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Biomedical subjects

Y Iwami

Publications and source records attributed to Y Iwami.

At least 19 recordsLinked to original sources

Effect of enamel and dentin surface wetness on shear bond strength of composites.

PURPOSE: This study investigated the effect of the wetness of human enamel and dentin surfaces on the shear bond strength of composites. MATERIAL AND METHODS: Seven dentin bonding systems were used. Three methods of preparing the enamel or dentin surface before applying primer or bonding agent were adopted as test conditions: wet (blot dried), semidry (3-second air blast), and dry (15-second air drying). Shear bond strength was measured with a universal testing machine. Mean bond strengths were analyzed with analysis of variance and Scheffe's F-test. Enamel and dentin surfaces were observed by a dissecting microscope after shear bond testing. RESULTS: Enamel specimens tested by all systems and dentin tested by two systems did not reveal significant differences in shear bond strengths (p > 0.05). Among dentin specimens tested by two systems with water-based primers, the shear bond strength values of the dry technique group were higher than those of the other two groups (p < 0.05). However, among dentin specimens tested by systems having acetone-based primers or bonding agents, bond strength values of the wet or semidry technique groups were higher than those of the dry technique group (p < 0.05). CONCLUSION: It was concluded that some water might be needed by dentin surfaces or for primers to obtain high bond strength on the dentin surface, but that drying methods did not affect bonding strength to enamel surfaces either before priming or after conditioning.

Analysis of Variance

Effect of resin monomer composition on toothbrush wear resistance.

The purpose of this study was to compare the toothbrush abrasion resistance of seven different experimental resins which were made by changing the composition of resin monomers. The experimental resins were made by mixing four kinds of dental resin monomers (Bis-GMA, UDMA, TMPT and TEGDMA), camphorquinone (1 wt%), dimethylaminoethyl methacrylate (2 wt%) and 2,6-di-tert-butyl-p-cresol (0.05 wt%). The resin specimens were stored in air for 2 weeks, and then put on a toothbrush abrasion testing machine. After 100000 strokes, the wear loss of each specimen was determined by weight change during the wear test. TMPT-TEGDMA resin showed the most wear resistance, while Bis-GMA- and UDMA-based resins showed increased wear resistance with an increased content of TEGDMA. Also, a inverse relationship between the microhardness number and the amount of wear of the respective resins was confirmed.

Analysis of Variance

Treatment of malignant neurocardiogenic vasovagal syncope with a rate drop algorithm in dual chamber cardiac pacing.

A 29-year-old man with malignant vasovagal syncope presented with episodes of abrupt loss of consciousness associated with an aura, totaling more than 10 episodes over 3 months. Holter monitoring showed cardiac arrest with a duration of 15 seconds. Oral propranolol and disopyramide therapy failed to prevent the syncope. A dual chamber pacemaker with a rate drop response algorithm successfully prevented the syncope but not the aura. There may be multifactors involved in the mechanism of this syndrome. The patient has returned to a normal active life. This rate drop algorithm is an effective therapy for the prevention of syncope in malignant vasovagal syncope.

Adult

Postnatal development of B lymphocytes and immunoglobulin-containing plasma cells in the chicken oviduct: studies on cellular distribution and influence of sex hormones.

Postnatal development of B lymphocytes and plasma cells containing different classes of immunoglobulins (IgG, IgA, and IgM) was immunohistochemically studied in the oviduct of the Dekalb strain of the White Leghorn chicken. B lymphocytes first appeared in the lamina propria of the chicken oviduct at 5 weeks of age. Their frequency of occurrence peaked at 15 weeks from the infundibulum to the uterus (glandular part), while in the vagina (aglandular part) it did so at 21 weeks. Intraepithelial B lymphocytes were very rare and exclusively located in the vagina at 19 and 21 weeks. Plasma cells first appeared in the lamina propria of the oviduct at 11 weeks of age, and this frequency peaked at 32 weeks. IgG-containing plasma cells were most numerous in the glandular part, whereas in the aglandular part IgA and IgM cells were more numerous than IgG cells. When 7-day-old-chickens were treated with sex hormones, B lymphocytes and plasma cells appeared 12 h and 5 days after the hormone injection, respectively. Their frequency of occurrence was statistically higher in diethylstibestrol (DES)-treated chickens than in DES plus progesterone-treated chickens. This suggests that the postnatal development of B lymphocytes and plasma cells in the oviduct of the chicken is correlated to estrogen secretion.

