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Induction of DNA damage and growth arrest by citalopram in breast cancer cells mediated via activation of Gadd45a and apoptotic genes. 西酞普兰通过激活Gadd45a和凋亡基因介导的乳腺癌细胞DNA损伤和生长停滞
IF 1.1 4区 医学 Q4 MICROSCOPY Pub Date : 2025-01-17 DOI: 10.1080/01913123.2025.2454691
Mohammed Salama, Ahmed Elamin, Magda Youssif, Noura A Mattar

Breast cancer patients experience more severe emotional distress and depression compared to those with other cancers. Selective serotonin reuptake inhibitors (SSRIs), like citalopram, are commonly used to treat depression. However, the link between SSRI use and breast cancer progression is debated. This study examined the cytotoxic effects of citalopram on triple-negative (MDA-MB231) and ER-positive (MCF-7) breast cancer cells. Results showed a significant decrease in cell viability in both cell lines following citalopram treatment. Interestingly, flow cytometry analysis revealed increased apoptotic cells and induction of cell cycle arrest upon treatment of the cells with citalopram. MCF-7 cells were arrested in the sub-G0-G1 phase, while MDA-MB231 cells accumulated in the S phase. Gene expression analysis demonstrated increased Bax expression and decreased Bcl2 levels. Moreover, cytochrome c and NF-κB were upregulated upon treatment with citalopram. Furthermore, transmission electron microscopy (TEM) analysis of treated cells showed apoptotic morphological changes including shrunken nuclei, membrane blebbing, and chromatin condensation with prominent appearance of autophagosomes and autolysosomes. Additionally, GADD45a and p21, involved in growth arrest and DNA damage, were significantly upregulated. In conclusion, citalopram's ability to induce apoptosis and alter cell cycle suggests its potential in breast cancer treatment.

与其他癌症患者相比,乳腺癌患者会经历更严重的情绪困扰和抑郁。选择性血清素再摄取抑制剂(SSRIs),如西酞普兰,通常用于治疗抑郁症。然而,SSRI的使用与乳腺癌进展之间的联系仍存在争议。本研究检测了西酞普兰对三阴性(MDA-MB231)和er阳性(MCF-7)乳腺癌细胞的细胞毒性作用。结果显示,西酞普兰治疗后,两种细胞系的细胞活力显著下降。有趣的是,流式细胞术分析显示,西酞普兰处理细胞后,凋亡细胞增加,细胞周期阻滞。MCF-7细胞阻滞在亚g1期,MDA-MB231细胞阻滞在S期。基因表达分析显示Bax表达增加,Bcl2水平降低。此外,西酞普兰治疗后细胞色素c和NF-κB上调。此外,透射电镜(TEM)分析显示细胞凋亡形态学改变,包括细胞核萎缩,膜泡,染色质冷凝,自噬体和自溶体的突出外观。此外,参与生长阻滞和DNA损伤的GADD45a和p21显著上调。综上所述,西酞普兰诱导细胞凋亡和改变细胞周期的能力表明其在乳腺癌治疗中的潜力。
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引用次数: 0
The ultrastructural changes in the adult rat ovary after administration of copper oxide nanoparticles and the possible ameliorative influence of selenium. 氧化铜纳米颗粒对成年大鼠卵巢超微结构的影响及硒可能的改善作用。
IF 1.1 4区 医学 Q4 MICROSCOPY Pub Date : 2025-01-11 DOI: 10.1080/01913123.2024.2449091
Abeer Mohamed Ali Shalaby, Eman Shaaban Abdel-Aziz Abul-Ela, Amal Mohamed Moustafa, Shehab Hafez Mohamed

