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Biomedical subjects

James Mah

Publications and source records attributed to James Mah.

At least 19 recordsLinked to original sources

Pyrroloquinoline quinone modulates mitochondrial quantity and function in mice.

When pyrroloquinoline quinone (PQQ) is added to an amino acid-based, but otherwise nutritionally complete basal diet, it improves growth-related variables in young mice. We examined PQQ and mitochondrial function based on observations that PQQ deficiency results in elevated plasma glucose concentrations in young mice, and PQQ addition stimulates mitochondrial complex 1 activity in vitro. PQQ-deficient weanling mice had a 20-30% reduction in the relative amount of mitochondria in liver; lower respiratory control ratios, and lower respiratory quotients than PQQ-supplemented mice (2 mg PQQ/kg diet). In mice from dams fed a conventional laboratory diet, but switched at weaning to the basal diet, plasma glucose, Ala, Gly, and Ser concentrations were elevated at 4 wk (PQQ- vs. PQQ+), but not at 8 wk. The relative mitochondrial content (ratio of mtDNA to nuclear DNA) also tended (P<0.18) to be lower (PQQ- vs. PQQ+) at 4 wk, but not at 8 wk. PQQ also counters the mitochondrial complex 1 inhibitor, diphenylene iodonium (DPI). Mice were gavaged with 0, 0.4, or 4 microg PQQ/g body weight (BW) daily for 14 d. At each PQQ level, DPI was injected (i.p.) at 0, 0.4, 0.8, or 1.6 microg DPI/g BW. The PQQ-deficient mice exposed to 0.4 or 4.0 microg DPI/g lost weight and had lower plasma glucose levels than PQQ-supplemented mice (P<0.05). In addition, fibroblasts took up (3)H-PQQ added to cell cultures, and cultured hepatocytes maintained mitochondrial PQQ concentrations similar to those observed in vivo. Collectively, these results indicate that dietary PQQ can influence mitochondrial amount and function, particularly in perinatal and weanling mice.

Amino Acids↗

Three-dimensional localization of maxillary canines with cone-beam computed tomography.

INTRODUCTION: Precise 3-dimensional (3D) localization of impacted canines is central to their clinical management. Recently introduced dental 3D volumetric imaging systems make precise localization possible. The purpose of this study was to describe the spatial relationship of impacted canines by using images obtained with the NewTom QR-DVT 9000 (QR Srl, Verona, Italy). METHODS: Unilaterally and bilaterally impacted canines (n = 27) from 19 consecutive patients (15 female, 4 male) were evaluated on images taken with the NewTom QR-DVT 9000. The spatial relationships of the impacted canines relative to adjacent structures and incisor resorption were assessed with 3D visualization software. RESULTS: Most (92.6%) of the 27 impactions were palatal. Incisor resorption adjacent to the impacted canine was present in 66.7% of the lateral incisors and 11.1% of the central incisors. Follicle size did not play a major role in influencing impacted canine position. The alveolus was narrower at the impacted canine side compared with the erupted canine side; however, the width of the alveolus on the impacted canine side is independent of the deciduous canines. A correlation was found between the proximity of the impacted canine to the incisors and their resorption. There was no common location where eruption was arrested, and great variation in the inclination of the impacted canine was found. CONCLUSIONS: 3D volumetric imaging of impacted canines can show the following: presence or absence of the canine, size of the follicle, inclination of the long axis of the tooth, relative buccal and palatal positions, amount of the bone covering the tooth, 3D proximity and resorption of roots of adjacent teeth, condition of adjacent teeth, local anatomic considerations, and overall stage of dental development. In short, 3D imaging is clearly advantageous in the management of impacted canines.

Adolescent↗

First or second premolar extraction effects on facial vertical dimension.

