Investigation of the SH3BP2 Gene Mutation in Cherubism

Cherubism is a rare developmental lesion of the jaw that is generally inherited as an autosomal dominant trait. Recent studies have revealed point mutations in the SH3BP2 gene in cherubism patients. In this study, we examined a 6-year-old Korean boy and his family. We found a Pro418Arg mutation in the SH3BP2 gene of the patient and his mother. A father and his 30-month-old younger brother had no mutations. Immunohistochemically, the multinucleated giant cells proved positive for CD68 and tartrate-resistant acid phosphatase (TRAP). Numerous spindle-shaped stromal cells expressed a ligand for receptor activator of nuclear factor kB (RANKL), but not in multinucleated giant cells. These results provide evidence that RANKL plays a critical role in the differentiation of osteoclast precursor cells to multinucleated giant cells in cherubism. Additionally, genetic analysis may be a useful method for differentiation of cherubism.</p

Toward Green Synthesis of Graphene Oxide Using Recycled Sulfuric Acid via Couette-Taylor Flow

Developing eco-friendly and cost-effective processes for the synthesis of graphene oxide (GO) is essential for its widespread industrial applications. In this work, we propose a green synthesis technique for GO production using recycled sulfuric acid and filter-processed oxidized natural graphite obtained from a Couette-Taylor flow reactor. The viscosity of reactant mixtures processed from Couette-Taylor flow was considerably lower (???200 cP at 25 ??C) than that of those from Hummers&apos; method, which enabled the simple filtration process. The filtered sulfuric acid can be recycled and reused for the repetitive GO synthesis with negligible differences in the as-synthesized GO qualities. This removal of sulfuric acid has great potential in lowering the overall GO production cost as the amount of water required during the fabrication process, which takes a great portion of the total production cost, can be dramatically reduced after such acid filtration. The proposed eco-friendly GO fabrication process is expected to promote the commercial application of graphene materials into industry shortly

Hypoxia with inflammation and reperfusion alters membrane resistance by dynamically regulating voltage-gated potassium channels in hippocampal CA1 neurons

Hypoxia typically accompanies acute inflammatory responses in patients and animal models. However, a limited number of studies have examined the effect of hypoxia in combination with inflammation (Hypo-Inf) on neural function. We previously reported that neuronal excitability in hippocampal CA1 neurons decreased during hypoxia and greatly rebounded upon reoxygenation. We attributed this altered excitability mainly to the dynamic regulation of hyperpolarization-activated cyclic nucleotide-gated cation (HCN) channels and input resistance. However, the molecular mechanisms underlying input resistance changes by Hypo-Inf and reperfusion remained unclear. In the present study, we found that a change in the density of the delayed rectifier potassium current (IDR) can explain the input resistance variability. Furthermore, voltage-dependent inactivation of A-type potassium (IA) channels shifted in the depolarizing direction during Hypo-Inf and reverted to normal upon reperfusion without a significant alteration in the maximum current density. Our results indicate that changes in the input resistance, and consequently excitability, caused by Hypo-Inf and reperfusion are at least partially regulated by the availability and voltage dependence of KV channels. Moreover, these results suggest that selective KV channel modulators can be used as potential neuroprotective drugs to minimize hypoxia- and reperfusion-induced neuronal damage. © 2021, The Author(s).1

Early Dural Sac Termination with Lumbar Disc Herniation: A Mimic of Nerve Root Anomalies

The precise location of the dural sac (DS) end is necessary for preventing neural injury during spinal surgery or procedures. There has been no report on problems with spine surgery in patients with early DS termination. A 28-year-old woman presented with low back and leg pain involving the left S1 nerve root. Magnetic resonance imaging (MRI) revealed early DS termination at the lower one-third of the L5 vertebra and lumbar disc herniation at the L5/S1. Microscopic discectomy was performed instead of endoscopic discectomy to avoid unpredictable risks. Due to early DS termination, multiple nerve roots were identified, which look like nerve root congenital anomalies (Neidre and Macnab type II anomalies), and multiple separated nerve roots appeared to exit through a single foramen. After wide exposure by hemilaminectomy, which facilitated adequate visualization and mobilization of the involved nerve roots, the ruptured disc was identified and removed with gentle retraction, avoiding risk of excessive nerve root traction. Unlike other nerve root anomalies, early DS termination could be detected easily with preoperative MRI. Although this condition appears similar to other nerve root anomalies in the surgical field, it is possible to avoid inadvertent neural injury by closely investigating preoperative MRI. If early DS termination is suspected, it is necessary to consider a safer surgical approach

Bedside prediction of right subclavian venous catheter insertion length

AbstractBackground and objectiveThe present study aimed to evaluate whether right subclavian vein (SCV) catheter insertion depth can be predicted reliably by the distances from the SCV insertion site to the ipsilateral clavicular notch directly (denoted as I-IC), via the top of the SCV arch, or via the clavicle (denoted as I-T-IC and I-C-IC, respectively).MethodIn total, 70 SCV catheterizations were studied. The I-IC, I-T-IC, and I-C-IC distances in each case were measured after ultrasound-guided SCV catheter insertion. The actual length of the catheter between the insertion site and the ipsilateral clavicular notch, denoted as L, was calculated by using chest X-ray.ResultsL differed from the I-T-IC, I-C-IC, and I-IC distances by 0.14±0.53, 2.19±1.17, and −0.45±0.68cm, respectively. The mean I-T-IC distance was the most similar to the mean L (intraclass correlation coefficient=0.89). The mean I-IC was significantly shorter than L, while the mean I-C-IC was significantly longer. Linear regression analysis provided the following formula: Predicted SCV catheter insertion length (cm)=−0.037+0.036×Height (cm)+0.903×I-T-IC (cm) (adjusted r2=0.64).ConclusionThe I-T-IC distance may be a reliable bedside predictor of the optimal insertion length for a right SCV cannulation