Synthesis and structure-DNA binding relationship analysis of DNA triple-helix specific intercalators

4-[N-(Aminoalkyl)amino]-2-arylquinolines with conformational freedom around positions 2 and 4 of the quinoline stabilize strongly poly(dT.dA.dT) (triplex DNA) and bind weakly to poly-(dA.dT) (duplex DNA). Basicity of N1 of the quinoline parallels the interaction strength of these compounds with the triple-helical DNA structure suggesting that N1 of the quinoline is protonated in the complex with the DNA triplex. The experimental results support the interaction model suggested previously.

Effects of compressive loading on articular cartilage repair of knee joint in rats

Effects of compressive loading on articular cartilage repair was studied. Thirty adolescent Long-Evans rats were used as experiment animals. A full-thickness defect of cartilage was created by drilling with a k-wire, 1.2 mm in diameter, into the weight bearing area of medial femoral condyle of each of bilateral knee joints. Free movement was permitted postoperatively. One leg of each rat received normal weight bearing on knee joint as experiment leg. The contralateral leg was used as the control. The control legs were paw resected to avoid weight bearing on joint cartilages but this did not interfere with the motion of knee joints. The articular cartilage repair was estimated by macroscopic examination and microscopic examination 6 weeks after surgery. Scoring systems were used to evaluate the quantity of repaired tissue in macroscopic examination and the quality of repaired tissue in microscopic examination. The differences of articular cartilage repair affected by compressive loading was analyzed statistically by paired t-test. We concluded that the effects of compressive loading on cartilage repair was to accelerate the metaplasia of repair tissue into hyaline cartilage but not to increase the quantity of repaired tissue.

Vibration measurement by the time-averaged electronic speckle pattern interferometry methods

Three different image-processing methods based on the time-averaged technique were compared by the electronic speckle pattern interferometry (ESPI) technique for vibration measurement. The three methods are the video-signal-addition method, the video-signal-subtraction method, and the amplitude-fluctuation method. Also, errors introduced by using the zero-order Bessel function directly into the analysis of the fringe pattern were investigated. The video-signal-addition method has been the most generally used ESPI technique for vibration measurement. However, without additional image and/or signal-processing procedures, the fringe pattern obtained directly by the video-signal-addition method is rather difficult to observe. The reason for poor visibility of the experimentally obtained fringe pattern with this method is explained. To increase the fringe pattern's visibility without additional image and/or signal processes, we tried two video-signal-subtraction methods. One of the two methods is the video-signal-subtraction method that has normally been used in the static applications. The other method, called the amplitude-fluctuation method, and its associated theory are reported here.

Covalent assembly of a soluble T cell receptor-peptide-major histocompatibility class I complex

We used stepwise photochemical cross-linking for specifically assembling soluble and covalent complexes made of a T-cell antigen receptor (TCR) and a class I molecule of the major histocompatibility complex (MHC) bound to an antigenic peptide. For that purpose, we have produced in myeloma cells a single-chain Fv construct of a TCR specific for a photoreactive H-2Kd-peptide complex. Photochemical cross-linking of this TCR single-chain Fv with a soluble form of the photoreactive H-2Kd-peptide ligand resulted in the formation of a ternary covalent complex. We have characterized the soluble ternary complex and showed that it reacted with antibodies specific for epitopes located either on the native TCR or on the Kd molecules. By preventing the fast dissociation kinetics observed with most T cell receptors, this approach provides a means of preparing soluble TCR-peptide-MHC complexes on large-scale levels.

[Pulmonary and paradoxical embolism after total knee replacement--a case report]

Pneumatic tourniquet and hone cement are often applied in orthopaedic surgery. In lower limb surgery, deep vein thrombosis may occur after release of tourniquet, causing embolism of lungs and vital organs. Paradoxical embolism may develop if the patients present extracardiac or intracardiac right to left shunt, such as atrial septum defect, etc. A 60-year-old female patient suffered from osteoarthritis of both knees was admitted for total knee replacement (TKR). Pneumatic tourniquet was inflated on the operated leg for the orthopaedic surgery which lasted for 2h. Dyspnea, sinus tachycardia and abdominal pain were noted after TKR. Blood gases analysis showed arterial hypoxemia and respiratory alkalosis. Chest X-ray revealed diffused bilateral pulmonary infiltration, pulmonary trunk engorgement, and decreased lung markings. Two days after TKR under the impression of peritonitis, she received exploratory laparotomy in which ischemic bowel and gall bladder were found. Pulmonary and paradoxical embolism were diagnosed, both of which were the well-known complications of TKR with tourniquet and bone cement application. The patient finally succumbed because of multiple organ failures.

