly associated with the expression of specific genes in cancer tissues, suggesting that these variants alter molecular function.

      Gene→Variant (gene-first): NA:rs16879870 388325:rs2641256 341019:rs2761591 NA:rs854936

      Genes: NA 388325 341019

      Variants: rs16879870 rs2641256 rs2761591 rs854936

    1. Mutations in SF3B1 have been identified across several cancer types. This key spliceosome component promotes the efficient mRNA splicing of thousands of genes including those with crucial roles in the cellular response t

      [Paragraph-level] PMCID: PMC7612475 Section: ABSTRACT PassageIndex: 1

      Evidence Type(s): Predictive, Functional

      Justification: Predictive: The K700E mutation in SF3B1 increases cellular sensitivity to ionising radiation and various chemotherapeutic agents, including PARP inhibitors, indicating a correlation with treatment response. Functional: The K700E mutation alters HR efficiency and induces unscheduled R-loop formation, replication fork stalling, and defective replication fork restart, demonstrating an impact on molecular function.

      Gene→Variant (gene-first): 23451:K700E

      Genes: 23451

      Variants: K700E

    1. Mutations in the KRAS oncogene are found in more than 90% of patients with pancreatic ductal adenocarcinoma (PDAC), with Gly-to-Asp mutations (KRASG12D) being the most common. Here, we tested the efficacy of a small-mole

      [Paragraph-level] PMCID: PMC9900321 Section: ABSTRACT PassageIndex: 3

      Evidence Type(s): Predictive, Oncogenic

      Justification: Predictive: The passage discusses the efficacy of a small-molecule KRASG12D inhibitor, MRTX1133, in treating pancreatic ductal adenocarcinoma, indicating a correlation between the Gly-to-Asp mutation and response to therapy. Oncogenic: The Gly-to-Asp mutation in the KRAS oncogene is described as contributing to tumor development in pancreatic ductal adenocarcinoma, as it is found in more than 90% of patients with this cancer type.

      Gene→Variant (gene-first): 3845:Gly-to-Asp

      Genes: 3845

      Variants: Gly-to-Asp

    1. Macrodactyly is a discrete congenital anomaly consisting of enlargement of all tissues localized to the terminal portions of a limb, typically within a 'nerve territory'. The classic terminology for this condition is 'li

      [Paragraph-level] PMCID: PMC3542862 Section: ABSTRACT PassageIndex: 1

      Evidence Type(s): Oncogenic, Functional

      Justification: Oncogenic: The passage discusses somatic mutations in PIK3CA (including R115P, E542K, H1047L, and H1047R) that contribute to the pathophysiology of macrodactyly, indicating their role in tumor development or progression through activation of the PI3K/AKT signaling pathway. Functional: The passage mentions that the identified mutations lead to AKT activation, which indicates that these variants alter molecular or biochemical function related to cell signaling pathways.

      Gene→Variant (gene-first): 5290:E542K 5290:H1047L 5290:H1047R 5163:R115P

      Genes: 5290 5163

      Variants: E542K H1047L H1047R R115P

    1. Mutations in KRAS and BRAF were associated with inferior PFS and OS of mCRC patients compared with patients with non-mutated tumors. KRAS exon 2 mutation variants were associated with heterogeneous outcome compared with

      [Paragraph-level] PMCID: PMC4999563 Section: ABSTRACT PassageIndex: 9

      Evidence Type(s): Prognostic, Diagnostic

      Justification: Prognostic: The passage indicates that KRAS G12C and G13D mutations are associated with inferior progression-free survival (PFS) and overall survival (OS) in mCRC patients, suggesting a correlation with disease outcome independent of therapy. Diagnostic: The mention of KRAS mutations being associated with heterogeneous outcomes compared to unmutated tumors implies that these variants can be used to classify or define a disease subtype in mCRC.

      Gene→Variant (gene-first): 3845:G12C 3845:G13D

      Genes: 3845

      Variants: G12C G13D

    2. In 664 tumors, no mutation was detected, 462 tumors were diagnosed with KRAS-, 39 patients with NRAS- and 74 patients with BRAF-mutation. Mutations in KRAS were associated with inferior progression-free survival (PFS) an

      [Paragraph-level] PMCID: PMC4999563 Section: ABSTRACT PassageIndex: 7

      Evidence Type(s): Prognostic, Diagnostic

      Justification: Prognostic: The passage discusses the correlation of KRAS mutations, including specific variants like G12C and G13D, with inferior overall survival (OS) and progression-free survival (PFS), indicating their impact on disease outcome independent of therapy. Diagnostic: The passage mentions that mutations in KRAS were diagnosed in tumors, indicating that these mutations are used to classify or define the disease.

      Gene→Variant (gene-first): 3845:G12C 3845:G12D 3845:G12V 3845:G13D

      Genes: 3845

      Variants: G12C G12D G12V G13D

    3. In this pooled analysis of metastatic colorectal cancer patients, mutations in KRAS, and BRAF were associated with inferior progression-free and overall survival compared with patients with non-mutated tumors. KRAS exon

      [Paragraph-level] PMCID: PMC4999563 Section: ABSTRACT PassageIndex: 1

      Evidence Type(s): Prognostic, Diagnostic

      Justification: Prognostic: The passage discusses how KRAS G12C and G13D mutations correlate with inferior progression-free and overall survival in metastatic colorectal cancer patients, indicating their prognostic significance. Diagnostic: The mention of KRAS mutations being associated with tumor characteristics suggests their role in classifying or defining the disease subtype in colorectal cancer.

      Gene→Variant (gene-first): 3845:G12C 3845:G13D

      Genes: 3845

      Variants: G12C G13D

    1. PIK3CA encoding the phosphoinositide 3-kinase (PI3K) p110alpha catalytic subunit is frequently mutated in cancer, with mutations occurring widely throughout the primary sequence. The full set of mechanisms underlying how

      [Paragraph-level] PMCID: PMC9837058 Section: ABSTRACT PassageIndex: 1

      Evidence Type(s): Oncogenic, Functional

      Justification: Oncogenic: The passage discusses how mutations in PIK3CA, including G1049R, H1047R, and M1043I/L, contribute to the activation of the PI3K pathway, indicating their role in tumor development or progression. Functional: The passage describes how specific mutations alter the conformation and binding properties of the p110alpha subunit, indicating that these variants affect molecular function related to PI3K activation.

      Gene→Variant (gene-first): 5290:G1049R 5290:H1047R 5290:M1043I/L

      Genes: 5290

      Variants: G1049R H1047R M1043I/L

    2. We also compared HDX-MS differences in full-length p110alpha-p85alpha between WT, H1047R and DeltaC in the presence and absence of pY (Supplementary Fig. 6). The binding of pY led to significant increases for all three c

      [Paragraph-level] PMCID: PMC9837058 Section: RESULTS PassageIndex: 19

      Evidence Type(s): Functional

      Justification: Functional: The passage discusses how the H1047R variant alters the binding interactions and structural dynamics of the protein in response to pY binding, indicating a change in molecular function.

      Gene→Variant (gene-first): 5290:H1047R

      Genes: 5290

      Variants: H1047R

    3. The H1047R, G1049R, and the DeltaCter constructs showed similar significant increases compared to the WT in the kinase domain (Fig. 5A-C). These included regions covering 850-858 (hinge between the N and C lobes), the ac

      [Paragraph-level] PMCID: PMC9837058 Section: RESULTS PassageIndex: 18

      Evidence Type(s): Functional, Oncogenic

      Justification: Functional: The passage discusses how the H1047R and G1049R variants alter the molecular interactions and conformations within the kinase domain, indicating a change in biochemical function related to the protein's activity. Oncogenic: The evidence suggests that the H1047R and G1049R variants contribute to activation through disruption of the inhibitory conformation, which is indicative of their role in tumor development or progression.

      Gene→Variant (gene-first): 5290:G1049R 5290:H1047R 5290:M1043L 5290:N1068fs

      Genes: 5290

      Variants: G1049R H1047R M1043L N1068fs

    4. HDX-MS experiments were carried out for 4-5 timepoints of exchange (3 s at 1 C, 3, 30, 300, and 3000 s at 20 C) for each complex. The full set of all peptides analysed for both p110alpha and p85alpha are shown in the Sou

      [Paragraph-level] PMCID: PMC9837058 Section: RESULTS PassageIndex: 17

      Evidence Type(s): Functional

      Justification: Functional: The passage discusses changes observed for the H1047R variant in the context of HDX-MS experiments, indicating that it alters molecular or biochemical function, specifically in terms of perturbations in conformation.

      Gene→Variant (gene-first): 5290:H1047R

      Genes: 5290

      Variants: H1047R

    5. To test if C-terminal mutations worked by disrupting the inhibitory interaction with the C-terminus, we carried out HDX-MS studies on six constructs of full-length p110alpha (WT, M1043L, H1047R, G1049R, N1068fs, and a co

      [Paragraph-level] PMCID: PMC9837058 Section: RESULTS PassageIndex: 16

      Evidence Type(s): Functional, Oncogenic

      Justification: Functional: The passage discusses how C-terminal mutations, including M1043L, H1047R, G1049R, and N1068fs, affect the inhibitory interaction with the C-terminus, indicating an alteration in molecular function. Oncogenic: The mention of "oncogenic mutation" in relation to M1043L, H1047R, and G1049R suggests that these somatic variants contribute to tumor development or progression.

      Gene→Variant (gene-first): 5290:G1049R 5290:H1047R 5290:M1043L 5290:N1068fs

      Genes: 5290

      Variants: G1049R H1047R M1043L N1068fs

    6. For these mutants, we had difficulty in obtaining sufficient yield of the proteins for extensive biophysical analysis. To circumvent this, we used the kinase dead variants to characterise their membrane binding using pro

      [Paragraph-level] PMCID: PMC9837058 Section: RESULTS PassageIndex: 14

      Evidence Type(s): Functional, Oncogenic

      Justification: Functional: The passage discusses how the variants H1047R, G1049R, M1043L, and N1068fs alter membrane binding and ATPase activity, indicating changes in molecular function. Oncogenic: The variants are described in the context of their effects on membrane binding and ATPase activity, which suggests a role in tumor development or progression.

      Gene→Variant (gene-first): 5290:G1049R 5290:H1047R 5290:M1043L 5290:N1068fs

      Genes: 5290

      Variants: G1049R H1047R M1043L N1068fs

    7. We characterised the intrinsic ATPase activity of each p110alpha mutant (Fig. 4A + B), and while this assay does not measure biologically relevant PIP3 activity, it can measure intrinsic differences in PI3K activity inde

      [Paragraph-level] PMCID: PMC9837058 Section: RESULTS PassageIndex: 13

      Evidence Type(s): Functional, Oncogenic

      Justification: Functional: The passage discusses the intrinsic ATPase activity of the p110alpha mutants, indicating that the variants G1049R, H1047R, and M1043L alter molecular function by exhibiting significantly increased ATPase activity compared to wild type. Oncogenic: The context of the passage implies that the variants are somatic mutations in a cancer-related gene, contributing to tumor development or progression through their altered biochemical activity.

      Gene→Variant (gene-first): 5290:G1049R 5290:H1047R 5290:M1043L 5290:N1068fs

      Genes: 5290

      Variants: G1049R H1047R M1043L N1068fs

    8. To understand the regulatory mechanisms underlying the inhibitory interface with the C-terminus we analysed the most frequent oncogenic mutants that occur at or near this interface. While H1047R/L is the most frequent mu

      [Paragraph-level] PMCID: PMC9837058 Section: RESULTS PassageIndex: 12

      Evidence Type(s): Oncogenic, Functional

      Justification: Oncogenic: The passage discusses frequent oncogenic mutants and their role in tumor samples, indicating that these variants contribute to tumor development or progression. Functional: The analysis of the mutants and their binding to full-length p85alpha suggests that these variants alter molecular or biochemical function, specifically in the context of their interaction with regulatory complexes.

      Gene→Variant (gene-first): 5290:G1049R 5290:H1047R 5290:H1047R/L 5290:M1043L 5290:M1043L/I 5290:N1044K 5290:N1068fs

      Genes: 5290

      Variants: G1049R H1047R H1047R/L M1043L M1043L/I N1044K N1068fs

    9. While the disengagement of the ABD and p85 being involved in membrane binding provides a molecular rationale for activation by oncogenic mutations in the ABD, C2, and helical domains, it does not fully explain the molecu

      [Paragraph-level] PMCID: PMC9837058 Section: RESULTS PassageIndex: 11

      Evidence Type(s): Oncogenic, Functional

      Justification: Oncogenic: The passage discusses the H1047R mutation in the context of its role in activating the kinase domain and increasing membrane binding, indicating its contribution to tumor development or progression. Functional: The passage describes how the H1047R mutation alters the molecular interactions and structural organization of the kinase domain, affecting its binding properties and functionality.

      Gene→Variant (gene-first): 5290:H1047R 5290:His1047 5290:Met1043

      Genes: 5290

      Variants: H1047R His1047 Met1043

    10. When comparing our data to the full set of missense oncogenic mutations in the ABD, ABD-RBD linker, C2, helical and the N-lobe of the kinase domain we find that all mutations found in >30 tumours except one (E726K) are l

      [Paragraph-level] PMCID: PMC9837058 Section: RESULTS PassageIndex: 9

      Evidence Type(s): Oncogenic, Functional

      Justification: Oncogenic: The passage discusses the E726K variant in the context of oncogenic mutations and its association with conformational changes that contribute to tumor development, indicating its role in cancer progression. Functional: The passage describes how the E726K variant leads to conformational changes affecting the interaction between the ABD and p85 with the catalytic core, suggesting an alteration in molecular function.

      Gene→Variant (gene-first): 5290:E726K

      Genes: 5290

      Variants: E726K

    11. We have extensively characterised the membrane binding of the p110alpha/p85alpha complex using HDX-MS, however, the disengagement of the ABD and p85 from the catalytic core has likely complicated the analysis of membrane

      [Paragraph-level] PMCID: PMC9837058 Section: RESULTS PassageIndex: 8

      Evidence Type(s): Functional

      Justification: Functional: The passage discusses how the N345K variant affects the molecular interactions and binding of the p110alpha/p85alpha complex to membranes, indicating an alteration in biochemical function.

      Gene→Variant (gene-first): 5290:N345K

      Genes: 5290

      Variants: N345K

    12. This data comparing the full-length heterodimer vs p110alpha core allowed us to define the effect of ABD removal on the contact site at the ABD-RBD linker. This region still is protected from exchange at early time point

      [Paragraph-level] PMCID: PMC9837058 Section: RESULTS PassageIndex: 4

      Evidence Type(s): Oncogenic, Functional

      Justification: Oncogenic: The passage discusses oncogenic mutants (N345K, G106V, and G118D) and their expected role in promoting ABD/iSH2 disengagement, indicating their contribution to tumor development or progression. Functional: The data suggests that the variants alter the dynamics of the ABD-p85 complex and its interaction with the p110alpha catalytic core, indicating a change in molecular function related to binding and mobility.

      Gene→Variant (gene-first): 5290:G106V 5290:G118D 5290:N345K

      Genes: 5290

      Variants: G106V G118D N345K

    13. To investigate the role of the ABD domain/p85 regulatory subunit in controlling PI3K enzyme activity, we needed a construct that allowed us to interrogate the dynamic effects of full ABD disengagement. We engineered and

      [Paragraph-level] PMCID: PMC9837058 Section: RESULTS PassageIndex: 2

      Evidence Type(s): Functional

      Justification: Functional: The passage discusses the D915N mutation in the context of its effect on protein conformation and membrane binding, indicating that it alters molecular function as assessed by HDX-MS experiments.

      Gene→Variant (gene-first): 5290:D915N

      Genes: 5290

      Variants: D915N

    1. Mutation of several genes, most notably TP53 or ASXL1 transcriptional regulator 1 (ASXL1), were shown to cause a broad pattern of drug resistance. Interestingly, a few drugs trended more sensitive to TP53 mutant cases, s

      [Paragraph-level] PMCID: PMC6280667 Section: RESULTS PassageIndex: 9

      Evidence Type(s): Predictive

      Justification: Predictive: The passage discusses the correlation of mutations, including those in splicing components like ZRSR2, with sensitivity to various drugs, indicating a relationship between the variant and treatment response.

      Gene→Variant (gene-first): 8233:serine/arginine

      Genes: 8233

      Variants: serine/arginine

    1. To examine tumor forming capacity in vivo, we constructed H460 cells that stably express ERBB2 (Fig. 8a) and assessed tumor growth after subcutaneous inoculation of these cells into mice. On the 21st day after transplant

      [Paragraph-level] PMCID: PMC8881279 Section: RESULTS PassageIndex: 17

      Evidence Type(s): Oncogenic

      Justification: Oncogenic: The passage discusses the tumor forming capacity of cells expressing the ERBB2 E401G variant, indicating that this somatic variant contributes to tumor development as evidenced by increased tumor growth in vivo.

      Gene→Variant (gene-first): 2176:E401G

      Genes: 2176

      Variants: E401G

    2. To examine the biologic effects of ERBB2 E401G in cancer cells, we evaluated the proliferative and invasive capacities of H460 cells. We found that cells expressing ERBB2 S310F exhibited a significantly higher proliferat

      [Paragraph-level] PMCID: PMC8881279 Section: RESULTS PassageIndex: 16

      Evidence Type(s): Functional, Oncogenic

      Justification: Functional: The passage discusses the effects of the ERBB2 E401G and S310F variants on the proliferative and invasive capacities of cancer cells, indicating that these variants alter molecular or biochemical functions related to cell behavior. Oncogenic: The evaluation of the proliferative and invasive capacities of cells expressing the ERBB2 variants suggests that these somatic variants contribute to tumor development or progression.

      Gene→Variant (gene-first): 2176:E401G 2064:S310F

      Genes: 2176 2064

      Variants: E401G S310F

    3. Our simulation data showed that the activating mechanisms of ERBB2 E401G and S310F were related to the EGFR-HER2 heterodimer. The dimerization partner appears to be an important determinant of signaling activity. The two

      [Paragraph-level] PMCID: PMC8881279 Section: RESULTS PassageIndex: 14

      Evidence Type(s): Functional, Oncogenic

      Justification: Functional: The passage discusses how the variants E401G and S310F alter the phosphorylation of downstream signaling pathway proteins, indicating a change in molecular function related to the MAPK pathway. Oncogenic: The evidence suggests that the variants contribute to tumor development or progression by activating signaling pathways associated with cancer, specifically through the ERBB2 dimerization and its effects on downstream signaling.

      Gene→Variant (gene-first): 2176:E401G 2064:S310F

      Genes: 2176 2064

      Variants: E401G S310F

    4. In a previous simulation study, the dimer interfaces of both the EGFR homodimer and the EGFR-HER2 heterodimer were destabilized when the EGFR lost EGF (a specific ligand of EGFR). We therefore conducted MD simulations of

      [Paragraph-level] PMCID: PMC8881279 Section: RESULTS PassageIndex: 12

      Evidence Type(s): Functional

      Justification: Functional: The passage discusses how the E401G and S310F mutations affect the dimer interface stability of the EGFR-HER2 complex, indicating that these variants alter molecular interactions and stability.

      Gene→Variant (gene-first): 2176:E401G 2064:S310F

      Genes: 2176 2064

      Variants: E401G S310F

    5. To confirm whether HER2 homodimers or EGFR-HER2 heterodimers are more relevant to the mechanisms of ERBB2 E401G and S310F activation, we analyzed HER-family dimers using microsecond-timescale MD simulations. With regard

      [Paragraph-level] PMCID: PMC8881279 Section: RESULTS PassageIndex: 11

      Evidence Type(s): None

      Justification: Not enough information in this passage.

      Gene→Variant (gene-first): 2176:E401G 2064:S310F

      Genes: 2176 2064

      Variants: E401G S310F

    6. HER2 p.(E401G) stabilizes ligand-free EGFR HER2 heterodimer

      [Paragraph-level] PMCID: PMC8881279 Section: RESULTS PassageIndex: 10

      Evidence Type(s): Functional

      Justification: Functional: The passage indicates that the variant p.(E401G) alters the stability of the ligand-free EGFR HER2 heterodimer, which suggests a change in molecular function.

      Gene→Variant (gene-first): 2176:p.(E401G)

      Genes: 2176

      Variants: p.(E401G)

    7. C-terminal phosphorylation of HER family proteins is caused by dimerization followed by trans-autophosphorylation, in which one receptor subunit of the dimer phosphorylates the other. Among the HER family proteins, EGFR,

      [Paragraph-level] PMCID: PMC8881279 Section: RESULTS PassageIndex: 9

      Evidence Type(s): Functional, Oncogenic

      Justification: Functional: The passage discusses how the variants E401G and S310F lead to increased phosphorylation levels of HER2 and EGFR, indicating that these variants alter molecular function related to protein activity. Oncogenic: The context of the passage suggests that the variants E401G and S310F contribute to tumor development or progression by enhancing the phosphorylation of key HER family proteins involved in oncogenesis.

      Gene→Variant (gene-first): 2176:E401G 2064:S310F

      Genes: 2176 2064

      Variants: E401G S310F

    8. Identification of potential dimerization partners of HER2 E401G protein

      [Paragraph-level] PMCID: PMC8881279 Section: RESULTS PassageIndex: 8

      Evidence Type(s): Functional

      Justification: Functional: The passage discusses the identification of potential dimerization partners of the HER2 E401G protein, indicating that the variant alters molecular interactions.

      Gene→Variant (gene-first): 2176:E401G

      Genes: 2176

      Variants: E401G

    9. Next, we analyzed C-terminal phosphorylation of HER2 using conventional SDS/PAGE and Western blotting. Compared with cells expressing ERBB2 WT, cells expressing ERBB2 S310F (a positive control variant elevating C-termina

      [Paragraph-level] PMCID: PMC8881279 Section: RESULTS PassageIndex: 7

      Evidence Type(s): Functional

      Justification: Functional: The passage discusses how the variants S310F and E401G alter the C-terminal phosphorylation of HER2, indicating a change in molecular function.

      Gene→Variant (gene-first): 2176:E401G 2064:S310F

      Genes: 2176 2064

      Variants: E401G S310F

    10. First, we examined whether E401G can form disulfide-linked dimers using SDS/PAGE under non-reducing conditions (for preserving disulfide bonds) and Western blotting. Compared with cells expressing ERBB2 WT, H460 cells ex

      [Paragraph-level] PMCID: PMC8881279 Section: RESULTS PassageIndex: 6

      Evidence Type(s): Functional

      Justification: Functional: The passage discusses the ability of the variants E321G, E401G, and S310F to form disulfide-linked dimers, indicating that these variants alter molecular function related to protein interactions.

      Gene→Variant (gene-first): 7157:E321G 2176:E401G 2064:S310F

      Genes: 7157 2176 2064

      Variants: E321G E401G S310F

    11. To examine the functional properties of ERBB2 E401G, an ECD III variant, we evaluated two types of mechanisms of activation of ECD variants previously reported: formation of disulfide-linked dimers and elevation of C-ter

      [Paragraph-level] PMCID: PMC8881279 Section: RESULTS PassageIndex: 5

      Evidence Type(s): Functional

      Justification: Functional: The passage mentions the evaluation of mechanisms for multiple ERBB2 variants, including E321G, E401G, S310F, and D845A, which suggests that these variants are being assessed for their biochemical functions.

