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1.
Ned Tijdschr Tandheelkd ; 127(12): 671-676, 2020 Dec.
Article in Dutch | MEDLINE | ID: mdl-33367293

ABSTRACT

In this article, the short- and long-term results of two types of functional appliances are discussed regarding their ability to stimulate the mandibular growth at mandibular retrognathia and reduce an increased overjet. Removable functional appliances, or activators, are compared to a fixed functional appliance, the Herbst appliance. The activator, often consisting of an acrylic base, is advised to be worn for 12 to 20 hours a day. The Herbst appliance consists of interconnected bands around the molar- and premolar bands, keeping the mandibula continuously positioned forward by means of hinges or telescopes. In the short-term, both appliances are effective in reducing the overjet, improving the molar-occlusion and reducing the mandibular retrognathia. The comparative literature is inconclusive as to which appliance is more effective on which level, skeletal or dentoalveolar. The removable appliances are more likely to be accepted at a younger age, whilst the fixed appliances are more suitable for the adolescents. The stability of the long-term treatment effects is minimally described in the existing literature. However, the highest stability rate seems to apply to the Herbst appliance. The impact of a widely applied second phase of treatment with fixed appliances, with possible use of intermaxillary class II elastics and retention using functional appliances is barely taken into account.


Subject(s)
Malocclusion, Angle Class II , Orthodontic Appliances, Functional , Adolescent , Bicuspid , Cephalometry , Humans , Mandible
2.
Heredity (Edinb) ; 100(2): 171-7, 2008 Feb.
Article in English | MEDLINE | ID: mdl-17268482

ABSTRACT

The goal of this short review is to consider the interrelated phenomena of phenotypic variation and genetic constraint with respect to plant diversity. The unique aspects of plants, including sessile habit, modular growth and diverse developmental programs expressed at the phytomer level, merit a specific examination of the genetic basis of their phenotypic variation, and how they experience and escape genetic constraint. Numerous QTL studies with wild and domesticated plants reveal that most phenotypic traits are polygenic but vary in the number and effect of the loci contributing, from a few loci of large effects to many with small effects. Further, somatic mutations, developmental plasticity and epigenetic variation, especially gene methylation, can contribute to increases in phenotypic variation. The flip side of these processes, genetic constraint, can similarly be the result of many factors, including pleiotropy, canalization and genetic redundancy. Genetic constraint is not only a mechanism to prevent change, however, it can also serve to direct evolution along certain paths. Ultimately, genetic constraint often comes full circle and is released through events such as hybridization, genome duplication and epigenetic remodeling. We are just beginning to understand how these processes can operate simultaneously during the evolution of ecologically important traits in plants.


Subject(s)
Biological Evolution , Genetic Variation , Plants/genetics , Epistasis, Genetic , Phenotype , Quantitative Trait Loci
3.
Phys Rev E Stat Nonlin Soft Matter Phys ; 65(1 Pt 2): 016603, 2002 Jan.
Article in English | MEDLINE | ID: mdl-11800807

ABSTRACT

The crumpling of a thin sheet can be understood as the condensation of elastic energy into a network of ridges that meet in vertices. Elastic energy condensation should occur in response to compressive strain in elastic objects of any dimension greater than 1. We study elastic energy condensation numerically in two-dimensional elastic sheets embedded in spatial dimensions three or four and three-dimensional elastic sheets embedded in spatial dimensions four and higher. We represent a sheet as a lattice of nodes with an appropriate energy functional to impart stretching and bending rigidity. Minimum energy configurations are found for several different sets of boundary conditions. We observe two distinct behaviors of local energy density falloff away from singular points, which we identify as cone scaling or ridge scaling. Using this analysis, we demonstrate that there are marked differences in the forms of energy condensation depending on the embedding dimension.

