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  • 1
    ISSN: 1546-1718
    Source: Nature Archives 1869 - 2009
    Topics: Biology , Medicine
    Notes: [Auszug] Ossification of the posterior longitudinal ligament of the spine (OPLL) is a common form of human myelopathy caused by a compression of the spinal cord by ectopic ossification of spinal ligaments. To elucidate the genetic basis for OPLL, we have been studying the ttw (tiptoe walking; previously ...
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-1203
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Medicine
    Notes: Abstract OPLL (ossification of the posterior longitudinal ligament of the spine) is a common form of human myelopathy with a prevalence of as much as 4% in a variety of ethnic groups. To clarify the genetic factors that predispose to OPLL, we have studied ttw (tiptoe walking), a mouse model that presents ectopic ossification of the spinal ligaments similar to OPLL and have found that the ttw phenotype is caused by the nonsense mutation of the gene encoding nucleotide pyrophosphatase (NPPS), a membrane-bound glycoprotein thought to produce inorganic pyrophosphate, a major inhibitor of calcification and mineralization. To investigate a possible role of NPPS in the etiology of OPLL, we have examined its genetic variations in OPLL patients. A total of 323 OPLL patients was screened by means of polymerase chain reaction/single-strand conformation polymorphism analysis covering all the exons and their surrounding introns, plus about 1.5-kb of the promoter region. We identified ten nucleotide variations in the NPPS gene; five of the alterations caused amino-acid substitutions, and two of them were found specifically in OPLL patients. Subsequently, we performed an association study using these variations and found a significant association of an allele, viz., a deletion of T at a position 11 nucleotides upstream from the splice acceptor site of intron 20 (IVS20–11delT), with OPLL; the proportion of the individuals having this deletion was significantly higher (P = 0.0029) in OPLL patients than in controls, indicating that those who have this variation may be more susceptible to the abnormal ossification of the spinal ligaments. Thus, our study suggests that NPPS plays an important role in the etiology of human OPLL.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1435-5604
    Keywords: Osteoporosis ; Ipriflavone ; Bone mineral density ; DXA ; Pedometry
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Changes in bone mineral density were studied by dual energy x-ray absorptiometry (DXA) in 18 middle-aged and elderly females with osteoporosis who were under long-term treatment with ipriflavone (600 mg daily). Activities of daily living (ADL) were concurrently assessed by pedometry. Analysis revealed distinct inhibition of decreased bone mass in lumbar total (L1–L4) and hip-total. Patients 60 years of age or older who received continuous treatment for 36 weeks showed significantly increased bone mass in lumbar vertebrae L4. In patients with above-average rises in bone mass, a tendency to increased bone mass was already evident after 12 weeks of treatment when ambulation was maintained at over 3000 steps/day, thereby indicating that care should be taken in maintaining high levels of ADL to promote drug efficacy.
    Type of Medium: Electronic Resource
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  • 4
    ISSN: 1435-5604
    Keywords: Collagen ; Bone cell ; Hyperostosis ; Twy mouse
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The twy (tiptoe-walking-Yoshimura) mouse is a mutant having a systemic hyperostotic disposition. Osseous overgrowth occurs not only in the spine but also in other skeletal tissues including the calvarium. To clarify the pathogenic mechanism of hyperostotic lesions, bone cells were cultured from twy and normal mouse calvariae to analyze the growth and extracellular matrix production in both genotypes. The cultures of osteoblast-enriched cells were established by explant procedure. The cells of the twy genotype showed accelerated growth and elevated levels of collagen synthetic activity compared to normal cells. However, no significant difference was noted in noncollagenous protein synthesis between the two genotypes. Furthermore, the mutant cells maintained these abnormal functions during several cell passagesin vitro. These results indicated that an unusual phenotype of twy bone cells distinguished by accelerated growth and selective stimulation of collagen production may play a major role in the development of hyperostotic lesions in twy micein vivo.