      Gene→Variant (gene-first): 2064:D845A 7157:E321G 2176:E401G 2064:S310F

      Genes: 2064 7157 2176

      Variants: D845A E321G E401G S310F

    12. ERBB2 E401G has functional properties similar to those of S310F

      [Paragraph-level] PMCID: PMC8881279 Section: RESULTS PassageIndex: 4

      Evidence Type(s): Functional

      Justification: Functional: The passage indicates that ERBB2 E401G has functional properties similar to S310F, suggesting that these variants alter molecular or biochemical function.

      Gene→Variant (gene-first): 2176:E401G 2064:S310F

      Genes: 2176 2064

      Variants: E401G S310F

    13. A 67-year-old Japanese woman, previous healthy, presented with right inguinal pain with no family history of cancer. Fluorodeoxyglucose (FDG)-positron emission tomography with CT showed increased FDG accumulation in the

      [Paragraph-level] PMCID: PMC8881279 Section: RESULTS PassageIndex: 3

      Evidence Type(s): Oncogenic, Functional

      Justification: Oncogenic: The passage describes the ERBB2 E401G variant as a somatic mutation that is associated with ERBB2 gene amplification, indicating its contribution to tumor development or progression. Functional: The passage mentions that multiple computational tools supported a deleterious effect of the ERBB2 E401G variant on the encoded gene product, suggesting that it alters molecular or biochemical function.

      Gene→Variant (gene-first): 2176:E401G

      Genes: 2176

      Variants: E401G

    14. Detection of ERBB2 E401G VUS in a patient with CUP

      [Paragraph-level] PMCID: PMC8881279 Section: RESULTS PassageIndex: 2

      Evidence Type(s): Diagnostic

      Justification: Diagnostic: The passage mentions the detection of the ERBB2 E401G variant of uncertain significance (VUS) in a patient, indicating its use in defining or classifying a disease context, specifically in a patient with cancer of unknown primary (CUP).

      Gene→Variant (gene-first): 2176:E401G

      Genes: 2176

      Variants: E401G

    15. Purpose Dealing with variants of unknown significance (VUS) is an important issue in the clinical application of NGS-basedcancer gene panel tests. We detected a novel ERBB2 extracellular domain VUS, c.1157A > G p.(E401G), in a cancer genepanel test. Since the mechani

      test

    1. After collapsing smMIPs with the same barcode, we achieved > 150-fold coverage for 85% of the protein coding sequences for KRAS, BRAF, HRAS, NRAS, and MAP2K1. Because KRAS codon p.12G and BRAF codon p.600V somatic mutati

      [Paragraph-level] PMCID: PMC6938308 Section: RESULTS PassageIndex: 2

      Evidence Type(s): Diagnostic, Oncogenic

      Justification: Diagnostic: The passage indicates that KRAS codon p.12G and BRAF codon p.600V somatic mutations have been linked to brain AVMs, suggesting their role in defining or classifying the disease. Oncogenic: The mention of likely somatic disease-causing mutations, including KRAS mutations (p.G12D and p.G12V) and BRAF mutations (p.V600E and p.Q636X), indicates that these variants contribute to tumor development or progression.

      Gene→Variant (gene-first): 3845:p.12G 673:p.600V 3845:p.G12D 3845:p.G12V 673:p.Q636X 673:p.V600E

      Genes: 3845 673

      Variants: p.12G p.600V p.G12D p.G12V p.Q636X p.V600E

    1. EGFR mutation analysis in non-small-cell lung cancer (NSCLC) patients is currently standard-of-care. We determined the uptake of EGFR testing, test results and survival of EGFR-mutant NSCLC patients in the Netherlands, w

      [Paragraph-level] PMCID: PMC8307492 Section: ABSTRACT PassageIndex: 4

      Evidence Type(s): Predictive, Oncogenic

      Justification: Predictive: The passage discusses the association of the L858R variant with overall survival (OS) in patients treated with first-line EGFR inhibitors, indicating its relevance to treatment response. Oncogenic: The L858R variant is mentioned in the context of EGFR mutations in non-small-cell lung cancer (NSCLC), suggesting its role in tumor development or progression as part of the broader analysis of clinically actionable EGFR mutations.

      Gene→Variant (gene-first): 1956:L858R

      Genes: 1956

      Variants: L858R

    1. HOXC10 is overexpressed in 51% of primary KRAS-mutant tumors (Figure 3A; TCGA, >= 2SD over expression in normal lung), consistent with observations in cell lines (Figure 2B). By analyzing KRAS-mutant tumor/normal matched

      [Paragraph-level] PMCID: PMC10805385 Section: RESULTS PassageIndex: 17

      Evidence Type(s): Oncogenic, Predictive

      Justification: Oncogenic: The passage discusses the overexpression of HOXC10 in KRAS-mutant tumors, specifically mentioning the genotype KRAS G12C/TP53 G245V, indicating that these somatic variants contribute to tumor development or progression. Predictive: The passage mentions the efficacy of combined MEK/BET inhibitors causing tumor regression in KRAS-mutant patient-derived xenograft models, suggesting a correlation between the variants and response to therapy.

      Gene→Variant (gene-first): 3845:G12C 7157:G245V

      Genes: 3845 7157

      Variants: G12C G245V

    1. This drug combination was also tested on NCI "Rasless" MEFs carrying KRASG12C or KRASG12D mutations. KPT9274 synergized with MRTX849 at all dose combinations yielding suppressed growth of KRASG12C-mutant MEFs (Supplement

      [Paragraph-level] PMCID: PMC10690049 Section: RESULTS PassageIndex: 7

      Evidence Type(s): Predictive, Oncogenic

      Justification: Predictive: The passage discusses the response of KRASG12D mutant MEFs to a drug combination, indicating that the variant is associated with resistance to growth inhibition by the therapies tested. Oncogenic: The KRASG12D variant is implicated in tumor behavior, as it is described in the context of MEFs (mouse embryonic fibroblasts) and their growth characteristics, suggesting a role in tumor development or progression.

      Gene→Variant (gene-first): 3845:G12D

      Genes: 3845

      Variants: G12D

    2. KRAS G12C-mutant MIA PaCa-2 (PDAC) and NCI-H358 (NSCLC) cells were exposed to MRTX849/AMG510 and KPT9274 at different dose combinations. As shown in Fig. 2A and B, all three dose combinations tested demonstrated synergis

      [Paragraph-level] PMCID: PMC10690049 Section: RESULTS PassageIndex: 6

      Evidence Type(s): Predictive, Oncogenic

      Justification: Predictive: The passage discusses the response of KRAS G12C-mutant cells to specific therapies, indicating a correlation between the variant and sensitivity to the drugs MRTX849/AMG510 and KPT9274. Oncogenic: The variant KRAS G12C is implicated in tumor development, as the passage describes its presence in cancer cell lines and their proliferation in response to treatment, suggesting a role in cancer progression.

      Gene→Variant (gene-first): 3845:G12C

      Genes: 3845

      Variants: G12C

    1. Omit unneeded words, sounds, and graphics.

      This resonates with me very much as I often try to copy absolutely everything into my notes from a PowerPoint while simultaneously trying to keep up with what is being said. It is often impossible to know what information will be necessary to memorize for a test and you end up with way more to study than is necessary.

    2. Used well, these materials are integral to the session, and to be effective, they need the same careful level of planning and design as the rest of our lesson.

      I agree with this statement that emphasizes that the materials teachers use are not just add ons, but rather key components of teaching.

    3. Videos should be clear, accessible, and engaging, but they do not need to be fancy and full of complicated or high-tech add-ons. In fact, as with most instructional materials, less is usually more.

      I think that videos can be very beneficial, but how much instruction through videos is too much?

    4. Charts and graphs, in particular, can make complex information more comprehensible than it would be in raw-data form, and can make relationships among variables more readily apparent.

      I thought that this was useful information, I know that they can be helpful to us. I am wondering how we can make them more accessible and digestible for children.

    5. Choosing an appropriate font is the first step, and the focus should be on a clean, clear font with adequate spacing between letters (Kitchel, 2011/2019).

      I thought that this was interesting. I never thought how different fonts would change how children can read. I always knew that we shouldn't use crazy fonts, but I'm glad it has a list of acceptable fonts.

    6. In this example, the text “Enter search terms in the box” appears very close to the search box in the screenshot and is accompanied by an arrow pointing to the box. Aligning text and graphics helps the reader make an explicit connection between the text and image, and minimizes effort by directing the reader’s eye.

      Its amazing how this way of thinking is applied to our everyday lives!

    7. These principles emphasize the importance of minimizing extraneous content and streamlining presentation, which reduce cognitive load for learners

      I agree with this, however I think that sometimes it would be helpful when trying to see previous knowledge

    8. Different parts of the brain are used to process visual and auditory information

      I agree with this, and thats why its important to teach in a way that fits everyones learning style.

    1. Leveling ensures the appearance that weall start from the same place and then allows us to see how we stackup against other players, as we know they are going through the samethings we are. The status inequality Castronova believes we seek istranslated into a number that grows slowly over time and broadcastsour efforts and skill to everyone we encounter. However, the notionthat we all start from the same place requires deliberate inattentionto the resources players bring to a game in the first place.

      Leveling pushes the illusion of explanatory depth behind the myth of experience. It doesn't accumulate infinitely. But more than leveling, I'd argue, it's also skill trees and abilities. They learned forever, and this linear progress is plain false. You can't magically carry more and more guns, and become more and more strong in real life, and there are no augmentations or powerups without side effects.

      You know what fucking game portrays opression properly? Rain World.

    Annotators

    1. Cessna-arrest

      Dit betreft Cessna-I

      Cessna-II: De HR heeft ook geoordeeld, dat het feit dat de extra kosten die dit vliegtuig met zich mee brengen geen ondernemingskosten zijn, niet betekent dat de kosten van het vliegtuig in het geheel geen ondernemingskosten zijn. Dit betekent dus dat de ondernemer de kosten die een redelijk denkend ondernemer zou maken wel ten laste van het resultaat mag brengen.

    1. cultural rhetorics is a“temporarily, hopeful intervention” designed to make space for anothergeneration of scholars to write and research in their language, on theirterms, and for and with and alongside the communities they value.

      term / defintion

    Annotators

    1. tion." It is unclear, however, why the initial collecting focthese repositories, even if broadly defined and subject to revision,in writ

      I find the resistance to outlining an objective so interesting! We are Information Workers. We, of all people, should understand the significance of clear and written objectives. Where is the guidepost? Where is the organization? How are visitors meant to navigate these collections with such little direction? These are professional archivists choosing to muddy information they are tasked to make clear and accessible.

    2. ith its defined policy.4in situations when the case is not mnot accept an out-of-scope collectiotheir repository's collection developan occasional "tool" rathe

      Sauer challenges archivists to examine their own professional integrity when she questions whether collection development policies are treated as required guiding principles or merely convenient tools for assistance. If these policies are applied inconsistently, their authority and purpose weaken. They risk being perceived not as solid institutional commitments, but as flexible guidelines that can be adjusted at will. The major gap between principle and practice seems to encompass Sauer’s broader argument that collection development policies are crucial aspects to archiving in theory, but their impact solely depends on how seriously repositories commit to applying them in daily work. I can see how consistently committing to a policy could help set clearer expectations for donors, administrators, and even staff within the repository.

    1. ont mené cette discussion collective et ont partagé leurs expériences professionnelles, à partir de nos questions, concernant les publics de leur revue et le contact avec leur lectorat, et laissant entrevoir la réalité du travail d’édition en contexte scientifique, les ressources nécessaires à leur bon fonctionnement et les besoins réels des équipes des revues.

      la phrase est longue, peut-être la scinder en 2

    1. There is something so ugly about crushing an acoustic guitar. Making it buckle, making the middle of it explode in splinters. That might be personal to me, as someone who grew up with a dad who was what you might call a campfire guitarist — not a performer, just a dad who used to entertain us with songs like "Dark as a Dungeon," a little folk tune about the lethal dangers of coal mining. Maybe to you, it's not the guitar. Maybe it's the cameras or the vinyl records.

      She talks about how the ad is taking things that people love and are connected to and destroying them. While the ad is meant to show all the features of the ipad, many people saw it as saying they only need the ipad and the other things don't matter.

    1. LabscriptAI achieved 89.1% overall success in generating simulation-passing scripts, outperforming all baselines (Table 1)

      It would be interesting to know what percentage of these scripts you were able to run on the opentrons, I've seen scripts that pass simulation but then immediately throw errors when uploaded to the robot

    2. Performance was compared against direct LLM implementations (GPT-5, Claude 4, DeepSeek V3.2, Gemini-2.5 Pro) and OpentronsAI, a commercial LLM–based solution (Table 1).

      I'd be interested to see this comparison done with other agentic approaches like Claude Code or Cursor if they were given the same kind of context upfront

    1. CUCA.-   (Violenta.) Me voy. Estás jugando sucio. LALO.-  Hay que llegar hasta el final. CUCA.-  No puedo permitirte... LALO.-  Tú también has tratado de aprovecharte. CUCA.-  Lo que has hecho es imperdonable. Cada uno a su parte; fue lo convenido. LALO.-  ¿No me digas? Y tú, por si las moscas...

      Salen de personaje y se reclaman cosas

    2. LALO.-   (Prosigue, como hipnotizado.) Un día, jugando con mis hermanas, de repente, descubrí... CUCA.-   (Como un fiscal. Con súbito interés por la divagación de LALO.) ¿Qué descubrió? LALO.-   (En el tono anterior.)  Estábamos en la sala; no, miento... Estábamos en el último cuarto. Jugábamos... Es decir, representábamos...  (Sonríe como un idiota.)  A usted le parecerá una bobería, sin embargo... Yo era el padre. No, mentira. Creo que en ese momento era la madre. ¡Todo un juego!...  (Otro tono.) Pero, allí, en ese instante, llegó hasta mí esa idea... (Vuelve a sonreír como un idiota.)

      Representar, actuar como juego - Teatro y metateatro

    3. (BEBA agita la campanilla.)   Soy culpable. Sí, culpable. Júzgueme. Haga lo que quiera. Estoy en sus manos.   (BEBA vuelve a mover la campanilla como un juez. LALO, en otro tono, menos violento, pero con una actitud arrogante.)   Si el señor juez me permite...

      La campanilla le hace dócil

    1. Segregation analysis in the family revealed that her father (I:2) carried the c.4685 T > C variant, but the proband’s affected sister (II:4) did not, indicating that this ABCA4 variant was not relevant to the macular dystrophy in this family
    2. visual acuities were 6/60 OD and 6/7.5 OS. Fundoscopy revealed bilateral central atrophy, seen clearly on autofluorescence imaging (AF) (Fig. 1a and b). Eight years later AF imaging showed a preserved small central spot of AF, surrounded by a reduced AF signal corresponding to the area of atrophy, which increased in size over time, with a ring of AF. (Fig. 1c-f). Optical coherence tomography (OCT) imaging, 10 years after initial presentation, showed loss of the ellipsoid zone

      imaging showing atrophic maculae, Autofluorescence (AF) shows loss of signal centrally corresponding to atrophy with a surrounding band of increased AF within the arcades, optical coherence tomography (OCT) imaging showing the temporal extent of the loss of the ellipsoid zone demarcated, increased atrophy after a 4-year interval. Optos imaging shows increased bilateral macular atrophy, AF imaging shows extension of patchy AF surrounding the central atrophy with a small preserved foveal remnant, OCT showing further extension of the loss of the ellipsoid zone

    1. Patients who present with hemoptysis should be treated for their lung hemorrhage, as it responds to plasmapheresis

      No entiendo cuál es el tratamiento general entonces

    1. Synthèse d'Information : Troubles de la Communication, Comportements Défis et Transitions dans le Handicap Rare

      Résumé Analytique

      Ce document de synthèse récapitule les interventions clés de la journée d'étude organisée par les Équipes Relais Handicap Rare (ERHR) d'Occitanie.

      Marquant le dixième anniversaire de la création de ce réseau, l'événement s'inscrit dans le cadre du troisième schéma national handicap rare.

      Les points cardinaux de cette analyse soulignent que la communication est le levier fondamental de l'autonomie et de la socialisation.

      Une distinction rigoureuse est établie entre l'expression (manifestation passive) et la communication (acte intentionnel adressé).

      L'analyse démontre que les « comportements défis » sont intrinsèquement liés à des ruptures de communication, des particularités sensorielles non prises en compte ou des transitions mal préparées.

      La gestion de ces situations complexes repose sur une évaluation fonctionnelle systématique, l'anticipation des changements de parcours et l'utilisation impérative de supports visuels pour structurer l'environnement des personnes accompagnées.

      --------------------------------------------------------------------------------

      1. Cadre Institutionnel et Missions des ERHR

      Le réseau des Équipes Relais Handicap Rare (ERHR) célèbre en 2022 dix ans d'existence en Occitanie.

      Le cadre d'action actuel est défini par le troisième schéma national handicap rare, qui se concrétise régionalement par des Contrats d'Objectifs et de Moyens (CPOM) entre l'ARS et les porteurs de projets (IGA et SESDA 34).

      Missions fondamentales des équipes relais :

      Repérage : Identifier les besoins spécifiques liés au handicap rare et recenser les ressources (aidants, professionnels du sanitaire et du médico-social).

      Évaluation : Contribuer à l'élaboration de projets d'accompagnement personnalisés.

      Animation de réseau : Partager les expertises, étayer les pratiques professionnelles et organiser des communautés de pratique.

      Définition du Handicap Rare :

      Le handicap rare ne se limite pas à la faible prévalence d'une pathologie. Il se définit par :

      • La présence de déficiences sensorielles associées à d'autres déficiences graves ou maladies rares.

      • Une combinaison de déficiences qui engendre des situations de dépendance lourdes et complexes.

      • La rareté des expertises nécessaires pour l'évaluation et l'accompagnement.

      --------------------------------------------------------------------------------

      2. Analyse Conceptuelle de la Communication

      La communication est présentée comme l'outil d'action sur le monde. Sans elle, il n'y a ni autonomie, ni socialisation, ni comportement socio-adaptatif efficace.

      La Distinction Expression vs Communication

      Il est crucial pour les professionnels de ne pas confondre ces deux notions :

      L'Expression : Manifestation passive ou manifestation d'un état (ex: se gratter la tête, gémir).

      Elle peut être interprétée par l'entourage, mais elle n'est pas nécessairement une volonté de transmettre un message.

      La Communication : Un acte volontaire, intentionnel et adressé à un interlocuteur. Elle implique deux rôles distincts : le locuteur (qui initie) et l'interlocuteur (qui reçoit et est disponible).

      Typologie des Modes de Communication

      L'analyse propose une clarification terminologique pour sortir du clivage réducteur "parle / ne parle pas" :

      | Catégorie | Définition | Exemples | | --- | --- | --- | | Oral / Non-Oral | Ce qui sort ou non de la bouche (aspect moteur). | Parole vs Signes ou Images. | | Verbal / Non-Verbal | Utilisation du verbe, de la syntaxe et du sens. | Français, LSF, PECS vs Cris, mimiques, postures. |

      Note : Une personne peut être verbale sans être orale (ex : utilisation d'une synthèse vocale ou de la langue des signes).

      --------------------------------------------------------------------------------

      3. Compréhension et Gestion des Comportements Défis

      Les comportements défis (agressions, automutilations, destructions, stéréotypies) sont analysés comme des réponses inadaptées à des besoins légitimes ou des conséquences d'un environnement inadéquat.

      L'Analyse Fonctionnelle

      Toute intervention sur un comportement problème doit être précédée d'une évaluation pour en comprendre la fonction (demande, protestation, évitement).

      L'analyse doit prendre en compte :

      1. Le versant somatique : Vérifier systématiquement l'absence de douleur physique.

      2. Les particularités sensorielles : Identifier les hypersensibilités ou hyposensibilités (besoin de "se remplir" ou de "se vider" de sensations).

      3. Le déficit de communication : Le comportement devient le seul moyen d'agir sur l'environnement quand les outils de communication manquent.

      Stratégies de Prévention et d'Intervention

      Approche positive : Il est plus efficace d'enseigner des compétences nouvelles et des comportements adaptés que de chercher à supprimer les mauvais.

      Espaces de repli : Créer des lieux de retrait (distincts des salles d'isolement) pour permettre la régulation sensorielle, selon les besoins individuels évalués.

      Projet d'établissement : La gestion des comportements défis doit être une démarche institutionnelle partagée, inscrite dans le projet de la structure.

      --------------------------------------------------------------------------------

      4. La Problématique des Transitions

      La transition est définie comme un passage d'un état à un autre, impliquant intrinsèquement un changement.

      Pour les personnes en situation de handicap rare, ces changements sont sources d'angoisse majeure.

      Typologie des Transitions

      Transitions Développementales (Diachronie) : Passage de l'enfance à l'adolescence, puis à l'âge adulte et au vieillissement.

      Transitions Fonctionnelles (Synchronie) : Changements de lieux (domicile/IME/SESSAD), changements d'activités dans la journée, ou changements d'intervenants (départs en retraite, stagiaires).

      Aléas de la vie : Deuils, déménagements, séparations parentales.

      Méthodologie d'Accompagnement des Transitions

      L'objectif est que la personne ne "subisse" pas le changement. Trois piliers sont identifiés :

      1. Anticiper : Prévoir les changements prévisibles (fermetures annuelles, passages en structures adultes) longtemps à l'avance.

      2. Préparer par le Visuel : L'oralisation ne suffit pas en période de stress. L'utilisation de photos, de pictogrammes et de plannings visuels est indispensable pour créer des repères spatio-temporels.

      3. Communiquer : Une fois la personne rassurée par des repères visuels, la communication peut s'établir pour permettre l'expression des questions et des besoins.

      --------------------------------------------------------------------------------

      5. Conclusions et Recommandations Clés

      La journée d'étude conclut sur l'importance de la coordination des interventions.

      L'incohérence entre les différents lieux de vie (école, maison, institution) est un facteur aggravant des troubles.

      Évaluation permanente : Utiliser des échelles et des outils validés (profil sensoriel, Vineland, etc.) plutôt que des interventions intuitives.

      Soutien aux aidants et professionnels : La confrontation aux comportements défis impacte la qualité de vie de tout l'entourage ; un soutien institutionnel est nécessaire.

      Individualisation : Il n'existe pas de solution universelle (ex: l'espace de repli peut être la chambre pour l'un, et un espace ouvert pour l'autre).

      L'observation clinique reste le premier outil de l'accompagnant.

    1. CUCA.-   (Canta muy débilmente.) La sala no es la sala. La sala es la cocina.   (Las dos hermanas están situadas: BEBA, en el lateral derecho; CUCA, en el lateral izquierdo. Ambas a la vez, de espaldas al público, emiten un grito desgarrador. Entra LALO. Las hermanas se arrodillan.)   LALO.-   (Con el cuchillo entre las manos.) Silencio.   (Las dos hermanas comienzan a cantar en un murmullo apagado: «La sala no es la sala. La sala es la cocina. El cuarto no es el cuarto. El cuarto es el inodoro».)

      Canción?

    Annotators

    1. Document de Synthèse : Le Programme EVARS – Enjeux, Histoire et Mise en Application

      Résumé Exécutif

      L’adoption à l’unanimité du programme EVARS (Éducation à la Vie Affective, Relationnelle et Sexuelle) par le Conseil supérieur de l’éducation le 3 février 2025 marque un tournant historique dans le système éducatif français.

      Fruit de plus de 50 ans de luttes et d'évolutions législatives, ce programme vise à institutionnaliser une éducation complète à la sexualité, de la maternelle à la terminale.

      L'objectif central est de transformer une obligation légale souvent négligée — la loi Aubri de 2001 prévoyant trois séances annuelles — en une réalité pédagogique concrète.

