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Foreign connections are formed in vitro by Aplysia californica interneuron L10 and its in vivo followers and non-followers.

Aplysia californica interneurone L10 forms a set of presynaptic connections with many postsynaptic 'follower' cells in the abdominal ganglion. These followers do not connect back to L10. The present study tests whether the direction and sign of these connections are obligatory and are reconstructed when neuronal processes regenerate in vitro. L10 was co-cultured with one of six different followers and two non-followers. 1. In vitro connections that preserve the sign of those formed in vivo were made by L10 onto neurones L11, L12 and L13. The connections consisted of inhibitory postsynaptic potentials (IPSPs) with characteristic fast and slow components. 2. In vitro connections that did not preserve the sign of connections found in vivo were made by L10 onto R15, R16 and L7. Neurones R15 and R16 receive excitatory inputs from L10 in vivo and L7 receives a dual-action input in vivo, with inhibition followed by excitation. A purely inhibitory connection from L10 was formed in vitro onto all these cells. 3. Connections that have never been observed in vivo in terms of both direction and sign were formed in vitro. Followers L7, L11, L12, L13 and R16 and non-follower L14A formed novel connections onto L10. All these connections were inhibitory and some were strong. For example, IPSPs with a magnitude of 20 mV were observed in L10 following a single action potential in L13. Our results show that identified Aplysia neurones can form stereotyped specific connections in vitro. The specificity is different from that in the intact ganglion. The ubiquity of novel connections suggests that restrictions imposed on synaptogenesis in the animal are distinct from those regulating synapse formation in culture.

Animals↗

Evidence for plasticity of intrinsic horizontal connections in area 17 of the rat.

The potential for peripheral modification of intrinsic horizontal connections was studied in the primary visual cortex (area 17) of adult, hooded rats that underwent monocular enucleation (ME) or binocular enucleation (BE) at the day of birth. The intrinsic connections were labelled by localized tracer injections at various sites in area 17. The pattern of interhemispheric callosal connections was revealed in the same animals by extensive injections of a distinguishable tracer in the contralateral hemisphere. The results show marked and consistent changes in area 17 intrinsic connections as a result of the neonatal enucleations. Specifically, in contrast to normally reared rats in which intrinsic connections are short ranged and are organized fairly uniformly around the injection site, in ME cases intrinsic connections extend over half the width of area 17, usually targeting a second field within area 17. In BE cases, the injection sites result in the appearance of elongated tongues and patches of label that protrude in different directions from the injection site. The observed modifications of intrinsic connections are clearly related to the abnormalities induced by enucleations in the pattern of callosal connections, such that intrinsic connections tend to form either between callosally connected sites or between a-callosal sites but avoid intermixing the two. The results reveal a high level of plasticity in the developing intrinsic connections. A Hebbian rule of connectivity is proposed as the underlying process guiding the formation of horizontal intrinsic connections in area 17.

Animals↗

Overlapping syndromes, undifferentiated connective tissue disease, and other fibrosing conditions.

Many patients presenting with symptoms suggestive of a connective tissue disease do not fulfill criteria for a specific connective tissue disease at initial presentation. Some of these patients with undifferentiated connective tissue disease eventually develop a specific connective tissue disease. Recently, a large cohort of 213 patients from different centers with undifferentiated connective tissue disease of early onset were enrolled in a prospective protocoled study. Baseline characteristics, including antinuclear antibody profiles, were reported. The aim of this study was to define predictors for the development of specific organ-system involvement and connective tissue diseases in early undifferentiated connective tissue disease. Many patients show overlapping features of two or more connective tissue diseases. The presence of autoantibodies to U1-ribonucleoproteins has been associated with a particular overlap syndrome, mixed connective tissue disease. Most anti-U1-ribonucleoprotein-positive patients with undifferentiated connective tissue disease at presentation appear to develop mixed connective tissue disease over the course of disease. Although levels of anti-U1-ribonucleoprotein do not seem to be related to disease activity, this association suggests a pathogenetic relationship between anti-U1-ribonucleoprotein and mixed connective tissue disease. Genetic studies have shown that patients with antibodies against the 70-kD component of U1-ribonucleoprotein share a common epitope within the groove of their DR molecules at antigen-binding region, pointing to a particular antigen involved in the induction of these antibodies that may be relevant in the etiopathogenesis of associated disease.

