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Tumor-to-Tumor Metastasis in Synchronous Primary Kidney and Colon Tumors 同步原发性肾和结肠肿瘤的肿瘤间转移
Pub Date : 2018-10-24 DOI: 10.29011/2688-6421.100003
Shabnam Samankan, M. Aghighi, K. Krabill, G. Azabdaftari
Background: Synchronous tumors are defined as two or more distinct and malignant tumors excluding the possibility of one being a metastasis of the other. The development of tumor metastasis from another synchronous primary malignancy is rare. The incidence of synchronous neoplasms of the colon and kidney is rare. Renal cell carcinoma exhibits characteristic features making it suitable for harboring metastases. Case presentation: We report a unique case of a 49-year-old male with no previous history of cancer that was found to have synchronous rectal adenocarcinoma and left kidney renal cell carcinoma. Additionally, metastasis from colon adenocarcinoma to RCC was identified. Distinguishing double primary neoplasms and metastases in synchronous primary tumors has significant implications with respect to patient prognosis and recommendations for therapy.
背景:同步肿瘤被定义为两个或多个不同的恶性肿瘤,排除其中一个肿瘤转移到另一个肿瘤的可能性。从另一同步原发恶性肿瘤发展为肿瘤转移是罕见的。同时发生在结肠和肾脏的肿瘤是罕见的。肾细胞癌表现出适合转移的特征性特征。病例介绍:我们报告一个独特的病例,49岁的男性,以前没有癌症的历史,被发现有同步直肠腺癌和左肾肾细胞癌。此外,还发现了从结肠腺癌向肾细胞癌的转移。鉴别双重原发肿瘤和同步原发肿瘤的转移对患者预后和治疗建议具有重要意义。
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引用次数: 1
Biological Basis of Transplant Failure 移植失败的生物学基础
Pub Date : 2018-08-17 DOI: 10.29011/2688-6421.100001
Abbas Alnaji
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引用次数: 0
Metastatic Malignant Perivascular Epithelioid Cell Tumor (PEComa) in Parotid Gland Diagnosed by Fine Needle Aspiration Biopsy- a Case Report and Literature Review 细针穿刺活检诊断腮腺转移性恶性血管周围上皮样细胞瘤1例并文献复习
Pub Date : 1900-01-01 DOI: 10.29011/2688-6421.100004
Shiguang Liu, Zaibo Li, Rulong Z. Shen
Perivascular Epithelioid Cell Tumors (PEComas) are exceedingly rare mesenchymal tumors in salivary glands; no case of metastatic malignant PEComas in salivary gland was described. Here we reported a case of a 74-year old female with a history of malignant PEComa of retro peritoneum, who underwent surgical resection 11 years ago. She had metastatic PEComas in her liver and right upper extremity 7 months prior to the current presentation, with a 0.6 cm soft mobile palpable nodule in the right parotid region without tenderness. Fine needle aspiration biopsy showed spindle-shaped cells with indistinct cell border, wispy acidophilic cytoplasm, and oval to cigar-shaped hyper chromatic nuclei with evenly distributed fine chromatin. No epithelioid form was identified. Immunohistochemistry study showed the neoplastic cells were positive for smooth muscle actin, h-caldesmon and negative for cytokeratin, S-100 and HMB-45. Diagnosis of metastatic malignant Perivascular epithelioid cell tumor was made and the patient was continued with chemotherapy. This case is the first report of metastatic malignant PEComa in parotid gland. The patient’s known history of malignant Perivascular epithelioid cell tumor is important when cytopathologists make the differential diagnosis for the mesenchymal neoplasm of salivary gland. Perivascular Epithelioid Cell Tumor (PEComa) is a family of mesenchymal neoplasms [1-2]. The most common PEComas include renal Angiomyolipoma (AML), pulmonary Lymphangioleiomyomatosis (LAM) and Clear Cell Sugar Tumor (CCST) of the lung. It is exceedingly rare in salivary glands, to our knowledge, only 3 cases of primary angiomyolipoma of parotid gland were reported [3]. No case of metastatic malignant PEComas in salivary gland was described. We report a case of metastatic malignant PEComa in parotid gland diagnosed by fine needle aspiration biopsy. The literatures on this rare mesenchymal neoplasm are reviewed.
