Osteoblast - Orthopaedic Biomaterial Response

An understanding of bone cell response and extracellular matrix production to a biomaterial is crucial for development of new prosthetic devices. The nature of the cellular-biomaterial surface interface will depend upon a number of factors including substrate properties (surface chemistry, charge, topography) as well as biological cellular concerns (i.e. adsorption of attachment factors to the surface, growth factors). The quality of the matrix and bone-bonding may be influenced by these factors. Recently, a short-term in-vitro cell culture assay has demonstrated the initial attachment and spread of human derived bone cells on metallic (titanium and stainless steel) and polymeric surfaces to be dependent on the adsorption of adhesive attachment factor proteins (fibronectin and vitronectin) to the substratum surface [1]. The morphological appearance of human osteoblasts cultured on titanium and stainless steel with time also demonstrated differences compared to tissue culture plastic [2]. Little data however, is available for the mitogenic and gene expression levels of primary human bone cells cultured on commonly used orthopaedic materials and the response of these cells to growth factors. The present study examined the mitogenic response and steady state mRNA expression levels of primary human bone cells cultured on metallic substrates to provide further insight into the nature of cell-substrate interactions.

The efficacy of YKL-40 and CA125 as biomarkers for epithelial ovarian cancer

Our objective was to estimate the efficacy of the measurement of serum YKL-40 alone or with CA125 as biomarkers for the diagnosis of epithelial ovarian cancer (EOC) using the YKL-40 ELISA kit. An experimental group of 49 ovarian cancer patients included 42 patients with EOC (53 ± 15 years, range: 19-81 years) and 7 patients (48 ± 13 years, range: 29-36 years) with borderline epithelial ovarian tumor. A control group of 88 non-malignant cases included 42 patients (43 ± 10 years, range: 26-77 years) with benign gynecological disease and 46 healthy women (45 ± 14 years, range: 30-68 years) at a teaching hospital. Both YKL-40 (220.1 ± 94.1 vs 61.6 ± 48.4 and 50.1 ± 41.2 ng/mL) and CA125 (524.9 ± 972.5 vs 13.4 ± 7.6 and 28.5 ± 29.6 U/mL) levels were significantly higher (P < 0.05) in patients with ovarian cancer compared to the healthy and non-malignant groups. YKL-40 had 92.9% sensitivity and 94.4% specificity for the diagnosis of EOC. When YKL-40 and CA125 were tested in parallel, the sensitivity was increased to 98.2%, but the specificity was decreased to 81.3%. The correlations between serum YKL-40 and tumor stage, grade histology, performance status, patient age, and extension of debulking surgery were tested. With increasing stage and grade of EOC, preoperative serum YKL-40 levels were significantly increased (P = 0.029, P = 0.05, respectively). Serum YKL-40 alone or with serum CA125 levels are useful, although with some limitations, to diagnose ovarian cancer. Our study showed that YKL-40 may not be an independent prognostic factor for ovarian cancer. This prospective study may be a new trend in looking for biomarkers that optimize diagnosis of ovarian cancer.

Improving the capacitive deionisation performance by optimising pore structures of the electrodes

In this paper, three types of ordered mesoporous carbons (OMCs) were synthesised by an original template method and a modified sol-gel process involving nickel salts. The effects of pore arrangement pattern (ordered and random), and pore size distribution (mesoporous and microporous) on the desalination performance were investigated by comparing mesoporous carbons with activated carbons (ACs). It is found that the mesoporous carbons prepared by addition of nickel salts demonstrated higher specific capacitances than mesoporous carbons without nickel salts and the activated carbon electrodes. Their electrosorptive deionisation properties were also compared in a dilute NaCl solution (conductivity 100 microS cm(-1)), the amount of adsorbed ions are measured by a flow though apparatus in the laboratory. It is found that the amounts of the adsorbed ions are 15.9 micromol g(-1) for OMCs involving nickel in the synthesis process, 10.3 micromol g(-1) for OMC not involving nickel salts and 4.7 micromol g(-1) for ACs.

