John Wiley & Sons 1995, 1:4 4 1–4 4 7 28 Beauchamp C, Fridovich

John Wiley & Sons 1995, 1:4.4.1–4.4.7. 28. Beauchamp C, Fridovich

I: Superoxide dismutase: improved assays and an assay applicable to acrylamide gels. Anal Biochem 1971, 44:276–287.CrossRefPubMed 29. Wayne LG, Diaz GA: A double staining method for differentiating between two classes of mycobacterial catalase in polyacrylamide electrophoresis gels. Anal Biochem 1986, 157:89–92.CrossRefPubMed Authors’ contributions TK performed most of the experiments, analyzed the data and wrote the manuscript. AM helped TK with cultivation of B23 and preparation of protein samples. SK and MM were co-supervisors of TK and AM. All authors have MM-102 in vivo read and approved the final version of the manuscript.”
“Background The fungal kingdom comprises a large group of organisms (estimated to consist of over 1.5 million species) selleck with only 5% identified thus far. Fungal species can survive

in virtually all biotopes on earth, as they have been identified in water and soil, and on plants and animals. Part of their success comes from the ability to use different reproductive strategies, which provide increased flexibility for diverse environmental requirements. Fungal species can produce sexual cells and/or this website asexual cells in distinct reproductive structures. Some fungi are able to reproduce both sexually and asexually depending on the circumstances, while others display one mode MRIP of reproduction, only. Sexual reproduction and recombination allows the repair of naturally occurring mutations and results in new genotypes and phenotypes that allow for natural selection [5]. On the other hand, asexual reproduction provides the ability to disperse numerous genetically identical mitospores, without the metabolic costs of sexual reproduction [5]. Aspergillus niger is an ascomycetous fungus that is considered to reproduce through asexual spores, only. Since A. niger is used as a host for the production of homologous and heterologous proteins and commercially

important compounds (such as citric acid), the potential presence of a sexual cycle is highly significant for strain improvement. Recent analysis of the A. niger genome has revealed the presence of a full complement of genes related to sexual reproduction [1]. It was therefore suggested that there could be a latent sexual potential in A. niger. A similar observation applies to Aspergillus fumigatus and Aspergillus oryzae, both only known to reproduce asexually, so far. Comparison of the two genomes to the genome of Aspergillus nidulans (please note that the holomorph is correctly named Emericella nidulans, but is hereafter mentioned as A. nidulans), which has a known sexual cycle, suggests that both A. fumigatus and A. oryzae may be capable of sexual reproduction [6]. It has yet to be determined whether genes related to sexual reproduction in supposedly asexual fungi are functional.

001) There were significant improvements in VO2peak after three

001). There were significant improvements in VO2peak after three weeks of training and supplementing across both treatment groups (p < 0.001; ES: buy S3I-201 0.977). While there

were no significant difference for the improvements in VO2peak at any time point between groups, only the BA group demonstrated significant improvements from mid- to post-training and supplementing (p = 0.010) with no significant change from mid- to post- for the PL group (p = 0.118). Similar results for VO2TTE were also revealed with both groups demonstrating significant improvements from pre- to mid-testing (p < 0.001; ES: 0.983), with no difference between groups. Significant changes from mid- to post-VO2TTE were only evident in the BA group (p = 0.043). There were no significant differences among the improvements in VT between groups. Improvements from pre- to mid VT for both the PL and BA groups did not yield significance. However, the PL group was the only group to demonstrate significant improvements from mid- to post (p = 0.001). Time to exhaustion test-TWD The improvements in TWD were significant

across all time points, with no difference between groups (p > 0.05; ES: 0.898). While not significant, the delta values at both time points were greater for the BA group [KPT-8602 pre-mid: 30.6 ± 19.9 sec; mid-post: 42.3 ± 72.1 sec] when compared to the PL group [pre-mid: 27.6 ± 22.1; mid-post: 18.6 ± 28.3]. Body Composition The physical characteristics TSA HDAC of the subjects determined at mid-testing and after six-weeks of HIIT and supplementing are presented in Table 2. Body mass did not change significantly with supplementing or training. However, the determination of body composition with the use of air displacement plethysmography (Bod Pod®) revealed a significant improvement from pre- to mid-testing in lean body mass in only the BA group (p = 0.011; ES: 0.985) and no change in the PL group (p = 0.138). Furthermore, there were no significant changes in percent body fat (p = 0.287) or fat mass (p = 984) between treatment groups

