Histologically Confirmed Recellularization is a Key Factor that Affects Meniscal Healing in Immature and Mature Meniscal Tears

Healing outcomes of meniscal repair are better in younger than in older. However, exact mechanisms underlying superior healing potential in younger remain unclear from a histological perspective. This study included 24 immature rabbits and 24 mature rabbits. Tears were created in the anterior horn of medial meniscus of right knee in each rabbit. Animals were sacrificed at 1, 3, 6, and 12 weeks postoperatively. We performed macroscopic and histological evaluations of post-meniscal repair specimens. Cells were counted within a region of interest to confirm cellularization at tear site in immature menisci. The width of cell death zone was measured to determine the region of cell death in mature menisci. Apoptosis was evaluated by TUNEL assay. Vascularization was assessed by CD31 immunofluorescence. The glycosaminoglycans and the types 1 and 2 collagen content was evaluated by calculating average optical density of corresponding histological specimens. Cartilage degeneration was also evaluated. Healing outcomes following untreated meniscal tears were superior in immature group. Recellularization with meniscus-like cell morphology was observed at tear edge in immature menisci. Superior recellularization was observed at meniscal sites close to joint capsule than at sites distant from the capsule. Recellularization did not occur at tear site in mature group; however, we observed gradual enlargement of cell death zone. Apoptosis was presented at 1, 3, 6, 12 weeks in immature and mature menisci after untreated meniscal tears. Vascularization was investigated along the tear edges in immature menisci. Glycosaminoglycans and type 2 collagen deposition were negatively affected in immature menisci. We observed glycosaminoglycan degradation in mature menisci and cartilage degeneration, specifically in immature cartilage of the femoral condyle. In conclusion, compared with mature rabbits, immature rabbits showed more robust healing response after untreated meniscal tears. Vascularization contributed to the recellularization after meniscal tears in immature menisci. Meniscal injury fundamentally alters extracellular matrix deposition.

Online vs Offline: Experimenting the Belief in Career Exploration Methods of University Students

The beliefs in career exploration methods varying largely between the online and the offline career exploration methods. Among large pool of career explorers, university undergraduates can be considered as one of the most intense and immature group of explorers. At the same time, it is apparent that students are exploring career opportunities through various methods. Therefore, the primary objective of this research was to find out the beliefs in online and offline exploration methods in university undergraduates and decide the most effective method for career exploration. An experimental model was developed based on Stumpf, Colarelli, & Hartman‘s “Development of the Career Exploration theory. Three treatment groups were formed by the final year university students to denote two main career exploration methods. The sample was selected by randomly assigning an equal number of participants (25). Pre and Post beliefs about each career exploration method were assessed and analyzed to conclude the most effective method. The results found that after the treatment, pre and post believes about career exploration was not been significantly changed by its method. Yet, the amount of information gathered and exploration satisfaction were high in the online method. The respondents never had any systematic or planned way when exploring via online sources. The doubt about reliability of information gathered was high in the offline method. Further, the results revealed that there was no impact of stress and satisfaction for exploration belief. Implications are invited for allocating career exploration awareness for the target group in their early career exploration stages to prepare them for successful career decision making by forward-thinking.

Skeletally immature patient showed lower graft maturity than skeletally mature patient after ACL reconstruction with a rounded rectangular femoral tunnel

To compare the clinical results and ligamentization of anterior cruciate ligament reconstruction (ACLR) between skeletally immature and mature patients. Two-hundred-and-two patients who underwent primary ACLR were evaluated retrospectively. The clinical outcomes were compared between skeletally immature (immature group 1, n = 27) and mature (control group 1, n = 175) groups. Graft ligamentization of the reconstructed anterior cruciate ligament (ACL) using magnetic resonance imaging (MRI) signal intensity at 6 months postoperatively was compared between immature group 2 (n = 16), which included participants from immature group 1, and control group 2 (n = 32), created by recruiting data-matched controls from control group 1. Immature group 1 had significantly higher revision (14.8%) and pivot shift test positive (22.2%) rates than control group 1 (2.9% and 4.0%, respectively) (P = 0.020 and 0.003, respectively). The signal intensity in immature group 2 were significantly higher at the mid-substance and distal site of the reconstructed ACL than those in control group 2 (P = 0.003 and 0.034, respectively). Skeletally immature patients had higher graft revision and residual rotational laxity rates. Reconstructed ACL in skeletally immature patients showed higher signal intensity on MRI at 6 months postoperatively.

