Skip to main content
Top
Published in: Virology Journal 1/2007

Open Access 01-12-2007 | Research

Kinetics of antibody-induced modulation of respiratory syncytial virus antigens in a human epithelial cell line

Authors: Rosa E Sarmiento, Rocio G Tirado, Laura E Valverde, Beatriz Gómez-Garcia

Published in: Virology Journal | Issue 1/2007

Login to get access

Abstract

Background

The binding of viral-specific antibodies to cell-surface antigens usually results in down modulation of the antigen through redistribution of antigens into patches that subsequently may be internalized by endocytosis or may form caps that can be expelled to the extracellular space. Here, by use of confocal-laser-scanning microscopy we investigated the kinetics of the modulation of respiratory syncytial virus (RSV) antigen by RSV-specific IgG. RSV-infected human epithelial cells (HEp-2) were incubated with anti-RSV polyclonal IgG and, at various incubation times, the RSV-cell-surface-antigen-antibody complexes (RSV Ag-Abs) and intracellular viral proteins were detected by indirect immunoflourescence.

Results

Interaction of anti-RSV polyclonal IgG with RSV HEp-2 infected cells induced relocalization and aggregation of viral glycoproteins in the plasma membrane formed patches that subsequently produced caps or were internalized through clathrin-mediated endocytosis participation. Moreover, the concentration of cell surface RSV Ag-Abs and intracellular viral proteins showed a time dependent cyclic variation and that anti-RSV IgG protected HEp-2 cells from viral-induced death.

