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Backscattered electron imaging and energy-dispersive X-ray microanalysis studies of evidence for calcium salt heterogeneity in fifteen gallstones from an elderly human. 背散射电子成像和能量色散x射线微分析研究证据钙盐异质性从一个老年人的15个胆结石。
Pub Date : 1995-09-01
T Kodaka, R Mori, K Debari, R Takiguchi, S Higashi

We examined 15 variably-sized gallstones, taken from an elderly male, by backscattered electron imaging and energy-dispersive X-ray microanalysis to learn the structural and distribution patterns of gallstone calcium (Ca-) salts. Of the 13 cholesterol-rich stones, nine stones had peripheral concentric layers of Ca-carbonate, whereas 2 stones had peripheral layers of Ca-phosphate. No Ca-salts were detected from 2 cholesterol-rich stones. The 2 stones containing Ca-phosphate had no Ca-salt cores, whereas the stones containing Ca-carbonate were separated into 3 different types: two stones with a Ca-carbonate core, four stones with several Ca-bilirubinate cores of glass-like structure, and 3 stones lacking Ca-salt cores. A closer view of the Ca-salt layers, which may be occasionally coexistent with Ca-bilirubinate, mainly showed either laminate deposits or numerous globules with a few laminae. Of the 2 cholesterol-poor stones, one had dispersed particles mainly of Ca-phosphate, and the other had loosely dispersed particles with small amounts of Ca-phosphate, bilirubinate, and/or palmitate. Some relationship between the size and Ca-salt species of these gallstones was suggested. Gallstones collected from the same individual showed a considerable heterogeneity of Ca-salts.

我们检查了15个不同大小的胆结石,取自一位老年男性,通过背散射电子成像和能量色散x射线微分析来了解胆结石钙(Ca-)盐的结构和分布模式。在13个富含胆固醇的结石中,9个结石周围有碳酸钙同心层,2个结石周围有磷酸钙层。2例高胆固醇结石未检出钙盐。含Ca-phosphate的2个结石无Ca-salt岩心,而含Ca-carbonate的结石可分为3种类型:2个有Ca-carbonate岩心,4个有多个具有玻璃状结构的ca -胆红素岩心,3个没有Ca-salt岩心。钙盐层与胆红素钙偶尔共存,近距离观察主要表现为层状沉积或少量层状的大量球体。在2例低胆固醇结石中,1例主要含有分散的磷酸钙颗粒,另1例含有松散分散的磷酸钙、胆红素和/或棕榈酸盐颗粒。这些胆结石的大小与钙盐种类有一定的关系。从同一个体收集的胆结石显示出相当大的钙盐异质性。
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引用次数: 0
Endoarticular loose bodies and calcifications of the disk of the temporomandibular joint: morphological features and chemical composition. 颞下颌关节盘关节内疏松体和钙化:形态特征和化学成分。
Pub Date : 1995-09-01
C Piacentini, C Marchetti, A Callegari, M Setti, G Bernasconi, U Baciliero, P Menghini, C Brusotti

We studied articular disks and endoarticular loose bodies taken from patients suffering from different types of temporomandibular joint (TMJ) pathology. The scanning electron microscopy (SEM) analysis of the disks and the endoarticular loose bodies was followed by a chemical-compositional analysis using an energy dispersive spectrometer (EDS) and by characterization of the crystalline phases by X-ray powder diffraction (XRD). The articular disks were composed of a central radiopaque area lacking any evident structural features, surrounded by compact bundles of collagen fibers. EDS and XRD analyses showed that endodiscal radio-opaque areas were hydroxyapatite. By SEM, we observed a fibrous network only in circumscribed areas of the endoarticular loose bodies. The chemical-compositional analysis showed that the loose bodies were composed of calcite (CaCO3). The results of this investigation, along with the clinical history of the patients, allow us to formulate some hypotheses regarding the etiopathogenesis of these structural anomalies. The endodiscal calcifications could be the result of a chronic inflammatory process that produces displastic alterations of the articular disk. Moreover, an acute inflammatory process with modifications in the mechanisms of the synovial fluid turnover seems to be the event that leads to the formation of endoarticular loose bodies.

