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1.
J Hosp Infect ; 99(3): 303-305, 2018 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-29551649

RESUMO

Aerosol and splatter produced during dental treatments (ultrasonic scaling and professional mechanical tooth cleaning) are potential sources of infection. Contamination patterns on the mask, goggles, chest and gowned right arm of operators, and on the goggles of patients before and after dental treatments were investigated using ATP bioluminescence analysis. Contamination on every surface tested increased significantly after dental treatment. Maximum contamination was found on the goggles of patients. Aerosol and splatter produced during dental treatments therefore have the potential to spread infection to operators and patients. ATP bioluminescence is a useful tool for monitoring surface contamination.


Assuntos
Trifosfato de Adenosina/análise , Aerossóis , Raspagem Dentária , Microbiologia Ambiental , Medições Luminescentes , Coloração e Rotulagem/métodos , Humanos
2.
J Assist Reprod Genet ; 35(5): 899-905, 2018 May.
Artigo em Inglês | MEDLINE | ID: mdl-29357025

RESUMO

PURPOSE: In human oocytes, sERCs are one of the dysmorphic phenotypes that have been reported. Significantly reduced pregnancy rates and a comparatively higher number of abnormities in live births appear to be associated with the presence of sERCs in oocytes. However, some reports have shown that healthy babies can be born, without any reduced pregnancy rates, from oocytes observed to contain sERCs. Thus, the clinical and scientific significance of oocytes that harbor sERCs remains controversial. METHODS: The presence of sERCs was evaluated using a time-lapse system while studying the dynamic changes within oocytes and embryos. Logistic regression analysis was carried out to explore the independent variables for meiotic and mitotic cleavage failure.. RESULTS: The incidence of mitotic cleavage failure and the incidence of meiotic cleavage failure during the second polar body extrusion in oocytes with sERCs were found to be significantly higher than that in oocytes without sERCs. Furthermore, ICSI was found to have a greater frequency of meiotic failure than IVF. CONCLUSIONS: In cases of cleavage failure, an embryonic cell could become tetraploid and may induce abnormal chromosomal configurations. Some cells exposed to cleavage failure may become trophectoderm cells and form placental abnormalities. Even if they develop into trophectoderm cells, the ICM can be susceptible to further cleavage failure and may in turn cause further aneuploidy. For these reasons, it is important to monitor pregnancies and births derived from oocytes that contained sERCs.


Assuntos
Retículo Endoplasmático Liso/patologia , Fertilização in vitro/métodos , Oócitos/patologia , Adulto , Feminino , Humanos , Meiose , Injeções de Esperma Intracitoplásmicas/métodos , Imagem com Lapso de Tempo , Resultado do Tratamento
3.
Cryo Letters ; 38(1): 1-6, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28376134

RESUMO

BACKGROUND: In the vitrification of embryos, dimethyl sulfoxide (DMSO) is one of the most effective cryoprotectant agents (CPAs), but cytotoxic effects of DMSO on embryos are well known. Carboxylated poly-L-lysine (CPLL) has been identified as an effective cryoprotectant of cultured cell lines and mammalian oocytes. OBJECTIVE: To evaluate the efficacy and safety of CPLL as a CPA for developmental stage embryos. MATERIALS AND METHODS: Mouse 8-cell embryos and blastocysts were vitrified with ethylene glycol (EG), DMSO/EG, or CPLL/EG and the developmental potency assessed in vitro. RESULTS: In 8-cell embryos, there were no differences between the levels of survival and developmental progress into the blastocyst stage in each solution. At the blastocyst stage, the proportion of dead cells was significantly higher in the EG compared with other solutions. In contrast, there were no differences between the DMSO/EG and CPLL/EG. CONCLUSION: These results indicate that CPLL can be used as a replacement for DMSO in the vitrification of mouse embryos.


Assuntos
Blastocisto/efeitos dos fármacos , Criopreservação/métodos , Crioprotetores/farmacologia , Desenvolvimento Embrionário/efeitos dos fármacos , Polilisina/farmacologia , Animais , Dimetil Sulfóxido/farmacologia , Etilenoglicol/farmacologia , Feminino , Camundongos , Oócitos/efeitos dos fármacos , Vitrificação
4.
J Hosp Infect ; 94(4): 393-396, 2016 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-27597265

RESUMO

Bacterial contamination of dental unit waterlines (DUWLs) was evaluated using ATP bioluminescence analysis and a conventional culture method. Water samples (N=44) from DUWLs were investigated for heterotrophic bacteria by culture on R2A agar, which gave counts ranging from 1.4×103 to 2.7×105 cfu/mL. The ATP bioluminescence results for DUWL samples ranged from 6 to 1189 relative light units and could be obtained within 1min; these correlated well with the culture results (r=0.727-0.855). We conclude that the results of the ATP bioluminescence assay accurately reflect the results of conventional culture-based testing. This method is potentially useful for rapid and simple monitoring of DUWL bacterial contamination.


