Assessing torsion of the medial cortex of the canine tibia using computed tomography multiplanar reconstruction

OBJECTIVES

To describe a protocol for the measurement of tibial rotational alignment using CT multiplanar reconstructions. To establish the feasibility of producing general guidelines for the amount of torsional contouring to apply to a bone plate applied to the medial aspect of the tibia during repair of a non-reducible tibial fracture.

METHODS

CT scans of the pelvic limbs of 15 chondrodystrophic and 34 non-chondrodystrophic dogs were studied. Medial tibial cortex torsion angle and distal medial tibial cortex angle were determined from CT multiplanar reconstructions. Medial plate application was simulated using a plate contoured to the group mean medial tibial cortex torsion angle and post-simulation tibial rotational alignment was assessed.

RESULTS

Mean medial tibial cortex torsion angles were 23° (chondrodystrophic) and 26° (non-chondrodystrophic). Following simulated plate application the change in medial tibial cortex torsion was less than 10° in 73% of chondrodystrophic and 93% of non-chondrodystrophic tibias. In total, 93% of chondrodystrophic and 97% of non-chondrodystrophic tibias had post-simulation distal medial tibial cortex angle less than 10° from the group mean pre-simulation distal medial tibial cortex angle.

CLINICAL SIGNIFICANCE

Medial tibial cortex torsion and tibial rotational alignment can be measured using the protocol described in this study. 26° of internal torsional tibial plate pre-contouring may be appropriate for non-chondrodystrophic dogs, but further clinical validation is required.

Four-color laser diagnostics for Z-pinch and laser-produced plasma

Four-color laser diagnostics were developed for Z-pinch and laser plasma at the 1 MA pulsed power generator. Four harmonics of the Nd:YAG laser at wavelengths of 1064, 532, 266, and 213 nm were produced during the cascade conversion in three nonlinear crystals and propagated together in one beampath. Deep UV probing allows better penetration of the dense plasma. Laser probing at four wavelengths allows observation of plasma in a wide range of densities in one shot of the diagnostic laser. Examples of four-color laser shadowgraphy and interferometry of the wire-array load and laser plasma interaction are presented and discussed.

Pharmacology of AMG 181, a human anti-α4 β7 antibody that specifically alters trafficking of gut-homing T cells

BACKGROUND AND PURPOSE

AMG 181 is a human anti-α4 β7 antibody currently in phase 1 and 2 trials in subjects with inflammatory bowel diseases. AMG 181 specifically targets the α4 β7 integrin heterodimer, blocking its interaction with mucosal addressin cell adhesion molecule-1 (MAdCAM-1), the principal ligand that mediates α4 β7 T cell gut-homing.

EXPERIMENTAL APPROACH

We studied the in vitro pharmacology of AMG 181, and the pharmacokinetics and pharmacodynamics of AMG 181 after single or weekly i.v. or s.c. administration in cynomolgus monkeys for up to 13 weeks.

KEY RESULTS

AMG 181 bound to α4 β7 , but not α4 β1 or αE β7 , and potently inhibited α4 β7 binding to MAdCAM-1 (but not vascular cell adhesion molecule-1) and thus inhibited T cell adhesion. Following single i.v. administration, AMG 181 Cmax was dose proportional from 0.01 to 80 mg·kg(-1) , while AUC increased more than dose proportionally. Following s.c. administration, dose-proportional exposure was observed with single dose ranging from 5 to 80 mg·kg(-1) and after 13 weekly doses at levels between 20 and 80 mg·kg(-1) . AMG 181 accumulated two- to threefold after 13 weekly 80 mg·kg(-1) i.v. or s.c. doses. AMG 181 had an s.c. bioavailability of 80%. The linear elimination half-life was 12 days, with a volume of distribution close to the intravascular plasma space. The mean trend for the magnitude and duration of AMG 181 exposure, immunogenicity, α4 β7 receptor occupancy and elevation in gut-homing CD4+ central memory T cell count displayed apparent correlations.

