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Παρασκευή 21 Ιουνίου 2019

Pediatrics

Pediatric Telehealth: Approaches by Specialty and Implications for General Pediatric Care

Publication date: Available online 27 May 2019

Source: Advances in Pediatrics

Author(s): Alan Tomines



Health Considerations for Immigrant and Refugee Children

Publication date: Available online 18 May 2019

Source: Advances in Pediatrics

Author(s): Abigail L.H. Kroening, Elizabeth Dawson-Hahn



Tall Stature in Children

Publication date: Available online 17 May 2019

Source: Advances in Pediatrics

Author(s): Alexander K.C. Leung, Alexander A.C. Leung, Kam Lun Hon



Gene Therapy: Current Applications and Future Possibilities

Publication date: Available online 16 May 2019

Source: Advances in Pediatrics

Author(s): David H.M. Steffin, Emily M. Hsieh, Rayne H. Rouce



Cerebral Palsy: Diagnosis, Epidemiology, Genetics, and Clinical Update

Publication date: Available online 15 May 2019

Source: Advances in Pediatrics

Author(s): Abimbola Michael-Asalu, Genevieve Taylor, Heather Campbell, Latashia-Lika Lelea, Russell S. Kirby



Nonoccupational Postexposure Prophylaxis and Preexposure Prophylaxis for Human Immunodeficiency Virus Prevention in Adolescents and Young Adults

Publication date: Available online 8 May 2019

Source: Advances in Pediatrics

Author(s): Diane M. Straub, Tanya L. Kowalczyk Mullins



Clostridium difficile Infection in Children

Publication date: Available online 4 May 2019

Source: Advances in Pediatrics

Author(s): Ana M. Alvarez, Mobeen H. Rathore



The Essentials of Essential Oils

Publication date: Available online 30 April 2019

Source: Advances in Pediatrics

Author(s): Rebecca M. Plant, Lisa Dinh, Shaara Argo, Monica Shah



Resurgence of Syphilis

Publication date: Available online 30 April 2019

Source: Advances in Pediatrics

Author(s): Joseph A. Puccio, Aileen Cannon, Kalyani Derasari, Rodney Friend



Updates on Hypertension and New Guidelines

Publication date: Available online 30 April 2019

Source: Advances in Pediatrics

Author(s): Pamela S. Singer


  1. The Promise of Precision Population Health: Reducing Health Disparities Through a Community Partnership Framework

    Pages 1-13
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  2. The Need to Integrate Sex and Gender Differences into Pediatric Pedagogy

    Pages 15-35
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  3. Gene Therapy: Current Applications and Future Possibilities

    Pages 37-54
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  4. Pediatric Telehealth: Approaches by Specialty and Implications for General Pediatric Care

    Pages 55-85
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  5. Health Considerations for Immigrant and Refugee Children

    Pages 87-110
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  6. The Essentials of Essential Oils

    Pages 111-122
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  7. Feeding Issues in Young Children

    Pages 123-145
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  8. Review of Narcolepsy and Other Common Sleep Disorders in Children

    Pages 147-159
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  9. Tall Stature in Children

    Pages 161-176
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  10. Updates on Hypertension and New Guidelines

    Pages 177-187
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  11. Cerebral Palsy: Diagnosis, Epidemiology, Genetics, and Clinical Update

    Pages 189-208
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  12. Pediatric Multiple Sclerosis: A Review

    Pages 209-229
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  13. Resurgence of Syphilis

    Pages 231-244
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  14. Nonoccupational Postexposure Prophylaxis and Preexposure Prophylaxis for Human Immunodeficiency Virus Prevention in Adolescents and Young Adults

    Pages 245-261
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  15. Clostridium difficile Infection in Children

    Pages 263-280
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Alexandros Sfakianakis
Anapafseos 5 . Agios Nikolaos
Crete.Greece.72100
2841026182
6948891480

NeuroImage

Validating the sensitivity of inhomogeneous magnetization transfer (ihMT) MRI to myelin with fluorescence microscopy

Publication date: 1 October 2019

Source: NeuroImage, Volume 199

Author(s): G. Duhamel, V.H. Prevost, M. Cayre, A. Hertanu, S. Mchinda, V.N. Carvalho, G. Varma, P. Durbec, D.C. Alsop, O.M. Girard