Antibodies, Antinuclear↗

Topographic organization in the corticocortical connections of medial agranular cortex in rats.

Medial agranular cortex (AGm) is a narrow, longitudinally oriented region known to have extensive corticortical connections. The rostral and caudal portions of AGm exhibit functional differences that may involve these connections. Therefore we have examined the rostrocaudal organization of the afferent cortical connections of AGm by using fluorescent tracers, to determine whether there are significant differences between rostral and caudal AGm. Mediolateral patterns have also been examined in order to compare the pattern of corticocortical connections of AGm to those of the laterally adjacent lateral agranular cortex (AGl) and medially adjacent anterior cingulate area (AC). In the rostrocaudal domain, there are notable patterns in the connections of AGm with somatic sensorimotor, visual, and retrosplenial cortex. Rostral AGm receives extensive afferents from the caudal part of somatic sensorimotor area Par I, whereas caudal AGm receives input largely from the hindlimb cortex (area HL). Middle portions of AGm show an intermediate condition, indicating a continuously changing pattern rather than the presence of sharp border zones. The whole of the second somatic sensorimotor area Par II projects to rostral AGm, whereas caudal AGm receives input only from the caudal portion of Par II. Visual cortex projections to AGm originate in areas Oc1, Oc2L and Oc2M. Connections of rostral AGm with visual cortex are noticeably less dense than those of mid and caudal AGm, and are focused in area Oc2L. The granular visual area Oc1 projects almost exclusively to mid and caudal AGm. Retrosplenial cortex has more extensive connections with caudal AGm than with rostral AGm, and the agranular and granular retrosplenial subregions are both involved. Other cortical connections of AGm show little or no apparent rostrocaudal topography. These include afferents from orbital, perirhinal, and entorhinal cortex, all of which are bilateral in origin. In the mediolateral dimension, AGm has more extensive corticocortical connections than either AGl or AC. Of these three neighboring areas, only AGm has connections with the somatic sensorimotor, visual, retrosplenial and orbital cortices. In keeping with its role as primary motor cortex, AGl is predominantly connected with area Par I of somatic sensorimotor cortex, specifically rostral Par I. AGl receives no input from visual or retrosplenial cortex. Anterior cingulate cortex has connections with visual area Oc2 and with retrosplenial cortex, but none with somatic sensorimotor cortex. Orbital cortex projections are sparse to AGl and do not appear to involve AC.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗

A comparison of homonymous and heteronymous connectivity in the spinal monosynaptic reflex arc of the cat.

Multi-unit spike triggered averaging was used to determine functional connectivity between spindle afferent fibers from the medial gastrocnemius muscle and the motoneurons innervating the medial (homonymous connections) and the lateral gastrocnemius-soleus muscle (heteronymous connections). As many as 288 possible connections between 24 motoneurons and 12 afferent fibers were studied in single, acute experiments. The influences of morphological and topographical factors, as well as of motoneuron species on functional connectivity were analysed. The probability that a motoneuron would receive functional connections from a given population of afferent fibers was related to its size and its proximity to the spinal entry level of the afferent fibers. The faster the axonal conduction velocity of the motoneuron (i.e. the larger the motoneuron) and the closer its location to the entry zone of the afferent fibers, the higher was its probability of receiving functional connections. The greater the conduction velocity (i.e. diameter) of a stretch receptor afferent fiber, the higher was its probability of making functional connections with motoneurons. These relationships were qualitatively similar for homonymous and heteronymous connections. 58% (233/399) of the Ia and group II afferents (combined) had functional connections with homonymous motoneurons, 32% (75/234) with heteronymous motoneurons. However, homonymous and heteronymous motoneurons of similar sizes were equally likely to receive functional connections when located at the same craniocaudal level. Differences in the locations and mean sizes of homonymous and heteronymous motoneurons however, cannot account completely for the observed overall differences in homonymous and heteronymous connectivity.

