Human SMILE-Derived Stromal Lenticule Scaffold for Regenerative Therapy: Review and Perspectives

A transparent cornea is paramount for vision. Corneal opacity is one of the leading causes of blindness. Although conventional corneal transplantation has been successful in recovering patients’ vision, the outcomes are challenged by a global lack of donor tissue availability. Bioengineered corneal tissues are gaining momentum as a new source for corneal wound healing and scar management. Extracellular matrix (ECM)-scaffold-based engineering offers a new perspective on corneal regenerative medicine. Ultrathin stromal laminar tissues obtained from lenticule-based refractive correction procedures, such as SMall Incision Lenticule Extraction (SMILE), are an accessible and novel source of collagen-rich ECM scaffolds with high mechanical strength, biocompatibility, and transparency. After customization (including decellularization), these lenticules can serve as an acellular scaffold niche to repopulate cells, including stromal keratocytes and stem cells, with functional phenotypes. The intrastromal transplantation of these cell/tissue composites can regenerate native-like corneal stromal tissue and restore corneal transparency. This review highlights the current status of ECM-scaffold-based engineering with cells, along with the development of drug and growth factor delivery systems, and elucidates the potential uses of stromal lenticule scaffolds in regenerative therapeutics.     

The Use of Lewis Acids During Rapid Steam Hydrolysis

Mixed hardwood chips were treated with various concentrations of aluminum chloride hexahydrate, aluminum sulfate hydrate, and ferric chloride and were subjected to rapid steam hydrolysis pretreatment (RASH). The three levels included 0.01, 0.03, and 0.05 moles of catalyst per 1000 grams of wood. Rapid steam hydrolysis (RASH) was done from 180° to 260°C at 20°C intervals for one minute. The Lewis acid catalyst affected the overall recovery yield of solids, the recovery values of the individual components, the enzymatic rates, and the methanol and water solubility. Overall recovery of pretreated solids generally decreased with the increase in levels of the catalyst. The one exception was AlCl₃ ·6H₂O where the minimum recovery levels were reached at 0.03 moles per 1000 grams of wood and increased at the higher level of catalyst. Cellulose degradation occurred in the temperature range of 250° to 260°C for the control and at the two lower concentrations of the catalyst. At the higher levels of catalyst, appreciable amounts of cellulose degradation occurred at lower temperatures. Hemicellulose solubilization and degradation were extremely sensitive to the RASH temperature and to the levels of catalyst. Almost all hemicellulose was lost at high temperatures or at high levels of catalyst. Losses of lignin appeared to be affected mainly by the RASH temperature and not by the changes in the levels of catalyst.

In contrast, both the temperature and the level of catalyst strongly affected the rates of enzymatic hydrolysis. Generally, the intermediate level of catalyst seemed to give the highest rates of enzymatic hydrolysis at the lowest temperature. Methanol and water solubles increased in the presence of the catalyst and reached a maximum at levels of 0.03 moles between 230° to 250°C.     

Critical and Subcritical Adhesion Measurements of a Model Epoxy Coating Exposed to Moisture Using the Shaft-Loaded Blister Test

The shaft-loaded blister test (SLBT) was used to investigate the adhesion between a model epoxy coating and a silicon oxide surface as a function of relative humidity. Critical and subcritical strain energy release rates were measured using specimens that incorporate reinforcing layers of Kapton® film. A simplified procedure that eliminates the need for video imaging to measure the blister radius and fracture energy was developed. A critical relative humidity level for adhesion loss was observed, in agreement with measurements that have been made previously in a number of polymeric systems. The SLBT was confirmed to be particularly attractive for fracture energy measurements on thin, strongly adhered coatings and films which otherwise tend to be problematic.     

Semivolatile organic compounds in window films from lower Manhattan after the September 11th World Trade Center attacks

The September 11th World Trade Center (WTC) terrorist attacks resulted in the large-scale release of contaminants that were deposited on the environment of New York City (NYC). Six weeks after the attacks, samples of an organic film on window surfaces were collected and analyzed for polybrominated diphenyl ethers (PBDE), polychlorinated biphenyls (PCB), polychlorinated naphthalenes (PCN), polycyclic aromatic hydrocarbons (PAH), and organochlorine pesticides (OCPs). Concentrations dropped by an order of magnitude within 1 km of the WTC and reached background concentrations by 3.5 km. Concentrations within 1 km of the WTC averaged 3280 ng/m2 for sigmaPBDE, 900 ng/m2 for sigmaPCB, 33 ng/m2 for sigmaPCN, and 77100 ng/m2 for sigmaPAH. Congener profiles of the sites nearest the WTC suggested a combination of combustion and evaporative sources of all compounds, whereas the background sites exhibited profiles consistent with evaporative sources. PBDE profiles showed enrichment in lower molecular weight congeners near the WTC, suggesting that these congeners were formed as a result of the combustion conditions. Homologue fractions of PCN combustion markers were approximately 2-9 times greater at near WTC sites compared to background NYC. Gas-phase air concentrations were back-calculated from measured film concentrations using the film-air partition coefficient (KFA), and calculated air concentrations followed spatial trends observed in films.     

