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Biomedical subjects

S Helm

Publications and source records attributed to S Helm.

At least 19 recordsLinked to original sources

Follicular dendritic cells and presentation of antigen and costimulatory signals to B cells.

This review focuses on how immunogens trapped by FDC in the form of Ag-Ab complexes productively signal B cells. In vitro. Ag-Ab complexes are poorly immunogenic but in vivo immune complexes elicit potent recall responses. FDC trap Ag-Ab complexes and make immune complex coated bodies or "iccosomes". B cells endocytose iccosomes, the Ag is processed, and T-cell help is elicited. In vitro, addition of FDC bearing appropriate Ag-Ab complex to memory T and B cells provoke potent recall responses (IgG and IgE). FDC also provide nonspecific costimulatory signals which augment B-cell proliferation and Ab production. B cell-FDC contact is important and interference with ICAM-1-LFA-1 interactions reduces FDC-mediated costimulation. Preliminary data suggest that a costimulatory signal may be delivered via CR2L on FDC binding CR2 on B cells. FDC can also stimulate B cells to become chemotactically active and can protect lymphocytes from apoptosis. FDC also appear to be rich in thiol groups and may replace reducing compounds such as 2 mercaptoethanol in cultures. In short, FDC-Ag specifically signals B cells through BCR, and FDC provide B cells with iccosomal-Ag necessary for processing to elicit T-cell help. In addition, FDC provide nonspecific signals that are important to promote B-cell proliferation, maintain viability, and induce chemotactic responsiveness.

Animals↗

24,25-(OH)2D3 regulates protein kinase C through two distinct phospholipid-dependent mechanisms.

We have previously shown that 24,25-(OH)2D3 plays a major role in resting zone (RC) chondrocyte differentiation and that this vitamin D metabolite regulates protein kinase C (PKC). The aim of the present study was to identify the signal transduction pathway used by 24,25-(OH)2D3 to stimulate PKC activation. Confluent, fourth passage RC cells from rat costochondral cartilage were used to evaluate the mechanism of PKC activation. Treatment of RC cultures with 24,25-(OH)2D3 for 90 min produced a dose-dependent increase in diacylglycerol (DAG). Addition of R59022, a diacylglycerol kinase inhibitor, significantly increased PKC activity in cultures treated with 24,25-(OH)2D3. Addition of dioctanoylglycerol (DOG) to plasma membranes isolated from RC increased PKC activity 447-fold. Addition of pertussis toxin or cholera toxin to control cultures elevated basal PKC activity. When added together with 10(-9) M 24,25-(OH)2D3, there was an additive effect on PKC activity but in cultures treated with 10(-8) M 24,25-(OH)2D3, only the hormone-dependent stimulation of PKC was observed. The phospholipase C inhibitor, U73-122, had no effect on PKC activity, indicating that the DAG produced in response to 24,25-(OH)2D3 is not derived from phosphatidylinositol. Addition of the tyrosine kinase inhibitor, genistein, also had no effect on 24,25-(OH)2D3-stimulated PKC, further supporting the hypothesis that phospholipase C is not involved in the mechanism and that phospholipase D is responsible for the increase in DAG production. Phospholipase A2 inhibitors, quinacrine and AACOCF3, and the cyclooxygenase inhibitor indomethacin increased PKC activity in the RC cultures. Exogenous PGE2, one of the downstream products of phospholipase A2 action, inhibited PKC activity. These results suggest that 24,25-(OH)2D3 regulates PKC activity by two distinct phospholipid-dependent mechanisms: production of DAG via phospholipase D and inhibition of the production of PGE2 via inhibition of phospholipase A2 and cyclooxygenase.

24,25-Dihydroxyvitamin D 3↗

Caries among Danish schoolchildren in birth-cohorts 1950-78.

Data on caries prevalence are reported from 8- and 16-yr-old children living in a Danish community which established the Public Child Dental Health Service in 1957. Every fourth birth-cohort from 1950 through 1970 was followed longitudinally. In the 8-yr-olds, caries prevalence decreased in the primary dentition from 17 to 3 dmfs and in the permanent dentition from 3.4 to 0.3 DMFS over a 28-yr period. Among the 16-yr-olds, a reduction was observed from 16.4 to 5.1 DMFS over 20 yr. Time trends in the decreasing caries prevalence are related to various organizational events and preventive measures. Moreover, the possible influence of general changes in living conditions and health behavior is pointed out.

