Reaction of Antigens Isolated from Herpes Simplex Virus Transformed Cells with Sera of Squamous Cell Carcinoma Patients1

Total Page:16

File Type:pdf, Size:1020Kb

Reaction of Antigens Isolated from Herpes Simplex Virus Transformed Cells with Sera of Squamous Cell Carcinoma Patients1 [CANCERRESEARCH36,4394-4401,December1976] Reaction of Antigens Isolated from Herpes Simplex Virus transformed Cells with Sera of Squamous Cell Carcinoma Patients1 Mary F. D. Notter and John J. Docherty2 Department of Microbiology and Cell Biology, The Pennsylvania State University, University Park, Pennsylvania 16802 SUMMARY we examined the reactive patterns of cancer patient sera with antigens isolated from cells transformed by these vi Antigens isolated from herpes simplex virus type 1, muses. Our studies reveal a positive correlation between herpes simplex virus type 2, on cytomegalovinus-trans sera of patients with diagnosed squamous cell carcinoma formed hamster cells were tested against 66 semafrom non and antigens isolated from both HSV-1- and HSV-2-trans cancer individuals or patients with different types of cancer. farmed cells. By use of the microcomplement fixation procedure to quan tify all antigen-antibody interactions, it was observed that MATERIALS AND METHODS 94% (p < 0.001) of all semafrom patients with squamous cell carcinoma reacted with antigens from herpes simplex virus Cells. Hamster cells transformed by HSV-1 [14-012-8-1; type 1-transformed cells, while 84% (p < 0.001) of the same (9)], HSV-2 [333-8-9 (8)], on cytomegalovirus [CX-90-3B, T2 sena reacted with antigen preparations from herpes simplex (2)] were acquired from F. Rapp, M. S. Hershey Medical virus type 2-transformed cells. When semafrom patients with Center, Hershey, Pa., while cell cultures of normal non adenocancinoma, sarcoma, liposarcoma, and melanoma transformed hamster cells were prepared from 13-day-old were tested against these antigens, there was no significant embryos (Lakeview Hamster Colony, Newfield, N. J.). All difference in their reactivity from sera of noncancem pa cells were propagated and maintained in Dulbecco's modi tients. When sera from all individuals (normal and cancer) fied Eagle's medium; 10% fetal calf serum; 0.075% NaHCO3; were tested against antigens from cytomegalovirus-trans penicillin, 100 units/mI; and streptomycin, 10 pg/mI. formed cells, no significant reaction pattern developed. Tumor Antigen Preparation. Antigens extracted from all These studies are the first to describe the isolation of a cells, bath normal and transformed, were prepared from reactive tumor-associated protein from herpes simplex vi cultures of the different cell types used. Monolayer cultures mus-transfommedcells. of each cell type were rinsed 3 times with cold (4°)Eagle's basal medium containing 0.11% NaHCO3, scraped into the same medium, and recovered by centnifugation. The cell INTRODUCTION pellet was resuspended as a 10% solution in cold 0.85% NaCI solution, and the cells were subjected to repeated A variety of evidence has accumulated which associates sequential sonic disruption (3, 2, 3, 4 mm at 4°,20kc MSE members of the Herpesvirus group with different cancers in disintegrator) followed by ultracentnifugation (100,000 x many species (23). Of particular interest are studies that 4°).Thesupemnatants were combined, and protein concen suggested a relationship between HSV-13 and human oral tration was determined by the method of Lowry et al. (17), cancers (30) on HSV-2 and human uterine cervical carci after which this crude extract was fractionated by discontin noma (19). Although many of these studies are semoepide uous gradient polyacrylamide electrophoresis (12, 29). Sol miological (1, 26), the oncogenic capability of both HSV-1 uble antigens in gel region B (lower 45% of gel) were eluted and HSV-2 has been demonstrated in vitro by transforming and concentrated by Diaflo filtration (UM1Ofilter, 4°)diluted cells with inactivated on temperature-sensitive mutants of 100-fold with cold 0.85% NaCI solution, and reconcentrated the virus (8, 9, 14, 24, 28). Considering the