Abstract

Inhomogeneous Magnetization Transfer (ihMT) is a development from the MT MRI technique. IhMT can be considered as a dipolar order relaxation time (T1D) weighted imaging modality whose signal has shown an enhanced selectivity for myelin-rich structures. However, a formal validation of the ihMT sensitivity relative to a gold standard myelin density measurement has not yet been reported. To address this need, we compared ihMT MRI with green fluorescence protein (GFP) microscopy, in a study performed on genetically-modified plp-GFP mice, considered as a reference technique for myelin-content assessment. Various ihMT protocols consisting of variable T1D-filtering and radiofrequency power temporal distributions, were used for comparison with fluorescence microscopy. Strong and significant linear relationships (r2 (0.87–0.96), p < 0.0001) were found between GFP and ihMT ratio signals across brain regions for all tested protocol variants. Conventional MT ratios showed weaker correlations (r2 (0.24–0.78), p ≤ 0.02) and a much larger signal fraction unrelated to myelin, hence corresponding to a much lower specificity for myelin. T1D-filtering reduced the ihMT signal fraction not attributed to myelin by almost twofold relative to zero filtering suggesting that at least half of the unrelated signal has a substantially shorter T1D than myelin. Overall, these results strongly support the sensitivity of ihMT to myelin content.

Graphical abstract

Validation of ihMT as a myelin sensitive technique by comparison of ihMTR values derived from various RF irradiation preparations with GFP fluorescence intensity, measured in different brain structures.

Image 1



Different patterns of cortical activity in females and males during spatial long-term memory

Publication date: 1 October 2019

Source: NeuroImage, Volume 199

Author(s): Dylan S. Spets, Brittany M. Jeye, Scott D. Slotnick

Abstract

It is generally assumed that identical neural regions mediate the same cognitive functions in females and males. However, anatomic and molecular sex differences exist in the brain, including in regions associated with long-term memory, which suggests there may be functional differences. The present functional magnetic resonance imaging (fMRI) investigation aimed to identify the differences and similarities in brain activity between females and males during spatial long-term memory. During encoding, abstract shapes were presented to the left or right of fixation. During retrieval, shapes were presented at fixation and participants made "old-left" or "old-right" judgments. For both females and males, spatial memory hits versus misses produced activity in regions commonly associated with visual long-term memory; however, the activations were almost completely distinct between the sexes. An interaction analysis revealed sex-specific activity for males in visual processing regions, the left putamen, the right caudate nucleus, and bilateral cerebellum, and sex-specific activity for females in the parietal cortex. A targeted anatomic region-of-interest (ROI) analysis identified sex-specific activity for males and females in the left hippocampus and language processing cortex, respectively. A multi-voxel pattern correlation analysis within functional ROIs between all pairs of participants showed greater within-sex than between-sex correlations, indicating the differential activations were due to sex differences rather than other individual differences between groups. These results indicate that spatial long-term memory is mediated by largely different brain regions in females and males. These findings have major implications for the field of cognitive neuroscience, where it is common practice to collapse across sex.



Dissociating refreshing and elaboration and their impacts on memory

Publication date: 1 October 2019

Source: NeuroImage, Volume 199

Author(s): Lea M. Bartsch, Vanessa M. Loaiza, Lutz Jäncke, Klaus Oberauer, Jarrod A. Lewis-Peacock

Abstract

Maintenance of information in working memory (WM) is assumed to rely on refreshing and elaboration, but clear mechanistic descriptions of these cognitive processes are lacking, and it is unclear whether they are simply two labels for the same process. This fMRI study investigated the extent to which refreshing, elaboration, and repeating of items in WM are distinct neural processes with dissociable behavioral outcomes in WM and long-term memory (LTM). Multivariate pattern analyses of fMRI data revealed differentiable neural signatures for these processes, which we also replicated in an independent sample of older adults. In some cases, the degree of neural separation within an individual predicted their memory performance. Elaboration improved LTM, but not WM, and this benefit increased as its neural signature became more distinct from repetition. Refreshing had no impact on LTM, but did improve WM, although the neural discrimination of this process was not predictive of the degree of improvement. These results demonstrate that refreshing and elaboration are separate processes that differently contribute to memory performance.