Conclusion

The results from this study indicate that interaction between RSV cell surface proteins and specific viral antibodies alter the expression of viral antigens expressed on the cells surface and intracellular viral proteins; furthermore, interfere with viral induced destruction of the cell.
Appendix
Available only for authorised users
Literature
1.
go back to reference Joseph BS, Oldstone MB: Immunologic injury in measles virus infection. II. Suppression of immune injury through antigenic modulation. J Exp Med. 1975, 142 (4): 864-876. 10.1084/jem.142.4.864.PubMedCrossRef Joseph BS, Oldstone MB: Immunologic injury in measles virus infection. II. Suppression of immune injury through antigenic modulation. J Exp Med. 1975, 142 (4): 864-876. 10.1084/jem.142.4.864.PubMedCrossRef
2.
go back to reference Stackpole C, Jacobson J: Antigen modulation. The handbook of cancer immunology. Edited by: Waters H. 1978, New York, Barland STPM Press, 55-70. Stackpole C, Jacobson J: Antigen modulation. The handbook of cancer immunology. Edited by: Waters H. 1978, New York, Barland STPM Press, 55-70.
3.
go back to reference Dubois-Dalcq M, Hooghe-Peters EL, Lazzarini RA: Antibody-induced modulation of rhabdovirus infection of neurons in vitro. J Neuropathol Exp Neurol. 1980, 39 (5): 507-22.PubMedCrossRef Dubois-Dalcq M, Hooghe-Peters EL, Lazzarini RA: Antibody-induced modulation of rhabdovirus infection of neurons in vitro. J Neuropathol Exp Neurol. 1980, 39 (5): 507-22.PubMedCrossRef
4.
go back to reference Chesebro B, Wehrly K, Doig D, Nishio J: Antibody-induced modulation of Friend virus cell surface antigens decreases virus production by persistent erythroleukemia cells: influence of the Rfv-3 gene. Proc Natl Acad Sci USA. 1979, 76 (11): 5784-5788. 10.1073/pnas.76.11.5784.PubMedPubMedCentralCrossRef Chesebro B, Wehrly K, Doig D, Nishio J: Antibody-induced modulation of Friend virus cell surface antigens decreases virus production by persistent erythroleukemia cells: influence of the Rfv-3 gene. Proc Natl Acad Sci USA. 1979, 76 (11): 5784-5788. 10.1073/pnas.76.11.5784.PubMedPubMedCentralCrossRef
5.
go back to reference Fujinami RS, Sissons JGP, Oldstone MB: Antibody-induced modulation of viral antigens from infected cells: biological and molecular studies of measles virus infection and implications for understanding virus persistence and receptor diseases. Animal Virus Genetics. ICN-UCLA Symposia on Molecular and Cellular Biology. Edited by: Fields B, Jaenisch R, Fox CF. 1980, Academic Press, New York, XVIII: 769-775. Fujinami RS, Sissons JGP, Oldstone MB: Antibody-induced modulation of viral antigens from infected cells: biological and molecular studies of measles virus infection and implications for understanding virus persistence and receptor diseases. Animal Virus Genetics. ICN-UCLA Symposia on Molecular and Cellular Biology. Edited by: Fields B, Jaenisch R, Fox CF. 1980, Academic Press, New York, XVIII: 769-775.
6.
go back to reference Favoreel HW, Nauwynck HJ, Halewyck HM, Van Oostveldt P, Mettenleiter TC, Pensaert MB: Antibody-induced endocytosis of viral glycoproteins and major histocompatibility complex class I on pseudorabies virus-infected monocytes. J Gen Virol. 1999, 80: 1283-1291.PubMedCrossRef Favoreel HW, Nauwynck HJ, Halewyck HM, Van Oostveldt P, Mettenleiter TC, Pensaert MB: Antibody-induced endocytosis of viral glycoproteins and major histocompatibility complex class I on pseudorabies virus-infected monocytes. J Gen Virol. 1999, 80: 1283-1291.PubMedCrossRef
7.
go back to reference Favoreel HW, Nauwynck HJ, Van Oostveldt P, Mettenleiter TC, Pensaert MB: Antibody-induced and cytoskeleton-mediated redistribution and shedding of viral glycoproteins, expressed on pseudorabies virus-infected cells. J Virol. 1997, 71 (11): 8254-8261.PubMedPubMedCentral Favoreel HW, Nauwynck HJ, Van Oostveldt P, Mettenleiter TC, Pensaert MB: Antibody-induced and cytoskeleton-mediated redistribution and shedding of viral glycoproteins, expressed on pseudorabies virus-infected cells. J Virol. 1997, 71 (11): 8254-8261.PubMedPubMedCentral
