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1.
J Dent Res ; 102(2): 121-124, 2023 02.
Artículo en Inglés | MEDLINE | ID: mdl-36661330

RESUMEN

Elizabeth Dianne Rekow, BSME, MSME, MBA, DDS, MS, Certificate in Orthodontics, and PhD (1944-2022), was a dental science futurist pursuing brave new paths during her career. She was one of the pivotal scientists who initiated the CAD/CAM movement in the 1980s and went on to focus on digital dentistry for the rest of her career. Her professional contributions involved seven patents, 92 peer-reviewed publications, 10 book contributions, 31 proceeding contributions, and well over 100 national and international presentations. She was an avid supporter of women in science. Her greatest contribution was her expansive imagination. She served as 35th president of the American Association for Dental, Oral, and Craniofacial Research in 2006-2007 and 88th president of the International Association for Dental Research in 2011-2012. The present article reviews key elements of her career and includes testimonies from friends about her special relationships.


Asunto(s)
Diseño Asistido por Computadora , Humanos , Femenino , Estados Unidos
2.
J Dent Res ; 100(11): 1258-1264, 2021 10.
Artículo en Inglés | MEDLINE | ID: mdl-34334033

RESUMEN

The persisting outbreak of SARS-CoV-2 has posed an enormous threat to global health. The sustained human-to-human transmission of SARS-CoV-2 via respiratory droplets makes the medical procedures around the perioral area vulnerable to the spread of the disease. Such procedures include the ultrasonic dental cleaning method, which occurs within the oral cavity and involves cavitation-induced sprays, thus increasing the risk of pathogen transmission via advection. To understand the associated health and safety risks for patients and clinicians, it is critical to understand the flow pattern of the spray cloud around the operating region, the size and velocity distribution of the emitted droplets, and the extent of fluid dispersion until ultimate deposit on surfaces or escape through air vents. In this work, the droplet size and velocity distributions of the spray emerging from the tip of a free-standing common ultrasonic dental cleaning device were characterized via high-speed imaging. Deionized water and 1.5% and 3% aqueous hydrogen peroxide (H2O2) solutions were used as working fluids, with the H2O2-an established oxidizing agent-intended to curb the survival of virus released in aerosols generated from dental procedures. The measurements reveal that the presence of H2O2 in the working fluid increases the mean droplet size and ejection velocity. Detailed computational fluid dynamic simulations with multiphase flow models reveal benefits of adding small amounts of H2O2 in the feed stream of the ultrasonic cleaner; this practice causes larger droplets with shorter residence times inside the clinic before settling down or escaping through air vents. The results suggest optimal benefits (in terms of fluid spread) of adding 1.5% H2O2 in the feed stream during dental procedures involving ultrasonic tools. The present findings are not specific to the COVID-19 pandemic but should also apply to future outbreaks caused by airborne droplet transmission.


Asunto(s)
Antiinfecciosos Locales , COVID-19 , Aerosoles , Humanos , Peróxido de Hidrógeno/efectos adversos , Pandemias , SARS-CoV-2
3.
J Dent Res ; 98(5): 597-604, 2019 05.
Artículo en Inglés | MEDLINE | ID: mdl-30702959

RESUMEN

The presence of stem cells within the dental-pulp tissue as well as their differentiation into a new generation of functional odontoblast-like cells constitutes an important step of the dentin-pulp regeneration. Recent investigations demonstrated that the complement system activation participates in 2 critical steps of dentin-pulp regeneration: pulp progenitor's recruitment and pulp nerve sprouting. Surprisingly, its implication in odontoblastic differentiation has not been addressed yet. Since the complement receptor C5a receptor-like 2 (C5L2) is expressed by different stem cells, the aim of this study is to investigate if the dental pulp stem cells express C5L2 and if this receptor participates in odontoblastic differentiation. Immunohistochemistry performed on human third molar pulp sections showed a perivascular co-localization of the mesenchymal stem cell markers STRO1 and C5L2. In vitro immunofluorescent staining confirmed that hDPSCs express C5L2. Furthermore, we determined by real-time polymerase chain reaction that the expression of C5L2 is highly modulated in human dental pulp stem cells (hDPSCs) undergoing odontoblastic differentiation. Moreover, we showed that this odontogenesis-regulated expression of C5L2 is specifically potentiated by the proinflammatory cytokine TNFα. Using a C5L2-siRNA silencing strategy, we provide direct evidence that C5L2 constitutes a negative regulator of the dentinogenic marker DMP1 (dentin matrix protein 1) expression by hDPSCs. Our findings suggest a direct correlation between the odontoblastic differentiation and the level of C5L2 expression in hDPSCs and identify C5L2 as a negative regulator of DMP1 expression by hDPSCs during the odontoblastic differentiation and inflammation processes. This work is the first to demonstrate the involvement of C5L2 in the biological function of stem cells, provides an important knowledge in understanding odontoblastic differentiation of dental pulp stem cells, and may be useful in future dentin-pulp engineering strategies.