relationship of to 1.25 mg/mI. The final concentrate was used in the MCF HSV-1 and HSV-2 to certain carcinomas of man and the test as described below. The tumor antigen fraction iso availability of cells transformed in vitro by HSV-1 or HSV-2, lated from HSV-1-transfommed cells is referred to as M-1, while antigens from HSV-2-transformed cells are referred to , Supported by Contract NO1-CB-43984 from the National Cancer Institute. as M-2. Antigens from cytomegalovmmus-transformed cells 2 To whom requests for reprints should be addressed, at the Department of Microbiology and Cell Biology, Pennsylvania State University, 5101 Frear are designated Cx90, and extracts of nontransfommed ham Building, University Park, Pa. 16802. stemembryo cells were not labeled and served the dual pun 3 The abbreviations used are: HSV-1 , herpes simplex virus type I ; HSV-2, pose of fetal antigen preparation and tissue controls in all herpes simplex virus type 2; MCF, microcomplement fixation; M-1, tumor antigen from HSV-1-transformed cells; M-2, tumor antigen from HSV-2-trans assays. formed cells; Cx90, cell extract from cytomegalovirus-transformed cells; Virus Antigen Preparation. Vinion antigens were pre HEL, cell extract from human embryonic lung cells; HSV, herpes simplex virus. pared by infecting HEL cells with HSV-1 (Seibert strain) or Received June 11, 1976; accepted August 17, 1976. HSV-2 (316-D strain) at a multiplicity of infection of 5. After 4394 CANCERRESEARCHVOL. 36 Downloaded from cancerres.aacrjournals.org on September 27, 2021. © 1976 American Association for Cancer Research. Reaction of Herpes-transformed Cell Antigens with Cancer Sera 24 hr, newly synthesized infectious virus and accompanying known negative serum, serum controls, tissue antigen con infected membranes were separated from large cell debris trols, complement controls, and Kalmer (16) saline con by differential centrifugation. The partially purified virus trols. These precautions were sufficient to establish anti plus infected cell membranes were pelleted by centnifuga complementary activity of any reagent used in each test. tion (100,000 x g, 1 hr) and washed repeatedly with Kol Readings of percentage hemolysis of each microtiter well men's (16) saline. The virus pellet and membranes were solu were made using a test reading mirror which held 1 dispos bilized by extensive sonic disruption, the protein cancentra able plate and 1 row of 12 microtiter wells cut from a tion was determined, and the extract was stored at —60°.disposable plate containing 11 color standards from 0 to Uninfected HEL cells processed as described above served 100% hemolysis. A positive MCF reaction is defined as the as noninfected tissue culture control for vimion antigen in highest serum dilution that resulted in greater than 10% the MCF test. fixation of complement oventhe controls. It should be noted Test Sera. A total of 66 coded sera were obtained from that 10% is a minimum value and was selected in order to patients at the M. S. Hershey Medical Center, The Pennsyl provide sera from noncancer patients every opportunity to vania State University, College of Medicine, Hershey, Pa., react with these antigen preparations. However, the results and the Surgery Branch of the National Cancer Institute, to be presented were also analyzed at the 20 to 40% fixation NIH. These sena included samples from patients diagnosed level, and the data did not change significantly. Clinical as squamous cell carcinoma of uterine cervix, vulva, larynx, information for each serum was withheld until all sera were palate, lip, and tonsil; also included were senafrom patients completely and repeatedly analyzed (a minimum of 3 times with adenocarcinoma of breast, lung, cervix, endometnium, with each serum for all antigens). These results were statis and ovary, as well as semafrom individuals without cancer. tically processed by the x2 or Student's t test. When received, all sera were heat inactivated (56°,30mm), diluted with Kolmer's (16) saline, and stored at —20°. RESULTS MCF. M-1, M-2, Cx90, and fetal antigens were used in a modified