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1.
Nature ; 564(7734): 91-94, 2018 12.
Artículo en Inglés | MEDLINE | ID: mdl-30487603

RESUMEN

Refraction is a well-known optical phenomenon that alters the direction of light waves propagating through matter. Microscopes, lenses and prisms based on refraction are indispensable tools for controlling light beams at visible, infrared, ultraviolet and X-ray wavelengths1. In the past few decades, a range of extreme-ultraviolet and soft-X-ray sources has been developed in laboratory environments2-4 and at large-scale facilities5,6. But the strong absorption of extreme-ultraviolet radiation in matter hinders the development of refractive lenses and prisms in this spectral region, for which reflective mirrors and diffractive Fresnel zone plates7 are instead used for focusing. Here we demonstrate control over the refraction of extreme-ultraviolet radiation by using a gas jet with a density gradient across the profile of the extreme-ultraviolet beam. We produce a gas-phase prism that leads to a frequency-dependent deflection of the beam. The strong deflection near to atomic resonances is further used to develop a deformable refractive lens for extreme-ultraviolet radiation, with low absorption and a focal length that can be tuned by varying the gas pressure. Our results open up a route towards the transfer of refraction-based techniques, which are well established in other spectral regions, to the extreme-ultraviolet domain.

3.
J Dent Res ; 96(11): 1306-1313, 2017 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-28732181

RESUMEN

Rare mutations in IRF6 and GRHL3 cause Van der Woude syndrome, an autosomal dominant orofacial clefting disorder. Common variants in IRF6 and GRHL3 also contribute risk for isolated orofacial clefting. Similarly, variants within genes that encode receptor tyrosine kinase (RTK) signaling components, including members of the FGF pathway, EPHA3 and SPRY2, also contribute risk for isolated orofacial clefting. In the mouse, loss of Irf6 or perturbation of Fgf signaling leads to abnormal oral epithelial adhesions and cleft palate. Oral adhesions can result from a disruption of periderm formation. Here, we find that IRF6 and SPRY4 signaling interact in periderm function. We crossed Irf6 heterozygous ( Irf6+/-) mice with transgenic mice that express Spry4 in the basal epithelial layer ( TgKRT14::Spry4). While embryos with either of these mutations can have abnormal oral adhesions, using a new quantitative assay, we observed a nonadditive effect of abnormal oral epithelial adhesions in the most severely affected double mutant embryos ( Irf6+/-;TgKRT14::Spry4). At the molecular level, the sites of abnormal oral adhesions maintained periderm-like cells that express keratin 6, but we observed abnormal expression of GRHL3. Together, these data suggest that Irf6 and RTK signaling interact in regulating periderm differentiation and function, as well as provide a rationale to screen for epistatic interactions between variants in IRF6 and RTK signaling pathway genes in human orofacial clefting populations.


Asunto(s)
Labio Leporino/genética , Fisura del Paladar/genética , Factores Reguladores del Interferón/genética , Proteínas del Tejido Nervioso/genética , Adherencias Tisulares/genética , Anomalías Múltiples/embriología , Anomalías Múltiples/genética , Animales , Labio Leporino/embriología , Fisura del Paladar/embriología , Quistes/embriología , Quistes/genética , Modelos Animales de Enfermedad , Anomalías Maxilomandibulares/embriología , Anomalías Maxilomandibulares/genética , Labio/anomalías , Labio/embriología , Ratones , Ratones Transgénicos , Anomalías de la Boca/embriología , Anomalías de la Boca/genética , Mutación , Fenotipo , Transducción de Señal , Adherencias Tisulares/embriología
4.
Phys Rev Lett ; 118(3): 033202, 2017 Jan 20.
Artículo en Inglés | MEDLINE | ID: mdl-28157370

RESUMEN

The hitherto unexplored two-photon doubly excited states [Ne^{*}(2p^{-1}3s)]_{2} were experimentally identified using the seeded, fully coherent, intense extreme ultraviolet free-electron laser FERMI. These states undergo ultrafast interatomic Coulombic decay (ICD), which predominantly produces singly ionized dimers. In order to obtain the rate of ICD, the resulting yield of Ne_{2}^{+} ions was recorded as a function of delay between the extreme ultraviolet pump and UV probe laser pulses. The extracted lifetimes of the long-lived doubly excited states, 390(-130/+450) fs, and of the short-lived ones, less than 150 fs, are in good agreement with ab initio quantum mechanical calculations.

