Polyamine biomarkers as indicators of human disease.

The significant increase of periodontitis, chronic kidney disease (CKD), Alzheimer's disease and cancer can be attributed to an ageing population. Each disease produces a range of biomarkers that can be indicative of disease onset and progression. Biomarkers are defined as cellular (intra/extracellular components and whole cells), biochemical (metabolites, ions and toxins) or molecular (nucleic acids, proteins and lipids) alterations which are measurable in biological media such as human tissues, cells or fluids. An interesting group of biomarkers that merit further investigation are the polyamines. Polyamines are a group of molecules consisting of cadaverine, putrescine, spermine and spermidine and have been implicated in the development of a range of systemic diseases, in part due to their production in periodontitis. Cadaverine and putrescine within the periodontal environment have demonstrated cell signalling interfering abilities, by way of leukocyte migration disruption. The polyamines spermine and spermidine in tumour cells have been shown to inhibit cellular apoptosis, effectively prolonging tumorigenesis and continuation of cancer within the host. Polyamine degradation products such as acrolein have been shown to exacerbate renal damage in CKD patients. Thus, the use of such molecules has merit to be utilized in the early indication of such diseases in patients.

Exploring the putative interactions between chronic kidney disease and chronic periodontitis.

Chronic kidney disease (CKD) and chronic periodontitis (CP) are both common diseases, which are found disproportionately comorbid with each other and have been reported to have a detrimental effect on the progression of each respective disease. They have an overlap in risk factors and both are a source of systemic inflammation along with a wide selection of immunological and non-specific effects that can affect the body over the lifespan of the conditions. Previous studies have investigated the directionality of the relationship between these two diseases; however, there is a lack of literature that has examined how these diseases may be interacting at the localized and systemic level. This review discusses how oral microorganisms have the ability to translocate and have distal effects and provides evidence for microbial involvement in a systemic disease. Furthermore, it summarizes the reported local and systemic effects of CKD and CP and discusses how the interaction of these effects may be responsible for directionality associations reported.

The effect of model inclination during fabrication on mouthguard calliper-measured and CT scan-assessed thickness.

AIM: Excessive material thinning has been observed in the production of custom-made mouthguards in a number of studies, due to production anomalies that may lead to such thinning. This study investigated thinning material patterns of custom-made mouthguards when the anterior angulation of dental model was increased during the thermoforming process. MATERIALS AND METHODS: A total of 60 samples of mouthguard blanks were thermoformed on identical maxillary models under four anterior inclination conditions (n = 4 × 15): control 0, 15, 30 and 45°. Each mouthguard sample was measured, using an electronic calliper gauge at three anatomical points (anterior labial sulcus, posterior occlusion and posterior lingual). Mouthguards were then CT scanned to give a visual representation of the surface thickness. RESULTS: Data showed a significant difference (P < 0.005) in the anterior mouthguard thickness between the four levels of anterior inclination, with the 45° inclination producing the thickest mouthguards, increasing the mean anterior thickness by 75% (2.8 mm, SD: 0.16) from the model on a flat plane (1.6 mm, SD: 0.34). Anterior model inclination of 30 and 45° inclinations increased consistencies between the thickest and thinnest mouthguards in the anterior region of these sample groups. CONCLUSION: This study highlights the importance of standardizing the thermoforming process, as this has a significant effect on the quality and material distribution of the resultant product. In particular, greater model inclination is advised as this optimizes the thickness of the anterior sulcus of the mouthguard which may be more prominently at risk from sport-related impact.

An investigation into the relationship between thickness variations and manufacturing techniques of mouthguards.