MCF test (22) at a concentration of 40 pg/mI (1.0 The results of this study begin with reactive patterns of pg/reaction volume), while vinion antigens were used at a antigens M-1, M-2, Cx90, HSV-1, and HSV-2 with semafrom concentration of 20 @g/ml(0.5jig/reaction volume). Stand patients with squamous cell carcinoma of the uterine cervix ardization of all reagents (hemolysin, complement, and an (Tables 1, 5, and 6). When these patients' semawere reacted tigens) was performed on a regular basis as well as with with tumor antigens M-1 on M-2, 20 of 22 [91%, p < 0.001 each new lot of antigen. A disposable “U―platecontaining (Tables 1 and 5)] and 19 of 22 [86%, p < 0.001 (Tables 1 and 96 wells was used to examine simultaneously several dilu 5)], respectively, reacted in a positive fashion. In contrast, tions of each unknown serum, 1 known positive serum, 1 the reactivity of these semawith extracts of Cx90 was only Table1 Reaction pattern of sera from female patients with squamous cell carcinoma of the uterine cervix when exposed to antigens extracted from HSV-1(M-1), HSV-2(M-2), and cytomegalovirus-transformed cells, as wellas HSV-1and HSV-2 virion antigensMCF titers0Sample HSV-2952Age (yr) Race Term M-1 M-2 Cx90 HSV-1 56 C'@ Preoperative 8 16 32 256 256 1094 60 C Postoperative 4 8 0 64 64 226 49 C Postoperative 4 16 0 64 64 316 56 C Postoperative 4 2 0 64 64 855 46 C Preoperative 8 8 0 128 128 1028 46 C Preoperative 4 8 0 32 32 729 58 C Preoperative 32 32 0 1024 512 944 49 N Preoperative 8 8 0 64 64 75623 53 C Preoperative 8 8 0 4 0 73434 71 C Preoperative 4 4 0 64 64 79621 57 C Preoperative 8 0 0 128 32 73251 45 C Preoperative 2 4 0 32 64 73604 59 C Preoperative 4 4 0 64 32 75416 29 C Preoperative 4 4 0 128 128 76234 77 C Preoperative 4 16 0 512 512 80352 58 C Preoperative 4 16 0 64 64 78757 48 C Postoperative 4 4 0 64 64 85091 56 C Preoperative 4 2 0 64 256 82736 58 C Preoperative 0 4 0 64 32 84956 61 C Preoperative 0 0 0 128 256 73765 66 C Preoperative 8 16 0 32 64 84512 53 0 Preoperative 4 0 0 128 64 a Numerical titers express the reciprocal of the highest dilution of serum that fixed greater than 10% of complement when comparedto controls.
Recommended publications
  • Cracked Tooth Syndrome, an Update
    International Journal of Applied Dental Sciences 2021; 7(2): 314-317 ISSN Print: 2394-7489 ISSN Online: 2394-7497 IJADS 2021; 7(2): 314-317 Cracked tooth syndrome, an update © 2021 IJADS www.oraljournal.com Received: 19-02-2021 Dariela Isabel Gonzalez-Guajardo, Guadalupe Magdalena Ramirez- Accepted: 21-03-2021 Herrera, Alejandro Mas-Enriquez, Guadalupe Rosalia Capetillo- Dariela Isabel Gonzalez-Guajardo Hernandez, Leticia Tiburcio-Morteo, Claudio Cabral-Romero, Rene Master in Sciences Student, Hernandez-Delgadillo and Juan Manuel Solis-Soto Universidad Autonoma de Nuevo Leon, Facultad de Odontologia, Monterrey, Nuevo Leon, CP 64460, DOI: https://doi.org/10.22271/oral.2021.v7.i2e.1226 Mexico Guadalupe Magdalena Ramirez- Abstract Herrera Introduction: Cracked tooth syndrome is defined as an incomplete fracture initiated from the crown and Professor, Universidad Autonoma de extending cervically, and sometimes gingivally, and is usually directed mesiodistally. Objective: To Nuevo Leon, Facultad de analyze the literature about cracked tooth syndrome, its etiology, prevalence, pulp involvement and Odontologia, Monterrey, Nuevo Leon, CP 64460, Mexico treatment. Methodology: Using the keywords “cracked tooth syndrome”, “etiology”, “prevalence”, “pulp Alejandro Mas-Enriquez involvement” and “treatment”, the MEDLINE/PubMed and ScienceDirect databases were searched, with Associate Professor, Universidad emphasis on the last 5 years. It was evaluated with the PRISMA and AMSTAR-2 guidelines. Autonoma de Nuevo Leon, Facultad de Odontologia, Monterrey, Nuevo Results: There are many causes for cracks, the main one being malocclusion. Another is due to Leon, CP 64460, Mexico restorations, pieces to which amalgam was placed due to the extension of the cavity for the retentions. The second lower molar presents more frequently fissures due to premature contact.
