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Society of Toxicologic Pathology Neuropathology Interest Group Article: Neuropathologic Findings in Nonhuman Primates Associated With Administration of Biomolecule-Based Test Articles 毒物病理学学会神经病理学兴趣小组文章:非人类灵长类动物的神经病理学发现与基于生物分子的试验品的管理有关
IF 1.5 4区 医学 Q3 PATHOLOGY Pub Date : 2022-06-13 DOI: 10.1177/01926233221101314
D. Bangari, L. Lanigan, F. Goulet, S. Sisó, B. Bolon
The increasing specificity of novel druggable targets coupled with the complexity of emerging therapeutic modalities for treating human diseases has created a growing need for nonhuman primates (NHPs) as models for translational drug discovery and nonclinical safety assessment. In particular, NHPs are critical for investigating potential unexpected/undesired on-target and off-target liabilities associated with administration of candidate biotherapeutics (nucleic acids, proteins, viral gene therapy vectors, etc.) to treat nervous system disorders. Nervous system findings unique to or overrepresented in NHPs administered biomolecule-based (“biologic”) test articles include mononuclear cell infiltration in most neural tissues for all biomolecule classes as well as neuronal necrosis with glial cell proliferation in sensory ganglia for certain viral vectors. Such test article-related findings in NHPs often must be differentiated from procedural effects (e.g., local parenchymal or meningeal reactions associated with an injection site or implanted catheter to administer a test article directly into the central nervous system) or spontaneous background findings (e.g., neuronal autophagy in sensory ganglia).
新的可药物靶点的特异性不断增加,加上治疗人类疾病的新兴治疗模式的复杂性,使得人们越来越需要非人类灵长类动物(NHPs)作为转化药物发现和非临床安全性评估的模型。特别是,NHPs对于研究与候选生物治疗药物(核酸、蛋白质、病毒基因治疗载体等)治疗神经系统疾病相关的潜在意外/不希望的靶标和脱靶缺陷至关重要。神经系统的发现在NHPs管理的基于生物分子(“生物”)的测试品中是独特的或被过度代表的,包括所有生物分子类别的大多数神经组织中的单个核细胞浸润,以及某些病毒载体的感觉神经节中神经坏死伴胶质细胞增殖。在NHPs中,这种与试验品相关的发现通常必须与程序性影响(例如,与注射部位或植入导管直接将试验品注入中枢神经系统相关的局部实质或脑膜反应)或自发背景发现(例如,感觉神经节的神经元自噬)区分开来。
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引用次数: 2
Scientific and Regulatory Policy Committee Points to Consider: Primary Digital Histopathology Evaluation and Peer Review for Good Laboratory Practice (GLP) Nonclinical Toxicology Studies 科学和监管政策委员会考虑的要点:良好实验室规范(GLP)非临床毒理学研究的初级数字组织病理学评估和同行评审
IF 1.5 4区 医学 Q3 PATHOLOGY Pub Date : 2022-06-01 DOI: 10.1177/01926233221099273
T. Forest, F. Aeffner, D. Bangari, B. Bawa, Jonathan Carter, J. Fikes, Wanda High, S. Hayashi, M. Jacobsen, LuAnn Mckinney, D. Rudmann, T. Steinbach, V. Schumacher, Oliver C. Turner, J. Ward, C. Willson
The Society of Toxicologic Pathology’s Scientific and Regulatory Policy Committee formed a working group to consider the present and future use of digital pathology in toxicologic pathology in general and specifically its use in primary evaluation and peer review in Good Laboratory Practice (GLP) environments. Digital histopathology systems can save costs by reducing travel, enhancing organizational flexibility, decreasing slide handling, improving collaboration, increasing access to historical images, and improving quality and efficiency through integration with laboratory information management systems. However, the resources to implement and operate a digital pathology system can be significant. Given the magnitude and risks involved in the decision to adopt digital histopathology, this working group used pertinent previously published survey results and its members’ expertise to create a Points-to-Consider article to assist organizations with building and implementing digital pathology workflows. With the aim of providing a comprehensive perspective, the current publication summarizes aspects of digital whole-slide imaging relevant to nonclinical histopathology evaluations, and then presents points to consider applicable to both primary digital histopathology evaluation and digital peer review in GLP toxicology studies. The Supplemental Appendices provide additional tabulated resources.