Action Potentials↗

Intrinsic connectivity of human superior colliculus.

The superior colliculus (SC) is believed to play an important role in sensorimotor integration and orienting behavior. It is classically divided into superficial layers predominantly containing visual neurons and deep layers containing multisensory and premotor neurons. Investigations of intrinsic connectivity within the SC in non-human species initially led to controversy regarding the existence of interlaminar connections between superficial and deep layers. It now seems more likely that such connections exist in a number of species, including non-human primates. In the latter, anatomical data concerning intrinsic SC connectivity are restricted to a limited number of intracellularly labeled neurons. No studies have been conducted to investigate the existence of intrinsic connections of human SC. In the present study, DiI (1,1'-dioctadecyl-3,3,3',3'- tetramethylindocarbocyanine perchlorate) and BDA (biotinylated dextran amine) were two tracers used in post-mortem human brains to examine intrinsic SC connections. Injections into the superficial layers revealed tangential connections within superficial layers and radial superficial-layer to deep-layer connections. Within superficial layers, horizontal connections were found over the entire rostro-caudal axis and were mostly directed laterally, i.e. toward the brachium of the inferior colliculus. Superficial-layer to deep-layer connections were more prominent in sections containing the injection site or located close to it. In these sections, an axon bundle having roughly the same diameter as the injection site crossed all deep layers, and individual axons displayed en passant or terminal boutons. The present results suggest that intrinsic connections within superficial layers and radial superficial-layers to deep-layers exist in human SC. The putative roles of these connections are discussed with regard to visual receptive field organization, as well as visuomotor and multisensory integration.

Aged↗

A HRP qualitative and quantitative study of the intra-hemispheric connections of kittens.

In post-natal kittens which were given injections of HRP in the suprasylvian gyrus (polysensory cortex), the cortico-cortical connections were studied qualitatively and quantitatively. These connections originate essentially from cortical cells localized in cortices of the upper part of the hemisphere. They are formed preferentially with cortices involved in the visual function. Connections between the cingulate, prefrontal and area 19 cortices, have been described here. Layers III and V are quantitatively the most highly involved in these connections. The number of connections is related to axon length: the connections are more numerous the shorter the neuron axons, and thus the nearer they lie to the cortex injected. The HRP+ cells appear first in the cell layers which will subsequently be most marked quantitatively. The cortico-cortical connections appear in the following order: connections of medium length, then short, then long. The system of cortico-cortical connections of the injected cortex forms chronologically during the first 3 weeks following birth in the following order: 1st week: Connections of primary nuclei to primary cortex, 2nd week: Connections of non-primary cortex to non-primary cortex, 3rd week: Connections of primary cortex to non-primary cortex.

Animals↗

Altered effective connectivity during working memory performance in schizophrenia: a study with fMRI and structural equation modeling.

The present study aimed to explore altered effective connectivity in schizophrenic patients while performing a 2-back working memory task. Twelve right-handed, schizophrenic patients treated with typical or atypical antipsychotics and 6 healthy control subjects were studied with fMRI while performing a "2-back" working memory task. Effective connectivity within a cortical-subcortical-cerebellar network for mnemonic information processing was assessed and compared between both groups. The path model included cortico-cortical connections comprising the parietal association cortex, ventrolateral prefrontal cortex (VLPFC), and the dorsolateral prefrontal cortex (DLPFC) as well as a cortico-cerebellar feedback loop comprising prefrontal cortex, contralateral cerebellum, and thalamus. Group differences were analyzed with a stacked models approach. Relative to normal controls, both patient groups revealed a pattern of reduced connectivity within the prefrontal-cerebellar and the cerebellar-thalamic limbs but enhanced connectivity in the thalamo-cortical limb of the cortical-cerebellar circuit. Moreover, a direct comparison of both treatment groups revealed enhanced connectivity in the interhemispheric connections between the cortical association areas in patients treated with atypical antipsychotics. However, right prefrontal and left parieto-frontal path coefficients were lower in the patient group receiving atypical antispychotic drugs. The findings suggest that the relationship between pathology in cortical-subcortical cerebellar networks and associated functional connectivity is complex and may include aspects of increased and decreased levels of connectivity consistent with the notion of "cognitive dysmetria" in schizophrenia. The observed pronounced connectivity within thalamo-cortical projections could be attributed to a compensatory increase of thalamic input in the presence of disrupted effective connectivity within the preceding limb of the cortical-cerebellar circuitry. The study demonstrated the feasibility of structural equation modeling for the investigation of group and treatment-related differences in effective connectivity and provides a promising approach to further disentangle the relationship between altered functional capacity and associated fMRI signal changes.

