Prevalence of Cardiac Amyloidosis in Patients Undergoing Carpal Tunnel Release With Amyloid Deposition.

BACKGROUND: Carpal tunnel syndrome (CTS) is considered an early sign of cardiac amyloidosis (CA) because amyloid deposition is often confirmed in the tenosynovium removed during carpal tunnel release (CTR); however, the prevalence of concomitant CA is unclear.Methods and Results: We prospectively examined 700 patients who underwent CTR and evaluated amyloid deposition after tenosynovium removal. Amyloid deposition was observed in 261 (37%) patients, who were significantly older and predominantly male (P<0.05). Of them, 120 agreed to cardiac screening. We performed 99 mTc-labeled pyrophosphate (99 mTc-PYP) scintigraphy in 12 patients who met either of the following criteria: (1) interventricular septal diameter (IVSd) ≥14 mm or (2) 12 mm ≤ IVSd < 14 mm with above-normal limits in high-sensitivity cardiac troponin T (hs-cTnT). Six patients (50%) had positive findings on 99 mTc-PYP scintigraphy and were diagnosed with wild-type transthyretin CA. Concomitant CA was observed in 6/120 (5%) CTR patients with amyloid deposition and 50% (6/12) in patients with left ventricular hypertrophy (≥12 mm) with increased hs-cTnT levels. CONCLUSIONS: Amyloid deposition was frequently observed in the removed tenosynovium of elderly men with CTS. Cardiac screening may be useful for early diagnosis of CA in patients undergoing CTR with amyloid deposition.

Adsorption of dimethyl silicone onto hair-surface models prepared with micro-phase separated monolayers.

The adsorption of dimethylsilicone (DMS) from its emulsion onto hair-surface models was investigated. The model surfaces were prepared on silicon wafers by utilizing a micro-phase separation in mixed Langmuir monolayers with a chemically adsorptive organosilane, n-octadecyltriethoxysilane (ODTES), as one component. The resulting surfaces consisted of hydrophobic micro-domains of polymerized ODTES and a surrounding hydrophilic surface silanol (SiOH) region of the silicon wafer, corresponding to the healthy and damaged regions of the hair surface, respectively, in terms of surface wettability. DMS preferentially adsorbed onto the high surface energy hydrophilic region of the model surface when the hydrophobic micro-domains were composed of fully condensed alkyl chains. The surface energy of the micro-domains could be controlled by using palmitic acid (PA) as the second component to form the micro-domains in the phase-separated Langmuir monolayers. The increase in the surface energy of the micro-domains induced the adsorption of DMS onto the intrinsically hydrophobic domain surface.

Painful heterotopic pacinian corpuscle in the hand: a report of three cases.

Severe pain in the finger caused by an abnormal Pacinian corpuscle is a rare condition. We have recently encountered three patients diagnosed with a heterotopic Pacinian corpuscle, based on histopathological findings. When making a differential diagnosis of unexplained severe pain in the finger, abnormal Pacinian corpuscles must be taken into account in addition to glomus tumour and other types of painful soft-tissue tumour.

Temperature dependent dendritic domain shapes in Langmuir monolayers of tetradecanoyl N-ethanolamide at the air-water interface.

The effect of temperature on the surface phase behavior of tetradecanoyl N-ethanolamide (NHEA-14) in Langmuir monolayers at the air-water interface has been investigated by film balance and Brewster angle microscopy (BAM). It has been observed that dendritic domains are formed in the coexistence region between liquid-expanded (LE) and liquid-condensed (LC) phases at different temperatures. At 10 and 15°C, the domains are four-armed dendrites having wide arms which have a tendency to be fractal while growing in size. At 20°C, five-armed dendritic domains are formed. At a temperature higher than 20°C, the domains are mainly six-armed dendrites having very narrow and sharp arms. The formation of dendritic domains should be due to the presence of interfacial hydrogen bonding among the head groups of the amphiphile. Increased dehydration of the head groups with an increase in the temperature should be responsible for the temperature dependency of the dendritic domain shapes in the monolayers of NHEA-14.

Effect of head groups on the phase transitions in Gibbs adsorption layers at the air-water interface.