Assuntos
Trifosfato de Adenosina/análise , Bactérias/isolamento & purificação , Consultórios Odontológicos , Desinfecção/métodos , Microbiologia da Água , Bactérias/metabolismo , Contagem de Colônia Microbiana , Humanos , Medições Luminescentes
5.
Andrologia ; 45(2): 107-10, 2013 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-22690948

RESUMO

An increased risk of testicular cancer in men with infertility and poor semen quality has been reported. In view of the high cure rates for testicular germ cell tumours, increasing clinical importance is being placed on the protection of fertility. High-dose cytostatic therapy may be expected to cause long-term infertility. Thus, the standard procedure for fertility protection is the cryopreservation of ejaculated spermatozoa or testicular tissue before therapy. Four male patients with azoospermia and two patients with very severe oligozoospermia underwent onco-testicular sperm extraction (TESE). We attempted onco-TESE in patients with azoospermia and very severe oligozoospermia after orchiectomy. Of the patients with testicular germ cell tumours, four had spermatozoa in their testicular tissues. Sertoli cell-only syndrome was found in one patient, and one patient showed maturation arrest without the detection of spermatozoa. Three of six showed seminomatous germ cell tumour, two of six had nonseminomatous germ cell tumour and one patient showed no malignancy. Two patients achieved clinical pregnancy. Fertility challenges in men with cancer are the most straightforward because of the relative ease of obtaining and cryopreserving sperm. Testicular sperm extraction is a useful technique for obtaining spermatozoa before cytotoxic therapy in azoospermic and very severely oligozoospermic cancer patients.


Assuntos
Azoospermia/complicações , Azoospermia/terapia , Oligospermia/complicações , Oligospermia/terapia , Espermatozoides , Neoplasias Testiculares/complicações , Adulto , Azoospermia/patologia , Criopreservação , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias Embrionárias de Células Germinativas/complicações , Neoplasias Embrionárias de Células Germinativas/patologia , Neoplasias Embrionárias de Células Germinativas/terapia , Oligospermia/patologia , Gravidez , Preservação do Sêmen , Seminoma/complicações , Seminoma/patologia , Seminoma/terapia , Síndrome de Células de Sertoli/complicações , Síndrome de Células de Sertoli/patologia , Síndrome de Células de Sertoli/terapia , Espermatozoides/patologia , Neoplasias Testiculares/patologia , Neoplasias Testiculares/terapia
6.
Mol Oral Microbiol ; 25(2): 112-22, 2010 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-20331799

RESUMO

Methanobrevibacter oralis is an archaeal species frequently isolated from sites of severe periodontitis. However, its pathogenic roles remain unclear. Here, we aimed to isolate group II chaperonin from M. oralis and examine its antigenicity. The genes encoding two chaperonin subunits (Cpn-1 and Cpn-2) were cloned from M. oralis using polymerase chain reaction and genome walking procedures. Recombinant proteins Cpn-1 and Cpn-2 were generated, and the reactivities of sera from patients with periodontitis were examined by Western immunoblotting. The open reading frames of Cpn-1 and Cpn-2 genes consisted of 1641 and 1614 base pairs, respectively. Putative ATP-binding domains conserved among the chaperonin family were observed in both genes. The deduced amino acid sequences of the two genes showed 28.8-40.0% identity to each of the subunits of human CCT (CCT1-8). Thirty and 29 of 36 patients' sera reacted with the recombinant Cpn-1 and recombinant Cpn-2, respectively. Western immunoblotting using antiserum against human CCT subunits indicated that anti-CCT3 and anti-CCT8 antibodies recognized recombinant Cpn-1. In addition, anti-CCT1, CCT3, CCT6, and CCT8 antibodies recognized an antigen of approximately 60 kDa in M. oralis. The results suggested that the chaperonin subunits of M. oralis were antigenic molecules that were recognized by periodontitis patients and that may cross-react with human chaperonin CCT.


Assuntos
Antígenos Arqueais/imunologia , Chaperoninas do Grupo II/imunologia , Methanobrevibacter/patogenicidade , Periodontite/imunologia , Periodontite/microbiologia , Antígenos Arqueais/genética , Chaperonina com TCP-1/genética , Chaperonina com TCP-1/imunologia , Passeio de Cromossomo , Sequência Conservada/imunologia , Reações Cruzadas , DNA Arqueal/análise , Chaperoninas do Grupo II/genética , Interações Hospedeiro-Patógeno , Humanos , Methanobrevibacter/imunologia , Periodontite/sangue , Subunidades Proteicas/genética , Subunidades Proteicas/imunologia , Proteínas Recombinantes/genética , Proteínas Recombinantes/imunologia , Alinhamento de Sequência , Análise de Sequência de DNA
7.
Lett Appl Microbiol ; 50(4): 386-92, 2010 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-20149082