    [Show full text]
  • Orofacial Pain
    QUINTESSENCE INTERNATIONAL OROFACIAL PAIN Noboru Noma Cracked tooth syndrome mimicking trigeminal autonomic cephalalgia: A report of four cases Noboru Noma DDS, PhD1/Kohei Shimizu DDS, PhD2/Kosuke Watanabe DDS3/Andrew Young DDS, MSD4/ Yoshiki Imamura DDS, PhD5/Junad Khan BDS, MSD, MPH, PhD6 Background: This report describes four cases of cracked All cases mimicked trigeminal autonomic cephalalgias, a group tooth syndrome secondary to traumatic occlusion that mim- of primary headache disorders characterized by unilateral icked trigeminal autonomic cephalalgias. All patients were facial pain and ipsilateral cranial autonomic symptoms. referred by general practitioners to the Orofacial Pain Clinic at Trigeminal autonomic cephalalgias include cluster headache, Nihon University Dental School for assessment of atypical facial paroxysmal hemicrania, hemicrania continua, and short-lasting pain. Clinical Presentation: Case 1: A 51-year-old woman unilateral neuralgiform headache attacks with conjunctival presented with severe pain in the maxillary and mandibular injection and tearing/short-lasting neuralgiform headache left molars. Case 2: A 47-year-old woman presented with sharp, attacks with cranial autonomic features. Pulpal necrosis, when shooting pain in the maxillary left molars, which radiated to caused by cracked tooth syndrome, can manifest with pain the temple and periorbital region. Case 3: A 49-year-old man frequencies and durations that are unusual for pulpitis, as was presented with sharp, shooting, and stabbing pain in the max- seen in these cases. Conclusion: Although challenging, dif- illary left molars. Case 4: A 38-year-old man presented with ferentiation of cracked tooth syndrome from trigeminal intense facial pain in the left supraorbital and infraorbital areas, autonomic cephalalgias is a necessary skill for dentists.
    [Show full text]
  • Malignant Transformation of Actinic Cheilitis
    INQUIRY ACTINIC CHEILITIS Malignant transformation of actinic cheilitis BACKGROUND analysis of the results and suffered from a lack of tests of statistical fi Actinic cheilitis (AC) is a chronic inflammation of the lip, usually signi cance. It also included the 9 patients diagnosed with SCC at the lower lip, caused by excessive exposure to solar or artificial the beginning of the study with the 2 who had malignant transfor- ultraviolet (UV) radiation. The UV radiation directly and indi- mation over the course of the study and reported a rate of ma- rectly damages the DNA in skin epithelial cells, causing genetic lignant transformation of 16.9%, which was inaccurate. aberrations and immunosuppression. AC is therefore considered to have malignant transformation potential, although the risk of fi such transformation remains unde ned. Globally, the prevalence Clinical Significance of AC is between 0.45% and 2.4%, but tends to be significantly higher among populations who participate in outdoor activities, A lack of research concerning the malignant transfor- rising to as much as 43.2%. A large percentage of the lower lip mation from AC to SCC is evident in the findings of carcinomas reported shows links to pre-existing AC lesions, this review. In addition, flaws in the single study iden- which indicates the malignant transformation potential of this dis- tified make it an unreliable guide to the potential malig- order. A review of the literature was undertaken to determine nant transformation of AC. Many factors enter into the the malignant transformation rate of AC. transformation process and influence whether it will occur and what its speed of progression will be.
