PubMed HealthSearch

Biomedical subjects

M Persson

Publications and source records attributed to M Persson.

At least 19 recordsLinked to original sources

The accuracy of a high-precision digitizer for CAD/CAM of crowns.

An alternative method for manufacturing fixed prostheses that uses machine digitalization and a combination of milling and spark erosion has been developed. The digitizer used has a contact probe with a ball-shaped tip. This study evaluated the accuracy of the device and the transfer of data from the individual die to the computer. The dimensions of a square gauge as read by the machine were compared with the known dimensions of the object with a computer, which allowed determination of the accuracy of the digitalization. Procera machining and the implications for reliable prosthodontic treatment are discussed.

Analog-Digital Conversion

The role of sutures in normal and abnormal craniofacial growth.

The paper is a shortened version of a paper read at the symposium on craniofacial growth, in which the literature on various aspects of sutures was reviewed. Suture development, structure, growth, and closure are covered, and the response of sutures to orthopedic forces and their role in craniosynostosis exemplified. Rather than being an extensive review, references are included preferably to present diversity in results and methods within the subtitle of the symposium, 'mechanisms and study methods'.

Animals

Characterization of a recombinant bifunctional enzyme, galactose dehydrogenase/bacterial luciferase, displaying an improved bioluminescence in a three-enzyme system.

The two structural genes encoding galactose dehydrogenase (Pseudomonas fluorescens) and the beta subunit of luciferase (Vibrio harveyi) were fused in-frame in order to prepare and subsequently characterize an artificial bifunctional enzyme complex. This hybrid enzyme exhibited both galactose dehydrogenase activity and bioluminescence when expressed in Escherichia coli together with the alpha subunit of luciferase. The purified conjugate was used to study possible proximity effects in a sequential three-enzyme reaction with the bifunctional enzyme catalyzing the first and the last reaction. The intermediate enzyme, diaphorase, was added separately. The engineered enzyme system, comprising the galactose dehydrogenase/luciferase conjugate, could display a twofold higher bioluminescence in the overall enzyme reaction compared to a corresponding reference system with separate native enzymes. The increased bioluminescence obtained for the engineered enzyme system is proposed to be due to an improved organization of the enzyme in solution.

Dihydrolipoamide Dehydrogenase

Levodopa induced ON-OFF motor fluctuations in Parkinson's disease related to rhythmical masticatory jaw movements.

The motor disturbance in Parkinson's disease affects all voluntary movement, including innate rhythmical processes such as gait, breathing, and chewing. While there are good descriptions and pathophysiological hypotheses of the changes in gait less is known about the way masticatory movements are affected. By means of a three-dimensional optoelectronic recording technique the differences were investigated in mandibular movement displacement, velocity, and masticatory cycle duration during levodopa induced OFF and ON states. Recordings were made before ordinary morning medication and one hour after medication with 200 mg levodopa and a decarboxylase inhibitor (madopar). There were no differences before and after medication in the opening and closing duration of the masticatory cycle, but a significantly decreased occlusal level phase duration in the ON state was seen. Mandibular velocity and mandibular movement amplitude were significantly greater after medication. Thus the changes in dopamine transmission selectively influenced parts of the masticatory cycle but not the fundamental rhythmical pattern.

Administration, Oral

Systemic and regional acetate kinetics in dogs.

Little is known about the sites of production and uptake of acetate in nonruminants. We placed blood sampling catheters in the femoral artery and in the femoral, portal, hepatic, and renal veins of mongrel dogs (n = 11). The animals were studied in the conscious state 2 wk later during a primed continuous infusion of [1-14C]acetate. Systemic acetate turnover, oxidation, and clearance were determined, as well as regional uptake and release, by measuring 14CO2 excretion as well as plasma concentration and specific activity at the five sampling sites. Results showed systemic acetate turnover was 8.8 +/- 1.9 mumol.kg-1.min-1, approximating 5% of energy expenditure in dogs. Simultaneous uptake and release of acetate was demonstrated in intestine, liver, kidney, and hindlimb. The intestine was the greatest contributor to acetate production, whereas the liver was the most important site of uptake. Plasma acetate oxidation was 77 +/- 4% of turnover. Both systemic clearance (129 +/- 22 ml.kg-1.min-1) and tissue fractional extraction (68-85%) were many times greater than values reported for glucose, free fatty acids, lactate, or amino acids. In conclusion, most tissues simultaneously take up and release acetate in dogs. This may represent a mechanism for interorgan transport of energy, especially under conditions of caloric deprivation.