RESUMO

AIM: To develop a detection assay for staphylococcal mecA and spa by using loop-mediated isothermal amplification (LAMP) method. METHODS AND RESULTS: Staphylococcus aureus and other related species were subjected to the detection of mecA and spa by both PCR and LAMP methods. The LAMP successfully amplified the genes under isothermal conditions at 64 degrees C within 60 min, and demonstrated identical results with the conventional PCR methods. The detection limits of the LAMP for mecA and spa, by gel electrophoresis, were 10(2) and 10 cells per tube, respectively. The naked-eye inspections were possible with 10(3) and 10 cells for detection of mecA and spa, respectively. The LAMP method was then applied to sputum and dental plaque samples. The LAMP and PCR demonstrated identical results for the plaque samples, although frequency in detection of mecA and spa by the LAMP was relatively lower for the sputum samples when compared to the PCR methods. CONCLUSION: Application of the LAMP enabled a rapid detection assay for mecA and spa. The assay may be applicable to clinical plaque samples. SIGNIFICANCE AND IMPACT OF THE STUDY: The LAMP offers an alternative detection assay for mecA and spa with a great advantage of the rapidity.


Assuntos
Proteínas de Bactérias/análise , Staphylococcus aureus Resistente à Meticilina/isolamento & purificação , Técnicas de Amplificação de Ácido Nucleico/métodos , Proteína Estafilocócica A/análise , Idoso , Idoso de 80 Anos ou mais , Técnicas Bacteriológicas , DNA Bacteriano/isolamento & purificação , Placa Dentária/microbiologia , Humanos , Limite de Detecção , Staphylococcus aureus Resistente à Meticilina/genética , Pessoa de Meia-Idade , Proteínas de Ligação às Penicilinas , Reação em Cadeia da Polimerase , Sensibilidade e Especificidade
8.
J Periodontal Res ; 44(4): 434-42, 2009 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-19210335

RESUMO

BACKGROUND AND OBJECTIVE: Periodontitis is a risk factor for the development of atherosclerosis. Recent studies indicate that oxidative mechanisms, including lipid peroxidation, are involved not only in periodontitis but also in atherosclerosis. Lipid peroxidation may play an important role in the pathogenesis of atherosclerosis, particularly during its earliest stages. The purpose of this study was to investigate the relationship between lipid peroxidation induced by periodontitis and the initiation of atherosclerosis. MATERIAL AND METHODS: Sixteen rats were randomly divided into two groups of eight rats each. Periodontitis was ligature-induced for 4 wk in the experimental group, whereas the control group was left untreated. After the experimental period, the mandibular first molar regions were resected and then subjected to histological analysis and measurement of hexanoyl-lysine expression as an indicator of lipid peroxidation. Descending aorta was used for measuring the levels of hexanoyl-lysine, reactive oxygen species and lipid deposits, and for real-time polymerase chain reaction microarray analysis. The level of hexanoyl-lysine was also measured in serum. RESULTS: In the experimental group, the levels of hexanoyl-lysine in periodontal tissue and serum increased. Only aorta samples in the experimental group showed lipid accumulation, with increased expression of hexanoyl-lysine, reactive oxygen species and oxidative stress-related genes (including nitric oxide synthases 2 and 3), whereas the superoxide dismutase 1 gene level was down-regulated. CONCLUSION: In a ligature-induced periodontitis rat model, increased lipid peroxidation was found in serum and aorta as well as in periodontal tissue. Atherosclerosis-related gene expression and histological changes were also stimulated. Periodontitis-induced lipid peroxidation in the aorta may be involved in the early stage of atherosclerosis.


Assuntos
Aorta Torácica/metabolismo , Doenças da Aorta/etiologia , Aterosclerose/etiologia , Peroxidação de Lipídeos/fisiologia , Periodontite/metabolismo , Animais , Aorta Torácica/patologia , Doenças da Aorta/metabolismo , Doenças da Aorta/patologia , Aterosclerose/metabolismo , Aterosclerose/patologia , Modelos Animais de Doenças , Regulação para Baixo , Fibroblastos/metabolismo , Fibroblastos/patologia , Peróxido de Hidrogênio/análise , Lipídeos/análise , Lisina/análise , Lisina/sangue , Masculino , Análise em Microsséries , Dente Molar/metabolismo , Óxido Nítrico Sintase Tipo II/análise , Óxido Nítrico Sintase Tipo III/análise , Estresse Oxidativo/fisiologia , Ligamento Periodontal/metabolismo , Ligamento Periodontal/patologia , Periodontite/patologia , Distribuição Aleatória , Ratos , Ratos Wistar , Espécies Reativas de Oxigênio/análise , Superóxido Dismutase/análise , Superóxido Dismutase-1
9.
Clin Exp Immunol ; 149(3): 445-52, 2007 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-17645769