4.
Microsc Res Tech ; 52(6): 656-71, 2001 Mar 15.
Article in English | MEDLINE | ID: mdl-11276118

ABSTRACT

In the central nervous system (CNS), the myelin sheath is synthesised by oligodendrocytes as a specialised subdomain of an extended plasma membrane, reminiscent of the segregated membrane domains of polarised cells. Myelination takes place within a relatively short period of time and oligodendrocytes must have adapted membrane sorting and transport mechanisms to achieve such a high rate of myelin synthesis and to maintain the unique organisation of the myelin membrane. In adult life, maintenance of the functional myelin sheath requires a carefully orchestrated balance of myelin synthesis and turnover. Imbalance in these processes may cause dys- or demyelination and disease. This review summarises what is currently known about myelin protein trafficking and mistrafficking in oligodendrocytes. We also present data demonstrating distinct transport pathways for myelin structural proteins and the expression of SNARE proteins in differentiating oligodendrocytes. Myelinating glial cells may well serve as a model system for studying general aspects of membrane trafficking and organisation of membrane domains.


Subject(s)
Cell Membrane/metabolism , Myelin Sheath/metabolism , Oligodendroglia/metabolism , Protein Transport , Animals , Humans , Mice , Rats
5.
J Theor Biol ; 208(4): 387-97, 2001 Feb 21.
Article in English | MEDLINE | ID: mdl-11222044

ABSTRACT

A mathematical model is presented to describe the coupling between the concentration of indole-3-acetic acid (IAA) in the cambial region of a tree branch and the radial expansion of the branch during active growth. The main features of the model are (1) the branch cambium is treated as an approximately cylindrical surface of negligible thickness, (2) the rate of radial growth is proportional to the mass of IAA per unit area on the cambial surface, and (3) IAA is transported basipetally through the cambium at a constant speed. We neglect the role of elastic strains in the determination of branch shape, and the effects of IAA synthesis and metabolization in the cambium, so the model is not quantitatively accurate. However, the model does reproduce several important qualitative features of tree growth including the approximate area-preserving property of tree branch junctions and the ability of a branch to maintain its shape despite perturbations due to injury.


Subject(s)
Indoleacetic Acids/metabolism , Trees/growth & development , Models, Biological , Trees/anatomy & histology
6.
Article in English | MEDLINE | ID: mdl-11088380

ABSTRACT

The phase diagram of parallel, charged spherocylinders is computed. The topology of the diagram is found to be similar to the uncharged one, but there are several qualitative changes. Regions of phase coexistence are significantly narrower and positional ordering is stabilized by the electrostatic repulsions. The nematic phase occupies a very narrow zone. We suggest that soft repulsions between surfactant micelles may be responsible for the absence of a nematic phase in most surfactant systems. We also present comparisons with the observed nematic-smectic phase transition for fd and tobacco mosaic virus particles.


Subject(s)
Inovirus/chemistry , Models, Chemical , Tobacco Mosaic Virus/chemistry , Entropy , Mathematical Computing , Micelles , Osmolar Concentration , Particle Size , Surface-Active Agents/chemistry
7.
J Cell Biol ; 151(1): 143-54, 2000 Oct 02.
Article in English | MEDLINE | ID: mdl-11018060

ABSTRACT

Myelin is a specialized membrane enriched in glycosphingolipids and cholesterol that contains a limited spectrum of proteins. We investigated the assembly of myelin components by oligodendrocytes and analyzed the role of lipid-protein interactions in this process. Proteolipid protein (PLP), the major myelin protein, was recovered from cultured oligodendrocytes from a low-density CHAPS-insoluble membrane fraction (CIMF) enriched in myelin lipids. PLP associated with the CIMF after leaving the endoplasmic reticulum but before exiting the Golgi apparatus, suggesting that myelin lipid and protein components assemble in the Golgi complex. The specific association of PLP with myelin lipids in CIMF was supported by the finding that it was efficiently cross-linked to photoactivable cholesterol, but not to phosphatidylcholine, which is underrepresented in both myelin and CIMF. Furthermore, depletion of cholesterol or inhibition of sphingolipid synthesis in oligodendrocytes abolished the association of PLP with CIMF. Thus, PLP may be recruited to myelin rafts, represented by CIMF, via lipid-protein interactions. In contrast to oligodendrocytes, after transfection in BHK cells, PLP is absent from isolated CIMF, suggesting that PLP requires specific lipids for raft association. In mice deficient in the enzyme ceramide galactosyl transferase, which cannot synthesize the main myelin glycosphingolipids, a large fraction of PLP no longer associates with rafts. Formation of a cholesterol- and galactosylceramide-rich membrane domain (myelin rafts) may be critical for the sorting of PLP and assembly of myelin in oligodendrocytes.


