The impact of the P2X7 receptor on the tumor immune microenvironment and its effects on tumor progression

Cancer is a significant global health concern, and finding effective methods to treat it has been a focus of scientific research. It has been discovered that the growth, invasion, and metastasis of tumors are closely related to the environment in which they exist, known as the tumor microenvironment (TME). The immune response interacting with the tumor occurring within the TME constitutes the tumor immune microenvironment, and the immune response can lead to anti-tumor and pro-tumor outcomes and has shown tremendous potential in immunotherapy. A channel called the P2X7 receptor (P2X7R) has been identified within the TME. It is an ion channel present in various immune cells and tumor cells, and its activation can lead to inflammation, immune responses, angiogenesis, immunogenic cell death, and promotion of tumor development. This article provides an overview of the structure, function, and pharmacological characteristics of P2X7R. We described the concept and components of tumor immune microenvironment and the influence immune components has on tumors. We also outlined the impact of P2X7R regulation and how it affects the development of tumors and summarized the effects of drugs targeting P2X7R on tumor progression, both past and current, assisting researchers in treating tumors using P2X7R as a target.

[Molecular characterization of Staphylococcus aureus ST6 and ST7 isolates from food-borne illness outbreaks]

Objective: To analyze the Staphylococcal enterotoxins, Staphylococcal enterotoxin genes, drug resistance and molecular typing of 41 Staphylococcus aureus isolates from 2 food-borne illness outbreaks on 21 August and 27 September 2020 in Guangzhou. Methods: A total of 41 Staphylococcus aureus isolates from 2 outbreaks were analyzed by multilocus sequence typing (MLST) and spa typing. The Staphylococcal enterotoxins typing and the Staphylococcal enterotoxin genes of the isolates were analyzed by ELISA and PCR, respectively. The antimicrobial susceptibility of the isolates was performed by disc diffusion. 21 Staphylococcus aureus isolates were characterized using whole genome sequencing (WGS). Based on the whole genome single nucleotide polymorphism (SNP), the phylogenetic tree was constructed by Snippy. Results: 41 Staphylococcus aureus isolates were divided into 2 types by MLST and spa typing: ST6-t701 and ST7-t091. 2 ST7-t091 isolates were identified as methicillin-resistant Staphylococcus aureus (MRSA). 25 ST7-t091 isolates and 14 ST6-t701 isolates were methicillin-sensitive Staphylococcus aureus (MSSA), and were resistant to 7 and 6 antibiotics, respectively. All isolates were positive for sea by PCR. WGS revealed all 21 isolates carried scn, sak, sea, hla, hld, hlgA, hlgB, hlgC, lukD virulence genes. The results showed the isolates contained an immune evasion cluster type D which located in bacteriophage ϕSa3. The SNP phylogenetic tree showed 2 MRSA ST7-t091 were constituted a separate clade from the 12 MSSA ST7-t091 isolates and 7 ST6-t701 isolates showed high similarity to each other. Conclusion: Base on the results of phylogenetic analysis, the 2 food-borne illness outbreaks occurred on 21 August and 27 September 2020 are caused by the combination of the MRSA ST7-t091 strain and the MSSA ST7-t091 strain, and the MSSA ST6-t701 strain, respectively. All isolates have high level of antibiotic resistance and carry high virulent genes.

Nitrogen dynamics model for a pilot field-scale novel dewatered alum sludge cake-based constructed wetland system

