Enterococcus faecalis Extracellular Vesicles Promote Apical Periodontitis

Enterococcus faecalis is an important contributor to the persistence of chronic apical periodontitis. However, the mechanism by which E. faecalis infection in the root canals and dentinal tubules affects periapical tissue remains unclear. Bacterial extracellular vesicles (EVs) act as natural carriers of microbe-associated molecular patterns (MAMPs) and have recently attracted considerable attention. In this study, we investigated the role of EVs derived from E. faecalis in the pathogenesis of apical periodontitis. We observed that E. faecalis EVs can induce inflammatory bone destruction in the periapical areas of mice. Double-labeling immunofluorescence indicated that M1 macrophage infiltration was increased by E. faecalis EVs in apical lesions. Moreover, in vitro experiments demonstrated the internalization of E. faecalis EVs into macrophages. Macrophages tended to polarize toward the M1 profile after treatment with E. faecalis EVs. Pattern recognition receptors (PRRs) can recognize MAMPs of bacterial EVs and, in turn, trigger inflammatory responses. Thus, we performed further mechanistic exploration, which showed that E. faecalis EVs considerably increased the expression of NOD2, a cytoplasmic PRR, and that inhibition of NOD2 markedly reduced macrophage M1 polarization induced by E. faecalis EVs. RIPK2 ubiquitination is a major downstream of NOD2. We also observed increased RIPK2 ubiquitination in macrophages treated with E. faecalis EVs, and E. faecalis EV-induced macrophage M1 polarization was notably alleviated by the RIPK2 ubiquitination inhibitor. Our study revealed the potential for EVs to be considered a virulence factor of E. faecalis and found that E. faecalis EVs can promote macrophage M1 polarization via NOD2/RIPK2 signaling. To our knowledge, this is the first report to investigate apical periodontitis development from the perspective of bacterial vesicles and demonstrate the role and mechanism of E. faecalis EVs in macrophage polarization. This study expands our understanding of the pathogenic mechanism of E. faecalis and provides novel insights into the pathogenesis of apical periodontitis.

Poincaré sphere trajectory encoding metasurfaces based on generalized Malus' law

As a fundamental property of light, polarization serves as an excellent information encoding carrier, playing significant roles in many optical applications, including liquid crystal displays, polarization imaging, optical computation and encryption. However, conventional polarization information encoding schemes based on Malus' law usually consider 1D polarization projections on a linear basis, implying that their encoding flexibility is largely limited. Here, we propose a Poincaré sphere (PS) trajectory encoding approach with metasurfaces that leverages a generalized form of Malus' law governing universal 2D projections between arbitrary elliptical polarization pairs spanning the entire PS. Arbitrary polarization encodings are realized by engineering PS trajectories governed by either arbitrary analytic functions or aligned modulation grids of interest, leading to versatile polarization image transformation functionalities, including histogram stretching, thresholding and image encryption within non-orthogonal PS loci. Our work significantly expands the encoding dimensionality of polarization information, unveiling new opportunities for metasurfaces in polarization optics for both quantum and classical regimes.

Asymmetric Full-Color Vectorial Meta-holograms Empowered by Pairs of Exceptional Points

Holography holds tremendous promise in applications such as immersive virtual reality and optical communications. With the emergence of optical metasurfaces, planar optical components that have the remarkable ability to precisely manipulate the amplitude, phase, and polarization of light on the subwavelength scale have expanded the potential applications of holography. However, the realization of metasurface-based full-color vectorial holography remains particularly challenging. Here, we report a general approach utilizing a modified Gerchberg-Saxton algorithm to achieve spatially aligned full-color display and incorporating wavelength information with an image compensation strategy. We combine the Pancharatnam-Berry phase and pairs of exceptional points to address the issue of redundant twin images that generally appear for the two orthogonal circular polarizations and to enable full polarization control of the vectorial field. Our results enable the realization of an asymmetric full-color vectorial meta-hologram, paving the way for the development of full-color display, complex beam generation, and secure data storage applications.