Autophagy and Tamoxifen Resistance in Breast Cancer

Resistance totamoxifen in breast cancer patients is a serious therapeutic problem and majorefforts are underway to understand underlying mechanisms. Resistance can be either intrinsic or acquired. We derived matched tamoxifen sensitive and resistant MCF7 sub-clones that allow us to ask what changes occur in a breast cancer cell when it becomes drug resistant. We consider that this approach mimics de novo tamoxifen resistance and we used these sub-clones to study the factors that lead to drug resistance by two different approaches: expression profiling and an ectopic kinase expression screen. These sub-clones were challenged with steroid depleted media, estrogen, and estrogen plus tamoxifen in order to determine the differential gene response in the sensitive vs. resistant cells. We identified 227 genes that were estrogen responsive in both sub-clones but were not blunted in their response to tamoxifen in the resistant cells. We examined a subset of 67 of these genes that showed differences in baseline expression between sensitive and resistant tumors. Using publicly available data from two different clinical studies of women taking tamoxifen, we found that women classified as matching the sensitive pattern had statistically significant longer disease free survival. The tamoxifen response signature was an independent predictor of outcome compared with other clinical variables by multivariate analysis (p=0.05). The hazard ratio (1.9) was among the strongest observed for the study. Signatures like this one may help personalize therapy by planning regimens of adjuvant therapy best suited to each particular patient. In parallel, high-throughput cell-based screens, in which more than 500 human kinases were independently ectopically expressed, identified 31 kinases that conferred drug resistance on sensitive cells. Both expression profiling and an ectopic kinase expression screen led us to HSPB8, a less well known atypical kinase that has been linked to breast cancer. The ectopic expression of HSPB8 in tamoxifen sensitive cells enabled them to grow in the presence of the drug. Moreover, silencing HSPB8 by shRNA in tamoxifen resistant cells led to cell death. Loss of HSPB8 did not cause cell death by apoptosis, but rather by autophagy.Our findings indicate that HSPB8 is a negative regulator of autophagy and may play an important role in tamoxifen resistance. Interestingly, high expression level of HSPB8 predicted an earlier relapse on tamoxifen in breast cancer patients. Tamoxifen itself induced autophagy in sensitive cells but not in resistant ones and tamoxifen resistant cells were sensitive to the induction of autophagy by other drugs.These results may point to an important role for autophagy in the sensitivity to tamoxifen. We anticipate that this kind of analysis will provide insight into the signaling mechanisms related to the action of estrogen and also may facilitate efforts to identify novel targets for therapeutic intervention for ER positive breast tumors.

Citation Information: Cancer Res 2009;69(24 Suppl):Abstract nr 5135.

Effects of strength training on work capacity and parasympathetic heart rate modulation during exercise in physically inactive men

This study was designed to assess the effects of strength training on work capacity and parasympathetic heart rate modulation during exercise in physically inactive men. Seventy-four men aged 20-45 were randomly assigned to training (n=52) and control (n=22) groups. Training groups underwent 10-weeks of progressive strength training. Body composition, one-repetition maximum half-squat and maximal oxygen uptake were measured before and after the intervention. Respiratory gases, heart rate and blood lactate were recorded during a VO2max test on a cycle ergometer. Parasympathetic heart rate modulation was analyzed based on the standard deviation of instantaneous beat-to-beat R-R interval variability (SD1) and its normalized unit (SD1n). Muscle strength and lean body mass increased in the training group. Compared to the control group, time to exhaustion increased significantly in the training group (p<0.05). SD1 and SD1n were elevated in the training group at submaximal exercise intensities (100 W, p<0.05). Blood lactate decreased at submaximal intensities when compared to the control group. Strength training increased exercise capacity, and improved vagal modulation of heart rate at submaximal exercise intensities. These changes may have favourable cardiovascular health implications for sedentary men during normal daily activities.

Severe burn injuries complicating psychogenic polydipsia

In rare cases, psychogenic polydipsia may develop as a post-burn complication, prevalently concerning females. Two such cases are reported, both in female patients. Their treatment and outcome are described.

Disruption of Spodoptera exigua larval development by silencing chitin synthase gene A with RNA interference

RNA interference (RNAi) is a powerful tool for rapidly analyzing gene functions. However, little is known about the possible use of dsRNA/siRNA as a pest control method. Here, we demonstrate that dsRNA/siRNA can induce the silence of chitin synthase gene A (CHSA), which is an important gene for the growth and development of cuticles and trachea in beet armyworm, Spodoptera exigua. Based on the in vitro RNAi experiments in an insect cell line (Trichoplusia ni High 5), in vivo RNAi was performed by injecting synthesized dsRNA/siRNA into the 4th instar larvae of S. exigua. Significantly lower levels of CHSA transcripts were detected. In addition, the cuticle of these insects was disordered and the epithelial walls of larval trachea did not expand uniformly in injected individuals. Moreover, Injections significantly increased abnormalities relative to control larvae. These results highlighted the possibility of dsRNA/siRNA for gene function studies in lepidopteran insects and future pest control.