Adolescent↗

Correlation between caries experience in primary and permanent dentition in birth-cohorts 1950-70.

Caries experience in the primary molars and canines at 8 yr of age and in the permanent dentition at 16 was correlated in every fourth birth-cohort between 1950 and 1970 in a Danish community. Correlations between 0.44 and 0.55 were found. Cross-tabulation of the data also revealed close association, but prediction of individual high caries risk children based solely on screening for caries experience in the primary dentition is hardly cost-effective.

Adolescent↗

Relationship between dental and skeletal maturation in Danish schoolchildren.

Spearman correlation coefficients between the number of emerged permanent teeth and RUS (TW2 method) skeletal maturity scores were calculated among 1412 boys and 1332 girls, aged 7-14 yr, divided into 3-month age groups. "Moving averages" are presented of the correlation coefficients for every four 3-month age groups at a time. The pattern of the correlations differed between the sexes. However, in general, weak associations were found (mean r = 0.15-0.16), but correlations were significant at the 1% level in 8.5-9.5-yr-old girls and around 12 yr in both sexes. It is argued that skeletal, rather than dental, maturity should be assessed in adopted non-European children of unknown chronologic age.

Adolescent↗

Individual changes in malocclusion from adolescence to 35 years of age.

It was the aim of this follow-up study to assess the extent of individual changes in the occurrence of specific pronounced traits of malocclusion in a sample of 176 subjects who were selected from a catchment population examined in adolescence in 1965-66 and who were re-examined in 1986-87 (mean age, 35.5 years). Orthodontic treatment had been received by 10% of the subjects, and extraction rates were low. Deep overbite and mandibular crowding, especially in the incisor segment, tended to increase in frequency. However, on the whole, the various malocclusion traits remained remarkably stable in the orthodontically untreated individuals.

Adolescent↗

Causal relation between malocclusion and caries.

In this second report of a follow-up study of long-term adverse oral health effects of malocclusion it is assessed whether various occlusal and space anomalies imply an increased risk of caries. In 1965-66 malocclusion was recorded in 176 adolescents who were re-examined in 1986-87 at the age of 33-39 years. DMFS scores, in the dentition as a whole and in the segments of the dental arches, were compared between subjects displaying specified traits of malocclusion at both examinations and a comparison group comprising subjects without malocclusion at both examinations. No relationship was found between the malocclusion traits and caries prevalence.

Adolescent↗

Causal relation between malocclusion and periodontal health.

The purpose of this 20-year follow-up study was to assess whether persistent traits of morphologic malocclusion imply an increased risk of periodontal disease. In 1965-66 malocclusion was recorded in 176 adolescents who were re-examined in 1986-87 at the age of 33-39 years. Markedly healthier periodontal conditions were found in women than men, in the higher social group than the lower one, and in the maxilla than the mandible. Subjects with specified malocclusion traits at both examinations were compared with subjects without malocclusion for the occurrence of calculus, gingivitis (bleeding), and pocketing. Controlling for the effect of sex and social group, periodontal disease was significantly more frequent in the maxilla in connection with crowding, extreme maxillary overjet, and cross-bite (p less than 0.05). No association was found in the mandible. The presence of certain malocclusion traits in adolescence may probably often call for special professional efforts of oral hygiene education rather than orthodontic therapy.

Adolescent↗

Mandibular dysfunction in adulthood in relation to morphologic malocclusion at adolescence.

The purpose of this 20-year follow-up study was to assess whether pronounced morphologic traits of malocclusion, persisting from adolescence to about 35 years of age, imply an increased risk of persistent and severe mandibular dysfunction. In 1965-66 malocclusion was recorded in 176 adolescents; in 1981 these persons responded to a questionnaire concerning symptoms of functional disorders, and in 1986-87 malocclusion and signs of dysfunction were registered. Highly significant associations were observed between some of the self-reported symptoms and the signs registered 5-6 years later. Spearman correlation coefficients between the persistent traits of malocclusion, occurring at both examinations, and the signs of mandibular dysfunction were low in general. No association was found between the most severe and persistent functional disorders and any particular malocclusion. It is concluded that orthodontic screening of morphologic malocclusion in childhood would seem of limited value in attempts to predict mandibular dysfunction in adulthood.

Adolescent↗

[Association among general health, diet and need of dental care among retired pensioners living at home].