after three and six weeks of HIIT and supplementation. Table 2 Mean ± SD values for body weight (kg), body fat (%), lean body mass (kg), and fat mass (kg) from pre-, mid-, and post-testing.   β-alanine (n = 18) Placebo Adenosine (n = 18)   Pre-testing Mid-testing Post-testing Pre-testing Mid-testing Post-testing Weight (kg) 78.8 ± 12.8 80.1 ± 13.0 79.8 ± 12.4 78.5 ± 11.3 79.3 ± 12.3 79.8 ± 11.9 Body Fat (%) 13.7 ± 6.3 13.7 ± 6.4 13.7 ± 5.6 16.1 ± 7.5 15.9 ± 8.3 16.0 ± 7.9 Lean Body Mass (kg) 67.6 ± 8.9 68.6 ± 8.6* 68.4 ± 8.4 65.5 ± 8.1 66.1 ± 8.5 65.8 ± 8.4 Fat Mass (kg) 11.3 ± 6.5 11.5 ± 6.8 11.3 ± 6.0 13.0 ± 7.1 13.1 ± 8.0 13.0 ± 7.8 *indicates a significant difference from pre- to mid-testing. (p < 0.05). Dietary Analysis There was no significant difference between groups for their supplement or training compliance rate, representing a 6.4 -3.2 g per day intake for the BA group, for the three and six weeks, respectively.

The erythrocytic phase is the most important phase in the life cy

The erythrocytic phase is the most important phase in the life cycle of the parasite, when it invades the RBCs of the

host and forms an acidic compartment in the lysosome known as the digestive vacuole (DV). The parasite grows in the RBCs and feeds on the hemoglobin Thiazovivin cost of the host cytosol. The parasite accumulates the hemoglobin in the DV and degrades it into its component peptides and heme to form a crystalline polymer hemozoin. Chloroquine works on the fact that the uncharged chloroquine species enters the DV and binds to the hematin, thus preventing its addition into the hemozoin formation. Hematin is a toxic byproduct released during proteolysis of hemoglobin which hinders the detoxification process of the parasite. However, in a chloroquine-resistant strain, mutations in a chloroquine transporter protein do not allow the exit of positively charged chloroquine from the vacuole, thus BAY 80-6946 cost resulting in a net decrease in chloroquine levels inside the DV [21]. The mechanism this website by which AMPs LR14 show anti-plasmodial activity on asexual

erythrocytic stages is unclear. However, it can be hypothesized that differences in the membrane composition, i.e., interaction of the positively charged peptides with the negatively charged surface molecules of the parasites, might play a significant role in killing of the host cells. Also, changes in the functional and structural characteristics of infected erythrocytes has also been reported by various workers GNAT2 when the plasmodium-infected cells are targeted with cationic peptides [6]. These modifications include a marked increase in erythrocyte membrane fluidity, alteration of the host cell’s lipid, fatty acid, protein composition, and phospholipid

distribution, and increased membrane permeability. These modifications result in the formation of erythrocyte membrane channels called “new permeability pathways” (NPPs), thus allowing the selective entry of low molecular weight molecules to the infected erythrocytes [22, 23]. In contrast, uninfected erythrocyte membranes retain asymmetry, and phosphatidylserine is not presented at the external surface prior to a pathological stimulus [6, 24, 25]. AMPs may also have an indirect effect on malaria parasite survival. For example, some synthetic peptides have been shown to kill intracellular blood-stage forms of the malaria parasite [26], whereas some studies have shown that AMPs can induce cells to undergo apoptosis [27]. Generally speaking, the positively charged AMPs LR14 are expected to interact electrostatically with the altered and negatively charged plasma membrane of the infected erythrocytes, traversing the membrane of the host and the parasite to reach its target.