    [Show full text]
  • Actinic Cheilitis and Lip Squamous Cell Carcinoma
    J Clin Exp Dent. 2019;11(1):e62-9. Actinic cheilitis and lip squamous cell carcinoma Journal section: Oral Medicine and Pathology doi:10.4317/jced.55133 Publication Types: Review http://dx.doi.org/10.4317/jced.55133 Actinic cheilitis and lip squamous cell carcinoma: Literature review and new data from Brazil Fernanda-Weber Mello 1, Gilberto Melo 1, Filipe Modolo 2, Elena-Riet-Correa Rivero 2 1 Postgraduate Program in Dentistry, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil 2 Department of Pathology, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil Correspondence: Department of Pathology Health Sciences Center Federal University of Santa Catarina University Campus, Trindade Mello FW, Melo G, Modolo F, Rivero ERC. Actinic cheilitis and lip squa- Florianópolis, 88.040-370, SC, Brazil mous cell carcinoma: Literature review and new data from Brazil. J Clin Exp [email protected] Dent. 2019;11(1):e62-9. http://www.medicinaoral.com/odo/volumenes/v11i1/jcedv11i1p62.pdf Article Number: 55133 http://www.medicinaoral.com/odo/indice.htm Received: 10/07/2018 © Medicina Oral S. L. C.I.F. B 96689336 - eISSN: 1989-5488 Accepted: 10/12/2018 eMail: [email protected] Indexed in: Pubmed Pubmed Central® (PMC) Scopus DOI® System Abstract Background: To investigate the prevalence of malignant and potentially malignant lesions of the lip in an oral pa- thology service and to compare these data with a literature review. Material and Methods: A total of 3173 biopsy reports and histopathological records were analyzed. Cases with a histological diagnosis of actinic cheilitis (AC) with or without epithelial dysplasia, in situ carcinoma, or lip squa- mous cell carcinoma (LSCC) were included.
    [Show full text]
  • Evaluation of Effect of a Vitamin-Based Barrier Cream on the Clinical Severity of Actinic Cheilitis
    J Clin Exp Dent. 2020;12(10):e944-50. Evaluation of effect of a vitamin-based barrier cream on the clinical severity of actinic cheilitis Journal section: Oral Medicine and Pathology doi:10.4317/jced.57013 Publication Types: Research https://doi.org/10.4317/jced.57013 Evaluation of effect of a vitamin-based barrier cream on the clinical severity of actinic cheilitis: A preliminary study Mariana-Sudati Rodrigues 1, Eduardo-Oliveira Kaefer 2, Juliana-Tomaz Sganzerla 1, Humberto-Thomazi Gassen 1, Rubem-Beraldo dos Santos 1, Sergio-Augusto-Quevedo Miguens-Jr 1 1 Lutheran University of Brazil – ULBRA (Graduate Program in Dentistry), Canoas, RS, Brazil 2 Lutheran University of Brazil – ULBRA (School of Dentistry), Cachoeira do Sul, RS, Brazil Correspondence: Department of Oral Medicine, Graduate Program in Dentistry Lutheran University of Brazil Av. Farroupilha 8001, Prédio 59 Bairro São José, Canoas – RS - CEP 92425-900 [email protected] Rodrigues MS, Kaefer EO, Sganzerla JT, Gassen HT, dos Santos RB, Received: 07/03/2020 Accepted: 02/07/2020 Miguens-Jr SAQ. Evaluation of effect of a vitamin-based barrier cream on the clinical severity of actinic cheilitis: A preliminary study. J Clin Exp Dent. 2020;12(10):e944-50. Article Number: 57013 http://www.medicinaoral.com/odo/indice.htm © Medicina Oral S. L. C.I.F. B 96689336 - eISSN: 1989-5488 eMail: [email protected] Indexed in: Pubmed Pubmed Central® (PMC) Scopus DOI® System Abstract Background: Actinic Cheilitis (AC) is a pathological condition of the labial mucosa considered potentially malig- nant. The aim of this study was to investigate the effect of treatment of AC with daily use of a vitamin-based barrier cream.
