RESUMO
Propagation of mode I crack along bi-metal (001) interfaces of Fe/W, Fe/Ni, Fe/Co and Ti/Mg is simulated by molecular dynamics and discussed with the eigenvalue/vector of the atomic elastic stiffness, [Formula: see text], and surface energy. The crack does not propagate at the interface but in the adjacent phase of smaller surface energy, except in Fe/Ni. The 1st eigenvalue ηa(1), or the solution of [Formula: see text] of each atom, clarifies the difference of 'soft/hard' of both phases at the onset of crack propagation. In the case of Fe/Ni, the ηa(1) of Ni atoms remarkably decreases in the Fe/Ni bi-metal structure, even though Ni has higher ηa(1) than Fe at no-load perfect lattices. Thus the rupture occurs in the Ni side even though the Ni has slightly higher (001) surface energy than Fe. Deformation modes at the crack propagation are also visualized by the eigenvector of ηa(1) < 0 unstable atoms. This article is part of the theme issue 'Fracture dynamics of solid materials: from particles to the globe'.
Assuntos
Neoplasias de Cabeça e Pescoço/patologia , Neoplasias de Anexos e de Apêndices Cutâneos/patologia , Couro Cabeludo/patologia , Neoplasias Cutâneas/patologia , Idoso de 80 Anos ou mais , Alopecia , Feminino , Neoplasias de Cabeça e Pescoço/diagnóstico , Humanos , Neoplasias de Anexos e de Apêndices Cutâneos/diagnóstico , Neoplasias Cutâneas/diagnósticoRESUMO
Influence of mandibular asymmetry and cross-bite on temporomandibular joint (TMJ) articulation remained unknown. This study aimed to investigate whether/how the working-side condylar movement irregularity and articular spaces during chewing differ between patients with mandibular asymmetry/cross-bite and control subjects. The cross-bite group and the control group consisted of 10 adult female patients and 10 adult female subjects, respectively. They performed unilateral gum-chewing. The mandibular movements were recorded using a video-based opto-electronic system. The 3D articular surface of the TMJ for each individual was reconstructed using CT/MRI data. For local condylar points, the normalised jerk cost (NJC) towards normal direction to the condylar surface, the angle between tangential velocity vector and condylar long axis and intra-articular space were measured. Three rotatory angles at centre of the condyle were also measured. During closing and intercuspation, (i) movements of posterior portion of the deviated side condyle showed significantly less smoothness as compared with those for the non-deviated side and control subjects, (ii) the rotations of the condyle on the deviated side induced greater intra-articular space at posterior and lateral portions. These findings suggest that chewing on the side of mandibular deviation/cross-bite may cause irregular movement and enlarged intra-articular space at posterior portion of the deviated side condyle.
Assuntos
Má Oclusão/fisiopatologia , Côndilo Mandibular/fisiopatologia , Mastigação/fisiologia , Movimento/fisiologia , Articulação Temporomandibular/fisiopatologia , Adolescente , Adulto , Estudos de Casos e Controles , Feminino , Humanos , Processamento de Imagem Assistida por Computador , Imageamento por Ressonância Magnética , Amplitude de Movimento Articular/fisiologia , Tomografia Computadorizada por Raios X , Gravação em Vídeo , Adulto JovemRESUMO
Response of temporomandibular joint (TMJ) articulation adapting to occlusal alteration has been sparsely known. For 10 healthy adults with acceptably good occlusion, an artificial occlusal interference (OI) was introduced to the lower molar on the balancing side of unilateral chewing. Subjects were asked to chew a gum on their preferred side. The chewing jaw movements with/without the OI were recorded using a video-based optoelectronic system. The mandibular movements were generated in each individual's TMJ model reconstructed by magnetic resonance images. The smoothness of local condylar point movements towards the normal direction of the condylar surface and interarticular space on the working side was measured. Overall, the smoothness of condylar point movements in the closing phase was impaired immediately after introduction of the OI. In the intercuspal phase, the OI increased the joint space. After about 60 chewing cycles, the movement smoothness and joint space began to recover. These findings suggest that OI on the balancing side induced irregular stress field translation on the working-side condylar surface followed by acute recovery process.