A model simulating the effluent nitrogen (N) concentration of treated animal farm wastewater in a pilot on-site constructed wetland (CW) system, using dewatered alum sludge cake (DASC) as wetland substrate, is presented. The N-model was developed based on the Structural Thinking Experiential Learning Laboratory with Animation software and is considering organic nitrogen, ammonia nitrogen (NH3) and nitrate nitrogen (NO3-N) as the major forms of nitrogen involved in the transformation chains. Ammonification (AMM), ammonia volatilization, nitrification (NIT), denitrification, plant uptake, plant decaying and uptake of inorganic nitrogen by algae and bacteria were considered in this model. pH, dissolved oxygen, temperature, precipitation, solar radiation and nitrogen concentrations were considered as forcing functions in the model. The model was calibrated by observed data with a reasonable agreement prior to its applications. The simulated effluent detritus nitrogen, NH4-N, NO3-N and TN had a considerably good agreement with the observed results. The mass balance analysis shows that NIT accounts for 65.60%, adsorption (ad) (11.90%), AMM (8.90%) followed by NH4-N (Plants) (5.90%) and NO3-N (Plants) (4.40%). The TN removal was found 52% of the total influent TN in the CW. This study suggested an improved overall performance of a DASC-based CW and efficient N removal from wastewater.

Characterization of chicken natural resistance-associated macrophage protein encoding genes (Nramp1 and Nramp2) and association with salmonellosis resistance

Natural resistance-associated macrophage protein 1 and 2 encoding genes (Nramp1 and Nramp2) are related to many diseases. We cloned the cDNA of chicken Nramp1 and Nramp2 genes, characterized their expression and polymorphisms, and investigated the association of some SNPs with resistance to salmonellosis. The Nramp1 cDNA was 1746 bp long and the Nramp2 cDNA was 1938 bp long. These cDNAs are similar to previously reported cDNAs, varying by two and one amino acids, respectively. The chicken Nramp1 gene expressed predominantly in liver, thymus and spleen in both females and males. The Nramp2 gene expressed in almost all tissues, but predominantly in breast muscle, leg muscle, cerebrum, cerebellum, lung, kidney, and heart in both females and males. We identified 45 SNPs and 2 indels in the chicken Nramp1 gene; three of 13 SNPs in the exons were missense mutations (Arg223Gln, Ala273Glu and Arg497Gln). Association analysis indicated that A24101991G is significantly associated with chicken salmonellosis resistance. These results will be useful for functional investigation of chicken Nramp1 and Nramp2 genes.

Comprehensive analysis of step-feeding strategy to enhance biological nitrogen removal in alum sludge-based tidal flow constructed wetlands

Step-feeding strategies have been extensively studied and comprehensively analyzed in this study for a four-stage alum sludge-based tidal flow constructed wetlands (AlS-TFCWs) system. Enhanced total nitrogen removal of 83% is achieved under high nitrogen loading rate of 19.1 g N/m(2)d. The key issues towards the success of a significant nitrogen removal in step-feeding TFCWs are the bed resting time (which provides better aeration for nitrification) and up flow stage/delayed input of side stream(s) (which ensure favorable environment for better denitrification). Simultaneous nitrification and denitrification (SND) was found effective in the 1st stage of the system and SND via nitrite is the main nitrogen conversion mechanism. The optimal influent distribution fraction for step-feeding purpose can be estimated from a theoretical basis, which is a function of the influent BCOD/TKN ratio. Therefore the influent distribution fraction should be adjusted according to the variety of influent characteristics, rather than a fixed value.

Effects of livestock wastewater variety and disinfectants on the performance of constructed wetlands in organic matters and nitrogen removal

BACKGROUND, AIM AND SCOPE

Treatment performance of constructed wetlands (CWs) is largely dependent on the characteristics of the wastewater. Although livestock wastewater is readily biodegradable in general, its variety in biodegradability can still be significant in practice. In addition, it is a common practice to periodically use disinfectants in livestock activities for health concerns. Obviously, the residual of the disinfectants in livestock wastewater may have serious inhibitory effect on the microbial activities during wastewater treatment. Thus, the main objective of this study was to examine the variety of livestock wastewater in biodegradability and its effect on the performance of a pilot scale tidal flow CWs (TFCWs) in organic matter and nitrogen removal. Furthermore, investigation of the potential inhibition of the chosen disinfectants on organic matter biodegradation and nitrification was another aim of this study.