      Les enjeux sont multiples : prévention des violences sexuelles (touchant statistiquement trois enfants par classe), lutte contre les stéréotypes de genre, promotion du consentement et déconstruction des représentations toxiques issues notamment de la pornographie.

      Malgré cette victoire institutionnelle, la mise en œuvre se heurte à des défis persistants : une désinformation active de mouvements traditionalistes, un manque de formation des personnels et des contraintes de financement.

      La réussite du programme repose désormais sur une synergie entre l'institution scolaire, les associations expertes et l'implication des familles.

      --------------------------------------------------------------------------------

      1. Perspective Historique et Évolution Légale

      L'éducation à la sexualité n'est pas un concept récent, mais son approche a radicalement évolué, passant d'une logique de contrôle à une logique d'émancipation.

      1.1. Les prémices (XIXe - milieu XXe siècle)

      Fin du XIXe siècle : Apparition des premiers textes, oscillant entre la préservation de l'innocence enfantine et des impératifs de santé publique (lutte contre la syphilis et enjeux démographiques).

      1947-1948 : Le rapport de l'inspecteur général François marque la première prise en compte institutionnelle de la nécessité d'une éducation à la sexualité.

      1.2. De l'information à l'éducation (1973 - 2001)

      1973 : Une circulaire fondamentale distingue l'information sexuelle (reproduction, assurée par les SVT) de l'éducation à la sexualité (dimension affective et sociale).

      1998 : Sous l'impulsion de Jack Lang, la circulaire "Toutmonde" met l'accent sur la prévention du sida.

      4 juillet 2001 (Loi Aubri/Péri) : La loi rend obligatoires trois séances d'éducation à la sexualité par an à chaque niveau de classe.

      Cependant, dans les faits, seuls 15 à 20 % des élèves en bénéficient réellement.

      1.3. Vers le programme EVARS de 2025

      • Le programme adopté en 2025 remplace des initiatives plus fragiles ou contestées comme les "ABCD de l'égalité" (2013).

      • Il s'inscrit dans un cadre européen standardisé, nommant l'enseignement "Éducation à la vie affective et relationnelle" (EVAR) pour le premier degré et y ajoutant le terme "Sexuelle" (EVARS) pour le second degré afin d'apaiser les craintes parentales.

      --------------------------------------------------------------------------------

      2. Les Enjeux Majeurs de l'EVARS

      Le programme repose sur trois piliers de compétences : se connaître et vivre avec son corps, construire des relations épanouies, et trouver sa place dans la société en tant que citoyen libre et responsable.

      2.1. Prévention des violences sexuelles

      Constat alarmant : Selon la CIIVISE, 160 000 enfants sont victimes de violences sexuelles chaque année, soit environ trois enfants par classe.

      Rôle de l'école : L'éducation permet de nommer les parties du corps (brisant le tabou de la "zette" ou du sexe), d'identifier l'intimité et d'apprendre à dénoncer les attouchements.

      Protection : L'absence de mots et une pudeur excessive favorisent les agresseurs. Le programme EVARS apprend aux enfants qu'ils ont le droit de dire "non".

      2.2. Lutte contre les stéréotypes et la masculinité toxique

      Impact du numérique : 73 % des adolescents garçons sont exposés en ligne à des stéréotypes de domination masculine (données d'octobre 2025).

      Déconstruction : Le programme vise à libérer les garçons de l'injonction à la violence ou à la répression émotionnelle ("apprendre à pleurer avant d'apprendre les armes") et les filles de l'intériorisation de la soumission.

      2.3. Accès à une information fiable

      • En l'absence d'éducation formelle, la pornographie devient la source principale d'information, véhiculant des modèles relationnels faussés et violents dès le CM1.

      • L'EVARS offre un cadre clinique et serein pour aborder des sujets complexes sans jugement.

      --------------------------------------------------------------------------------

      3. Modalités d'Application et Défis de Terrain

      3.1. Les "Ateliers de l'égalité" : Un modèle pédagogique

      Des associations comme En avant Toute(s) déploient des interventions concrètes (du CE2 à la 5e) :

      Méthodologie : Utilisation de l'éducation populaire (débats, théâtre-forum, jeux de cartes) pour partir de la parole de l'élève.

      Non-mixité : Des temps séparés entre filles et garçons sont parfois utilisés pour favoriser la libération de la parole sur les violences vécues avant une mise en commun.

      Outils pratiques : Création de "réseaux de soutien" où l'enfant identifie les adultes ressources en cas de problème.

      3.2. Obstacles institutionnels et financiers

      Formation : Il existe un besoin impérieux de former les enseignants via les INSPÉ pour leur donner la confiance nécessaire face aux sujets "sensibles".

      Statut des heures : Si les séances sont obligatoires, elles ne sont pas toujours intégrées aux programmes évalués, ce qui complexifie leur financement (nécessité de dotations horaires pour les heures supplémentaires dans le secondaire).

      Restriction des intervenants : Une circulaire limite l'intervention des associations dans les écoles primaires, laissant la charge aux seuls enseignants, ce qui peut freiner la mise en œuvre faute d'expertise externe.

      3.3. La résistance idéologique

      • L'école fait face à une "hystérie collective" ou des rumeurs persistantes (accusations infondées d'apprendre la masturbation aux jeunes enfants).

      • Des groupes traditionalistes et des mouvements d'extrême droite s'organisent pour délégitimer le programme, utilisant des plateformes médiatiques pour diffuser de la désinformation.

      --------------------------------------------------------------------------------

      4. Recommandations pour une Mise en Œuvre Réussie

      | Axe d'effort | Actions préconisées | | --- | --- | | Transparence | Rendre les programmes consultables par tous les parents sur Éduscol pour désamorcer les fantasmes. | | Implication parentale | Organiser des "cafés des parents" et les inciter à porter la demande d'EVARS dans les conseils d'école. | | Soutien aux enseignants | Assurer la protection institutionnelle des professeurs face aux menaces de groupes radicaux. | | Synergie associative | Maintenir le rôle des associations agréées qui apportent une expertise complémentaire et une posture d'adulte neutre. | | Élargissement | Étendre ces formations au secteur périscolaire et aux établissements spécialisés (IME, CFA). |

      Conclusion

      Le programme EVARS n'est pas une menace pour les familles, mais un "cadeau pour les générations futures".

      En enseignant le respect, le consentement et l'empathie au même titre que la grammaire ou les mathématiques, l'école remplit sa mission fondamentale : former des citoyens lucides, capables d'aimer sans posséder et de s'affirmer sans écraser.

      La réussite de ce projet repose sur le passage définitif de la "pudeur à la pédagogie".

    1. Because ^β0β^0\hat{\beta}_0 and ^β1β^1\hat{\beta}_1 are computed from a sample, the estimators themselves are random variables with a probability distribution — the so-called sampling distribution of the estimators — which describes the values they could take on over different samples.

      I'm sure this makes sense to people with a great deal of statistical knowledge and experience, but if you're aiming for a less sophisticated audience, you might want to rethink this sentence. I don't think the predicate clause is as self-evident as you make it seem and adding more clarity to this sentence will help readers.

    1. If you want Congress to protect farm owners, it may be wiseto elect more farm owners. And if you want Congress to stop pro-tecting farmers, it may be wise to stop electing them.

      Kansas isn't just voting against its own interests, it is against that of the country.

    2. Note, however, that the fact that thecoefficient on PAC contributions does not change much with theinclusion of other variables suggest that lobbying has an effect allof its own, i.e., that very little of what it captures is captured by law-maker preferences for agriculture or by electoral incentives

      Scary

    3. awmakers who received more money from farmgroups were more likely to support agriculture in each of the rollcall votes

      Would also be interesting to see the continuous effects

    4. both parties when we examined whichmembers were designated Friends of the Farm Bureau, our mostcomprehensive measure of support for agriculture.

      So there is evidence that time spent working on a farm has some effect

    5. x is a vector of otherlegislator- or district-specific attributes, d s is an indicator variablecapturing whether a legislator is a senator, dj is a vector of statefixed effects, dt is a vector of Congress fixed effects,

      Controls

    6. Labor became ever scarcer in ruralareas and, as a result, the agricultural sector developed severallabor-saving technologies that allowed for increasing returns toscale in agriculture. Farms became bigger and fewer in number

      Start of the decline

    7. which added a host of agricultural protection measures.The most important were price supports, which set the prices ofselected agricultural commodities equal to purchasing power par-ity for the period 1910–1914, which had seen high commodityprices and farm incomes

      Partly, it is american legislative tradition to support pro-farmer bills

    8. Because many membersappear to have electoral incentives to—and because many of thosewho don’t seem to have other personal or strategic interests at stake.

      Is the public motivation driven by tradition?

    9. is important to know what determines support for a set of mea-sures which most academic economists decry as wasteful

      Gonna be real depressed when we learn that its to stay in power

    10. In this article, we explore how preferences, electoral incentives,and lobbying can influence legislative action on agricultural policyin the United States Congress

      All three

    11. Interest groups representing agricultural producerslobby policy makers and contribute to the re-election campaignsof those who support agriculture

      With what money remains a question

    12. In developing countries, the answer seems tobe that urban elites pressure governments to subsidize foodconsumption, often via the threat of social unrest

      To avoid taxation themselves

    Annotators

    1. La Santé Mentale des Jeunes : Enjeux, État des Lieux et Pilotage en Milieu Scolaire

      Résumé Exécutif

      La santé mentale des jeunes est devenue une priorité gouvernementale et de santé publique majeure en France.

      Loin d'être une mission périphérique, elle est désormais reconnue comme une condition sine qua non de la réussite scolaire et du bien-être des élèves.

      Les données récentes révèlent une dégradation préoccupante de l'état psychique des jeunes, particulièrement chez les adolescentes, sans amélioration notable après la période COVID-19.

      La stratégie nationale repose sur un changement de paradigme : passer d'une gestion purement médicale des troubles à une approche globale d'« École promotrice de santé ».

      Cela implique la mobilisation de l'ensemble de la communauté éducative — et non seulement des professionnels de santé — pour créer des environnements favorables.

      Le pilotage repose sur des protocoles clairs (du repérage à la prise en charge), une exploitation rigoureuse des données statistiques et une formation accrue des personnels (secouristes en santé mentale).

      --------------------------------------------------------------------------------

      1. État des Lieux Statistique de la Santé Mentale des Jeunes

      Les données issues des enquêtes nationales (ENABY pour le primaire et « En Classe » pour le secondaire) dressent un constat de vulnérabilité croissante.

      Données par Cycle Scolaire

      | Niveau Scolaire | Prévalence des troubles probables | Observations Clés | | --- | --- | --- | | Maternelle (3-11 ans) | 8 % (soit 1 élève sur 12) | Les garçons sont deux fois plus concernés que les filles (troubles d'opposition, hyperactivité). | | Primaire (CP-CM2) | 13 % (soit + de 3 par classe) | Distinction selon le sexe : troubles émotionnels (anxiété, dépression) pour les filles ; troubles du comportement (TDAH) pour les garçons. | | Collège et Lycée | ~14 % de risque de dépression | Dégradation continue entre la 6ème et la terminale. Plus de 50 % des élèves présentent des symptômes physiques ou psychiques fréquents. |

      Focus sur les Risques Graves et Tendances

      Suicide au lycée : 13 % des lycéens déclarent avoir déjà fait une tentative de suicide ; 3 % ont fait une tentative ayant nécessité une hospitalisation (soit environ un élève par classe).

      Évolution temporelle : Tous les indicateurs se sont dégradés entre 2018 et 2022. La vulnérabilité des filles est le principal point d'alerte actuel.

      Contexte global : La santé mentale est impactée par un empilement de crises (économiques, sociales, géopolitiques et climatiques) et par l'influence des réseaux sociaux.

      --------------------------------------------------------------------------------

      2. Cadre Conceptuel et Institutionnel

      Une Définition Tripartite

      La santé mentale ne se résume pas à l'absence de pathologie. Elle comprend trois composantes essentielles :

      1. Le bien-être (santé mentale positive).

      2. Les troubles mentaux (souffrance psychique).

      3. Les maladies mentales (diagnostics cliniques).

      L'École Promotrice de Santé

      Ce dispositif, porté par le ministère depuis 2020, vise à fédérer la communauté éducative autour de la promotion de pratiques favorables au bien-être physique, mental et social.

      Objectif : Intégrer la santé mentale dans tous les actes quotidiens, pédagogiques et éducatifs.

      Priorité politique : Depuis 2022, les circulaires de rentrée placent le bien-être au même niveau que les apprentissages fondamentaux.

      --------------------------------------------------------------------------------

      3. Cadre Juridique : Secret Médical et Aménagements

      La prise en compte de la santé mentale doit s'équilibrer avec les droits fondamentaux des élèves.

      Le Secret Médical : Défini par l'article 226-13 du Code pénal, il est un droit fondamental du patient garantissant la confiance avec les personnels soignants.

      Sa violation est pénalement sanctionnée.

      Le Projet d'Accueil Individualisé (PAI) : Cet outil juridique permet d'organiser la scolarité des élèves ayant des problèmes de santé ou un handicap.

      Il permet d'aménager les régimes alimentaires, les horaires ou les activités de substitution sur prescription médicale, tout en respectant la confidentialité des diagnostics.

      --------------------------------------------------------------------------------

      4. Stratégies de Pilotage et Leviers Opérationnels

      Le pilotage de la santé mentale nécessite une approche à la fois verticale (institutionnelle) et horizontale (territoriale).

      Actions à l'Échelle de l'Établissement

      Le chef d'établissement doit agir comme un pilote en s'appuyant sur plusieurs leviers :

      Diagnostic local : Utiliser les indicateurs de climat scolaire (logiciels infirmiers, enquêtes sociales, évaluations d'établissement).

      Protocole Santé Mentale : Formaliser un document « du repérage à la prise en charge » qui précise le rôle de chaque acteur.

      Instances : Faire vivre le sujet au sein du CESCE, du conseil pédagogique et du conseil d'administration.

      Aménagements physiques : Intégrer le bien-être dans l'aménagement du bâti scolaire, des cours de récréation et de la restauration.

      Dispositifs et Outils Nationaux

      Secouristes en santé mentale : Formation de deux personnels par collège pour repérer les signes de crise (notamment suicidaire) et orienter les élèves.

      3114 : Le numéro national de prévention du suicide, désormais inscrit dans les carnets de correspondance.

      Infolettre EPSA : Publication sur Eduscol fournissant des données et des références pour le pilotage.

      Compétences Psychosociales (CPS) : Levier préventif majeur pour renforcer la résilience des élèves.

      --------------------------------------------------------------------------------

      5. Rôles et Responsabilités des Acteurs

      La santé mentale n'est pas uniquement l'affaire des spécialistes ; elle repose sur une chaîne de responsabilités partagées.

      Personnels de direction : Pilotes de la politique de santé et du climat scolaire.

      Personnels de santé et sociaux (Médecins, Infirmiers, Assistants Sociaux, Psychologues) : Experts-conseils et conseillers techniques. Ils assurent l'évaluation et l'orientation vers le soin extérieur.

      Personnels pédagogiques et éducatifs : Acteurs de première ligne pour le repérage et l'accueil de la parole.

      Partenaires territoriaux : Collectivités territoriales, Agences Régionales de Santé (ARS), et contrats locaux de santé pour assurer la continuité des soins hors de l'école.

      Familles : Reconnues comme les premières spécialistes de leurs enfants, elles sont des partenaires indispensables dans le suivi.

      Conclusion

      L'institution scolaire opère une mutation profonde en intégrant la santé mentale comme un axe de réussite scolaire au même titre que les savoirs académiques.

      Si les indicateurs statistiques restent préoccupants, la mobilisation collective — marquée par la déstigmatisation des troubles et la formation des personnels — constitue le levier principal pour stabiliser et améliorer le bien-être des jeunes générations.

      L'école ne soigne pas, mais elle repère, protège et oriente.

    1. eLife Assessment

      This study investigates the folding and unfolding behavior of the doubly knotted protein TrmD-Tm1570, providing insight into the molecular mechanisms underlying protein knotting. The findings reveal multiple unfolding pathways and suggest that the formation of double knots may require chaperone assistance, offering valuable insights into topologically complex proteins. The evidence is convincing, supported by consistent agreement between simulation and experiment, though some aspects of the presentation and experimental scope could be clarified or expanded.

    2. Reviewer #1 (Public review):

      Summary:

      This paper investigates the thermal and mechanical unfolding pathways of the doubly knotted protein TrmD-Tm1570 using molecular simulations, optical tweezers experiments, and other methods. In particular, the detailed analysis of the four major unfolding pathways using a well-established simulation method is an interesting and convincing result.

      Strengths:

      A key finding that lends credibility to the simulation results is that the molecular simulations at least qualitatively reproduce the characteristic force-extension distance profiles obtained from optical tweezers experiments during mechanical unfolding. Furthermore, a major strength is that the authors have consistently studied the folding and unfolding processes of knotted proteins, and this paper represents a careful advancement building upon that foundation.

      Weaknesses:

      While optical tweezers experiments offer valuable insights, the knowledge gained from them is limited, as the experiments are restricted to this single technique.

      The paper mentions that the high aggregation propensity of the TrmD-Tm1570 protein appears to hinder other types of experiments. This is likely the reason why a key aspect, such as whether a ribosome or molecular chaperones are essential for the folding of TrmD-Tm1570, has not been experimentally clarified, even though it should be possible in principle.

      Comments on revisions:

      According to reviewers' comments, the authors revised the manuscript appropriately.

    3. Reviewer #2 (Public review):

      Summary:

      In this manuscript, the authors combined coarse-grained structure-based model simulation, optical tweezer experiments, and AI-based analysis to assess the knotting behavior of the TrmD-Tm1570 protein. Interestingly, they found that while the structure-based model can fold the single knot from TrmD and Tm1570, the double-knot protein TrmD-Tm1570 cannot form a knot itself, suggesting the need for chaperone proteins to facilitate this knotting process. This study has strong potential to understand the molecular mechanism of knotted proteins, supported by many experimental and simulation evidence. However, there are a few places that appear to lack sufficient details, and more clarification in the presentation is needed.

      Strengths:

      A combination of both experimental and computational studies. The authors have addressed my questions in their revised manuscript. I appreciate their efforts.

    4. Author response:

      The following is the authors’ response to the original reviews

      Public Reviews:

      Reviewer #1 (Public review):

      Summary:

      This paper investigates the thermal and mechanical unfolding pathways of the doubly knotted protein TrmD-Tm1570 using molecular simulations, optical tweezers experiments, and other methods. In particular, the detailed analysis of the four major unfolding pathways using a well-established simulation method is an interesting and valuable result.

      Strengths:

      A key finding that lends credibility to the simulation results is that the molecular simulations at least qualitatively reproduce the characteristic force-extension distance profiles obtained from optical tweezers experiments during mechanical unfolding. Furthermore, a major strength is that the authors have consistently studied the folding and unfolding processes of knotted proteins, and this paper represents a careful advancement building upon that foundation.

      We appreciate and we thank the reviewer for reading our manuscript.

      Weaknesses:

      While optical tweezers experiments offer valuable insights, the knowledge gained from them is limited, as the experiments are restricted to this single technique.

      The paper mentions that the high aggregation propensity of the TrmD-Tm1570 protein appears to hinder other types of experiments. This is likely the reason why a key aspect, such as whether a ribosome or molecular chaperones are essential for the folding of TrmD-Tm1570, has not been experimentally clarified, even though it should be possible in principle.

      We appreciate the suggestion that clarifying the requirement for molecular chaperones or the ribosome in TrmD-Tm1570 folding is crucial. We are pleased to report that the experiment investigating the role of molecular chaperones in the folding of TrmD-Tm1570 is currently under investigation in our laboratory. These results will provide the clarification on this aspect and will be incorporated into a future manuscript.

      Reviewer #2 (Public review):

      Summary:

      In this manuscript, the authors combined coarse-grained structure-based model simulation, optical tweezer experiments, and AI-based analysis to assess the knotting behavior of the TrmD-Tm1570 protein. Interestingly, they found that while the structure-based model can fold the single knot from TrmD and Tm1570, the double-knot protein TrmD-Tm1570 cannot form a knot itself, suggesting the need for chaperone proteins to facilitate this knotting process. This study has strong potential to understand the molecular mechanism of knotted proteins, supported by much experimental and simulation evidence. However, there are a few places that appear to lack sufficient details, and more clarification in the presentation is needed.

      Strengths:

      A combination of both experimental and computational studies.

      We appreciate and we thank the reviewer for reading our manuscript.

      Weaknesses:

      There is a lack of detail to support some statements.

      (1) The use of the AI-based method, SOM, can be emphasized further, especially in its analysis of the simulated unfolding trajectories and discovery of the four unfolding/folding pathways. This will strengthen the statistical robustness of the discovery.

      We thank the reviewer for this observation. However, the AI-based method, SOM, was applied to obtain the main representative trajectories for the mechanical unfolding MD simulations. Specifically, for the TrmD, Tm1570, and fusion protein (TrmD-Tm1570) we extracted the representative conformational states by selecting the most highly populated SOM clusters shown in SI Figure 5 - figure supplement 3. Then, by identifying the cluster centroid, we selected the nearest point (simulations). These correspond to the clusters number 1 for Tm1570, number 11 for TrmD, and number 7 for TrmD-Tm1570. A sentence was added in the main manuscript to clarify how the main representative confirmation was obtained.

      On the other hand, no AI‑based methods were applied to the thermal unfolding simulations. The four thermal unfolding trajectories shown in Figure 3 were obtained as follows: (i) trajectories where TrmD unfolds first and its knot unties before Tm1570 unfolds, corresponding to pathway 1 (Figure 3A and E); (ii) trajectories where Tm1570 unfolds and unties first, followed by TrmD, corresponding to pathway 3 (Figure 3C and G); and (iii) trajectories where TrmD unfolds first, then Tm1570, after which the TrmD knot unties and finally the Tm1570 knot unties—this corresponds to pathway 2. Pathway 4 follows the same sequence but in the reverse order.

      (2) The manuscript would benefit from a clearer description of the correlation between the simulation and experimental results. The current correlation, presented in the paragraph starting from Line 250, focuses on measured distances. The authors could consider providing additional evidence on the order of events observed experimentally and computationally. More statistical analyses on the experimental curves presented in Figure 4 supplement would be helpful.

      We thank the reviewer for this suggestion. In response, we prepared additional statistical analyses in a table format reporting the average length‑change increments together with their standard deviations, and we clarified in the revised text that the ± values correspond to standard deviations. In addition, we quantified the percentage of TrmD, Tm1570, and TrmD-Tm1570 unfold completely, providing a clearer comparison of the order of events observed experimentally and computationally. These analyses have been incorporated into the revised manuscript, Tables 1 and 2.

      (3) How did the authors calibrate the timescale between simulation and experiment? Specifically, what is the value \tau used in Line 270, and how was it calculated? Relevant information would strengthen the connection between simulation and experiment.

      In our model time unit is defined by a relation , where m is the reduced mass unit, is an average average mass of an amino acid, m = 110 Da = 1.66 x 10<sup>-27</sup> kg, 𝜀 is the reduced energy unit, an average interaction energy between amino acids. We may assume that ε is around 2-3 kcal/mol = 2-3 x 6.95 x 10<sup>-21</sup> J, is a distance unit and is equal to 1 nm.

      After plugging this values into the equation defining 𝜏 , we get: 𝜏 = 3.2 ps.