8.
go back to reference Favoreel HW, Nauwynck HJ, Van Oostveldt P, Pensaert MB: Role of anti-gB and -gD antibodies in antibody-induced endocytosis of viral and cellular cell surface glycoproteins expressed on pseudorabies virus-infected monocytes. Virology. 2000, 67 (2): 151-158. 10.1006/viro.1999.0132.CrossRef Favoreel HW, Nauwynck HJ, Van Oostveldt P, Pensaert MB: Role of anti-gB and -gD antibodies in antibody-induced endocytosis of viral and cellular cell surface glycoproteins expressed on pseudorabies virus-infected monocytes. Virology. 2000, 67 (2): 151-158. 10.1006/viro.1999.0132.CrossRef
9.
go back to reference Van de Walle GR, Favoreel HW, Nauwynck HJ, Van Oostveldt P, Pensaert MB: Antibody-induced internalization of viral glycoproteins in pseudorabies virus-infected monocytes and role of the cytoskeleton: a confocal study. Vet Microbiol. 2002, 22;86 ((1–2)): 51-57. 10.1016/S0378-1135(01)00490-4.CrossRef Van de Walle GR, Favoreel HW, Nauwynck HJ, Van Oostveldt P, Pensaert MB: Antibody-induced internalization of viral glycoproteins in pseudorabies virus-infected monocytes and role of the cytoskeleton: a confocal study. Vet Microbiol. 2002, 22;86 ((1–2)): 51-57. 10.1016/S0378-1135(01)00490-4.CrossRef
10.
go back to reference Favoreel HW, Mettenleiter TC, Nauwynck HJ: Copatching and lipid raft association of different viral glycoproteins expressed on the surfaces of pseudorabies virus-infected cells. J Virol. 2004, 78 (10): 5279-5287. 10.1128/JVI.78.10.5279-5287.2004.PubMedPubMedCentralCrossRef Favoreel HW, Mettenleiter TC, Nauwynck HJ: Copatching and lipid raft association of different viral glycoproteins expressed on the surfaces of pseudorabies virus-infected cells. J Virol. 2004, 78 (10): 5279-5287. 10.1128/JVI.78.10.5279-5287.2004.PubMedPubMedCentralCrossRef
11.
go back to reference Collins PL, Chanok RM, Murphy BR: Respiratory syncytial virus. Fields virology. Edited by: Knipe DM, Howley PM, Griffin DE, Lamb RA, Martin MA, Roizman B, Straus SE. 2001, Lippincott Williams & Wilkins, Philadelphia, Pa, p1443-1485. 4 Collins PL, Chanok RM, Murphy BR: Respiratory syncytial virus. Fields virology. Edited by: Knipe DM, Howley PM, Griffin DE, Lamb RA, Martin MA, Roizman B, Straus SE. 2001, Lippincott Williams & Wilkins, Philadelphia, Pa, p1443-1485. 4
12.
go back to reference Fuentes S, Tran KC, Luthra P, Teng MN, He B: Function of the Respiratory Syncytial Virus small hydrophobic protein. J Virol. 2007 May 9 Fuentes S, Tran KC, Luthra P, Teng MN, He B: Function of the Respiratory Syncytial Virus small hydrophobic protein. J Virol. 2007 May 9
13.
go back to reference Hall CB, Hall WJ, Gala CL, MaGill FB, Leddy JP: Long term prospective study in children after respiratory syncytial virus infection. J Pediatr. 1984, 105: 358-364. 10.1016/S0022-3476(84)80005-0.PubMedCrossRef Hall CB, Hall WJ, Gala CL, MaGill FB, Leddy JP: Long term prospective study in children after respiratory syncytial virus infection. J Pediatr. 1984, 105: 358-364. 10.1016/S0022-3476(84)80005-0.PubMedCrossRef
14.
go back to reference Ogra PL: Respiratory syncytial virus: the virus, the disease and the immune response. Paediatr Respir Rev. 2004, 5 (Suppl A): 119-126. 10.1016/S1526-0542(04)90023-1.CrossRef Ogra PL: Respiratory syncytial virus: the virus, the disease and the immune response. Paediatr Respir Rev. 2004, 5 (Suppl A): 119-126. 10.1016/S1526-0542(04)90023-1.CrossRef
15.
go back to reference Falsey AR, Hennessey PA, Formica MA, Cox C, Walsh EE: Respiratory syncytial virus infection in elderly and high-risk adults. N Engl J Med. 2005, 352: 1749-1759. 10.1056/NEJMoa043951.PubMedCrossRef Falsey AR, Hennessey PA, Formica MA, Cox C, Walsh EE: Respiratory syncytial virus infection in elderly and high-risk adults. N Engl J Med. 2005, 352: 1749-1759. 10.1056/NEJMoa043951.PubMedCrossRef