MATERIALS AND METHODS

The TFCWs system consisted of four-stage downflow reed beds with a hydraulic loading rate of 0.29 m(3)/m(2)·per day. Long-term stored livestock wastewater and fresh livestock wastewater were used, respectively, as feed to the system in different periods. Meanwhile, batch aeration tests were carried out to investigate the difference in biodegradation of the two types of wastewaters. Inhibitions of two types of disinfectants, namely UNIPRED and HYPROCLOR ED, on microbial activities were investigated in laboratory batch tests, with dosage of from 0.05% to 0.5%.

RESULTS

With fresh livestock wastewater, removal efficiencies of up to 93% and 94% could be achieved with average of 73% and 64% for chemical oxygen demand (COD) and TN, respectively. The performance deteriorated when the system was fed with long-term stored wastewater. In the batch tests, the long-time stored wastewater was characterized as non-biodegradable or at least very slowly biodegradable, while the fresh wastewater was readily biodegradable. UNIPRED showed very strong inhibition on both heterotrophic organisms and nitrifiers. Tested inhibition started from content of 0.05%, which is 1/10 of the recommended usage rate. Inhibitory effect of HYPROCLOR ED on COD degradation started from 0.1% and complete inhibition occurred from content of 0.3%, while significant inhibition on nitrification started from 0.1%.

CONCLUSIONS

Livestock wastewater could vary significantly in biodegradability and it may turn to be non-biodegradable after a long-term storage. The variety of the livestock wastewater has a decisive influence on the performance of the CWs system, especially in TN elimination. In addition, the application of disinfectants UNIPRED and HYPROCLOR ED may cause serious inhibition on microbial activities and subsequent system failure.

Performance evaluation and prediction for a pilot two-stage on-site constructed wetland system employing dewatered alum sludge as main substrate

Dewatered alum sludge, a widely generated by-product of drinking water treatment plants using aluminium salts as coagulants was used as main substrate in a pilot on-site constructed wetland system treating agricultural wastewater for 11 months. Treatment performance was evaluated and spreadsheet analysis was used to establish correlations between water quality variables. Results showed that removal rates (in g/m(2)d) of 4.6-249.2 for 5 day biochemical oxygen demand (BOD(5)), 35.6-502.0 for chemical oxygen demand (COD), 2.5-14.3 for total phosphorus (TP) and 2.7-14.6 for phosphate (PO(4)P) were achieved. Multiple regression analysis showed that effluent BOD(5) and COD can be predicted to a reasonable accuracy (R(2)=0.665 and 0.588, respectively) by using input variables which can be easily monitored in real time as sole predictor variables. This could provide a rapid and cheap alternative to such laborious and time consuming analyses and also serve as management tools for day-to-day process control.

Chemical Raman enhancement of organic adsorbates on metal surfaces

Using first-principles theory and experiments, chemical contributions to surface-enhanced Raman spectroscopy for a well-studied organic molecule, benzene thiol, chemisorbed on planar Au(111) surfaces are explained and quantified. Density functional theory calculations of the static Raman tensor demonstrate a strong mode-dependent modification of benzene thiol Raman spectra by Au substrates. Raman active modes with the largest enhancements result from stronger contributions from Au to their electron-vibron coupling, as quantified through a deformation potential. A straightforward and general analysis is introduced to extract chemical enhancement from experiments for specific vibrational modes; measured values are in excellent agreement with our calculations.

On the fit of statistical and the k-C* models to projecting treatment performance in a constructed wetland system

The objective of this study was to assess the suitability of statistical and the k-C* models to projecting treatment performance of constructed wetlands by applying the models to predict the final effluent concentrations of a pilot field-scale constructed wetlands system (CWs) treating animal farm wastewater. The CWs achieved removal rates (in g/m(2).d) ranging from 7.1-149.8 for BOD(5), 49.8-253.8 for COD and 7.1-47.0 for NH(4)-N. Generally, it was found that the statistical models developed from multiple regression analyses (MRA) were stronger in predicting final effluent concentrations than the k-C* model. However, both models were inadequate in predicting the final effluent concentrations of NO(3)-N. The first-order area-based removal rate constants (k, m/yr) determined from the experimental data were 200.5 for BOD(5), 80.1 for TP and 173.8 for NH(4)-N and these indicate a high rate of pollutant removal within the CWs.