Adult↗

Freestanding and tooth-implant connected prostheses in the treatment of partially edentulous patients Part II: An up to 15-years radiographic evaluation.

A total of 123 patients were followed between January 1983 and July 1998 with 140 tooth-implant connected prostheses. The age of the patients at prosthesis installation ranged from 20 to 79 years (mean 51.8). 339 (Brånemark(R) system) implants were connected to 313 teeth. The loading time ranged from 1.5 to 15 years (mean: 6.5). 123 patients were randomly selected as a control group with freestanding implant-supported prostheses only. The age of the patients at prosthesis installation ranged from 22 to 78 years (mean 52.3). The loading time for the 329 freestanding (Brånemark(R) system) implants ranged from 1.3 to 14.5 years (mean: 6.2). Evolution of the marginal bone stability around the implant in the tooth-implant connected as well as the freestanding group was studied with respect to the prognosis of the implants. Over the period from 0 to 15 years, there was significantly more marginal bone loss (0.7 mm) in tooth-implant connected versus freestanding prostheses. No significant difference in marginal bone loss was found between the non-rigid tooth-implant connected prostheses versus freestanding prostheses. However, there was a significant difference in marginal bone loss for rigid and multi-connected tooth-implant connected prostheses versus freestanding ones. The results of this study indicate that more bone is lost around implants which are rigidly connected to teeth. This suggests that bending load, which is increased in tooth-implant connected prostheses, might be responsible for this phenomenon. These observations favor the use of freestanding prostheses whenever possible. However, the clinical significance of greater bone loss in rigid versus non-rigid connections might outweigh the annoying phenomenon of tooth intrusion in the case of non-rigid tooth connection, when connection is considered.

Adult↗

Dynamic properties of excitatory synaptic connections involving layer 4 pyramidal cells in adult rat and cat neocortex.

To investigate the properties of excitatory connections between layer 4 pyramidal cells and whether these differed between rat and cat, paired intracellular recordings were made with biocytin filling in slices of adult neocortex. These connections were also compared with those from layer 4 spiny cells to layer 3 pyramids and connections between layer 3 pyramids. Connectivity ratios for layer 4 pyramid-pyramid pairs (1:14 cat, 1:18 rat) appeared lower than for the other types of connections studied in parallel, but excitatory postsynaptic potential (EPSP) amplitudes and time course were not significantly different either between species or across types of connection. Layer 4 pyramids targeted postsynaptic basal dendrites in both species, whether the pyramidal target was in layer 4 or layer 3. Within layer 4, relationships between mean EPSP amplitude, numbers of putative contacts, and distance between connected pairs indicated a rapid decline in connectivity strength with distance, equivalent to 3.4 mV and 10 synapses per 100 microm separation, from a maximum of 4 mV and 10 synapses at 0 microm. However, a subset, of burst-firing layer 4 pyramids, appeared to make no connections with other layer 4 spiny cells. Second EPSPs were depressed by 36% in rat and 28% in cat relative to first EPSPs at interspike intervals <15 ms. Subsequent EPSPs in brief trains were further depressed. Depression was predominantly presynaptic in origin. Recovery from depression could not be described adequately by a simple exponential for individual connections; it included peaks and troughs with periodicities of 10-15 ms. Complex relationships between the first 2 interspike intervals and third EPSP amplitude were also apparent in all connections so studied. Large third EPSPs followed specific combinations of first and second interspike intervals so that increasing, or decreasing, one without changing the other resulted in a smaller third EPSP. Finally, the outputs of layer 4 spiny cells to layer 3 exhibited partial recovery from depression during longer high-frequency trains, a property not apparent in the other connections studied.