Permeation behavior of salbutamol sulfate through hydrophilic and hydrophobic membranes embedded by thermo-responsive cholesteryl oleyl carbonate

PURPOSE

To investigate the suitability of hydrophilic or hydrophobic membranes for use as potential thermo-responsive drug delivery system.

METHODS

Liquid crystal was embedded in membranes using vacuum filtration method to control the penetration rate of salbutamol sulfate. Cholesteryl oleyl carbonate (COC) with smectic-cholesteric phase transition temperature near 18 degrees C was used as a model liquid crystal.

RESULTS

It indicates only hydrophilic salbutamol sulfate can penetrate through the hydrophilic membranes embedded with or without COC, in which the permeation is mainly governed by the adsorption of COC. However, the hydrophilic drug do not pass through the hydrophobic membranes even if not embedded with COC. The void volume of the membrane also influences the penetration of salbutamol sulfate. The higher thermo-response efficacy of the COC-embedded membranes can be explained not only by less permeability through matrix part of the membrane but also by higher thermal motion of the COC molecules due to above the phase transition temperature.

CONCLUSIONS

A COC-embedded membrane with rate-controlled and thermo-responsive function is easily prepared by vacuum filtration method. High reversibly thermo-responsive function can be achieved by choosing membrane and COC concentration properly.

Possible changes in secondary structure and composition of human lens capsules in hereditary congenital cataract

BACKGROUND

Scanty information is available on the changes in conformational structure and composition of human lens capsule in cases of hereditary congenital cataract. The purpose of this study was to use Fourier-transformed infrared (FT-IR) spectroscopy to determine the secondary structure and composition of hereditary cataractous human lens capsule, as compared with normal human lens capsule.

METHODS

FT-IR spectroscopy with the Fourier self-deconvolution and curve-fitting program was performed, and second-derivative analysis was used to verify the peak positions and assignments of the IR spectra.

RESULTS

The curve-fit FT-IR spectra revealed that the content of hydroxylysine and arginine were clearly higher in the lens capsule of the hereditary congenital patient, but the content of aspartic acid significantly lower, than in normal human lens capsules. The secondary conformational changes in alpha-helix, triple helix and random coil structures were important findings in the lens capsule of a hereditary cataractous patient.

CONCLUSION

Possible alterations in secondary structures and compositions of lens capsule are observed in the hereditary congenital cataractous patient by using FT-IR spectroscopy with curve-fitting and second-derivative analysis.

Malignant familial hypertrophic cardiomyopathy in a family with a 453Arg-->Cys mutation in the beta-myosin heavy chain gene: coexistence of sudden death and end-stage heart failure

Recent genotype-phenotype correlation studies in familial hypertrophic cardiomyopathy (FHC) have revealed that some mutations in the beta- myosin heavy chain (BMHC) gene may be associated with a high incidence of sudden death and a poor prognosis. Coexistence of sudden death and end-stage heart failure in several families with FHC has recently being reported; however, the genetic basis of such families has not been clearly demonstrated. A three-generation Chinese familial hypertrophic cardiomyopathy (FHC) family (family HLI) with two cases of end-stage heart failure and three cases of sudden death was analyzed. The average age of death in the affected members in this family was 34 years old. Genetic linkage analysis using polymorphisms in the (alpha- and beta-myosin heavy chain genes revealed that FHC in this family is significantly linked to the BMHC gene without recombinations. Single-strand conformation polymorphism analysis of exons 8, 9 and 13 to 23 in the BMHC gene showed a polymorphic band on exon 14 that is in complete linkage with the disease status in this family. DNA sequencing analysis in the affected members revealed an 453Arg-->Cys mutation in the BMHC gene. To our knowledge this is the first reported mutation of FHC in Chinese. Our data suggest that the 453Arg-->Cys mutation is associated with a malignant clinical course in FHC due not only to sudden death but also to end-stage heart failure.

