RESUMO
The aim of this study was to evaluate the prevalence and length of the anterior loop (AL) of the inferior alveolar nerve, nerve emergence from the mental foramen, and prevalence of sensory disorders after implant placement in the interforaminal region. Four hundred and fifty hemimandibles (225 patients) were evaluated using cone beam computed tomography and panoramic radiographs. Information on the presence of sensory disorders was obtained from the medical records. AL prevalence was 13.6% and mean AL length was 1.25 mm. The false-negative rate for the identification of the AL using panoramic radiography was 58.6%. Straight nerve emergence from the mental foramen was the most prevalent (62.7%), followed by anterior (21.8%) and posterior (15.6%) emergence. The incidence of sensory disorders was 4.4%, and 1.1% were related to the presence of the AL. When implants were placed within the planned distance of the mental foramen or further, 1.2% had sensory problems associated with the presence of the mandibular incisive canal. In cases of distances smaller than planned, 12.9% had sensory alterations. Only five (1.1%) had the AL, with a length between 0 and 4.5 mm. However, in four cases, the planned distance was respected and, even so, there was a sensory disorder. Posterior nerve emergence from the mental foramen was associated with a higher prevalence of AL.
Assuntos
Mandíbula , Nervo Mandibular , Queixo/diagnóstico por imagem , Tomografia Computadorizada de Feixe Cônico , Estudos Transversais , Humanos , Mandíbula/diagnóstico por imagem , Mandíbula/inervação , Mandíbula/cirurgia , Nervo Mandibular/diagnóstico por imagemRESUMO
Heart failure (HF) has a strong association with the development of lower urinary tract symptoms, especially overactive bladder (OAB); although this condition remains poorly investigated. In this study, we assess the aortocaval fistula (ACF) model as a novel experimental model of micturition dysfunction, associated with HF, focused on the molecular and functional studies to evaluate the autonomic nervous system and urinary bladder remodeling. Male rats were submitted to ACF for HF induction. Echocardiography, cystometric, histomorphometry and molecular analysis, as well as concentration-response curves to carbachol and ATP and frequency-response curves to electrical field stimulation (EFS) were evaluated in Sham and HF (4- and 12-weeksendpoint) groups. Compared to SHAM, HF groups exhibited progressive increases in the left ventricle (LV) mass and fractional shortening which indicates cardiac dysfunction, although HF was characterized only after 12â¯weeks by the reduced ejection fraction. For micturition function, HF groups presented increased non-voiding contractions (NVC) and decreased bladder capacity; however, when comparing HF groups, these urinary parameters were significantly impaired over the weeks (12-weeks). The contractile responses induced by CCh, ATP and EFS were greater in detrusor muscle (DSM) from HF rats. mRNA expression for muscarinic receptors (M2 and M3) was higher in DSM only after 12â¯weeks of ACF, in addition to MMP9 and TGF-beta. Histomorphometric revealed increased urothelium thickness in both HF groups, whereas DSM thickness occurred only after 12â¯weeks. Thus, the ACF model induced cardiac dyfunction with progressive micturition dysfunction over the weeks, characterized by increased DSM contractile mechanisms as well as extracellular matrix remodeling in the urinary bladder, representing a useful tool to evaluate the OAB associated with HF.
Assuntos
Insuficiência Cardíaca/fisiopatologia , Bexiga Urinária Hiperativa/fisiopatologia , Micção/fisiologia , Animais , Modelos Animais de Doenças , Progressão da Doença , Insuficiência Cardíaca/complicações , Insuficiência Cardíaca/metabolismo , Masculino , Contração Muscular , Ratos , Ratos Sprague-Dawley , Receptores Muscarínicos , Bexiga Urinária , Doenças da Bexiga Urinária , Bexiga Urinária Hiperativa/metabolismoRESUMO
Autogenous bone is still considered the gold standard, and the applicability of autogenous bone grafts is well established. However, the possibility of second harvesting from the same donor region remains unclear. The aim of this study was to perform a prospective evaluation of hard tissue deposition in the mandibular ramus after bone block harvesting using cone beam computed tomography (CBCT). Twenty-two patients with indications for augmentation procedures using autogenous bone from the mandibular ramus were selected. Three CBCT scans were performed with a tomographic guide before bone harvesting (T1) and at 14 days (T2) and 6 months (T3) after the surgical procedures. Measurements were obtained in 2D (area, mm(2)) and 3D (volume, mm(3)), and were subsequently compared. In the 2D analysis, the mean bone formation rate was 56%, while for the 3D analysis the mean rate was 9.7%. Despite this difference, there was a significant correlation between area and volume measurements. Our findings demonstrated the presence of hard tissue in the mandibular ramus at 6 months after bone harvesting, which suggests that it would be possible to reuse the same region for a second block harvesting. However, the second bone harvesting would involve less bone for transplantation when compared to the first bone harvesting.