Determining the Strength of Coarse‐Grained AlON and Spinel

The strength of two coarse‐grained (grain size > 200 μm) cubic ceramics, a magnesium aluminate spinel (MgAl₂O₄) and an AlON , along with a fine‐grained (1.5 μm) MgAl₂O₄, was determined by conducting a series of four‐point and equibiaxial flexure tests on specimens of different sizes. Weibull strength size scaling revealed a linear relationship on a log–log plot between average flexure strength and effective specimen area for the fine‐grained spinel, but a nonlinear relationship for both coarse‐grained materials. Initial fractography showed that each material had a single flaw population limiting the strength over the entire specimen size range, which does not account for the nonlinear size scaling relationship in the two coarse‐grained materials. However, further fractography revealed that in both materials there was an initial flaw and a critical flaw. The former appears to be machining/polishing damage that started the fracture process while the latter was a cleaved grain in AlON or a cracked grain boundary in the HP/HIP spinel that lead to fracture of the specimen. The difference between the initial and critical flaw size coupled with a detailed analysis of the strength as a function of test specimen thickness accounted for the nonlinear strength size scaling relationship. As a result, strength values obtained using thin test specimens can lead to an erroneous strength prediction for large components made of these ceramics. The implication of these findings is that strength tests must be conducted using appropriately thick specimens to obtain a representative strength value. If appropriately thick specimens cannot be tested, then fractography must be conducted to determine the flaw size. If the flaw size is sufficiently large, compared with the specimen thickness, then the strength must be adjusted according to a stress field correction factor to obtain a more accurate strength value.     

Cure kinetics of a high epoxide/hydroxyl group-ratio bisphenol a epoxy resin—anhydride system by infrared absorption spectroscopy

An infrared absorption spectroscopy study of the curing (gelation and postcure) kinetics of a high (4.7) epoxide/hydroxyl group-ratio diglycidyl ether of bisphenol A (DGEBA)–mixed anhydride epoxy resin system is reported. Peak assignments to molecular vibrational modes are given for the range 400–4000 cm^?1, and the optical density behavior of all peaks during reaction is discussed in detail. Chemical reaction was found to follow consecutive-step addition esterification and simultaneous addition etherification. Epoxide hydroxyl-group and carboxylic acid dimer hydrogen bonding was found to occur. The gelation phase of reaction is complex, exhibiting rapid initial hydroxyl–anhydride reactions followed by S-shaped kinetics approaching an incompletely reacted limit. Postcure exhibits functional group kinetic behavior similar to that occurring in low epoxide/hydroxyl group-ratio bisphenol A epoxy resin–phthalic anhydride systems and produces similar final chemical structures. The reaction behavior of low and high epoxide/hydroxyl group-ratio bisphenol A epoxy resin–anhydride systems arises from an hydroxyl group-limited inhomogeneous reaction mechanism involving bisphenol A epoxy resin molecular aggregates. The importance of free hydroxyl group content is discussed.     

The use of Haemophilus influenzae type b-tetanus toxoid conjugate vaccine mixed with diphtheria-tetanus-pertussis vaccine in Gambian infants

In preparation for an efficacy trial of PRP-T Haemophilus influenzae type b conjugate vaccine, 251 Gambian infants were randomized to receive three doses of PRP-T and diphtheria-tetanus-pertussis (DTP) vaccines at 2, 3 and 4 months of age, either by separate injections, or combined in the same syringe. One month after the third dose, there was no difference between anti-PRP levels in those infants who received the vaccines separately (GMT 5.83 micrograms ml-1), and those who received the vaccines combined (GMT 5.57 micrograms ml-1). The proportions achieving levels of 1.0 microgram ml-1 were 89% and 92% in the "separate" and "combined" vaccine groups, respectively. There were no significant differences between groups in levels of antibody to diphtheria or tetanus. Geometric mean titres of antibody directed against pertussis antigens in the "separate" and "combined" groups were as follows: pertussis toxin 14.2 and 13.1 ELISA units (EU) ml-1; filamentous haemagglutinin 12.2 and 9.7 EU ml-1; pertactin 17.2 and 9.0 EU ml-1 (P < 0.05), fimbrial 2/3 antigens 449 and 364 EU ml-1. The combination of PRP-T and DTP in the syringe prior to administration is safe and immunogenic. The lower levels of anti-pertussis antibody are of unknown clinical significance.     

Viscoelastic study of ionomers

Stress-relaxation curves were obtained for ionomers containing different cations, per cents of ionization, and thermal treatments. Differences in the rheological behavior were found to depend more on the ionization level than on the ion. A recently proposed model for ionomers is discussed and found to be consistent with these results. In terms of this model the degree of ionization in the polymer acts as a regulator for the growth of small oriented lamellar (crystalline) regions. In the most general terms, the mechanical behavior and strength of ionomers appears dominated by the existence of “hard” regions interspersed among “soft” regions. In the polymers studied here there was some slight crystallinity; however, similar effects and explanations are probably suitable for amorphous “ionomers.” Toughness was also found in some completely amorphous carboxylcontaining copolymers without added ionic salts. The same explanation of “hard” regions interspersed among soft regions is also valid here. The “blocky” nature of the copolymerization may play a role in setting up this type of structure.     

Type A behavior, achievement striving, and a dysfunctional self-evaluation system.

We conducted two experiments to examine the relations among characteristics of how Type A individuals strive for achievement, including goal achievement, self-evaluation, and psychological distress. We evaluated these relations as subjects performed two sequential general information tests. Experiment 1 indicated that achievement striving associated with the Type A behavior pattern is characterized by a tendency to set personal goals in excess of performance and is associated with a low probability of achieving goals. The results of Experiment 2 indicated that the achievement strategy Type A individuals adopted was associated with low self-evaluation of their actual performance. Furthermore, a pre- and postexperiment self-report questionnaire of psychological state suggested that failure to achieve personal goals was related to increased psychological distress. The results of our study suggest that unrealistically high performance standards and failure to achieve personal goals may be a mechanism that triggers the negative psychological states and performance dissatisfaction associated with the Type A behavior pattern. Our study also supports theoretical conceptualizations that excessive achievement striving can act as a potential motivational mechanism. (PsycINFO Database Record (c) 2010 APA, all rights reserved)