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Ertel D, Schmoll M, Kellerer S, Jäger A, Weissenbilder R, Moioli M, Ahmadi H, Busto D, Makos I, Frassetto F, Poletto L, Schröter CD, Pfeifer T, Moshammer R, Sansone G. Ultrastable, high-repetition-rate attosecond beamline for time-resolved XUV-IR coincidence spectroscopy. Rev Sci Instrum 2023; 94:073001. [PMID: 37404094 DOI: 10.1063/5.0139496] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Received: 12/20/2022] [Accepted: 05/30/2023] [Indexed: 07/06/2023]
Abstract
The implementation of attosecond photoelectron-photoion coincidence spectroscopy for the investigation of atomic and molecular dynamics calls for a high-repetition-rate driving source combined with experimental setups characterized by excellent stability for data acquisition over time intervals ranging from a few hours up to a few days. This requirement is crucial for the investigation of processes characterized by low cross sections and for the characterization of fully differential photoelectron(s) and photoion(s) angular and energy distributions. We demonstrate that the implementation of industrial-grade lasers, combined with a careful design of the delay line implemented in the pump-probe setup, allows one to reach ultrastable experimental conditions leading to an error in the estimation of the time delays of only 12 as over an acquisition time of 6.5 h. This result opens up new possibilities for the investigation of attosecond dynamics in simple quantum systems.
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Affiliation(s)
- D Ertel
- Institute of Physics, University of Freiburg, 79104 Freiburg, Germany
| | - M Schmoll
- Institute of Physics, University of Freiburg, 79104 Freiburg, Germany
| | - S Kellerer
- Institute of Physics, University of Freiburg, 79104 Freiburg, Germany
| | - A Jäger
- Institute of Physics, University of Freiburg, 79104 Freiburg, Germany
| | - R Weissenbilder
- Department of Physics, Lund University, SE-221 00 Lund, Sweden
| | - M Moioli
- Institute of Physics, University of Freiburg, 79104 Freiburg, Germany
| | - H Ahmadi
- Institute of Physics, University of Freiburg, 79104 Freiburg, Germany
| | - D Busto
- Institute of Physics, University of Freiburg, 79104 Freiburg, Germany
- Department of Physics, Lund University, SE-221 00 Lund, Sweden
| | - I Makos
- Institute of Physics, University of Freiburg, 79104 Freiburg, Germany
| | - F Frassetto
- CNR-Institute for Photonics and Nanotechnologies (CNR-IFN), 35131 Padova, Italy
| | - L Poletto
- CNR-Institute for Photonics and Nanotechnologies (CNR-IFN), 35131 Padova, Italy
| | - C D Schröter
- Max-Planck-Institute for Nuclear Physics, 67119 Heidelberg, Germany
| | - T Pfeifer
- Max-Planck-Institute for Nuclear Physics, 67119 Heidelberg, Germany
| | - R Moshammer
- Max-Planck-Institute for Nuclear Physics, 67119 Heidelberg, Germany
| | - G Sansone
- Institute of Physics, University of Freiburg, 79104 Freiburg, Germany
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Fritz F, Daratsianos N, Bourauel C, Papageorgiou SN, Jäger A. Changes in the distribution of occlusal forces in the course of the orthodontic retention phase : A prospective cohort study. J Orofac Orthop 2023:10.1007/s00056-023-00480-4. [PMID: 37382657 DOI: 10.1007/s00056-023-00480-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2023] [Accepted: 04/17/2023] [Indexed: 06/30/2023]
Abstract
PURPOSE Aim of the present study was to assess the relative distribution of occlusal forces after orthodontic treatment and during the first 3 months of the retention phase using a computerized occlusal analysis system (T-Scan, Tekscan Inc., Norwood, MA, USA). MATERIALS AND METHODS A total of 52 patients were included in this prospective cohort study and underwent analysis of occlusal forces on the level of tooth, jaw-half, and -quadrant during a 3-month period. Furthermore, differences between three retention protocols (group I: removable appliances in both jaws; group II: fixed 3-3 lingual retainers in both jaws; group III: removable appliance in the maxilla and fixed 3-3 lingual retainer in mandible) were assessed with Wilcoxon signed-rank tests at 5%. RESULTS Directly after debonding, measured forces distribution were similar to published references for untreated samples. In the following, no significant difference was found between retention protocols II and III with regard to the asymmetry of the anterior occlusal forces. Both groups maintained an asymmetric force distribution in the anterior segment during the study period. There was also no difference between groups II and III in the distribution of occlusal forces for the posterior segments. Both retention concepts kept the symmetrical distribution of occlusal forces stable over the observation period. The retention concept of group I demonstrated a symmetrical distribution of occlusal forces in the anterior segment after debonding and this remained stable during the 3‑month period. In the posterior segment, no improvement of the initially asymmetric masticatory force distribution could be observed. CONCLUSIONS All three studied retention protocols showed stability in retaining their original symmetrical or asymmetrical occlusal force distribution posteriorly/anteriorly during the 3‑month observation period. Therefore, an even distribution of occlusal forces should be the aim of the finishing phase, as no relative benefit of any single retention scheme in terms of post-debond improvement during the retention phase was seen.
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Affiliation(s)
- F Fritz
- Department of Orthodontics, University of Bonn, Welschnonnenstr. 17, 53111, Bonn, Germany
| | - N Daratsianos
- Department of Orthodontics, University of Bonn, Welschnonnenstr. 17, 53111, Bonn, Germany
| | - C Bourauel
- Department of Oral Technology, University of Bonn, Welschnonnenstr. 17, 53111, Bonn, Germany
| | - Spyridon N Papageorgiou
- Clinic of Orthodontics and Pediatric Dentistry, Center of Dental Medicine, University Zurich, Plattenstrasse 11, 8032, Zurich, Switzerland
| | - A Jäger
- Department of Orthodontics, University of Bonn, Welschnonnenstr. 17, 53111, Bonn, Germany.
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Jäger A, Steinberg L, Mickoleit E, Thol M. Residual Entropy Scaling for Long-Chain Linear Alkanes and Isomers of Alkanes. Ind Eng Chem Res 2023. [DOI: 10.1021/acs.iecr.2c04238] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/19/2023]
Affiliation(s)
- A. Jäger
- Institute of Power Engineering, Faculty of Mechanical Science and Engineering, Technische Universität Dresden, Helmholtzstraße 14, 01069 Dresden, Germany
| | - L. Steinberg
- Thermodynamics, Ruhr University Bochum, 44780 Bochum, Germany
| | - E. Mickoleit
- Institute of Power Engineering, Faculty of Mechanical Science and Engineering, Technische Universität Dresden, Helmholtzstraße 14, 01069 Dresden, Germany
| | - M. Thol
- Thermodynamics, Ruhr University Bochum, 44780 Bochum, Germany
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Keilig L, Goedecke J, Bourauel C, Daratsianos N, Dirk C, Jäger A, Konermann A. Increased tooth mobility after fixed orthodontic appliance treatment can be selectively utilized for case refinement via positioner therapy - a pilot study. BMC Oral Health 2020; 20:114. [PMID: 32299416 PMCID: PMC7164254 DOI: 10.1186/s12903-020-01097-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2019] [Accepted: 03/29/2020] [Indexed: 11/13/2022] Open
Abstract
Background Increased tooth mobility persists after fixed orthodontic appliance removal, which is therapeutically utilized for post-treatment finishing with positioners. As such a fine adjustment is only required for selected teeth, the aim of this pilot study was to investigate tooth mobility in vivo on corrected and uncorrected subgroups under positioner therapy. Methods Mobility was measured on upper teeth of 10 patients (mean age 16.8) by applying loadings for 0.1, 1.0 and 10.0 s with a novel device directly after multibracket appliance debonding as much as 2d, 1, 2 and 6 weeks later. Positioners were inserted at day 2. Specimens were divided into Group C (teeth corrected via positioner), Group N (uncorrected teeth adjacent to teeth from group C), and Group U (uncorrected teeth in an anchorage block). Untreated individuals served as controls (n = 10, mean age 22.4). Statistics were performed via Kolmogorov-Smirnov test and Welch’s unequal variances t-test for comparisons between groups. P < 0.05 was considered statistically significant. Results After 1 week, tooth mobility in Group U almost resembled controls (13.0–15.7 N), and reached physiological values after 6 weeks (17.4 N vs. 17.3 N in controls). Group C (9.0–13.4 N) and Group N (9.2–14.7 N) maintained increased mobility after 6 weeks. Tooth mobility was generally higher by reason of long loading durations (10.0 s). Conclusions Positioner therapy can selectively utilized increased tooth mobility upon orthodontic fixed appliance treatment for case refinements. Here, uncorrected teeth in anchorage blocks are not entailed by unwanted side effects and recover after 6 weeks post treatment. Corrected teeth and their neighbors exhibit enhanced mobility even after 6 weeks, which represents a necessity for the proper correction of tooth position, and concurrently arouses the requirement for an adequate retention protocol.
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Affiliation(s)
- L Keilig
- Endowed Professorship for Oral Medical Technology, University of Bonn, Bonn, Germany
| | - J Goedecke
- Endowed Professorship for Oral Medical Technology, University of Bonn, Bonn, Germany
| | - C Bourauel
- Endowed Professorship for Oral Medical Technology, University of Bonn, Bonn, Germany
| | - N Daratsianos
- Department of Orthodontics, University of Bonn, Welschnonnenstr. 17, 53111, Bonn, Germany
| | - C Dirk
- Endowed Professorship for Oral Medical Technology, University of Bonn, Bonn, Germany
| | - A Jäger
- Department of Orthodontics, University of Bonn, Welschnonnenstr. 17, 53111, Bonn, Germany
| | - A Konermann
- Department of Orthodontics, University of Bonn, Welschnonnenstr. 17, 53111, Bonn, Germany.
