Squamous cell carcinoma of the gingiva found in a patient with AIDS.

A young woman with AIDS developed squamous cell carcinoma of the gingiva. This malignancy rarely develops in young people and may indicate an underlying condition.

The roles of the synaptic basal lamina and of innervation in directing the accumulation of a synaptic molecule, mAb 3B6 antigen, in regenerating skeletal muscles.

We have recently described a novel nonhomogeneous distribution of a muscle synaptic molecule following denervation. Monoclonal antibody (mAb) 3B6 antigen, a molecule concentrated at endplate/junctional regions and myotendinous junctions in innervated muscles, appears in denervated muscles in restricted perijunctional regions that are continuous with and centered on endplates. In the present study we examine the roles of the synaptic basal lamina and of innervation in directing the accumulation of the molecule in newly formed regenerating muscle fibres. In denervated regenerating muscle fibres, mAb 3B6 antigen was associated with the plasma membrane and localized at former junctional and perijunctional regions. In those muscle fibres which displayed the perijunctional distribution, the molecule was preferentially colocalized with and centered on former endplate areas. Altogether, a preference for the localization of mAb 3B6 at former endplate regions was observed in 86-90% of denervated regenerating myofibres. A similar preference was observed in 97-99% of innervated regenerating muscle fibres. However, whereas 85.9% of denervated regenerating muscle fibres displayed a perijunctional distribution of the molecule, only 50.5% of innervated regenerating myofibres exhibited a perijunctional distribution. In addition, mAb 3B6 antigen was detected in the cytoplasm of most of the denervated regenerating myofibres but in none of the innervated ones. These results indicate that the basal lamina directs the preferential accumulation of mAb 3B6 antigen at original synaptic sites. Innervation, which is not a prerequisite for the expression of the molecule by regenerating muscle, down-regulates its overall production and presence in perijunctional regions.

Molecular alterations in the perijunctional region of frog skeletal muscle fibres following denervation.

The anatomical distribution of a frog skeletal muscle antigen was studied using immunofluorescence microscopy and a monoclonal antibody 3B6 that was produced against denervated skeletal muscle. In innervated muscles, the monoclonal antibody 3B6 stain was associated with the inner surface of the muscle plasma membrane at the endplate and myotendinous junction. After denervation, the monoclonal antibody 3B6 stain extended from the endplate laterally around the perimeter of muscle fibres and longitudinally well beyond the endplate for a total length of 600-1000 microns. The monoclonal antibody 3B6 stain thus forms a cylindrical structure centred on the endplate. This observation shows that denervation produces a non-homogeneous molecular change in skeletal muscle fibres: an antigen that is present in high concentrations at innervated endplates appears in restricted perijunctional regions of denervated muscle fibres. It further suggests that perijunctional regions of denervated muscle fibres differ from the remaining non-endplate regions in molecular composition and possibly also in function.

Down's syndrome: morphological remodelling and increased complexity in the neuromuscular junction of transgenic CuZn-superoxide dismutase mice.

Transgenic mice carrying the human CuZn-superoxide dismutase gene were used to investigate whether CuZn-superoxide dismutase gene dosage is involved in the signs of neuromuscular junction deterioration associated with Down's syndrome. Three parameters of neuromuscular junction morphology were studied in hindlimb muscles of CuZn-superoxide dismutase-transgenic mice and their non-transgenic littermates: nerve terminal length, number of nerve terminal branching points and incidence of sprouting that results in synapse formation. These parameters increased with advanced age and the increase occurred earlier in CuZn-superoxide dismutase-transgenic mice. Therefore, the data is in line with the possibility that CuZn-superoxide dismutase-transgenic mice are undergoing premature ageing with respect to neuromuscular junction morphology, most probably owing to a gene dosage effect of CuZn-superoxide dismutase.

Regulation of motor axon sprouting.

Our studies on the amphibian and mammalian motor systems suggest that sprouting of intact motoneurons and synapse formation can be regulated by three mechanisms: peripheral, central, and transneuronal. Peripheral mechanisms provide the means of a direct mode of interaction between the periphery of the nerve cell and the target, to determine the extent of target innervation. The central mechanism enables target muscles to signal the cell bodies of their innervating motoneurons to regulate axonal growth and synapse formation, and thus again determine the extent of their innervation. The transneuronal mechanism provides a vehicle by which the pattern of innervation of a muscle can be altered by nerve cells that do not themselves innervate the muscle, but are an integral part of the entire system.

The pulmonary hypertension of sclerosing agents is prevented by cyclooxygenase inhibitors.

Sodium morrhuate and sodium tetradecylsulfate are injected during endoscopic sclerotherapy to control variceal bleeding. When administered to sheep they cause transient pulmonary hypertension and increase protein poor lung lymph flow. To determine the etiology of these alterations, we studied three groups of sheep after establishing acute lung lymph fistulas. In Group 1, indomethacin or ibuprofen was infused. In Group 2, 2.5 cc of sodium morrhuate was injected alone (2A) or after indomethacin or ibuprofen pretreatment (2B). In Group 3, 2.5 cc of sodium tetradecylsulfate was given intravenously either alone (3A) or after indomethacin or ibuprofen (3B). When sclerosing agents were given alone (Group 2A and 3A) pulmonary artery pressures increased three-fold at 30 seconds postinjection to 37 +/- 4.4 and 39 +/- 5.7 mmHg respectively with a slow return to baseline over two hours. Lymph flow increased significantly from 1.3 +/- 1.5 to 2.7 +/- 1.5 cc/30 minutes after sodium morrhuate and from 1.2 +/- .62 to 2.7 +/- 1.7 cc/30 mins at 30 minutes after sodium tetradecylsulfate and the lymph/plasma albumin ratio fell. Increased lymph flow persisted through 120 minutes. In those animals receiving a sclerosing agent after indomethacin or ibuprofen (2B and 3B) there was no change in pulmonary artery pressure, lymph flow, lymph plasma albumin ratio, or lung wet weight to dry weight ratios. We conclude that the pulmonary hypertension and increased protein poor lymph flow are mediated by prostaglandins.

Post-localization needle for breast biopsy of nonpalpable lesions.

The use of a post-localization needle which can be palpated during percutaneous localization of nonpalpable breast lesions is described. No difficulties or complications resulted when utilizing the needle in five patients.