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Stretch-induced nitric oxide modulates mechanical properties of skeletal muscle cells.

In this study, we examined the hypothesis that stretch-induced (nitric oxide) NO modulates the mechanical properties of skeletal muscles by increasing accumulation of protein levels of talin and vinculin and by inhibiting calpain-induced proteolysis, thereby stabilizing the focal contacts and the cytoskeleton. Differentiating C(2)C(12) myotubes were subjected to a single 10% step stretch for 0-4 days. The apparent elastic modulus of the cells, E(app), was subsequently determined by atomic force microscopy. Static stretch led to significant increases (P < 0.01) in E(app) beginning at 2 days. These increases were correlated with increases in NO activity and neuronal NO synthase (nNOS) protein expression. Expression of talin was upregulated throughout, whereas expression of vinculin was significantly increased only on days 3 and 4. Addition of the NO donor l-arginine onto stretched cells further enhanced E(app), NOS activity, and nNOS expression, whereas the presence of the NO inhibitor N(omega)-nitro-l-arginine methyl ester (l-NAME) reversed the effects of mechanical stimulation and of l-arginine. Overall, viscous dissipation, as determined by the value of hysteresis, was not significantly altered. For assessment of the role of vinculin and talin stability, cells treated with l-NAME showed a significant decrease in E(app), whereas addition of a calpain inhibitor abolished the effect. Thus our results show that NO inhibition of calpain-initiated cleavage of cytoskeleton proteins was correlated with the changes in E(app). Together, our data suggest that NO modulates the mechanical behavior of skeletal muscle cells through the combined action of increased talin and vinculin levels and a decrease in calpain-mediated talin proteolysis.

Animals↗

[Fundamental study on photocured resin for crown and bridge].

The purpose of this study is to clarify the superiority of five polyfunctional acrylates to composite filler and comonomer system, and the reasonable concentration of catalyst, Camphor quinone/Dimethylamino-ethylmethacrylate (CQ/DMAEMA), in the photocured resin for crown and bridge. The results are summarized as follows: 1. The influence of acrylate resin matrix of composite fillers was found in the elastic modulus (Em), Knoop hardness (Hk) and the wear resistance (Rw) of the photocured resin. Two photocured resins including Dipentaerythrytol hexaacrylate (DPHA) or DPHA-4(3-acryloxy propyl) tetramethylol methane (DPHA-APTM) composite fillers showed a higher Em, Hk and Rw but slightly lower tensile strength (Ts) and bending strength (Bs) than the one which included Bis-2-methacryloxyethyl 2, 2, 4-trymethyl hexamethylene diurethane (UDMA) or Trimethylolpropane trimethacrylate (TMPTMA) under a wet condition. And these two resins showed as a high water sorption value (Ws) as that of the photocured resin of UDMA. 2. The conversion of polymerization, cured depth and physical properties (Em, Hk and Rw) of the photocured resins were examined. They increased up to 0.5/1.0 or 1.0/1.0 in proportion to the increase of the concentration of the catalysts (CQ/DMAEMA). 3. When DPHA was added into the photocured resins consisted with UDMA monomer and DPHA or DPHA-APTM composite fillers, these resins showed a higher Em, Hk and Rw than the photocured resin with only UDMA as monomer. No significant difference of Ts and Bs between the photocured resins with and without DPHA was observed under a dry condition, but the values of Ts and Bs decreased in proportion to the increase of DPHA monomer under the wet condition. The residual monomer of the photocured resins was less than 1.2 per cent.

Acrylic Resins↗

Tensile stress in glass-ceramic crowns: effect of flaws and cement voids.