      The definition of the time unit comes from the fact that this is how one can combine units of mass, distance and energy into an expression that has an unit of time.

      The pulling speeds used in the simulations (0.05–0.15 Å/) correspond to approximately 1.6 -4.7 m/s in real units. These speeds are necessarily much higher than the experimental pulling The pulling speeds used in the simulations (0.05–0.15 Å/ ) correspond to approximately 1.6 - speed (20 nm/s), which is a well‑known limitation of steered molecular dynamics. However, our coarse‑grained model is run in an implicit solvent regime and does not explicitly include hydrodynamic friction. As a consequence, the simulated dynamics do not reproduce absolute real time kinetics. Instead, the comparison between simulation and experiment is made through relative unfolding pathways, force extension behavior, and contour length changes, which remain robust across the range of simulated pulling speeds.

      Thus, 𝜏 = 3.2 ps is derived directly from the coarse‑grained model parameters rather than calibratedτ to experiment, and the connection between simulation and experiment is established through mechanistic agreement rather than matching absolute timescales.

      We have now added a clarifying sentence to the manuscript (Methods and Materials - Mechanical unfolding simulations) explaining how the timescale was defined and how the value of  was obtained.

      Reference: 

      Szymczak, P., and Marek Cieplak. "Stretching of proteins in a uniform flow." The Journal of chemical physics 125.16 (2006).

      (4) In Line 342, the authors comment that whether using native contacts or not, they cannot fold double-knotted TrmD-Tm1570. Could the authors provide more details on how non-native interactions were analyzed?

      To analyze the role of non‑native interactions, we calculated two non‑native contact maps, first using a distance cutoff criterion and second by identifying the highly frustrated contacts based on the frustration index using Frustratometer (http://frustratometer.qb.fcen.uba.ar/) - figure below. From this procedure, the non‑native interactions were incorporated in the SBM C-alpha model to potentially assist refolding or knot formation. However, in neither case we observe successful refolding or the formation of the double‑knotted native topology. These results indicate that the addition of these non‑native contacts are insufficient to drive the refolding of the TrmD–Tm1570 protein. This result may suggest that the protein needs the support of chaperones or the active role of ribosomes to tie the two knots. We have now clarified this point more explicitly in the revised manuscript .

      Author response image 1.

      Native and non‑native contact maps for TrmD–Tm1570. The upper triangle (blue dots) corresponds to the cutoff‑based contact map and shows only unique contacts not present in the native contact map. The lower triangle (red dots) represents highly frustrated contacts, again showing only unique contacts absent from the native map. Black dots indicate the native contacts derived from the structure, and the contact map was generated using the Shadow Contact Map software. The blue and orange shadows correspond to the knot position for TrmD and Tm1570 proteins, respectively. 

      (5) It appears that the manuscript lacks simulation or experimental evidence to support the statement at Line 343: While each domain can self-tie into its native knot, this process inhibits the knotting of the other domain. Specifically, more clarification on this inhibition is needed.

      Explaining this phenomenon remains challenging, and several contributing factors are likely.

      (1) The folding success rates of the individual TrmD and Tm1570 domains are low (<3%); folding of the double-knotted protein is therefore expected to be even less efficient. 

      (2) While formation of a single knot is observed when the two domains are examined, the folded domain adopts a native-like but not fully native conformation, regardless of whether it is TrmD or Tm1570. (2A) Fluctuations of the unfolded second domain may impose a destabilizing load, promoting unfolding of the folded domain. (2B) Conversely, folding of one domain restricts the conformational space available to the other. Such restriction may have either stabilizing or destabilizing effects: although reduced conformational space (crowding) is generally thought to increase the probability of knot formation in polymers, in this system the constraint is localized rather than global.

      (3) It is possible that extending the simulations to much longer timescales would allow formation of the second knot; however, within the timescales accessible here, unfolding of the first knot is observed instead.

      (4) The TrmD–Tm1570 protein forms a dimer with a well-defined interface, whereas our simulations were performed on a monomeric unit. Consequently, both domains are solvent-exposed, forming an open two-domain system with tRNA-binding elements that are not stabilized by intermolecular interactions.

      Taken together, these factors preclude a quantitative assessment of the dominant contribution. Our results suggest that efficient folding may require assistance from molecular chaperones or an active role of the ribosome in coordinating formation of the two knots.

      Recommendations for the authors:

      Reviewer #1 (Recommendations for the authors):

      (1) The paper notes at the beginning of its results section that simulations aiming to fully fold the TrmD-Tm1570 protein from a denatured state were unsuccessful. While the failure to achieve complete folding is itself an instructive and important result, there is room for improvement in how it's presented. The authors provide no specific details on what actually occurred during these simulations. It is plausible that some intermediate state was reached, and one can imagine that the knotting of the C-terminal part, Tm1570, was partially completed. A more detailed description of these outcomes would have been beneficial.

      In the main manuscript (Figure 3), we reported the folding trajectories and the probability of native contact formation for the TrmD–Tm1570 protein, focusing on the four main observed unfolding pathways from our simulations. In addition to these common pathways, we also examined a small number of trajectories which one or both domains may refold. These are presented in Figure 3 - figure supplements 1 and 2, where we highlight a set of trajectories that we classify as rare events. In these rare trajectories, partial refolding and the formation of intermediate states can indeed be observed. However, as described in the main text, successful refolding of the fusion protein only occurs when the knot remains close to its native position and does not undergo large fluctuations along the chain. When the knot drifts significantly, refolding is not completed.

      Figure 3 - figure supplement 1 shows six representative examples of intermediate states sampled during these simulations. As the reviewer suggested, some intermediate conformations were reached, including partial reformation of structural elements. However, only the trajectory which maintains the knot sufficiently close to its native location is able to do substantial refolding. We have now clarified this point more explicitly in the revised manuscript to better explain why full folding was not achieved and how the knot dynamics constrain the refolding process.

      (2) Is it not possible to plot the degree of knot formation as a function of time or Q in Figure 3A-H? Doing so would make the verbally described results much clearer.

      We thank the reviewer for the suggestion. Based on your observation, we have added a new figure in the SI manuscript (Figure 3 - figure supplement 3) showing the knot translocation as a function of the frames with their respective structure representations from the transitions, from folded to unfolded state and knot untied processes.

      (3) Placement of a paragraph starting from line 250 looks odd to me. The paragraph describes simulation results of the mechanical unfolding, which is fully described in the following section. Specifically, the simulation result is discussed before describing its method/outline, which is to be avoided as far as possible.

      According to the standard journal style, the Method section is described after the Discussion section. However, in the simulation's results, a sentence addressing the methods was included to guide the reader through the text. 

      (4) This is only an optional request. It is highly desired to examine the in vitro folding of TrmD-Tm1570 with and without molecular chaperones. At least, authors can envision/discuss this direction.

      We agree that examining the in vitro folding of TrmD–Tm1570 with and without molecular chaperones would provide important mechanistic insights into the role of the fold of knotted proteins. We are planning to perform these experiments as part of our ongoing work, and in the revised manuscript we will add a discussion on this direction and its potential impact.

      Reviewer #2 (Recommendations for the authors):

      (1) Figure 6C was not referenced or discussed in the manuscript.

      We thank the reviewer for pointing this out. Figure 6C is indeed referenced and discussed in the manuscript.

      (2) Several places refer to figures in the Supporting Information, and should be updated to refer to the supplement figures associated with the main figures. 

      In the revised version we ensure that all references are updated and clearly labeled.

    1. La Relation École-Famille : Vers une Coéducation Concertée

      Ce document de synthèse analyse les enjeux, les évolutions et les perspectives de la relation entre l'école et les parents, tels que discutés par des experts lors de l'émission « Au Périscope » de l'IH2EF.

      Résumé Exécutif

      La relation école-famille est aujourd'hui considérée comme un levier essentiel de la réussite de l'enfant et de la cohésion sociale.

      Historiquement marquée par un cloisonnement issu de l'ère Jules Ferry, cette relation a évolué vers un modèle de partenariat institutionnalisé.

      Cependant, le concept central de « coéducation », bien qu'inscrit dans la loi de 2013, demeure flou et manque de stabilisation sémantique et opérationnelle.

      L'analyse met en évidence que l'école ne peut plus être conçue comme un espace clos, mais comme le cœur d'un écosystème incluant les familles, les collectivités territoriales et divers partenaires sociaux.

      Le défi majeur réside dans le passage d'une approche normative — où l'on attend du parent qu'il se conforme aux attentes de l'institution — à une relation de réciprocité et de reconnaissance mutuelle.

      Les experts soulignent la nécessité de dépasser le mythe du « parent démissionnaire », les recherches montrant un investissement réel, bien que parfois invisible ou maladroit, des familles les plus modestes.

      La réussite de cette transition repose sur une formation accrue des professionnels, une meilleure lisibilité des compétences de chaque acteur et une adaptation aux réalités territoriales.

      --------------------------------------------------------------------------------

      1. La Coéducation : Un Concept en Quête de Définition

      Bien que le terme soit entré dans le cadre réglementaire avec la loi de 2013 pour la refondation de l'école de la République, la « coéducation » reste un horizon de sens plutôt qu'un concept opérationnel précis.

      Le « halo sémantique » : Une enquête mentionnée par Pierre Perrier révèle que les enseignants et les parents associent des centaines de mots différents à ce terme, témoignant d'un flou persistant.

      Manque d'indicateurs : Il n'existe pas, au niveau national, de politique générale déclinée en objectifs opérationnels ou en indicateurs de progrès (par exemple dans l'état de l'école de la DEPP).

      Définition proposée : La coéducation peut être comprise comme une action réciproque et concertée entre les acteurs (école, famille, partenaires) dans l'intérêt exclusif de l'enfant.

      --------------------------------------------------------------------------------

      2. Évolution Historique et Institutionnelle

      La relation a transitionné d'un cloisonnement strict vers une ouverture progressive.

      L'héritage de Jules Ferry : À l'origine, l'école visait à fédérer la nation et à moraliser les citoyens, créant une séparation entre la sphère privée (famille) et la sphère publique (état). Toutefois, dès 1883, Ferry recommandait déjà le respect des convictions des pères de famille.

      L'institutionnalisation des parents : Depuis la loi Haby de 1975, la place des parents est gravée dans les textes, leur conférant des droits (participation aux instances, information) et des devoirs en tant que membres de la communauté éducative.

      Persistance des représentations : Malgré les évolutions législatives, un champ sémantique de la réserve et de la prudence persiste, notamment lors des moments de décision (orientation, redoublement).

      --------------------------------------------------------------------------------

      3. L'École au Cœur d'un Écosystème Global

      La journée d'un élève ne se limite pas au temps scolaire. La réussite dépend de la synergie entre plusieurs acteurs.

      Les trois piliers de l'intervention territoriale

      Selon Thierry Vasse, les collectivités territoriales assurent la cohérence de l'accueil de l'enfant à travers :

      1. La continuité éducative : Créer des liens fluides entre les temps périscolaires (accueil du matin, soir) et le temps de la classe.

      2. La complémentarité éducative : Les interventions des animateurs et des ATSEM (langage, règles de vie) complètent l'action pédagogique des enseignants.

      3. La cohérence éducative : Partager des concepts de bienveillance et de respect au sein d'un projet éducatif de territoire (PEDT).

      La diversité des acteurs

      Le document identifie de nombreux professionnels gravitant autour de l'enfant :

      • Animateurs périscolaires et personnels de restauration.

      • ATSEM (Agents territoriaux spécialisés des écoles maternelles).

      • Concierges d'école (rôle de médiateurs au portail).

      • Médiateurs sociaux, chargés de mission handicap et acteurs de la politique de la ville (dans les quartiers prioritaires).

      --------------------------------------------------------------------------------

      4. Obstacles et Malentendus Sociologiques

      L'analyse pointe des décalages importants entre les attentes de l'institution et la réalité des familles.

      Le mythe du parent démissionnaire : Pierre Perrier et Frédéric Wexler réfutent fermement cette idée. Les études (notamment pendant le confinement) montrent que les parents des milieux populaires consacrent souvent plus de temps au suivi scolaire que les autres, en raison de la moindre autonomie de leurs enfants.

      Le « métier » de parent d'élève : L'institution attend souvent un « parent idéal » qui maîtrise les codes scolaires. Or, ces attentes normatives peuvent exclure les parents dont la culture est éloignée de celle de l'école.

      Rapport de pouvoir : La relation est souvent perçue comme descendante (l'école explique au parent ce qu'il doit faire). Un véritable changement de paradigme impliquerait de concevoir les projets avec les parents dès le départ.

      --------------------------------------------------------------------------------

      5. Cadre Juridique : Droits et Obligations

      Le droit de la parentalité dans le cadre scolaire repose sur l'autorité parentale exercée en commun, indépendamment de la situation matrimoniale.

      | Type d'acte | Définition | Exemples | | --- | --- | --- | | Actes usuels | Présomption d'accord entre les parents. L'accord d'un seul suffit. | Justification d'absences brèves, réinscription, demande de dérogation. | | Actes non usuels | Actes rompant avec le passé et engageant l'avenir. Accord conjoint nécessaire. | Changement d'orientation, inscription dans le privé. |

      Obligations des parents :

      • Veiller à l'instruction obligatoire (de 3 à 16 ans) et justifier les absences.

      • Respecter l'institution et ses personnels (loi sur l'école de la confiance).

      • Prendre connaissance et signer le règlement intérieur.

      --------------------------------------------------------------------------------

      6. Leviers pour une Relation Renforcée

      Pour transformer la relation école-famille, plusieurs pistes d'action sont identifiées par les intervenants :

      La formation professionnelle : Les enseignants sont souvent formés à la didactique, mais peu à la relation avec les familles.

      Il est nécessaire d'apprendre à « lâcher une part de pouvoir » pour favoriser la réciprocité.

      La reconnaissance et l'autorisation :

      Reconnaissance mutuelle : Identifier les parents comme des interlocuteurs de valeur dès le début de l'année.   

      Autorisation : Donner une voix aux parents, les considérer comme des « auteurs » de la relation et non de simples exécutants.

      L'accessibilité et la convivialité :

      ◦ Ouvrir physiquement l'école (semaines de la maternelle, cafés des parents).  

      ◦ Créer des espaces dédiés aux parents au sein des établissements pour favoriser la parole entre pairs.

      La lisibilité institutionnelle : Les familles peinent parfois à distinguer les compétences de l'État (pédagogie) de celles des communes (matériel, périscolaire).

      Une parole unifiée est nécessaire, particulièrement en période de crise.

      Adaptation territoriale : La coéducation doit se décliner localement (cités éducatives, quartiers prioritaires) pour tenir compte de la mixité sociale ou de la ségrégation.

    1. Briefing : L'Éducation à la Vie Affective, Relationnelle et à la Sexualité (EVARS) en Milieu Scolaire

      Résumé Exécutif

      Ce document synthétise les enjeux, les contenus et les modalités de mise en œuvre du nouveau programme d'éducation à la vie affective et relationnelle (1er degré) et à la sexualité (2d degré) au sein de l'Éducation nationale.

      Face au constat d'une application inégale de la loi de 2001 (trois séances annuelles obligatoires) et aux défis sociétaux contemporains — accès facilité à la pornographie, cyberviolences, prise de conscience des violences sexuelles intrafamiliales —, le ministère a élaboré un cadre pédagogique clarifié.

      Le programme s'articule autour de trois axes fondamentaux : la connaissance de soi et de son corps, la construction de relations respectueuses, et l'insertion dans la société en tant que citoyen responsable.

      Il repose sur une approche interdisciplinaire et pluricatégoriale, visant à passer d'une logique de « cours » à un espace de réflexion et de transfert de connaissances scientifiques validées.

      L'objectif est de sécuriser les pratiques des personnels tout en garantissant un accès équitable des élèves à cette éducation, essentielle à la prévention des violences et à la promotion de l'égalité.

      --------------------------------------------------------------------------------

      1. Contexte Historique et Justification de la Réforme

      Un long processus législatif et réglementaire

      L'éducation sexuelle en milieu scolaire est une préoccupation ministérielle depuis plus de 50 ans, marquée par des étapes clés :

      1967 & 1975 : Lois sur la contraception et la dépénalisation de l'avortement.

      1973 : Circulaire Fontana instaurant une politique d'information sexuelle.

      2001 : Loi sur l'IVG imposant trois séances annuelles d'éducation à la sexualité par tranche d'âge.

      Juin 2023 : Saisine du Conseil Supérieur des Programmes (CSP) pour élaborer un programme structuré.

      Janvier 2025 : Vote favorable à l'unanimité (60 voix pour, 0 contre) du Conseil Supérieur de l'Éducation sur le projet de programme.

      Les nouveaux défis sociétaux

      Le besoin de clarification des objectifs de formation est accentué par plusieurs facteurs :

      Révolution numérique : Accès massif et précoce des jeunes à l'information et à la désinformation, ainsi qu'à la pornographie via les réseaux sociaux.

      Sécurité et violences : Constat qu'en France, un enfant ou un jeune est victime d'agression sexuelle toutes les trois minutes. Les mouvements comme "Me Too" ont également sensibilisé la société aux violences dans les sphères professionnelles et intrafamiliales.

      Inégalités territoriales : Disparités importantes dans la mise en œuvre effective des séances selon les établissements.

      --------------------------------------------------------------------------------

      2. Architecture et Philosophie du Programme

      Le programme est conçu pour être adapté à la maturité des élèves, avec une distinction sémantique entre les degrés :

      1er degré : Éducation à la vie affective et relationnelle (VAR).

      2d degré : Éducation à la vie affective et relationnelle et à la sexualité (EVARS).

      Les trois axes structurants (de la maternelle au lycée)

      | Axe | Thématique Centrale | Objectif Pédagogique | | --- | --- | --- | | Axe 1 | Se connaître, vivre et grandir avec son corps | Relation à soi-même, compréhension des évolutions physiques et émotionnelles. | | Axe 2 | Rencontrer les autres, construire des relations | Épanouissement relationnel, respect mutuel, amitié, amour et consentement. | | Axe 3 | Trouver sa place dans la société | Liberté, responsabilité, droits, citoyenneté et égalité genres. |

      Principes directeurs

      Équilibre santé et citoyenneté : Le programme vise le développement de l'esprit critique pour permettre des choix favorables à sa santé et à celle d'autrui.

      Approche scientifique et objective : Les contenus s'appuient sur des données validées et non sur des jugements de valeur ou des opinions personnelles d'adultes.

      Respect de l'intime : L'école ne traite pas des pratiques sexuelles privées, mais fournit des repères définitionnels et comportementaux.

      --------------------------------------------------------------------------------

      3. Cadre Juridique et Protection des Mineurs

      La minute du juriste précise les fondements légaux entourant la sexualité des mineurs en France :

      Majorité sexuelle (15 ans) : Seuil à partir duquel un mineur peut consentir à des relations avec un majeur, hors position d'autorité de ce dernier.

      Loi du 21 avril 2021 :

      ◦ Crée un seuil de non-consentement pour les moins de 15 ans face à un majeur (le consentement est juridiquement inopérant).     ◦ Introduit la clause "Roméo et Juliette" (pas de pénalisation si l'écart d'âge est inférieur à 5 ans, hors inceste ou contrainte).   

      ◦ Renforce la lutte contre la "sextorsion" et l'incitation de mineurs à des pratiques sexuelles en ligne.

      Définition du consentement : Il doit être volontaire, libre, éclairé, spécifique, réversible, exprimé et perçu.

      --------------------------------------------------------------------------------

      4. Modalités de Mise en Œuvre et Pilotage

      La réussite du programme repose sur un engagement collectif et une organisation anticipée.

      Rôles des acteurs

      Chefs d'établissement et directeurs d'école : Pilotes de la mise en œuvre, ils constituent des équipes inter-catégorielles, assurent la communication avec les parents et garantissent la protection des personnels.

      Équipes pédagogiques : Travail interdisciplinaire (SVT, Lettres, Philosophie, EPS, EMC, etc.).

      Personnels sociaux et de santé : Rôle central d'expertise et de co-animation.

      Partenaires extérieurs : Les interventions associatives (prioritairement au second degré) doivent être agréées et préparées conjointement avec l'école.

      Leviers opérationnels

      Temps dédiés : Utilisation des heures de vie de classe, de l'enseignement moral et civique (EMC) ou intégration transversale dans les disciplines.

      Instances de coordination : Conseil d'école, conseil pédagogique, CESCE (Comité d'éducation à la santé, à la citoyenneté et à l'environnement) et instances de liaison école-collège.

      Label ÉduSanté : Promotion du développement des compétences psychosociales.

      --------------------------------------------------------------------------------

      5. Accompagnement, Formation et Communication

      Le ministère déploie un dispositif de soutien complet pour lever les freins (peurs des familles, manque de légitimité ressenti par les enseignants).

      Dispositif de formation

      Plan National de Formation (PNF) : Formations pour les pilotes et formateurs académiques dès mars 2025.

      Parcours Magistère : Cinq modules d'auto-formation pour tous les personnels.

      Ressources pédagogiques : Publication de livrets par niveau proposant trois séances types et des pistes d'activités disciplinaires (disponibles sur Éduscol).

      Stratégies de communication

      Transparence avec les familles : Utilisation de plaquettes d'information, de foires aux questions (FAQ) et de capsules vidéo pour expliciter les contenus et rassurer sur l'adaptation aux âges.

      Gestion des contestations : Dialogue en première intention, avec possibilité de s'appuyer sur les cellules "Valeurs de la République" des rectorats. Le document souligne que cet enseignement est obligatoire et soumis à l'obligation d'assiduité.

      --------------------------------------------------------------------------------

      6. Synthèse des Perspectives

      L'introduction de ce programme est perçue comme une « opportunité institutionnelle » pour l'école républicaine. Au-delà de la prévention, les enjeux sont multiples :

      1. Culture commune : Offrir un espace de réflexion sur des notions complexes (intimité, consentement, respect).

      2. Équité territoriale : Garantir que chaque élève reçoive la même éducation, quel que soit son lieu de scolarisation.

      3. Intelligence collective : Encourager l'inventivité pédagogique des équipes pour accueillir la parole des élèves tout en respectant le cadre de la transmission des connaissances.

      « Ce programme ne porte pas atteinte à la vie privée des élèves... il n'est pas là pour imposer un modèle de bonheur... il est là pour faire réfléchir les élèves et réfléchir avec eux. » — Franck Durbage, IGESR honoraire.

    1. Santé et bien-être des élèves : Vers une École Promotrice de Santé

      Ce document de synthèse analyse les interventions et les conclusions issues de l'émission « Opériscope » de l'IH2EF consacrée à la santé et au bien-être des élèves.

      Il détaille les cadres institutionnels, les fondements scientifiques et les modalités de mise en œuvre sur le terrain.

      Synthèse de la problématique

      La santé et le bien-être ne sont plus considérés comme des préoccupations périphériques à l'école, mais comme des conditions essentielles de la réussite scolaire.

      L'institution s'éloigne d'une vision purement médicale pour adopter une approche globale et systémique. La stratégie nationale s'appuie sur deux piliers : le Parcours Éducatif de Santé (PES) et la démarche École Promotrice de Santé (EPSA).

      L'enjeu majeur est de passer d'actions ponctuelles à une culture d'établissement durable, intégrant le développement des compétences psychosociales (CPS), l'amélioration du climat scolaire et une coopération étroite avec les partenaires territoriaux.

      --------------------------------------------------------------------------------

      1. Cadres conceptuels et institutionnels

      Une vision globale de la santé

      Conformément à la définition de l'OMS, la santé à l'école est perçue comme un état de complet bien-être physique, mental et social.

