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Mixed phospholipid-cardiotoxin monomolecular films studied by intrinsic polarized surface fluorescence.

Surface fluorescence spectroscopy was used to study mixed phospholipid-cardiotoxin monomolecular films. Using polarized incident light we were able to detect the intrinsic fluorescence emission at a wavelength of 339 nm of the single Trp11 in the cardiotoxin molecule. Its fluorescence intensity increased continuously upon film compression up to a maximal value reached at 42 mN x m-1 in surface pressure. A relative polarization index can be used as an indication of the orientation of the indole ring. A transition at around 25 +/- 5 mN x m-1 in the orientation of the Trp11 relative to the plane of the interface was clearly evidenced during film compression, in agreement with our independent data showing a flipping of the whole toxin molecule (Bougis et al., (1981), Biochemistry 20, 4915-4920).

Cobra Cardiotoxin Proteins↗

Modulation of the interbilayer hydration pressure by the addition of dipoles at the hydrocarbon/water interface.

The effects of the cholesterol analog 5 alpha-cholestan-3 beta-ol-6-one (6-ketocholestanol) on bilayer structure, bilayer cohesive properties, and interbilayer repulsive pressures have been studied by a combination of x-ray diffraction, pipette aspiration, and dipole potential experiments. It is found that 6-ketocholestanol, which has a similar structure to cholesterol except with a keto moiety at the 6 position of the B ring, has quite different effects than cholesterol on bilayer organization and cohesive properties. Unlike cholesterol, 6-ketocholestanol does not appreciably modify the thickness of liquid-crystalline egg phosphatidylcholine (EPC) bilayers, and causes a much smaller increase in bilayer compressibility modulus than does cholesterol. These data imply that 6-ketocholestanol has both its hydroxyl and keto moieties situated near the water-hydrocarbon interface, thus making its orientation in the bilayer different from cholesterol's. The addition of equimolar 6-ketocholestanol into EPC bilayers increases the magnitude, but not the decay length, of the exponentially decaying repulsive hydration pressure between adjacent bilayers. Incorporation of equimolar 6-ketocholestanol into EPC monolayers increases the dipole potential by approximately 300 mV. These data are consistent with our previous observation that the magnitude of the hydration pressure is proportional to the square of the dipole potential. These results mean that 6-ketocholestanol, despite its location in the bilayer hydrocarbon region, approximately 10 A from the physical edge of the bilayer, modifies the organization of interlamellar water. We argue that the incorporation of 6-ketocholestanol into EPC bilayers increases the hydration pressure, at least in part, by increasing the electric field strength in the polar head group region.

Ketocholesterols↗

Stresses in the local collagen network of articular cartilage: a poroviscoelastic fibril-reinforced finite element study.

Osteoarthritis (OA) is a multifactorial disease, resulting in diarthrodial joint wear and eventually destruction. Swelling of cartilage, which is proportional to the amount of collagen damage, is an initial event of cartilage degeneration, so damage to the collagen fibril network is likely to be one of the earliest signs of OA cartilage degeneration. We propose that the local stresses and strains in the collagen fibrils, which cause the damage, cannot be determined dependably without taking the local arcade-like collagen-fibril structure into account. We investigate this using a poroviscoelastic fibril-reinforced FEA model. The constitutive fibril properties were determined by fitting numerical data to experimental results of unconfined compression and indentation tests on samples of bovine patellar articular cartilage. It was demonstrated that with this model the stresses and strains in the collagen fibrils can be calculated. It was also exhibited that fibrils with different orientations at the same location can be loaded differently, depending on the local architecture of the collagen network. To the best of our knowledge, the present model is the first that can account for these features. We conclude that the local stresses and strains in the articular cartilage are highly influenced by the local morphology of the collagen-fibril network.

Animals↗

Model of neuropathic intermittent claudication in the rat: methodology and application.