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Jäger A, Heim N, Kramer FJ, Setiawan M, Peitz M, Konermann A. A novel serum-free medium for the isolation, expansion and maintenance of stemness and tissue-specific markers of primary human periodontal ligament cells. Ann Anat 2020; 231:151517. [PMID: 32229241 DOI: 10.1016/j.aanat.2020.151517] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2019] [Revised: 02/21/2020] [Accepted: 03/12/2020] [Indexed: 10/24/2022]
Abstract
PURPOSE Periodontal ligament (PDL) cell cultures are classically maintained in serum-containing media. However, unwanted side-effects of these conditions on cellular and molecular characteristics demand a serum-free alternative. Even though these limitations are well known and efforts for the development of adequate serum-free alternatives have been made, these approaches for replacement remained unsuccessful so far. This study aimed at developing a well-defined, serum-free formulation supporting both isolation from tissue samples and efficient expansion of PDL cells. Here, of particular focus was the perpetuation of tissue-characteristic markers detectable in primary tissues and of stemness features. BASIC PROCEDURES Primary PDL cell cultures from generally healthy human donors (n = 3) were maintained in basal media N2B27 and E6 together with different concentrations of growth and attachment factors. Cell proliferation was recorded via microscopy and WST assay. Gene expression of RUNX2, Periostin, ALP, CD73, CD90, CD105, CD45, SOX10 and SOX2 was compared to primary PDL explants via qRT-PCR. Immunocytochemistry was performed for anti-CD105, SSEA-3, CD271, HNK1. Serum-containing sDMEM medium served as control. MAIN FINDINGS N2B27 medium substituted with 25 ng/mL EGF, 25 ng/mL IGF1, 0.5 mg/mL Fetuin plus gelatine coating (designated N2B27-PDLsf) emerged as potent serum-free formulation ensuring adequate culture isolation and expansion. Here, PDL primary tissue signature markers RUNX2 and Periostin remained stable in N2B27-PDLsf compared to controls (229.0-fold ±101.0 and 83.2-fold ±9.6 increase). Additionally, stemness markers ALP and CD105 were significantly upregulated on transcriptional, and CD105 and SOX2 on protein level. PRINCIPAL CONCLUSIONS This investigation identified a novel serum-free medium for the isolation, and expansion of primary human PDL cells with constantly high proliferation rates. Here, purity and stemness properties are maintained. Thus, N2B27-PDLsf represents a valid replacement for serum-containing media in PDL cultures.
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Affiliation(s)
- A Jäger
- Department of Orthodontics, Medical Faculty, University of Bonn, 53111 Bonn, Germany
| | - N Heim
- Department of Oral & Maxillofacial Plastic Surgery, University of Bonn, 53105 Bonn, Germany
| | - F J Kramer
- Department of Oral & Maxillofacial Plastic Surgery, University of Bonn, 53105 Bonn, Germany
| | - M Setiawan
- Department of Orthodontics, Medical Faculty, University of Bonn, 53111 Bonn, Germany
| | - M Peitz
- Institute of Reconstructive Neurobiology, Life and Brain Center, University of Bonn, 53127 Bonn, Germany
| | - A Konermann
- Department of Orthodontics, Medical Faculty, University of Bonn, 53111 Bonn, Germany.
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Memmert S, Nogueira AVB, Damanaki A, Nokhbehsaim M, Rath-Deschner B, Götz W, Gölz L, Cirelli JA, Till A, Jäger A, Deschner J. Regulation of the autophagy-marker Sequestosome 1 in periodontal cells and tissues by biomechanical loading. J Orofac Orthop 2019; 81:10-21. [PMID: 31591651 DOI: 10.1007/s00056-019-00197-3] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2019] [Accepted: 08/20/2019] [Indexed: 01/24/2023]
Abstract
PURPOSE Orthodontic treatment is based on the principle of force application to teeth and subsequently to the surrounding tissues and periodontal cells. Sequestosome 1 (SQSTM1) is a well-known marker for autophagy, which is an important cellular mechanism of adaptation to stress. The aim of this study was to analyze whether biomechanical loading conditions regulate SQSTM1 in periodontal cells and tissues, thereby providing further information on the role of autophagy in orthodontic tooth movement. METHODS Periodontal ligament (PDL) fibroblasts were exposed to cyclic tensile strain of low magnitude (3%, CTSL), and the regulation of autophagy-associated targets was determined with an array-based approach. SQSTM1 was selected for further biomechanical loading experiments with dynamic and static tensile strain and assessed via real-time polymerase chain reaction (RT-PCR) and immunoblotting. Signaling pathways involved in SQSTM1 activation were analyzed by using specific inhibitors, including an autophagy inhibitor. Finally, SQSTM1 expression was analyzed in gingival biopsies and histological sections of rats in presence and absence of orthodontic forces. RESULTS Multiple autophagy-associated targets were regulated by CTSL in PDL fibroblasts. All biomechanical loading conditions tested increased the SQSTM1 expression significantly. Stimulatory effects of CTSL on SQSTM1 expression were diminished by inhibition of the c‑Jun N‑terminal kinase (JNK) pathway and of autophagy. Increased SQSTM1 levels after CTSL were confirmed by immunoblotting. Orthodontic force application also led to significantly elevated SQTSM1 levels in the gingiva and PDL of treated animals as compared to control. CONCLUSIONS Our in vitro and in vivo findings provide evidence of a role of SQSTM1 and thereby autophagy in orthodontic tooth movement.
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Affiliation(s)
- S Memmert
- Department of Orthodontics, Center of Dento-Maxillo-Facial Medicine, University of Bonn, Welschnonnenstr. 17, 53111, Bonn, Germany. .,Section of Experimental Dento-Maxillo-Facial Medicine, Center of Dento-Maxillo-Facial Medicine, University of Bonn, Bonn, Germany.
| | - A V B Nogueira
- Department of Periodontology and Operative Dentistry, University Medical Center of the Johannes Gutenberg University, Mainz, Germany
| | - A Damanaki
- Department of Periodontology and Operative Dentistry, University Medical Center of the Johannes Gutenberg University, Mainz, Germany
| | - M Nokhbehsaim
- Section of Experimental Dento-Maxillo-Facial Medicine, Center of Dento-Maxillo-Facial Medicine, University of Bonn, Bonn, Germany
| | - B Rath-Deschner
- Department of Orthodontics, Center of Dento-Maxillo-Facial Medicine, University of Bonn, Welschnonnenstr. 17, 53111, Bonn, Germany
| | - W Götz
- Department of Orthodontics, Center of Dento-Maxillo-Facial Medicine, University of Bonn, Welschnonnenstr. 17, 53111, Bonn, Germany
| | - L Gölz
- Department of Orthodontics and Orofacial Orthopedics, University of Erlangen, Erlangen, Germany.,Institute of Human Genetics, University Hospital of Bonn, Bonn, Germany
| | - J A Cirelli
- Department of Diagnosis and Surgery, School of Dentistry at Araraquara, University Estadual Paulista-UNESP, Araraquara, Brazil
| | - A Till
- Institute of Reconstructive Neurobiology, Life and Brain Center, University of Bonn, Bonn, Germany
| | - A Jäger
- Department of Orthodontics, Center of Dento-Maxillo-Facial Medicine, University of Bonn, Welschnonnenstr. 17, 53111, Bonn, Germany
| | - J Deschner
- Department of Periodontology and Operative Dentistry, University Medical Center of the Johannes Gutenberg University, Mainz, Germany
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Setiawan M, Jäger A, Konermann A. The stability of different housekeeping genes in human periodontal ligament cells under inflammatory conditions. Ann Anat 2019; 224:81-87. [DOI: 10.1016/j.aanat.2019.04.001] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2019] [Revised: 03/13/2019] [Accepted: 04/05/2019] [Indexed: 12/19/2022]
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Knaup I, Wagner Y, Wego J, Fritz U, Jäger A, Wolf M. Potential impact of lingual retainers on oral health: comparison between conventional twistflex retainers and CAD/CAM fabricated nitinol retainers. J Orofac Orthop 2019; 80:88-96. [PMID: 30778609 DOI: 10.1007/s00056-019-00169-7] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2018] [Accepted: 01/03/2019] [Indexed: 01/01/2023]
Affiliation(s)
- I Knaup
- Department of Orthodontics, Aachen RWTH University Hospital, Pauwelsstraße 30, 52074, Aachen, Germany.
| | - Y Wagner
- Department of Orthodontics, Jena University Hospital, An der Alten Post 4, 07743, Jena, Germany
| | - J Wego
- Department of Orthodontics, Aachen RWTH University Hospital, Pauwelsstraße 30, 52074, Aachen, Germany
| | - U Fritz
- Department of Orthodontics, Aachen RWTH University Hospital, Pauwelsstraße 30, 52074, Aachen, Germany
| | - A Jäger
- Department of Orthodontics, Bonn University Hospital, Welschnonnenstr. 17, 53111, Bonn, Germany
| | - M Wolf
- Department of Orthodontics, Aachen RWTH University Hospital, Pauwelsstraße 30, 52074, Aachen, Germany
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Stojanovska V, Sharma N, Dijkstra DJ, Scherjon SA, Jäger A, Schorle H, Plösch T. Placental insufficiency contributes to fatty acid metabolism alterations in aged female mouse offspring. Am J Physiol Regul Integr Comp Physiol 2018; 315:R1107-R1114. [PMID: 30207754 DOI: 10.1152/ajpregu.00420.2017] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
Intrauterine growth restriction (IUGR) is an accepted risk factor for metabolic disorders in later life, including obesity and type 2 diabetes. The level of metabolic dysregulation can vary between subjects and is dependent on the severity and the type of IUGR insult. Classical IUGR animal models involve nutritional deprivation of the mother or uterine artery ligation. The latter aims to mimic a placental insufficiency, which is the most frequent cause of IUGR. In this study, we investigated whether IUGR attributable to placental insufficiency impacts the glucose and lipid homeostasis at advanced age. Placental insufficiency was achieved by deletion of the transcription factor AP-2y ( Tfap2c), which serves as one of the major trophoblast differentiation regulators. TdelT-IUGR mice were obtained by crossing mice with a floxed Tfap2c allele and mice with Cre recombinase under the control of the Tpbpa promoter. In advanced adulthood (9-12 mo), female and male IUGR mice are respectively 20% and 12% leaner compared with controls. At this age, IUGR mice have unaffected glucose clearance and lipid parameters (cholesterol, triglycerides, and phospholipids) in the liver. However, female IUGR mice have increased plasma free fatty acids (+87%) compared with controls. This is accompanied by increased mRNA levels of fatty acid synthase and endoplasmic reticulum stress markers in white adipose tissue. Taken together, our results suggest that IUGR by placental insufficiency may lead to higher lipogenesis in female mice in advanced adulthood, at least indicated by greater Fasn expression. This effect was sex specific for the aged IUGR females.