RESUMO

Several reports have demonstrated a possible association of periodontal infections with coronary heart disease (CHD) by elevated antibody titre to periodontopathic bacteria in CHD patients compared with non-diseased controls. Although each periodontopathic bacterium may vary in virulence for periodontitis and atherosclerosis, antibody response to multiple bacteria in CHD patients has not been understood fully. Therefore, serum levels of antibody to 12 periodontopathic bacteria together with other atherosclerotic risk markers were compared among 51 patients with CHD, 55 patients with moderate to severe chronic periodontitis and 37 healthy individuals. The antibody response was the most prevalent for Porphyromonas gingivalis, a major causative organism, in CHD as well as periodontitis patients. However, antibody positivity was different between CHD and periodontitis if the response was analysed for two different strains of P. gingivalis, namely FDC381 and Su63. While periodontitis patients were positive for both P. gingivalis FDC381 and Su63, a high frequency of antibody positivity for P. gingivalis Su63 but not for FDC381 was observed in CHD patients. The results indicate that the presence of particular periodontopathic bacteria with high virulence may affect atherogenesis. Identifying the virulence factors of P. gingivalis Su63 may gain insight into the new therapeutic modality for infection-induced deterioration of atherosclerosis.


Assuntos
Anticorpos Antibacterianos/sangue , Doença das Coronárias/microbiologia , Mediadores da Inflamação/sangue , Periodontite/complicações , Adulto , Idoso , Infecções por Bacteroidaceae/complicações , Infecções por Bacteroidaceae/imunologia , Biomarcadores/sangue , Proteína C-Reativa/análise , Doença das Coronárias/sangue , Doença das Coronárias/imunologia , Feminino , Humanos , Imunoglobulina G/sangue , Lipídeos/sangue , Masculino , Pessoa de Meia-Idade , Periodontite/sangue , Periodontite/imunologia , Porphyromonas gingivalis/classificação , Porphyromonas gingivalis/imunologia , Fumar
10.
Horm Metab Res ; 38(8): 530-5, 2006 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-16941280

RESUMO

Recent studies have suggested that the periodontal disease, chronic sub-clinical inflammation, is associated with atherosclerosis, although "cause or effect" relationship is still unclear. The aim of this study was to assess the association between the degree of periodontal infection and lipid profiles in diabetic subjects. Additionally, the association of such sub-clinical inflammation with HMG-CoA reductase gene expression was evaluated. One hundred and thirty-one non-obese relatively well-controlled Japanese type 2 diabetic patients were enrolled for the study. Although no significant association was observed between serum triglycerides, HLD-cholesterol and antibody titer to Porphyromonas gingivalis (Pg), the most predominant periodontal pathogen in adults, LDL-cholesterol was significantly associated with antibody titer to Pg. Concomitantly, the same works out to be true for total cholesterol. To understand the possible mechanisms underlying this association, we evaluated 3-hydroxy-3-methylglutaryl-CoA (HMG-CoA) reductase gene expression in cultured HepG2 cells stimulated by either bacterial lipopolysaccharide (LPS) or inflammatory cytokines. Although Pg and E. coli LPS had no effect on HMG-CoA reductase gene expression, both tumor necrosis factor-alpha and interleukin-6 (IL-6), especially IL-6 at low concentration, markedly up-regulated HMG-CoA reductase gene expression. It can be concluded that Pg infection is associated with increased LDL-cholesterol in diabetic subjects, which may be accompanied by increased cholesterol synthesis by inflammatory cytokines.


Assuntos
Infecções por Bacteroidaceae/enzimologia , Diabetes Mellitus Tipo 2/enzimologia , Dislipidemias/enzimologia , Regulação Enzimológica da Expressão Gênica/fisiologia , Hidroximetilglutaril-CoA Redutases/genética , Periodontite/enzimologia , Porphyromonas gingivalis/isolamento & purificação , Adulto , Idoso , Idoso de 80 Anos ou mais , Infecções por Bacteroidaceae/microbiologia , LDL-Colesterol/sangue , Diabetes Mellitus Tipo 2/microbiologia , Dislipidemias/microbiologia , Feminino , Humanos , Interleucina-6/farmacologia , Lipopolissacarídeos/farmacologia , Masculino , Pessoa de Meia-Idade , Periodontite/microbiologia , RNA Mensageiro/metabolismo , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Fator de Necrose Tumoral alfa/farmacologia , Regulação para Cima
11.
J Dent Res ; 84(3): 240-4, 2005 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-15723863

RESUMO

An elevated level of C-reactive protein (CRP) predicts the future development of coronary heart disease. Periodontitis appears to up-regulate CRP. CRP is produced by hepatocytes in response to interleukin-6 (IL-6). A major source of IL-6 in obese subjects is adipocytes. We hypothesized that lipopolysaccharide (LPS) from periodontal pathogens stimulated adipocytes to produce IL-6, and that the production was suppressed by the drugs targeted against insulin resistance, thiazolidinedione (pioglitazone), since this agent potentially showed an anti-inflammatory effect. Mouse 3T3-L1 adipocytes were stimulated with E. coli, P. gingivalis, and F. nucleatum LPS. The IL-6 concentration in culture supernatants was measured. All LPS stimulated adipocytes to produce IL-6. Although pioglitazone changed adipocyte appearance from large to small, and completely suppressed P. gingivalis and F. nucleatum LPS-induced IL-6 production, E. coli LPS-induced IL-6 production was not efficiently blocked. Thus, pioglitazone completely blocked periodontal-bacteria-derived LPS-induced IL-6 production in adipocytes, a major inducer of CRP.