我们研究了不同类型颞下颌关节(TMJ)病理患者的关节盘和关节内松体。对圆盘和关节内松散体进行扫描电镜(SEM)分析,并用能谱仪(EDS)进行化学成分分析,并用x射线粉末衍射(XRD)对晶体相进行表征。关节盘由中央不透射线区组成,缺乏明显的结构特征,周围是致密的胶原纤维束。EDS和XRD分析表明,椎间盘内放射性不透明区为羟基磷灰石。通过扫描电镜,我们仅在关节内松散体的有限区域观察到纤维网络。化学成分分析表明松散体主要由碳酸钙(CaCO3)组成。这项调查的结果,连同患者的临床病史,使我们能够制定一些关于这些结构异常的发病机制的假设。椎间盘内钙化可能是慢性炎症过程导致关节盘非塑形改变的结果。此外,伴随滑液周转机制改变的急性炎症过程似乎是导致关节内松体形成的事件。
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引用次数: 0
In situ hybridization and monoclonal antibody analysis of plasma membrane Ca-pump mRNA and protein in submandibular glands of rabbit, rat and man. 兔、大鼠和人颌下腺质膜钙泵mRNA和蛋白的原位杂交及单克隆抗体分析。
Pub Date : 1995-09-01
J L Borke, A E Zaki, D R Eisenmann, S H Ashrafi, M M Sharawy, S S Rahman

The degree of supersaturation of saliva with calcium (Ca) is related to the mineral phase of enamel in erupted teeth, the incidence of caries, and the formation of calculus. The mechanisms for regulating salivary Ca concentration are therefore of relevance to dentistry. Sections of rabbit, rat and human submandibular gland (SMG) were processed for immuno-histochemistry with a specific anti-plasma membrane Ca-pump antibody, 5F10. Western blots confirm that the molecular weight of the proteins identified by our antibody (135 kDa) is consistent with an appropriate molecular weight for PMCA antigen (135-150 kDa). Tissue sections were also processed for in situ hybridization to study the distribution of the PMCA mRNA isoforms. In mammals, the PMCA1 gene is reported to code for a PMCA protein with a role in maintaining the intracellular Ca levels in both epithelial and non-epithelial cells. Other genes including the PMCA2 and PMCA4 genes may code for PMCA proteins specific to Ca transporting tissues. Our studies demonstrate cytoplasmic labeling of PMCA mRNA with hPMCA-1 and hPMCA-4 specific cDNA probes in humans, and rPMCA-1 and rPMCA-2 specific oligonucleotide probes in rats. Labeling of PMCA protein and all mRNA isoforms was found in the cytoplasm of the interlobular and intralobular ducts (except for intercalated ducts). The demonstrated presence of PMCA in SMGs of rabbit, rat, and man, may suggest a role for PMCA in the regulation of intracellular Ca and in a mechanism for regulating and maintaining the high concentration of Ca in salvia.

唾液中钙(Ca)的过饱和程度与出牙牙釉质的矿物相、龋齿的发生和牙石的形成有关。因此,调节唾液钙浓度的机制与牙科相关。兔、大鼠和人颌下腺(SMG)切片用特异性抗质膜钙泵抗体5F10进行免疫组化处理。Western blots证实,我们的抗体鉴定的蛋白质分子量(135 kDa)与PMCA抗原的合适分子量(135-150 kDa)一致。组织切片也进行原位杂交,以研究PMCA mRNA亚型的分布。在哺乳动物中,据报道,PMCA1基因编码PMCA蛋白,该蛋白在维持上皮细胞和非上皮细胞的细胞内Ca水平中起作用。其他基因包括PMCA2和PMCA4基因可能编码钙转运组织特异性的PMCA蛋白。我们的研究证实了人类用hPMCA-1和hPMCA-4特异性cDNA探针和大鼠用rPMCA-1和rPMCA-2特异性寡核苷酸探针在细胞质中标记PMCA mRNA。在小叶间管和小叶内管(间隔管除外)的细胞质中发现PMCA蛋白和所有mRNA亚型的标记。PMCA在兔、大鼠和人的smg中被证实存在,这可能表明PMCA在调节细胞内钙的作用以及在调节和维持鼠尾草中高浓度钙的机制中起作用。
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引用次数: 0
X-irradiation-induced disorganization of cytoskeletal filaments and cell contacts in HT29 cells. x射线诱导HT29细胞骨架细丝和细胞接触的破坏。
Pub Date : 1995-09-01
Z Somosy, M Sass, G Bognár, J Kovács, G J Köteles

