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Amblyopia is a developmental disorder of the visual system that leads to reduced vision in one or both eyes. People suffering from amblyopia show different perceptual deficits like reduced contrast sensitivity, reduced or no stereopsis, spatial uncertainty, and spatial and temporal distortions when viewing with the amblyopic eye. In the following thesis, different psychophysical methods are used to investigate anomalous perception of amblyopic participants in detail with the main focus on the perception of temporal instability. In the qualitative experimental paradigms it is shown that temporal instability is mainly perceived by strabismic and strabismic-anisometropic amblyopes. The temporal deficits occur only at spatial frequencies higher than 1.6 c/deg, and are perceived in addition to the spatial distortions. Illusory colours sometimes accompany the temporal distortions. There seems to be a relationship between crossed hand and eye dominance and the perception of temporal instability. In the quantitative experiments it is shown that temporal instability in amblyopic perception has a negative impact on the performance in psychophysical tasks. Amblyopes perceiving temporal instability show enhanced spatial uncertainty and spatial distortions for different types of stimulus presentation (auditive vs. visual) when compared to amblyopes without temporal instability. This might be due to deficits in auditive-visual mapping. These deficits in auditory-to-visual mapping suggest an impairment of the dorsal “where” pathway. Thus, it might be that amblyopes with temporal distortions have deficits in the dorsal pathway that come up in addition to the known deficits of the ventral “what” pathway and are related to the perception of temporal instability. The different results of the experiments found in this thesis seem to confirm this hypothesis. Studies using functional imaging techniques might be appropriate for a further investigation of amblyopic deficits involving the dorsal pathway.
Inhibitors against the NS3-4A protease of hepatitis C virus (HCV) have proven to be useful drugs in the treatment of HCV infection. Although variants have been identified with mutations that confer resistance to these inhibitors, the mutations do not restore replicative fitness and no secondary mutations that rescue fitness have been found. To gain insight into the molecular mechanisms underlying the lack of fitness compensation, we screened known resistance mutations in infectious HCV cell culture with different genomic backgrounds. We observed that the Q41R mutation of NS3-4A efficiently rescues the replicative fitness in cell culture for virus variants containing mutations at NS3-Asp168. To understand how the Q41R mutation rescues activity, we performed protease activity assays complemented by molecular dynamics simulations, which showed that protease-peptide interactions far outside the targeted peptide cleavage sites mediate substrate recognition by NS3-4A and support protease cleavage kinetics. These interactions shed new light on the mechanisms by which NS3-4A cleaves its substrates, viral polyproteins and a prime cellular antiviral adaptor protein, the mitochondrial antiviral signaling protein MAVS. Peptide binding is mediated by an extended hydrogen-bond network in NS3-4A that was effectively optimized for protease-MAVS binding in Asp168 variants with rescued replicative fitness from NS3-Q41R. In the protease harboring NS3-Q41R, the N-terminal cleavage products of MAVS retained high affinity to the active site, rendering the protease susceptible for potential product inhibition. Our findings reveal delicately balanced protease-peptide interactions in viral replication and immune escape that likely restrict the protease adaptive capability and narrow the virus evolutionary space.