There is an important concern about the potential health and environmental risks that may develop due to exposure to copper oxide nanoparticles (CuO-NPs). Selenium is an essential trace element. It supports the expression of a variety of selenoproteins. The present study was designed to study the ultrastructural and biochemical changes in the adult rat ovary after oral administration of CuO-NPs and to assess the possible ameliorative influence of Selenium. Sixty adult female albino rats were divided in two major groups: Group I and Group II. Group I was further subdivided into three groups: Group IA (control), Group IB: received a single high dose of 2000 mg/kg CuO-NPs, Group IC: received selenium (0.5 mg/kg), five days before giving a single high dose of CuO-NPs (2000 mg/kg). Thereafter, given selenium for 14 days. Group II was subdivided into three groups: Group IIA (control), Group IIB: received a small dose of 300 mg/kg of CuO-NPs for 28 days, Group IIC: received selenium (0.5 mg/kg), five days before starting concomitant administration of CuO-NPs (300 mg/kg) and Selenium (0.5 mg/kg) for 28 days. Damage of the ovarian ultrastructural features, increased MDA levels, and decreased serum estrogen and progesterone hormones levels were detected in group IB and group IIB. Group IC and group IIC showed improvement of ovarian ultrastructural, decreased MDA levels, and increased serum estrogen and progesterone hormones levels as compared to group IB and group IIB indicating that Selenium could decrease the damage induced by CuO-NPs in the adult rat ovaries.

由于接触氧化铜纳米颗粒(CuO-NPs),可能产生潜在的健康和环境风险,这是一个重要的问题。硒是人体必需的微量元素。它支持多种硒蛋白的表达。本研究旨在研究口服CuO-NPs后成年大鼠卵巢超微结构和生化变化,并评估硒可能的改善作用。将60只成年雌性白化大鼠分为两大组:ⅰ组和ⅱ组。I组进一步分为三组:IA组(对照组),IB组(单次高剂量2000 mg/kg CuO-NPs), IC组(单次高剂量2000 mg/kg CuO-NPs)前5天给予硒(0.5 mg/kg)。此后,连续给予硒14 d。II组又分为三组:IIA组(对照组),IIB组(对照组):给予小剂量300 mg/kg的CuO-NPs,持续28天,IIC组(对照组):在开始同时给予CuO-NPs (300 mg/kg)和硒(0.5 mg/kg)前5天给予硒(0.5 mg/kg),持续28天。IB组和IIB组卵巢超微结构损伤,MDA水平升高,血清雌激素、孕激素水平降低。与IB组和IIB组相比,IC组和IIC组卵巢超微结构改善,MDA水平降低,血清雌激素和孕激素水平升高,提示硒可以减轻CuO-NPs对成年大鼠卵巢的损伤。
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引用次数: 0
Ultrastructural organization of the liver of rat pups in early postnatal ontogenesis when pregnant and lactating rats are kept on a low-protein diet. 低蛋白饮食对孕鼠和哺乳期大鼠出生后早期个体发育幼鼠肝脏超微结构的影响。
IF 1.1 4区 医学 Q4 MICROSCOPY Pub Date : 2025-01-02 Epub Date: 2024-12-15 DOI: 10.1080/01913123.2024.2441933
Elena G Pershina, Ksenia N Morozova, Nataliya P Bgatova

Protein deficiency in the diet during pregnancy and lactation has a serious impact on the offspring by programming a predisposition to such serious diseases as hypertension and type 2 diabetes mellitus. In our study, we examined liver ultrastructure of rat pups at ages 2, 21, and 40 days with maternal protein deficiency. Body weight of the pups progressively lagged behind the control throughout the experiment, and the timing of eye opening indicated a slowdown of development. In the liver of 2-day-old animals, the proportion of hematopoietic cells at early stages of differentiation was higher as compared to the control. At the ultrastructural level, no obvious pathological changes were revealed, but a decrease in the amount of organelles was observed simultaneously with accumulation of lipids and glycogen. In the course of the experiment, a progressive decrease in the amount of the rough endoplasmic reticulum and ribosomes and increasing accumulation of glycogen in the cytoplasm of hepatocytes were noted. The most pronounced difference in ultrastructure between periportal and pericentral hepatocytes of control rat pups was detected on the 40th day of development, whereas in the low-protein diet group, the difference was weakly pronounced throughout the experiment. Thus, we showed that with prenatal and early postnatal protein deficiency, the growth and development of rat pups slows down, and glycogen accumulates excessively in the liver concurrently with a decrease in the amount of organelles.