BACKGROUND: The aim of this study was to measure the finished thickness of a single identical 4-mm EVA mouthguard model from a large fabricated sample group and to evaluate the degree of material thinning and variations during the fabrication process. MATERIALS AND METHODS: Twenty boxes were distributed to dental technician participants, each containing five duplicated dental models (n = 100), alongside 5 × 4 mm mouthguard blanks and a questionnaire. The mouthguards were measured using electronic callipers (resolution: ±0.01 mm) at three specific points. The five thickest and thinnest mouthguards were examined using a CT scanner to describe the surface typography unique to each mouthguard, highlighting dimensional thinning patterns during the fabrication process. RESULTS: Of the three measurement points, the anterior sulcus point of the mouthguard showed a significant degree of variation (up to 34% coefficient of variation), in finished mouthguard thickness between individuals. The mean thickness of the mouthguards in the anterior region was 1.62 ± 0.38 mm with a range of 0.77-2.80 mm. This variation was also evident in the occlusion and posterior lingual regions but to a lesser extent (up to 12.2% and 9.8% variations, respectively). CONCLUSION: This study highlights variability in the finished thickness of the mouthguards especially in the anterior sulcus region measurement point, both within and between individuals. At the anterior region measurement point of the mouthguard, the mean thickness was 1.62 mm, equating to an overall material thinning of 59.5% when using a single 4-mm EVA blank. This degree of thinning is comparative to previous single operator research studies.

A novel microbiological medium for the growth of periodontitis associated pathogens.

A novel microbiological medium designed to be more representative of gingival crevicular fluid. Chosen representative periodontal microorganisms showed good growth with minimal effect on human cell viability. This will enable more comparisons between different periodontitis associated organisms and their potential role in host health and systemic disease.

Colonization and deterioration of soft denture lining materials in vivo.

Colonization of denture lining materials by microorganisms including Candida albicans can result in deterioration of the material, as observed by a previous in vitro study by the authors. The current in vivo study monitored the microbial colonisation and penetration of five types of denture liners and their topography over six months. There was no significant difference in the microbial colonisation on the denture liners and no penetration observed, indicating a slower rate of deterioration of materials in vivo. However the surface roughness of all materials increased during use, which might alter susceptibility to subsequent microbial colonisation.

Toxicity of algal-derived aldehydes to two invertebrate species: do heavy metal pollutants have a synergistic effect?

The recent discovery of the production of anti-proliferative aldehydes in a variety of microalgal species has lead to considerable investigation into the effects of these toxins on aquatic invertebrates. Studies have, however, rarely considered the impact pollutants may have on grazer responses to algal toxins. In this study, the acute toxicities of five aldehydes to the rotifer Brachionus plicatilis and nauplii of the brine shrimp Artemia salina are examined using immersion assays. In addition, the effect of a representative of these aldehydes in the presence of sub-lethal levels of heavy metals was examined. B. plicatilis generally showed greater sensitivity to the aldehydes than A. salina. The polyunsaturated 2-trans,4-trans-decadienal was the most toxic to both species having 24h LD(50) values of 7 and 20 microM for B. plicatilis and A. salina, respectively. The remaining aldehydes had different orders of toxicity for the two species with a stronger relationship observed between mortality and aldehyde carbon-chain length for A. salina whereas B. plicatilis mortality showed a stronger dependence on the presence of carbon-carbon double bonds in the aldehydes. The presence of 1 microM of copper sulphate in solutions of decadienal resulted in the reduction of the 24h LD(50) of decadienal by approximately a third for both species. 1 microM of copper chloride in solutions of decadienal reduced the 24h LD(50) of decadienal to A. salina nauplii by approximately 11% and 1 microM zinc sulphate caused a reduction of only 3%. Pre-exposure of the organisms to 1 microM copper sulphate had no significant impact on their subsequent mortality in decadienal. The ecological implications and the possible mechanisms for the action of copper sulphate on the response of organisms to decadienal are discussed.

Disinfection procedures: their effect on the dimensional accuracy and surface quality of irreversible hydrocolloid impression materials and gypsum casts.