In the present study we characterize a rat neurogenic intermittent claudication model which was accomplished by placing two pieces of silicone rubber of various sizes into the lumbar (L4 and L6) epidural space. After induction of spinal stenosis walking function was measured using a treadmill apparatus and sensory functions were tested by measuring thermal and tactile withdrawal threshold (von Frey filaments) for the period of 28 days after stenosis. In addition, local spinal cord blood flow (SCBF) was measured, periodically, before and after induction of stenosis using laser Doppler. After implantation of two pieces of silicone rubber (width 1.25 mm, height 1.0 mm, length 4.0 mm) a significant running dysfunction, as evidenced by shortening of running distance, was measured as soon as 24 h after stenosis (178.5+/-59.1 m vs 681.3+/-70.2 m). This effect persisted for 28 days after surgery. Similarly, a significant tactile (but not thermal) hypersensitivity was measured for a period of 28 days (1.2+/-0.3 g vs 14.9+/-0.2 g). In this experimental group the measurement of local SCBF revealed a significant (30-50%) reduction in the territory of spinal stenosis measured at 3,7,14 or 28 days after surgery. Implantation of larger pieces of silicon rubber (1.5 mm width) caused a significant increase in the incidence of urinary retention and mortality rate. These data show that chronic partial spinal compression at L4 and L6 spinal level lead to the development of significant motor/sensory dysfunction which resemble those seen in patients with neurogenic intermittent claudication. The lack of motor dysfunction under resting conditions but its appearance during forced exercise also suggest that the development of local spinal ischemia can represent one of the mechanisms.

Animals↗

Magnetic ordering in doped Cd(1-x)Co(x)Se diluted magnetic quantum dots.

In this study, we report structural, vibrational, and magnetic data providing evidence of random ion displacement in the core of CdSe quantum dots on the Cd(2+) sites by Co(2+) ions (between x = 0 and 0.30). Structural evidence for core doping is obtained by analyzing the powder X-ray diffraction (pXRD), data which exhibits a linear lattice compression with increasing Co(2+) concentration, in accord with Vegard's law. Correlated with the pXRD shift, a hardening of the CdSe longitudinal optical phonon mode and a new local vibrational mode are observed which track Co(2+) doping concentration. Consistent with the observed core doping, superconducting quantum interference device (SQUID) measurements indicate a surprising increase for the onset of spin glass behavior by an order of magnitude over bulk Co:CdSe. Correlation of SQUID results, pXRD, and Raman measurements suggests that the observed enhancement of magnetic superexchange between Co(2+) dopant ions in this confined system arises from changes in the nature of coupling in size-restricted materials.

Journal Article↗

Cationic and anionic poly(N-isopropylacrylamide) based submicron gel particles: electrokinetic properties and colloidal stability.

A cationic and an anionic poly(N-isopropylacrylamide) (poly(NIPAM)) microgel latex were synthesized via batch radical polymerization under emulsifier-free conditions. The hydrodynamic properties, colloidal stability, and electrokinetic characteristics of these two samples were studied. The hydrodynamic particle size variation was discussed by considering the effect of salinity and temperature on the shrinkage of the thermally sensitive polymer domains. The colloidal stability also depended on temperature and electrolyte concentration. A stability diagram with two well-defined domains (stable and unstable) was obtained. The flow from one domain to the other was fully reversible due to the peculiar (de)hydration properties of the polymer. The electrokinetic behavior, which depends on electrical and frictional properties of the particles, was analyzed via electrophoretic mobility measurements. Results were discussed by considering both the particle structure dependence on temperature and salinity, and the electric double layer compression. In addition, the electrophoretic mobility data were analyzed using Ohshima's equations for particles covered by an ion-penetrable surface charged layer, as well as using another simpler equation for charges located on a hydrodynamic equivalent hard sphere. Differences between the properties of both latexes were justified by the presence of a hydrophilic comonomer, aminoethyl methacrylate hydrochloride (AEMH), in the cationic microgel.

Acrylamides↗

Structure and mobility of lipid membranes on a thermoplastic substrate.

Supported lipid membranes constitute one of the most important model systems for cell membranes. The properties of lipid membranes supported by the hydrophobic solid polymer cyclic olefin copolymer (COC) were investigated. Lipid layers consisting of varying amounts of 1,2-dioleoyl-3-trimethylammonium propane (DOTAP, cationic) and 1,2-dioleoyl-sn-glycero-3-phosphocholine (DOPC, neutral) prepared by vesicle fusion and solvent exchange were compared. All lipid mixtures coated the COC surface homogeneously forming a fluid membrane as verified by fluorescence microscopy and fluorescence recovery after photobleaching (FRAP). The exact structure of the supported membranes was determined by synchrotron reflectivity experiments using a microfluidic chamber. The X-ray data are in agreement with a compressed (head-to-head distance = 29 angstroms) and less densely packed bilayer.