    [Show full text]
  • An Unusual Case of Mandibular Squamous Cell Carcinoma in Intimacy with an Impacted Wisdom Tooth
    Hindawi Case Reports in Surgery Volume 2019, Article ID 8360357, 6 pages https://doi.org/10.1155/2019/8360357 Case Report An Unusual Case of Mandibular Squamous Cell Carcinoma in Intimacy with an Impacted Wisdom Tooth Johnson Cheung ,1 Ayham Al Afif,2 Martin Joseph Bullock ,3 Chad Robertson,1 Robert Hart,2 and Reginald Goodday1 1Department of Oral and Maxillofacial Surgery, Dalhousie University, 5981 University Avenue, Room 5132, P.O. Box 15000, Halifax, Nova Scotia, Canada B3H 4R2 2Division of Otolaryngology-Head and Neck Surgery, Dalhousie University, QEII Health Sciences Centre 3rd floor Dickson Building, 5820 University Avenue, Halifax, Nova Scotia, Canada B3H 1Y9 3Department of Pathology, Dalhousie University, Sir Charles Tupper Medical Building, Room 11B, 5850 College Street, PO Box 15000, Halifax, Nova Scotia, Canada B3H 4R2 Correspondence should be addressed to Johnson Cheung; [email protected] Received 16 January 2019; Accepted 1 April 2019; Published 11 April 2019 Academic Editor: Fabio Roccia Copyright © 2019 Johnson Cheung et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Squamous cell carcinoma is the most common head and neck malignancy. It can occur in the mandible or maxilla without a preexisting oral mucosal lesion. Often, the clinical and radiographic presentation of SCC directs the clinician to favour malignancy over other pathological conditions. However, SCC may also mimic an infectious condition and therefore can pose a diagnostic challenge even for the most experienced clinicians. Herein, we report a case of mandibular squamous cell carcinoma in a 53-year-old male who presented with symptoms of right facial swelling, trismus, pain, and right-sided lip paresthesia.
    [Show full text]
  • Orofacial Pain and Menstrually Related Migraine
    University of the Pacific Scholarly Commons Dugoni School of Dentistry Faculty Articles Arthur A. Dugoni School of Dentistry 12-15-2019 Orofacial Pain and Menstrually Related Migraine Chisa Nishihara Nihon University School of Dentistry Keisuke Hatori Nihon University School of Dentistry Yung-Chu Hsu Chia-Yi Christian Hospital Kana Ozasa Nihon University School of Dentistry Andrew L. Young University of the Pacific, [email protected] See next page for additional authors Follow this and additional works at: https://scholarlycommons.pacific.edu/dugoni-facarticles Part of the Dentistry Commons Recommended Citation Nishihara, C., Hatori, K., Hsu, Y., Ozasa, K., Young, A. L., Imamura, Y., & Noma, N. (2019). Orofacial Pain and Menstrually Related Migraine. Acta Neurologica Taiwanica, 28(4), 131–138. https://scholarlycommons.pacific.edu/dugoni-facarticles/505 This Article is brought to you for free and open access by the Arthur A. Dugoni School of Dentistry at Scholarly Commons. It has been accepted for inclusion in Dugoni School of Dentistry Faculty Articles by an authorized administrator of Scholarly Commons. For more information, please contact [email protected]. Authors Chisa Nishihara, Keisuke Hatori, Yung-Chu Hsu, Kana Ozasa, Andrew L. Young, Yoshiki Imamura, and Noboru Noma This article is available at Scholarly Commons: https://scholarlycommons.pacific.edu/dugoni-facarticles/505 Case Reports 131 Orofacial Pain and Menstrually Related Migraine Chisa Nishihara1, Keisuke Hatori2, Yung-Chu, Hsu3, Kana Ozasa1, Andrew Young4, Yoshiki Imamura1, Noboru Noma1 Abtract Purpose: Migraine is a common, debilitating, primary headache disorder that can cause and be affected by odontalgia. Case report: A 49-year-old woman(Patient 1) presented with pulsating pain in the left maxillary molar area, and a history of unsuccessful root canal treatment.
