Progress Made Towards Treatment of X-linked Hypophosphataemia

X-linked hypophosphataemia per se is a rare disease though it is most common form of heritable rickets.

[Rickets is a condition in which in which soft bones bend and deform as a result of poor calcification of growing bones.

Researchers at McGill University and the Federal University of Sao Paulo have identified that osteopontin plays a role in X-liked hypophosphataemia, a discovery may pave the way to effectively treating this rare disease.

The results of this latest research by Drs. McKee and Barros will be published in the March issue of the Journal of Bone and Mineral Research.

It was known from previous research that a mutation in PHEX gene was responsible for the X-linked hypophosphataemia. PHEX enzymatic activity leads to an essentially complete degradation of osteopontin in bones.

[PHEX gene regulates the expression of Phosphate-regulating neutral endopeptidase also known as X-linked hypophosphatemia protein (HYP) or metalloendopeptidase. The gene is located on the X chromosome.] [Read more...]

Degrees of Freedom of Upper Limb

A degree of freedom is a plane of movement. The concept of degrees of freedom is central to kinematics.

Consider a ship moving.It is moving in three dimensions.

  • First, up and down in a vertical plane
  • Second, left and right in a horizontal plane;
  • Third backward and forward, also in a horizontal plane.

Each of these corresponds to one degree of freedom.

Within each of these planes, or axes of movement, an object can rotate thus adding a degree of freedom in each plane and making a total of 3 rotational degrees of freedom.

Human upper limb has been studied in detail and degrees of freedom are important for constructing upper limb prosthetics especially the robotic prosthetics. [Read more...]

What Is A Pseudofracture?

Pseudofracture is a radiological finding on an xray.

As its name It is an appearance similar to a fracture line but is not a fracture in true sense, hence the name. However, some consider it to be a form of insufficiency type of stress fracture.

A pseudofracture appears as a lucent area on radiographs that is oriented at right angles to the cortex and extends from the surface across the diameter of the bone. Frequently sclerosis occurs at margins between bones, and callus-like new bone is observed at the periosteal margin.

Pseudofractures are typically found in the axillary margins of the scapula, ribs, pubic rami, proximal ends of the femora and ulna. [These regions of presilection are in ptients of osteomalacia]

Pseudofractures are also called as Looser Zones. They represent deficient mineralization. [Read more...]

Fluorescin In Situ Hybridization (FISH)

Fluorescence in situ hybridization is a cytogenetic technique that is used to detect and localize the presence or absence of specific DNA sequences on chromosomes.

FISH uses fluorescent probes that bind to only those parts of the chromosome with which they show a high degree of sequence complementarity.

Fluorescence microscopy can be used to find out where the fluorescent probe bound to the chromosomes.

Uses

Fluorescence in situ hybridization  is used in genetic counselling, medicine, and species identification.

It can also be used to detect and localize specific mRNAs within tissue samples and thus identify organisms  which otherwise are not identifiable on routine tests.

 

Further resources on FISH

Enzyme linked Immuno Sorbent Assay (ELISA)

All microbial species have one antigen which is unique. These antigens can be purified and used to generate specific monoclonal antibodies.
Both the things, antigen and antibodies provide a highly specific diagnostic tool.

The term ELISA stands for enzyme linked immunosorbent assay is a serological test to look for presence of particular antigen or antibody.

There are two types of assays in ELISA

Direct

Direct ELISA uses monoclonal antibodies to detect the antigen. [Read more...]

Polymerase chain reaction (PCR)

The polymerase chain reaction (PCR) is a technique in molecular biology to amplify a single or a few copies of a piece of DNA to produce thousands to millions of copies of a particular DNA sequence within short time.

The technique was developed in 1983 by Kary Mullis.

A typical PCR involves 20-40 repeated temperature changes, called cycles, with each cycle commonly consisting of 2-3 discrete temperature steps.

Initialization step

This step consists of heating the reaction to a temperature of 94–96 °C . It is required for activation of DNA polymerase.

Denaturation Steps

 

This step consists of heating the reaction to 94–98 °C for 20–30 seconds. It causes DNA melting of the DNA template . [Read more...]

Palmar Tilt of Distal Radius

Palmar Tilt represents the angle between a line joining the dorsal and volar margins of the articular surface and the long axis of the radius on a lateral xray.

Palmar TIlt of Distal Radius

Palmar TIlt of Distal Radius

It is also called Volar Angle or Radial Tilt.

The normal palmar tilt averages 11° and has a range of 2°-20°.

It is an important parameter in treatment of distal radius fractures.

Image Credit
http://www.radiologyassistant.nl/en/476a23436683b

C Reactive Protein

C-reactive protein (CRP) is a protein found in the blood which rises in level in response to inflammation.

CRP was first discovered as a substance in the serum of patients with acute inflammation that reacted with the C- (capsular) polysaccharide of pneumococcus and thus the name.

It was discovered by Tillett and Francis in 1930 and is synthesized in liver.

 

A rise in CRP occurs as acute phase response  in a wide range of conditions like infections, inflammatory diseases, malignancy and autoimmune disordres. The levels of CRP rapidly increase within 2 hours of acute insult, reaching a peak at 48 hours. [Read more...]

What Is Erythrocyte Sedimentation Rate or ESR

The erythrocyte sedimentation rate (ESR), also called a sedimentation rate or Biernacki Reaction, [The test was invented by the Polish doctor Edmund Biernacki] is a common test in hematology [A branch of pathology dealing in blood investigations] and measures the rate at which red blood cells sediment in a period of 1 hour.

The erythrocyte sedimentation rate (is a nonspecific because increased results do not tell the doctor exactly where the inflammation is in the body or what is causing it, and also because it can be affected by other conditions besides inflammation.

For this reason, the ESR is typically used in conjunction with other tests. [Read more...]

Blood Supply of Neck Of Femur

Blood supply of proximal part of the femur is derived from following sources

Retinacular Vessels

Ascending cervical vessels arise from the extracapsular ring of anastomosis formed by the medial and lateral circumflex femoral artery at base of neck. Ascending Cervical Branches travel proximally under the hip capsule and continue proximally along neck deep to synovial membrane
toward the femoral head.

These arteries are known as retinacular arteries and are divided into three groups [Read more...]