In vivo widefield calcium imaging of the mouse cortex for analysis of network connectivity in health and brain disease

Publication date: 1 October 2019

Source: NeuroImage, Volume 199

Author(s): Julia V. Cramer, Benno Gesierich, Stefan Roth, Martin Dichgans, Marco Düring, Arthur Liesz

Abstract

The organization of brain areas in functionally connected networks, their dynamic changes, and perturbations in disease states are subject of extensive investigations. Research on functional networks in humans predominantly uses functional magnetic resonance imaging (fMRI). However, adopting fMRI and other functional imaging methods to mice, the most widely used model to study brain physiology and disease, poses major technical challenges and faces important limitations. Hence, there is great demand for alternative imaging modalities for network characterization. Here, we present a refined protocol for in vivo widefield calcium imaging of both cerebral hemispheres in mice expressing a calcium sensor in excitatory neurons. We implemented a stringent protocol for minimizing anesthesia and excluding movement artifacts which both imposed problems in previous approaches. We further adopted a method for unbiased identification of functional cortical areas using independent component analysis (ICA) on resting-state imaging data. Biological relevance of identified components was confirmed using stimulus-dependent cortical activation. To explore this novel approach in a model of focal brain injury, we induced photothrombotic lesions of the motor cortex, determined changes in inter- and intrahemispheric connectivity at multiple time points up to 56 days post-stroke and correlated them with behavioral deficits. We observed a severe loss in interhemispheric connectivity after stroke, which was partially restored in the chronic phase and associated with corresponding behavioral motor deficits. Taken together, we present an improved widefield calcium imaging tool accounting for anesthesia and movement artifacts, adopting an advanced analysis pipeline based on human fMRI algorithms and with superior sensitivity to recovery mechanisms in mouse models compared to behavioral tests. This tool will enable new studies on interhemispheric connectivity in murine models with comparability to human imaging studies for a wide spectrum of neuroscience applications in health and disease.



PSACNN: Pulse sequence adaptive fast whole brain segmentation

Publication date: 1 October 2019

Source: NeuroImage, Volume 199

Author(s): Amod Jog, Andrew Hoopes, Douglas N. Greve, Koen Van Leemput, Bruce Fischl

Abstract

With the advent of convolutional neural networks (CNN), supervised learning methods are increasingly being used for whole brain segmentation. However, a large, manually annotated training dataset of labeled brain images required to train such supervised methods is frequently difficult to obtain or create. In addition, existing training datasets are generally acquired with a homogeneous magnetic resonance imaging (MRI) acquisition protocol. CNNs trained on such datasets are unable to generalize on test data with different acquisition protocols. Modern neuroimaging studies and clinical trials are necessarily multi-center initiatives with a wide variety of acquisition protocols. Despite stringent protocol harmonization practices, it is very difficult to standardize the gamut of MRI imaging parameters across scanners, field strengths, receive coils etc., that affect image contrast. In this paper we propose a CNN-based segmentation algorithm that, in addition to being highly accurate and fast, is also resilient to variation in the input acquisition. Our approach relies on building approximate forward models of pulse sequences that produce a typical test image. For a given pulse sequence, we use its forward model to generate plausible, synthetic training examples that appear as if they were acquired in a scanner with that pulse sequence. Sampling over a wide variety of pulse sequences results in a wide variety of augmented training examples that help build an image contrast invariant model. Our method trains a single CNN that can segment input MRI images with acquisition parameters as disparate as T1-weighted and T2-weighted contrasts with only T1-weighted training data. The segmentations generated are highly accurate with state-of-the-art results (overall Dice overlap=0.94), with a fast run time ( 45 s), and consistent across a wide range of acquisition protocols.



The influence of brain iron on myelin water imaging

Publication date: 1 October 2019

Source: NeuroImage, Volume 199

Author(s): Christoph Birkl, Anna Maria Birkl-Toeglhofer, Verena Endmayr, Romana Höftberger, Gregor Kasprian, Claudia Krebs, Johannes Haybaeck, Alexander Rauscher

Abstract

With myelin playing a vital role in normal brain integrity and function and thus in various neurological disorders, myelin sensitive magnetic resonance imaging (MRI) techniques are of great importance. In particular, multi-exponential T2 relaxation was shown to be highly sensitive to myelin. The myelin water imaging (MWI) technique allows to separate the T2 decay into short components, specific to myelin water, and long components reflecting the intra- and extracellular water. The myelin water fraction (MWF) is the ratio of the short components to all components. In the brain's white matter (WM), myelin and iron are closely linked via the presence of iron in the myelin generating oligodendrocytes. Iron is known to decrease T2 relaxation times and may therefore mimic myelin. In this study, we investigated if variations in WM iron content can lead to apparent MWF changes. We performed MWI in post mortem human brain tissue prior and after chemical iron extraction. Histology for iron and myelin confirmed a decrease in iron content and no change in myelin content after iron extraction. In MRI, iron extraction lead to a decrease in MWF by 26%–28% in WM. Thus, a change in MWF does not necessarily reflect a change in myelin content. This observation has important implications for the interpretation of MWI findings in previously published studies and future research.



