Fibrillins

纤维蛋白
  • 文章类型: Journal Article
    背景和目的:颌骨生长和发育的不规则性会导致上颌骨和下颌骨结构的错位,一种被称为骨骼错牙合的复杂疾病,最常见的口腔健康问题之一。骨骼错合,特别是II类和III类,会显著影响面部外观,咀嚼效率,演讲,和整体口腔健康,通常需要正畸治疗或手术矫正。这些牙面异常受遗传和环境因素的影响,并表现出不同的表型表达。材料和方法:在这项研究中,我们调查了来自罗马尼亚的57例患者中编码原纤维蛋白蛋白家族成员的FBN3基因的rs7351083SNP与错牙合风险之间的相关性.结果:结果揭示了所选择的遗传标记与所调查的牙面部疾病之间的关系,揭示参考等位基因(A)和II类之间的正相关,并且替代等位基因(G)与III类相关。结论:头颅测量分析显示基因型之间没有显着差异,这表明虽然遗传因素与错牙合有关,它们可能不会直接影响头颅测量参数,或者样本量太小而无法检测到这些差异。在一个具有II类畸形的个体中发现A>T变性强调了种群内的遗传多样性以及全面基因分型以发现可能影响颅面发育和错牙合风险的罕见遗传变异的必要性。这项研究强调了需要更大规模的研究来确认这些初步关联。
    Background and Objectives: irregularities in the growth and development of the jawbones can lead to misalignments of maxillary and mandibular structures, a complex condition known as skeletal malocclusion, one of the most common oral health problems. Skeletal malocclusions, particularly Class II and Class III, can significantly affect facial appearance, chewing efficiency, speech, and overall oral health, often requiring orthodontic treatment or surgery to correct. These dentofacial anomalies are influenced by genetic and environmental factors and exhibit diverse phenotypic expressions. Materials and Methods: in this study, we investigated the correlation between the rs7351083 SNP of the FBN3 gene that encodes a member of the fibrillin protein family and malocclusion risk in a group of 57 patients from Romania. Results: the results shed light on the relationship between the selected genetic marker and the investigated dentofacial disorder, revealing a positive association between the reference allele (A) and Class II and that the alternate allele (G) is associated with Class III. Conclusions: cephalometric analysis revealed no significant differences among genotypes, suggesting that while genetic factors are implicated in malocclusion, they may not directly affect cephalometric parameters or that the sample size was too small to detect these differences. The discovery of an A > T transversion in one individual with a Class II deformity underscores the genetic diversity within the population and the necessity of comprehensive genotyping to uncover rare genetic variants that might influence craniofacial development and the risk of malocclusion. This study highlights the need for larger studies to confirm these preliminary associations.
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  • 文章类型: Journal Article
    纤溶蛋白微纤维在弹性纤维的形成中起着至关重要的作用,组织/器官发育,和心肺功能。这些微纤维不仅为组织提供结构支持和灵活性,但它们也通过细胞外空间中过多的微纤维结合蛋白调节生长因子信号。原纤维蛋白的突变与影响心血管的人类疾病有关,肺,骨骼,和眼部系统。纤维蛋白由多达47个表皮生长因子(EGF)样重复组成,其中一半以上被蛋白质O-葡糖基转移酶2(POGLUT2)和/或POGLUT3修饰。这些修饰的丧失减少了在体外过表达的N-末端纤丝蛋白构建体的分泌。这里,我们使用Poglut2/3双敲除(DKO)小鼠模型研究了POGLUT2和POGLUT3在体内的作用。阻断O-糖基化导致新生儿骨骼死亡,肺,和眼睛缺陷让人联想到纤丝蛋白/弹性蛋白突变。DKO真皮成纤维细胞培养基和细胞外基质的蛋白质组学分析提供了与其他POGLUT2/3底物相比,原纤维蛋白对O-葡萄糖损失更敏感的证据。这一结论得到了晚期妊娠DKO肺的免疫荧光分析的支持,其中FBN水平降低,并且在肺动脉和静脉中出现微纤维碎片,细支气管,和发育囊。纤丝蛋白微纤维的缺陷可能导致DKO肺血管中观察到的弹性纤维形成受损和组织学变化,细支气管,和囊。总的来说,这些结果强调了POGLUT2/3介导的体内O-糖基化的重要性,并揭示了纤丝蛋白上的O-葡萄糖修饰在ECM环境中影响微纤丝组装和/或蛋白质相互作用的可能性.
