Vitamin D levels in children, adolescents, and young adults with juvenile-onset systemic lupus erythematosus: a cross-sectional study.

BACKGROUND: SS and LC contributed equally to this manuscript. Hypovitaminosis D is common in the general population. Although many studies on 25-hydroxyvitamin D (25(OH)D) are available on systemic lupus erythematosus (SLE), few data are reported in juvenile-onset SLE (JSLE) patients. DESIGN: This study aimed to assess serum 25(OH)D levels in JSLE patients and to identify risk factors for vitamin D deficiency in this population. METHODS: Forty-five Caucasian JSLE patients (36 females, nine males; mean age 18.9±6.3 years) and 109 age- and sex-matched healthy controls entered the study. Dual-energy X-ray absorptiometry (DXA) scans of the lumbar spine, serum calcium and phosphate, bone-specific alkaline phosphatase (BSAP), parathyroid hormone (PTH), and 25(OH)D were assessed. The data were compared with an age- and sex-matched control group including 109 Caucasian healthy subjects. RESULTS: JSLE patients exhibited lower 25(OH)D levels than controls (p<0.005), with the lower values observed in patients with active vs. inactive disease (p<0.05). JSLE patients exhibited reduced total calcium levels (p<0.001) and higher phosphate levels (p<0.001), BSAP (p<0.001) and PTH (p<0.001) than controls. In addition, JSLE patients exhibited lower spine bone mineral apparent density (BMAD) SDS values than controls (p<0.001), with higher values in patients with 25(OH)D sufficiency and insufficiency than in those with 25(OH)D deficiency (p<0.001). CONCLUSIONS: Patients with JSLE have significantly lower 25(OH)D levels than controls. Therefore, vitamin D supplementation may be useful to normalize bone mass and quality in subjects with JSLE.

Cross-sectional and longitudinal evaluation of bone mass and quality in children and young adults with juvenile onset systemic lupus erythematosus (JSLE): role of bone mass determinants analyzed by DXA, PQCT and QUS.

INTRODUCTION: There are few prospective data on bone mass and quality in patients with juvenile onset systemic lupus erythematosus (JSLE). There are also few studies analyzing bone mass and quality determinants by using at the same time dual-energy X-ray absorptiometry (DXA), peripheral quantitative computed tomography (pQCT) and quantitative ultrasound (QUS). OBJECTIVE: The objective of this paper is to evaluate cross-sectionally and longitudinally bone mass and quality determinants in adolescents and young adults with JSLE, and to identify the main predictors of reduced bone mineral density (BMD) and bone quality using these techniques. METHODS: Fifty-six patients with JSLE (mean age 18.5 ± 5.7 years) entered the study. In all subjects DXA scan at the lumbar spine, radius pQCT and phalangeal QUS were performed the same day. Of these, 46 patients (mean age 23.1 ± 6.2 years) were revaluated with a second DXA, pQCT and QUS. The data obtained were compared with 72 and 80 age- and sex- matched healthy controls. RESULTS: At the first evaluation, JSLE patients had a reduced spine BMAD SDS (p < 0.001), and significantly lower levels of TrabBMD (p < 0.0001), SSIp (p < 0.05), AD-SoS and QUS z-score (p < 0.005) but not reduced muscle CSA and CBA values. CortBMD and FatCSA were significantly increased (p < 0.0001). These data were confirmed at longitudinal evaluation regarding spine BMAD SDS (p < 0.001), TrabBMD (p < 0.0001), FatCSA (p < 0.005), AD-SoS (p < 0.001), and QUS z-score (p < 0.005) but not muscle CSA (p ≤ 0.05) and CBA (p < 0.0001). SSIp and CortBMD longitudinal evaluation showed that JSLE patients did not present significant differences in comparison to controls. CONCLUSIONS: Patients with JSLE have a low bone mass without catch-up growth over time, causing a reduction of peak bone mass with high risk of osteoporosis in early adulthood. To reduce the risk, close monitoring of BMD, better control of disease activity, physical activity and dietary intake of calcium and vitamin D are advocated to ameliorate the loss of bone mass. In patients with proved osteoporosis therapeutic approaches including bisphosphonates should be considered.

Comparison of bone mass and quality determinants in adolescents and young adults with juvenile systemic lupus erythematosus (JSLE) and juvenile idiopathic arthritis (JIA).