OBJECTIVES: This study primarily investigated the effect of disinfection procedures (Perform and sodium hypochlorite) on the dimensional accuracy and surface quality of four irreversible hydrocolloid impression materials and the resultant gypsum casts. The antibacterial efficacy of the procedures was also studied. METHODS: Dimensional accuracy was determined from the mean percentage deviation of six measurements taken from casts made from disinfected impressions compared with corresponding measurements from the master model and controls. Statistical analysis of data was determined by analysis of variance. Surface quality was determined using a stainless steel test block in accordance with ISO 1563. RESULTS: The dimensional accuracy of the impression materials tested were of a comparable standard following disinfection. The surface quality of casts taken from Blueprint Cremix impressions were unaffected by the disinfection procedures. The remaining impression materials studied showed greater surface deterioration on casts following disinfection with sodium hypochlorite than immersion in Perform. All disinfection procedures selected proved appropriate for antibacterial purposes. SIGNIFICANCE: Individual analysis of impression materials is required to determine their suitability to a given disinfection protocol.

Colonization and penetration of denture soft lining materials by Candida albicans.

OBJECTIVES: Colonization of denture soft lining materials by Candida albicans can result in clinical problems, and deterioration of the material. This study aimed to monitor this interaction by comparing the short-term adhesion of C. albicans to six denture lining materials and to monitor any longer term penetration of material by the yeast. METHODS: Denture lining materials (Molloplast B, Flexor, Permaflex, Luci-soft, Eversoft and Ufi Gel hard C) were processed against glass slides or dental stone. Adhesion of yeast to surfaces was monitored after one hour incubation (37 degrees C) of standardized (2.8 x 10(6) cfu/ml) washed cell suspension with test materials. Attached cells stained with acridine orange were counted microscopically. Penetration of yeast into materials bonded onto acrylic after six weeks incubation (culture medium was replaced weekly) was observed through sections stained using acridine orange. Hyphal and yeast penetration was estimated (qualitatively and quantitatively, respectively) for three levels of the liner (subsurface, central section and adjacent to lining-acrylic junction). RESULTS: None of the materials produced a zone of inhibition when compared with the nystatin control. There was no significant difference (p>0.5) in cell numbers on any of the smooth surfaces. Significantly, (p<0.001) higher numbers of cells were observed on roughened surfaces. Both hyphal and yeast forms were observed when penetration was monitored. Penetration was greatest into Ufi Gel hard C (no hyphae observed), but not at the acrylic-liner junction and least into Eversoft. SIGNIFICANCE: Different denture lining materials exhibit different properties in terms of susceptibility to yeast penetration, although the initial attachment is comparable. Smoother surfaces retain fewer cells. The selection of appropriate materials for a given function, and their fabrication may affect performance.

Microbiological hazard analysis in dental technology laboratories.

Dental technicians are trained in a range of skills involved in the fabrication of prostheses used in the mouth and facial region. Items entering the dental laboratory are essentially inert materials which have been in contact with the patient's mouth, saliva, and possibly blood. Appliances leaving the laboratory are then returned to the clinician to be tried/inserted in the patient's mouth. Relatively little attention has been paid to infection control policy within dental laboratories, perhaps due to perceived and/or actual remoteness from patients, lack of appropriate training, and lack of relevant research. More controlled studies are desirable, in order to identify any potentially hazardous procedures, and to make an assessment of risk for these procedures.

Combined effects of energy development and disease on greater sage-grouse.

Species of conservation concern are increasingly threatened by multiple, anthropogenic stressors which are outside their evolutionary experience. Greater sage-grouse are highly susceptible to the impacts of two such stressors: oil and gas (energy) development and West Nile virus (WNv). However, the combined effects of these stressors and their potential interactions have not been quantified. We used lek (breeding ground) counts across a landscape encompassing extensive local and regional variation in the intensity of energy development to quantify the effects of energy development on lek counts, in years with widespread WNv outbreaks and in years without widespread outbreaks. We then predicted the effects of well density and WNv outbreak years on sage-grouse in northeast Wyoming. Absent an outbreak year, drilling an undeveloped landscape to a high permitting level (3.1 wells/km²) resulted in a 61% reduction in the total number of males counted in northeast Wyoming (total count). This was similar in magnitude to the 55% total count reduction that resulted from an outbreak year alone. However, energy-associated reductions in the total count resulted from a decrease in the mean count at active leks, whereas outbreak-associated reductions resulted from a near doubling of the lek inactivity rate (proportion of leks with a last count = 0). Lek inactivity quadrupled when 3.1 wells/km² was combined with an outbreak year, compared to no energy development and no outbreak. Conservation measures should maintain sagebrush landscapes large and intact enough so that leks are not chronically reduced in size due to energy development, and therefore vulnerable to becoming inactive due to additional stressors.