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Affiliation(s)
- Violeta Stojanovska
- Department of Obstetrics and Gynecology, University of Groningen, University Medical Center Groningen , Groningen , The Netherlands
| | - Neha Sharma
- Department of Developmental Pathology, Institute of Pathology, Bonn University Medical School , Bonn , Germany
| | - Dorieke J Dijkstra
- Department of Obstetrics and Gynecology, University of Groningen, University Medical Center Groningen , Groningen , The Netherlands
| | - Sicco A Scherjon
- Department of Obstetrics and Gynecology, University of Groningen, University Medical Center Groningen , Groningen , The Netherlands
| | - Andrea Jäger
- Department of Developmental Pathology, Institute of Pathology, Bonn University Medical School , Bonn , Germany
| | - Hubert Schorle
- Department of Developmental Pathology, Institute of Pathology, Bonn University Medical School , Bonn , Germany
| | - Torsten Plösch
- Department of Obstetrics and Gynecology, University of Groningen, University Medical Center Groningen , Groningen , The Netherlands
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Wolf M, Ao M, Chavez MB, Kolli TN, Thumbigere-Math V, Becker K, Chu EY, Jäger A, Somerman MJ, Foster BL. Reduced Orthodontic Tooth Movement in Enpp1 Mutant Mice with Hypercementosis. J Dent Res 2018. [PMID: 29533727 DOI: 10.1177/0022034518759295] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
Previous studies revealed that cementum formation is tightly regulated by inorganic pyrophosphate (PPi), a mineralization inhibitor. Local PPi concentrations are determined by regulators, including ectonucleotide pyrophosphatase/phosphodiesterase 1 (ENPP1), which increases PPi concentrations by adenosine triphosphate hydrolysis. Orthodontic forces stimulate alveolar bone remodelling, leading to orthodontic tooth movement (OTM). To better understand how disturbed mineral metabolism and the resulting altered periodontal structures affect OTM, we employed Enpp1 mutant mice that feature reduced PPi and increased cervical cementum in a model of OTM induced by a stretched closed-coil spring ligated between the maxillary left first molar and maxillary incisors. We analyzed tooth movement, osteoclast/odontoclast response, and tooth root resorption by micro-computed tomography, histology, histomorphometry, and immunohistochemistry. Preoperatively, we noted an altered periodontium in Enpp1 mutant mice, with significantly increased periodontal ligament (PDL) volume and thickness, as well as increased PDL-bone/tooth root surface area, compared to wild-type (WT) controls. After 11 d of orthodontic treatment, Enpp1 mutant mice displayed 38% reduced tooth movement versus WT mice. Molar roots in Enpp1 mutant mice exhibited less change in PDL width in compression and tension zones compared to WT mice. Root resorption was noted in both groups with no difference in average depths, but resorption lacunae in Enpp1 mutant mice were almost entirely limited to cementum, with 150% increased cementum resorption and 92% decreased dentin resorption. Osteoclast/odontoclast cells were reduced by 64% in Enpp1 mutant mice, with a predominance of tartrate-resistant acid phosphatase (TRAP)-positive cells on root surfaces, compared to WT mice. Increased numbers of TRAP-positive cells on root surfaces were associated with robust immunolocalization of osteopontin (OPN) and receptor-activator of NF-κB ligand (RANKL). Collectively, reduced response to orthodontic forces, decreased tooth movement, and altered osteoclast/odontoclast distribution suggests Enpp1 loss of function has direct effects on clastic function/recruitment and/or indirect effects on periodontal remodeling via altered periodontal structure or tissue mineralization.
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Affiliation(s)
- M Wolf
- 1 Department of Orthodontics, Aachen University, Aachen, Germany.,2 National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), National Institutes of Health (NIH), Bethesda, MD, USA
| | - M Ao
- 2 National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), National Institutes of Health (NIH), Bethesda, MD, USA
| | - M B Chavez
- 3 Division of Biosciences, College of Dentistry, The Ohio State University, Columbus, OH, USA
| | - T N Kolli
- 3 Division of Biosciences, College of Dentistry, The Ohio State University, Columbus, OH, USA
| | - V Thumbigere-Math
- 2 National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), National Institutes of Health (NIH), Bethesda, MD, USA.,4 Division of Periodontics, School of Dentistry, University of Maryland, Baltimore, MD, USA
| | - K Becker
- 5 Department of Orthodontics, Universitätsklinikum Düsseldorf, Düsseldorf, Germany
| | - E Y Chu
- 2 National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), National Institutes of Health (NIH), Bethesda, MD, USA
| | - A Jäger
- 6 Department of Orthodontics, University of Bonn, Bonn, Germany
| | - M J Somerman
- 2 National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), National Institutes of Health (NIH), Bethesda, MD, USA
| | - B L Foster
- 3 Division of Biosciences, College of Dentistry, The Ohio State University, Columbus, OH, USA
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Memmert S, Nogueira AVB, Damanaki A, Nokhbehsaim M, Eick S, Divnic-Resnik T, Spahr A, Rath-Deschner B, Till A, Götz W, Cirelli JA, Jäger A, Deschner J. Damage-regulated autophagy modulator 1 in oral inflammation and infection. Clin Oral Investig 2018; 22:2933-2941. [PMID: 29442188 DOI: 10.1007/s00784-018-2381-6] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2017] [Accepted: 02/06/2018] [Indexed: 01/01/2023]
Abstract
OBJECTIVES Damage-regulated autophagy modulator (DRAM) 1 is a p53 target gene with possible involvement in oral inflammation and infection. This study sought to examine the presence and regulation of DRAM1 in periodontal diseases. MATERIAL AND METHODS In vitro, human periodontal ligament fibroblasts were exposed to interleukin (IL)-1β and Fusobacterium nucleatum for up to 2 days. The DRAM1 synthesis and its regulation were analyzed by real-time PCR, immunocytochemistry, and ELISA. Expressions of other autophagy-associated genes were also studied by real-time PCR. In vivo, synthesis of DRAM1 in gingival biopsies from rats and patients with and without periodontal disease was examined by real-time PCR and immunohistochemistry. For statistics, ANOVA and post-hoc tests were applied (p < 0.05). RESULTS In vitro, DRAM1 was significantly upregulated by IL-1β and F. nucleatum over 2 days and a wide range of concentrations. Additionally, increased DRAM1 protein levels in response to both stimulants were observed. Autophagy-associated genes ATG3, BAK1, HDAC6, and IRGM were also upregulated under inflammatory or infectious conditions. In vivo, the DRAM1 gene expression was significantly enhanced in rat gingival biopsies with induced periodontitis as compared to control. Significantly increased DRAM1 levels were also detected in human gingival biopsies from sites of periodontitis as compared to healthy sites. CONCLUSION Our data provide novel evidence that DRAM1 is increased under inflammatory and infectious conditions in periodontal cells and tissues, suggesting a pivotal role of DRAM1 in oral inflammation and infection. CLINICAL RELEVANCE DRAM1 might be a promising target in future diagnostic and treatment strategies for periodontitis.
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Affiliation(s)
- Svenja Memmert
- Section of Experimental Dento-Maxillo-Facial Medicine, Center of Dento-Maxillo-Facial Medicine, University of Bonn, Welschnonnenstr. 17, 53111, Bonn, Germany. .,Department of Orthodontics, Center of Dento-Maxillo-Facial Medicine, University of Bonn, Bonn, Germany.
| | - A V B Nogueira
- Department of Diagnosis and Surgery, School of Dentistry at Araraquara, Sao Paulo State University, UNESP, Araraquara, Brazil
| | - A Damanaki
- Section of Experimental Dento-Maxillo-Facial Medicine, Center of Dento-Maxillo-Facial Medicine, University of Bonn, Welschnonnenstr. 17, 53111, Bonn, Germany
| | - M Nokhbehsaim
- Section of Experimental Dento-Maxillo-Facial Medicine, Center of Dento-Maxillo-Facial Medicine, University of Bonn, Welschnonnenstr. 17, 53111, Bonn, Germany
| | - S Eick
- Department of Periodontology, Laboratory for Oral Microbiology, School of Dental Medicine, University of Bern, Bern, Switzerland
| | - T Divnic-Resnik
- Department/Discipline of Periodontics, Faculty of Dentistry, The University of Sydney, Sydney, Australia
| | - A Spahr
- Department/Discipline of Periodontics, Faculty of Dentistry, The University of Sydney, Sydney, Australia
| | - B Rath-Deschner
- Department of Orthodontics, Center of Dento-Maxillo-Facial Medicine, University of Bonn, Bonn, Germany
| | - A Till
- Institute of Reconstructive Neurobiology, Life & Brain Center, University of Bonn, Bonn, Germany
| | - W Götz
- Department of Orthodontics, Center of Dento-Maxillo-Facial Medicine, University of Bonn, Bonn, Germany
| | - J A Cirelli
- Department of Diagnosis and Surgery, School of Dentistry at Araraquara, Sao Paulo State University, UNESP, Araraquara, Brazil
| | - A Jäger
- Department of Orthodontics, Center of Dento-Maxillo-Facial Medicine, University of Bonn, Bonn, Germany
| | - J Deschner
- Section of Experimental Dento-Maxillo-Facial Medicine, Center of Dento-Maxillo-Facial Medicine, University of Bonn, Welschnonnenstr. 17, 53111, Bonn, Germany.,Noel Martin Visiting Chair, Faculty of Dentistry, University of Sydney, Sydney, Australia
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13
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Šedivý O, Jäger A. On correction of translational misalignments between section planes in 3D EBSD. J Microsc 2017; 266:186-199. [PMID: 28218401 DOI: 10.1111/jmi.12528] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2016] [Accepted: 01/14/2017] [Indexed: 11/28/2022]
Abstract
Three-dimensional electron backscatter diffraction allows obtaining the 3D image of a material from the stack of 2D sections. This is achieved by repeated application of two different beams; electron beam for electron backscatter diffraction mapping of the surface and focused ion beam for removing a thin layer of material from the surface. In most of these systems with two beams, the experiment requires stage movements for correct positioning of the sample to the respective beams. However, imperfections in this positioning are difficult to avoid, which yield small translational misalignments between the sections in the output data. In this work, we deal with an important task of correcting these misalignments between the sections such that the 3D image is recovered properly. On a simple example, we demonstrate that commonly used methods fail in case there is a structural anisotropy in the material under consideration. We propose an improved alignment algorithm which can neglect this behaviour with the use of external support information on a systematic trend in the translational misalignments. Efficiency of the algorithm is proven on a number of simulated data with different kinds of anisotropy. Application to a real data sample of a fine grained aluminium alloy is also given. The algorithm is available in an open-source library.