The objective of this study was to analyze the relative effect of loading site, occlusal thickness, ceramic flaws, elastic modulus of the cement, and voids in the cement layer on tensile stress that develops in molar glass-ceramic crowns under applied loads. Finite-element stress analyses were performed. Resin cement with a thickness of 0.05 mm was used. A central conical flaw (0.05 mm [diameter] x 0.05 mm) and a circular grooved flaw located under the cusp tips were included in all flaw cases. A void space confined within the occlusal region of the cement layer was also included in selected cases. For a ceramic thickness of 0.5 mm and a vertical distributed load applied at a distance of 1.3 mm from the vertical axis, the maximum tensile stresses were 100 MPa for a crown with flaws and a void, 87 MPa for a crown with no flaws and a void, and 75 MPa for a crown with flaws and no void. For a 1.5-mm-thick crown with flaws and a void, the tensile stress decreased to 22 MPa. When the load of 600 N was concentrated at the central point of the occlusal region, the peak tensile stress in a crown with flaws and no void was increased to 325 MPa. For the conditions analyzed in this study a large void in a flawed occlusal region of a thin molar crown (0.5 mm) is proposed as a mechanism of crown failure.

Crowns↗

The relationship between aortic wall distensibility and rupture of infrarenal abdominal aortic aneurysm.

OBJECTIVE: A more accurate means of prediction of abdominal aortic aneurysm (AAA) rupture would improve the clinical and cost effectiveness of prophylactic repair. The purpose of this study was to determine whether AAA wall distensibility can be used to predict time to rupture independently of other recognized risk factors. METHODS: A prospective, six-center study of 210 patients with AAA in whom blood pressure (BP), maximum AAA diameter (Dmax), and AAA distensibility (pressure strain elastic modulus [Ep] and stiffness [beta]) were measured at 6 months with an ultrasound scan-based echo-tracking technique. A stepwise, time-dependent, Cox proportional hazards model was used to determine the effect on time to rupture of age, gender, BP, Dmax, BP, Ep, beta, and change in Dmax, Ep, and beta adjusted for time between follow-up visits. RESULTS: Median (interquartile range) AAA diameter was 48 mm (41 to 54 mm), median age was 72 years (68 to 77 years), and median follow-up period was 19 months (9 to 30 months). In the Cox model, female gender (hazards ratio [HR], 2.78; 95% CI, 1.23 to 6.28; P =.014), larger Dmax (HR, 1.36 for 10% increase in Dmax; 95% CI, 1.12 to 1.66; P =.002), higher diastolic BP (HR, 1.13 for 10% increase in BP; 95% CI, 1.13 to 1.92; P =.004), and a decrease in Ep (increase in distensibility) over time (HR, 1.38 for 10% decrease in Ep over 6 months; 95% CI, 1.08 to 1.78; P =.010) significantly reduced the time to rupture (had a shorter time to rupture). CONCLUSION: Women have a shorter time to AAA rupture. The measurement of AAA distensibility, diastolic BP, and diameter may provide a more accurate assessment of rupture risk than diameter alone.

Aged↗

Noninvasive measurement of elastic properties in human finger arteries: clinical data comparing blood pressure and funduscopic examination.

A portable device equipped with a transmitted infrared photoelectric plethysmograph (TIPP) and compression cuff was designed for indirect estimation of elastic properties of the arteries. Volume elastic modulus (Ev) was noninvasively measured by the device at controlled transmural pressure (Pt) levels in the finger arteries of 116 normal subjects and 50 patients with hypertension. Finger arterial pressure was simultaneously measured by this device using a volume oscillometric technique. There was a nonlinear relation between Ev and Pt, as reported previously by other investigators. Ev increased with Pt showing a minimum at Pt of about 0 mmHg. The Ev values increased with age and were higher in men than in women, when the same age groups were compared. The averages of the normal values were determined from regression equations relating Ev and age with respect to Pt and sex, assuming that there is an exponential relation. The normal range was tentatively determined as +/- 25% of the average Ev. The average Ev values obtained from the hypertensive patients (69 +/- 8 years old, n = 21 for males; and 70 +/- 11 years old, n = 29 for females) were significantly higher than the average normal values when same age groups at Pt = 60 mmHg were compared. Twenty-seven (54%) of the patients showed higher and 10 (20%) lower values than the normal range, while 13 patients (26%) were within the normal range at Pt = 60 mmHg. A significant correlation was not observed between the Ev values and the systolic, mean, and diastolic pressure values in the finger arteries of the hypertensive patients.(ABSTRACT TRUNCATED AT 250 WORDS)

Aged↗

Regional body composition as a determinant of arterial stiffness in the elderly: The Hoorn Study.