Quercetin affects uterine smooth muscle contractile activity in gilts

Quercetin is a polyphenolic flavonoid occurring in leaves, stems, flowers and fruits of many plants. In traditional Chinese medicine, it is used as a natural therapeutic agent with a broad spectrum of activities (antioxidant, neuroprotective, anti-inflammatory, anticancer, antibacterial and antiviral). Moreover, quercetin affects function of the reproductive tract, however the knowledge of this activity is still fragmentary. Therefore, this study aimed to determine the influence of quercetin on the contractile activity of the porcine myometrium collected from immature (n = 6), cyclic (n = 6) and early pregnant (n = 6) gilts. Strips of the myometrium (comprising longitudinal and circular layer) were resected from the middle part of the uterine horns and the isometric contractions were recorded. After 60–90 min of preincubation, the strips were stimulated with quercetin in increasing (10−13–10−1 M) concentrations and the changes in the tension amplitude and frequency of contractions were measured. Quercetin decreased (P<0.01–0.001) the amplitude of contractions at concentrations 10−11–10−1 M and 10−10–10−1 M in cyclic and early pregnant groups, respectively. The frequency of contractions decreased in all groups but was the highest (at concentrations 10−11–10−1 M; P<0.05–0.001) in the cyclic group and the lowest (at concentrations 10−5–10−1 M; P<0.01) in the immature group. The tension decreased only in the cyclic group after quercetin administration in high concentrations (10−6–10−1 M; P<0.05–0.01). The results indicate that quercetin causes relaxation of the porcine uterine smooth muscle but this activity is strongly related to the physiological status of the gilts.

Quantitative assessment of the vascularity of the skeletally immature patella: a cadaveric study using MRI

Purpose While predominant blood supply to the adult patella enters inferomedially, little is known about skeletally immature patellar perfusion. Improved knowledge of immature patella vascularity can further understanding of osteochondritis dissecans, dorsal defects of the patella and bipartite patella, and help ensure safe surgical approaches. We hypothesized that the immature patella would exhibit more uniform blood flow. The study purpose was to quantify immature patella regional perfusion in comparison with adults. Methods Ten cadaveric knees were utilized (five immature, five mature). The superficial femoral artery was cannulated proximally. Signal enhancement increases were compared from pre- to post-contrast MRI to assess relative arterial contributions to patella regions (quadrants, anterior/posterior, superior/inferior, medial/lateral, and outer/inner). Results Quantitative-MRI analysis revealed similar distribution of enhancement between the immature and mature patella. The inferior pole exhibited significantly higher arterial contribution versus superior pole in both immature and mature groups (p = 0.009; both groups), while the inferomedial quadrant had the highest arterial contribution of all quadrants in both groups. The superolateral quadrant demonstrated the lowest arterial contribution in the immature group and second lowest in the adult group. The patella outer periphery had significantly greater arterial contribution than the inner central region in both immature (p = 0.009) and mature (p = 0.009) groups. Conclusion Distribution of arterial contributions between the immature and mature patella was similar. Our results highlight the importance of inferior and inferomedial blood supply in both immature and mature patellas. These findings have implications for paediatric and adult patients; surgical damage to inferior patellar vessels should be avoided to prevent associated complications.

Isolated Medial Patellofemoral Ligament Reconstruction for Patellar Instability in Skeletally Immature versus Mature Patients