CONCLUSIONS AND IMPLICATIONS

AMG 181 has in vitro pharmacology, and pharmacokinetic/pharmacodynamic and safety characteristics in cynomolgus monkeys that are suitable for further investigation in humans.

Current redistribution and generation of kinetic energy in the stagnated Z pinch

The structure of magnetic fields was investigated in stagnated wire-array Z pinches using a Faraday rotation diagnostic at the wavelength of 266 nm. The distribution of current in the pinch and trailing material was reconstructed. A significant part of current can switch from the main pinch to the trailing plasma preheated by x-ray radiation of the pinch. Secondary implosions of trailing plasma generate kinetic energy and provide enhanced heating and radiation of plasma at stagnation. Hot spots in wire-array Z pinches also provide enhanced radiation of the Z pinch. A collapse of a single hot spot radiates 1%-3% of x-ray energy of the Z pinch with a total contribution of hot spots of 10%-30%.

Investigation of plasma instabilities in the stagnated Z pinch

High-resolution laser probing diagnostics at a wavelength of 266 nm allow observation of the internal structure and instabilities in dense stagnated Z pinches, typically hidden by trailing material. The internal structure of the 1-MA Z pinch includes strong kink and sausage instabilities, loops, flares, and disruptions. Mid- and small-scale density perturbations develop in the precursor and main pinch. The three-dimensional shape and dynamics of the wire-array Z pinch are predetermined by the initial configuration of the wire array. Cylindrical, linear, and star wire-array Z pinches present different sets of instabilities seeded to the pinch at the implosion stage. Prolonged implosion of trailing mass can enhance x-ray production in wire arrays. Fast plasma motion with a velocity >100 km/s was observed in the Z pinch at stagnation with two-frame shadowgraphy. Development of instabilities in wire arrays is in agreement with three-dimensional magnetohydrodynamic simulations.

Study of the internal structure and small-scale instabilities in the dense Z pinch

High-resolution laser diagnostics at the wavelength of 266 nm were applied for the investigation of Z pinches at the 1-MA generator. The internal structure of the stagnated Z pinches was observed in unprecedented detail. A dense pinch with strong instabilities was seen inside the column of the trailing plasma. Kink instability, disruptions, and micropinches were seen at the peak of the x-ray pulse and later in time. The three-dimensional structure of the stagnated Z pinch depends on the initial wire-array configuration and implosion scenario. Small-scale density perturbations were found in the precursor plasma and in the stagnated Z pinch. Development of instabilities is in agreement with three-dimensional magnetohydrodynamic simulations.

A possible role of the junctional face protein JP-45 in modulating Ca2+ release in skeletal muscle

We investigated the functional role of JP-45, a recently discovered protein of the junctional face membrane (JFM) of skeletal muscle. For this purpose, we expressed JP-45 C-terminally tagged with the fluorescent protein DsRed2 by nuclear microinjection in myotubes derived from the C2C12 skeletal muscle cell line and performed whole-cell voltage-clamp experiments. We recorded in parallel cell membrane currents and Ca(2+) signals using fura-2 during step depolarization. It was found that properties of the voltage-activated Ca(2+) current were not significantly changed in JP-45-DsRed2-expressing C2C12 myotubes whereas the amplitude of depolarization-induced Ca(2+) transient was decreased compared to control myotubes expressing only DsRed2. Converting Ca(2+) transients to Ca(2+) input flux using a model fit approach to quantify Ca(2+) removal, the change could be attributed to an alteration in voltage-activated Ca(2+) permeability rather than to altered removal properties or a lower Ca(2+) content of the sarcoplasmic reticulum (SR). Determining non-linear capacitive currents revealed a reduction of Ca(2+) permeability per voltage-sensor charge. The results may be explained by a modulatory effect of JP-45 related to its reported in vitro interaction with the dihydropyridine receptor and the SR Ca(2+) binding protein calsequestrin (CSQ).