Organization of cytoskeleton and cell contacts were studied by immunochemistry and electron microscopy in confluent HT29 cultured cells following exposure to 0.5 and 1.0 Gy doses of X-ray. Microtubules were resistant to irradiation, whereas, the actin and intermediate filaments disrupted rapidly following the treatment and their components appeared as clumps of actin and cytokeratin aggregates in the cytoplasm as demonstrated by immunochemistry. Loss of cell contacts and decrease in the number of desmosomes was also characteristic of irradiated cells. Electron microscopy revealed intact desmosomes in control cells and abnormal desmosomes in the irradiated samples characterized by the absence of tonofilaments. The perinuclear filament network and cortical filaments were well detectable by electron microscopy. Under the effect of irradiation, the perinuclear filaments almost disappeared and, at the same time, small bundles of filaments were formed irregularly in the cytoplasm associated with amorphous material.

用免疫化学和电镜观察了0.5 Gy和1.0 Gy剂量的x射线照射后HT29细胞的细胞骨架组织和细胞接触。微管耐辐照,而肌动蛋白和中间丝在辐照后迅速断裂,其成分在细胞质中以肌动蛋白团块和细胞角蛋白聚集体的形式出现。细胞接触的丧失和桥粒数量的减少也是受辐照细胞的特征。电镜显示对照细胞中桥粒完整,辐照样品中桥粒异常,其特征是张力丝缺失。电镜可见核周丝网和皮质丝。在辐照作用下,核周丝几乎消失,同时细胞质内不规则地形成小束细丝。
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引用次数: 0
The interaction of laser energy with ureter tissues in a long-term investigation. 长期研究激光能量与输尿管组织的相互作用。
Pub Date : 1995-09-01
U Stratmann, K Schaarschmidt, R R Lehmann, A Heinze, G H Willital, E Unsöld

This study investigates tissue responses after laser irradiation of the rabbit ureter, which serves as an experimental model for rectourogenital fistulae of children. Twenty-five rabbit ureters were irradiated intraluminally by a Nd:YAG laser 1320 nm (2 Watt, 20 seconds and 3 Watt, 8 seconds) via an applicator with radialsymmetrical light distribution. Immediately, 2 weeks, 4 weeks, 8 weeks, and 16 weeks after irradiation, the ureters were X-rayed with contrast solution and prepared for light and transmission electron microscopy. For the parameters employed, no apparent morphological differences could be observed. Immediately, the central laser zone showed a transmural thermonecrosis prevailed by cellular destruction, condensed ground substance and occlusion of most vascular lumina. Peripheral laser zones displayed urothelial vacuolations. Between 2 and 16 weeks, urothelial regeneration and ingrowth of granulation tissue caused a luminal stenosis or occlusion followed by transformation into scar tissue. In some peripheral laser zones, a hydroureter with marked luminal dilatation developed. We conclude that the ureter is occluded if the expanding force of the growing scar tissue exceeds the hydrostatic pressure of the obstructed urine. A laser occlusion of rectourogenital fistulae will be easier to achieve since fistula occlusion does not entail an obstruction of the urine flow.