孕期和哺乳期饮食中的蛋白质缺乏会对后代产生严重影响,使其易患高血压和2型糖尿病等严重疾病。在我们的研究中,我们检测了母蛋白缺乏的大鼠幼仔在2、21和40天的肝脏超微结构。在整个实验过程中,幼崽的体重逐渐落后于对照组,而睁开眼睛的时间表明发育速度减慢。在2日龄动物的肝脏中,早期分化阶段的造血细胞比例高于对照组。超微结构未见明显病理改变,但细胞器数量减少,脂质和糖原积聚。在实验过程中,肝细胞粗内质网和核糖体的数量逐渐减少,胞浆中糖原的积累增加。在发育第40天,对照大鼠幼崽的门静脉周围和中央周围肝细胞的超微结构差异最为明显,而低蛋白饮食组的差异在整个实验过程中都很微弱。因此,我们发现,在产前和产后早期蛋白质缺乏的情况下,大鼠幼鼠的生长发育减慢,肝脏中糖原积聚过多,同时细胞器数量减少。
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引用次数: 0
Not so fast, we have to weight the cost. 别急,我们得权衡一下成本。
IF 1.1 4区 医学 Q4 MICROSCOPY Pub Date : 2025-01-02 Epub Date: 2024-12-24 DOI: 10.1080/01913123.2024.2446231
Christopher-Rasheem Mcmillan
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引用次数: 0
Live and let die: analyzing ultrastructural features in cell death. 生与死:分析细胞死亡的超微结构特征
IF 1.1 4区 医学 Q4 MICROSCOPY Pub Date : 2025-01-02 Epub Date: 2024-11-17 DOI: 10.1080/01913123.2024.2428703
Ida Perrotta

Cell death is an important process that supports morphogenesis during development and tissue homeostasis during adult life by removing damaged or unwanted cells and its dysregulation is associated with numerous disease states. There are different pathways through which a cell can undergo cell death, each relying on peculiar molecular mechanisms and morpho-ultrastructural features. To date, however, while molecular and genetic approaches have been successfully integrated into the field, cell death studies rarely incorporate ultrastructural data from electron microscopy. This review article reports a gallery of original transmission electron microscopy images to describe the ultrastructural features of cells undergoing different types of cell death programs, including necrosis, apoptosis, autophagy, mitotic catastrophe, ferroptosis, methuosis, and paraptosis. TEM has been an important technology in cell biology for well over 50 years and still continues to offer significant advantages in the area of cell death research. TEM allows detailed characterization of the ultrastructural changes within the cell, such as the alteration of organelles and subcellular structures, the nuclear reorganization, and the loss of membrane integrity that enable a distinction between the different forms of cell death based on morphological criteria. Possible pitfalls are also described.

细胞死亡是一个重要的过程,它通过清除受损或不需要的细胞来支持发育过程中的形态发生和成年后的组织稳态。细胞死亡有不同的途径,每种途径都依赖于特殊的分子机制和形态-超微结构特征。然而,迄今为止,虽然分子和遗传学方法已成功融入这一领域,但细胞死亡研究却很少结合电子显微镜的超微结构数据。这篇综述文章报告了一组原始透射电子显微镜图像,以描述经历不同类型细胞死亡程序的细胞的超微结构特征,包括坏死、凋亡、自噬、有丝分裂灾难、铁凋亡、甲凋亡和副凋亡。TEM 作为细胞生物学的一项重要技术已有 50 多年的历史,在细胞死亡研究领域仍具有显著优势。TEM 可以详细描述细胞内超微结构的变化,如细胞器和亚细胞结构的改变、核重组和膜完整性的丧失,从而根据形态学标准区分不同形式的细胞死亡。此外,还介绍了可能存在的误区。
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引用次数: 0
Ameliorating role of co-administration of granulocyte colony stimulating factor and sodium bicarbonate on the skeletal muscle of a rat model of chronic kidney disease (A histological and immunohistochemical study). 粒细胞集落刺激因子和碳酸氢钠对慢性肾脏疾病大鼠骨骼肌模型的改善作用(组织学和免疫组织化学研究)。
IF 1.1 4区 医学 Q4 MICROSCOPY Pub Date : 2025-01-02 Epub Date: 2024-12-30 DOI: 10.1080/01913123.2024.2446242
Fayza E Ahmed, Ebtahal Z Hassen, Fatma M E Mousa, Karima F Abdelfadeel