BACKGROUND: Few prospective data have been published on the comparison of bone density and quality in homogeneous groups of patients with juvenile systemic lupus erythematosus (JSLE) and juvenile idiopathic arthritis (JIA). OBJECTIVE AND HYPOTHESIS: The objective of this study is to perform a longitudinal evaluation of the prevalence and the characteristics of bone mass and quality and to evaluate the differences on the bone parameters, using DXA, pQCT and QUS. POPULATION AND/OR METHODS: Forty-three JSLE patients (35 females, 8 males, median age 18.8, range 14.0-34.1 years) have been studied with DXA, pQCT and QUS scans and compared with 138 JIA patients (112 females, 26 males, median age 18.9, range 13.4-33.2 years), and 79 controls (59 females, 20 males; median age 19.3, range 13.5-36.5 years). Of these, 39 patients (32 females and 7 males, median age 20.3, range 16.6-36.8 years) with JSLE were followed longitudinally and compared with 131 patients (108 females, 23 males median age 20.7, range 15.8-37.1 years) with JIA and 63 controls (48 females, 15 males; median age 21.9, range 15.5-38.3 years). RESULTS: JSLE patients have a higher bone cortical density (CrtBMD) than controls and JIA patients (p < 0.005). However, JSLE and JIA patients have a significantly reduced bone trabecular density (TrbBMD) compared to controls (p < 0.0001), with no differences between JSLE and JIA. In addition, JIA patients show a significantly reduced muscle area (MuscleCSA) compared to JSLE and controls (p < 0.001). Conversely, fat area (FatCSA) is significantly increased both in JIA and JSLE patients when compared to controls (p < 0.001), with no differences between the JSLE and JIA groups. Analogous results are observed in the polar resistance to stress (SSIp). On longitudinal evaluation, contrary to CrtBMD, the difference between BMAD SDS, TrbBMD, MuscleCSA and FatCSA remains unchanged; in JSLE patients, SSIp is stable in comparison to JIA and controls without any difference between the two groups. CONCLUSIONS: The evaluation of bone density and structure parameters in JSLE patients highlights significant differences compared with JIA patients and controls. These data might indicate a different pathogenesis of bone damage in the two entities, and suggest a different diagnostic and therapeutic approach to improve the peak bone mass.

Sea anemones, methylmercury, and bacterial infection: A closer look at multiple stressors.

Specimens of the Mediterranean sea anemone Anemonia viridis were exposed to methylmercury (MeHg) and bacterial infection to study their immune responses to a well-known toxic pollutant. Anemones were housed in laboratory conditions and divided into five experimental groups: 1. control (no microinjection); 2. filtered seawater + buffer injection; 3. filtered seawater + Escherichia coli injection; 4. MeHg + buffer injection; 5. MeHg + E. coli injection. Data showed an increase in antioxidant enzyme production compared to the constitutive condition, while methylmercury inhibited lysozyme production. The buffer inoculation had no statistically significant effects on the animals. In addition, electrophoretic and protease analyses revealed differences in the type of proteins produced, as well as a modulation of proteases depending on the treatment. The study demonstrated the immunomodulatory effect of the organic pollutant on A. viridis, validating its use as a model organism for marine coastal biomonitoring programmes and multiple stress studies.

Global warming-related response after bacterial challenge in Astroides calycularis, a Mediterranean thermophilic coral.

A worldwide increase in the prevalence of coral diseases and mortality has been linked to ocean warming due to changes in coral-associated bacterial communities, pathogen virulence, and immune system function. In the Mediterranean basin, the worrying upward temperature trend has already caused recurrent mass mortality events in recent decades. To evaluate how elevated seawater temperatures affect the immune response of a thermophilic coral species, colonies of Astroides calycularis were exposed to environmental (23 °C) or elevated (28 °C) temperatures, and subsequently challenged with bacterial lipopolysaccharides (LPS). Using immunolabeling with specific antibodies, we detected the production of Toll-like receptor 4 (TLR4) and nuclear factor kappa B (NF-kB), molecules involved in coral immune responses, and heat shock protein 70 (HSP70) activity, involved in general responses to thermal stress. A histological approach allowed us to characterize the tissue sites of activation (epithelium and/or gastroderm) under different experimental conditions. The activity patterns of the examined markers after 6 h of LPS stimulation revealed an up-modulation at environmental temperature. Under warmer conditions plus LPS-challenge, TLR4-NF-kB activation was almost completely suppressed, while constituent elevated values were recorded under thermal stress only. An HSP70 up-regulation appeared in both treatments at elevated temperature, with a significantly higher activation in LPS-challenge colonies. Such an approach is useful for further understanding the molecular pathogen-defense mechanisms in corals in order to disentangle the complex interactive effects on the health of these ecologically relevant organisms related to global climate change.