血管周围上皮样细胞瘤(PEComas)是一种极为罕见的涎腺间充质肿瘤;没有一例涎腺转移性恶性PEComas被描述。我们在此报告一位74岁女性,有腹膜后恶性PEComa病史,11年前接受手术切除。7个月前,她的肝脏和右上肢有转移性胸腺瘤,右侧腮腺区有0.6厘米软的可移动结节,无压痛。细针穿刺活检显示梭形细胞,细胞边界不清,细胞质嗜酸,细胞核呈椭圆形至雪茄状,细染色质分布均匀。未发现上皮样形态。免疫组化结果显示,肿瘤细胞平滑肌肌动蛋白、h-caldesmon阳性,细胞角蛋白、S-100、HMB-45阴性。诊断为恶性血管周围上皮样细胞瘤,继续化疗。本病例为首次报道的腮腺转移性恶性PEComa。当细胞病理学家对唾液腺间质肿瘤进行鉴别诊断时,患者已知的恶性血管周围上皮样细胞瘤病史是很重要的。血管周围上皮样细胞瘤(PEComa)是间质肿瘤的一个家族[1-2]。最常见的PEComas包括肾血管平滑肌脂肪瘤(AML),肺淋巴管平滑肌瘤病(LAM)和肺透明细胞糖瘤(CCST)。在唾液腺中极为罕见,据我们所知,原发性腮腺血管平滑肌脂肪瘤仅报道3例[3]。没有一例转移性恶性PEComas在唾液腺被描述。我们报告一例经细针穿刺活检诊断的腮腺转移性恶性PEComa。本文对有关这种罕见间质肿瘤的文献作一综述。
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引用次数: 3
The Effect of Low Dose Statin Combined with Grapefruit on Skeletal Muscle Structure and the Possible Protective Role of Mesenchymal Stem Cells 低剂量他汀类药物联合葡萄柚对骨骼肌结构的影响及其对间充质干细胞可能的保护作用
Pub Date : 1900-01-01 DOI: 10.29011/2688-6421.100005
A. A. Zeid, W. Baher, A. Hashem, B. M. Fahmy, Farah Ahmed Shafiek, M. Halem, N. A. Mohamed, R. A. Sakr
Background: Statins are the cornerstone of therapy for dyslipidemia. They are generally well tolerated but can produce skeletal muscle adverse reactions, ranging from myalgia to rhabdomyolysis. Grapefruit juice increases the plasma concentrations of simvastatin thus increasing the risk of adverse effects. Stem cells have been recognized as a potential tool for the development of innovative therapeutic strategies. Objectives: To evaluate the effect of low dose statin combined with grapefruit on muscle structure and the possible protective role of Bone Marrow Mesenchymal Stem Cells (BM-MSCs) in female rats. Materials and Methods: Twenty five adult female rats were randomly divided into: Group I (control group, n=10) equally subdivided into: Subgroup IA (grapefruit control); 5 ml/kg oral grapefruit juice was given daily, Subgroup IB (statin control); 20 mg/kg oral Zocor® in tap water was given daily. Group II (statin + grapefruit, n=5); 20 mg/kg Zocor® in 5 ml/kg grapefruit juice was given daily for 45 days, Group III (IMMSCs, n=5); statin + grapefruit were given as in Group II, in addition to two intramuscular (IM) injections of BM-MSCs. Group IV (IVMSCs, n=5); statin + grapefruit were given as in Group II, in addition to two intravenous (IV) injections of BM-MSCs. Plasma level of Creatine Kinase (CK) was obtained at various intervals. All animals were sacrificed 12 days after the last dose, gastrocnemius muscles were collected and processed for light and electron microscopic study. Results: Both control subgroups showed unremarkable muscle changes. However, in Group II, dilated T-tubules, subsarcolemmal space widening, mitochondrial degeneration, disintegrated myofibrils, loss of Z lines and accumulation of large electron dense particles were detected. In Group III and IV these muscle changes were improved. Conclusion: Statin combined with grapefruit resulted in muscle ultrastructural changes. These changes were ameliorated with either IM and IV injection of MSCs, however IM injection showed better results.