The LexA repressor was also found to interact within PaLoc with o

The LexA repressor was also found to interact within PaLoc with operator identified 525 base pairs upstream of Luminespib the toxin A gene (tcdA). While the regulation of toxin production in C. difficile is controlled in response to several environmental signals mediated by pleiotropic regulators (CcpA, CodY, SigD and SigH [26]), the possible regulation through the SOS system sheds new light on

this issue. Furthermore, the subinhibitory concentration of SOS-inducing antibiotic ciprofloxacin was recently shown to increase the Toxin A gene expression in C. difficile[27]. Our SPR analysis revealed that also housekeeping genes required for ribosome function (rplR) and β subunit RNA polymerase (rpoB) belong to the LexA regulon, a feature of the SOS network not yet observed in bacteria. Thus, blockage of LexA self-cleavage could impede pivotal functions in C. www.selleckchem.com/products/citarinostat-acy-241.html difficile and this might provide a new approach to treat C. difficile infections. Moreover, although putative SOS genes are present in most of the analysed Fosbretabulin nmr genomes, several of these genes encoding for putative cell wall hydrolase, transposase and for two component sensor histidine kinase seem to be regulated by LexA only in the 027 ribotype strains (Table 1). The in silico analysis showed operators in front of several genes upregulated exclusively

in ribotype 075 and 027 (celG, vanR, ABC-type transport system). Furthermore, among the analysed genomes, exclusively in the closely related ribotypes 078, 126 and 033, the LexA target site was not found in front of the soj (regulation of DNA replication) Staurosporine and the phnH (phosphonate metabolism protein). Thus the mode of SOS regulation might be related to phylogenetic lineages. Figure 3 C. difficile LexA regulon genes. (A) SPR sensorgrams of the binding of C. difficile LexA with in silico predicted target DNA sites. Selection of LexA target genes

determined by in silico and analysed by SPR. LexA (20 nM) was injected for 60 s across the chip-immobilized DNA fragments containing either of the putative operators and dissociation was followed for 540 s. The representative sensorgrams are shown and the dissociation constants presented as average values of triplicate experiments presented with standard deviation. By n.d. we mark if dissociation rate constant was not determined and the response units are marked by RU. With the MEME tool determined motifs for the target DNA sites found in promoter regions of the genes higher affinity CDR20291_2056, lexA, uvrB, recA, sspB, ruvC, CDR20291_2689, oppC, tcdA, 97b34v1_250108, showing high affinity for LexA (B) or of the genes rplR, rpoB, soj, potC, vanR, CDR20291_2297 to which LexA does not bind stably (C). Cross-reaction of SOS system components in E. coli and C. difficile Induction of SOS gene expression is synchronized and the level, timing and duration of expression of the individual LexA regulon genes differs significantly (1). In E.

In total those two groups represent 79% of the described species

In total those two groups represent 79% of the described species of true Fungi. Figure 1 Commonly used primers for amplifying parts or the entirety of the ITS region. a) Relative position of the primers, design of the subsets and number of sequences in each subset. b) Primer sequences, references and position of the primer sequence according to a reference sequence of Serpula himantioides (AM946630) stretching the entire nrDNA repeat. The aim of this study was to analyse the biases commonly used ITS Selleckchem TSA HDAC primers might introduce during PCR amplification. First, we addressed to what degree the various primers mismatch with the target sequence and whether the mismatches are more widespread in some

taxonomic groups. Second, we considered the length variation in the amplified products, in relation to taxonomic group, to assess amplification biases during real (in vitro) PCR amplification, as shorter DNA fragments are preferentially amplified from environmental samples containing DNA from a mixture of different species [22]. Finally, we analyzed to what degree the various primers co-amplify plants, which often co-occur in environmental samples. For these purposes we performed in silico

PCR using various primer combinations on target sequences retrieved from EMBL databases as well as subset databases using the bioinformatic tool EcoPCR [23]. In order to better simulate real PCR conditions, we allowed a maximum of 0 to 3 mismatches except for the 2 last bases of each primer and we assessed the melting temperature (Tm) for each primer in relation to primer mismatches. Methods selleck chemicals Compilation of datasets The

