No abstract

CD. {:em)· R. liwiii!WrSiriim L, Slal11 • /. Sc'qumlialnpret\1011 oj an amelin gene in ;lle\·cnch) 'lllal and epithelial cells during odmrtogel/c. \i\ in rtlls. Eur J Oral Sci /99H; f(}fJ (suppl /): 324 330. < ur J Oral ci, 1998 'ovcl mR 1 oforms cncodmg the enamel matrix proteins amclin-1. amclm-2 and ameloblastm have been recently des(;nbed . We ha\e applied <.!<.:tailed immunohistochemical as well as non-radioactive in .1itu hybriditatwn anal)~s to I oliO\\ am lin-I expression m developing rat incisors and molar ... \\ e constructed an expression vector overproduced recombinant amchn in Ellhcrtrhia coli and prcp;tred ttn ant1bod>. In addition to the pre\iou ly reported <~mel in mR NA cxpre~~10n patterns 111 umelobla-.b. the amclin mess,tgc \HIS also detected in pulpal mesenchymal cells mcludmg preodontoblasts and young odontohla.ts. 1 he signal il1 these cells r ·rsisted until deposition or mantle dentin bccam~: evidenl. rhe immunolocalmttion of amt:lin-1 in pr l>dontobla~ts und mn~:lnblasts cssent1,tll> followed the path:rn of mR. cxpre am. 1 he most intense sta1n1n • was f'ound 111 the enamel matrix atiJ&H:cnt to crctor> amcloblasts. Focal accumtdalion~ of 1mmu1wrcact1ve material \\ere found ill the dcnt•no~:namcl JUI1Ctlon durinv th~: muturatwn tag~:. I o, usin • 5'-R I~ (Rapid Amplification of d)NA ntis) w~: could confirm only amclin-1 and amcloblu~tin mc~sage~ 1t1 the total R pool from r

Our study underlines a dominant role of norovirus and toxigenic C. difficile as etiologic agents of acute gastroenteritis among the patients of general practitioners.

The ability to maintain central-gaze fixation was studied in 35 patients with unilateral frontal lobe lesions. The stability of central-gaze fixation was tested in 2 oculomotor tasks requiring the suppression of reflexive saccades triggered by the sudden appearance of novel, peripheral visual stimuli. In the first task ('Instructed'), maintenance of gaze fixation was based on verbal instruction, whereas, in the second task ('Non-instructed'), it was based upon a foveating mechanism maintained by sensory stimulation during the performance of a categorization task. Patients with frontal lobe lesions were classified into 3 groups: a ventrolateral (n = 18), a dorsolateral (n = 10) and a medial (n = 7) group. The control group consisted of 20 healthy subjects. In the Non-instructed task, no group differences were found in the rate of reflexive saccades. Thus, lesions of the frontal lobe did not affect reactivity to extraneous stimuli per se. The only exception to this rule was the group of patients with ventrolateral lesions in the left frontal lobe, in which a higher number of reflexive saccades directed to the contralateral hemifield was observed. In the Instructed task, 2 different patterns of deficit in suppression of reflexive saccades were found. First, a bidirectional deficit was noted in the ventrolateral group, which might be attributed to an impairment in either maintaining a selected program of behaviour 'on-line' or suppressing inappropriate alternatives interfering with that program. Second, a unidirectional deficit in voluntary suppression of reflexive saccades triggered from within the contralateral hemifield was observed in the medial group. It is suggested that this type of deficit may reflect malfunctioning of the supplementary motor area--anterior cingulate system involved in the suppression of externally triggered interfering programs. Finally, no significant impairment was found in the dorsolateral group.

During the process of differentiation, osteoblasts commit through strictly controlled checkpoints under the influence of several growth factors, cytokines, and extracellular matrix (ECM) proteins. The mineralized tissue-specific ECM component osteoadherin (OSAD) belongs to the small leucine-rich repeat protein family of proteoglycans. Proteoglycans modulate cellular behavior either through the attached glycosaminoglycan chains or by direct protein-protein interactions via the core protein sequences. Leucine-rich repeats have been shown to directly interact with cell-surface receptors such as epidermal growth factor receptor, blocking its ability to bind its ligand. In the present study, we investigated the influence of OSAD on the behavior and maturation of MC3T3E1 osteoblasts. OSAD overexpression and repression clones were created by stably transfecting with plasmids coding for either mouse OSAD cDNA or small-hairpin RNA, targeted against mouse OSAD. Overexpression of OSAD resulted in an increase of osteoblast differentiation features, such as increased alkaline phosphatase (ALP) activity and increased in vitro mineralization, as well as reduced proliferation and migration. Bone sialoprotein (BSP) levels were unchanged, while upregulation of osteocalcin (OC) and osteoglycin (OGN) was observed. Conversely, repression of OSAD expression resulted in increased cell proliferation and migration. BSP and OC were unaffected, while OGN was downregulated. ALP activity was reduced, though no change in in vitro mineralization was observed. We conclude that OSAD overexpression enhanced the differentiation and maturation of osteoblasts in vitro.