    Fibrillin microfibrils play a critical role in the formation of elastic fibers, tissue/organ development, and cardiopulmonary function. These microfibrils not only provide structural support and flexibility to tissues, but they also regulate growth factor signaling through a plethora of microfibril-binding proteins in the extracellular space. Mutations in fibrillins are associated with human diseases affecting cardiovascular, pulmonary, skeletal, and ocular systems. Fibrillins consist of up to 47 epidermal growth factor-like repeats, of which more than half are modified by protein O-glucosyltransferase 2 (POGLUT2) and/or POGLUT3. Loss of these modifications reduces secretion of N-terminal fibrillin constructs overexpressed in vitro. Here, we investigated the role of POGLUT2 and POGLUT3 in vivo using a Poglut2/3 double knockout (DKO) mouse model. Blocking O-glucosylation caused neonatal death with skeletal, pulmonary, and eye defects reminiscent of fibrillin/elastin mutations. Proteomic analyses of DKO dermal fibroblast medium and extracellular matrix provided evidence that fibrillins were more sensitive to loss of O-glucose compared to other POGLUT2/3 substrates. This conclusion was supported by immunofluorescent analyses of late gestation DKO lungs where FBN levels were reduced and microfibrils appeared fragmented in the pulmonary arteries and veins, bronchioles, and developing saccules. Defects in fibrillin microfibrils likely contributed to impaired elastic fiber formation and histological changes observed in DKO lung blood vessels, bronchioles, and saccules. Collectively, these results highlight the importance of POGLUT2/3-mediated O-glucosylation in vivo and open the possibility that O-glucose modifications on fibrillin influence microfibril assembly and or protein interactions in the ECM environment.
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  • 文章类型: Journal Article
    剥离材料(XFM)的两个主要成分,原纤维蛋白-1和赖氨酰氧化酶样1(由FBN1和LOXL1编码)与剥脱性青光眼(XFG)有关,然而,他们对眼部表型的贡献很小。为了检验FBN1突变和LOXL1缺乏的组合会加剧眼部表型的假设,泛LOX抑制剂,使用β-氨基丙腈(BAPN)治疗成年野生型(wt)和Fbn1C1041G/小鼠8周,并检查其眼睛。虽然眼内压没有改变,并且在眼睛中没有检测到XFM,BAPN治疗使Fbn1C1041G/+小鼠的视神经和轴突扩张恶化,青光眼啮齿动物模型轴突损伤的早期迹象。仅在Fbn1C1041G/+小鼠中检测到弹性纤维的破坏,随着BAPN治疗的增加,通过视神经软膜的组织学和免疫组织化学染色显示。透射电镜显示Fbn1C1041G/+小鼠的微纤维较少,与对照组的wt小鼠相比,弹性蛋白核更小,弹性纤维密度更低。BAPN处理导致wt和Fbn1C1041G/+小鼠的弹性蛋白核心扩张,但是弹性纤维密度的增加仅限于Fbn1C1041G/小鼠。在Fbn1突变的背景下,LOX抑制对视神经和弹性纤维参数有更强的影响,表明具有LOX抑制的Marfan小鼠模型需要进一步研究XFG的发病机制。
    Two major constituents of exfoliation material, fibrillin-1 and lysyl oxidase-like 1 (encoded by FBN1 and LOXL1), are implicated in exfoliation glaucoma, yet their individual contributions to ocular phenotype are minor. To test the hypothesis that a combination of FBN1 mutation and LOXL1 deficiency exacerbates ocular phenotypes, the pan-lysyl oxidase inhibitor β-aminopropionitrile (BAPN) was used to treat adult wild-type (WT) mice and mice heterozygous for a missense mutation in Fbn1 (Fbn1C1041G/+) for 8 weeks and their eyes were examined. Although intraocular pressure did not change and exfoliation material was not detected in the eyes, BAPN treatment worsened optic nerve and axon expansion in Fbn1C1041G/+ mice, an early sign of axonal damage in rodent models of glaucoma. Disruption of elastic fibers was detected only in Fbn1C1041G/+ mice, which increased with BAPN treatment, as shown by histologic and immunohistochemical staining of the optic nerve pia mater. Transmission electron microscopy showed that Fbn1C1041G/+ mice had fewer microfibrils, smaller elastin cores, and a lower density of elastic fibers compared with WT mice in control groups. BAPN treatment led to elastin core expansion in both WT and Fbn1C1041G/+ mice, but an increase in the density of elastic fiber was confined to Fbn1C1041G/+ mice. LOX inhibition had a stronger effect on optic nerve and elastic fiber parameters in the context of Fbn1 mutation, indicating the Marfan mouse model with LOX inhibition warrants further investigation for exfoliation glaucoma pathogenesis.