the EcoPCR package contains a set of bioinformatics tools developed at the Laboratoire d’Ecologie AP26113 mw Alpine, Grenoble, France ([23], freely available at http://​www.​grenoble.​prabi.​fr/​trac/​ecoPCR). The package is composed of four pieces of software, namely ‘ecoPCRFormat’, ‘ecoFind’, ‘ecoPCR’ and ‘ecoGrep’. Briefly, EcoPCR is based on the pattern matching algorithm agrep [24] and selects sequences from a database that match (exhibit similarity to) two PCR primers. The user can specify (1) which database the given primers should be tested against, and (2) the primer sequences. Different options allow specification of the minimum and maximum amplification length, the maximum count of mismatched positions between each primer and the target sequence (excluding the two bases on the 3′end of each primer), and restriction of the search to given taxonomic groups. The ecoPCR output contains, for each target sequence, amplification length, melting temperature (Tm), taxonomic information as well as the number of mismatched positions for each strand. First, we retrieved from EMBL sequences from fungi in the following categories: ‘standard’, ‘Genome sequence scan’, ‘High Throughput Genome sequencing’, ‘Whole Genome Sequence’ from ftp://​ftp.​ebi.​ac.​uk/​pub/​databases/​embl/​release/​ (release embl_102, January 2010) to create our initial database.

NormFinder also enables estimation of the variation between sampl

NormFinder also enables estimation of the variation between sample subgroups, like

tumour and normal tissue, thus this algorithm can account for heterogeneity in the tested samples, which may be important considering the heterogeneity of the samples studied. The optimal normalization will vary with study design. The most suitable reference gene in one medical condition may be regulated in learn more other tissues or diseases. Blanquicett et al., 2002, found that 18S, S9 and GUS were the least regulated genes among 15 putative reference genes when examining tumour and normal colorectal and liver tissues [28]. Furthermore, Dydensborg et al., 2006, identified B2M as the most appropriate gene for normalizing

colon carcinomas comparing to normal mucosa when they investigated seven colon adenocarcinomas containing both epithelial and stromal cells [29]. B2M was in this study identified as the least stable gene using NormFinder, and the third most variable gene using geNorm. In the present study where the tumour tissue samples consisted of more than 70% tumour cells some of the stromal cells are excluded. This might explain the GDC-0973 order discrepancies in the ranking of B2M since tumour tissue is heterogeneous and the fraction of different cells may influence the gene expression results. Moreover, different patient groups, including age and clinical background, may also give dissimilarities across studies. LY3023414 cost Experimental variations may also influence the gene expression results, though using triplicates in the qRT-PCR analysis as used in this study will diminish this variation. Single assays qRT-PCR are time- and labour-intensive, very and require relatively large amounts of cDNA and PCR reagents in multivariate gene expression studies. TLDA overcome these drawbacks since this technique allows for simultaneously detection of expression of up to 384 genes and requires less template cDNA and PCR reagents than routine qRT-PCR [1, 31, 38–40]. Conclusions In this study we applied TaqMan Low Density Array in order to identify reference genes in

metastatic and non-metastatic colon cancer. The genes often used for normalization of gene expression data may be unstable and thus not suited for use, and therefore identifying stable reference genes in the specific experiment is vital for the results. The approach described herein can serve as a template to identify valid reference genes in any disease state. However, the optimal statistical approach to identify the best reference gene(s) remains to be determined. In the present study NormFinder and geNorm identified two different pairs of the most stable genes. The use of CTCV% might be a good validation of the two results. Nevertheless, the expression of target genes should be evaluated and a comparison of the effect of each pair of reference genes should be determined.

Mutat Res 2003, 526: 93–125 PubMed 6 López-Cima MF, González-Arr

Mutat Res 2003, 526: 93–125.PubMed 6. López-Cima MF, González-Arriaga P, García-Castro L, Pascual T, Marrón MG, Puente XS, Tardón A: Nutlin-3 order polymorphisms in XPC, Seliciclib chemical structure XPD, XRCC1, and XRCC3 DNA repair genes

and lung cancer risk in a population of northern Spain. BMC Cancer 2007, 7: 162.CrossRefPubMed 7. Martinez-Balibrea E, Manzano JL, Martinez-Cardus A, Moran T, Cirauqui B, Catot S, Taron M, Abad A: Combined analysis of genetic polymorphisms in thymidylate synthase, uridine diphosphate glucoronosyltransferase and X-ray cross complementing factor 1 genes as a prognostic factor in advanced colorectal cancer patients treated with 5-fluorouracil plus oxaliplatin or irinotecan. Oncol Rep 2007, 17 (3) : 637–645.PubMed 8. Burri RJ, Stock RG, Cesaretti JA, Atencio DP, Peters S, Peters CA, Fan G, Stone NN, Ostrer H, Rosenstein BS: Association of single nucleotide polymorphisms in SOD2, XRCC1 and XRCC3 with susceptibility for the development of adverse effects resulting from radiotherapy for prostate cancer. Radiat Res 2008, 170 (1) : 49–59.CrossRefPubMed 9. McWilliams RR, Bamlet WR, Cunningham JM, Goode