[Application of pulse-field gel electrophoresis analysis in source-tracking of food-borne disease caused by Vibrio parahaemolyticus]

OBJECTIVE

To apply pulse-field gel electrophoresis analysis(PFGE) in analysing a case of food poisoning caused by Vibrio parahaemolyticus.

METHODS

PFGE using restriction enzyme Not I was employed in molecular subtyping of thirty strains of V. parahaemolyticus isolated from a case of food poisoning in Guangzhou city and PFGE patterns were analyzed by using BioNumerics Version 4.0 software to perform cluster analysis. Pattern profiles were compared by using the Dice coefficient and unweighted pair group method with arithmetic averages (UPGMA).

RESULTS

Thirty strains were of the same type of pulsotype.

CONCLUSIONS

Molecular subtyping by PFGE might disclose the epidemiological relationships of the strains from humans, food and the environment, giving a strong molecular epidemiological evidence and a support for the source-tracking of outbreak events.

Thiazolidinediones inhibit TNFalpha induction of PAI-1 independent of PPARgamma activation

Increased plasminogen activator inhibitor type 1 (PAI-1) levels are observed in endothelial cells stimulated by tumour necrosis factor alpha (TNFalpha). Thiazolidinediones (TZDs) may inhibit elevated endothelial cell PAI-1 accounting, in part, for the putative atheroprotective effects of TZDs. In an endothelial cell line, Rosiglitazone (RG) and Pioglitazone (PG) inhibited induction of PAI-1 by TNFalpha. The specific peroxisome proliferator-activated receptor gamma (PPARgamma) inhibitor, SR-202, failed to modulate this effect. RG also inhibited the effect of TNFalpha on a reporter gene construct harbouring the proximal PAI-1 promoter and PAI-1 mRNA in cells co-transfected with a dominant-negative PPARgamma construct. RG and PG attenuated TNFalpha-mediated induction of trans-acting factor(s) Nur77/Nurr1 and binding of nuclear proteins (NP) to the cis-acting element (NBRE). SR-202 failed to modulate these effects. The observations suggest TZDs inhibit TNFalpha-mediated PAI-1 induction independent of inducible PPARgamma activation and this may involve in the modulation of Nur77/Nurr1 expression and NP binding to the PAI-1 NBRE.

Application of oligonucleotide array technology for the rapid detection of pathogenic bacteria of foodborne infections

A rapid and accurate method for detection for common pathogenic bacteria in foodborne infections was established by using oligonucleotide array technology. Nylon membrane was used as the array support. A mutation region of the 23S rRNA gene was selected as the discrimination target from 14 species (genera) of bacteria causing foodborne infections and two unrelated bacterial species. A pair of universal primers was designed for PCR amplification of the 23S rRNA gene. Twenty-one species (genera)-specific oligonucleotide detection probes were synthesized and spotted onto the nylon membranes. The 23S rRNA gene amplification products of 14 species of pathogenic bacteria were hybridized to the oligonucleotide array. Hybridization results were analyzed with digoxigenin-linked enzyme reaction. Results indicated that nine species of pathogenic bacteria (Escherichia coli, Campylobacter jejuni, Shigella dysenteriae, Vibrio cholerae, Vibrio parahaemolyticus, Proteus vulgaris, Bacillus cereus, Listeria monocytogenes and Clostridium botulinum) showed high sensitivity and specificity for the oligonucleotide array. Two other species (Salmonella enterica and Yersinia enterocolitica) gave weak cross-reaction with E. coli, but the reaction did not affect their detection. After redesigning the probes, positive hybridization results were obtained with Staphylococcus aureus, but not with Clostridium perfringens and Streptococcus pyogenes. The oligonucleotide array can also be applied to samples collected in clinical settings of foodborne infections. The superiority of oligonucleotide array over other tests lies on its rapidity, accuracy and efficiency in the diagnosis, treatment and control of foodborne infections.