Asunto(s)
Diferenciación Celular , Pulpa Dental , Odontoblastos , Animales , Dentina , Proteínas de la Matriz Extracelular , Humanos , Ratones , Fosfoproteínas , Células Madre
4.
J Dent Res ; 95(3): 319-26, 2016 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-26553885

RESUMEN

The importance of osteoclast-mediated bone resorption in the process of osseointegration has not been widely considered. In this study, cell culture was used to investigate the hypothesis that the function of implant-adherent bone marrow stromal cells (BMSCs) in osteoclastogenesis is influenced by surface topography. BMSCs isolated from femur and tibia of Sprague-Dawley rats were seeded onto 3 types of titanium surfaces (smooth, micro, and nano) and a control surface (tissue culture plastic) with or without osteogenic supplements. After 3 to 14 d, conditioned medium (CM) was collected. Subsequently, rat bone marrow-derived macrophages (BMMs) were cultured in media supplemented with soluble receptor activator of NF-κB ligand (RANKL) and macrophage colony-stimulating factor (M-CSF) as well as BMSC CM from each of the 4 surfaces. Gene expression levels of soluble RANKL, osteoprotegerin, tumor necrosis factor α, and M-CSF in cultured BMSCs at different time points were measured by real-time polymerase chain reaction. The number of differentiated osteoclastic cells was determined after tartrate-resistant acid phosphatase staining. Analysis of variance and t test were used for statistical analysis. The expression of prominent osteoclast-promoting factors tumor necrosis factor α and M-CSF was increased by BMSCs cultured on both micro- and nanoscale titanium topographies (P < 0.01). BMSC CM contained a heat-labile factor that increased BMMs osteoclastogenesis. CM from both micro- and nanoscale surface-adherent BMSCs increased the osteoclast number (P < 0.01). Difference in surface topography altered BMSC phenotype and influenced BMM osteoclastogenesis. Local signaling by implant-adherent cells at the implant-bone interface may indirectly control osteoclastogenesis and bone accrual around endosseous implants.


Asunto(s)
Materiales Dentales/química , Células Madre Mesenquimatosas/fisiología , Osteoclastos/fisiología , Titanio/química , Fosfatasa Ácida/análisis , Animales , Interfase Hueso-Implante/patología , Adhesión Celular/fisiología , Recuento de Células , Técnicas de Cultivo de Célula , Diferenciación Celular/fisiología , Células Cultivadas , Medios de Cultivo Condicionados , Implantes Dentales , Isoenzimas/análisis , Factor Estimulante de Colonias de Macrófagos/análisis , Factor Estimulante de Colonias de Macrófagos/farmacología , Macrófagos/efectos de los fármacos , Macrófagos/fisiología , Masculino , Ensayo de Materiales , Nanoestructuras/química , Osteogénesis/fisiología , Osteoprotegerina/análisis , Plásticos/química , Ligando RANK/análisis , Ligando RANK/farmacología , Ratas , Ratas Sprague-Dawley , Propiedades de Superficie , Fosfatasa Ácida Tartratorresistente , Factor de Necrosis Tumoral alfa/análisis
5.
Bone ; 40(1): 57-67, 2007 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-16956801

RESUMEN

The low density lipoprotein receptor-related protein 5 (LRP5) is a key determinant of bone mass, via the Wnt signaling pathway control of osteoblast function. This study examined human LRP5 signaling and the effects of an intracellular domain single nucleotide polymorphism (SNP: p.V1525A) on osteoblast differentiation and mineralization. Constitutively active LRP5 was constructed by deletion of the extracellular domain of LRP5 (LRP5DeltaN). Expression of LRP5DeltaN-V, which carries the allele p.1525V, induced higher beta-catenin/TCF-LEF activity compared to LRP5DeltaN-A, which carries the allele p.1525A. In a yeast two-hybrid assay, LRP5DeltaN-V also demonstrated a stronger interaction with AXIN than LRP5DeltaN-A. Expression of either of the alleles did not change cell proliferation. However, cells expressing LRP5DeltaN-V showed increased alkaline phosphatase activity and bone nodule formation compared to cells transfected with empty vector or LRP5DeltaN-A after osteogenic supplement (OS: beta-glycerophosphate and l-ascorbic acid) treatment. Cells expressing LRP5DeltaN-V revealed significantly increased bone sialoprotein (BSP) expression after 7 days of OS treatment and maintained elevated expression until day 21. Osteocalcin (OCN) mRNA levels were increased after 14-21 days of OS treatment in LRP5DeltaN-V expressing cells. LRP5DeltaN-V expressing cells demonstrated positive interaction with BMP-2 signaling of transcription at the SBE-luc promoter. LRP5 signaling is affected by the cytoplasmic SNP, p.V1525A. mRNA levels of Runx2 and Osterix were not affected by this SNP.