16.
go back to reference Ebbert JO, Limper H: Respiratory syncytial virus pneumonitis in immunocompromised adults: clinical features and outcome. Respiration. 2005, 72: 263-269. 10.1159/000085367.PubMedCrossRef Ebbert JO, Limper H: Respiratory syncytial virus pneumonitis in immunocompromised adults: clinical features and outcome. Respiration. 2005, 72: 263-269. 10.1159/000085367.PubMedCrossRef
17.
go back to reference Durbin JE, Durbin RK: Respiratory Syncytial Virus-Induced immuneprotection and Immunopathology. Viral Immunology. 2004, 17: 370-380. 10.1089/vim.2004.17.370.PubMedCrossRef Durbin JE, Durbin RK: Respiratory Syncytial Virus-Induced immuneprotection and Immunopathology. Viral Immunology. 2004, 17: 370-380. 10.1089/vim.2004.17.370.PubMedCrossRef
18.
go back to reference Openshaw PJM, Tregoning JS: Immune responses and Disease Enhancement during respiratory Syncytial Virus Infection. Clinical microbiology Reviews. 2005, 18: 541-555. 10.1128/CMR.18.3.541-555.2005.PubMedPubMedCentralCrossRef Openshaw PJM, Tregoning JS: Immune responses and Disease Enhancement during respiratory Syncytial Virus Infection. Clinical microbiology Reviews. 2005, 18: 541-555. 10.1128/CMR.18.3.541-555.2005.PubMedPubMedCentralCrossRef
19.
go back to reference Hoffman SJ, Laham FR, Polack FP: Mechanisms of illness during respiratory syncytial virus infection: the lungs, the virus and the immune response. Microbes Infect. 2004, 6 (8): 767-772. 10.1016/j.micinf.2004.03.010.PubMedCrossRef Hoffman SJ, Laham FR, Polack FP: Mechanisms of illness during respiratory syncytial virus infection: the lungs, the virus and the immune response. Microbes Infect. 2004, 6 (8): 767-772. 10.1016/j.micinf.2004.03.010.PubMedCrossRef
20.
go back to reference Openshaw PJ, Yamaguchi Y, Tregoning JS: Childhood infections, the developing immune system, and the origins of asthma. J Allergy Clin Immunol. 2004, 114: 1275-1277. 10.1016/j.jaci.2004.08.024.PubMedCrossRef Openshaw PJ, Yamaguchi Y, Tregoning JS: Childhood infections, the developing immune system, and the origins of asthma. J Allergy Clin Immunol. 2004, 114: 1275-1277. 10.1016/j.jaci.2004.08.024.PubMedCrossRef
21.
go back to reference Sigurs N, Bjarnason R, Sigurbergsson F, Kjellman B: Respiratory syncytial virus bronchiolitis in infancy is an important risk factor for asthma and allergy at age 7. Am J Respir Crit Care Med. 2000, 161: 150-157. Sigurs N, Bjarnason R, Sigurbergsson F, Kjellman B: Respiratory syncytial virus bronchiolitis in infancy is an important risk factor for asthma and allergy at age 7. Am J Respir Crit Care Med. 2000, 161: 150-157.
22.
go back to reference Papadopoulos NG, Kalobatsou A: Respiratory viruses in childhood asthma. Curr Opin Allergy Clin Immunol. 2007, 7 (1): 91-95.PubMedCrossRef Papadopoulos NG, Kalobatsou A: Respiratory viruses in childhood asthma. Curr Opin Allergy Clin Immunol. 2007, 7 (1): 91-95.PubMedCrossRef
23.
go back to reference Martin Mateos MA: Respiratory syncytial virus infection and asthma. Allergol Immunopathol. 2001, 29 (3): 140-146.CrossRef Martin Mateos MA: Respiratory syncytial virus infection and asthma. Allergol Immunopathol. 2001, 29 (3): 140-146.CrossRef
24.
go back to reference Wilkinson TM, Donaldson GC, Johnston SL, Openshaw PJ, Wedzicha JA: Respiratory syncytial virus, airway inflammation, and FEV1 decline in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2006, 173 (8): 871-876. 10.1164/rccm.200509-1489OC.PubMedCrossRef Wilkinson TM, Donaldson GC, Johnston SL, Openshaw PJ, Wedzicha JA: Respiratory syncytial virus, airway inflammation, and FEV1 decline in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2006, 173 (8): 871-876. 10.1164/rccm.200509-1489OC.PubMedCrossRef
25.
