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Expression patterns of Fgf-8 during development and limb regeneration of the axolotl.

Fgf-8 is one of the key signaling molecules implicated in the initiation, outgrowth, and patterning of vertebrate limbs. However, it is not clear whether FGF-8 plays similar role in development and regeneration of urodele limbs. We isolated a Fgf-8 cDNA from the Mexican axolotl (Ambystoma mexicanum) through the screening of an embryo cDNA library. The cloned 1.26-kb cDNA contained an open reading frame encoding 212 amino acid residues with 84%, 86%, and 80% amino acid identities to those of Xenopus, chick, and mouse, respectively. By using the above clone as a probe, we examined the temporal and spatial expression patterns of Fgf-8 in developing embryos and in regenerating larval limbs. In developing embryos, Fgf-8 was expressed in the neural fold, midbrain-hindbrain junction, tail and limb buds, pharyngeal clefts, and primordia of maxilla and mandible. In the developing axolotl limb, Fgf-8 began to be expressed in the prospective forelimb region at pre-limb-bud and limb bud stages. Interestingly, strong expression was detected in the mesenchymal tissue of the limb bud before digit forming stages. In the regenerating limb, Fgf-8 expression was noted in the basal layer of the apical epithelial cap (AEC) and the underlying thin layer of mesenchymal tissue during blastema formation stages. These data suggest that Fgf-8 is involved in the organogenesis of various craniofacial structures, the initiation and outgrowth of limb development, and the blastema formation and outgrowth of regenerating limbs. In the developing limb of axolotl, unlike in Xenopus or in amniotes such as chick and mouse, the Fgf-8 expression domain was localized mainly in the mesenchyme rather than epidermis. The unique expression pattern of Fgf-8 in axolotl suggests that the regulatory mechanism of Fgf-8 expression is different between urodeles and other higher species. The expression of Fgf-8 in the deep layer of the AEC and the thin layer of underlying mesenchymal tissue in the regenerating limbs support the previous notion that the amphibian AEC is a functional equivalent of the AER in amniotes.

Ambystoma↗

Formation of multilayers in the caco-2 cell culture model: a confocal laser scanning microscopy study.

PURPOSE: To introduce confocal laser scanning microscopy (CLSM) combined with digital image restoration to characterise Caco-2 cells under different culture conditions, and thus to define additional valid criteria for the optimisation of culture models. METHODS: Growth curves were established and transepithelial electrical resistance (TEER) measured for cells grown in EMEM or DMEM medium on Cyclopore membranes. Cytoskeleton, cell nuclei and tight junctions (TJ) were investigated by CLSM. RESULTS: Cultures reached a plateau of approximately 4.5 x 10(5) cells/cm2 after approximately 10 days. At the same time TEER reached 750 omega cm2. An irregular, fairly complete network of TJ was present at confluence (approximately 2 d). Between 15 and 30 days a regular TJ network was established. Cells formed mixed mono- and multilayers under most conditions with two exceptions: flat monolayers were observed on polycarbonate filters with EMEM and with the Biocoat intestinal epithelium differentiation environment system. In multilayers TJ were found in the upper as well as in the lower cell layers although the regular vertical polarity was disturbed. CONCLUSIONS: CLSM represents an important tool to investigate the cytoarchitecture of Caco-2 cells. 3D-analysis of confocal data gives important clues on the characteristics of cell layers and thus helps to validate optimisation strategies.

Adenocarcinoma↗

Basipetal auxin transport is required for gravitropism in roots of Arabidopsis.