Ultrasensitive Photothermal Switching with Resonant Silicon Metasurfaces at Visible Bands

Dynamic access to quasi-bound states in the continuum (q-BICs) offers a highly desired platform for silicon-based active nanophotonic applications, while the prevailing tuning approaches by free carrier injections via an all-optical stimulus are yet limited to THz and infrared ranges and are less effective in visible bands. In this work, we present the realization of active manipulations on q-BICs for nanoscale optical switching in the visible by introducing a local index perturbation through a photothermal mechanism. The sharp q-BIC resonance exhibits an ultrasensitive susceptibility to the complex index perturbation, which can be flexibly fulfilled by optical heating of silicon. Consequently, a mild pump intensity of 1 MW/cm2 can yield a modification of the imaginary part of the refractive index of less than 0.05, which effectively suppresses the sharp q-BIC resonances and renders an active modulation depth of reflectance exceeding 80%. Our research might open up an enabling platform for ultrasensitive dynamic nanophotonic devices.

Metasurface-Based Solid Poincaré Sphere Polarizer

The combination of conventional polarization optical elements, such as linear polarizers and waveplates, is widely adopted to tailor light's state of polarization (SOP). Meanwhile, less attention has been given to the manipulation of light's degree of polarization (DOP). Here, we propose metasurface-based polarizers that can filter unpolarized incident light to light with any prescribed SOP and DOP, corresponding to arbitrary points located both at the surface and within the solid Poincaré sphere. The Jones matrix elements of the metasurface are inverse-designed via the adjoint method. As prototypes, we experimentally demonstrated metasurface-based polarizers in near-infrared frequencies that can convert unpolarized light into linear, elliptical, or circular polarizations with varying DOPs of 1, 0.7, and 0.4, respectively. Our Letter unlocks a new degree of freedom for metasurface polarization optics and may break new ground for a variety of DOP-related applications, such as polarization calibration and quantum state tomography.

Observation of localized magnetic plasmon skyrmions

Optical skyrmions have recently been constructed by tailoring vectorial near-field distributions through the interference of multiple surface plasmon polaritons, offering promising features for advanced information processing, transport and storage. Here, we provide experimental demonstration of electromagnetic skyrmions based on magnetic localized spoof plasmons (LSP) showing large topological robustness against continuous deformations, without stringent external interference conditions. By directly measuring the spatial profile of all three vectorial magnetic fields, we reveal multiple π-twist target skyrmion configurations mapped to multi-resonant near-equidistant LSP eigenmodes. The real-space skyrmion topology is robust against deformations of the meta-structure, demonstrating flexible skyrmionic textures for arbitrary shapes. The observed magnetic LSP skyrmions pave the way to ultra-compact and robust plasmonic devices, such as flexible sensors, wearable electronics and ultra-compact antennas.

Planar chiral metasurfaces with maximal and tunable chiroptical response driven by bound states in the continuum

Optical metasurfaces with high quality factors (Q-factors) of chiral resonances can boost substantially light-matter interaction for various applications of chiral response in ultrathin, active, and nonlinear metadevices. However, current approaches lack the flexibility to enhance and tune the chirality and Q-factor simultaneously. Here, we suggest a design of chiral metasurface supporting bound state in the continuum (BIC) and demonstrate experimentally chiroptical responses with ultra-high Q-factors and near-perfect circular dichroism (CD = 0.93) at optical frequencies. We employ the symmetry-reduced meta-atoms with high birefringence supporting winding elliptical eigenstate polarizations with opposite helicity. It provides a convenient way for achieving the maximal planar chirality tuned by either breaking in-plane structure symmetry or changing illumination angle. Beyond linear CD, we also achieved strong near-field enhancement CD and near-unitary nonlinear CD in the same planar chiral metasurface design with circular eigen-polarization. Sharply resonant chirality realized in planar metasurfaces promises various practical applications including chiral lasers and chiral nonlinear filters.

Here, the authors employ the physics of chiral bound states in the continuum and suggest planar chiral metasurfaces with simultaneous ultrahigh quality factor and near-perfect circular dichroism in both linear regime and nonlinear regime.

Perfect diffractive circular metagrating for Bessel beam transformation

Bessel beams, with their non-diffractive property, have attracted great interest in recent years. Optical needle shaping of Bessel beams is highly desired in many applications, however, this typically requires low numerical aperture (NA) bulky 4f confocal systems incorporated with spatial light modulators or round filters. Here, we employ a circular dielectric metagrating for perfect Bessel beam transformation at a desired wavelength. The dielectric metagrating exhibits a high transmissive diffraction efficiency (up to 75%) for a broadband (460 nm to 560 nm), wide-angle range, and dual-polarization response, which is capable of a high-performance transformation of Bessel beams with arbitrary NAs. Our results show potential for special-beam-required applications such as light storage, imaging, and optical manipulation.