OBJECTIVE: To estimate the relation of precisely measured regional body composition with peripheral and central arterial stiffness in the elderly. METHODS: We investigated 648 participants (mean age 69.0 +/- 6.0 years) of the Hoorn Study, a population-based cohort study. Trunk fat, leg fat, trunk lean and leg lean mass were distinguished by dual-energy X-ray absorptiometry. We used ultrasound to measure the distensibility and compliance of the carotid, femoral and brachial arteries, and carotid Young's elastic modulus, as estimates of peripheral stiffness. As estimates of central stiffness we measured carotid-femoral transit time, aortic augmentation index and systemic arterial compliance. RESULTS: After adjustment for sex, age, height, mean arterial pressure, leg lean and leg fat mass, a larger trunk fat mass was consistently associated with higher peripheral arterial stiffness (standardized beta (beta) of mean Z-scores of all three large arteries -0.24, P < 0.001). In contrast, larger leg fat mass (beta = 0.15, P = 0.009) and leg lean mass (beta = 0.09, P = 0.20) were associated with lower peripheral arterial stiffness. Trunk or leg fat mass were not associated with central arterial stiffness. Leg lean mass, however, was consistently associated with lower central arterial stiffness (beta = 0.29, P < 0.001). CONCLUSIONS: Trunk fat mass may have adverse effects on peripheral, but not on central arterial stiffness, while leg fat was not harmful and may have a slight protective effect. Larger leg lean mass was the most important determinant of lower central arterial stiffness. These results provide a pathophysiological framework to explain not only the higher cardiovascular risk in individuals with larger trunk fat mass, but also the reduced cardiovascular risk in individuals with larger leg lean and fat mass.

Abdomen↗

Effect of bladder outlet obstruction on detrusor smooth muscle cell: an in vitro study.

BACKGROUND: Although relieving obstruction is generally curative on bladder outlet obstruction (BOO), bladder dysfunction persists in some patients. Repetitive stretch and relaxation applied to cultured bladder smooth muscle (SM) cells in vitro have been used to mimic increases in urodynamic load experienced by the detrusor muscle under conditions of BOO. We first clarified the relationship between phenotype transformation and biomechanical properties of detrusor smooth muscle cell (DSMC) subjected to the cyclic mechanical stretch. MATERIALS AND METHODS: Cultured rat DSMC were grown on collagen-coated silicone membranes and subjected to continuous cycles of stretch-relaxation. All experiments were performed on cells between passages 2 and 4. Each cycle consists of 5 seconds of stretch and 5 seconds of relaxation. The computer controlled vacuum induced 10% (1), 20% (2), and 30% (3) maximum elongation of the plate membrane at different designed pressures. The deoxyribonucleic acid synthesis rate was assessed by performing tritiated thymidine incorporation assay. The expression of SM-alpha-actin and proliferation of DSMC were analyzed by immunofluorescent assay and flow cytometry. The image analysis and micropipet aspiration systems were used to investigate the single cell contraction and viscoelasticity. Using the 3-element standard linear solid model, the elastic modulus K(1), K(2), and viscoelastic coefficient mu were determined, which show the passive deformation ability of detrusor cells. RESULTS: As the basic structural changes to mechanical stretch, DSMC undergo phenotypic modulation from their normal contractile phenotype to a "synthetic" phenotype: the DSMC become more proliferative and the actin less organized along the cell's long axis. The cell proliferation index of control and stretched group (10%, 20%, 30% elongation) are 0.24, 0.43, 0.58, and 0.65, respectively. The actin filaments in unstimulated cells were evident and orientated along the major axis of the cell. After mechanical stretch, the well-spread filaments changed their orientation. The function, such as contraction, and viscoelasticity of a single DSMC subjected to stretch both decreased significantly compared with control. The maximum contractile velocity and maximum cell length shortening rate of group 3 (30% elongation) showed significant decreases compared with unstretched control (P < 0.01). K(1) and K(2) were decreased with the increase of mechanical overload. However, there was no statistic difference between groups 2 and 3. CONCLUSIONS: Functional abnormalitie of BOO have the structural basis: phenotype transformation (i.e., remodeling) of the detrusor cells. Cyclic stretch and relaxation applied to DSMC in vitro can be used to model increases in urodynamic load experienced by the bladder detrusor muscle under conditions of BOO. Phenotype transformation is the structural basis of functional changes of DSMC subjected to periodic overload mechanical stretch.