Retrieval orientation alters neural activity during autobiographical memory recollection

Publication date: 1 October 2019

Source: NeuroImage, Volume 199

Author(s): Lauri Gurguryan, Signy Sheldon

Abstract

When an autobiographical memory is retrieved, the underlying memory representation is constructed by flexibly activating a broad neural network. As such, the content used to reconstruct a memory can bias activity within this neural network. Here, we tested the hypothesis that focusing on the conceptual and contextual aspects of a memory to construct a memory representation will recruit distinct neural subsystems. To test this hypothesis, we measured neural activity as participants retrieved memories under retrieval orientations that biased remembering towards these elements of a past autobiographical experience. In an MRI scanner, participants first retrieved autobiographical memories and then were re-oriented towards the conceptual or contextual elements of that memory. They then used this re-oriented content (conceptual or contextual elements) to access and elaborate upon a new autobiographical memory. Confirming our hypothesis, we found a neural dissociation between these retrieval orientation conditions that aligned with established models of memory. We also found evidence that this neural dissociation was most prominent when the re-oriented mnemonic content was used to access a new memory. Altogether, the reported results provide critical insight into how and when retrieval orientations alter neural support for autobiographical memory retrieval and inform on the neural organization of autobiographical knowledge.



Neural correlates of anticipatory cardiac deceleration and its association with the speed of perceptual decision-making, in young and older adults

Publication date: 1 October 2019

Source: NeuroImage, Volume 199

Author(s): Maria J. Ribeiro, Miguel Castelo-Branco

Abstract

Warning stimuli in sensorimotor tasks induce a state of preparedness characterized by increased alertness, focused attention and immobility. This state of attentive anticipation is associated with heart rate deceleration. Ageing affects the amplitude of the anticipatory cardiac deceleration responses; yet, the impact of this physiological change on cognitive performance is still to be elucidated. In fact, how cardiac deceleration relates to brain function and cognitive performance in the context of perceptual decision-making and different levels of decision complexity remains unknown. Here, we aimed to investigate the relationship between cardiac deceleration, brain function, and performance in perceptual decision tasks and how these associate with age-related changes. We measured simultaneously the electrocardiogram, the pupilogram, and the electroencephalogram in 36 young and 39 older adults, while they were engaged in two auditory cued reaction time tasks: a detection task and a go/no-go task requiring inhibitory control. We observed robust cardiac deceleration responses that increased with increasing task complexity. Notably, stronger modulation of the cardiac response across tasks was associated with the ability to maintain response speed as decision complexity increased suggesting a link between cardiac deceleration and facilitation of perceptual decisions. Additionally, cardiac deceleration appears to have a cortical origin as it correlated with frontocentral event-related potentials. In contrast, beta oscillations at baseline and task-related beta suppression were not predictive of cardiac deceleration suggesting a dissociation between sensorimotor oscillatory activity and this cardiac response. Importantly, we found age-related changes in anticipatory cardiac deceleration associated with deficits in perceptual decision-making.



Pre-stimulus brain state predicts auditory pattern identification accuracy

Publication date: 1 October 2019

Source: NeuroImage, Volume 199

Author(s): Natalie E. Hansen, Assaf Harel, Nandini Iyer, Brian D. Simpson, Matthew G. Wisniewski

Abstract

Recent studies show that pre-stimulus band-specific power and phase in the electroencephalogram (EEG) can predict accuracy on tasks involving the detection of near-threshold stimuli. However, results in the auditory modality have been mixed, and few works have examined pre-stimulus features when more complex decisions are made (e.g. identifying supra-threshold sounds). Further, most auditory studies have used background sounds known to induce oscillatory EEG states, leaving it unclear whether phase predicts accuracy without such background sounds. To address this gap in knowledge, the present study examined pre-stimulus EEG as it relates to accuracy in a tone pattern identification task. On each trial, participants heard a triad of 40-ms sinusoidal tones (separated by 40-ms intervals), one of which was at a different frequency than the other two. Participants' task was to indicate the tone pattern (low-low-high, low-high-low, etc.). No background sounds were employed. Using a phase opposition measure based on inter-trial phase consistencies, pre-stimulus 7–10 Hz phase was found to differ between correct and incorrect trials ∼200 to 100 ms prior to tone-pattern onset. After sorting trials into bins based on phase, accuracy was found to be lowest at around π−+ relative to individuals' most accurate phase bin. No significant effects were found for pre-stimulus power. In the context of the literature, findings suggest an important relationship between the complexity of task demands and pre-stimulus activity within the auditory domain. Results also raise interesting questions about the role of induced oscillatory states or rhythmic processing modes in obtaining pre-stimulus effects of phase in auditory tasks.



