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Biomedical subjects

S R Gordon

Publications and source records attributed to S R Gordon.

At least 19 recordsLinked to original sources
PubMed1999

Exposure to lysosomotropic amines and protease inhibitors retard corneal endothelial cell migration along the natural basement membrane during wound repair.

Regulation of cell migration along the natural basement membrane during wound repair in the organ culture corneal endothelium was investigated using various lysosomotropic amines and protease inhibitors. Following a circular transcorneal freeze injury, cells within the area die and expose the underlying basement membrane (Descemet's membrane). During normal wound repair, cells traverse this expanse and repopulate the region by approximately 48 h postinjury. During this time, acid phosphatase histochemistry revealed distinct alterations in the lysosomal population of cells that were adjacent to, and migrated into, the wound region. To explore whether relationships may exist between changes in the lysosome population and cell migration, injured endothelia were organ cultured in the presence of either methylamine or chloroquine, two lysosomotropic amines. Methylamine significantly retarded cell translocation (85%) into the injury zone when compared to nontreated controls. In comparison, chloroquine was less effective in restricting injury-induced cell migration and propylamine, also a lysosomotropic amine, had no influence on the repair process. In addition, two serine/thio protease inhibitors, leupeptin and antipain, were both able to impede cell translocation during wound repair by 85 and 52%, respectively, whereas soybean trypsin inhibitor, a serine protease inhibitor, exhibited no inhibitory effect on the repair process. Similarly, incubating injured tissues in either 1,10-phenanthroline or phosphoramidon, both metalloproteinase inhibitors, did not prevent endothelial cell movement nor wound repair. Results indicate that corneal endothelial cell migration along the natural basement membrane is dependent on protease function. Although the precise nature of the proteases involved has yet to be ascertained, results indicate that lysosomal enzymes may have a distinct role in corneal endothelial cell movement along the natural basement membrane during wound repair.

Amines↗
PubMed1998

Endocytosis by the corneal endothelium. I. Regulation of binding and transport of hemeproteins and peroxidase-conjugated lectins across the tissue.

Binding, internalization, and movement of hemeproteins and peroxidase-conjugated lectins across organ cultured rat corneal endothelia has been investigated. Horseradish peroxidase (HRP) type II, bound to the surface, was minimally internalized and was easily washed off. In contrast, HRP-VI bound and was rapidly internalized. Reaction product was observed in vesicles, endosomes, multivesicular bodies, and extended along the length of the intercellular space (ICS) to Descemet's membrane. Studies at 4 degrees C indicated HRP-VI bound uniformly along the surface in a punctate fashion. Exposure to polylysine or mannose significantly decreased uptake. Other tracers such as HRP-VIII, -IX, catalase, and microperoxidase exhibited limited uptake by the tissue. However, endothelia vigorously internalized soybean agglutinin (SBA)-HRP, and reaction product was found intracellularly and within the ICS at the cell/Descemet's membrane interface. Internalization and the appearance of SBA-HRP within the ICS was diminished following polylysine or mannose treatment. Experiments at 4 degrees C indicated that SBA-HRP binding and uptake were temperature sensitive. Wheat germ agglutinin (WGA)-HRP was also strongly endocytosed and reaction product was visualized within vesicles, endosomes, and multivesicular bodies. Although WGA-HRP reaction product was observed within the ICS, none was detected at the level of Descemet's membrane. The WGA competitive sugar N-acetyl-D-glucosamine, reduced endocytosis, whereas exposure to unlabeled WGA and mannose together reduced uptake. These results indicate endothelia exhibit differential uptake of various hemeproteins and lectins which is dependent on charge, mannose receptors, and appropriate surface sugars.

Animals↗
PubMed1997

Inhibition of cytoskeletal reorganization stimulates actin and tubulin syntheses during injury-induced cell migration in the corneal endothelium.

