The outcome of arthroscopic treatment of temporomandibular joint arthoropathy

The document attached has been archived with permission from the Australian Dental Association. An external link to the publisher’s copy is included.Ninety patients underwent arthroscopic temporomandibular joint surgery to 124 joints for arthropathy which had failed to respond to at least six months of non-surgical treatment. They were surveyed at between 6 months and 5 years (mean 2.5 years) after surgery and 63 per cent responded to the survey. They reported an 82 per cent improvement for pain (50 to 100 per cent better), 80 per cent for clicking and 82 per cent for locking. There was no morbidity following the treatment. Arthroscopic surgery sould be considered for advanced temporomandibular joint arthropathy which is refractory to non-surgical treatment.I. Rosenburg and A. N. Gos

Giardia Flagellar Motility Is Not Directly Required to Maintain Attachment to Surfaces

Giardia trophozoites attach to the intestinal microvilli (or inert surfaces) using an undefined “suction-based” mechanism, and remain attached during cell division to avoid peristalsis. Flagellar motility is a key factor in Giardia's pathogenesis and colonization of the host small intestine. Specifically, the beating of the ventral flagella, one of four pairs of motile flagella, has been proposed to generate a hydrodynamic force that results in suction-based attachment via the adjacent ventral disc. We aimed to test this prevailing “hydrodynamic model” of attachment mediated by flagellar motility. We defined four distinct stages of attachment by assessing surface contacts of the trophozoite with the substrate during attachment using TIRF microscopy (TIRFM). The lateral crest of the ventral disc forms a continuous perimeter seal with the substrate, a cytological indication that trophozoites are fully attached. Using trophozoites with two types of molecularly engineered defects in flagellar beating, we determined that neither ventral flagellar beating, nor any flagellar beating, is necessary for the maintenance of attachment. Following a morpholino-based knockdown of PF16, a central pair protein, both the beating and morphology of flagella were defective, but trophozoites could still initiate proper surface contacts as seen using TIRFM and could maintain attachment in several biophysical assays. Trophozoites with impaired motility were able to attach as well as motile cells. We also generated a strain with defects in the ventral flagellar waveform by overexpressing a dominant negative form of alpha2-annexin::GFP (D122A, D275A). This dominant negative alpha2-annexin strain could initiate attachment and had only a slight decrease in the ability to withstand normal and shear forces. The time needed for attachment did increase in trophozoites with overall defective flagellar beating, however. Thus while not directly required for attachment, flagellar motility is important for positioning and orienting trophozoites prior to attachment. Drugs affecting flagellar motility may result in lower levels of attachment by indirectly limiting the number of parasites that can position the ventral disc properly against a surface and against peristaltic flow

Association and interaction of PPAR-complex gene variants with latent traits of left ventricular diastolic function

<p>Abstract</p> <p>Background</p> <p>Abnormalities in myocardial metabolism and/or regulatory genes have been implicated in left ventricular systolic dysfunction. However, the extent to which these modulate left ventricular diastolic function (LVDF) is uncertain.</p> <p>Methods</p> <p>Independent component analysis was applied to extract latent LVDF traits from 14 measured echocardiography-derived endophenotypes of LVDF in 403 Caucasians. Genetic association was assessed between measured and latent LVDF traits and 64 single nucleotide polymorphisms (SNPs) in three peroxisome proliferator-activated receptor <it>(PPAR)</it>-complex genes involved in the transcriptional regulation of fatty acid metabolism.</p> <p>Results</p> <p>By linear regression analysis, 7 SNPs (4 in <it>PPARA</it>, 2 in <it>PPARGC1A</it>, 1 in <it>PPARG</it>) were significantly associated with the latent LVDF trait, whereas a range of 0-4 SNPs were associated with each of the 14 measured echocardiography-derived endophenotypes. Frequency distribution of <it>P </it>values showed a greater proportion of significant associations with the latent LVDF trait than for the measured endophenotypes, suggesting that analyses of the latent trait improved detection of the genetic underpinnings of LVDF. Ridge regression was applied to investigate within-gene and gene-gene interactions. In the within-gene analysis, there were five significant pair-wise interactions in <it>PPARGC1A </it>and none in <it>PPARA </it>or <it>PPARG</it>. In the gene-gene analysis, significant interactions were found between rs4253655 in <it>PPARA </it>and rs1873532 (p = 0.02) and rs7672915 (p = 0.02), both in <it>PPARGC1A</it>, and between rs1151996 in <it>PPARG </it>and rs4697046 in <it>PPARGC1A </it>(p = 0.01).</p> <p>Conclusions</p> <p>Myocardial metabolism <it>PPAR</it>-complex genes, including within and between genes interactions, may play an important role modulating left ventricular diastolic function.</p

Tumour antigen expression in hepatocellular carcinoma in a low-endemic western area

