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Morphofunctional Characteristics of Dorsal Root Ganglion Neurons in the Dynamics of Healing of a Purulent Wound 化脓伤口愈合过程中背根神经节神经元的形态功能特征
Pub Date : 2024-01-18 DOI: 10.18499/2225-7357-2023-12-4-9-21
D. Nikityuk, S. O. Fetisov, S. Klochkova, N. Alexeeva
Abstract. between the morphological and functional state of spinal ganglia neurons and the dynamics of healing of a purulent wound in an experimental animal during its natural course and complex therapy with hydropulse sanitation (HIS) and the addition of platelet-rich blood plasma (PRP). Material and methods. In an experiment on 100 white outbred rats, a purulent wound on the lateral surface of the thigh was modeled by introducing a daily culture of Staphyllococcus aureus. Two groups were formed: natural healing and healing after therapy with hydropulse sanitation of the wound with an isotonic NaCl solution followed by the addition of platelet-enriched autoplasma. The material for the study was taken on the 1st, 3rd, 5th, 7th, 14th, and 21st days. The area of the wound and the dynamics of its healing were assessed using the planimetric method. For the study, lumbar spinal ganglia (SG) of segments LIII–LV. were taken. At the light-optical level, after staining with cresyl violet according to Nissl and azure B according to the S. Shea method, the area of nerve cells was measured, photometry of RNA content was carried out, and the number of satellite gliocytes was counted. The obtained data were processed using statistical analysis methods. Results. The healing process of a purulent skin wound ended with the formation of a scar on days 7–14 for both experimental groups. The use of GIS and PRP demonstrated better dynamics of defect closure - a reduction in wound area by 59.35±3.4% (p=0.018) in the period from 3 to 5 days, compared with 40.05±2.9% (p=0.009) with natural healing. The response of SG neurons during healing was characterized by pronounced polymorphism. The maximum number of cells with reactive changes during natural healing was observed on the 5th day of the experiment (17.2±3.2% for A-neurons and 36.7±4.3% for B-neurons). Complex therapy led to a decrease in the proportion of both reactively altered and destructive neurons. The cell area, RNA content, and the number of satellite glia increased on average by the 7th day of the experiment. Separate close correlations were identified between the dynamics of changes in the wound area and the studied quantitative characteristics. Conclusion. A purulent wound causes a complex of nonspecific reactions in the neurons of the SG. In the dynamics of wound healing, neurons with reactive changes more often demonstrated biphasic dynamics, more pronounced for B-type cells with a primary reaction on days 1–3 and a further transition to regenerative hypertrophy or destruction. Regenerative changes in SG neurons had a close correlation with the processes of regeneration of the wound defect.
摘要:脊髓神经节神经元的形态和功能状态与实验动物化脓伤口自然愈合过程中的动态变化以及水脉冲消毒(HIS)和添加富血小板血浆(PRP)的复合疗法之间的关系。材料和方法在对 100 只白色纯种大鼠进行的实验中,通过每天引入金黄色葡萄球菌培养物,对大腿外侧表面的化脓性伤口进行建模。实验分为两组:自然愈合组和使用等渗氯化钠溶液对伤口进行水脉冲消毒,然后加入富含血小板的自体血浆治疗后愈合组。研究材料在第 1、3、5、7、14 和 21 天采集。采用平面测量法评估伤口面积及其愈合动态。研究取材为腰椎 LIII 至 LV 节段的腰椎神经节(SG)。在光-光水平上,按照尼氏方法用甲酚紫染色后,按照S. Shea方法用天青B染色后,测量神经细胞的面积,对RNA含量进行光度测定,并计算卫星胶质细胞的数量。获得的数据采用统计分析方法进行处理。结果两个实验组的化脓性皮肤伤口均在第 7-14 天愈合并形成疤痕。使用 GIS 和 PRP 能更好地动态闭合缺损--在 3 至 5 天期间,伤口面积减少了 59.35±3.4%(p=0.018),而自然愈合为 40.05±2.9%(p=0.009)。愈合期间 SG 神经元的反应具有明显的多态性。自然愈合过程中出现反应性变化的细胞数量在实验的第 5 天达到最大值(A 神经元为 17.2±3.2%,B 神经元为 36.7±4.3%)。复合疗法降低了反应性改变和破坏性神经元的比例。到实验的第 7 天,细胞面积、RNA 含量和卫星胶质细胞的数量平均有所增加。伤口面积的动态变化与所研究的定量特征之间分别存在密切的相关性。结论化脓性伤口会在 SG 神经元中引起复杂的非特异性反应。在伤口愈合的动态变化中,具有反应性变化的神经元更常表现出双相动态变化,B型细胞的双相动态变化更为明显,在第1-3天出现初级反应,随后过渡到再生性肥大或破坏。SG 神经元的再生变化与伤口缺损的再生过程密切相关。
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引用次数: 0
Histotopographic Organization of Levator Ani Muscle in Laboratory Rats 实验鼠提肛肌的组织拓扑结构
Pub Date : 2024-01-18 DOI: 10.18499/2225-7357-2023-12-4-47-53
A. Kolsanov, S. N. Chemidronov, G. N. Suvorova
