京都大学 / 0048 / 新制・課程博士 / 博士(理学) / 甲第22297号 / 理博第4611号 / 新制||理||1661(附属図書館) / 京都大学大学院理学研究科生物科学専攻 / (主査)教授 高田 昌彦, 教授 中村 克樹, 教授 濱田 穣 / 学位規則第4条第1項該当 / Doctor of Science / Kyoto University / DGAM

Foram avaliadas algumas propriedades físico-químicas, como o pH, liberação de íons cálcio, tempo de presa, solubilidade e radiopacidade de 3 cimentos a base do agregado de trióxido mineral, clínquer do cimento Portland e um epóxico experimental. Foram avaliados os cimentos MTA Angelus branco, MTA Bio, cimentos experimentais, MTA fotopolimerizável e Sealepox RP e o Clínquer de cimento Portland acrescido de 20% de óxido de bismuto e 5% de sulfato de cálcio. Para as avaliações do pH e da liberação de íons cálcio foram utilizados tubos de polietileno com 1,0 mm de diâmetro interno e 10,0 mm de comprimento, com apenas uma das extremidades aberta. Esses tubos foram preenchidos com os cimentos e imediatamente imersos em tubos de ensaio contendo 10 mL de água deionizada, onde permaneceram durante todo o período experimental. Realizaram-se avaliações nos períodos de 3, 24, 72 e 168 horas, sempre se renovando a água deionizada ao final de cada período. Os ensaios de tempo de presa, solubilidade e radiopacidade, foram realizados conforme a norma #57 da ADA. Em relação ao tempo de presa, também foi utilizada a agulha de Gilmore de 453,6 g, para a presa final, conforme recomenda a norma #C266-03 da ASTM. Os resultados demonstraram que todos os cimentos apresentaram pH alcalino e liberaram íons cálcio em todos os períodos, com tendência de redução nos períodos finais. Quanto aos tempos de presa, os cimentos MTA Angelus branco e o cimento experimental MTA Bio apresentaram os menores tempos. Já o Clínquer apresentou valores intermediários, e o Sealepox RP, apresentou os tempos mais longos. O cimento MTA fotopolimerizável, por suas características próprias, não foi submetido a esse teste. Em relação ao ensaio de solubilidade, o cimento que mais se aproximou das recomendações da ADA, foi o Sealepox RP, com valores próximos a 1%, enquanto que os cimentos MTA Angelus branco, MTA Bio e o Clínquer acrescido ao radiopacificador e sulfato de cálcio apresentaram valores maiores. O MTA fotopolimerizável apresentou valores menores. Em relação à radiopacidade, a maioria dos cimentos estudados apresentou valores superiores à da dentina, com resultados semelhantes entre si, com exceção do MTA fotopolimerizável, que apresentou valor próximo ao da dentina. / Some properties had been evaluated physicochemical, such as pH, release of calcium ions, setting time, solubility and radiopacity of 3 retrograde filling the base of the aggregate of mineral trioxide, to clínquer of the Portland cement and an experimental epoxy sealer. Experimental cements MTA white Angelus, MTA Bio, light-curing MTA and Sealepox RP and the Clínquer of cement Portland increased of 20% of bismuth oxide and 5% of calcium sulphate had been evaluated. For the evaluations of pH and the release of calcium ions had been used polyethylene pipes with 1,0 mm of internal diameter and 10,0 mm of length, with only one of the extremities open. These pipes had been filled with cements and immediately immersed in pipes of 10 assay I contend mL of distilled water, where they had remained all during the experimental period. Evaluations in the periods of 3, 24, 72 and 168 hours, always if renewing the distilled water to the end of each period. The assays of setting time, solubility and radiopacity, had been carried through in agreement the norm #57 of the ADA. In relation to the setting time, also g was used the needle of Gilmore of 453,6, for the final canine tooth, as it recommends to the norm #C266-03 of the ASTM. The results had demonstrated that all the cements had presented pH alkaline and had liberated calcium ions in all the periods, with trend of reduction in the final periods. How much to the setting time, cements MTA white Angelus and experimental cement MTA Bio had presented the lesser times. Already the Clínquer presented intermediate values, and Sealepox RP, presented the times longest. Light-curing cement MTA, by its proper characteristics, was not submitted to this test. In relation to the solubility assay, the cement that more was come close to the recommendations of the ADA, was Sealepox RP, with next values 1%, whereas cements MTA white Angelus, MTA Bio and the Clínquer increased to the bismuth oxide and calcium sulphate had presented bigger values. The light-curing MTA presented less resulted . In relation to the radiopacity, the majority of studied cements presented more values to the one of the dentine, with similar results between itself, exception of the light-curing MTA, that presented value next to the one to the dentine.