Assuntos
Aumento do Rebordo Alveolar/métodos , Tomografia Computadorizada de Feixe Cônico , Mandíbula/diagnóstico por imagem , Mandíbula/transplante , Maxila/cirurgia , Coleta de Tecidos e Órgãos/métodos , Sítio Doador de Transplante/diagnóstico por imagem , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Retalhos Cirúrgicos , Transplante Autólogo , Resultado do TratamentoRESUMO
Phosphodiesterase-9 (PDE9) specifically hydrolyzes cyclic GMP, and was detected in human corpus cavernosum. However, no previous studies explored the selective PDE9 inhibition with BAY 73-6691 in corpus cavernosum relaxations. Therefore, this study aimed to characterize the PDE9 mRNA expression in mice corpus cavernosum, and investigate the effects of BAY 73-6691 in endothelium-dependent and -independent relaxations, along with the nitrergic corpus cavernosum relaxations. Male mice received daily gavage of BAY 73-6691 (or dimethylsulfoxide) at 3 mg kg(-1) per day for 21 days. Relaxant responses to acetylcholine (ACh), nitric oxide (NO) (as acidified sodium nitrite; NaNO2 solution), sildenafil and electrical-field stimulation (EFS) were obtained in corpus cavernosum in control and BAY 73-6691-treated mice. BAY 73-6691 was also added in vitro 30 min before construction of concentration-responses and frequency curves. PDE9A and PDE5 mRNA expression was detected in the mice corpus cavernosum in a similar manner. In vitro addition of BAY 73-6691 neither itself relaxed mice corpus cavernosum nor changed the NaNO2, sildenafil and EFS-induced relaxations. However, in mice treated chronically with BAY 73-6691, the potency (pEC50) values for ACh, NaNO2 and sildenafil were significantly greater compared with control group. The maximal responses (Emax) to NaNO2 and sildenafil were also significantly greater in BAY 73-6691-treated mice. BAY 73-6691 treatment also significantly increased the magnitude and duration of the nitrergic corpus cavernosum relaxations (8-32 Hz). In conclusion, murine corpus cavernosum expresses PDE9 mRNA. Prolonged PDE9 inhibition with BAY 73-6691 amplifies the NO-cGMP-mediated cavernosal responses, and may be of therapeutic value for erectile dysfunction.
Assuntos
3',5'-AMP Cíclico Fosfodiesterases/antagonistas & inibidores , GMP Cíclico/fisiologia , Óxido Nítrico/fisiologia , Pênis/enzimologia , Pênis/fisiologia , Pirazóis/farmacologia , Pirimidinas/farmacologia , 3',5'-AMP Cíclico Fosfodiesterases/genética , 3',5'-AMP Cíclico Fosfodiesterases/fisiologia , Animais , Nucleotídeo Cíclico Fosfodiesterase do Tipo 5/genética , Estimulação Elétrica , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Relaxamento Muscular/efeitos dos fármacos , Óxido Nítrico/farmacologia , Inibidores de Fosfodiesterase/farmacologia , Piperazinas/farmacologia , Purinas/farmacologia , RNA Mensageiro/análise , Transdução de Sinais/efeitos dos fármacos , Citrato de Sildenafila , Sulfonas/farmacologiaRESUMO
Pseudis minuta is abundant in a variety of aquatic environments of the Pampa domain. Therefore, it can be considered a good model for testing hypotheses on environmental heterogeneity and the influence of climate on the activity of anurans. In this study, we examined the spatial distribution pattern of P. minuta in terms of microhabitats and the influence of abiotic factors on seasonal fluctuations in the abundance of this species. Samples were collected monthly from April 2008 to May 2009 in wetlands and coastal dunes in the Lagoa do Peixe National Park. A total of 112 specimens of P. minuta were collected, of which 45 were found in the wetland area and 67 in the dune area. The species showed seasonal fluctuation in abundance, and it was most abundant in months with higher temperatures (spring-summer). Pseudis minuta was mainly associated with aquatic vegetation, an expected pattern in terms of their morphological adaptations to this environment. Among the abiotic parameters analyzed, only the monthly mean temperature showed a significant correlation (p < 0.05; r = 0.67) with the abundance of P. minuta. We concluded that P. minuta is a generalist species with respect to microhabitat use and also that fluctuation in its population abundance is mainly associated with seasonal variation in temperature.