Assuntos
Côndilo Mandibular/fisiopatologia , Mastigação/fisiologia , Amplitude de Movimento Articular/fisiologia , Articulação Temporomandibular/fisiopatologia , Adulto , Goma de Mascar , Feminino , Humanos , Processamento de Imagem Assistida por Computador , Imageamento por Ressonância Magnética , Gravação em Vídeo , Adulto JovemRESUMO
Although adults with mandibular prognathism are known to show impaired smoothness of masticatory jaw movements, it remains uncertain whether/how the surgical-orthodontic treatment is effective to improve masticatory jaw movements. The aims of this study were (i) to verify whether the surgical-orthodontic treatment of patients with mandibular prognathism improve smoothness of the chewing jaw movements post-operatively and, if so, (ii) to examine whether the improved parameters show similar quantities as those of the control subjects. The chewing jaw movements for 13 patients with mandibular prognathism were recorded at pre- and post-treatment stages. The patient group was divided into two groups: Class III(closed) showed full occlusal contact at the habitual intercuspal position, whereas Class III(open) showed inability of occlusal contact between the upper and lower anterior teeth. The control group (CG) consisted of 52 subjects having acceptably good occlusion. The normalised jerk cost (NJC), movement duration and peak velocity in jaw closing were compared. For both Class III(open) and Class III(closed) groups, statistical comparisons revealed that the NJC and movement duration were decreased after the treatment, whereas the peak velocity was increased (all P < 0·01). For the Class III(open), these quantities at the post-treatment stage did not show any significant differences compared with those for the CG. It is concluded that the smoothness of chewing jaw movements for patient with mandibular prognathism were improved after treatment, and for the patients with anterior open bite at pre-treatment, the post-operatively achieved smoothness of jaw-closing movements did not differ from those of the CG.
Assuntos
Mastigação/fisiologia , Prognatismo/cirurgia , Adolescente , Adulto , Estudos de Casos e Controles , Goma de Mascar , Feminino , Humanos , Estudos Longitudinais , Masculino , Má Oclusão Classe III de Angle , Resultado do Tratamento , Adulto JovemRESUMO
Indices such as smoothness, movement time, peak velocity, and symmetry of the velocity profile have been shown to be effective in explaining the degree of skilfulness of human saccadic eye, limb, and jaw motions. We investigated whether adult subjects with mandibular prognathism show impaired smoothness of the masticatory jaw movements. Forty-nine adults with skeletal Class III malocclusions and 52 healthy adults with acceptably good occlusions were selected respectively as Test and Control subjects. Subjects of the Test Group were subdivided into two groups: Class III(closed) showed full occlusal contact between the upper and lower teeth at the habitual intercuspal position, whereas Class III(open) showed inability of occlusal contact between the upper and lower anterior teeth. Each subject was asked to chew a piece of chewing gum. The normalised jerk-cost (NJC), movement duration, and tangential velocity profile during jaw-closing movements were compared between groups. Test Groups showed greater NJC (P < 0·01) with longer movement duration (P < 0·01) and lower peak velocity (P < 0·01) than the Control Group did. Class III(closed) showed greater NJC (P < 0·01) with longer movement duration (P < 0·01) and lower peak velocity (P < 0·01) than Class III(open) did. Results show that the mandibular movements made by the Test Groups exhibit lower skilfulness than those made by the Control Group. The jaw movement skilfulness of the prognathic patients decreases most drastically with existence of malocclusal contact between upper and lower anterior teeth.
Assuntos
Má Oclusão Classe III de Angle/fisiopatologia , Mandíbula/fisiopatologia , Mastigação , Prognatismo/fisiopatologia , Cefalometria , Goma de Mascar , Feminino , Humanos , Masculino , Mandíbula/anormalidades , Reprodutibilidade dos Testes , Distribuição por Sexo , Adulto JovemRESUMO
How 'control' characteristics of masticatory jaw movement, such as skilfulness of the movement, change after alteration in occlusion remains uncertain. For each of 10 healthy adults with good occlusion, an occlusal interference with artificial 'tooth-cusp' was introduced to the crown of the upper molar tooth on the non-working side of unilateral chewing. Mandibular incisor-point movements were then recorded by a 3D tracking device. The introduction of the occlusal interference induced a remarkable increase in the normalized jerk-cost (NJC), prolonged duration of the decelerative phase and lowered peak velocity for jaw closing movement during chewing. Overall, the NJC and velocity profile showed significant recoveries during the course of about 90 repetitive chewing cycles performed under the altered occlusal condition. These findings suggest that acute adaptive changes of jaw motion after introduction of occlusal interference might be characterized as the recovery process of movement skilfulness in terms of movement smoothness and velocity profile.