Assuntos
Adipócitos/efeitos dos fármacos , Anti-Inflamatórios/farmacologia , Escherichia coli , Fusobacterium nucleatum , Interleucina-6/antagonistas & inibidores , Lipopolissacarídeos/farmacologia , Porphyromonas gingivalis , Tiazolidinedionas/farmacologia , Células 3T3 , Adipócitos/imunologia , Animais , Anti-Inflamatórios/administração & dosagem , Proteína C-Reativa/antagonistas & inibidores , Tamanho Celular/efeitos dos fármacos , Relação Dose-Resposta a Droga , Resistência à Insulina , Camundongos , Pioglitazona , Tiazolidinedionas/administração & dosagem
12.
J Periodontal Res ; 38(4): 440-5, 2003 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-12828664

RESUMO

OBJECTIVES: Denaturing gradient gel electrophoresis (DGGE) was applied to the microbiologic examination of subgingival plaque. MATERIALS AND METHODS: The PCR primers were designed from conserved nucleotide sequences on 16S ribosomal RNA gene (16SrDNA) with GC rich clamp at the 5'-end. Polymerase chain reaction (PCR) was performed using the primers and genomic DNAs of typical periodontal bacteria. The generated 16SrDNA fragments were separated by denaturing gel. RESULTS: Although the sizes of the amplified DNA fragments were almost the same among the species, 16SrDNAs of the periodontal bacteria were distinguished according to their specific sequences. The microflora of clinical plaque samples were profiled by the PCR-DGGE method, and the dominant 16SrDNA bands were cloned and sequenced. Simultaneously, Actinobacillus actinomycetemcomitans, Porphyromonas gingivalis and Prevotella intermedia were detected by an ordinary PCR method. In the deep periodontal pockets, the bacterial community structures were complicated and P. gingivalis was the most dominant species, whereas the DGGE profiles were simple and Streptococcus or Neisseria species were dominant in the shallow pockets. The species-specific PCR method revealed the presence of A. actinomycetemcomitans, P. gingivalis and P. intermedia in the clinical samples. However, corresponding bands were not always observed in the DGGE profiles, indicating a lower sensitivity of the DGGE method. CONCLUSION: Although the DGGE method may have a lower sensitivity than the ordinary PCR methods, it could visualize the bacterial qualitative compositions and reveal the major species of the plaque. The DGGE analysis and following sequencing may have the potential to be a promising bacterial examination procedure in periodontal diseases.


Assuntos
Bactérias/classificação , Placa Dentária/microbiologia , Região 5'-Flanqueadora/genética , Adolescente , Idoso , Aggregatibacter actinomycetemcomitans/classificação , Periodontite Agressiva/microbiologia , Bactérias/genética , DNA Bacteriano/genética , Eletroforese em Gel de Poliacrilamida , Feminino , Sequência Rica em GC/genética , Genoma Bacteriano , Humanos , Masculino , Pessoa de Meia-Idade , Neisseria/classificação , Bolsa Periodontal/microbiologia , Reação em Cadeia da Polimerase , Porphyromonas gingivalis/classificação , Prevotella intermedia/classificação , RNA Ribossômico 16S/genética , Análise de Sequência de DNA , Streptococcus/classificação
13.
Oral Microbiol Immunol ; 17(6): 354-9, 2002 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-12485326

RESUMO

Cells of the periodontal pathogen Actinobacillus actinomycetemcomitans exhibit tight adherence to surfaces such as glass, plastic and hydroxyapatite, a property that probably plays an important role in the ability of this bacterium to colonize teeth and other surfaces. Tight adherence is mediated by long fibrils of bundled pili (fimbriae) that form on the surface of the cell. The flp-1 gene encodes the major pilin protein component of A. actinomycetemcomitans fimbriae. In this study we compared flp-1 DNA sequences from 43 strains of A. actinomycetemcomitans isolated in Europe, Japan and the United States and identified seven distinct flp-1 allelic classes. DNA and predicted protein sequences were almost completely conserved within each flp-1 class but were highly divergent between classes. Most amino acid substitutions occurred in the C-terminus of the pilin protein, a region that has been shown to be important for the bundling and adhesive properties of the pili. flp-1 classes correlated with serotypes and 16S rRNA genotypes in most strains. At least five strains showed evidence of horizontal transfer of flp-1 between strains of different serotypes and 16S rRNA genotypes. Four of the seven flp-1 classes were present in geographically diverse isolates. Strains representing all seven flp-1 classes, but not a strain carrying a transposon insertion in flp-1, bound avidly to polystyrene in an in vitro adherence assay. Strains representing six of the seven flp-1 classes were isolated from localized juvenile periodontitis patients, suggesting that phylogenetically diverse strains carry pathogenic potential. Our findings provide a framework for future biochemical, immunological and genetic studies of A. actinomycetemcomitans fimbriae.