      Lien avec la réussite : Les données (Talis, OCDE, Cnesco) confirment que le stress et le mal-être pèsent sur les apprentissages. Inversement, un environnement favorable réduit l'absentéisme et améliore la concentration.

      Engagement des personnels : Le bien-être des enseignants, lié à leur sentiment de reconnaissance, est indissociable de la qualité du climat scolaire.

      Le Parcours Éducatif de Santé (PES)

      Le PES structure l'accompagnement de l'élève de la maternelle au lycée autour de trois axes :

      1. Éducation à la santé : Développer des connaissances et des capacités pour faire des choix éclairés.

      2. Prévention : Agir sur les facteurs de risque (conduites à risque, écrans, alimentation).

      3. Protection : Garantir un environnement sécurisant et orienter vers les soins si nécessaire.

      La démarche École Promotrice de Santé (EPSA)

      Lancée en 2020 en France (mais existant depuis 1995 à l'international), l'EPSA est une démarche systémique visant à :

      • Coordonner les actions de promotion de la santé préexistantes.

      • Améliorer l'environnement physique et social de la scolarité.

      • Favoriser les comportements favorables à la santé dès le plus jeune âge.

      La labellisation : Elle agit comme un catalyseur et un levier de reconnaissance des projets, plutôt que comme une fin en soi.

      --------------------------------------------------------------------------------

      2. Les leviers de l'efficacité selon la recherche

      Karine Simar souligne que 30 ans de recul scientifique permettent d'identifier les critères d'une démarche « de qualité ».

      Les trois dimensions de l'efficacité (Référentiel Santé Publique France)

      Pratiques éducatives : Elles doivent être intégrées, positives, expérientielles et actives, combinant rituels et approches informelles.

      Environnement soutenant : Qualité des relations sociales et sécurité affective dans les espaces physiques.

      Démarche collective : Les actions doivent devenir un « objet commun » au sein de l'établissement, soutenu par une formation de qualité.

      Le projet "Alliance" : Un modèle de recherche-action

      Ce projet, couvrant 101 écoles et 10 000 élèves, a démontré l'importance de :

      Le diagnostic partagé : Identifier les problèmes spécifiques à chaque école, car « chaque école est unique ».

      Le protocole de signalement : Articuler le pédagogique et le médical (services de santé scolaire) selon la dégradation des indicateurs.

      La durabilité : Une étude sur 10 ans montre que la pérennité des projets dépend de l'implication collective dès le départ et de la planification des actions dans le temps.

      « 50 % des déterminants de la mise en œuvre d'une démarche de qualité sont en lien avec la qualité du travail collectif. »Karine Simar

      --------------------------------------------------------------------------------

      3. Mise en œuvre opérationnelle en établissement

      L'expérience de terrain montre que le passage à l'action nécessite une méthodologie rigoureuse pilotée par le chef d'établissement.

      Construction du diagnostic

      Il s'appuie sur des données fiables et croisées :

      • Bilans infirmiers et sociaux.

      • Indicateurs de vie scolaire (absentéisme, violences verbales, accidents).

      • Enquêtes locales de climat scolaire.

      • Auto-évaluation de l'établissement impliquant le conseil pédagogique et le CESCE.

      Transformation des espaces et des pratiques : Exemples concrets

      | Domaine | Action exemplaire | Impact attendu | | --- | --- | --- | | Espaces de vie | Aménagement d'un hall interdit en galerie d'art et lieu de mentorat. | Responsabilisation, sentiment d'appartenance, autonomie. | | Pédagogie | "Classe dehors", médiation artistique, innovation pédagogique. | Engagement, réduction du stress, plaisir d'apprendre. | | Climat scolaire | Installation d'un piano en libre-service, rénovation des toilettes. | Sécurité affective, entraide entre pairs, bien-être quotidien. | | Citoyenneté | Formations GQS (Gestes qui sauvent), PSC1, dispositif Sentinelles (PHARE). | Solidarité, pouvoir d'agir, engagement républicain. |

      Le rôle du chef d'établissement

      Il est le garant de la cohérence globale. Son action se décline en trois axes :

      1. Donner du sens : Inscrire la santé dans le projet d'établissement.

      2. Fédérer : Mobiliser les instances (CVC, CVL, CESCE) et coordonner les acteurs.

      3. Piloter et évaluer : Ajuster les actions en fonction des indicateurs de réussite et de participation.

      --------------------------------------------------------------------------------

      4. Stratégie et pilotage à l'échelle départementale

      Christian Mindivé (DASEN) souligne l'urgence de traiter la dégradation de la santé psychique et physique des élèves (sédentarité, troubles du comportement dès la maternelle).

      Le Pôle Santé Départemental

      La création d'un pôle unique permet de dépasser le travail en « silos » :

      • Réunir médecins, psychologues, conseillers techniques et inspecteurs.

      • Apporter une réponse globale aux chefs d'établissement.

      • Accompagner le diagnostic et valider les ressources de formation.

      Observatoire de la santé mentale

      Cet outil novateur vise à objectiver les besoins du terrain à travers :

      • L'élaboration de questionnaires types.

      • L'expérimentation dans des réseaux de collèges/lycées cibles.

      • L'accompagnement opérationnel des protocoles nationaux.

      Synergie avec l'activité physique

      L'apprentissage est indissociable du mouvement.

      Objectif : Généraliser les 30 minutes d'activité physique quotidienne (APQ) et encourager les pédagogies actives.

      Partenariats : Coopération nécessaire entre l'UNSS, l'USEP et les collectivités territoriales pour l'accès aux équipements sportifs.

      --------------------------------------------------------------------------------

      5. Partenariats et formation : Les clés de la réussite

      Une responsabilité partagée

      L'école ne peut agir seule. La frontière de sa responsabilité s'arrête là où commence le soin, mais elle doit collaborer avec :

      L'ARS et la CPAM : Pour les enjeux de prévention et de santé publique.

      La CAF : Pour le soutien à la parentalité et la coéducation.

      Les collectivités : Pour l'aménagement des locaux et les temps périscolaires.

      Enjeux de la formation

      Inter-catégorialité : Former ensemble enseignants, personnels de santé, agents et acteurs du périscolaire (ex: former les ATSEM avec les professeurs).

      Formation initiale et continue : La légitimité des acteurs doit se construire dès le début de la carrière à travers un curriculum dédié aux compétences psychosociales.

      Acculturation : Clarifier le rôle de chacun pour éviter que les enseignants ne se sentent investis d'une mission médicale qui n'est pas la leur.

      --------------------------------------------------------------------------------

      Conclusion : Les prérequis d'une démarche durable

      Pour éviter l'écueil du « saupoudrage » ou des actions sans lendemain, quatre conseils majeurs ressortent :

      1. Le diagnostic préalable : Ne pas agir sans avoir identifié les besoins spécifiques du terrain.

      2. L'intégration au projet d'établissement : La santé doit être le socle, pas une option.

      3. La valorisation et la communication : Communiquer en interne et en externe pour stabiliser la nouvelle identité de l'établissement.

      4. L'écoute des acteurs : Placer le pouvoir d'agir des élèves et des équipes au centre du processus.

      « Prendre soin du bien-être, c'est agir sur la réussite et l'égalité des chances. »Sabine Carotti

    Annotators

    1. Briefing Doc : "Le parcours de l'élève au périscope" Source : Excerpts from the radio show "Le parcours de l'élève au périscope"

      Date de diffusion : 11 mars 2025

      Participants :

      • Jean-Marc Moulet : Inspecteur général de l'éducation, du sport et de la recherche
      • Philippe Montoya : IEN en scolarisation des élèves en situation de handicap, conseiller technique école inclusive du recteur de l'académie de Toulouse
      • Patrick Avogadro : Personnel de direction, Lycée professionnel Les Grippeaux (académie de Poitiers)
      • Noémie Olympio : Enseignante-chercheuse sur les trajectoires des élèves (LEST CNRS, Université Aix-Marseille)
      • Raphaël Mata Duvignot : Présentateur de la minute juris

      • Thème principal : Le parcours de l'élève, ses enjeux, les dispositifs d'accompagnement, les inégalités et les perspectives.

      Structure de l'émission (d'après l'extrait) :

      • Enjeux autour du parcours de l'élève : Définition, étapes clés, accompagnement du système éducatif, objectifs au-delà de l'insertion professionnelle, influence du territoire et position de la recherche.

      • Minute Juris : Présentation des cadres légaux et administratifs du parcours de l'élève (socle commun, redoublement, orientation, classes et groupes spécifiques).

      • Témoignages de terrain (Table ronde) : Expériences dans le premier et second degré, forces du système, enjeux territoriaux, discriminations, découverte des métiers, inclusion des élèves en situation de handicap, formation des enseignants et partenaires.

      • Minute Bibli : Présentation de ressources bibliographiques.

      Principaux thèmes et idées clés :

      1. Définition et complexité du parcours de l'élève :

      • Le parcours de l'élève englobe "tout ce qu'un élève va vivre à l'intérieur de l'école à l'extérieur de l'école pour se construire réussir son orientation et arriver à une insertion professionnelle la meilleure possible." (Jean-Marc Moulet)

      • Il existe une distinction avec les "parcours éducatifs" (réforme de 2008) qui sont plus axés sur les éducations transversales, au sein desquels figure le "parcours avenir", central pour l'orientation au collège.

      • Le parcours est différencié selon les niveaux (primaire, collège, lycée), avec des dispositifs spécifiques pour accompagner les difficultés (plans personnalisés au primaire, SEGPA au collège, spécialisations au lycée).

      • Au lycée (surtout professionnel), l'éventail des parcours s'élargit avec des secondes thématiques et des possibilités d'approfondissement ou d'immersion professionnelle en terminale.

      Le lycée général et technologique offre une multiplication des choix de disciplines et de couplages.

      • Le système éducatif accompagne via des heures dédiées à l'orientation dès la 4ème, l'accompagnement personnalisé au lycée et le rôle des équipes éducatives et des psychologues de l'Éducation nationale.

      2. Objectifs multiples du parcours :

      • L'objectif n'est pas uniquement l'insertion professionnelle, mais aussi la "fabrication de citoyens qui soient heureux" et la "diversification des possibles". (Jean-Marc Moulet)

      • Il s'agit de lutter contre le déterminisme social et les pressions de genre en élargissant le "panel des possibles" pour que les élèves se révèlent dans ce qui est le meilleur pour eux.

      • Le socle commun assure l'acquisition des compétences nécessaires à l'orientation pour tous les citoyens à la fin de la scolarité obligatoire.

      3. Personnalisation et choix :

      • L'idée est d'avoir un parcours "le plus personnalisé proche des envies possibles des jeunes". (Jean-Marc Moulet)
      • L'offre de choix est aujourd'hui beaucoup plus large qu'auparavant, correspondant à une plus grande diversité de profils.
      • La valorisation du lycée professionnel est un enjeu éducatif et économique fort, en lien avec les besoins du marché du travail.

      4. Influence du territoire et mobilité :

      • La proximité du secteur économique influence l'orientation.

      L'information sur l'orientation est déléguée aux régions (loi de 2018) pour tenir compte des enjeux économiques locaux et favoriser la mobilité régionale.

      • La mobilité des élèves est centrale, et informer sur les opportunités régionales peut engager certains élèves à s'y orienter.

      • Les projets éducatifs de territoire (PEDT) sont des leviers importants pour lutter contre les inégalités culturelles et favoriser la mobilité dès le primaire.

      • Des initiatives comme les cordées de la réussite et les internats d'excellence visent à pallier les inégalités territoriales et à élever les ambitions des élèves.

      5. Le regard de la recherche : Inégalités et déterminismes :

      • La notion de parcours renvoie aux "périodes charnières" (aménagements précoces, premiers paliers d'orientation en 3ème et seconde). (Noémie Olympio)

      • Malgré la volonté d'uniformité (tronc commun), le système est marqué par des "éléments d'inégalité" et un fort "déterminisme scolaire et social des trajectoires".

      • La performance scolaire en fin de primaire est un bon prédicteur des possibilités futures. L'orientation est socialement marquée (à performance égale, un enfant de parents diplômés du supérieur a plus de chances de faire un bac général).

      • Les données de la DEP (panel d'élèves) montrent l'importance du "capital informationnel des familles", du "niveau d'aspiration des familles" et du "maintien des aspirations" (phénomène de "refroidissement des aspirations" parfois non lié à la performance scolaire).

      • La "représentation de l'utilité des diplômes" est également inégalement répartie et corrélée à la résilience scolaire.

      • Le système actuel, avec des aménagements précoces (comme la SEGPA), peut rendre les trajectoires "peu réversibles" et socialement marquées.

      • Le "capital informationnel" se constitue par la catégorie socio-professionnelle, la représentation du monde, le rapport à la mobilité et les "stratégies éducatives des parents" (plus ou moins "opérantes").

      6. Cadre légal et administratif (Minute Juris) :

      • L'article L 111-1 du code de l'éducation garantit l'organisation des parcours en fonction des élèves.

      • Le socle commun de connaissances, de compétences et de culture (défini par la loi de 2005 et refondé en 2013) est au cœur du système et évalué à la fin de chaque cycle.

      • Le redoublement est un dispositif rare et exceptionnel (codifié à l'article L 31-7), privilégiant des stratégies de prévention et d'accompagnement.

      Il est interdit en maternelle. La décision fait l'objet d'un dialogue avec les familles et peut être contestée.

      • L'orientation scolaire (articles L331-7 et D331-31) est encadrée par des voies définies par arrêté ministériel et implique un dialogue entre familles et équipes pédagogiques. En cas de désaccord, une procédure de recours existe.

      • Des classes et groupes spécifiques (article D 332-5), comme les SEGPA (article D 332-7) et les ULIS (article L12-1), permettent un parcours différencié pour répondre aux besoins des élèves, y compris en situation de handicap.

      La différence de traitement basée sur les besoins n'est pas considérée comme une rupture d'égalité.

      • Le principe de mutabilité du service public d'éducation implique une innovation et un ajustement continu des pratiques pédagogiques.

      7. Témoignages de terrain et solutions :

      • Les parcours diffèrent déjà au primaire en fonction du territoire et des projets menés (y compris le temps périscolaire). La distance au collège et au lycée impacte également les parcours.

      • Les projets éducatifs de territoire (PEDT) et le regroupement de collectivités sont essentiels pour offrir des opportunités culturelles et de mobilité.

      • Les cordées de la réussite lient les collèges à des grandes écoles pour susciter l'ambition. Les internats d'excellence lèvent l'obstacle de la distance.

      • Les campus des métiers d'excellence (CMQ) favorisent la mobilité et le lien avec l'économie des territoires, en produisant des ressources pour les collèges (jeux, plateformes numériques, accueil).

      • Il est crucial de travailler sur l'ouverture du champ des possibles et le capital informationnel sans paternalisme, en s'appuyant sur des données fiables (taux d'employabilité, mobilité professionnelle).

      • La découverte des métiers dès la 5ème (voire plus tôt, comme dans les pays anglo-saxons) est essentielle pour contrer les déterminismes.

      La rencontre avec des professionnels a un impact déterminant (l'exemple d'une heure d'intervention d'une scientifique sur l'orientation des filles).

      • Des actions locales (forums des métiers, visites d'entreprises, mini-stages, stages de seconde) permettent aux élèves de découvrir la diversité des professions.

      • Le soutien au parcours dans les lycées professionnels (ateliers CV, rencontres avec des professionnels et anciens élèves) vise à faciliter l'insertion et la poursuite d'études.

      Le parcours différencié en fin d'année permet des stages de professionnalisation ou des ateliers de préparation à la vie étudiante.

      • La formation d'initiatives locales (FIL) rapproche les enseignants des différents niveaux pour harmoniser les attentes.

      8. Inclusion des élèves en situation de handicap :

      • La mobilité est un enjeu crucial, nécessitant des outils spécifiques (applications d'aide au déplacement).

      • L'ambition pour ces élèves doit être élevée (faible taux en lycée général et technologique). Il existe un "plafond de verre" à faire sauter.

      • Les universités et grandes écoles développent une forte dynamique inclusive (référents handicap, aménagements). La convention "A tout pour tous" à Toulouse et les initiatives pour les étudiants avec TSA sont des exemples.

      • Des plateformes d'accompagnement à l'inclusion professionnelle sont mises en place.

      • La connaissance des dispositifs par les enseignants est fondamentale. L'action "Enseignement supérieur et handicap, c'est possible" vise à informer.

      9. Formation des enseignants et partenaires :

      • Les psychologues de l'Éducation nationale et les CIO ont un rôle central.

      • Il est important d'associer les médecins de l'Éducation nationale pour anticiper les contre-indications dans certaines filières professionnelles.

      • La région (information, orientation mobile), l'ONISEP (compétences à s'orienter, plateforme "Avenir"), les professeurs principaux et les DDFPT (en lycée professionnel) sont des partenaires clés.

      • Le travail en équipe et en réseau (campus des métiers et des qualifications) est essentiel.

      • Il faut renforcer les partenariats entre le collège et le lycée, ainsi qu'avec l'enseignement supérieur (continuum Bac-3 / Bac+3).

      • La gestion algorithmique de l'orientation peut alimenter l'autocensure, nécessitant une meilleure explicitation des stratégies et des accompagnements pour les élèves les moins favorisés.

      • Le bureau des entreprises dans les lycées professionnels renforce le lien avec le monde du travail. Le réseau associatif peut apporter une expertise complémentaire.

      • Il est important de lier le stage de seconde aux expériences vécues au collège.

      Conclusion et perspectives (Jean-Marc Moulet) :

      • Le système éducatif évolue pour faciliter et mieux accompagner les parcours, en aidant les familles les plus fragiles.

      • L'objectif ne doit pas être uniquement l'insertion professionnelle, mais aussi la formation à la mobilité professionnelle et à la plasticité face aux évolutions du marché du travail.

      • La question du décrochage scolaire, souvent lié à des difficultés d'orientation, pourrait faire l'objet d'une prochaine table ronde.

      Ressources bibliographiques (Minute Biblie) :

      Rapport de l'Inspection générale sur la découverte des métiers au collège (mai 2024).

      Articles de Noémie Olympio sur l'orientation en lycée professionnel, les aspirations et le capital social et culturel.

      Site de l'ONISEP et plateforme "Avenir".

    1. Le Climat Scolaire : Enjeux Pédagogiques, Sociaux et Institutionnels

      Résumé Exécutif

      Ce document synthétise l'intervention de M. Canvel (septembre 2017) concernant le climat scolaire au sein de l'institution éducative française. Les points fondamentaux sont les suivants :

      Mutation de la profession : L'enseignement doit être perçu non plus comme un simple métier, mais comme une mission complexe visant à faire de l'élève l'adulte de demain.

      Priorité à l'apprentissage : Le climat scolaire n'est pas une fin en soi, mais une condition et un résultat de l'apprentissage. L'objectif premier de l'enseignant doit être de « faire apprendre » plutôt que d'« enseigner ».

      Lutte contre le décrochage : Le sentiment d'injustice, le désintérêt pour les matières et la qualité de la relation enseignant-élève sont les principaux leviers du décrochage scolaire, qualifié de « cancer de l'école ».

      Déficits institutionnels : Selon les données de l'OCDE, les enseignants français souffrent d'un manque de formation pédagogique et d'une insuffisance de coopération interprofessionnelle.

      Approche systémique : Le climat scolaire repose sur cinq piliers : relationnel, éducatif, sécurité, justice et appartenance.

      --------------------------------------------------------------------------------

      1. La Mission de l'Enseignant et l'École comme Nation

      L'école est définie comme le « creuset de la République ». Avec 12 millions d'élèves, 24 millions de parents et plus d'un million de personnels, elle représente l'incarnation même de la nation.

      De la profession à la mission

      L'enseignement est un métier d'une complexité extrême, comparable aux parcours d'ingénieurs ou de médecins, car il traite de l'humain de manière collective.

      Un enseignant rencontrera entre 7 000 et 8 000 élèves au cours de sa carrière.

      L'investissement total dans cette mission est une nécessité absolue, car sans enseignants, il n'y a pas de jeunesse structurée pour l'avenir.

      « Enseigner » versus « Faire apprendre »

      Une distinction cruciale est opérée entre l'enseignement d'une discipline et l'acte de faire apprendre cette discipline aux élèves.

      L'expert : Se concentre sur l'observation de l'activité de l'élève et adapte son geste professionnel.

      L'enjeu : Un cours jugé « bon » par l'enseignant peut se solder par une absence totale d'apprentissage chez les élèves. L'interlocuteur prioritaire doit toujours rester l'élève et son cheminement mental.

      --------------------------------------------------------------------------------

      2. Analyse du Décrochage et du Bien-être Scolaire

      Malgré une statistique positive (9 élèves sur 10 se disent satisfaits de l'école), le système scolaire fait face à des zones de rupture critiques.

      Les chiffres clés de la souffrance scolaire

      | Phénomène | Impact statistique | | --- | --- | | Élèves se déclarant harcelés | 1 sur 10 | | Sorties sans diplôme ni qualification | 1 sur 5 (soit environ 150 000 jeunes par an) | | Taille d'une génération d'élèves | 750 000 enfants |

      Les causes du décrochage (Étude Catherine Blaya)

      L'analyse des raisons invoquées par les décrocheurs révèle une responsabilité directe de l'institution et de ses acteurs :

      1. Désintérêt pour la matière (17 %) : Souvent lié à un défaut de lien entre la discipline et l'élève.

      2. Relation au professeur (15,5 %) : Une rencontre négative peut être le déclencheur d'un processus irréversible.

      3. Désamour de l'école (13,7 %) : Souvent lié à la peur (harcèlement) et au manque de sécurité.

      4. Sentiment d'être mal aimé (7 %) : Blessures liées aux appréciations sur les bulletins scolaires.

      --------------------------------------------------------------------------------

      3. Le Climat Scolaire : Une Approche Théorique et Systémique

      Le climat scolaire n'est pas une simple perception individuelle, mais un jugement collectif et subjectif porté par les élèves, les parents et les éducateurs sur leur expérience de vie à l'école.

      La théorie de la complexité appliquée à la classe

      S'appuyant sur les travaux d'Edgar Morin, le climat scolaire est analysé selon trois axes :

      L'imprévisibilité : L'humain est imprévisible ; l'erreur de l'enseignant fait partie du système.

      La récursivité : Les apprentissages améliorent le climat, et un bon climat favorise les apprentissages. C'est une boucle rétroactive permanente.

      La totalité : Un établissement n'est pas la simple somme des classes qui le composent. Un incident dans un couloir peut déstabiliser l'ensemble du système (effet papillon).

      --------------------------------------------------------------------------------

      4. Les Cinq Facteurs Constitutifs du Climat Scolaire

      Le climat scolaire est un matériau composite façonné par l'homme.

      | Facteur | Description et enjeux | | --- | --- | | Relationnel | Qualité de l'accueil, propreté des sanitaires (besoin primaire), et qualité de la restauration. | | Éducatif | Cohérence des valeurs partagées par l'ensemble des adultes (enseignants, direction, agents). | | Sécurité | Attention portée à l'autre par l'adulte de référence, présence dans les couloirs et la cour. | | Justice | Perception d'équité. 70 % des élèves jugent l'école injuste, souvent à cause de sanctions inexpliquées. | | Appartenance | Sentiment d'être contributeur d'un projet collectif et d'une communauté éducative. |

      --------------------------------------------------------------------------------

      5. Critiques et Leviers d'Amélioration Institutionnels

      L'analyse souligne des lacunes majeures dans le système français, notamment via les rapports de l'OCDE (Eric Charbonnier).