名古屋大学年代測定総合研究センターシンポジウム報告

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Foram avaliadas algumas propriedades físico-químicas, como o pH, liberação de íons cálcio, tempo de presa, solubilidade e radiopacidade de 3 cimentos a base do agregado de trióxido mineral, clínquer do cimento Portland e um epóxico experimental. Foram avaliados os cimentos MTA Angelus branco, MTA Bio, cimentos experimentais, MTA fotopolimerizável e Sealepox RP e o Clínquer de cimento Portland acrescido de 20% de óxido de bismuto e 5% de sulfato de cálcio. Para as avaliações do pH e da liberação de íons cálcio foram utilizados tubos de polietileno com 1,0 mm de diâmetro interno e 10,0 mm de comprimento, com apenas uma das extremidades aberta. Esses tubos foram preenchidos com os cimentos e imediatamente imersos em tubos de ensaio contendo 10 mL de água deionizada, onde permaneceram durante todo o período experimental. Realizaram-se avaliações nos períodos de 3, 24, 72 e 168 horas, sempre se renovando a água deionizada ao final de cada período. Os ensaios de tempo de presa, solubilidade e radiopacidade, foram realizados conforme a norma #57 da ADA. Em relação ao tempo de presa, também foi utilizada a agulha de Gilmore de 453,6 g, para a presa final, conforme recomenda a norma #C266-03 da ASTM. Os resultados demonstraram que todos os cimentos apresentaram pH alcalino e liberaram íons cálcio em todos os períodos, com tendência de redução nos períodos finais. Quanto aos tempos de presa, os cimentos MTA Angelus branco e o cimento experimental MTA Bio apresentaram os menores tempos. Já o Clínquer apresentou valores intermediários, e o Sealepox RP, apresentou os tempos mais longos. O cimento MTA fotopolimerizável, por suas características próprias, não foi submetido a esse teste. Em relação ao ensaio de solubilidade, o cimento que mais se aproximou das recomendações da ADA, foi o Sealepox RP, com valores próximos a 1%, enquanto que os cimentos MTA Angelus branco, MTA Bio e o Clínquer acrescido ao radiopacificador e sulfato de cálcio apresentaram valores maiores. O MTA fotopolimerizável apresentou valores menores. Em relação à radiopacidade, a maioria dos cimentos estudados apresentou valores superiores à da dentina, com resultados semelhantes entre si, com exceção do MTA fotopolimerizável, que apresentou valor próximo ao da dentina. / Some properties had been evaluated physicochemical, such as pH, release of calcium ions, setting time, solubility and radiopacity of 3 retrograde filling the base of the aggregate of mineral trioxide, to clínquer of the Portland cement and an experimental epoxy sealer. Experimental cements MTA white Angelus, MTA Bio, light-curing MTA and Sealepox RP and the Clínquer of cement Portland increased of 20% of bismuth oxide and 5% of calcium sulphate had been evaluated. For the evaluations of pH and the release of calcium ions had been used polyethylene pipes with 1,0 mm of internal diameter and 10,0 mm of length, with only one of the extremities open. These pipes had been filled with cements and immediately immersed in pipes of 10 assay I contend mL of distilled water, where they had remained all during the experimental period. Evaluations in the periods of 3, 24, 72 and 168 hours, always if renewing the distilled water to the end of each period. The assays of setting time, solubility and radiopacity, had been carried through in agreement the norm #57 of the ADA. In relation to the setting time, also g was used the needle of Gilmore of 453,6, for the final canine tooth, as it recommends to the norm #C266-03 of the ASTM. The results had demonstrated that all the cements had presented pH alkaline and had liberated calcium ions in all the periods, with trend of reduction