RESUMO
Cone beam computed tomography (CBCT) has obvious advantages over regular radiography in diagnosis of complex diseases. Objective of this study is to report a case of a mandibular jaw ameloblastoma recurring cyst, which represents a benign tumor of odontogenic epithelium, using CBCT imaging technology. CBCT examination of the patient suffering with recurrent lower jaw cyst (relapsing four years after surgery) showed a decrease in irregular bone density and appearance of a honeycomb pattern (3.5âcm×2.5âcm×1.8âcm) in the right lower jaw. This suggests that the lesion is more likely to be an ameloblastoma. Preoperative tissue biopsy and pathological examination of surgical sample confirmed the diagnosis. Surgical resection of the diseased tissue and autogenous bone grafting in the mandible was performed. Postoperative CBCT examination showed that the bone defect healed well, without recurrence of the tumor 22 months postoperatively. In conclusion, the rotated 3D CBCT images clearly displays the exact size, location, borders and internal changes of the tumor in the jaw cyst itself and the adjacent tissues. Thus, the dental CBCT allows clinicians to better evaluate lesions, leading to better treatment outcomes.
Assuntos
Ameloblastoma/diagnóstico por imagem , Tomografia Computadorizada de Feixe Cônico/métodos , Imageamento Tridimensional/métodos , Neoplasias Maxilomandibulares/diagnóstico por imagem , Adulto , Ameloblastoma/cirurgia , Feminino , Humanos , Neoplasias Maxilomandibulares/cirurgia , Mandíbula/diagnóstico por imagem , Mandíbula/cirurgia , Dente/diagnóstico por imagem , Dente/cirurgiaRESUMO
The two major causes for implant failure are postoperative infection and poor osteogenesis. Initial period of osteointegration is regulated by immunocytes and osteogenic-related cells resulting in inflammatory response and tissue healing. The healing phase can be influenced by various environmental factors and biological cascade effect. To synthetically orchestrate bone-promoting factors on biomaterial surface, built is a dual delivery system coated on a titanium surface (abbreviated as AH-Sr-AgNPs). The results show that this programmed delivery system can release Ag+ and Sr2+ in a temporal-spatial manner to clear pathogens and activate preosteoblast differentiation partially through manipulating the polarization of macrophages. Both in vitro and in vivo assays show that AH-Sr-AgNPs-modified surface renders a microenvironment adverse for bacterial survival and favorable for macrophage polarization (M2), which further promotes the differentiation of preosteoblasts. Infected New Zealand rabbit femoral metaphysis defect model is used to confirm the osteogenic property of AH-Sr-AgNPs implants through micro-CT, histological, and histomorphometric analyses. These findings demonstrate that the programmed surface with dual delivery of Sr2+ and Ag+ has the potential of achieving an enhanced osteogenic outcome through favorable immunoregulation.
Assuntos
Osso e Ossos , Materiais Revestidos Biocompatíveis , Infecções/tratamento farmacológico , Nanopartículas Metálicas/química , Prata , Estrôncio , Titânio , Animais , Osso e Ossos/metabolismo , Osso e Ossos/microbiologia , Osso e Ossos/patologia , Materiais Revestidos Biocompatíveis/química , Materiais Revestidos Biocompatíveis/farmacologia , Implantes de Medicamento/química , Implantes de Medicamento/farmacologia , Feminino , Infecções/metabolismo , Infecções/patologia , Camundongos , Osseointegração/efeitos dos fármacos , Osteogênese , Células RAW 264.7 , Coelhos , Prata/química , Prata/farmacologia , Estrôncio/química , Estrôncio/farmacologia , Propriedades de Superfície , Titânio/química , Titânio/farmacologiaRESUMO
Acetylation of Atg3 regulates the lipidation of the protein Atg8 in autophagy. The molecular mechanism behind this important biochemical event remains to be elucidated. We describe the first semi-synthesis of homogeneous K19/K48-diacetylated Atg3 through sequential hydrazide-based native chemical ligation. In vitro reconstitution experiments with the semi-synthetic proteins confirm that Atg3 acetylation can promote the lipidation of Atg8. We find that acetylation of Atg3 enhances its binding to phosphatidylethanolamine-containing liposomes and to endoplasmic reticulum, through which it promotes the lipidation process.