Acetates

Influence of Parkinson's disease on oral health.

Thirty patients with Parkinson's disease were investigated with regard to their oral health. They had significantly more teeth and less caries than a control group of corresponding age. However, the salivary secretion rate was significantly lower with advancing parkinsonian symptoms. It is concluded that not only motor impairment but also autonomic dysfunction, as an expression of a more advanced neuron degeneration, could be of importance when the possibility of maintaining a good oral health in parkinsonian patients is considered.

Activities of Daily Living

Metal affinity precipitation of proteins carrying genetically attached polyhistidine affinity tails.

In this study, galactose dehydrogenase (EC 1.1.1.48) was chosen as a prototype target protein to investigate the capability of metal affinity precipitation to facilitate the purification of genetically engineered proteins. A DNA fragment encoding five histidine residues was fused to the 3'-terminal end of the galactose dehydrogenase gene from Pseudomonas fluorescens and thereafter expressed in Escherichia coli. The additional five histidines functioned as an affinity tail and the modified enzyme could be purified using metal affinity precipitation when the metal-chelate complex with ethylene glycol-bis-(beta-aminoethyl ether) N,N,N',N'-tetra-acetic acid, EGTA(Zn)2, was added to the protein solution. The affinity tail could also be applied for the purification of the fusion protein utilising immobilised metal affinity chromatography. After purification, the pentahistidine affinity tail could be removed enzymatically by carboxypeptidase A. Furthermore, growth rate experiments demonstrated that the expression of the metal-binding affinity tail in E. coli cells enhanced the tolerance to zinc ions when added to the growth medium.

Amino Acid Sequence

Measurement of plasma acetate kinetics using high-performance liquid chromatography.

Previous studies suggest that plasma acetate may be an important fuel in man, accounting for approximately 10% of energy expenditure. Available methods for the determination of plasma acetate kinetics are difficult and time consuming. We describe here a procedure for the determination of plasma acetate concentration and specific activity using automated high-performance liquid chromatography that is precise and sensitive and accommodates large numbers of samples. The procedure involves extraction from plasma with diethyl ether, derivatization with bromoacetophenone, and separation on a C-18 reversed-phase column. The specific activities of D-beta-hydroxybutyrate and lactate can also be determined. Acetate turnover was measured in four dogs and was similar to that previously reported in sheep and humans. Transport of [14C]acetate into red blood cells was negligible.

3-Hydroxybutyric Acid

Continuous regeneration of NAD(H) covalently bound to a cysteine genetically engineered into glucose dehydrogenase.

We introduced a cysteine residue on the surface of glucose dehydrogenase from Bacillus subtilis using site-directed mutagenesis. To this mutant, an NAD-analogue was covalently attached by a disulphide bridge so that it was active intramolecularly. The glucose dehydrogenase-cys44-NAD complex, which contained one reactive NAD molecule per subunit of glucose dehydrogenase, was operated together with lactate dehydrogenase in a coupled enzymatic regeneration of NAD(H) in a hollow fiber reactor. L-lactate and gluconic acid were continuously produced from pyruvate and D-glucose, respectively, with a turnover number of 45 cycles per minute for each NAD molecule. The total turnover per coenzyme was 135,000 for the first 2.5 days.

Bacillus subtilis

Mandibular movement and velocity in relation to state of dentition and age.

