Caribbean maitotoxin elevates [Ca(2+)]i and activates non-selective cation channels in HIT-T15 cells.

AIM: To investigate the cytotoxic mechanism of caribbean maitotoxin (MTX-C) in mammalian cells. METHODS: We used whole-cell patch-clamp techniques and fluorescence calcium imaging to determine the cellular toxic mechanisms of MTX-C in insulin secreting HIT-T15 cells, which is a system where the effects of MTX have been observed. HIT-T15 cells stably express L-type calcium current, making it a suitable model for this study. Using the fluorescence calcium indicator Indo-1 AM, we found that there is a profound increase in HIT-T15 intracellular free calcium 3 min after application of 200 nmol/L MTX-C. RESULTS: About 3 min after perfusion of MTX-C, a gradual increase in free calcium concentration was observed. This elevation was sustained throughout the entire recording period. Application of MTX-C did not elicit the L-type calcium current, but large cationic currents appeared after applying MTX-C to the extracellular solution. The current-voltage relationship of the cation current is approximately linear within the voltage range from -60 to 50 mV, but flattened at voltages at -80 and -100 mV. These results indicate that MTX-C induces a non-voltage activated, inward current under normal physiological conditions, which by itself or through a secondary mechanism results in a large amount of cationic influx. The biophysical mechanism of MTX-C is different to its isoform, pacific maitotoxin (MTX-P), when the extracellular calcium is removed. CONCLUSION: We conclude that MTX-C causes the opening of non-selective, non-voltage-activated ion channels, which elevates level of intracellular calcium concentration and leads to cellular toxicities.

[Relationship between condylar marrow signal abnormalities and temporomandibular joint internal derangement].

OBJECTIVE: To investigate the relationship between condylar marrow signal abnormalities and temporomandibular joint internal derangement (TMJID). METHODS: Oblique sagittal T1 weighted MR imaging at closed and open mouth and Oblique sagittal T2 weighted MR imaging at closed mouth were obtained from 88 joints of 44 patients suffering from TMD. Condylar marrow signal abnormalities were reviewed and classified into bone marrow edema pattern (hypointense T1, hyperintense T2), sclerosis pattern (hypointense T1 and hypointense T2) and combined edema and sclerosis pattern. RESULTS: Of 88 joints, 13 (14.8%) joints showed condylar marrow signal abnomalities, among which 11 belonged to edema pattern and, 1 was sclerosis pattern and the other was the combined patten. Of 13 joints with condylar marrow signal abnomalities, 11 (84.6%) had TMJID. Of 75 joints with normal marrow signal, 25 (33.3%) joints had TMJID. There was significant correlation between condylar marrow signal abnormalities and TMJID (P < 0.05). CONCLUSION: Disc displacement is one of the factors inducing condylar marrow signal abnormalities. The pathological process from disc displacement to osteonecrosis requires further study.

[Relationship between condylar marrow signal abnormalities and temporomandibular joint pain].

PURPOSE: To investigate the relationship between condylar marrow signal abnormalities and joint pain. METHODS: Oblique sagittal T1 and T2 weighted MR imaging at closed mouth was obtained from 88 joints of 44 patients who complained of unilateral TMJ pain. The condylar marrow signal of pain-free side served as self-control. All patients rated their pain levels by a visual analogue scale (VAS). RESULTS: Of 44 painful joints, 11(25% joints showed condylar marrow signal abnormalities, all of which were edema pattern. While there had condylar marrow signal abnormalities only in 2 (4.5%) of 44 pain-free TMJs. There was significant correlation between joint pain and condylar marrow signal abnormalities (P<0.01). The VAS score of patients with and without condylar marrow signal abnormalities was respectively 39.5+/-27.5 and 42.6+/-21.9, There was no correlation between them (P=0.696). CONCLUSION: Temporomandibular joint pain is closely correlated with condylar marrow signal abnormalities, but the pain degree has no association with it.