A single layer of squamous epithelial cells termed the "endothelium" resides upon its natural basement membrane (Descemet's membrane) along the posterior surface of the vertebrate cornea. A well-defined circular freeze injury to the center of the tissue exposes the underlying basement membrane and results in the directed migration of surrounding cells into the wound center. This cellular translocation is characterized by the reorganization of the actin and tubulin cytoskeletons. During migration, circumferential microfilament bundles are replaced by prominent stress fibers while microtubules, observed as delicate lattices in non-injured cells, become organized into distinct web-like patterns. To determine whether this cytoskeletal reorganization requires actin or tubulin synthesis, injured rabbit endothelia were organ cultured for various times and metabolically labeled with 35S-methionine/cystine (250 microCi/ml) for the final 6 h of each experiment. Analysis of actin and tubulin immunoprecipitates indicated no significant increases in 35S incorporation occurred during the course of wound repair when compared to isotope incorporation in noninjured tissues. However, when cytoskeletal reorganization was hampered, either by pre-treating tissues with 7 microM phalloidin to stabilize their circumferential microfilament bundles, or culturing in the presence of 10(-8)M colchicine to dissociate microtubules, 35S incorporation increased significantly into both actin and tubulin immunoprecipitates at 48 h post-injury. Furthermore, in both cases, exposure to actinomycin D substantially suppressed isotope incorporation. These results indicate that cytoskeletal rearrangement of microfilaments and microtubules during wound repair, in corneal endothelial cells migrating along their natural basement membrane, utilizes existing actin and tubulin subunits for filament reorganization. Disrupting this disassembly/reassembly process prevents cytoskeletal restructuring and leads to the subsequent initiation of actin and tubulin syntheses, as a result of increased transcriptional activity.

Actin Cytoskeleton↗
PubMed1997

Soybean (Glycine max) agglutinin binds to corneal endothelial cells during wound repair and alters their microfilament pattern.

In the present study we have examined soybean (Glycine max) agglutinin (SBA) binding to cells of the rat corneal endothelium during wound repair. Circular transcorneal freeze injuries were given to the endothelia and the tissues were organ cultured at 37 degrees C in basal media Eagle with 10% serum for up to 72 hrs. SBA failed to bind to the surface of non-injured corneal endothelium, but strongly bound to cells involved in the wound repair process. Punctate surface binding was detected 24 hrs. post-injury, but stronger binding was observed at 48 hrs. after wounding. In this case, binding appeared to be distinctly distributed around the cell periphery. To investigate SBA binding during wound repair, endothelia were cultured in the presence of SBA (100 and 200 micrograms/ml). Cell migration into the wound area, and hence subsequent wound repair, was not affected at these concentrations. However, both concentrations altered cell morphology and microfilament patterns. Phalloidin staining of cells 24 hrs. after injury revealed that microfilaments appeared thinner and less in number. In addition, distinct aggregations of actin-positive material were detected at cell-to-cell contacts. Cells around the tissue periphery do not partake in the repair process but displayed an SBA concentration dependent fragmentation of their circumferential microfilament bundles. At 48 hrs. post-injury, SBA-treated cells within the wound area, unlike their control counterparts, did not exhibit stress fibers. These results suggest that a SBA binding surface component is associated with the reorganization of actin during corneal endothelial wound repair, and that these cells can migrate across their natural basement membrane without the benefit of a highly organized microfilament cytoskeleton.

Actin Cytoskeleton↗
PubMed1996

Regional differences in the distribution of catalase in the epithelium of the ocular lens.

Oxidative stress is thought to play a major role in cataract formation. The present experiments are aimed at gaining a better understanding of the systems that protect the lens from damage by reactive oxygen species. The aqueous humor normally contains hydrogen peroxide (H2O2), a compound capable of generating reactive oxygen species. The systems protecting the ocular lens from oxidative damage are primarily confined to the epithelium, a single layer of cells on the anterior side of the organ directly beneath the lens capsule. When cultured rabbit lenses were challenged with a single dose of 0.2 mM H2O2, cells in the peripheral region of the epithelium survived; those in the central region died. Here we investigate the histochemical and immunoperoxidase distributions of catalase, an enzyme which detoxifies H2O2, in cells from the peripheral and central regions of the epithelium on flat mount preparations of the epithelium. In a flat mount, the entire population of lens epithelial cells can be viewed on one preparation. The reaction product for catalase activity and its immunoperoxidase localization were more intense in peripheral epithelial cells than in cells throughout the central epithelium. Treatment of cultured lens epithelial cells or rabbit lenses with 3-aminotriazole or potassium cyanide, inhibitors of catalase, reduced or abolished the histochemical reaction product. Ultrastructural cytochemistry confirmed the presence of catalase in microperoxisomes of the epithelial cells from whole lenses. The decreased level of catalase throughout the central epithelium may account for the increased susceptibility of these cells to H2O2-induced cell death.

