Osteoporosis/osteopenia as an independent factor associated with periodontitis in postmenopausal women: a case-control study.

UNLABELLED: This study investigated whether osteoporosis/osteopenia has an influence on the progression of periodontitis in postmenopausal women. The findings highlight that postmenopausal women with osteoporosis/osteopenia had a greater chance of presenting periodontitis than those with normal bone mineral density, particularly among nonusers of osteoporosis medications and women with a greater number of remaining teeth, showing that osteoporosis/osteopenia has had an influence on the progression of periodontitis. INTRODUCTION: This study investigated whether osteoporosis/osteopenia has an influence on the progression of periodontitis in postmenopausal women and explored the effects of use of osteoporosis medication and tooth loss on this association. METHODS: This case-control study involved 521 postmenopausal women, with minimum age of 50 years, in Feira de Santana, Bahia, Brazil. Sociodemographic characteristics, health conditions/medications, and lifestyle habits were recorded. A complete periodontal examination was performed and periodontitis was diagnosed. Bone mineral density was evaluated through lumbar spine and femoral bone densitometry, obtained using dual-energy X-ray absorptiometry. Logistic regression was used to calculate the strength of association between the occurrences of osteoporosis/osteopenia and periodontitis. RESULTS: Women with osteoporosis/osteopenia were twice as likely to present periodontitis, as were those with normal bone mineral density, even after adjusting for smoking, age, family income, and last visit to dentist (odds ratios (OR)adjusted=2.24, 95% CI [1.24-4.06], p=0.008). Among nonusers of osteoporosis medication (ORadjusted=2.51, 95% CI [1.33-4.73], p=0.004) and women with at least 10 remaining teeth (ORadjusted=2.50 95% CI [1.18-5.27], p=0.02), the odds ratio was higher and statistically significant. CONCLUSIONS: These findings highlight that postmenopausal women with osteoporosis/osteopenia had a greater chance of presenting periodontitis than those with normal bone mineral density, particularly among nonusers of osteoporosis medications and women with a greater number of remaining teeth.

Phloem Unloading in Sink Leaves of Nicotiana benthamiana: Comparison of a Fluorescent Solute with a Fluorescent Virus.

Using noninvasive imaging techniques, we compared phloem unloading of the membrane-impermeant, fluorescent solute carboxyfluorescein (CF) with that of potato virus X expressing the gene for the green fluorescent protein. Although systemic virus transport took considerably longer to occur than did CF transport, unloading of both solute and virus occurred predominantly from the class III vein network, a highly branched veinal system found between class II veins. The minor veins (classes IV and V) played no role in solute or virus import but were shown to be functional in xylem transport at the time of import by labeling with Texas Red dextran. After virus exit from the class III phloem, the minor veins eventually became infected by cell-to-cell virus movement from the mesophyll. During the sink/source transition, phloem unloading of CF was inhibited from class III veins before the cessation of phloem import through them, suggesting a symplastic isolation of the phloem in class III veins before its involvement in export. The progression of the sink/source transition for carbon was unaffected by the presence of the virus in the sink leaf. However, the virus was unable to cross the sink/source boundary for carbon that was present at the time of viral entry, suggesting a limited capacity for cell-to-cell virus movement into the apical (source) region of the leaf. A functional model of the sink/source transition in Nicotiana benthamiana is presented. This model provides a framework for the analysis of solute and virus movement in leaves.

Molecular analysis of potato virus X isolates in relation to the potato hypersensitivity gene Nx.

The coat protein gene of potato virus X is known to affect the outcome of interactions between different strains of the virus and potato plants carrying the Nx resistance gene. To analyze the role of the coat protein in interactions with Nx hosts, we used the potato virus X strain PVXDX, which induces a hypersensitive response on potato cultivars carrying the Nx resistance gene and the strain PVXDX4, which was originally derived from PVXDX and which overcomes Nx-mediated resistance. Sequencing of cloned coat protein genes representing the strains PVXDX and PVXDX4 showed that they differed at a single nucleotide. This change results in the substitution of glutamine-78 in the PVXDX coat protein for proline in PVXDX4. We constructed hybrid viral genomes by replacing the coat protein gene of a full-length clone of isolate PVXUK3 with the corresponding sequence from either PVXDX or PVXDX4. Progeny virus, derived from in vitro transcripts of these hybrid clones, showed that the single nucleotide difference between the coat protein genes of isolates PVXDX and PVXDX4 was sufficient to alter the outcome of the interaction between the virus and potato plants carrying the resistance gene Nx. Additional coat protein mutants generated in planta from transcript-derived inocula induced an intermediate host response on Nx potato cultivars which is influenced by the presence of a second, PVX-specific, resistance gene in the host plant genome.

Molecular biology of resistance to potato virus X in potato.