Using MF-NF-RO train to produce low salt and high nutrient value recycled water for agricultural irrigation

The project investigated and demonstrated that using a selective nanofiltration (NF) membrane and a reverse osmosis (RO) membrane in sequence can produce recycled water with useful levels of nutrient ions, and lower the sodium absorption ratio (SAR) to minimise soil salinity. The recovery of nutrient and useful ions from the wastewater makes NF-RO treated recycled water an attractive option for agricultural irrigation. It was found that the addition of polyacrylic acid (PAA) significantly increased the rejection of divalent ions by SR2 NF element, and kept the sodium rejection largely unchanged. This effect enhanced the enrichment of divalent ions in the NF rejects, and allowed sodium ions to pass to the RO stage. The product water included NF reject and the RO permeate. Overall, the MF-NF-RO train with a PAA aided NF pre-treatment can produce a product water fit for agriculture irrigation purpose, and reduce the scaling on the RO membrane due to calcium ions which are removed by NF, leading to the higher RO recovery. This approach achieved overall higher water production with less waste for disposal.

Effect of placement of calcium sulphate when used for the repair of furcation perforations on the seal produced by a resin-based material

AIM

To evaluate the sealing ability of calcium sulphate when used under composite resin for the repair of furcation perforations having different diameters.

METHODOLOGY

Perforations of different diameter were created in the floors of pulp chambers in 60 extracted human molar teeth with either a number 3 (1 mm diameter) or 5 (1.5 mm diameter) round bur. The specimens of each group were divided into four sub-groups which were repaired with composite resin either alone or in combination with calcium sulphate that created an artificial floor (15 teeth group(-1)). Eight teeth without furcation perforations served as negative controls. In the leakage detection device, 1 mol L(-1) glucose solution was forced under a pressure of 1.5 KPa from the crown towards the pulp chamber floor. The concentration of leaked glucose was measured at 1, 2, 4, 7, 10, 15 and 20 days using a glucose oxidase method and the data evaluated using the rank sum test.

RESULTS

The specimens with larger perforations repaired with composite resin alone had significantly more leakage (P < 0.05). Using calcium sulphate as an artificial floor significantly decreased leakage of smaller perforations (P < 0.05). In groups repaired with calcium sulphate under composite resin, leakage in smaller perforations was markedly lower than that in larger ones (P < 0.05). No significant difference was found between the specimens with 1 or 1.5 mm perforations repaired with resin alone (P > 0.05).

CONCLUSIONS

Calcium sulphate significantly improved the sealing ability of 1 mm perforations repaired with composite resin but not for 1.5 mm perforations.

Expression of the novel co-stimulatory molecule B7-H4 by renal tubular epithelial cells

Crosstalk between T cells and renal tubular epithelial cells (TECs) in the pathogenesis of tubular lesions, the most important sign of progressive renal diseases, has not been clarified. Previous work has shown that TECs harbor co-stimulatory signals that promote T-cell activation, which induces tubular lesions. Nevertheless, the expression and functional role of B7-H4, a recently identified co-stimulatory ligand of the B7 superfamily, in pathologic human kidneys is unclear. We investigated the expression of B7-H4 on cryostat renal biopsies from patients with idiopathic membranous nephropathy (n=20), immunoglobulin A nephropathy (n=19), lupus nephritis (n=16), and acute renal allograft rejection (n=15) using immunohistochemistry. In addition, we also analyzed TEC-associated B7-H4 in the regulation of T-cell activation. Immunohistological staining revealed that B7-H4 antigen is restricted to tubular epithelium and that the protein is prominent in sections with severe tubular lesions, although no correlation was observed between tubular B7-H4 expression and levels of serum creatinine, serum urea nitrogen concentration, and 24-h proteinuria in each type of nephropathy. In vitro, mixed lymphocyte reactions revealed that TEC-related B7-H4 promotes cytokine (interleukin-2 and interferon-gamma) production and proliferation of co-cultured T cells. Interestingly, the secretion of interleukin-2 by C10 T cell hybridomas also increased when C10 cells were co-cultured with the B7-H4-transgenic murine TEC line, 3M-1-secreting tubular epithelial cells (MCT) in the presence of the antigen hen egg lysozyme. Our results clearly show that TEC-associated B7-H4 induces T-cell activation and we propose that B7-H4 is a potential activator that promotes tubular lesion.