Assuntos
Aggregatibacter actinomycetemcomitans/genética , Proteínas de Bactérias/genética , Fímbrias Bacterianas/genética , Variação Genética/genética , Infecções por Actinobacillus/fisiopatologia , Adulto , Aggregatibacter actinomycetemcomitans/patogenicidade , Periodontite Agressiva/microbiologia , Alelos , Aderência Bacteriana/genética , Sequência Conservada/genética , Elementos de DNA Transponíveis/genética , DNA Bacteriano/genética , Feminino , Proteínas de Fímbrias/genética , Transferência Genética Horizontal/genética , Genótipo , Humanos , Masculino , Periodontite/microbiologia , RNA Ribossômico 16S/genética , Análise de Sequência de DNA , Análise de Sequência de Proteína , Sorotipagem , Virulência/genética
14.
J Periodontol ; 72(2): 243-9, 2001 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-11288799

RESUMO

Cicatricial pemphigoid (CP) is a chronic subepidermal bullous dermatosis which primarily involves the mucous membranes. The oral cavity and the eye are most frequently involved. Since extension of the lesion into the pharynx and esophagus causes sore throat and dysphagia and progressive ocular lesions may cause blindness, early and valid diagnosis is very important. Here we present a case of cicatricial pemphigoid with onset at age 45 in a patient who manifested severe periodontal disease and showed the lesion on the mucous membranes of the mouth (desquamative gingivitis), skin, and eyes. Since definite diagnosis is very important, we describe how we made a differential diagnosis from other diseases which also accompany desquamative gingivitis. We examined the clinical manifestations, blood test results, HLA-genotype, histopathologic findings of the affected tissue, and immunological findings in relation to autoimmunity. Since many of the CP cases are first referred to periodontists or dentists, we believe that the diagnostic strategy described in the present study will be quite informative for making rapid and definite diagnoses of similar cases.


Assuntos
Gengivite/diagnóstico , Penfigoide Mucomembranoso Benigno/diagnóstico , Anticorpos Antibacterianos/sangue , Doenças Autoimunes/diagnóstico , Conjuntivite/diagnóstico , Conjuntivite/imunologia , Diagnóstico Diferencial , Feminino , Técnica Direta de Fluorescência para Anticorpo , Genótipo , Gengivite/imunologia , Antígenos HLA/análise , Antígenos HLA/genética , Humanos , Imunoglobulina G/sangue , Pessoa de Meia-Idade , Penfigoide Mucomembranoso Benigno/imunologia , Periodontite/diagnóstico , Periodontite/imunologia , Periodontite/microbiologia , Prevotella intermedia/imunologia
15.
Oral Microbiol Immunol ; 16(2): 73-8, 2001 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-11240859

RESUMO

We have previously reported that Porphyromonas gingivalis FDC 381 possesses a 53-kDa protein antigen (Ag53) on its outer membrane that evokes a strong humoral immune response in many patients with periodontal disease and that the humoral immune responses to Ag53 differ greatly among patients. To understand how the individual humoral immune system against Ag53 was determined, the regions of Ag53 recognized by specific antibody (B-cell epitopes) and dominant subclasses of serum immunoglobulin G (IgG) against major B-cell epitopes were examined by enzyme-linked immunosorbent assay. This study used sera from six patients with periodontitis, which all reacted strongly with sonic extracts of P. gingivalis 381 and with purified Ag53, and sera from six periodontally healthy children, which did not react with either sonic extracts of P. gingivalis 381 or Ag53. The epitopes were identified using synthetic 5-residue overlapping decapeptides covering the entire Ag53. Thirteen of 89 synthetic decapeptides showed a strong reaction with sera from the periodontal patients, but no reaction with those from the healthy children. Four peptides of 13 exerted different immune responses among patients. Furthermore, restriction analyses of the highly antigenic regions revealed that three sequences, RAAIRAS, YYLQ and MSPARR, were identified as major B-cell epitopes. Additionally, these epitopes were recognized mainly by the IgG2 isotype. These data suggest that the difference of B-cell epitopes might influence individual differences in antibody titer against Ag53 and also that the epitopes recognized commonly by multiple antibodies are quite valuable for peptide vaccine development against P. gingivalis infection.