5.
J Dent Res ; 95(11): 1265-73, 2016 10.
Artículo en Inglés | MEDLINE | ID: mdl-27369589

RESUMEN

Clefting of the lip, with or without palatal involvement (CLP), is associated with a higher incidence of developmental tooth abnormalities, including hypodontia and supernumerary teeth, aberrant crown and root morphologies, and enamel defects, although the underlying mechanistic link is poorly understood. As most CLP genes are expressed throughout the oral epithelium, the authors hypothesized that the expression of CLP genes may persist in the dental epithelium and thus, in addition to their earlier role in labiopalatine development, may play an important functional role in subsequent tooth patterning and amelogenesis. To address this, the authors generated a unique conditional knockout model involving the major CLP gene, Irf6, that overcomes the previously reported perinatal lethality to enable assessment of any posteruption dental phenotypes. A dental epithelium-specific Irf6 conditional knockout (Irf6-cKO) mouse was generated via a Pitx2-Cre driver line. Dental development was analyzed by microcomputed tomography, scanning electron microscopy, histology, immunohistochemistry, and quantitative polymerase chain reaction. Irf6-cKO mice displayed variable hypodontia, occasional supernumerary incisors and molars, as well as crown and root patterning anomalies, including peg-shaped first molars and taurodontic and C-shaped mandibular second molars. Enamel density was reduced in preeruption Irf6-cKO mice, and some shearing of enamel rods was noted in posteruption incisors. There was also rapid attrition of Irf6-cKO molars following eruption. Histologically, Irf6-cKO ameloblasts exhibited disturbances in adhesion and polarity, and delayed enamel formation was confirmed immunohistochemically. Altered structure of Hertwig's epithelial root sheath was also observed. These data support a role for IRF6 in tooth number, crown and root morphology and amelogenesis that is likely due to a functional role of Irf6 in organization and polarity of epithelial cell types. This data reinforce the notion that various isolated tooth defects could be considered part of the CLP spectrum in relatives of an affected individual.


Asunto(s)
Labio Leporino/complicaciones , Labio Leporino/diagnóstico por imagen , Factores Reguladores del Interferón/genética , Anomalías Dentarias/complicaciones , Amelogénesis/genética , Animales , Labio Leporino/genética , Esmalte Dental/crecimiento & desarrollo , Modelos Animales de Enfermedad , Factores Reguladores del Interferón/fisiología , Ratones , Ratones Noqueados , Microscopía Electrónica de Rastreo , Fenotipo , Anomalías Dentarias/diagnóstico por imagen , Anomalías Dentarias/genética , Microtomografía por Rayos X
6.
Phys Rev Lett ; 117(27): 276806, 2016 Dec 30.
Artículo en Inglés | MEDLINE | ID: mdl-28084773

RESUMEN

Ne clusters (∼5000 atoms) were resonantly excited (2p→3s) by intense free electron laser (FEL) radiation at FERMI. Such multiply excited clusters can decay nonradiatively via energy exchange between at least two neighboring excited atoms. Benefiting from the precise tunability and narrow bandwidth of seeded FEL radiation, specific sites of the Ne clusters were probed. We found that the relaxation of cluster surface atoms proceeds via a sequence of interatomic or intermolecular Coulombic decay (ICD) processes while ICD of bulk atoms is additionally affected by the surrounding excited medium via inelastic electron scattering. For both cases, cluster excitations relax to atomic states prior to ICD, showing that this kind of ICD is rather slow (picosecond range). Controlling the average number of excitations per cluster via the FEL intensity allows a coarse tuning of the ICD rate.