Microscopic FT-IR/DSC system used to simultaneously investigate the conversion process of protein structure in porcine stratum corneum after pretreatment with skin penetration enhancers

A newly developed microscopic Fourier transform infrared (FT-IR) spectrometry combined with differential scanning calorimetry (DSC) was used to investigate the thermal response and IR spectral changes of protein structure in porcine stratum corneum (SC) after pretreatment with the skin penetration enhancers propylene glycol (PG), azone/PG, oleic acid (OA)/PG, vitamin C, and vitamin C+ OA/PG. The amide I and II bands of protein were used as probe to determine the structural transformation of protein with temperature. A reheating process was also performed. Dual effects of enhancer and temperature on the protein conformational changes of porcine SC were studied. The results indicate that the new FT-IR/DSC system can continuously determine the thermoresponsive conversion process from alpha-helix to beta-sheet in keratin structure of porcine SC pretreated with different enhancers. The thermally induced keratin conversion in protein structure of porcine SC, independent of pretreatment with skin penetration enhancers, was irreversible. The process of conformational transition in protein was found to be partially from alpha-helix to random coil structure or partially from alpha-helix to beta-sheet structure during heating. The kinetics of this conversion between first-heating and second-heating processes were significantly different; the process of conversion for all first-heated porcine SC samples during second-heating process were slower than that of porcine SC samples during first-heating process. Moreover, it was also found that the skin penetration enhancers, when present during the heating process, were able to synergistically and promotively alter the keratin conversion in protein structure of porcine SC, with the PG, OA/PG and azone/PG enhancers being the most effective.

Mapping the locus for familial hypertrophic cardiomyopathy to chromosome 11 in a family with a case of apical hypertrophic cardiomyopathy of the Japanese type

To identify the disease locus of familial hypertrophic cardiomyopathy (FHC) in a Chinese family, a genetic linkage study was performed using polymorphisms from various chromosomal regions. This family has eight affected members, including a case with typical features of apical hypertrophic cardiomyopathy of the Japanese type. The results revealed significant evidence of linkage of polymorphisms on chromosome 11p13-q13 and FHC in this family with a maximal lod score of 3.38 at theta = 0.00. Our data suggest that the locus responsible for FHC in this family maps to chromosome 11 and that the molecular basis of FHC in the case of apical hypertrophic cardiomyopathy of the Japanese type might be similar to that of other affected members in the same family. Further studies are needed to elucidate the whole spectrum of the genetic basis of apical hypertrophic cardiomyopathy of the Japanese type.

Cell cycle-regulated association of E2F1 and Sp1 is related to their functional interaction

Because of the large number of growth-regulated genes containing binding sites for the transcription factors Sp1 and E2F and the reported ability of E2F to mediate cell cycle (growth) regulation, we studied interactions between E2F1 and Sp1. In transient transfection assays using Drosophila melanogaster SL2 cells, transfection with both Sp1 and E2F1 expression vectors resulted in greater than 85-fold activation of transcription from a hamster dihydrofolate reductase reporter construct, whereas cotransfection with either the Sp1 or E2F1 expression vector resulted in 30- or <2-fold activation, respectively. Therefore, these transcription factors act synergistically in activation of dihydrofolate reductase transcription. Transient transfection studies demonstrated that E2F1 could superactivate Sp1-dependent transcription in a promoter containing only Sp1 sites and that Sp1 could superactivate transcription of promoters through E2F sites, further demonstrating that these physically associated in Drosophila cells transfected with Sp1 and E2F1 expression vectors and in human cells, with maximal interaction detected in mid- to late G1. Additionally, E2F1 and Sp1 interact in vitro through specific domains of each protein, and the physical interaction and functional synergism appear to require the same regions. Taken together, these data demonstrate that E2F1 and Sp1 both functionally and physically interact; therefore this interaction, Sp1 and E2F1 may regulate transcription of genes containing binding sites for either or both factors.