毒理学病理学学会的科学和监管政策委员会成立了一个工作组,以考虑数字病理学在毒理学病理学中的一般应用,特别是在良好实验室规范(GLP)环境中的初步评估和同行评审中的应用。数字组织病理学系统可以通过减少差旅、增强组织灵活性、减少幻灯片处理、改善协作、增加对历史图像的访问以及通过与实验室信息管理系统集成提高质量和效率来节省成本。然而,实施和操作数字病理系统的资源可能是重要的。考虑到决定采用数字组织病理学所涉及的规模和风险,该工作组使用相关的先前发表的调查结果及其成员的专业知识创建了一篇文章,以帮助组织建立和实施数字病理学工作流程。为了提供一个全面的视角,本出版物总结了与非临床组织病理学评估相关的数字全片成像方面,然后提出了适用于GLP毒理学研究中初级数字组织病理学评估和数字同行评审的要点。补充附录提供了额外的表格资源。
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引用次数: 1
Does Geographical Origin of Long-Tailed Macaques (Macaca fascicularis) Matter in Drug Safety Assessment?: A Literature Review and Proposed Conclusion 长尾猕猴(Macaca fascularis)的地理来源与药物安全性评估有关吗?:文献综述及建议结论
IF 1.5 4区 医学 Q3 PATHOLOGY Pub Date : 2022-05-24 DOI: 10.1177/01926233221095443
G. Weinbauer, L. Mecklenburg
Long-tailed macaques are the predominant nonhuman primate species for the nonclinical safety testing of biopharmaceuticals. This species comprises 9 subspecies with Macaca fascicularis fascicularis naturally occurring in Southeast Asia. Since the 17th century, M. f. fascicularis also occurs on Mauritius. Cynomolgus macaques do not naturally occur in China, but are bred in many farms across the country. The current shortage in animal supply raises the question whether geographical animal origin matters and if animals from different geographical regions can be combined on a drug development program or even a single experiment. This article reviews geographical animal origin in relation to selected endpoints that are relevant in nonclinical drug safety testing. Animals from different countries within Asia mainland do not appear to show any meaningful difference. Very little data are available for animals from Asia island. Mauritian animals show consistent differences from Asian animals in several clinical and anatomical pathology parameters. For developmental parameters, animals from Mauritius and Asia are comparable with the exception that Mauritian animals mature faster. In the authors’ view, differences between the geographical clusters can be accounted for as long as baseline and reference data are available.
长尾猕猴是生物药品非临床安全性试验的主要非人灵长类动物。本种包括9个亚种,其中束状猕猴(Macaca fascicularis fascicularis)自然分布于东南亚。自17世纪以来,m.f. fascicularis也出现在毛里求斯。食蟹猕猴在中国并不是天然存在的,但在全国各地的许多农场都有养殖。目前动物供应的短缺提出了这样一个问题:动物的地理来源是否重要,来自不同地理区域的动物是否可以在一个药物开发项目甚至一个单一的实验中结合使用。本文回顾了与非临床药物安全测试相关的选定终点的地理动物起源。来自亚洲大陆不同国家的动物似乎没有任何有意义的差异。关于亚洲岛屿动物的数据很少。毛里求斯动物在一些临床和解剖病理参数上与亚洲动物表现出一致的差异。在发育参数方面,毛里求斯和亚洲的动物具有可比性,但毛里求斯的动物成熟得更快。作者认为,只要有基线和参考数据,就可以解释地理集群之间的差异。
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引用次数: 2
Comparison of ANP and BNP Granular Density in Atria of Rats After Physiological and Pathological Hypertrophy 生理性和病理性肥大大鼠心房ANP和BNP颗粒密度的比较
IF 1.5 4区 医学 Q3 PATHOLOGY Pub Date : 2022-05-24 DOI: 10.1177/01926233221097970
Kevin Agostinucci, T. Manfredi, A. Cosmas, F. J. Vetter, S. Engle
Atrial natriuretic peptide (ANP) and brain natriuretic peptide (BNP) are cardiac hormones located in atria granules. Both peptides respond to cardiac pressure and volume dynamics and accordingly serve as translation biomarkers for the clinical treatment of heart failure. Serum ANP and BNP play central secretary roles in blood pressure and cardiac output regulation and have proven utility as differential biomarkers of cardiovascular proficiency and drug-induced maladaptation, yet both peptides are impervious to exercise-induced hypertrophy. We employed immunoelectron microscopy to examine the effects of 28 days of chronic swim exercise or administration of a PPARγ agonist on atrial granules and their stored natriuretic peptides in Sprague Dawley rats. Chronic swimming and drug treatment both resulted in a 15% increase in heart weight compared with controls, with no treatment effects on perinuclear granule area in the left atria (LAs). Drug treatment resulted in larger size granules with greater BNP density in the right atria. Comparing swimming and PPARγ agonist treatment effects on ANP:BNP granule density ratios between atrial chambers revealed a shift toward a greater proportion of ANP than BNP in LAs of swim-trained rats. These data suggest a distinction in the population of ANP and BNP after chronic swim or PPARγ that makes it a novel metric for the differentiation of pathological and physiological hypertrophy.