7.
Clin Genet ; 90(1): 28-34, 2016 07.
Artículo en Inglés | MEDLINE | ID: mdl-26346622

RESUMEN

Van der Woude syndrome (VWS) is an autosomal dominant malformation syndrome characterized by orofacial clefting (OFC) and lower lip pits. The clinical presentation of VWS is variable and can present as an isolated OFC, making it difficult to distinguish VWS cases from individuals with non-syndromic OFCs. About 70% of causal VWS mutations occur in IRF6, a gene that is also associated with non-syndromic OFCs. Screening for IRF6 mutations in apparently non-syndromic cases has been performed in several modestly sized cohorts with mixed results. In this study, we screened 1521 trios with presumed non-syndromic OFCs to determine the frequency of causal IRF6 mutations. We identified seven likely causal IRF6 mutations, although a posteriori review identified two misdiagnosed VWS families based on the presence of lip pits. We found no evidence for association between rare IRF6 polymorphisms and non-syndromic OFCs. We combined our results with other similar studies (totaling 2472 families) and conclude that causal IRF6 mutations are found in 0.24-0.44% of apparently non-syndromic OFC families. We suggest that clinical mutation screening for IRF6 be considered for certain family patterns such as families with mixed types of OFCs and/or autosomal dominant transmission.


Asunto(s)
Anomalías Múltiples/diagnóstico , Anomalías Múltiples/genética , Encéfalo/anomalías , Labio Leporino/diagnóstico , Labio Leporino/genética , Fisura del Paladar/diagnóstico , Fisura del Paladar/genética , Quistes/diagnóstico , Quistes/genética , Factores Reguladores del Interferón/genética , Labio/anomalías , Mutación , Anomalías Múltiples/etnología , Anomalías Múltiples/patología , Adulto , Pueblo Asiatico , Encéfalo/patología , Niño , Labio Leporino/etnología , Labio Leporino/patología , Fisura del Paladar/etnología , Fisura del Paladar/patología , Quistes/etnología , Quistes/patología , Análisis Mutacional de ADN , Diagnóstico Diferencial , Femenino , Expresión Génica , Pruebas Genéticas , Estudio de Asociación del Genoma Completo , Genotipo , Humanos , Labio/patología , Masculino , Linaje , Fenotipo , Población Blanca
8.
Nat Commun ; 6: 8596, 2015 Oct 15.
Artículo en Inglés | MEDLINE | ID: mdl-26469997

RESUMEN

When an excited atom is embedded into an environment, novel relaxation pathways can emerge that are absent for isolated atoms. A well-known example is interatomic Coulombic decay, where an excited atom relaxes by transferring its excess energy to another atom in the environment, leading to its ionization. Such processes have been observed in clusters ionized by extreme-ultraviolet and X-ray lasers. Here, we report on a correlated electronic decay process that occurs following nanoplasma formation and Rydberg atom generation in the ionization of clusters by intense, non-resonant infrared laser fields. Relaxation of the Rydberg states and transfer of the available electronic energy to adjacent electrons in Rydberg states or quasifree electrons in the expanding nanoplasma leaves a distinct signature in the electron kinetic energy spectrum. These so far unobserved electron-correlation-driven energy transfer processes may play a significant role in the response of any nano-scale system to intense laser light.

9.
Phys Rev Lett ; 114(12): 123002, 2015 Mar 27.
Artículo en Inglés | MEDLINE | ID: mdl-25860738

RESUMEN

Electron emission as a result of the interaction of clusters with intense laser pulses is commonly understood in terms of direct and evaporative ionization processes. In contrast, we provide evidence here of an important role played by autoionization in intense field ionization of molecular oxygen clusters. Superexcited states are populated during the cluster expansion, and their autoionization is observed on a ns time scale. Decay processes on fs to ps time scales are obscured by energy exchange of the emitted electrons with the environment.

10.
Phys Rev Lett ; 112(25): 253401, 2014 Jun 27.
Artículo en Inglés | MEDLINE | ID: mdl-25014813

RESUMEN

We investigate electron-ion recombination in nanoplasmas produced by the ionization of rare-gas clusters with intense femtosecond extreme-ultraviolet (XUV) pulses. The relaxation dynamics following XUV irradiation is studied using time-delayed 790-nm pulses, revealing the generation of a large number of excited atoms resulting from electron-ion recombination. In medium-sized Ar-Xe clusters, these atoms are preferentially created in the Xe core within 10 ps after the cluster ionization. The ionization of excited atoms serves as a sensitive probe for monitoring the cluster expansion dynamics up to the ns time scale.