Over half million individuals suffer from chronic kidney disease (CKD) worldwide. In addition to raising the possibility of cardiovascular diseases, skeletal myopathy remains a challenging complication that is highly correlated with mortality and a lower quality of life. Granulocyte-colony stimulating factor (G-CSF) is an active cytokine for mobilization of immunological and hematopoietic stem cells that can replace exogenous stem cell infusions. So, it is seen as a less expensive and noninvasive tool for regenerative medicine. Sixty three rats were divided into 4 groups: I control, II CKD induced, IIIa, IIIb treated and IV recovery groups. After induction of CKD in all rats, group II were sacrificed after 4 weeks. Rats of group IIIa received NaHCO3. Group IIIb rats were injected subcutaneously by G-CSF as 100 µg/kg/day for 5 successive days in addition to NaHCO3 as group IIIa. Group IV rats were housed for 4 weeks without treatment. Serum urea, creatinine, tissue MDA& TNF-α were assessed. Renal and gastrocnemius muscle sections were evaluated for histological structure, CD34 and myogenin immune expression, morphometric and statistical analyses. The CKD group revealed a significant increase in MDA and TNF-α. Furthermore, features of renal injury, muscle degenerative changes, increased collagen and decreased CD34 and myogenin expression were observed. Alterations were partially attenuated by NaHCO3, while GCSF remarkably improved most parameters. The current results indicated that co-administration of GCSF and NaHCO3 could ameliorate CKD myopathy via attenuating oxidative stress, immunomodulation, pro-angiogenic ability, myocyte regeneration. In addition to the reduction of mitochondrial stress and maintenance of cellular homeostasis.

全世界有超过50万人患有慢性肾脏疾病(CKD)。除了增加心血管疾病的可能性外,骨骼肌病仍然是一个具有挑战性的并发症,与死亡率和较低的生活质量高度相关。粒细胞集落刺激因子(G-CSF)是一种激活免疫和造血干细胞的活性细胞因子,可以替代外源性干细胞输注。因此,它被视为一种更便宜、无创的再生医学工具。将63只大鼠分为4组:I对照组、II CKD诱导组、IIIa组、IIIb组和IV恢复组。所有大鼠诱导CKD后,II组于4周后处死。IIIa组大鼠给予NaHCO3。IIIb组大鼠在IIIa组NaHCO3的基础上皮下注射g - csf,剂量为100µg/kg/d,连续5 d。IV组大鼠饲养4周,不给药。测定血清尿素、肌酐、组织mda、TNF-α。对肾脏和腓肠肌切片进行组织结构、CD34和肌原蛋白免疫表达、形态计量学和统计学分析。CKD组MDA和TNF-α显著升高。肾脏损伤、肌肉退行性改变、胶原蛋白升高、CD34和肌原蛋白表达降低。NaHCO3能部分减弱改变,而GCSF能显著改善大部分参数。目前的研究结果表明,GCSF和NaHCO3共同给药可以通过降低氧化应激、免疫调节、促血管生成能力和肌细胞再生来改善CKD肌病。除了减少线粒体应激和维持细胞稳态。
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引用次数: 0
Metformin ameliorates diabetes-induced hepatic ultrastructural damage and the immune biomarker CD86 and inflammation in rats. 二甲双胍改善大鼠糖尿病诱导的肝脏超微结构损伤、免疫生物标志物CD86和炎症。
IF 1.1 4区 医学 Q4 MICROSCOPY Pub Date : 2025-01-02 Epub Date: 2024-12-11 DOI: 10.1080/01913123.2024.2440479
Mohammad Y Alshahrani, Fahad S Al Amri, Mohammed A Alzahrani, Abdulaziz S Alshahrani, Dina H Abdel Kader, Faris Almasabi, Hind Zafrah, Mohammad Dallak, Osama M Osman, Bahjat Al-Ani, Norah M Alzamil