Push-out strength of translucent fibre posts cemented using a dual-curing technique or a light-curing self-adhering material.

AIM: To compare by means of a push-out test the interfacial strength of a dual-curing resin cement and a light-curing self-adhering resin composite when used in translucent fibre post cementation. METHODOLOGY: Thirty-four extracted human premolars with single canals were selected and root filled. Translucent fibre posts (RelyX Fiber Post) were luted into the root canal using two resinous luting systems (n = 17). Dual-Curing Technique (DC): the specimens were treated with Excite DSC and RelyX ARC, which were light-cured simultaneously through the post for 60 s. Light-Curing Self-Adhering Technique (LCSA): the specimens were treated with Vertise Flow, which was light-cured through the post for 60 s. The specimens were sectioned transversally into six slices to perform the push-out test at the coronal, middle and apical regions of the root canals. Data were analysed by two-way anova. All specimens were analysed by stereomicroscopy and SEM to determine fracture patterns. RESULTS: There were no significant differences between the DC and LCSA techniques (P = 0.703) in any of the canal regions. Root region was not a significant factor for push-out values (P = 0.255) and group-region interactions were not significant (P = 0.740). For the DC technique, the majority of the fracture patterns (73.3%) were adhesive at the interface between dual-curing resin cement and adhesive. For the LCSA technique, the majority of the fracture patterns (71.7%) were adhesive at the interface between light-curing self-adhering resin composite and dentine. CONCLUSIONS: The interfacial strength between light-curing self-adhering resin composite and root canal walls is equivalent to the interfacial strength between dual-curing cement and root canal walls.

The use of formaldehyde-treated 131-I-albumin in the study of digestive vacuoles and some properties of these particles from mouse liver.

The trichloroacetic acid-soluble radioactivity released during incubation of mouse liver particles containing intravenously injected formaldehyde-treated (131)I-albumin consisted almost entirely of (131)I-iodotyrosine. The material was shown to be excreted into the medium and was not due to disruption of the particles by acid. Triton X-100 or the absence of sucrose in the medium inhibited hydrolysis of the particle-associated labeled protein. This inhibition was due to disruption of the digestive vacuoles and dilution of the protein and cathepsins in the suspending medium. These results and other experimental evidence strongly suggest that the (131)I-albumin-containing liver particles are digestive vacuoles. The results also establish that (131)I-albumin may be used to study these vacuoles. High concentrations of sucrose (1 M) inhibited degradation of intraparticulate protein. However, 1 M salts inhibited only the rate of the digestion. Sucrose had an inhibitory effect on a crude cathepsin preparation, and salts stimulated the activity when (131)I-albumin was used as substrate. The effect of high sucrose concentrations as an inhibitor of protein hydrolysis within digestive vacuoles was, therefore, most likely due principally to an inhibition of cathepsin activity within the vacuoles. The effect of salt was probably caused by a stimulation of both intra- and extra-particulate cathepsin activities, although 0.5-1.0 M KCl appeared to protect the particles.

A rational use of dental materials in posterior direct resin restorations in order to control polymerization shrinkage stress.

One of the main problems when using resin-based composites is the resulting polymerization shrinkage stress. Composite strain is hindered every time the composite is bonded to the tooth's walls. In the pre-gel phase the shrinkage stress is reduced by the composite flow from the free to the bonded surface areas. Therefore, no stress develops at the dentine-composite interface. When a gel point is reached, the composite flow no longer compensates for the volumetric shrinkage. The generated stress may cause adhesive failure and several other adverse clinical consequences such as enamel fracture, cracked cusps, cuspal movement, microcracking of the restorative material and gaps between the resin and cavity walls which may cause secondary caries and postoperative sensitivity. A sensible use of materials in direct restorations may contribute to a reduced rate of shrinkage stress. To this aim glass-ionomer cement as well as flowable, light-curing and self-curing composites were examined. The aim of this study was to provide some useful information for a sensible choice of restoration materials in order to control shrinkage stress and its negative consequences in direct posterior restorations.