      Les points de faiblesse

      Formation pédagogique : Les enseignants français seraient parmi les moins bien formés à la pédagogie (comment mettre les élèves au travail) par rapport à la didactique.

      Coopération interprofessionnelle : Travailler ensemble est jugé « très insuffisant ». La collaboration entre pairs est pourtant un facteur clé de la réussite des élèves.

      Isolement : Le modèle français repose trop sur le diplôme initial, au détriment de la formation continue tout au long de la carrière.

      Recommandations pour les personnels

      Pratiquer l'éthologie scolaire : Observer l'élève au travail plutôt que de se focaliser sur sa propre prestation.

      Investir le « Devoirs Faits » : Se mettre « côte à côte » avec l'élève pour comprendre son cheminement mental, une pratique trop souvent réservée aux classes préparatoires.

      Sortir de l'entre-soi : Éviter l'enfermement en salle des professeurs ; aller à la rencontre des CPE, des agents et vivre une journée dans la peau d'un élève pour comprendre la « totalité » de l'établissement.

      Recherche et formation : Adopter une posture d'enseignant-chercheur, en utilisant les outils comme les enquêtes locales de climat scolaire et les ressources ministérielles (Eduscol).

      Conclusion

      La violence scolaire la plus insidieuse est l'incapacité irréversible d'un enfant à apprendre.

      Le rôle de l'enseignant est de garantir les conditions de cet apprentissage par la construction d'un climat de confiance.

      Comme le souligne l'intervention, l'école ne doit pas faire de mal ; elle doit accompagner, sécuriser et inclure chaque élève dans une dynamique collective de réussite.

  2. pressbooks.library.torontomu.ca pressbooks.library.torontomu.ca
    1. eLife Assessment

      This important study provides a comprehensive comparison of the mechanisms through which different inhibitors affect the SARS-CoV-2 main protease, a pivotal antiviral drug target, and suggests a potentially broad-spectrum strategy to inhibit this critical viral enzyme by disrupting its dimerization states. However, whereas the biophysical analyses of the dimer stability are convincing, evidence supporting this new mode of mechanism to inhibit the main protease is incomplete and would benefit from a correlation of the biophysical observations with functional activity. With the functional validation part strengthened, this work would be of interest to biochemists and virologists working on anti-coronavirus drug discovery.

    2. Reviewer #1 (Public review):

      Summary:

      Since dimerization is essential for SARS-CoV-2 Mpro enzymatic activity, the authors investigated how different classes of inhibitors, including peptidomimetic inhibitors (PF-07321332, PF-00835231, GC376, boceprevir), non-peptidomimetic inhibitors (carmofur, ebselen, and its analog MR6-31-2), and allosteric inhibitors (AT7519 and pelitinib), influence the Mpro monomer-dimer equilibrium using native mass spectrometry. Further analyses with isotope labeling, HDX-MS, and MD simulations examined subunit exchange and conformational dynamics. Distinct inhibitory mechanisms were identified: peptidomimetic inhibitors stabilized dimerization and suppressed subunit exchange and structural flexibility, whereas ebselen covalently bound to a newly identified site at C300, disrupting dimerization and increasing conformational dynamics. This study provides detailed mechanistic evidence of how Mpro inhibitors modulate dimerization and structural dynamics. The newly identified covalently binding site C300 represents novelty as a druggable allosteric hotspot.

      Strengths:

      This manuscript investigates how different classes of inhibitors modulate SARS-CoV-2 main protease dimerization and structural dynamics, and identifies a newly observed covalent binding site for ebselen.

      Weaknesses:

      The major concern is the absence of mutagenesis data to support the proposed inhibitory mechanisms, particularly regarding the role of the inhibitor binding site.

    3. Reviewer #2 (Public review):

      Summary:

      This is a mechanistic study that provides new insights into the inhibition of SARS-CoV-2 Mpro.

      Strengths:

      The identification of dimer interface stabilization/destabilization as distinct inhibitory mechanisms and the discovery of C300 as a potential allosteric site for ebselen are important contributions to the field. The experimental approach is modern, multi-faceted, and generally well-executed.

      Weaknesses:

      The primary weaknesses relate to linking the biophysical observations more directly to functional enzymatic outcomes and providing more quantitative rigor in some analyses. While the study is overall strong, addressing its weaknesses and limitations would elevate the impact and translational relevance of the current manuscript.

      (1) Correlation with Functional Activity:

      The most significant gap is the lack of direct enzymatic activity assays under the exact conditions used for MS and HDX. While EC50 values are listed from literature, demonstrating how the observed dimer stabilization (by peptidomimetics) or dimer disruption (by ebselen) directly correlates with inhibition of proteolytic activity in the same experimental setup would solidify the functional relevance of the biophysical observations. For instance, does the fraction of monomer measured by native MS quantitatively predict the loss of activity? Also, the single inhibitor concentration used in each MS experiment needs to be specified in the main text and legends. A discussion on whether the inhibitor concentrations required to observe these dimerization effects (in native MS) or structural dynamics (in HDX-MS) align with EC50 values would be helpful for contextualizing the findings.

      (2) For the two Cys residues found to be targeted by ebselen, what are their respective modification stoichiometry related to the ebselen concentration? Especially for the covalent binding site C300, which is proposed in this study to represent a novel allosteric inhibition mechanism of ebselen, more direct experimental evidence is needed to support this major hypothesis. Does mutation or modification of C300 affect the Mpro dimerization/monomer equilibrium and alter the enzymatic activity? If ebselen acts as a covalent inhibitor linked to multiple Cys, why is its activity only in the uM range?

      (3) For the allosteric inhibitor pelitinib with low-uM activity, no significant differences in deuterium uptake of Mpro were observed. In terms of the binding affinity, what is the difference between pelitinib and ebselen? Some explanations could be provided about the different HDX-MS results between the two non-peptidomimetic inhibitors with similar activities.

      (4) Native MS Quantification:

      The analysis of monomer-dimer ratios from native MS spectra appears qualitative or semi-quantitative. A more rigorous and quantified analysis of the percentage of dimer/monomer species under each condition, with statistical replicates, would strengthen the equilibrium shift claims. For native MS analysis of each inhibitor, the representative spectrum can be shown in the main figure together with quantified dimer/monomer fractions from replicates to show significance by statistical tests.

      (5) Changes of HDX rates in certain regions seem very subtle. For example, as it states 'residues 296-304 in the C-terminal region of M pro were more flexible upon ebselen binding (Figure 4c)', the difference is barely observable. The percentage of HDX rate changes between two conditions (with p values) can be specified in the text for each fragment discussed, and any change below 5% or 10% is negligible.

    4. Author response:

      Public Reviews:

      Reviewer #1 (Public review):

      Summary:

      Since dimerization is essential for SARS-CoV-2 Mpro enzymatic activity, the authors investigated how different classes of inhibitors, including peptidomimetic inhibitors (PF-07321332, PF-00835231, GC376, boceprevir), non-peptidomimetic inhibitors (carmofur, ebselen, and its analog MR6-31-2), and allosteric inhibitors (AT7519 and pelitinib), influence the Mpro monomer-dimer equilibrium using native mass spectrometry. Further analyses with isotope labeling, HDX-MS, and MD simulations examined subunit exchange and conformational dynamics. Distinct inhibitory mechanisms were identified: peptidomimetic inhibitors stabilized dimerization and suppressed subunit exchange and structural flexibility, whereas ebselen covalently bound to a newly identified site at C300, disrupting dimerization and increasing conformational dynamics. This study provides detailed mechanistic evidence of how Mpro inhibitors modulate dimerization and structural dynamics. The newly identified covalently binding site C300 represents novelty as a druggable allosteric hotspot.

      Strengths:

      This manuscript investigates how different classes of inhibitors modulate SARS-CoV-2 main protease dimerization and structural dynamics, and identifies a newly observed covalent binding site for ebselen.

      Weaknesses:

      The major concern is the absence of mutagenesis data to support the proposed inhibitory mechanisms, particularly regarding the role of the inhibitor binding site.

      We thank the reviewer for the comments and recognition of our study. We agree that mutagenesis experiments are very helpful to validate the proposed mechanisms. We will perform site-directed mutagenesis of the key residue C300 and assess the effects of those C300 mutants on dimerization and enzymatic activity of Mpro, and integrate the results and discussion into the revised manuscript.

      Reviewer #2 (Public review):

      Summary:

      This is a mechanistic study that provides new insights into the inhibition of SARS-CoV-2 Mpro.

      Strengths:

      The identification of dimer interface stabilization/destabilization as distinct inhibitory mechanisms and the discovery of C300 as a potential allosteric site for ebselen are important contributions to the field. The experimental approach is modern, multi-faceted, and generally well-executed.

      We thank the reviewer for the positive comments and recognition of our study.

      Weaknesses:

      The primary weaknesses relate to linking the biophysical observations more directly to functional enzymatic outcomes and providing more quantitative rigor in some analyses. While the study is overall strong, addressing its weaknesses and limitations would elevate the impact and translational relevance of the current manuscript.

      We thank the reviewer for the comments that are very helpful for improving the quality and impact of our manuscript.

      (1) Correlation with Functional Activity:

      The most significant gap is the lack of direct enzymatic activity assays under the exact conditions used for MS and HDX. While EC50 values are listed from literature, demonstrating how the observed dimer stabilization (by peptidomimetics) or dimer disruption (by ebselen) directly correlates with inhibition of proteolytic activity in the same experimental setup would solidify the functional relevance of the biophysical observations. For instance, does the fraction of monomer measured by native MS quantitatively predict the loss of activity? Also, the single inhibitor concentration used in each MS experiment needs to be specified in the main text and legends. A discussion on whether the inhibitor concentrations required to observe these dimerization effects (in native MS) or structural dynamics (in HDX-MS) align with EC50 values would be helpful for contextualizing the findings.

      We thank the reviewer for the points and agree that directly linking our biophysical observations to functional outcomes under identical conditions would be more meaningful. We will perform enzymatic activity assays to investigate whether the fraction of monomer measured by native MS can predict the loss of activity. The inhibitor concentrations used in each MS experiment will be explicitly stated in the main text and figure legends, and we will also discuss how these concentrations relate to the EC50/IC50 values, providing content for the biophysical observations.

      (2) For the two Cys residues found to be targeted by ebselen, what are their respective modification stoichiometry related to the ebselen concentration? Especially for the covalent binding site C300, which is proposed in this study to represent a novel allosteric inhibition mechanism of ebselen, more direct experimental evidence is needed to support this major hypothesis. Does mutation or modification of C300 affect the Mpro dimerization/monomer equilibrium and alter the enzymatic activity? If ebselen acts as a covalent inhibitor linked to multiple Cys, why is its activity only in the uM range?

      We thank the reviewer for the insightful comments. To address the stoichiometry of ebselen modification, we will further analyze the data and discuss accordingly. To display more direct evidence of C300 as a novel allosteric inhibition site of ebselen, we will perform site-directed mutagenesis and investigate whether these C300 mutants affect the Mpro dimerization and enzymatic activity. Regarding the modification of C300, several independent studies have been cited in this manuscript and showed that oxidation (by glutathione, Davis et., 2021) or chemical modification of C300 (by glutathione bismuth drugs, Tao et al., 2021, and Tixocortol, Davis et., 2024) leads to Mpro inactivation and promotes monomer formation. We will cite and further discuss these studies in the Discussion. The µM-range activity of ebselen can be explained by its multi-target covalent binding to multiple cysteines. The variable efficacy of cysteine modification may account for ebselen's moderate potency, as not all modifications equally inhibit their targets.

      (3) For the allosteric inhibitor pelitinib with low-uM activity, no significant differences in deuterium uptake of Mpro were observed. In terms of the binding affinity, what is the difference between pelitinib and ebselen? Some explanations could be provided about the different HDX-MS results between the two non-peptidomimetic inhibitors with similar activities.

      Pelitinib has non-covalent binding with Mpro, while the binding between ebselen and Mpro is covalent. We will add some explanations and discussion about their different HDX-MS results in the revised version.

      (4) Native MS Quantification:

      The analysis of monomer-dimer ratios from native MS spectra appears qualitative or semi-quantitative. A more rigorous and quantified analysis of the percentage of dimer/monomer species under each condition, with statistical replicates, would strengthen the equilibrium shift claims. For native MS analysis of each inhibitor, the representative spectrum can be shown in the main figure together with quantified dimer/monomer fractions from replicates to show significance by statistical tests.

      We thank the reviewer for the suggestion, and we will perform a more rigorous and quantitative analysis of the monomer-dimer equilibrium. For each condition (unbound Mpro and Mpro bound to each inhibitor), native MS experiments will be shown in triplicate. As suggested, we will include a representative native MS spectrum for each condition. The quantified monomer/dimer ratios from replicates will be added. The results with statistical analysis will be provided to show significance.

      (5) Changes of HDX rates in certain regions seem very subtle. For example, as it states 'residues 296-304 in the C-terminal region of M pro were more flexible upon ebselen binding (Figure 4c)', the difference is barely observable. The percentage of HDX rate changes between two conditions (with p values) can be specified in the text for each fragment discussed, and any change below 5% or 10% is negligible.

      We agree with the reviewer about the need for quantitative rigor in reporting HDX changes. We will calculate the fractional deuterium uptake difference for each peptide fragment discussed in the text between the inhibitor-bound and unbound states. These values, along with their statistical significance (p-values from a two-tailed t-test), will be provided in the revised figures.

    1. eLife Assessment

      This work presents a brain-wide atlas of vasopressin (Avp) and vasopressin receptor 1A (Avpr1a) mRNA expression in mouse brains using high-resolution RNAscope in situ hybridization. The single-transcript approach provides precise localization and identifies additional brain regions expressing Avpr1a, creating a valuable resource for the field. The revised manuscript is clearer and more impactful, with improved figures, stronger data organization, and enhanced scholarship through added context and citations. Overall, the evidence is compelling, and the atlas should be broadly of use to researchers studying vasopressin signaling and related neural circuits.

    2. Reviewer #1 (Public review):

      Summary:

      Despite accumulating prior studies on the expressions of AVP and AVPR1a in the brain, a detailed, gender-specific mapping of AVP/AVPR1a neuronal nodes has been lacking. Using RNAscope, a cutting-edge technology that detects single RNA transcripts, the authors created a comprehensive neuroanatomical atlas of Avp and Avpr1a in male and female brains.

      Strengths:

      This well-executed study provides valuable new insights into gender differences in the distribution of Avp and Avpr1a. The atlas is an important resource for the neuroscience community.

      The authors have previously adequately addressed all of my concerns. I have no further questions or concerns.

    3. Reviewer #2 (Public review):

      Summary:

      The authors conducted a brain-wide survey of Avp (arginine vasopressin) and its Avpr1a gene expression in the mouse brain using RNAscope, a high-resolution in situ hybridization method. Overall, the findings are useful and important because they identify brain regions that express the Avpr1a transcript. A comprehensive overview of Avpr1a expression in the mouse brain could be highly informative and impactful. The authors used RNAscope (a proprietary in situ hybridization method) to assess transcript abundance of Avp and one of its receptors, Avpr1a. The finding of Avp-expressing cells outside the hypothalamus and the extended amygdala is novel and is nicely demonstrated by new photomicrographs in the revised manuscript. The Avpr1a data suggest expression in numerous brain regions. In the revised manuscript, reworked figures make the data easier to interpret.

      Strengths:

      A survey of Avpr1a expression in the mouse brain is an important tool for exploring vasopressin function in the mammalian brain and for developing hypotheses about cell- and circuit-level function.

      [Editors' note: The authors have substantially addressed all the reviewers' concerns and comments.]

    4. Author response:

      The following is the authors’ response to the previous reviews

      Recommendations for the authors:

      Reviewer #1 (Recommendations for the authors):

      The authors have adequately addressed all of my concerns. I have no further questions or concerns.

      We thank the Reviewer #1. 

      Reviewer #2 (Recommendations for the authors):

      We thank the Reviewer #2 for thoughtful recommendations.

      (1) Figure 1A, 1B, 2B, 2C, etc.: The Y-axis label is confusing. I assume the intention was to make big numbers small by dividing by 1000. The comma makes the label confusing. Perhaps, make the label more "mathematical" as in "Avp density ((transcript/µm2) * 10-3)" or rearrange the math to be clearer as in "Avp density (transcript/1000 per µm2)".

      Great suggestion and done exactly as suggested in Figures 1, 2 and 4.

      (2) Figure 1B and 1C: The figure and legend do not match up. Either switch the figures or the legends. Currently, legend 1B describes image 1C.

      Agreed and done as suggested.

      (3) Figure 2A is broken up into separate pages/panels. It could be integrated better or separated to make A and B, then shift B and C to C and D.

      Great suggestion and we have done exactly as suggested.

      (4) Figure 2 legend: I recommend putting the scale bar info with (A) rather than at the end. The stars used in the figure are not explained in the legend.

      Good points. We have made all necessary changes as suggested.

      (5) Supplementary Figure 1B: The legend states that the data are the number of transcript-containing cells, but the figure states transcript number.

      We thank the Reviewer for pointing out this typo. We corrected all graph legends in the Supplementary Figure 1.

    1. eLife Assessment

      Recent studies have shown that mRNA can be acetylated (ac4c), altering mRNA stability and translation efficiency; however, the role of mRNA acetylation in the brain remains unexplored. In this important study, the authors demonstrate that ac4c occurs in synaptically localised mRNAs, mediated by NAT10. Conditional reduction of NAT10 protein levels led to decreases in ac4c of mRNAs and deficits in synaptic plasticity and memory. These solid results suggest that mRNA acetylation may play a role in memory consolidation.

    2. Reviewer #1 (Public review):

      Summary:

      RNA modification has emerged as an important modulator of protein synthesis. Recent studies found that mRNA can be acetylated (ac4c), which can alter mRNA stability and translation efficiency. The role of ac4c mRNA in the brain has not been studied. In this paper, the authors convincingly show that ac4c occurs selectively on mRNAs localized at synapses, but not cell wide. The ac4c "writer" NAT10 is highly expressed in hippocampal excitatory neurons. Using NAT10 conditional KO mice, decreasing levels of NAT10 resulted in decreases in ac4c of mRNAs and also showed deficits in LTP and spatial memory. These results reveal a potential role for ac4c mRNA in memory consolidation.

      This is a new type of mRNA regulation that seems to act specifically at synapses, which may help elucidate the mechanisms of local protein synthesis in memory consolidation. Overall, the studies are well carried out and presented. The precise mRNAs that require ac4c to carry out memory consolidation is not clear, but is an important focus of future work. The specificity of changes occurring only at the end of training, rather than after each day of training is interesting and also warrants further investigation. This timeframe is puzzling because the authors show that ac4c can dynamically increase within 1hr after cLTP.

      Strengths:

      (1) The studies show that mRNA acetylation (ac4c) occurs selectively at mRNAs localized to synaptic compartments (using synaptoneurosome preps).

      (2) The authors identify a few key mRNAs acetylated involved in plasticity and memory - eg Arc.

      (3) The authors show that Ac4c is induced by learning and neuronal activity (cLTP).

      (4) The studies show that the ac4c "writer" NAT10 is expressed in hippocampal excitatory neurons and may relocated to synapses after cLTP/learning induction.

      (5) The authors used floxed NAT10 mice injected with AAV-Cre in the hippocampus (NAT10 cKO) to show that NAT10 may play a role in LTP maintenance and memory consolidation (using the Morris Water Maze).

      Weaknesses:

      (1) The NAT10 cKO mice are useful to test the causal role of NAT10 in ac4a and plasticity/memory but all the experiments used AAV-CRE injections in the dorsal hippocampus that showed somewhat modest decreases in total NAT10 protein levels. For these experiments, it would be better to cross the NAT10 floxed animals to CRE lines where better knock down of NAT10 can be achieved postnatally in specific neurons, with less variability.

      (2) Because knock down is only modest (~50%), it is not clear if the remaining ac4c on mRNAs is due to remaining NAT10 protein or due to alternative writer (as the authors pose).

    3. Reviewer #2 (Public review):

      This is an interesting study that shows that mRNA acetylation at synapses is dynamically regulated at synapses by spatial memory in the mouse hippocampus. The dynamic changes of ac4C-mRNAs regulated by memory were validated by methods including ac4C dot-blot and liquid 13 chromatography-tandem mass spectrometry (LC-MS/MS).

    4. Author response:

      The following is the authors’ response to the original reviews.

      Public Reviews:

      Reviewer #1 (Public review):

      (1) The authors use a confusing timeline for their behavioral experiments, i.e., day 1 is the first day of training in the MWM, and day 6 is the probe trial, but in reality, day 6 is the first day after the last training day. So this is really day 1 post-training, and day 20 is 14 days post-training.

      We have revised the timeline accordingly. Briefly, mice were trained in the Morris water maze (MWM) with a hidden platform for five consecutive days (training days 1–5). Probe tests were then conducted on day 6 and day 20, which correspond to post-training day 1 and post-training day 15, respectively. We clearly stated as such in the revised manuscript (see results, line 108 – 113) and figure S1 (see figure legend, line 1747 – 1749).

      (2) The authors inaccurately use memory as a term. During the training period in the MWM, the animals are learning, while memory is only probed on day 6 (after learning). Thus, day 6 reflects memory consolidation processes after learning has taken place.

      We have revised the manuscript to distinguish between "learning" and "memory". We refer to the performance during the 5-day training period as "spatial learning" and restrict the term "memory" to the probe tests on day 6, which reflect memory consolidation after learning has taken place.

      (3) The NAT10 cKO mice are useful... but all the experiments used AAV-CRE injections in the dorsal hippocampus that showed somewhat modest decreases... For these experiments, it would be better to cross the NAT10 floxed animals to CRE lines where a better knockdown of NAT10 can be achieved, with less variability.

      We want to clarify the reason for using AAV-Cre injection rather than Cre lines. Indeed, we attempted to generate Nat10 conditional knockouts by crossing Nat10<sup>flox/flox</sup> mice with several CNS-specific Cre lines. Crossing with Nestin-Cre and Emx1-Cre resulted in embryonic and premature lethality, respectively, consistent with the essential housekeeping function of NAT10 during neurodevelopment. We will use the Camk2α-Cre line which starts to express Cre after postnatal 3 weeks specifically in hippocampal pyramidal neurons (Tsien et al., 1996).

      (4) Because knockdown is only modest (~50%), it is not clear if the remaining ac4c on mRNAs is due to remaining NAT10 protein or due to an alternative writer (as the authors pose).

      Our results suggest the existence of alternative writers. As shown in Figure 6D, we identified a population of "NAT10-independent" MISA mRNAs (present in MISA but not downregulated in NASA). Remarkably, these mRNAs possess a consensus motif (RGGGCACTAACY) that is fundamentally different from the canonical NAT10 motif (AGCAGCTG). This distinct motif usage suggests that the residual ac4C signals are not merely due to incomplete knockdown of NAT10, but reflect the activity of other, as-yet-unidentified ac4C writers. We will perform ac4C immunostaining in Nat10-reporter mice which express red fluorescent proteins in Nat10-positive cells. The results that ac4C is expressed in both Nat10-positive and negative cells will support the presence of as-yet-unidentified ac4C writers.

      Reviewer #2 (Public review):

      (1) It is known that synaptosomes are contaminated with glial tissue... So the candidate mRNAs identified by acRIP-seq might also be mixed with glial mRNAs. Are the GO BP terms shown in Figure 3A specifically chosen, or unbiasedly listed for all top ones?