Optimization of graph construction can significantly increase the power of structural brain network studies

Publication date: 1 October 2019

Source: NeuroImage, Volume 199

Author(s): Eirini Messaritaki, Stavros I. Dimitriadis, Derek K. Jones

Abstract

Structural brain networks derived from diffusion magnetic resonance imaging data have been used extensively to describe the human brain, and graph theory has allowed quantification of their network properties. Schemes used to construct the graphs that represent the structural brain networks differ in the metrics they use as edge weights and the algorithms they use to define the network topologies. In this work, twenty graph construction schemes were considered. The schemes use the number of streamlines, the fractional anisotropy, the mean diffusivity or other attributes of the tracts to define the edge weights, and either an absolute threshold or a data-driven algorithm to define the graph topology. The test-retest data of the Human Connectome Project were used to compare the reproducibility of the graphs and their various attributes (edges, topologies, graph theoretical metrics) derived through those schemes, for diffusion images acquired with three different diffusion weightings. The impact of the scheme on the statistical power of the study and on the number of participants required to detect a difference between populations or an effect of an intervention was also calculated.

The reproducibility of the graphs and their attributes depended heavily on the graph construction scheme. Graph reproducibility was higher for schemes that used thresholding to define the graph topology, while data-driven schemes performed better at topology reproducibility (mean similarities of 0.962 and 0.984 respectively, for graphs derived from diffusion images with b=2000 s/mm2). Additionally, schemes that used thresholding resulted in better reproducibility for local graph theoretical metrics (intra-class correlation coefficients (ICC) of the order of 0.8), compared to data-driven schemes. Thresholded and data-driven schemes resulted in high (0.86 or higher) ICCs only for schemes that use exclusively the number of streamlines to construct the graphs. Crucially, the number of participants required to detect a difference between populations or an effect of an intervention could change by a factor of two or more depending on the scheme used, affecting the power of studies to reveal the effects of interest.



Alexandros Sfakianakis
Anapafseos 5 . Agios Nikolaos
Crete.Greece.72100
2841026182
6948891480

Oral Biosciences

Identification and characterization of novel human papillomaviruses in oral rinse samples from oral cavity and oropharyngeal cancer patients

Publication date: Available online 24 May 2019

Source: Journal of Oral Biosciences

Author(s): Juliet Dang, Gregory A. Bruce, Qing Zhang, Nancy B. Kiviat

Abstract
Objectives

The objectives of this study were to: I) discover novel human papillomaviruses (HPVs) using next generation sequencing (NGS) technology in oral rinse samples collected from oral cavity cancer (OCC) and oropharyngeal cancer (OPC) patients; II) determine the prevalence of novel HPVs in archived OCC and OPC tissue samples; and III) examine the frequency of novel oncogenic HPVs in cancer and non-cancer oral rinse samples using real-time PCR.

Methods

Oral rinse samples were collected from 100 head and neck cancer patients, and 110 healthy individuals. NGS techniques were used to detect novel HPVs.

Results

Three potentially new types of HPV were discovered. Novel virus (NV) 14.4 was closely related to HPV76 with an 89% homology and is a member of the genus Beta-papillomavirus (β-PV); NV69.1 was distantly related to the genus Alpha-papillomavirus (α-PV), and NV95 was closely related to HPV147 with a 65–77% homology and is part of the genus Gamma-papillomavirus (γ-PV). In archived oral tissue samples, NV14.4 was detected in a single patient with OCC. Of the oral rinse samples, NV69.1 was more prevalent than the other two NVs.

Conclusions

Our results demonstrated that there are novel HPVs present in oral rinse samples that may be associated with OCC and OPC. These novel HPVs can be identified and characterized using NGS techniques.