Morphological organization of the levator ani muscle still remains unclear due to methodological problems in the study of the pelvic floor muscles. Therefore, the study of the histological structure of muscle tissue m. levator ani in animals is of not only theoretical but also practical importance for the study and modeling of pelvic floor dysfunction conditions in animal models. The aim is to study the enzymohistochemical and ultramicroscopic organization of the levator ani muscle in white laboratory rats. Material and methods. The study was performed on 10 laboratory Wistar rats (5 females and 5 males) aged 12–14 months. The metabolic profile of muscle fibers was determined using the Nachlass succinate dehydrogenase test. Imaging and linear measurements were carried out on a Leica UC 7 microscope (Germany), using its software. Ultrathin sections were counterstained with uranyl acetate and lead citrate, viewed nd photographed using a Hitachi HT 7700 Exalens (Japan) electron microscope. Results. All types of muscle fibers are present in levator ani muscle: slow fibers and rapid muscle fibers of typs IIA and IIB. It has been established that the total cross-sectional area of white type fibers is 3 times greater than the total area of other fibers. Significant sex differences were found in relative square parameters of glycolytic fibers in m. levator ani (p=0,009). At the ultrastructural level, it was found that in some muscle fibers the mitochondrial apparatus is well developed, in others, mitochondria are few in number, have smaller sizes, are located singly between myofibrils, without forming clusters. In such fibers, there are large accumulations of glycogen between the myofibrils. Conclusion. In the laboratory rat, the levator ani muscle is heterogeneous both in metabolic activity of muscle fibers and in ultrastructural organization. This feature of the muscle involves not only static work in creating intra-abdominal pressure and retaining the pelvic organs, but also isotonic contraction, acting as a synergist to ensure the movement of the tail.
由于盆底肌肉研究方法上的问题,提上肛肌的形态组织仍不清楚。因此,研究动物提上睑肌肌肉组织的组织学结构不仅具有理论意义,而且对研究和模拟动物模型的盆底功能障碍状况也具有重要的现实意义。本文旨在研究白色实验鼠提上睑肌的酶组织化学和超显微组织结构。材料和方法。研究对象为 10 只实验用 Wistar 大鼠(5 雌 5 雄),年龄为 12-14 个月。使用 Nachlass 琥珀酸脱氢酶测试确定了肌肉纤维的代谢概况。使用 Leica UC 7 显微镜(德国)及其软件进行成像和线性测量。使用日立 HT 7700 Exalens(日本)电子显微镜对超薄切片进行醋酸铀和柠檬酸铅染色、观察和拍照。结果提肛肌中存在各种类型的肌纤维:慢肌纤维和 IIA 和 IIB 型快肌纤维。研究表明,白色肌纤维的总横截面积是其他肌纤维总面积的 3 倍。在提上睑肌糖酵解纤维的相对平方参数上发现了显著的性别差异(P=0,009)。在超微结构层面,研究发现一些肌纤维中的线粒体装置非常发达,而另一些肌纤维中的线粒体数量很少,尺寸较小,单个位于肌纤维之间,没有形成簇状。在这些纤维中,肌原纤维之间有大量糖原堆积。结论实验鼠的提上睑肌在肌纤维代谢活动和超微结构组织方面都存在差异。该肌肉的这一特征不仅包括产生腹内压和固定骨盆器官的静态工作,还包括等张收缩,作为确保尾部运动的增效剂。
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引用次数: 0
Model of Hypogonadism by Method of Testicular Ischemization and its Morphological Substantiation 用睾丸缺血法建立性腺功能减退症模型及其形态学证据
Pub Date : 2024-01-18 DOI: 10.18499/2225-7357-2023-12-4-54-61
A. D. Lisovskii, A. V. Droblenkov, P. S. Bobkov, A. A. Bairamov
This study is devoted to the morphological substantiation of the model of male hypogonadism and establishing the effectiveness of its replacement therapy using morphological methods. Material and methods. 5 groups of adult male Wistar rats (4 individuals each) were studied. Four groups of rats were experimental. Under anesthesia, the left and right spermatic cords with the vascular bundle were tied with a temporary ligature, inducing hypogonadism. In the first two experimental groups of rats, the ligature was applied for 30 and 60 minutes (respectively). Animals in the other two experimental groups received replacement therapy by administering kisspeptin K6. Animals of the third experimental group began to receive kisspeptin a few minutes after restoration of blood flow in the testicle (ex tempore), and rats of the fourth group - after 3 days. The duration of replacement therapy is 7 days. In histological sections of the right and left testicle (n = 8), the number of viable and dying interstitial endocrine cells was counted (under the control of an immunohistochemical reaction with caspase 