Enhanced degradation efficiency of toluene using titania/silica photocatalysis as a regeneration process

Three kinds of titania/silica pellets were prepared using the sol-gel method with surface areas of 50.4 m2 g(-1), 421.1 m2 x g(-1) and 89.1 m2 x g(-1). An annular reactor was designed and built to determine the degradation efficiency of toluene and to investigate the relationship between the adsorption and desorption-photocatalytic processes. Surface area is an important factor influencing the adsorption-photocatalytic efficiency. Higher surface areas of pellets contribute to high rates of conversion of toluene. Un-reacted toluene and reaction intermediates accumulating on their surface deactivated the titania/silica catalyst. To overcome this problem, the adsorption and regeneration process were alternated in a dual reactor system. Connecting or disconnecting the toluene feed gas enabled one reactor to adsorb toluene, while the second reactor was regenerated by photocatalysis. Using UV irradiation and titania/silica pellets with high BET surface area (421.1 m2 x g(-1)), the alternating adsorption/regeneration processes kept the degradation efficiency of toluene at 90% after 8 hours operation. By improving the adsorption-photocatalysis efficiency, and minimising the generation and accumulation of intermediate on the surface of pellets, the method extended catalyst life and maintained a high degradation efficiency of toluene.

Differential induction of PPAR-gamma by luminal glutamine and iNOS by luminal arginine in the rodent postischemic small bowel

Using a rodent model of gut ischemia-reperfusion (I/R), we have previously shown that the induction of inducible nitric oxide synthase (iNOS) is harmful, whereas the induction of heme oxygenase 1 (HO-1) and peroxisome proliferator-activated receptor-gamma (PPAR-gamma) is protective. In the present study, we hypothesized that the luminal nutrients arginine and glutamine differentially modulate these molecular events in the postischemic gut. Jejunal sacs were created in rats at laparotomy, filled with either 60 mM glutamine, arginine, or magnesium sulfate (osmotic control) followed by 60 min of superior mesenteric artery occlusion and 6 h of reperfusion, and compared with shams. The jejunum was harvested for histology or myeloperoxidase (MPO) activity (inflammation). Heat shock proteins and iNOS were quantitated by Western blot analysis and PPAR-gamma by DNA binding activity. In some experiments, rats were pretreated with the PPAR-gamma inhibitor G9662 or with the iNOS inhibitor N-[3(aminomethyl)benzyl]acetamidine (1400W). iNOS was significantly increased by arginine but not by glutamine following gut I/R and was associated with increased MPO activity and mucosal injury. On the other hand, PPAR-gamma was significantly increased by glutamine but decreased by arginine, whereas heat shock proteins were similarly increased in all experimental groups. The PPAR-gamma inhibitor G9662 abrogated the protective effects of glutamine, whereas the iNOS inhibitor 1400W attenuated the injurious effects of arginine. We concluded that luminal arginine and glutamine differentially modulate the molecular events that regulate injurious I/R-mediated gut inflammation and injury. The induction of PPAR-gamma by luminal glutamine is a novel protective mechanism, whereas luminal arginine appears harmful to the postischemic gut due to enhanced expression of iNOS.

A comparison of dimensional accuracy between three different addition cured silicone impression materials

Ten impressions of a metal implant abutment were made with each of three addition-cured silicone impression materials. Using the technique of co-ordinate metrology, the shoulder region of the abutment and corresponding regions of both impressions and dies made from these impressions were scanned and measured. Comparison of these measurements indicated that the mean dimension measured from the shoulder region for each group of impression materials was significantly different from those taken from the original metal implant abutment. However, when these impressions were cast in a gypsum based die material, none of the measured dimensions taken from the casts were significantly different from those taken from the original metal implant abutment. Thus, any change in measured dimensions occurring during impression making, was compensated for in some way by the casting process.

Reduction of metal leaching in brown coal fly ash using geopolymers

Current regulations classify fly ash as a prescribed waste and prohibit its disposal in regular landfill. Treatment of the fly ash can reduce the leach rate of metals, and allow it to be disposed in less prescribed landfill. A geopolymer matrix was investigated as a potential stabilisation method for brown coal fly ash. Precipitator fly ash was obtained from electrostatic precipitators and leached fly ash was collected from ash disposal ponds, and leaching tests were conducted on both types of geopolymer stabilised fly ashes. The ratio of fly ash to geopolymer was varied to determine the effects of different compositions on leaching rates. Fourteen metals and heavy metals were targeted during the leaching tests and the results indicate that a geopolymer is effective at reducing the leach rates of many metals from the fly ash, such as calcium, arsenic, selenium, strontium and barium. The major element leachate concentrations obtained from leached fly ash were in general lower than that of precipitator fly ash. Conversely, heavy metal leachate concentrations were lower in precipitator fly ash than leached pond fly ash. The maximum addition of fly ash to this geopolymer was found to be 60wt% for fly ash obtained from the electrostatic precipitators and 70wt% for fly ash obtained from ash disposal ponds. The formation of geopolymer in the presence of fly ash was studied using 29Si MAS-NMR and showed that a geopolymer matrix was formed. X-ray diffraction (XRD) analysis and scanning electron microscopy (SEM) imaging showed the interaction of the fly ash with the geopolymer, which was related to the leachate data and also the maximum percentage fly ash addition.