心房钠肽(ANP)和脑钠肽(BNP)是位于心房颗粒中的心脏激素。这两种多肽都对心脏压力和容量动态有反应,因此可以作为心力衰竭临床治疗的翻译生物标志物。血清ANP和BNP在血压和心输出量调节中发挥中枢秘书作用,并已被证明是心血管熟练程度和药物诱导的适应不良的差异生物标志物,但这两种肽都不受运动诱导的肥厚的影响。我们使用免疫电子显微镜观察了28天的慢性游泳运动或PPARγ激动剂对Sprague Dawley大鼠心房颗粒及其储存的利钠肽的影响。与对照组相比,长期游泳和药物治疗均导致心脏重量增加15%,但对左心房核周颗粒面积(LAs)没有治疗效果。药物治疗导致右心房颗粒增大,BNP密度增大。比较游泳和PPARγ激动剂治疗对心房间ANP:BNP颗粒密度比的影响,发现游泳训练大鼠的LAs中ANP的比例大于BNP。这些数据表明,慢性游泳或PPARγ后ANP和BNP的群体存在差异,这使其成为区分病理性和生理性肥大的新指标。
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引用次数: 2
Kidney Effects by Alternative Classes of Medicines in Patients and Relationship to Effects in Nonclinical Toxicity Studies 在非临床毒性研究中,替代药物对患者肾脏的影响及其与影响的关系
IF 1.5 4区 医学 Q3 PATHOLOGY Pub Date : 2022-05-24 DOI: 10.1177/01926233221100414
Kendall S. Frazier
Drug-induced kidney injury has historically been associated with renal tubule injury related to small molecule pharmaceuticals such as nonsteroidal anti-inflammatory drugs, antineoplastic agents, or antibiotics, but as a greater number of alternative classes of medicines such as biotherapeutics, molecular-targeted antineoplastic drugs, chimeric antigen receptor T-cell therapies, antibody-drug conjugates, oligonucleotide therapies, or other immunomodulatory drugs come to market, the presentation of drug-induced nephrotoxicity is changing. This review article describes the potential rare clinical events in drug-induced kidney injury that might be noted with these new therapies and their potential impact on patients. Potential pathogenic mechanisms related to immunogenicity, immune complex formation, and stimulation of downstream proinflammatory pathways with some of these alternative medicine classes have resulted in the potential for glomerulonephritis, acute interstitial nephritis, renal vasculitis, and other immune-mediated renal disorders in humans. This contrasts with nonclinical toxicity studies, where biologic therapies more often result in vasculitis and glomerulonephritis associated with antidrug antibodies and immunomodulatory pharmacology, and which are not always predictive of clinical effects. While nonclinical antidrug antibody-related renal disease is generally not clinically relevant, other immune-mediated nephrotoxicities associated with immunomodulatory drugs may be predictive of clinical adverse events. Fortunately, these conditions are still rare and account for a small percentage of serious adverse events in kidneys of patients.