Parameters of mastication, such as mandibular displacement, velocity and chewing cycle duration, were investigated in relation to age and rehabilitation with complete dentures. Two groups of elderly subjects (mean age 80 years), one with natural dentition and the other with complete dentures, and one group of young dentate adults (mean age 26 years) participated. Three-dimensional records of masticatory mandibular movements were obtained using the Selspot movement analysis system. There were no differences in the duration of the total or individual components of a chewing cycle, except for the closing phase, which was significantly longer in the complete denture group. Mandibular closing velocity was significantly lower in the two groups of elderly subjects than in the group of young adults. There was a high degree of inter-individual variation in mandibular displacement in all groups, but the mean vertical amplitude was smaller in the elderly groups compared to the group of young adults. For many of the parameters the variation was significantly greater in the groups of elderly subjects than in the younger group. Ageing thus appeared to have a more important effect than the state of the dentition on the parameters studied.

Adult

3-year observations on gingival recession in mandibular incisors in children.

28 children aged 6-13 years, with gingival recession localized to mandibular incisors, were monitored longitudinally to evaluate any changes of the labial periodontal tissues. Measurements included dental plaque, gingival inflammation, gingival recession, probing depth, probing attachment level, keratinized and attached gingiva. Following baseline examination, the incisors were observed at yearly intervals over 3 years. The results showed that a high level of oral hygiene was maintained and that gingival inflammation occurred only to a minor degree throughout the observation period. Gradual reductions in the amount of gingival recession and probing attachment levels took place in all children except for 1 of the subjects with 1 severely malpositioned tooth. Probing depths and widths of keratinized and attached gingiva remained relatively unchanged. The finding that gingival recession in mandibular incisors in young children often improves over time suggests that preventive or reparative treatment in this part of the developing dentition may not be necessary. Decisions about such treatment should be postponed until any spontaneous improvement has taken place.

Adolescent

Salivary levels of mutans streptococci and lactobacilli in dentate 80- and 85-year-old Swedish men and women.

The number of Streptococcus mutans, Streptococcus sobrinus, and lactobacilli in whole stimulated saliva was examined in 130 dentate 80- and 85-yr-old persons. 88.5% were positive for mutans streptococci and 29% carried greater than 10(6) cfu per ml saliva. S. mutans was most frequently isolated and was found in 114 persons (88%) alone or in combination with S. sobrinus. S. sobrinus was detected in 33 persons (25%), who also showed significantly higher salivary numbers of both mutans streptococci and lactobacilli than persons from whom S. sobrinus was not isolated. The S. sobrinus carriers also had significantly lower stimulated saliva secretion rates than the non-carriers. 95% of the subjects had detectable levels of lactobacilli in saliva with 35% having greater than 10(5) cfu per ml saliva. When the subjects were divided into classes according to the number of intermaxillary contacts, i.e. the Eichner classification, the distribution of subjects with high and low salivary counts of cariogenic bacteria varied. Thus fewer subjects belonging to Eichner class A showed higher salivary numbers of mutans streptococci (14% had greater than 10(6) cfu/ml) as well as lactobacilli (21% had greater than 10(5) cfu/ml) than, for example, subjects belonging to Eichner class B (26% had greater than 10(6) cfu/ml of mutans streptococci, 35% had greater than 10(5) cfu/ml of lactobacilli). Subjects who carried a removable denture(s) had significantly higher salivary numbers of both mutans streptococci and lactobacilli than subjects without removable dentures.

Aged

Purification and site-specific immobilization of genetically engineered glucose dehydrogenase on thiopropyl-Sepharose.

The gene encoding glucose dehydrogenase (EC 1.1.1.47) from Bacillus subtilis was inserted in a plasmid 1.0 kb downstream from a lac promoter, resulting in a 70-fold higher production of the enzyme when expressed in Escherichia coli. A glucose dehydrogenase mutant containing a cysteine residue at position 44 could also be expressed at the same high level. This single cysteine residue was used as an 'affinity tag' to simplify the purification procedure as well as for site-specific immobilization of glucose dehydrogenase on Thiopropyl-Sepharose. This enzyme was purified to homogeneity with a final recovery of 65% and a specific activity of 240 U/mg. The oriented immobilization resulted in increased thermal stability.

Affinity Labels

Tensile and shear strength of orthodontic bracket bonding with glass ionomer cement and acrylic resin. An in vitro comparison.