    [Show full text]
  • Noma. Etiology, Pathogeny, Clinic, Diagnostics, Medical Treatment
    MINISTRY OF HEALTH OF UKRAINE Ukrainian medical stomatological academy “Approved” On the meeting chair Of Propaedeutics Surgical Stomatology The Head of the Department prof. Novikov V.M. ___________ “ ____ ” _____________ 20 ____ GUIDELINES Individual work of students Educational discipline Surgical stomatology Module № 2 Inflammatory diseases in maxillofacial region. Nonodontogenous inflammatory diseases in Content module № 4 maxillofacial region Noma. Etiology, pathogeny, clinic, diagnostics, Theme lesson medical treatment. Vegener’s Syndrome, signs of AIDS in the oral cavity. Course 3 Faculty Stomatological Poltava 2018 1. Actuality of the topic: Noma, also known as cancrum oris and gangrenous stomatitis, is a rare disease of childhood that is characterized by a destructive process of orofacial tissues. The mechanism by which predisposing factors allow the microorganisms to become virulent pathogens is not understood. Wegener's granulomatosis is an inflammatory condition of unknown etiology. Efforts to identify a cause have generally focused on infection and immunologic dysfunction but have been unproductive. AIDS is the terminal stage of infection with the human immunodeficiency virus (HIV), which is recognized as undergoing a number of mutations. The underlying severe immunodeficiency leads to a number of oral manifestations which, although not pathognomonic, should raise the possibility of HIV infection. 2. The objectives of the studies: Etiology, pathogens, pathological anatomy, classification, features of a clinical course, methods of diagnostics noma, Vegener’s syndrome and AIDS. To be able: to establish the diagnosis of noma, Vegener’s syndrome and AIDS. 3. Basic knowledge, skills, skills necessary for study topics (interdisciplinary integration). Name of previous courses These skills Microbiology Agents who produce above named diseases, their property.
    [Show full text]
  • Journal of Dentistry 70 (2018) 67–73
    Journal of Dentistry 70 (2018) 67–73 Contents lists available at ScienceDirect Journal of Dentistry journal homepage: www.elsevier.com/locate/jdent Associations of types of pain with crack-level, tooth-level and patient-level T characteristics in posterior teeth with visible cracks: Findings from the National Dental Practice-Based Research Network ⁎ Thomas J. Hiltona, , Ellen Funkhouserb, Jack L. Ferracanec, Valeria V. Gordand, Kevin D. Huffe, Julie Barnaf, Rahma Mungiag, Timothy Markerh, Gregg H. Gilberti, National Dental PBRN Collaborative Group1 a Department of Restorative Dentistry, School of Dentistry, Oregon Health & Science University, 2730 S.W. Moody Ave., Portland, OR 97201-5042, United States b School of Medicine, University of Alabama, 1720 2nd Avenue South, Birmingham, AL 35294-0007, United States c Department of Restorative Dentistry, School of Dentistry, Oregon Health & Science University, 2730 S.W. Moody Ave., Portland, OR 97201-5042, United States d Dept of Restorative Dental Sciences, University of Florida, 1600 SW Archer Rd, Gainesville, FL 32610, United States e Private Practice, 217 W 4th St, Dover, OH 44622, United States f Private Practice, 222 JPM Rd, Lewisburg, PA 17837, United States g Department of Periodontics, School of Dentistry, University of Texas Health San Antonio, 7703 Floyd Curl Drive, MC 8258, San Antonio, TX, 78229-3900, United States h Private Practice, 2210 Kulshan View Rd., Mount Vernon, WA 98273, United States i Department of Clinical and Community Sciences, School of Dentistry, University of Alabama, Birmingham, AL, United States ARTICLE INFO ABSTRACT Keywords: Objectives: The objective of this study was to determine which patient traits, behaviors, external tooth and/or Cracked teeth crack characteristics correlate with the types of symptoms that teeth with visible cracks exhibit, namely pain on Cracked tooth biting, pain due to cold stimuli, or spontaneous pain.