Objectives: Medial patellofemoral ligament (MPFL) reconstruction is the standard of care surgical treatment for recurrent patellar instability. Recurrent patellar instability is common after a first-time dislocation in the skeletally immature population. Adult-type reconstruction techniques are often avoided in skeletally immature patients due to the proximity of the femoral insertion of the MFPL to the distal femoral physis. It is currently unclear how outcomes of MPFL reconstruction in skeletally immature patients compare to those for skeletally mature patients. The objective of this study is to present the outcomes of isolated MPFL reconstruction in skeletally immature patients and compare their findings to a skeletally mature population. Methods: Patients were identified from an institutional patellofemoral registry who underwent isolated MPFL reconstruction from March 2014 to July 2018. Demographic, radiographic, and knee-specific patient-reported outcome measures (PROMs) were collected prior to surgery. Follow-up data collection included knee surveys collected at 1 and 2-years following MPFL reconstruction. Additionally, return to sport rates and episodes of re-dislocations were also collected. Comparisons of demographic and clinical data were made between skeletally immature and mature patients. Sub-analysis was performed on outcomes in skeletally immature patients who underwent MPFL reconstruction where the graft was placed distal to the physis to avoid the growth plate versus those who had standard placement of the graft. Baseline factors were analyzed using independent samples t-tests or chi-square analysis. Longitudinal analysis of knee PROMs was conducted using generalized estimating equation (GEE) modeling. Statistical significance was defined as p-values of 0.05 or less. Results: The study cohort included 107 patients (25 skeletally immature, 82 skeletally mature). Mean age of the study groups was 13.8 years in the immature group (range 11-15) and 21.3 in the mature group (range 14-34). No differences in sex (72% female in both groups) or obesity (0% vs. 8%) was observed between immature and mature patients. Radiographic measures of Caton-Deschamps Index (1.18 in both groups), TT-TG (14.9 vs. 14.8), and Dejour classification (P=0.328) also saw no differences between groups. Longitudinal outcomes in KOOS QoL, IKDC, KOOS PS, and Kujala surveys found no differences between immature versus mature patients over time. However, higher PediFABS was observed in the immature group versus mature at baseline (21.6 vs. 11.9, P<0.001), 1-year (18.1 vs. 11.5, P=0.006), and 2-years (22.4 vs. 11.5, P=0.003). Low incidence of post-operative dislocation and a high return to sport rate was observed in both skeletally immature and mature patients. No statistical differences were observed in all outcomes between immature patients who had standard graft placement and those where the graft was placed distal to the physis. Conclusion: Controversy exists in how best to treat the skeletally immature patient with recurrent lateral patellar instability. Due to the risk of injury to the growth plate, many believe it is best to wait to stabilize these patients until they have stopped growing. However, given the high risk of cartilage injury with each dislocation and the long term sequelae of such injuries in these young knees, the risk of waiting may be high. This study demonstrates similar outcomes and recurrence rates in skeletally immature patients with those seen in the mature population without disturbance or injury to the growth plates. [Figure: see text][Figure: see text]

Implication of Flow Cytometry-Based Maturity Score in Risk Stratification of Acute Myeloid Leukemia in Adult Egyptians

Background Already for decades, controversy exists as to whether immunophenotyping has a prognostic significance in acute myeloid leukemia (AML). However, the impact of the immunophenotypic assessment of blast maturity is largely unknown. Objectives Studying the influence of the degree of immunophenotypic maturity, via the application of the flow-cytometric based maturity score, on the clinical outcome as well as the laboratory and clinical parameters of patients with AML. Methods This study was conducted on 40 newly diagnosed AML patients with the quantifications of the variable expressions of three early myeloid progenitor markers namely CD34, CD117 and TdT. After that, the estimation of the blast maturity was based on a previous score proposed in a study by Schneider et al. (2015). Results Out of forty patients enrolled, 8 patients (20%) were assigned to the mature group whereas 32 patients were assigned to the immature group. There was no statistically significant difference between both groups in terms of demographics, clinical and laboratory data, cytogenetic risk groups as well as treatment outcome determined by mortality and response to chemotherapy on day 28 and at 6 months. Mature group showed slightly higher median survival in comparison to the immature group. Conclusion There is no evident relationship between maturity score of the blast population of a patient and the clinical outcome despite mild prolongation of median survival of the mature group. Higher sample size is needed to confirm this observation.

Ultrastructural Imaging Analysis of the Zona Pellucida Surface in Bovine Oocytes

The aims of the present study were to: (i) evaluate the ultrastructural differences in the zona pellucida (ZP) surface between immature and mature bovine oocytes, and (ii) describe a new objective technique to measure the pores in the outer ZP. Intact cumulus–oocyte complexes (COCs) obtained from a local abattoir were immediately fixed (immature group) or submitted to in vitro maturation (IVM) at 38.5 °C for 24 h in a humidified atmosphere of 5% CO2 in air (mature group). Oocytes from both groups were morphologically evaluated via Scanning Electron Microscopy (SEM) and the images were processed in the Fiji/ImageJ software using a new objective methodology through the Trainable Weka Segmentation plugin. The average number of pores in ZP was greater (p < 0.05) in the mature group than the immature group. However, the size and circularity of pores in ZP did not differ (p > 0.05) between groups. In conclusion, it has been shown that the number of pores highlighted the main ultrastructural change in the morphology of the ZP surface of bovine oocytes during the IVM process. We have described an objective method that can be used to evaluate ultrastructural modifications of the ZP surface during oocyte maturation and early embryo development.