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  • 文章类型: Journal Article
    中国淡水珍珠产量居世界前列,三角帆贻贝(Sinohyiriopsiscumgii)在其中起着举足轻重的作用的行业。在本文中,我们报道了一个高质量的CumgiiS的染色体水平基因组组装,其大小为2.90Gb,是双壳类动物中迄今报道的最大大小,89.92%锚定到19个连锁群.组装的基因组具有37,696个蛋白质编码基因和50.86%的重复元件。比较基因组分析显示752个基因家族的扩展,主要与生物矿化有关,和237个基因在强正向选择下。值得注意的是,原纤维蛋白基因家族同时表现出基因家族扩展和正选择,通过转录组分析,它在地幔植入后也表现出多种高表达。此外,RNA沉默和体外碳酸钙结晶测定强调了一个纤丝蛋白基因在碳酸钙沉积和文石转化中的关键作用。这项研究提供了宝贵的基因组资源,并为珍珠生物矿化机制提供了新的见解。
    China leads the world in freshwater pearl production, an industry in which the triangle sail mussel (Sinohyriopsis cumingii) plays a pivotal role. In this paper, we report a high-quality chromosome-level genome assembly of S. cumingii with a size of 2.90 Gb-the largest yet reported among bivalves-and 89.92% anchorage onto 19 linkage groups. The assembled genome has 37,696 protein-coding genes and 50.86% repeat elements. A comparative genomic analysis revealed expansions of 752 gene families, mostly associated with biomineralization, and 237 genes under strong positive selection. Notably, the fibrillin gene family exhibited gene family expansion and positive selection simultaneously, and it also exhibited multiple high expressions after mantle implantation by transcriptome analysis. Furthermore, RNA silencing and an in vitro calcium carbonate crystallization assay highlighted the pivotal role played by one fibrillin gene in calcium carbonate deposition and aragonite transformation. This study provides a valuable genomic resource and offers new insights into the mechanism of pearl biomineralization.
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  • 文章类型: Journal Article
    淋巴管(LV)对间质液的吸收和保留在维持间质液稳态中起作用。虽然已经确定收集LV中的腔内淋巴瓣膜可以防止液体回流(次级淋巴瓣膜),初始LV中的单独阀系统,仅允许间质液流入LV,防止液体泄漏回间质(原发性淋巴瓣膜),仍然不完全理解。尽管淋巴功能障碍通常在炎症和自身免疫性疾病中观察到,初级淋巴瓣膜如何受到急性和慢性炎症的影响几乎没有被研究,甚至更少使用体外淋巴模型。这里,我们开发了一种人体初始淋巴管芯片,其中控制间质液压力和腔液压力以检查原发性淋巴瓣膜功能。在正常情况下,工程LV的淋巴引流(液体吸收)和渗透性(液体泄漏)保持高和低,分别,这与我们对健康的原发性淋巴瓣膜的理解是一致的。接下来,我们检查了急性和慢性炎症的影响。在急性炎症条件下,用TNF-α治疗(2小时),观察到纤丝蛋白降解和淋巴引流受阻,通过抗炎地塞米松治疗可以逆转。令人惊讶的是,慢性炎症状况(在48小时内重复TNF-α治疗)沉积原纤维蛋白以补偿原纤维蛋白损失,淋巴引流没有变化。相反,慢性炎症导致细胞死亡和淋巴管内皮细胞连接的破坏,增加淋巴通透性和液体渗漏。我们的人类淋巴模型显示了两种不同的机制,在急性和慢性炎症中发生原发性淋巴瓣功能障碍。
    Interstitial fluid uptake and retention by lymphatic vessels (LVs) play a role in maintaining interstitial fluid homeostasis. While it is well-established that intraluminal lymphatic valves in the collecting LVs prevent fluid backflow (secondary lymphatic valves), a separate valve system in the initial LVs that only permits interstitial fluid influx into the LVs, preventing fluid leakage back to the interstitium (primary lymphatic valves), remains incompletely understood. Although lymphatic dysfunction is commonly observed in inflammation and autoimmune diseases, how the primary lymphatic valves are affected by acute and chronic inflammation has scarcely been explored and even less so using in vitro lymphatic models. Here, we developed a human initial lymphatic vessel chip where interstitial fluid pressure and luminal fluid pressure are controlled to examine primary lymph valve function. In