The adsorption kinetics and the surface phase behavior of four different amphiphiles, which are 2-hydroxyethyl laurate (2-HEL), dodecanoyl N-ethanolamide (NHEA-12), dodecanoyl N-methylethanolamide (NMEA-12) and tetradecanoyl N-methylethanolamide (NMEA-14), have been investigated at the air-water interface by film balance, surface tensiometer and Brewster angle microscopy (BAM). The former two amphiphiles show a first-order phase transition from a lower density liquid like phase to a higher density condensed phase in Gibbs adsorption layers. On the other hand, the latter two amphiphiles are unable to show such characteristics under any experimental conditions. The presence of a methyl group in the head group of NMEA-12 sterically hinders the molecules and resists the formation of any condensed phases. This steric hindrance is so high that even an increase in the chain length by two CH(2) groups in NMEA-14 does not allow the formation of condensed domains. Although, both 2-HEL and NHEA-12 are able to form the condensed phase, the domain morphology formed in these monolayers is different from each other. The domains of 2-HEL at lower temperatures are circular having a stripe texture, while those at higher temperatures show fingering patterns having uniform brightness. On the other hand, the domains of NHEA-12 are dendritic in shape. The presence of hydrogen bonding sites close to the interface should be responsible for the formation of such domains in NHEA-12.

Temperature and compression rate independent domain shape in Langmuir monolayers of di-n-dodecyl hydrogen phosphate at the air-water interface.

Thermodynamic and morphological properties of Langmuir monolayers of di-n-dodecyl hydrogen phosphate (DDP) have been studied by film balance and Brewster angle microscopy (BAM) over a wide range of temperature between 5 and 40 degrees C. From pi-A isotherms, a generalized phase diagram consisting of gas (G), liquid expanded (LE) and liquid condensed (LC) phases is constructed for the DDP monolayers. The BAM images show the formation of gas bubble in the bright background of LE phase during G-LE phase transitions and fingering LC domains during LE-LC phase transitions. The shapes of these domains are independent of temperature, showing a sharp contrast to the temperature-dependent monolayer morphologies of amphiphilic systems where the shape of the LC domains changes either from compact circular to fingering or from irregular or spiral to compact patterns with increasing temperature. In addition, the domains do not show any change in their shapes with decreasing the compression rate. Since the two-alkyl chains are directly attached by covalent bonds to the phosphate group, the rearrangement of the molecules needs to move the whole molecules including the hydration sphere. The difficulty related to such a movement of the molecules causes the fingering domains, which are independent of external variables. Although the domains are formed in a fingering shape, the equilibrium shape can be attained by about 120 min at 15 degrees C indicating a rather slow relaxation rate.

How many phases and phase transitions do exist in Gibbs adsorption layers at the air-water interface?

Four different phases and four different first-order phase transitions have been shown to exist in Gibbs adsorption layers of mixtures containing n-hexadecyl dihydrogen phosphate (n-HDP) and L-arginine (L-arg) at a molar ratio of 1:2. These conclusions have been made from surface pressure-time (pi-t) adsorption isotherms measured with a film balance and from monolayer morphology observed with a Brewster angle microscopy (BAM). The observed four phases are gas (G), liquid expanded (LE), liquid condensed (LC) and LC' phases. Three first-order phase transitions are G-LE, LE-LC and LC-LC'. However, the thermodynamically allowed G-LC phase transition in a 1.2 x 10(-4) M mixture at 2 degrees C, which is below the so-called triple point, is kinetically separated into the G-LE and LE-LC phase transitions. The most interesting observation is that the homogeneous LC phase shows a new first-order phase transition named as LC-LC' at 2 or 5 degrees C. The LE and LC phases represent circular and fractal shaped domains, respectively, whereas the LC' phase shows very bright, anisotropic and characteristic shaped domains.

Weak first-order tilting transition in monolayers of mono- and bipolar docosanol derivatives.