Asunto(s)
Diferenciación Celular/genética , Proteínas Relacionadas con Receptor de LDL/genética , Osteoblastos/citología , Polimorfismo de Nucleótido Simple , Proteínas Wnt/metabolismo , Fosfatasa Alcalina/análisis , Fosfatasa Alcalina/metabolismo , Alelos , Proteína Axina , Proteína Morfogenética Ósea 2 , Proteínas Morfogenéticas Óseas/metabolismo , Células Cultivadas , Subunidad alfa 1 del Factor de Unión al Sitio Principal/genética , Subunidad alfa 1 del Factor de Unión al Sitio Principal/metabolismo , Citoplasma/metabolismo , Humanos , Proteínas Relacionadas con Receptor de LDL/metabolismo , Proteína-5 Relacionada con Receptor de Lipoproteína de Baja Densidad , Osteoblastos/metabolismo , Osteocalcina/genética , Osteocalcina/metabolismo , Estructura Terciaria de Proteína , ARN Mensajero/análisis , ARN Mensajero/metabolismo , Proteínas Represoras/metabolismo , Eliminación de Secuencia , Transducción de Señal , Factor de Transcripción Sp7 , Factores de Transcripción/genética , Factores de Transcripción/metabolismo , Factor de Crecimiento Transformador beta/metabolismo , Técnicas del Sistema de Dos Híbridos , beta Catenina/genética , beta Catenina/metabolismo
6.
J Biomed Mater Res A ; 80(3): 711-8, 2007 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-17133508

RESUMEN

The surface property of commercially pure titanium (cpTi) was improved by forming a thin hydroxyapatite (HA) layer by anodic oxidation and hydrothermal treatment (HA/cpTi). We hypothesize that the adhesion of macrophages to HA/cpTi surfaces is important to the process of osseointegration. This study investigates the effect of adhesion of macrophages to HA/cpTi surfaces on the expression of bone morphogenetic protein-2 (BMP-2). The murine macrophage cell line J774A.1 was cultured on HA/cpTi and polished cpTi (S/cpTi). Macrophage cell adhesion was examined by SEM, 0-72 h following plating onto HA/cpTi and S/cpTi. BMP-2 gene expression was examined by RT-PCR analysis. The level of BMP-2 secreted into the supernatant was measured using an ELISA assay. The extent of macrophage adhesion increased with time on both the HA/cpTi and S/cpTi surfaces, with a" higher degree of spreading observed on HA/cpTi than onS/cpTi surfaces after 24 or 72 h. The ratio of BMP-2 mRNA was higher on HA/cpTi than on S/cpTi after 24 h (0.348 vs. 0, p < 0.05) and 72 h (0.584 vs. 0.189, p < 0.05). After 24 h, secretion of BMP-2 was detected in cultures grown on HA/cpTi, but not on S/cpTi. After 72 h, secretion of BMP-2 was detected in cultures grown on S/cpTi, but the levels were higher in cultures grown on HA/cpTi. These findings show that macrophages have the capacity to adhere to HA/cpTi endosseous implants and provide a source of osteoinductive cytokines that may play a key role in the process of osseointegration.


Asunto(s)
Materiales Biocompatibles/farmacología , Proteínas Morfogenéticas Óseas/genética , Regulación de la Expresión Génica/efectos de los fármacos , Macrófagos/citología , Titanio/farmacología , Factor de Crecimiento Transformador beta/genética , Animales , Proteína Morfogenética Ósea 2 , Adhesión Celular , Línea Celular , Electrodos , Calor , Macrófagos/efectos de los fármacos , Ratones , Oseointegración/efectos de los fármacos , Oxidación-Reducción , Propiedades de Superficie
7.
J Oral Implantol ; 32(3): 103-9, 2006.
Artículo en Inglés | MEDLINE | ID: mdl-16836173

RESUMEN

Adult mesenchymal stem cells (MSCs) are used in contemporary strategies for tissue engineering. The MSC is able to form bone following implantation as undifferentiated cells adherent to hydroxyapatite (HA)/tricalcium phosphate (TCP) scaffolds. Previous investigators have demonstrated that human MSCs (hMSCs) can be differentiated to osteoblasts in vitro by the inclusion of vitamin D and ascorbic acid. The aim of this study was to compare the osteogenic potential of predifferentiated and undifferentiated bone marrow-derived, culture-expanded hMSCs adherent to synthetic HA/TCP (60%/40%) following subcutaneous engraftment in severe combined immunodeficiency (SCID) mice. During the final 3 days of culture, cells were grown in Dulbecco's modified Eagle's medium containing 10% fetal calf serum and antibiotics or media containing 25-mM calcium supplementation with vitamin D and ascorbic acid. Four weeks following implantation in SCID mice, scoring analysis of bone formation within the cubes revealed the absence of bone formation in unloaded cubes. Bone formation compared by a qualitative bone index was 7.23% for undifferentiated cells compared to 5.20% for differentiated cells. Minimal resorption was observed at this early time point. In this ectopic model, predifferentiation using a combination of vitamin D and ascorbic acid failed to increase subsequent bone formation by implanted cells. Following implantation of hMSCs adherent to an osteoconductive scaffold, host factors may contribute dominant osteoinductive signals or impose inhibitory signals to control the fate of the implanted cell. Predifferentiation strategies require confirmation in vivo.


