Prevalence and patterns of tooth agenesis in Angle Class II Division 2 malocclusion in Japan.

INTRODUCTION: The purpose of this study was to evaluate the prevalence and patterns of tooth agenesis in subjects with Angle Class II Division 2 malocclusion compared with general orthodontic patients in Japan. METHODS: Panoramic radiographs, dental casts, and cephalograms of 76 patients with Class II Division 2 malocclusions (52 female, 24 male) and 270 orthodontic patients as the control group (168 female, 102 male) who were 14 years of age or older were selected. The prevalences of tooth agenesis in this cohort and in each tooth type were calculated and compared between the groups with the chi-square test. Odds ratios and corresponding 95% confidence intervals were also calculated. RESULTS: The prevalence of tooth agenesis excluding the third molars was significantly higher in the Class II Division 2 group (22.4%) than in the control group (11.9%) (P <0.05); the odds ratio was 2.14 (95% CI, 1.12-4.12). A higher prevalence of tooth agenesis excluding the third molars was observed in the Class II Division 2 group for the mandibular second premolar (P <0.05) and the maxillary lateral incisor (P <0.01). The prevalence of third molar agenesis was also significantly higher in the Class II Division 2 group (42.1%) compared with the control group (26.7%) (P <0.05); the odds ratio was 2.00 (95% CI, 1.18-3.40). CONCLUSIONS: Compared with the general orthodontic patient population, permanent tooth agenesis was observed approximately 2 times more frequently, and a distinctive agenesis pattern was found in the Class II Division 2 group in Japan.

Relationships between Age at Menarche and Risk of Cardiovascular Disease Mortality among Japanese Women: The Japan Collaborative Cohort Study for Evaluation of Cancer Risk (JACC) Study.

AIM: In this study, we aimed to evaluate the association between age at menarche and risk of cardiovascular disease mortality. METHODS: In total, 54,937 women aged 40-79 years old between 1988 and 1990 without a history of cardiovascular disease were eligible for analysis and were followed through December 2009. We used the Cox proportional hazards models to examine the association between age at menarche and risk of cardiovascular disease. RESULTS: Compared with women with age at menarche of 15 years, the hazard ratios (95% confidence intervals) of stroke were 1.22 (0.85-1.75) for women with age at menarche of 9-12 years, 1.08 (0.85-1.36) for those of 13 years, 1.23 (1.02-1.47) for those of 14 years, 1.27 (1.07-1.50) for those of 16 years, 1.16 (0.95-1.41) for those of 17 years, and 1.39(1.16-1.68) for those of 18-20 years (P for trend=0.045). A similar pattern was observed for hemorrhagic stroke, ischemic stroke, and total cardiovascular disease. No such association was found for coronary heart disease. When stratified by age, for women aged 40-59 at baseline, the similar U-shaped association was observed. In contrast, for women aged 60-79 years at baseline, a significantly high hazard ratio was noted in the group of late age at menarche, but not in the group of early age at menarche. CONCLUSIONS: Both women with early and late age at menarche were determined to have higher risk of death from stroke and cardiovascular disease.

Expression and hypoxic regulation of hif1alpha and hif2alpha during early blood and endothelial cell differentiation in chick.

HIF1 and HIF2 are major mediators for hypoxia sensing and response. Their roles in early differentiation of two key cell types involved in oxygen supply in amniotes, the primitive blood cells and endothelial cells, are unclear. We show that, in pre-circulation avian embryos, hif1alpha and hif2alpha are expressed in embryonic and extraembryonic tissues, respectively. hif2alpha, first identified as epas1, is not present in endothelial cells at any pre-circulation stage under either normoxia or hypoxia conditions. Differentiating blood cells express low levels of hif2alpha under normoxia, but show a strong and rapid upregulation under hypoxia. Blood cell differentiation, however, is not affected under either hypoxia or hyperoxia conditions.

Dynamic expression of Endoglin, a TGF-beta co-receptor, during pre-circulation vascular development in chick.

Mutations in the human Endoglin gene, encoding a dimeric TGF-beta co-receptor, lead to type 1 hereditary hemorrhagic telangiectasia. Studies in mice have revealed important roles of Endoglin in endothelial cell proliferation, differentiation and integrity. Endoglin(-/-) mouse embryos die at mid-gestation due to cardiac defects and vessel rupture. Its role during early vasculogenesis is unclear, as the initial phase of vascular endothelial cell formation appears unaffected in Endoglin(-/-) embryos. In order to understand possible roles of Endoglin in early vascular development, we used the chick model and analyzed the temporal and spatial expression pattern of Endoglin during vasculogenesis in pre-circulation stage chick embryos. Weak Endoglin expression was detected at HH4 in the node and in the extraembryonic mesoderm. The node-specific expression is transitory and disappears after HH5. Strong up-regulation of Endoglin expression is seen at HH8 in all endothelial progenitors undergoing morphological changes to become endothelial cells. Most extraembryonic splanchnopleural vascular endothelial cells down-regulate Endoglin after their morphological differentiation, whereas lateral plate and cardiac endothelial cells remain positive until HH12, followed by a clear drop after circulation starts at HH13. Progenitors for the pronephric duct are positive from HH10 to HH12, but down-regulate Endoglin after epithelialization of duct cells. Overall, these data reveal a dynamic expression pattern of Endoglin in pre-circulation chick development and indicate that Endoglin may play an important role in the transition from endothelial progenitors to functional endothelial cells during early vascular development.