A systematic analysis of pressure-area isotherms and grazing incidence X-ray diffraction (GIXD) data of 22-methoxydocosan-1-ol (H3C-O-(CH2)22-OH, MDO), docosan-1-ol (H3C-(CH2)21-OH, DO), and docosyl methyl ether (H3C-(CH2)21-O-CH3, DME) monolayers on pure water between 10 and 35 degrees C is presented. All monolayers form fully condensed phases in the investigated temperature region. The GIXD data reveal that the monolayers exhibit the phase sequence -S at lower temperature and -LS at higher temperature. Phase diagrams have been established. Inserting a second hydrophilic group at the opposite end of the molecule (bipolar MDO) shifts the S/LS boundary to higher temperatures. All monolayers exhibit herringbone (HB) packing at lower temperatures. The "kink" in the isotherms observed at lower temperatures is replaced by a very small plateau region at higher temperatures. The entropy changes connected with this weak first-order tilting transition are much smaller compared with the first-order transition from liquid-expanded (LE) to condensed (LC). Additionally, this transition is endothermic in contrast to the LE/LC transition. The reason for the endothermic transition is the weaker positional correlation in the nontilted state compared with the tilted one. The appearance of the weak first-order endothermic transition can be connected with the changed phase sequence. X-ray photoelectron spectroscopy (XPS) measurements provide information about the polar group orientation. Considerations based on GIXD and XPS data as well as adhesion energy of the different terminal end groups lead to the conclusion that the hydroxyl group of the bipolar MDO is attached to the water surface while the methoxy group is in contact with air. The presented results show that the second hydrophilic group influences the monolayer properties in a mild way.

Interactions of L-arginine with Langmuir monolayers of di-n-dodecyl hydrogen phosphate at the air-water interface.

The surface phase behavior of di-n-dodecyl hydrogen phosphate (DDP) in Langmuir monolayer and its interactions with L-arginine (L-arg) have been investigated by measuring pi-A isotherms with a film balance and observing monolayer morphology with a Brewster angle microscopy (BAM). The DDP monolayers on pure water show a first-order liquid expanded-liquid condensed (LE-LC) phase transition and form fingering LC domains having uniform brightness at different temperatures. At 15 degrees C, the pi-A isotherms on pure water and on different concentration solutions of L-arg show a limiting molecular area at approximately 0.50 nm(2)/molecule. With increasing the subphase concentration of L-arg up to 4.0 x 10(-4)M, the LE and the LE-LC coexistence regions shift to larger molecular areas and higher surface pressures, respectively. With a further increase in the concentration of L-arg beyond this critical concentration, these isotherms show little or no more expansion. These results have been explained by considering the fact that the L-arg undergoes complexation with the DDP to form L-arg-DDP that remains in equilibrium with the components at the air-water interface. As the concentration of L-arg in the subphase increases, the equilibrium shifts towards the complex. At a concentration of L-arg > or =4.0 x 10(-4)M, the DDP monolayers get saturated and show the characteristics of the new amphiphile, L-arg-DDP. BAM is applied to confirm the above results. When the concentration of the L-arg is <4.0 x 10(-4)M, domains always start forming at an area of approximately 0.64 nm(2)/molecule, which is the critical molecular area for the phase transition in the DDP monolayers on pure water. In contrast, when the monolayers are formed on a solution containing > or =4.0 x 10(-4)M L-arg, comparatively smaller size domains are formed after the appearance of a new cusp point at approximately 0.55 nm(2)/molecule. With an increase in the concentration of L-arg in the subphase, the size of the domains decreases indicating that the fraction of the DDP gradually decreases, whereas the fraction of the complex gradually increases. In addition, a very simple procedure for determination of the stability constant, which is 2.6 x 10(4)M(-1) at 15 degrees C, has been suggested.

Surface phase behavior of di-n-tetradecyl hydrogen phosphate in Langmuir monolayers at the air-water interface.