药物性肾损伤历来与小分子药物(如非甾体抗炎药、抗肿瘤药物或抗生素)相关的肾小管损伤有关,但随着越来越多的替代药物(如生物疗法、分子靶向抗肿瘤药物、嵌合抗原受体t细胞疗法、抗体-药物偶联物、寡核苷酸疗法或其他免疫调节药物)进入市场,药物性肾毒性的表现正在发生变化。本文综述了这些新疗法可能引起的药物性肾损伤的罕见临床事件及其对患者的潜在影响。潜在的致病机制与免疫原性、免疫复合物的形成和下游促炎途径的刺激有关,其中一些替代药物类已导致肾小球肾炎、急性间质性肾炎、肾血管炎和其他免疫介导的人类肾脏疾病的潜在可能性。这与非临床毒性研究形成对比,在非临床毒性研究中,生物治疗更常导致血管炎和肾小球肾炎,与抗药抗体和免疫调节药理学相关,并且并不总是预测临床效果。虽然非临床抗药物抗体相关的肾脏疾病通常与临床无关,但与免疫调节药物相关的其他免疫介导的肾毒性可能预测临床不良事件。幸运的是,这些情况仍然很少见,只占患者肾脏严重不良事件的一小部分。
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引用次数: 1
The Influence of Geographical Origin, Age, Sex, and Animal Husbandry on the Spontaneous Histopathology of Laboratory Cynomolgus Macaques (Macaca Fascicularis): A Contemporary Global and Multisite Review of Historical Control Data 地理来源、年龄、性别和畜牧业对实验室食蟹猕猴(Macaca Fascicularis)自发组织病理学的影响:对历史对照数据的当代全球和多地点回顾
IF 1.5 4区 医学 Q3 PATHOLOGY Pub Date : 2022-05-10 DOI: 10.1177/01926233221096424
R. Chamanza, S. Naylor, M. Gregori, M. Boyle, Marcia E Pereira Bacares, E. Drevon-Gaillot, Annette Romeike, Cynthia Courtney, Kelsey Johnson, Julie Turner, Nadine Swierzawski, Alok K. Sharma
To investigate the influence of geographical origin, age, and sex on toxicologically relevant spontaneous histopathology findings in cynomolgus macaques (Macaca fascicularis), we performed a comparative analysis of historical control data (HCD) from 13 test sites that included 3351 animals (1645 females and 1706 males) sourced from Mauritius, China, Vietnam, and Cambodia, aged from 2 to 9.5 years, and from 446 toxicology studies evaluated between 2016 and 2021. The most common findings were mononuclear infiltrates in the kidney, liver, brain, and lung, which showed highest incidences in Mauritian macaques, and heart, salivary glands, and gastrointestinal tract (GIT), which showed highest incidences of mononuclear infiltrates in mainland Asian macaques. Developmental and degenerative findings were more common in Mauritian macaques, while lymphoid hyperplasia and lung pigment showed higher incidences in Asian macaques. Various sex and age-related differences were also present. Despite origin-related differences, the similarities in the nature and distribution of background lesions indicate that macaques from all geographical regions are suitable for toxicity testing and show comparable lesion spectrum. However, in a toxicity study, it is strongly recommended to use animals from a single geographical origin and to follow published guidelines when using HCD to evaluate and interpretate commonly diagnosed spontaneous lesions.
为了研究地理来源、年龄和性别对食蟹猴(Macaca fascicularis)毒理学相关自发性组织病理学结果的影响,我们对13个试验点的历史对照数据(HCD)进行了比较分析,这些试验点包括来自毛里求斯、中国、越南和柬埔寨的3351只动物(1645只雌性和1706只雄性),年龄从2岁到9.5岁,以及2016年至2021年间评估的446项毒理学研究。最常见的发现是肾、肝、脑和肺的单核浸润,在毛里求斯猕猴中发病率最高;心脏、唾液腺和胃肠道(GIT)的单核浸润在亚洲大陆猕猴中发病率最高。发育和退行性病变在毛里求斯猕猴中更为常见,而淋巴样增生和肺色素在亚洲猕猴中发病率更高。各种性别和年龄相关的差异也存在。尽管与起源相关的差异,但背景病变的性质和分布的相似性表明,来自所有地理区域的猕猴都适合进行毒性试验,并显示出相似的病变谱。然而,在毒性研究中,强烈建议使用来自单一地理来源的动物,并在使用HCD评估和解释通常诊断的自发病变时遵循已发表的指南。
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引用次数: 5
Gastric Neuroendocrine Tumors With Parietal Cell Atrophy in a Long-term Carcinogenicity Study in Rats 大鼠胃神经内分泌肿瘤伴壁细胞萎缩的长期致癌性研究
IF 1.5 4区 医学 Q3 PATHOLOGY Pub Date : 2022-05-05 DOI: 10.1177/01926233221095445
N. Shirai, S. Choudhary, C. Houle
Malignant neuroendocrine tumors were diagnosed in the stomach of two out of sixty female Sprague-Dawley rats treated for 89 weeks with a high dose of a novel, small molecule, cannabinoid-1 antagonist. The tumors were associated with parietal cell atrophy accompanied by foveolar hyperplasia of the glandular stomach mucosa. Parietal cell atrophy/foveolar hyperplasia was considered test article related at the high dose, given the higher incidence and severity relative to untreated controls, although the precise mechanism of the parietal cell atrophy was undetermined. Spontaneous gastric neuroendocrine tumors are very rare in rats, and the current cases were considered secondary to parietal cell atrophy causing reduced gastric acid secretion and subsequent overstimulation of gastrin release through a feedback loop.