Diabetes is a known inducer of hepatic ultrastructural alterations, and the expression of the immune biomarker that involves in T-cell immunity, cluster of differentiation 86 (CD86) is increased in diabetic patients with liver cirrhosis. The antidiabetic drug metformin has not previously been used to protect against type 2 diabetes mellitus (T2DM)-induced alternations in hepatic ultrastructure and the induction of the hepatic CD86/inflammation axis in diabetic animal models induced by streptozotocin and a high fat diet. To test our hypotheses, T2DM was induced in rats (model group) and the protective animals were treated with the antidiabetic drug metformin (200 mg/kg) until being sacrificed at week 12. A profound ultrastructural damage to the hepatocytes and liver tissue injury was induced by T2DM as demonstrated by hepatocytes with dark shrunken irregular nuclei, rarefied cytoplasm with lipid droplets, mitochondria with disrupted cristae, as well as depletion of glycogen granules and damaged of liver architecture, which were effectively (p < .0001) protected with metformin. Metformin also suppressed diabetes-induced hepatic gene expression of CD86 and inflammation as well as glycemia and liver injury markers. Furthermore, a significant correlation between hepatocyte damage and CD86, inflammation, glycemia, and biomarkers of liver injury was observed. These findings demonstrate that diabetes is associated with the induction of the hepatic CD86/inflammation axis and hepatocyte ultrastructural alterations while being protected by metformin.

糖尿病是一种已知的肝脏超微结构改变的诱导剂,参与t细胞免疫的免疫生物标志物CD86 (cluster of differentiation 86, CD86)的表达在糖尿病合并肝硬化患者中增加。在链脲佐菌素和高脂肪饮食诱导的糖尿病动物模型中,降糖药物二甲双胍以前未被用于防止2型糖尿病(T2DM)诱导的肝脏超微结构改变和肝脏CD86/炎症轴的诱导。为了验证我们的假设,我们在大鼠(模型组)中诱导T2DM,并给予抗糖尿病药物二甲双胍(200 mg/kg)治疗,直到第12周处死。T2DM对肝细胞造成严重超微结构损伤和肝组织损伤,表现为肝细胞细胞核暗缩不规则,胞质稀化伴脂滴,线粒体嵴断裂,糖原颗粒耗损,肝结构破坏,有效地抑制了肝细胞的凋亡(p . 1)
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引用次数: 0
Construction of an animal model of autism based on interaction between cerebellar histological, immunohistochemical, and biochemical changes in adult male albino rat. 基于成年雄性白化大鼠小脑组织学、免疫组织化学和生化变化相互作用的自闭症动物模型的构建。
IF 1.1 4区 医学 Q4 MICROSCOPY Pub Date : 2025-01-02 Epub Date: 2024-12-09 DOI: 10.1080/01913123.2024.2438382
Eman Saeed Mokhtar Tawfeek, Salwa Aly Abou Elez Gawish, Wafaa Saad Hamed, Samar A Asker

Methods: Twelve pregnant female rats were divided into a control group and a valproic acid (VPA) treated group (injected intraperitoneally on embryonic day 12 with 600 mg/kg body weight of VPA). Neurobehavioral tests were conducted on the offspring of both groups. The cerebellum was studied by light and electron microscopy as well as GFAP and caspase-3 immunohistochemical staining.