Surface phase behavior of di-n-tetradecyl hydrogen phosphate, DTP, has been studied by measuring pi-A isotherms with a film balance and observing monolayer morphology with a Brewster angle microscopy (BAM) at different temperatures. A generalized phase diagram, which shows a triple point for gas (G), liquid-expanded (LE) and liquid-condensed (LC) phases at about 32 degrees C, is constructed for the amphiphile. Below the triple point, a first-order G-LC phase transition has been shown to occur, whereas a first-order G-LE phase transition followed by another first-order LE-LC transition has been found to take place at a temperature above the triple point. The amphiphile shows the fingering LC domains with uniform brightness indicating the presence of untilted molecules. The domain shapes are independent of the change in temperature and compression rate. The existence of similar fingering domains over a wide range of temperature is rather uncommon in the monolayer systems and is considered to be due to the restricted movement of the molecules incorporating into the LC phase. Because the two-alkyl chains are directly attached to two covalent bonds of the phosphate head group, the rearrangement of the molecules, which is an essential condition for the circular domain formation, needs the movement of the whole molecules including the hydration sphere. The difficulty related to such a movement of the molecules causes fingering domains, which are independent of external variables.

Kinetic appearance of first-order gas-liquid expanded and liquid expanded-liquid condensed phase transitions below the triple point.

Phase diagram of Gibbs monolayers of mixtures containing n-hexadecyl phosphate (n-HDP) and L-arginine (L-arg) at a molar ratio of 1:2 has been constructed by measuring surface-pressure-time (pi-t) isotherms with film balance and by observing monolayer morphology with Brewster angle microscopy (BAM). This phase diagram shows a triple point for gas (G), liquid expanded (LE), and liquid condensed (LC) phases at around 6.7 degrees C. Above this triple point, a first-order G-LE phase transition occurring at 0 surface pressure is followed by another first-order LE-LC phase transition taking place at a certain higher surface pressure that depends upon temperature. The BAM observation supports these results. Below the triple point, the pi-t measurements show only one first-order phase transition that should be G-LC. All of these findings are in agreement with the general phase diagram of the spread monolayers. However, the BAM observation at a temperature below the triple point shows that the thermodynamically allowed G-LC phase transition is, in fact, a combination of the G-LE and LE-LC phase transitions. The latter two-phase transitions are separated by time and not by the surface pressure, indicating that the G-LC phase transition is kinetically separated into these two-phase transitions. The position of the LE phase below the triple point in the phase diagram is along the phase boundary between the G and LC phases.

Influence of temperature and alkyl chain length on phase behavior in Langmuir monolayers of some oxyethylenated nonionic surfactants.

We study the surface phase behavior in Langmuir monolayers of a series of nonionic surfactants of the general formula CnE1 with n=14, 16, and 18 by film balance and Brewster angle microscopy (BAM) over a wide range of temperatures. A cusp point followed by a pronounced plateau region in the pressure-area (pi-A) isotherms indicates a first-order phase transition in the coexisting state between a lower density liquid expanded (LE) phase and a higher density liquid condensed (LC) phase at the air-water interface. The formation of bright two-dimensional (2D) LC domains in a dark background visualized by BAM further confirms this observation. In addition to the cusp point at the onset of the LE-LC coexistence state, another cusp point followed by a small plateau is observed for the C14E1 and C18E1 monolayers, indicating a second phase transition between two condensed phases of different compressibility and tilt orientation of the molecules. This unusual two-step phase transition is explained by the Ostwald step rule. The C16E1 and C18E1 monolayers show a kink in their respective isotherms, after which the surface pressure increases steeply with only a little decrease in the molecular area, suggesting that the molecules undergo a transition from a tilted to an almost vertical orientation with respect to the water surface. The thermodynamic parameters for the condensation of the molecules in the LE-LC coexistence state were calculated by employing the 2D Clapeyron equation. The temperature coefficient of the critical surface pressure dpi(c)/dT values shows a decreasing trend from C14E1 to C18E1, suggesting that the condensation process becomes less and less prone to thermal perturbation as the chain length increases. For all the amphiphiles, the DeltaH values are found to be negative, suggesting an exothermic nature of condensation. The negative DeltaS values obtained from the relation DeltaH/T probably come from the restriction on the rotational and translational motion of the molecules constrained in a confined area in the LE-LC transition region.

Two-dimensional facets in Langmuir monolayers of 1-O-hexadecyl-rac-glycerol at the air-water interface.