Auxin transport has been reported to occur in two distinct polarities, acropetally and basipetally, in two different root tissues. The goals of this study were to determine whether both polarities of indole-3-acetic acid (IAA) transport occur in roots of Arabidopsis and to determine which polarity controls the gravity response. Global application of the auxin transport inhibitor naphthylphthalamic acid (NPA) to roots blocked the gravity response, root waving, and root elongation. Immediately after the application of NPA, the root gravity response was completely blocked, as measured by an automated video digitizer. Basipetal [(3)H]IAA transport in Arabidopsis roots was inhibited by NPA, whereas the movement of [(14)C]benzoic acid was not affected. Inhibition of basipetal IAA transport by local application of NPA blocked the gravity response. Inhibition of acropetal IAA transport by application of NPA at the root-shoot junction only partially reduced the gravity response at high NPA concentrations. Excised root tips, which do not receive auxin from the shoot, exhibited a normal response to gravity. The Arabidopsis mutant eir1, which has agravitropic roots, exhibited reduced basipetal IAA transport but wild-type levels of acropetal IAA transport. These results support the hypothesis that basipetally transported IAA controls root gravitropism in Arabidopsis.

Arabidopsis↗

Global, synchronous oscillations in cytosolic calcium and adherence in bradykinin-stimulated Madin-Darby canine kidney cells.

AIMS AND METHODS: Intercellular Ca2+ oscillations are a universal mode of signalling in both excitable and non-excitable cells. Here, we study the relationship between Ca2+ signalling and coherent changes in adhesion properties by measuring the transepithelial impedance across bradykinin-stimulated Madin-Darby canine kidney (MDCK) cell layers grown on a microelectrode. During hormone stimulation, the impedance is found to oscillate, reflecting that the cells undergo morphological/adhesive alterations with high spatio-temporal organization. The experiments are supplemented with parallel, digital imaging fluorescence microscopy of bradykinin-induced single-cell Ca2+ oscillations. RESULTS: In agreement with previous experiments, MDCK cells are found to elicit synchronous, multicellular Ca2+ oscillations in response to hormone stimulus. The periods of the Ca2+ oscillations and the electrical fluctuations are found to coincide. Further, blocking of gap junctions by 18alpha-glycyrrhetinic acid causes a loss of synchrony in Ca2+ signals and inhibition of impedance oscillations, emphasizing the importance of gap junctions in the signal transduction process. CONCLUSION: Based on these observations it is concluded that the co-ordinated adhesive changes in MDCK cells are a direct consequence of synchronized Ca2+ oscillations. Calcium signalling represents an efficient way of organizing physiological responses in a tissue. A possible functional implication of the structural changes might be to modulate transportation of various substances across the cell sheet.

Animals↗

Onychomatricoma: clinical and histopathologic findings in 12 cases.

BACKGROUND: Onychomatricoma is a nail matrix tumor that has been well characterized clinically but not histologically. OBJECTIVE: The purpose of this study was to establish histologic criteria for the diagnosis of onychomatricoma to differentiate it from other fibroepithelial tumors of the nail matrix. METHODS: We observed 12 cases and were able to examine 4 of these excised specimens, including the attached nail plate. In 8 patients, avulsion of the nail was performed before excision of the tumor so that the nail plate was examined separately from the tumor. RESULTS: Onychomatricoma is a fibroepithelial tumor consisting of 2 anatomic zones. The proximal zone is located beneath the proximal nail fold with a proximal border starting at the root of the nail and distal border corresponding to the cuticle. It is characterized by deep epithelial invaginations filled with a thick V-shaped keratogenous zone, a thickened nail plate without cavitation but with an undulating inferior border ending in ungual spurs, and a fibrillary stroma clearly demarcated from the undersurface. The distal zone corresponds to the lunula and is characterized by multiple "glove finger" digitations lined with matrix epithelium and oriented around antero-oblique connective tissue axes; perforation of the nail plate by multiple cavities that, generally at the distal edge of the lunula, lose their epithelial digitations and become filled with serous fluid; the connective-tissue stoma of the digitations extends deeply into the dermis and is not demarcated form healthy tissue. CONCLUSION: On the basis of the mentioned characteristics, we have been able to define onychomatricoma histologically. In addition, we have identified an unusual clinical form of onychomatricoma that has the appearance of a cutaneous horn and is situated at the junction of the undersurface of the proximal nailfold and the lateral nailfold.