Vectorial Compound Metapixels for Arbitrary Nonorthogonal Polarization Steganography

Malus' law regulating the intensity of light when passed through a polarizer, forms the solid basis for image steganography based on orthogonal polarizations of light to convey hidden information without adverse perceptions, which underpins important practices in information encryptions, anti-counterfeitings, and security labels. Unfortunately, the restriction to orthogonal states being taken for granted in the common perceptions fails to advance cryptoinformation to upgraded levels of security. By introducing a vectorial compound metapixel design, arbitrary nonorthogonal polarization multiplexing of independent grayscale images with high fidelity and strong concealment is demonstrated. The Jones matrix treatment of compound metapixels consisting of double atoms with tailored in-plane orientation sum and difference allows point-by-point configuring of both the amplitude and polarization rotations of the output beam in an analytical and linear form. With this, both multiplexing two continuous grayscale images in arbitrary nonorthogonal polarization angles and concealing grayscale image on another in an arbitrary disclosure angle window are experimentally demonstrated in the visible TiO₂ metasurface platform. The methods shed new light on multifarious metaoptics by harnessing the new degree of freedom and unlock the full potential of metasurface polarization optics.

Steering Smith-Purcell radiation angle in a fixed frequency by the Fano-resonant metasurface

Smith-Purcell radiation (SPR) is a kind of electromagnetic wave radiation that happens when an energetic beam of electrons passes very closely parallel to the surface of a ruled optical diffraction grating. The frequency of radiation waves varies in the upper and lower space of the grating for different electron velocity, satisfying the SPR relationship. In this study, a Fano-resonant metasurface was proposed to steer the direction of the SPR waves at the fixed resonant frequency by changing the velocity of the electron beam without varying the geometric parameters or adding extra coupling structure. The maximum emission power always locates at the resonant frequency by utilizing the integration of the Poynting vector. The relative radiated efficiency can reach to a maximum value of 91% at the frequency of 441 GHz and the efficiency curve has a dip when the direction of SPR is nearly vertical due to the high transmission. There is a great consistence of steering radiation angle from 65 degrees to 107 degrees by altering the velocity of electron beam from 0.6c to 0.95c both in analytical calculation and PIC (particle-in-cell of CST) simulation at terahertz frequencies, where c is the speed of light in vacuum. Furthermore, the destructive interference of Fano resonance between the magnetic mode and the toroidal mode shows the underlying physics of steering SPR in a fixed frequency. Our study indicates that the proposed structure can produce direction-tunable THz radiation waves at resonant frequency by varying the velocity of the electron beam, which is promising for various applications in a compact, tunable, high power millimeter wave and THz wave radiation sources.

Arbitrary polarization conversion dichroism metasurfaces for all-in-one full Poincaré sphere polarizers

The control of polarization, an essential property of light, is of broad scientific and technological interest. Polarizers are indispensable optical elements for direct polarization generation. However, arbitrary polarization generation, except that of common linear and circular polarization, relies heavily on bulky optical components such as cascading linear polarizers and waveplates. Here, we present an effective strategy for designing all-in-one full Poincaré sphere polarizers based on perfect arbitrary polarization conversion dichroism and implement it in a monolayer all-dielectric metasurface. This strategy allows preferential transmission and conversion of one polarization state located at an arbitrary position on the Poincaré sphere to its handedness-flipped state while completely blocking its orthogonal state. In contrast to previous methods that were limited to only linear or circular polarization, our method manifests perfect dichroism of nearly 100% in theory and greater than 90% experimentally for arbitrary polarization states. By leveraging this attractive dichroism, our demonstration of the generation of polarization beams located at an arbitrary position on a Poincaré sphere directly from unpolarized light can substantially extend the scope of meta-optics and dramatically promote state-of-the-art nanophotonic devices.

Atomically Thin Noble Metal Dichalcogenides for Phase-Regulated Meta-optics

Owing to its good air stability and high refractive index, two-dimensional (2D) noble metal dichalcogenide shows intriguing potential for versatile flat optics applications. However, light field manipulation at the atomic scale is conventionally considered unattainable because the small thickness and intrinsic losses of 2D materials completely suppress both resonances and phase accumulation effects. Here, we demonstrate that losses of structured atomically thick PtSe₂ films integrated on top of a uniform substrate can be utilized to create the spots of critical coupling, enabling singular phase behaviors with a remarkable π phase jump. This finding enables the experimental demonstration of atomically thick binary meta-optics that allows an angle-robust and high unit thickness diffraction efficiency of 0.96%/nm in visible frequencies (given its thickness of merely 4.3 nm). Our results unlock the potential of a new class of 2D flat optics for light field manipulation at an atomic thickness.