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Affiliation(s)
- O Šedivý
- Institute of Physics, Czech Academy of Sciences, Praha, Czech Republic.,Institute of Stochastics, Ulm University, Ulm, Germany
| | - A Jäger
- Institute of Physics, Czech Academy of Sciences, Praha, Czech Republic
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14
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Abstract
Since periodontal ligament (PDL) cells exhibit several osteoblastic traits, we hypothesized that human PDL cells will respond to hormonal stimulation in an osteoblast-like manner. Confluent and pre-confluent PDL cells from six patients were challenged with PTH(1-34). Cell number, ALP, osteocalcin, osteoprotegerin, and RANKL expression were determined. Intermittent PTH(1-34) treatment of confluent PDL cells caused a significant increase in proliferation, whereas differentiation and osteoprotegerin production decreased significantly. In pre-confluent PDL cells, this treatment regimen induced a biphasic decrease in proliferation, but a biphasic increase in differentiation and osteoprotegerin production. Continuous PTH(1-34) exposure enhanced proliferation but inhibited osteocalcin production in confluent cells and stimulated osteoprotegerin production in pre-confluent PDL cells. RANKL was hardly detectable and unaffected by PTH(1-34) treatment. These results indicate that human PDL cells respond to PTH(1-34) in an osteoblast-like manner, and that the PTH(1-34) effect depends on the maturation state of the cells and on the mode of administration.
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Affiliation(s)
- S Lossdörfer
- Department of Orthodontics, Dental Clinic, University of Bonn, Welschnonnenstrasse 17, 53111 Bonn, Germany.
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15
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Lossdörfer S, Sun M, Götz W, Dard M, Jäger A. Enamel Matrix Derivative Promotes Human Periodontal Ligament Cell Differentiation and Osteoprotegerin Production in vitro. J Dent Res 2016; 86:980-5. [PMID: 17890675 DOI: 10.1177/154405910708601012] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Enamel matrix derivative (EMD) has been used successfully to aid periodontal repair. We sought to elucidate the mechanism of action of EMD and hypothesized that combined exposure to EMD and parathyroid hormone (PTH), which acts anabolicly when administered intermittently, would enhance periodontal ligament cell proliferation, differentiation, and local factor production. Confluent human periodontal ligament cells were exposed to EMD continuously or to PTH(1-34) intermittently, or a combination of both. Cell number, alkaline phosphatase activity, osteocalcin, and osteoprotegerin production were determined. Continuous challenge with EMD resulted in an increase of the differentiation parameters and osteoprotegerin production, while simultaneously inhibiting proliferation. Intermittent PTH(1-34) administration exerted opposite effects. Combined administration of EMD and PTH(1-34) weakened or even nullified the effects seen for the agents alone. These results suggest that EMD promotes periodontal ligament cell differentiation and osteoprotegerin production, potentially resulting in a microenvironment supporting periodontal repair, whereas combining EMD and PTH(1-34) failed to prove beneficial in this respect.
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Affiliation(s)
- S Lossdörfer
- Department of Orthodontics, Dental Clinic, University of Bonn, Welschnonnenstr. 17, 53111 Bonn, Germany
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16
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Vilémová M, Pala Z, Jäger A, Matějíček J, Chernyshova M, Kowalska-Strzęciwilk E, Gribkov V, Janata M. Behavior and microstructural changes in different tungsten-based materials under pulsed plasma loading. Nuclear Materials and Energy 2016. [DOI: 10.1016/j.nme.2016.06.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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17
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Matějíček J, Vilémová M, Hadraba H, Di Gabriele F, Kuběna I, Kolíbalová E, Michalička J, Čech J, Jäger A. Behavior of W-based materials in hot helium gas. Nuclear Materials and Energy 2016. [DOI: 10.1016/j.nme.2016.03.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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18
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Abstract
Previous studies have indicated that human periodontal ligament cells undergo osteoblastic differentiation via the ERK pathway under mechanical stress in vitro. This study aimed to verify this principle in vivo. The right upper first molars of 25 anesthetized rats were loaded with constant forces of 0.1 N for up to 8 hrs. The untreated contralateral side served as a control. Paraffin-embedded sections were analyzed by immunohistochemistry for proliferating cell nuclear antigen (PCNA), runt-related transcription factor 2 (Runx2/Cbfa1), and phosphorylated extracellular signal-regulated kinases 1/2 (pERK1/2). In selected areas under tension, the proportions of Runx2-positive and pERK1/2-positive cells increased within 8 hrs of loading, whereas these proportions in selected areas under pressure were significantly lower than those in control teeth. Moreover, there were no significant changes in the number of PCNA-positive cells. Thus, mechanical stimulus up-regulates Runx2, and this regulation may be achieved via the ERK pathway.
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Affiliation(s)
- A Kawarizadeh
- Department of Orthodontics, Dental Clinic, University of Bonn, Welschnonnenstr. 17, D-53111 Bonn, Germany
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19
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Warncke K, Konrad K, Kohne E, Hammer E, Ohlenschläger U, Herrlinger S, Jäger A, Holl RW. Diabetes in Patients with ß-thalassemia or other Hemoglobinopathies - Analysis from the DPV Database. Klin Padiatr 2016; 228:307-312. [PMID: 27846660 DOI: 10.1055/s-0042-111691] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Background: Diabetes mellitus is a common endocrinopathy in patients with thalassemia major, but the occurrence of hemoglobinopathies is rare in Germany and Western Europe. The longitudinal German-Austrian DPV (Diabetes Patienten Verlaufsdokumentation) registry allows a comprehensive characterization of this group of patients. Patients/methods: Patients from the DPV-registry aged<30 years with thalassemia major or other hemoglobinopathies were compared to patients with type 1 diabetes (T1D) and type 2 diabetes (T2D) using the statistical software SAS 9.4. Results: 94 patients (0.13% of patients) with hemoglobinopathies are registered in DPV. 82.4% of 17 patients with thalassemia major, 100% of 12 patients with sickle cell disease (SCD) and >90% of 65 patients with other hemoglobinopathies receive insulin treatment. In the majority of patients with thalassemia major, hemosiderosis is documented. Patients with thalassemia major developed diabetes at a median age of 14.6 [IQR 8.4-18.0] years (9.0 years [5.3-12.5] in T1D; 18.7 years [14.2-25.6] in TD2; both p<0.01). They show high HbA1c/fructosamine levels and frequent hypoglycemia, reflecting poor metabolic control. Conclusion: Diabetes in thalassemia major is probably caused by hemosiderosis due to polytransfusion, while patients with SCD/thalassemia minor are most likely affected by T1D. The high rate of hypoglycemia in patients with ß-thalassemia major may be caused by liver fibrosis and a lack of hepatic glycogen stores.
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Affiliation(s)
- K Warncke
- Department of Pediatrics, Klinikum rechts der Isar, Technische Universität München, Munich, Germany
| | - K Konrad
- Department of Pediatric and Adolescent Medicine, University Children's Hospital Cologne, Cologne, Germany
| | - E Kohne
- Department of Pediatrics and Adolescents, Laboratory of Hemoglobinopathy, University of Ulm, Ulm, Germany
| | - E Hammer
- Department of Pediatrics, Children's Hospital Wilhelmstift, Hamburg, Germany
| | - U Ohlenschläger
- Department of Pediatrics, Goethe University Frankfurt, Frankfurt, Germany
| | - S Herrlinger
- Department of Pediatrics, Klinikum Bremen Nord, Bremen, Germany
| | - A Jäger
- Department of Pediatrics, Kaiser-Franz-Josef-Spital mit Gottfried von Preyer'schem Kinderspital, Wien, Austria
| | - R W Holl
- Central Institute for Biomedical Technology, ZIBMT, University of Ulm, Ulm, Germany
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20
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21
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Reinhold U, Dirschka T, Ostendorf R, Aschoff R, Berking C, Philipp‐Dormston W, Hahn S, Lau K, Jäger A, Schmitz B, Lübbert H, Szeimies R. A randomized, double‐blind, phase
III
, multicentre study to evaluate the safety and efficacy of
BF
‐200
ALA
(Ameluz
®
) vs. placebo in the field‐directed treatment of mild‐to‐moderate actinic keratosis with photodynamic therapy (PDT) when using the
BF
‐Rhodo
LED
®
lamp. Br J Dermatol 2016; 175:696-705. [DOI: 10.1111/bjd.14498] [Citation(s) in RCA: 45] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/15/2016] [Indexed: 11/26/2022]
Affiliation(s)
- U. Reinhold
- Dermatological Center Bonn Friedensplatz Bonn Germany
| | - T. Dirschka
- Private Practice Wuppertal‐Barmen Germany
- Faculty of Health University Witten/Herdecke Witten Germany
| | | | - R. Aschoff
- Department of Dermatology University Hospital Carl Gustav Carus Technical University Dresden Dresden Germany
| | - C. Berking
- Department of Dermatology and Allergology University Hospital Munich Germany
| | | | - S. Hahn
- Accovion GmbH Eschborn Germany
| | - K. Lau
- Accovion GmbH Eschborn Germany
| | - A. Jäger
- Biofrontera Bioscience GmbH Leverkusen Germany
| | - B. Schmitz
- Biofrontera Bioscience GmbH Leverkusen Germany
| | - H. Lübbert
- Biofrontera Bioscience GmbH Leverkusen Germany
| | - R.‐M. Szeimies
- Department of Dermatology and Allergology Vest Clinic Recklinghausen Germany
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22
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Wolf M, Schumacher P, Jäger F, Wego J, Fritz U, Korbmacher-Steiner H, Jäger A, Schauseil M. Novel lingual retainer created using CAD/CAM technology: evaluation of its positioning accuracy. J Orofac Orthop 2016; 76:164-74. [PMID: 25744094 DOI: 10.1007/s00056-014-0279-8] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
OBJECTIVES Permanent retention is currently the method of choice to stabilize orthodontic treatment results. Frequently, permanent retention schemes are adopted to prevent posttreatment changes in the esthetic zone of the anterior teeth. With increasingly prolonged times of intraoral device use, and retention to be provided in the maxilla despite limited space, the demands placed on well-planned and precise retainer positioning are becoming more exacting. The aim of the present study was to analyze the intraoral precision of lingual retainers made using computer-aided design and machining (CAD/CAM). MATERIALS AND METHODS A custom manufacturer (Retaintechnology; Cologne, Germany) employing innovative CAD/CAM technology was commissioned to fabricate 16 lingual retainers. Following intraoral insertion using the manufacturer's recommended transfer system, impressions of the intraoral situations were taken and scanned for digitization. On this basis, the intraoral retainer positions were compared to the preceding virtual setups by superimposition with the manufacturer's datasets. Three-dimensional processing software (Geomagic Qualify 2012; Geomagic) was used to analyze the retainers, based on a total of 80 interproximal sites, for deviations from their planned positions along the horizontal (x-), sagittal (y-), and vertical (z-) axes. These deviations of the achieved from the intended positions were considered clinically relevant if ≥ 0.5 mm and, based on this premise, were subjected to a t-test with statistical software (Prism; GraphPad). RESULTS The intraoral retainer positions were found to correlate closely with the preceding virtual setups (i.e., the positions as they had been planned by the custom manufacturer). Positional deviations were significantly less than 0.5 mm. They were very small in the horizontal and sagittal planes and moderately larger in the vertical plane. CONCLUSION Highly precise intraoral results may be achieved by transferring three-dimensional virtual setups for lingual retainers to the actual patients. This CAD/CAM strategy of making retainers can offer high predictability even in anatomically demanding regions and in the presence of limited space.