Animals↗
PubMed1994

Cytological and immunocytochemical approaches to the study of corneal endothelial wound repair.

The vertebrate corneal endothelium represents a unique model system for investigating many cellular aspects of wound repair within an organized tissue in situ. The tissue exists as a cell monolayer that resides upon its own natural basement membrane that can be prepared as a flat mount to observe the entire cell population. Thus, it readily avails itself to many cytological and immunocytochemical methods at both the light microscopic and ultrastructural levels. In addition, the tissue is easily explanted into organ culture where further investigations can be carried out. These techniques have enabled investigators to use many approaches to explore function and changes in response to injury. In vivo, the endothelium acts as a transport tissue to actively pump Na+ and bicarbonate ions from the corneal stroma into the aqueous humor to control corneal transparency. Physiological findings indicate that fluid diffuses back into the stroma, across the endothelium, and thus hydration is said to be controlled by a pump-leak mechanism. Ultrastructural investigations, some employing horseradish peroxidase and lanthanum, have established the morphological basis for this mechanism as apical focal junctions that are not the classical tight junctions and do not constitute a complete zona occludens. Along with these apical focal junctions are gap junctions that appear identical to their counterparts in other cell types. Cytochemical studies localized both Na+K(+)-ATPase and carbonic anhydrase, the main pump enzymes associated with corneal hydration, to the lateral plasma membranes. Corneal endothelial cells of noninjured tissue do not traverse the cell cycle and are considered to be in the "Go" phase of the cell cycle as determined by microfluorometric analysis with DNA binding dyes such as auramin O and pararosaniline-Feulgen. However, injury can initiate cell cycle transverse and histochemical and cytological methods have been used to understand the tissue's response. Classical histochemical studies revealed that increased staining was observed for metabolic (NADase and NADPase) and lysosomal enzymes in cells bordering the wound area. The use of radiolabelled agents has further lead to an understanding of the endothelial wound response. Autoradiographic analyses of 3H-actinomycin D incorporation indicated that injury initiates changes in chromatin leading to increased binding levels of the drug in cells surrounding the wound. This change suggests that those cells undergo heightened macromolecular synthesis and this was confirmed by examining 3H-uridine and 3H-thymidine incorporation. The major mechanism involved in corneal endothelial repair is cell migration. Cytochemical and immunocytochemical investigations have allowed investigators an opportunity to gain some insight into changes that occur during this cellular process.(ABSTRACT TRUNCATED AT 400 WORDS)

Aging↗
PubMed1994

The role of endoscopy in the evaluation of iron deficiency anemia in patients over the age of 50.