Actins↗

The relationship between abdominal aortic aneurysm wall compliance, maximum diameter and growth rate.

AIM: Aortic compliance as measured by the pressure-strain elastic modulus (Ep) and stiffness (beta), may allow a more precise estimate of rupture risk. The aim of this study was to determine the relationships between compliance, maximal aneurysm diameter and growth rate. METHODS: Sixty abdominal aortic aneurysm patients of median age 73 years, were studied. Growth rate was derived from repeat ultrasound scans obtained over a median period of 21 months (range 6-48). At the end of follow-up, patients underwent measurement of maximum aortic diameter, Ep and beta using the Diamove echo-tracking system. RESULTS: Growth rate correlated positively (r = 0.6, P < 0.01) with maximum diameter on entry to the study There was a positive correlation between mean arterial pressure and Ep (r = 0.3, P = 0.03), but not between mean arterial pressure and beta (r = 0.8, P = 0.61). A positive correlation was found between final maximum diameter and Ep (r = 0.22, P = 0.04) but not beta (r = 0.16, P = 0.11). There was no significant relationship between growth rate and Ep or beta. CONCLUSION: Large aneurysms tended to be less compliant. Within a population of abdominal aortic aneurysm of similar maximum diameter there was a 10-fold variation in Ep and beta. Compliance and growth rate were not related. If aortic compliance is related to risk of rupture then this predictive information is likely to be largely independent of that currently obtained from size and growth rate.

Aged↗

Myocardial elasticity and left ventricular distensibility as related to oxygen deficiency and right ventricular filling. Analysis in a rat heart model.

Hypoxia-induced changes in diastolic left ventricular (LV) pressure volume (P-V) relationships and myocardial elasticity as well as the extent to which diastolic right ventricular (RV) interactions are involved under hypoxia were analysed in male open-chest Wistar rats under isovolumetric conditions. Wall stress sigma and differential elastic modulus E were calculated for the midwall region, assuming a spherical model. LV end-diastolic P-V relationship shifted significantly to the left only 2 min after the start of pure N2 ventilation. The slope of the E-sigma curve did not change, corresponding to the "contracture type" of decreased myocardial distensibility. Identical changes occurred when filling of the RV was increased under O2 ventilation. Hypoxia, under emptied RV, led within 8 min to substantially lower, non-significant steepening of the end-diastolic P-V relationships. There was a significant change in the diastolic P-V curve along with a parallel increase in stiffness constant b, 45 min after N2 ventilation and under emptied RV. However, as a result of failure of cardiac function, ischemia was by now prevailing. These findings led to the following conclusions: In the early phase of hypoxia, i.e. within the first 20 min (in the model used in the present study) no substantial rigor occurs but the increase of LV end-diastolic P-V values is essentially due to augmented RV filling, even under opened chest and removed pericardium. The geometrical influence of the RV mimics the "contracture type" of decreased myocardial distensibility and cannot be recognized on the basis of the E-sigma relationship. Without knowledge of RV pressure it is not feasible to distinguish early "contracture" or rigor from extraventricular influences, caused by changes in the filling of the neighbouring ventricle.

Animals↗

Stress analysis of cushion form bearings for total hip replacements.

Cushion form bearings comprise a thin layer of low elastic modulus material on the articulating surface of the bearing, which can deform to help preserve a film of lubricant between the bearing surfaces and therefore reduce friction and wear. The long-term function of this type of bearing is dependent on the strength and durability of this compliant layer. Finite difference and finite element methods have been used to analyse the stress distribution in the compliant layer of cushion form bearing for artificial hip joints under physiological loading conditions. A good agreement between finite difference and finite element methods was found. Under normal loading, the highest value of the maximum shear stress was found to be at the interface between the compliant layer and the more rigid substrate close to the edge of the contact. The values of maximum shear stress in the centre of the contact close to the articulating surface were lower than in the equivalent Hertzian contact. A friction force acting at the surface had little effect on the stress distribution for coefficients of friction less than 0.05. However, for higher values of friction coefficient (larger than 0.2), corresponding to inadequate lubrication, the maximum shear stress increased by a factor of four and was found to be located at the surface. The analysis predicts that the mode of failure will be at the interface with the substrate under fluid film or mixed lubrication conditions and at the articulating surface when the bearing runs dry with higher levels of friction. Both failure modes have been observed experimentally under the conditions specified.

