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1.
Zhonghua Yi Xue Za Zhi ; 102(9): 666-670, 2022 Mar 08.
Artigo em Zh | MEDLINE | ID: mdl-35249311

RESUMO

Objective: To observe the incidence of Tapia syndrome after posterior cervical spine surgery under oral tracheal intubation general anesthesia and to explore the risk factors for its occurrence. Methods: The data of patients suffered from Tapia syndrome after posterior cervical spine surgery under oral tracheal intubation general anesthesia from June 2018 to May 2021 were retrospectively reviewed. The type of procedure, surgeon, age and gender were selected as matching factors, 4 patients without Tapia syndrome were selected as control group for each case. The radiological parameters including mandibular-vertebral distance, thyroid-vertebral distance, thyroid cartilage-vertebral distance, and C2-C7 lordotic Cobb angle were measured on lateral radiographs of the cervical spine. The above parameters were measured on neutral, over-flexion and over-extension radiographs. The difference between the Tapia group and the control group were analyzed. Results: There were 9 patients (0.37%) suffered from Tapia syndrome after posterior cervical spine surgery under oral tracheal intubation general anesthesia in 2 431 patients, and it happened in 0.67 days (0-2 days) after the operation. There were 3 males and 6 females with a mean age of (61±5) years. The clinical manifestations was tongue extension deviation in 8 cases (88.9%), dysarthria in 6 cases (66.7%), dysphagia in 3 cases (33.3%), tongue stiffness in 3 cases (33.3%), hoarseness in voice and pharyngeal discomfort in 1 case (11.1%). All of the symptoms were relieved in all patients at 3 months postoperative follow-up. In neutral position, the mandibular-vertebral distance was (7.19±3.96) mm in the control group and it was (3.98±3.01) mm in Tapia group (P<0.05). From neutral position to hyperflexion position, the distance between mandible and vertebral body was reduced from 3.98 mm to 1.95 mm in the Tapia group and decreased for 51.0%, and it decreased from 7.19 mm for 31.8% to 4.90 mm in the control group. Conclusions: The incidence of Tapia syndrome after posterior cervical spine surgery under oral tracheal intubation general anesthesia is low. A smaller mandibular-vertebral distance on pre-operative cervical spine lateral view radiograph maybe a risk factor for Tapia syndrome after posterior cervical surgery under oral tracheal intubation general anesthesia.


Assuntos
Vértebras Cervicais , Intubação Intratraqueal , Idoso , Anestesia Geral/efeitos adversos , Vértebras Cervicais/cirurgia , Feminino , Humanos , Incidência , Intubação Intratraqueal/efeitos adversos , Intubação Intratraqueal/métodos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos
2.
Zhonghua Yi Xue Za Zhi ; 102(11): 781-786, 2022 Mar 22.
Artigo em Zh | MEDLINE | ID: mdl-35325957

RESUMO

Objective: To evaluate the value of color Doppler ultrasound and digital subtraction angiography (DSA) in evaluating the level of carotid bifurcation and the morphology of extracranial internal carotid artery in patients with atherosclerotic carotid stenosis. Methods: The carotid artery examination data of 186 patients with atherosclerotic carotid stenosis who underwent carotid DSA and color Doppler ultrasound in Shanghai Changzheng Hospital from July 2017 to June 2019 were retrospectively analyzed, including 154 males and 32 females, with ages ranging from 36 to 84 (66±8) years old. The correlation between the position of carotid bifurcation and the level of cervical spine, the distance from the position of carotid bifurcation to mandibular angle, the correlation of the level of bifurcation with the length of neck, and the incidence of carotid distortion were analyzed. Results: DSA showed that the most common position of carotid bifurcation was at C3 level on the left [37.3% (56/150)], and at C3-C4 level on the right [33.6% (42/125)], and the highest position was at C2 level on the left, and at C2-C3 levels on the right, while the lowest level on both sides was at C5 level. The incidence of high bifurcation of left carotid artery (C3 and above) was 46% (69/150), which was higher than that of right carotid artery [21.6% (27/125), P<0.001]. The incidence of high carotid bifurcation in men and women was 33.2% (76/229) and 43.5% (20/46), respectively, with no significant difference (P = 0.182). Carotid ultrasound showed that the distance between the left carotid bifurcation and the mandibular angle was (3.0±1.3) cm, which was shorter than that on the right [(3.4±1.2) cm] (P<0.001). The distance between carotid bifurcation and mandibular angle in men and women was (3.2±1.2) cm and (3.3±1.0) cm, respectively, with no significant difference (P = 0.093). There was no significant correlation between carotid bifurcation level and carotid length (right: r = 0.02, P = 0.091; left: r = 0.01, P = 0.927). The incidence of carotid artery distortion was 28.1% (9/32) in women and 15.6% (24/154) in men, with no significant difference (P = 0.091). The incidence of right carotid artery distortion in high bifurcation group was 59.3% (16/27), which was higher than that in non-high bifurcation group [3.1% (3/98)] (P<0.001). Likewise, the incidence of left carotid artery distortion in high bifurcation group was 30.4% (21/69), which was higher than that in non-high bifurcation group [2.5% (2/81)] (P<0.001). Conclusions: The bifurcation position of left carotid artery in patients with atherosclerotic carotid stenosis is higher than that of the right. Patients with high bifurcation of carotid artery are more likely to be complicated with carotid distortion. Preoperative color doppler ultrasound combined with DSA can evaluate the distortion of extracranial carotid artery, thereby providing reference for the selection of surgical methods.