    [Show full text]
  • Prevention of Herpes Zoster Recommendations of the Advisory Committee on Immunization Practices (ACIP)
    Morbidity and Mortality Weekly Report www.cdc.gov/mmwr Recommendations and Reports June 6, 2008 / Vol. 57 / RR-5 Prevention of Herpes Zoster Recommendations of the Advisory Committee on Immunization Practices (ACIP) INSIDE: Continuing Education Examination depardepardepartment of health and human servicesvicesvices Centers for Disease Control and PreventionPrevention MMWR CONTENTS The MMWR series of publications is published by the Coordinating Center for Health Information and Service, Centers for Disease Introduction ..........................................................................1 Control and Prevention (CDC), U.S. Department of Health and Human Services, Atlanta, GA 30333. Methods ...............................................................................2 Background ..........................................................................2 Suggested Citation: Centers for Disease Control and Prevention. [Title]. MMWR Early Release 2008;57[Date]:[inclusive page numbers]. Biology of VZV ...................................................................2 Clinical Features of Zoster and PHN ..................................3 Centers for Disease Control and Prevention Diagnosis ..........................................................................5 Julie L. Gerberding, MD, MPH Director Zoster Transmission ...........................................................5 Tanja Popovic, MD, PhD Epidemiology of Zoster and Complications .......................6 Chief Science Officer Treatment and Nonspecific Management of Zoster
    [Show full text]
  • ORAL MANIFESTATIONS of HIV and the IMMUNOCOMPROMISED PATIENT
    ORAL MANIFESTATIONS OF HIV and the IMMUNOCOMPROMISED PATIENT Oral Manifestations of HIV • Candidiasis • Oral hairy leukoplakia • Kaposi’s sarcoma • Lymphoma • Squamous cellcarcinoma Oral Manifestations of HIV • Bacterial infections • Mycotic infections • Viral infections • Non-specific ulcerations • NOMA-like lesions 1 Oral Manifestations of HIV • Papilloma viral lesions • Autoimmune disease • Salivary gland disease • Idiopathic thrombocytopenia • Periodontal disease Candidiasis Yeast, C albicans, globrata • Pseudomembraneous • Atophic • Hyperplastic • Angular cheilitis Causes of Angular Cheilitis • Candidiasis • Decreased vertical dimension • Anemia • Malnutrition • Vitamin deficiency 2 Management of Mild/Moderate Candidiasis • Clotrimazole Troches • Nystatin Suspension • Gentian Violet • Dairy products with acidophilus Management of Angular Cheilitis • Clotrimazole Cream/Ointment • Nystatin-Triamcinolone Cream • Clotrimazole-Betamethasone Cream Management of Moderate/Severe Candidiasis • Itraconazole Solution/ Capsules • Fluconazole For resistant cases: • Add Amphotericin Suspension • Add Nystatin Suspension • Caspofungin acetate IV • Amphotericin IV 3 Oral Hairy Leukoplakia Treatment for Oral Hairy Leukoplakia • Podophyllin resin 25% • Podophyllotoxin • Retinoic acid • Acyclovir White lesions - Differential Diagnosis • Pseudomembraneous candidiasis • Hyperplastic candidiasis • Hairy leukoplakia • White hairy tongue • Leukoedema • Lichen planus • Hyperkeratosis • Leukoplakia 4 Kaposi’s Sarcoma Differential Diagnosis for Kaposi’s Sarcoma
    [Show full text]
  • Incorporation of Differentiated Dysplasia Improves Prediction of Oral Leukoplakia at Increased Risk of Malignant Progression
    Modern Pathology (2020) 33:1033–1040 https://doi.org/10.1038/s41379-019-0444-0 ARTICLE Incorporation of differentiated dysplasia improves prediction of oral leukoplakia at increased risk of malignant progression 1 2 1 2 1 Leon J. Wils ● Jos B. Poell ● Ilkay Evren ● Marit S. Koopman ● Elisabeth R. E. A. Brouns ● 1 2 1,3 Jan G. A. M. de Visscher ● Ruud H. Brakenhoff ● Elisabeth Bloemena Received: 29 August 2019 / Revised: 28 November 2019 / Accepted: 8 December 2019 / Published online: 2 January 2020 © The Author(s) 2020. This article is published with open access Abstract Oral leukoplakia is the most common oral potentially malignant disorder with a malignant transformation rate into oral squamous cell carcinoma of 1–3% annually. The presence and grade of World Health Organization defined dysplasia is an important histological marker to assess the risk for malignant transformation, but is not sufficiently accurate to personalize treatment and surveillance. Differentiated dysplasia, known from differentiated vulvar intraepithelial neoplasia, is hitherto not used in oral dysplasia grading. We hypothesized that assessing differentiated dysplasia besides World Health Organization defined (classic) dysplasia will improve risk assessment of malignant transformation of oral leukoplakia. We 1234567890();,: 1234567890();,: investigated a retrospective cohort consisting of 84 oral leukoplakia patients. Biopsies were assessed for dysplasia presence and grade, and the expression of keratins 13 (CK13) and 17, known to be dysregulated in dysplastic vulvar mucosa. In dysplastic oral lesions, differentiated dysplasia is as common as classic dysplasia. In 25 out of 84 (30%) patients, squamous cell carcinoma of the upper aerodigestive tract developed during follow-up.
    [Show full text]