Polyurethaneurea/vinyl polymer hybrid aqueous dispersions based on renewable material

A series of polyurethaneurea-vinyl polymer (PUA) hybrid aqueous dispersions were synthesized from castor oil and/or difunctional poly(oxypropylene) polyol (GE-210, M(n) = 1000), butyl acrylate, and styrene. The effect of hybrid between the polyurethaneurea (PUU) and vinyl polymer (PA) on the morphologies and the mechanical properties for these PUA films was examined and studied. The experimental results showed that there was appreciable miscibility between the PUU and PA phases for the PUA prepared with GE-210, giving rise to less ordered hard segments in PUU and resulting in lowering of some mechanical properties compared with those of pure PUU synthesized with GE-210. For PUA based on castor oil, the compatibility between the PUU and PA phases was also observed, although there was a network structure in the system. Moreover, the particle-accumulation morphology during the film formation process for this PUA system disappeared, but this behavior was found for a similar PUU. In this case, a great improvement of mechanical properties for such a PUA specimen was observed. The other PUA specimens with high content of castor oil exhibit excellent comprehensive mechanical properties, resulting from the reinforcement of cross-linked PUU phase existing in the systems.

[Significance of the unbalanced expression of Th1/Th2 type cytokines in human glioma]

OBJECTIVE

To study the significance of the unbalanced expression of Th1/Th2 type cytokines in human glioma.

METHODS

The gene expressions of Th1/Th2 type cytokines in 62 specimens of human glioma tissues, 4 glioma cell lines, peripheral blood mononuclear cell (PBMC) of 15 glioma patients, 5 specimens of normal adult brain tissue and 5 brain meningioma tissues were detected by semiquantitative reverse transcription polymerase chain reaction. IFN-gamma and IL-2 represent Th1 type cytokines. IL-4, IL-6, IL-10 and IL-13 represent Th2 type cytokines.

RESULTS

There were obviously predominant expression of Th2 type cytokines in glioma cell lines (P < 0.01) and specimens of human glioma tissues (P < 0.01). The tendency of distinct expression of Th2 type cytokines in PBMC was also existent. There wasn't obvious discrepancy of the expression of two type cytokines in normal adult brain tissues and meningioma tissues.

CONCLUSIONS

It is likely that the switching of Th1/Th2 type cytokines in gliomas as predominant expression of Th2 type cytokine genes is related to the origination of gliomas and the evasion of glioma cells from immune surveillance.

[Influence of adjustment of balance of Th1/Th2 type cytokines on proliferation of glioma cells]

OBJECTIVE

To study the influence of adjustment of balance of Th1/Th2 by external cytokines on proliferation of glioma cells.

METHODS

The gene expressions of Th1/Th2 type cytokines in C6, 9L, U251 and SHG44 glioma cells were detected by semiquantitative reverse transcription polymerase chain reaction (RT-PCR). After the cells were induced with IFN-gamma + IL-4 McAb and IL-4 + IFN-gamma McAb respectively, we isolated the total RNA to proceed RT-PCR again. The evaluation of cell proliferation was proceeded by MTT assay method.

RESULTS

There was obviously predominant expression of Th2 type cytokines in glioma cell lines (P < 0.01). The expression intensity of IFN-gamma was improved in IFN-gamma + IL-4 McAb groups and Th2 type cytokines were enhanced in IL-4 + IFN-gamma McAb groups. IFN-gamma and IL-4 McAb could cause the switch from Th2 to Th1, and could remarkably inhibit the proliferation of glioma cells in a dose-dependent way (P < 0.01). On the other hand, IL-4 and IFN-gamma McAb could strengthen the switch of Th2, and might stimulate the glioma cell growth, also in a dose-dependent way (P < 0.01).