Animals↗

Grayscale level connectivity: theory and applications.

A novel notion of connectivity for grayscale images is introduced, defined by means of a binary connectivity assigned at image-level sets. In this framework, a grayscale image is connected if all level sets below a prespecified threshold are connected. The proposed notion is referred to as grayscale level connectivity and includes, as special cases, other well-known notions of grayscale connectivity, such as fuzzy grayscale connectivity and grayscale blobs. In contrast to those approaches, the present framework does not require all image-level sets to be connected. Moreover, a connected grayscale object may contain more than one regional maximum. Grayscale level connectivity is studied in the rigorous framework of connectivity classes. The use of grayscale level connectivity in image analysis applications, such as object extraction, image segmentation, object-based filtering, and hierarchical image representation, is discussed and illustrated.

Algorithms↗

Student-teacher connection: a place of possibility.

AIM: This paper expands the understanding of student-teacher connection and offers direction for educators in supporting connection as a place of possibility. BACKGROUND: The evolution of a humanistic paradigm in nursing education is evident in research exploring student-teacher relationships. Connection is described within humanistic student-teacher relationships, reported as part of experiences of students, educators and clinicians within emancipatory curricula, and emerged as a central metaphor in a metasynthesis of caring in nursing education. Additionally, student-teacher connection in clinical nursing education has been reported as creating positive outcomes for students' learning experiences and professional socialization. DISCUSSION: In this paper, student-teacher connection is envisioned as having a value beyond these tangible outcomes - a value that arises from the essence of connection itself. The qualities inherent in the essence of connection - knowing, trust, respect and mutuality - create a transformative space in which students are affirmed, gain insight into their potential, and grow toward fulfilling personal and professional capacities: student-teacher connection emerges as a place of possibility. The possibilities that exist for students and teachers in a connected relationship are exemplified as connection is proposed as a cornerstone in supporting students at risk of failing a clinical nursing course. CONCLUSION: Acknowledging student-teacher connection as a place of possibility highlights the importance of student-teacher relationship to students' learning and raises implications for preparation and evaluation of educators, and educational practice within the international nursing arena. Of note is the need for the preparation of educators to include a focus of developing relational competence as well as evaluation processes that consider the teacher-in-relationship. Regardless of the educational setting, educators are challenged to consider their beliefs and actions and the influence these exert on relationships with students. Further research exploring specific possibilities within connection is required.

Curriculum↗

Stability of new electrical connections between adult Helisoma neurons is influenced by preexisting neuronal interactions.

The factors responsible for the selective stability of new electrical connections between regenerating, adult Helisoma neurons (5, 6) were examined. In particular the alternative hypotheses that the normal reduction in strength of a specific connection is dependent on the formation of a new stable connection or the maintenance of a preexisting connection were tested. To this end, single neurons were eliminated either by microdissection or photoinactivation. Formation of stable 5-5 [i.e., left neuron 5 (L5) to right neuron 5 (R5)] coupling was prevented by removal of a single neuron 5 soma. The time course of the normally transient neuron 5-4 connection in these ganglia, however, was the same as that of control preparations. Thus the 5-4 connection is transient even when stable 5-5 coupling is unable to develop. After removal of a single neuron 4 soma, however, the 5-4 connection was stabilized. This was despite the concurrent development of stable 5-5 coupling in these preparations. Similar results were obtained when neurons were eliminated by photoinactivation, a procedure that kills axonal processes in addition to the neuronal cell body. Morphological examination of untreated neurons by Lucifer Yellow CH stain showed that neurite outgrowth was not prevented by either of the techniques employed to eliminate single neurons. It is concluded that the development of the new, stable 5-5 electrical connection does not influence the transient nature of the 5-4 connection. The presence of both neurons 4, however, which have a preexisting connection, is required for reduction of 5-4 coupling. Thus preexisting neurons and/or their connections appear to play a role in the stability of new connections in this adult nervous system.