11.
Phys Rev Lett ; 112(7): 073003, 2014 Feb 21.
Artículo en Inglés | MEDLINE | ID: mdl-24579594

RESUMEN

We report evidence for two previously unidentified effects in the ionization of rare-gas clusters by intense extreme-ultraviolet pulses. First, electron spectra indicate multistep photoemission with increasing isotropy for larger clusters due to electron-atom collisions. Second, very slow (meV) electrons are interpreted as the first experimental evidence for Rydberg-like atomic state formation in the nanoplasma expansion. Only small fractions of Xe2+ ions were found, in sharp contrast to previous results recorded under comparable conditions [Murphy et al., Phys. Rev. Lett. 101, 203401 (2008).

12.
Andrology ; 1(6): 822-9, 2013 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-23996961

RESUMEN

Aberrant sperm DNA methylation patterns, mainly in imprinted genes, have been associated with male subfertility and oligospermia. Here, we performed a genome-wide methylation analysis in sperm samples representing a wide range of semen parameters. Sperm DNA samples of 38 males attending a fertility centre were analysed with Illumina HumanMethylation27 BeadChips, which quantify methylation of >27 000 CpG sites in cis-regulatory regions of almost 15 000 genes. In an unsupervised analysis of methylation of all analysed sites, the patient samples clustered into a major and a minor group. The major group clustered with samples from normozoospermic healthy volunteers and, thus, may more closely resemble the normal situation. When correlating the clusters with semen and clinical parameters, the sperm counts were significantly different between groups with the minor group exhibiting sperm counts in the low normal range. A linear model identified almost 3000 CpGs with significant methylation differences between groups. Functional analysis revealed a broad gain of methylation in spermatogenesis-related genes and a loss of methylation in inflammation- and immune response-related genes. Quantitative bisulfite pyrosequencing validated differential methylation in three of five significant candidate genes on the array. Collectively, we identified a subgroup of sperm samples for assisted reproduction with sperm counts in the low normal range and broad methylation changes (affecting approximately 10% of analysed CpG sites) in specific pathways, most importantly spermatogenesis-related genes. We propose that epigenetic analysis can supplement traditional semen parameters and has the potential to provide new insights into the aetiology of male subfertility.


Asunto(s)
Metilación de ADN , Fertilidad/genética , Genes MHC Clase II , Infertilidad Masculina/genética , Inflamación/genética , Espermatogénesis/genética , Islas de CpG/fisiología , Fertilidad/inmunología , Ontología de Genes , Humanos , Masculino , Reproducción/genética , Recuento de Espermatozoides
13.
Cancer Gene Ther ; 20(10): 564-75, 2013 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-23949283

RESUMEN

The signaling lymphocytic activation molecule-associated adaptor Ewing's sarcoma's-activated transcript 2 (EAT-2) is primarily expressed in dendritic cells, macrophages and natural killer cells. Including EAT-2 in a vaccination regimen enhanced innate and adaptive immune responses toward pathogen-derived antigens, even in the face of pre-existing vaccine immunity. Herein, we investigate whether co-vaccinations with two recombinant Ad5 (rAd5) vectors, one expressing the carcinoembryonic antigen (CEA) and one expressing EAT-2, can induce more potent CEA-specific cytotoxic T lymphocyte (CTL) and antitumor activity in the therapeutic CEA-expressing MC-38 tumor model. Our results suggest that inclusion of EAT-2 significantly alters the kinetics of Th1-biasing proinflammatory cytokine and chemokine responses, and enhances anti-CEA-specific CTL responses. As a result, rAd5-EAT2-augmented rAd5-CEA vaccinations are more efficient in eliminating CEA-expressing target cells as measured by an in vivo CTL assay. Administration of rAd5-EAT2 vaccines also reduced the rate of growth of MC-38 tumor growth in vivo. Also, an increase in MC-38 tumor cell apoptosis (as measured by hematoxylin and eosin staining, active caspase-3 and granzyme B levels within the tumors) was observed. These data provide evidence that more efficient, CEA-specific effector T cells are generated by rAd5 vaccines expressing CEA, when augmented by rAd5 vaccines expressing EAT-2, and this regimen may be a promising approach for cancer immunotherapy in general.