Asunto(s)
Trasplante de Células Madre Mesenquimatosas , Células Madre Mesenquimatosas/efectos de los fármacos , Osteogénesis/efectos de los fármacos , Ingeniería de Tejidos/métodos , Vitamina D/farmacología , Vitaminas/farmacología , Adulto , Animales , Fosfatos de Calcio , Técnicas de Cultivo de Célula , Diferenciación Celular/efectos de los fármacos , Células Cultivadas , Durapatita , Humanos , Implantes Experimentales , Ratones , Ratones SCID , Osteoblastos/citología
8.
J Biomed Mater Res A ; 68(4): 747-55, 2004 Mar 15.
Artículo en Inglés | MEDLINE | ID: mdl-14986329

RESUMEN

Scaffolds to support cell-based tissue engineering are critical determinants of clinical efforts to regenerate and repair the body. Bone tissue engineering requires materials that are biocompatible, well vascularized, mechanically suited for bone function, integrated with the host skeleton, and support osteoinduction of the implanted cells that form new bone. The aim of this study was to compare the osteogenic potential of bone marrow-derived, culture expanded human mesenchymal stem cells (hMSCs) adherent to different scaffolds composed of various calcium phosphates. Cells were loaded onto 2 x 2 mm cubes of coral calcium carbonate-derived apatite, bovine bone-derived apatite, synthetic hydroxyapatite (HA)/tricalcium phosphate (TCP) (60:40%), or synthetic HA/TCP (20:80%) and placed into the dorsum of SCID mice for 5 weeks. Subsequent histomorphometric analysis of bone formation within the cubes revealed the absence of bone formation within the coral-derived apatite and the bovine bone-derived apatite. Bone formation within synthetic HA/TCP scaffolds was measured to be 8.8% (+/-2.7%) and 13.8% (+/-3.6%) of the total tissue present for the 60:40% and 20:80% materials, respectively. Minimal resorption was observed at this early time point. Scanning electron microscopy evaluation of loaded scaffolds indicates that cell loading was not a variable affecting the different bone formation outcomes in these four scaffolds. In this ectopic model, different apatite-containing scaffolds of similar morphology and porosity demonstrated marked differences in their ability to support osteoinduction by implanted hMSCs. The necessary induction of hMSCs along the osteoblastic lineage may be dependent, in part, on the local microenvironment established by the scaffold chemistry and interactions with the host.


Asunto(s)
Regeneración Ósea/fisiología , Sustitutos de Huesos , Células Madre Mesenquimatosas/fisiología , Trasplante Óseo/fisiología , Fosfatos de Calcio , Cerámica , Durapatita , Humanos , Hidroxiapatitas , Microscopía Electrónica de Rastreo
9.
J Biomed Mater Res A ; 64(2): 207-16, 2003 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-12522806

RESUMEN

Macrophage cytokine expression significantly affects wound healing. Macrophage secretion of transforming growth factor beta 1 (TGFbeta1) and bone morphogenetic proteins (BMP) may affect osteogenesis at endosseous implant surfaces. The aim of this investigation was to determine the effect of commercially pure titanium (cpTi) substrate topography on adherent macrophage osteogenic and osteoinductive cytokine expression. J774A.1 murine macrophage cell adhesion was examined by scanning electron microscopy, 0-72 h following plating onto polished, machined, and grit-blasted cpTi surfaces. TGFbeta1 and BMP-2 gene expression by adherent macrophages was determined by the reverse transcription polymerase chain reaction. Macrophage adhesion increased with time on all surfaces and spreading increased with increasing surface roughness (polished < machined < grit-blasted). BMP-2 expression was not evident for cells adherent to polished cpTi at 24 h. In contrast, BMP-2 expression occurred at 24 h in cells adherent to machined and grit-blasted cpTi. BMP-2 expression was evident on all surfaces at 72 h and was greatest in grit-blasted titanium adherent cells. Increasing concentrations of cytochalasin B (0-50 microM) inhibited macrophage spreading and reduced BMP-2 mRNA expression, suggesting a relationship between cell shape and BMP-2 expression. This was further characterized using anti-beta1 and anti-beta3 integrin antibodies. The anti-beta1 integrin antibodies inhibited adherent macrophage BMP-2 mRNA expression. Anti-beta3 integrin antibody treatment only modestly reduced BMP-2 mRNA expression. Endosseous implant surface topography induced changes in macrophage shape that were associated with changes in BMP-2 expression in J774A.1 mouse macrophage cell line. This first demonstration of BMP-2 expression by cpTi adherent macrophages suggests that the macrophage may contribute surface-specific osteoinductive signals during bone formation at implanted alloplastic surfaces.


