Autoregulation of periodontal ligament cell phenotype and functions by transforming growth factor-beta1

During orthodontic tooth movement, mechanical forces acting on periodontal ligament (PDL) cells induce the synthesis of mediators which alter the growth, differentiation, and secretory functions of cells of the PDL. Since the cells of the PDL represent a heterogeneous population, we examined mechanically stress-induced cytokine profiles in three separate clones of human osteoblast-like PDL cells. Of the four pro-inflammatory cytokines investigated, only IL-6 and TGF-beta1 were up-regulated in response to mechanical stress. However, the expression of other pro-inflammatory cytokines such as IL-1 beta, TNF-alpha, or IL-8 was not observed. To understand the consequences of the increase in TGF-beta1 expression following mechanical stress, we examined the effect of TGF-beta1 on PDL cell phenotype and functions. TGF-beta1 was mitogenic to PDL cells at concentrations between 0.4 and 10 ng/mL. Furthermore, TGF-beta1 down-regulated the osteoblast-like phenotype of PDL cells, i.e., alkaline phosphatase activity, calcium phosphate nodule formation, expression of osteocalcin, and TGF-beta1, in a dose-dependent manner. Although initially TGF-beta1 induced expression of type I collagen mRNA, prolonged exposure to TGF-beta1 down-regulated the ability of PDL cells to express type I collagen mRNA. Our results further show that, within 4 hrs, exogenously applied TGF-beta1 down-regulated IL-6 expression in a dose-dependent manner, and this inhibition was sustained over a six-day period. In summary, the data suggest that mechanically stress-induced TGF-beta1 expression may be a physiological mechanism to induce mitogenesis in PDL cells while down-regulating its osteoblast-like features and simultaneously reducing the IL-6-induced bone resorption.     

The energy parameters of the liver mitochondria under the prolonged action of halothane in vitro]

Chronopharmacodynamics of long-action propranolol hydrochloride-betacap (Natko, India) was studied in 48 patients with essential hypertension stage II. Six randomized groups of patients were given a single dose of 80 mg a day: at 7, 10 a.m., 1, 4, 7 and 10 p.m. Before the treatment, 1.5, 2, 3 and 4 hours after betacap intake, 10 days after the treatment course noninvasive tests of hemodynamics were made. Maximal negative chronotropic and hypotensive effect was demonstrated at 10 p.m., 7 and 10 a.m. The hypotensive effect was hemodynamically insured either through inhibition of the heart rate alone in the intake at 1 and 4 p.m. or both inhibition of the heart rate and decreased total peripheral vascular resistance in the intake at 7 a.m. and 10 p.m., or negative inotropic action of betacap combined with negative chronotropic effect in the intake at 10 a.m. and 7 p.m. Energy consumption of the myocardium was reduced. A circadian rhythm of sensitivity to betacap is shown for total and specific peripheral resistance, rational coefficient, diastolic pressure, energy consumption with acrophase at early morning hours, left ventricular contractility at night time, systolic pressure, double production, stroke index, effective activity of the heart at day time.     

Serum concentrations of lipopolysaccharide activity-modulating proteins during tuberculosis

Lipopolysaccharide (LPS) is the principal stimulator of host defense against gram-negative bacteria. LPS-binding protein (LBP), bactericidal/permeability-increasing protein (BPI), and soluble CD14 (sCD14) bind LPS and regulate its toxicity. Lipoarabinomannan, a cell wall component of Mycobacterium tuberculosis, resembles LPS with respect to induction of inflammatory responses through recognition by LBP and sCD14. LBP, BPI, and sCD14 were measured in serum of 124 patients with tuberculosis in various stages of disease, in persons who had been in close contact with patients with contagious pulmonary tuberculosis, and in healthy controls. Levels of these LPS toxicity-regulating proteins were elevated in patients with active tuberculosis compared with those in contacts and controls and declined during treatment. The levels of LBP and sCD14 were higher in patients with fever and anorexia. LPS-regulating proteins may play a role in host defense during tuberculosis, presumably through interaction with lipoarabinomannan.     

Gyrase and Topo IV modulate chromosome domain size in vivo

In bacteria, DNA supercoil movement is restricted to subchromosomal regions or 'domains.' To elucidate the nature of domain boundaries, we analysed reaction kinetics for gammadelta site-specific resolution in six chromosomal intervals ranging in size from 14 to 90 kb. In stationary cultures of Salmonella typhimurium, resolution kinetics were rapid for both short and long intervals, suggesting that random stationary barriers occur with a 30% probability at approximately 80 kb intervals along DNA. To test the biochemical nature of domain barriers, a genetic screen was used to look for mutants with small domains. Rare temperature-sensitive alleles of DNA gyrase and Topo IV (the two essential type II topoisomerases) had more supercoil barriers than wild-type strains in all growth states. The most severe gyrase mutants were found to have twice as many barriers in growing cells as wild type throughout a 90 kb interval of the chromosome. We propose that knots and tangles in duplex DNA restrain supercoil diffusion in living bacteria.     

Applying an empty-chair monologue paradigm to examine unresolved grief

The thoracic bellows mechanism consists of the rib cage and the diaphragm. The purpose of this study was to determine if nontraumatically acquired lesions of the bellows were secondary to underlying disease. Abnormalities of the bellows, specifically stress fractures of the ribs and hiatal hernia, were found in 21 dogs and cats with underlying cardiopulmonary disease, neuromuscular disease, or metabolic disease. A case-control study of Bulldogs demonstrated that hiatal hernia was associated with the more severe manifestations of brachycephalic syndrome. Stress fractures occurred mostly in females and in cats, and involved multiple ribs. Fractures were usually related to severe respiratory effort, but also occurred in association with metabolic disease. Hiatal hernia was also associated with severe respiratory effort, but may be exacerbated if a neuromuscular disorder affecting the diaphragm is present. Abnormalities of the thoracic bellows, such as rib stress fractures and hiatal hernia, may be signs of underlying disease, rather than being primary causes of disease.     

