Zum Ossifikationsprinzip des Schildknorpels

Summary In the final analysis, the aetiology of the ossification of the human thyroid cartilage is still not clear. The two halves of the thyroid cartilage obtained from 94 corpses of both sexes having an age range of 15–79 years, were subjected to an X-ray examination. The ossified area was investigated morphometrically with the aid of the Leitz-Texture Analysis System, and evaluated statistically. In addition, the state of deformation in the plane during swallowing was investigated in both nonossified and ossified thyroid cartilages, using wire strain gauges. Ossification begins at the lateral and caudal edges at the age of about 16, reaches a maximum at about age 50, and then remains constant for the rest of life. There is no difference between the sexes except for the fact that ossification occurs some 3 years later in the female, and is less marked. The process of ossification occurs, to varying degrees, predominantly in four directions. It is most marked in the direction parallel to the caudal edge, and is less marked along the vertical line connecting the superior and the inferior cornua, vertically at the thyroid notch, and in the diagonal direction extending from latero-caudal to medio-cranial. The greatest extension occurs parallel to the caudal edge, to a lesser extent in the three other directions, and decreases from lateral to medial. Ossification occurs preferentially along the lines of maximum extension of the muscles attached to the thyroid cartilage. This stiffening of bone prevents the deformation of the cartilage during the act of swallowing, and is an example of the self-regulating adaptation of the connective and supportive tissue to mechanical stressing. On account of the different

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Mit Unterstützung durch die Deutsche Forschungsgemeinschaft (SFB 118)     

Long-term outcomes, branch-specific expressivity, and disease-related mortality in von Hippel-Lindau type 2A

Although a large kindred with familial pheochromocytoma (Pheo) and paraganglioma (PGL) was discovered in 1962 and later found to represent von Hippel-Lindau (VHL) type 2A (mutation Y112H), the phenotype lacks current characterization. Branch-specific expressivity was suspected based on oral family history. Family pedigree analysis, prospective interviews, and extensive record review were used to extend the pedigree, determine phenotype, examine branch-specific expression, and analyze mortality rates over 5 decades. In its 3 known affected branches the kindred now comprises 107 people with or at-risk for VHL, of whom 49 have been diagnosed and 35/49 (71%) are clinically affected. Phenotypic cumulative lifetime risk was 71% for Pheo/PGL, 15% for hemangioblastoma, 33% for retinal angioma, 3% for renal cell carcinoma, and 3% for pancreatic cysts. The mean ages for VHL and Pheo/PGL diagnosis were younger in successive generations. Branch II-4 predominately expressed RA, while branch II-5 predominantly expressed Pheo/PGL. Disease-specific mortality occurred early and was less frequent in successive generations. This analysis of Y112H VHL confirms a high cumulative risk for pheochromocytoma/paraganglioma. Over time, both age at diagnosis and disease-specific mortality have decreased. The observed branch-specific expressivity prompts further study of genetic and environmental disease modifiers in this large family.     

In vitro investigation of orthopedic titanium-coated and brushite-coated surfaces using human osteoblasts in the presence of gentamycin

Anti-infective coatings have been developed to protect the surfaces of cementless implants from bacterial colonization that is known to be a prerequisite for device-related infection. The aim of this study is to investigate the effect of brushite-coated arthroplasty surfaces on human osteoblasts and to evaluate the impact of concomitant exposure to gentamycin. We cultured human osteoblasts (hFOB 1.19) on brushite-coated and uncoated titanium alloy in the presence of gentamycin and analyzed cell function and vitality. Our results show that brushite-coated titanium alloy surfaces supported the function of osteoblasts and the expression of extracellular matrix even in the presence of highly dosed gentamycin. Brushite-coated titanium alloy surfaces supported osteogenic function, indicating that this coating could enhance implant osteointegration in vivo. Concomitant exposure to gentamycin slightly decreased osteoblastic activity in vitro, suggesting that there might also be negative effects in vivo. However, in vivo studies are necessary to validate these in vitro findings.     

Synthesis and monoamine oxidase inhibitory activity of new pyridazine-, pyrimidine- and 1,2,4-triazine-containing tricyclic derivatives

A number of condensed azines, mostly belonging to the families of indeno-fused pyridazines (1), pyrimidines (2, 3), and 1,2,4-triazines (4, 5), were synthesized and evaluated in vitro as monoamine oxidase (MAO) A and B inhibitors. Most of them showed higher inhibition potency toward MAO-B, the most effective one being 3-(3-nitrophenyl)-9H-indeno[1,2-e] [1,2,4]triazin-9-one (4c), which displayed an IC50 value of 80 nM and proved to be 10-fold more potent than its [2,1-e] fusion isomer 5. Replacing the 3-phenyl group of the known indeno[1,2-c]pyridazin-5-one MAO-B inhibitors with a flexible phenoxymethyl group enhanced the inhibitory potency. The inhibition data highlighted the importance of the aza-heterocyclic scaffold in affecting the MAO isoform selectivity. The 3-phenyl derivatives with type 1, 4, and 5 scaffolds were inhibitors of MAO-B with little or no MAO-A effect, whereas 2- or 3-phenyl derivatives of type 2 and 3 pyrimidine-containing fusion isomers inhibited both isoenzymes with a structure-dependent preference toward MAO-A.     