Treatment with algae extracts promotes flocculation, and enhances growth and neutral lipid content in Nannochloropsis oculata--a candidate for biofuel production.

Marine microalgae represent a potentially valuable feedstock for biofuel production; however, large-scale production is not yet economically viable. Optimisation of productivity and lipid yields is required and the cost of biomass harvesting and dewatering must be significantly reduced. Microalgae produce a wide variety of biologically active metabolites, many of which are involved in inter- and intra-specific interactions (the so-called infochemicals). The majority of infochemicals remain unidentified or uncharacterised. Here, we apply known and candidate (undefined extracts) infochemicals as a potential means to manipulate the growth and lipid content of Nannochloropsis oculata-a prospective species for biofuel production. Five known infochemicals (ß-cyclocitral, trans,trans-2,4-decadienal, hydrogen peroxide, norharman and tryptamine) and crude extracts prepared from Skeletonema marinoi and Dunaliella salina cultures at different growth stages were assayed for impacts on N. oculata over 24 h. The neutral lipid content of N. oculata increased significantly with exposure to three infochemicals (ß-cyclocitral, decadienal and norharman); however the effective concentrations affected a significant decrease in growth. Exposure to particular crude extracts significantly increased both growth and neutral lipid levels. In addition, water-soluble extracts of senescent S. marinoi cultures induced a degree of flocculation in the N. oculata. These preliminary results indicate that artificial manipulation of N. oculata cultures by application of algae infochemicals could provide a valuable tool towards achieving economically viable large-scale algae biofuel production.

A review of facial protective equipment use in sport and the impact on injury incidence.

Sporting activities have an inherent risk of facial injury from traumatic impacts from fellow competitors, projectiles, and collisions with posts or the ground. This retrospective review systematically describes the interplay between the type of sport (including the level at which specific sports are played), the sex of the players and their musculoskeletal characteristics, the technology behind the materials used, the protective devices commonly used, the anatomical site, and the regularity of incidence of fractures. We describe how variations in sporting activities induce different orofacial fracture patterns, and critically consider the methods used to test protective headgear against more contemporary techniques. Facial injuries can have a profound psychological effect on those injured, can take a long time to heal, and have been known to end promising careers. Use of properly fitted protective head or facial equipment could reduce the number of facial fractures commonly seen in sports. We recommend that individual sports should have full risk assessments, and that mandatory standards should be agreed about protective devices that would be appropriate.

Exposure to copper and a cytotoxic polyunsaturated aldehyde induces reproductive failure in the marine polychaete Nereis virens (Sars).

A number of metabolites from microalgae, including polyunsaturated aldehydes (PUAs), have been implicated as inducers of reproductive failure in aquatic invertebrates. Current work describes the impacts of the model PUA 2E, 4E-decadienal and copper sulphate applied in isolation and combination on the reproductive performance of the infaunal polychaete, Nereis virens (Sars). The reproductive and life cycle parameters investigated were; fertilisation success, larval survival, sperm motility (percent motility and curvilinear velocity) and sperm DNA damage. Exposure to decadienal and copper sulphate in isolation resulted in dose- and time-dependent reductions for each evaluated endpoint. Fertilisation success was heavily impacted at concentrations of up to 10µM for both compounds. Copper sulphate was more toxic in larval survival assays. Sperm motility impacts, although variable, exhibited rapid onset with pronounced reductions in sperm swimming performance observed within 3min of exposure. The extent of DNA damage was dose-dependent, and in the case of decadienal, rapid in onset. Dual compound exposures resulted in enhanced overall toxicity in all assays. Logistic regression analysis of fertilisation and larval survival assays showed significant synergistic interactions between decadienal and copper sulphate; an increase in concentration of either compound resulted in enhanced toxicity of the other. Longer exposure durations during larval survival assays demonstrated a further increase in both toxicity and synergism. The results indicate that the effects of additional environmental stressors must be considered when attempting to extrapolate laboratory-derived single compound exposures to field situations.