Assuntos
Estenose das Carótidas , Adulto , Idoso , Idoso de 80 Anos ou mais , Angiografia Digital , Artérias Carótidas/diagnóstico por imagem , Artéria Carótida Interna , Estenose das Carótidas/diagnóstico , Vértebras Cervicais , China , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Ultrassonografia Doppler em Cores
3.
Zhonghua Zhong Liu Za Zhi ; 42(3): 247-251, 2020 Mar 23.
Artigo em Zh | MEDLINE | ID: mdl-32252205

RESUMO

Objective: To investigate the causes and influencing factors of unplanned reoperation in head and neck neoplasms. Methods: A retrospective analysis was conducted on the clinical data of the operation treated patients with head and neck neoplasm in Cancer Hospital Chinese Academy of Medical Sciences from 2016 to 2018. Results: Among 15 113 cases of head and neck neoplasms, 122 cases underwent unplanned reoperation, with an incidence of 0.81%. Unplanned reoperation mainly occurred within 24 hours after operation. The main causes of reoperation were bleeding (65.57%), lymphatic fistula (15.57%) and vascular crisis (9.84%). Sex, surgical site, grade of the first operation, grade of incision and grade of American Society of Anesthesiologists were associated with unplanned reoperations. The first surgical sites with higher probability of unplanned reoperation were tonsils (15.79%), gingiva (8.93%), oropharynx (8.33%), hypopharynx (4.79%) and tongue (3.17%), respectively. Unplanned reoperation resulted in an average expand of 121.66% in hospitalization time and 99.35% in hospitalization expenses. Conclusions: Unplanned reoperation increases hospital operating costs and patients' burden. We should pay close attention to the situation of patients within 24 hours after operation, and focus on preventing bleeding, lymphatic fistula and vascular crisis.We should make adequate preoperative evaluation and preparation for elderly male patients with high surgical grade, surgical incision and ASA grade, especially for the patients whose surgical sites were tonsil, gingiva, oropharynx, hypopharynx and tongue.


Assuntos
Neoplasias de Cabeça e Pescoço/cirurgia , Complicações Pós-Operatórias/cirurgia , Hemorragia Pós-Operatória/prevenção & controle , Reoperação/estatística & dados numéricos , Idoso , Perda Sanguínea Cirúrgica , Neoplasias de Cabeça e Pescoço/patologia , Humanos , Incidência , Tempo de Internação , Masculino , Complicações Pós-Operatórias/epidemiologia , Estudos Retrospectivos , Fatores de Risco
4.
J Appl Microbiol ; 125(4): 1108-1116, 2018 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-29742323

RESUMO

AIMS: The aim of this study was to develop a plantaricin BM-1, a typical IIa bacteriocin produced by Lactocacillus plantarumBM-1, for active polyvinylidene chloride (PVDC) films and to determine the antimicrobial effect of plantaricin BM-1 incorporated into a PVDC film on fresh pork during 7 days of storage at 4°C. METHODS AND RESULTS: Plantaricin BM-1 solutions (20 480 AU ml-1 ) that absorbed into the PVDC film increased gradually and reached maximum volumes during exposure for up to 20 h. When soaked in water, the released amount of plantaricin BM-1 from the active PVDC film reached a maximum at 20 h. The plantaricin BM-1 active PVDC film had an obvious antilisterial effect in culture medium and fresh pork inoculated with Listeria monocytogenes. Furthermore, plantaricin BM-1-incorporated PVDC film was also significantly (P < 0·01) reduced to aerobic counts of approximately 1·5 log10 CFU per g after 7 days of storage at 4°C in pork meat, and the pH and total volatile basic nitrogen of pork meat were significantly (P < 0·01, P < 0·05) lower than those of the control. CONCLUSION: Plantaricin BM-1 active film has an excellent effect to prolong the shelf life of pork meat during cold storage. SIGNIFICANCE AND IMPACT OF THE STUDY: The results of this study suggest a potential application of bacteriocin active film on meat preservation.