60只雌性Sprague-Dawley大鼠中有两只被诊断出患有恶性神经内分泌肿瘤,这些大鼠接受了高剂量的新型小分子大麻素-1拮抗剂治疗89周。肿瘤伴有胃粘膜壁细胞萎缩并伴有腺泡增生。考虑到相对于未经治疗的对照组,高剂量的顶叶细胞萎缩/小凹增生的发生率和严重程度更高,尽管顶叶细胞萎缩的确切机制尚不确定,但被认为与试验品相关。自发性胃神经内分泌肿瘤在大鼠中非常罕见,目前的病例被认为是继发于壁细胞萎缩,导致胃酸分泌减少,随后通过反馈回路过度刺激胃泌素释放。
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引用次数: 1
Selected Resources for Pathology Evaluation of Nonhuman Primates in Nonclinical Safety Assessment 非临床安全性评估中非人灵长类动物病理评估的精选资源
IF 1.5 4区 医学 Q3 PATHOLOGY Pub Date : 2022-04-28 DOI: 10.1177/01926233221091763
B. Bolon, J. Everitt
Humans and nonhuman primates (NHPs) share numerous anatomical and physiological characteristics, thereby explaining the importance of NHPs as essential animal models for translational medicine and nonclinical toxicity testing. Researchers, toxicologic pathologists, toxicologists, and regulatory reviewers must be familiar with normal and abnormal NHP biological traits when designing, performing, and interpreting data sets from NHP studies. The current compilation presents a list of essential books, journal articles, and websites that provide context to safety assessment and research scientists working with NHP models. The resources used most frequently by the authors have been briefly annotated to permit readers to rapidly ascertain their applicability to particular research endeavors. The references are aimed primarily for toxicologic pathologists working with cynomolgus and rhesus macaques and common marmosets in efficacy and safety assessment studies.
人类和非人灵长类动物(NHPs)具有许多相同的解剖和生理特征,因此解释了NHPs作为转化医学和非临床毒性测试必不可少的动物模型的重要性。研究人员、毒理学病理学家、毒理学家和监管审查员在设计、执行和解释NHP研究数据集时,必须熟悉正常和异常的NHP生物学特征。目前的汇编提供了一份基本书籍、期刊文章和网站的清单,为使用NHP模型的安全评估和研究科学家提供了背景。作者最常使用的资源已被简要注释,以允许读者快速确定其适用于特定的研究努力。参考文献主要是针对毒理学病理学家与食蟹猴、恒河猴和普通狨猴在功效和安全性评估研究。
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引用次数: 1
Comparison of Routine Hematology, Coagulation, and Clinical Chemistry Parameters of Cynomolgus Macaques of Mauritius Origin With Cynomolgus Macaques of Cambodia, China, and Vietnam Origin 毛里求斯原产食蟹猴与柬埔寨、中国、越南原产食蟹猴常规血液学、凝血和临床化学指标的比较
IF 1.5 4区 医学 Q3 PATHOLOGY Pub Date : 2022-04-25 DOI: 10.1177/01926233221089843
Tara Arndt, Mandy J. Meindel, Joseph Clarke, Amanda Shaw, M. Gregori
Cynomolgus macaques (Macaca fascicularis) are commonly used in safety assessment and as translational models for drug development. Recent supply chain pressures, exportation bans, and increased demand for drug safety assessment studies exacerbated by the COVID-19 pandemic have prompted the investigation of utilizing macaques of different geographic origin in preclinical toxicity studies. This study compares routine hematology, coagulation, and clinical chemistry endpoints of 3 distinct subpopulations of mainland Asia origin (Cambodia, China, and Vietnam) with Mauritius origin macaques compiling results of 3,225 animals from 123 regulatory toxicology studies conducted at North American and European Union contract research organization facilities between 2016 and 2019. Results were generally similar amongst the subpopulations compared in this study. Few notable differences in hematology test results and several minor differences in serum biochemistry and coagulation test results were identified when 3 distinct subpopulations of mainland Asia origin macaques were compared with Mauritius origin macaques. Our findings support the use of different origin macaques in drug development programs; however, emphasizes the importance of maintaining consistency in geographic origin of animals within a study.