Asunto(s)
Proteínas Adaptadoras Transductoras de Señales/inmunología , Vacunas contra el Cáncer/farmacología , Antígeno Carcinoembrionario/inmunología , Linfocitos T Citotóxicos/efectos de los fármacos , Proteínas Adaptadoras Transductoras de Señales/biosíntesis , Proteínas Adaptadoras Transductoras de Señales/genética , Adenoviridae/genética , Animales , Antígenos CD/genética , Antígenos CD/inmunología , Vacunas contra el Cáncer/genética , Vacunas contra el Cáncer/inmunología , Antígeno Carcinoembrionario/biosíntesis , Antígeno Carcinoembrionario/genética , Vectores Genéticos/genética , Humanos , Masculino , Ratones , Ratones Endogámicos C57BL , Distribución Aleatoria , Receptores de Superficie Celular/genética , Receptores de Superficie Celular/inmunología , Miembro 1 de la Familia de Moléculas Señalizadoras de la Activación Linfocitaria , Linfocitos T Citotóxicos/inmunología
14.
Phys Rev Lett ; 108(25): 253003, 2012 Jun 22.
Artículo en Inglés | MEDLINE | ID: mdl-23004594

RESUMEN

Auger decay carries valuable information about the electronic structure and dynamics of atoms, molecules, and solids. Here we furnish evidence that under certain conditions Auger electrons are subject to an energetic chirp. The effect is disclosed in time-resolved streaking experiments on the Xe NOO and Kr MNN Auger decay using extreme-ultraviolet pulses from the free-electron laser in Hamburg as well as from a high-order harmonic laser source. The origin of this effect is found to be an exchange of energy between the Auger electron and an earlier emitted correlated photoelectron. The observed time-dependent spectral modulations are understood within an analytical model and confirmed by extensive computer simulations.

15.
J Exp Biol ; 212(Pt 23): 3892-900, 2009 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-19915132

RESUMEN

This study reveals the peculiar in vivo cell kinetics and cell turnover of the marine sponge Halisarca caerulea under steady-state conditions. The tropical coral reef sponge shows an extremely high proliferation activity, a short cell cycle duration and massive cell shedding. Cell turnover is predominantly confined to a single cell population, i.e. the choanocytes, and in this process apoptosis only plays a minor role. To our knowledge, such fast cell kinetics under steady-state conditions, with high turnover by shedding in the absence of apoptosis, has not been observed previously in any other multicellular organism. The duration of the cell cycle in vivo resembles that of unicellular organisms in culture. Morphological and histochemical studies demonstrate compartmentalization of choanocytes in the sponge tissue, which corresponds well with its remarkable cellular kinetics. Coral reef cavity sponges, like H. caerulea, inhabit low nutrient tropical waters, forcing these organisms to filter large volumes of water and to capture the few nutrients efficiently. Under these oligotrophic conditions, a high cell turnover may be considered as a very useful strategy, preventing permanent damage to the sponge by environmental stress. Halisarca caerulea maintains its body mass and keeps its food uptake system up to date by constantly renewing its filter system. We conclude that studies on cell kinetics and functional morphology provide new and essential information on the growth characteristics and the regulation of sponge growth in vivo as well as in vitro and the role of choanocytes in tissue homeostasis.


Asunto(s)
Ciclo Celular/fisiología , Proliferación Celular , Poríferos/citología , Animales , Apoptosis/fisiología , Bromodesoxiuridina , Inmunohistoquímica , Antillas Holandesas , Poríferos/fisiología
16.
Int J Oncol ; 35(3): 625-30, 2009 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-19639183

RESUMEN

During early apoptosis the 33 amino acid C-terminal cytokeratin 18 (CK18) fragment is released by caspase-9 cleavage at the 393DALD/S site. This basic peptide relocates from the cytoskeleton to the nucleoplasm as shown by confocal laser scanning. It is shown that the C-terminal peptide modulates topoisomerase activity as measured by relaxation of plasmid DNA. In an in vitro assay recombinant caspase-induced chromatin condensation is inhibited by the peptide and at the electron microscopical level a clear inhibition of nucleolar breakdown was observed in its presence. We hypothesize that the C-terminal CK18 fragment exerts an effect in the nucleolus by stimulating rRNA transcription and processing via modulation of enzymatic activity of topoisomerase I. This leads to preservation of general transcriptional activity required to exert active steps during early stages of programmed cell death.