Biocompatible Materials↗

Rate of blunt impact loading affects changes in retropatellar cartilage and underlying bone in the rabbit patella.

Our laboratory has developed a small animal model using Giant Flemish rabbits to examine chronic degradative changes in joint tissues following a blunt impact. Historically, we observe surface fissuring and decreases in the elastic modulus of retropatellar cartilage along with thickening of the underlying subchondral bone. Previous studies resulted in load insults that peaked in approximately 5ms, while loads that occur during automotive accidents or heavy exercise can produce longer rise times. The objective of the current study was to examine the influence of blunt impact loading rate using our established model. We hypothesized that the extent of fissuring and softening of retropatellar cartilage following impact would not be significantly different for a high (5ms to peak) versus low (50ms to peak) rate of loading experiment. Eight animals were impacted with a high rate of loading blunt impact, while ten animals were subjected to the same impact load at a low rate of loading. An additional eight animals served as a control population. All animals were sacrificed 12 months post-impact. The study yielded unexpected results for the first hypothesis. The high rate of loading experiments generated more surface fissuring of the retropatellar cartilage than the low rate of loading experiments. However, the degree of softening was similar for the two rates, which supported the second hypothesis. Furthermore, the study documented more thickening of bone underlying retropatellar cartilage following the high versus the low rate of loading experiments. The current study suggested that chronic injury mechanisms may be highly dependent on the rate of impact loading. These data could become extremely relevant in the development of high-velocity "safety" devices, such as knee air bags, that are needed to help position an unbelted occupant in an automobile crash.

Animals↗

Predicting the compressive mechanical behavior of bone.

The principal objectives of this study were to determine the mathematical dependency of the compressive mechanical properties of human bone on several commonly used measures of bone composition, and to assess variations in this dependency based upon the composition range spanned by the data. Destructive mechanical tests were conducted along the superior-inferior axis of 496 cubic specimens of human trabecular and cortical bone from five male donors (ages 46-84 yr), including specimens from lumbar vertebrae and femoral metaphyses and diaphyses. There was over a 3000-fold variation in strength (S, ultimate stress) and over a 20,000-fold variation in stiffness (E, elastic modulus) over the range of apparent dry density (rho a = 0.05-1.89 g cm-3), apparent ash density (rho alpha = 0.03-1.22 g cm-3) and mineral content (alpha = 17.4-66.2%) examined. Both linear and power models produced very high correlations (R2 > 0.81) between mechanical properties and bone composition, but the linear models resulted in a much greater percent deviation (PD) of the predicted dependent variable with respect to the measured value, in comparison to power models. The best correlations were obtained using rho alpha as the only independent variable: S (MPa) = 117 rho alpha 1.93 +/- 0.04 (R2 = 0.969, PD = 29.9, E (GPa) = 10.5 rho alpha 2.57 +/-0.04 (R2 = 0.965, PD = 46.7). Power models of bone stiffness and strength, incorporating only low density data (rho alpha < 0.2 g cm-3, rho a < 0.3), were characterized by approximately squared exponents and these models underestimated the stiffness (five-fold) and overestimated the strength (two-fold) for higher density data, which were characterized by exponents greater than two. Using a subset of the data based upon an apparent dry density range of 0.22 < rho a < 1.89 g cm-3, it was possible to obtain a mathematical relationship in which bone stiffness and strength were precisely proportional to the cube and square, respectively, of the apparent dry density. These results indicate that the mathematical dependency of bone compressive mechanical properties on composition is closely dependent upon the density and mineral content range examined and, in terms of a single compositional measure, is best predicted by apparent ash density expressed as a power function.

Aged↗

Changes in properties of short-term-use soft liners after thermocycling.