It has been proposed that plants express resistance to pathogens when the product of a resistance gene interacts with an elicitor molecule produced by the pathogen. Although there is one instance with tobacco mosaic virus (TMV) in which virus resistance is known to act through the same type of mechanism, it is not known whether this model accounts generally for resistance interactions with plant viruses. To address this issue the interactions of resistance genes in potato with potato virus X (PVX) have been analysed at the molecular level. PVX is an RNA virus that is affected by three different types of resistance locus in various potato cultivars. By using recombinant isolates of PVX, incorporating components of strains or mutant viruses able to overcome or avoid the effects of the resistance loci, we have identified different regions of the viral genome that determine the outcome of the resistance interaction. This information has allowed us to investigate the resistance in detail. For example, with the resistance specified by the Rx locus, it has been shown that the coat protein is an avirulence determinant and elicitor of an induced resistance. This resistance acts by reducing virus accumulation in the inoculated cell. Although the recognition component of the resistance is highly specific, the induced response is apparently non-specific and is effective against viruses unrelated to PVX in cells doubly inoculated with PVX and a second virus. The recognition function of Rx is also expressed in Gomphrena globosa which is a non-host plant of PVX. Based on these data, we propose that virus resistance fits the paradigm of resistance to fungal and bacterial pathogens and that there are similarities between the mechanism of cultivar specific resistance and non-host resistance to pathogen attack. Further analysis of the mechanism of the non-specific response phase may ultimately allow genetic engineering of broad-spectrum virus resistance in crop plants.

Radiographic features of periodontal bone defects: evaluation of digitized images.

OBJECTIVES: Radiographic evaluation of periodontal conditions is a difficult process because of the many limitations inherent to this complementary examination and the lack of image specificity for different types of bone defects. The objectives of this study are to utilize digitized imaging resources to describe the radiographic features of different types of periodontal bone defects produced artificially in dry mandibles. METHODS: 14 dry mandibles were utilized, in which periodontal bone defects were produced. Digital photographs and conventional radiographs of each site were obtained in a standardized manner, before and after producing these defects. The radiographs were then digitized, displayed on the screen and evaluated by three examiners. RESULTS: Most of the bone defects presented distinct imaging characteristics that allowed them to be identified, with the exception of one-, two- and three-wall infrabony defects. The defects that were most easily interpreted were horizontal and vertical defects and the most difficult were defects in the radicular septum. CONCLUSIONS: Despite the importance of imaging diagnoses in reaching clinical decisions regarding treatment, such diagnoses for different types of periodontal bone defects are extremely difficult to make. In the present study, the utilization of digital tools for interpreting digitized radiographic images facilitated the process.

Effect of contact diode laser on the cornea with and without absorbing dye.

The semiconductor diode laser is a near-infrared laser; its 810-nm wavelength is maximally absorbed by melanin and has substantial transmissibility through cornea and sclera. Indocyanine green is the best photosensitive dye for the diode laser. The level of corneal damage produced by 810-nm diode laser, with and without absorbing dye (indocyanine green), and photoablative capabilities of this wavelength were studied using albino rabbits. We concluded that the contact application of this wavelength to the cornea in the presence of energy-absorbing dye causes both stromal and endothelial thermal damage. Therefore, 810-nm near-infrared semiconductor diode lasers are not suitable for photorefractive keratectomy or photoablative reprofiling.

Assembly and movement of a plant virus carrying a green fluorescent protein overcoat.

Potato virus X (PVX) is a filamentous plant virus infecting many members of the family Solanaceae. A modified form of PVX, PVX.GFP-CP which expressed a chimeric gene encoding a fusion between the 27-kDa Aequorea victoria green fluorescent protein and the amino terminus of the 25-kDa PVX coat protein, assembled into virions and moved both locally and systemically. The PVX.GFP-CP virions were over twice the diameter of wild-type PVX virions. Assembly of PVX.GFP-CP virions required the presence of free coat protein subunits in addition to the fusion protein subunits. PVX.GFP-CP virions accumulated as paracrystalline arrays in infected cells similar to those seen in cells infected with wild-type PVX The formation of virions carrying large superficial fusions illustrates a novel approach for production of high levels of foreign proteins in plants. Aggregates of PVX.GFP-CP particles were fluorescent, emitting green light when excited with ultraviolet light and could be imaged using confocal laser scanning microscopy. The detection of virus particles in infected tissue demonstrates the potential of fusions between the green fluorescent protein and virus coat protein for the non-invasive study of virus multiplication and spread.

Analysis of the N gene hypersensitive response induced by a fluorescently tagged tobacco mosaic virus.

The hypersensitive response (HR) triggered on Nicotiana edwardsonii by tobacco mosaic virus was studied using a modified viral genome that directed expression of the green fluorescent protein. Inoculated plants were initially incubated at 32 degrees C to inhibit the N gene-mediated HR. Transfer to 20 degrees C initiated the HR, and fluorescent infection foci were monitored for early HR-associated events. Membrane damage, which preceded visible cell collapse by more than 3 h, was accompanied by a transient restriction of the xylem within infection sites. Following cell collapse and the rapid desiccation of tissue undergoing the HR, isolated, infected cells were detected at the margin of necrotic lesions. These virus-infected cells were able to reinitiate infection on transfer to 32 degrees C, however, if maintained at 20 degrees C they eventually died. The results indicate that the tobacco mosaic virus-induced HR is a two-phase process with an early stage culminating in rapid cell collapse and tissue desiccation followed by a more extended period during which the remaining infected cells are eliminated.