3), the percentage of these types of cells from their total number was calculated, and the area of viable endocrinocytes was determined. Testosterone levels were determined in the blood of animals of all groups. The significance of differences in the median, upper and lower quartiles of the compared parameters was determined using the nonparametric Mann–Whitney test. Results. It has been established that the modeling of male hypogonadism by applying a double-sided ligature to the vessels of the spermatic cord for 60 minutes and the animals experiencing it for the next 10 days induces pronounced reactive changes and the death of some interstitial cells, inhibition and cessation of spermatogenesis. Kisspeptin KS6, administered ex tempore and regularly after acute ischemia, has a protective effect on interstitial endocrinocytes and testicular spermatogenic cells, including anti-apoptotic, restoring spermatogenesis, probably realized through the activation of the central links of the hypothalamic-pituitary-testicular axis.
本研究致力于从形态学角度证实男性性腺功能减退症模型,并利用形态学方法确定其替代疗法的有效性。材料和方法研究对象为 5 组成年雄性 Wistar 大鼠(每组 4 只)。四组大鼠为实验组。在麻醉状态下,用临时结扎法捆绑左右精索和血管束,诱导性腺功能减退。前两组实验鼠的结扎时间分别为 30 分钟和 60 分钟。另外两个实验组的动物接受了 K6Kisspeptin 的替代治疗。第三实验组的动物在睾丸血流恢复(临时)几分钟后开始接受吻合素治疗,第四实验组的大鼠在 3 天后开始接受吻合素治疗。替代疗法的持续时间为 7 天。在左右睾丸(n = 8)的组织切片中,计数存活和死亡的间质内分泌细胞数量(在 Caspase 3 免疫组化反应的控制下),计算这些类型的细胞占细胞总数的百分比,并确定存活内分泌细胞的面积。测定所有组动物血液中的睾酮水平。比较参数的中位数、上四分位数和下四分位数差异的显著性采用非参数曼-惠特尼检验。结果已经证实,通过对精索血管进行 60 分钟的双面结扎来模拟雄性性腺机能减退,并让动物在接下来的 10 天中经历这种模拟,会诱发明显的反应性变化,导致一些间质细胞死亡、精子生成受到抑制并停止。Kisspeptin KS6 在急性缺血后临时和定期给药,对间质内分泌细胞和睾丸生精细胞有保护作用,包括抗凋亡,恢复精子生成,这可能是通过激活下丘脑-垂体-睾丸轴的中枢环节实现的。
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引用次数: 0
Variant Anatomy and Morphometric Characteristics of the Celiac Trunk and its Branches According to Multislice Computed Tomography 多层计算机断层扫描显示的腹腔干及其分支的变异解剖和形态特征
Pub Date : 2024-01-18 DOI: 10.18499/2225-7357-2023-12-4-62-67
S. P. Pavlov, S. E. Baibakov, E. I. Zyablova, I. G. Nosulya
Two classifications are currently most commonly used to classify branching variations of the celiac trunk (CT): N. Michels (1955) and R. Uflacker (1997). Many researchers note the imperfection of classifications and make additions to each of them. The aim is to determine the anatomical variants of the branching of the CT, and to perform a morphometry of it’s main branches. Material and methods. A sample of 700 MSCT angiograms of the abdominal aorta was analyzed. The study examined angiograms of 602 men and 98 women. Visualization of the vessels of the CT and measurement of the diameter of the arteries was carried out using digital computer programs of the personal station of the radiologist «Syngo.via». Results. The most common type of CT (77,9% observations), according to the classification of N. Michels, was type I, when the common hepatic artery (CHA) originated from the CT. The frequency of other variants was 22,1%. According to R. Uflacker, the most common variant (90,3% cases) was type I, corresponding to the typical anatomy of the CT, with the origin of the splenic, common hepatic and left gastric arteries. In addition to the main variants of the arterial basin of the liver and types of branching of the CT, we noted additional arteries that were not included in both classifications. In 48 cases, such vessels as the left inferior phrenic artery (44 observations / 91,7%), two inferior phrenic arteries (2IPA) (3 observations / 6,3%), and the right hepatic artery (RHA) (1 observation / 2,1%) were identified as originated from the CT. Conclusion. In the course of our study, we detected variants of CT that were not included in any of the most commonly used classifications: the RHA and 2IPA which ramified from CT. Three morphometric parameters of the CT: its length, diameter, and diameter of common hepatic artery had a significant correlation with gender. We consider that the data obtained on the variant anatomy of the CT will make additions to the current classifications in order to detail and objectify variations of the celiac-mesenteric basin arteries.