The objectives of this study were to determine the influence of thermocycling on the changes of elastic modulus (EM) and colour, and to evaluate cytotoxicity after repeated elution of short-term-use soft liners. Three short-term-use soft liners [soft acrylic-based Coe Comfort (CCM), Coe Soft (CST) and Soft Liner (SFL)], and long-term-use silicone-based Tokuso Soft Liner (TSL) acting as a control were studied. EM was measured at baseline and after thermocycling at 5-55 degrees C for 500, 1000, 1500 and 2000 cycles. For the colour measurement, specimens in discs 20 mm in diameter and 1 mm in thickness were prepared, attached to a denture base resin plate, and then thermocycled as above. Colour change (Delta E*) was measured according to the Commission Internationale de l'Eclairage (CIE) L*, a*, and b* scale on a spectrophotometer. For the cytotoxicity evaluation, specimens were eluted for 24 h in culture media repeatedly up to four times, and MTT assay (3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide) was performed. EM of CCM and CST increased up to 1500 and 1000 cycles of thermocycling respectively. EM of SFL gradually increased up to 2000 cycles, and that of TSL increased after 500 cycles and did not change after then. Delta E* of soft liners after 2000 cycles except CCM were 3.68-8.65. EM increased up to 1000-1500 cycles, and perceivable colour change was observed after 2000 cycles in most materials. Therefore, short-term-use soft liners should be used within a limited time, although the cytotoxicity decreased after repeated elution.

Acrylic Resins↗

Influence of interface surface conditions on indentation failure of simulated bonded ceramic onlays.

OBJECTIVE: This study aims to evaluate the influence of surface roughness and acid etching on interfacial failure load and fracture initiation site for simulated resin bonded ceramic restorations. METHODS: Layered disks were fabricated using soda lime glass to simulate porcelain and fiberglass to represent dentin. These materials were selected due to their approximate elastic modulus to porcelain or dentin. In addition, soda lime glass allowed for visualization of crack initiation. Glass microscope slides (1.2 mm thick) were sectioned into 1-mm2 specimens. The frosted portions of the slides were used as the rough or sandblasted group and the clear areas were used as the smooth or polished group. All surfaces were either cleaned or etched. Prepared surfaces were divided into eight groups and bonded to the substrates using Optibond Solo Plus (SDS Kerr, Orange, CA) and Nexus resin cement (SDS Kerr). Support substrates were made from 5-mm slices of fiberglass rods (1/2 in. diameter). Vertical loads were applied to the layered disks with a 20-mm spherical indenter at a cross-head speed of 0.05 mm/min. Observations were made using 10x magnification with a video monitor. Load magnitudes were recorded at the time of crack initiation. Weibull parametric survival analysis and the effect likelihood ratio test were performed on the failure initiation load data to determine significant differences at the 0.05 level. RESULTS: Mean failure initiation loads ranged from 273.6 to 341.9N for the rough specimens and from 1056.5 to 2980.2N for the smooth samples. According to the Weibull parametric survival analysis and the effect likelihood ratio test, surface roughness and surface etch significantly influenced failure initiation loads. Smoother surfaces tolerated much greater contact loads before failure initiation. SIGNIFICANCE: The clinical performance of all-ceramic restorations may be improved with smoother internal surfaces. Etching significantly increases survival for restorations with smooth internal surfaces.

Acid Etching, Dental↗

Experimental radiosurgery simulations using a theoretical model of cerebral arteriovenous malformations.