Assuntos
Oclusão Dentária Traumática/fisiopatologia , Mandíbula/fisiopatologia , Mastigação/fisiologia , Destreza Motora/fisiologia , Adaptação Fisiológica/fisiologia , Adulto , Goma de Mascar , Coroas , Desaceleração , Feminino , Humanos , Imageamento Tridimensional , Incisivo/fisiopatologia , Cinestesia , Masculino , Dente Molar/fisiopatologia , Movimento , Processamento de Sinais Assistido por Computador , Adulto JovemRESUMO
Blood flow in active skeletal muscles provides energy substrate, oxygen and reduction of excessive heat and metabolic by-products. Although cyclic jaw motions such as those during mastication and speech articulation are the primitive oro-facial functions, possible effects of the cyclic muscle contractions on the intramuscular haemodynamics of the jaw muscles remains scarcely known. We investigated the masseteric haemodynamics during and after gum-chewing. Ten healthy female adults participated in the study. Electromyography, kinetics of masseter muscle oxygenation, electrocardiogram and blood pressure were recorded simultaneously. The subjects were asked to perform gum-chewing and cyclic jaw motion without gum bolus (empty-chewing task). The haemodynamics parameters were compared between the two experimental conditions. During gum-chewing task, deoxygenated haemoglobin and sympathetic nerve activity increased, while tissue blood oxygen saturation decreased. Blood pressure and parasympathetic nerve activity did not change. The overall behaviour of haemodynamic parameters during empty-chewing task was similar to that observed during gum-chewing task. However, the latency periods from the end of chewing until significant changes in the haemodynamic parameters were notably shorter (P < 0.05) in gum-chewing task as compared with those associated with empty-chewing task. The duration of the changes was shorter with empty-chewing than with gum-chewing. Fluctuations in masseter muscle haemodynamics associated with chewing jaw movement differed depending on the level of muscle contraction during movement. The differences became statistically significant immediately after the commencement of chewing and after the cessation movement. During the chewing movement, automatic nerve activities increased in response to the level of muscle contraction during movement.
Assuntos
Goma de Mascar , Músculo Masseter/fisiopatologia , Mastigação/fisiologia , Contração Muscular/fisiologia , Articulação Temporomandibular/fisiopatologia , Adulto , Análise de Variância , Velocidade do Fluxo Sanguíneo/fisiologia , Eletromiografia , Feminino , Hemodinâmica , Humanos , Músculo Masseter/irrigação sanguínea , Consumo de Oxigênio , Articulação Temporomandibular/irrigação sanguíneaRESUMO
The jerk-cost is an index that can quantify the smoothness of various movements including human body movements. A previous study reported the usefulness of jerk-cost in the evaluation of masticatory movement, and proposed that the masticatory movement of subjects with good occlusion could be explained as a maximum smooth movement. The purpose of this study was to investigate the influence of a single prosthetic molar restoration on the smoothness of masticatory movement. Fourteen adults who visited this hospital seeking a single prosthetic restoration on a molar were selected. Each subject chewed a piece of chewing gum on the molars of the treated side before and after crown placement. Movement trajectory was recorded using the Sirognathograph Analyzing System. Normalized jerk-cost (NJC) was calculated on the closing phase of each chewing cycle and was compared before and after the crown placement. After the prosthetic restoration, NJC significantly decreased (P < 0.05) in seven subjects with a crown placed on a lower molar, whereas significant changes were not observed in seven subjects with a crown placed on an upper molar. These results suggest that restoring a crown on a lower molar could significantly improve the smoothness of masticatory movement on the same side.
Assuntos
Arcada Osseodentária/fisiologia , Mastigação/fisiologia , Dente Molar , Coroa do Dente , Adulto , Fenômenos Biomecânicos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Modelos Biológicos , Modelos Estatísticos , Movimento/fisiologia , Processamento de Sinais Assistido por ComputadorRESUMO
A 2-day-old female baby, delivered by emergent cesarean section at 35 weeks of gestational age with a birth weight of 1,378 g, was referred to our institute for intensive care of heart failure. By echocardiography and cardiac catheterization, the patient was diagnosed with isolated complete transposition of the great arteries. Primary arterial switch operation was performed at 13 days of age. No technical difficulty arose, imposed by the small size of cardiovascular structure. On the 5th postoperative day, surgical repair of intestinal perforation was performed. Convalescence thereafter was uneventful. She returned home on the 64th postoperative day with the body weight of 2,310 g. We conclude that primary arterial switch operation can be a feasible surgical option even in a neonate with very low birth weight.