Assuntos
Anuros/fisiologia , Ecossistema , Animais , Anuros/classificação , Brasil , Conservação dos Recursos Naturais , Água Doce , Densidade Demográfica , Dinâmica Populacional , Estações do AnoRESUMO
Pseudis minuta is abundant in a variety of aquatic environments of the Pampa domain. Therefore, it can be considered a good model for testing hypotheses on environmental heterogeneity and the influence of climate on the activity of anurans. In this study, we examined the spatial distribution pattern of P. minuta in terms of microhabitats and the influence of abiotic factors on seasonal fluctuations in the abundance of this species. Samples were collected monthly from April 2008 to May 2009 in wetlands and coastal dunes in the Lagoa do Peixe National Park. A total of 112 specimens of P. minuta were collected, of which 45 were found in the wetland area and 67 in the dune area. The species showed seasonal fluctuation in abundance, and it was most abundant in months with higher temperatures (spring-summer). Pseudis minuta was mainly associated with aquatic vegetation, an expected pattern in terms of their morphological adaptations to this environment. Among the abiotic parameters analyzed, only the monthly mean temperature showed a significant correlation (p < 0.05; r = 0.67) with the abundance of P. minuta. We concluded that P. minuta is a generalist species with respect to microhabitat use and also that fluctuation in its population abundance is mainly associated with seasonal variation in temperature.
Pseudis minuta é uma espécie abundante em diferentes tipos de ambientes aquáticos do domínio Pampa. Por essa razão, essa espécie pode ser considerada um bom modelo para testar hipóteses relacionadas à heterogeneidade ambiental e à influência do clima sobre padrões de atividade em anuros. Neste trabalho, foi avaliado o padrão de distribuição espacial de P. minuta em termos de micro-habitats, além de se avaliar a influência de fatores abióticos nas flutuações sazonais da abundância dessa espécie. Coletas foram realizadas mensalmente, entre abril de 2008 e maio de 2009, em áreas úmidas e de cordões de dunas costeiras no Parque Nacional de Lagoa do Peixe. Um total de 112 indivíduos de P. minuta foi coletado, sendo 45 em áreas de banhado e 67 em área de dunas. A espécie apresentou flutuação sazonal na abundância, sendo mais abundantes em meses com temperaturas mais elevadas (primavera-verão). Pseudis minuta esteve associada principalmente à vegetação aquática, um padrão esperado em função de suas adaptações morfológicas a esse meio. Entre os parâmetros abióticos analisados, somente a temperatura média mensal apresentou correlação significativa (p < 0.05; r = 0,67) com a abundância de P. minuta. Foi possível concluir que P. minuta é uma espécie generalista com relação ao uso do habitat e que as flutuações na sua abundância populacional estão principalmente associadas à variação sazonal da temperatura.