目前最常用的腹腔干(CT)分支变异分类方法有两种:N.Michels(1955 年)和 R.Uflacker(1997 年)。许多研究人员注意到了这两种分类法的不完善之处,并对每种分类法进行了补充。本文旨在确定 CT 分支的解剖变异,并对其主要分支进行形态测量。材料和方法对 700 张腹主动脉 MSCT 血管造影样本进行了分析。该研究检查了 602 名男性和 98 名女性的血管造影。使用放射科医生个人站 "Syngo.via "的数字计算机程序对 CT 血管进行可视化并测量动脉直径。结果显示根据 N. Michels 的分类,最常见的 CT 类型(77.9%)是 I 型,即肝总动脉 (CHA) 起源于 CT。其他变异的频率为 22.1%。根据 R. Uflacker 的观点,最常见的变异(90.3% 的病例)是 I 型,与 CT 的典型解剖结构相对应,起源于脾动脉、肝总动脉和胃左动脉。除了肝脏动脉盆地的主要变体和 CT 的分支类型外,我们还注意到两种分类中都未包括的其他动脉。在 48 例病例中,左膈下动脉(44 例/91.7%)、两条膈下动脉(2IPA)(3 例/6.3%)和右肝动脉(RHA)(1 例/2.1%)等血管被确定为源自 CT。结论在我们的研究过程中,我们发现了 CT 的变体,而这些变体并不包括在任何最常用的分类中:RHA 和 2IPA 从 CT 分支。CT 的三个形态参数:长度、直径和肝总动脉直径与性别有显著相关性。我们认为,所获得的 CT 变异解剖学数据将对目前的分类方法进行补充,以详细说明腹腔-肠系膜盆动脉的变异并使其客观化。
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引用次数: 0
Features of Klotho Protein Expression in Rat Kidneys in Experimental Hyperglycemia Against the Background of Pharmacological Correction with GABA Derivatives 用 GABA 衍生物进行药理学矫正背景下实验性高血糖大鼠肾脏中 Klotho 蛋白表达的特点
Pub Date : 2024-01-18 DOI: 10.18499/2225-7357-2023-12-4-38-46
D. A. Kavalerova, G. L. Snigur, S. S. Surin, I. Tyurenkov, D. A. Bakulin, E. Y. Sakharova
The aim is to identify the features of Klotho protein expression in the epithelium of the convoluted tubules of the kidney during prolonged experimental hyperglycemia and pharmacological correction with GABA derivatives. Material and methods. The study used 50 mongrel male rats (initial weight: 330,0–360,0 g) with streptozotocin diabetes lasting 6 months. 6 months after the injection of streptozotocin (60 mg/kg), animals with a glycemic level of ≥ 15 mmol/l were included in the study (after 4 hours of food deprivation), then GABA derivatives (aminalon, mefargine, succicard) were administered orally for 30 days. Proteinuria and serum creatinine concentrations were evaluated. After euthanasia, kidney tissue was fixed in buffered neutral formalin and examined using immunofluorescence microscopy. The intensity of the glow was evaluated based on a visual-analog scale. Results. In the group with chronic hyperglycemia without treatment, there was a significant increase in the protein content in daily urine and serum creatinine levels (p<0,05). In the group of animals with chronic hyperglycemia without treatment, there was a significant decrease in the expression of Klotho protein compared to the group of intact animals during immunofluorescence analysis. In the group treated with the GABA derivative succicard, there was an improvement in the functional state of the kidneys, accompanied by a significant increase (p≤0,0001) in the area of Klotho-positive material in the epithelium of the convoluted tubules of the kidney in relation to the group of animals with prolonged hyperglycemia without treatment. Conclusion. Prolonged hyperglycemia causes severe renal dysfunction in rats with streptozotocin diabetes: an increase the proteinuria and serum creatinine levels is accompanied by a decrease in the expression of Klotho protein in the kidneys. The GABA derivative succicard with course administration improves kidney function and this effect is accompanied by an increase in the expression of Klotho protein.