A pilot project was established in a Danish municipality with the aim of improving the nutrition of 67-85-year-olds living at home but who were dependent on domestic aid for purchasing or preparing their food. The project comprised health education and information concerning dietary habits as well as an offer of dental treatment to those who were physically or mentally handicapped. At initiation of the project, the persons (n = 110; 89% of the target population) were interviewed about their general and dental health, ailments, drug consumption, and diet. Furthermore, a clinical dental examination was made (n = 106). From these baseline registrations, the elderly were divided into subgroups: unbalanced, moderate, and balanced diet; low, moderate, and high consumption of, respectively, water/milk and coffee/tea; great, moderate, and no need for dental care. Systematic associations were found between general health problems and unbalanced diet. A tendency was observed toward more frequent complaints in the groups with relatively high consumption of water/milk and water/milk/coffee/tea. The strongest associations were found between general health complaints, handicaps, and masticatory deficiency on the one hand and great need for dental care on the other. Also, the group with great need for dental care was overrepresented in the group with unbalanced diet. It is argued that accessibility to dental care would improve the chances for the elderly to stay in their own homes.

Aged↗

Changes in prevalence of approximal caries in 17-year-olds and related restorative treatment strategies over a 6-year period.

Two cohorts of 17-yr-olds treated in a municipal child dental service in 1978-79 and 1984-85 had bitewing radiographs taken at the examination before the last course of treatment in the service. All radiographs were read by one examiner, who did not know to which cohort the individual belonged. The subsequent treatment was recorded from the treatment records by another examiner, who was unaware of the results of the radiographic examination. According to radiographic scores, the proportion of decayed or filled (DFS) approximal surfaces had decreased from 23.2% to 17.4% during the period (difference: 25%). The proportion of unfilled surfaces which were decayed (DS) had remained almost constant, while 9.6% of the surfaces were filled (FS) in 1978-79 compared to 3.1% in 1984-85 (difference: 68%). Thus, in spite of a 25% decrease in total caries experience (DFS), a reduction of 68% would be claimed if fillings (FS) were interpreted as expression of disease prevalence. The risk of an approximal surface being filled decreased to about one fifth from 1978-79 to 1984-85, and the risk of being filled was nearly three times as high for approximal surfaces of children who already had approximal fillings at the time of examination. Thus, both the year of examination and the subject's previously received treatment seemed to influence the treatment strategy of the dentist.

Adolescent↗

Forecasts of preserved teeth and denture wearers among Danish adults early in the next century.

To assist in the planning of oral health services, forecasts were made and goals specified with regard to the numbers of preserved teeth and subjects wearing full or partial dentures among Danish adults in 1992 and 2002. Forecasting was based on existing data, viz. a survey in 1982, including clinical examination, of a representative sample of 20-80-yr-olds (n = 2548), on register data from the National Health Insurance, and survival rates. By combining information from these sources, an increase was estimated in number of preserved teeth among 20-99-yr-olds from 68 million in 1982 to 82 and 92 million in 1992 and 2002, respectively. Correspondingly, a 28% increase in the mean number of remaining teeth was proposed as a goal for the year 2002. A decrease was estimated in the number of denture wearers, from 1.4 million in 1982 to 1.07 and 0.74 million in 1992 and 2002, respectively. The corresponding goal was specified as a 50% reduction in the proportion of denture wearers in 2002. In the middle aged and older part of the population the increasing number of remaining teeth may be expected to imply considerable needs for professional care even in the beginning of the next century.

Adult↗

Effect of separate malocclusion traits on concern for dental appearance.

Effects of separate traits of malocclusion on concern for dental appearance were isolated by means of multiple regression analysis in a 15-yr follow-up study of 30-yr-old Danes. On the basis of questionnaires (response rate 86%, n = 841), the dependent "concern-for-dental-appearance" variable was constructed from the respondents' replies about recalled perceptions and societal reactions concerning their dental appearance at the time of adolescence. In the same individuals, separate traits of malocclusion had been recorded clinically 15 yr earlier. These traits were inserted as independent dummy variables into the regression model. In both sexes the closest relationship with the dependent variable was displayed by the most conspicuous traits in the anterior region of the dentition. Some traits showed significant associations only in women, whose regression coefficients were, in general, higher than those of men. About half of the variation in the dependent variable was explained by the model.

Adult↗