Assuntos
Antibacterianos/farmacologia , Bacteriocinas/farmacologia , Conservação de Alimentos/métodos , Carne/microbiologia , Cloreto de Polivinila/análogos & derivados , Animais , Antibacterianos/química , Bacteriocinas/química , Temperatura Baixa , Contagem de Colônia Microbiana , Microbiologia de Alimentos , Embalagem de Alimentos/instrumentação , Conservação de Alimentos/instrumentação , Armazenamento de Alimentos , Listeria monocytogenes/efeitos dos fármacos , Listeria monocytogenes/crescimento & desenvolvimento , Cloreto de Polivinila/química , Suínos
5.
J Nanosci Nanotechnol ; 16(3): 2576-81, 2016 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-27455672

RESUMO

A series of exfoliated and intercalated polyurethane organoclay nanocomposites were prepared by in situ polymerization of polyol/organoclay mixture, chain extender and diisocyanate. The creep behaviour of subsurface and bulk of the polyurethane coatings was investigated by nanoindentation technique and uniaxial conventional creep testing method, respectively. The results showed that the creep resistance of the nanocomposites was significantly improved by incorporation of organoclay. The enhancement of creep resistance was dependent on clay content as well as organoclay structure (exfoliation or intercalation) in the polymer matrix. With 1 wt% organoclay, the creep resistance increased by about 50% for the intercalated organoclay and 6% for the exfoliated organoclay systems, respectively, compared to the pristine polyurethane. Viscoelastic model was employed to investigate the effect of organoclay loadings on the creep performance of the polyurethane. Results showed the model was in good agreement with the experimental data. Incorporation of clay leads to an increase in elastic deformation especially in exfoliated polyurethane nanocomposites and induces a higher initial displacement at the early stage of creep.


Assuntos
Silicatos de Alumínio/química , Nanocompostos , Poliuretanos/química , Argila , Propriedades de Superfície
6.
J Periodontal Res ; 49(4): 518-26, 2014 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-24117880

RESUMO

BACKGROUND AND OBJECTIVE: Statins are inhibitors of 3-hydroxy-3-methylglutaryl coenzyme A reductase and have anti-inflammatory effects independent of cholesterol lowering. Recent clinical studies have indicated that statin intake has a beneficial effect on periodontal disease. However, the underlying mechanisms have not been well understood. In the current study, we employed a rat model with lipopolysaccharide (LPS)-induced periodontal disease and determined the effect of simvastatin, a commonly prescribed statin, on osteoclastogenesis, gingival inflammation and alveolar bone loss. MATERIAL AND METHODS: Sprague-Dawley rats were injected with Aggregatibacter actinomycetemcomitans LPS in periodontal tissue three times per week for 8 wk and part of the rats with LPS injection were also given simvastatin via gavage. After the treatments, the rat maxillae were scanned by microcomputed tomography and the images were analyzed to determine alveolar bone loss. To explore the underlying mechanisms, the effect of simvastatin on osteoclastogenesis and gingival expression of proinflammatory cytokines were also determined by tartrate-resistant acid phosphatase staining and real-time polymerase chain reaction assays, respectively. RESULTS: Results showed that LPS treatment markedly increased bone loss, but administration of simvastatin significantly alleviated the bone loss. Results also showed that LPS treatment stimulated osteoclastogenesis and the expression of inflammatory cytokines, but simvastatin significantly modulates the stimulatory effect of LPS on osteoclastogenesis and cytokine expression. CONCLUSION: This study demonstrated that simvastatin treatment inhibits LPS-induced osteoclastogenesis and gingival inflammation and reduces alveolar bone loss, indicating that the intake of simvastatin may hinder the progression of periodontal disease.


Assuntos
Aggregatibacter actinomycetemcomitans/fisiologia , Inibidores de Hidroximetilglutaril-CoA Redutases/uso terapêutico , Lipopolissacarídeos/farmacologia , Osteoclastos/efeitos dos fármacos , Doenças Periodontais/prevenção & controle , Sinvastatina/uso terapêutico , Fosfatase Ácida/análise , Perda do Osso Alveolar/prevenção & controle , Animais , Anti-Inflamatórios/uso terapêutico , Citocinas/efeitos dos fármacos , Modelos Animais de Doenças , Gengiva/química , Gengiva/efeitos dos fármacos , Gengivite/prevenção & controle , Mediadores da Inflamação/análise , Isoenzimas/análise , Metaloproteinase 9 da Matriz/efeitos dos fármacos , Doenças Maxilares/prevenção & controle , Ratos , Ratos Sprague-Dawley , Fosfatase Ácida Resistente a Tartarato , Receptores Toll-Like/efeitos dos fármacos , Microtomografia por Raio-X/métodos
7.
Br Dent J ; 236(5): 379-382, 2024 03.
Artigo em Inglês | MEDLINE | ID: mdl-38459308

RESUMO

This paper demonstrates how person-focused, prevention-based, risk/needs-related, team-delivered, minimum intervention oral care (MIOC) principles and approaches can be integrated into the dental profession for the delivery of environmentally sustainable, optimal care to high-needs and high caries-risk/susceptibility patients. It highlights the potential for NHS remuneration for prevention-based, phased, personalised care pathways/plans (PCPs) within a reformed NHS dental contract system. It emphasises the importance of comprehensive and longitudinal patient risk/susceptibility assessments, prevention and stabilisation of the oral environment before considering more complex, definitive restorative work. This paper forms the first of several components of a suite of educational/information materials needed to instil confidence and implementation protocols within primary care clinical oral health care teams delivering MIOC through phased PCPs, especially when managing patients with high needs and/or disease susceptibility.