背景:他汀类药物是治疗血脂异常的基础药物。它们通常耐受性良好,但可产生骨骼肌不良反应,从肌痛到横纹肌溶解。葡萄柚汁会增加辛伐他汀的血浆浓度,从而增加不良反应的风险。干细胞已被认为是开发创新治疗策略的潜在工具。目的:探讨小剂量他汀类药物联合葡萄柚对雌性大鼠肌肉结构的影响及其对骨髓间充质干细胞(bmscs)的保护作用。材料与方法:将25只成年雌性大鼠随机分为:I组(对照组,n=10),再分为:IA亚组(葡萄柚对照组);每日口服葡萄柚汁5 ml/kg, IB亚组(他汀类药物对照);Zocor®在自来水中每日口服20 mg/kg。II组(他汀+葡萄柚,n=5);5 ml/kg葡萄柚汁中加入20 mg/kg Zocor®,每日给予45天,III组(IMMSCs, n=5);他汀+葡萄柚与组II相同,在2次肌内注射BM-MSCs。IV组(IVMSCs, n=5);他汀+葡萄柚与组II相同,另外静脉注射两次BM-MSCs。测定不同时间间隔血浆肌酸激酶(CK)水平。末次给药后12 d处死,收集腓肠肌进行光镜和电镜观察。结果:两组对照均未见明显肌肉变化。II组t小管扩张,肌下间隙增宽,线粒体变性,肌原纤维解体,Z线丢失,大电子致密颗粒积聚。在第三和第四组,这些肌肉变化得到改善。结论:他汀类药物联合葡萄柚可引起肌肉超微结构的改变。注射骨髓间充质干细胞和静脉注射骨髓间充质干细胞均能改善这些变化,但注射骨髓间充质干细胞效果更好。
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引用次数: 1
Does Metformin Protect Against Diabetic Retinopathy in Albino Rats? An Immunohistochemical Study 二甲双胍对白化大鼠糖尿病视网膜病变有保护作用吗?免疫组织化学研究
Pub Date : 1900-01-01 DOI: 10.29011/2688-6421.100010
N. Hassan, M. Sherif, Dalia M. Saleh
Background: Metformin (MT) is a widely used oral anti-hyperglycemic agent for Type II diabetes. However, its role in protection against diabetic retinopathy is not clear. Aim of the work: The purpose of this study was to investigate the possible protective effect of MT on the diabetic retinopathy in rat model with special consideration on glial cell activation, neuronal apoptosis and neovascularization. Materials and Methods: Twenty-one male Sprague Dawly rats were divided into control group (n=7) and experimental group (n=14) that developed Type II diabetes by feeding on high fat diet for 8 weeks followed by repeated small doses streptozotocin injections. The experimental group were farther subdivided into Diabetic (DB) group (n=7) were left for another 8 weeks without treatment and MT group (n=7) were left 4 weeks then received MT for another 4 weeks. At the end of the experiment, blood and retinal samples were collected for biochemical, histological and immunohistochemical studies. Results: Metformin administration significantly decreased diabetic induced hyperglycemia and decreased the serum level of oxidative stress markers to the control level. Also, it significantly suppressed the diabetic induced increase of Glial Fibrillary Acidic Protein (GFAP) and Caspase3 expression. On the contrary, it enhanced the diabetic induced increase of vascular endothelial growth factor (VEGF) expression in the retina. Conclusion: This study indicated that MT may have an adjuvant role in prevention of diabetic retinopathy, and future studies are recommended to declare the regulatory mechanisms for its antiangiogenic or proangiogenic effects.