Asunto(s)
Apoptosis/fisiología , Caspasa 9/metabolismo , ADN-Topoisomerasas de Tipo I/metabolismo , Queratina-18/metabolismo , Fragmentos de Péptidos/metabolismo , Línea Celular Tumoral , Nucléolo Celular/metabolismo , Nucléolo Celular/patología , Ensamble y Desensamble de Cromatina/fisiología , Fragmentación del ADN , Ensayo de Cambio de Movilidad Electroforética , Humanos , Microscopía Electrónica de Transmisión , Transcripción Genética/fisiología
17.
Br J Cancer ; 99(5): 727-33, 2008 Sep 02.
Artículo en Inglés | MEDLINE | ID: mdl-18728663

RESUMEN

Stromal expression of hypoxia inducible factor 2 alpha (HIF-2 alpha) and carbonic anhydrase 9 (CA9) are associated with a poorer prognosis in colorectal cancer (CRC). Tumour cell death, regulated by a hypoxic stromal microenvironment, could be of importance in this respect. Therefore, we correlated apoptosis, TP53 mutational status and BNIP3 promoter hypermethylation of CRC cells with HIF-2 alpha- and CA9-related poor outcome. In a series of 195 CRCs, TP53 mutations in exons 5-8 were analysed by direct sequencing, and promoter hypermethylation of BNIP3 was determined by methylation-specific PCR. Expressions of HIF-2 alpha, CA9, p53, BNIP3 and M30 were analysed immunohistochemically. Poorer survival of HIF-2 alpha and CA9 stromal-positive CRCs was associated with wild-type TP53 (P=0.001 and P=0.0391), but not with BNIP3 methylation. Furthermore, apoptotic levels were independent of the TP53 status, but lower in unmethylated BNIP3 CRCs (P=0.004). It appears that wild-type TP53 in CRC cells favours the progression of tumours expressing markers for hypoxia in their stroma, rather than in the epithelial compartment. Preserved BNIP3 function in CRC cells lowers apoptosis, and may thus be involved in alternative cell death pathways, such as autophagic cell death. However, BNIP3 silencing in tumour cells does not impact on hypoxia-driven poorer prognosis. These results suggest that the biology of CRC cells can be modified by alterations in the tumour microenvironment under conditions of tumour hypoxia.


Asunto(s)
Adenocarcinoma/patología , Antígenos de Neoplasias/metabolismo , Apoptosis , Factores de Transcripción con Motivo Hélice-Asa-Hélice Básico/metabolismo , Anhidrasas Carbónicas/metabolismo , Neoplasias Colorrectales/patología , Metilación de ADN , Genes p53 , Proteínas de la Membrana/genética , Regiones Promotoras Genéticas , Proteínas Proto-Oncogénicas/genética , Células del Estroma/metabolismo , Adenocarcinoma/genética , Adenocarcinoma/metabolismo , Anhidrasa Carbónica IX , Neoplasias Colorrectales/genética , Neoplasias Colorrectales/metabolismo , Humanos , Inmunohistoquímica , Mutación , Estudios Prospectivos , Análisis de Supervivencia , Resultado del Tratamiento
18.
Foot Ankle Int ; 29(2): 124-7, 2008 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-18315965

RESUMEN

BACKGROUND: Forty-seven consecutive patients treated for ankle arthritis with a Scandinavian total ankle replacement (STAR) by one surgeon were investigated retrospectively. MATERIALS AND METHODS: A modification of the Foot Function Index (FFI), which scores pain and task difficulties, was followed prospectively. Patients were assessed clinically and radiologically. Failure was defined as revision of the prosthesis or arthrodesis for any reason. RESULTS: In 47 patients (16 male, 31 female) 49 total ankle replacements were carried out between May 1999 and June 2004. Indication for surgery was end stage arthritis for rheumatoid arthritis in 29 cases, post-traumatic arthritis in 12, osteoarthritis in five and arthritis secondary to degenerative flatfoot in three. Mean followup time was 28 (12 to 67) months. The modified FFI (range, 0 to 100, a high score meaning more pain and disability) improved significantly from 59 before to 35 after surgery. The mean postoperative Kofoed ankle score was 68. Sixteen procedures were complicated by fractures or temporary neurological damage. At the time of followup, 45 prostheses survived, while four replacements had failed. Radiological examination at followup showed radiolucent lines, osteolysis, and malposition of the components in 31 cases. CONCLUSION: Our results are comparable with those reported in the literature. The clinical outcome improved significantly. Due to aseptic and septic loosening, 8.2% of the prosthesis failed.


