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  • Aseptic loosening  (1)
  • Key words. Amyloidosis; protein misfolding; lysozyme; β2-microglobulin; apolipoprotein AI; transthyretin; β protein.  (1)
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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Cellular and molecular life sciences 55 (1999), S. 977-991 
    ISSN: 1420-9071
    Keywords: Key words. Amyloidosis; protein misfolding; lysozyme; β2-microglobulin; apolipoprotein AI; transthyretin; β protein.
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Medicine
    Notes: Abstract. The physiological metabolism of proteins guarantees that different cellular compartments contain the appropriate concentration of proteins to perform their biological functions and, after a variable period of wear and tear, mediates their natural catabolism. The equilibrium between protein synthesis and catabolism ensures an effective turnover, but hereditary or acquired abnormalities of protein structure can provoke a premature loss of biological function, an accelerated catabolism and diseases caused by the loss of an irreplaceable function. In certain proteins, abnormal structure and metabolism are associated with a strong tendency to self-aggregation into a polymeric fibrillar structure, and in these cases the disease is not principally caused by the loss of an irreplaceable function but by the action of this new biological entity. Amyloid fibrils are an apparently inert, insoluble, mainly extracellular protein polymer that kills the cell without tissue necrosis but by activation of the apoptotic mechanism. We analyzed the data reported so far on the structural and functional properties of four prototypic proteins with well-known biological functions (lysozyme, transthyretin, β2-microglobulin and apolipoprotein AI) that are able to create amyloid fibrils under certain conditions, with the perspective of evaluating whether the achievement of biological function favors or inhibits the process of fibril formation. Furthermore, studying the biological functions carried out by amyloid fibrils reveals new types of protein-protein interactions in the transmission of messages to cells and may provide new ideas for effective therapeutic strategies.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-1068
    Keywords: Aseptic loosening ; Hip prosthesis ; Hydroxyapatite ; Descellement aseptique ; Prothèse de hanche ; Hydroxyapatite
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé Vingt prothèses totales de hanche présentant un descellement fémoral aseptique de stade III ou IV ont été reprises par une tige fémorale sans ciment personnalisée revêtue d'hydroxyapatite. Une greffe fémorale a été associée dans la moitié des cas. A deux ans de recul moyen : - 15 prothèses sont restées parfaitement stables,- 4 ont présenté un enfoncement modéré, inférieur à 0,5 cm ; - 1 cas enfin représente un échec de fixation avec migration évolutive de 1,5 cm. Les greffes osseuses semblent s'être assimilées préférentiellement lorsqu'elles étaient placées en situation endostée. Les résultats cliniques furent favorables puisque le score moyen selon la cotation de Merle d'Aubigné est passé de 8,4 en préopératoire à 14,4 au dernier contrôle. Deux fractures peropératoires du fémur n'ont pas compromis le résultat final. La conception de la tige fémorale personnalisée assistée par ordinateur semble avoir amélioré la stabilité primaire dans des fémurs trés remaniés et le revêtement d'hydroxyapatite a paru induire une ostéo intégration assez rapide. Toutefois, la qualité de ces résultats préliminaires ne saurait préjuger de l'avenir et un recul supérieur est nécessaire pour des conclusions définitives.
    Notes: Abstract Twenty total hip arthroplasties with stage III and IV aseptic femoral loosening were revised with a custom cementless hydroxyapatite coated femoral component. A femoral graft was used in 50% of the cases. At an average of two years follow up: - 15 prosthesis remained perfectly stable; - 4 exibited slight early and non progressive subsidence less than 0.5 cm; - finally one case is a failure with progressive migration of 1.5 cm. The bonegrafts seemed to be preferentially incorporated in the endosteal situation. The clinical results were favourable since the average score according to the Merle d'Aubigné hip scale was improved from 8.4 before operation to 14.4 at the last check-up. Two intra operative femoral fractures have not jeopardized the final result. The conception of the computerdesigned custom-made femoral stem seemed to improve the primary stability in very altered femorae and the hydroxyapatite coating has seemed to induce rather quick bony integration. Nervertheless, the quality of these preliminary results cannot prejudge the future and a longer follow up is required for definitive conclusions.
    Type of Medium: Electronic Resource
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