Cations↗

Adsorption of supercritical CO2 in aerogels as studied by small-angle neutron scattering and neutron transmission techniques.

Small-angle neutron scattering (SANS) has been used to study the adsorption behavior of supercritical carbon dioxide (CO2) in porous Vycor glass and silica aerogels. Measurements were performed along two isotherms (T=35 and 80 degrees C) as a function of pressure (P) ranging from atmospheric up to 25 MPa, which corresponds to the bulk fluid densities ranging from rho(CO2) approximately 0 to 0.9 gcm3. The intensity of scattering from CO2-saturated Vycor porous glass can be described by a two-phase model which suggests that CO2 does not adsorb on the pore walls and fills the pore space uniformly. In CO2-saturated aerogels an adsorbed phase is formed with a density substantially higher that of the bulk fluid, and neutron transmission data were used to monitor the excess adsorption at different pressures. The results indicate that adsorption of CO2 is significantly stronger in aerogels than in activated carbons, zeolites, and xerogels due to the extremely high porosity and optimum pore size of these materials. SANS data revealed the existence of a compressed adsorbed phase with the average density approximately 1.07 gcm3, close to the density corresponding to closely packed van der Waals volume of CO2. A three-phase model [W. L. Wu, Polymer 23, 1907 (1982)] was used to estimate the volume fraction phi3 of the adsorbed phase as a function of the fluid density, and gave phi3 approximately 0.78 in the maximum adsorption regime around rho(CO2) approximately 0.374 gcm3. The results presented in this work demonstrate the utility of SANS combined with the transmission measurements to study the adsorption of supercritical fluids in porous materials.

Journal Article↗

Asialoerythropoietin is a nonerythropoietic cytokine with broad neuroprotective activity in vivo.

Erythropoietin (EPO) is a tissue-protective cytokine preventing vascular spasm, apoptosis, and inflammatory responses. Although best known for its role in hematopoietic lineages, EPO also affects other tissues, including those of the nervous system. Enthusiasm for recombinant human erythropoietin (rhEPO) as a potential neuroprotective therapeutic must be tempered, however, by the knowledge it also enlarges circulating red cell mass and increases platelet aggregability. Here we examined whether erythropoietic and tissue-protective activities of rhEPO might be dissociated by a variation of the molecule. We demonstrate that asialoerythropoietin (asialoEPO), generated by total enzymatic desialylation of rhEPO, possesses a very short plasma half-life and is fully neuroprotective. In marked contrast with rhEPO, this molecule at doses and frequencies at which rhEPO exhibited erythropoiesis, did not increase the hematocrit of mice or rats. AsialoEPO appeared promptly within the cerebrospinal fluid after i.v. administration; intravenously administered radioiodine-labeled asialoEPO bound to neurons within the hippocampus and cortex in a pattern corresponding to the distribution of the EPO receptor. Most importantly, asialoEPO exhibits a broad spectrum of neuroprotective activities, as demonstrated in models of cerebral ischemia, spinal cord compression, and sciatic nerve crush. These data suggest that nonerythropoietic variants of rhEPO can cross the blood-brain barrier and provide neuroprotection.

Animals↗

The skinfold: myth and reality.

The interest in skinfolds, given the easy accessibility of the subcutaneous layer and its non-invasive nature, has led to a proliferation of 'skinfold' applications and formulae. To obtain data to investigate body composition methods, particularly the use of skinfolds, two separate cadaver dissection studies were undertaken, allowing for the analysis of data from 32 cadavers with more than 2500 data per cadaver. In addition, 40 elderly 'living' subjects of the same age range were compared with the cadaver population and no significant macro-morphological differences were found. The available data have clearly demonstrated that skinfold compressibility is by no means constant. Adipose tissue patterning by assessment of skinfold thickness using calipers and incision confirms significant sex differences but emphasizes the neglected importance of skin thickness. It appears that the best adipose tissue predictors are different from those used in general. Also the problem of estimating body fat content by skinfold is compounded by the fact that two identical thicknesses of adipose tissue may contain significantly different concentrations of fat. Skinfolds are significantly related to external (subcutaneous) adipose tissue. However, the relation to internal tissue is less evident and the relation with intramuscular adiposity is unknown.