背景:二甲双胍(MT)是一种广泛用于II型糖尿病的口服降糖药。然而,其在预防糖尿病视网膜病变中的作用尚不清楚。研究目的:探讨MT对糖尿病视网膜病变大鼠模型的保护作用,特别是对神经胶质细胞活化、神经元凋亡和新生血管的保护作用。材料与方法:将21只雄性Sprague Dawly大鼠分为对照组(n=7)和试验组(n=14),分别饲喂高脂饮食8周后反复注射小剂量链脲佐菌素,形成2型糖尿病。实验组进一步分为糖尿病(DB)组(n=7)不治疗8周,MT组(n=7)不治疗4周,再接受MT治疗4周。实验结束时,采集血液和视网膜样本进行生化、组织学和免疫组织化学研究。结果:二甲双胍可显著降低糖尿病性高血糖,血清氧化应激指标降至对照水平。显著抑制糖尿病诱导的胶质纤维酸性蛋白(GFAP)和Caspase3表达升高。相反,它增强了糖尿病诱导的视网膜血管内皮生长因子(VEGF)表达的增加。结论:本研究提示MT可能具有预防糖尿病视网膜病变的辅助作用,建议进一步研究阐明其抗血管生成或促血管生成作用的调控机制。
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引用次数: 2
The Possible Protective Effect of Propolis Against Aluminum Chloride Induced Hepatic Injury in Adult Male Rats. Histological Study 蜂胶对氯化铝致成年雄性大鼠肝损伤的保护作用。组织学研究
Pub Date : 1900-01-01 DOI: 10.29011/2688-6421.100013
M. Raafat, G. A. Ibrahim, S. Ezzat
Background: Aluminum is a widely distributed metal in the environment and is extensively used in daily life that provides easy exposure to human. It is known that Aluminum induces toxic effect on the liver. Propolis is a honeybee product with antioxidant properties. Hence, aim of the work was to evaluate the possible protective effect of propolis against hepatic toxicity caused by Aluminum chloride (AlCl3) in rats. Material and methods: The present study was carried out on forty adult male albino rats that were divided randomly into four equal Groups. Group I served as control. Group II: rats were given propolis (50 mg/kg). Group III: received AlCl3 (34 mg/kg). Group IV: received AlCl3 (34 mg/kg) and propolis (50 mg/kg) simultaneously. All medications were given by nasogastric tube for four weeks. Specimens of liver were excised and processed for light and electron microscopic studies. Moreover, biochemical levels of serum liver enzymes were measured. Morphometric and statistical analysis were also done. Results: Administration of propolis alone in Group II had no effect on the hepatic architecture. However, AlCl3 administration in Group III had led elevation of serum liver enzymes and distortion of liver parenchyma. Vacuolated hepatocytes, mononuclear cellular infiltrations and congestion in portal vein branches and blood sinusoids were noticed. Moreover, there was a significant increase in area percentage of collagen fibers and a significant decrease in the optical density of PAS stained glycogen granules as compared to the control Group. By electron microscope, hepatocytes showed many lipid droplets in their cytoplasm, mitochondria with indistinct cristae, and dilated rough endoplasmic reticulum. Hepatic stellate cells associated with collagen fibrils were also detected. However, simultaneous administration of propolis with AlCl3 in Group IV attenuated the biochemical and structural changes induced by AlCl3. Conclusion: Propolis could have a beneficial protective effect against AlCl3 hepatic injury.