in the final periods. How much to the setting time, cements MTA white Angelus and experimental cement MTA Bio had presented the lesser times. Already the Clínquer presented intermediate values, and Sealepox RP, presented the times longest. Light-curing cement MTA, by its proper characteristics, was not submitted to this test. In relation to the solubility assay, the cement that more was come close to the recommendations of the ADA, was Sealepox RP, with next values 1%, whereas cements MTA white Angelus, MTA Bio and the Clínquer increased to the bismuth oxide and calcium sulphate had presented bigger values. The light-curing MTA presented less resulted . In relation to the radiopacity, the majority of studied cements presented more values to the one of the dentine, with similar results between itself, exception of the light-curing MTA, that presented value next to the one to the dentine.

Orientador: Francisco Jose de Souza Filho / Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba / Made available in DSpace on 2018-08-04T11:46:55Z (GMT). No. of bitstreams: 1 SouzaFilho_AdelmoMoraesde_D.pdf: 952695 bytes, checksum: b963a86dc214923748fe9bccb4881a3f (MD5) Previous issue date: 2005 / Resumo: Este estudo retrospectivo avaliou a porcentagem de sucesso/insucesso de 76 (setenta e seis) casos de cirurgia parendodôntica com o emprego de técnicas microcirúrgicas e retrobturação com o ionômero resinoso Geristore como material retrobturador, e operados por um único cirurgião. O tempo de observação variou entre um e quatro anos. O critério de avaliação radiográfica foi o de Molven et al. (1987), complementado por avaliações clínicas. Os casos foram considerados sucesso quando classificados como reparo completo ou reparo incompleto (cicatriz fibrosa) e o exame clínico não indicava qualquer sinal ou sintoma de inflamação. Os dados obtidos foram avaliados estatisticamente pelo teste exato de Fisher e a concordância entre os avaliadores verificada pelo teste de Kappa. Os seguintes fatores relevantes em relação ao sucesso foram analisados: indicação cirúrgica, presença de retratamento endodôntico, grupo dental e tempo de avaliação. O índice geral de sucesso foi de 92,2%. Dos fatores analisados, pôde-se observar que houve estabilidade dos resultados considerados como sucesso; não houve diferença estatisticamente significativa entre os índices de sucesso obtido em raízes retratadas endodônticamente e as não retratadas; não houve diferença estatisticamente significativa entre os índices de sucesso obtidos em casos de reoperação e casos operados pela primeira vez e não houve diferença estatisticamente significativa entre os grupos dentais analisados. Tendo em vista o alto índice de sucesso e estabilidade dos resultados obtidos, pôde-se concluir que a adoção de critérios rigorosos de indicação cirúrgica, o emprego do ionômero resinoso Geristore como material retrobturador em conjunto com técnicas microcirúrgicas irão resultar em alto índice de sucesso nas cirurgias parendodônticas, sendo uma boa alternativa para esta modalidade cirúrgica / Abstract: Retrospective observations were made on the success rate of endodontic surgery with microsurgical techniques using the resin ionomer Geristore as root-end filling material. Seventy-six cases were treated by one surgeon between 1999 and 2003. For inclusion in this retrospective study, a follow-up examination at 12 months minimum was required. The radiographic findings were evaluated separately by two independent clinicians using the evaluative criteria of Molven et al. (1987). Radiographic diagnosis was complemented by clinical evaluations in which the presence or absence of signs and symptoms indicative of inflamation were