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Biomedical subjects

Manish Arora

Publications and source records attributed to Manish Arora.

8 recordsLinked to original sources

Spatial distribution of lead in human primary teeth as a biomarker of pre- and neonatal lead exposure.

Lead remains one of the most hazardous toxins in our environment. Because the toxic effects of lead are most prominent during early development, it is important to develop a suitable biomarker for lead exposure during the pre- and neonatal periods. In the present study, the spatial distribution of lead was measured in the enamel and dentine of ten human primary teeth using laser ablation-inductively coupled plasma-mass spectrometry. The neonatal line, visualized using confocal laser scanning microscopy, was used to demarcate the pre- and postnatal regions of the sample teeth. Lead levels in pre- and postnatally formed enamel and dentine were compared to blood-lead levels measured at birth and one year of age for four of these participants. Mean dentine-lead levels ranged from 0.17+/-0.02 to 5.60+/-1.79 microg/g, and mean enamel-lead levels ranged from 0.04+/-0.01 to 1.47+/-0.20 microg/g. The results of this preliminary study showed that the spatial distribution of lead in dentine reflected the blood-lead levels. The present study demonstrates a methodology where the spatial distribution of lead in the dentine of human primary teeth may be used to obtain temporal information of environmental lead exposure during the pre- and neonatal periods.

Adolescent↗

Sonoporation from jetting cavitation bubbles.

The fluid dynamic interaction of cavitation bubbles with adherent cells on a substrate is experimentally investigated. We find that the nonspherical collapse of bubbles near to the boundary is responsible for cell detachment. High-speed photography reveals that a wall bounded flow leads to the detachment of cells. Cells at the edge of the circular area of detachment are found to be permanently porated, whereas cells at some distance from the detachment area undergo viable cell membrane poration (sonoporation). The wall flow field leading to cell detachment is modeled with a self-similar solution for a wall jet, together with a kinetic ansatz of adhesive bond rupture. The self-similar solution for the delta-type wall jet compares very well with the full solution of the Navier-Stokes equation for a jet of finite thickness. Apart from annular sites of sonoporation we also find more homogenous patterns of molecule delivery with no cell detachment.

Biophysics↗

Controlled multibubble surface cavitation.

Heterogeneous bubble nucleation at surfaces has been notorious because of its irreproducibility. Here controlled multibubble surface cavitation is achieved by using a hydrophobic surface patterned with microcavities. The expansion of the nuclei in the microcavities is triggered by a fast lowering of the liquid pressure. The procedure allows us to control and fix the bubble distance within the bubble cluster. We observe a perfect quantitative reproducibility of the cavitation events where the inner bubbles in the two-dimensional cluster are shielded by the outer ones, reflected by their later expansion and their delayed collapse. Apart from the final bubble collapse phase (when jetting flows directed towards the cluster's center develop), the bubble dynamics can be quantitatively described by an extended Rayleigh-Plesset equation, taking pressure modification through the surrounding bubbles into account.

Journal Article↗

Severe muscular weakness: an unusual adverse effect of azathioprine therapy.

Azathioprine, an analog of 6-mercaptopurine has been used as a steroid-sparing agent in the treatment of inflammatory bowel disease for over 30 years. Hypersensitivity reactions to azathioprine including fever, myalgia, arthralgia, rash are well documented in the literature. Here, we report 2 cases of azathioprine hypersensitivity in patients with inflammatory bowel disease manifesting with the unusual symptom of profound muscular weakness resulting in inability to perform simple tasks such as lifting even light objects, sitting upright, and walking a few steps. Development of severe weakness raised concern about myositis, rhabdomyolysis, myopathy, and sepsis in these patients. Discontinuation of azathioprine resulted in prompt improvement of muscular weakness, and rechallenge led to recurrence of similar symptoms within hours. These observations suggest that the development of muscular weakness in patients on azathioprine should be considered as an adverse effect of the drug. Failure to recognize this adverse outcome can lead to prolonged periods of muscular weakness in this group of patients.

Adult↗

Spatial distribution of lead in enamel and coronal dentine of wistar rats.

Lead is one of the most hazardous environmental toxins known. The assessment of lead in dental hard tissues is important in the understanding of its toxic effects on oral tissues and in estimating exposure and body burden in individuals exposed to lead from the environment. However, current information on the uptake and distribution of lead in enamel and dentine is limited. The aim of this project was to study, at high resolution, the spatial distribution of lead in enamel and coronal dentine using an experimental rat model. A dose of 40 mg/L of lead nitrate was administered to pregnant female rats during the periods of gestation and lactation through drinking water. First mandibular molar teeth were removed from their 15-d-old pups and the distribution of lead was studied using a nuclear microprobe (NMP). The distribution of lead in enamel and coronal dentine showed four distinct zones with significantly different mean lead concentrations (p<0.05). High levels of lead were observed in the superficial regions of enamel and in the dentine directly adjacent to the pulp. Additionally, the results confirmed that the NMP is capable of mapping the distribution of lead in teeth at micron resolutions with a detection limit of approx 1 microg/g.

Animals↗

Cavitation inception on microparticles: a self-propelled particle accelerator.

Corrugated, hydrophilic particles with diameters between 30 and 150 microm are found to cause cavitation inception at their surfaces when they are exposed to a short, intensive tensile stress wave. The growing cavity accelerates the particle into translatory motion until the tensile stress decreases, and subsequently the particle separates from the cavity. The cavity growth and particle detachment are modeled by considering the momentum of the particle and the displaced liquid. The analysis suggests that all particles which cause cavitation are accelerated into translatory motion, and separate from the cavities they themselves nucleate. Thus, in the research of cavitation nuclei the link is established between developed cavitation bubbles and their origin.

Journal Article↗

Spatial distribution of lead in the roots of human primary teeth.

Lead remains one of the most hazardous metals in our environment. The concentrations of lead in coronal dentine and enamel have previously been reported but limited information is available regarding lead levels in radicular dentine and cementum. This study reports the distribution of lead in 26 roots of 16 human maxillary primary teeth from seven individuals. In addition, calcium and phosphorous concentrations were also measured to detect any variations in the degree of mineralization in different regions of the roots. The mean lead concentration in these roots was 1.67 +/- 1.43 microg/g, which is comparable to other studies. In all cases there were higher lead concentrations in the apices of non-resorbed roots of primary maxillary teeth relative to middle and cervical regions. The findings reported here are of potential significance during the process of physiological root resorption whence periapical tissue may be exposed to higher levels of lead.

Calcium↗