Assuntos
Proteínas da Membrana Bacteriana Externa/química , Epitopos de Linfócito B/química , Periodontite/imunologia , Porphyromonas gingivalis/imunologia , Adolescente , Adulto , Sequência de Aminoácidos , Proteínas da Membrana Bacteriana Externa/imunologia , Estudos de Casos e Controles , Criança , Pré-Escolar , Ensaio de Imunoadsorção Enzimática , Mapeamento de Epitopos , Epitopos de Linfócito B/imunologia , Feminino , Humanos , Epitopos Imunodominantes/química , Epitopos Imunodominantes/imunologia , Imunoglobulina G/imunologia , Masculino , Oligopeptídeos/isolamento & purificação , Periodontite/sangue
16.
Microbiol Immunol ; 45(10): 721-7, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11762755

RESUMO

Two genes encoding ferritin-like protein, designated afnA and afnB, were identified in the upstream region of actX on the Actinobacillus actinomycetemcomitans chromosomal DNA. The actX has been reported to be a regulatory gene homologous to the Escherichia coli fnr, which controls the growth and virulence of A. actinomycetemcomitans under anaerobic conditions. The afnB located 340 bp-upstream from the actX, and the afnA located just 15 bp-upstream from afnB. The afnA and afnB encoded 161 and 165 amino acid residues, respectively, which were similar to ferritin-like proteins of other microorganisms. Western immunoblotting using rabbit antiserum against E. coli ferritin showed these two proteins, which are reactive with the serum with 19-kDa molecular masses, are produced from A. actinomycetemcomitans. The N-terminal amino acid sequences of the two proteins were consequent with those deduced from afnA and afnB. Northern hybridization revealed that the afnA and afnB constituted a bicistronic operon and the accumulation of afnA and afnB mRNA was upregulated under aerobic conditions. These findings suggested that the operon was regulated by the presence of oxygen. The two ferritin-like proteins may have important roles in the adaptation of A. actinomycetemcomitans to oxidative environmental changes.


Assuntos
Aggregatibacter actinomycetemcomitans/genética , Proteínas de Bactérias/genética , Ferritinas/análogos & derivados , Ferritinas/genética , Aggregatibacter actinomycetemcomitans/metabolismo , Sequência de Aminoácidos , Proteínas de Bactérias/química , Proteínas de Bactérias/metabolismo , Sequência de Bases , Clonagem Molecular , Ferritinas/metabolismo , Regulação Bacteriana da Expressão Gênica , Dados de Sequência Molecular , Estresse Oxidativo , Filogenia , Análise de Sequência de DNA
17.
J Clin Periodontol ; 27(10): 769-77, 2000 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-11034126

RESUMO

BACKGROUND, AIMS: The aim of this study was to evaluate antibody responses against Porphyromonas gingivalis (P. gingivalis) infection in early-onset periodontitis (EOP) patients to elucidate further the host-parasite interactions in the pathogenesis of EOP. METHOD: 16 P. gingivalis-infected EOP and 20 adult periodontitis (AP) patients, and 18 periodontally healthy subjects (HS) participated in this study. Serum immunoglobulin G (IgG) antibody levels and avidities against extracted P. gingivalis whole cells were measured. The components of P. gingivalis outer membrane antigens (OMA) reacting to patients' sera were analysed from the molecular weights by Western blotting. Serum antibody levels against P. gingivalis lipopolysaccharide (LPS) were also measured. The ability of the patients' sera to block interleukin-1beta (IL-1beta) production by human mononuclear cells in response to P. gingivalis LPS was examined. RESULTS: Antibody levels were positively correlated with antibody avidities in both EOP and AP patients (r=0.91, r=0.72, p<0.0005, respectively), while not significantly so in HS (r=0.09). There was variability in the antigen recognition of P. gingivalis OMA in EOP and AP patients. Smear and 53-kDa protein were more frequently recognized by sera of EOP and AP patients rather than that of HS (p<0.05). The smear was partly diminished by absorption with P. gingivalis LPS, indicating the smear antigen was partly composed of LPS. There was high correlation between antibody levels against P. gingivalis whole-cell extracts and LPS in EOP and AP patients (r=0.81, p=0.0002, r=0.87, p<0.0001, respectively), while not significant in HS (r=0.22). The sera of EOP and AP patients with high IgG titre to P. gingivalis LPS blocked IL-1beta production more effectively than that of the patients with low IgG titre to P. gingivalis LPS. CONCLUSIONS: These results indicate that EOP patients' antibody response against P. gingivalis infection does not differ significantly from that of AP patients. The person-to-person heterogeneous antibody production against P. gingivalis LPS could contribute to our understanding of the relationship between the defensive ability of EOP patients and their chronic infection with this pathogen.


Assuntos
Periodontite Agressiva/imunologia , Periodontite Agressiva/microbiologia , Porphyromonas gingivalis/imunologia , Adolescente , Adulto , Periodontite Agressiva/sangue , Anticorpos Antibacterianos/sangue , Afinidade de Anticorpos , Antígenos de Bactérias/imunologia , Proteínas da Membrana Bacteriana Externa/imunologia , Estudos de Casos e Controles , Feminino , Humanos , Imunoglobulina G/sangue , Interleucina-1/biossíntese , Leucócitos Mononucleares/metabolismo , Lipopolissacarídeos/imunologia , Masculino , Pessoa de Meia-Idade , Periodontite/sangue , Periodontite/imunologia , Periodontite/microbiologia , Estatísticas não Paramétricas
18.
Lett Appl Microbiol ; 30(6): 423-6, 2000 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-10849269

RESUMO

To detect oral motile bacteria directly from dental plaque, specific PCR primers for Centipeda periodontii and Selenomonas sputigena were designed based on the sequence analysis of their 16S rDNA. The primers were specific and sensitive enough to amplify DNA fragments from the available oral bacteria. The detection limit was fewer than 10 bacterial cells per sample. It was also possible to detect these bacteria in dental plaque. The prevalence of these bacteria varied in each sample. The specific primers designed in this study may clarify the epidemiology of periodontal disease.