go back to reference Polack FP, Teng MN, Collins PL, Prince GA, Exner M, Regele H, Lirman DD, Rabold R, Hoffman SJ, Karp CL, Kleeberger SR, Wills-Karp M, Karron RA: A role for immune complexes in enhanced respiratory syncytial virus disease. J Exp Med. 2002, 196 (6): 859-65. 10.1084/jem.20020781.PubMedPubMedCentralCrossRef Polack FP, Teng MN, Collins PL, Prince GA, Exner M, Regele H, Lirman DD, Rabold R, Hoffman SJ, Karp CL, Kleeberger SR, Wills-Karp M, Karron RA: A role for immune complexes in enhanced respiratory syncytial virus disease. J Exp Med. 2002, 196 (6): 859-65. 10.1084/jem.20020781.PubMedPubMedCentralCrossRef
26.
go back to reference Openshaw PJ, Tregoning J, Harker J: RSV 2005: Global impact, changing concepts, and new challenges. Viral Immunol. 2005, 18: 749-751. 10.1089/vim.2005.18.749.PubMedCrossRef Openshaw PJ, Tregoning J, Harker J: RSV 2005: Global impact, changing concepts, and new challenges. Viral Immunol. 2005, 18: 749-751. 10.1089/vim.2005.18.749.PubMedCrossRef
27.
go back to reference Schwarze J, O'Donnell DR, Rohwedder A, Openshaw PJ: Latency and persistence of respiratory syncytial virus despite T cell immunity. Am J Respir Crit Care Med. 2004, 169: 801-805. 10.1164/rccm.200308-1203OC.PubMedCrossRef Schwarze J, O'Donnell DR, Rohwedder A, Openshaw PJ: Latency and persistence of respiratory syncytial virus despite T cell immunity. Am J Respir Crit Care Med. 2004, 169: 801-805. 10.1164/rccm.200308-1203OC.PubMedCrossRef
28.
go back to reference Ostler T, Hussell T, Surh CD, Openshaw P, Ehl S: Long-term persistence and reactivation of T cell memory in the lung of mice infected with respiratory syncytial virus. Eur J Immunol. 2001, 31 (9): 2574-2582. 10.1002/1521-4141(200109)31:9<2574::AID-IMMU2574>3.0.CO;2-V.PubMedCrossRef Ostler T, Hussell T, Surh CD, Openshaw P, Ehl S: Long-term persistence and reactivation of T cell memory in the lung of mice infected with respiratory syncytial virus. Eur J Immunol. 2001, 31 (9): 2574-2582. 10.1002/1521-4141(200109)31:9<2574::AID-IMMU2574>3.0.CO;2-V.PubMedCrossRef
29.
go back to reference Scott PD, Ochola R, Ngama N, Okiro EA, Nokes DJ, Medley GF, Cane PA: Molecular analysis of respiratory syncytial virus reinfections in infants from coastal Kenya. J Infect Dis. 2006, 193: 59-67. 10.1086/498246.PubMedPubMedCentralCrossRef Scott PD, Ochola R, Ngama N, Okiro EA, Nokes DJ, Medley GF, Cane PA: Molecular analysis of respiratory syncytial virus reinfections in infants from coastal Kenya. J Infect Dis. 2006, 193: 59-67. 10.1086/498246.PubMedPubMedCentralCrossRef
30.
go back to reference Stensballe LG, Devasundaram JK, Simoes EA: Respiratory syncytial virus epidemics: the ups and downs of a seasonal virus. Pediatr Infect Dis J. 2003, 22 (Suppl 2): 21-32. 10.1097/00006454-200302001-00004. Stensballe LG, Devasundaram JK, Simoes EA: Respiratory syncytial virus epidemics: the ups and downs of a seasonal virus. Pediatr Infect Dis J. 2003, 22 (Suppl 2): 21-32. 10.1097/00006454-200302001-00004.
31.
go back to reference Monto AS: Occurrence of respiratory virus: time, place and person. Pediatr Infect Dis J. 2004, 23 (Suppl 1): 58-64.CrossRef Monto AS: Occurrence of respiratory virus: time, place and person. Pediatr Infect Dis J. 2004, 23 (Suppl 1): 58-64.CrossRef
32.
go back to reference Sarmiento RE, Tirado R, Gomez B: Characteristics of a respiratory syncytial virus persistently infected macrophage-like culture. Virus Res. 2002, 84: 45-58. 10.1016/S0168-1702(01)00420-8.PubMedCrossRef Sarmiento RE, Tirado R, Gomez B: Characteristics of a respiratory syncytial virus persistently infected macrophage-like culture. Virus Res. 2002, 84: 45-58. 10.1016/S0168-1702(01)00420-8.PubMedCrossRef
33.
go back to reference Garcia-Barreno B, Jorcano JL, Aukenbauer T, Lopez-Galindez C, Melero JA: Participation of cytoskeletal intermediate filaments in the infectious cycle of human respiratory syncytial virus (RSV). Virus Res. 1988, 9 (4): 307-321. 10.1016/0168-1702(88)90090-1.PubMedCrossRef Garcia-Barreno B, Jorcano JL, Aukenbauer T, Lopez-Galindez C, Melero JA: Participation of cytoskeletal intermediate filaments in the infectious cycle of human respiratory syncytial virus (RSV). Virus Res. 1988, 9 (4): 307-321. 10.1016/0168-1702(88)90090-1.PubMedCrossRef