We study the surface phase behavior in Langmuir monolayers of 1-O-hexadecyl-rac-glycerol (C16G) by film balance and Brewster angle microscopy over a wide range of temperatures. A cusp point followed by a pronounced plateau region in the pressure-area (pi-A) isotherm indicates a first-order phase transition between a lower density liquid expanded (LE) phase and a higher density liquid condensed (LC) phase at the air-water interface. A wide variety of condensed domains are found to form just after the appearance of the cusp point. The observed surface morphology was compared with that of ethylene glycol mono-n-hexadecyl ether (C16E1) that bears an ethylene oxide (EO) unit in the head-group. As usually observed, the domains of C16E1 are found to be circular at lower temperatures and fractal at higher temperatures. Contrary to this usual behavior, the domains of C16G are found to be strip-like structures at lower temperatures, which attain increasingly compact shape as the temperature increases and finally attain faceted structures at > or = 25 degrees C. It is concluded that a higher degree of dehydration around the head-group region of C16G appreciably reduces the hydration-induced repulsive interactions between the head-groups and imparts to the molecules an increase in hydrophobicity, thereby a closer molecular packing. As a result, the molecules form increasingly compact domains as the temperature increases. Since the head-group of C16E1 is much smaller than that of C16G, dehydration effect cannot appreciably increase its hydrophobic character. Rather, increases in subphase temperature result in a decrease in the line tension of the interface giving fractal structures at higher temperatures. In addition, the changes in enthalpy (deltaH) and entropy (deltaS) values were also calculated to understand the thermodynamic nature of condensation of the molecules in the LE-LC transition region.

Effect of temperature on the surface phase behavior of n-hexadecyl dihydrogen phosphate in adsorption layers at the air-water interface.

We present the adsorption kinetics and the surface phase behavior of n-hexadecyl dihydrogen phosphate (n-HDP) at the air-water interface by film balance and Brewster angle microscopy (BAM). A phase diagram, which shows a triple point at about 25.8 degrees C, is constructed by measuring the surface pressure (pi)-time (t) adsorption isotherms. Below 25.8 degrees C, each of the pi-t curves shows a plateau at about zero surface pressure indicating the existence of a first-order phase transition. The BAM observation confirms the order of this phase transition by presenting two-surface phases during this plateau. However, the BAM observation also shows clearly another second-order phase transition from an isotropic phase to a mosaic-textured liquid condensed (LC) phase. The initial phase is a gas (G) phase. Considering the peculiarity of the middle phase, we suggest this phase as an intermediate (I) phase. Above the triple point, the pi-t curves predict the existence of two-step first-order phase transitions. Similar to the results at lower temperatures, the BAM images show two-surface phases during these first-order phase transitions together with a second-order phase transition from an isotropic phase to an LC phase. These transitions are classified as a first-order G-LE (liquid expanded) phase transition, which is followed by another first-order LE-I phase transition. The second-order phase transition is an I-LC phase transition. Contrary to these results, at 36 degrees C both the pi-t measurements and the BAM observation present only two first-order phase transitions, which are G-LE at zero surface pressure and LE-LC transition at higher surface pressure. The shape of the domains during the main transitions shows a peculiar change from a circular at 20 degrees C to an elongated at 24 degrees C and finally to a circular shape at 36 degrees C. Such a change in the domain shapes has been explained considering the dehydration effect at higher temperatures as well as the nature of phases.

Anomalous phase behavior in Langmuir monolayers of monomyristoyl-rac-glycerol at the air-water interface.

The effect of temperature on the surface phase behavior in Langmuir monolayers of monomyristoyl-rac-glycerol (MMG) at the air-water interface has been studied by film balance and Brewster angle microscopy (BAM). It is observed that the domains of the MMG monolayers formed in the coexistence region between the liquid expanded (LE) and liquid condensed (LC) phases retain their circular shape over the studied temperature range, showing a sharp contrast to the temperature-dependent monolayer morphologies of amphiphilic systems where the shape of condensed domains changes either from compact circular to fingering or from irregular or spiral to compact patterns with increasing temperature. It is concluded that the system is capable of tuning the line tension of the interface by the effect of the increase in the hydrophobic character because of dehydration of the headgroup, which imparts to the molecules the properties of similar molecules but with less hydrophilic headgroups. As a result, the domains can retain their circular shape even up to the maximum possible temperature of the phase transition.