BACKGROUND AND PURPOSE: A novel biomathematical arteriovenous malformation (AVM) model based on electric network analysis was used to investigate theoretically the potential role of intranidal hemodynamic perturbations in elevating the risk of rupture after simulated brain AVM radiosurgery. METHODS: The effects of radiation on 28 interconnected plexiform and fistulous AVM nidus vessels were simulated by predefined random or stepwise occlusion. Electric circuit analysis revealed the changes in intranidal flow, pressure, and risk of rupture at intervals of 3 months during a 3-year latency period after simulated partial/complete irradiation of the nidus using doses <25 and >/=25 Gy. An expression for risk of rupture was derived on the basis of the functional distribution of the critical radii of component vessels. The theoretical effects of radiation were also tested on AVM nidus vessels with progressively increasing elastic modulus (E:) and wall thickness during the latency period, simulating their eventual fibrosis. RESULTS: In an AVM with E=5. 0x10(4) dyne/cm(2), 4 (14.3%) of a total 28 sets of AVM radiosurgery simulations revealed theoretical nidus rupture (risk of rupture >/=100%). Three of these were associated with partial nidus coverage and 1 with complete treatment. All ruptures occurred after random occlusion of nidus vessels in AVMs receiving low-dose radiosurgery. Intranidal hemodynamic perturbations were observed in all cases of AVM rupture; the occlusion of a fistulous component resulted in intranidal rerouting of flow and escalation of the intravascular pressure in adjacent plexiform components. Risk of rupture was found to correlate with nidus vessel wall strength: a low E: of 1.9x10(4) dyne/cm(2) resulted in a 92.8% incidence of AVM rupture, whereas a higher E: of 7.0x10(4) dyne/cm(2) resulted in only a 3.6% incidence of AVM rupture. A dramatic reduction in rupture incidence was observed when increasing fibrosis of the nidus was modeled during the latency period. CONCLUSIONS: It was found that the theoretical occurrence of AVM hemorrhage after radiosurgery was low, particularly when radiation-induced fibrosis of nidus vessels was considered. When rupture does occur, it would appear from a theoretical standpoint that the occlusion of intranidal fistulas or larger-caliber plexiform vessels could be a significant culprit in the generation of critical intranidal hemodynamic surges resulting in nidus rupture. The described AVM model should serve as a useful research tool for further theoretical investigations of cerebral AVM radiosurgery and its hemodynamic sequelae.

Cerebral Hemorrhage↗

Critical comparison of two methods for the determination of nanomechanical properties of a material: application to synthetic and natural biomaterials.

Two methods used for determining the elastic modulus (E) and hardness (H) of a material--the original version of the well-known Oliver-Pharr Method, OOPM, and a variant of it called the Modified Slopes Method, MSM--were critically compared. The nanoindentation test results, of indenter load-versus-indenter displacement, were recorded for six series of specimens, three of commercially-available acrylic bone cements (Palacos R and Cemex XL) and three of bones (human, bovine, and mouse). In the first series, the specimens were prepared from Palacos R cement mantles retrieved from cemented total hip joint replacements after 11 months, 11 years, and 21 years in vivo. In the second and third series, the specimens were fabricated from hand- and vacuum-mixed dough of Cemex XL cement, respectively. In the fourth, fifth, and sixth series, the specimens were prepared from fresh frozen cortical bone of human tibia, plexiform bone from fresh bovine tibia, and femora from inbred mice, respectively. It was found that, for a given material, the values of E or H computed using OOPM and MSM are not significantly different. However, the recommendation is that MSM is preferable because it is straightforward-only the nanoindentation measurements and values of constants that depend on the geometry of the indenter used are needed. In contrast, when the OOPM is used, there is a critical input (the indenter tip area function), whose computation is problematic. The article also includes a succinct discussion of factors that affect the values of material properties computed from nanoindentation measurements, such as the loading rate and the surface roughness of the test specimen.

Adult↗

Determination of bilayer membrane bending stiffness by tether formation from giant, thin-walled vesicles.

The curvature elastic modulus (bending stiffness) of stearoyloleoyl phosphatidylcholine (SOPC) bilayer membrane is determined from membrane tether formation experiments. R. E. Waugh and R. M. Hochmuth 1987. Biophys. J. 52:391-400) have shown that the radius of a bilayer cylinder (tether) is inversely related to the force supported along its axis. The coefficient that relates the axial force on the tether to the tether radius is the membrane bending stiffness. Thus, the bending stiffness can be calculated directly from measurements of the tether radius as a function of force. Giant (10-50-microns diam) thin-walled vesicles were aspirated into a micropipette and a tether was pulled out of the surface by gravitational forces on small glass beads that had adhered to the vesicle surface. Because the vesicle keeps constant surface area and volume, formation of the tether requires displacement of material from the projection of the vesicle in the pipette. Tethers can be made to grow longer or shorter or to maintain equilibrium by adjusting the aspiration pressure in the micropipette at constant tether force. The ratio of the change in the length of the tether to the change in the projection length is proportional to the ratio of the pipette radius to the tether radius. Thus, knowing the density and diameter of the glass beads and measuring the displacement of the projection as a function of tether length, independent determinations of the force on the tether and the tether radius were obtained. The bending stiffness for an SOPC bilayer obtained from these data is approximately 2.0 x 10(-12) dyn cm, for tether radii in the range of 20-100 nm. An equilibrium relationship between pressure and tether force is derived which closely matches experimental observation.

