Solitary median maxillary central incisor (SMMCI) syndrome

Solitary median maxillary central incisor syndrome (SMMCI) is a complex disorder consisting of multiple, mainly midline defects of development resulting from unknown factor(s) operating in utero about the 35th–38th day(s) from conception. It is estimated to occur in 1:50,000 live births. Aetiology is uncertain. Missense mutation in the SHH gene (I111F) at 7q36 may be associated with SMMCI. The SMMCI tooth differs from the normal central incisor, in that the crown form is symmetric; it develops and erupts precisely in the midline of the maxillary dental arch in both primary and permanent dentitions. Congenital nasal malformation (choanal atresia, midnasal stenosis or congenital pyriform aperture stenosis) is positively associated with SMMCI. The presence of an SMMCI tooth can predict associated anomalies and in particular the serious anomaly holoprosencephaly. Common congenital anomalies associated with SMMCI are: severe to mild intellectual disability, congenital heart disease, cleft lip and/or palate and less frequently, microcephaly, hypopituitarism, hypotelorism, convergent strabismus, oesophageal and duodenal atresia, cervical hemivertebrae, cervical dermoid, hypothyroidism, scoliosis, absent kidney, micropenis and ambiguous genitalia. Short stature is present in half the children. Diagnosis should be made by eight months of age, but can be made at birth and even prenatally at 18–22 weeks from the routine mid-trimester ultrasound scan. Management depends upon the individual anomalies present. Choanal stenosis requires emergency surgical treatment. Short stature may require growth hormone therapy. SMMCI tooth itself is mainly an aesthetic problem, which is ideally managed by combined orthodontic, prosthodontic and oral surgical treatment; alternatively, it can be left untreated

Increased Sensitivity to Broadly Neutralizing Antibodies of End-Stage Disease R5 HIV-1 Correlates with Evolution in Env Glycosylation and Charge

BACKGROUND: Induction of broadly neutralizing antibodies, such as the monoclonal antibodies IgGb12, 2F5 and 2G12, is the objective of most antibody-based HIV-1 vaccine undertakings. However, despite the relative conserved nature of epitopes targeted by these antibodies, mechanisms underlying the sensitivity of circulating HIV-1 variants to broadly neutralizing antibodies are not fully understood. Here we have studied sensitivity to broadly neutralizing antibodies of HIV-1 variants that emerge during disease progression in relation to molecular alterations in the viral envelope glycoproteins (Env), using a panel of primary R5 HIV-1 isolates sequentially obtained before and after AIDS onset. PRINCIPAL FINDINGS: HIV-1 R5 isolates obtained at end-stage disease, after AIDS onset, were found to be more sensitive to neutralization by TriMab, an equimolar mix of the IgGb12, 2F5 and 2G12 antibodies, than R5 isolates from the chronic phase. The increased sensitivity correlated with low CD4(+) T cell count at time of virus isolation and augmented viral infectivity. Subsequent sequence analysis of multiple env clones derived from the R5 HIV-1 isolates revealed that, concomitant with increased TriMab neutralization sensitivity, end-stage R5 variants displayed envelope glycoproteins (Envs) with reduced numbers of potential N-linked glycosylation sites (PNGS), in addition to increased positive surface charge. These molecular changes in Env also correlated to sensitivity to neutralization by the individual 2G12 monoclonal antibody (mAb). Furthermore, results from molecular modeling suggested that the PNGS lost at end-stage disease locate in the proximity to the 2G12 epitope. CONCLUSIONS: Our study suggests that R5 HIV-1 variants with increased sensitivity to broadly neutralizing antibodies, including the 2G12 mAb, may emerge in an opportunistic manner during severe immunodeficiency as a consequence of adaptive molecular Env changes, including loss of glycosylation and gain of positive charge

IRON REDUCTASE SYSTEMS ON THE PLANT PLASMA-MEMBRANE - A REVIEW

Higher plant roots, leaf mesophyll tissue, protoplasts as well as green algae are able to reduce extra-cellular ferricyanide and ferric chelates. In roots of dicotyledonous and nongraminaceous, monocotyledonous plants, the rate of ferric reduction is increased by iron deficiency. This reduction is an obligatory prerequisite for iron uptake and is mediated by redox systems localized on the plasma membrane. Plasma membrane-bound iron reductase systems catalyze the transmembrane electron transport from cytosolic reduced pyridine nucleotides to extracellular iron compounds. Natural and synthetic ferric complexes can act as electron acceptors. This paper gives an overview about the present knowledge on iron reductase systems at the plant plasma membrane with special emphasis on biochemical characteristics and localisation

Flooding tolerance of Carex species. II. Root gas-exchange capacity

Root CO2 and O-2 gas exchange were measured in young Carer extensa Good. (flooding sensitive), C. remota L. and C. pseudocyperus L. (both flooding tolerant) plants, precultured either aerobically or anaerobically. Temperature changes form 21 to II degrees C had small effects on root CO2 release from respiration. In C. extensa, root respiration rates decreased when plants were precultured anaerobically, while in C. pseudocyperus preculture conditions had no effect on root CO2 release. In contrast to CO2, temperature decrease significantly enhanced radial oxygen loss from the roots during the light phase, indicating that at 20 degrees C the O-2 transported form the shoot to the root met the demand for root respiration quite well, while at 11 degrees C excess O-2 entered the root and was released into the anaerobic nutrient solution. In C. remota and C. pseudocyperus, the maximal O-2 concentration of a previously anaerobic nutrient solution was attained after several days of equilibration with the atmosphere through the plant body and was approximately one-third of that found in C. extensa, indicating that the diffusion resistance of the root/rhizosphere interface to O-2 is much lower in the C. extensa root than in the flooding-tolerant Carer species. A calculation of the maximal attainable root length that can be sustained by pure O-2 diffusion from CO2 exchange, and anatomical data obtained earlier, revealed that longitudinal diffusion of O-2 through the root is sufficient for the oxygen supply of the root. It is concluded that the postulate of a gas mass-flow into the root is not necessary for the understanding of flooding tolerance of Carer species