5 '-Amino-4-imidazolecarboxamide riboside induces apoptosis in human neuroblastoma cells via the mitochondrial pathway.

5'-Amino-4-imidazolecarboxamide (AICA) riboside induces apoptosis in neuronal cell models. In order to exert its effect, AICA riboside must enter the cell and be phosphorylated to the ribotide. In the present work, we have further studied the mechanism of apoptosis induced by AICA riboside. The results demonstrate that AICA riboside activates AMP-dependent protein kinase (AMPK), induces release of cytochrome c from mitochondria and activation of caspase 9. The role of AMPK in determining cell fate is controversial. In fact, AICA riboside has been reported to be neuroprotective or to induce apoptosis depending on its concentration, cell type or apoptotic stimuli used. In order to clarify whether the activation of AMPK is related to apoptosis in our model, we have used another AMPK stimulator, metformin, and we have analysed its effects on cell viability, nuclear morphology and AMPK activity. Five mM metformin increased AMPK activity, inhibited viability, and increased the number of apoptotic nuclei. AICA riboside, which can be generated from the ribotide (an intermediate of the purine de novo synthesis) by the action of the ubiquitous cytosolic 5'-nucleotidase (cN-II), may accumulate in those individuals in which an inborn error of purine metabolism causes both a building up of intermediates and/or an increase of the rate of de novo synthesis, and/or an overexpression of cN-II. Therefore, our results suggest that the toxic effect of AICA riboside on some types of neurons may participate in the neurological manifestations of syndromes related to purine dismetabolisms.

The extension of resin tags in etched dentin: a misinterpretation?

AIM: The morphological characteristics of the filament structure, universally recognized as resin tags, in samples prepared using a new SEM methodology, are analyzed . METHODS: Ten non-carious, human third molars were cut transversally to obtain 10 dentinal surfaces. They were filled using an adhesive restorative technique. Subsequently, the samples were cut lengthwise to be SEM observed, and then randomly divided into 6 main groups according to the preparation modality of the section surface: Group A: EDTA; Group B: H(3)PO(4); Group C1: H(3)PO(4)+NaOCl; Group C2 H(3)PO(4)+NaOCl+H(2)O(2); Group D1: HCl+NaOCl; Group D2: HCl+NaOCl+H(2)O(2). RESULTS: The resin tags which originate from resin penetration and polymerization within the dentinal tubules are small conic-trunk shaped plugs that are a few microns long. The thinner extension of the resin tags is probably due to the persistence of the lamina limitans. CONCLUSIONS: A new method of specimen preparation for SEM visualization is proposed in order to effectively evaluate the penetration capacity of the adhesive in the dentinal substratum. In addition to the use of strong acids and bases, an agent capable of degrading the glycosaminoglycans was employed to completely remove the dentinal organic component.

Is an ATPase involved in uncoating of plasma membrane adaptor complex AP-2?

The coat of clathrin-coated vesicles mostly consists of clathrin and adaptor complexes AP-1 or AP-2. Clathrin is released from the vesicles in an ATP-dependent fashion prior to their fusion with endosomes. In the present study we found that ATP strongly inhibits in vitro binding of cytosolic AP-2 to membranes of stripped vesicles, and promotes the release of endogenous AP-2 from clathrin-deprived coated vesicles. Both effects required hydrolysis of ATP. In contrast, binding of AP-1 to stripped vesicles was not affected by ATP, but was enhanced by GTP-gamma-S. These results point to an ATPase that promotes the release of AP-2 from clathrin-coated vesicles.

Developmental aspects of the lysosomal apparatus. Membrane affinity of N-acetyl-beta-D-glucosaminidase in developing rat liver.