目的是确定在长期实验性高血糖和用 GABA 衍生物进行药物矫正期间,肾脏曲小管上皮细胞中 Klotho 蛋白的表达特征。材料和方法研究使用 50 只雄性杂种大鼠(初始体重:330.0-360.0 克)进行为期 6 个月的链脲佐菌素糖尿病实验。注射链脲佐菌素(60 毫克/千克)6 个月后,将血糖水平≥ 15 毫摩尔/升的动物纳入研究(禁食 4 小时后),然后口服 GABA 衍生物(阿米那龙、甲法金、琥珀酰卡)30 天。对蛋白尿和血清肌酐浓度进行评估。安乐死后,将肾组织固定在缓冲中性福尔马林中,并使用免疫荧光显微镜进行检查。发光强度根据视觉模拟标度进行评估。结果在未接受治疗的慢性高血糖组中,每日尿液中的蛋白质含量和血清肌酐水平显著增加(P<0.05)。在未接受治疗的慢性高血糖动物组中,在免疫荧光分析过程中,Klotho 蛋白的表达与完整动物组相比明显减少。在接受 GABA 衍生物琥珀酰卡治疗的动物组中,肾脏功能状态有所改善,与未接受治疗的长期高血糖动物组相比,肾脏曲小管上皮细胞中 Klotho 蛋白阳性物质的面积显著增加(p≤0,0001)。结论长期高血糖会导致链脲佐菌素糖尿病大鼠出现严重的肾功能障碍:在蛋白尿和血清肌酐水平升高的同时,肾脏中 Klotho 蛋白的表达量也会下降。GABA 衍生物 succicard 的疗程用药可改善肾功能,这种效果伴随着 Klotho 蛋白表达的增加。
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引用次数: 0
Bilateral Dimorphism of the Auricles in 18–20-year-old Girls 18-20 岁女孩耳廓的双侧二态性
Pub Date : 2024-01-18 DOI: 10.18499/2225-7357-2023-12-4-22-30
A. S. Volosnik
The aim of the study was to identify somatotypological features of linear parameters and bilateral dimorphism of the auricles in 18–20-year-old girls. Material and methods. The study included 140 girls aged 18–20 permanently living on the territory of the Luhansk People's Republic. They were exposed to somatotyping and cephalotyping. During auriculometry, 20 linear dimensions of each auricle were measured. The results obtained were processed using ANOVA and MANOVA and correlation analyses. The index of bilateral dimorphism of auriculometry parameters was determined. Differences in mean values were considered statistically significant at p<0,05. Results. As revealed, the auriculometric parameters of the left auricle exceeded those of the auricle of the contralateral side. Average value of the physiognomic length of the left auricle (n=140) was 61,40 mm, that was 3,55% (p<0,001) bigger than the corresponding parameter of the right auricle. In addition, the maximum index value of bilateral dimorphism (0,069) was registered during the analysis of the height of the tragus. In girls with normosthenic body type (n=69), the morphological width of the left auricle and its height also significantly exceeded the corresponding values of the auricle of the opposite side by 4,12% (p=0,017) and 5,56% (p<0,001), respectively. Variance analysis of the results obtained indicates that the somatotype of women, largely than the cephalotype, affects the variability of the auriculometric parameters. Correlation analysis of the findings allowed identifying predominantly statistically significant positive correlations of varying degrees between the studied parameters. The closest correlation (r>0,90) was determined between the physiognomic length and the length of the cartilaginous part, and between the physiognomic length and height of both the right and left auricles. Conclusion. The data obtained relating the constitutional features of the auricular structure in girls aged 18–20 are of practical significance to study the external ear intravitally, and to optimise surgical options for the auricle shape correction.