Protein-protein interactions involving inducible nitric oxide synthase

AIM

Nitric oxide (NO) is a signaling and effector molecule that contributes to multiple physiological and pathophysiological processes in the kidney, vasculature, and other tissues. High output NO generation by inducible NO synthase (iNOS) participates in host defense against pathogens and contributes to tissue injury during inflammatory states. Because of its potent reactivity and diffusibility, NO generation by iNOS is subject to multiple levels of regulation, including transcriptional, translational, and post-translational controls, including protein-protein interactions. This review examines the experimental basis for these protein-protein interactions and their known and potential importance for kidney and vascular physiology.

METHODS

Analysis of the biomedical literature in the area.

RESULTS

iNOS interacts with the inhibitory molecules Kalirin and NOS-associated protein 1.10 kd (NAP110), which inhibit iNOS homodimerization, as well as activator proteins, the Rac-GTPases. Interactions with caveolin-1 control the intracellular locale and degradation of iNOS in tumor cells. In polarized epithelial cells, associations of iNOS with the scaffolding protein EBP50 position iNOS in the apical membrane near key ion transport proteins that also interact with EPB50. In addition, protein-protein interactions of proteins governing iNOS transcription function to specify activation or suppression of iNOS induction by cytokines.

CONCLUSION

Interactions of iNOS with a diverse group of heterologous proteins provides a selective mechanism to control the activity, spatial distribution, and proximity of iNOS to intended targets, while potentially limiting autotoxicity to the iNOS-expressing cell.

Effects of kava (Kava-kava, 'Awa, Yaqona, Piper methysticum) on c-DNA-expressed cytochrome P450 enzymes and human cryopreserved hepatocytes

The effects of the herbal product kava (Kava kava, 'Awa, Yaqona, Piper methysticum) on human P450 isoforms were studied in vitro using both cDNA-expressed human enzymes and cryopreserved human hepatocytes. Increasing concentrations of an ethanolic extract of dried kava root and three purified kava lactones (methysticin, desmethoxyyangonin, and yangonin) were tested for their ability to inhibit the catalytic activity of a panel of P450 isoforms (1A2, 2A6, 2C9, C2C19, 2D6, 2E1, and 3A4) present as c-DNA expressed-enzymes and in previously cryopreserved human hepatocytes. In addition, the test compounds' effect on hepatocyte viability was evaluated by measuring cellular ATP content. In both models, the kava extract and the three kava lactones were found to be potent inhibitors of CYPs 1A2, 2C9, 2C19, 2E1, and 3A4 with IC50 values of approximately 10 microM. The test compounds were also moderately cytotoxic to human hepatocytes (EC50 values of approximately 50 microM). Methysticin was the most potent enzyme inhibitor as well as the most cytotoxic, followed by (in order of potency:) the kava root extract, desmethoxyyangonin, and yangonin. Our results suggest that the drug interaction and hepatotoxic potential of kava should be further investigated.

Isolation of fetal nucleated red blood cells from maternal blood

To find a simple, effective method of isolating fetal cells from maternal peripheral blood for prenatal diagnosis, 45 women were studied with their gestation being 6-14 weeks and age 21-30 years. The fetal cells were isolated from maternal blood by using discontinuous density gradient centrifugation. Some of the isolated cells were made smear and counted under the microscope; others were used for predicting fetal sex by PCR amplification of Y chromosome specific DYZ1 gene. The major cells in the upper separation interface were lymphocytes and monocytes, with occasionally seen nucleated red blood cells (NRBC); while those in the middle separation interface were neutrocytes, with NRBC scattering. The ratio of NRBC/nucleated cells was 1.98 +/- 0.28 x 10(-5). There was no significant difference between the first and second trimester (P > 0.05). The amount of isolated fetal cells was sufficient for prenatal genetic diagnosis. Male pregnancy was correctly predicted in 10 out of 13 cases. It is concluded that the method of discontinuous density gradient centrifugation was of considerable importance in the development of non-invasive prenatal genetic diagnosis.