The effect of bariatric surgery on periodontal health: systematic review and meta-analyses

IntroductionWe aimed to determine whether periodontal health deteriorates after bariatric surgery (BS).MethodsA search was performed in Medline and Embase, for prospective cohort studies with data on change in periodontal parameters after BS. Meta-analysis was performed with available data.ResultsThe results of 4 included studies consistently show significant (p < 0.05) worsening of bleeding on probing (4.21% (95% CI: 0.32, 8.11)), clinical attachment loss (0.16 mm (95% CI: 0.05, 0.27)), periodontal pocket depth (PPD) (0.14 mm (95% CI: 0.06, 0.23)) and percentage of PPD 4–5 mm: 1.72% (95% CI: 0.11, 3.34) 6 months after BS, but no change after 12 months.ConclusionsBS may have a transient negative effect on periodontal health.     

Less Hidden Celiac Disease But Increased Gluten Avoidance Without a Diagnosis in the United States: Findings From the National Health and Nutrition Examination Surveys From 2009 to 2014

Objective

To investigate the trends in the prevalence of diagnosed celiac disease (CD), undiagnosed CD, and people without celiac disease avoiding gluten (PWAG) in the civilian noninstitutionalized US population from 2009 to 2014.

Differential LINE-1 Hypomethylation of Gastric Low-Grade Dysplasia from High Grade Dysplasia and Intramucosal Cancer

Background/Aims

Gastric epithelial dysplasia is considered a precancerous lesion with a variable clinical course. There is disagreement, however, regarding histology-based diagnoses, which has led to confusion in choosing a therapeutic plan. New objective markers are needed to determine which lesions progress to true malignancy. We measured LINE-1 methylation levels, which have been reported to strongly correlate with the global methylation level in gastric epithelial dysplasia and intramucosal cancer.

Methods

A total of 145 tissue samples were analyzed by two histopathologists. All tissues were excised by therapeutic endoscopic mucosal resection and paired with adjacent normal tissue samples. A modified long interspersed nucleotide elements-combined bisulfite restriction analysis (COBRA-LINE-1) method was used.

Results

Gastric epithelial dysplasia and intramucosal cancer tissues had significantly lower levels of LINE-1 methylation than adjacent normal gastric tissues. High-grade dysplasia and intramucosal cancer were distinguishable from low-grade dysplasia based on LINE-1 methylation levels. Furthermore, the distinction could be determined with high sensitivity and specificity, as shown by the receiver operating characteristic (ROC) curve (AUC, 0.82; 95% confidence interval, 0.74 to 0.88).

Conclusions

LINE-1 methylation levels may provide a diagnostic tool for identifying high-grade dysplasia and intramucosal cancer.     

Total synthesis of chiricanine A, arahypin-1, trans-arachidin-2, trans-arachidin-3, and arahypin-5 from peanut seeds

The first and efficient syntheses of the naturally occurring prenylated stilbenes chiricanine A (2), arahypin-1 (3), trans-arachidin-2 (4), trans-arachidin-3 (5), and arahypin-5 (6) are described. Syntheses of 2 and 3 were accomplished by either a convergent sequence or a one-step reaction starting from pinosylvin. Syntheses of 4, 5, and 6 were achieved from (E)-3,5-bis-methoxymethyl-4'-triisopropylsilyloxystilbene obtained by a Horner-Wadsworth-Emmons reaction between a benzaldehyde possessing bis-methoxymethyl ether groups and a benzyl phosphonate with a triisopropylsilyloxy group.     

Identification and neuropeptide content of trigeminal neurons innervating the rat gingivomucosal tissue

OBJECTIVES: The purpose of this study was to identify and characterise the neuropeptide content and the size of trigeminal ganglion (TG) neurons innervating the rat gingivomucosal tissue. DESIGN: Retrograde nerve tracer Fluorogold (FG) was injected into the gingiva (group 1, n=5) or applied into the gingival sulcus (group 2, n=5) of the first right maxillary molar. After 10 days, the ganglia were dissected and FG fluorescence was observed under UV light microscope. Expression of calcitonin gene-related peptide (CGRP) and substance P (SP) in FG-labelled neurons was investigated by immunohistochemistry. Cross-sectional areas of neuron cell bodies containing FG were determined. As a control group, approximately 1000 neuron cell bodies representing the entire TG neuron population was evaluated in five trigeminal ganglia. RESULTS: In group 1, the percentages of neurons containing CGRP (median 63%, range 48-72%) and SP (median 64%, range 54-64%) were significantly greater than in the control group (CGRP: median 43%, range 42-47% and SP: median 23%, range 21-27%). In group 2, only the percentage of neurons containing SP (median 50%, range 40-56%) was significantly greater than in the control group. FG-labelled neurons were predominantly small or medium sized (less than 1200 microm2). The neurons in the group 1 were significantly smaller than in group 2. In both experimental groups, immunopositive neurons were significantly smaller than immunonegative neurons. CONCLUSIONS: The majority of neurons in TG that innervate the rat gingivomucosa are small or medium sized and contain CGRP and SP.