Polymerase chain reaction diagnosis of Helicobacter pylori in gastroduodenal diseases: comparison with culture and histopathological examinations

Helicobacter pylori has been associated with a variety of upper gastrointestinal diseases. Histopathological examination and culture are considered to be the more specific tests in the diagnosis of H. pylori infection. In the present study, we evaluated the efficiency of a polymerase chain reaction (PCR) assay of the H. pylori urease A gene as a procedure in the diagnosis of gastric H. pylori infection in various gastroduodenal diseases. Biopsy specimens were obtained from the antral mucosa of 83 patients during endoscopic examination and were submitted to three tests for the detection of H. pylori infection. The detection rates of H. pylori using PCR, histopathological examination and culture were 84, 77 and 63%, respectively. When the infection was defined, by the agreement of culture and histopathological examination or by positive culture, the PCR assay had a sensitivity of 98.1% and a specificity of 84.6%. When the infection was defined by a positive result of either two of the three tests or by positive culture, the PCR assay had a sensitivity of 98.6% and a specificity of 85.7%. We conclude that the PCR assay is a valuable test for the diagnosis of H. pylori infection in gastroduodenal diseases.

Extrapyramidal effects of methanandamide, an analog of anandamide, the endogenous CB1 receptor ligand

Recent evidence has demonstrated that arachidonylethanolamide ("anandamide", AEA), the major endogenous ligand of CB1 receptors, inhibits motor behavior in rats, as does (-)delta 9-tetrahydrocannabinol (THC), the prototypical tricyclic cannabinoid derived from Cannabis sativa preparations. However, its effects were of shorter duration, as compared to THC, likely due to its rapid breakdown by an amidase activity. The present work has been designed to examine the motor effects of AM356(R-methanandamide), an analog of AEA that possesses higher metabolic stability to amidase hydrolysis. We have studied the dose-response and time-course effects of R-methanandamide, i.p. administered, on ambulatory activity, frequency of stereotypy and time spent in inactivity measured in an open-field test. Results were as follows. R-Methanandamide, as THC and AEA, inhibited motor behavior. Thus, it decreased ambulation and stereotypy and increased the time spent in inactivity, usually in a dose-related manner, 10 min after administration. However, the motor deficit caused by the highest dose of R-methanandamide was usually more pronounced than that caused by a similar dose of AEA. These inhibitory effects persisted 30 min after the administration of R-methanandamide, as occurred with AEA and THC. Interestingly, at 60 min after administration, the effects of AEA disappeared, likely because of its breakdown to arachidonic acid and ethanolamine, but this did not occur with R-methanandamide whose effects persisted even until 180 min after treatment as occurred with THC. In summary, R-methanandamide inhibits motor behavior in a manner (its effects were persistent) that resembles the effects of THC rather than the effects of AEA (its effects were of rapid onset but shorter duration). This fact supports the use of R-methanandamide as a valuable tool for studying the physiological roles of the anandamidergic system.

The role of labetalol and propofol in the management of HELLP syndrome--a case report

The acronym HELLP describes a syndrome of (H) hemolysis, (EL) elevated liver enzymes, and (LP) low platelets, which symptomatically defines a unique group of preeclamptic/eclamptic women. Pregnancies complicated by this syndrome are associated with poor maternal and fetal outcome. This poses a considerable challenge to the anesthesiologists as many of these patients require emergent Cesarean section. We reported a 30-year-old woman with gestation of 32 wk who sustained Cesarean section under the impression of pregnancy with HELLP syndrome. General anesthesia was performed for this patient. The preoperative evaluation, general management, and intraoperative monitoring system were described. The individual role and use of labetalol and propofol were also discussed in this report.