Adipose Tissue↗

Spontaneous regression of periodontoid pannus mass in psoriatic atlantoaxial subluxation. Case report.

STUDY DESIGN: A case report of a 41-year-old man with psoriasis who had cervical myelopathy caused by atlantoaxial subluxation and periodontoid pannus mass. OBJECTIVE: To describe the possible mechanism underlying the periodontoid pannus formation and the optimal treatment for such cases. SUMMARY OF BACKGROUND DATA: Atlantoaxial subluxation causing spinal cord compression at the craniocervical junction may develop in patients with rheumatoid or psoriatic arthritis. Periodontoid pannus formation plays an important role in compromising the anteroposterior diameter of the spinal canal and in causing neurologic deficits. Transoral transpharyngeal excision of the pannus is sometimes thought necessary for anterior decompression of the spinal cord. Spontaneous resolution of the periodontoid pannus after posterior atlantoaxial fusion and fixation has been documented in rheumatoid arthritis, but not in psoriatic arthritis. METHODS: The patient underwent posterior atlantoaxial fusion and Halifax fixation. RESULTS: The patient experienced clinical improvement. Regression of the periodontoid pannus mass was observed on magnetic resonance imaging. CONCLUSIONS: Posterior fusion and instrumentation resulted in spontaneous regression of the pannus mass and symptomatic relief. This report provides evidence that atlantoaxial instability may be the sine qua non for the formation of periodontoid pannus, and that amelioration of such instability leads to spontaneous resolution of the pannus mass.

Adult↗

Solitary exostosis of the thoracic spine. Early diagnosis and treatment.

STUDY DESIGN: A case report. OBJECTIVE: To highlight the importance of early diagnosis and treatment of vertebral exostosis. SUMMARY OF BACKGROUND DATA: Few cases of spinal cord compression caused by solitary thoracic exostoses have been reported. METHOD: A solitary exostosis in the midline of the neural arch of the fifth thoracic vertebra, causing compression of the spinal cord documented on both magnetic resonance and computed tomographic examinations, is reported in a 51-year-old woman who had normal findings in a neurologic examination. RESULTS: The exostosis was successfully excised. CONCLUSION: Accurate preoperative diagnosis of vertebral exostoses is possible using magnetic resonance and computed tomography. Early excision avoids the development of a permanent neurologic deficit.

Exostoses↗

Delivery of recombinant human bone morphogenetic protein-2 using a compression-resistant matrix in posterolateral spine fusion in the rabbit and in the non-human primate.