Animals↗

Relation between pulmonary vein firing and extent of left atrial-pulmonary vein connection in patients with atrial fibrillation.

BACKGROUND: The purpose of this study was to measure the extent of left atrial-pulmonary vein (LA-PV) connections and determine the relation to PV firing in patients with atrial fibrillation (AF). METHODS AND RESULTS: Ten close-bipolar (1 mm-spacing) Lasso electrograms were recorded circumferentially around 210 PVs (excluding 2 right middle PVs and 4 left common trunks) in 62 patients with AF. PV firing was provoked by isoproterenol (4 microg/min) and cardioversion of pacing-induced AF. The width of each LA-PV connection was measured in tenths of PV circumference, based on number of continuous close-bipolar Lasso electrode sites required for ablation (10% for each close-bipolar electrode site). One, 2, or 3 to 4 discrete LA-PV connections (discrete connection defined by ablation along 10% to 30% of PV circumference) were present in 18 (9%), 31 (14%), and 32 (15%) of 210 PVs, respectively: 1 broad connection (ablation along continuous 40% to 80% circumference) in 46 (22%) PVs; 1 broad plus other broad or discrete connections in 54 (26%) PVs; and a circumferential connection (ablation along 90% to 100%) in 29 (14%) PVs. Circumferential LA-PV connections were more common in superior than in inferior PVs (20% versus 7%, P<0.01). There was no major difference in distribution of the other types of LA-PV connections between the four PVs. PV firing occurred in 27%, 47%, and 72% of PVs with discrete only, broad and circumferential connections, respectively (P<0.01). Dissociated PV potentials after isolation were more common in arrhythmogenic (firing) PVs (32% versus 8%, P<0.01). CONCLUSIONS: The extent of LA-PV connections corresponds with arrhythmognesis. The incidence of PV firing increases with progressively wider LA-PV connections (discrete versus broad versus circumferential).

Action Potentials↗

Formation of specific monosynaptic connections between muscle spindle afferents and motoneurons in the mouse.

In adult vertebrates, sensory neurons innervating stretch-sensitive muscle spindles make monosynaptic excitatory connections with specific subsets of motoneurons in the spinal cord. Spindle afferents (Ia fibers) make the strongest connections with motoneurons supplying the same (homonymous) muscle but make few or no connections with motoneurons supplying antagonistic or functionally unrelated muscles. In lower vertebrates these connections are specific from the time they first are formed, but there is comparatively little information about how these reflex connections form in mammals. We therefore studied the pattern of these synaptic connections during postnatal development in mice. Intracellular recordings were made from identified hindlimb motoneurons in an isolated spinal cord preparation, and monosynaptic inputs from Ia fibers in identified hindlimb muscle nerves were measured at different times during the first postnatal week. The pattern of connections was specific throughout this period. Ia fibers made strong connections with homonymous motoneurons but only weak connections with antagonistic motoneurons at every time point examined, from P0 through P7. Even when muscle nerves were stimulated at only 0.1 Hz, the pattern of connections was still highly specific, arguing against a special subpopulation of labile inappropriate connections. The absence of appreciable rearrangements in the pattern of these connections during the first postnatal week is, therefore, analogous to the situation in lower vertebrates, suggesting that mechanisms responsible for establishing this specificity have been conserved during evolution.

Afferent Pathways↗

Cortical connections of the frontoparietal opercular areas in the rhesus monkey.