Subject(s)
Cholesterol/metabolism , Galactosylceramides/metabolism , Myelin Proteolipid Protein/metabolism , Myelin Sheath/metabolism , Oligodendroglia/metabolism , Animals , Brain Chemistry , Cell Fractionation/methods , Cholic Acids/pharmacology , Cricetinae , Detergents/pharmacology , Endoplasmic Reticulum/metabolism , Galactosyltransferases/genetics , Glycosylphosphatidylinositols , Golgi Apparatus/metabolism , Hemagglutinin Glycoproteins, Influenza Virus/metabolism , Membrane Microdomains , Mice , Mice, Knockout , Myelin Sheath/drug effects , N-Acylsphingosine Galactosyltransferase , Solubility
9.
J Biol Chem ; 274(41): 29042-9, 1999 Oct 08.
Article in English | MEDLINE | ID: mdl-10506155

ABSTRACT

In many cell types, glycosylphosphatidylinositol (GPI)-anchored proteins are sequestered in detergent-resistant membrane rafts. These are plasma membrane microdomains enriched in glycosphingolipids and cholesterol and are suggested to be platforms for cell signaling. Concomitant with the synthesis of myelin glycosphingolipids, maturing oligodendrocytes progressively associate GPI-anchored proteins, including the adhesion molecules NCAM 120 and F3, in rafts. Here we show that these microdomains include Fyn and Lyn kinases. Both kinases are maximally active in myelin prepared from young animals, correlating with early stages of myelination. In the rafts, Fyn kinase is tightly associated with NCAM 120 and F3. In contrast, in oligodendrocyte progenitor cells lacking rafts or in raft-free membrane domains of more mature cells, F3 does not associate with Fyn. The addition of anti-F3 antibodies to oligodendrocytes results in stimulation of Fyn kinase specifically in rafts. Compartmentation of oligodendrocyte GPI-anchored proteins in rafts is thus a prerequisite for association with Fyn, permitting kinase activation. Interaction of oligodendrocyte F3 with axonal ligands such as L1 and ensuing kinase activation may play a crucial role in initiating myelination.


Subject(s)
Glycosylphosphatidylinositols/metabolism , Myelin Sheath/metabolism , Proto-Oncogene Proteins/metabolism , Animals , Brain/metabolism , Cell Adhesion Molecules, Neuronal/metabolism , Contactins , Cross-Linking Reagents , Glycosphingolipids/metabolism , Mice , Neural Cell Adhesion Molecules/metabolism , Oligodendroglia/metabolism , Proto-Oncogene Proteins c-fyn , Signal Transduction , src-Family Kinases/metabolism
11.
Nature ; 399(6732): 144-8, 1999 May 13.
Article in English | MEDLINE | ID: mdl-10335842

ABSTRACT

Molecular genetic studies in Arabidopsis thaliana and other higher-eudicot flowering plants have led to the development of the 'ABC' model of the determination of organ identity in flowers, in which three classes of gene, A, B and C, are thought to work together to determine organ identity. According to this model, the B-class genes APETALA3 (AP3) and PISTILLATA (PI) act to specify petal and stamen identity. Here we test whether the roles of these genes are conserved throughout the angiosperms by analysing the expression of AP3 and PI orthologues in the lower eudicot subclass Ranunculidae. We show that, although expression of these orthologues in the stamens is conserved, the expression patterns in the petals differ from those found in the higher eudicots. The differences between these expression patterns suggest that the function of AP3 and PI homologues as B-class organ-identity genes is not rigidly conserved among all angiosperms. These observations have important implications for understanding the evolution of both angiosperm petals and the genetic mechanisms that control the identities of floral organs.