The affinity of N-acetyl-beta-D-glucosaminidase by membranes of liver was studied in rats of different ages including fetuses at day 18 of gestation. It was found that membrane bound enzyme activity, extractable with 0.6 KCl, increases from fetal life to adulthood reaching a peak 9 days after birth. In binding assays it was found that the enzyme of fetal, 9 days old, or adult rat has high affinity for membranes of the corresponding age. These bindings were saturable and with a similar KD, but the number of receptor sites was lowest in the fetal stage, and reached a peak 9 days after birth. The fetal enzyme did not bind to adult membranes. These results suggest that the transport system of hepatic lysosomal enzymes undergoes post-natal changes which are synchronic with other parameters of lysosomal apparatus maturation studied by us and other authors as total enzyme activity and intracellular digestion of macromolecules.

Changes in N-acetyl-beta-D-glucosaminidase binding system in rat liver during growth.

In this paper, we characterize the binding of N-acetyl-beta-D-glucosaminidase to membranes of rat liver during development. Cation-independent phosphomannosyl receptors were shown to be involved in the recognition of the enzyme at the following ages: 18 days of fetal life, 10-, 30- and 90-day-old rats. We remark here two important differences in the binding of the fetal enzyme when compared with that in 90-day-old rats; (a) in addition to an optimal binding at pH 7.0, the fetal enzyme showed another peak of binding at acidic pH (5.0), and (b) the binding of the fetal enzyme was also inhibited by galactose-6-phosphate. This inhibition was higher than that of mannose-6-phosphate at the acidic pH. We concluded that the lysosomal enzymes and their receptors undergo important changes around birth.

Lysosomal enzyme activity in rat adrenal gland related to the postnatal development.

The activity of five acid hydrolases in the adrenal gland at the perinatal stage in adult rats was measured here and changes in alpha-mannosidase and N-acetyl-beta-D- glucosaminidase activity were detected. These enzymes increase after birth reaching a peak between days 4 and 7. Other enzymes such as beta-glucuronidase, arylsulfatase and beta-glucosidase did not significantly change at the ages studied. These data suggest that the enzymatic activity and development of the adrenal gland may be correlated during the first week after birth; this is critical since most of the changes occur in this organ.

Separation of microtubule populations in rat brain homogenates by differential centrifugation.

Subcellular fractions were separated from rat homogenates at 600 g for 5 min (P1), 15,000 g for 10 min (P2), 48,000 g for 60 min (P3), 100,000 g for 150 min (P4) and a final supernatant (S). They contained 5.0, 14.3, 14.7, 24.7 and 41.3% of the total tubulin in the homogenate measured by colchicine binding. The microtubules recovered in a pool of fractions P1 + P2 + P3 underwent a faster depolymerization than those of P4 when the sediments were suspended in buffered solutions, poor in the stabilizing agent glycerol. As was observed with the electron microscope, P4 was richer than the other fractions in microtubules associated with membranous structures (MTA) by filamentous lateral connections. Subcellular distribution and lability properties may be the result of the connection of microtubules with membranous structures; the attached membranes would decrease the sedimentation velocity of microtubules, and lateral bridges could increase microtubular stability. Differences in length were not a cause of microtubule separation since this parameter did not vary among the microtubule of the different fractions or between MTA and non-associated microtubules of the same fraction.

The origin of some acid hydrolases of the fluid of the rat cauda epididymidis.

The activity of N-acetyl-beta-D-glucosaminidase (NAG, 60.1 units/mg protein) and of acid phosphatase (57.7 units/mg protein) in fluid from the cauda epididymidis formed without any contribution from the testis (fluid obtained from a perfused and isolated cauda epididymidis or from an epididymis whose corresponding efferent ducts had been ligated for 40 days) was significantly higher than the activity of these enzymes in normal fluid (39.6 and 41.2 units/mg protein, respectively). Arylsulphatase activity of the locally formed fluid (11.2 units/mg protein) was lower than that of normal fluid (74.1 units/mg protein). The rete testis fluid was relatively rich in arylsulphatase since the ratio of arylsulphatase to acid phosphatase activity was 17 times higher in this fluid than in locally formed fluid. It is concluded that the activities of NAG and acid phosphatase in normal fluid from the epididymis originate in the epididymal tissue, while most of the arylsulphatase activity comes from the testis.

Kinin-forming enzymes in vascular tissue.

