Skin biopsy is a minimally invasive procedure and has been used in the evaluation of non-myelinated, but not myelinated nerve fibres, in sensory neuropathies. We therefore evaluated myelinated nerves in skin biopsies from normal controls and patients with Charcot-Marie-Tooth (CMT) disease caused by mutations in myelin proteins. Light microscopy, electron microscopy and immunohistochemistry routinely identified myelinated dermal nerves in glabrous skin that appeared similar to myelinated fibres in sural and sciatic nerve. Myelin abnormalities were observed in all patients with CMT. Moreover, skin biopsies detected potential pathogenic abnormalities in the axolemmal molecular architecture previously undetected in human neuropathies. Finally, myelin gene expression at both mRNA and protein levels was evaluated by real-time PCR and immunoelectron microscopy. Peripheral myelin protein 22 (PMP22) was increased in CMT1A (PMP22 duplication) and decreased in patients with hereditary neuropathy with liability to pressure palsies (PMP22 deletion). Taken together, our data suggest that skin biopsy may in certain circumstances replace the more invasive sural nerve biopsy in the morphological and molecular evaluation of inherited and other demyelinating neuropathies.

In contemporary society, industrialization and rising of terrorism threats highlight the necessity and importance of structural protection against accidental and intentionally malicious blast loads. Consequences of these extreme loading events are known to be catastrophic, involving personnel injuries and fatalities, economic loss and immeasurable social disruption. These impacts are generated not only from direct explosion effects, that is, blast overpressure and primary or secondary fragments, but also from the indirect effects such as structural collapse. The latter one is known to be more critical leading to massive losses. It is therefore imperative to enlighten our structural engineers and policy regulators when designing modern structures. Towards a better protection of concrete structures, efforts have been devoted to understanding properties of construction materials and responses of structures subjected to blast loads. Reliable blast resistance design requires a comprehensive knowledge of blast loading characteristics, dynamic material properties and dynamic response predictions of structures. This article presents a state-of-the-art review of the current blast-resistant design and analysis of concrete structures subjected to blast loads. The blast load estimation, design considerations and approaches, dynamic material properties at high strain rate, testing methods and numerical simulation tools and methods are considered and reviewed. Discussions on the accuracies and advantages of these current approaches and suggestions on possible improvements are also made.

Objective The peripheral myelin protein-22 (PMP22) gene is associated with the most common types of inherited neuropathies, including hereditary neuropathy with liability to pressure palsies (HNPP) caused by PMP22 deficiency. However, the function of PMP22 has yet to be defined. Our previous study has shown that PMP22 deficiency causes an impaired propagation of nerve action potentials in the absence of demyelination. In the present study, we tested an alternative mechanism relating to myelin permeability. Methods Utilizing Pmp22+/− mice as a model of HNPP, we evaluated myelin junctions and their permeability using morphological, electrophysiological, and biochemical approaches. Results We show disruption of multiple types of cell junction complexes in peripheral nerve, resulting in increased permeability of myelin and impaired action potential propagation. We further demonstrate that PMP22 interacts with immunoglobulin domain–containing proteins known to regulate tight/adherens junctions and/or transmembrane adhesions, including junctional adhesion molecule-C (JAM-C) and myelin-associated glycoprotein (MAG). Deletion of Jam-c or Mag in mice recapitulates pathology in HNPP. Interpretation Our study reveals a novel mechanism by which PMP22 deficiency affects nerve conduction not through removal of myelin, but through disruption of myelin junctions.