Assuntos
Suscetibilidade à Cárie Dentária , Cárie Dentária , Humanos , Motivação , Atenção à Saúde , Cárie Dentária/prevenção & controle , Medição de Risco , Saúde Bucal
8.
Nan Fang Yi Ke Da Xue Xue Bao ; 43(10): 1674-1681, 2023 Oct 20.
Artigo em Zh | MEDLINE | ID: mdl-37933642

RESUMO

OBJECTIVE: To investigate the mechanism of parthenolide for inducing necroptosis and ameliorating CD8+ T cell exhaustion in colorectal cancer (CRC) and construct liposome nanoparticles for targeted delivery of parthenolide. METHODS: The inhibitory effect of parthenolide on proliferation of different CRC cell lines was examined using CCK8 assay, and ROS LDH detection and Western blotting were used to analyze the cell death pathways. In a mouse model bearing subcutaneous MC38 cell xenografts, the effects of 5 and 15 mg/kg parthenolide on tumor growth and CD8+ T cell depletion were observed. In a mouse model bearing orthotopic CRC cell xenograft in the ileocecal region, free parthenolide (100 µg/mL) or low (100 µg/mL) and high doses (200 µg/mL) of liposome nanoparticles loaded with parthenolide were injected via the tail vein, and the changes in CD8 expression in the xenografts were analyzed using immunohistochemistry. RESULTS: Treatment with parthenolide dose-dependently lowered the viability of the CRC cell lines SW480, DLD1, HCT116 and MC38 cells, and its effect was obviously antagonized by Nec-1. Immunoblotting analysis showed that parthenolide treatment resulted in increased RIP3 and MLKL phosphorylation in the CRC cells. In the mouse model bearing subcutaneous xenografts, parthenolide treatment at the high dose, but not at the low dose, significantly increased the number of infiltrating CD3+ CD8+ T cells and PD1hiTIM3+ T cell percentage (P<0.01) and lowered the percentage of PD1loTIM3- T cells in the tumor tissue (P<0.01). In the mouse models bearing orthotopic CRC xenograft, intravenous injection of the liposomes loaded with parthenolide, especially at the high dose, significantly increased CD8 expression in the tumor tissue (P<0.01). CONCLUSION: Parthenolide induces necroptosis in CRC and increases infiltrating CD8+ T cells to ameliorate CD8+ T cell exhaustion in the tumor. Liposome nanoparticles for targeted delivery of parthenolide produce stronger, anti-tumor effect.


Assuntos
Neoplasias Colorretais , Nanopartículas , Humanos , Camundongos , Animais , Lipossomos , Linfócitos T CD8-Positivos , Receptor Celular 2 do Vírus da Hepatite A/metabolismo , Necroptose , Exaustão das Células T , Neoplasias Colorretais/patologia
9.
J Dent Res ; 97(7): 810-819, 2018 07.
Artigo em Inglês | MEDLINE | ID: mdl-29420098

RESUMO

The balance between pro- and anti-inflammatory signals maintains tissue homeostasis and defines the outcome of chronic inflammatory diseases such as periodontitis, a condition that afflicts the tooth-supporting tissues and exerts an impact on systemic health. The induction of tissue inflammation relies heavily on Toll-like receptor (TLR) signaling, which drives a proinflammatory pathway through recruiting myeloid differentiation primary response gene 88 (MyD88) and activating nuclear factor kappa-light-chain-enhancer of activated B cells (NFκB). TLR-induced production of proinflammatory cytokines and chemokines is reined in by anti-inflammatory cytokines, including the transforming growth factor ß (TGFß) family of cytokines. Although Smad6 is a key mediator of TGFß-induced anti-inflammatory signaling, the exact mechanism by which TGFß regulates TLR proinflammatory signaling in the periodontal tissue has not been addressed to date. In this study, we demonstrate for the first time that the ability of TGFß to inhibit TLR-NFκB signaling is mediated by protein arginine methyltransferase 1 (PRMT1)-induced Smad6 methylation. Upon methylation, Smad6 recruited MyD88 and promoted MyD88 degradation, thereby inhibiting NFκB activation. Most important, Smad6 is expressed and methylated in the gingival epithelium, and PRMT1-Smad6 signaling promotes tissue homeostasis by limiting inflammation. Consistent with this, disturbance of Smad6 methylation exacerbates inflammation and bone loss in experimental periodontitis. The dissected mechanism is therapeutically important, as it highlights the manipulation of PRMT1-Smad6 signaling as a novel promising strategy to modulate the host immune response in periodontitis.