CONCLUSIONS

There is a Th2 preponderance in glioma cells. IFN-gamma and IL-4 McAb could regulate the switch from Th2 to Th0 or Th1, and inhibit the proliferation of glioma cells.

[Determination of lamotrigine in the serum and study on pharmacokinetics in rabbits by RP-HPLC]

In the treatment of epileptic patients a method was developed to monitor the lamotrigine concentration by HPLC using a YWG-ODS column and a detector at 305 nm. The linear range was from 0.25 mg/L to 50 mg/L with a mean correlation coefficient of 0.9998. The average recovery was 93.78% and the standard deviation was 2.66%. Within and between-day precisions were 2.4% (n = 9) and 5.3% (n = 5) in RSD respectively. The pharmacokinetics was studied after a single dose of 25 mg/kg for 3 rabbits. Lamotrigine concentrations in serum were assayed and the parameters were computed with 3P87 program. The concentration-time curve of lamotrigine in rabbits fitted to a two compartment model, in which Cmax was 9.34 micrograms/mL, t1/2(Ke) was 8.78 h, and CL/f(s) was 0.69 L/h. The method is rapid, accurate and can be used as routine test in the use of lamotrigine.

A novel osteoblast-derived C-type lectin that inhibits osteoclast formation

We have cloned and expressed murine osteoclast inhibitory lectin (mOCIL), a 207-amino acid type II transmembrane C-type lectin. In osteoclast formation assays of primary murine calvarial osteoblasts with bone marrow cells, antisense oligonucleotides for mOCIL increased tartrate-resistant acid phosphatase-positive mononucleate cell formation by 3-5-fold, whereas control oligonucleotides had no effect. The extracellular domain of mOCIL, expressed as a recombinant protein in Escherichia coli, dose-dependently inhibited multinucleate osteoclast formation in murine osteoblast and spleen cell co-cultures as well as in spleen cell cultures treated with RANKL and macrophage colony-stimulating factor. Furthermore, mOCIL acted directly on macrophage/monocyte cells as evidenced by its inhibitory action on adherent spleen cell cultures, which were depleted of stromal and lymphocytic cells. mOCIL completely inhibited osteoclast formation during the proliferative phase of osteoclast formation and resulted in 70% inhibition during the differentiation phase. Osteoblast OCIL mRNA expression was enhanced by parathyroid hormone, calcitriol, interleukin-1alpha and -11, and retinoic acid. In rodent tissues, Northern blotting, in situ hybridization, and immunohistochemistry demonstrated OCIL expression in osteoblasts and chondrocytes as well as in a variety of extraskeletal tissues. The overlapping tissue distribution of OCIL mRNA and protein with that of RANKL strongly suggests an interaction between these molecules in the skeleton and in extraskeletal tissues.

[Analysis and stability study on nimotop injections by RP-HPLC]

A method was developed by using reversed-phase high performance liquid chromatography (HPLC) to analyze nimotop injections. Methyltestosterone was used as an internal standard. The separation was performed on a YWG C18 column with mobile phase of V (methanol):V (water) = 65:35 and detected at 238 nm. The linear concentration range of this method was 5.98 mumol/L-299.0 mumol/L. This method was simple, rapid and has been used to study the stability of nimotop injections. The experimental results showed that the nimotop was stable at higher temperature (50 degrees C) but unstable under light. Nimotop injection should be kept away from light.

Anatomic basis of iliac crest flap pedicled on the iliolumbar artery

This paper presents the anatomy and clinical applications of an iliac crest flap pedicled on the iliolumbar artery. 54 iliolumbar arteries were filled with pink plastic in 27 adult cadavers. Their origin, course and branches, and the surroundings were investigated, and the external diameter, length of segments and terminal distribution were measured. The iliolumbar artery was constant, but with a few variations. Its length was 7.0 +/- 3.9 cm, and the outer diameter 2.0 +/- 0.4 mm at the lateral edge of the psoas major muscle. Based on the anatomic findings, the surgical technique for a bone flap based on the iliolumbar artery was designed. Its clinical applications included both free bone grafting (in 2 patients) and pedicled bone transfer (in another 2 patients). The clinical results were satisfactory. The iliac crest flap pedicled on the iliolumbar artery is a reliable bone flap for clinical usage.

