Abstract

Mitochondria are essential organelles whose function is upheld by their dynamic nature. This plasticity is mediated by large dynamin-related GTPases, called mitofusins in the case of fusion between two mitochondrial outer membranes. Fusion requires ubiquitylation, attached to K398 in the yeast mitofusin Fzo1, occurring in atypical and conserved forms. Here, modelling located ubiquitylation to α4 of the GTPase domain, a critical helix in Ras-mediated events. Structure-driven analysis revealed a dual role of K398. First, it is required for GTP-dependent dynamic changes of α4. Indeed, mutations designed to restore the conformational switch, in the absence of K398, rescued wild-type-like ubiquitylation on Fzo1 and allowed fusion. Second, K398 is needed for Fzo1 recognition by the pro-fusion factors Cdc48 and Ubp2. Finally, the atypical ubiquitylation pattern is stringently required bilaterally on both involved mitochondria. In contrast, exchange of the conserved pattern with conventional ubiquitin chains was not sufficient for fusion. In sum, α4 lysines from both small and large GTPases could generally have an electrostatic function for membrane interaction, followed by posttranslational modifications, thus driving membrane fusion events.

Highlights

  • Medical staffing of hospital geriatric units workers, local authority health care assistants, and voluntary workers; pre- and postretirement courses; research-clinical or community; self-education; travelling; and committee meetings

  • From time to DHSS gave guidance on the siting of hospitals Geriatrics Society's memorandum on medical time, the British Geriatrics Society for geriatric services, and on geriatric day staff,' has been agreed by the Wessex Regional has attempted to lay down guidelines' about hospitals

  • This guidance related to the siting Board Working Party; and the BMA's the number of medical and nursing staff of inpatient, outpatient, and day hospital Working Party for the Care of the Elderly.5 necessary to provide a resonable standard of services

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Summary

Medical staffing

Services for the care of the elderly in Britain In a letter to regional hospital boards the and grades. This formula, based on the British have developed haphazardly. From time to DHSS gave guidance on the siting of hospitals Geriatrics Society's memorandum on medical time, the British Geriatrics Society for geriatric services, and on geriatric day staff,' has been agreed by the Wessex Regional has attempted to lay down guidelines' about hospitals. This guidance related to the siting Board Working Party; and the BMA's the number of medical and nursing staff of inpatient, outpatient, and day hospital Working Party for the Care of the Elderly. necessary to provide a resonable standard of services.

FORMULA FOR MEDICAL STAFF
GENERAL COMMITMENTS
Three consultants
New charter for ophthalmic medical practitioners
Findings
Medical assistants
Full Text
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