Assuntos
NF-kappa B/imunologia , Periodontite/imunologia , Proteína Smad6/imunologia , Arginina/imunologia , Células Cultivadas , Gengiva/citologia , Humanos , Inflamação/imunologia , Metilação , Fator 88 de Diferenciação Mieloide/imunologia , Domínios e Motivos de Interação entre Proteínas , Proteína-Arginina N-Metiltransferases/imunologia , Proteínas Repressoras/imunologia , Transdução de Sinais , Fator de Crescimento Transformador beta/imunologia , Ubiquitina-Proteína Ligases/imunologia
10.
Nanoscale ; 8(4): 2022-9, 2016 Jan 28.
Artigo em Inglês | MEDLINE | ID: mdl-26701327

RESUMO

A smart core-sheath nanofiber for non-adherent cell capture and release is demonstrated. The nanofibers are fabricated by single-spinneret electrospinning of poly(N-isopropylacrylamide) (PNIPAAm), polycaprolactone (PCL) and nattokinase (NK) solution blends. The self-assembly of PNIPAAm and PCL blends during the electrospinning generates the core-sheath PCL/PNIPAAm nanofibers with PNIPAAm as the sheath. The PNIPAAm-based core-sheath nanofibers are switchable between hydrophobicity and hydrophilicity with temperature change and enhance stability in the blood. When the nanofibers come in contact with blood, the NK is released from the nanofibers to resist platelet adhesion on the nanofiber surface, facilitating the direct capture and isolation of red blood cells (RBCs) from the blood above phase-transition temperature of PNIPAAm. Meanwhile, the captured RBCs are readily released from the nanofibers with temperature stimuli in an undamaged manner. The release efficiency of up to 100% is obtained while maintaining cellular integrity and function. This work presents promising nanofibers to effectively capture non-adherent cells and release for subsequent molecular analysis and diagnosis of single cells.


Assuntos
Resinas Acrílicas/química , Separação Celular/métodos , Eritrócitos/citologia , Nanofibras/química , Poliésteres/química , Subtilisinas/química , Animais , Coelhos
11.
Aust Dent J ; 60(3): 382-9, 2015 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-25296906

RESUMO

BACKGROUND: Root resorption during orthodontic treatment is a complex and sterile inflammatory process, characterized by the recruitment of mononuclear cells in the local periodontal ligament. This study aimed to investigate whether interleukin (IL)-1ß could induce the migration of monocytes through upregulating monocyte chemoattractant protein (MCP)-1 expression in human periodontal ligament cells. METHODS: Human periodontal ligament cells were cultured in medium containing various IL-1ß concentrations. After 24 hours of incubation, the messenger RNA (mRNA) and MCP-1 protein in periodontal ligament cells were detected by reverse transcriptase-polymerase chain reaction and Western blot analysis, respectively. The effect of supernatants of periodontal ligament cells on THP-1 cells was analysed via migration assay. RESULTS: IL-1ß (10 ng/mL and 25 ng/mL) increased the expression of MCP-1 mRNA and protein in periodontal ligament cells (p < 0.05). In addition, the supernatants from the IL-1ß-treated periodontal ligament cells increased the migratory response of THP-1 cells (p < 0.05), which could be blocked by the anti-MCP-1 antibody. CONCLUSIONS: IL-1ß had the potential to induce the migratory response of monocytes via upregulation of the expression of MCP-1 in human periodontal ligament cells and could contribute to orthodontic root resorption.


Assuntos
Quimiocina CCL2/metabolismo , Interleucina-1beta/farmacologia , Ligamento Periodontal/efeitos dos fármacos , Adolescente , Técnicas de Cultura de Células , Linhagem Celular , Movimento Celular/efeitos dos fármacos , Células Cultivadas , Quimiocina CCL2/análise , Quimiotaxia/efeitos dos fármacos , Criança , Humanos , Monócitos/efeitos dos fármacos , Ligamento Periodontal/citologia , RNA Mensageiro/análise , RNA Mensageiro/metabolismo , Regulação para Cima
12.
Int J Oral Maxillofac Surg ; 44(12): 1506-13, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26338076

RESUMO

Angiogenesis is critical for peri-implant bone regeneration and osseointegration. Endothelial cells (ECs) play an important role in angiogenesis during the early stage of bone formation. Nerve growth factor (NGF) is also reported to function as an angiogenic growth factor. The effects of NGF on ECs seeded on titanium surfaces are unclear. This study was done to investigate the influence of NGF on peri-implant angiogenesis in vitro and in vivo. We used two different titanium surfaces. ECs seeded on these surfaces were treated with indicated concentrations of NGF or vascular endothelial growth factor (VEGF). Proliferation, differentiation, morphological features, and amounts attached were assessed. Chicken embryo chorioallantoic membrane (CAM) was adopted to evaluate the effect of NGF in vivo. The results showed that NGF could promote EC proliferation on both titanium surfaces (F1d=2.083, P=0.156; F3d=30.857, P=0.0002; F5d=4.440, P=0.041; F7d=11.065, P=0.001). NGF and the SLA surface upregulated mRNA of NGF, TrkA, and p75 expression (FNGF=11.941, P=0.003; FTrkA=28.514, P=0.004; Fp75=7.725, P=0.01). In vivo, the supernatants of the NGF-treated group could promote neovascularization in CAM (F=17.662, P=0.009). This study demonstrated that NGF could enhance EC proliferation, gene expression on different titanium surfaces, and neovascularization in CAM. This provides novel information in relation to the promotion of early dental implant osseointegration.