Expression of rat homeobox gene, rHOX, in developing and adult tissues in mice and regulation of its mRNA expression in osteoblasts by bone morphogenetic protein 2 and parathyroid hormone-related protein

The rat homeobox gene, rHox, was cloned from a rat osteosarcoma cDNA library. Southwestern and gel mobility shift analyses showed that rHox binds to the promoter regions of collagen (alpha1)I and osteocalcin genes while transient transfection with rHox resulted in repression of their respective promoter activities. In situ hybridization studies showed that rHox mRNA was widely expressed in osteoblasts, chondrocytes, skeletal muscle, skin epidermis, and bronchial and intestinal epithelial cells, as well as cardiac muscle in embryonic and newborn mice. However in 3-month-old mice, rHox mRNA expression was restricted to osteoblasts, megakaryocytes, and myocardium. Bone morphogenetic protein 2, a growth factor that commits mesenchymal progenitor cells to differentiate into osteoblasts, down-regulated rHox mRNA expression by 40-50% in UMR 201, a rat preosteoblast cell line, in a time- and dose-dependent manner. In contrast, PTH-related protein (PTHrP), recently shown to be a negative regulator of chondrocyte differentiation, significantly enhanced rHox mRNA expression in UMR 106-06 osteoblastic cells by 3-fold at 24 h while at the same time down-regulating expression of pro-alpha1(I) collagen mRNA by 60%. Expression of rHox mRNA in calvarial osteoblasts derived from PTHrP -/- mice was approximately 15% of that observed in similar cells obtained from normal mice. In conclusion, current evidence suggests that rHox acts as a negative regulator of osteoblast differentiation. Furthermore, down-regulation of rHox mRNA by bone morphogenetic protein 2 and its up-regulation by PTHrP support a role of the homeodomain protein, rHox, in osteoblast differentiation.

Improvement in Vernier acuity in adults with amblyopia. Practice makes better

PURPOSE

To determine the nature and limits of visual improvement through repetitive practice in human adults with naturally occurring amblyopia.

METHODS

A key measure the authors used was a psychophysical estimate of Vernier acuity; persons with amblyopia have marked deficits in Vernier acuity that are highly correlated with their loss of Snellen acuity. The experiment consisted of three phases: pretraining measurements of Vernier acuity and a second task (either line-detection thresholds or Snellen acuity) in each eye with the lines at two orientations; a training phase in which observers repetitively trained on the Vernier task at a specific line orientation until each had completed 4000 to 5000 trials; and posttraining measurements (identical to those in the first phase). Two groups of amblyopic observers were tested: novice observers (n = 6), who had no experience in making psychophysical judgments with their amblyopic eyes, and experienced observers (n = 5), who had previous experience in making Vernier judgments with their amblyopic eyes (with the lines at a different orientation) using the signal-detection methodology.

RESULTS

The authors found that strong and significant improvement in Vernier acuity occurs in the trained orientation in all observers. Learning was generally strongest at the trained orientation but may partially have been transferred to other orientations (n = 4). Significant learning was transferred partially to the other eye (at the trained orientation) in two observers with anisometropic amblyopia. Improvement in Vernier acuity did not transfer to an untrained detection task. In two observers, the improvement in Vernier acuity was accompanied by a commensurate improvement in Snellen acuity.

CONCLUSIONS

Some adults with amblyopia retain a significant degree of neural plasticity. Although several observers (primarily novices) showed evidence of generalized learning, several amblyopic patients showed evidence for improvement that was orientation and task specific. In this latter group of observers, the improvement appeared to reflect alterations that were, at least in part, in early neural processes that were orientation specific and were localized beyond the site of convergence of the two eyes.