      This reviewer is correct that some ac4C-mRNAs identified by acRIP-seq from the synaptosomes are highly expressed in astrocytes, such as Aldh1l1, ApoE, Sox9 and Aqp4 (see list of ac4C-mRNAs in the synaptosomes, Table S3). In agreement, we found that NAT10 was also expressed in astrocyte in addition to neurons. We have provided a representative image showing NAT10-Cre expression in astrocytes in the revised manuscript (Figure 4F and H). In the figure 3A of original submission, we showed 10 out of 16 top BP items for MISA mRNAs. In the figure 3A of revised manuscript, we showed all the top 16 BP items for MISA mRNAs, which are unbiasedly chosen (also see Table S4).

      (2) Where does NAT10-mediated mRNA acetylation take place within cells generally? Is there evidence that NAT10 can catalyze mRNA acetylation in the cytoplasm?

      The previous studies from non-neuronal cells showed that NAT10 can catalyze mRNA acetylation in the cytoplasm and enhance translational efficiency (Arango et al., 2018; Arango et al., 2022). In this study, we showed that mRNA acetylation occurred both in the homogenates and synapses (see ac4C-mRNA lists in Table S2 and S3). However, spatial memory upregulated mRNA acetylation mainly in the synapses rather than in the homogenates (Fig. 2 and Fig. S2).

      (3) "The NAT10 proteins were significantly reduced in the cytoplasm (S2 fraction) but increased in the PSD fraction..." The small increase in synaptic NAT10 might not be enough to cause a decrease in soma NAT10 protein level.

      We showed that the NAT10 protein levels were increased by one-fold in the PSD fraction, but were reduced by about 50% in the cytoplasm after memory formation (Fig. 5J and K). The protein levels of NAT10 in the homogenates and nucleus were not altered after memory formation (Fig. 5F and I). Due to these facts, we hypothesized that NAT10 proteins may have a relocation from cytoplasm to synapses after memory formation, which was also supported by the immunofluorescent results from cultured neurons (Fig. S4). However, we agree with this reviewer that drawing such a conclusion may require the time-lapse imaging of NAT10 protein trafficking in living animals, which is technically challenging at this moment.

      (4) It is difficult to separate the effect on mRNA acetylation and protein mRNA acetylation when doing the loss of function of NAT10.

      This is a good point. We agree with this reviewer that NAT10 may acetylate both mRNA and proteins. We examined the acetylation levels of a-tubulin and histone H3, two substrate proteins of NAT10 in the hippocampus of Nat10 cKO mice. As shown in Fig S5C, E, and F, the acetylation levels of a-tubulin and histone H3 remained unchanged in the Nat10 cKO mice, likely due to the compensation by other protein acetyltransferases. In contrast, mRNA ac4C levels were significantly decreased in the Nat10 cKO mice (Figure S5G–H). These results suggest that the memory deficits seen in Nat10 cKO mice may be largely due to the impaired mRNA acetylation. Nonetheless, we believe that developing a new technology which enables selective erasure of mRNA acetylation would be helpful to address the function of mRNA acetylation. We discussed these points in the MS (see discussion, line 582-589).

      Reference

      Arango, D., Sturgill, D., Alhusaini, N., Dillman, A. A., Sweet, T. J., Hanson, G., Hosogane, M., Sinclair, W. R., Nanan, K. K., & Mandler, M. D. (2018). Acetylation of cytidine in mRNA promotes translation efficiency. Cell, 175(7), 1872-1886. e1824.

      Arango, D., Sturgill, D., Yang, R., Kanai, T., Bauer, P., Roy, J., Wang, Z., Hosogane, M., Schiffers, S., & Oberdoerffer, S. (2022). Direct epitranscriptomic regulation of mammalian translation initiation through N4-acetylcytidine. Molecular cell, 82(15), 2797-2814. e2711.

      Tsien, J. Z., Chen, D. F., Gerber, D., Tom, C., Mercer, E. H., Anderson, D. J., Mayford, M., Kandel, E. R., & Tonegawa, S. (1996). Subregion-and cell type–restricted gene knockout in mouse brain. Cell, 87(7), 1317-1326.

    1. eLife Assessment

      The work convincingly demonstrates the role of the mycobacterial secreted effector protein MmpE, which translocates to the host nucleus and exhibits phosphatase activity. The study is particularly valuable in showing that both the nuclear localization signal sequences and residues critical for phosphatase function are essential for host gene regulation, lysosomal biogenesis, and intracellular survival. Future studies will be important to explore additional host pathways modulated by MmpE, particularly in the context of infection with a fully virulent Mycobacterium tuberculosis strain.

    2. Reviewer #1 (Public review):

      Summary:

      The study provides insightful characterization of the mycobacterial secreted effector protein MmpE which translocates to the host nucleus and exhibits phosphatase activity. The study characterizes the nuclear localization signal sequences and residues critical for the phosphatase activity, both of which are required for intracellular survival

      Strengths:

      (1) The study addresses the role of nucleomodulins, an understudied aspect in mycobacterial infections.

      (2) The authors employ a combination of biochemical and computational analyses along with in vitro and in vivo validations to characterize the role of MmpE.

      Weaknesses:

      (1) While the study establishes that the phosphatase activity of MmpE operates independently of its NLS, there is a clear gap in understanding how this phosphatase activity supports mycobacterial infection. The investigation lacks experimental data on specific substrates of MmpE or pathways influenced by this virulence factor.

      (2) The study does not explore whether the phosphatase activity of MmpE is dependent on the NLS within macrophages, which would provide critical insights into its biological relevance in host cells. Conducting experiments with double knockout/mutant strains and comparing their intracellular survival with single mutants could elucidate these dependencies and further validate the significance of MmpE's dual functions.

      (3) The study does not provide direct experimental validation of the MmpE deletion on lysosomal trafficking of the bacteria.

      (4) The role of MmpE as a mycobacterial effector would be more relevant using virulent mycobacterial strains such as H37Rv.

      Comments on revisions:

      I appreciate the work the authors have done to address reviewers comments. The revised manuscript looks significantly improved. My major concern in the revised version is the microscopy data where the BCG staining using the DiD fluorescent stain does not bring out the rod-shaped bacilli structure. I suggest the authors either use a GFP reporter or some other fluorescent stain to address this issue.

    3. Reviewer #2 (Public review):

      Summary:

      In this paper, the authors have characterized Rv2577 as a Fe3+/Zn2+ -dependent metallophosphatase and a nucleomodulin protein. The authors have also identified His348 and Asn359 as critical residues for Fe3+ coordination. The authors show that the proteins encode for two nuclease localization signals. Using C-terminal Flag expression constructs, the authors have shown that MmpE protein is secretory. The authors have prepared genetic deletion strains and show that MmpE is essential for intracellular survival of M. bovis BCG in THP-1 macrophages, RAW264.7 macrophages and mice model of infection. The authors have also performed RNA-seq analysis to compare the transcriptional profiles of macrophages infected with wild type and mmpE mutant strain. The relative levels of ~ 175 transcripts were altered in mmpE mutant infected macrophages and majority of these were associated with various immune and inflammatory signalling pathways. Using these deletion strains, the authors proposed that MmpE inhibits inflammatory gene expression by binding to the promoter region of vitamin D receptor. The authors also showed that MmpE arrests phagosome maturation by regulating the expression of several lysosome associated genes such as TFEB, LAMP1, LAMP2 etc. These findings reveal a sophisticated mechanism by which a bacterial effector protein manipulates gene transcription and promotes intracellular survival.

      Strength:

      The authors have used a combination of cell biology, microbiology and transcriptomics to elucidate the mechanisms by which Rv2577 contributes to intracellular survival.

      Weakness:

      The authors should thoroughly check the mice data and show individual replicate values in bar graphs.

      Comments on revisions:

      Thanks to the authors for addressing the concerns raised during the review of the original manuscript. The data is now presented with clarity, and discrepancies in mouse experiments have also been addressed with additional experiments.

    4. Reviewer #3 (Public review):

      Summary:

      In this manuscript titled "Mycobacterial Metallophosphatase MmpE Acts as a Nucleomodulin to Regulate Host Gene Expression and Promote Intracellular Survival", Chen et al describe biochemical characterisation, localisation and potential functions of the gene using a genetic approach in M. bovis BCG and perform macrophage and mice infections to understand the roles of this potentially secreted protein in the host cell nucleus. The findings demonstrate the role of a secreted phosphatase of M. bovis BCG in shaping the transcriptional profile of infected macrophages, potentially through nuclear localisation and direct binding to transcriptional start sites, thereby regulating the inflammatory response to infection.

      Strengths:

      The authors demonstrate using a transient transfection method that MmpE when expressed as a GFP-tagged protein in HEK293T cells, exhibits nuclear localisation. The authors identify two NLS motifs that together are required for nuclear localisation of the protein. A deletion of the gene in M. bovis BCG results in poorer survival compared to the wild type parent strain, which is also killed by macrophages. Relative to the WT strain infected macrophages, macrophages infected with the mmpE strain exhibited differential gene expression. Overexpression of the gene in HEK293T led to occupancy of the transcription start site of several genes, including the Vitamin D Receptor. Expression of VDR in THP1 macrophages was lower in case of mmpE infection compared to WT infection. This data supports the utility of the overexpression system in identifying potential target loci of MmpE using the HEK293T transfection model. The authors also demonstrate that the protein is a phosphatase and the phosphatase activity of the protein is partially required for bacterial survival but not for regulation of the VDR gene expression.

      Weaknesses:

      There are significant differences in lysosomal retention between M. tuberculosis and M. bovis BCG. This study uses BCG and MMPE overexpression to draw conclusions about the impact of the MMPE gene on host gene expression and the bacteria's lysosomal localisation. While the authors have convincingly supported their claims with this model system, the relevance of this mechanism in M. tuberculosis infection remains unaddressed.

    5. Author response:

      The following is the authors’ response to the original reviews.

      Public Reviews:

      Reviewer #1 (Public review):

      Summary:

      Review of the manuscript titled " Mycobacterial Metallophosphatase MmpE acts as a nucleomodulin to regulate host gene expression and promotes intracellular survival".

      The study provides an insightful characterization of the mycobacterial secreted effector protein MmpE, which translocates to the host nucleus and exhibits phosphatase activity. The study characterizes the nuclear localization signal sequences and residues critical for the phosphatase activity, both of which are required for intracellular survival.

      Strengths:

      (1) The study addresses the role of nucleomodulins, an understudied aspect in mycobacterial infections.

      (2) The authors employ a combination of biochemical and computational analyses along with in vitro and in vivo validations to characterize the role of MmpE.

      Weaknesses:

      (1) While the study establishes that the phosphatase activity of MmpE operates independently of its NLS, there is a clear gap in understanding how this phosphatase activity supports mycobacterial infection. The investigation lacks experimental data on specific substrates of MmpE or pathways influenced by this virulence factor.

      We thank the reviewer for this insightful comment and agree that identification of the substrates of MmpE is important to fully understand its role in mycobacterial infection. MmpE is a putative purple acid phosphatase (PAP) and a member of the metallophosphoesterase (MPE) superfamily. Enzymes in this family are known for their catalytic promiscuity and broad substrate specificity, acting on phosphomonoesters, phosphodiesters, and phosphotriesters (Matange et al., Biochem J, 2015). In bacteria, several characterized MPEs have been shown to hydrolyze substrates such as cyclic nucleotides (e.g., cAMP) (Keppetipola et al., J Biol Chem, 2008; Shenoy et al., J Mol Biol, 2007), nucleotide derivatives (e.g., AMP, UDP-glucose) (Innokentev et al., mBio, 2025), and pyrophosphate-containing compounds (e.g., Ap4A, UDP-DAGn) (Matange et al., Biochem J., 2015). Although the binding motif of MmpE has been identified, determining its physiological substrates remains challenging due to the low abundance and instability of potential metabolites, as well as the limited sensitivity and coverage of current metabolomic technologies in mycobacteria.

      (2) The study does not explore whether the phosphatase activity of MmpE is dependent on the NLS within macrophages, which would provide critical insights into its biological relevance in host cells. Conducting experiments with double knockout/mutant strains and comparing their intracellular survival with single mutants could elucidate these dependencies and further validate the significance of MmpE's dual functions.

      We thank the reviewer for the comment. Deletion of the NLS motifs did not impair MmpE’s phosphatase activity in vitro (Figure 2F), indicating that MmpE's enzymatic function operates independently of its nuclear localization. Indeed, we confirmed that Fe<sup>3+</sup>-binding ability via the residues H348 and N359 is required for enzymatic activity of MmpE. We have expanded on this point in the Discussion section “MmpE is a bifunctional virulence factor in Mtb”.

      (3) The study does not provide direct experimental validation of the MmpE deletion on lysosomal trafficking of the bacteria.

      We thank the reviewer for the comment. To validate the role of MmpE in lysosome maturation during infection, we conducted fluorescence colocalization assays in THP-1 macrophages infected with BCG strains, including WT, ∆MmpE, Comp-MmpE, Comp-MmpE<sup>ΔNLS1</sup>, Comp-MmpE<sup>ΔNLS2</sup>, Comp-MmpE<sup>ΔNLS1-2</sup>. These strains were stained with the lipophilic membrane dye DiD, while macrophages were treated with the acidotropic probe LysoTracker<sup>TM</sup> Green (Martins et al., Autophagy, 2019). The result indicated that ΔMmpE and MmpE<sup>NLS1-2</sup> mutants exhibited significantly higher co-localization with LysoTracker compared to WT and Comp-MmpE strains (New Figure 5G), suggesting that MmpE deletion leads to enhanced lysosomal maturation during infection.

      (4) The role of MmpE as a mycobacterial effector would be more relevant using virulent mycobacterial strains such as H37Rv.

      We thank the reviewer for the comment. Previously, the role of Rv2577/MmpE as a virulence factor has been demonstrated in M. tuberculosis CDC 1551, where its deletion significantly reduced bacterial replication in mouse lungs at 30 days post-infection (Forrellad et al., Front Microbiol, 2020). However, that study did not explore the underlying mechanism of MmpE function. In our study, we found that MmpE enhances M. bovis BCG survival in macrophages (THP-1 and RAW264.7 both) and in mice (Figure 3, Figure 7A), consistent with its proposed role in virulence. To investigate the molecular mechanism by which MmpE promotes intracellular survival, we used M. bovis BCG as a biosafe surrogate and this model is widely accepted for studying mycobacterial pathogenesis (Wang et al., Nat Immunol, 2015; Wang et al., Nat Commun, 2017; Péan et al., Nat Commun, 2017).

      Reviewer #2 (Public review):

      Summary:

      In this paper, the authors have characterized Rv2577 as a Fe3+/Zn2+ -dependent metallophosphatase and a nucleomodulin protein. The authors have also identified His348 and Asn359 as critical residues for Fe3+ coordination. The authors show that the proteins encode for two nuclease localization signals. Using C-terminal Flag expression constructs, the authors have shown that the MmpE protein is secretory. The authors have prepared genetic deletion strains and show that MmpE is essential for intracellular survival of M. bovis BCG in THP-1 macrophages, RAW264.7 macrophages, and a mouse model of infection. The authors have also performed RNA-seq analysis to compare the transcriptional profiles of macrophages infected with wild-type and MmpE mutant strains. The relative levels of ~ 175 transcripts were altered in MmpE mutant-infected macrophages and the majority of these were associated with various immune and inflammatory signalling pathways. Using these deletion strains, the authors proposed that MmpE inhibits inflammatory gene expression by binding to the promoter region of a vitamin D receptor. The authors also showed that MmpE arrests phagosome maturation by regulating the expression of several lysosome-associated genes such as TFEB, LAMP1, LAMP2, etc. These findings reveal a sophisticated mechanism by which a bacterial effector protein manipulates gene transcription and promotes intracellular survival.

      Strength:

      The authors have used a combination of cell biology, microbiology, and transcriptomics to elucidate the mechanisms by which Rv2577 contributes to intracellular survival.

      Weakness:

      The authors should thoroughly check the mice data and show individual replicate values in bar graphs.

      We kindly appreciate the reviewer for the advice. We have now updated the relevant mice data in the revised manuscript.

      Reviewer #3 (Public review):

      Summary:

      In this manuscript titled "Mycobacterial Metallophosphatase MmpE Acts as a Nucleomodulin to Regulate Host Gene Expression and Promote Intracellular Survival", Chen et al describe biochemical characterisation, localisation and potential functions of the gene using a genetic approach in M. bovis BCG and perform macrophage and mice infections to understand the roles of this potentially secreted protein in the host cell nucleus. The findings demonstrate the role of a secreted phosphatase of M. bovis BCG in shaping the transcriptional profile of infected macrophages, potentially through nuclear localisation and direct binding to transcriptional start sites, thereby regulating the inflammatory response to infection.

      Strengths:

      The authors demonstrate using a transient transfection method that MmpE when expressed as a GFP-tagged protein in HEK293T cells, exhibits nuclear localisation. The authors identify two NLS motifs that together are required for nuclear localisation of the protein. A deletion of the gene in M. bovis BCG results in poorer survival compared to the wild-type parent strain, which is also killed by macrophages. Relative to the WT strain-infected macrophages, macrophages infected with the ∆mmpE strain exhibited differential gene expression. Overexpression of the gene in HEK293T led to occupancy of the transcription start site of several genes, including the Vitamin D Receptor. Expression of VDR in THP1 macrophages was lower in the case of ∆mmpE infection compared to WT infection. This data supports the utility of the overexpression system in identifying potential target loci of MmpE using the HEK293T transfection model. The authors also demonstrate that the protein is a phosphatase, and the phosphatase activity of the protein is partially required for bacterial survival but not for the regulation of the VDR gene expression.

      Weaknesses:

      (1) While the motifs can most certainly behave as NLSs, the overexpression of a mycobacterial protein in HEK293T cells can also result in artefacts of nuclear localisation. This is not unprecedented. Therefore, to prove that the protein is indeed secreted from BCG, and is able to elicit transcriptional changes during infection, I recommend that the authors (i) establish that the protein is indeed secreted into the host cell nucleus, and (ii) the NLS mutation prevents its localisation to the nucleus without disrupting its secretion.

      We kindly appreciate the reviewer for this insightful comment. To confirm the translocation of MmpE into the host nucleus during BCG infection, we first detected the secretion of MmpE by M. bovis BCG, using Ag85B as a positive control and GlpX as a negative control (Zhang et al., Nat commun, 2022). Our results showed that MmpE- Flag was present in the culture supernatant, indicating that MmpE is secreted by BCG indeed (new Figure S1C).

      Next, we performed immunoblot analysis of the nuclear fractions from infected THP-1 macrophages expressing FLAG-tagged wild-type MmpE and NLS mutants. The results revealed that only wild-type MmpE was detected in the nucleus, while MmpE<sup>ΔNLS1</sup>, MmpE<sup>ΔNLS2</sup> and MmpE<sup>ΔNLS1-2</sup> were not detectable in the nucleus (New Figure S1D). Taken together, these findings demonstrated that MmpE is a secreted protein and that its nuclear translocation during infection requires both NLS motifs.

      Demonstration that the protein is secreted: Supplementary Figure 3 - Immunoblotting should be performed for a cytosolic protein, also to rule out detection of proteins from lysis of dead cells. Also, for detecting proteins in the secreted fraction, it would be better to use Sauton's media without detergent, and grow the cultures without agitation or with gentle agitation. The method used by the authors is not a recommended protocol for obtaining the secreted fraction of mycobacteria.

      We kindly appreciate the reviewer for the advice. To avoid the effects of bacterial lysis, we cultured the BCG strains expressing MmpE-Flag in Middlebrook 7H9 broth with 0.5% glycerol, 0.02% Tyloxapol, and 50 µg/mL kanamycin at 37 °C with gentle agitation (80 rpm) until an OD<sub>600</sub> of approximately 0.6 (Zhang et al., Nat Commun, 2022). Subsequently, we assessed the secretion of MmpE-Flag in the culture supernatant, using Ag85B as a positive control and GlpX as a negative control (New Figure S1C). The results showed that GlpX was not detected in the supernatant, while MmpE and Ag85B were detected, indicating that MmpE is indeed a secreted protein in BCG.

      Demonstration that the protein localises to the host cell nucleus upon infection: Perform an infection followed by immunofluorescence to demonstrate that the endogenous protein of BCG can translocate to the host cell nucleus. This should be done for an NLS1-2 mutant expressing cell also.

      We thank the reviewer for the suggestion. We agree that this experiment would be helpful to further verify the ability of MmpE for nuclear import. However, MmpE specific antibody is not available for us for immunofluorescence experiment. Alternatively, we performed nuclear-cytoplasmic fractionation for the THP-1 cells infected with the M. bovis BCG strains expressing FLAG-tagged wild-type MmpE, as well as NLS deletion mutants (MmpE<sup>ΔNLS1</sup>, MmpE<sup>ΔNLS2</sup>, and MmpE<sup>ΔNLS1-2</sup>). The WT MmpE is detectable in both cytoplasmic and nuclear compartments, while MmpE<sup>ΔNLS1</sup>, MmpE<sup>ΔNLS2</sup> or MmpE<sup>ΔNLS1-2</sup> were almost undetectable in nuclear fractions (New Figure S1D), suggesting that both NLS motifs are necessary for nuclear import.

      (2) In the RNA-seq analysis, the directionality of change of each of the reported pathways is not apparent in the way the data have been presented. For example, are genes in the cytokine-cytokine receptor interaction or TNF signalling pathway expressed more, or less in the ∆mmpE strain?

      We thank the reviewer for the comment. The KEGG pathway enrichment diagrams in our RNA-seq analysis primarily reflect the statistical significance of pathway enrichment based on differentially expressed genes, but do not indicate the directionality of genes expression changes. To address this concern, we conducted qRT-PCR on genes associated with the cytokine-cytokine receptor interaction pathway, specifically IL23A, CSF2, and IL12B. The results showed that, compared to the WT strain, infection with the ΔMmpE strain resulted in significantly increased expression levels of these genes in THP-1 cells (Figure 4F, Figure S4B), consistent with the RNA-seq data. Furthermore, we have submitted the complete RNA-seq dataset to the NCBI GEO repository [GSE312039], which includes normalized expression values and differential expression results for all detected genes.

      (3) Several of these pathways are affected as a result of infection, while others are not induced by BCG infection. For example, BCG infection does not, on its own, produce changes in IL1β levels. As the author s did not compare the uninfected macrophages as a control, it is difficult to interpret whether ∆mmpE induced higher expression than the WT strain, or simply did not induce a gene while the WT strain suppressed expression of a gene. This is particularly important because the strain is attenuated. Does the attenuation have anything to do with the ability of the protein to induce lysosomal pathway genes? Does induction of this pathway lead to attenuation of the strain? Similarly, for pathways that seem to be downregulated in the ∆mmpE strain compared to the WT strain, these might have been induced upon infection with the WT strain but not sufficiently by the ∆mmpE strain due to its attenuation/ lower bacterial burden.

      We thank the reviewer for the comment. Previous studies have shown that wild-type BCG induces relatively low levels of IL-1β, while retaining partial capacity to activate the inflammasome (Qu et al., Sci Adv, 2020). Our data (Figures 3G) show that infection with the ΔMmpE strain results in enhanced IL-1β expression, consistent with findings by Master et al. (Cell Host Microbe, 2008), in which deletion of zmp1 in BCG or M. tuberculosis led to increased IL-1β levels due to reduced inhibition of inflammasome activation.