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Affiliation(s)
- M Wolf
- Department of Orthodontics, Dental Clinic, University of Bonn, Welschnonnenstr. 17, 53111, Bonn, Germany,
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23
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Memmert S, Gölz L, Pütz P, Jäger A, Deschner J, Appel T, Baumgarten G, Rath-Deschner B, Frede S, Götz W. Regulation of p53 under hypoxic and inflammatory conditions in periodontium. Clin Oral Investig 2015; 20:1781-9. [PMID: 26620730 DOI: 10.1007/s00784-015-1679-x] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2015] [Accepted: 11/22/2015] [Indexed: 10/22/2022]
Abstract
OBJECTIVES Different studies suggest that inflammation as well as hypoxia leads to an increase of p53 protein levels. However, the implication of p53 during oral inflammatory processes is still unknown. The aim of this study was therefore to investigate the effect of hypoxia and inflammation on p53 regulation in human periodontium in vitro and in vivo. MATERIALS AND METHODS Under hypoxic and normoxic conditions, human primary periodontal ligament (PDL) fibroblasts (n = 9) were stimulated with lipopolysaccharides (LPS) from Porphyromonas gingivalis (P.g.), a periodontal pathogenic bacterium. After different time points, cell viability was tested; p53 gene expression, protein synthesis, and activation were measured using quantitative RT-PCR, immunoblotting, and immunofluorescence. Moreover, healthy and inflamed periodontal tissues were obtained from 12 donors to analyze p53 protein in oral inflammatory diseases by immunohistochemistry. RESULTS LPS-P.g. and hypoxia initially induced a significant upregulation of p53 mRNA expression and p53 protein levels. Nuclear translocation of p53 after inflammatory stimulation supported these findings. Hypoxia first enhanced p53 levels, but after 24 h of incubation, protein levels decreased, which was accompanied by an improvement of PDL cell viability. Immunohistochemistry revealed an elevation of p53 immunoreactivity in accordance to the progression of periodontal inflammation. CONCLUSIONS Our data indicate that p53 plays a pivotal role in PDL cell homeostasis and seems to be upregulated in oral inflammatory diseases. CLINICAL RELEVANCE Upregulation of p53 may promote the destruction of periodontal integrity. A possible relationship with carcinogenesis may be discussed.
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Affiliation(s)
- S Memmert
- Department of Orthodontics, Center of Dento-Maxillo-Facial Medicine, Faculty of Medicine, University of Bonn, Welschnonnenstr 17, 53111, Bonn, Germany. .,Section of Experimental Dento-Maxillo-Facial Medicine, Center of Dento-Maxillo-Facial Medicine, Faculty of Medicine, University of Bonn, Bonn, Germany.
| | - L Gölz
- Department of Orthodontics, Center of Dento-Maxillo-Facial Medicine, Faculty of Medicine, University of Bonn, Welschnonnenstr 17, 53111, Bonn, Germany
| | - P Pütz
- Department of Orthodontics, Center of Dento-Maxillo-Facial Medicine, Faculty of Medicine, University of Bonn, Welschnonnenstr 17, 53111, Bonn, Germany
| | - A Jäger
- Department of Orthodontics, Center of Dento-Maxillo-Facial Medicine, Faculty of Medicine, University of Bonn, Welschnonnenstr 17, 53111, Bonn, Germany
| | - J Deschner
- Section of Experimental Dento-Maxillo-Facial Medicine, Center of Dento-Maxillo-Facial Medicine, Faculty of Medicine, University of Bonn, Bonn, Germany
| | - T Appel
- Clinic of Oral and Maxillofacial Surgery, Center of Dento-Maxillo-Facial Medicine, Faculty of Medicine, University of Bonn, Bonn, Germany
| | - G Baumgarten
- Clinic and Polyclinic of Anesthesiology and Intensive Care Medicine, Faculty of Medicine, University of Bonn, Bonn, Germany
| | - B Rath-Deschner
- Department of Orthodontics, Center of Dento-Maxillo-Facial Medicine, Faculty of Medicine, University of Bonn, Welschnonnenstr 17, 53111, Bonn, Germany
| | - S Frede
- Clinic and Polyclinic of Anesthesiology and Intensive Care Medicine, Faculty of Medicine, University of Bonn, Bonn, Germany
| | - W Götz
- Department of Orthodontics, Center of Dento-Maxillo-Facial Medicine, Faculty of Medicine, University of Bonn, Welschnonnenstr 17, 53111, Bonn, Germany
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24
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Perrey W, Konermann A, Keilig L, Reimann S, Jäger A, Bourauel C. Effect of archwire qualities and bracket designs on the force systems during leveling of malaligned teeth. J Orofac Orthop 2015; 76:129-38, 140-2. [PMID: 25744092 DOI: 10.1007/s00056-014-0276-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
OBJECTIVES The force systems during multiband treatment are influenced by the selection of the bracket-archwire combinations. Resin models replicated from casts reflecting the pretreatment intraoral situation of a patient's mandible were used to explore how different bracket systems and archwire qualities would affect the force systems developing during simulated orthodontic leveling of several malaligned teeth. MATERIALS AND METHODS Leveling movements of the malaligned teeth 32, 33, and 34 were simulated using the orthodontic measurement and simulation system (OMSS). Two bracket types and three archwire qualities were compared, the former featuring a slot width of 0.022" (0.56 mm) and including one conventional (Freedom MIM Roth by ODS) and one passive self-ligating (Carriere MBT by ODS) design. Both were combined with three NiTi round 0.014" (0.36 mm) archwire products, two of them standard products (CuNiTi by Ormco; EuroArch by ODS) and one being a low-cost (NiTi Superelastic by Modern Arch) product. Measured parameters included force, torque, translation, and rotation. RESULTS Archwire qualities are critical to the force systems developing in the leveling stage. On the other hand, the finding that lower force/torque values result in less tooth movement is not primarily due to wire selection. Our most striking result was that the ODS EuroArch wire resulted in very low force and torque values both with the conventional and with the self-ligating brackets. Almost identical patterns with these two bracket designs were found, and none of the measured parameters revealed a significant advantage for any of the bracket-archwire combinations over the others. CONCLUSION In our experimental simulations of tooth leveling, wire-quality selection was found to be a key modifier of force, torque, translation, and rotation. Clearly, however, neither the wire qualities nor the bracket designs made a decisive difference to the amounts of leveling movement induced to malaligned teeth; other factors like tooth class or nature of the malalignment seem to be more important in this regard. A therapeutic benefit of self-ligating over conventional brackets was not demonstrable.
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Affiliation(s)
- W Perrey
- Endowed Professorship for Oral Medical Technology, Rheinische Friedrich-Wilhelms-Universität Bonn, Welschnonnenstr. 17, 53111, Bonn, Germany
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25
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Petrova S, Venturini CG, Jäger A, Jäger E, Hrubý M, Pavlova E, Štěpánek P. Supramolecular self-assembly of novel thermo-responsive double-hydrophilic and hydrophobic Y-shaped [MPEO-b-PEtOx-b-(PCL)2] terpolymers. RSC Adv 2015. [DOI: 10.1039/c5ra08298f] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Nonlinear amphiphilic block copolymer architectures with precisely controlled structures bring new challenges to biomedical materials research.
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Affiliation(s)
- S. Petrova
- Institute of Macromolecular Chemistry
- 162 06 Prague 6
- Czech Republic
| | - C. G. Venturini
- Institute of Macromolecular Chemistry
- 162 06 Prague 6
- Czech Republic
| | - A. Jäger
- Institute of Macromolecular Chemistry
- 162 06 Prague 6
- Czech Republic
| | - E. Jäger
- Institute of Macromolecular Chemistry
- 162 06 Prague 6
- Czech Republic
| | - M. Hrubý
- Institute of Macromolecular Chemistry
- 162 06 Prague 6
- Czech Republic
| | - E. Pavlova
- Institute of Macromolecular Chemistry
- 162 06 Prague 6
- Czech Republic
| | - P. Štěpánek
- Institute of Macromolecular Chemistry
- 162 06 Prague 6
- Czech Republic
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26
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Jäger E, Donato RK, Perchacz M, Jäger A, Surman F, Höcherl A, Konefał R, Donato KZ, Venturini CG, Bergamo VZ, Schrekker HS, Fuentefria AM, Raucci MG, Ambrosio L, Štěpánek P. Biocompatible succinic acid-based polyesters for potential biomedical applications: fungal biofilm inhibition and mesenchymal stem cell growth. RSC Adv 2015. [DOI: 10.1039/c5ra15858c] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Poly(alkene succinates) are promising materials for specialized medical devices and tissue engineering, presenting intrinsic properties, such as; fungal biofilm inhibition, biocompatibility and stem cells controlled growth promotion.