Assuntos
DNA Bacteriano/análise , Placa Dentária/microbiologia , Bactérias Gram-Negativas/isolamento & purificação , Periodontite/microbiologia , Selenomonas/isolamento & purificação , Adolescente , Adulto , Idoso , Criança , Primers do DNA , Feminino , Gengiva/microbiologia , Bactérias Gram-Negativas/genética , Humanos , Masculino , Pessoa de Meia-Idade , Reação em Cadeia da Polimerase/métodos , RNA Ribossômico 16S/genética , Selenomonas/genética
19.
FEMS Immunol Med Microbiol ; 28(3): 219-24, 2000 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-10865174

RESUMO

Porphyromonas gingivalis, a putative pathogen in human periodontal disease, possesses a 60-kDa heat shock protein (hsp60, GroEL). The GroEL homologs are known to be key molecules in auto-immune reactions because of the sequence similarity with human hsp60. In this study, B-cell epitopes on P. gingivalis GroEL (PgGroEL) were analyzed by both Western immunoblotting with truncated PgGroEL and by the multi-pin synthetic peptide approach. To examine auto-antibody production in periodontitis patients, Western immunoblotting with human gingival fibroblasts was performed. Deletion mutants were constructed from the cloned PgGroEL gene (P. gingivalis groEL), and four C-terminal truncated PgGroEL and one N-terminal truncated PgGroEL were prepared from the deletants. Sera from periodontitis patients reacted with all truncated PgGroEL used in this study. The results suggest that the B-cell epitopes were overlaid throughout PgGroEL. To determine the detailed locations of the B-cell epitope, 84 decapeptides covering the entire PgGroEL were synthesized and the serum IgG response to the peptides was examined. Epitope mapping using the synthetic peptides confirmed that the B-cell epitopes were overlaid throughout the length of PgGroEL and revealed that highly conserved peptides between PgGroEL and human hsp60 were recognized by the serum antibodies. Immuno-reactivity against human gingival fibroblasts was examined with sera from 30 periodontitis patients and 10 periodontally healthy subjects. IgG antibody against the 65-kDa antigen in human gingival fibroblasts (same molecular mass as human hsp60) was detected in two patients. Although IgG production against human hsp60 may be rare case in periodontitis patients, the results of epitope mapping demonstrated the potential of PgGroEL to cause the cross-reactions with human hsp60.


Assuntos
Linfócitos B/imunologia , Chaperonina 60/imunologia , Porphyromonas gingivalis/imunologia , Sequência de Aminoácidos , Antígenos de Bactérias/imunologia , Western Blotting , Células Cultivadas , Chaperonina 60/química , Chaperonina 60/genética , Ensaio de Imunoadsorção Enzimática , Mapeamento de Epitopos , Escherichia coli/genética , Deleção de Genes , Humanos , Soros Imunes/imunologia , Dados de Sequência Molecular , Mutação , Peptídeos/imunologia , Porphyromonas gingivalis/genética , Transformação Bacteriana
20.
Res Microbiol ; 151(9): 721-5, 2000 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-11130862

RESUMO

We isolated and characterized a possible regulatory gene, designated actX gene, from Actinobacillus actinomyctemcomitans Y4, which defined the Actinobacillus pleuropneumoniae hlyX-like regulatory gene. DNA sequence analysis for plasmid clone pKM317 containing a 1.6-kb DNA insert indicated an open reading frame encoding a polypeptide of 257 amino acid residues. Analysis of the deduced amino acid sequence showed the presence of five characteristic cysteine residues in the N-terminal region and a putative DNA binding residue in the C-terminal region, indicating that actX might belong to a regulatory gene family. Escherichia coli DH5alpha and a mutant strain JRG1728 transformed by plasmid carrying actX manifested apparent hemolytic activity on sheep blood agar and grew anaerobically, although the original strains did not.


Assuntos
Aggregatibacter actinomycetemcomitans/genética , Proteínas de Bactérias/genética , Proteínas de Ligação a DNA , Genes Reguladores , Fatores de Transcrição , Aggregatibacter actinomycetemcomitans/crescimento & desenvolvimento , Aggregatibacter actinomycetemcomitans/patogenicidade , Sequência de Aminoácidos , Proteínas de Bactérias/metabolismo , Sequência de Bases , Clonagem Molecular , Regulação Bacteriana da Expressão Gênica , Genes Bacterianos , Dados de Sequência Molecular , Filogenia , Análise de Sequência de DNA , Virulência
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