Assuntos
Animais , Anuros/fisiologia , Ecossistema , Anuros/classificação , Brasil , Conservação dos Recursos Naturais , Água Doce , Densidade Demográfica , Dinâmica Populacional , Estações do AnoRESUMO
Pseudis minuta is abundant in a variety of aquatic environments of the Pampa domain. Therefore, it can be considered a good model for testing hypotheses on environmental heterogeneity and the influence of climate on the activity of anurans. In this study, we examined the spatial distribution pattern of P. minuta in terms of microhabitats and the influence of abiotic factors on seasonal fluctuations in the abundance of this species. Samples were collected monthly from April 2008 to May 2009 in wetlands and coastal dunes in the Lagoa do Peixe National Park. A total of 112 specimens of P. minuta were collected, of which 45 were found in the wetland area and 67 in the dune area. The species showed seasonal fluctuation in abundance, and it was most abundant in months with higher temperatures (spring-summer). Pseudis minuta was mainly associated with aquatic vegetation, an expected pattern in terms of their morphological adaptations to this environment. Among the abiotic parameters analyzed, only the monthly mean temperature showed a significant correlation (p 0.05; r = 0.67) with the abundance of P. minuta. We concluded that P. minuta is a generalist species with respect to microhabitat use and also that fluctuation in its population abundance is mainly associated with seasonal variation in temperature.
Pseudis minuta é uma espécie abundante em diferentes tipos de ambientes aquáticos do domínio Pampa. Por essa razão, essa espécie pode ser considerada um bom modelo para testar hipóteses relacionadas à heterogeneidade ambiental e à influência do clima sobre padrões de atividade em anuros. Neste trabalho, foi avaliado o padrão de distribuição espacial de P. minuta em termos de micro-habitats, além de se avaliar a influência de fatores abióticos nas flutuações sazonais da abundância dessa espécie. Coletas foram realizadas mensalmente, entre abril de 2008 e maio de 2009, em áreas úmidas e de cordões de dunas costeiras no Parque Nacional de Lagoa do Peixe. Um total de 112 indivíduos de P. minuta foi coletado, sendo 45 em áreas de banhado e 67 em área de dunas. A espécie apresentou flutuação sazonal na abundância, sendo mais abundantes em meses com temperaturas mais elevadas (primavera-verão). Pseudis minuta esteve associada principalmente à vegetação aquática, um padrão esperado em função de suas adaptações morfológicas a esse meio. Entre os parâmetros abióticos analisados, somente a temperatura média mensal apresentou correlação significativa (p 0.05; r = 0,67) com a abundância de P. minuta. Foi possível concluir que P. minuta é uma espécie generalista com relação ao uso do habitat e que as flutuações na sua abundância populacional estão principalmente associadas à variação sazonal da temperatura.
RESUMO
BACKGROUND AND PURPOSE: Diabetic cystopathy is one of the most common and incapacitating complications of diabetes mellitus. This study aimed to evaluate the functional, structural and molecular alterations of detrusor smooth muscle (DSM) in streptozotocin-induced diabetic mice, focusing on the contribution of Ca(2+) influx through L-type voltage-operated Ca(2+) channels (L-VOCC). EXPERIMENTAL APPROACH: Male C57BL/6 mice were injected with streptozotocin (125 mg·kg(-1) ). Four weeks later, contractile responses to carbachol, α,ß-methylene ATP, KCl, extracellular Ca(2+) and electrical-field stimulation were measured in urothelium-intact DSM strips. Cystometry and histomorphometry were performed, and mRNA expression for muscarinic M(2) /M(3) receptors, purine P2X1 receptors and L-VOCC in the bladder was determined. KEY RESULTS: Diabetic mice exhibited higher bladder capacity, frequency, non-void contractions and post-void pressure. Increased bladder weight, wall thickness, bladder volume and neural tissue were observed in diabetic bladders. Carbachol, α,ß-methylene ATP, KCl, extracellular Ca(2+) and electrical-field stimulation all produced greater DSM contractions in diabetic mice. The L-VOCC blocker nifedipine almost completely reversed the enhanced DSM contractions in bladders from diabetic animals. The Rho-kinase inhibitor Y27632 had no effect on the enhanced carbachol contractions in the diabetic group. Expression of mRNA for muscarinic M(3) receptors and L-VOCC were greater in the bladders of diabetic mice, whereas levels of M(2) and P2X1 receptors remained unchanged. CONCLUSIONS AND IMPLICATIONS: Diabetic mice exhibit features of urinary bladder dysfunction, as characterized by overactive DSM and decreased voiding efficiency. Functional and molecular data suggest that overactive DSM in diabetes is the result of enhanced extracellular Ca(2+) influx through L-VOCC.