食蟹猴(Macaca fascicularis)通常用于安全性评估和药物开发的转化模型。最近的供应链压力、出口禁令以及COVID-19大流行加剧的药物安全性评估研究需求增加,促使人们研究利用不同地理来源的猕猴进行临床前毒性研究。本研究比较了来自亚洲大陆(柬埔寨、中国和越南)的3个不同亚群与来自毛里求斯的猕猴的常规血液学、凝血学和临床化学终点,汇总了2016年至2019年在北美和欧盟合同研究组织机构进行的123项监管毒理学研究中的3225只动物的结果。在本研究中比较的亚群中,结果大致相似。将亚洲大陆猕猴的3个不同亚群与毛里求斯猕猴进行比较,发现血液学试验结果没有显著差异,血清生化和凝血试验结果也有轻微差异。我们的研究结果支持在药物开发项目中使用不同来源的猕猴;然而,强调在一项研究中保持动物地理起源一致性的重要性。
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引用次数: 1
Organ Weights in Relation to Age and Sex in Cynomolgus Monkeys (Macaca fascicularis) 食蟹猴(Macaca fascularis)器官重量与年龄和性别的关系
IF 1.5 4区 医学 Q3 PATHOLOGY Pub Date : 2022-04-06 DOI: 10.1177/01926233221088283
Rachel Amato, J. F. Gardin, J. Tooze, J. Cline
Laboratory animal research is an important contributor to both human and animal medicine. Currently, there is extensive use of cynomolgus monkeys (Macaca fascicularis) in pathology and toxicology research. The purpose of this study was to define reference values for absolute and percentage organ weights in M fascicularis of different ages and sex. Organ weights were obtained from necropsies of 1022 cynomolgus monkeys at the Wake Forest School of Medicine from 1997 to 2018. Distributions of absolute and percentage weights for each organ were described; sex and age groups were compared using analysis of variance. Age effects on percentage of body weights for each organ were analyzed within each sex. Diet effects were also analyzed. This evaluation showed that male body weights and absolute organ weights were greater for all age groups; however, female organ to body weight percentages were greater for most organs. Percentage of organ weight to body weight declined for the adrenals, brain, lung, thyroid and thymus during maturation, whereas percentage weight of pancreas, prostate, testes, and uterus increased. Animals consuming a high-fat, Western-type diet had a lower body weight than animals consuming a carbohydrate-rich chow diet. This information will be useful for further toxicology and pathology studies concerning cynomolgus monkeys.
实验动物研究是人类和动物医学的重要贡献者。目前,食蟹猴(Macaca fascicularis)被广泛用于病理和毒理学研究。本研究的目的是确定不同年龄和性别的束状肌绝对和百分比器官重量的参考值。器官重量是从1997年至2018年维克森林医学院1022只食蟹猴的尸检中获得的。描述了每个器官的绝对权重和百分比权重的分布;使用方差分析对性别和年龄组进行比较。年龄对各性别各器官体重百分比的影响进行了分析。还分析了饮食的影响。该评价显示,所有年龄组的男性体重和绝对器官重量均大于男性;然而,女性的器官占体重的比例在大多数器官中都更高。成熟期间,肾上腺、脑、肺、甲状腺和胸腺器官重量占体重的比例下降,而胰腺、前列腺、睾丸和子宫器官重量占体重的比例上升。食用高脂肪、西式饮食的动物体重低于食用富含碳水化合物的食物的动物。这些信息将为食蟹猴毒理学和病理学的进一步研究提供参考。
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引用次数: 5
期刊
Toxicologic Pathology
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