Effect of element concentration on nickel release from dental alloys using a novel ion beam method.

OBJECTIVES: Nickel chromium is widely used as a restorative material in dentistry but its biocompatibility is of concern as there are reports of patients suffering adverse effects caused by exposure to nickel-based restorations. The aim of this work was to quantify the amount of nickel released into solution from commercially available nickel-based alloys with varying compositions and to identify the potential use of thin films in further understanding the role of chromium in reducing nickel release. METHODS: Six commercially available nickel-based alloys were cast using the lost wax technique. Nickel chromium thin films were deposited onto silicon substrates by ion beam assisted physical vapor deposition. Both types of alloys were immersed into solution representative of saliva at pH 5 for 7 days. The amount of nickel released into solution was quantified by graphite-furnace atomic absorption spectrophotometry. RESULTS: The amount of nickel released from commercially available cast alloys did not correspond to the amount of nickel within the alloy. The total amount of chromium and molybdenum within the alloys proved to be of greater influence. Increasing the amount of chromium in the thin film alloys reduced the amount of nickel released but this was not linear. SIGNIFICANCE: Differences in the composition of commercial cast alloys highlighted the importance of other elements within the alloy on reducing the amount of nickel released. The use of thin film alloys can be useful in further understanding how the composition of an alloy can affect the amount of nickel released.

In vitro colonization of an experimental silicone by Candida albicans.

Denture soft-lining materials are exposed to the oral cavity for long periods and are in continuous contact with saliva, subject to inhibition of liquid molecules, and susceptible to colonization by microorganisms. The opportunist yeast Candida albicans is of particular concern in this context, being associated with denture plaque and denture-related stomatitis. In this study, penetration of C. albicans into an experimental silicone elastomer soft-lining material was investigated under batch and continuous culture conditions. A model "denture plaque" microcosm was also used. Increasing the filler concentration within the elastomer decreased penetration under both batch and continuous culture conditions. In continuous culture, C. albicans penetration was significantly greater in pure culture than in the presence of bacteria after 72-h incubation (p < 0.05).

SEASONAL VARIABILITY IN POLYUNSATURATED ALDEHYDE PRODUCTION POTENTIAL AMONG STRAINS OF SKELETONEMA MARINOI (BACILLARIOPHYCEAE)(1).

The cosmopolitan bloom-forming diatom Skeletonema marinoi Sarno et Zingone is known to produce toxic polyunsaturated aldehydes (PUAs) in response to cell damage that can affect a diverse suite of organisms, including grazing species and competitor plankton species. The production of PUAs in nine different S. marinoi strains isolated at three different times of the year (spring, summer, and autumn) was assessed in relation to the predominant conditions at the time of isolation from Gullmar Fjord, Skagerrak. During the initial stages of growth, PUA production potential of S. marinoi was generally the highest in summer strains, although there was a substantial variation among strains isolated at the same time. Spring strains, however, showed a strong capacity for increased PUA production potential in later stage cultures with diminishing nutrient levels, reaching amounts similar to those observed in summer strains. In contrast, PUA production potentials of summer and autumn strains did not change significantly from the original values. There is negligible grazing pressure during the spring bloom in Gullmar Fjord, but a potential for high competition for resources, such as nutrients, toward the later stages of the bloom. In contrast, grazing pressure is much greater during summer and autumn, and there may also be nutrient limitation at this time. The PUA production potentials of S. marinoi appear to reflect the ecological conditions at the time of isolation with higher production potentials in strains isolated when conditions were likely to be less beneficial for survival.