Assuntos
Transposição dos Grandes Vasos/cirurgia , Procedimentos Cirúrgicos Cardíacos/métodos , Feminino , Humanos , Recém-Nascido , Recém-Nascido de muito Baixo PesoRESUMO
A secretory granular fraction (SG) and a plasma membrane rich fraction (PM) have been isolated from rat parotid gland by differential and Percoll gradient centrifugation. With these two fractions, a cell-free interaction system has been reconstituted to clarify the exocytotic interaction between the secretory granules and plasma membranes, and the conditions of amylase release from SG have been characterized in vitro. The addition of PM into this assay system induced a rapid and transient release of amylase from SG. Some other membranes such as erythrocyte ghosts also mimicked the effect of PM. This release was increased by Ca2+, but was not completely blocked by EGTA. Simultaneous addition of 1 mM ATP with 1 mM MgCl2 (Mg-ATP) in the presence of Ca2+ reduced this release. However, in spite of the existence of Mg-ATP, the stimulation of PM-induced amylase release was caused by Ca2+ in a concentration-dependent manner (10(-7)-10(-3) M). These results suggest that Ca2+ and Mg-ATP should participate as important regulators in the exocytotic interaction between secretory granules and plasma membranes in this system. Furthermore, the differences between our system and intact cells are also discussed.
Assuntos
Trifosfato de Adenosina/farmacologia , Amilases/metabolismo , Cálcio/farmacologia , Membrana Celular/fisiologia , Grânulos Citoplasmáticos/enzimologia , Membrana Eritrocítica/fisiologia , Glândula Parótida/enzimologia , Animais , Fracionamento Celular/métodos , Membrana Celular/ultraestrutura , Centrifugação com Gradiente de Concentração/métodos , Grânulos Citoplasmáticos/efeitos dos fármacos , Grânulos Citoplasmáticos/ultraestrutura , Ácido Egtázico/farmacologia , Humanos , Cinética , Lipossomos , Masculino , Fosfatidilcolinas , Ratos , Ratos Endogâmicos , Ultracentrifugação/métodosRESUMO
Rat submandibular gland phosphatidylcholine mainly consisted of the 1-saturated acyl-2-unsaturated acyl type. The high occupancy of unsaturated fatty acid at the C-2 position is in part explained by the preference of microsomal acyl-CoA:1-acyl-sn-glycero-3-phosphocholine (1-acyl-GPC) acyltransferase for unsaturated fatty acyl-CoAs. This enzyme activity was partially inhibited by divalent cations. Ca2+ may be important for regulation of a deacylation-reacylation cycle, suggested because Ca2+ is also known to activate the deacylation enzyme, phospholipase A2. Although the presence of 1-acyl-GPC acyltransferase activity is also observed in plasma membrane of the submandibular gland, the microsomal enzyme showed properties different from the enzyme in plasma membrane in terms of its susceptibility to neural salts and detergents. Cell proliferation caused by chronic administration of isoproterenol resulted in an increase of linoleic acid at the C-2 position of phosphatidylcholine. However, this alteration did not correlate with the changes of activity and substrate specificity of 1-acyl-GPC acyltransferase and the other C-2 acylation enzyme, 1-acyl-sn-glycero-3-phosphate acyltransferase, which suggests that the alteration of fatty acid by isoproterenol treatment is due to a change of supply of substrates or specific acyl breakdown of phosphatidylcholine.