Intravenous versus intracoronary streptokinase therapy for acute myocardial infarction in community hospitals

A consecutive series of 184 patients with acute myocardial infarction (AMI) received thrombolytic therapy. The first 63 were treated in the catheterization laboratory with intracoronary streptokinase (IC-STK), and 44 (70%) had successful thrombolysis. One hundred twenty-one patients received intravenous (IV) STK immediately after diagnosis of AMI, and 99 (82%) were found to have an open infarct artery. Only 58% of patients (14 of 24) who required transfer from out-of-town hospitals for IC-STK treatment had successful thrombolysis; in contrast, IV-STK given in the local hospital resulted in an 85% (72 of 85) rate of thrombolysis (p = 0.005). IV-STK thus appears at least as effective as IC-STK for AMI and is more effective for patients treated in hospitals without catheterization facilities.     

"Erlangen Model" titanium socket. Study of the biomechanics of the "Erlangen Mode" titanium socket with and without supporting ring]

A multitude of prostheses are available for the reconstruction of severely arthrotic hip joints--especially for revising total arthroplasty. In order to find out more about the biomechanical efficiency of these special implants, we carried out computerized analyses on how the distribution of stress within the pelvis changes when employing the titanium socket component "Erlanger Modell" [TiAl 5 Fe 2.5], which can be used with a supporting ring in order to transfer the stress on the hip joint to the iliac bone and to the pubic bone in case the acetabulum should not be able to provide the stability needed by the socket. In a procedure described by Herzog, strain gauges are attached to the pelvis of freshly slaughtered cattle at the following sites, transmitting the relative bone expansion and torsion to a multipoint measuring instrument (Linseis L2100) and on-line to a computer: (1) superior ramus of the pubic bone; (2) front edge of the socket at the iliopubic eminence; (3) iliac bone on the outside of the pelvis; (4) socket roof, pars ossis ilei in the small pelvis; (5) socket roof, pars ossis ischii in the small pelvis. The quality of the implantation was monitored by the non-delayed force transmission from the femur through the hip arthroplasty onto the pelvis. With stress varying from 0 to 500 N in steps of 125 N we carried out four complete readings in order to ensure the reproducibility of the measurements.(ABSTRACT TRUNCATED AT 250 WORDS)     

The effect of argon laser trabeculoplasty on the blood-aqueous barrier and intraocular pressure in human glaucomatous eyes treated with diclofenac 0.1%

Background: We studied the effect of argon laser trabeculoplasty (ALT) on the bloodaqueous barrier (BAB) in 41 eyes of 41 patients with primary open-angle glaucoma, pseudoexfoliation glaucoma, or pigment dispersion glaucoma using the Fluorotron Master II. Methods: Fluorophotometry was performed the day before ALT and on the 3rd day after surgery at 30 and 60 min after intravenous injection of 7 mg/kg body weight sodium fluorescein 10%. Intraocular pressure (IOP) was measured using Goldmann applanation tonometry on the day before surgery and at 3rd days and 1 year (mean) after ALT. Patients were treated with argon laser by one surgeon (180°, 0.1 s, 50 m 0.6–1.0 W 56 laser burns). Eyes were randomly assigned to either diclofenac-sodium 0.1 % eye drops or vehicle. Eye drops were applied six times 1 h before ALT into the operated eyes and five times daily for 3 days postoperatively. Results: On the 3rd day after ALT there was significant disruption of the BAB in the placebo-treated eyes compared to the diclofenac 0.1%-treated eyes. In the placebo-treated eyes as well as in diclofenac-sodium 0.1 %-treated eyes there was a significant decrease of IOP postoperatively for up to 1 year. There was no significant difference concerning the IOP reduction after 1 year. Diclofenac-sodium 0.1 % eye drops significantly stabilized the BAB on the 3rd day after ALT, compared to placebo, in this model. Conclusion: Diclofenac-sodium 0.1 % significantly stabilized the disruption of the blood-aqueous barrier on the 3rd day after ALT. Concerning the IOP-lowering effect of ALT, the postoperative application of steroids should be avoided.     

Nanostructured niobium oxide coatings influence osteoblast adhesion

The interaction of osteoblasts was correlated to the roughness of nanosized surface structures of Nb(2)O(5) coatings on polished CP titanium grade 2. Nb(2)O(5) sol-gel coatings were selected as a model surface to study the interaction of osteoblasts with nanosized surface structures. The surface roughness was quantified by determination of the average surface finish (Ra number) by means of atomic force microscopy. Surface topographies with Ra = 7, 15, and 40 nm were adjusted by means of the annealing process parameters (time and temperature) within a sol-gel coating procedure. The observed osteoblast migration was fastest on smooth surfaces with Ra = 7 nm. The adhesion strength, spreading area, and collagen-I synthesis showed the best results on an intermediate roughness of Ra = 15 nm. The surface roughness of Ra = 40 nm was rather peaked and reduced the speed of cell reactions belonging to the adhesion process.