Hematological and biochemical indicators of maturity in foals and their relation to the placental features

ABSTRACT: Newborn’s health is directly related to gestational conditions and placental efficiency. The aims of this study were: (1) To evaluate hematological and biochemical parameters of foals born from mares with placentitis at birth and at 24h of age, (2) to verify if placental pathology had any influence on neonatal maturity degree through hematological and biochemical response of those foals. According to placental findings (control and placentitis) and neonatal maturity degree (mature and immature), foals were divided into three groups: (1) Control group (n=22), foals born from mares with placentitis and classified as (2) Mature (n=26), and (3) Immature (n=10). The hematocrit and plasma concentration of fibrinogen, total plasma protein, white blood cells count, lactate, glucose, creatinine, urea, albumin, bilirubin, triglyceride, cholesterol, calcium, phosphorus, magnesium, aspartate aminotransferase (AST), creatine kinase (CK), alkaline phosphatase (ALP), and gamma-glutamyltransferase (GGT) were measured. Placental features were significantly different between neonatal maturity degree (P=0.001). Mares that had acute placentitis foaled more immature neonates (n=8/10; 80%). Concentrations of fibrinogen (P=0.003), creatinine (P=0.021), total cholesterol (P=0.014), AST (P=0.001), GGT (P=0.002), total (P=0.001) and unconjugated bilirubin (P=0.010) were higher at birth in the Immature group, whereas albumin levels were lower (P=0.002). Foals born from mares with placentitis presented hyperlactatemia at 24h of age (P=0.002). Acute placentitis had an influence on the neonatal maturity, allowing an accelerated but incomplete fetal maturation. The monitoring of lactate, fibrinogen, creatinine, bilirubin, cholesterol, albumin, AST, and GGT levels, associated with clinical, physical, and behavior evaluation may contribute as indicators of neonatal maturity.

Is the Nutritional Value of Fish Fillet Related to Fish Maturation or Fish Age? Integrated Analysis of Transcriptomics and Metabolomics in Blunt Snout Bream (Megalobrama amblycephala)

Background/Aims: Fish is a protein-rich food and is increasingly favored by consumers. It has been well recognized that the flesh composition of fish is closely related to its maturation and growth stage, but few studies have explored these differences. Additionally, hormone residues in fish after artificial induction of reproduction also attract consumer concern. In this study, we attempt to address these concerns by using a combination of transcriptomics and metabolomics analyses to identify key regulated pathways, genes, and metabolites that may affect the flesh nutrition of one typical aquaculture species in China, blunt snout bream (Megalobrama amblycephala). Methods: The four groups of fish were used for transcriptomics and metabolomics analyses, including one-year-old immature (group I), two-year-old immature (group II), two-year-old mature (group III) and successfully spawned (group IV) female M. amblycephala after artificial induction of reproduction. Results: We identified a total of 1460 differential compounds and 1107 differentially expressed unigenes in muscle among the different groups. Differential metabolites related to fish age (group II vs group I, group III vs group I) were largely enriched in “Glycerophospholipid metabolism”, “Linoleic acid metabolism”, “α-Linolenic acid metabolism”, and “Biosynthesis of unsaturated fatty acids”. Between these two pairwise comparisons, metabolites that are beneficial to human health, such as docosapentaenoic acid, α-Linolenic acid, eicosapentaenoic acid, and docosahexaenoic acid were found to be significantly decreased in two-year-old (group II, group III) compared with one-year-old (group I) M. amblycephala. Only one differential metabolite related to fish maturation, a triglyceride, was detected between groups III and II. Transcriptomics data showed that differently expressed genes (between group III vs group II, group III vs group I) related to maturation were highly enriched in “Cell adhesion molecules (CAMs)”, “Sphingolipid metabolism” and “Phagosome”. DEGs (between group II vs group I, group III vs group I) relating to fish age were enriched in the “cGMP-PKG signaling pathway”, “FoxO signaling pathway”, and “AMPK signaling pathway”. The gene-metabolite interaction network showed pivotal genes, including fumarate hydratase and GNPAT, which played a major role in the regulation of glycerphospholipid metabolism. The nutritional components were also measured, which verified the metabolomics results. Moreover, the metabolomics results showed that after 24 hours of artificial hormone injection, the drug was completely metabolized. Conclusion: Integrated analysis demonstrated that the nutrition value of fish fillet was much more related to fish age compared with maturation status in M. amblycephala females.