If the concept of mesial movement of molars to reduce the "wedge effect" and decrease facial vertical dimension (FVD) is valid, it is important to investigate the effect of first (P1) and second premolar (P2) extraction on FVD. This study compares the mesial movement of molars and changes in FVD between P1 and P2 extraction groups in Class I malocclusion with a hyperdivergent facial type. We compared 27 cases with maxillary and mandibular P1 extractions (group 1) and 27 cases with maxillary and mandibular P2 extractions (group 2). To determine FVD changes due to treatment and to compare differences between two groups, paired t-test and independent t-test were performed, respectively. Group 2 showed more mesial movement of the maxillary and mandibular first molars and less retraction of the maxillary and mandibular central incisors than group 1 (P < .05). Both groups showed increased anterior facial height (P < .05), but there were no statistically significant differences in angular and proportional measurements between pre- and posttreatment. There was no significant difference in the amount of FVD change between groups 1 and 2 except in the maxillomandibular plane angle and SN to palatal plane angle (P < .05). These results suggest that there is no decrease in FVD regardless of the maxillary and mandibular P1 or P2 extraction. Therefore, the hypothesis that P2 extraction in hyperdivergent facial types will result in mesial molar movement and decrease FVD by reducing the wedge effect is invalid.

Adolescent↗

Determinants of successful chincup therapy in skeletal class III malocclusion.

The purpose of this study was to investigate skeletal characteristics that determine successful chincup therapy in patients with skeletal Class III malocclusions by using longitudinal follow-up data of 40 patients (18 male, 22 female). Lateral cephalometric radiographs were taken before chincup therapy (T0), after chincup therapy (T1), and after fixed orthodontic treatment and retention (T2). From the measurements at T2, the patients were classified into group 1, showing good retention results (n = 21; 9 male, 12 female), or group 2, showing poor results (n = 19; 9 male, 10 female). The differences at each stage and during T0 to T1 and T1 to T2 between the 2 groups were compared by t tests. The major effect of chincup therapy was backward rotation of the mandible in both groups; however, the amount of rotation was greater in group 2. After retention, group 2 showed more forward rotation and forward growth of the mandible than group 1. Cephalometric measurements that showed significant differences in skeletal and dental morphology between the 2 groups at T0 were L1 to occlusal plane (P <.001), upper gonial angle, AB to occlusal plane angle, AB to mandibular plane angle, ANB, anteroposterior dysplasia indicator, Wits appraisal (P <.01), articular angle, gonial angle, facial convexity angle, AB to facial plane angle, and L1 to A-Pog (P <.05). These factors apparently contributed to the difference of long-term results in the 2 groups. It is necessary to evaluate these items in the diagnosis and treatment planning of skeletal Class III malocclusion in growing patients when chincup therapy is being considered.

Adolescent↗

Dentine phosphoproteins in gingival crevicular fluid during root resorption.

External apical root resorption is a common, yet unexplained, phenomenon associated with orthodontic treatment. Available methods of clinical evaluation are radiographic. Biochemical assays offer the advantage of being non-invasive, as well as being diagnostic and potentially prognostic. The hypotheses are firstly that during the process of root resorption, organic matrix proteins are released into the gingival crevicular fluid (GCF) and, secondly, that there is a difference in the levels of these proteins between a group of patients with mild root resorption and a control group. GCF was collected from the permanent central incisors of untreated subjects (controls, n = 20), primary second molars with half of the root resorbed (primary group and positive controls, n = 20) and permanent central incisors with mild root resorption in patients undergoing active orthodontic treatment (orthodontic group, n = 20). Dentine phosphoproteins (DPP) were measured in the GCF using an enzyme-linked immunosorbent assay developed with DPP isolated from human first premolars and an antibody against rat incisor DPP. The primary group showed the highest levels of DPP in the GCF compared with the orthodontic (P = 0.296) and control (P = 0.001) groups. The orthodontic group showed elevated levels relative to the control group (P = 0.046). It is concluded that root resorption can be studied using a biochemical immunoassay and that this method can provide quantitative measurement of DPP in GCF.

Adolescent↗

In vitro expression of matrix metalloproteinase-1, tissue inhibitor of metalloproteinase-1 and transforming growth factor-beta1 in human periodontal ligament fibroblasts.

