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Reorganization of basement membrane matrices by cellular traction promotes the formation of cellular networks in vitro.

Vascular endothelial cells that are cultured on layers of gelled basement membrane matrix organize rapidly into networks of cords or tubelike structures. Although this phenomenon is a potential model for angiogenesis in vivo, we questioned whether basement membrane matrix directs the differentiation of endothelial cells in a specific manner. In this study, we have examined factors that influence the formation of cellular networks in vitro in an attempt to define a basic mechanism for this process. We found that endothelial cells, fibroblasts, smooth muscle cells, and cells of the murine Leydig cell line TM3 formed networks on basement membrane matrix in much the same fashion. Light and electron microscopy, combined with time-lapse videomicroscopy, revealed that cells organized on a tesselated network of aligned basement membrane matrix that was generated by tension forces of cellular traction. Cellular elongation and progressive motility across the surface of the gel were restricted to tracks of aligned matrix and did not occur until the tracks appeared. The formation of cellular networks on basement membrane matrix was inhibited by reducing the thickness of the matrix, by including native type I collagen in the matrix, or by disrupting cytoskeletal microfilaments and microtubules. Cell division was not required for network formation. Bovine aortic endothelial cells that formed networks did not simultaneously transcribe mRNA for type I collagen, a protein synthesized by endothelial cells that form tubes spontaneously in vitro. Moreover, levels of mRNA for fibronectin and SPARC (Secreted Protein that is Acidic and Rich in Cysteine) in network-forming cells were similar to levels seen in endothelial cells that did not form networks. Endothelial cells and TM3 cells that were plated on highly malleable gels of native type I collagen also formed cords and aligned matrix fibers into linear tracks that resembled those generated on basement membrane matrix, although the structures were not as well-defined. Our observations suggest that the mechanochemical properties of extracellular matrices are able to translate the forces of cellular traction into templates that direct the formation of complex cellular patterns.

Animals↗

[Surgical treatment of late tractional retinal detachment appearing on the basis of retinopathy of prematurity].

Retinopathy of prematurity (ROP) is a proliferative retinopathy affecting predominantly immature children and children with low birth weight under 2500 g in 5-6%. During 11 years we operated on 15 eyes of 15 patients aged 5-31 years, because of late tractional retinal detachment (TRD) appearing on the basis of ROP. The average follow-up period was 37.2 months; the minimal follow-up period was 1 year. In all patients, the personal medical history revealed the pre-term birth at the gestation age of 28-34 weeks. The birth weight was in the range 850-1600 grams. According to the extend of vitreoretinal traction and type of retinal defect we indicated: a) primary cryosurgical procedure (CP) with episcleral silicone implants. The operation was indicated in 6 eyes: cerclage, segmental perilimbal plombage in the temporal half and puncture of the subretinal fluid; b) pars plana vitrectomy (PPV). In total in 9 eyes the PPV was indicated, in 5 eyes it was supplemented with relaxing retinotomy, and in 7 eyes with silicone oil (SO) implantation. Three eyes were re-operated by means of PPV with SO implantation. The final anatomical success of the surgical treatment of the prognostic unfavorable TRD, including re-operations was achieved in 12 eyes (80%), which we consider as a good one. The visual acuity improved or remained the same also in 12 eyes (80%) and visual acuity 6/60 and better (20/200 or 0.1) in 8 out of 15 eyes (53%).

Adolescent↗

[Papillary hyperfluorescence caused by traction of the vitreous body].

We present 4 clinical cases showing late dye leakage on the optic disc related to vitreous traction. Optic disc dye leakage disappeared following posterior vitreous detachment in one patient, delamination of the posterior hyaloid in two patients and segmentation of the posterior vitreous surface in one patient. Vitreous traction should be added to the previously described causes of optic disc dye leakage.

Adult↗

[Q-switched Nd:YAG laser surgery on vitreous traction bands].

The Q-switched Nd: YAG laser was used to cut vitreous traction bands in 20 eyes with an effective rate of 85%. The pulse energy ranged from 2.8-8.7mJ, and the total energy required was 196 +/- 155.3mJ. The distance of the laser beam focus to retinal surface was 3.7 +/- 2mm. Nd: YAG vitreolysis is an effective means in releasing traction bands and membranes in the posterior segment of the eye. Adaptation of a proper contact lens and optimal strength of energy with accurate focussing are conducive to increased efficacy and avoidance of retinal injury.

Adolescent↗

Traction injury in the internal mammary artery. Report of a case and review of the literature.