Asunto(s)
Proteínas Morfogenéticas Óseas/biosíntesis , Macrófagos/metabolismo , Macrófagos/ultraestructura , Titanio , Factor de Crecimiento Transformador beta , Animales , Proteína Morfogenética Ósea 2 , Adhesión Celular , Línea Celular , Citocalasina B/farmacología , ADN Complementario/biosíntesis , Expresión Génica/fisiología , Integrina beta1/biosíntesis , Integrina beta3/biosíntesis , Ratones , Microscopía Electrónica de Rastreo , ARN/biosíntesis , ARN/aislamiento & purificación , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa , Propiedades de Superficie
10.
Bone ; 30(1): 26-31, 2002 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-11792561

RESUMEN

Bone wound healing requires osteoinductive signals that are attributed to (the) bone morphogenetic proteins (BMPs). The cellular origin of such osteoinductive signals has only been partially elucidated. Because of the central role of the macrophage in cutaneous wound healing, we hypothesized that the macrophage could play a similar role in osseous healing. It was the aim of the present investigation to examine the possible expression of BMP by the macrophage, and to evaluate the contribution of macrophage products to an early step of bone formation modeled in an in vitro culture system. The synthesis of BMP-2 and BMP-6 by cultured human and murine macrophages was evaluated by reverse transcription-polymerase chain reaction (RT-PCR). When human mesenchymal stem cells (hMSCs) were grown in conditioned media from J774A.1 cells, alkaline phosphatase expression increased. This induction was blocked by anti-BMP-2 antibody and by anti-transforming growth factor-beta1 (TGF-beta1) antibody. Modeling of the macrophage expression of osteoinductive signals by potential physiological situations was evaluated by treatments with lipopolysaccharide (LPS) or macrophage chemotactic peptide-1 (MCP-1). Macrophage BMP-2 expression was reduced by proinflammatory LPS stimulation (which was confirmed to induce release of the proinflammatory cytokine, TNF-alpha), and conditioned media from LPS-treated macrophages had no ability to increase alkaline phosphatase activity in hMSCs. This first study of macrophage BMP-2 expression indicates that the macrophage is capable of physiological regulation consistent with a key role in osteoinduction for osseous wound healing.


Asunto(s)
Proteínas Morfogenéticas Óseas/biosíntesis , Curación de Fractura/fisiología , Macrófagos/fisiología , Factor de Crecimiento Transformador beta , Fosfatasa Alcalina/biosíntesis , Animales , Proteína Morfogenética Ósea 2 , Proteína Morfogenética Ósea 6 , Proteínas Morfogenéticas Óseas/genética , Diferenciación Celular , Línea Celular , Medios de Cultivo Condicionados , Curación de Fractura/genética , Expresión Génica , Humanos , Lipopolisacáridos/farmacología , Ratones , Modelos Biológicos , Osteoblastos/citología , Osteogénesis/genética , Osteogénesis/fisiología , ARN Mensajero/genética , ARN Mensajero/metabolismo , Transducción de Señal , Células Madre/citología , Factor de Necrosis Tumoral alfa/biosíntesis
11.
J Dent Res ; 80(1): 314-20, 2001 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-11269722

RESUMEN

Tissue regeneration strategies invoke cell-based therapies for effective tissue formation. Current assessment of mesenchymal stem cell (MSC) directed bone regeneration during in vivo assays is dependent on histologic determination of bone formation. It was the aim of this study to determine the relationship between bone sialoprotein (BSP) expression and osteocalcin expression with subsequent osteogenesis occurring in MSC-based implants. RT-PCR assessment of human actin, collagen type I, BSP, and osteocalcin indicated that undifferentiated cells did not express BSP or osteocalcin. Three weeks following implantation, human BSP could be identified in RNAs isolated from the retrieved implants. For every implant from which human BSP cDNA was amplified, parallel implants harvested at 6 weeks demonstrated bone formation at the histologic level. This study confirms that, in the context of the severe combined immunodeficiency disease (SCID) mouse model, culture-expanded, cryopreserved human MSCs have osteogenic potential and demonstrates that implanted cell gene expression can reveal the early onset of bone formation.


Asunto(s)
Regeneración Ósea/fisiología , Osteogénesis/genética , Osteogénesis/fisiología , Trasplante de Células Madre , Células Madre/metabolismo , Animales , Células de la Médula Ósea/citología , Células de la Médula Ósea/metabolismo , Trasplante de Médula Ósea , Regeneración Ósea/genética , Ensayo de Unidades Formadoras de Colonias , Regulación del Desarrollo de la Expresión Génica , Humanos , Sialoproteína de Unión a Integrina , Mesodermo/citología , Mesodermo/metabolismo , Mesodermo/trasplante , Ratones , Ratones SCID , Datos de Secuencia Molecular , Osteoblastos/citología , Osteocalcina/biosíntesis , Osteocalcina/genética , ARN Mensajero/análisis , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa , Análisis de Secuencia de ADN , Sialoglicoproteínas/biosíntesis , Sialoglicoproteínas/genética , Células Madre/citología
12.
J Prosthet Dent ; 85(1): 40-6, 2001 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-11174677