normal conditions, lymphatic drainage (fluid uptake) and permeability (fluid leakage) in engineered LVs were maintained high and low, respectively, which was consistent with our understanding of healthy primary lymph valves. Next, we examined the effects of acute and chronic inflammation. Under the acute inflammation condition with a TNF-α treatment (2 hours), degradation of fibrillin and impeded lymphatic drainage were observed, which were reversed by treatment with anti-inflammatory dexamethasone. Surprisingly, the chronic inflammation condition (repeated TNF-α treatments during 48 hours) deposited fibrillin to compensate for the fibrillin loss, showing no change in lymphatic drainage. Instead, the chronic inflammation condition led to cell death and disruption of lymphatic endothelial cell-cell junctions, increasing lymphatic permeability and fluid leakage. Our human lymphatic model shows two distinct mechanisms by which primary lymphatic valve dysfunction occurs in acute and chronic inflammation.
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  • 文章类型: Review
    原纤病代表一组疾病,其中10-12nm的细胞外微原纤维被编码原纤蛋白分子的基因之一的遗传变异破坏,细胞外基质的大糖蛋白。最著名的纤丝蛋白病是马凡氏综合征,影响心血管的常染色体显性疾病,眼,骨骼,和其他系统,在所有种族中,患病率约为3,000人中的1人。它是由FBN1基因的变异引起的,编码原纤维蛋白-1,它与弹性蛋白相互作用,为结缔组织提供强度和弹性。为了复制人类表型,已经创建了许多小鼠模型,虽然都有局限性。在猪和兔中也有天然牛模型和工程模型。FBN2编码纤丝蛋白-2的变体会导致先天性挛缩蛛网膜畸形,并且还产生了这种情况的小鼠模型。在大多数动物中,包括鸟类,爬行动物,和两栖动物,还有第三种纤丝蛋白,原纤维蛋白-3(FBN3基因),由于该基因在小鼠和大鼠中退化且无功能,因此难以创建模型。其他真核生物,例如线虫C.elegans和斑马鱼D.rerio具有与原纤维蛋白具有某些同源性的基因,并且已使用模型来发现有关该蛋白质家族功能的更多信息。这篇综述着眼于表型,继承,和各种动物模型对不同的原纤病的相关性。
    The fibrillinopathies represent a group of diseases in which the 10-12 nm extracellular microfibrils are disrupted by genetic variants in one of the genes encoding fibrillin molecules, large glycoproteins of the extracellular matrix. The best-known fibrillinopathy is Marfan syndrome, an autosomal dominant condition affecting the cardiovascular, ocular, skeletal, and other systems, with a prevalence of around 1 in 3,000 across all ethnic groups. It is caused by variants of the FBN1 gene, encoding fibrillin-1, which interacts with elastin to provide strength and elasticity to connective tissues. A number of mouse models have been created in an attempt to replicate the human phenotype, although all have limitations. There are also natural bovine models and engineered models in pig and rabbit. Variants in FBN2 encoding fibrillin-2 cause congenital contractural arachnodactyly and mouse models for this condition have also been produced. In most animals, including birds, reptiles, and amphibians, there is a third fibrillin, fibrillin-3 (FBN3 gene) for which the creation of models has been difficult as the gene is degenerate and nonfunctional in mice and rats. Other eukaryotes such as the nematode C. elegans and zebrafish D. rerio have a gene with some homology to fibrillins and models have been used to discover more about the function of this family of proteins. This review looks at the phenotype, inheritance, and relevance of the various animal models for the different fibrillinopathies.