The present study was undertaken to examine whether there is a kallikrein-like enzyme in vascular tissue. Isolated saline-perfused rat mesenteric arteries were used. A kallikrein-like enzyme and acid protease from saline-perfused mesenteric arteries were separated by CM-cellulose chromatography with a linear NaCl gradient. The separation made it possible to study the optimum pH of the kallikrein-like enzyme and acid protease. The kallikrein-like enzyme showed optimal activity in the range of pH 7-9 and the acid protease in the range of pH 4-5. Both enzymes when acting on a protein plasma substrate release an active peptide that has a similar chemical and pharmacological properties to bradykinin. Using antibodies that specifically inhibit kinins, the biological action was completely abolished. These results indicate that arterial tissue contains two enzymes which generate kinins, the characteristics of one of the enzymes are quite similar to those of a lysosomal protease of the cathepsin-like type of enzyme and the other differs clearly from the acid protease and plasma kallikreins and has physicochemical characteristics quite similar to those of the kallikreins of glandular origin.

Tubulin aggregates induced by Ni2+ present microtubular characteristics.

Rat brain tubulin in a proper buffered solution became insoluble in the presence of 10 mM NiCl2, and sedimented at centrifugal forces as low as 500 x g for 30 min. Both nickel-sedimented and microtubular tubulin conserved 65% of colchicine binding activity after 25 days of storage at -20 degrees C. However in brain cytosol, only 9% of the initial binding activity was conserved. The electrophoretic mobility of tubulin recovered from aggregates also remained unaltered. Therefore the aggregates formed with Ni2+ share important physicochemical properties with microtubules.

Electrophoretic analysis of protein selectively extracted with chaotropic agents from membranes of rat sperm.

Sperm from rat cauda epididymis was washed, sonicated and centrifuged to obtain fractions sedimenting at 600 x g for 5 min, 27.000 x g for 5 min, and 100.000 x g for 40 min. All fractions were observed with the electron microscopy and assayed for cytochrome c oxidase activity. The 100.000 x g fraction contained only small membranous vesicles and less than 0.5% of the total enzymatic activity. This fraction was considered to represent sperm plasmalemma and it was extracted with Tris-HCl buffer before treating it with one of the following chemicals: acetate buffer, pH: 4.5; 0.6 M KCl; bicarbonate buffer, pH 11.0; Triton X-100, and Sodium Dodecyl Sulfate (SDS). After centrifuging, the residual sediments were solubilized in hot 2% SDS. The extracts and the solubilized sediments (hot SDS) were analyzed in SDS-PAGE. The extracts obtained with the first three chemicals contained 11,9, and 25% of total proteins respectively. The bicarbonate buffer solubilized 45%, and the detergents 55% and 65% respectively. A total of 30 bands were seen in the extracts and sediments. Acid pH extracted a low number of bands of high mobility and low molecular weight. Instead, the KCl and bicarbonate buffer, extracted a great number of bands over a wide range of molecular weights (23, 38.5, 55, 100, and 140 KD). The detergents had similar effects: both solubilized four new bands. In residual sediments there were no new proteins and the bands corresponded to those extracted with the detergents, but they varied in staining intensity. According to the results obtained with the mild chaotropic agents of 0.6 M KCl and bicarbonate buffer, 50% of the mass of membraneous proteins may be peripheric. Proteins partially extracted with the detergents were also found in the residual sediment, and they may constitute the skeleton of sperm membrane.

[Preliminary research on the prognosis of late reimplants with prior conditioning with a fluoridated solution]. / Ricerca preliminare sulla prognosi con reimpianti tardivi previo condizionamento con soluzione fluorurata.

The principal factors that affect the prognosis of a posttraumatic reimplantation are the length of the extra-alveolar persistence and the manner in which the extracted tooth is preserved. Both are fundamental for the maintenance of the fiber vitality of the periodontal ligament. The necrosis of these fibers cause ankylosis. It is observed that the conditioning of the radicular surface with fluoride solutions before the reimplantation is likely to slow down the evolution of radicular resorption. To evaluate the effectiveness of such methodology six cases of traumatic extractions, characterized by a length of extra-alveolar persistency (not longer than 24 hours), and unfavorable conditions of the preserved tooth have been treated by conditioning the radicular surface with the Na-fluoride solution before the reimplantation. Another group of reimplantation cases with the same characteristics have been examined without proceeding first to the radicular conditioning. The results of the study, although preliminary, verified the positive influence of the Na fluoride upon the radicular resorption.