RESUMEN

STATEMENT OF PROBLEM: Alterations in commercially pure titanium (cp Ti) implant surface topography can be made to increase bone formation or the interfacial shear strength of bone at the functioning implant. It is not known whether these 2 goals are congruent or mutually exclusive. PURPOSE: The aim of this study was to determine the effect of implant surface topography parameters of calculated biomechanical significance on the process of bone formation in a rat tibia model of osseointegration. MATERIAL AND METHODS: Implants (cp Ti grade IV) were machined and subsequently treated by grit blasting or grit blasting and 6.4 mol/L HCl. Measurements of surface roughness were made by atomic force microscopic analysis of similarly treated titanium disks. Cleaned and sterilized implants (12 machined, 12 with nonideal pit morphology, 12 with ideal pit morphology) were placed into the tibiae of 400-g male Wistar rats by using a series of drills, irrigation, and a self-tapping procedure. After 3 weeks, tibiae were harvested and processed and embedded in methyl methacrylate resin. Polished sections were examined by backscatter electron microscopy, and the percentage implant surface contacting bone was measured with the Scionics PC image analysis program. RESULTS. The implants possessing a proposed ideal pit morphology supported significantly greater bone formation at the implant surface (54% +/- 7% bone-to-implant contact [P<.003]) than the nonideal pit morphology (40% +/- 15%) or machined surfaces (34% +/- 6%). CONCLUSION: Implant surfaces with a proposed ideal pit morphology (which possess a calculated biomechanical significance) enhanced bone formation at early periods after placement in the rat tibia model.


Asunto(s)
Implantes Experimentales , Oseointegración , Animales , Fenómenos Biomecánicos , Pulido Dental , Predicción , Masculino , Microscopía de Fuerza Atómica , Microscopía Electrónica de Rastreo , Modelos Animales , Osteogénesis , Ratas , Ratas Wistar , Propiedades de Superficie , Tibia , Titanio/química
13.
J Prosthet Dent ; 85(2): 109-12, 2001 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-11208196

RESUMEN

The vitality of teeth adjacent to dental implants should be considered in the treatment planning of dental implants. Both the restorability of an endodontically treated tooth and the risk of infection of the adjacent implant are important factors in planning for success. Given the illustrated difficulties and difficulties associated with resolving periapical infections of teeth and implants, it is essential to define the vitality of teeth by careful pulp testing and to consider the integrity of existing questionable, endodontically treated teeth before implant treatment. The risk of periapical infection at teeth adjacent to implants must be minimized.


Asunto(s)
Implantación Dental Endoósea , Implantes Dentales , Absceso Periapical/etiología , Periodontitis Periapical/etiología , Pérdida de Hueso Alveolar/etiología , Pérdida de Hueso Alveolar/cirugía , Diente Premolar , Trasplante Óseo , Implantación Dental Endoósea/efectos adversos , Implantes Dentales/efectos adversos , Estudios de Seguimiento , Regeneración Tisular Guiada Periodontal , Humanos , Membranas Artificiales , Osteólisis/etiología , Osteólisis/cirugía , Absceso Periapical/cirugía , Periodontitis Periapical/cirugía , Recurrencia , Tratamiento del Conducto Radicular , Cicatrización de Heridas
14.
J Clin Microbiol ; 39(1): 119-28, 2001 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-11136759

RESUMEN

A means for distinguishing between clinical isolates of Renibacterium salmoninarum that is based on the PCR amplification of length polymorphisms in the tRNA intergenic spacer regions (tDNA-ILPs) was investigated. The method used primers specific to nucleotide sequences of R. salmoninarum tRNA genes and tRNA intergenic spacer regions that had been generated by using consensus tRNA gene primers. Twenty-one PCR products were sequenced from five isolates of R. salmoninarum from the United States, England, and Scotland, and four complete tRNA genes and spacer regions were identified. Sixteen specific PCR primers were designed and tested singly and in all possible pairwise combinations for their potential to discriminate between isolates from recent clinical outbreaks of bacterial kidney disease (BKD) in the United Kingdom. Fourteen of the isolates were cultured from kidney samples taken from fish displaying clinical signs of BKD on five farms, and some of the isolates came from the same farm and at the same time. The tDNA-ILP profiles separated 22 clinical isolates into nine groups and highlighted that some farms may have had more than one source of infection. The grouping of isolates improved on the discriminatory power of previously reported typing methods based on randomly amplified polymorphic DNA analysis and restriction fragment length profiles developed using insertion sequence IS994. Our method enabled us to make divisions between closely related clinical isolates of R. salmoninarum that have identical exact tandem repeat (ETR-A) loci, rRNA intergenic spacer sequences, and IS994 profiles.


