PPM1D accelerates proliferation and metastasis of osteosarcoma by activating PKP2.

OBJECTIVE: This project aims to elucidate the diagnostic and prognostic values of PPM1D in osteosarcoma and the molecular mechanism. PATIENTS AND METHODS: PPM1D levels in osteosarcoma and adjacent tissues were detected. Pathological information of included osteosarcoma patients was collected for analyzing the relationship between PPM1D and prognosis of osteosarcoma. Regulatory effects of PPM1D on in vivo and in vitro progressions of osteosarcoma were assessed by generating xenograft model in nude mice and PPM1D knockdown models in MG63 and U2OS cells, respectively. The involvement of PKP2, the target gene of PPM1D in osteosarcoma progression was finally evaluated. RESULTS: PPM1D was upregulated in osteosarcoma tissues than adjacent ones. High level of PPM1D indicated higher risks of distant metastasis and worse prognosis in osteosarcoma. In vivo knockdown of PPM1D contributed to a delay in tumor growth of osteosarcoma in nude mice. PKP2, as the downstream gene targeting PPM1D, was highly expressed in osteosarcoma tissues and positively correlated to PPM1D level. The overexpression of PKP2 was able to abolish the inhibited proliferative and migratory abilities in osteosarcoma cells with PPM1D knockdown. CONCLUSIONS: PPM1D triggers proliferative and migratory abilities of osteosarcoma by positively regulating PKP2, which can be served as an effective diagnostic marker for osteosarcoma in the early phase.

Delayed-type hypersensitivity reactions induced by proton pump inhibitors: A clinical and in vitro T-cell reactivity study.

BACKGROUND: Proton pump inhibitors (PPIs) have been known to induce type I hypersensitivity reactions. However, severe delayed-type hypersensitivity reactions (DHR) induced by PPI, such as Stevens-Johnson syndrome (SJS), toxic epidermal necrolysis (TEN), or drug rash with eosinophilia and systemic symptoms (DRESS), are rarely reported. We conducted a study of a large series of PPI-related DHR, followed up their tolerability to alternative anti-ulcer agents, and investigated the T-cell reactivity to PPI in PPI-related DHR patients. METHODS: We retrospectively analyzed patients with PPI-related DHR from multiple medical centers in Taiwan during the study period January 2003 to April 2016. We analyzed the causative PPI, clinical manifestations, organ involvement, treatment, and complications. We also followed up the potential risk of cross-hypersensitivity or tolerability to other PPI after their hypersensitivity episodes. Drug lymphocyte activation test (LAT) was conducted by measuring granulysin and interferon-γ to confirm the causalities. RESULTS: There were 69 cases of PPI-related DHR, including SJS/TEN (n=27) and DRESS (n=10). The LAT by measuring granulysin showed a sensitivity of 59.3% and specificity of 96.4%. Esomeprazole was the most commonly involved in PPI-related DHR (51%). Thirteen patients allergic to one kind of PPI could tolerate other structurally different PPI without cross-hypersensitivity reactions, whereas three patients developed cross-hypersensitivity reactions to alternative structurally similar PPI. The cross-reactivity to structurally similar PPI was also observed in LAT assay. CONCLUSIONS: PPIs have the potential to induce life-threatening DHR. In patients when PPI is necessary for treatment, switching to structurally different alternatives should be considered.

Repeated failed non-invasive prenatal testing in a woman with immune thrombocytopenia and antiphospholipid syndrome: lessons learnt.

We present a case of a 37-year-old Chinese woman (gravida 4 para 0) with a history of immune thrombocytopenia and type IIb antiphospholipid syndrome. She was started on 100 mg of aspirin, 20 mg of prednisolone and 20 mg of subcutaneous low-molecular-weight heparin daily for her fourth pregnancy. She opted for non-invasive prenatal testing for aneuploidy screening but had failed results three times consecutively from insufficient fetal cfDNA initially or high variance in cfDNA counts on redraws. She declined invasive karyotyping. Her pregnancy was complicated by severe pre-eclampsia and fetal growth restriction at 19+6 weeks of gestation and was terminated. Subsequent fetal karyotyping revealed a normal karyotype of 46XY with no apparent abnormalities.

Surface tension, surface energy, and chemical potential due to their difference.

It is well-known that surface tension and surface energy are distinct quantities for solids. Each can be regarded as a thermodynamic property related first by Shuttleworth. Mullins and others have suggested that the difference between surface tension and surface energy cannot be sustained and that the two will approach each other over time. In this work we show that in a single-component system where changes in elastic energy can be neglected, the chemical potential difference between the surface and bulk is proportional to the difference between surface tension and surface energy. By further assuming that mass transfer is driven by this chemical potential difference, we establish a model for the kinetics by which mass transfer removes the difference between surface tension and surface energy.

Active switching of adhesion in a film-terminated fibrillar structure.

We show that a structure with a fibrillar surface terminated by a continuous film can be switched between two metastable states. The first state, in which the film is stretched between fibrils, has previously been shown to have strongly enhanced adhesion compared to an unstructured flat control. In the second state, the film collapses onto the substrate between fibrils and is held up away from the substrate at the fibrils, resulting in a surface with a periodic array of bumps with much reduced adhesion. The interface can be switched mechanically between these two states repeatedly, thus providing a means for active control of surface mechanical properties. We develop a simple model that shows what combination of parameters, such as film thickness, dimensions, and spacing between fibrils, is required for such an architecture to be metastable in each of these two states.