Animals

Mechanism of inhibition of acid production in Streptococcus mutans by sodium ions under strictly anaerobic conditions.

Acids excreted and intracellular levels of glycolytic intermediates during glucose metabolism in streptococcus mutans NCTC 10449 under strictly anaerobic conditions were quantified in an attempt to understand the effect of sodium ions on bacterial acid production. In the presence of NaCl (0.15-0.30 M), the total amount of individual carboxylic acids excreted was inhibited by up to 31%. The intracellular level of fructose 1,6-bisphosphate increased by 58% and levels of 3-phosphoglycerate and pyruvate decreased by 46% and 12%, respectively. Sodium ions directly inhibited the activities of fructose 1,6-phosphate aldolase and triose phosphate isomerase. This indicated that the glycolytic enzymes responsible for the catalysis of fructose 1,6-bisphosphate to 3-phosphoglycerate were inhibited. However, in spite of the expected reduction in acid production intracellularly, the intracellular pH actually decreased in the presence of sodium ions. It is possible that the low intracellular pH inhibits the activity of the glycolytic enzymes involved in the breakdown of fructose 1,6-bisphosphate to 3-phosphoglycerate.

Anaerobiosis

Effect of sodium and potassium ions on intracellular pH and proton excretion in glycolyzing cells of Streptococcus mutans NCTC 10449 under strictly anaerobic conditions.

The effect of sodium and potassium ions on intracellular acid production and acid excretion by glycolyzing cells of Streptococcus mutans was examined. S. mutans NCTC 10449 grown under glucose-limited and strictly anaerobic conditions in a continuous culture system was loaded with bis(carboxyethyl)-carboxyfluorescein, a pH-sensitive fluorescent dye, washed and suspended in 0.00-0.30 M NaCl/KCl solution. The dye allowed for the continuous monitoring of intracellular pH while proton excretion was measured simultaneously with a pH-stat. Sodium ions inhibited and potassium ions, at low pH, accelerated the amount of measurable acid excreted extracellularly. In the presence of both NaCl and KCl, proton excretion following the addition of glucose was slightly higher or similar to that observed in the presence of 0.15 M KCl alone. Sodium and potassium ions did not affect the proton-ATPase enzyme or the intracellular level of ATP, suggesting that these ions did not directly effect proton pumping activity itself. The inhibition of proton excretion by sodium ions was considered to have probably occurred as a result of an indirect inhibition of proton-ATPase activity by the low intracellular pH induced by sodium ions.

Adenosine Triphosphate

Effect of low levels of fluoride on proton excretion and intracellular pH in glycolysing streptococcal cells under strictly anaerobic conditions.

The effect of low levels of fluoride on intracellular acid production and proton excretion in Streptococcus mutans NCTC 10449 at different growth and extracellular pH (pHo) levels was monitored under strictly anaerobic conditions. The sensitivity of S. mutans to fluoride increased as pHo decreased. Cells grown under acidic (pH 6.0 and 5.5) conditions were more resistant to fluoride than cells grown at a neutral pH. Under acidic extracellular conditions (pHo = 5.0), 0.025 mM fluoride inhibited proton excretion by approximately 50% in cells grown at pH 7.0. Slightly higher levels of fluoride (0.05-0.07 mM) were required for 50% or more inhibition in cells exposed to alkaline extracellular conditions or cells grown at acidic pH. Such levels of fluoride are about 10-20 times lower than that reported previously. Therefore, it is possible that as pH falls during initial bacterial glycolysis, sufficient amounts of anionic fluoride may be released, from its bound form in plaque, to cause significant inhibition of net proton movement out of the bacterial cell during further glycolysis, especially under the anaerobic environment of the deep layers of plaque. In addition to proton excretion, fluoride was also found to inhibit intracellular acid production.

Anaerobiosis

Production of a monoclonal antibody (59.4) against canine lymphocyte surface antigen and its immunohistochemical application.

