Molecular Targeted Therapy for the Bone Loss Secondary to Pyogenic Spondylodiscitis Using Medications for Osteoporosis: A Literature Review

Pyogenic spondylodiscitis can cause severe osteolytic and destructive lesions in the spine. Elderly or immunocompromised individuals are particularly susceptible to infectious diseases; specifically, infections in the spine can impair the ability of the spine to support the trunk, causing patients to be bedridden, which can also severely affect the physical condition of patients. Although treatments for osteoporosis have been well studied, treatments for bone loss secondary to infection remain to be elucidated because they have pathological manifestations that are similar to but distinct from those of osteoporosis. Recently, we encountered a patient with severely osteolytic pyogenic spondylodiscitis who was treated with romosozumab and exhibited enhanced bone formation. Romosozumab stimulated canonical Wnt/β-catenin signaling, causing robust bone formation and the inhibition of bone resorption, which exceeded the bone loss secondary to infection. Bone loss due to infections involves the suppression of osteoblastogenesis by osteoblast apoptosis, which is induced by the nuclear factor-κB and mitogen-activated protein kinase pathways, and osteoclastogenesis with the receptor activator of the nuclear factor-κB ligand-receptor combination and subsequent activation of the nuclear factor of activated T cells cytoplasmic 1 and c-Fos. In this study, we review and discuss the molecular mechanisms of bone loss secondary to infection and analyze the efficacy of the medications for osteoporosis, focusing on romosozumab, teriparatide, denosumab, and bisphosphonates, in treating this pathological condition.     

10-Gb/s error-free transmission under optical reflection using isolator-free 1.3- /spl mu/m InP-based vertical-cavity surface-emitting lasers

Error-free transmission through 10-km single-mode fiber at 10 Gb/s under -13-dB optical reflections has been demonstrated for the first time using a directly modulated 1.3-/spl mu/m InP-based VCSEL without any optical isolator. The 13-GHz relaxation oscillation frequency and stable polarization suppresses relative intensity noise degradation under optical reflection. Only 1-dB error-free power penalty has been observed with optical reflection set with the worst polarization direction.     

Mechanical properties of sinter-forged Al2O3-ZrO2 ceramics

Two kinds of composites, Al₂O₃-25 wt% ZrO₂(2 mol% Y₂O₃) (Y-ZTA), Al₂O₃-25 wt% ZrO₂(8 mol% CeO₂) (Ce-ZTA) were produced by the sinter-forging process. The effect of presintering temperature on the mechanical properties of the composites was examined. The sinter-forging process increased the room-temperature bending strength in comparison with pressureless sintering, owing to the smaller grain size in sinter-forged bodies than in pressureless sintered ones. It was found necessary to keep the presintering temperature considerably lower than sinter-forging temperature in order to improve the room-temperature strength. The strength of sinter-forged Ce-ZTA was higher than that of sinter-forged Y-ZTA. The residual surface compressive stress induced by the phase transition during grinding in Ce-ZTA was found to be effective to further improve the strength and fracture toughness.     

Analysis of the IgE-epitope of Der f 2, a major mite allergen, by in vitro mutagenesis

Der f 2 is a major mite allergen composed of 129 amino acid residues. To determine the major epitopes on Der f 2 recognized by human IgE antibodies, artificial mutations were introduced to Der f 2 protein. The IgE-binding activity of Der f 2 was significantly decreased by deletion of 10 amino acids at the N-terminus or nine amino acids at the C-terminus. Site-directed mutagenesis with a single amino acid replacement by Ala or Leu in both N- and C-terminal regions as well as a central portion was performed to generate 42 single-site mutations. Amino acid replacement around a disulfide bond of Cys8-Cys119 caused a marked decrease in IgE-binding activity. Furthermore, a distinct decrease in IgE-binding was also caused by Ala-substitution close to a disulfide bond of Cys73-Cys78 and by mutations of a few charged residues. From these results, it was concluded that the two disulfide-forming regions of Der f 2 and several charged residues are important for forming major epitope structures recognized by human IgE antibodies.     

Premixed flame propagating into a narrow channel at a high speed, part 2: Transient behavior of the properties of the flowing gas inside the channel

The behavior of a premixed flame propagating from a chamber into a narrow channel at a high speed was examined using high speed and instantaneous schlieren photography, ion current measurement with electrostatic probes, and temperature measurement with an optical method. From detailed measurements of flames passing through the channel, flame extinguishment in the channel, no matter whether transient or not, was found to occur due to quenching of the reacting gas by rapid turbulent mixing with cold fresh mixture at the downstream of the contraction region and by heat transfer to the cold channel walls. Extinguishment must occur when these heat losses exceed the heat released by the chemical reaction of the flowing mixture.     