本研究以兔输尿管作为儿童直肠生殖瘘管的实验模型,探讨激光照射后兔输尿管的组织反应。采用1320 nm Nd:YAG激光(2瓦20秒和3瓦8秒)照射25只家兔输尿管。照射后第2周、第4周、第8周、第16周,立即用造影剂对输尿管进行x线照射,并进行光镜和透射电镜检查。对于所采用的参数,没有观察到明显的形态学差异。立即,中央激光区显示全壁热坏死,主要表现为细胞破坏,基底物质浓缩和大部分血管腔闭塞。周围激光区显示尿路上皮空泡。在2 - 16周之间,尿路上皮再生和肉芽组织长入引起管腔狭窄或闭塞,随后转化为瘢痕组织。在一些外围激光区,有明显的管腔扩张的输水器。我们的结论是,如果生长的疤痕组织的扩张力超过了阻塞尿液的静水压力,输尿管就被阻塞了。激光闭塞直肠生殖瘘管将更容易实现,因为瘘管闭塞不需要阻碍尿流。
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引用次数: 0
Apoptosis induced by microtubule disrupting drugs in normal murine thymocytes in vitro. 微管干扰药物体外诱导正常小鼠胸腺细胞凋亡。
Pub Date : 1995-06-01
V Bumbasirević, A Skaro-Milić, A Mircić, B Djuricić

Disruption of cytoplasmic and spindle microtubules by colchicine or nocodazole increases mitotic index, but it also enhances apoptosis in isolated mouse thymocytes; the apoptotic index exceeds 20% after 4 hours of incubation with either drug (5% in controls). Apoptosis was confirmed by DNA fragmentation, and was blocked by calcium chelators and inhibitors of protein synthesis. The apoptotic effect of microtubule disrupting drugs (MDD) was directed to interphase thymocytes and was independent on MDD action on mitotic cells. However, cell death of mitotically arrested cells showed ultrastructural changes similar in many aspects to apoptosis.

秋水仙碱或诺可达唑对细胞质和纺锤体微管的破坏增加了有丝分裂指数,但也增加了离体小鼠胸腺细胞的凋亡;两种药物孵育4小时后,凋亡指数均超过20%(对照组为5%)。细胞凋亡由DNA断裂证实,并被钙螯合剂和蛋白质合成抑制剂阻断。微管干扰药物(MDD)的凋亡作用主要针对胸腺间期细胞,不依赖于MDD对有丝分裂细胞的作用。然而,有丝分裂阻滞细胞的死亡表现出与细胞凋亡在许多方面相似的超微结构变化。
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引用次数: 0
The influence of 5-fluorouracil on the endothelium in small arteries. An electron microscopic study in rabbits. 5-氟尿嘧啶对小动脉内皮的影响。兔的电子显微镜研究。
Pub Date : 1995-06-01
M Cwikiel, B Zhang, J Eskilsson, J B Wieslander, M Albertsson

5-Fluorouracil (5-FU) is a widely used antineoplastic agent. 5-FU induced cardiotoxicity is a still relatively unknown side-effect of this drug. This phenomenon could be due to a direct cytotoxic effect on the endothelial cells. We tested this hypothesis in an experimental study in rabbits, by scanning or transmission electron microscopic evaluation of endothelium in small arteries (the central artery of the ear) after in vivo treatment with 5-FU. Both local and systemic effects of 5-FU on endothelium were studied 15, 30, 60 and 120 minutes after intra-arterial or intraperitoneal treatment. Perfusion fixation at physiological pressure and temperature was used in order to minimize damage to the endothelium during the preparation procedure. Eighteen rabbits weighing 2.5-3.0 kg were used, and 6 animals served as controls. The following parameters were evaluated: vessel wall and endothelial cell contraction, cell edema, cytolysis, occurrence of denuded areas, platelet adhesion/aggregation and fibrin formation. For the description of each parameter a scale of negative points was used. Irreversible cell damage was observed in 5-FU treated animals: disruption of the endothelial sheet and patchy exposure of the subendothelium, sometimes as a focus for thrombus formation. Our findings support the hypothesis that the thrombogenic effect of 5-FU secondary to its direct cytotoxic effect on endothelium might be one of the pathophysiological mechanisms behind 5-FU induced cardiotoxicity.