Analysis of oral microbiota in Japanese oral cancer patients using 16S rRNA sequencing

Publication date: Available online 16 May 2019

Source: Journal of Oral Biosciences

Author(s): Yasuharu Takahashi, Jonguk Park, Koji Hosomi, Tomonori Yamada, Ayaka Kobayashi, Yuji Yamaguchi, Susumu Iketani, Jun Kunisawa, Kenji Mizuguchi, Nobuko Maeda, Tomoko Ohshima

Abstract
Objectives

It is important to determine the cause of increasing oral cancer occurrence and mortality rates in Japan, because the mortality rate has recently decreased in other developed countries. The impact of microbiota in carcinogenesis, especially in the digestive tract has been reported. This study aimed to clarify the relationship between oral cancer and oral microbiota in Japanese patients.

Methods

DNA was extracted from salivary samples of 60 oral cancer patients and 80 non-cancer individuals as controls. We performed metagenomic analysis using 16S rRNA amplicon sequencing. Statistical analysis in this study was performed using R (version 3.5.0).

Results

Oral cancer patients showed higher α-diversity compared to the control group, and the β-diversity between the two groups differed significantly. Further, there was a significant difference in the abundance ratio of bacterial genera between the two groups. PeptostreptococcusFusobacteriumAlloprevotella, and Capnocytophaga were more abundant in the cancer group compared to the control, whereas Rothia and Haemophilus were less abundant (p < 0.01). A negative correlation in the microbiota composition was confirmed between the operational taxonomic units (OTU) of genus Rothia and T-stage progression using the TNM classification method. We performed logistic regression analysis to investigate the impact factor for the oral cancer group, and the result showed that Chao 1 index and sex are statistically significant variables.

Conclusions

In this study, we observed an increased bacterial diversity in oral cancer patients and found distribution changes for some bacteria.



Alternating lamellar structure in human cellular cementum and rat compact bone: Its structure and formation

Publication date: Available online 15 May 2019

Source: Journal of Oral Biosciences

Author(s): Tsuneyuki Yamamoto, Tomoka Hasegawa, Hiromi Hongo, Norio Amizuka

Abstract
Background

Human cellular cementum and compact bone exhibit an alternating lamellar structure, in which intensely and faintly stainable lamellae are stratified in an alternating manner. Many investigators, including our group, have accumulated considerable data regarding lamellar structure. In this review, we summarize the alternating lamellar structure, based on available data, and introduce our hypothesis regarding its formation.

Highlight

We implemented 10% and 24% NaOH maceration methods for scanning electron microscopy. The 10% NaOH maceration method was used for detailed examination of the collagen fibril arrangement, whereas the 24% NaOH maceration method was used for examination of cell morphology in the absence of collagen fibrils. The following findings were obtained: (1) sections of cementum and bone showed two types of alternating lamellae—those comprising longitudinally and nearly longitudinally arranged fibril arrays, and those comprising transversely and nearly transversely arranged fibril arrays; (2) the fibril arrays appeared to shift arrangement in a regular and periodic manner, such that the alternating lamellar structure appeared in sections; (3) where the alternating lamellar structure was being formed, osteoblasts and cementoblasts extended slender processes alongside newly deposited fibrils.

Conclusion

Our data showed that the alternating lamellar structure was consistent with the twisted plywood model previously proposed for osteonal lamellae. For the formation of this structure, there have been two major hypotheses: a self-assembly hypothesis and a cellular control hypothesis. Our data support the latter; osteoblasts and cementoblasts move their processes synchronously and periodically to control fibril arrangement, thereby forming the alternating lamellar structure.



Degree of orientations of collagen fibers and bone apatite crystals in rat femora by infrared dichroism imaging

Publication date: Available online 15 May 2019

Source: Journal of Oral Biosciences

Author(s): Teppei Ito, Hiromi Kimura-Suda

Abstract
Objectives

The degree of orientations of collagen fibers and bone apatite crystals affects bone strength. We demonstrated that collagen fibers were aligned along the long axis of bone and that the degree of collagen fiber orientation changed with aging using infrared (IR) dichroism imaging. In this study, we developed a technique for evaluating bone apatite crystal orientation using IR dichroism imaging to investigate the relationships between collagen fiber and bone apatite crystal orientations.

Methods

Femora were harvested from male Sprague Dawley rats of different ages (6, 12, and 33 weeks); they were then embedded in poly (methyl methacrylate) and sectioned with a microtome into 3-μm longitudinal sections. The angle-dependent Fourier transform infrared (FTIR) spectra for sections were collected using FTIR imaging, and collagen fiber and bone apatite crystal orientations in the sections were assessed using IR dichroism imaging.