Total knee arthroplasty in tuberculous arthritis

Sixteen cases of tuberculosis of the knee treated by total knee arthroplasty with followup of 3.4 to 11 years were reviewed. Eight cases were treated with antituberculous chemotherapy for 2 to 20 months before and 1 year after the arthroplasty. Another 8 cases were not diagnosed primarily and therefore received only postoperative antituberculous chemotherapy. Five cases had a recurrence of tuberculosis. Four of these 5 cases did not receive preoperative antituberculous treatment. The infection in 1 case was controlled satisfactorily with chemotherapy alone, and for the other 3 cases, chemotherapy was supported by surgical debridements. The last case of recurrent infection occurred in a patient who had received long- standing corticosteroid therapy. He required an excisional arthroplasty to control the infection. The mean functional knee score was 30.5 points before surgery and 82.6 points at the time of the last followup. These results suggest that arthroplasty may be formed for knees badly damaged with tuberculous infection, and good results may be expected for those patients who have received effective antituberculous chemotherapy both before and after surgery. There is a substantial risk of reactivation of tuberculous infection for those patients not treated before surgery or for patients dependent on corticosteroids.

Mandibular position and head posture as a function of eye dominance

A recent study conducted at Tufts University, School of Dental Medicine has confirmed the relationship between head posture, mandibular position and eye dominance. The purpose of this study is to assess the temporary eye dominance of children and the change relative to head posture and mandibular position. Twenty children were included in this study after the completion of the ophthalmological exclusion screening. All subjects had the sign of eye dominance screened with eye dominance tests. The mandibular position and the 3-dimensional posture of head were recorded. The eye patches were applied over the dominant eye for one hour to achieve the effect of temporary eye dominance change for 10 children. Ten children had the same procedures except for the eye patch procedure. The reexaminations were performed at the end of one hour visit for both groups. Mandibular midline data revealed no change in both control and experimental group. Statistically significant difference in the transverse plane of head posture was observed by means of Student's t test in experimental group. The mean transverse measurement difference was 14.7 degrees, with a standard deviation of 6.4265 degrees. The T value was 5.66, with a probability of p=0.0003 at DF=9. The differences of positions were not statistically significant (P=0.05) on horizontal and vertical planes. The transverse head postural change has been demonstrated by means of temporary eye dominance change. This study highlights several areas: the importance of clinical intervention in young children, the difference on transverse dimensional change, and the importance of role of pediatric dentistry among interdisciplinary cooperation. Further investigation and early clinical intervention is encouraged.

Mechanical property analysis of small bone fixators

The purpose of this study is to establish a database and to compare mechanical properties between various types of small bone fixators. Hollow maple dowels are uniformly produced to simulate small bones in this study. Furthermore, transverse osteotomy, transverse osteotomy with 2 mm gap, and 45 degrees oblique osteotomies are created to simulate stable, unstable, and spiral fractures. Each fracture pattern is then approximated with four types of fixators: (1) Aesculap mini external fixator, (2) mini A-O plate and screw, (3) cross pin, and (4) self-assembled mini external fixator. Finally, tension, torsion, and bending tests are performed with INSTRON. In three different fracture patterns, dorsal plating has the strongest tensile rigidity and lateral bending rigidity. In stable and unstable fractures, Aesculap mini external fixator has the strongest torsional rigidity. However, mini A-O plate has the strongest torsional rigidity in 45 degrees oblique fractures. In stable fractures, dorsal plating, lateral plating, and mini external fixator all have good anterior bending rigidity without significant differences. Nevertheless, only lateral plating and mini external fixator show good anterior bending rigidity in unstable and 45 degrees oblique fractures. Except in torsional rigidity, Aesculap mini external fixator is not significantly stiffer than the self-assembled external fixator. As expected, cross pin is the weakest fixator. Differences in mechanical stiffiness between the four types of small bone fixators are provided in this study. Additionally, one should also consider the indication when choosing a proper fixator. Complication rate can then be lowered to achieve successful surgery in treating small bone fractures.

Sequence variation in the capsid protein genes of human papillomavirus type 16 and type 31

The sequences of the capsid genes of a human papillomavirus type 16 (HPV 16) DNA and an HPV 31 DNA were determined. The HPV 16 DNA contained genes coding for the most variable HPV 16 capsid proteins yet identified (17 variable amino acids). Three of six coding changes in the HPV 31 DNA occurred at positions equivalent to ones where variable amino acids in HPV 16 have been observed. Variable amino acids in both viruses occurred predominantly in regions which showed amino acid variation when closely related types of HPV were compared; thus, most of the factors which determined the intratypic variation in the capsid proteins of the viruses described here were likely the same as those which determined differences between the capsid proteins of different HPV types.