34.
go back to reference Valdovinos MR, Gomez B: Establishment of respiratory syncytial virus persistence in cell lines: association with defective interfering particles. Intervirology. 2003, 46 (3): 190-198. 10.1159/000071461.PubMedCrossRef Valdovinos MR, Gomez B: Establishment of respiratory syncytial virus persistence in cell lines: association with defective interfering particles. Intervirology. 2003, 46 (3): 190-198. 10.1159/000071461.PubMedCrossRef
35.
go back to reference Harlow E, Lane D: Antibodies: A Laboratory Manual. Cold Spring Harbor Laboratory. 1988, 521-530. Harlow E, Lane D: Antibodies: A Laboratory Manual. Cold Spring Harbor Laboratory. 1988, 521-530.
36.
go back to reference Olson JK, Grose C: Endocytosis and recycling of varicella-zoster virus Fc receptor glycoprotein gE: internalization mediated by a YXXL motif in the cytoplasmic tail. J Virol. 1997, 71 (5): 4042-4054.PubMedPubMedCentral Olson JK, Grose C: Endocytosis and recycling of varicella-zoster virus Fc receptor glycoprotein gE: internalization mediated by a YXXL motif in the cytoplasmic tail. J Virol. 1997, 71 (5): 4042-4054.PubMedPubMedCentral
37.
go back to reference Mukherjee S, Ghosh RN, Maxfield FR: Endocytosis. Physiol Rev. 1997, 77 (3): 759-803.PubMed Mukherjee S, Ghosh RN, Maxfield FR: Endocytosis. Physiol Rev. 1997, 77 (3): 759-803.PubMed
38.
go back to reference Heuser JE, Anderson RG: Hypertonic media inhibit receptor-mediated endocytosis by blocking clathrin-coated pit formation. J Cell Biol. 1989, 108 (2): 389-400. 10.1083/jcb.108.2.389.PubMedCrossRef Heuser JE, Anderson RG: Hypertonic media inhibit receptor-mediated endocytosis by blocking clathrin-coated pit formation. J Cell Biol. 1989, 108 (2): 389-400. 10.1083/jcb.108.2.389.PubMedCrossRef
39.
go back to reference Favoreel HW: The why's of Y-based motifs in alphaherpesvirus envelope proteins. Virus Res. 2006, 117 (2): 202-8. 10.1016/j.virusres.2005.11.007.PubMedCrossRef Favoreel HW: The why's of Y-based motifs in alphaherpesvirus envelope proteins. Virus Res. 2006, 117 (2): 202-8. 10.1016/j.virusres.2005.11.007.PubMedCrossRef
40.
go back to reference Lamb RA, Kolakofsky D: Paramixoviridae: the virus and their replication. Fundamental virology. Edited by: Knipe DM, Howley PM, Griffin DE, Lamb RA, Martin MA, Roizman B, Straus SE. 2001, Lippincott Williams & Wilkins, Philadelphia, Pa, p689-724. 4 Lamb RA, Kolakofsky D: Paramixoviridae: the virus and their replication. Fundamental virology. Edited by: Knipe DM, Howley PM, Griffin DE, Lamb RA, Martin MA, Roizman B, Straus SE. 2001, Lippincott Williams & Wilkins, Philadelphia, Pa, p689-724. 4
41.
go back to reference Fujinami RS, Oldstone MB: Antigenic modulation: a mechanism of viral persistence. Prog Brain Res. 1983, 59: 105-111.PubMedCrossRef Fujinami RS, Oldstone MB: Antigenic modulation: a mechanism of viral persistence. Prog Brain Res. 1983, 59: 105-111.PubMedCrossRef
42.
go back to reference Oldstone MB: Viral persistence: parameters, mechanisms and future predictions. Virology. 2006, 344 (1): 111-118. 10.1016/j.virol.2005.09.028.PubMedCrossRef Oldstone MB: Viral persistence: parameters, mechanisms and future predictions. Virology. 2006, 344 (1): 111-118. 10.1016/j.virol.2005.09.028.PubMedCrossRef
Metadata
Title
Kinetics of antibody-induced modulation of respiratory syncytial virus antigens in a human epithelial cell line
Authors
Rosa E Sarmiento
Rocio G Tirado
Laura E Valverde
Beatriz Gómez-Garcia
Publication date
01-12-2007
Publisher
BioMed Central
Published in
Virology Journal / Issue 1/2007
Electronic ISSN: 1743-422X
DOI
https://doi.org/10.1186/1743-422X-4-68

Other articles of this Issue 1/2007

Virology Journal 1/2007 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.