Results

Collagen fibers and poorly crystalline apatite in the femoral cortical bone were longitudinally aligned; however, the stoichiometric hydroxyapatite crystal and all of the bone apatite were not aligned. The degree of poorly crystalline apatite orientation was higher in 33-week-old rats than in 6-week-old rats.

Conclusions

Poorly crystalline apatite in the rat femoral cortical bone was aligned along the collagen fibers. The degree of poorly crystalline apatite orientation and collagen fiber orientation in the femoral cortical bone increased until at least 33 weeks; meanwhile, on aging, the stoichiometric hydroxyapatite crystal was not longitudinally aligned.



Phospholipase C-related catalytically inactive protein: A novel signaling molecule for modulating fat metabolism and energy expenditure

Publication date: Available online 15 May 2019

Source: Journal of Oral Biosciences

Author(s): Takashi Kanematsu, Kana Oue, Toshiya Okumura, Kae Harada, Yosuke Yamawaki, Satoshi Asano, Akiko Mizokami, Masahiro Irifune, Masato Hirata

Abstract
Background

Overweight and obesity are defined as excessive or abnormal fat accumulation in adipose tissues, and increase the risk of morbidity in many diseases, including hypertension, dyslipidemia, type 2 diabetes, coronary heart disease, and stroke, through pathophysiological mechanisms. There is strong evidence that weight loss reduces the risk of metabolic syndrome by limiting blood pressure and improving the levels of serum triglycerides, total cholesterol, low-density lipoprotein-cholesterol, and high-density lipoprotein-cholesterol. To date, several attempts have been made to develop effective anti-obesity medication or weight-loss drugs; however, satisfactory drugs for clinical use have not yet been developed. Therefore, elucidation of the molecular mechanisms driving fat metabolism (adipogenesis and lipolysis) represents the first step in developing clinically useful drugs and/or therapeutic treatments to control obesity.

Highlight

In our previous study on intracellular signaling of phospholipase C-related catalytically inactive protein (PRIP), we generated and analyzed Prip-double knockout (Prip-DKO) mice. Prip-DKO mice showed tolerance against insulin resistance and a lean phenotype with low fat mass. Here, we therefore reviewed the involvement of PRIP in fat metabolism and energy expenditure. We conclude that PRIP, a protein phosphatase-binding protein, can modulate fat metabolism via phosphoregulation of adipose lipolysis-related molecules, and regulates non-shivering heat generation in brown adipocytes.

Conclusion

We propose PRIP as a new therapeutic target for controlling obesity or developing novel anti-obesity drugs.



Medication-related osteonecrosis of the jaw: A literature review

Publication date: Available online 15 May 2019

Source: Journal of Oral Biosciences

Author(s): Shinichiro Kuroshima, Muneteru Sasaki, Takashi Sawase

Abstract
Background

Antiresorptive agents such as bisphosphonates and denosumab, as well as angiogenesis inhibitors, may induce medication-related osteonecrosis of the jaw (MRONJ). However, the exact mechanisms of MRONJ are unclear and definitive treatment strategies have not yet been developed. Moreover, the aging population requiring antiresorptive agents and angiogenesis inhibitors has been increasing worldwide. Therefore, the aim of this literature review was to introduce the latest information on MRONJ. The epidemiology, triggering factors, risk factors, drug holiday, pathoetiology and treatment strategies for each drug-induced ONJ were investigated by conducting a PubMed search.

Highlight

The prevalence and incidence of ONJ were very low. Some mechanisms of ONJ have been identified, although they were not definitive. Novel treatment strategies have been proposed in basic and clinical research. Several factors, including age and the administration duration of bisphosphonates, are risks for the development of bisphosphonate-related ONJ (BRONJ). Dental implant therapy and peri-implantitis could become risk factors of BRONJ, regardless of the onset timing of bisphosphonates. No reliable information about ONJ induced by denosumab and angiogenesis inhibitors was found.

Conclusion

Caution should be taken when dental treatment including implant therapy is performed in patients receiving bisphosphonates, denosumab, and angiogenesis inhibitors. There is limited scientific evidence regarding the relationship between MRONJ and older age. Further ONJ-related research on the aging population is required to manage the treatment of such diseases in older people in the future.



Dental restorative composite materials: A review

Publication date: Available online 15 May 2019

Source: Journal of Oral Biosciences

Author(s): Ramkumar Yadav, Mukesh Kumar

Abstract
Background

This review article discusses the effect of reinforcements in the parent dental restorative materials that results in enhanced performance in real-time situations.