Interaction of an organic cation with Gibbs monolayers of n-hexadecyl phosphate.

Surface phase behavior of n-hexadecyl phosphate (n-HDP) and its mixture with L-arginine (L-arg), which behaves as L-argininium cation (L-arg(+)) in aqueous solution, at a molar ratio 2:3 in Gibbs adsorption layers has been studied by film balance, Brewster angle microscopy (BAM) and surface tensiometry at 20 degrees C. The monolayers of n-HDP show three phases that are gas (G), intermediate (I) and liquid condensed (LC), and two phase transitions. A first-order G-I phase transition that is followed by a second-order I-LC phase transition is found in these monolayers. Although the monolayers of the mixtures containing n-HDP and L-arg show three phases, the nature of the middle phase is different from that of the n-HDP monolayers. The three phases observed for the mixed systems are G, liquid expanded (LE) and LC phases. A first-order G-LE phase transition is found at a low surface pressure at > or =10 degrees C. This transition is followed by another first-order LE-LC phase transition at a certain higher surface pressure. The first-order nature of the phase transitions for both the systems is confirmed by the presence of plateaus in the pi-t curves, which are accompanied by two surface phases. A second-order phase transition in the monolayers of n-HDP is indicated by a gradual change in the surface morphology, from a uniformly bright isotropic to an anisotropic mosaic textured phase, which is accompanied by a continuous change in the surface pressure. The domains formed during the first-order phase transition in the adsorption layers of n-HDP are circular and remain unaffected by changing the temperature. Although the domains of an LE phase are circular, those of an LC phase at the latter transition are fractal in the mixed system. A further branching of the arms of the fractal domains is found to occur by an increase in the temperature. All the results are explained by considering salt formation between anion from n-HDP and L-arg(+).

Adsorption and micellar properties of a mixed system of nonionic-nonionic surfactants.

We study the surface adsorption and bulk micellization of a mixed system of two nonionic surfactants, namely, ethylene glycol mono-n-dodecyl ether (C12E1) and tetraethylene glycol mono-n-tetradecyl ether (C14E4), at different mixing ratios at 15 degrees C. The pure C14E4 monolayer cannot show any indicative features of phase transition because of both hydration-induced and dipolar repulsive interactions between the bulky head groups. On the other hand, the monolayers of pure C12E1 and its mixture with C14E4 undergo a first-order phase transition, showing a variety of surface patterns in the coexistence region between the liquid expanded (LE) and liquid condensed (LC) phases under the same experimental conditions. For pure C12E1, the domains are of a fingering pattern while those for the C12E1/C14E4 mixed system are found to be compact circular and small irregular structures at 2:1 and 1:1 molar ratios, respectively. The critical micelle concentration (cmc) values of both the pure and the mixed systems were measured to understand the micellar behavior of the surfactants in the mixture. The cmc values of the mixed system were also calculated assuming ideal behavior of the surfactants in the mixture. The experimental and calculated values are found to be very close to each other, suggesting an almost ideal nature of mixing. The interaction parameters for mixed monolayer and micelle formation were calculated to understand the mutual behavior of the surfactants in the mixture. It is observed that the interaction parameters for mixed monolayer formation are more negative than those of micelle formation, indicating a stronger interaction between the surfactants during monolayer formation. It is concluded that since both the surfactants bear EO units in their head groups, structural parity and hydrogen bonding between the surfactants allow them to be closely packed during monolayer and micelle formation.

Phases and phase transitions in Gibbs monolayers of an alkyl phosphate surfactant.