Identification of a novel 45 kDa protein (JP-45) from rabbit sarcoplasmic-reticulum junctional-face membrane

Using a biochemical/immunological approach to analyse the protein constituents of skeletal-muscle junctional-face membrane (JFM), we identified a 45 kDa protein. Its N-terminal amino acid was blocked, but the amino acid sequence obtained from several peptides after proteolytic treatment did not significantly match that of any protein present in the SwissProt and NCBI (National Center for Biotechnology Information) databases. We synthesized a peptide whose sequence matched that of one of the peptides obtained after CNBr cleavage of the 45 kDa protein; the peptide was conjugated to a carrier and used to raise antibodies. The antiserum was used to study in more detail the biochemical characteristics of the novel 45 kDa protein. Analysis of the proteins present in different subcellular membrane fractions show that the novel 45 kDa polypeptide: (i) is an integral membrane constituent present both in neonatal and adult skeletal-muscle sarcoplasmic reticulum; (ii) is selectively localized in the JFM; (iii) is not present in microsomes obtained from rabbit heart, liver or kidney. Immunoprecitation with anti-(45 kDa protein) antibody indicates that the 45 kDa protein is part of a complex which can be phosphorylated in vitro by the catalytic subunit of protein kinase A.

Biological derivation of a range of cephalometric norms for children of African American descent (after Steiner)

The purpose of this study was to report a normal range of anteroposterior apical base differences and concomitant interincisor inclinations and locations derived from a sample of American children (12 to 16 years) of African descent with normal occlusion (statistically defined). Standard cephalometric radiographs of 40 boys and 40 girls were traced and the Steiner Analysis performed. In addition to the ANB angle, 6 supplemental anteroposterior apical base separation estimators were measured, mean values established, and correlation (r) associations performed. The range of anteroposterior apical base difference was -0.5 degrees to 9.5 degrees estimated by the ANB angle or a linear distance of +/-6.5 mm using the Wits Appraisal. The angular and linear distance of the upper incisor to NA line (compensations) ranged from a low of 12 degrees and 3 mm to a high of 39 degrees and 14 mm. The angular and linear distance of the lower incisor to the NB line ranged from a low of 17 degrees and 3 mm to a high of 47.5 degrees and 17.5 mm. Biologically, the results suggested a wide range of equally acceptable sagittal apical base relationships and associated compensations in upper and lower incisor inclinations; normal occlusion was viewed as the reference point. Considering the usage of such descriptive terms as "ideal," "acceptable compromises," and "individualized treatment goals," to describe the angulation and inclination of the incisor teeth, the need for a distinction between biologically derived reference norms and esthetic preference reference norms is apparent when analyzing normal occlusion.

Photosensitivity of lead germanate glass waveguides grown by pulsed laser deposition

We report very large photoinduced refractive-index changes Dn, of the order of ~10(2), in lead germanate glass waveguides grown by pulsed-laser deposition. The magnitude of Dn was derived from measurements of diffraction efficiency for gratings written by exposure to 244-nm light through a phase mask, whereas the sign of Dn was determined from ellipsometric data. Results are shown for films grown under oxygen pressures ranging from 1 chi 10(-2) to 6 chi 10(-2)mbars (1.33mbars=1 Torr).

Ti:sapphire planar waveguide laser grown by pulsed laser deposition

We document the lasing performance of a waveguiding layer of Ti:sapphire, of ~12-mum thickness, grown by pulsed laser deposition from a 0.12-wt.% Ti(2)O(3) Ti:sapphire single-crystal target onto an undoped z-cut sapphire substrate. Lasing around 800 nm is observed when the waveguide layer is pumped by an argon-ion laser running on all-blue-green lines, with an absorbed power threshold of 0.56 W, with high-reflectivity (R>98%) mirrors. With a 5% pump duty cycle and a T=35% output coupler, a slope efficiency of 26% with respect to absorbed power is obtained, giving quasi-cw output powers in excess of 350 mW.