Extracellular matrix remodelling is mediated via matrix metalloproteinases (MMPs) and their regulatory factors such as tissue inhibitors of metalloproteinases (TIMPs) and transforming growth factor-beta (TGF-beta). The regulation of MMPs is thought to be associated with cytoskeletal changes. In this study, cytoskeletal changes in human periodontal ligament fibroblasts (PDFs) were induced using cytochalasin B (CB) which reorganizes actin microfilaments reversibly, and colchicine which disrupts microtubules irreversibly. The levels of MMP-1, TIMP-1 and TGF-beta secreted by the CB- or colchicine-treated PDFs were measured using an enzyme-linked immunosorbent assay. Differences between experimental and control groups were tested using analysis of variance (ANOVA) and Scheffé's ad hoc test. Although CB treatment did not significantly increase MMP-1 expression over the controls, colchicine treatment significantly increased the expression of MMP-1 (P < 0.01) in a time-dependent manner compared with the controls. Both CB and colchicine showed a time-dependent increase in TIMP-1 and TGF-beta1 expression and a dose-dependent increase in TIMP-1 and TGF-beta1 expression until threshold compared with the controls (P < 0.05, P < 0.01 and P < 0.001). In addition, CB treatment produced significantly increased TGF-beta1 expression over the controls (P < 0.05 and P < 0.001) from lower doses, with this effect occurring at earlier time points compared with colchicine treatment.

Actin Cytoskeleton↗

Histochemistry of the foetal human temporomandibular joint articular disc.

The human temporomandibular joint (TMJ) develops from mesenchymal cells that form condensations appearing as condylar and temporal blastema which give rise to the respective anterior and posterior regions of the TMJ articular disc. Previous reports have shown the foetal disc to be avascular, with a high content of organized collagen fibres and a lesser content of elastic fibres. In this study, the articular discs from TMJs of a human foetus at age 22 weeks were evaluated. At this stage of intrauterine (i.u.) development, the disc was found to be a highly cellular, biconcave structure with a dense arrangement of collagen fibres. Cell density was not uniform, with increased density in the intermediate band relative to the anterior and posterior bands. In contrast to earlier reports, capillaries containing red blood cells were observed along the inferior surface of the disc. Immunohistochemical staining for proteoglycans and glycosaminoglycans (GAGS) revealed abundant chondroitin sulphate proteoglycan (CSPG) and hyaluronic acid in the disc while relatively little amounts of dermatan sulphate proteoglycan II (DSPGII) were found. No keratin sulphate proteoglycan (KSPG) was detectable. Foetal human TMJ articular discs at this age were found to have morphology and regional characteristics similar to adult discs.

Capillaries↗

The efficacy of various alloplastic bone grafts on the healing of rat calvarial defects.

The objective of this study was to determine the relative efficacy of currently available alloplastic bone repair materials in the healing of rat calvarial defects histologically, histomorphometrically and biochemically. A representative material was selected from six major classes of bone repair materials and placed in 4 mm diameter calvarial defects of 6-week-old male Sprague-Dawley rats (five animals in the control and each of the six experimental groups). The outcomes were assessed after 2 months for alkaline phosphatase (ALP) activity and after 4 months of healing for histomorphometry. The tested alloplastic implant materials did not significantly increase ALP activity or the amount of new bone formation in the healing of rat calvarial defects relative to controls (P > 0.05). However, when the implant material itself was included in the analysis, significant differences were observed (P < 0.05). Additionally, the tested materials varied in their ability to bridge the bony defect. These data suggest that the rate of bone formation cannot be increased beyond control levels, rather the advantage of implant materials may be in their efficiency in filling the defect through incorporation of the material into the healing site and rapidly bridging the wound.

Alkaline Phosphatase↗

Three-dimensional relationship between the critical contact angle and the torque angle.

The purpose of this study was to analyze the relationship between the critical contact angle and the torque angle in an orthodontic bracket and archwire assembly in 3 dimensions. Three-dimensional mathematical models were created with geometric bracket-archwire parameters that included 2 slot sizes, 3 bracket widths, and 3 to 4 wire sizes. From this, 3-dimensional mathematical equations (3DMEs) for the critical contact angle and the maximum torque that result in critical contact angles of 0 were derived and calculated. To evaluate the effects of archwire-bracket parameters on critical contact angles, analysis of variance (ANOVA) was performed at the significance level of P < or = .05. For all bracket-archwire combinations, the critical contact angle decreased as bracket width, torque angle, and wire size increased. Therefore, all bracket-archwire parameters except slot height had an effect on the critical contact angle. Results of the critical contact angle produced from our 3DMEs were the same as those produced by 3D computer-aided design (SolidWorks Corp, Concord, Mass), thus confirming the validity of our derived equations. In addition, the effect of a beveled edge was investigated in some archwires. Furthermore, torsional play angles were calculated and found to be similar to those in previous reports. The results of this study provide theoretic and experimental bases for clinical orthodontic practice and indicate that torque angles should be included in the evaluation of the critical contact angle.

