Our research assesses the ability of three trunk mesodermal populations -- medial and lateral halves of newly formed somites, and presomitic (segmental plate) mesenchyme -- to participate in the differentiation and morphogenesis of craniofacial muscles. Grafts from quail donor embryos were placed in mesodermal pockets adjacent to the midbrain-hindbrain boundary, prior to the onset of neural crest migration, in chick host embryos. This encompasses the site where the lateral rectus and the proximal first branchial arch muscle primordia arise. The distribution and differentiation of graft-derived cells were assayed using QCPN and QH1 antibodies to identify all quail cells and quail endothelial cells, respectively. Chimeric embryos were assayed for expression of myf5, myod, paraxis and lbx1, and the synthesis of myosin heavy chain (MyHC), between 1 and 6 days later (stages 14-30). Heterotopic and control (orthotopic) transplants consistently produced invasive angioblasts, and contributed to the lateral rectus and proximal first branchial arch muscles; many also contributed to the dorsal oblique muscle. The spatiotemporal patterns of transcription factor and MyHC expression by these trunk cells mimicked those of normal head muscles. Heterotopic grafts also gave rise to many ectopic muscles. These were observed in somite-like condensations at the implant site, in dense mesenchymal aggregates adjacent to the midbrain-hindbrain boundary, and in numerous small condensations scattered deep to the dorsal margin of the eye. Cells in ectopic condensations expressed trunk transcription factors and differentiated rapidly, mimicking the trunk myogenic timetable. A novel discovery was the formation by grafted trunk mesoderm of many mononucleated myocytes and irregularly oriented myotubes deep to the eye. These results establish that the head environment is able to support the progressive differentiation of several distinct trunk myogenic progenitor populations, over-riding whatever biases were present at the time of grafting. The spatial and temporal control of head muscle differentiation and morphogenesis are very site specific, and head mesoderm outside of these sites is normally refractory to, or inhibited by, the signals that initiate ectopic myogenesis by grafted trunk mesoderm cells.
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http://dx.doi.org/10.1242/dev.01276 | DOI Listing |
JPRAS Open
March 2025
Department of Plastic and Reconstructive Surgery, Keio University School of Medicine, Tokyo, Japan.
A vascularized free fibula flap is often used to reconstruct bone defects. However, bone resorption within the osteotomized segment is often observed. This may be attributed to damage to bone blood flow supplied by nonpenetrating periosteal vessels (NPPVs); however, there are few studies on NPPVs in the fibula.
View Article and Find Full Text PDFJ Brachial Plex Peripher Nerve Inj
January 2025
Integrative Neuromedicine, Community Hospital Herdecke, Witten/Herdecke University, Herdecke, Germany.
To date, there are no uniform guidelines for the treatment of obstetric plexus lesions in German-speaking countries. An end-to-end direct suture after resection of trunk neuroma is recommended for surgical treatment if tension-free coaptation is possible, whereas the use of autologous nerve grafts bridging the gap between the adaptation margins is advised by consensus if tension-free coaptation is impossible. The aim of the study was to investigate which reconstruction strategy may provide a better recovery of motor function for patients after obstetric brachial plexus lesion.
View Article and Find Full Text PDFAnn Ital Chir
January 2025
Department of Gastrointestinal Surgery, The Second Affiliated Hospital, Hengyang Medical School, University of South China, 421001 Hengyang, Hunan, China.
Aim: This study compared the short- and long-term efficacy of simple suture with omental patch repair (Graham patch) in open surgery versus laparoscopic omental patch repair (LOPR) in treating patients with Helicobacter pylori (H. pylori)-associated gastric ulcers with perforation, and analyzed the incidence of complications.
Methods: The clinical information of patients who had stomach perforation repair surgery in Deqing People's Hospital between January 2021 and January 2022 was retrospectively analyzed.
World J Gastroenterol
January 2025
Department of Gastroenterology, The First Affiliated Hospital of University of Science and Technology of China, Hefei 230001, Anhui Province, China.
Inflammatory bowel disease, particularly Crohn's disease (CD), has been linked to modifications in mesenteric adipose tissue (MAT) and the phenomenon known as "creeping fat" (CrF). The presence of CrF is believed to serve as a predictor for early clinical recurrence following surgical intervention in patients with CD. Notably, the incorporation of the mesentery during ileocolic resection for CD has been correlated with a decrease in surgical recurrence, indicating the significant role of MAT in the pathogenesis of CD.
View Article and Find Full Text PDFJ Endovasc Ther
January 2025
Vascular Unit, Department of Surgery, Mater Dei Hospital, Msida, Malta.
Purpose: The use of surgeon-modified fenestrated endograft to treat a bleeding complication in the common iliac artery.
Technique: An Endurant limb graft was modified on back table in theater after planning the fenestration using a semi-automated centerline. The Endurant stent was planned to land flush at the aortic bifurcation.
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