    Type of Medium: Electronic Resource
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  • 5
    ISSN: 1435-5604
    Keywords: Key words: low-calcium hemodialysate, bone metabolism, bone mineral density, bone metabolic marker
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract: In the present study, we investigated the kinetics of bone metabolism by determining serum bone metabolic markers and quantifying bone mineral density by dual-energy X-ray absorptiometry to clarify the effect of long-term use of low-calcium hemodialysate on bone metabolism. After changing the calcium concentration in the dialysate from 3.0 mEq/l to 2.5 mEq/l, serum intact parathyroid hormone level, serum highly sensitive parathyroid hormone level, and serum bone metabolic markers were determined in ten patients with chronic nondiabetic renal insufficiency during 1 year. The doses of an oral phosphate binder and activated vitamin D were carefully regulated to control serum ionized calcium levels and serum inorganic phosphorus levels. Bone mineral density was determined at the distal 1/3 and 1/6 of the radius on the nonshunt side. As a result, the required amount of oral phosphate binder was increased; however, there was no need to significantly increase the amount of activated vitamin D. Intact parathyroid hormone showed no significant variation, but the highly sensitive parathyroid hormone was significantly increased. There were no significant changes in any bone metabolic markers or in bone mineral density. From these study results, it was found that it was difficult to increase the dose of activated vitamin D even if low-calcium hemodialysate was used, and that during use of the low-calcium hemodialysate the serum level of parathyroid hormone tended to increase but led to neither acceleration of bone turnover nor a decrease in bone mineral density.
    Type of Medium: Electronic Resource
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  • 6
    Electronic Resource
    Electronic Resource
    Springer
    Journal of bone and mineral metabolism 17 (1999), S. 301-307 
    ISSN: 1435-5604
    Keywords: Key words: Cushing's disease ; Ehlers ; Danlos syndrome ; Charcot's spine ; cervical kyphosis ; anterior vascularized spine fusion
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 7
    ISSN: 1618-2650
    Source: Springer Online Journal Archives 1860-2000
    Topics: Chemistry and Pharmacology
    Notes: Summary A HPLC method using a fluorescence detector is described for the determination of halogenated benz(a)anthracenes (BAX, x=Cl or Br) in water. It consists of the following three procedures; (1) liquid-liquid extraction of BAX with benzene, (2) elimination of interfering compounds from the extracts by one dimensional dual-band thin layer chromatography, and (3) quantitative determination of BAX by HPLC equipped with a fluorescence detector. The recoveries of BAX from water samples through the entire analytical procedure amounted to more than 72%. The calibration curves for BAX were linear, e.g., with a range from 1 to 20 ng ml−1 for 7-chlorobenz(a)anthracene (BACl). The lower detection limit for BACl was 20 pg for an injection volume of 20 μl. This method has been applied to BAX in river water spiked with benz(a)anthracene [B(a)A] at 10 ng ml−1 after chlorination. B(a)A, BACl and BABr were found in the levels of 2.01, 0.16 and 0.13 or less ng ml−1, respectively.
    Type of Medium: Electronic Resource
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  • 8
    ISSN: 1432-1777
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Medicine
    Type of Medium: Electronic Resource
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  • 9
    Electronic Resource
    Electronic Resource
    Hoboken, NJ [u.a.] : Wiley-Blackwell
    Journal of Orthopaedic Research 5 (1987), S. 14-22 
    ISSN: 0736-0266
    Keywords: Bone pathology ; Bone screws ; Fracture internal fixation ; Histological techniques ; Osteoporosis, etiology ; Osteoporosis, prevention ; Life and Medical Sciences
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: The healing patterns of trabecular bone are different from those of compact bone. In order to investigate further this observation, a histomorphometric assessment was undertaken. The influence of internal fixation devices on trabecular bone healing was also studied. Intercondylar osteotomies were produced in 19 dogs and fixed with screws. All dogs were killed between 1 and 14 weeks; eight of them had the screws removed 4 weeks after osteotomy and were killed 4 or 10 weeks later. The results of morphometry were compared to the histologic and radiologic pictures. Anatomic reduction with stable fixation led to contact healing characterized by a narrow endosteal bone formation at the osteotomy site that disappeared only after union was complete (4 weeks). In gap healing, the endosteal bone formation was greater. Internal fixation devices appeared to cause a diffuse osteopenia once union was complete. Their removal just after completion of union seems to prevent the bone loss. Screws induced bone formation around their threads; after they were removed, the reaction disappeared but the screw holes were not filled with normal trabeculate 10 weeks later. Union of fractures through trabecular bone can be assessed radiologically. A decrease of band-like bone density at the fracture site indicates completion of union. This is the optimal time for implant removal. It prevents the osteopenia observed in cases of continuous presence of screws.
    Additional Material: 8 Ill.
    Type of Medium: Electronic Resource
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