Adult↗

Angles between A1 and A2 segments of the anterior cerebral artery visualized by three-dimensional computed tomographic angiography and association of anterior communicating artery aneurysms.

OBJECTIVE: The angle of arteries at bifurcations, as well as the blood flow, are factors of hemodynamic stress on the apical region, where aneurysms often develop. Using images obtained with three-dimensional computed tomographic angiography, we sought to determine the angles between the A1 and A2 segments of the anterior cerebral artery of the anterior communicating artery (ACoA) complex associated with aneurysms. These angles cannot be detected by conventional cerebral angiography. METHODS: The course of the anterior cerebral artery was studied using three-dimensional computed tomographic angiography in 42 consecutive patients with ACoA aneurysms. Twenty-one other subjects, randomly chosen from patients without aneurysms, served as controls. Bilateral A1-A2 angles of the contrast-opacified anterior cerebral artery were measured by three-dimensional computed tomographic angiography in patients with normoplastic A1 segments, and the relationship between the angle and the association of aneurysms was analyzed using cerebral angiography. RESULTS: Of the 42 patients with ACoA aneurysms, 19 patients showed hypo- or aplastic A1 segments, as did only 2 of the 21 patients without ACoA aneurysms. The average A1-A2 angle was determined to be 116+/-24 degrees (mean+/-standard deviation) in 18 patients having ACoA complexes with normoplastic A1 segments with aneurysms; 17 patients without aneurysms had A1-A2 angles measuring 143+/-14 degrees (P < 0.0001). The A1-A2 angle associated with ACoA aneurysms was 103+/-20 degrees, which was much smaller than that of the non-aneurysm side in the former group (128+/-20 degrees) (P = 0.0036). CONCLUSION: ACoA aneurysms are associated with the smaller A1-A2 angle junction of the ACoA complex, where higher hemodynamic stress may occur in patients with normoplastic A1 segments.

Adult↗

Pathway of insulin in pancreatic tissue on its release by the B-cell.

Insulin was revealed in the extracellular space and blood capillaries of the rat pancreas by applying protein A-gold immunocytochemistry. On the discharge by the B-cell, insulin diffuses in the extracellular space and interacts with the plasma membrane of all pancreatic cells. For the B-cell, the interstitial microvillar plasma membrane domain was preferentially labeled compared with the flat domain. In contrast, the digitations and flat domains of the basal plasma membrane of the acinar cells were equally labeled. In the endothelium, the labeling was superior in fenestrated areas than in the high cytoplasmic ones, the fenestrae, the luminal and abluminal plasma membranes being labeled. In the cytoplasmic areas the plasmalemmal vesicles were significantly labeled; the intercellular junctions were not. These results indicate that upon binding to the membrane, the transfer of insulin across the capillaries occurs through both the fenestrations and the vesicular system. The labeling of insulin in the subendothelial space and blood capillaries decreased significantly from the insular to the peri-insular and further to the teleinsular regions, demonstrating that insulin levels, high in insular tissue, decrease very rapidly as insulin circulates through and out of the pancreas. The pancreatic cells are thus exposed to very high levels of insulin that vary according to the regions, probably contributing to the topographical partition of the acinar parenchyma into peri-insular and teleinsular tissues.

Animals↗

Bigenic connexin mutations in a patient with hidrotic ectodermal dysplasia.

Gap junctions are formed by a polygenic family of more than 20 different connexin proteins. They mediate intercellular communication via the direct exchange of ions, metabolites and secondary messengers, thus controlling and coordinating cellular activities. Mutations in five gap junction genes, including GJB2 (Cx26), GJB3 (Cx31), GJB4 (Cx30.3), GJB6 (Cx30) and GJA1 (Cx43) are known to cause inherited hearing loss and/or disorders of the skin and its appendages, often giving rise to overlapping phenotypes. In this study we present a patient with hidrotic ectodermal dysplasia, who had abortive features of oculo-dento-digital dysplasia, extensive hyperkeratosis of the skin. The patient harbored a novel sporadic mutation (V41L) in GJA1 (Cx43) as well as a heterozygous coding variant (R127H) of GJB2 (Cx26). Our findings suggest that GJA1 mutations can produce variable clinical phenotypes on the background of sequence variants in other connexins.

