Molecular profiling of oral microbiota in jawbone samples of bisphosphonate-related osteonecrosis of the jaw.

OBJECTIVE: Infection has been hypothesized as a contributing factor to bisphosphonate (BP)-related osteonecrosis of the jaw (BRONJ). The objective of this study was to determine the bacterial colonization of jawbone and identify the bacterial phylotypes associated with BRONJ. MATERIALS AND METHODS: Culture-independent 16S rRNA gene-based molecular techniques were used to determine and compare the total bacterial diversity in bone samples collected from 12 patients with cancer (six, BRONJ with history of BP; six, controls without BRONJ, no history of BP but have infection). RESULTS: Denaturing gradient gel electrophoresis profile and Dice coefficient displayed a statistically significant clustering of profiles, indicating different bacterial population in BRONJ subjects and control. The top three genera ranked among the BRONJ group were Streptococcus (29%), Eubacterium (9%), and Pseudoramibacter (8%), while in the control group were Parvimonas (17%), Streptococcus (15%), and Fusobacterium (15%). H&E sections of BRONJ bone revealed layers of bacteria along the surfaces and often are packed into the scalloped edges of the bone. CONCLUSION: This study using limited sample size indicated that the jawbone associated with BRONJ was heavily colonized by specific oral bacteria and there were apparent differences between the microbiota of BRONJ and controls.

Tyrphostins disrupt stress fibers and cellular attachments in endothelial monolayers.

Endothelial permeability, which plays a critical role in many physiologic and pathologic processes, depends on the integrity of intercellular and cell-substrate attachments and the actin cytoskeleton. The proteins located at the cytoplasmic face of adherens and focal contact junctions are rich in sites of tyrosine phosphorylation. To better understand the role of tyrosine phosphorylation in regulating endothelial cell shape, actin stress fibers, and cell junctions, we treated confluent calf pulmonary artery endothelial cells with 14 different tyrphostins, a class of specific tyrosine kinase inhibitors. Using immunofluorescence microscopy to assess cell shape, phosphotyrosine levels, actin stress fibers, and focal contact and junctional proteins, we found that the effects of the tyrphostins could be grouped into three categories. Four tyrphostins had no discernible effect on stress fibers or cell attachments. Seven tyrphostins produced cell retraction with concomitant disruption of both stress fibers and cell-substrate attachments. One member of this group, tyrphostin 25, showed greater specificity for cell-cell junctions than the others, causing cell separation without significantly affecting actin stress fibers or focal contacts. The third group of tyrphostins had the opposite effect, completely disrupting stress fibers and focal contacts without causing cell separation. The ability of specific tyrphostins to disrupt cell-cell or cell-substrate attachments and/or actin stress fibers implies that a certain steady-state level of tyrosine phosphorylation is necessary to maintain these structures and that there may be independent tyrosine kinase signaling pathways controlling them. Comparison of the phosphotyrosinated proteins affected by each group of tyrphostins should provide a useful new approach toward understanding the regulation of endothelial cell-cell and cell-substrate junctions.