Full-visible transmissive metagratings with large angle/wavelength/polarization tolerance

Metagratings have been shown to form an agile and efficient platform for extreme wavefront manipulation, going beyond the limitations of gradient metasurfaces. Here, we present all-dielectric transmissive metagratings with high diffraction efficiencies using simple rectangular inclusions with neither high index nor high aspect ratio requirement. We further experimentally demonstrate continuous phase encoding of a hologram based on such transmissive metagratings through displacement modulation of CMOS-compatible silicon nitride nanobars in the full visible range, manifesting broadband and wide-angle high diffraction efficiencies for both polarizations. Featured with extreme angle/wavelength/polarization tolerance and alleviated structural complexity for both design and fabrication, our demonstration unlocks the full potential of metagrating-based wavefront manipulation for a variety of practical applications.

Subwavelength Silicon Nanoblocks for Directional Emission Manipulation

Manipulating the light emission direction and boosting its directivity have essential importance in integrated nanophotonic devices. Here, we theoretically propose a single dielectric silicon nanoblock as an efficient, multifunctional and ultracompact all-dielectric nanoantenna to direct light into a preferential direction. Unidirectional scattering of a plane wave as well as switchable directive emission fed by a localized emitter are demonstrated within the nanoantenna. The high directionalities are revealed to originate from a variety of mechanisms that can coexist within a single nanoblock, which contribute to the far-field radiation patterns of the outcoming light, thanks to the wealth of multipolar electric and magnetic resonances. The efficient beam redirections are also observed, which are sensitive to the local configurations of the emitter antenna coupled system. The designed antenna, with extreme geometry simplicity, ultracompact and low-loss features, could be favorable for highly sensitive sensing as well as applications in optical nanocircuits.

High-speed amplitude modulator with a high modulation index based on a plasmonic resonant tunable metasurface

High-speed optical amplitude modulation is important for optical communication systems and sensors. Moreover, nano-optical modulators are important for developing optical-communication-aided high-speed parallel-operation processors and micro-biomedical sensors for inside-blood-capillary examinations or microsurgery operations. In this paper, we have designed a plasmonic resonant tunable metasurface with barium titanate (BTO) as a nanoscale optical modulator with a high modulation index and high speed. The BTO operated well in the VIS and near-IR ranges, enabling tunable optical devices with zero dispersion and high speed. The results obtained by rigorous finite-element method simulations have shown that the hypothesized device has good potential for fast modulation in related applications, e.g., modulators in nano-optical systems, nano-optical switches and nanosensors.

Plasmonic Metasurface Absorber Based on Electro-Optic Substrate for Energy Harvesting

A highly efficient and broad light absorber capable of wide-angle absorption in the visible and near infrared range is presented and numerically investigated for energy harvesting in a simple geometry. According to the calculated results, the proposed device has a peak absorption level of about 99.95%. The actual absorption efficiency is 76.35%, which is approaching that of complex multilayer absorbers with 88 layers working in the wavelength range of 300 nm to 2000 nm. The electro-optic material has the potential of shifting the absorption peak position, compensating fabrication errors and thus reducing the fabrication technique difficulties. Also, the high electro-optic tunability can be used for filters, infrared detection, and imaging applications. More directly, the proposed absorber can be potentially deployed in solar cells and solar thermals.

Facile metagrating holograms with broadband and extreme angle tolerance

The emerging meta-holograms rely on arrays of intractable meta-atoms with various geometries and sizes for customized phase profiles that can precisely modulate the phase of a wavefront at an optimal incident angle for given wavelengths. The stringent and band-limited angle tolerance remains a fundamental obstacle for their practical application, in addition to high fabrication precision demands. Utilizing a different design principle, we determined that facile metagrating holograms based on extraordinary optical diffraction can allow the molding of arbitrary wavefronts with extreme angle tolerances (near-grazing incidence) in the visible-near-infrared regime. By modulating the displacements between uniformly sized meta-atoms rather than the geometrical parameters, the metagratings produce a robust detour phase profile that is irrespective of the wavelength or incident angle. The demonstration of high-fidelity meta-holograms and in-site polarization multiplexing significantly simplifies the metasurface design and lowers the fabrication demand, thereby opening new routes for flat optics with high performances and improved practicality.