The temporomandibular joint in juvenile rheumatoid arthritis: Part II. Relationship between computed tomographic and clinical findings

A study was undertaken to examine the relationship between the clinical signs and symptoms of temporomandibular joint (TMJ) disorder and computed tomographic (CT) evidence of destruction of these joints in children afflicted with juvenile rheumatoid arthritis (JRA). A thorough clinical examination including determination of the craniomandibular index (CMI) was performed on each of 37 consecutive JRA patients (6-17 years old), who had also received comprehensive evaluations of TMJ morphology by axial CT (see Part I, Pediatr Dent, 17:46-53, 1995). Measures of facial asymmetry (photographic) and mandibular size (cephalometric) also were collected. Published norms for mandibular dimensions and for prevalences of symptoms and signs of TMJ disorders served as control data. Various ANOVA and nonparametric statistical models were used for analysis. Average maximal opening was significantly less in the JRA subjects compared with the controls, and more than 50% of the JRA children manifested chin deviations or vertical disparities between mandibular angle regions, indicating compromised mandibular function and form. With the exception of facial asymmetry, however, none of the clinical signs or symptoms of TMJ dysfunction were remarkable predictors of bony destruction of the TMJ. Subjects with definitive evidence (CT) of TMJ destruction (62%) could not be identified reliably by any of the clinical measures used here. These findings indicate that clinical examination alone is inadequate for detecting condylar degeneration in the TMJ of children with JRA.

The temporomandibular joint in juvenile rheumatoid arthritis: I. Computed tomographic findings

The temporomandibular joints (TMJ) of children afflicted with juvenile rheumatoid arthritis (JRA) were evaluated with clinical examinations and computed tomography (CT). Thirty-seven consecutive patients (6-17 years old) from the Texas Scottish Rite Hospital arthritis clinic were studied to investigate morphological abnormalities in the TMJ by CT. Both qualitative and quantitative measures of TMJ morphology were made from axial CT scans. Ten children without JRA served as a control group. Various ANOVA and nonparametric statistical models were used for analysis. Evidence of TMJ abnormalities from the CTs was found in 62% of these JRA children. The TMJ pathosis indices for left and right joints were significantly higher in the JRA subjects than those in the control children (P < 0.03) and joint spaces were narrower (P < 0.02). These features are indicative of TMJ destruction. Thus, there is considerable risk for TMJ involvement and its debilitating and deforming sequelae in children afflicted with JRA.

[Peripheral adriamycin injection for therapy of idiopathic trigeminal neuralgia: 42 cases report]

According to the principle that the axoplasm can transmit retrogradely. The author dissected peripheral branch of trigeminal nerve and injected adriamycin into the suffered nerve for treatment of 42 cases with trigeminal neuralgia. All cases were painless within 24h after operation. The effect is positive in the period of 3-18 months follow-up. It is a safe, reliable and uncomplicated treatment way for trigeminal neuralgia.

[Technetium-99m bone imaging and mechanical strength test on heterogenous inorganic bone implantation]

Two kinds of heterogenous inorganic bone (HAB), lower temperature treated HAB (LHAB) and higher temperature treated HAB (HHAB), were implanted and observed by technetium-99m bone imaging and mechanical strength test. The results confirmed that the LHAB possessed biocompatibility and osteoinductivity. Half a year after implantation, LHAB induced bone formation and bridged large osseous defect.

[Indications of surgical treatment of spontaneous pneumothorax (analysis of 35 cases)]

The experiences in surgical treatment of 35 cases of spontaneous pneumothorax were reported. In 34 cases bullae or blebs were found during the operation. The operation is simple (inducing pleural adhesion by smearing pleura with iodine after local resection of bullae and blebs and with good results. No relapse occurred during 1-13 years followup. We suggest that operation should be considered for treating spontaneous pneumothorax in such cases including failure of medical management, relapse within a short time and more than two relapses. Most of the patients with impaired lung function and bilateral pneumothorax can be treated surgically as well.