Assuntos
Células Endoteliais/efeitos dos fármacos , Fator A de Crescimento do Endotélio Vascular/farmacologia , Fator B de Crescimento do Endotélio Vascular/farmacologia , Animais , Diferenciação Celular , Proliferação de Células , Sobrevivência Celular , Células Cultivadas , Embrião de Galinha , Citometria de Fluxo , Humanos , Técnicas In Vitro , Neovascularização Fisiológica , Ratos , Reação em Cadeia da Polimerase em Tempo Real , Propriedades de Superfície , Titânio , Veias Umbilicais/citologia
13.
Plast Reconstr Surg ; 104(1): 55-64, 1999 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-10597674

RESUMO

The authors studied the vascular anatomy of the buccinator muscle by dissecting fresh cadavers. The anatomy of the buccal branches of the facial artery consistently confirmed the existence of a posterior buccal branch, a few inferior buccal branches, and anterior buccal branches to the posterior, inferior, and anterior portions of the buccinator. The buccal artery and posterior buccal branch anastomose to each other and ramify over the muscle. Several veins originate from the lateral aspect of the muscle, converge into the buccal venous plexus, and drain into the facial vein (from two to four tributaries) or into the pterygoid plexus and the internal maxillary vein (from the buccal vein). These vessels and nerves enter the posterior half of the buccinator posterolaterally. The facial artery and vein are located at variable distances from each other around the oral commissure and the nasal base. Two patterns of buccinator musculomucosal island flaps supplied by these buccal arterial branches are proposed in this article. The buccal musculomucosal neurovascular island flap (posteriorly based), supplied by the buccal artery, its posterior buccal branch, and the long buccal nerve, can be passed through a tunnel under the pterygomandibular ligament for closure of mucosal defects in the palate, pharyngeal sites, the alveolus, and the floor of the mouth. The buccal musculomucosal reversed-flow arterial island flap (superiorly based), supplied by the distal portion of the facial artery through the anterior buccal branches, can be used to close mucosal defects in the anterior hard palate, alveolus, maxillary antrum, nasal floor and septum, lip, and orbit. The authors have used the flaps in 12 patients. There has been no flap necrosis, and results have been satisfactory, both aesthetically and functionally.


Assuntos
Retalhos Cirúrgicos , Adulto , Cadáver , Bochecha , Criança , Pré-Escolar , Músculos Faciais/anatomia & histologia , Nervo Facial/anatomia & histologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Mucosa Bucal/anatomia & histologia , Mucosa Bucal/cirurgia , Retalhos Cirúrgicos/irrigação sanguínea
14.
Plast Reconstr Surg ; 106(6): 1249-53, 2000 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-11083553

RESUMO

The purpose of this study was to provide some guidelines with respect to the location of the facial vessels, display the potential inverted blood flow of the facial artery, and reemphasize the value of color Doppler ultrasound studies in flap planning. An anatomic study of the facial artery and vein was done using color Doppler ultrasonography in 12 adults. The artery and the vein were located together at the lower border of the mandible. Around the oral commissure and under the nasal ala, they were located apart from each other with variable distances. This divergence of the facial vein from the artery is important information in the planning of axial pattern flaps. Furthermore, the reverse flow was observed in 12 patients after the blood flow of the facial artery was stopped by applying pressure manually at the lower border of the mandible. Observation of the reversed flow confirms the possibility of safe elevation of a retrograde flow-arterialized flap based on the distal portion of the facial artery.


Assuntos
Face/irrigação sanguínea , Ultrassonografia Doppler em Cores , Adolescente , Adulto , Artérias/diagnóstico por imagem , Feminino , Humanos , Masculino , Mandíbula/irrigação sanguínea , Pessoa de Meia-Idade , Veias/diagnóstico por imagem
15.
Drug Deliv ; 11(6): 335-40, 2004.
Artigo em Inglês | MEDLINE | ID: mdl-15736827

RESUMO

Uptake of novel inherently fluorescent microspheres composed of a luminescent polyanhydride, poly[p-(carboxyethylformamido)-benzoic anhydride] (PCEFB), and poly(lactide-co-glycolide) (PLGA) (2:1, weight ratio) by the gastrointestinal tract was evaluated by fluorescent microscopy. Oral efficiency of the incorporated insulin also was determined by measuring reduction of plasma glucose levels after feeding diabetic rats with a single dose of the microspheres. We found that PCEFB/PLGA microspheres could adhere to the intestinal epithelium and traverse the absorptive cells. A large number of the spheres were observed in spleen, whereas few were detected in liver within the evaluated period of time. Apparent reduction of the plasma glucose levels was observed over a span of 6 h postfeeding. The unique properties of the delivery system such as biodegradability, bioadhesivity, and inherently luminescent characteristics render it an ideal "visible" tracer for monitoring oral fate of polymeric microspheres.