A monoclonal antibody was produced by immunizing BALB/c mice with freshly prepared canine thymocytes and peripheral blood leukocytes. The antibody, designated 59.4, was of the IgG1 subclass type and mainly reacted with lymphocytes. In single-color flow cytometric analysis, lymphocytes from the peripheral blood, thymus and spleen were graded into three categories according to their fluorescence intensity labeling by antibody 59.4: weakly, moderately and intensely positive cells. Two-color analysis revealed that a major population of CD8-positive cells were intensely labeled by antibody 59.4, but less than 50% of CD4-positive cells were moderately reacted with antibody 59.4. Immunohistochemically, thymocytes in the medulla showed moderately intense immunoreactivity to 59.4, but most lymphocytes in the cortex were negative in reaction. Immunostaining using antibody 59.4 demonstrated characteristic aggregations of 59.4-positive lymphocytes in the reticulum cell-free region of the thymic medulla. In the spleen, scattered lymphocytes in the outer layer of the marginal zone and in the red pulp were intensely labeled by antibody 59.4, while lymphocytes gathering in the mantle zone and periarterial lymphatic sheath (PALS) were moderately stained. Antibody 59.4 appears to recognize an antigen which is expressed by a more-differentiated T cell-lineage but not by immature T cells in the thymic cortex.

Animals

Exercise-induced neurally mediated syncope.

We describe a 16-year-old female referred for evaluation of syncope associated with competitive long distance running. She had experienced 4 episodes of syncope during competitive long distance racing. The syncope associated with marked bradycardia and asystole was demonstrated by head-up tilt testing without isoproterenol infusion. Oral propranolol therapy failed to prevent the syncope. Oral disopyramide therapy, however, prevented the syncope induced by both head-up tilt testing and competitive long distance racing. Caution should be urged in evaluating athletes with syncope, especially in the pediatric age group, because the cause of the syncope may result from life-threatening disorders such as cardiomyopathy, long QT syndrome, or exercise-induced arrhythmias. The head-up tilt test is an important diagnostic tool for the evaluation of exercise-associated syncope.

Adolescent

A monoclonal antibody, 169.1, against canine leukocyte surface antigen identifies cytoskeletal components in epithelial cells and peripheral neurons.

Monoclonal antibodies were produced by immunizing BALB/c mice with freshly prepared canine thymocytes and peripheral blood leukocytes. Flow cytometric analysis of canine peripheral blood leukocytes showed that an antibody, designated 169.1, recognized about 60% of non-lymphoid cells, but reacted with less than 3% of lymphocytes. Immunohistochemistry using frozen sections showed that several types of epithelial cells such as epithelial reticulum cells in the thymus and ductal system in the parotid gland exhibited an intense positive reaction to antibody 169.1. Moreover, the ellipsoidal sheath in the spleen and non-myelinated nerve fibers in the peripheral nervous system had selectively positive reactions; in the latter, filamentous structures were visible under a light microscope. In contrast to the data from the flow cytometric analysis, no leukocytes on sections reacted with 169.1. Immunoblot assay revealed that 169.1 recognized antigens with molecular weights of 48 and 52 kDa under reducing conditions. These findings characterize 169.1 as an antibody against a cytoskeletal protein rich in epithelial cells and neurons.

Animals

Hormonal regulation of T-cell subsets in the oviduct: an immunohistochemical study using sex-hormone-treated chicken.

The present immunohistochemical study deals with dynamic alteration of T-cell subsets in the oviduct sex-hormone-treated chickens. Monoclonal antibodies (CT3, CT4, and CT8) specific for the chicken homologues of CD3, CD4, and CD8 were used in estrogen- or progesterone-treated chickens. In control animals, no lymphocytes appeared throughout the oviduct until 4 weeks of age. When 7-day-old chickens were injected with either diethylstilbestrol (DES) or (DES) plus progesterone, T cells immunoreactive for CT3 first infiltrated the oviduct at 12 hr after the hormone treatment. Their frequency of occurrence rose from 48 to 96 hr. Subsequently, CT3+ cells in the magnum declined in number per area coincident with the proliferation of albuminous glands in the lamina propria, while in the vagina no decline of T cells was observed. The population of T-cell subsets in the lamina propria of both the magnum and vagina was significantly higher in the DES-treated chickens than in DES plus progesterone-treated chickens. Among T-cell subsets CT8+ cells were more numerous than CT4+ cells throughout the study, this relative frequency being shared by normal adults. Depopulation of lymphocytes from the thymus, spleen and cecal tonsil, their mobilization to the circulating blood, and subsequent dynamic infiltration into the oviduct suggested that the sex hormones induced the traffic of T cells from the lymphoid organs into the oviduct.