Diatomic Metasurface for Vectorial Holography

The emerging metasurfaces with the exceptional capability of manipulating an arbitrary wavefront have revived the holography with unprecedented prospects. However, most of the reported metaholograms suffer from limited polarization controls for a restrained bandwidth in addition to their complicated meta-atom designs with spatially variant dimensions. Here, we demonstrate a new concept of vectorial holography based on diatomic metasurfaces consisting of metamolecules formed by two orthogonal meta-atoms. On the basis of a simply linear relationship between phase and polarization modulations with displacements and orientations of identical meta-atoms, active diffraction of multiple polarization states and reconstruction of holographic images are simultaneously achieved, which is robust against both incident angles and wavelengths. Leveraging this appealing feature, broadband vectorial holographic images with spatially varying polarization states and dual-way polarization switching functionalities have been demonstrated, suggesting a new route to achromatic diffractive elements, polarization optics, and ultrasecure anticounterfeiting.

Wide-angled off-axis achromatic metasurfaces for visible light

We present an approach to build multiwavelength achromatic metasurface that can work in off-axis configuration with an ultra-wide applicable incident angle range for visible light. The metasurface is constructed by combining multiple metallic nano-groove gratings, which support enhanced diffractions for transverse magnetic polarization in an ultrawide incident angle range from 10° to 80° due to the excitations of localized gap plasmon modes at different resonance wavelengths. To achieve the achromatic diffraction, the ratio between the resonance wavelength and the period of each elementary grating is fixed. Incident light at those multiple resonance wavelengths can be efficiently diffracted into the same direction with near-complete suppression of the specular reflection. Based on the similar approach, we also design a wide-angled off-axis achromatic flat lens for focusing light of different wavelengths into the same position. Our findings provide an alternative simple way to design various off-axis achromatic flat optical elements without stringent angle requirement for imaging and display applications.

A facile grating approach towards broadband, wide-angle and high-efficiency holographic metasurfaces

We analytically show that an incident light can be almost completely diffracted into the -1(st) order in wide-angle and broadband by suitably designed thin metallic nano-gratings with simple rectangular cross sections. Such extraordinary optical diffraction results from the excitation of localized cavity modes and exists even when the grating period is modulated in a broad range. By modulating the period with binary holography techniques, we can shape an incident wave into arbitrary wavefronts with near-unity conversion efficiencies. To show the efficacy of this approach, we demonstrate three reflection-type metasurfaces for achieving near-complete conversions from a Gaussian beam into a focused beam, Bessel beam, and vortex beam, respectively, with the complete suppression of the undesired specular reflection. Our findings provide a facile approach to build arbitrary wavefront-shaping metasurfaces with wide-angle, broadband, and high efficiency performance.

Full controlling of Fano resonances in metal-slit superlattice

Controlling of the lineshape of Fano resonance attracts much attention recently due to its wide capabilities for lasing, biosensing, slow-light applications and so on. However, the controllable Fano resonance always requires stringent alignment of complex symmetry-breaking structures and thus the manipulation could only be performed with limited degrees of freedom and narrow tuning range. Furthermore, there is no report so far on independent controlling of both the bright and dark modes in a single structure. Here, we semi-analytically show that the spectral position and linewidth of both the bright and dark modes can be tuned independently and/or simultaneously in a simple and symmetric metal-slit superlattice, and thus allowing for a free and continuous controlling of the lineshape of both the single and multiple Fano resonances. The independent controlling scheme is applicable for an extremely large electromagnetic spectrum range from optical to microwave frequencies, which is demonstrated by the numerical simulations with real metal and a microwave experiment. Our findings may provide convenient and flexible strategies for future tunable electromagnetic devices.