Subject(s)
Arabidopsis Proteins , Evolution, Molecular , Genes, Plant , MADS Domain Proteins , Magnoliopsida/genetics , Arabidopsis/genetics , Arabidopsis/growth & development , Blotting, Northern , Blotting, Southern , Cloning, Molecular , Gene Expression , Homeodomain Proteins/genetics , Magnoliopsida/classification , Magnoliopsida/growth & development , Models, Biological , Molecular Sequence Data , Phylogeny , Plant Structures/growth & development , Transcription Factors/genetics
12.
Eur J Neurosci ; 10(10): 3246-56, 1998 Oct.
Article in English | MEDLINE | ID: mdl-9786218

ABSTRACT

The immortalization of progenitor cells from embryonic murine hippocampus using oncogene-carrying retroviral vectors is described. Use of a vector encoding the oncogene v-myc results in lines of nestin-positive progenitor cells. Limited differentiation ensues if the cells are cultured in the presence of dibutyryl cyclic adenosine monophosphate. In contrast, use of a vector in which the extracellular portion of the epidermal growth factor (EGF) receptor is fused to the neu tyrosine kinase generates lines of pluripotential nestin-positive progenitor cells, which differentiate upon withdrawal of EGF into neurons and glia. Differentiated neurons expressing action potentials and neurotransmitter receptors make up a high proportion of the cells. These cell lines are useful tools to investigate the characteristics of differentiating neurons and glia, as well as to screen neuroactive drugs. This work has been reported in preliminary form as an abstract (1996 Society for Neuroscience Abstract, #606.20, p. 1537).


Subject(s)
Neuroglia/cytology , Neurons/cytology , Receptors, Neurotransmitter/biosynthesis , Stem Cells/cytology , Action Potentials/physiology , Animals , Astrocytes/cytology , Blotting, Southern , Calcium Signaling/drug effects , Cell Differentiation/drug effects , Cell Differentiation/physiology , Cell Line , Cell Separation , Cells, Cultured , Electrophysiology , Embryo, Mammalian , Epidermal Growth Factor/pharmacology , ErbB Receptors/genetics , Glycoproteins/genetics , Hippocampus/cytology , Ligands , Mice , Mitosis/drug effects , Mitosis/genetics , Nerve Growth Factors , Neuregulins , Neurotransmitter Agents/pharmacology , Oligodendroglia/cytology , Oncogene Protein p55(v-myc)/biosynthesis , Oncogene Protein p55(v-myc)/genetics , Recombinant Fusion Proteins , Retroviridae/genetics , Sodium Channels/biosynthesis , Transfection
13.
Genetics ; 149(3): 1407-26, 1998 Jul.
Article in English | MEDLINE | ID: mdl-9649530

ABSTRACT

We show by molecular analysis of behavioral and physiological mutants that the Drosophila Dmca1A calcium-channel alpha1 subunit is encoded by the cacophony (cac) gene and that nightblind-A and lethal(1)L13 mutations are allelic to cac with respect to an expanded array of behavioral and physiological phenotypes associated with this gene. The cacS mutant, which exhibits defects in the patterning of courtship lovesong and a newly revealed but subtle abnormality in visual physiology, is mutated such that a highly conserved phenylalanine (in one of the quasi-homologous intrapolypeptide regions called IIIS6) is replaced by isoleucine. The cacH18 mutant exhibits defects in visual physiology (including complete unresponsiveness to light in certain genetic combinations) and visually mediated behaviors; this mutant (originally nbAH18) has a stop codon in an alternative exon (within the cac ORF), which is differentially expressed in the eye. Analysis of the various courtship and visual phenotypes associated with this array of cac mutants demonstrates that Dmca1A calcium channels mediate multiple, separable biological functions; these correlate in part with transcript diversity generated via alternative splicing.