Animals

Simultaneous monitoring of intracellular pH and proton excretion during glycolysis by Streptococcus mutans and Streptococcus sanguis: effect of low pH and fluoride.

A system was developed by which 2',7'-bis(carboxyethyl)-4 or 5-carboxyfluorescein could be used to monitor intracellular pH at the same time that proton excretion was being measured. Streptococcal cells were loaded with the dye, and after the addition of glucose protons were excreted and the intracellular pH increased quickly and remained higher than the extracellular pH of 7.0. The excretion of protons stopped and the intracellular pH returned to the original level when glucose was depleted. The intracellular level of ATP remained high during glucose metabolism and decreased with the depletion of glucose. At extracellular pH of 5.5, and 5.0, the intracellular pH of fasting cells was higher than the extracellular pH value. After addition of glucose there were initial lags of proton excretion and of increases in intracellular pH at the acidic extracellular pH values. In the presence of fluoride, a lag in proton excretion and a simultaneous decrease in intracellular pH were observed, indicating a partial and transient inhibition of proton-ATPase activity.

Adenosine Triphosphate

Mechanism of inhibition of glycolysis in Streptococcus mutans NCIB 11723 by chlorhexidine.

Inhibition of the rate of acid production from glucose by the cells of Streptococcus mutans NCIB 11723 was directly related to the concentrations of 0.075 to 0.20 mM chlorhexidine. Lactate production was inhibited to a greater extent than acetate and formate. Quantification of glycolytic intermediates revealed that the steps in glycolysis inhibited by chlorhexidine were the reactions catalyzed by phosphofructokinase and glyceraldehyde 3-phosphate dehydrogenase and/or phosphoglycerate kinase. However, the activities of these enzymes were not decreased in cells treated with the inhibitor. It was demonstrated that chlorhexidine caused leakage of metabolites from the cells. Our results indicate that the decreased rate of glycolysis caused by chlorhexidine is due to the leakage of metabolic intermediates and not to direct effects on enzymes involved in glycolysis by S. mutans NCIB 11723.

Acetates

Stoichiometry of fluoride release from fluorhydroxyapatite during acid dissolution.

Release of F from fluorhydroxyapatite (FHAp) during acid dissolution was studied to validate the use of this mineral as a plaque reservoir of F. FHAp minerals having a wide range of F concentrations were synthesised by aqueous precipitation, and samples repeatedly exposed to 50 mM lactic acid solution, pH 4.5, or similar lactic/acetic/formic acid mixtures, until dissolution was complete. While the Ca/P ratio in solution remained relatively constant and close to the ratio in the solid, the solution F/Ca ratio invariably changed during dissolution. During initial stages the F/Ca solution ratio was lower than in the solid but rose to reach a plateau higher than in the solid as dissolution progressed, an effect that was more pronounced with low-F FHAp. With these minerals the plateau F/Ca level never reached 0.2, suggesting that a F-enriched FHAp rather than pure fluorapatite precipitates during dissolution. It is concluded that a high-F FHAp mineral would best serve as an apatitic plaque reservoir of F.

Acetates

Effect of sucrose monolaurate on acid production, levels of glycolytic intermediates, and enzyme activities of Streptococcus mutans NCTC 10449.