5-氟尿嘧啶(5-FU)是一种广泛使用的抗肿瘤药物。5-FU引起的心脏毒性是该药物的一个相对未知的副作用。这种现象可能是由于内皮细胞的直接细胞毒性作用。我们在兔子的实验研究中验证了这一假设,通过扫描或透射电镜评估5-FU在体内处理后小动脉(耳中心动脉)的内皮。在动脉或腹腔注射后15、30、60和120分钟,研究5-FU对内皮细胞的局部和全身影响。为了尽量减少制备过程中对内皮细胞的损伤,在生理压力和温度下进行灌注固定。选用体重2.5 ~ 3.0 kg的家兔18只,对照组6只。评估以下参数:血管壁和内皮细胞收缩、细胞水肿、细胞溶解、脱落区发生、血小板粘附/聚集和纤维蛋白形成。对于每个参数的描述,使用了一个负点的尺度。在5-FU处理的动物中观察到不可逆的细胞损伤:内皮层破坏和内皮下层斑块性暴露,有时成为血栓形成的焦点。我们的研究结果支持这样的假设,即5-FU的血栓形成作用继发于其对内皮细胞的直接细胞毒性作用,这可能是5-FU诱导心脏毒性的病理生理机制之一。
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引用次数: 0
The effect of ArF-excimer laser irradiation of the human enamel surface on the bond strength of orthodontic appliances. 准分子激光辐照人牙釉质表面对正畸矫治器粘结强度的影响。
Pub Date : 1995-06-01
U Stratmann, K Schaarschmidt, M Schürenberg, U Ehmer

This study investigated enamel laser conditioning as an alternative to acid etching in bracket therapy. In preliminary experiments optimal laser parameters for achieving a bond strength of 6-10 N/mm2 were defined. Enamel surface morphology was assessed and the ablation depth was measured on serial enamel sections. Thirty human molars were exposed to 193 nm ArF-excimer laser radiation (energy density: 260 mJ/cm2) by single pulse application of 23 nanoseconds. Thirty molars were etched with phosphoric acid (37%) for 60 seconds. The brackets from the treated molars and 30 untreated molars were debonded vertically for tensile bond strength measurement. Roughened enamel surfaces were attained by 450 and 900 laser pulses with a mean ablation depth of 10.13 +/- 4.84 microns. After 1-10 laser pulses, the enamel surface appeared intact. The tensile bond strength was 6.63 +/- 2.18 N/mm2 in the laser-treated group (1 pulse), 8.75 +/- 3.61 N/mm2 in the acid-etched group, and 4.61 +/- 3.15 N/mm2 in the untreated group. We conclude a laser-selective ablation of the membranous enamel pellicle. Since the irradiated area can be adapted to bracket base and the enamel surface remains morphologically intact, pulsed ArF-excimer laser treatment seems to be superior to the acid etching technique.

本研究探讨牙釉质激光调理作为酸蚀牙槽治疗的替代方法。在初步实验中,确定了实现6-10 N/mm2键合强度的最佳激光参数。在连续的牙釉质切片上评估牙釉质表面形态并测量消融深度。将30颗人磨牙暴露在能量密度为260 mJ/cm2的193 nm arf准分子激光单脉冲照射下,照射时间为23纳秒。30磨牙用磷酸(37%)蚀刻60秒。将治疗磨牙的托槽与30颗未治疗磨牙的托槽垂直脱粘,进行抗拉强度测量。450和900次激光脉冲的平均烧蚀深度为10.13 +/- 4.84微米。经过1-10次激光脉冲后,牙釉质表面完好无损。激光处理组(1脉冲)抗拉键强度为6.63 +/- 2.18 N/mm2,酸蚀组为8.75 +/- 3.61 N/mm2,未处理组为4.61 +/- 3.15 N/mm2。我们总结了激光选择性消融膜质珐琅质膜。由于照射区域可以适应支架底座,并且牙釉质表面形态保持完整,因此脉冲arf准分子激光治疗似乎优于酸蚀刻技术。
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引用次数: 0
Heterogeneous nucleation of calcium oxalate crystals in mammalian urine. 哺乳动物尿液中草酸钙晶体的非均相成核。
Pub Date : 1995-06-01
S R Khan