Lasing in plasmon-induced transparency nanocavity

We propose a plasmon-induced transparency (PIT) nanocavity for achieving nanoscopic coherent light source. The compact cavity is constructed by a pair of detuned nano-stubs incorporated with four-level gain medium. The PIT response enables the reduction of the coupling loss from cavity to waveguide while keeping the cavity size unchanged, different from the end-facet Fabry-Pérot cavity in which the radiation loss decreases at the cost of size increment. In order to study the lasing behavior of surface plasmon wave in the PIT cavity, the self-consistent finite element method is employed to model the interactions between gain and propagating surface plasmons. The dynamics of the whole lasing process is observed, and the linear output-input relation is obtained for the single mode plasmon lasing. It is demonstrated that smaller stub-pair detuning provides stronger feedback inside the cavity. Consequently, the lasing threshold of pumping rate decreases quadratically with the decreasing of detuning. However, the output-input extraction efficiency will improve when the detuning is not so small. One of the advantages for the proposal is that the lasing output power from the cavity can directly couple towards the metal-dielectric-metal waveguide platform, facilitating the field of integrated plasmonic circuits and molecular-scale coherent light source.

Direct eigenmode analysis of plasmonic modes in metal nanoparticle chain with layered medium

Using the dyadic Green function (GF) with a multilayer medium, we propose an eigendecomposition (ED) analysis of a plasmonic system composed of a one-dimensional periodic metal nanoparticle chain and planar layered structure. An effective eigenpolarizability involving the collective effects of both the chain and the layered structure is well defined to characterize the dispersion relation and the mode quality of the plasmonic modes. Applying this method, we demonstrate that the interplay between the surface plasmon polaritons (SPPs) at the metal-dielectric interface and the localized plasmon in the chain enables strong mode splitting. In particular, for the polarization perpendicular to layer surface, high-quality modes can be present inside the light cone even if the chain is open to the surrounding air. A slow-light band is also predicted to exist as long as the layered medium supports a SPP mode that can couple to the chain mode.

Effect of prepyloric gastric transection and anastomosis on sphincter of Oddi cyclic motility in conscious dogs

PURPOSE

We previously reported significant changes in sphincter of Oddi cyclic motility after proximal duodenal transection and anastomosis. However, the role of intrinsic myoneural continuity between the antrum and duodenum in this respect is not understood. The aim of this study was to elucidate the effects of prepyloric gastric transection on sphincter of Oddi motility in animals in the conscious state.

METHODS

Pressures in the bile duct, duodenum, stomach, and sphincter of Oddi and their response to an injection of cholecystokinin-octapeptide were measured in four conscious dogs, with a duodenal cannula, before and after gastric transection and anastomosis 1.5 cm proximal to the pylorus.

RESULTS

Gastric transection did not affect the initiation and propagation of the gastroduodenal migration motor complex. Biliary pressure (5.7 +/- 0.15 to 5.5 +/- 0.2 mmHg; P = 0.91), sphincter of Oddi basal pressure (10.6 +/- 0.3 to 10.7 +/- 0.2 mmHg; P = 0.97), and amplitude (26.0 +/- 1.2 to 32.9 +/- 1.7 mmHg; P = 0.304) did not change after gastric transection. Biliary pressure decreased from phase II to phase III of the duodenal migrating motor complex. Cholecystokinin-octapeptide inhibited sphincter of Oddi phasic waves before and after gastric transection.

CONCLUSIONS

Intrinsic myoneural transection at the prepyloric region does not influence sphincter of Oddi cyclic motility. Preservation of pyloroduodenal myoneural continuity in pylorus-preserving gastrectomy would be beneficial to maintain normal sphincter of Oddi motility.

Effects of proximal duodenal transection and anastomosis on interdigestive sphincter of Oddi cyclic motility in conscious dogs

Gallstones formed after gastrectomy are bilirubinate stones probably associated with biliary stasis and infection. Effects of proximal duodenal transection performed during gastrectomy on interdigestive sphincter of Oddi cyclic motility possibly relevant to this phenomenon were investigated in four conscious dogs. Although the cyclic change in sphincter motility was still in concert with the duodenal migrating motor complex after duodenal transection, the mean period was shortened (p < 0.02), and the frequency (p < 0.005) and amplitude (p < 0.001) of sphincter phasic waves during phase III were decreased. The cyclic variation of basal pressure disappeared, and the mean basal pressure throughout the cycle was significantly reduced (p < 0.003). Transient inhibition of sphincter and duodenal contractions normally seen during phase III disappeared. Duodenal transection reversed the response of the sphincter to cholecystokinin-octapeptide from inhibition to stimulation and from reduction of the basal pressure to elevation. These data suggest that duodenal transection produces significant changes in interdigestive sphincter of Oddi motility, possibly contributing to augmented duodenobiliary reflux and then lithogenesis. Myoneural continuity between the stomach and sphincter of Oddi at the proximal duodenum may play an important role in maintaining normal biliary dynamics.