Child↗

Accuracy of supported root ratio estimation from projected length and area using digital radiographs.

BACKGROUND: The purpose of this study was to evaluate the accuracy of supported single-root surface ratio estimated from the length and projected area of the tooth, using digital dental radiographs. METHODS: Eight extracted, single-root teeth were three-dimensionally digitized using a contact technique for surface area measurement. The data were then processed using engineering application software and length, projection area, and true surface area of the root at a designated length were obtained. Based on these three measurements, the accuracy of the supported surface area ratio measurement at different lengths of the root was evaluated. RESULTS: The largest mean errors from linear and area estimation were 9.58% and -1.16%, respectively. The 95% confidence intervals were all positive, indicating that linear measurements overestimated supported ratio. T tests showed that linear estimations resulted in significant differences in all eight teeth and area estimations in five teeth. When analyzing the supported ratio of the alveolar bone receding from the cemento-enamel junction (CEJ) toward the apex of the root at each mm, linear estimation showed significant differences down to 8 mm, while area estimation showed significant differences only up to 2 mm. CONCLUSIONS: The results of this study indicate that a reliable estimate of the ratio of root surface area supported by alveolar bone cannot be determined from linear or area data. However, when the marginal bone destruction exceeds 2 mm from the CEJ, area estimation does not show a significant difference in the supported region. As demonstrated in this study, root surface ratio estimation function could be an advantage of digital dental x-ray systems in which projected root area is readily observed.

Alveolar Process↗

[Morphological and functional interface between palmar plates of metacarpophalangeal joints and intrinsic muscles of the hand].

UNLABELLED: Summary. After a ten-year period of intensively dealing with the hand as a Medical Artist, it became quite obvious that the palmar section of MP joints is described in the literature partly different from what we found in our cadaver studies. This especially applies to the proximal continuation and fixation of palmar plates and the deep transverse metacarpal ligament. Thus we tried to understand and explain the complex character of interaction between locomotion apparatus and structures of the hand's "connective-tissue body". METHOD AND MATERIAL: Cadaveric operation microscope-assisted dissection of the palmar ligament (plate), deep transverse metacarpal ligament, interosseous muscles as well as mechanically stable sections of the "connective tissue body" and fascia allowed a clear view of morphology, interaction, and character of these structures during passive finger motion. RESULTS: 1. Proximally, the palmar ligament (plate) of a metacarpophalangeal joint ranges to the tendinous sheets of origin of the interosseous muscles and in extension of these it is attached to the palmar carpal ligaments. In the following, these tendinous structures will be referred to as "deep longitudinal metacarpal fibres". This highly sophisticated proximal attachment is formed bilaterally from each palmar plate in several cascades. Thus, a widely ranging distribution of forces implied by MP-extension is guaranteed. The deep transverse metacarpal ligament executes the function of a "force dissipating center": Extension strain is passed on from the fingers via the "lateral digital sheet" and the "spiral ligament" to the palmar fascia and further on into a proximal and "deep" direction by the vertical sheets (Legueu and Juvara 1892/1974). On the next central level, a similar flow of forces reaches the palmar carpal ligaments from the osseous phalangeal base via the phalangoglenoidal ligaments and the palmar plate. Junction of these forces is the "soft tissue confluence" (Zancolli 1992), whereas the described "deep longitudinal metacarpal fibres" can be understood as a final common route. Overstretching forces at the index finger are transferred to the palmar carpal ligaments by a ligamentous "Arcus adductorius".2. Contrary to published reports, the palmar ligament (plate) does not have a determined and constant length but does adapt its extension in longitudinal direction to the joints' excursions, more than doubling in length in extended position compared to its minimal length in a maximally flexed MP joint. This is performed by criss-crossing fibers throughout the palmar ligament.3. Distally, the palmar ligament is attached to the base of the proximal phalanx on both sides with no mechanically relevant fixation in the middle. This predominant lateral attachment is additionally stabilized by the proximal section of the phalangoglenoidal ligaments, thus extending the area of osseous fixation. CONCLUSION: The biomechanical principle of restraining extension in the MP joints can be compared to the architecture of Gothic cathedrals or modern bridges. Here too, simple algorithms create complex systems. One major force (extension of MP joint) is split up into many single components to spread out the strain over a wide area. This allows high endurance with minimal expension of materials and simultaneously a well-distinguished mobility of the fingers. Operative treatment in this area (Zancolli's capsuloplasty for treatment of paralytic claw fingers) could be modified by considering these functional and morphological criteria, thus lowering frequency of relapse in palmar plate surgery.