The internal mammary artery (IMA) is now used routinely along with saphenous vein for myocardial revascularization procedures. We have documented a particular form of non-perforating injury which may reduce blood flow during operation or may lead to early closure of the IMA bypass graft. Traction injury to the intima is well documented in other vessles but has not been previously reported in the IMA. We present a potentially disastrous example of traction injury to the IMA.

Humans↗

[Bilateral traction detachment in necrotizing retinitis as a sequela of toxoplasmosis].

A 35-year-old patient with systemic lupus erythematodes is presented. Two weeks after initiation of an immunosuppressive therapy with steroids and cyclophosphamide she developed a bilateral acute necrotising retinitis. Although the infiltration of the vitreous body was only slight the right eye developed a traction retinal detachment within a few days. A vitrectomy was performed but the situation was found to be inoperable due to central necrotic areas. Two days later serological specimen revealed an acute toxoplasmosis as the cause of the bilateral retinitis in this patient. A therapy with sulfadiazine and pyrimethamine was started immediately. Nevertheless two weeks later traction retinal detachment occurred also in the left eye. A reattachment of the retina could be achieved by vitreoretinal surgery.

Adult↗

Nd:YAG laser photodisruption of the vitreous traction in avulsed retinal vessel syndrome.

We applied Nd:YAG laser photodisruption to vitreous traction in three patients with avulsed retinal vessel syndrome. In every case the vitreous traction on the avulsed vessels was relieved and the vessel that had been avulsed in the vitreous cavity returned to the retinal surface postoperatively. There were no serious intraoperative and postoperative complications, nor was there any evidence of recurrence of vitreous hemorrhage after the treatment.

Aged↗

Effect of lid specula and superior rectus traction on intraocular pressure.

The Pneumatonometer of Langham was used to record the effect upon intraocular pressure of a range of eyelid specula, lid sutures, and eyelid clamps. It was concluded that all methods tested produced a rise in intraocular pressure in most patients, and that the degree of rise was related to the degree to which the eyelids were separated. It was therefore recommended that a method of eyelid retraction which allows adjustment is to be preferred, and that specula which do not allow this, such as the Barraquer speculum, are not to be recommended. Traction upon the superior rectus suture was shown to lead to a considerable rise in intraocular pressure and this should therefore be avoided unless strictly necessary. The traction produced by two limbal sutures pulling tangentially downwards, rotates the eye downwards for intraocular surgery without inducing a rise in intraocular pressure. Measurement of intraocular pressure in the operating theatre is recommended in order to ascertain whether the method used to retract the eyelids or to rotate the eye to the field of surgery is having an adverse effect.

Cataract Extraction↗

[Results of vitrectomy for diabetic traction retinal detachment involving the macula; a comparison of six-month and three-year postoperative findings].

Three-year follow-up examinations were performed on 45 cases that underwent pars plana vitrectomies for diabetic retinopathy complications from 1982 to 1983. All of these cases had traction retinal detachment involving the macula. Visual improvement was noted in 27 eyes (60%) and 11 eyes (24%) had worse visual acuity at 6 months after surgery. Final visual improvement was noted in 21 eyes (47%) at the there-year follow-up examinations. Five (11%) of the 45 cases had better visual acuity at the three-year examination than at six months, 18 (40%) had the same visual acuity, but 22 (49%) had poorer vision at the three-year examination. Out of those cases, 28 eyes (62%) had totally attached retina 6 months after operation and the results in those eyes were quite stable at three years. Of these, 19 (68%) had the same or better visual acuity at three years compared with six months. But if retinal detachment was present at 6 months, the prognosis was very poor at the three-year examination with a visual acuity of less than hand motions. Reattachment of the retina is most important to maintain good prognosis for surgical treatment for diabetic retinopathy with traction retinal detachment.

Adult↗

Hemodynamic instability associated with balloon catheter traction after transurethral surgery.

Severe vasovagal reactions were experienced by three patients in whom balloon catheter traction was used to assist hemostasis after transurethral procedures. Release of catheter traction, along with conventional resuscitative measures, led to resolution of cardiovascular instability. Prompt recognition of the potential relationship between vasovagal reactions and parasympathetic stimulation that may accompany bladder base compression by catheter balloon is emphasized.

Acute Disease↗

A model for chondrogenic condensations in the developing limb: the role of extracellular matrix and cell tractions.