observed. Cases were considered successful when the radiographic assessment showed complete healing or incomplete healing (scar tissue) and the absence of signs or symptoms. The data obtained by these evaluations were submitted to Fisher¿s exact test and the agreement between the observers verified by Kappa¿s test. The following factors were analyzed: surgical indication, status of endodontic re-treatment, tooth type, and observation period. The final success rate was 92.2%. The results of cases classified as successful were considered stable, there was no statistically significant difference between endodontically re-treated and non re-treated teeth, there was no statistically significant difference between the success rates of cases subject to re-surgery and cases surgically treated for the first time; there was no statistically significant difference among the analyzed tooth types. The high success rate and the stability of successful cases observed in this study suggest that the combination of microsurgical techniques, the observance of strict indication criteria and the use of the resin ionomer Geristore as retrofilling material will result in predictable prognosis and in a high success rate of apical surgery / Doutorado / Endodontia / Doutor em Clínica Odontológica

Objetivo: Determinar la eficacia y seguridad de la técnica de doble guía en pacientes con canulación difícil durante una CPRE. Materiales y métodos: El presente estudio se realizó, entre el mes de enero del 2015 y julio del 2016. Se procedió a sintetizar la data, de éxito y complicaciones de la TDG en pacientes con canulación difícil y cuando la inserción de la guía en el conducto pancreático fue hecha involuntariamente después de una técnica estándar. Resultados: 24 pacientes sometidos a una CPRE con TDG; 17 fueron mujeres (70,8%) y 7 varones (29,2%). La edad promedio fue 65,21±16,49 años. La indicación más frecuente fue coledocolitiasis en 62,5 %, luego colangiocarcinoma, 12,5 %. El diagnóstico final post CPRE, fue coledocolitiasis en 45,8%, seguido por fibrosis de papila, 29,2%. El éxito de la técnica de la doble guía fue de 87,5%. Hubo 3 casos de canulación frustra con la TDG, dos pacientes presentaron pancreatitis post CPRE (8,3%), no hubo casos de perforaciones. Conclusiones: La TDG es una alternativa eficaz a la CPRE catalogada como de canulación difícil por técnica convencional, sea cual fuere la etiología, con un alto porcentaje de éxito técnico y con una tasa baja de pancreatitis post CPRE, semejante a la reportada en otros países. / Objective: To determine the efficacy and safety of double guidewire technique in patients with difficult biliary cannulation during ERCP. Materials and methods: We conducted a retrospective cohort study of all ERCPs performed between January 2015 and July 2016. DGT was performed in patients for whom biliary cannulation was difficult and guidewire insertion into the pancreatic duct (PD) was inadvertently achieved while attempting the standard WGC technique. Results: 24 patients were enrolled with ERCP and DGT; 17 were female (70.8%) and 7 male (29.2%). The average age was 65.21±16.49 years. The most frequent indication was choledocholithiasis (62.5%), then cholangiocarcinoma (12.5%). Post ERCP diagnosis was choledocholithiasis (45.8%), and papillary fibrosis (29.2%). The success of DGT was 87.5%. Three cases of failure cannulation with the DGT were reported, two patients had pancreatitis post ERCP (8.3%), there were no cases of perforations. Conclusions: TDG, is an effective alternative to difficult biliary cannulation during ERCP with conventional methods; with a high success rate and low rate of post ERCP pancreatitis, similarly to reported in other countries.