OBJECTIVE: To determine the prevalence of various etiologies of iron deficiency anemia in patients over the age of 50 yr in order to better define the role of endoscopy in the evaluation of these patients and to see whether historical features are predictive of subsequent diagnostic findings. METHODS: We retrospectively reviewed the records of all patients referred for endoscopic evaluation of anemia between 1986 and 1990. To be included in the study, patients had to meet the following criteria: they must be more than 50 yr old and must have anemia and documented iron deficiency. Data collected included historical features, endoscopic or radiological procedures performed, and diagnostic findings. RESULTS: Of a total of 375 patients referred, 170 patients (119 men, 51 women), with a mean age of 69 yr, met the inclusion criteria. A lower gastrointestinal source of iron deficiency was identified in only 30 patients (18%), with carcinoma of the colon (9%), colitis (4%), and arteriovenous malformations (3%) being most common. An upper gastrointestinal source of iron deficiency was identified in 70 patients (41%). Peptic ulcer disease (15%), erosive esophagitis (8%) or gastritis (7%), previous partial gastrectomy (6%), and sprue (3%) were found most often. The etiology of iron deficiency was not identified in 70 patients (41%). In addition, historical features, including gastrointestinal symptoms, fecal occult blood testing, or a history of smoking, excessive alcohol intake, or use of nonsteroidal anti-inflammatory drugs, were poor predictors of diagnostic findings. CONCLUSION: A minority of patients over 50 yr of age have a colonic etiology for iron deficiency. Upper gastrointestinal sources of iron deficiency are prevalent and are frequently asymptomatic, but often they can be identified by upper endoscopy. Therefore, esophagogastroduodenoscopy with small bowel biopsies should be included in the evaluation of iron deficiency anemia in older patients, especially when a colonic source has not been identified.

Aged↗
PubMed1992

Fixed prosthodontics in the elderly population. Life expectancy of fixed restorations, failures, and retreatment methods.

The restorative needs of older dental patients challenge the ingenuity, anatomic knowledge, artistic skills, occlusal philosophies, and material knowledge of the clinician. Achieving the most secure foundation while simultaneously eliminating imperfections and incorporating a design that promotes good oral hygiene and a natural and attractive appearance are significant contributors to a patient's welfare. The treatment decision regarding fixed prosthodontics for elderly patients requires the balancing of two opposing arguments: 1. In patients who are older, and who are perhaps medically or physically compromised, and, in addition, who may be on a limited budget (or perceived limited budget), it is important to fabricate dental prostheses that are as good as possible to minimize the likelihood that the prosthesis will need to be remade in the future when the patient is likely to be even more compromised financially, medically, or physically, and also to minimize the stress on the patient of accommodating to something that is less than an optimal dental solution. 2. Patients in this age group often anticipate financial strain in the future, perhaps realistically in view of the increasing percent of older adults who are institutionalized (5% of persons 65 years old or older, 20% of persons 80 years old or older). Also, many are reluctant to invest large amounts of money in their teeth when they are already quite elderly and realize they may not live long enough to make the investment "worthwhile." Educating the patient regarding average life expectancy is sometimes helpful, but the experience of many clinical dentists is that many elderly persons either do not believe the numbers, require greater certainty in their "investments," or do not place as high a value on their dental health as they do other aspects of their lives (in a context in which there are more needs than resources to pay for them). Finally, many older adults, contrary to the popular bumper sticker, are trying to preserve as many resources for their children and grandchildren as possible. The final decision should be made with sensitivity to the overall needs of the patient, and with the assistance of a well-informed patient or other responsible party.

Aged↗
PubMed1991

Measurement of oral status and treatment need among subjects with dental prostheses: are the measures less reliable than the prostheses? Part I: Oral status in removable prosthodontics.

Indices used to measure the oral status of removable dental prostheses generally do not conform to criteria essential to high-quality measures. Existing indices fail to meet accepted standards of reliability and validity, and most lack specified training protocols, use ambiguous terminology, are limited to nominal, ordinal, or dichotomous level data, and require high levels of observer inference. As a result it is virtually impossible to compare one study with another, to combine data from more than one study to broaden the results obtained, and even to collect longitudinal data without being able to rule out examiner drift. More successful measures, in particular for vertical dimension of occlusion, maxillary denture retention, and arch size and shape, hold promise for future developments in research data collection and quality assessment. These improvements, combined with a growing awareness of the importance of measuring nondental factors, should lead to more reliable, valid measures of need for treatment.

Denture, Complete↗
PubMed1991

Measurement of oral status and treatment need among subjects with dental prostheses: are the measures less reliable than the prostheses? Part III: Fixed prosthodontics and restorative dentistry.

Poor quality measures of oral status and treatment need have adversely affected clinical and epidemiologic research in prosthodontics. The failure to create reliable and valid indices prevents comparing and pooling data from different studies and obscures meaningful variation within individual studies. Part III of this literature review is focused on problems of measurement of restoration quality and need for treatment in the areas of fixed prosthodontics and restorative dentistry.