Performance of a low-loss pulsed-laser-deposited Nd:Gd(3) Ga(5)O(12) waveguide laser at 1.06 and 0.94 mum

We report the laser performance of a low-propagation-loss neodymium-doped Gd(3)Ga(5)O(12) (Nd:GGG) waveguide fabricated by pulsed-laser deposition. An 8- mum -thick crystalline Nd:GGG film grown upon an undoped Y(3)Al(5)O(12) substrate lases at 1.060 and 1.062 microm when pumped by a Ti:sapphire laser operating at 740 or 808nm.Using a 2.2% output coupler, we observed a 1060-nm laser threshold of 4mW and a slope efficiency of 20%. Laser action was also achieved, for what we believe is the first time in Nd:GGG, on the quasi-three-level 937-nm transition. With a 2% output coupler at this wavelength a laser threshold of 17mW and a 20% slope efficiency were obtained. This demonstration of low propagation loss combined with the fact that these waveguides have a very high numerical aperture (0.75) makes pulsed-laser-deposited thin films attractive for high-power diode-pumped devices.

Quantitative analysis of immunohistological changes in the synovial membrane of sheep infected with Maedi-Visna virus

We have carried out a quantitative immunohistological analysis of synovial membrane from the joints of clinically arthritic sheep naturally infected with Maedi-Visna virus (MVV) and compared the results to subclinically affected joints (carpal and tarsal) from infected sheep and to joints from a control population. Significantly elevated numbers of all three T lymphocyte subsets (CD4+, CD8+ and gamma delta) were found in the synovia from clinically arthritic sheep compared to controls. There was also a significant increase in the number of CD8+ T lymphocytes in the carpal synovium of subclinically arthritic animals. In both clinically arthritic and subclinical disease states CD8+ T cells predominated over CD4+ T cells and T cells bearing the gamma delta T cell receptor. Significant increases were also observed in the numbers of cells staining for MHC class II antigens in the synovial lining cell layer and subintimal cell populations of synovia from clinically arthritic sheep. These increases were apparent in the subintimal cell population at the subclinical stage of disease. Macrophage-like cells staining for the viral core protein p15 were observed in some of the most inflamed samples. The data are thus consistent with a disease process driven by chronic viral antigen presentation to infiltrating T cells, and could serve as a model for elucidating the mechanisms underlying some types of inflammatory joint disease in man.

Investigation of AC-DC magnetic field effects in planar phospholipid bilayers

Observations recently reported by others indicate that a combination of a weak dc magnetic field and extremely-low-frequency ac magnetic field can produce resonant effects in biological systems. We report measurements of the effects of combined dc and ac magnetic fields on the dc current through channel-free planar phospholipid membranes. The combined dc-ac magnetic fields did affect the dc current through planar phospholipid membranes, but not in every membrane, and not consistently at the same values of magnetic flux density and frequency. None of our measurements showed resonant response akin to the cyclotron-like resonance reported in diatoms [Smith et al., 1987] and lymphocytes [Liboff et al., 1987].

Resonant ac-dc magnetic fields: calculated response

An elementary model consisting of one charged particle in a viscous medium exposed to weak ac-dc low-frequency magnetic fields is analyzed to identify and explain the fundamental characteristics of the physical mechanisms that result in a resonance response, which is similar to the familiar cyclotron resonance. The model predicts both frequency and amplitude windows, which are explained in terms of synchronization of the particle with electric fields. Although extrapolation of model results to biological systems is limited by the elementary nature of the model, the model results indicate that observed resonant responses by others of biological systems to ac-dc magnetic fields are probably not due to resonant response of ions in solution, since the model predicts that no resonant response is possible unless the viscous damping is very low, many orders of magnitude lower than the viscous damping of ions in solution.

Zopiclone and nitrazepam: a multicenter placebo controlled comparative study of efficacy and tolerance in insomniac patients in general practice

The efficacy and tolerance of zopiclone were compared with nitrazepam and placebo in a multicenter double-blind parallel-group study in insomniac patients. Following a 7-day placebo washout period, 99 patients (age range 20 to 69 years) received oral capsules of 7.5 mg zopiclone or 5 mg nitrazepam or placebo for 2 weeks. During the fourth week all patients received placebo treatment. Sleep assessments by the patients showed that, compared with placebo, zopiclone and nitrazepam improved all sleep measures of efficacy from the first night and that effectiveness was maintained throughout treatment. The physicians global assessment of efficacy also favored zopiclone and nitrazepam over placebo treatment. Subjective morning drowsiness during treatment was significantly less for zopiclone than for either nitrazepam or placebo and represents a clear advantage for ambulatory patients. No rebound insomnia was evident during a 7 day post-treatment withdrawal period for either zopiclone or nitrazepam. Tolerance was good for all treatments.