EL, de Andrade M, Boardman LA, Petersen GM: Polymorphisms in DNA repair genes, smoking, and pancreatic adenocarcinoma risk. Cancer Res 2008, 15;68 (12) : 4928–4935.CrossRef 10. Fontana L, Bosviel R, Delort L, Guy L, Chalabi N, Kwiatkowski F, Satih S, Rabiau N, Boiteux JP, Chamoux A, Bignon YJ, Bernard-Gallon DJ: DNA repair Apoptosis antagonist gene ERCC2, XPC, XRCC1, XRCC3 polymorphisms and associations with bladder cancer risk in a French cohort. Anticancer Res 2008, 28 (3B) : 1853–1856.PubMed 11. Wang Z, Xu B, Lin D, Tan W, Leaw S, Hong X, Hu X: XRCC1 polymorphisms and severe toxicity in lung cancer Immune system patients treated with cisplatin-based chemotherapy in Chinese population. Lung Cancer 2008, 62 (1) : 99–104.CrossRefPubMed 12. Sreeja L, Syamala VS, Syamala V, Hariharan S, Raveendran PB, Vijayalekshmi RV, Madhavan J, Ankathil R: Prognostic importance of DNA repair gene polymorphisms of XRCC1 Arg399Gln and

XPD Lys751Gln in lung cancer patients from India. J Cancer Res Clin Oncol 2008, 134 (6) : 645–652.CrossRefPubMed 13. Dufloth RM, Arruda A, Heinrich JK, Schmitt F, Zeferino LC: The investigation of DNA repair polymorphisms with histopathological characteristics and hormone receptors in a group of Brazilian women with breast cancer. Genet Mol Res 2008, 1;7 (3) : 574–582.CrossRef 14. Yen CY, Liu SY, Chen CH, Tseng HF, Chuang LY, Yang CH, Lin YC, Wen CH, Chiang WF, Ho CH, Chen HC, Wang ST, Lin CW, Chang HW: Combinational polymorphisms of four DNA repair genes XRCC1, XRCC2, XRCC3, and XRCC4 and their association with oral cancer in Taiwan. J Oral Pathol Med 2008, 37 (5) : 271–277.CrossRefPubMed 15. Shall S, de Murcia G: Poly(ADP-ribose) polymerase-1: what have we learned from the deficient mouse model? Mutat Res 2000, 460: 1–15.PubMed 16.

Br J Cancer 2007, 96:639–645 PubMedCrossRef 23 Petrarca CR, Brun

Br J Cancer 2007, 96:639–645.PubMedCrossRef 23. Petrarca CR, Brunetto AT, Duval V, Brondani A, Carvalho GP, Garicochea B: Survivin as a predictive biomarker of complete pathologic response to neoadjuvant chemotherapy in patients with stage II and stage III breast cancer. Clin Breast Cancer 2011, 11:129–134.PubMedCrossRef 24. Izawa A, Kobayashi D, Nasu S, Saito K, Moriai R, Asanuma K, Nakamura M, Yagihashi A, Watanabe N: Relevance of c-erbB-2, PLU-1 and survivin mRNA expression to diagnostic assessment of breast cancer. Anticancer Res 2002, 22:2965–2969.PubMed 25. Kennedy SM, O’Driscoll L, Purcell R, Fitz-Simons N, McDermott EW, Hill AD, O’Higgins NJ, Parkinson

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29. Grunewald TG, Kammerer U, Winkler C, Schindler D, Sickmann A, Honig A, Butt E: Overexpression of LASP-1 mediates migration and proliferation of human ovarian cancer cells and influences zyxin localization. Br J Cancer 2007, 96:296–305.PubMedCrossRef 30. Traenka C, Remke M, Korshunov A, Bender S, Hielscher T, Northcott PA, Witt H, Ryzhova M, Felsberg J, Benner A, Riester S, Scheurlen W, Grunewald TG, von Deimling A, Kulozik AE, Reifenberger G, Taylor MD, Lichter P, Butt E, Pfister SM: Role of LIM and Amisulpride SH3 Protein 1 (LASP1) in the metastastic dissemination of medulloblastoma. Cancer Res 2010, 70:8003–8014.PubMedCrossRef Competing interests The authors declare that they have no competing interests. Authors’ contributions CW performed the miRNA, siRNA and plasmid transfection, the reporter gene construction, the luciferase experiments and drafted the manuscript. XQZ performed the western blot experiments. CYS performed the qRT-PCR. YRS performed colony formation assay and the migration assay. All authors read and approved the final manuscript.”
“Introduction An alarming rate of increase in the incidence of non-melanoma skin cancer (NMSC) is observed worldwide [1]. Within the United States itself, it has been estimated that about 1.7 million new cases of all forms of skin cancer are expected to be diagnosed each year [2].