背景:铝是一种在环境中分布广泛的金属,在日常生活中被广泛使用,人类容易接触到铝。众所周知,铝对肝脏有毒性作用。蜂胶是一种具有抗氧化特性的蜜蜂产品。因此,本研究旨在探讨蜂胶对氯化铝(AlCl3)致大鼠肝毒性的保护作用。材料与方法:选用成年雄性白化大鼠40只,随机分为4组。第一组为对照组。第二组:给予蜂胶50 mg/kg。III组:给予AlCl3 (34 mg/kg)。IV组:同时给予AlCl3 (34 mg/kg)和蜂胶(50 mg/kg)。所有药物均经鼻胃管给予,持续4周。切除肝脏标本,进行光镜和电镜观察。测定血清肝酶生化水平。并进行了形态计量学和统计学分析。结果:单独给药蜂胶组对肝脏结构无明显影响。而AlCl3给药组血清肝酶升高,肝实质扭曲。肝细胞空泡化,单核细胞浸润,门静脉分支及血窦充血。此外,与对照组相比,PAS染色糖原颗粒的胶原纤维面积百分比显著增加,光密度显著降低。电镜下,肝细胞胞质内脂滴较多,线粒体嵴不清,粗内质网扩张。与胶原原纤维相关的肝星状细胞也被检测到。然而,与AlCl3同时给予蜂胶,在IV组中,AlCl3引起的生化和结构变化减弱。结论:蜂胶对AlCl3肝损伤具有良好的保护作用。
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引用次数: 0
Does Puberty Affect the Ultrastructure of the Superior Colliculus in Male Albino Rats? 青春期是否影响雄性白化大鼠上丘的超微结构?
Pub Date : 1900-01-01 DOI: 10.29011/2688-6421.100008
H. Hashish
Background: Puberty is the changes in the period of adolescence. The Superior Colliculus (SC) is located in dorsal midbrain. In mammals, the SC formed of seven layers. These layers are classified into superficial and deep parts. g-ratio is the ratio between the axon diameter and the fiber Identification of the g-ratio is valuable for the functional brain studies. The change in the g-ratio may indicate change in the myelination. Aim of the work: The purpose of this study is to investigate the effect of puberty on the histological structure and ultrastructure of the superior colliculus, and the possible changes in the g-ratio, if present, between prepubertal and post pubertal male rats. Materials and Methods: Twenty male albino rats were divided into pre pubertal and post pubertal rats. Rats of each group were anaesthetized with Ketamine, the superior colliculi were dissected; one used for paraffin sections, the other used for semi thin and ultrathin sections. The diameter of the axons and thickness of myelin, then g-ratio, and synaptic density were measured. Results: The ultrastructural study showed that in post puberal group there is significant reduction in axon diameter and increased myelin thickness which disturbed the g-ratio. The synapses showed significant reduction in the post-pubertal group. Conclusion: The superior colliculus exhibited post-pubertal changes in the axon diameter, myelin thickness and g-ratio which might affect the nerve conduction velocity, and in turn, may affect its function in the visual pathway, and other cognitive functions.
背景:青春期是指青春期发生变化的时期。上丘位于中脑背侧。在哺乳动物中,SC由七层组成。这些层分为浅层和深层。g比是轴突直径与纤维的比值,确定g比对功能性脑的研究有重要意义。g比值的变化可能提示髓鞘形成的改变。本研究的目的是探讨青春期对青春期前和青春期后雄性大鼠上丘组织结构和超微结构的影响,以及如果存在g比可能发生的变化。材料与方法:将20只雄性白化大鼠分为青春期前大鼠和青春期后大鼠。各组大鼠均以氯胺酮麻醉,解剖上丘;一种用于石蜡切片,另一种用于半薄和超薄切片。测定大鼠轴突直径、髓鞘厚度、g比、突触密度。结果:超微结构研究显示,青春期后组大鼠轴突直径明显减少,髓鞘厚度明显增加,g-比值紊乱。在青春期后的实验组,突触明显减少。结论:青春期后上丘轴突直径、髓鞘厚度和g-比值发生变化,影响神经传导速度,进而影响其视觉通路功能和其他认知功能。
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引用次数: 0
Effect of Curcumin on the Plasticity of Inguinal Adipose Tissue in Experimental Model of Hypothyroidism in Rat: Histological Study 姜黄素对甲状腺功能减退大鼠腹股沟脂肪组织可塑性影响的组织学研究
Pub Date : 1900-01-01 DOI: 10.29011/2688-6421.100012
B. Abdelaziz, W. Baher, M. S. Hafez, F. H. E. Ebiary