Aims. Preoperative chemical vestibular ablation can reduce vestibular symptoms in patients who have gone through vestibular schwannoma resection. The goal of this study was to determine whether chemical vestibular prehabituation influences the patients' post-operative perception of visual stimulation, mental status and quality of life. We also tried to find out whether increases of optokinetic nystagmus, measured by routine electronystagmography, correlate with subjective symptoms. Methods. We preoperatively administered (2 months prior to surgery) 0.5-1.0 mL of 40 mg/mL nonbuffered gentamicin in three intratympanic instillations in 11 patients. Head impulse and caloric tests confirmed reduction of vestibular function in all patients. The control group consisted of 21 patients. Quality of life in both groups was evaluated using the Glasgow Benefit Inventory, the Glasgow Health Status Inventory and the Dizziness Handicap Inventory questionnaires. Visual symptoms and optokinetic sensation were evaluated using a specific questionnaire developed by our team and by measuring gains preoperatively and postoperatively in both groups using routine electronystagmography. The psychological profile was evaluated using the Zung Self-Rating Depression Scale and the Generalised Anxiety Disorder Assessment questionnaires. Results. There were no statistically significant differences between both groups with regards to the results of the questionnaires. Patients who received preoperative gentamicin were less sensitive to visual stimulation (P<0.10) and many of them had a significantly higher gain in the optokinetic nystagmus than the control group in the preoperative stage. Conclusion. Pre-treatment with gentamicin helps to lower anxiety levels in patients and improves their general postoperative status. Pre-treated patients are also less sensitive to optokinetic stimulation. Trial Registration: ClinicalTrials.gov, NCT03638310.

Two variants of an mRNA sequence are identified that are expressed at high levels in rat ameloblasts during the formation of the enamel matrix. The sequences contain open reading frames for 407 and 324 amino acid residues, respectively. The encoded proteins, which we call amelins, are rich in proline, glycine, leucine, and alanine residues and contain the peptide domain DGEA, an integrin recognition sequence. The sequences coding for the C-terminal 305 amino acid residues, the 3' nontranslated part, and a microsatellite repeat at the nontranslated 5' region are identical in both mRNA variants. The remaining 5' regions contain 338 nucleotides unique to the long variant, 54 common nucleotides, and 46 nucleotides present only in the short variant. Eleven nucleotides have the potential to code for 5 amino acids of both proteins in different reading frames. The reading frame of the longer variant includes codons for a typical N-terminal signal peptide. The amelins are likely to be constituents of the enamel matrix and the only proteins that have so far been implicated in binding interactions between the ameloblast surface and its extracellular matrix.

Surgical removal of vestibular schwannoma causes acute vestibular symptoms, including postoperative vertigo and oscillopsia due to nystagmus. In general, the dominant symptom postoperatively is vertigo. Preoperative chemical vestibular ablation can reduce vestibular symptoms postoperatively. We used 1.0 mL of 40 mg/mL nonbuffered gentamicin in three intratympanic installations over 2 days, 2 months preoperatively in 10 patients. Reduction of vestibular function was measured by the head impulse test and the caloric test. Reduction of vestibular function was found in all gentamicin patient groups. After gentamicin vestibular ablation, patients underwent home vestibular exercising for two months. The control group consisted of 10 patients who underwent only home vestibular training two months preoperatively. Postoperative rates of recovery and vertigo in both groups were evaluated with the Glasgow Benefit Inventory (GBI), the Glasgow Health Status Inventory (GHSI), and the Dizziness Handicap Inventory questionnaires, as well as survey of visual symptoms by specific questionnaire developed by us. There were no statistically significant differences between both groups with regard to the results of questionnaires. Patients who received preoperative gentamicin were more resilient to optokinetic and optic flow stimulation (p < 0.05). This trial is registered with clinical study registration number NCT02963896.