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We have previously reported that loss-of-function mutations in the cathepsin C gene (CTSC) result in Papillon Lefevre syndrome, an autosomal recessive condition characterized by palmoplantar keratosis and early,onset, severe periodontitis. Others have also reported CTSC mutations in patients with severe prepubertal periodontitis, but without any skin manifestations. The possible role of CTSC variants in more common types of non-mendelian, early-onset, severe periodontitis ("aggressive periodontitis") has not been investigated. In this study, we have investigated the role of CTSC in all three conditions. We demonstrate that PLS is genetically homogeneous and the mutation spectrum that includes three novel mutations (c.386T>A/p. V129E, c.935A>G/p.Q312R, and c.1235A>G/p.Y412C) in 21 PLS families (including eight from our previous study) provides an insight into structure-function relationships of CTSC. Our data also suggest that a complete loss-of-function appears to be necessary for the manifestation of the phenotype, making it unlikely that weak CTSC mutations are a cause of aggressive periodontitis. This was confirmed by analyses of the CTSC activity in 30 subjects with aggressive periodontitis and age-sex matched controls, which demonstrated that there was no significant difference between these two groups (1,728.7 +/- SD 576.8 mu moles/mg/min vs. 1,678.7 +/- SD 527.2 mu moles/mg/min, respectively, p = 0.73). CTSC mutations were detected in only one of two families with prepubertal periodontitis; these did not form a separate functional class with respect to those observed in classical PLS. The affected individuals in the other prepubertal periodontitis family not only lacked CTSC mutations, but in addition did not share the haplotypes at the CTSC locus. These data suggest that prepubertal periodontitis is a genetically heterogeneous disease that, in some families, just represents a partially penetrant PLS. (C) 2004 Wiley-Liss, Inc.

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R-matrix calculations of electron impact excitation rates in N- like S x are used to derive theoretical emission-line intensity ratios involving 2s(2)2p(3)-2s2p(4) transitions in the 189-265 Angstrom wavelength range. A comparison of these with observational data for solar flares and active regions, obtained with the Naval Research Laboratory's S082A spectrograph on board Skylab and the Solar EUV Rocket Telescope and Spectrograph, reveals that many of the S x lines in the spectra are badly blended with emission features from other species. However, the intensity ratios I(228.70 Angstrom)/I(264.24 Angstrom) and I(228.70 Angstrom)/I(259.49 Angstrom) are found to provide useful electron density diagnostics for flares, although the latter cannot be employed for active regions, because of blending of the 259.49 Angstrom line with an unidentified transition in these solar features.