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  • 文章类型: Journal Article
    类胡萝卜素是促进健康的质体类异戊二烯,在植物中具有作为叶绿体中的光保护剂和光合色素的基本功能。它们还聚集在称为染色体的特殊质体中,为非光合组织如花瓣和成熟果实提供颜色。类胡萝卜素在色体中的积累需要特殊的结构和蛋白质,如原纤维蛋白(FBN)。FBN家族包括染色体中的类胡萝卜素螯合结构的结构组分以及在叶绿体和其他质体类型中具有代谢作用的成员。然而,FBN与质体中除染色体以外的类胡萝卜素的关联仍未被探索。这里,我们显示拟南芥(拟南芥)FBN6与植物烯合酶(PSY)相互作用,类胡萝卜素途径的第一个酶。FBN6,但不是FBN4(不与PSY相互作用的FBN),增强大肠杆菌细胞中植物PSY的活性(但不增强细菌植物烯合酶crtB的活性)。FBN6在本氏烟草叶片中的过表达导致更高的八烯产量,PSY活性的产物,而拟南芥突变体中FBN6活性的丧失会在幼苗去黄化和暴露于强光后大大降低类胡萝卜素的产生。因此,我们的工作表明FBN不仅促进类胡萝卜素在染色体体中的积累,而且还促进它们在叶绿体中的生物合成。
    Carotenoids are health-promoting plastidial isoprenoids with essential functions in plants as photoprotectants and photosynthetic pigments in chloroplasts. They also accumulate in specialized plastids named chromoplasts, providing color to non-photosynthetic tissues such as flower petals and ripe fruit. Carotenoid accumulation in chromoplasts requires specialized structures and proteins such as fibrillins (FBNs). The FBN family includes structural components of carotenoid sequestering structures in chromoplasts and members with metabolic roles in chloroplasts and other plastid types. However, the association of FBNs with carotenoids in plastids other than chromoplasts has remained unexplored. Here, we show that Arabidopsis (Arabidopsis thaliana) FBN6 interacts with phytoene synthase (PSY), the first enzyme of the carotenoid pathway. FBN6, but not FBN4 (a FBN that does not interact with PSY), enhances the activity of plant PSY (but not of the bacterial PSY crtB) in Escherichia coli cells. Overexpression of FBN6 in Nicotiana benthamiana leaves results in a higher production of phytoene, the product of PSY activity, whereas loss of FBN6 activity in Arabidopsis mutants dramatically reduces the production of carotenoids during seedling de-etiolation and after exposure to high light. Our work hence demonstrates that FBNs promote not only the accumulation of carotenoids in chromoplasts but also their biosynthesis in chloroplasts.
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  • 文章类型: Journal Article
    背景:马凡综合征是一种影响骨骼的遗传性结缔组织疾病,眼,和心血管器官系统。先前的研究发现,聚集在纤丝蛋白1(FBN1)基因外显子24-32中的致病变异会导致更严重的临床表型。此外,基因型-表型相关性研究提示,更严重的心血管表型与导致单倍体功能不全的变异相关.我们的目的是分析早发性马凡综合征患者的临床表现和基因型的差异,并评估其对管理策略的影响。
    方法:我们分析了1991年至2022年PubMed数据库中一名新出现的早发性马凡综合征患者的临床和遗传数据以及先前报道的51例。
    结果:分析显示94%(49/52)的致病变异聚集在FBN1的外显子24-32。最常见的骨骼特征是蛛网膜畸形(98%),减少肘部延伸(48%),胸膜畸形(40%),和脊柱侧弯(39%)。据报道,单倍功能不全变异在87.5%的病例中具有较差的结果。在携带将半胱氨酸替换为另一种氨基酸的变体和不改变半胱氨酸含量的患者中,发现心脏干预与更好的结果相关(p=0.035vs.p=0.002)。发现产生额外半胱氨酸残基的变体与小扁桃体的高风险相关。此外,与新生儿相比,报告发表时36个月以下儿童仍存活的频率更高(p<0.01).
    结论:我们的发现对预后有影响,因为不同的基因型组及其产生的表型可能需要个性化的护理和管理。
    Marfan syndrome is a genetic connective tissue disorder affecting skeletal, ocular, and cardiovascular organ systems. Previous research found that pathogenic variants clustered in exons 24-32 of fibrillin-1 (FBN1) gene result in more severe clinical phenotypes. Furthermore, genotype-phenotype correlation studies suggested that more severe cardiovascular phenotypes were related to variants held responsible for haploinsufficiency. Our objective was to analyze the differences in clinical manifestations and genotypes of individuals with early-onset Marfan syndrome and to assess their impact on management strategies.