Assuntos
1-Acilglicerofosfocolina O-Aciltransferase/metabolismo , Aciltransferases/metabolismo , Microssomos/enzimologia , Fosfatidilcolinas/metabolismo , Fosfolipídeos/metabolismo , Glândula Submandibular/metabolismo , Animais , Ácidos Graxos/análise , Isoproterenol/farmacologia , Cinética , Masculino , Proteínas Quinases/metabolismo , Ratos , Ratos Endogâmicos , Valores de Referência , Glândula Submandibular/efeitos dos fármacos , Especificidade por SubstratoRESUMO
Microsomal 1-acyl-sn-glycero-3-phosphoinositol (1-acyl-GPI) acyltransferase in the rat submandibular gland showed the highest specific activities for eicosanoid-related polyunsaturated acyl-CoAs, such as arachidonoyl-, bishomo-gamma-linolenoyl- and 5,8,11,14,17-eicosapentaenoyl-CoAs, with low Km values. High activities were also obtained with acyl-CoAs having long (more than 14 carbon atoms) and n - 6 unsaturated (more than 3 double bonds) acyl chains. This enzyme also utilized acyl-CoAs having trans-unsaturated or branched chains, but not short-chains, as substrates, although the activity levels for trans-unsaturated acyl-CoAs were lower than those for cis-unsaturated acyl-CoAs. Chronic administration of isoproterenol induced decreases of this enzyme activity and the content of arachidonic, bishomo-gamma-linolenic and 5,8,11,14,17-eicosapentaenoic acids at the sn-2 position of phosphatidylinositol. These results suggest that enrichment of arachidonic acid in the sn-2 position of phosphatidylinositol is established by the high specificity and affinity of 1-acyl-GPI acyltransferase for arachidonoyl-CoA. On the other hand, the low level of bishomo-gamma-linolenic and 5,8,11,14,17-eicosapentaenoic acids in the sn-2 position of phosphatidylinositol may be explained by their limited availability.
Assuntos
Acil Coenzima A/metabolismo , Aciltransferases/metabolismo , Ácidos Graxos Insaturados/metabolismo , Fosfatos de Inositol/metabolismo , Microssomos/enzimologia , Glândula Submandibular/enzimologia , Acil Coenzima A/química , Animais , Fracionamento Celular , Detergentes/farmacologia , Ácido Ditionitrobenzoico/metabolismo , Eicosanoides/química , Eicosanoides/metabolismo , Ácidos Graxos Insaturados/química , Isoproterenol/farmacologia , Cinética , Masculino , Fosfatidilinositóis/metabolismo , Ratos , Ratos Wistar , Especificidade por SubstratoRESUMO
Carbonyl reductases were purified from mouse and guinea pig lung. The mouse enzyme exhibited structural and catalytic similarity to the guinea pig enzyme: tetrameric structure consisting of an identical 23 kDa subunit; basicity (pI of 8.8); low substrate specificity for aliphatic and aromatic carbonyl compounds; dual cofactor specificity for NADPH and NADH; stereospecific transfer of the 4-pro S hydrogen of NADPH; and sensitivity to pyrazole, 2-mercaptoethanol and ferrous ion. Although 3-ketosteroids were extensively reduced by the mouse enzyme but not by the guinea pig enzyme in the forward reaction, the two enzymes similarly oxidized some alicyclic alcohols such as acenaphthenol, cyclohex-2-en-1-ol and benzenedihydrodiol in the presence of NADP+ and NAD+. A partial similarity between the two enzymes was observed immunologically, using antibodies against the purified guinea pig enzyme. The lung enzymes differ in several aspects from other oxidoreductases from extrapulmonary tissues. The immunoreactive protein was detected only in lung of the tissues of the two species.
Assuntos
Oxirredutases do Álcool/isolamento & purificação , Pulmão/enzimologia , Oxirredutases do Álcool/imunologia , Animais , Cobaias , Imunodifusão , Ponto Isoelétrico , Camundongos , Peso Molecular , NAD/metabolismo , NADP/metabolismo , Especificidade por SubstratoRESUMO
In order to investigate microsomal diacylglycerol acyltransferase activity, ethanol or several detergents have been used as a dispersing agent for water-insoluble substrates. However, ethanol acyltransferase interferes with the activity of this enzyme, and detergents inhibit it. We examined the properties of microsomal diacylglycerol acyltransferase in rat salivary glands without detergents or organic solvents. 1,2-Dioleoyl-sn-glycerol (1,2-diolein) was dispersed by sonication. The activity was measured as the formation rate of [14C]triglyceride using [1-14C]palmitoyl-CoA as an acyl-donor. The reaction was dependent on the microsomal protein and 1,2-diolein at least up to 145 micrograms/ml and 3.6 mM, respectively. The specific activities were 3.91 +/- 0.57 and 3.80 +/- 0.77 nmol/min per mg protein (SEM, n = 4) in the parotid and submandibular glands, respectively. They were 12- to 20-fold higher than the activities in liver, brain and spleen, and two orders of magnitude higher than that assayed with microsomal endogenous diacylglycerol. Adding tissue phospholipids to 1,2-diolein suspension reduced the concentration of 1,2-diolein required for the maximal velocity. A similar, but reduced, effect was induced by egg yolk phosphatidylcholine in place of the tissue phospholipids. The level of activity was recovered by adding another phospholipid class to the phosphatidylcholine. The results suggested that the physical condition of the substrate diacylglycerol affects diacylglycerol acyltransferase activity in rat salivary gland microsomes.