Analysis of Variance↗

3-D volume imaging for dentistry: a new dimension.

The use of computed tomography for dental imaging procedures has increased recently. Use of CT for even seemingly routine diagnosis and treatment procedures suggests that the desire for 3-D imaging is more than a current trend but rather a shift toward a future of dimensional volume imaging. Recognizing this shift, several imaging manufacturers recently have developed 3-D imaging devices specifically for dental purposes using cone-beam computerized tomography. This technology allows for 3-D imaging similar to CT, but at lower equipment cost, simpler image acquisition and lower patient radiation dose. Herein, an overview of these devices is provided such that potential users can be better informed about this emerging technology.

Equipment Design↗

Management of impacted cuspids using 3-D volumetric imaging.

Management of impacted cuspids is a complex clinical problem involving proper assessment and interdisciplinary treatment planning. In this paper, we describe the use of 3-D volumetric imaging in the management of impacted cuspids and illustrate this application in case reports of maxillary and mandibular impacted cuspids.

Adolescent↗

3D tooth shape from radiographs using thin-plate splines.

Current methods to produce 3-dimensional tooth root models involve conversion from radiographic means (computed tomography) or creation using computer-assisted design (CAD) software. The former lacks detail while the second is manually fabricated and can bear little resemblance to the original. Thin-plate splines have been used in morphometrics to define changes of shape between subjects of the same species. Herein, we use thin-plate splines to deform a 3D geometric prior model of a tooth to match 2D patient radiographs, producing a "best-fit" patient specific 3D geometric polygonal mesh of the tooth.

Humans↗

The virtual craniofacial patient: 3D jaw modeling and animation.

In this paper, we present new developments in the area of 3D human jaw modeling and animation. CT (Computed Tomography) scans have traditionally been used to evaluate patients with dental implants, assess tumors, cysts, fractures and surgical procedures. More recently this data has been utilized to generate models. Researchers have reported semi-automatic techniques to segment and model the human jaw from CT images and manually segment the jaw from MRI images. Recently opto-electronic and ultrasonic-based systems (JMA from Zebris) have been developed to record mandibular position and movement. In this research project we introduce: (1) automatic patient-specific three-dimensional jaw modeling from CT data and (2) three-dimensional jaw motion simulation using jaw tracking data from the JMA system (Zebris).

Computer Simulation↗

Natural variation in the extent of phosphorylation of bone phosphoproteins as a function of in vivo new bone formation induced by demineralized bone matrix in soft tissue and bony environments.

Implants of allogenic demineralized bone matrix were placed in distinct in vivo environments, i.e. calvarial (bony) and subcutaneous (soft tissue) sites. Detailed analyses of the biochemical components were performed. Quantitative levels of osteopontin (OPN), bone sialoprotein (BSP) and calcium phosphate (Ca-P) deposition within each implant environment varied as a function of new bone formation, and were substantially different in samples from calvarial and subcutaneous sites. Quantification of the extent of phosphorylation of affinity-purified OPN and BSP from such implants indicated that: (i) the number of mols of phosphoserine (P-Ser)/mol of affinity-purified OPN or BSP varied as a function of implant time and bone formation within both implant sites, and (ii) the 'effective P-Ser concentration' provided by the total OPN and BSP within each implant site varied and increased as a function of time, being approx. 5-fold higher for BSP in calvarial compared with subcutaneous implants. Peak levels of mols of P-Ser/mol of BSP coincided with maximum rates of Ca-P deposition in calvarial implants. Levels of OPN phosphorylation from both calvarial and subcutaneous implants also indicated fluctuations as a function of bone formation. Hence the present study, for the first time, provides direct evidence of natural variation in the extent of phosphorylation of both OPN and BSP as a function of time of mineralized tissue formation. Further evaluation of the data provides the first evidence of a direct and linear relationship between the rate of Ca-P deposition and the ratio of P-Ser-BSP/P-Ser-OPN for calvarial implants. Data for subcutaneous implants failed to provide such correlation. Overall, the present work demonstrates that the natural biological progression of the process of biomineralization follows strict criteria consistent with the anatomical location. Biomineralization fails to proceed in the same way in a soft tissue environment.

Animals↗