The hyaluronate component of the extracellular matrix is a powerfully hydrophilic polymer, capable of osmotically swelling and deswelling by a volume factor of 5 or more. At the time of cartilage condensation in the limb bud the chondrocytes start to produce hyaluronidase, an enzyme which degrades hyaluronate. The consequent deswelling brings the chondrocytes closer together - close enough for intercellular cell tractions to become effective and intercellular junctions to form. By analysing the physicochemical situation we show how these processes, principally the coupling of the osmotic deswelling with cellular traction forces, can produce cartilage condensation patterns resembling those in the early limb bud. In distinction from our earlier model for chondrogenic condensations this mechanism does not depend on cell motions other than convective transport by contraction.

Animals↗

A comparison of different methods of instrumental delivery based on electronic measurements of compression and traction.

Electronic measurements of compression, using a hydrostatic technique, were made during 44 normal deliveries and compared with the values obtained during 32 deliveries using Kielland's forceps, 21 using Neville Barnes' forceps, 48 using Moolgaoker's adjustable forceps, and 26 using Malmstrom's vacuum extractor. Electronic recordings of traction, using strain gauges, were made simultaneously during all the instrumental deliveries except those with Kielland's forceps. By exercising suitable controls over most of the multiple factors operating at the time of any delivery the authors were able to compare objectively the efficiency of the different methods of instrumental delivery. Smaller forces of compression and traction were exerted and better Apgar scores were recorded in infants delivered with the adjustable forceps than in infants delivered with the other instruments. The superiority of the adjustable forceps was most noticeable during midcavity deliveries of the malrotated head.

Apgar Score↗

[Inversion of the uterus during cord traction].

Two cases of the uterine inversion during cord traction is described. Both women were primiparae, aged 26 and 19, respectively. Once there was a shorter umbilical cord and once the adherent placenta. In both cases the manual reposition of the uterus proved successful, but the patients were threatened by the shock, one of them even developed the heart arrest. The authors draw attention to the fact that the cord traction method in the third stage of labour could be exceptionally dangerous, in spite of its other advantages.

Adult↗

Effects on traction of outsole composition and hardnesses of basketball shoes and three types of playing surfaces.

The purposes of this investigation were to determine the effects of outsole composition and hardness, playing surfaces and player weight on the dynamic torque, traction forces and static drag developed at the shoe-surface interface. Basketball shoes of polyurethane and elastomer outsoles, each of three different hardnesses, were tested on clean and dusty hardwood floor samples, and on a sample of an artificial gymnasium flooring. The tests were conducted using a laboratory apparatus which included a player leg assembly with simulation of two player weights. Dynamic torque, traction forces from side and rear impacts and static drag were measured at the shoe surface interface. The results indicated that in basketball the magnitude of the resistance forces and torques are influenced by the outsole material and outsole hardness of the shoes, the playing surface and player weights.

Body Weight↗

[A technic of cord traction in the third state of labor].

The authors draw attention to certain complications and the retention of amnionic membranes in the uterus during the classical cord traction in delivery. They propose a modified way of the traction of the untied umbilical cord by moving the cord and the uterus to the left and right in addition to the dorsal, horizontal, and somewhat vertical cord raction, and continuing doing so until the delivery of the placenta at the vulva. The number of complications with this way of conduction delivery is significantly lower, on the P 0.001 level. No retention of amnionic membranes has been observed.

Delivery, Obstetric↗

"Chignon alopecia": a distinctive type of nonmarginal traction alopecia.

Localized occipital alopecia may result from traction of the hair necessary to form and maintain a bun (chignon) in the occipital region. Marginal alopecia in the patient whose hair is drawn firmly back is more familiar, although traction may lead to loss of hair at any site of the scalp depending on the hairdressing techniques used. Three women were seen with localized alopecia of the occipital scalp associated with the wearing of a chignon. They had previously been uniformly misdiagnosed as having alopecia areata. "Chignon alopecia" should be ruled out when the diagnosis of persistent alopecia areata at the level of the lambda is considered. A distinctive histopathologic finding is perifollicular fibrosis extending into the subcutaneous fat. Traumatic alopecia is classified with respect to the type of trauma, localization, and pattern within the hairy scalp.

Alopecia↗

[Vitreoretinal proliferation as a cause of tractional retinal ablation after severe perforating injury].

The main idea of this paper was to investigate the influence of proliferative reaction in vitreous body, in case of serious injuries of the eyeball on the development of complications. It was shown that the presence of hemophthalmia which intensified PVR process and anteroposterior traction influenced the intensity of PVR and also the development of retinal ablation. The complete perforation of the posterior wall of the eye ball (duplex perforation) with the small foreign body would produce bigger scar on the posterior wall than in case of singular perforations, which would usually be enough to control anteroposterior traction towards vitreous body and prevent retinal ablation.

Adolescent↗