Subject(s)
Calcium Channels/genetics , Drosophila/physiology , Mutation , Sexual Behavior, Animal , Vision Disorders/genetics , Alleles , Amino Acid Sequence , Animals , Calcium Channels/biosynthesis , Calcium Channels/chemistry , Chromosome Mapping , Drosophila/genetics , Electroretinography , Female , Genes, Insect , Genes, Lethal , Genetic Variation , Macromolecular Substances , Male , Molecular Sequence Data , Night Blindness/genetics , Polymerase Chain Reaction , Psychomotor Performance , Sequence Alignment , Sequence Homology, Amino Acid , X Chromosome
14.
Genetics ; 149(2): 765-83, 1998 Jun.
Article in English | MEDLINE | ID: mdl-9611190

ABSTRACT

The specification of floral organ identity in the higher dicots depends on the function of a limited set of homeotic genes, many of them members of the MADS-box gene family. Two such genes, APETALA3 (AP3) and PISTILLATA (PI), are required for petal and stamen identity in Arabidopsis; their orthologs in Antirrhinum exhibit similar functions. To understand how changes in these genes may have influenced the morphological evolution of petals and stamens, we have cloned twenty-six homologs of the AP3 and PI genes from two higher eudicot and eleven lower eudicot and magnolid dicot species. The sequences of these genes reveal the presence of characteristic PI- and AP3-specific motifs. While the PI-specific motif is found in all of the PI genes characterized to date, the lower eudicot and magnolid dicot AP3 homologs contain distinctly different motifs from those seen in the higher eudicots. An analysis of all the available AP3 and PI sequences uncovers multiple duplication events within each of the two gene lineages. A major duplication event in the AP3 lineage coincides with the base of the higher eudicot radiation and may reflect the evolution of a petal-specific AP3 function in the higher eudicot lineage.


Subject(s)
Arabidopsis Proteins , Evolution, Molecular , Genes, Plant , Homeodomain Proteins/genetics , MADS Domain Proteins , Multigene Family , Plant Proteins/genetics , Plant Structures/growth & development , Plant Structures/genetics , Transcription Factors/genetics , Amino Acid Sequence , Solanum lycopersicum/genetics , Molecular Sequence Data , Papaver/genetics , Phylogeny , Plants, Medicinal , Sequence Alignment , Sequence Analysis, DNA , Sequence Homology, Amino Acid
15.
Eur J Clin Nutr ; 51(11): 750-6, 1997 Nov.
Article in English | MEDLINE | ID: mdl-9368809

ABSTRACT

OBJECTIVE: This study assesses intrahousehold allocation of energy in rural Bangladesh and tests the hypothesis that, when daily energy intake is adjusted for energy expenditure, no age or gender bias will be apparent in intrahousehold energy allocation. DESIGN: Data were collected at two-month intervals over a one year study. SETTING: Four villages in Matlab Thana, rural Bangladesh. SUBJECTS: Two hundred and seven children up to 5 y of age and their 145 mothers and 123 fathers. INTERVENTIONS: Data included six measurements of observed 24 h dietary energy intake and physical activity recorded from waking to sleeping. Total daily energy expenditure was derived using the factorial method. RESULTS: Women's energy intake ranged from 75-88% of the FAO/WHO recommended energy intake over the six periods of data collection, significantly less (P < 0.0001) than the men's (range 89-114%). Although the women had moderate levels of physical activity, frequent pregnancies and long lactation periods increased their energy needs. Among children no longer breast fed, energy consumption, unadjusted for energy expenditure, provided 86-108% of the FAO/WHO recommended energy intake by weight. CONCLUSIONS: Women consistently received less of their energy requirements than either their children or their husbands.