Aged↗

Radionuclide studies of chronic schistosomal uropathy.

Fifty patients with chronic urinary tract schistosomiasis were studied with 99mTc-DTPA. All had a flow study, sequential analog imaging, and digital imaging for 25-35 minutes (20-sec. frames). Time-activity curves (DTPA renograms) were extracted; 12 patients had 131I-Hippuran probe renograms as well. Renal changes included diminished perfusion and structural abnormalities ranging from minor calyceal dilatation to overt hydronephrosis. Ureteral changes included dilatation, tortuosity, and kinking. Marked distortion of the ureterovesical junction was seen in some patients due to periureteral and perivesicular fibrosis, which is a major factor in upper urinary tract damage. Renograms showed varying obstruction and parenchymal damage. Nuclear medicine complements excretory urography and is sometimes preferable for visualization of the ureters. After the initial urogram, sequential DTPA scanning and renography are sufficient for follow-up.

Adolescent↗

Normal electrocardiographic waveform characteristics during treadmill exercise testing.

Forty asymptomatic male patients at low risk for cardiovascular disease completed maximal treadmill testing. Electrocardiograms from leads CC5, CM5, V5, Yh and Z were recorded across multiple pretest, exercise and recovery conditions. ECG waveforms were subsequently digitized, averaged and processed to provide Q-, R-, S- and T-wave amplitudes, ST-segment means and slopes, and QS- and RT-interval durations. Average R-wave amplitude increased during early exercise and then dramatically decreased to maximum effort. Average S-wave amplitude became greater as exercise progressed. Average J junction was slightly positive before exercise, became negative during exercise (except lead Z) and returned to zero after exercise. The ST-segment slope increased dramatically with progressive exercise. The response of T-wave amplitude, RT and QS intervals are also described. Separately, 22 asymptomatic male subjects each completed two maximal treadmill tests 2 weeks apart. ECG data acquisition and processing were similar to those noted above. Pooled, within-subject estimates of variability were computed for the ECG leads, ECG measurements and protocol conditions. These variability estimates are useful for interpreting ECG responses to exercise testing.

Adult↗

An evaluation of the origin of trabecular bone patterns using visual and digital image analysis.