Background and objectives: Obesity is closely related to hypothyroidism. Mild thyroid dysfunction is linked to significant changes in body weight. Curcumin is regarded as a preventive agent against obesity. This study aimed to explore the effect of curcumin on the structure of inguinal adipose tissue in Propylthiouracil (PTU) induced hypothyroid rat model. Materials and methods: Thirty-six male Wistar rats were divided into three groups: Group I (Control, n=18): equally subdivided into: Subgroup Ia (Euthyroid), Subgroup Ib (Euthyroidcorn oil): received 1ml of corn oil and sacrificed after 2 and 6 weeks. Subgroup Ic (Euthyroidcurcumin): received 1ml of corn oil for 2 weeks followed by 1ml of curcumin solution for another 6 weeks. Group II (PTUhypothyroid, n=12): equally subdivided into: Subgroup IIa (PTU): received daily 5 mg PTU in corn oil for 2 weeks and Subgroup IIb (Recovery): received daily 5 mg PTU in corn oil for 2 weeks then left for recovery for 6 weeks. Group III (hypothyroidcurcumin): received 5 ml of PTU for 2 weeks followed by 1ml of Curcumin for 6 weeks. At sacrifice, the inguinal adipose tissue was dissected and processed for different histological, ultrastructure, immunohistochemically and morphometric analyses. Results: Areas of brown like adipocytes were detected among white adipocytes in Groups Ic, IIb and III. corrugated adipocytes’ cell membrane was evident in subgroup IIa. Densely stained collagen appeared around the cell clusters in subgroup IIb. Findings were further confirmed by statistical analysis of the morphometric results. Conclusion: Curcumin resulted in the appearance of brown like adipocytes in between WAT in the inguinal region.
背景与目的:肥胖与甲状腺功能减退密切相关。轻微的甲状腺功能障碍与体重的显著变化有关。姜黄素被认为是预防肥胖的药物。本研究旨在探讨姜黄素对丙硫尿嘧啶(PTU)诱导的甲状腺功能减退大鼠腹股沟脂肪组织结构的影响。材料与方法:雄性Wistar大鼠36只,分为3组:I组(对照组,n=18),再分为Ia亚组(甲状腺正常),Ib亚组(甲状腺正常玉米油),给予玉米油1ml,分别于2周和6周后处死。Ic亚组(促甲状腺姜黄素):玉米油1ml,连续服用2周,姜黄素溶液1ml,连续服用6周。II组(甲状腺功能减退,n=12):同样细分为:IIa亚组(PTU):每日给予玉米油PTU 5mg,持续2周;IIb亚组(恢复组):每日给予玉米油PTU 5mg,持续2周,然后休息恢复6周。第三组(甲减姜黄素):PTU 5ml,连续2周,姜黄素1ml,连续6周。牺牲时,解剖腹股沟脂肪组织,进行不同的组织学、超微结构、免疫组织化学和形态计量学分析。结果:Ic、IIb、III组白色脂肪细胞中均可见棕色样脂肪细胞区。IIa亚组脂肪细胞的细胞膜呈波纹状。IIb亚组细胞团周围出现了密集的胶原染色。形态计量学结果的统计分析进一步证实了这一发现。结论:姜黄素可导致腹股沟区WAT之间棕色样脂肪细胞的出现。
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引用次数: 0
Gastric-Type Adenocarcinoma in-Situ of the Uterine Cervix: An Emerging Entity 宫颈原位胃型腺癌:一个新兴的实体
Pub Date : 1900-01-01 DOI: 10.29011/2688-6421.100011
T. Amos, C. Y. Chow, G. Mihir, Y. Ching
Gastric-Type Adenocarcinoma (GAS) is a rare and aggressive subtype of endocervical adenocarcinoma. Accumulated evidence suggests that a subset of atypical Lobular Endocervical Glandular Hyperplasia (LEGH) and Gastric Type Adenocarcinoma in Situ (GAIS) may be associated with and represent precursors of GAS. GAIS is rare and not yet well characterised. Herein, we summarise the current available literature on histological and cytological features of GAIS. GAS and GAIS are likely to increase in relative importance in the era of HPV vaccination and HPV testing, yet will prove a diagnostic challenge due to lack of familiarity, subtle histologic and cytologic features and lack of association with HPV.