Assuntos
Canais de Cálcio Tipo L/metabolismo , Diabetes Mellitus Experimental/complicações , Doenças da Bexiga Urinária/etiologia , Amidas/farmacologia , Animais , Bloqueadores dos Canais de Cálcio/farmacologia , Cloreto de Cálcio/farmacologia , Carbacol/farmacologia , Agonistas Colinérgicos/farmacologia , Inibidores Enzimáticos/farmacologia , Regulação da Expressão Gênica/fisiologia , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Nifedipino/farmacologia , Piridinas/farmacologia , RNA Mensageiro/genética , RNA Mensageiro/metabolismo , Receptor Muscarínico M2/genética , Receptor Muscarínico M2/metabolismo , Receptor Muscarínico M3/genética , Receptor Muscarínico M3/metabolismo , Receptores Purinérgicos P2X1/genética , Receptores Purinérgicos P2X1/metabolismo , Doenças da Bexiga Urinária/patologia , Quinases Associadas a rho/metabolismoRESUMO
Periodontitis (PD) and rheumatoid arthritis (RA) have been found to be clinically associated and to share the chronic nature of the inflammatory reaction associated with bone resorption activity. However, the mechanisms underlying such association are unknown. Therefore, we examined the basis of Actinobacillus actinomycetemcomitans- and Porphyromonas gingivalis-induced PD and pristane-induced arthritis (PIA) interaction in mice. Higher severity PD in the genetically inflammation prone acute inflammatory reactivity maximum (AIRmax) mice strain was associated with higher levels of TNF-alpha, IL-1beta, IL-17, matrix metalloproteinase (MMP)-13, and RANKL, whereas PD/PIA co-induction resulted in even higher levels of IL-1beta, IFN-gamma, IL-17, RANKL, and MMP-13 levels. Conversely, PD/PIA co-induction in AIRmin strain did not alter the course of both pathologies. PIA/PD co-induction resulted in altered expression of T-cell subsets transcription factors expression, with T-bet and RORgamma levels being upregulated, whereas GATA-3 levels were unaltered. Interestingly, PIA induction resulted in alveolar bone loss, such response being highly dependent on the presence of commensal oral bacteria. No differences were found in PIA severity parameters by PD co-induction. Our results show that the interaction between experimental PD and arthritis in mice involves a shared hyper-inflammatory genotype and functional interferences in innate and adaptive immune responses.
Assuntos
Artrite Reumatoide/genética , Artrite Reumatoide/imunologia , Genótipo , Mediadores da Inflamação/fisiologia , Periodontite/genética , Periodontite/imunologia , Animais , Artrite Reumatoide/patologia , Inflamação/genética , Inflamação/imunologia , Inflamação/patologia , Mediadores da Inflamação/metabolismo , Leucócitos Mononucleares/imunologia , Leucócitos Mononucleares/patologia , Camundongos , Camundongos Transgênicos , Periodontite/patologiaRESUMO
Periodontitis (PD) and rheumatoid arthritis (RA) have been found to be clinically associated and to share the chronic nature of the inflammatory reaction associated with bone resorption activity. However, the mechanisms underlying such association areunknown. Therefore, we examined the basis of Actinobacillus actinomycetemcomitans- and Porphyromonas gingivalis-inducedPD and pristane-induced arthritis (PIA) interaction in mice. Higher severity PD in the genetically inflammation prone acute inflammatory reactivity maximum (AIRmax) mice strain was associated with higher levels of TNF-a, IL-1b, IL-17, matrix metalloproteinase (MMP)-13, and RANKL, whereas PD/PIA co-induction resulted in even higher levels of IL-1b, IFN-g, IL-17, RANKL, and MMP-13 levels. Conversely, PD/PIA co-induction in AIRmin strain did not alter the course of both pathologies. PIA/PD co-induction resulted in altered expression of T-cell subsets transcription factors expression, with T-bet and RORg levels being upregulated, whereas GATA-3 levels were unaltered. Interestingly, PIA induction resulted in alveolar bone loss, such response being highly dependent on the presence of commensal oral bacteria. No differences were found in PIA severity parameters by PD co-induction. Our results show that the interaction between experimental PD and arthritis in mice involves a shared hyper-inflammatory genotype and functional interferences in innate and adaptive immune responses.