本研究旨在确定 18-20 岁女孩耳廓线性参数和双侧二态性的体型特征。材料和方法研究对象包括 140 名常住卢甘斯克人民共和国境内的 18-20 岁女孩。她们接受了体型和头型分析。在耳廓测量过程中,对每个耳廓的 20 个线性尺寸进行了测量。所得结果采用方差分析、曼诺沃夫分析和相关分析进行处理。确定了耳廓测量参数的双侧二态性指数。生理长度与软骨部分长度之间以及生理长度与左右耳廓高度之间的平均值差异(P0,90)具有统计学意义。结论所获得的与 18-20 岁女孩耳廓结构特征有关的数据,对于研究外耳内窥镜和优化耳廓形状矫正手术方案具有实际意义。
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引用次数: 0
Morphological and functional changes in human skin resulted from the impact of Demodex mites 蠕形螨对人体皮肤的影响导致皮肤形态和功能的改变
Pub Date : 2023-07-09 DOI: 10.18499/2225-7357-2023-12-2-64-71
K. N. Pustovaya, G. A. P'yavchenko, N. Alexeeva, S. Kuznetsov
   According to the latest data, up to 80 % of people in the world are carriers of Demodex mites. Light microscopy is used to detect mites during standardized superficial skin biopsy, skin scraping, etc. The study of histological preparations of the skin affected by Demodex helps analyse morphological changes in the skin structures, specify the structure and localization of insect units.   The aim of the study was to analyse the morphofunctional changes in human skin affected by Demodex mites.   Material and methods. The authors studied material from 16 male volunteers aged 26–74 years. All participants had signs of dermatitis. Pathological changes in the skin areas affected by Demodex mites and in the normal skin were analysed and compared. The study participants were punch-biopsied and then the preparations were stained with hematoxylin and eosin according to the standard technique. Skin layers were morphometrically detected, the coefficient of sclerosis of the sebaceous glands, the degree of destructive changes in the collagen fibers of the dermis and presence of leukocyte infiltration were also determined.   Results. The histological picture of the skin affected by Demodex mites demonstrated hypertrophy and destruction of the epidermis layers. The presence of “capsules” with Demodex mites and their metabolic products was manifested as hyperplasia of the epithelium and sebaceous glands. The inflammatory process caused by Demodex mites led to the formation of inflammatory mononuclear infiltration and disruption of the structure of collagen fibers, changes in the lumen of the capillaries, partial loosening of their basement membrane. In the sebaceous glands, processes of sclerosis, shape changes, hypertrophy of the walls, atrophy of sebocytes and disruption of the basement membrane were registered.   Conclusion. Demodex mites have a pronounced effect on the morphological structure of the histo-hematic barrier of the skin. This is manifested in the impaired integrity of its basement membranes, and in the pathology of the microcirculatory blood vessels. Histological preparations revealed multiple leukocyte infiltrates and thinned collagen fibers of the dermis at the sites of Demodex mites localisation.
根据最新数据,世界上高达80%的人是蠕形螨的携带者。在标准化浅表皮肤活检、皮肤刮痧等过程中,光镜用于检测螨虫。研究蠕形螨感染皮肤的组织学准备有助于分析皮肤结构的形态学变化,明确昆虫单位的结构和定位。本研究的目的是分析蠕形螨对人体皮肤形态功能的影响。材料和方法。作者研究了16名年龄在26-74岁之间的男性志愿者的资料。所有的参与者都有皮炎的迹象。分析比较蠕形螨感染皮肤与正常皮肤的病理变化。对研究对象进行打孔活检,并用苏木精和伊红染色。皮肤分层形态检测,皮脂腺硬化系数,真皮胶原纤维的破坏程度变化和白细胞浸润的存在也被确定。结果。受蠕形螨影响的皮肤的组织学图像显示表皮层肥大和破坏。蠕形螨及其代谢产物的“胶囊”的存在表现为上皮和皮脂腺的增生。蠕形螨引起的炎症过程导致炎性单核浸润的形成和胶原纤维结构的破坏,毛细血管管腔的改变,其基底膜部分松动。皮脂腺的硬化过程、形状改变、壁肥大、皮脂细胞萎缩和基底膜破坏均有记录。结论。蠕形螨对皮肤组织血屏障的形态结构有明显的影响。这表现在基底膜完整性受损和微循环血管病理上。组织学检查显示,在蠕形螨的局部部位,真皮有多个白细胞浸润和变薄的胶原纤维。
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引用次数: 0
Epithelial-mesenchymal transition: the history of the concept, debatable issues 上皮-间质转化:概念的历史,有争议的问题
Pub Date : 2023-07-09 DOI: 10.18499/2225-7357-2023-12-2-90-98
N. Shevlyuk
   The paper discusses diverse aspects of the concept of epithelial-mesenchymal transition and compares the basics of this concept with the classical concepts of tissue biology. The idea of the epithelial-mesenchymal transition was first suggested by Elizabeth Hay (1927–2007) in 1968 based on the analysis of tridermogenesis in the development and growth of the avian embryo. In the late 80s – early 90s of the twentieth century, the concept of epithelial–mesenchymal transition won supporters-pathomorphologists in our country who applied the concept to explain mechanisms of multiple pathological processes. The controversial issue arises: to which extent the concept of epithelial-mesenchymal transition is validated. It should be noted that a number of its basic principles are open to question. Thus, it is hardly correct to consider the cells of the ectoderma as epithelial cells, since they do not express immunohistochemical markers of epithelial tissue cells. That is, cells with a true epithelial phenotype are not yet represented at this stage of embryogenesis. It should also be taken into account that all evidence for the epithelial-mesenchymal transition is based on indirect immunocytochemical findings (decreased expression of epithelial markers, increased expression of markers of mesenchymal tissue genesis). Moreover, saying about the “epithelial-mesenchymal transition” specialists mean cell populations and not specific cells, which is hardly the same. All the above allows arguing the existence of the epithelial-mesenchymal transition; this issue needs additional research and more fact-based support.
