PubMed Health⌕ Search

Biomedical subjects

B Javid

Publications and source records attributed to B Javid.

15 recordsLinked to original sources

Peptides complexed with the protein HSP70 generate efficient human cytolytic T-lymphocyte responses.

Microbial HSPs (heat-shock proteins) are implicated in the induction of the innate and adaptive arms of the immune response. We set out to determine whether peptides complexed with HSP70 generate efficient CTL (cytolytic T-lymphocyte) responses. Human dendritic cells pulsed with peptide-loaded microbial HSP70 complexes generate potent antigen-specific CTL responses. Using fluorescence anisotropy, we have calculated the peptide-binding affinity of mycobacterial HSP70 (K(D)=14 microM) and show that 120 pM HSP70-bound peptide is sufficient to generate a peptide-specific CTL response that is four orders of magnitude more efficient than the peptide alone. Through the generation of mycobacterial HSP70 truncations, we find that the minimal 136 amino acid, mycobacterial HSP70 peptide-binding domain is sufficient to generate CTL responses. The design of an HSP70 mutant, in which the peptide-binding site of HSP70 is filled with a bulky hydrophobic residue, leads to a large decrease in the peptide-binding affinity. This mutant HSP70 retains stimulatory capacity but is unable to generate CTL and has separated antigen delivery from immunostimulation of dendritic cells.

Amino Acid Sequence↗

Molecular studies of anti-HLA-A2 using light-chain shuffling: a structural model for HLA antibody binding.

Human leukocyte antigen (HLA) A2 is one of the most immunodominant HLA antigens. Through a process of light-chain variable domain (VL) shuffling, we analyzed the VL domains' role in anti-HLA-A2/A28-binding site diversity. This was achieved by combining a VH3-30-encoded HLA-A2/A28-specific heavy-chain variable domain with 10(4) non-immune VL domains. Twelve HLA-A2/A28-specific antibodies were subsequently identified. VL gene analysis demonstrated an absence of Vlambda domains and that all have VkappaI-encoded light chains. The affinities correlated with the VkappaI gene present, with the seven highest affinity antibodies using Vkappa domains encoded by the O18 gene segment. A 300-fold difference in affinity was observed between the 12 antibodies, and homology modeling demonstrated a correlation between electrostatic surface potential of the antigen-binding site and affinity for HLA. Overlap between the T-cell receptor-binding site and that of the antibodies was indicated by inhibition of cytotoxic T-lymphocyte killing of peptide-pulsed target cells. A model of antibody binding to HLA-A2 suggested contact with both alpha helices of the HLA molecule, such that the antigen-binding site spans the peptide-binding groove. These data increase the understanding of antibody recognition of HLA and may facilitate the production of clonotypic antibodies with peptide-specific binding.

Antibodies, Monoclonal↗

Chronic hemifacial pain caused by a tortuous facial artery: report of a case.

An adult white female presented with a 22-year history of pain on the right side of her jaw. Digital palpation over the facial artery at the inferior border of the mandible elicited and exacerbated the pain. Surgical exploration revealed a coiled, tortuous facial artery. Removal of the aberrant artery provided complete pain relief.

Chronic Disease↗

Multifactorial facial pain--differential diagnosis: a case report.

A multidisciplinary algology team was formed to facilitate the diagnosis and treatment of complex head and neck pain disorders. The standard patient evaluation includes a history and physical, surface electromyography, Minnesota Multi-phasic Personality Inventory (MMPI), brief psychiatric interview, dental/occlusal analysis, a postural/musculoskeletal examination; and necessary diagnostic imaging. Clinicians meet in conference after each clinic session. Organic and psychiatric findings are compiled and a differential diagnosis is made. Treatment recommendations are outlined and a review of the evaluation and the therapeutic plan are forwarded to the referring doctor. A typical conference discussion is presented here.

Adult↗

Chronic extraoral fistulae of dental origin.

Infections of dental origin may cause serious problems such as osteomyelitis and cutaneous fistulae. This article reviews 59 cases of extraoral fistulae of dental origin on the face and neck. The fistulae resolved after treatment of the intraoral lesion. Possible sources of such fistulae may be an obviously carious tooth, innocent-looking retained roots, or residual chronic dental infection of the maxilla or mandible.

Adolescent↗

Cyanoacrylate as a retrofilling material.

The sealing ability of cyanoacrylate as a retrograde root canal filling material was evaluated in vitro. Fifty roots were cleansed, shaped, and assigned to five groups of ten roots each. The root canals were obturated with gutta-percha and Grossman's sealer. The apical 2 mm of each root in the five groups was resected. In groups I, II, and III, retrofilling preparation was made and filled with amalgam, varnish and then amalgam, and cyanoacrylate, respectively. In group IV, a hot instrument was used to seal the gutta-percha, and in group V, a cold burnisher was used for the same purpose. All of the teeth were immersed in 1% methylene blue dye for 24 hours and sectional longitudinally; dye penetration was then measured. One-way analysis of variance performed on the means of the groups indicated that group III had the least amount of leakage (p less than 0.05). This study indicates that cyanocrylate may have potential as a retrograde filling material.

Apicoectomy↗

Cyanoacrylate--a new treatment for hypersensitive dentin and cementum.

Hypersensitivity that causes chronic pain and discomfort in exposed cementum and dentin, and the various therapeutic agents and treatment regimens that have been tried to alleviate this condition are considered. The desensitizing effects of cyanoacrylate compared with 33% sodium fluoride paste were evaluated for 6 weeks.

Adult↗

Transmigration of impacted mandibular cuspids.

Transmigration of impacted mandibular cuspid is a rare finding. A cuspid is classified as "transmigrated" when more than half of its length has passed the mid-line. 13 cases of transmigration of impacted mandibular cuspids are presented, 3 of which occurred in pairs, raising the total number of teeth to 16. Radiographs showed positions ranging from a vertical impaction, to a cuspid having crossed the mid-line completely, reaching the first molar area of the opposite side.

Adolescent↗

Pycnodysostosis.

Explore the source record for details and available documents.

Adult↗

Treatment of endodontic perforations by guided tissue regeneration.

Case reports of mandibular molars with iatrogenic perforations are presented. Such perforations have been treated with internal amalgam repair or by surgical intervention. However, the potential exists for tissue migration and pocket formation. The use of guided tissue regeneration as a barrier for apical migration is beneficial in surgical treatment of perforations. Follow-up examination of perforated teeth treated with resorbable barriers showed successful repair. Results obtained with this technique offer the possibility of a successful repair for an otherwise hopeless complication of endodontic therapy.

Absorbable Implants↗