Vector manometric study of the sphincter of Oddi in the dog: functional and morphological correlation

The relationship between sphincter of Oddi pressure and the morphological structure of the sphincter was studied in eight dogs prepared with a duodenal cannula. Sphincter of Oddi manometry was performed in awake animals in three directions, ventral, left dorsal, and right dorsal, using a catheter with three radial side holes for recording at one level. The pressure in the ventral direction (26.6+/-1.06 mmHg) (mean+/-SEM) was significantly lower than that in the left and right dorsal directions (30.6+/-1.42 and 31.2+/-1.23 mmHg, respectively). This functional manometric difference in the three directions correlated closely with the morphological structure of the sphincter of Oddi; the sum of the thickness of the sphincter of Oddi muscle and duodenal proper muscle was greater on the dorsal than on the ventral side. To our knowledge, this is the first report of axial asymmetry in sphincter of Oddi pressure.

Polymorphisms of dopamine D2-like (D2, D3, and D4) receptors in schizophrenia

The result of most association studies and linkage analyses have suggested a negative association between schizophrenia and D2-like (D2, D3, and D4) receptor polymorphisms. Although the polymorphisms of the D2-like receptor in themselves may not account for the etiology of schizophrenia, they can contribute to the severity of the symptoms. Thus, we studied the associations between the polymorphisms and their combinations, and the vulnerability of schizophrenics. Fragments of the D2-like receptor genes were amplified by means of the polymerase chain reaction, and the polymorphisms were identified by the restriction fragment length polymorphism and single-stranded conformation polymorphism methods. There were no statistically significant differences in the polymorphisms and their combinations between schizophrenics and controls. Schizophrenics with D4E1(A1/A2), which contains 2 and 1 tandem repeats of a 12-base-pair sequence in exon 1, had a lower total positive symptom score before medication than schizophrenics with D4E1(A1/A1). There was no association between the polymorphisms and negative symptoms.

Effects of intraduodenal air insufflation on sphincter of Oddi motility in conscious dogs

To investigate effects of intraduodenal air insufflation on sphincter of Oddi motility, manometric recordings were obtained during fasting from the sphincter and duodenum in four conscious dogs with duodenal cannula. At 40% of the mean cycle length of the migrating motor complex predetermined from baseline recording, 160 ml of air was injected into the duodenum. In both the sphincter and duodenum, air insufflation produced premature phase III-like activity in seven of 20 experiments (35%) or nonspecific excitatory reaction in eight (40%). In the remaining five experiments (25%), the sphincter exhibited a transient inhibitory response, while the duodenum showed the nonspecific excitatory reaction. Basal pressure of the sphincter increased immediately after air insufflation in 90% of the 20 experiments. The mean basal pressure increased from 12.3 +/- 1.6 mm Hg to 22.4 +/- 2.1 mm Hg (P < 0.0001) and minimum basal pressure from 2.9 +/- 0.9 mm Hg to 4.7 +/- 0.8 mm Hg (P < 0.001). These results indicate that intraduodenal air insufflation does affect motility of the sphincter of Oddi and duodenum in conscious dogs.

The genes encoding the 5HT1D alpha and 5HT1D beta receptors are unchanged in patients with panic disorder

To determine the serotonergic function in panic disorder, sequencing of the genes encoding the 5HT1D alpha and 5HT1D beta receptors was carried out. The genes for the 5HT1D alpha and 5HT1D beta receptors were amplified by polymerase chain reaction and sequenced by the dideoxy method. Some patients have both nucleotides C and T at position 1080 in 5HT1D alpha receptor gene; however, both of them code the same amino acid, asparagine. The 5HT1D beta receptor gene had a substitution from GCA276 to GCG276, not only panic disorder but also in controls; however, this substitution does not change the corresponding amino acid, alanine92.

Male breast cancer--a report of 4 cases and a review of the literature

Male breast cancer represents only about 1% of all breast cancers. Of 451 patients with breast cancer, we have experienced four cases of male breast cancer. Characteristics of these male patients with breast cancer were an older age at diagnosis (mean: 68.5 years old), prolonged duration of symptom (ranged from 1 month to 6 years with a mean of 25.5 months), centrally located tumor, advanced staging and infiltrating ductal carcinoma in histologic type. Some reported risk factors for the development of male breast cancer, such as radiation exposure, hormonal factors and gallstone disease were present.