Asunto(s)
Infecciones por Actinomycetales/veterinaria , Actinomycetales/clasificación , ADN Intergénico/genética , Enfermedades de los Peces/microbiología , ARN de Transferencia/genética , Salmonidae , Actinomycetales/genética , Actinomycetales/aislamiento & purificación , Animales , Acuicultura , ADN Bacteriano/genética , Genes Bacterianos , Variación Genética , Datos de Secuencia Molecular , Reacción en Cadena de la Polimerasa , Técnica del ADN Polimorfo Amplificado Aleatorio , Análisis de Secuencia de ADN , Secuencias Repetidas en Tándem/genética
15.
J Prosthet Dent ; 84(5): 522-34, 2000 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-11105008

RESUMEN

STATEMENT OF PROBLEM: A variety of claims are made regarding the effects of surface topography on implant osseointegration. Many in vivo and in vitro experimental observations have key limitations in their interpretations. PURPOSE: This review considers the major claims made concerning the effects of commercially pure (cp) titanium implant surface topography on osseointegration. Important findings of consensus are highlighted, and existing controversies are revealed. MATERIAL AND METHODS: This review considers many of the research publications listed in MEDLINE and presented in biomedical research publications and textbooks. RESULTS: Implant surface topography is not well defined in the marketplace or consistently reported among experimental studies. Many in vitro evaluations are not predictive of or correlated with in vivo outcomes. In some culture models, increased surface topography positively affects pro-osteogenic cellular activities. Animal models reveal modest increases in bone-to-implant contact and increases in the biomechanical interlock of the implant with bone for implants of increased surface topography. Existing information fails to define increased surface topography as a risk factor for peri-implant inflammation. CONCLUSION: Increased cp titanium implant surface topography improves the bone-to-implant contact and the mechanical properties of the enhanced interface. Growing clinical evidence for increased bone-to-implant contact at altered cp titanium implants confirms the temporally limited observations made in preclinical studies. In the absence of controlled comparative clinical trials, the aggregate experimental evidence supports the use of cp titanium implants with increased surface topography.


Asunto(s)
Aleaciones Dentales , Implantación Dental Endoósea , Oseointegración , Titanio , Fenómenos Biomecánicos , Adhesión Celular , Humanos , Osteogénesis , Propiedades de Superficie
16.
Antonie Van Leeuwenhoek ; 78(1): 51-61, 2000 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-11016696

RESUMEN

The nucleotide sequences of the rRNA genes and the 5' flanking region were determined for R. salmoninarum ATCC 33209T from overlapping products generated by PCR amplification from the genomic DNA. Comparison of the sequences with rRNA genes from a variety of bacteria demonstrated the close relatedness between R. salmoninarum and the high G+C group of the actinobacteria, in particular, Arthrobacter species. A regulatory element within the 5' leader of the rRNA operon was identical to an element, CL2, described for mycobacteria. PCR, DNA sequence analysis, and DNA hybridisation were performed to examine variation between isolates from diverse sources which represented the four 16S-23S rRNA intergenic spacer sequevars previously described for R. salmoninarum. Two 23S-5S rRNA intergenic spacer sequevars of identical length were found. DNA hybridisation using probes complementary to 23S rDNA and 16S rDNA identified two rRNA operons which were identical or nearly identical amongst 40 isolates sourced from a variety of countries.


Asunto(s)
Secuencia Conservada , ADN Ribosómico/genética , Bacilos Grampositivos Asporogénicos Regulares/genética , Operón , ARN Ribosómico/genética , Actinomycetales/genética , Secuencia de Bases , Dosificación de Gen , Variación Genética , Datos de Secuencia Molecular , Filogenia , Reacción en Cadena de la Polimerasa , ARN Ribosómico 16S/genética , ARN Ribosómico 23S/genética , ARN Ribosómico 5S/genética , Mapeo Restrictivo , Análisis de Secuencia de ADN
17.
J Cell Physiol ; 185(3): 401-7, 2000 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-11056010

RESUMEN

Estrogen has been shown to protect osteoblastic cells from apoptosis. Similarly, estrogen treatment preceding heat shock elevates heat shock protein 27 (hsp27) expression and increases thermoresistance in the murine estrogen receptor-transformed SMER14 osteoblastic cell line. Forced expression of hsp27 expression in other cell lines limits apoptosis. The purpose of this study was to examine the effects of estrogen on staurosporine-induced apoptosis in the context of hsp27 expression. Cell viability was measured by the MTT assay. Early apoptotic events were examined by fluorescent microscopy by using FITC-conjugated Annexin V staining. TUNEL labeling was used to compare the number of apoptotic nuclei following staurosporine treatment of estrogen pretreated or untreated cells. Estrogen treatment increased SMER14 cell viability, but not ROS17/2.8 cell viability, in the presence of staurosporine. Estrogen treatment also reduced annexin V staining and DNA fragmentation. Similar treatment increased SMER14 cell hsp27 levels. The concurrent reduction in induced apoptosis suggests a possible estrogenic mechanism for increasing and/or maintaining the number of viable osteoblasts in bone.