Crowns↗
PubMed1991

Measurement of oral status and treatment need among subjects with dental prostheses: are the measures less reliable than the prostheses? Part II: Treatment need in removable prosthodontics.

Evaluation of treatment need in removable prosthodontics has been an important component of many epidemiologic and clinical oral health surveys. Accurate measurement of need for care enhances health care program planning, quality of care evaluation, and good clinical and health services research. Unfortunately, similar to the measures of oral and prosthesis status discussed in Part I of this review, measures of treatment need in removable prosthodontics have generally been neither reliable nor valid, and have lacked scientific credibility. Part II describes existing measures for treatment need in removable prosthodontics.

Dental Care↗
PubMed1990

Role of the cytoskeleton during injury-induced cell migration in corneal endothelium.

The role of microfilaments and microtubules during injury-induced cell migration of corneal endothelial cells in situ along their natural basement membrane has been investigated using organ culture. In the noninjured tissue, actin is localized at or near the plasma membrane, whereas tubulin is observed as a delicate lattice pattern throughout the cytoplasm. Twenty-four hours after a circular freeze injury, cells surrounding the wound area extend processes into this region. Fluorescent microscopy using phallotoxins and anti-tubulin antibodies demonstrated the presence of stress fibers and microtubule reorganization within these cells. Between 24 and 48 h post-injury endothelial cells move into the wound region, and by 48 h, the injury zone is repopulated and the monolayer is becoming reestablished. When injured corneas are placed in media containing 5 x 10(-7) M cytochalasin B, endothelial cell migration occurs; but it is slow, and wound closure is not complete even by 72 h. In contrast, when tissues are cultured in the presence of 10(-8) M colchicine, cell movement is greatly reduced, complete wound closure does not occur, and endothelial cells at the wound edge fail to display extensions typical of migrating cells. Furthermore, when injured endothelia are exposed to 0.05 micrograms/ml of actinomycin D for 15 min within the first hour after injury and transferred back into culture media lacking the drug for the duration of the experiment, migration does not occur and the wound persists. These actinomycin D treated cells remain viable as shown by their ability to incorporate 3H-uridine and 3H-thymidine. Fluorescence microscopy of actinomycin D treated tissues revealed the presence of stress filaments but disorganized microtubule patterns. Interestingly, 24 h after injury, if the tissue is exposed to actinomycin D, even for periods of up to 1 h, migration is not inhibited. Our results indicate that injury-induced endothelial cell movement appears to be more dependent on microtubule than microfilament reorganization and may require a critical timing of macromolecular synthesis.

Actin Cytoskeleton↗
PubMed1990

Lectin binding to injured corneal endothelium mimics patterns observed during development.

Fluorochrome conjugated lectins were used to observe cell surface changes in the corneal endothelium during wound repair in the adult rat and during normal fetal development. Fluorescence microscopy of non-injured adult corneal endothelia incubated in wheat-germ agglutinin (WGA), Concanavalin A (Con A), and Ricinus communis agglutinin I (RCA), revealed that these lectins bound to cell surfaces. Conversely, binding was not observed for either Griffonia simplicifolia I (GS-I), soybean agglutinin (SBA) or Ulex europaeus agglutinin (UEA). Twenty-four hours after a circular freeze injury, endothelial cells surrounding the wound demonstrated decreased binding for WGA and Con A, whereas, RCA binding appeared reduced but centrally clustered on the apical cell surface. Furthermore, SBA now bound to endothelial cells adjacent to the wound area, but not to cells near the tissue periphery. Neither GS-I nor UEA exhibited any binding to injured tissue. By 48 h post-injury, the wound area repopulates and endothelial cells begin reestablishing the monolayer. These cells now exhibit increased binding for WGA, especially along regions of cell-to-cell contact, whereas, Con A, RCA and SBA binding patterns remain unchanged. Seventy-two hours after injury, the monolayer is well organized with WGA, Con A and RCA binding patterns becoming similar to those observed for non-injured tissue. However, at this time, SBA binding decreases dramatically. By 1 week post-injury, binding patterns for WGA, ConA and RCA closely resemble their non-injured counterparts while SBA continues to demonstrate low levels of binding. In early stages of its development, the endothelium actively proliferates and morphologically resembles adult tissue during wound repair.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗
PubMed1990

Thrombospondin: biosynthesis, distribution, and changes associated with wound repair in corneal endothelium.