The gene encoding the 5-HT1A receptor is intact in mood disorders

We studied the 5-HT1A receptor gene in 50 mood disorders and 50 normal volunteers. The 5-HT1A receptor gene was amplified by polymerase chain reaction and sequenced by the dideoxy method. The sequence of the 5-HT1A receptor encodes a protein of 422 amino acids, that is, one amino acid longer than the reported sequence (Kobilka et al. 1987). The DNA sequence at positions 454 to 459 is CGC GCC GCT, not CCG CGT, and the amino acids sequence at these positions is changing from proline arginine to arginine alanine alanine. These differences, however, were observed in both mood disorders and controls. One silent polymorphism, CTG to GTA at position 294, was found. These results suggest that the 5-HT1A receptor gene is intact in mood disorders.

The influence of age and location of arterial lesion on the pathogenesis and development of early atherosclerotic lesions in youth

From 1986 to 1989, 324 aortae from accidental death aged 15-39 were collected from two locations, one of higher prevalence (Beijing in North China), and the other of lower prevalence (Nanning in South China) of atherosclerosis (AS) and coronary heart disease (CHD). Morphometry and biochemical analyses, were used in the study with emphasis on the changes of smooth muscle cells (SMC) in the aortic intima and on the aortic proteoglycans (PGs) of specimens from both locations to elucidate their relationship with the pathogenesis and development of AS and to find ways, if any, for the prevention and control of AS. The results showed that the densities, especially the area density of the cell nuclei of aortic SMC were significantly higher in specimens from the North than those from the South (P < 0.01). Nuclear densities of SMC negatively correlated with alcian blue-positive substances; both total PGs and Heparin sulfate PG (HSPG, inhibitory to SMC proliferation) of the aortic intima and media were lower in specimens from the North than those from the South (P < 0.01). The percentage of sudanophilic lesion (SL) in the total intimal area, showing the extent of fatty infiltration of aortae from the two locations, was similar except that of the male abdominal aortae which was higher in the North (P < 0.01). The above findings showed that decreased content of HSPG which is inhibitory to SMC proliferation might be one of the causes of the augmentation of aortic SMC proliferation in Beijing specimens; and also the increased serum cholesterol concentration of the population in Nanning was reflected in the SL of the aortic intima.(ABSTRACT TRUNCATED AT 250 WORDS)

Human aortic proteoglycans of subjects from districts of high and low prevalence of atherosclerosis in China

The contents of three species of proteoglycans (PGs), heparan sulfate PG(HSPG), chondroitin sulfate PG(CSPG) and dermatan sulfate chondroitin sulfate PG(DSCSPG), in human thoracic aortas of subjects from districts of high (Beijin, in North China) and low (Nanning, in South China) prevalence of atherosclerosis in China were quantitated. Higher aortic HSPG and DSCSPG (but lower DS) in samples from Nanning than those from Beijing might be implicated in the lower prevalence of atherosclerosis in the former.

Human penicilliosis marneffei and its relation to the bamboo rat (Rhizomys pruinosus)

Fourteen cases of penicilliosis marneffei occurred in persons in the Guangxi region of the People's Republic of China; the first known case of that disease had been found in Vietnamese bamboo rats (Rhizomys sinensis). A survey of the wild rats in this region was initiated to determine if any of these animals were infected by Penicillium marneffei. Although R. sinensis rats live in the study area, they are relatively rare. The only rats captured were another species of bamboo rat (R. pruinosus). Of the 19 rats captured, 18 yielded cultures of P. marneffei from one or more of their internal organs. The implications of this finding in respect to the epidemiology of penicilliosis marneffei are discussed.

Progressive disseminated penicilliosis caused by Penicillium marneffei. Report of eight cases and differentiation of the causative organism from Histoplasma capsulatum

Eight patients with fatal penicilliosis caused by Penicillium marneffei are reported. All were natives of southern rural Guangxi, and none had a predisposing illness or evidence of altered immunity. The distinctive features of P. marneffei include proliferation of yeast-like cells within histiocytes, followed by the development of focal necrosis and, eventually, large abscesses. Outside the histiocytes, the fungi elongate, become slightly curved, and form septa. In vitro, P. marneffei produces a red pigment which diffuses into the culture medium. The differentiation between P. marneffei and Histoplasma capsulatum is described, and possible reservoirs for P. marneffei are discussed.