The Epidermal Growth Factor Receptor (EGFR) is associated with a variety of cancers, including brain, lung, cervix, renal and breast. It is part of a family of receptors known as the ErbB receptors (ErbB1/EGFR, ErbB2/HER2, ErbB3/HER3, and ErbB4/HER4), transmembrane proteins found on epithelial cells responsible for a multitude of signaling events. In cancers, EGFR is frequently mutated or improperly expressed, upregulated in more than 50 percent of basal-like cancers. Mutations commonly promote constitutive activation or increase receptor recycling. In basal-like breast cancers such as triple negative breast cancer (TNBC), named for the lack of hormone receptors (estrogen and progesterone) and the HER2 receptor, EGFR is highly upregulated and associated with a variety of oncogenic activity, including increased proliferation and migration, and inhibition of cell death. Changes in these pathways are predicated on altered trafficking and activation of EGFR, events driven by variation in stimuli and interacting partners, such as other ErbB family members or oncogenic adaptor proteins such as MUC1, a member of the mucin family. In TNBC, upon stimulus with epidermal growth factor (EGF), EGFR colocalizes with MUC1 in intracellular vesicles distributed throughout the cytoplasm. These intracellular vesicles are associated with early endosomes, as indicated by the presence of early endosome antigen 1 (EEA1). Association with MUC1 prolongs the presence of EGFR in these vesicles, as EGFR's stay is significantly reduced in cells lacking MUC1. Retention in these vesicles by MUC1 inhibits trafficking of EGFR to the lysosome for degradation and is also associated with an increase in EGF-dependent migratory ability. Introduction of late endosome inhibitors (thereby preventing lysosomal targeting) increases migration in the absence of MUC1, the same effect as in the presence of MUC1. Further, inhibition of retrograde trafficking significantly decreases the rate of migration and changes cellular distribution of filopodia corresponding to migratory ability in MUC1-containing cells. Taken together, these data indicate that MUC1 is responsible for altering EGFR trafficking by retaining EGFR in EEA1-positive vesicles for prolonged periods, allowing for increased signal transduction through retrograde trafficking of EGFR and structural reorganization promoting a migratory phenotype. Loss of the polarity protein Llgl1 is associated with alterations in EGFR trafficking, promoting highly diffuse EGFR distribution throughout the cytoplasm versus along basolateral membranes. These changes in trafficking are also associated with increases in AKT and dual-phosphorylated-ERK signal transduction, both downstream targets of activated EGFR. Altering localization of EGFR to other membranes and intracellular vesicles without inducing polarity loss through a point mutation at amino acid 667 was found to also upregulate the AKT pathway. Mislocalization driven by polarity loss or point mutation in the basolateral targeting domain is sufficient to increase migration speeds of non-cancerous epithelial cell lines in vitro. This increased oncogenic activity is likely attributed to increased nuclear localization of the transcription factor TAZ (transcription co-activator with a PDZ-binding domain), whose nuclear translocation is associated with increased stem-like properties such as migration and survival. Together, these data reveal the oncogenic potential caused by alterations in EGFR trafficking that occur when polarity is lost or EGFR is improperly associated with proteins that promote changes to canonical EGFR localization and degradation, such as MUC1.

Endoscopic retrograde cholangiopancreatography (ERCP) is an invasive procedure with significant complications. Splenic hematoma is an extremely rare but known complication following ERCP that has been increasingly reported in the past several years. We report the case of a 44-year-old patient with a history of sleeve gastrectomy who underwent an ERCP that was complicated by both acute pancreatitis and splenic hematoma. She was managed conservatively under close monitoring in the intensive care unit. Clinicians should be aware of this potentially life-threatening complication to make a prompt diagnosis and begin early appropriate management.

This study demonstrates the direct delivery of plasmid gene constructs into spinal motor neurons utilizing retrograde axoplasmic transport. The plasmid vectors contained the Lac Z gene under the control of both the Rous sarcoma virus (RSV) and Simian virus (SV)40 promoters. β-Galactosidase expression was observed in α and γ motor neurons by histochemical staining following direct injection into the sciatic nerve or gastrocnemius muscle. The presence of LacZ gene constructs was confirmed by the polymerase chain reaction (PCR). The ability to introduce gene constructs into motor neurons allows for the study of gene regulation and permits the development of gene therapy strategies for motor neuron diseases including the spinal muscular atrophies (SMA) and amyotrophic lateral sclerosis (ALS).