Pipothiazine palmitate in the management of aggressive mentally handicapped patients

The efficacy of intramuscular pipothiazine palmitate (PP) in the management of aggressive mentally handicapped patients was examined in a double-blind, placebo-controlled, cross-over study, in which 30 patients received each treatment for 13 weeks. A target symptom scale of aggressiveness (TSA) and a clinical global impression scale of efficacy were rated at monthly intervals, and an extra-pyramidal side-effects scale weekly. The patients showed marked improvement during treatment with PP, which was assessed as superior to placebo. Individual and total TSA scores were also reduced compared to placebo.

The release of prostaglandin E2 from the skin of the plaice, Pleuronectes platessa L

1 A fungal extract which produces a cutaneous hypersensitivity reaction in the plaice, Pleuronectes platessa L., was incubated in vitro with the skin of this teleost fish. Samples of incubation media were assayed for smooth muscle stimulating activity. 2 Prostaglandin E2 was identified by bioassay, thin-layer chromatography, ultraviolet absorption spectroscopy and gas chromatography--mass spectrometry. Release from challenged skin was maximum after 60 min incubation. 3 Analysis of the fatty acid composition of plaice skin showed that although arachidonic acid was present (3% of total fatty acids), the precursor of prostaglandin E3, eicosapentaenoic acid contributed 9% of total. 4 Indomethacin (50 mg/kg i.p) did not inhibit the erythema induced by the fungal extract, whilst a dose of 1 mg/kg maximally inhibited prostaglandin release from skin on incubation in vitro. 5 It is concluded that prostaglandins do not have an exclusive role in the mediation of the hypersensitivity reaction.

Investigation of occurrence of tolerance to bronchodilator drugs in chronically pretreated guinea-pigs

1 The actions of sympathomimetic amines on isolated preparations of atria, trachea and ileum were studied in vitro in guinea-pigs, which had been pretreated for 5 or 12 days, by subcutaneous injection, with adrenaline (5 mug/kg), salbutamol (0.5 mug/kg), salbutamol (0.5 mug/kg), methoxamine (250 mug/kg) or saline (0.9% w/V NaCl solution). 2 In the trachea, a decrease in sensitivity (tolerance) to the relaxant effect of adrenaline was induced by pretreatment, for 12 but not for 5 days, with adrenaline. In these animals, cross-tolerance to isoprenaline or salbutamol was not observed. Tolerance to the relaxant actions of adrenaline isoprenaline or salbutamol was not observed after pretreatment with salbutamol. 3 In the trachea, pretreatment with methoxamine or adrenaline for 12 days did not change the sensitivity to the alpha-adrenoceptor-mediated contractor action of methoxamine. 4 In the atria from those guinea-pigs pretreated with adrenaline or salbutamol, there was no reduced sensitivity to the beta-adrenoceptor agonist actions of adrenaline, isoprenaline or salbutamol. In animals pretreated with methoxamine or adrenaline, there was no observable tolerance or cross tolerance to methoxamine with respect to its alpha-adrenoceptor-mediated positive inotropic action in the atria and no unequivocal evidence of a reduced sensitivity to that action of adrenaline. 5 It was confirmed that the twitch-like contractions of the longitudinal muscle of the electrically stimulated ileum were inhibited by sympatomimetic amines acting on alpha- and beta-adrenoceptors. There was no reduced sensitivity to the inhibitory actions of noradrenaline or isoprenaline on the twitch of ileum isolated from animals pretreated with adrenaline, salbutamol or methoxamine for 5 or 12 days. 6 From our results on these three preparations from the same animals, it is concluded that generalizations regarding changes in sensitivity to sympathomimetic amines following their prolonged administration should not be made in any one species.