Asunto(s)
Apoptosis/fisiología , Estrógenos/farmacología , Proteínas de Choque Térmico , Proteínas de Neoplasias/fisiología , Osteoblastos/patología , Osteoblastos/fisiología , Apoptosis/efectos de los fármacos , Línea Celular , Resistencia a Medicamentos/fisiología , Proteínas de Choque Térmico HSP27 , Humanos , Chaperonas Moleculares
18.
Tissue Cell ; 32(2): 141-7, 2000 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-10855699

RESUMEN

Stress proteins (heat shock proteins [hsps]) serve a number of protective functions, including protection from apoptosis and acting as chaperones during protein biosynthesis. For example, hsp 27 has been defined as a chaperone for the G3 domain of aggrecan, while hsp 47 is the chaperone for type I collagen. Separate cytoprotective roles for hsp 27 and hsp 70 have been demonstrated. The aim of this study was to define the expression of hsps in osteoblastic and chondrocytic cells of the growing rat long bone in relationship to the immunohistochemical localization of aggrecan, type I collagen and the presence of fragmented DNA that defines apoptotic events. Tibiae were harvested from Fisher 344 rats (n=6) and fixed in 10% buffered formalin. Samples were decalcified in 10% EDTA, bisected, and processed for histologic examination. Sections (5 mm) were immunohistochemically stained using a streptavidin-biotin detection method. Co-localization of hsps with apoptosis was achieved using the TUNEL procedure. In the rat tibia growth plate, aggrecan was generally distributed throughout cartilage and chondrocytes. However, hsp 27 expression was observed only in the lower hypertrophic chondrocytes. hsp27 was present in osteoblasts lining newly formed bone. hsp 47 staining was also prominent within these osteoblasts where collagen type I immunolocalization occurred. The inducible form of hsp 70 was localized to the osteoblastic cells lining new bone in the primary spongiosa. In cartilage, DNA fragmentation was restricted to the hypertrophic, hsp27-positive, chondrocytes. In contrast, DNA fragmentation was not co-localized with hsp27-positive osteoblastic cells of the primary spongiosa, although occasional apoptotic cells were identified. These results indicate that apoptosis is a mechanism by which hypertrophic chondrocytes are eliminated from cartilage prior to calcification, but that other mechanisms are also likely to be involved. They also suggest that hsps have cytoprotective and biosynthetic functions within osteoblasts and chondrocytes, but apoptotic signals may override these effects in some instances, resulting in apoptosis.


Asunto(s)
Condrocitos/metabolismo , Proteínas de la Matriz Extracelular/análisis , Proteínas de Choque Térmico/análisis , Osteoblastos/metabolismo , Tibia/metabolismo , Agrecanos , Animales , Condrocitos/patología , Colágeno/análisis , Fragmentación del ADN , Proteínas del Choque Térmico HSP47 , Proteínas HSP70 de Choque Térmico/análisis , Inmunohistoquímica , Etiquetado Corte-Fin in Situ , Lectinas Tipo C , Osteoblastos/patología , Proteoglicanos/análisis , Ratas , Ratas Endogámicas F344
19.
Biochem Biophys Res Commun ; 270(1): 183-9, 2000 Apr 02.
Artículo en Inglés | MEDLINE | ID: mdl-10733925

RESUMEN

The mechanism(s) by which heat shock protein 25 (hsp25) protects cells from stress may involve one or more of the biochemical properties attributed to hsp25 and other small M(r) hsp. In this report, structural and functional properties of an N-terminal 33 amino acid deletion variant of hsp25 (termed hsp25.c) were considered by comparison with hsp25. 6-His tagged recombinant hsp25 and hsp25.c (termed (H6)hsp25.a and (H6)hsp25.c) were expressed and purified. Oligomeric proteins formed and possessed properties previously attributed to hsp25. The 33 amino acid deletion represented by hsp27.c did not affect the ability of the recombinant protein to act as an inhibitor of elastase, as a molecular chaperone in the refolding of denatured citrate synthase, or as an actin-binding protein. The overexpression of either hsp25 or hsp25.c, enhanced the stress resistance of stable transformed eukaryotic cells. This N-terminal variant protein may be used in further cellular and biochemical assessment of hsp25 oligomerization and function.


Asunto(s)
Proteínas de Choque Térmico/metabolismo , Chaperonas Moleculares/metabolismo , Proteínas de Neoplasias/metabolismo , Actinas/metabolismo , Citrato (si)-Sintasa/metabolismo , Variación Genética , Proteínas de Choque Térmico/química , Proteínas de Choque Térmico/genética , Chaperonas Moleculares/química , Chaperonas Moleculares/genética , Proteínas de Neoplasias/química , Proteínas de Neoplasias/genética , Elastasa Pancreática/antagonistas & inhibidores , Unión Proteica , Pliegue de Proteína , Estructura Cuaternaria de Proteína , Proteínas Recombinantes/química , Proteínas Recombinantes/metabolismo , Eliminación de Secuencia
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