Background: Identification of tumour antigens is crucial for the development of vaccination strategies against hepatocellular carcinoma (HCC). Most studies come from eastern-Asia, where hepatitis-B is the main cause of HCC. However, tumour antigen expression is poorly studied in low-endemic, western areas where the aetiology of HCC differs. Methods: We constructed tissue microarrays from resected HCC tissue of 133 patients. Expression of a comprehensive panel of cancer-testis (MAGE-A1, MAGE-A3/4, MAGE-A10, MAGE-C1, MAGE-C2, NY-ESO-1, SSX-2, sperm protein 17), onco-fetal (AFP, Glypican-3) and overexpressed tumour antigens (Annexin-A2, Wilms tumor-1, Survivin, Midkine, MUC-1) was determined by immunohistochemistry. Results: A higher prevalence of MAGE antigens was observed in patients with hepatitis-B. Patients with expression of more tumour antigens in general had better HCC-specific survival (P=0.022). The four tumour antigens with high expression in HCC and no, or weak, expression in surrounding tumour-free-liver tissue, were Annexin-A2, GPC-3, MAGE-C1 and MAGE-C2, expressed in 90, 39, 17 and 20% of HCCs, respectively. Ninety-five percent of HCCs expressed at least one of these four tumour antigens. Interestingly, GPC-3 was associated with SALL-4 expression (P=0.001), an oncofetal transcription factor highly expressed in embryonal stem cells. SALL-4 and GPC-3 expression levels were correlated with vascular invasion, poor differentiation and higher AFP levels before surgery. Moreover, patients who co-expressed higher levels of both GPC-3 and SALL-4 had worse HCC-specific survival (P=0.018). Conclusions: We describe a panel of four tumour antigens with excellent coverage and good tumour specificity in a western area, low-endemic for hepatitis-B. The association between GPC-3 and SALL-4 is a novel finding and suggests that GPC-3 targeting may specifically attack the tumour stem-cell compartment

The gallium intermetallics REPdGa3 (RE = La, Ce, Pr, Nd, Sm, Eu) with SrPdGa3-type structure

The gallium-rich intermetallic phases REPdGa3 (RE = La, Ce, Pr, Nd, Sm, Eu) were obtained by arc-melting of the elements and subsequent annealing for crystal growth. The samples were studied by X-ray diffraction on powders and single crystals. The structures of three crystals were refined from X-ray diffractometer data: SrPdGa3 type, Cmcm, a = 634.3(1), b = 1027.2(1), c = 593.5(1) pm, wR = 0.0621, 380 F2 values, 20 variables for CePd0.80(4)Ga3.20(4), a = 635.9(1), b = 1027.5(1), c = 592.0(1) pm, wR = 0.1035, 457 F2 values, 19 variables for CePdGa3, and a = 640.7(1), b = 1038.2(1), c = 593.7(1) pm, wR = 0.0854, 489 F2 values, 19 variables for EuPdGa3. The REPdGa3 gallides are orthorhombic superstructure variants of the aristotype ThCr2Si2. The palladium and gallium atoms build up polyanionic [PdGa3]δ− networks with Pd–Ga and Ga–Ga distances of 248–254 and 266–297pm, respectively, in EuPdGa3. The rare earth atoms fill cavities within the polyanionic networks. They are coordinated by five palladium and twelve gallium atoms. Taking CePdGa3 as an illustrative representative, the band structure calculations show largely dispersive itinerant s, p bands and little dispersive d (Pd) and f (Ce) bands, the latter crossing the Fermi level at large magnitude leading to magnetic instability in a spin-degenerate state and a subsequent antiferromagnetic ground state with a small moment of ±0.36 μB on Ce. The bonding characteristics indicate a prevailing Ce–Ga bonding versus Pd–Ga and Ce–Pd. Temperature-dependent magnetic susceptibility and 151Eu Mössbauer spectroscopic measurements point to stable trivalent lanthanum, cerium, praseodymium, and neodymium, but divalent europium. SmPdGa3 shows intermediate valence. Antiferromagnetic ordering occurs at TN = 5.1(5), 7.0(5), 6.3(5), 11.9(5), and 23.0(5) for RE = Ce, Pr, Nd, Sm, and Eu, respectively

The gallium intermetallics REPdGa3 (RE = La, Ce, Pr, Nd, Sm, Eu) with SrPdGa3-type structure

The gallium-rich intermetallic phases REPdGa3 (RE = La, Ce, Pr, Nd, Sm, Eu) were obtained by arc-melting of the elements and subsequent annealing for crystal growth. The samples were studied by X-ray diffraction on powders and single crystals. The structures of three crystals were refined from X-ray diffractometer data: SrPdGa3 type, Cmcm, a = 634.3(1), b = 1027.2(1), c = 593.5(1) pm, wR = 0.0621, 380 F2 values, 20 variables for CePd0.80(4)Ga3.20(4), a = 635.9(1), b = 1027.5(1), c = 592.0(1) pm, wR = 0.1035, 457 F2 values, 19 variables for CePdGa3, and a = 640.7(1), b = 1038.2(1), c = 593.7(1) pm, wR = 0.0854, 489 F2 values, 19 variables for EuPdGa3. The REPdGa3 gallides are orthorhombic superstructure variants of the aristotype ThCr2Si2. The palladium and gallium atoms build up polyanionic [PdGa3]δ− networks with Pd–Ga and Ga–Ga distances of 248–254 and 266–297pm, respectively, in EuPdGa3. The rare earth atoms fill cavities within the polyanionic networks. They are coordinated by five palladium and twelve gallium atoms. Taking CePdGa3 as an illustrative representative, the band structure calculations show largely dispersive itinerant s, p bands and little dispersive d (Pd) and f (Ce) bands, the latter crossing the Fermi level at large magnitude leading to magnetic instability in a spin-degenerate state and a subsequent antiferromagnetic ground state with a small moment of ±0.36 μB on Ce. The bonding characteristics indicate a prevailing Ce–Ga bonding versus Pd–Ga and Ce–Pd. Temperature-dependent magnetic susceptibility and 151Eu Mössbauer spectroscopic measurements point to stable trivalent lanthanum, cerium, praseodymium, and neodymium, but divalent europium. SmPdGa3 shows intermediate valence. Antiferromagnetic ordering occurs at TN = 5.1(5), 7.0(5), 6.3(5), 11.9(5), and 23.0(5) for RE = Ce, Pr, Nd, Sm, and Eu, respectively