Highlight

The review article includes the details of the properties of different reinforced dental composite materials such as mechanical strength, thermal properties, physical/chemical properties, tribological performance.

Conclusion

It revealed that nanofiller particles enhance the properties of various dental composite materials. The hybrid dental composites also contribute significantly in increasing the mechanical and tribological properties. A silane-treated filler improved the dental composite bonding strength.

Graphical abstract

Image 1



Recent trends of saliva omics biomarkers for the diagnosis and treatment of oral cancer

Publication date: Available online 23 March 2019

Source: Journal of Oral Biosciences

Author(s): Indranil Chattopadhyay, Madhusmita Panda

Abstract
Background

Recent advances in surgery, radiotherapy, and chemotherapy have no significant effect on oral cancer survival rates due to late diagnosis, poor tumor response to chemotherapy and radiotherapy, as well as a lack of effective biomarkers for early diagnosis.

Highlights

Therefore, an investigative study aimed at identifying genomics, proteomics, metagenomics, and, metabolomics derived biomarkers for early diagnosis may improve the survival rate of oral cancer patients. Identification and application of saliva-based ''omics'' biomarkers may overcome painful invasive procedures currently being used for the diagnosis of oral cancer. One single biomarker may not be able to differentiate between oral squamous cell carcinoma (OSCC) and controls. Thus, multiple sensitive and specific biomarkers may be needed for screening high-risk patients and following them up for early signs of OSCC occurrence. Validation of these biomarkers in large patient cohorts is, however, required before they can be used in clinical practice.

Conclusion

In this review, we summarize the potential of omics derived salivary biomarkers as diagnostic and prognostic tools in oral cancer detection and the future clinical benefits associated with these markers.

Graphical abstract

fx1



Periodontal disease and hemolysis in glucose-6-phosphate dehydrogenase deficiency: Is there a nexus?

Publication date: Available online 22 March 2019

Source: Journal of Oral Biosciences

Author(s): Neelesh Singh, Ashita Uppoor, Valliammai Rajendran, Dilip G. Naik

Abstract
Background

Glucose-6-phosphate dehydrogenase (G6PD) deficiency is an erythrocyte enzyme defect that amplifies the susceptibility of erythrocytes to oxidative stress due to excessive levels of reactive oxygen species. Consequently, erythrocyte destruction and hemolysis occur.

Highlight

The possible mechanism of oxidative stress-mediated destruction of erythrocytes in G6PD deficient individuals induced by periodontal infection is highlighted.

Conclusion

Periodontal diseases feature systemic loading of reactive oxygen species, and they may increase the risk of hemolysis in individuals with G6PD deficiency.



Mechanisms underlying the induction of regulatory T cells by sublingual immunotherapy

Publication date: Available online 7 March 2019

Source: Journal of Oral Biosciences

Author(s): Yukinori Tanaka, Satoshi Fukumoto, Shunji Sugawara

Abstract
Background

Sublingual immunotherapy (SLIT) is used for the treatment of type 1 allergies, such as allergic rhinitis. SLIT leads to tolerance against allergens possibly via the redirection of allergen-specific T helper 2 cells to T helper 1 cells and the generation of peripheral regulatory T (Treg) cells. However, the detailed mechanisms remain unclear. Systemic tolerance to orally administered antigens (oral tolerance) has been extensively investigated. Recent studies have recognized the central role of Treg cells and classical dendritic cells (cDCs) in oral tolerance development.

Highlight

This review focuses on recent advances in the understanding of the underlying mechanisms of SLIT compared with those of oral tolerance. The sublingual administration of soluble protein antigens has been reported to induce antigen-specific Treg cells in oral mucosa-draining submandibular lymph nodes in mice. The generation of Treg cells is critical for SLIT efficacy because the transfer of SLIT-induced Treg cells confers tolerance against the antigens. A large number of oral cDCs with the CD103CD11b+ phenotype exert retinoic acid-producing activity and convert naïve CD4+ T cells into Foxp3+ Treg cells in vitro in a transforming growth factor-β-dependent and retinoic acid-dependent manner. Oral CD103CD11b+ cDCs transport sublingual antigens to submandibular lymph nodes and induce antigen-specific Treg cells. Sublingual antigens enter the mucosa most likely by crossing the sublingual ductal epithelium and are captured by oral antigen-presenting cells, especially macrophages.

Conclusion

Oral CD103CD11b+ cDCs are specialized for the induction of Treg cells in mice; thus, targeting their human counterpart may enhance the therapeutic effects of SLIT.

Graphical abstract

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