    We analyzed clinical and genetic data of a new patient with early-onset Marfan syndrome together with 51 previously reported ones in the PubMed database between 1991 and 2022.
    Analysis showed 94% (49/52) of pathogenic variants clustered in exons 24-32 of the FBN1. The most common skeletal features were arachnodactyly (98%), reduced elbow extension (48%), pectus deformity (40%), and scoliosis (39%). Haploinsufficiency variants were reported as having poor outcome in 87.5% of the cases. Among patients carrying variants that substitute a cysteine for another amino acid and those that do not change cysteine content, cardiac intervention was found to be associated with a better outcome (p = 0.035 vs. p = 0.002). Variants that create an extra cysteine residue were found to be associated with a higher risk of ectopia lentis. Additionally, children up to 36-months-old were more often reported as still alive at the time of publication compared to newborns (p < 0.01).
    Our findings have implications for prognosis, because different genotype groups and their resulting phenotype may require personalized care and management.
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  • 文章类型: Journal Article
    纤丝蛋白(FBN)基因家族广泛分布于所有光合生物中。该基因家族的成员参与植物的生长和发育及其对各种生物和非生物胁迫因素的反应。在这项研究中,在甘氨酸max中鉴定了16个FBN成员,并使用不同的生物信息学工具进行了表征。系统发育分析将FBN基因分为7组。GmFBN上游区域中与胁迫相关的顺式元素的存在强调了它们在抵抗非生物胁迫中的作用。为了进一步破译功能,理化性质,保守的图案,染色体定位,亚细胞定位,并对顺式调控元件进行了分析。基于FPKM值的基因表达分析表明,GmFBNs极大地增强了大豆的耐旱性,并控制了参与干旱反应的几个基因的表达。GmFBN-4、GmFBN-5、GmFBN-6、GmFBN-7和GmFBN-9除外。对于高通量基因分型,还为GmFBN-15基因开发了基于SNP的CAPS标记。CAPS标记基于CDS区域中GmFBN-15-G或GmFBN-15-A等位基因的存在而区分大豆基因型。关联分析表明,与包含GmFBN-15-G等位基因的种质相比,在相应基因座处包含GmFBN-15-A等位基因的G.max种质显示出更高的千粒种子重量。本研究为进一步解读大豆FBN的功能提供了基础信息。
    The fibrillin (FBN) gene family is widely distributed in all photosynthetic organisms. Members of this gene family are involved in plant growth and development and their response to various biotic and abiotic stress factors. In this study, 16 members of FBN were identified in Glycine max and characterized by using different bioinformatics tools. Phylogenetic analysis classified FBN genes into seven groups. The presence of stress-related cis-elements in the upstream region of GmFBN highlighted their role in tolerance against abiotic stresses. To further decipher the function, physiochemical properties, conserved motifs, chromosomal localization, subcellular localization, and cis-acting regulatory elements were also analyzed. Gene expression analysis based on FPKM values revealed that GmFBNs greatly enhanced soybean drought tolerance and controlled the expression of several genes involved in drought response, except for GmFBN-4, GmFBN-5, GmFBN-6, GmFBN-7 and GmFBN-9. For high throughput genotyping, an SNP-based CAPS marker was also developed for the GmFBN-15 gene. The CAPS marker differentiated soybean genotypes based on the presence of either the GmFBN-15-G or GmFBN-15-A alleles in the CDS region. Association analysis showed that G. max accessions containing the GmFBN-15-A allele at the respective locus showed higher thousand seed weight compared to accessions containing the GmFBN-15-G allele. This research has provided the basic information to further decipher the function of FBN in soybean.