胃型腺癌(GAS)是一种罕见且侵袭性的宫颈内腺癌亚型。越来越多的证据表明,非典型小叶宫颈内腺增生(LEGH)和胃型原位腺癌(GAIS)的一个亚群可能与GAS相关并代表GAS的前体。GAIS是罕见的,而且还没有很好地描述。在此,我们总结了目前关于GAIS的组织学和细胞学特征的文献。在HPV疫苗接种和HPV检测的时代,GAS和GAIS的相对重要性可能会增加,但由于缺乏熟悉度、微妙的组织学和细胞学特征以及与HPV缺乏相关性,将被证明是一项诊断挑战。
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引用次数: 0
The Possible Protective Role of Ghrelin on Acute Stress Induced Thymic Atrophy in Mice. Histological and Immunohistochemical Study
Pub Date : 1900-01-01 DOI: 10.29011/2688-6421.100006
Catherine Safwat Salehh Barsoum, M. Raafat, M. Mekawy, A. M. E. Shawarby
Background: Exposure to stress down regulates the immune system. Thymus gland is sensitive to stress. Ghrelin hormone secreted by the stomach has an immune-stimulatory effect. Aim: Aim of the Work was to study the effect of immobilization stress on mouse thymic population and the possible protective role of Ghrelin. Material and Methods: 40 animals were divided into four groups (10 mice each). Group I was considered as control group. Group II was injected with a 100 μ g/kg of ghrelin intraperitoneally. Group III was immobilized by stress restraint test. Group IV received 100 μ g/kg of ghrelin intraperitoneally prior to the stress restraint test. Thymi of mice of different groups were removed and processed for haematoxylin and eosin, immunohistochemical staining for caspase 3 and electron microscopic studies. Finally, morphometric and statistical analysis were performed. Results: Acute stress resulted in significant decrease in thymic weight. Atrophy of thymic lobules with marked fatty and mononuclear cellular infiltration was detected. Marked decrease in cellularity of thymic cortex was noticed and confirmed by significant increase in caspase 3 positive cells. Medulla showed proliferation of epithelial reticular cells with cystic degeneration in Hassall’s corpuscle. In Ghrelin protected group, the thymus regained normal histological structure with significant decrease in caspase 3 positive cells. Conclusion: Stress resulted in loss of double positive thymocytes to the periphery. Extra thymic T cells were defective, nonfunctional and auto-reactive. Ghrelin allowed activation of surviving thymocytes and prevented apoptosis.
背景:暴露于压力下会下调免疫系统。胸腺对压力很敏感。胃分泌的胃促生长素有免疫刺激作用。目的:研究固定化应激对小鼠胸腺种群的影响及胃饥饿素可能的保护作用。材料与方法:40只动物分为4组,每组10只。第一组为对照组。II组小鼠腹腔注射胃饥饿素100 μ g/kg。第三组采用应力约束试验固定。IV组在应激抑制试验前腹腔注射100 μ g/kg胃饥饿素。取各组小鼠胸腺进行苏木精和伊红染色、caspase 3免疫组化染色和电镜观察。最后进行形态计量学和统计学分析。结果:急性应激导致大鼠胸腺重量明显降低。胸腺小叶萎缩,脂肪及单核细胞明显浸润。胸腺皮质细胞数量明显减少,caspase 3阳性细胞明显增加。髓质上皮网状细胞增生,伴Hassall小体囊性变性。Ghrelin保护组胸腺组织结构恢复正常,caspase 3阳性细胞明显减少。结论:应激导致双阳性胸腺细胞向外周丢失。多余的胸腺T细胞是有缺陷的、无功能的和自我反应的。胃饥饿素可以激活存活的胸腺细胞并阻止细胞凋亡。
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引用次数: 1
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