PIP: Data collected during 1977-78 in 4 villages in Matlab Thana, Bangladesh, on 207 children under 5 years of age and their 145 mothers and 123 fathers were used to investigate the hypothesis that, when daily energy intake is adjusted for energy expenditure, energy needs are met and no age or gender bias will be evident in intrahousehold energy allocation. During the 12-month study period, data were collected every 2 months on 24-hour dietary energy intake and physical activity. Women's energy intake ranged from 75% to 88% of the Food and Agriculture Organization (FAO)/World Health Organization (WHO) recommended intake, even though their physical activity levels, frequent pregnancies, and long lactation periods increased their energy needs. Men's energy intake ranged from 89% to 114% of the FAO/WHO standard. Among weaned children, energy consumption, unadjusted for energy expenditure, provided 86-108% of the recommended energy intake by weight. The finding that fathers generally met their energy requirements is assumed to reflect their role as producers of the family's food supply. Feeding men during periods of peak agricultural labor demand, even at the expense of lower intakes for their wives and children, may be perceived as essential to the household's survival. Agricultural and income generation programs to increase total energy availability to households, family planning services to diminish the burden of childbearing, and enhanced educational opportunities for women all have the potential to help mothers meet their energy needs.


Subject(s)
Energy Intake , Energy Metabolism , Rural Population , Adult , Bangladesh , Child, Preschool , Female , Humans , Infant , Male , Middle Aged , Nutrition Policy , Seasons , Women's Health
16.
J Biol Chem ; 272(14): 8937-45, 1997 Apr 04.
Article in English | MEDLINE | ID: mdl-9083015

ABSTRACT

The myelin sheath synthesized by oligodendrocytes insulates central nervous system axons and is a specialized subdomain of the plasma membrane, containing a restricted pattern of proteins and lipids. Myelin is enriched in glycosphingolipids and cholesterol, a lipid environment favored by glycosylphosphatidylinositol (GPI)-anchored proteins, which associate with these lipids in detergent-insoluble complexes in many cell types. Since proteins regulating oligodendroglia-neuron interaction are largely unknown and GPI-anchored proteins are often involved in cell-cell interactions, we examined oligodendrocytes and myelin for their expression of these proteins. Oligodendrocyte precursors and maturing oligodendrocytes express a similar pattern of GPI-anchored proteins, which unlike the majority of oligodendrocyte plasma membrane proteins, accumulate in myelin. To elucidate mechanisms underlying the expression of GPI-anchored proteins in myelin, we analyzed detergent-insoluble complexes from cells and myelin using TX-100 extraction and sucrose density gradients. In precursor cells, the GPI-anchored proteins are not incorporated in detergent-insoluble complexes. In contrast, GPI-anchored proteins from maturing oligodendrocytes and from myelin were isolated as complexes associated with glycosphingolipids and cholesterol. These results show a specific association of GPI-anchored proteins with glycosphingolipids and cholesterol during oligodendrocyte maturation and suggest sorting of these macromolecular complexes to myelin.


Subject(s)
Glycosphingolipids/metabolism , Glycosylphosphatidylinositols/metabolism , Myelin Sheath/metabolism , Oligodendroglia/metabolism , Animals , Biotin , Cells, Cultured , Electrophoresis, Polyacrylamide Gel , Mice , Octoxynol
17.
J Am Acad Dermatol ; 34(2 Pt 2): 365-7, 1996 Feb.
Article in English | MEDLINE | ID: mdl-8655728

ABSTRACT

Seven patients with multiple sclerosis who were receiving subcutaneous injections of recombinant interferon beta had pain followed by ulceration at the injection site. An eighth patient had a pustular flare of her usually mild psoriasis. No evidence of infection or contaminated medication was found.