Asunto(s)
Articulación del Tobillo , Artritis/cirugía , Artroplastia de Reemplazo , Adulto , Anciano , Anciano de 80 o más Años , Artritis/diagnóstico por imagen , Artritis/etiología , Artroplastia de Reemplazo/efectos adversos , Estudios de Cohortes , Femenino , Humanos , Prótesis Articulares , Masculino , Persona de Mediana Edad , Radiografía , Rango del Movimiento Articular , Recuperación de la Función , Países Escandinavos y Nórdicos , Factores de Tiempo , Resultado del Tratamiento
19.
Klin Padiatr ; 220(1): 26-8, 2008.
Artículo en Alemán | MEDLINE | ID: mdl-18095255

RESUMEN

We report on two families with different expression of a Van-der-Woude-Syndrome (VWS) and with proven mutation of the IRF6- gene. The Van-der-Woude syndrome is a rare disease, typically consisting of congenital pits of the lower lip in combination with cleft lip or cleft palate or both. The Van-der-Woude syndrome is an autosomal dominant syndrome with variable expression. The penetrance is between 0,89 and 0,99. It is important to establish the correct diagnosis by careful investigation of patients with cleft lip or cleft palate and their parents. Genetic counselling is recommended in such cases.


Asunto(s)
Anomalías Múltiples/genética , Labio Leporino/complicaciones , Fisura del Paladar/complicaciones , Labio/anomalías , Anomalías Múltiples/diagnóstico , Adolescente , Factores de Edad , Labio Leporino/genética , Labio Leporino/cirugía , Fisura del Paladar/genética , Femenino , Asesoramiento Genético , Humanos , Lactante , Recién Nacido , Factores Reguladores del Interferón/genética , Labio/cirugía , Mutación , Penetrancia , Síndrome , Resultado del Tratamiento
20.
J Med Genet ; 45(2): 81-6, 2008 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-17873121

RESUMEN

AIM AND METHOD: We analysed DNA samples isolated from individuals born with cleft lip and cleft palate to identify deletions and duplications of candidate gene loci using array comparative genomic hybridisation (array-CGH). RESULTS: Of 83 syndromic cases analysed we identified one subject with a previously unknown 2.7 Mb deletion at 22q11.21 coinciding with the DiGeorge syndrome region. Eighteen of the syndromic cases had clinical features of Van der Woude syndrome and deletions were identified in five of these, all of which encompassed the interferon regulatory factor 6 (IRF6) gene. In a series of 104 non-syndromic cases we found one subject with a 3.2 Mb deletion at chromosome 6q25.1-25.2 and another with a 2.2 Mb deletion at 10q26.11-26.13. Analyses of parental DNA demonstrated that the two deletion cases at 22q11.21 and 6q25.1-25.2 were de novo, while the deletion of 10q26.11-26.13 was inherited from the mother, who also has a cleft lip. These deletions appear likely to be causally associated with the phenotypes of the subjects. Estrogen receptor 1 (ESR1) and fibroblast growth factor receptor 2 (FGFR2) genes from the 6q25.1-25.2 and 10q26.11-26.13, respectively, were identified as likely causative genes using a gene prioritization software. CONCLUSION: We have shown that array-CGH analysis of DNA samples derived from cleft lip and palate subjects is an efficient and productive method for identifying candidate chromosomal loci and genes, complementing traditional genetic mapping strategies.


Asunto(s)
Labio Leporino/genética , Fisura del Paladar/genética , Secuencia de Bases , Niño , Deleción Cromosómica , Mapeo Cromosómico , Cromosomas Artificiales Bacterianos/genética , Cromosomas Humanos Par 10/genética , Cromosomas Humanos Par 22/genética , Cromosomas Humanos Par 6/genética , ADN/genética , Femenino , Dosificación de Gen , Variación Genética , Humanos , Masculino , Hibridación de Ácido Nucleico , Fenotipo , Síndrome
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