Elasticity↗

Withdrawal reveals lack of effect of prolonged antihypertensive treatment on intrinsic aortic wall stiffness in senescent spontaneously hypertensive rats.

1. Chronic antihypertensive treatment lowers cardiovascular morbidity and mortality. The beneficial effect on the blood vessel wall may be due to the lowering of blood pressure (BP) and, hence, wall stress (WS), or to a treatment-induced change in wall structure. 2. We have previously shown that, when evaluated at the same level of BP and WS, the stiffness of the aortic wall of old spontaneously hypertensive rats (SHR) is higher than that of young and adult SHR and that of age-matched Wistar-Kyoto (WKY) rats. In the present study, we tested the hypothesis that the intrinsic changes in wall composition and mechanics in old SHR can be modulated by long-term treatment with an angiotensin I-converting enzyme inhibitor (captopril; 40 mg/kg per day) combined with a diuretic (hydrochlorothiazide; 20 mg/kg per day) and that treatment withdrawal would reveal whether such changes are maintained when BP and WS return to pretreatment levels. 3. We evaluated aortic structure and mechanics in SHR following 1 week withdrawal of oral antihypertensive treatment from 3 to 15 months of age (n = 8). Results were compared with age-matched SHR that were maintained on treatment (n = 12) or were not treated (n = 13) and with WKY rats (no treatment n = 11; maintained n = 11; withdrawn n = 10). 4. Isobaric aortic wall stiffness was estimated from the ratio of baseline aortic pulse wave velocity (PWV) to BP and the slope relating aortic PWV to BP following sodium nitroprusside-induced hypotension. Relative wall stiffening was estimated as the ratio of elastic modulus (EM) to WS. We argued that if treatment produced a change in wall elastin or collagen content, with a subsequent decrease in isobaric wall stiffness, then this would be maintained when BP increased following withdrawal of treatment. 5. In old SHR, treatment lowered isobaric wall stiffness (baseline PWV/BP 4.6 +/- 0.3 cm/s per mmHg; slope relating PWV to BP 6.7 +/- 0.4 x 10-3 cm/s per mmHg and EM/WS 4.1 +/- 0.4 vs 6.1 +/- 0.4 cm/s per mmHg, 9.7 +/- 0.9 x 10-3 cm/s per mmHg and 8.9 +/- 1.1, respectively, without treatment; all P < 0.05). After 1 weeks treatment withdrawal, the indices (5.7 +/- 0.2 cm/s per mmHg, 9.1 +/- 0.2 x 10-3 cm/s per mmHg and 7.2 +/- 0.6) increased in parallel with the increase in WS to levels similar to those observed in untreated SHR. There were no significant differences among the WKY rat groups. 6. Treatment increased the elastin and collagen contents of the aortic wall in both SHR (196 +/- 13 and 128 +/- 5 vs 111 +/- 9 and 86 +/- 4 mg/g wet weight, respectively, in untreated; P < 0.05) and WKY rats (190 +/- 19 and 135 +/- 4 vs 115 +/- 7 and 114 +/- 5 mg/g wet weight, respectively, in untreated; P < 0.05). This increase remained following withdrawal (213 +/- 26 and 118 +/- 4 vs 161 +/- 14 and 127 +/- 4 mg/g wet weight in SHR and WKY rats, respectively). 7. In summary, 1 year of treatment with captopril plus hydrochlorothiazide increases wall elastin content and reduces WS and stiffness in old SHR. Following withdrawal, elastin content remains high, but wall stiffness parallels WS in a manner similar to that in untreated SHR.

Aging↗