      In the revised manuscript, we have provided additional qRT-PCR data using uninfected macrophages as a baseline control. These results demonstrate that the WT strain suppresses lysosome-associated gene expression, whereas the ΔMmpE strain upregulates these genes, indicating that MmpE inhibits lysosome-related genes expression (Figure 4G). Furthermore, bacterial burden analysis revealed that ∆mmpE exhibited ~3-fold lower intracellular survival than the WT strain in THP-1 cells. However, when lysosomal maturation was inhibited, the difference in bacterial load between the two strains was reduced to ~1-fold (New Figures S6B and C). These findings indicate that MmpE promotes intracellular survival primarily by inhibiting lysosomal maturation, which is consistent with a previous study (Chandra et al., Sci Rep, 2015).

      (4) CHIP-seq should be performed in THP1 macrophages, and not in HEK293T. Overexpression of a nuclear-localised protein in a non-relevant line is likely to lead to several transcriptional changes that do not inform us of the role of the gene as a transcriptional regulator during infection.

      We thank the reviewer for the comment. We performed ChIP-seq in HEK293T cells based on their high transfection efficiency, robust nuclear protein expression, and well-annotated genome (Lampe et al., Nat Biotechnol, 2024; Marasco et al., Cell, 2022). These characteristics make HEK293T an ideal system for the initial identification of genome-wide chromatin binding profiles by MmpE.

      Further, we performed comprehensive validation of the ChIP-seq findings in THP-1 macrophages. First, CUT&Tag and RNA-seq analyses in THP-1 cells revealed that MmpE modulates genes involved in the PI3K–AKT signaling and lysosomal maturation pathways (Figure 4C; Figure S5A-B). Correspondingly, we found that infection with the ΔMmpE strain led to reduced phosphorylation of AKT (S473), mTOR (S2448), and p70S6K (T389) (New Figure 5E-F), and upregulation of lysosomal genes such as TFEB, LAMP1, and LAMP2 (Figure 4G), compared to infection with the WT strain, and lysosomal maturation in cells infected with the ΔMmpE strain more obviously (New Figure 5G). Additionally, CUT&Tag profiling identified MmpE binding at the promoter region of the VDR gene, which was further validated by EMSA and ChIP-qPCR. Also, qRT-PCR demonstrated that MmpE suppresses VDR transcription, supporting its role as a transcriptional regulator (Figure 6). Collectively, these data confirm the biological relevance and functional significance of the ChIP-seq findings obtained in HEK293T cells.

      (5) I would not expect to see such large inflammatory reactions persisting 56 days post-infection with M. bovis BCG. Is this something peculiar for an intratracheal infection with 1x107 bacilli? For images of animal tissue, the authors should provide images of the entire lung lobe with the zoomed-in image indicated as an inset.

      We thank the reviewer for the comment. The lung inflammation peaked at days 21–28 and had clearly subsided by day 56 across all groups (New Figure 7B), consistent with the expected resolution of immune responses to an attenuated strain like M. bovis BCG. This temporal pattern is in line with previous studies using intravenous or intratracheal BCG vaccination in mice and macaques, which also demonstrated robust early immune activation followed by resolution over time (Smith et al., Nat Microbiol, 2025; Darrah et al., Nature, 2020).

      In this study, the infectious dose (1×10<sup>7</sup> CFU intratracheal) was selected based on previous studies in which intratracheal delivery of 1×10<sup>7</sup> CFU produced consistent and measurable lung immune responses and pathology without causing overt illness or mortality (Xu et al., Sci Rep, 2017; Niroula et al., Sci Rep, 2025). We have provided whole-lung lobe images with zoomed-in insets in the source dataset.

      (6) For the qRT-PCR based validation, infections should be performed with the MmpE-complemented strain in the same experiments as those for the WT and ∆mmpE strain so that they can be on the same graph, in the main manuscript file. Supplementary Figure 4 has three complementary strains. Again, the absence of the uninfected, WT, and ∆mmpE infected condition makes interpretation of these data very difficult.

      We thank the reviewer for the comment. As suggested, we have conducted the qRT-PCR experiment including the uninfected, WT, ∆mmpE, Comp-MmpE, and the three complementary strains infecting THP-1 cells (Figure 4F and G; New Figure S4B–D).

      (7) The abstract mentions that MmpE represses the PI3K-Akt-mTOR pathway, which arrests phagosome maturation. There is not enough data in this manuscript in support of this claim. Supplementary Figure 5 does provide qRT-PCR validation of genes of this pathway, but the data do not indicate that higher expression of these pathways, whether by VDR repression or otherwise, is driving the growth restriction of the ∆mmpE strain.

      We thank the reviewer for the comment. In the updated manuscript, we have provided more evidence. First, the RNA-seq analysis indicated that MmpE affects the PI3K-AKT signaling pathway (Figure 4C). Second, CUT&Tag analysis suggested that MmpE binds to the promoter regions of key pathway components, including PRKCBPLCG2, and PIK3CB (Figure S5A). Third, confocal microscopy showed that ΔMmpE strain promotes significantly increased lysosomal maturation compared to the WT, a process downstream of the PI3K-AKT-mTOR axis (New Figure 5G).

      Further, we measured protein phosphorylation for validating activation of the pathway (Zhang et al., Stem Cell Reports, 2017). Our results showed that cells infected with WT strains exhibited significantly higher phosphorylation of Akt, mTOR, and p70S6K compared to those infected with ΔMmpE strains (New Figures 5E and F). Moreover, the dual PI3K/mTOR inhibitor BEZ235 abolished the survival advantage of WT strains over ΔMmpE mutants in THP-1 macrophages (New Figure S6B and C). Collectively, these results support that MmpE activates the PI3K–Akt–mTOR signaling pathway to enhance bacterial survival within the host.

      (8) The relevance of the NLS and the phosphatase activity is not completely clear in the CFU assays and in the gene expression data. Firstly, there needs to be immunoblot data provided for the expression and secretion of the NLS-deficient and phosphatase mutants. Secondly, CFU data in Figure 3A, C, and E must consistently include both the WT and ∆mmpE strain.

      We thank the reviewer for the comment. We have now added immunoblot analysis for expression and secretion of MmpE mutants. The result show that NLS-deficient and phosphatase mutants can detected in supernatant (New Figure S1C). Additionally, we have revised Figures 3A, 3C, and 3E to consistently include both the WT and ΔMmpE strains in the CFU assays (Figures 3A, 3C, and 3E).

      Recommendations for the authors:

      Reviewer #2 (Recommendations for the authors):

      The authors should attempt to address the following comments:

      (1) Please perform densitometric analysis for the western blot shown in Figure 1E.

      We sincerely thank the reviewer for the suggestion. In the updated manuscript, we have performed densitometric analysis of the western blot shown in New Figure 1F and G.

      (2) Is it possible to measure the protein levels for MmpE in lysates prepared from infected macrophages.

      We thank the reviewer for the comment. In the revised manuscript, we performed immunoblot analysis to measure MmpE levels in lysates from infected macrophages. The results demonstrated that wild-type MmpE was present in both the cytoplasmic and nuclear fractions during infection in THP-1 cells (New Figure S1D).

      (3) The authors should perform circular dichroism studies to compare the secondary structure of wild type and mutant proteins (in particular MmpEHis348 and MmpEAsn359.

      We thank the reviewer for this valuable suggestion. We agree that circular dichroism spectroscopy could provide useful information in comparison of the differences on the secondary structures. However, due to the technical limitations, we instead compared the structures of wild-type MmpE and the His348 and Asn359 mutant proteins predicted by AlphaFold. These structural models showed almost no differences in secondary structures between the wild-type and mutants (Figure S1B).

      (4) The authors should perform more experiments to determine the binding motif for MmpE in the promoter region of VDR.

      We thank the reviewer for this suggestion. In the current study, we have identified the MmpE-binding motif within the promoter region of VDR using CUT&Tag sequencing. This prediction was further validated by ChIP-qPCR and EMSA (Figure 6). These complementary approaches collectively support the identification of a specific MmpE-binding motif and demonstrate its functional relevance. Such approach was acceptable in many publications (Wen et al., Commun Biol, 2020; Li et al., Nat Commun, 2022).

      (5) Were the transcript levels of VDR also measured in the lung tissues of infected animals?

      We thank the reviewer for this suggestion. In the revised manuscript, we have performed qRT-PCR to assess VDR transcript levels in the lung tissues of infected mice (New Figure S8B).

      (6) How does MmpE regulate the expression of lysosome-associated genes?

      We thank the reviewer for this question. Our experiments suggested that MmpE suppresses lysosomal maturation probably by activating the host PI3K–AKT–mTOR signaling pathway (New Figure 5E–I). This pathway is well established as a negative regulator of lysosome biogenesis and function (Yang et al., Signal Transduct Target Ther, 2020; Cui et al., Nature, 2023; Cui et al., Nature, 2025). During infection, THP-1 cells infected with the WT showed increased phosphorylation of Akt, mTOR, and p70S6K compared to those infected with ΔMmpE (New Figure S5C, New Figure 5E and F), and concurrently downregulated key lysosomal maturation markers, including TFEB, LAMP1, LAMP2, and multiple V-ATPase subunits (Figure 4G). Given that PI3K–AKT–mTOR signaling suppresses TFEB activity and lysosomal gene transcription (Palmieri et al., Nat Commun, 2017), we propose that MmpE modulates lysosome-associated gene expression and lysosomal function probably by PI3K–AKT–mTOR signaling pathway.

      (7) Mice experiment:

      (a) The methods section states that mice were infected intranasally, but the legend for Figure 6 states intratracheally. Kindly check?

      (b) Supplementary Figure 7 - this is not clear. The legend says bacterial loads in spleens (CFU/g) instead of DNA expression, as shown in the figure.

      (c) The data in Figure 6 and Figure S7 seem to be derived from the same experiment, but the number of animals is different. In Figure 6, it is n = 6, and in Figure S7, it is n=3.

      We thank the reviewer for the comments.

      (a) The infection was performed intranasally, and the figure legend for New Figure 7 has now been corrected.

      (b) We adopted quantitative PCR method to measure bacterial DNA levels in the spleens of infected mice. We have now revised the legend.

      (c) We have conducted new experiments where each experiment now includes six mice. The results are showed in Figure 7B and C, as well as in the new Figure S8.

      (8) The authors should show individual values for various replicates in bar graphs (for all figures).

      We thank the reviewer for this helpful suggestion. We have now updated all relevant bar graphs to include individual data points for each biological replicate.

      (9) The authors should validate the relative levels of a few DEGs shown in Figure 3F, Figure 3G, and Figure S4C, in the lung tissues of mice infected with wild-type, mutant, and complemented strains.

      We thank the reviewer for this suggestion. In the revised manuscript, we have performed qRT-PCR to validate the expression levels of selected DEGs, including inflammation-related and lysosome-associated genes, in lung tissues from mice infected with wild-type, mutant, and complemented strains (New Figure S8C-H).

      (10) Did the authors perform an animal experiment using a mutant strain complemented with the phosphatase-deficient MmpE (Comp-MmpE-H348AN359H)?

      We appreciate the reviewer's comment. We agree that an additional animal experiment would be useful to assess the effects of the phosphatase. However, our study mainly focused on interpreting the function of the nuclear localization of MmpE during BCG infection. Additionally, we have assessed the role of the phosphatase of MmpE during infection with cell model (Figure 3E).

      Minor comment:

      The mutant strain should be verified by either Southern blot or whole genome sequencing.

      We thank the reviewer for this comment. We verified deletion of mmpE gene by PCR method (Figure S3A-D) which was acceptable in many publications (Zhang et al., PLoS Pathog, 2020; Zhang et al., Nat Commun, 2022).

      Reviewer #3 (Recommendations for the authors):

      (1) Line 195: cytokine.

      We thank the reviewer for the comments. We have now corrected it.

      (2) Line 225: rewording required.

      Corrected.

      (3) Figure 4A. "No difference" instead of "No different".

      Corrected.

      (4) "KommpE" should be replaced with "∆mmpE strain" (∆=delta symbol).

      Corrected.

      (5) Supplementary Figure 7. The figure legend states CFU assays, but the y-axis and the graph seem to depict IS1081 quantification.

      We thank the reviewer for the comment. The figure is based on IS1081 quantification using qRT-PCR, not CFU assays. We have now revised the legend for New Figure S8A.

      References

      Chandra P, Ghanwat S, Matta SK, Yadav SS, Mehta M, Siddiqui Z, Singh A, Kumar D (2015) Mycobacterium tuberculosis Inhibits RAB7 Recruitment to Selectively Modulate Autophagy Flux in Macrophages Sci Rep 5:16320.

      Darrah PA, Zeppa JJ, Maiello P, Hackney JA, Wadsworth MH 2nd, Hughes TK, Pokkali S, Swanson PA 2nd, Grant NL, Rodgers MA, Kamath M, Causgrove CM, Laddy DJ, Bonavia A, Casimiro D, Lin PL, Klein E, White AG, Scanga CA, Shalek AK, Roederer M, Flynn JL, Seder RA (2020) Prevention of tuberculosis in macaques after intravenous BCG immunization Nature 577:95-102. 

      Forrellad MA, Blanco FC, Marrero Diaz de Villegas R, Vázquez CL, Yaneff A, García EA, Gutierrez MG, Durán R, Villarino A, Bigi F (2020) Rv2577 of Mycobacterium tuberculosis Is a virulence factor with dual phosphatase and phosphodiesterase functions Front Microbiol 11:570794.

      Innokentev A, Sanchez AM, Monetti M, Schwer B, Shuman S (2025) Efn1 and Efn2 are extracellular 5'-nucleotidases induced during the fission yeast response to phosphate starvation mBio 16: e0299224.

      Keppetipola N, Shuman S (2008) A phosphate-binding histidine of binuclear metallophosphodiesterase enzymes is a determinant of 2',3'-cyclic nucleotide phosphodiesterase activity J Biol Chem 283:30942-9.

      Lampe GD, King RT, Halpin-Healy TS, Klompe SE, Hogan MI, Vo PLH, Tang S, Chavez A, Sternberg SH (2024) Targeted DNA integration in human cells without double-strand breaks using CRISPR-associated transposases Nat Biotechnol 42:87-98.

      Li Z, Sheerin DJ, von Roepenack-Lahaye E, Stahl M, Hiltbrunner A (2022) The phytochrome interacting proteins ERF55 and ERF58 repress light-induced seed germination in Arabidopsis thaliana Nat Commun 13:1656.

      Marasco LE, Dujardin G, Sousa-Luís R, Liu YH, Stigliano JN, Nomakuchi T, Proudfoot NJ, Krainer AR, Kornblihtt AR (2022) Counteracting chromatin effects of a splicing-correcting antisense oligonucleotide improves its therapeutic efficacy in spinal muscular atrophy Cell 185:2057-2070.e15.

      Martins WK, Santos NF, Rocha CS, Bacellar IOL, Tsubone TM, Viotto AC, Matsukuma AY, Abrantes ABP, Siani P, Dias LG, Baptista MS (2019) Parallel damage in mitochondria and lysosomes is an efficient way to photoinduce cell death Autophagy 15:259-279.

      Master SS, Rampini SK, Davis AS, Keller C, Ehlers S, Springer B, Timmins GS, Sander P, Deretic V (2008) Mycobacterium tuberculosis prevents inflammasome activation Cell Host Microbe 3:224-32.

      Matange N, Podobnik M, Visweswariah SS (2015) Metallophosphoesterases: structural fidelity with functional promiscuity Biochem J 467:201-16.

      Niroula N, Ghodasara P, Marreros N, Fuller B, Sanderson H, Zriba S, Walker S, Shury TK, Chen JM (2025) Orally administered live BCG and heat-inactivated Mycobacterium bovis protect bison against experimental bovine tuberculosis Sci Rep 15:3764.

      Palmieri M, Pal R, Nelvagal HR, Lotfi P, Stinnett GR, Seymour ML, Chaudhury A, Bajaj L, Bondar VV, Bremner L, Saleem U, Tse DY, Sanagasetti D, Wu SM, Neilson JR, Pereira FA, Pautler RG, Rodney GG, Cooper JD, Sardiello M (2017) mTORC1-independent TFEB activation via Akt inhibition promotes cellular clearance in neurodegenerative storage diseases Nat Commun 8:14338.

      Péan CB, Schiebler M, Tan SW, Sharrock JA, Kierdorf K, Brown KP, Maserumule MC, Menezes S, Pilátová M, Bronda K, Guermonprez P, Stramer BM, Andres Floto R, Dionne MS (2017) Regulation of phagocyte triglyceride by a STAT-ATG2 pathway controls mycobacterial infection Nat Commun 8:14642.

      Qu Z, Zhou J, Zhou Y, Xie Y, Jiang Y, Wu J, Luo Z, Liu G, Yin L, Zhang XL (2020) Mycobacterial EST12 activates a RACK1-NLRP3-gasdermin D pyroptosis-IL-1β immune pathway Sci Adv 6: eaba4733.

      Shenoy AR, Capuder M, Draskovic P, Lamba D, Visweswariah SS, Podobnik M (2007) Structural and biochemical analysis of the Rv0805 cyclic nucleotide phosphodiesterase from Mycobacterium tuberculosis J Mol Biol 365:211-25.

      Smith AA, Su H, Wallach J, Liu Y, Maiello P, Borish HJ, Winchell C, Simonson AW, Lin PL, Rodgers M, Fillmore D, Sakal J, Lin K, Vinette V, Schnappinger D, Ehrt S, Flynn JL (2025) A BCG kill switch strain protects against Mycobacterium tuberculosis in mice and non-human primates with improved safety and immunogenicity Nat Microbiol 10:468-481.

      Wang J, Ge P, Qiang L, Tian F, Zhao D, Chai Q, Zhu M, Zhou R, Meng G, Iwakura Y, Gao GF, Liu CH (2017) The mycobacterial phosphatase PtpA regulates the expression of host genes and promotes cell proliferation Nat Commun 8:244.

      Wang J, Li BX, Ge PP, Li J, Wang Q, Gao GF, Qiu XB, Liu CH (2015) Mycobacterium tuberculosis suppresses innate immunity by coopting the host ubiquitin system Nat Immunol 16:237–245

      Wen X, Wang J, Zhang D, Ding Y, Ji X, Tan Z, Wang Y (2020) Reverse Chromatin Immunoprecipitation (R-ChIP) enables investigation of the upstream regulators of plant genes Commun Biol 3:770.

      Xu X, Lu X, Dong X, Luo Y, Wang Q, Liu X, Fu J, Zhang Y, Zhu B, Ma X (2017) Effects of hMASP-2 on the formation of BCG infection-induced granuloma in the lungs of BALB/c mice Sci Rep 7:2300.

      Zhang L, Hendrickson RC, Meikle V, Lefkowitz EJ, Ioerger TR, Niederweis M. (2020) Comprehensive analysis of iron utilization by Mycobacterium tuberculosis PLoS Pathog 16: e1008337.

      Zhang L, Kent JE, Whitaker M, Young DC, Herrmann D, Aleshin AE, Ko YH, Cingolani G, Saad JS, Moody DB, Marassi FM, Ehrt S, Niederweis M (2022) A periplasmic cinched protein is required for siderophore secretion and virulence of Mycobacterium tuberculosis Nat Commun 13:2255.

      Zhang X, He X, Li Q, Kong X, Ou Z, Zhang L, Gong Z, Long D, Li J, Zhang M, Ji W, Zhang W, Xu L, Xuan A (2017) PI3K/AKT/mTOR Signaling Mediates Valproic Acid-Induced Neuronal Differentiation of Neural Stem Cells through Epigenetic Modifications Stem Cell Reports 8:1256-1269.

    1. , for I knew that they were a people who could be more easily freed and converted to our holy faith by love than by force,

      He is starting to think about converting them and using them

    2. These people are very simple as regards the u.se of arms, as your Highnesses will .sec from the seven that I caused to be taken, to bring home and learn our language and return; unless your Highnesses should order them all to be brought to Castile

      He's asking the queen if he should take them to learn their language, as well that they weren't well educated on weapons

    3. was attentive, and took trouble to ascertain if there was gold. I saw that some of them had a small piece fastened in a hole they have in the nose, and by signs I was able to make out that to the south, or going from the island to the south, there was a king who had great cups full, and who possessed a great quantity.

      shows his desire for looking and getting gold.

    4. As soon as dawn broke many of these people came to the beach, al! youths, as I have said, and all of good stature, a very handsome people. Their hair is not curly, but loose and coarse, like horse hair. In all the forehead is broad, more so than in any other people I have hitherto seen. Their eyes are very beautiful and not small, and themselves far from black, but the color of the Canarians.

      Columbus is describing them specifically saying that they're beautiful.

    5. hey neither carry nor know anything of arms, for I showed them swords, and they took them by the blade and cut themselves through ignorance. They have no iron, their darts being wands without iron, some of them having a fish’s tooth at the end, and others being pointed in various ways.

      shows that they never seen the blades they have and they are ignorant

    6. In this account we see the assumptions and intentions of Christopher Columbus, as he immediately began assessing the potential of these people to serve European economic interests.

      he is looking for how to use them

    7. They should be good servants and intelligent, for I observed that they quickly took in what was said to them, and I believe that they would easily be made Christians, as it appeared to me that they had no religion, our Lord being pleased, will take hence, at the time of my departure, six natives for your Highnesses that they may learn to speak.

      Columbus thought they were easy to control because of their friendliness

    1. leaving the unfamiliar environment of your own home can mean experiencing the discomfort of the new and unfamiliar

      This correlates with my pervious annotation on pushing someone out of your comfort zone. that may be different for everyone and what might be different for someone else. Its always a good idea to try.

    2. The best advice for building confidence and self efficacy when you travel is to stretch yourself. Aim for situations that feel a little bit uncomfortable rather than stretching yourself too far

      this statement is a good push for someone out of their comfort zone and to aim to challenge themselves.

    1. "Meaningful change" = at least one intervention currently in the top 5 moves out of the top 5, OR the #1 ranked intervention changes. This assumes future RCTs incorporate these methods and Founders Pledge updates their CEA accordingly.

      This one is nice -- is it the same in the PQ table?

    2. If you propose a measure other than linear WELLBY in your answer above, how much more would it cost to achieve the same welfare improvement using linear WELLBY instead?

      Make it clear that 'speculative' is OK here

    1. queer women, and LGBTQ communities, in WPS practice. To queer WPS it is vital for those engaged in gender, peace, and security work to revisit core terms (“gender,” “women,” “gender-based violence”) we use in our work as well as the foundation documents (the UN Security Council resolutions, national action plans [NAPs], monitoring reports) and concepts (the role of the Global South, the four pillars of the WPS agenda) with a queer curiosity. My research is not only about adding LGBTQ ident

      ,jv,jhv,jhv

    1. And perjured wights scalded in boiling lead

      perjured – Introduces betrayal and broken oaths, we may expect deception or treachery in the plot. boiling lead – Violent, graphic imagery. Suggests the play will not shy away from brutality.

    2. In secret I possessed a worthy dame

      “Secret” signals a hidden love. Hidden relationships often create a sense of something eventually being exposed or jealousy. These aspects could signal conflict or a scandal.

    1. he balance of payments often placed an upper limit (kokusai shūshi no tenjō, or a balance-of-payments ceiling) on the growth of domestic demand. In 1953 and again in 1957, Japan borrowed the sterling equivalent of $124 million and $125 million, respectively, from the IMF (see Section 2.4 in Chapter 2). Japan also received long-term loans from the World Bank and the

      kuyfuyf,jy.