Surface Structure Characterization of Aspergillus fumigatus Conidia Mutated in the Melanin Synthesis Pathway and Their Human Cellular Immune Response

In Aspergillus fumigatus, the conidial surface contains dihydroxynaphthalene (DHN)-melanin. Six-clustered gene products have been identified that mediate sequential catalysis of DHN-melanin biosynthesis. Melanin thus produced is known to be a virulence factor, protecting the fungus from the host defense mechanisms. In the present study, individual deletion of the genes involved in the initial three steps of melanin biosynthesis resulted in an altered conidial surface with masked surface rodlet layer, leaky cell wall allowing the deposition of proteins on the cell surface and exposing the otherwise-masked cell wall polysaccharides at the surface. Melanin as such was immunologically inert; however, deletion mutant conidia with modified surfaces could activate human dendritic cells and the subsequent cytokine production in contrast to the wild-type conidia. Cell surface defects were rectified in the conidia mutated in downstream melanin biosynthetic pathway, and maximum immune inertness was observed upon synthesis of vermelone onward. These observations suggest that although melanin as such is an immunologically inert material, it confers virulence by facilitating proper formation of the A. fumigatus conidial surface.     

A comparative study to determine the wettability and castability of different elastomeric impression materials

Aim: The aim of this study was to determine the wettability of different hydrophilic and hydrophobic elastomeric impression materials and the gypsum castability. Materials and methods: The wettability was evaluated by determining the contact angles of different elastomeric impression materials. The contact angle was determined by placing a drop of aqueous solution of calcium sulfate dihydrate on the flat surface of impression material and specimens were measured using a profile projector. Gypsum castability was determined by counting the number of voids formed in the die stone cast made from the impressions of a aluminum die. The voids were counted using an diopter magnifying lens. Results: Polyether, different viscosities of polyvinyl siloxane, and condensation silicone impression materials exhibited low contact angle values and least number of voids in the die stone cast when compared with polysulfide impression material. Conclusion: There was significant correlation between the contact angle and voids formed in the die stone casts when fabricating die stone casts from various elastomeric impression material impressions. Clinical significance: Accurate reproduction of prepared tooth or edentulous arch is of clinical importance in the fabrication of a fixed or removable prosthesis. Inaccuracies in the replication processes will ultimately have an adverse effect on the fit and adaptation of final restoration. The interaction is determined in part by hydrophilic and hydrophobic nature of the elastomeric impression material. Inadequate wetting of an impression results in voids in the stone casts. Keywords: Wettability, Contact angle, Elastomeric impression materials, Castability. How to cite this article: Reddy GV, Reddy NS, Itttigi J, Jagadeesh KN. A Comparative Study to Determine the Wettability and Castability of Different Elastomeric Impression Materials. J Contemp Dent Pract 2012;13(3):356-363. Source of support: Nil Conflict of interest: None declared.     

The use of databases,data mining and immunoinformatics in vaccinology: where are we?

Introduction: Vaccinology has evolved from a sub-discipline focussed on simplistic vaccine development based on antibody-mediated protection to a separate discipline involving epidemiology, host and pathogen biology, immunology, genomics, proteomics, structure biology, protein engineering, chemical biology, and delivery systems. Data mining in combination with bioinformatics has provided a scaffold linking all these disciplines to the design of vaccines and vaccine adjuvants.

Areas covered: This review provides background knowledge on immunological aspects which have been exploited with informatics for the in silico analysis of immune responses and the design of vaccine antigens. Furthermore, the article presents various databases and bioinformatics tools, and discusses B and T cell epitope predictions, antigen design, adjuvant research and systems immunology, highlighting some important examples, and challenges for the future.

Expert opinion: Informatics and data mining have not only reduced the time required for experimental immunology, but also contributed to the identification and design of novel vaccine candidates and the determination of biomarkers and pathways of vaccine response. However, more experimental data is required for benchmarking immunoinformatic tools. Nevertheless, developments in immunoinformatics and reverse vaccinology, which are nascent fields, are likely to hasten vaccine discovery, although the path to regulatory approval is likely to remain a necessary impediment.     

Wavelet Analysis of High-Resolution Signal-Averaged Electrocardiograms in Postinfarction Patients with Bundle Branch Block

Time-domain analysis of the signal-averaged electrocardiogram (SAECG) can accurately predict risk of sustained ventricular tachycardia (VT) in patients with previous myocardial infarction (MI). Unfortunately, these patients often have bundle branch block (BBB) that obscures late potentials. We hypothesized that wavelet analysis might help predict VT risk in patients with BBB. We identified subjects with coronary disease and BBB who had undergone SAECG and programmed ventricular stimulation (PVS). We applied a modulated Gaussian wavelet to transform the ECG signal and looked for singularities in the wavelet coefficients. SAECG and PVS were obtained in 32 patients. Half had inducible sustained monomorphic VT by PVS and half had no inducible VT. There were no significant clinical differences between the groups. Comparing the number of singularities, we found no significant difference between the groups. Compared to previous work in patients without BBB, our patients with BBB had on average four times more singula- rities using an identical analysis technique. In the presence of BBB, abnormal myocardial activation patterns can generate ECG waveforms with time–frequency characteristics similar to those of cardiac late potentials. Wavelet-based methodologies may have limited ability to distinguish late potentials from the disordered ventricular activation occurring with BBB alone.     

Large granular lymphocytic leukaemia after solid organ and haematopoietic stem cell transplantation

T-cell large granular lymphocytic leukaemia (T-LGLL) is a chronic clonal lymphoproliferative disorder of cytotoxic T lymphocytes which commonly occurs in older patients and is often associated with autoimmune diseases. Among 246 patients with T-LGLL seen at our institution over the last 10 years, we encountered 15 cases following solid organ or haematopoietic stem cell transplantation. Here, we studied the clinical characterization of these cases and compared them to de novo T-LGLL. This experience represented a clear picture of the intricate nature of the disease manifestation and the complexities of several immune mechanisms triggering the clonal expansion.     

Alveolar haemorrhage in eosinophilic granulomatosis and polyangiitis (Churg-Strauss)

We describe two patients of alveolar haemorrhage in patients with eosinophilic granulomatosis with polyangiitis (eGPA). This report adds to the evidence that pulmonary haemorrhage is a rare but severe manifestation of eGPA. It may not be associated with positive ANCA antibodies and requires aggressive treatment.