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27
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Klinger M, Němec M, Polívka L, Gärtnerová V, Jäger A. Automated CBED processing: sample thickness estimation based on analysis of zone-axis CBED pattern. Ultramicroscopy 2014; 150:88-95. [PMID: 25544679 DOI: 10.1016/j.ultramic.2014.12.006] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2014] [Revised: 11/14/2014] [Accepted: 12/13/2014] [Indexed: 11/17/2022]
Abstract
An automated processing of convergent beam electron diffraction (CBED) patterns is presented. The proposed methods are used in an automated tool for estimating the thickness of transmission electron microscopy (TEM) samples by matching an experimental zone-axis CBED pattern with a series of patterns simulated for known thicknesses. The proposed tool detects CBED disks, localizes a pattern in detected disks and unifies the coordinate system of the experimental pattern with the simulated one. The experimental pattern is then compared disk-by-disk with a series of simulated patterns each corresponding to different known thicknesses. The thickness of the most similar simulated pattern is then taken as the thickness estimate. The tool was tested on [0 1 1] Si, [0 1 0] α-Ti and [0 1 1] α-Ti samples prepared using different techniques. Results of the presented approach were compared with thickness estimates based on analysis of CBED patterns in two beam conditions. The mean difference between these two methods was 4.1% for the FIB-prepared silicon samples, 5.2% for the electro-chemically polished titanium and 7.9% for Ar(+) ion-polished titanium. The proposed techniques can also be employed in other established CBED analyses. Apart from the thickness estimation, it can potentially be used to quantify lattice deformation, structure factors, symmetry, defects or extinction distance.
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Affiliation(s)
- M Klinger
- Laboratory of nanostructures and nanomaterials, Institute of Physics of the ASCR, Na Slovance 2, 182 21 Prague 8, Czech Republic.
| | - M Němec
- Laboratory of nanostructures and nanomaterials, Institute of Physics of the ASCR, Na Slovance 2, 182 21 Prague 8, Czech Republic
| | - L Polívka
- Laboratory of nanostructures and nanomaterials, Institute of Physics of the ASCR, Na Slovance 2, 182 21 Prague 8, Czech Republic
| | - V Gärtnerová
- Laboratory of nanostructures and nanomaterials, Institute of Physics of the ASCR, Na Slovance 2, 182 21 Prague 8, Czech Republic
| | - A Jäger
- Laboratory of nanostructures and nanomaterials, Institute of Physics of the ASCR, Na Slovance 2, 182 21 Prague 8, Czech Republic
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28
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Jäger A, Herbeck R, Wagenblast J, Stöver T, Diensthuber M. [Destructive lesion of the middle ear]. HNO 2014; 63:312-4. [PMID: 25527382 DOI: 10.1007/s00106-014-2958-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- A Jäger
- Klinik für Hals-Nasen-Ohren-Heilkunde, Kopf- und Halschirurgie, Klinikum der Goethe-Universität, Uniklinikum Frankfurt am Main, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Deutschland,
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Konermann A, Appel T, Wenghoefer M, Sirokay S, Dirk C, Jäger A, Götz W. Impact of radiation history, gender and age on bone quality in sites for orthodontic skeletal anchorage device placement. Ann Anat 2014; 199:67-72. [PMID: 25271067 DOI: 10.1016/j.aanat.2014.08.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2014] [Revised: 07/22/2014] [Accepted: 08/13/2014] [Indexed: 11/18/2022]
Abstract
AIMS Stability of orthodontic miniscrew implants is prerequisite to their success and durability in orthodontic treatment. As investigations revealed a positive correlation of miniscrew stability to periimplant bone quality, it has been the aim of this study to analyze the bone structure of resection preparations of human mandibles histologically by investigating the samples according to age, gender and exposure to radiotherapy. METHODS Inflammation- and tumor-free alveolar bone sections from human mandibles (n = 31) with previously diagnosed carcinoma, chronic osteomyelitis or cysts were analyzed histomorphologically and histomorphometrically as to the dimension of trabeculae in cancellous areas. Group A investigated the impact of a history of radiation therapy, group B of gender and group C contrasted biopsies from individuals aging under 60 or over 60 years. Statistics were performed using the Kruskal-Wallis-test. RESULTS Radiation, gender and age did not significantly influence bone density. The mean bone density averaged 40.7 ± 15.0% of spongiosa for the total collective with a median age of 58.4 years ± 14.7 years. CONCLUSIONS Our findings provide new information on bone quality, thus contributing to a more precise evaluation of the parameters affecting and those not affecting miniscrew implant stability. On the basis of these results, the formulation of clinical guidelines for risk assessment of therapeutic approaches in patients prior to insertion of orthodontic skeletal anchorage devices seems to be conceivable.
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Affiliation(s)
- A Konermann
- Department of Orthodontics, University of Bonn, Bonn, Germany.
| | - T Appel
- Department of Oral and Maxillofacial Surgery, University of Bonn, Bonn, Germany
| | - M Wenghoefer
- Department of Oral and Maxillofacial Surgery, University of Bonn, Bonn, Germany
| | - S Sirokay
- Private Dental Practice, Alfter, Germany
| | - C Dirk
- Endowed Chair of Oral Technology, University of Bonn, Bonn, Germany
| | - A Jäger
- Department of Orthodontics, University of Bonn, Bonn, Germany
| | - W Götz
- Department of Orthodontics, University of Bonn, Bonn, Germany
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Zielinski V, Reimann S, Jäger A, Bourauel C. Comparison of shear bond strength of plastic and ceramic brackets. J Orofac Orthop 2014; 75:345-57. [PMID: 25158948 DOI: 10.1007/s00056-014-0236-6] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2013] [Accepted: 03/04/2014] [Indexed: 11/24/2022]
Abstract
OBJECTIVES The purpose of this in vitro study is to compare the shear bond strength of various esthetic brackets used in conjunction with two different adhesive systems. METHODS Five non-silanized ceramic brackets (Aspire Gold/Forestadent, Clarity™/3M Unitek, CLEAR/Adenta, Contour Twin/ODS, QuicKlear/Forestadent) and four plastic brackets (Aesthetik-Line®/Forestadent, Brillant®/Forestadent, Composite Clear®/ODS, Elegance®/Dentaurum) were bonded either with Transbond™ XT (3M Unitek, Monrovia, CA, USA) or with ConTec SE (Dentaurum, Ispringen, Germany) to bovine permanent mandibular incisors. Twelve specimens were tested in each group, thus, bonding 60 ceramic and 48 plastic brackets with either adhesive to a total of 216 teeth. Shear bond strength was measured in accordance with the DIN 13990-2 standard governing test methods for the entire attachment-adhesive-enamel system. The fracture surfaces resulting from shear-induced debonding were analyzed via light microscopy. RESULTS The combinations Clarity™ + Transbond™ XT, CLEAR® + Transbond™ XT, and Contour Twin + Transbond™ XT exhibited shear bond strengths of over 10 MPa. The Adhesive Remnant Index scores of the various bracket types varied widely according to the different bracket-base designs. No enamel fractures were observed. CONCLUSION Some bracket-adhesive combinations in this study attained shear bond strengths approaching those of metal brackets. The risk of debonding-related enamel defects is comparable with different esthetic bracket combinations. Manufacturers' recommendations for the adhesive systems to be used with their brackets should be strictly adhered to.
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Affiliation(s)
- V Zielinski
- Endowed Chair of Oral Technology, Rheinische Friedrich-Wilhelms-University of Bonn, Welschnonnenstr. 17, 53111, Bonn, Germany
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Papageorgiou SN, Konstantinidis I, Papadopoulou K, Jäger A, Bourauel C. A systematic review and meta-analysis of experimental clinical evidence on initial aligning archwires and archwire sequences. Orthod Craniofac Res 2014; 17:197-215. [PMID: 24889143 DOI: 10.1111/ocr.12048] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/30/2014] [Indexed: 11/27/2022]
Abstract
The aim of the study was to assess treatment effects and potential side effects of different archwires used on patients receiving orthodontic therapy. Electronic and manual unrestricted searches were conducted in 19 databases including MEDLINE, Cochrane Library, and Google Scholar until April 2012 to identify randomized controlled trials (RCTs) and quasi-RCTs. After duplicate study selection, data extraction, risk of bias assessment with the Cochrane risk of bias tool, and narrative analysis, mean differences (MDs) with confidence intervals (CIs) of similar studies were pooled using a random-effects model and evaluated with GRADE. A total of 16 RCTs were included assessing different archwire characteristics on 1108 patients. Regarding initial archwires, meta-analysis of two trials found slightly greater irregularity correction with an austenitic-active nickel-titanium (NiTi) compared with an martensitic-stabilized NiTi archwire (corresponding to MD: 1.11 mm, 95% CI: -0.38 to 2.61). Regarding archwire sequences, meta-analysis of two trials found it took patient treated with a sequence of martensitic-active copper-nickel-titanium (CuNiTi) slightly longer to reach the working archwire (MD: 0.54 months, 95% CI: -0.87 to 1.95) compared with a martensitic-stabilized NiTi sequence. However, patients treated with a sequence of martensitic-active CuNiTi archwires reported general greater pain intensity on the Likert scale 4 h and 1 day after placement of each archwire, compared with a martensitic-stabilized NiTi sequence. Although confidence in effect estimates ranged from moderate to high, meta-analyses could be performed only for limited comparisons, while inconsistency might pose a threat to some of them. At this point, there is insufficient data to make recommendations about the majority of initial archwires or for a specific archwire sequence.