Assuntos
Aciltransferases/metabolismo , Diglicerídeos/metabolismo , Microssomos/enzimologia , Glândula Parótida/enzimologia , Fosfolipídeos/metabolismo , Glândula Submandibular/enzimologia , Animais , Diacilglicerol O-Aciltransferase , Masculino , Glândula Parótida/ultraestrutura , Ratos , Ratos Wistar , Glândula Submandibular/ultraestrutura , Especificidade por SubstratoRESUMO
Twelve volunteers (mean age, 60.7 +/- 4.2 years) were treated with placebo for the first week and then given partially purified eicosapentaenoic acid (EPA, 67% purity) at 2 g per day for 4 weeks. Significant decreases in ADP-, collagen- and adrenalin-induced platelet aggregation were observed at 2 and 4 weeks after EPA treatment, together with an increase in the plasma ratio of EPA to arachidonic acid and in platelet phospholipids. It was concluded that the administration of partially purified EPA was effective in decreasing platelet aggregation, possibly by changing the platelet ratio of EPA to arachidonic acid.
Assuntos
Ácidos Araquidônicos/sangue , Ácidos Graxos Insaturados/administração & dosagem , Agregação Plaquetária/efeitos dos fármacos , Anticoagulantes , Ensaios Clínicos como Assunto , Método Duplo-Cego , Ácido Eicosapentaenoico , Ácidos Graxos Insaturados/sangue , Feminino , Humanos , Hipolipemiantes , Lipídeos/sangue , Masculino , Pessoa de Meia-Idade , Placebos , Fatores de TempoRESUMO
Real time two dimensional echocardiographic studies of the main coronary arteries were performed in 30 normal subjects and 58 patients with the mucocutaneous lymph node syndrome. Four echocardiographic coronary arterial patterns were observed: linear, dilated, fusiform or spherical. In normal subjects the left main coronary artery generally had a linear pattern but had a dilated pattern in two patients. The right coronary artery could not be visualized clearly. In 7 of the 58 patients with the mucocutaneous lymph node syndrome, a portion of the left main coronary artery had a fusiform or spherical pattern, or both, and the stem of the right coronary artery also had a spherical pattern in 2 patients. In all five patients who had coronary angiography, the procedure confirmed an aneurysm in the left main coronary artery or its branching point and the stem of the left anterior descending coronary artery or the stem of the right coronary artery, or both. In three of the five patients, coronary arterial aneurysms were predicted before coronary angiography was performed. Thus, two dimensional echocardiography is a reliable noninvasive method for evaluating coronary arterial aneurysms in infants and young children.