Thrombospondin is a cell adhesion molecule which interacts via specific domains with a wide array of extracellular matrix components, including fibrinogen, fibrin, fibronectin, collagen, and heparan sulfate proteoglycan. Although this protein has been localized in several human tissues, its presence in corneal tissues had not been previously established. In the present study, we have demonstrated that cultured bovine corneal endothelial cells synthesize thrombospondin and incorporate it into their extracellular matrix. We have also shown immunofluorescently the presence and distribution of thrombospondin in these cultured cells and in the noninjured and injured corneal endothelium in situ. Ultrastructural immunoperoxidase cytochemistry revealed that thrombospondin could be displaced from the cell surface by heparin, but not by keratan sulfate. Confluent cultures of corneal endothelium synthesize and secrete the three cell adhesion proteins laminin, thrombospondin, and fibronectin in the ratios 1:8.2:51.8. Only the laminin B chains were detected in immunoprecipitates. Immunofluorescent studies of these cultured cells, using a polyclonal antiserum raised against purified thrombospondin, revealed a low level of fluorescence associated with the cell layer but a punctate fluorescent pattern at the level of the extracellular matrix. Noninjured corneal endothelium in situ also demonstrated a low level of fluorescence throughout the cell layer. However, this dramatically changed after a circular freeze injury to the tissue. By 24 h after wounding, cells surrounding the injury zone displayed a prominent fluorescence that was still observed at 48 h post-injury. In addition to its increased intracellular fluorescence, thrombospondin was also localized as migration tracks, oriented in the direction of cellular migration into the wound site. Thus, in corneal endothelium, thrombospondin appears to play a major role in injury-induced cell migration in situ along a natural basement membrane.

Animals↗
PubMed1990

Changes in extracellular matrix proteins and actin during corneal endothelial growth.

Basement membranes influence growth, shape and differentiation of cells and tissues. However, the role and influence of Descemet's membrane during corneal development is not understood. To address this question, the relationships between cell growth and fibronectin, laminin and actin distribution in the developing rat corneal endothelium in vivo has been examined. During fetal development, rat corneal endothelial cells undergo DNA synthesis and mitosis. However, at day 14 of gestation both processes begin to decline and neither can be detected in endothelium of 1-month-old animals. By this time cell number has increased to approximately 100,000 and tissue area has increased 25-fold. However, as the tissue area increased, cell density decreased, indicating that cell spreading occurred in order to maintain tissue integrity. Changes in endothelial growth were accompanied by changes in the distribution of laminin, fibronectin and actin. Laminin and fibronectin were diffusely localized within endothelial cells in newborn animals. By 4 weeks of age, no proliferation was demonstrated and both extracellular matrix proteins were localized in pericellular patterns. Actin, on the other hand, which appeared diffuse at 16 days in utero, was distributed at or near the cell membrane by 19 days in utero. Thus, the reorganization of extracellular matrix glycoproteins and actin may indicate important roles for these components in regulating the growth and formation of the corneal endothelium in vivo.

Actins↗
PubMed1989

Older adults: demographics and need for quality care.

The elderly are becoming important consumers of dental care because of several factors. These include (1) decreasing caries rates among children and young adults, (2) increasing numbers of older adults in the population, (3) increasing retention of natural teeth by the elderly, (4) increasing prevalence of coronal and root surface caries associated with advanced age, (5) large unmet need for prosthodontic care projected for coming years, and (6) significant disposable income available to many older persons. This article reviews the importance to dentists of physiologic and pathologic changes associated with aging and the need for developed diagnostic and clinical skills in providing dental care.

Aged↗