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Affiliation(s)
- S N Papageorgiou
- Department of Oral Technology, School of Dentistry, University of Bonn, Bonn, Germany; Department of Orthodontics, School of Dentistry, University of Bonn, Bonn, Germany
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Dommisch H, Winter J, Götz W, Miesen J, Klein A, Hierse L, Deschner J, Jäger A, Eberhard J, Jepsen S. Effect of growth factors on antimicrobial peptides and pro-inflammatory mediators during wound healing. Clin Oral Investig 2014; 19:209-20. [DOI: 10.1007/s00784-014-1239-9] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2013] [Accepted: 03/25/2014] [Indexed: 12/26/2022]
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Ludwig KU, Böhmer AC, Rubini M, Mossey PA, Herms S, Nowak S, Reutter H, Alblas MA, Lippke B, Barth S, Paredes-Zenteno M, Muñoz-Jimenez SG, Ortiz-Lopez R, Kreusch T, Hemprich A, Martini M, Braumann B, Jäger A, Pötzsch B, Molloy A, Peterlin B, Hoffmann P, Nöthen MM, Rojas-Martinez A, Knapp M, Steegers-Theunissen RP, Mangold E. Strong association of variants around FOXE1 and orofacial clefting. J Dent Res 2014; 93:376-81. [PMID: 24563486 DOI: 10.1177/0022034514523987] [Citation(s) in RCA: 49] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023] Open
Abstract
Nonsyndromic orofacial clefting (nsOFC) is a common, complex congenital disorder. The most frequent forms are nonsyndromic cleft lip with or without cleft palate (nsCL/P) and nonsyndromic cleft palate only (nsCPO). Although they are generally considered distinct entities, a recent study has implicated a region around the FOXE1 gene in both nsCL/P and nsCPO. To investigate this hypothesis, we analyzed the 2 most strongly associated markers (rs3758249 and rs4460498) in 2 independent samples of differing ethnicities: Central European (949 nsCL/P cases, 155 nsCPO cases, 1163 controls) and Mayan Mesoamerican (156 nsCL/P cases, 10 nsCPO cases, 338 controls). While highly significant associations for both single-nucleotide polymorphisms were obtained in nsCL/P (rs4460498: p Europe = 6.50 × 10(-06), p Mayan = .0151; rs3758249: p Europe = 2.41 × 10(-05), p Mayan = .0299), no association was found in nsCPO (p > .05). Genotyping of rs4460498 in 472 independent European trios revealed significant associations for nsCL/P (p = .016) and nsCPO (p = .043). A meta-analysis of all data revealed a genomewide significant result for nsCL/P (p = 1.31 × 10(-08)), which became more significant when nsCPO cases were added (p nsOFC = 1.56 × 10(-09)). These results strongly support the FOXE1 locus as a risk factor for nsOFC. With the data of the initial study, there is now considerable evidence that this locus is the first conclusive risk factor shared between nsCL/P and nsCPO.
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Affiliation(s)
- K U Ludwig
- Institute of Human Genetics, University of Bonn, Bonn, Germany
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Petrova S, Jäger E, Konefał R, Jäger A, Venturini CG, Spěváček J, Pavlova E, Štěpánek P. Novel poly(ethylene oxide monomethyl ether)-b-poly(ε-caprolactone) diblock copolymers containing a pH-acid labile ketal group as a block linkage. Polym Chem 2014. [DOI: 10.1039/c4py00114a] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
Acidic physiological conditions trigger degradation of amphiphilic block copolymers containing a ketal group as a block linkage into biocompatible degradation products.
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Affiliation(s)
- S. Petrova
- Institute of Macromolecular Chemistry v.v.i
- Academy of Sciences of the Czech Republic
- 162 06 Prague 6, Czech Republic
| | - E. Jäger
- Institute of Macromolecular Chemistry v.v.i
- Academy of Sciences of the Czech Republic
- 162 06 Prague 6, Czech Republic
| | - R. Konefał
- Institute of Macromolecular Chemistry v.v.i
- Academy of Sciences of the Czech Republic
- 162 06 Prague 6, Czech Republic
| | - A. Jäger
- Institute of Macromolecular Chemistry v.v.i
- Academy of Sciences of the Czech Republic
- 162 06 Prague 6, Czech Republic
| | - C. G. Venturini
- Institute of Macromolecular Chemistry v.v.i
- Academy of Sciences of the Czech Republic
- 162 06 Prague 6, Czech Republic
| | - J. Spěváček
- Institute of Macromolecular Chemistry v.v.i
- Academy of Sciences of the Czech Republic
- 162 06 Prague 6, Czech Republic
| | - E. Pavlova
- Institute of Macromolecular Chemistry v.v.i
- Academy of Sciences of the Czech Republic
- 162 06 Prague 6, Czech Republic
| | - P. Štěpánek
- Institute of Macromolecular Chemistry v.v.i
- Academy of Sciences of the Czech Republic
- 162 06 Prague 6, Czech Republic
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Konermann A, Lossdörfer S, Jäger A, Chen Y, Götz W. Autoregulation of insulin-like growth factor 2 and insulin-like growth factor-binding protein 6 in periodontal ligament cells in vitro. Ann Anat 2013; 195:527-32. [DOI: 10.1016/j.aanat.2013.10.001] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2013] [Revised: 10/02/2013] [Accepted: 10/04/2013] [Indexed: 11/26/2022]
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Konermann A, Götz W, Wohlleber D, Knolle P, Deschner J, Jäger A. Osteoimmunological mechanisms involved in orthodontically and bacterially induced periodontal stress. J Orofac Orthop 2013; 73:430-9. [PMID: 23001185 DOI: 10.1007/s00056-012-0102-3] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
Abstract
BACKGROUND AND OBJECTIVE Orthodontic tooth movement is known to cause sterile inflammation of the periodontal ligament (PDL). It may also be accompanied by pathological effects of external apical root resorption, with interindividual differences in the incidence and extent of resorption. An involvement of autoimmunological mechanisms is currently under discussion. This study aimed to improve our understanding of similarities between the inflammatory mechanisms underlying the pathophysiology of periodontitis and root resorption. MATERIALS AND METHODS Human PDL cells were stimulated with interleukin (IL)-1β/IL-17A/IFN-γ, or left non-stimulated. Their potential for phagocytosis was then evaluated by incubation with dextran or E. coli or S. aureus particles, followed by flow cytometric and immunohistochemical analysis. Real-time polymerase chain reaction (PCR) was used to analyze receptor activator of NF-κB ligand (RANKL) and osteoprotegerin (OPG) expression in PDL cells. Verification was obtained in vivo by studying IL-17A, RANKL, and OPG expression in biopsies of inflamed periodontal tissues and in biopsies of rat maxillae with mechanically induced root resorption. Statistical analysis included Wilcoxon's rank sum test to analyze gene expression data and one-way ANOVA in conjunction with Tukey's post hoc test to analyze flow cytometric data. RESULTS PDL cells phagocytosed foreign particles under both inflammatory and non-inflammatory conditions. Furthermore, IL-17A significantly downregulated RANKL expression while significantly upregulating OPG expression in PDL cells. These immunomodulatory cytokines were also demonstrable in both inflammatorily altered periodontal tissues and root resorption lacunae, while the incidence of IL-7A was strikingly variable in resorption areas. CONCLUSION PDL cells were demonstrated to effect phagocytosis and to express immunomodulatory molecules, which proves their capability of participating in periodontal osteoimmunological processes. The development of root resorption and periodontitis appears to be governed by similar pathophysiological mechanisms.
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Affiliation(s)
- A Konermann
- Department of Orthodontics, University of Bonn, Germany.
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Kettenbeil A, Reimann S, Reichert C, Keilig L, Jäger A, Bourauel C. Numerical simulation and biomechanical analysis of an orthodontically treated periodontally damaged dentition. J Orofac Orthop 2013; 74:480-93. [PMID: 24173364 DOI: 10.1007/s00056-013-0182-8] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2012] [Accepted: 01/31/2013] [Indexed: 11/24/2022]
Abstract
BACKGROUND AND OBJECTIVE Once periodontitis has been completely resolved, one common follow-up method is to carry out orthodontic treatment to take advantage of the residual bone, i.e., via tooth intrusion. In this study, the biomechanical behavior of teeth in a reduced periodontium was studied by numerically simulating upper-incisor intrusion accomplished with various orthodontic mechanics. MATERIALS AND METHODS Using the finite element method, a patient-customized 3D model of a periodontally reduced dentition was generated in order to simulate tooth movement. The morphology of this upper-jaw model was derived from cone-beam computed tomography (CBCT) datasets of four patients. Material parameters were adopted from previous investigations, including teeth (E=20 GPa), periodontal ligament (PDL) (bilinear elastic; E1=0.05 MPa; E2=0.20 MPa; ε12=7%), and bone (homogeneous, isotropic; E=2 GPa). Two intrusion scenarios were used, the first drawing from Burstone's segmented-arch technique to intrude four splinted incisors at a time, and the second one using cantilevers to intrude single incisors. The aforementioned PDL material parameters were varied in several ways to simulate different biological and biomechanical states of PDL. All simulations were recalculated with an idealized, periodontally intact model to assess the effect of bone loss by way of comparison. RESULTS Single-tooth intrusion via cantilever mechanics was accompanied by less rotation than the segmented-arch approach. Both intrusion systems involved significantly greater degrees of tooth displacement and PDL load in the periodontally reduced model. CONCLUSION Periodontally reduced dentitions are associated with an increased load on periodontal tissue. This can be counteracted by reducing orthodontic force levels and by selecting mechanics that do not harm the tissue. In so doing, the use of numerical methods may greatly facilitate individualized computer-aided treatment-planning strategies.