STUDY DESIGN: A rabbit and rhesus monkey model of posterolateral intertransverse process spine arthrodesis was used. OBJECTIVE: To test two new soft tissue compression resistant ceramic/collagen sponge carriers for recombinant human bone morphogenetic protein-2. SUMMARY OF BACKGROUND DATA: After determining that a plain collagen sponge was too compressible for large animals in a posterolateral fusion application, the authors demonstrated good bone induction using biphasic ceramic phosphate granules (60% hydroxyapatite/40% tricalcium phosphate) as the carrier matrix for recombinant human bone morphogenetic protein 2 in rhesus monkeys. A limitation of 60:40 biphasic ceramic phosphate was its slow resorption time caused by the high hydroxyapatite content, making radiographic detection of new bone formation very difficult. METHODS: Adult New Zealand white rabbits (n = 14) underwent posterolateral spine arthrodesis at L5-L6 using 5:95 biphasic ceramic phosphate (5% hydroxyapatite/95% tricalcium phosphate) impregnated Type I collagen sponges (17 x 35 x 2.5 mm, two per side) loaded with 0.86 mg recombinant human bone morphogenetic protein 2. Additional rabbits (n = 14) received 60:40 hydroxyapatite-tricalcium phosphate granules as the carrier for bone morphogenetic protein 2. Adult rhesus monkeys (n = 6) underwent posterolateral arthrodesis at L4-L5 with ceramic/collagen sponge carrier loaded with 9 mg recombinant human bone morphogenetic protein 2 per side. Two monkeys received ceramic/collagen sponges containing 15:85 biphasic ceramic phosphate (15% hydroxyapatite/85% tricalcium phosphate) with two pieces per side; two received sponges containing 5:95 biphasic ceramic phosphate with two pieces per side, and two received sponges containing 5:95 biphasic ceramic phosphate with four pieces per side. The rabbits were killed after 5 weeks and the monkeys after 24 weeks; the spines were evaluated by manual palpation, radiographs, tensile mechanical testing (rabbits only), and histology. RESULTS: The recombinant human bone morphogenetic protein 2 delivered in the 5:95 biphasic ceramic phosphate/collagen sponge achieved fusion in 100% of rabbits and had improved handling properties compared with the biphasic ceramic phosphate granules. Biomechanical results with 5:95 biphasic ceramic phosphate/collagen carrier were comparable to those obtained with the 60:40 biphasic ceramic phosphate granules and superior to those of autogenous bone graft (P < 0.05). The recombinant human bone morphogenetic protein 2 delivered in the 15:85 or the 5:95 biphasic ceramic phosphate/collagen sponge carrier (two pieces per side) induced fusion in nonhuman primates with normal bone histology, less residual ceramic, and more bone in the center of the carrier matrix in comparison with BCO granules alone. The 15:85 biphasic ceramic phosphate/collagen sponge resulted in fusion mass sizes closer to the original size of the matrix implanted than did the 5:95 biphasic ceramic phosphate/collagen sponge, which was considered a desirable feature. The monkeys with 9 mg recombinant human bone morphogenetic protein 2 spread over four sponges per side instead of two had half the effective recombinant human bone morphogenetic protein 2 concentration per sponge and inferior results. CONCLUSIONS: The new compression-resistant biphasic ceramic phosphate/collagen sponge matrices were biologically compatible with recombinant human bone morphogenetic protein 2 bone formation, resulted in biomechanically stiffer fusion masses than autograft, better space maintenance than plain collagen sponges, and improved handling and radiographic resorption properties over the ceramic carriers previously tested.

Animals↗

Alternative cardiopulmonary resuscitation devices.

Cardiac arrest survival rates remain low despite increased access to advanced cardiac life support. Survival from cardiac arrest is, at least in part, related to the perfusion pressures and blood flow achieved during cardiopulmonary resuscitation (CPR). A number of alternative CPR devices have been developed that aim to improve the perfusion pressures and/or blood flow achieved during CPR. Active compression-decompression CPR devices are by far the most studied alternative CPR devices, but the results have been inconsistent and conflicting. A number of other devices, including the inspiratory impedance threshold valve, minimally invasive direct cardiac massage, phased chest and abdominal compression-decompression CPR, and vest CPR, are all capable of improving perfusion pressures and/or blood flow compared with standard external chest compressions. However, no convincing human outcome data has been produced yet for any of these devices. Although an interesting area of research, none of the alternative CPR devices convincingly improve long-term patient outcomes.

Animals↗

Scrotal pain as the presenting symptom of lumbar disc herniation: a report of 2 cases.

STUDY DESIGN: Case description. OBJECTIVE: To describe a treatable cause of scrotal pain associated with lumbar disc herniation SUMMARY OF BACKGROUND DATA: Scrotal pain due to intraspinal compression of a sacral nerve root caused by lumbar disc herniation is probably very rare, as the literature contains only sporadic single case descriptions. METHODS: Two patients with isolated scrotal pain were analyzed. In both patients, a lumbar disc herniation was found. Lumbar discectomy was performed in both patients. RESULTS: Complete and persisting relief of the scrotal pain was obtained after lumbar discectomy. CONCLUSIONS: Despite the absence of other symptoms or signs suggestive of nerve root involvement, lumbar disc herniation with intraspinal compression of a sacral nerve root seemed the most probable cause of the scrotal pain.

Adult↗

Metabolite profile of cerebrospinal fluid in patients with spina bifida: a proton magnetic resonance spectroscopy study.