A comparison of the grade of laryngeal visualisation;--the McCoy compared with the Macintosh and the Miller blade in adults

Effectiveness in visualization of the vocal cord during orotracheal intubation with McCoy (McC) compared with Macintosh (Min) and Miller (Mil) blades were investigated. After an institutional review board approval, 117 patients for elective surgery under general anesthesia requiring tracheal intubation were investigated. Five board certified anesthesiologists tried to visualize the vocal cord of a patient three times with the three different types of laryngoscope. Total of 351 intubation attempts were studied. The view obtained at laryngoscopy with each of the three blades was recorded as follows. Grade 1. If most of the glottis is visible. Grade 2. If only the posterior extremity of the glottis is visible. Grade 3. If no part of the glottis can be seen. Grade 4. If not even the epiglottis can be exposed. Eight-two Grade 1 views were obtained with McC, 72 with Mil and 47 with Min, respectively. Thirty-three Grade 2 views were obtained with McC, 36 with Min and 24 with Mil. Two Grade 3 views with McC, 34 with Min and 14 with Mil were obtained. Seven Grade 4 views were obtained with Mil. The grades of laryngeal visualization with McC were significantly lower than those with Min and Mil.     

Deposition of carbon and its hydrogenation catalyzed by nickel

Formation of carbon on nickel sheet from benzene vapor carried by hydrogen was studied at a temperature range from 520 to 730°C. A maximum rate was observed at about 630°C, above which the deposition rate decreased rapidly. The carbon formed was hydrogenated in situ. Methane was the main gaseous product and a maximum rate was observed at about 670°C. Very high reactivity of deposited carbon toward hydrogenation was ascribed to the catalytic action of nickel particles dispersed in the carbon. The hydrogenation rates were divided into three zones and possible interpretations are discussed. A mechanism which is a reverse process to deposition was suggested. The decrease of the hydrogenation rate at higher temperatures was due to the equilibrium among carbon, hydrogen and methane, where carbon was more reactive than graphite.     

Semi-1 thermoplastic interpenetrating polymer networks of physically crosslinked poly(n-butyl acrylate) and polystyrene

Poly(n-butyl acrylate) (PnBA) chemically crosslinked with tetraethylene glycol dimethacrylate (TEGDM) and physically crosslinked PnBAs produced by neutralization of poly(n-butyl acrylate-stat-acrylic acid) with NaOH or Ca(OH)₂ were prepared as a polymer I network. Each polymer I was swollen with styrene and cured in situ into semi-IPN-TEGDM, semi-IPN-Na, or semi-IPN-Ca, respectively. Both physically crosslinked polymers maintained their shapes during the swelling procedure. Dynamic mechanical spectroscopy indicated that good mixing of the two polymers took place in the semi-IPN-Ca as well as in semi-IPN-TEGDM, but a distinct phase separation occurred in the semi-IPN-Na. These results were supported by their transparent or optical opaque appearances, respectively. Annealing at 180°C developed further phase separation in the semi-IPN-Na, but very little in the semi-IPN-Ca. Analyses by the incompatibility number (based on the modulus–temperature curve) and the calculation of individual phase compositions (from the glass transition temperature shifts) were used in estimating the extent of molecular mixing.     

Effect of dietary fatty acid composition on the biosynthesis of unsaturated fatty acids in rat liver microsomes

A study was made of the influence of semisynthetic diets of low and high unsaturation on the fatty acid composition and desaturation-chain elongation enzymatic activity of the liver microsomal fractions of male Sprague-Dawley rats of different ages. Groups of rats were fed 5 or 20% coconut oil (CO), or a 5 or 20% mixture of corn and menhaden oils (3∶7) (CME) from weaning to 100 wk of age. Growth rate and food consumption were measured during this period in which animals were sacrificed at 36, 57, 77 and 100 wk of age. Both the level and composition of the dietary fat supplements produced marked effects on the fatty acid composition of the liver microsomal lipids. In general, the fatty acid composition of the microsomal fractions reflected that of the dietary fat and was more unsaturated with the higher level of fat fed. The rate of conversion of linoleic to arachidonic acid in assays performed in vitro with liver microsomal preparations from animals of the different groups also showed marked differences. The 6-desaturase-chain elongation activity was higher in the 5% than 20% group and corresponded to the essential fatty acid (EFA) status of the animals in these groups as represented by the triene-tetraene ratio of the microsomal lipid. The relationship of the 6-desaturase activity to fatty acid composition of the microsomal lipid indicated that if varied directly with the level of 20∶3ω9, 18∶1 and 16∶1 and was inhibited by arachidonic acid. The activity of the 6-desaturase enzyme system was lowest in the liver microsomal fraction obtained from the animals fed the CME diets and appeared to be suppressed by the high levels of 20∶5 and 22∶6 that accumulated in the microsomal lipid. Accordingly, the levels of arachidonic acid were lower in the microsomal lipid of these groups than those of the corresponding CO groups in spite of a greater abundance of linoleic acid in the diet. The data suggest that the activity of the 6-desaturase-chain elongation system is regulated by the fatty acid composition of the microsomal lipid as influenced by the composition of the dietary fat.