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  • 文章类型: Journal Article
    背景:牙种植体是治疗无牙症的主要方法,种植体周围组织的健康对其长期成功具有关键作用。此外,已经表明,愈合基台的地形也会影响修复的结果。这项人体临床试验的目的是评估与常规加工表面相比,新型激光治疗的愈合基台对种植体周围结缔组织和细胞外基质蛋白的影响。作为对照组。
    方法:在第二个手术阶段,在30个单个牙科植入物上插入定制的愈合基台。使用两个交替的不同表面(两个侧面激光处理的表面和两个侧面加工的表面)实现了修复基台,以便将其视为同一植入物上的测试和控制,并减少定位偏差。在软组织愈合期(30±7天)之后,取回5mm圆形活检。在胶原蛋白上进行免疫组织化学和定量实时PCR(qPCR)分析,生腱蛋白C,纤溶蛋白I,金属蛋白酶(MMPs)及其抑制剂(TIMPs)。15进行qPCR处理,而其他15例进行了免疫组化分析。两组间进行配对t检验。p<0.05的值被认为是统计学上显著的。
    结果:结果显示,面对激光治疗表面的结缔组织表达了统计学上显著较低的MMPs量(p<0.05)和较高水平的TIMPs3(p<0.05),与加工植入物周围的组织相比,which,反过来也表达了细胞外基质蛋白(TenascinC,纤溶蛋白I(p<0.05))和胶原蛋白V,已知在种植体周围炎也会发生改变。
    结论:结论:激光治疗的表面有望积极影响植入物周围结缔组织的伤口愈合。结果表明,愈合基台的地形性质可以积极影响粘膜伤口的愈合和分子表达。先前的研究已经证明了激光治疗如何正确地影响牙龈上皮和细胞粘附的完整性和功能。关于结缔组织,不同的分子表达在激光处理或机械加工的表面之间证明了不同的炎症模式,其中激光处理显示出更好的响应。对种植体周围地形采取有针对性的干预措施和预防措施可以有效降低种植体周围疾病的风险,有助于修复的长期成功和持久性。然而,新的研究是强制性的,以更好地理解这一现象以及该表面在种植体周围炎过程中的作用.试验注册:该试验已在ClinicalTrials.gov标识符注册:(注册编号:NCT05754970)。注册06/03/2023,追溯注册。
    Dental implant is the principal treatment for edentulism and the healthiness of the peri-implant tissue has a pivotal role for its longterm success. In addition, it has been shown that also the topography of the healing abutment can influence the outcome of the restoration. The objective of this human clinical trial was to assess the impact of a novel laser-treated healing abutment on peri-implant connective tissue and extracellular matrix proteins compared to the conventional machined surface, which served as the control group.
    During second surgical stage a customized healing abutment were inserted on 30 single dental implants. Healing abutments were realized with two alternated different surface (two side laser-treated surfaces and two side machined surfaces) in order to be considered both as test and control on the same implant and reduce positioning bias. Following the soft tissue healing period (30 ± 7 days) a 5 mm circular biopsy was retrieved. Immuno-histochemical and quantitative real-time PCR (qPCR) analyses were performed on Collagen, Tenascin C, Fibrillin I, Metalloproteinases (MMPs) and their inhibitor (TIMPs). 15 were processed for qPCR, while the other 15 were processed for immunohistochemical analysis. Paired t-test between the two groups were performed. A value of p < 0.05 was considered statistically significant.
    Results revealed that the connective tissue facing the laser-treated surface expressed statistically significant lower amount of MMPs (p < 0.05) and higher level of TIMPs 3 (p < 0.05), compared to the tissue surrounding the machined implant, which, in turn expressed also altered level of extracellular matrix protein (Tenascin C, Fibrillin I (p < 0.05)) and Collagen V, that are known to be altered also in peri-implantitis.
    In conclusion, the laser-treated surface holds promise in positively influencing wound healing of peri-implant connective tissue. Results demonstrated that topographic nature of the healing abutments can positively influence mucosal wound healing and molecular expression. Previous studies have been demonstrated how laser treatment can rightly influence integrity and functionality of the gingiva epithelium and cell adhesion. Regarding connective tissue different molecular expression demonstrated a different inflammatory pattern between laser treated or machined surfaces where laser treated showed better response. Targeted interventions and preventive measures on peri- implant topography could effectively minimize the risk of peri-implant diseases contributing to the long-term success and durability of restoration. However, new studies are mandatory to better understand this phenomenon and the role of this surface in the peri-implantitis process.  TRIAL REGISTRATION: This trial is registered with ClinicalTrials.gov Identifier: (Registration Number: NCT05754970 ). Registered 06/03/2023, retrospectively registered.
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