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Affiliation(s)
- A Kettenbeil
- Endowed Chair of Oral Technology, Rheinische Friedrich-Wilhelms-Universität Bonn, Welschnonnenstr. 17, 53111, Bonn, Germany
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Wolf M, Jäger A, Abuduwali N, Götz W, Lossdörfer S. Continuous PTH modulates alkaline phosphatase activity in human PDL cells via protein kinase C dependent pathways in vitro. Ann Anat 2013; 195:455-60. [DOI: 10.1016/j.aanat.2013.04.006] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2013] [Revised: 04/06/2013] [Accepted: 04/08/2013] [Indexed: 10/26/2022]
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Blassnig-Ezeh A, Schober H, Luetschg J, Jäger A, Simma B. Two cases of unusual Lyme infection presenting as central nervous system Lyme disease. Klin Padiatr 2013; 225:91-92. [PMID: 23519747 DOI: 10.1055/s-0033-1333764] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Reichert C, Götz W, Reimann S, Keilig L, Hagner M, Bourauel C, Jäger A. Resorption behavior of a nanostructured bone substitute: in vitro investigation and clinical application. J Orofac Orthop 2013; 74:165-74. [DOI: 10.1007/s00056-012-0136-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2012] [Accepted: 11/02/2012] [Indexed: 11/30/2022]
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Johannessen L, Keilig L, Reimann S, Jäger A, Bourauel C. First order couples induced by nickel–titanium archwires featuring an electrochemically refined surface during simulated rotation of teeth. J Orofac Orthop 2013; 74:153-64. [DOI: 10.1007/s00056-012-0133-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2011] [Accepted: 03/09/2012] [Indexed: 11/28/2022]
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Kruse F, Rabis T, Kleibrink B, Wang Y, Langguth N, Broecker-Preuss M, Jäger A, Weinreich G, Kamler M, Teschler H, Sommerwerck U. Entzündungsparameter, Lipide und metabolische Hormone bei lungentransplantierten Patienten mit obstruktiver Schlafapnoe. Pneumologie 2013. [DOI: 10.1055/s-0033-1334787] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Stein T, Mehling AP, Ulmer M, Reck C, Efe T, Hoffmann R, Jäger A, Welsch F. MRI graduation of osseous reaction and drill hole consolidation after arthroscopic Bankart repair with PLLA anchors and the clinical relevance. Knee Surg Sports Traumatol Arthrosc 2012; 20:2163-73. [PMID: 22045195 DOI: 10.1007/s00167-011-1721-8] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/02/2011] [Accepted: 10/10/2011] [Indexed: 12/20/2022]
Abstract
PURPOSE Conventionally, radiography studies revealed prolonged glenoidal drill hole visibilities with an unclear influence to the clinical outcome after arthroscopic Bankart repair using Poly-Laevo-Lactic-Acid (PLLA) anchors. The primary aim of the present study was the separated assessment of drill hole consolidation (DHC) and the concomitant osseous reaction (OR) of the glenoidal bio-degradation process in new specific magnetic resonance grading systems. In accordance with the specific DHC and the OR graduation, the clinical relevance was the secondary focus. METHODS Twenty-eight patients with arthroscopic Bankart repair using knotless PLLA anchors were prospectively followed and analyzed using a clinical scoring system (3, 6, 15 and 32 months). The T2-weighted OR and T1-weighted DHC were assessed using specific magnetic resonance imaging grading protocols (15 and 32 months). RESULTS Longitudinal assessments revealed successive clinical status improvements over time (32 months: Rowe 95.7 ± 3.8; Walch-Duplay 93.8 ± 6.6; Constant 93.9 ± 4.5; ASES 93.8 ± 6.9; DASH 28.6 ± 7.2; NAS(pain) 1.1 ± 1.3; NAS(function) 1.3 ± 1.4). The initial OR level regressed over the 15-32 month period while the DHC showed significant drill hole reductions (P < 0.05). The inferior glenoid revealed a significantly increased bio-degradation capacity (P < 0.05) with drill hole enlargements in 14.3%. Neither the OR nor the drill hole enlargements influenced the clinical status. In no case were clinical or radiologic signs for a foreign body reaction. CONCLUSION Knotless bio-anchors provide secure glenoidal fixation for Bankart repair without any specific clinical or MR evidence of an inflammatory response. The clinical status remained unaffected by the bio-degradation process. LEVEL OF EVIDENCE IV.
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Affiliation(s)
- T Stein
- Department of Sporttraumatology-Knee- and Shoulder-Surgery, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, Friedberger Landstraße 430, 60389, Frankfurt am Main, Germany.
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Kessel KA, Habermehl D, Bohn C, Jäger A, Floca RO, Zhang L, Bougatf N, Bendl R, Debus J, Combs SE. [Database supported electronic retrospective analyses in radiation oncology: establishing a workflow using the example of pancreatic cancer]. Strahlenther Onkol 2012; 188:1119-24. [PMID: 23108385 DOI: 10.1007/s00066-012-0214-0] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2012] [Accepted: 07/16/2012] [Indexed: 01/27/2023]
Abstract
PURPOSE Especially in the field of radiation oncology, handling a large variety of voluminous datasets from various information systems in different documentation styles efficiently is crucial for patient care and research. To date, conducting retrospective clinical analyses is rather difficult and time consuming. With the example of patients with pancreatic cancer treated with radio-chemotherapy, we performed a therapy evaluation by using an analysis system connected with a documentation system. MATERIALS AND METHODS A total number of 783 patients have been documented into a professional, database-based documentation system. Information about radiation therapy, diagnostic images and dose distributions have been imported into the web-based system. RESULTS For 36 patients with disease progression after neoadjuvant chemoradiation, we designed and established an analysis workflow. After an automatic registration of the radiation plans with the follow-up images, the recurrence volumes are segmented manually. Based on these volumes the DVH (dose volume histogram) statistic is calculated, followed by the determination of the dose applied to the region of recurrence. All results are saved in the database and included in statistical calculations. CONCLUSION The main goal of using an automatic analysis tool is to reduce time and effort conducting clinical analyses, especially with large patient groups. We showed a first approach and use of some existing tools, however manual interaction is still necessary. Further steps need to be taken to enhance automation. Already, it has become apparent that the benefits of digital data management and analysis lie in the central storage of data and reusability of the results. Therefore, we intend to adapt the analysis system to other types of tumors in radiation oncology.
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Affiliation(s)
- K A Kessel
- Abteilung für Radioonkolgie und Strahlentherapie, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, Deutschland.
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Reimann S, Rewari A, Keilig L, Widu F, Jäger A, Bourauel C. Material testing of reconditioned orthodontic brackets. J Orofac Orthop 2012; 73:454-66. [DOI: 10.1007/s00056-012-0108-x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2012] [Accepted: 06/11/2012] [Indexed: 11/29/2022]
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Wolf M, Lossdörfer S, Abuduwali N, Jäger A. Potential role of high mobility group box protein 1 and intermittent PTH (1-34) in periodontal tissue repair following orthodontic tooth movement in rats. Clin Oral Investig 2012; 17:989-97. [PMID: 22777389 DOI: 10.1007/s00784-012-0777-2] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/29/2012] [Accepted: 06/21/2012] [Indexed: 12/31/2022]
Abstract
OBJECTIVES Recent studies indicate that high mobility group box protein 1 (HMGB1) can be released by necrotic and damaged cells and functions as an alarmin that is recognized by the innate immune system. Little is known about the role of HMGB1 within the periodontal ligament (PDL). Therefore, we examined HMGB1 expression by PDL cells in vitro and compared the findings to an in vivo model of orthodontically induced tooth root resorption. In addition, we addressed the question of whether a potentially anabolic intermittent administration of parathyroid hormone (iPTH) would modulate the expression of HMGB1. MATERIALS AND METHODS In confluent PDL cell cultures, HMGB1 messenger RNA (mRNA) expression was quantified by real-time polymerase chain reaction. In a rat model comprising 25 animals, mechanical loading for 5 days was followed by administration of either iPTH (1-34) systemically or sham injections for up to 56 days. HMGB1 expression was determined by means of immunohistochemistry and histomorphometry. RESULTS The in vitro experiments revealed an inhibitory effect of iPTH on basal HMGB1 mRNA expression in confluent PDL cells. In vivo, the mechanical force-induced enhanced HMGB1 protein expression declined time dependently. Intermittent PTH further inhibited HMGB1 expression. The significantly higher basal HMGB1 protein expression in the former compression side was followed by a more pronounced time- and iPTH-dependent decline in the same area. CONCLUSIONS These data indicate a major role for HMGB1 in the regulation of PDL wound healing following mechanical load-induced tissue injury. CLINICAL RELEVANCE The findings point to the potential benefit of iPTH in the attempt to support these immune-associated reparative processes.
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Affiliation(s)
- M Wolf
- Department of Orthodontics, Dental Clinic, University of Bonn, Welschnonnenstr. 17, 53111, Bonn, Germany
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Konermann A, Beyer M, Deschner J, Allam JP, Novak N, Winter J, Jepsen S, Jäger A. Human periodontal ligament cells facilitate leukocyte recruitment and are influenced in their immunomodulatory function by Th17 cytokine release. Cell Immunol 2012; 272:137-43. [PMID: 22119482 DOI: 10.1016/j.cellimm.2011.10.020] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2011] [Revised: 08/18/2011] [Accepted: 10/24/2011] [Indexed: 12/12/2022]
Abstract
The objective of this in vitro study was to examine the immunomodulatory impact of human periodontal ligament (PDL) cells on the nature and magnitude of the leukocyte infiltrate in periodontal inflammation, particularly with regard to Th17 cells. PDL cells were challenged with pro-inflammatory cytokines (IL-1ß, IL-17A, and IFN-γ) and analyzed for the expression of cytokines involved in periodontal immunoinflammatory processes (IL-6, MIP-3 alpha, IL-23A, TGFß1, IDO, and CD274). In order to further investigate a direct involvement of PDL cells in leukocyte function, co-culture experiments were conducted. The expression of the immunomodulatory cytokines studied was significantly increased under pro-inflammatory conditions in PDL cells. Although PDL cells did not stimulate leukocyte proliferation or Th17 differentiation, these cells induced the recruitment of leukocytes. The results of our study suggest that PDL cells might be involved in chronic inflammatory mechanisms in periodontal tissues and thus in the transition to an adaptive immune response in periodontitis.
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Affiliation(s)
- A Konermann
- Department of Orthodontics, University of Bonn, Welschnonnenstr. 17, D-53111 Bonn, Germany
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Kraus D, Deschner J, Jäger A, Wenghoefer M, Bayer S, Jepsen S, Allam JP, Novak N, Meyer R, Winter J. Human β-defensins differently affect proliferation, differentiation, and mineralization of osteoblast-like MG63 cells. J Cell Physiol 2011; 227:994-1003. [DOI: 10.1002/jcp.22808] [Citation(s) in RCA: 46] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
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Konermann A, Deschner J, Allam JP, Novak N, Winter J, Baader SL, Jepsen S, Jäger A. Antigen-presenting cell marker expression and phagocytotic activity in periodontal ligament cells. J Oral Pathol Med 2011; 41:340-7. [DOI: 10.1111/j.1600-0714.2011.01086.x] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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Lehnen S, McDonald F, Bourauel C, Jäger A, Baxmann M. Expectations, acceptance and preferences of patients in treatment with orthodontic mini-implants. J Orofac Orthop 2011; 72:214-22. [DOI: 10.1007/s00056-011-0026-3] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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