OBJECTIVE: The purpose of this research project was to investigate the origin of the anatomical structures interpreted as trabecula bone on dental radiographic images. STUDY DESIGN: Mandible sections were cut sagitally into halves. Trabecular bone was removed from each section in 4 stages. Following each stage, standardized radiographs were made, using CDR direct digital equipment. Trabecular bone in the resulting digital images was measured with 4 methods: (1) mean gray level; (2) the fractal dimension of the basic images; and, following morphological image processing, (3) counting the number of trabecular ends, intercepts, and segments (EIS) and (4) performing fractal analyses of the skeletonized images. Additionally, human visual interpretation of the collected images was conducted through a written examination. Repeated measures analysis of variance (ANOVA) was used to test for changes in measurements attributable to bone removal. RESULTS: Repeated measures ANOVA indicated that the use of gray levels, fractal dimension, and morphologic operations quantifying using EIS or fractal analysis had similar performance and resulted in significant changes in measurements following bone removal ( P < .05). Visual differences were not always apparent between each stage of bone reduction. Radiometric and morphologic analysis showed measurable differences between stages. CONCLUSIONS: These results imply that the inner trabecula, the junctional trabecula, and the actual cortical housing all contribute to some extent to the radiograph, although changes in the radiographic architecture are not always clinically detectible.

Absorptiometry, Photon↗

Transient proarrhythmic state following atrioventricular junctional radiofrequency ablation.

This study was designed to prospectively assess ventricular de- and repolarization by the QRS, QT, and JT intervals, and their dispersion in the 12-lead ECG during right ventricular pacing at 60, 70, and 80 beats/min during the first month after AV junctional RF ablation. Previous reports have found early polymorphic ventricular arrhythmia after RF AV junctional ablation. Our hypothesis was that there is a proarrhythmic state following this procedure, which depends on the paced rate and time after ablation. The analysis of the immediate changes was based on 17 patients (10 men) with a mean age of 64 years (SD 14) (range 38-82 years). A 12-lead ECG was recorded during right ventricular pacing at 60, 70, and 80 beats/min within 24 hours (day 1), between 24 and 48 hours (day 2), and 1 week after ablation (day 7). For analysis of changes beyond 1 week, 13 additional patients with a mean age of 73 years (SD 8) (range 62-90 years) were analyzed on days 1, 7, and 30. All intervals were measured with a digitizing table. The mean QRS duration shortened by 2.4% at 60 beats/min (P <0.01), and the mean QT and JT intervals shortened by 5-7% between days 1 and 7 (P < 0.001). The mean QT was 9% shorter and the mean JT interval was 13% shorter at 80 compared to 60 beats/min on day 1 (P < 0.001). QT dispersion was reduced by 13% when the stimulation rate was increasedfrom 60 to 80 beats/min on day 1 (P < 0.05). There were no significant changes beyond the first week. The study results point to the induction of a proarrhythmic state immediately after AV junctional RF ablation resolving during the first week. Repolarization shortened gradually between 80 and 60 beats/min to an extent that is suggestive of a clinically important antiarrhythmic effect at the higher rate, which was supported also by clinical experience.

Action Potentials↗

Chronic cluster headache associated with a vertebral artery aneurysm.

This is a report of a patient with chronic cluster headache-like pain of 12 years duration. Investigation revealed an aneurysm at the junction of the vertebral and posterior inferior cerebellar arteries and after removal the patient experienced resolution of his cluster headache. The headache and aneurysm were both right sided suggesting a possible relationship.

Angiography, Digital Subtraction↗

Deformation and strain characteristics along the length of the anterior band of the inferior glenohumeral ligament.

Efficacious surgical treatment of anterior glenohumeral instability often requires repair of the anteroinferior capsulolabral structures, including the glenoid origin of the anterior band of the inferior glenohumeral ligament. Rupture in this location, the Bankart lesion, may be accompanied by nonrecoverable stretching of the anterior band. The purpose of this study was to evaluate the amount and location of nonrecoverable stretching with tensile testing. Twelve glenoid-soft tissue-humerus complexes from fresh-frozen glenohumeral joints were studied by means of a custom jig, an Instron machine, and a video digitizing system. The joints were positioned to simulate that known to cause apprehension for anterior instability. Nonrecoverable deformation differed along the length of the anterior band but was slight in all locations. For those that failed at the glenoid insertion region, the mean nonrecoverable deformation was 0.10 +/- 0.16 mm (mean +/- SEM) at the bone-labral junction of the glenoid insertion region and 0.38 +/- 0.23 mm at the labral-ligament junction of the glenoid insertion region. It was 0.53 +/- 0.23 mm at the ligament midsubstance and 0.04 +/- 0.10 mm at the humeral insertion region. For those that failed at the glenoid insertion region, the nonrecoverable stretching was 1.4% +/- 1.9% at the bone-labral junction of the glenoid insertion region and 3.5% +/- 2.0% at the labral-ligament junction of the glenoid insertion region. It was 2.3% +/- 1.1% at the ligament midsubstance and 0.0% +/- 1.4% at the humeral insertion region. Rupture of the anterior band resulted in little nonrecoverable stretching at both the site of failure and elsewhere along the length, remote from the failure site. Surgical repairs after initial dislocation may restore the length of the anterior band of the inferior glenohumeral ligament with little shortening.