Practice parameters for evaluating new fever in critically ill adult patients. Task Force of the American College of Critical Care Medicine of the Society of Critical Care Medicine in collaboration with the Infectious Disease Society of America

OBJECTIVE: To develop practice parameters for the evaluation of adult patients who develop a new fever in the intensive care unit (ICU) for the purpose of guiding clinical practice. PARTICIPANTS: A task force of 13 experts in disciplines related to critical care medicine, infectious diseases, and surgery was convened from the membership of the Society of Critical Care Medicine, and the Infectious Disease Society of America. EVIDENCE: The task force members provided the personal experience and determined the published literature (MEDLINE articles, textbooks, etc.) from which consensus would be sought. Published literature was reviewed and classified into one of four categories, according to study design and scientific value. CONSENSUS PROCESS: The task force met several times in person and twice monthly by teleconference over a 1-yr period of time to identify the pertinent literature and arrive at consensus recommendations. Consideration was given to the relationship between the weight of scientific evidence and the experts' opinions. Draft documents were composed and debated by the task force until consensus was reached by nominal group process. CONCLUSIONS: The panel concluded that, because fever can have many infectious and noninfectious etiologies, a new fever in a patient in the ICU should trigger a careful clinical assessment rather than automatic orders for laboratory and radiologic tests. A cost-conscious approach to obtaining cultures and imaging studies should be undertaken if it is indicated after a clinical evaluation. The goal of such an approach is to determine, in a directed manner, whether or not infection is present, so additional testing can be avoided and therapeutic options can be made.     

Flavonoids and lignans from Virola surinamensis twigs and their in vitro activity against Trypanosoma cruzi

A 26-year-old woman developed marked increases in levels of aminotransferases about 24 hours after ingestion of 70 mL of 50% cresol. Responding to supportive measures, the patient recovered without any significant complications. Cresol and/or its metabolite may have caused transient hepato-cellular injury in this patient. In cresol poisoning, hepato-cellular injury can manifest even after a 24-hour asymptomatic period.     

Functions of the hypophysis-gonad and hypophysis-adrenal cortex systems during repeated administration of gonadotropin-releasing hormone in the postnatal period

The status of American cutaneous leishmaniasis was investigated from 1985 to 1991 to provide an epidemiologic characterization of the disease in Bergantin, a rural community in the northeastern part of Anzoátegui State, Venezuela. The study revealed the presence of the infection during the period analyzed, with an average incidence of 50.2 cases per 10,000 inhabitants and this number has increased 1.5 times during the last two years. Three villages where clinical cases had been recorded were selected for a comparison of their prevalence data. These villages comprise the human population in the high and low altitude limits of Bergantin. Immunologic assessment of the inhabitants used two different antigen preparations to examine responses to parasites associated with the cutaneous and visceral forms of the disease. The leishmanin skin test (LST) was used in a sample of 276 individuals (46.3% of the inhabitants) and resulted in an overall positivity of 16.7%. The percentage of LST positivity varied with age and sex, yet analysis of this response and the prevalence for each village reflected the specific characteristics of these localities. La Monta?a, situated at 800 meters above sea level, had the highest prevalence (800 cases per 10,000 inhabitants) and the most positive LST response (21.2%) in comparison with the two other villages situated at a lower altitude (300 meters above sea level).     

Inhibitory influence of sympathetic nerves on afferent nerve-induced extravasation in the rat incisor pulp upon direct electrical stimulation of the tooth

Clinical practice guidelines for primary care providers that address the detection, diagnosis, and treatment of depression may have an impact on psychiatric practice as well as on general medical education and the research agenda. This commentary highlights the conceptual and scientific issues that surrounded the development of these guidelines and speculates on their potential practical impact, particularly on psychiatry.     

Reserve mobilisation in mesquite (Prosopis juliflora) seed (Leguminosae)

The seeds of Prosopis juliflora (mesquite) have a water barrier composed of the palisade layer present in the seed tegument and galactomannans in the endosperm. Changes in the morphological and physiological states of seeds are usually accompanied by changes in their metabolism. The aim of this study was to detect and characterise the main reserves and their mobilisation during and following germination of P. juliflora seeds. Sections of seeds 0, 24, 48 and 72 h after the onset of the imbibing process were evaluated by light microscopy, and seed reserves were extracted and quantified. Polysaccharides were isolated and characterised by ¹H nuclear magnetic resonance (NMR) spectroscopy. In mesquite seeds a well‐developed endosperm, consisting largely of the storage carbohydrate (galactomannans), lies between the seed coat and the cotyledons. Germination was complete after 24 h of imbibition. At this time, morphological changes were observed in stained protein bodies. Chemical analysis showed a decrease in protein levels until 48 h. After 48 h, globular structures were observed in the cotyledon cells, but after 72 h these grains were smaller and their content was reduced. Polarisation microscopy confirmed that this material was composed of starch grains. The ¹H NMR spectrum of P. juliflora seeds showed that sucrose was used following germination. Apparently, sucrose is the transport sugar mobilised from reserve stocks for seedling growth. Parallel to endosperm galactomannan degradation, starch is produced transitorily in the cotyledon. Copyright © 2007 Society of Chemical Industry