STUDY DESIGN: The present study was carried out to assess the metabolic differences between cerebrospinal fluid samples of patients with spina bifida and age-matched control individuals. OBJECTIVES: To study the metabolite profile of cerebrospinal fluid of patients with spina bifida using proton magnetic resonance spectroscopy, compare the levels of metabolites with controls, establish correlation of underlying neuronal dysfunction with metabolic changes in patients with spina bifida, and evaluate the potential use of this technique as an additional tool for diagnostic assessment. SUMMARY OF BACKGROUND DATA: Combination of embryopathy, stretching, ischemia, compression, and trauma is responsible for cord dysfunction in spina bifida. Changes in neuronal metabolism leads to changes in the local milieu of cerebrospinal fluid in the cord. Change in metabolite profile of cerebrospinal fluid in spina bifida in terms of increase in products of anaerobic metabolism, nerve membrane integrity, and nerve ischemia has not yet been studied. METHODS: Cerebrospinal fluid obtained from patients and control individuals were characterized using various one- and two-dimensional proton magnetic resonance spectroscopy techniques. Concentration of various metabolites was calculated using the area under the nuclear magnetic resonance peak. RESULTS: Statistically significantly higher levels of lactate, choline, glycerophosphocholine, acetate, and alanine in the cerebrospinal fluid of patients with spina bifida was observed compared with control individuals. CONCLUSIONS: Significantly higher levels of metabolites were observed in patients with spina bifida, representing a state of nerve ischemia, anaerobic metabolism, and disruption of neuronal membrane.

Acetates↗

Biomechanics of stabilization after cervicothoracic compression-flexion injury.

STUDY DESIGN: Biomechanical laboratory research. OBJECTIVE: To determine whether anterior, posterior, or combined instrumentation provides the best stability for treating a cervicothoracic compression-flexion injury. SUMMARY OF BACKGROUND DATA: As the junction between the mobile cervical spine and rigid thoracic spine, the cervicothoracic junction poses unique challenges to the success of any fixation system spanning this region. Although posterior instrumentation is the preferred method of fixation in the unstable cervical spine, it is unknown whether this is the case across the unstable cervicothoracic junction. METHODS: Flexion, extension, lateral bending, and axial rotation of cadaveric specimens were studied during application of nondestructive pure moments in a sequence of conditions: (1) intact, (2) after destabilization, (3) with posterior instrumentation from C6-T1 or T2, and (4) with corpectomy/graft and anterior alone or combined anterior/posterior instrumentation. RESULTS: Compared to anterior instrumentation, posterior instrumentation allowed an 89% smaller range of motion (ROM) during lateral bending (P = 0.01) and 64% smaller ROM during axial rotation (P = 0.04). In most loading modes, combined instrumentation outperformed either anterior or posterior instrumentation alone. Most biomechanical measurements of stability improved when posterior instrumentation was extended from T1 to T2. Small and usually insignificant reductions in ROM averaging 15% were observed with C7 included in the posterior construct versus C7 excluded. CONCLUSIONS: Combined instrumentation provides a significant improvement in stability over either anterior or posterior instrumentation alone. Extension of the posterior instrumentation to include T2 improves stability at T1-T2 as well as rostral levels. Inclusion of C7 in the construct is largely inconsequential biomechanically.

Adult↗

Jamming transition in emulsions and granular materials.

We investigate the jamming transition in packings of emulsions and granular materials via molecular dynamics simulations. The emulsion model is composed of frictionless droplets interacting via nonlinear normal forces obtained using experimental data acquired by confocal microscopy of compressed emulsions systems. Granular materials are modeled by Hertz-Mindlin deformable spherical grains with Coulomb friction. In both cases, we find power-law scaling for the vanishing of pressure and excess number of contacts as the system approaches the jamming transition from high volume fractions. We find that the construction history parametrized by the compression rate during the preparation protocol has a strong effect on the micromechanical properties of granular materials but not on emulsions. This leads the granular system to jam at different volume fractions depending on the histories. Isostaticity is found in the packings close to the jamming transition in emulsions and in granular materials at slow compression rates and infinite friction. Heterogeneity of interparticle forces increases as the packings approach the jamming transition which is demonstrated by the exponential tail in force distributions and the small values of the participation number measuring spatial localization of the forces. However, no signatures of the jamming transition are observed in structural properties, like the radial distribution functions and the distributions of contacts.

Journal Article↗