Adult↗

Conjugation of extracellular matrix proteins to basal lamina analogs enhances keratinocyte attachment.

The dermal-epidermal junction of skin contains extracellular matrix proteins that are involved in initiating and controlling keratinocyte signaling events such as attachment, proliferation, and terminal differentiation. To characterize the relationship between extracellular matrix proteins and keratinocyte attachment, a biomimetic design approach was used to precisely tailor the surface of basal lamina analogs with biochemistries that emulate the native biochemical composition found at the dermal-epidermal junction. A high-throughput screening device was developed by our laboratory that allows for the simultaneous investigation of the conjugation of individual extracellular matrix proteins (e.g. collagen type I, collagen type IV, laminin, or fibronectin) as well as their effect on keratinocyte attachment, on the surface of an implantable collagen membrane. Fluorescence microscopy coupled with quantitative digital image analyses indicated that the extracellular matrix proteins adsorbed to the collagen-GAG membranes in a dose-dependent manner. To determine the relationship between extracellular matrix protein signaling cues and keratinocyte attachment, cells were seeded on protein-conjugated collagen-GAG membranes and a tetrazolium-based colorimetric assay was used to quantify viable keratinocyte attachment. Our results indicate that keratinocyte attachment was significantly enhanced on the surfaces of collagen membranes that were conjugated with fibronectin and type IV collagen. These findings define a set of design parameters that will enhance keratinocyte binding efficiency on the surface of collagen membranes and ultimately improve the rate of epithelialization for dermal equivalents.

Basement Membrane↗

Effects of citric acid and fibronectin and laminin application in treating periodontitis.

To determine the effect on new connective tissue attachment of citric acid conditioning and fibronectin-laminin application in treating naturally occurring periodontitis, all 4 quadrants in each of 2 Beagle dogs were used. Each quadrant included: P2, P3, P4, and M1 teeth. 2 treatment modalities were employed and comparatively analyzed for differences in histological healing respponses at 120 days after surgery. The treatments were: (1) surgery (mucoperiosteal flaps) plus citric acid; (2) surgery plus citric acid followed by fibronectin-laminin application. After scaling and root planing, coronal and root surface reference notches were placed for histometric measurements. Following each of the randomly assigned treatments, flaps were sutured. After sacrifice, tissue blocks of treated areas were decalcified and serially cut, obtaining bucco-lingual and mesiodistal sections. Using a Filar micrometer, 5 distances were masured on the buccal aspect: (1) from root surface notch to alveolar bone crest; (2) from root surface notch to coronal extent of the cementum; (3) from root surface notch to apical extent of the junctional epithelium; 84) from free gingival margin to apical extent of junctional epithelium; (5) from the coronal notch to the alveolar bone crest. Results showed no differences among the 5 measurements between the 2 treatments tested. On mesio-distal sections, surface area determinations were made in the furcations, evaluating the space occupied by new connective tissue, with or without bone, or by epithelium. For this, images were digitized using a Zeiss IBAS Image analysis system with a 4mB of array processor memory coupled to a Newvicon TV camera and a microcomputer.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