It is generally recognized that calcium oxalate crystal formation in urine is induced by heterogeneous nucleation. However, there is no consensus as to the nature of the nucleation substrate. Evidence is provided in this paper that membranous cellular degradation products are the most likely candidates because they: (1) are ubiquitous in urine and urinary stones; (2) are found in close association with crystal deposits in the kidneys; and (3) can induce nucleation of crystals from a metastable solution of calcium oxalate in vitro and metastable urine in vivo.

一般认为尿液中草酸钙晶体的形成是由非均相成核引起的。然而,对于成核底物的性质并没有一致的看法。本文提供的证据表明膜细胞降解产物是最有可能的候选者,因为它们:(1)在尿液和尿路结石中普遍存在;(2)与肾脏晶体沉积密切相关;(3)体外亚稳草酸钙溶液和体内亚稳尿液中能诱导晶体成核。
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引用次数: 0
Radiation nephropathy: a review. 放射性肾病:综述。
Pub Date : 1995-06-01
M E Robbins, S M Bonsib

The marked radiosensitivity of renal tissue represents a limitation on the total radiotherapeutic dose that safely can be applied to treatment volumes that include the kidneys. Radiation nephropathy is characterized by a progressive reduction in renal hemodynamics associated with a severe anemia. The latter is often normochromic normocytic in character, but can progress to a microangiopathic hemolytic anemia. The pathogenic mechanisms responsible for the development of radiation nephropathy remain ill-defined. Experimental studies which allow serial determinations of functional, morphologic, and cell kinetic radiation-induced changes indicate that primarily glomerular but also tubular alterations occur in the primary stages of radiation nephropathy. Glomerular capillary endothelial cell loss is seen within several weeks of irradiation. Remaining endothelial cells exhibit increased permeability leading to a subendothelial transudate. Mesangiolysis also is observed. In contrast, podocytes appear to be relatively unaffected at this stage. The endothelial changes appear to resolve, but the mesangial lesions progress, with hypercellularity and/or hypertrophy, increased mesangial matrix, mesangial sclerosis, and ultimately, glomerulosclerosis. These mesangial changes are similar to those observed in other chronic glomerulopathies. Dietary protein restriction, corticosteroids, and ACE-inhibitors all can reduce the severity of experimental radiation nephropathy.

肾组织的明显放射敏感性代表了总放射治疗剂量的限制,该剂量可以安全地应用于包括肾脏在内的治疗体积。放射性肾病的特点是与严重贫血相关的肾脏血流动力学进行性降低。后者通常为正色正胞性贫血,但可发展为微血管病溶血性贫血。放射性肾病的发病机制仍不明确。实验研究允许功能,形态和细胞动力学辐射引起的变化的一系列测定表明,主要肾小球和小管的改变发生在放射性肾病的初级阶段。照射后数周可见肾小球毛细血管内皮细胞丢失。剩余的内皮细胞通透性增加,导致内皮下渗出。也可观察到系膜松解。相比之下,足细胞在这个阶段似乎相对不受影响。内皮细胞的改变似乎消失了,但系膜病变进展,细胞增多和/或肥大,系膜基质增加,系膜硬化,最终肾小球硬化。这些系膜改变与其他慢性肾小球疾病相似。饮食蛋白质限制,皮质类固醇和ace抑制剂都可以降低实验性放射性肾病的严重程度。
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引用次数: 0
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