Assuntos
Benzoatos/administração & dosagem , Sistemas de Liberação de Medicamentos/métodos , Trato Gastrointestinal/efeitos dos fármacos , Insulina/administração & dosagem , Ácido Láctico/administração & dosagem , Microesferas , Ácido Poliglicólico/administração & dosagem , Polímeros/administração & dosagem , Adesivos/administração & dosagem , Adesivos/análise , Adesivos/metabolismo , Animais , Benzoatos/análise , Benzoatos/metabolismo , Portadores de Fármacos/administração & dosagem , Portadores de Fármacos/análise , Portadores de Fármacos/metabolismo , Fluorescência , Trato Gastrointestinal/metabolismo , Insulina/análise , Insulina/metabolismo , Ácido Láctico/análise , Ácido Láctico/metabolismo , Ácido Poliglicólico/análise , Ácido Poliglicólico/metabolismo , Copolímero de Ácido Poliláctico e Ácido Poliglicólico , Polímeros/análise , Polímeros/metabolismo , Ratos , Receptores de Amina Biogênica
16.
J Dent Res ; 93(3): 294-9, 2014 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-24352501

RESUMO

Studies in recent years have shown a positive relationship between metabolic syndrome (MS) and periodontal disease (PD). Given that patients with MS take statins to reduce cholesterol, and statins also have anti-inflammatory effects, it is important to determine if statin intake hinders the progression of MS-associated PD. In this study, PD was induced in Zucker fat rats (ZFRs), an animal model for MS, and in control lean rats by periodontal injection of Aggregatibacter actinomycetemcomitans lipopolysaccharide (LPS), while simvastatin was given to some of the rats via gavage. After 4 wk of treatment, alveolar bone loss was determined by micro-computed tomography. To explore the underlying mechanisms, we determined the effect of simvastatin on tissue inflammation and the expression of molecules involved in osteoclastogenesis. Results showed that while bone loss was increased by LPS in both ZFRs and the control lean rats, it was significantly more in the former than the latter. Simvastatin effectively alleviated bone loss in both ZFRs and the control rats. Results also showed that LPS stimulated leukocyte tissue infiltration and expression of molecules for osteoclastogenesis, but simvastatin significantly modulated the stimulation. This study demonstrated that simvastatin inhibited LPS-induced alveolar bone loss and periodontal tissue inflammation in rats with MS.


Assuntos
Aggregatibacter actinomycetemcomitans , Perda do Osso Alveolar/prevenção & controle , Anti-Inflamatórios/uso terapêutico , Inibidores de Hidroximetilglutaril-CoA Redutases/uso terapêutico , Lipopolissacarídeos/efeitos adversos , Síndrome Metabólica/tratamento farmacológico , Sinvastatina/uso terapêutico , Perda do Osso Alveolar/patologia , Animais , Glicemia/análise , Quimiotaxia de Leucócito/efeitos dos fármacos , Colesterol/sangue , Modelos Animais de Doenças , Ácidos Graxos não Esterificados/sangue , Feminino , Fator Estimulador de Colônias de Granulócitos e Macrófagos/efeitos dos fármacos , Insulina/sangue , Resistência à Insulina , Interleucina-6/análise , Leucócitos/efeitos dos fármacos , Lipopolissacarídeos/antagonistas & inibidores , Osteoclastos/efeitos dos fármacos , Ácido Palmítico/antagonistas & inibidores , Periodontite/patologia , Periodontite/prevenção & controle , Ligante RANK/efeitos dos fármacos , Ratos , Ratos Zucker , Triglicerídeos/sangue , Microtomografia por Raio-X/métodos
18.
Vaccine ; 27(22): 2940-7, 2009 May 14.
Artigo em Inglês | MEDLINE | ID: mdl-19428904

RESUMO

Early life vaccination is necessary to protect young children from dental caries. Our group had previously reported that a plasmid DNA vaccine pGJA-P/VAX against the glucosyltransferase (GTF) enzyme and cell surface antigen AgI/II (PAc) of Streptococcus mutans (S. mutans) elicited a specific and protective immunity in adult experimental animal models. In this report, early life immunization with the same plasmid was studied following intranasal (i.n.) and intramuscular (i.m.) delivery in murine models. The potential of inducing mucosal and systemic immune responses to special antigens was measured by ELISA. In addition, cytokine production and protection effectiveness against dental caries formation were also investigated. In the i.n. route, rats were primed when they were 5 days old, and boosted after 10 and 20 days with either plasmid pGJA-P/VAX-bupivacaine complexes, or pGJA-P/VAX alone, or empty vector. The pGJA-P/VAX-bupivacaine combination was able to mount the immune responses characterized by increased antibody levels of specific salivary IgA and serum IgG, preferential IFN-gamma production and significant reduction in the dental caries lesions. In the i.m. route, rats were vaccinated with either pGJA-P/VAX alone or empty vector with the same immunization schedule as the i.n. route. Plasmid pGJA-P/VAX alone induced a significant increase in the serum IgG and IFN-gamma production. However, it was not effective in eliciting specific salivary IgA and in decreasing the dental caries formation. All these findings indicate the feasibility of immunity with a targeted fusion DNA vaccine to a young immune system.