Finite strain stress fields near the tip of an interface crack between a soft incompressible elastic material and a rigid substrate.

We present a numerical study of finite strain stress fields near the tip of an interface crack between a rigid substrate and an incompressible hyperelastic solid using the finite element method (FEM). The finite element (FE) simulations make use of a remeshing scheme to overcome mesh distortion. Analyses are carried out by assuming that the crack tip is either pinned, i.e., the elastic material is perfectly bonded (no slip) to the rigid substrate, or the crack lies on a frictionless interface. We focus on a material which hardens exponentially. To explore the effect of geometric constraint on the near tip stress fields, simulations are carried out under plane stress and plane strain conditions. For both the frictionless interface and the pinned crack under plane stress deformation, we found that the true stress field directly ahead of the crack tip is dominated by the normal opening stress and the crack face opens up smoothly. This is also true for an interface crack along a frictionless boundary in plane strain deformation. However, for a pinned interface crack under plane strain deformation, the true opening normal stress is found to be lower than the shear stress and the transverse normal stress. Also, the crack opening profile for a pinned crack under plane strain deformation is completely different from those seen in plane stress and in plane strain (frictionless interface). The crack face flips over and the tip angle is almost tangential to the interface. Our results suggest that interface friction can play a very important role in interfacial fracture of soft materials on hard substrates.

Detachment of stretched viscoelastic fibrils.

New experimental results are presented about the final stage of failure of soft viscoelastic adhesives. A microscopic view of the detachment of the adhesive shows that after cavity growth and expansion, well adhered soft adhesives form a network of fibrils connected to expanded contacting feet which fail via a sliding mechanism, sensitive to interfacial shear stresses rather than by a fracture mechanism as sometimes suggested in earlier work. A mechanical model of this stretching and sliding failure phenomenon is presented which treats the fibril as a nonlinear elastic or viscoelastic rod and the foot as an elastic layer subject to a friction force proportional to the local displacement rate. The force on the stretched rod drives the sliding of the foot against the substrate. The main experimental parameter controlling the failure strain and stress during the sliding process is identified by the model as the normalized probe pull speed, which also depends on the magnitude of the friction and PSA modulus. In addition, the material properties, viscoelasticity and finite extensibility of the polymer chains, are shown to have an important effect on both the details of the sliding process and the ultimate failure strain and stress.

Design of biomimetic fibrillar interfaces: 1. Making contact.

This paper explores the contact behaviour of simple fibrillar interfaces designed to mimic natural contact surfaces in lizards and insects. A simple model of bending and buckling of fibrils shows that such a structure can enhance compliance considerably. Contact experiments on poly(dimethylsiloxane) (PDMS) fibrils confirm the model predictions. Although buckling increases compliance, it also reduces adhesion by breaking contact between fibril ends and the substrate. Also, while slender fibrils are preferred from the viewpoint of enhanced compliance, their lateral collapse under the action of surface forces limits the aspect ratio achievable. We have developed a quantitative model to understand this phenomenon, which is shown to be in good agreement with experiments.

Design of biomimetic fibrillar interfaces: 2. Mechanics of enhanced adhesion.

This study addresses the strength and toughness of generic fibrillar structures. We show that the stress sigmac required to pull a fibril out of adhesive contact with a substrate has the form sigma(c) = sigma(0)Phi(chi). In this equation, sigma(0) is the interfacial strength, Phi(chi) is a dimensionless function satisfying 0 > 1, but is flaw insensitive for chi < 1. The important parameter chi also controls the stability of a homogeneously deformed non-fibrillar (flat) interface. Using these results, we show that the work to fail a unit area of fibrillar surface can be much higher than the intrinsic work of adhesion for a flat interface of the same material. In addition, we show that cross-sectional fibril dimensions control the pull-off force, which increases with decreasing fibril radius. Finally, an increase in fibril length is shown to increase the work necessary to separate a fibrillar interface. Besides our calculations involving a single fibril, we study the concept of equal load sharing (ELS) for a perfect interface containing many fibrils. We obtain the practical work of adhesion for an idealized fibrillated interface under equal load sharing. We then analyse the peeling of a fibrillar surface from a rigid substrate and establish a criterion for ELS.

The Role of Viscoelastic Adhesive Contact in the Sintering of Polymeric Particles.

The sintering of polymeric particles is analyzed by considering the growth of contact between viscoelastic spheres driven by adhesive intersurface forces. This process is dominant during the initial phase of sintering and is succeeded by a viscous sintering step that is driven by surface tension and accommodated by viscous flow. The intersurface forces in this work are described by a cohesive zone model. A new formulation of adhesive contact that does not require the cohesive zone to be smaller than the contact radius, together with finite element simulations is used to study the growth of contact. The results of this paper establish conditions that determine the dominant mechanism of contact growth during sintering. These conditions are described using a "deformation map". For a Maxwell material, if particle radius R(max),