Subject(s)
Adjuvants, Immunologic/adverse effects , Interferon-beta/adverse effects , Multiple Sclerosis/therapy , Psoriasis/etiology , Skin Ulcer/etiology , Adjuvants, Immunologic/therapeutic use , Adult , Female , Humans , Injections, Subcutaneous , Interferon beta-1a , Interferon beta-1b , Interferon-beta/therapeutic use , Male , Middle Aged , Psoriasis/pathology , Recombinant Proteins/adverse effects , Recombinant Proteins/therapeutic use , Skin/pathology , Skin Ulcer/pathology
18.
Am J Clin Nutr ; 56(1): 136-47, 1992 Jul.
Article in English | MEDLINE | ID: mdl-1609750

ABSTRACT

The vitamin A intake of 370 mothers and 183 children 3-27 mo of age in rural Bangladesh was ascertained monthly from January to July in 1986. For mothers, dark green leafy vegetables and fruits were the main sources of vitamin A. Vitamin A from vegetables, the single most important source, did not show consistent associations with wealth or with the other socioeconomic indicators. In May and June, fruits provided wealthier (and more educated) mothers with significantly higher vitamin A intakes than poor mothers, whereas in January the poorer mothers had higher intakes. When breast milk was included, average intakes for children came close to 100% of the recommended dietary allowance; the only other significant source of vitamin A for children was seasonally available mangoes. Fourteen children who had stopped breast-feeding by the end of the study were at very high risk of vitamin A deficiency when fruits were not plentiful.


Subject(s)
Vitamin A Deficiency/etiology , Vitamin A/administration & dosage , Adult , Age Factors , Analysis of Variance , Bangladesh/epidemiology , Breast Feeding , Dietary Proteins/administration & dosage , Energy Intake , Female , Fruit , Humans , Infant , Nutritional Status , Poverty , Protein-Energy Malnutrition/epidemiology , Protein-Energy Malnutrition/etiology , Religion , Rural Population , Seasons , Social Class , Vegetables , Vitamin A Deficiency/epidemiology
19.
J Cutan Pathol ; 14(5): 291-8, 1987 Oct.
Article in English | MEDLINE | ID: mdl-3680716

ABSTRACT

Cowden's disease is characterized by multiple hamartomas of the skin, breast, thyroid, and gastrointestinal tract. In the past, a viral hypothesis for the keratotic lesions of the skin has led to much controversy. The present study describes the results of a detailed fine structural analysis of 10 hyperkeratotic extremity lesions and 2 keratotic lesions from the face of a patient with Cowden's disease. Increases in the keratinocyte population were primarily confined to the basal and suprabasal regions. Differentiation products characteristic of keratinization were normal in both quantity and appearance. Nuclear remnants and numerous lipid droplets, markers of abnormal keratinization, were noted within horny cells. However, viral particles and/or virus-like particles were not observed in keratinocytes. Melanocytes and Langerhans cells were numerous. The latter contained membrane-bound pigment vacuoles in addition to the characteristic Birbeck granules. These unusual Langerhans cells were observed in the dermis as well as the epidermis. A large number of fully granulated "resting" mast cells was uniformly distributed throughout the dermis, associated with a prominent cellular infiltrate. Our observations do not support the concept of a viral etiology for these tumors.


Subject(s)
Hamartoma Syndrome, Multiple/pathology , Keratosis/pathology , Neoplasms, Multiple Primary/pathology , Female , Hamartoma Syndrome, Multiple/complications , Humans , Keratosis/etiology , Langerhans Cells/pathology , Microscopy, Electron , Skin Neoplasms/ultrastructure
20.
J Dermatol Surg Oncol ; 11(4): 392-5, 1985 Apr.
Article in English | MEDLINE | ID: mdl-3980840

ABSTRACT

Malignant granular-cell tumors with benign histologic appearance are normally identified only following nodal and metastatic spread. Local recurrence following conventional excision of both the benign and malignant variant is not uncommon. A patient with a large, rapidly growing, spontaneously ulcerating granular-cell tumor was treated by microscopically controlled (Mohs) surgery. The rationale for this treatment, as well as criteria for the differentiation of the benign from the malignant variant, is discussed.


Subject(s)
Carcinoma/surgery , Skin Neoplasms/surgery , Skin Ulcer/surgery , Biopsy , Buttocks , Carcinoma/pathology , Female , Humans , Methods , Middle Aged , Skin Neoplasms/pathology , Skin Ulcer/pathology
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