本文讨论了上皮-间质转化概念的各个方面,并将这一概念的基础与组织生物学的经典概念进行了比较。1968年,Elizabeth Hay(1927-2007)在分析禽类胚胎发育和生长过程中的三胚发生过程的基础上,首次提出了上皮-间质转化的观点。20世纪80年代末- 90年代初,上皮-间质转化的概念在我国得到了病理形态学家的支持,他们将这一概念应用于解释多种病理过程的机制。有争议的问题出现了:上皮-间质转化的概念在多大程度上是有效的。应当指出,它的一些基本原则是有问题的。因此,将外胚层细胞视为上皮细胞几乎是不正确的,因为它们不表达上皮组织细胞的免疫组织化学标记。也就是说,具有真正上皮表型的细胞在胚胎发生的这个阶段还没有表现出来。还应考虑到,上皮-间质转化的所有证据都是基于间接的免疫细胞化学发现(上皮标记物表达减少,间质组织发生标记物表达增加)。此外,专家所说的“上皮-间质转化”指的是细胞群,而不是特定的细胞,这几乎是不一样的。所有这些都证明了上皮-间质转化的存在;这个问题需要进一步的研究和更多基于事实的支持。
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引用次数: 0
The role of human papillomavirus in ductal hyperplasia of the epithelium in breast fibroade- nomatosis 人乳头瘤病毒在乳腺纤维瘤瘤病上皮导管增生中的作用
Pub Date : 2023-07-09 DOI: 10.18499/2225-7357-2023-12-2-49-56
N. Plekhova, A. V. Lagureva, V. Apanasevich, A. A. Tsibulina
   Benign breast papilloma is considered a lesion with uncertain malignant potential and, in most cases, it is recommended to be removed. The molecular pathology of ductal hyperplasia of the epithelium in fibroadenomatosis is under intensive study, but at the moment there is no strong enough evidence of diagnostically significant causes of its occurrence.   The aim of the study was to determine the presence of E6 and L1 proteins of the human papillomavirus (HPV) in biopsy specimens of breast tissue in fibroadenomatosis.   Material and methods. Viral proteins were detected using an immunohistochemical method with primary polyclonal antibodies to the E6 protein of HPV types 16 and 18 and capsid protein L1 of HPV types 1, 6, 11, 16, 18, and 31.   Results. In biopsy specimens with fibroadenomatosis of the mammary gland, ductal hyperplasia without atypical proliferation of luminal epithelial cells (NOS 65 %) was most often detected, while atypical ductal hyperplasia (ADH) was detected in 35 %. Viral proteins E6 and L1 were found in more than 90 % of biopsies, with no significant difference between the synthesis of these proteins depending on the type of epithelial proliferation. There was a moderate correlation between the level of intensity of the capsid protein L1 and proliferation marker Ki-67 syntheses in biopsies with atypical epithelial proliferation. The simultaneous presence of the viral proteins E6, L1 synthesis and the index of Ki-67 cell proliferation in breast tissues with fibroadenomatosis increased under transition of epitheliocytes from typical proliferation to atypical ductal hyperplasia.   Conclusion. As demonstrated, there is a correlation between the presence of HPV types 16/18 and atypical changes in the epithelium in breast fibroadenomatosis. The analysed intensity of the E6, L1 and Ki-67 protein syntheses and their simultaneous expression in tissues in benign tumors allows evaluating the risk of epithelial cell malignancy.