Assuntos
Cárie Dentária/prevenção & controle , Vacinas Estreptocócicas/imunologia , Streptococcus mutans/imunologia , Vacinas de DNA/imunologia , Administração Intranasal , Animais , Anticorpos Antibacterianos/análise , Anticorpos Antibacterianos/sangue , Antígenos de Bactérias/genética , Antígenos de Bactérias/imunologia , Feminino , Imunidade nas Mucosas , Imunização Secundária , Imunoglobulina A/análise , Imunoglobulina A/sangue , Imunoglobulina G/análise , Imunoglobulina G/sangue , Injeções Intramusculares , Plasmídeos , Gravidez , Ratos , Proteínas Recombinantes de Fusão/genética , Proteínas Recombinantes de Fusão/imunologia , Saliva/imunologia , Soro/imunologia , Vacinas Estreptocócicas/administração & dosagem , Vacinas Estreptocócicas/genética , Streptococcus mutans/genética , Vacinas de DNA/administração & dosagem , Vacinas de DNA/genética , Vacinas de Subunidades Antigênicas/genética , Vacinas de Subunidades Antigênicas/imunologia , Vacinas Sintéticas/genética , Vacinas Sintéticas/imunologia
19.
Biomaterials ; 30(17): 3110-7, 2009 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-19344948

RESUMO

Despite many successful applications of microelectrode arrays (MEAs), typical two-dimensional in-vitro cultures do not project the full scale of the cell growth environment in the three-dimensional (3D) in-vivo setting. This study aims to on-line monitor in-vitro cell growth in a 3D matrix on the surface-modified MEAs with a dynamic perfusion culture system. A 3D matrix consisting of poly(ethylene glycol) hydrogel supplemented with poly-D-lysine was subsequently synthesized in situ on the self-assembled monolayer modified MEAs. FTIR spectrum analysis revealed a peak at 2100 cm(-1) due to the degradation of the structure of the 3D matrix. After 2 wks, microscopic examination revealed that the non-degraded area was around 1500 microm(2) and provided enough space for cell growth. Fluorescence microscopy revealed that the degraded 3D matrix was non-cytotoxic allowing the growth of NIH3T3 fibroblasts and cortical neurons in vitro. Time-course changes of total impedance including resistance and reactance were recorded for 8 days to evaluate the cell growth in the 3D matrix on the MEA. A consistent trend reflecting changes of reactance and total impedance was observed. These in-vitro assays demonstrate that our 3D matrix can construct a biomimetic system for cell growth and analysis of cell surface interactions.


Assuntos
Materiais Biocompatíveis/química , Técnicas de Cultura de Células/instrumentação , Técnicas de Cultura de Células/métodos , Proliferação de Células , Sistemas On-Line , Animais , Biomimética , Células Cultivadas , Córtex Cerebral/citologia , Impedância Elétrica , Desenho de Equipamento , Fibroblastos/metabolismo , Corantes Fluorescentes/metabolismo , Ouro/química , Hidrogel de Polietilenoglicol-Dimetacrilato/química , Indóis/metabolismo , Camundongos , Microeletrodos , Microscopia de Fluorescência , Células NIH 3T3 , Neurônios/metabolismo , Perfusão , Faloidina/metabolismo , Polietilenoglicóis/síntese química , Polietilenoglicóis/química , Rodaminas/metabolismo , Espectroscopia de Infravermelho com Transformada de Fourier , Especificidade por Substrato , Propriedades de Superfície , Fatores de Tempo
20.
Bioresour Technol ; 100(2): 622-8, 2009 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-18710802

RESUMO

Lignocelluloses prepared from woody tea stalk, pine sawdust and sugarcane bagasse were used as adsorbents to isolate decaffeinated catechins from tea extracts and compared with synthetic macroporous resin HPD 600. HPD 600 had the highest adsorption capacity to catechins, followed by tea stalk lignocellulose while lignocelluloses of pine sawdust and bagasse the least. Tea stalk lignocellulose absorbed preferentially tea catechins and showed a good selectivity. HPD 600 absorbed caffeine and tea catechins simultaneously. The kinetics data of tea stalk lignocellulose showed a good fit with the Langmuir isotherm model. It is considered that tea stalk lignocellulose is an alternative low-cost adsorbent for preparing decaffeinated tea catechins.


Assuntos
Cafeína/isolamento & purificação , Camellia sinensis/química , Catequina/isolamento & purificação , Lignina/química , Extratos Vegetais/química , Chá/química , Ultrafiltração/métodos , Adsorção , Componentes Aéreos da Planta
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