Assuntos
Aneurisma/diagnóstico , Doença das Coronárias/diagnóstico , Ecocardiografia/métodos , Doenças Linfáticas/complicações , Síndrome de Linfonodos Mucocutâneos/complicações , Fatores Etários , Aneurisma/diagnóstico por imagem , Aneurisma/etiologia , Aortografia , Criança , Pré-Escolar , Angiografia Coronária , Doença das Coronárias/diagnóstico por imagem , Doença das Coronárias/etiologia , Ecocardiografia/instrumentação , Estudos de Avaliação como Assunto , Feminino , Humanos , Lactente , Masculino , Síndrome de Linfonodos Mucocutâneos/diagnóstico por imagem , Estudos ProspectivosRESUMO
Seventy-nine patients with mucocutaneous lymph node syndrome were evaluated prospectively by clinical examination, electrocardiography, chest radiography, M mode and two dimensional echocardiography and thallium-201 myocardial scanning. Serial changes were categorized according to the duration of illness: stage I (1 to 10 days), stage II (11 to 20 days), stage III (21 to 30 days), stage IV (31 to 60 days) and stage V (61 days to 40 months). The presence of myocarditis in stages I and II was suggested in 40 of 79 patients (50.6 percent) by electrocardiographic, echocardiographic, radiographic and clinical abnormalities. Myocarditis was accompanied by pericarditis in six patients and by both endocarditis and pericarditis in one patient. These signs of inflammation were resolved by stage III in all but three patients with electrocardiographic abnormalities. In the active stage, large coronary arterial lesions were suspected only because of an abnormal spherical echo-free space in the region of the coronary arteries on two dimensional echocardiograph as well as electrocardiographic evidence of deep Q waves in leads II, III and aVF. One or more coronary aneurysms developed in 11 patients, primarily in stage II; regression of the aneurysm was noted in 5 of these patients during stages III, IV and V. Aneurysm regression demonstrated by angiography did not correlate with echocardiographic changes in aneurysm size in one patient. Moreover, the occurrence of coronary aneurysm did not correlate with the presence of signs of carditis, because the frequency of carditis was the same in patients with and without aneurysm.
Assuntos
Doenças Cardiovasculares/diagnóstico , Aneurisma Cardíaco/diagnóstico , Doenças Linfáticas/diagnóstico , Síndrome de Linfonodos Mucocutâneos/diagnóstico , Miocardite/diagnóstico , Débito Cardíaco , Criança , Pré-Escolar , Vasos Coronários , Ecocardiografia , Eletrocardiografia , Feminino , Auscultação Cardíaca , Humanos , Lactente , Masculino , Radiografia TorácicaRESUMO
Two aldehyde reductases with mol. wt 78,000 and 32,000 and one carbonyl reductase with mol. wt 31,000 were purified to homogeneity from human liver cytosol. The high molecular weight aldehyde reductase exhibited properties similar to alcohol dehydrogenase; it had a single subunit of mol. wt 41,000 and a pI value of 10 to 10.5, and showed preference for NADH over NADPH as cofactor and sensitivity to SH-reagents, pyrazole, o-phenanthroline and isobutyramide. The enzyme reduced aliphatic and aromatic aldehydes, alicyclic ketones and alpha-diketones and an optimal pH of 6.0, and oxidized various alcohols with NAD as a cofactor at an optimal pH of 8.8. The identity of the enzyme with alcohol dehydrogenase was established by starch gel electrophoresis and co-purification of the two enzymes. The other enzymes were NADPH-dependent and monomeric reductases; the aldehyde reductase reduced aldehydes, hexonates and alpha-diketones and was sensitive to barbiturates, diphenylhydantoin and valproate, while the carbonyl reductase showed a broad substrate specificity for aldehydes, ketones and quinones and was inhibited by SH-reagent, quercitrin and benzoic acid. The latter enzyme appeared in three multiforms with different charges which occurred in differing ratios in liver specimens. Comparison of kinetic constants for aldehydes among the enzymes indicated that alcohol dehydrogenase is the best reductase with the highest affinity and Kcat values. The enzyme also catalyzed oxidation and reduction of aromatic aldehydes in the presence of NAD at physiological pH of 7.2. Tissue distribution of the three enzymes and variation of their specific activities in human livers were examined.
Assuntos
Oxirredutases do Álcool/análise , Fígado/enzimologia , Adulto , Oxirredutases do Álcool/antagonistas & inibidores , Oxirredutases do Álcool/isolamento & purificação , Feminino , Humanos , Individualidade , Cinética , Masculino , Peso Molecular , Especificidade por SubstratoRESUMO
Left-right asymmetric signaling molecules in mammals include three transforming growth factor beta (TGFbeta)-related factors, Nodal, Lefty1 and Lefty2. They are all expressed on the left half of developing mouse embryos. Nodal acts as a left-side determinant by transducing signals through Smad and FAST and by inducing Pitx2 expression on the left side. Lefty proteins are antagonists that inhibit Nodal signaling. There are positive and negative transcriptional regulatory loops between nodal and lefty2 genes. Thus, Nodal activates its own gene and lefty2. Lefty2 protein produced then inhibits Nodal signaling and terminates expression of both genes. This feedback mechanism can restrict the range and duration of Nodal signaling in developing embryos.