乳腺良性乳头状瘤被认为是一种不确定恶性潜能的病变,在大多数情况下,建议切除。纤维腺瘤病中上皮导管增生的分子病理学正在深入研究中,但目前尚无足够有力的证据证明其发生的诊断意义重大的原因。本研究的目的是确定纤维腺瘤病乳腺组织活检标本中人乳头瘤病毒(HPV)的E6和L1蛋白的存在。材料和方法。采用免疫组织化学方法检测HPV 16型和18型的E6蛋白和HPV 1、6、11、16、18和31型的衣壳蛋白L1的多克隆抗体。结果。在乳腺纤维腺瘤病活检标本中,最常检测到无非典型腔上皮细胞增生的导管增生(NOS 65%),而不典型导管增生(ADH)占35%。在90%以上的活组织检查中发现了病毒蛋白E6和L1,根据上皮细胞增殖的类型,这些蛋白的合成没有显著差异。在非典型上皮增生的活检中,衣壳蛋白L1的强度水平与增殖标志物Ki-67的合成之间存在中等相关性。在乳腺纤维腺瘤病组织中,当上皮细胞由典型增生向非典型导管增生转变时,病毒蛋白E6、L1合成和Ki-67细胞增殖指数同时升高。结论。如所示,在乳腺纤维腺瘤病中,HPV 16/18型的存在与上皮的不典型变化之间存在相关性。通过分析良性肿瘤组织中E6、L1和Ki-67蛋白合成及其同时表达的强度,可以评估上皮细胞恶性肿瘤的风险。
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引用次数: 0
Microvascular bed and adrenergic nerve endings of the pulp during permanent teeth eruption 恒牙萌出时牙髓的微血管床和肾上腺素能神经末梢
Pub Date : 2023-07-09 DOI: 10.18499/2225-7357-2023-12-2-72-78
N. Chuchkova, O. L. Polyakova, A. E. Shklyaev, V. M. Chuchkov, M. Smetanina, K. A. Pazinenko
   The aim of the study was to reveal associations between the number of functioning microvessels and formation of adrenergic control (nerve endings containing catecholamine) of the dental pulp in children and adolescents of Udmurtia during the period of permanent teeth eruption.   Material and methods. The study included neurovascular bundle of the pulp of teeth extracted for medical reasons at the age of 5 to 14 years. At the light-optical level, the number of functioning capillaries was counted; an electron microscopic technique was used to qualitative assess the microvascular bed. Identification of catecholamines and counting the number of adrenergic nerve endings were performed histochemically using glyoxylic acid.   Results. The process of permanent teeth eruption is accompanied by an intensively increased number of functioning capillaries and an increased density of adrenergic nerve endings. The number of functioning microvessels increases significantly (by 3.36 times) during childhood (from 5 to 9 years); the number of capillaries stabilizes in adolescence. The increased number of nerve endings by the end of the childhood period (9 years) is 45.2 ± 12.4 % compared with the age of 5 years. Notably, adrenergic nerve endings modify qualitatively: a pronounced variety of mediatorcontaining forms is replaced by their isomorphic phenotype. With age, predominant distribution of nerve endings along the vessels of the microvasculature tends to increase.   Conclusion. Active formation of the microvascular bed during the eruption of permanent teeth is accompanied by an age-dependent increase in the density of localization and qualitative restructuring of adrenergic nerve endings, which provides full catecholaminergic control from the sympathetic nervous system.
该研究的目的是揭示在恒牙萌出期间,乌德穆尔特儿童和青少年牙髓中功能微血管的数量与肾上腺素能控制(含有儿茶酚胺的神经末梢)形成之间的联系。材料和方法。研究对象为5 ~ 14岁因医学原因拔牙的牙髓神经血管束。在光光学水平,计数功能毛细血管的数量;采用电镜技术对微血管床进行定性评价。用乙醛酸进行儿茶酚胺的鉴定和肾上腺素能神经末梢的计数。结果。恒牙萌出的过程伴随着功能毛细血管数量的增加和肾上腺素能神经末梢密度的增加。在儿童期(5 - 9岁),功能微血管的数量显著增加(增加3.36倍);毛细血管的数量在青春期稳定下来。儿童期结束时(9岁)神经末梢数量比5岁时增加45.2±12.4%。值得注意的是,肾上腺素能神经末梢在质上发生了改变:含有多种介质的形式被它们的同构表型所取代。随着年龄的增长,沿微血管血管的神经末梢的主要分布趋于增加。结论。在恒牙萌出期间,微血管床的活跃形成伴随着肾上腺素能神经末梢的定位密度和定性重构的年龄依赖性增加,这提供了交感神经系统对儿茶酚胺能的全面控制。
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引用次数: 0
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Journal of Anatomy and Histopathology
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