The connections of the frontoparietal opercular areas were studied in rhesus monkeys by using antero- and retrograde tracer techniques. The rostral opercular cortex including the gustatory and proisocortical motor (ProM) areas is connected with precentral areas 3, 1, and 2 as well as with the rostral portion of the opercular area which resembles the second somatosensory type of cortex (area SII) and the ventral portion of area 6. Its distant connections are with the ventral portion of prefrontal areas 46, 11, 12, and 13 as well as with the rostral insula and cingulate motor area (CMAr). The mid opercular region (areas 1 and 2) is connected with pre- and postcentral areas 3, 1, and 2 as well as SII. Additionally, it is connected with the ventral portion of area 6, area 44, area ProM, the gustatory area, and the rostral insula. Its distant connections are with area 4, the ventral portion of area 46, area 7b, and area POa in the intraparietal sulcus (IPS). The rostral parietal opercular region is connected with the postcentral portions of areas 3, 1, and 2; areas 5, 7, and SII; the gustatory area; and the vestibular area. Its other connections are with area 4, area 44, the ventral portion of area 46, area ProM, CMAr, and the supplementary motor area (SMA). The caudal opercular region is connected with the dorsal portion of area 3; areas 2, 5, and 7a; and areas PEa as well as IPd of IPS. It is also connected with area SII, insula, and the superior temporal sulcus. Its distant connections are with area 44; the dorsal portion of area 8 and the ventral portion of area 46; as well as CMAr, SMA, and the supplementary sensory area. This connectivity suggests that the ventral somatosensory areas are involved in sensorimotor activities mainly related to head, neck, and face structures as well as to taste. Additionally, these areas may have a role in frontal (working) and temporal (tactile) memory systems.

Afferent Pathways↗

Insights into the molecular mechanism of chronic fibrosis: the role of connective tissue growth factor in scleroderma.

Connective tissue growth factor (CCN2), a member of the CCN family of proteins, is a cysteine-rich matricellular protein. Connective tissue growth factor is not normally expressed in dermal fibroblasts unless induced. The most potent inducer of connective tissue growth factor thus far identified is transforming growth factor beta. Connective tissue growth factor, however, is constitutively overexpressed by fibroblasts present in skin fibrotic lesions, including scleroderma. The overexpression of connective tissue growth factor present in fibrotic lesions contributes to the phenotype of scleroderma in that connective tissue growth factor promotes matrix deposition, and fibroblast adhesion and proliferation. In animal models, whereas either transforming growth factor beta or connective tissue growth factor alone produce only a transient fibrotic response, connective tissue growth factor and transforming growth factor beta act together to promote sustained fibrosis. Thus the constitutive overexpression of connective tissue growth factor by fibroblasts present in fibrotic lesions would be expected to contribute directly to chronic, persistent fibrosis. This review discusses recent information regarding insights into connective tissue growth factor biology and, using scleroderma as a model system, the part connective tissue growth factor might play in fibrotic disease.

Animals↗

The connective tissue sheath of uterus and vagina in the human female fetus.

A morphological study concerning the development and arrangement of the connective tissue surrounding uterus and vagina was performed by investigating epoxy resin impregnated sections through the pelves of 9-37-week-old female fetuses, of newborn children and a three-year-old child. In order to study the histology of the connective tissue in detail paraffin, semithin and ultrathin sections were used. The organization of the pelvic connective tissue in female fetuses can best be studied in middle-aged fetuses (19-28 weeks of gestation). We here report that no supportive ligaments of the uterus are found in fetuses of that age group, but that the connective tissue covering uterus and vagina is part of the connective tissue sheaths of neighbouring structures. The fetal uterus is interposed between dense subperitoneal connective tissue circularly covering the vesico- and rectouterine pouch. Dorsally the subperitoneal tissue of the rectouterine pouch joins the circularly arranged connective tissue of the rectal adventitia. A triangularly-shaped plate of dense connective tissue is situated at each lateral border of the cervix uteri. Dorsally it is continuous with the circularly running fibres of the rectouterine pouch. Whereas the dorsal wall of the vagina is loosely connected with the rectal adventitia, fibrous connective tissue intimately fuses the muscular wall of the vagina with that of the neck of the bladder and of the urethra. No evidence is provided for the existence of smooth muscle cells and elastic material within the connective tissue covering the fetal uterus.

Child, Preschool↗