We present the adsorption kinetics and the surface phase behavior of water-soluble n-tetradecyl phosphate (n-TDP) at the air-water interface by film balance and Brewster angle microscopy (BAM). The relaxation of the surface pressure at about zero value in the surface pressure (pi)-time (t) adsorption isotherm is found to occur from 2 to 20 degrees C with appropriate concentrations of the amphiphile. These plateaus are accompanied by two surface phases, confirming that the relaxation of the surface pressure is caused by a first-order phase transition. Only this phase transition is observed at <6.5 degrees C and it is considered as a gas (G)-liquid condensed (LC) phase transition. Above 6.5 degrees C, the phase transition at zero surface pressure is followed by another phase transition, which is indicated by the presence of cusp points in the pi-t curves at different temperatures. Each of the cusp points is followed by a plateau, which is accompanied by two surface phases, indicating that the latter transitions are also first-order in nature. At >6.5 degrees C, the former transition is classified as a first-order G-liquid expanded (LE) phase transition, while the latter transition is grouped into a first-order LE-LC phase transition. The critical surface pressure (pi(c)) necessary for the G-LC and G-LE phase transitions is zero and remains constant all over the studied temperatures, whereas that for the LE-LC transition increases linearly with increasing temperature. Based on these results, we construct a rather elaborated phase diagram that shows that the triple point for Gibbs monolayers of n-TDP is 6.5 degrees C. All the results are consistent with the present understanding of the Langmuir monolayers of insoluble amphiphiles at the air-water interface.

Diabetes with hyperlipidemia: a risk factor for developing joint contractures secondary to immobility in rat knee joints?

Several studies have reported that diabetes may cause limited joint motion and often combines with hyperlipidemia (HL). This study clarifies that joint contracture can be produced by diabetes, HL, or both. The experimental animal model, a rat with diabetes and HL, was developed by streptozosin injection and addition of 1% cholesterol to the food. One hindlimb each from the diabetes group, the HL group, the combined diabetes/HL group, and the control group was immobilized for 2, 3, or 4 weeks in the Phase I study. Diabetes/HL rats were used 4 weeks after immobilization in a Phase II study. Joint motion, elasticity of the knee joint capsule, and contractile function of the gastrocnemius muscle were measured. Gastrocnemius muscle was observed histologically by H&E and ATPase staining. Limited joint mobility was observed 4 weeks after immobilization only in the diabetes/HL group. The intraarticular pressure from the saline injection was lower, and the contractile function of the gastrocnemius muscle decreased in this group. Atrophy of type II fiber was observed in the gastrocnemius muscle. This restriction of joint mobility may depend on skeletal muscle degeneration around the joint rather than on an intraarticular lesion.

Influence of temperature and headgroup size on condensed-phase patterns in langmuir monolayers of some oxyethylenated nonionic surfactants.

The surface phase behavior in Langmuir monolayers of some oxyethylenated nonionic surfactants of the general formula C16En, with n = 1, 2, 3, and 4, at the air-water interface has been studied by film balance and Brewster angle microscopy (BAM) over a wide range of temperatures. The C16E4 monolayers cannot show any indicative features of phase transition because of strong dipolar as well as hydration-induced repulsive interactions between the bulky headgroups. On the other hand, the monolayers of C16E1, C16E2, and C16E3 show a sharp cusp point followed by a pronounced plateau region in their respective isotherms with subsequent formation of a variety of structures in the two-phase coexistence region between the liquid expanded (LE) and liquid condensed (LC) phases at different temperatures. As usually observed, the domains of C16E1, which bears only one ethylene oxide (EO) unit in the headgroup, are circular at lower temperatures while fractal at higher temperatures. On the other hand, those for C16E2 and C16E3 are initially found to be irregular structures, which attain increasingly compact shape with increasing temperature, and finally become circular when the subphase temperature is 26 and 15 degrees C for C16E2 and C16E3, respectively. It is concluded that a higher degree of dehydration around the headgroup region appreciably reduces the headgroup size, which imparts to the molecules an increase in hydrophobicity, thereby a closer molecular packing. Consequently, the line tension of the interface increases, showing compact structures at higher temperatures. Since C16E1 bears only one EO unit in its headgroup, the dehydration effect cannot appreciably raise its hydrophobicity to overcome the increases in thermal motion and chain flexibility of the molecules. Rather, increases in subphase temperature result in a decrease in the line tension of the interface, giving fractal structures at higher temperatures.