Nanotechnology 2012, 23:085206 CrossRef 4 Chen C, Yang YC, Zeng

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Demographic data for the 14 remaining patients (seven in diversit

Demographic data for the 14 remaining patients (seven in diversity group 1, four in group 2, three in group 3) are shown in Table 1. This cohort was predominantly white (86 %) and had a mean (±SD) age of 68.0 ± 11.3 years and a mean disease duration of 5.9 ± 5.3 years. Seven patients were recruited at each of the two clinical sites. In total, Emricasan manufacturer 14 fractures had been sustained by ten of the 14 patients. Five of these fractures affected the spine. Remaining fractures were distributed among hip (n = 2), wrist (n = 1), shoulder (n = 1), ribs (n = 2), femur (n = 1), and foot/toe (n = 2).

It proved impossible to recruit patients who were free of comorbid conditions that might be associated with fatigue, poor sleep, pain, or limited mobility, and comorbid conditions affecting these patients included Parkinson’s disease, polymyalgia rheumatica, breast cancer, hyperlipidemia, osteoarthritis, rheumatoid arthritis, and diabetes. Table 1 Participant characteristics,

phase 2 (qualitative research) Characteristic First stage (n = 14) Second stage (n = 18) Age (years; mean ± SD) 68.0 ± 11.3 70.0 ± 9.2 Ethnicity (n [%])      White 12 (85.7) 15 (83.3)  Black/African American 1 (7.1) 0  Asian 1 (7.1) 0  Hispanic/Latino 0 1 (5.6)  Middle Eastern 0 1 (5.6)  Mixed 0 1 (5.6) Main activity (n [%])      Employed full time 2 (14.3) 4 (22.2)  Employed part time 0 2 (11.1)  Self-employed 1 (7.1) 0  Looking after home Selleckchem LY2090314 4 (28.6) 2 (11.1)  Retired 5 (35.7) 8 (44.4)  Disabled 2 (14.3) 2 (11.1) Disease duration (years; mean ± SD) 5.9 ± 5.3 6.0 ± 4.1 Diversity group (n [%])      Group 1 7 (50.0) 8 (44.4)  Group 2 4 (28.6) 5 (27.8)  Group 3 3 (21.4) 5 (27.8) T-score      Total hip (median [range]) −2.2 (−3.3 to −0.7) −2.3 (−3.1 to −1.1)  Femoral neck (median [range]) −2.5 (−3.8 to −0.7) −2.6 (−3.3 to −1.0)  Lumbar spine (median [range]) −2.2 (−3.7 to −0.4) −2.1

(−3.9 to −0.6) Fracture site (number of fractures)      Hip 2 5  Spine 5 3  Wrist 1 1  Ankle 0 1  Distal forearm 0 1  Shoulder 1 0  Humerus 0 2  Ribs 2 1  Pelvis 0 1  Femur 1 0  Foot/toe 2 1 SD standard deviation First stage: concept elicitation In this part of the interview, participants were asked about: Dolichyl-phosphate-mannose-protein mannosyltransferase (1) impacts osteoporosis had on their lives; (2) activities they were able/unable to do or avoided; and (3) any symptoms of which they were aware. The interviews therefore had a broader focus than the content of the instrument administered at that stage. We report here only the findings of relevance to the content of the final Tubastatin A solubility dmso version of OPAQ-PF. Relevant concept elicitation data from the first stage interviews are presented in conjunction with concept elicitation data from the second stage interviews in Table 2, and described in the section titled “Second stage: concept elicitation”. In the first stage of phase 2, no new codes were added after the 12th concept elicitation interview, demonstrating that data saturation was achieved.