The tensile and shear strength for a polyalkeonate luting cement (AquaCEM) and a no-mix acrylic resin (Unite) in orthodontic bracket bonding were compared in an in vitro test. Brackets bonded/cemented to extracted premolar teeth were subjected to loads in a universal testing apparatus and the dislodging forces were recorded. The possible influences of setting time and of bracket base design were also studied. No significant differences between the cement and the resin were found after allowing 24 hours of setting time. This in contrast to the significantly stronger tensile strength but inferior shear strength for the polyalkeonate cement when stress was applied after 15 minutes. A significantly higher tensile strength value was recorded for a foil-meshed bracket base type compared to an integral base type with cut grooves after 15 minutes, but not after 24 hours. While the polyalkeonate cement adhesion mostly fractured within the cement layer, the acrylic bond more often failed in the enamel-adhesive interface. The results support the use of the fluoride-containing cement as an alternative to acrylic adhesives in orthodontic bracket bonding, especially in high-risk caries patients.

Acrylic Resins

[Whipple's resection in cancer of Vater's ampulla and the pancreatic head].

A review is presented of 62 Whipple's resections between 1962 and 1984 for adenocarcinoma of the choledocho-duodenal junction (CDJ) and pancreatic head (PH). The operation was radical in 17 patients with CDJ (94%) and in 34 patients with PH cancer (77%). The cumulative 5-year survival rates were 22% and 9%, respectively. The overall perioperative mortality was 23%, but was lowered to 11% during the last five years. Histology, size of tumour and age also influenced survival. Sixteen of the 32 radically operated patients who survived more than three months had a period without pain. Whipple's resection is still the only hope for cure in otherwise fit patients with CDJ or PH cancer, estimated to be radically resectable by pre- and peroperative investigations. The operation should be centralized in a few departments.

Adenocarcinoma

Long-term spontaneous changes following removal of all first premolars in Class I cases with crowding.

The purpose of the study was to evaluate the result in adults of Class I malocclusion cases who had all their first premolars extracted as the sole treatment of space deficiency in the mixed or early permanent dentition. The mean age at premolar removal was 10 1/2 years. Forty-two out of 44 cases were re-examined at a mean age of 30 years and 4 months. Observations of dental occlusion and oral health were compared to observations of control samples. The average malocclusion in the adults, as judged by a score method, was similar to that reported for an appliance-treated sample. Marked spontaneous arch alignment and residual space closure with age was seen in most cases. Despite earlier tooth removal, on average crowding developed to about the same degree as that of an non-extraction normal occlusion sample. No detrimental effects were seen with regard to overjet or overbite. Neither did the figures for lower incisor position at the follow-up examination differ from that of the normal occlusion sample. Although tipping of adjacent teeth towards the extraction site was frequent, especially in the mandible, no effect on marginal bone height was evident as judged by comparison with a non-extraction control sample. The results reveal a significant capacity for spontaneous improvements with age in dental arch morphology and relationship in extraction cases, provided that specific features have been looked for in case selection.

Adolescent

Enzyme purification by genetically attached polycysteine and polyphenylalanine affinity tails.

Two novel affinity tails, polycysteine and polyphenylalanine, have been genetically attached to galactokinase (EC 2.7.1.6) and beta-galactosidase (EC 3.2.1.23) in order to facilitate their purification. A chemically synthesized DNA linker encoding four cysteine residues was thus fused in frame with the galactokinase gene. The gene product, cysteine galactokinase, was significantly retarded on a column of thiopropyl-Sepharose. Using pulse elution, cysteine galactokinase was eluted at 10 mM DTT. Under the condition used, native galactokinase did not bind to thiopropyl-Sepharose. Homopolymer tailing was employed to prepare a phenylalanine-modified beta-galactosidase. One of the obtained genetic transformants coding for a beta-galactosidase carrying 11 phenylalanine residues at the N-terminus of the enzyme was isolated. With the aid of hydrophobic interaction chromatography the modified enzyme could be purified to homogeneity on fast protein liquid chromatography using a phenyl-Superose column.

Chromatography, Affinity