We studied the mechanism by which the antimicrobial compound sucrose monolaurate inhibits Streptococcus mutans NCTC 10449 by determining its effect on the rate of acid production from glucose and sucrose and the intracellular and extracellular levels of glycolytic intermediates. Sucrose monolaurate was more effective than either sodium laurate or sodium fluoride in inhibiting acid production at pH 7.0 from glucose. Inhibition of acid production was the same when either glucose or sucrose was the carbon source and in the presence or absence of oxygen. Quantitative analysis of various glycolytic intermediates revealed that the steps inhibited by sucrose monolaurate were the reactions catalyzed by phosphofructokinase and glyceraldehyde 3-phosphate dehydrogenase and/or phosphoglycerate kinase. Since the activities of these enzymes in cell-free extracts were not decreased by the addition of sucrose monolaurate, the inhibition of acid production could not be ascribed to direct effects on the enzymes. A decrease in the rate of acid production with corresponding elevations in the extracellular levels of glycolytic intermediates indicates that sucrose monolaurate inhibits S. mutans by altering the permeability of the cell membrane, which causes a loss of important metabolites.

Anti-Infective Agents, Local

The effect of fluorhydroxyapatite-derived fluoride on acid production by streptococci.

The effect of fluoride derived from fluorhydroxyapatite (FHAp) minerals on bacterial glycolysis under aerobic and strictly anaerobic conditions was studied to validate the claims that this mineral could be used as a reservoir of fluoride in plaque. To isolate the direct effect of fluoride on bacterial glycolysis from that of an indirect pH-buffering effect of hydroxyl or phosphate ions which are also dissolved from the mineral, we equalized the pH-fall time course of reactions by manually adding KOH or HCl. This ensured that pH effects on glycolysis were minimized. Under controlled pH-fall and strictly anaerobic conditions, fluoride derived from the dissolution of FHAp containing more than 30,100 ppm fluoride (i.e., when the substitution of OH by F in the mineral was greater than 80%) had a direct inhibitory effect on lactic acid production in Streptococcus mutans. Under free pH-fall and strictly anaerobic conditions, increasing amounts of fluoride in FHAp (starting as low as 2000 ppm fluoride), appeared to have a pronounced indirect inhibitory effect on lactic acid production. This was probably mediated through a reducing pH buffer effect of the mineral. Even in the presence of high-fluoride FHAp, only 0.01 to 0.025 mmol/L fluoride was found in the reaction mixtures, a probable result of non-stoichiometric dissolution of FHAp. In spite of such low levels of fluoride, marked inhibitory effects on bacterial glycolysis were demonstrated. The results of this study suggest that high-fluoride FHAp may serve as a reservoir of fluoride for the inhibition of anaerobic acid production by S. mutans.

Anaerobiosis

Acid production by streptococci growing at low pH in a chemostat under anaerobic conditions.

Streptococcus mutans and other oral streptococci were grown in continuous culture under strictly anaerobic conditions. When the cultural pH was kept at 7.0, the main acid products were formate and acetate, as reported previously. However, more lactate was produced at pH values of 5.5 or 6.0, with a concomitant decrease in formate and acetate production. This change in fermentation products could partly be ascribed to a change in intracellular pH and difference in the pH optima between pyruvate formate-lyase (PFL) and lactate dehydrogenase (LDH). At extracellular pH values of 7.0 and 5.5, the intracellular pH values of S. mutans NCIB 11723 were 7.5 and 6.6, respectively. The pH optima of PFL and LDH were 7.8 and 5.5-6.3, respectively. The cells had also a larger amount of LDH during growth at pH 5.5 than at pH 7.0.

Anaerobiosis

Metabolism of intracellular polysaccharide in the cells of Streptococcus mutans under strictly anaerobic conditions.

Streptococcus mutans, which had accumulated glycogen-like iodophilic intracellular polysaccharide (IPS), produced large amounts of formate, acetate and ethanol from the IPS by pyruvate formate-lyase (PFL) under strictly anaerobic conditions without exogenous sugar. Under aerobic conditions, the same S. mutans produced exclusively lactate and pyruvate from the IPS because of the inactivation of PFL by oxygen. The total amount of acid produced under anaerobic conditions was larger than that under aerobic conditions. The analysis of intracellular glycolytic intermediates revealed that levels of fructose 1,6-bisphosphate (lactate dehydrogenase (LDH) activator) and glyceraldehyde 3-phosphate and dihydroxyacetone phosphate (PFL inhibitors) were low when IPS was used as a glycolytic substrate, implying that PFL functions more efficiently than LDH in IPS metabolism. These findings suggest that the PFL pathway contributes to the acid production from IPS, and may explain partially why the acids in starved dental plaque are mainly acetate and formate.

Acetates