Arthroscopic debridement for osteoarthritis of the knee: a seven years follow-up study

We reviewed 32 knees with osteoarthritis of the knee treated by either arthroscopic debridement in association with drilling the subchondral bone or arthroscopic debridement alone and followed for 2.5 to 11 years. Eighteen knees had arthroscopic debridement and drilling the subchondral bone, and 14 knees had arthroscopic debridement alone. In the group treated with arthroscopic debridement and drilling the subchondral bone, 55.6% had good to excellent results, 22.2% had fair results, and 22.2% had poor results. In the group that had arthroscopic debridement alone, 57.2% had good to excellent results, 35.7% had fair results, and 7.1% had poor results. There was better relief of pain in the group with arthroscopic debridement alone.

Comparison of antihypertensive effects of nicardipine with nitroglycerin for perioperative hypertension

BACKGROUND

To compare the efficacy of intravenous (iv) nicardipine with nitroglycerin for the treatment for patients with perioperative hypertension.

METHODS

Forty patients with perioperative hypertension randomly divided into two groups were treated with intravenous calcium entry blocker, nicardipine, or vasodilator, nitroglycerin. Haemodynamic measurements including mean arterial and pulmonary arterial pressure, central venous and pulmonary capillary wedge pressure, and cardiac output were recorded; peripheral and pulmonary vascular resistance were calculated.

RESULTS

Both medications were effective in reducing blood pressure and controlling haemodynamics. During the maintenance by continuous iv infusion, nicardipine controlled hypertension more rapidly than nitroglycerin (nicardipine 10.5 +/- 2.5 min and nitroglycerin 18.7 +/- 2.8 min, p < 0.05) without significant alteration in heart rate. The total frequency of dose adjustments required to achieve therapeutic response was significantly less in the nicardipine-treated group (2.5 +/- 0.3 for nicardipine and 6.2 +/- 1.4 for nitroglycerin, p < 0.05). Incidence of hypotensive episodes during the infusion were observed in both groups [nicardipine 5% (1/20) and nitroglycerin 30% (6/20), p < 0.05].

CONCLUSIONS

Intravenous nicardipine is as effective as nitroglycerin in the treatment of perioperative hypertension. Specific advantages have been identified such as stable dose-response effect, less hypotensive and tachycardial effects during the use of iv nicardipine in treatment of hypertensive patients.

Effect of diabetic duration on the secondary structures of the human lens capsules in diabetic cataracts

The decrease in triple helix content from 16% to 9% and in beta-turn content from 45% to 33%, combined with markedly increased random coil structure (16%) can be found in the secondary structure contents of lens capsule of the premature cataractous patients with longer diabetic history. However, almost the same peak position and secondary structure content are observed in the curve-fitted IR amide I band of lens capsules of both non-diabetic controls and premature cataractous patients with shorter diabetic history, even if the cataracts are senile. The present study emphasizes the duration of diabetes as a major cause to alter the secondary conformation of the cataractous human lens capsules in diabetic patients.

Congenital tracheal cartilaginous sleeve

The congenital tracheal cartilaginous sleeve (TCS) results from a vertical fusion of the tracheal cartilages. This rare malformation is usually associated with one of the craniosynostosis syndromes, such as Crouzon's disease, Pfeiffer's syndrome, or Goldenhar's syndrome. Three new cases of TCS are reported, two with autopsy findings including the histopathology of horizontal tracheal sections. Salient features of the clinical presentation, diagnostic evaluation, endoscopic findings, histopathology, treatment, and prognosis for TCS are summarized from the perspective of the otolaryngologist. In addition, the literature is reviewed, and previously reported cases are discussed. Although infants with TCS often have multiple abnormalities, this tracheal malformation is not incompatible with life. Since multiple lesions of the larynx and trachea may be present, endoscopic evaluation is recommended for infants with TCS who experience airway distress. A smooth trachea lacking the normal ridges of tracheal arches suggests the diagnosis of TCS. With early recognition and appropriate management (including tracheotomy, if necessary, and aggressive management of pulmonary hygiene), patients may survive into childhood.