Results: The VPA-treated group showed signs of neuronal degeneration, such as congested blood vessels, vacuolations, irregularly shrunken with dark small heterochromatic nuclei and numerous apoptotic blebs in the Purkinje and granule cells with vacuolated cerebellar glomeruli. The myelinated nerve fibers showed rarefaction and loss of their neurofilaments. GFAP and caspase-3 immune expression were significantly altered in the VPA-treated group.

Conclusion: The VPA rat model can serve as an excellent model of autism at the structural level, which may be used as a validated model in preclinical studies to evaluate novel drugs.

方法:将12只怀孕雌性大鼠分为对照组和丙戊酸(VPA)处理组(在胚胎第12天腹腔注射600 mg/kg体重的VPA)。对两组的后代都进行了神经行为测试。采用光镜、电镜、GFAP和caspase-3免疫组化染色对大鼠小脑进行观察。结果:vpa处理组出现神经退行性变,如血管充血、空泡化、不规则萎缩、暗小异色核、浦肯野细胞大量凋亡泡和小脑肾小球空泡化颗粒细胞。髓鞘神经纤维稀疏,神经丝缺失。vpa处理组GFAP和caspase-3免疫表达明显改变。结论:VPA大鼠模型在结构水平上是一种很好的自闭症模型,可作为临床前研究中新药评价的验证模型。
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引用次数: 0
A comparative study on the effect of melatonin and orlistat combination versus orlistat alone on high fat diet-induced hepatic changes in the adult male albino rats (a histological and morphometric study). 褪黑素联合奥利司他与单独奥利司他对成年雄性白化大鼠高脂肪饮食诱导的肝脏变化的影响的比较研究(组织学和形态计量学研究)。
IF 1.1 4区 医学 Q4 MICROSCOPY Pub Date : 2025-01-02 Epub Date: 2024-12-16 DOI: 10.1080/01913123.2024.2438380
Sayed M El-Sayed, Gehan A El-Sayed, Mansour M A, Enas Haridy Ahmed, Sherif A Kamar

Background: Nonalcoholic fatty liver disease (NAFLD) is the extremely usual reason of chronic liver disease, extending from simple hepatic steatosis (HS), nonalcoholic steatohepatitis (NASH) to advanced hepatic fibrosis and cirrhosis. Though orlistat is a Food and Drug Administration (FDA) approved drug for long-duration management of obesity, few cases of severe hepatic insult were declared. Melatonin is an efficient antioxidant; it also regulates metabolic processes that lead to fat accumulation and obesity.

Aim of the work: The current research aimed to compare the impact of orlistat, melatonin, and their combination on the structural changes of the hepatic tissue of adult male albino rats supplied with high fat diet (HFD).

Material and methods: Thirty adult male albino rats divided into five groups. Liver specimens were divided into two parts. One-half was processed to obtain paraffin blocks, and the other half was processed to obtain semithin sections. Morphometric study and statistical analysis were done.

Results: Hepatic tissue from the HFD group showed steatosis, ballooning, and inflammation and all these parameters were moderately improved - except for inflammation which worsened with therapy. Combined orlistat and melatonin-treated groups showed marked improvement of all parameters as well as marked improvement in the hepatic fibrosis.Orlistat/Melatonin combination therapy is both safe and effective in comparison to orlistat and melatonin monotherapy.

背景:非酒精性脂肪性肝病(NAFLD)是一种非常常见的慢性肝病,从单纯性肝脂肪变性(HS)、非酒精性脂肪性肝炎(NASH)到晚期肝纤维化和肝硬化。虽然奥利司他是美国食品和药物管理局(FDA)批准的长期治疗肥胖的药物,但很少有严重肝损伤的病例被宣布。褪黑素是一种有效的抗氧化剂;它还能调节导致脂肪堆积和肥胖的代谢过程。工作目的:本研究旨在比较奥利司他、褪黑素及其联合使用对高脂饮食(HFD)成年雄性白化大鼠肝组织结构变化的影响。材料与方法:成年雄性白化大鼠30只,随机分为5组。肝脏标本分为两部分。一半加工得到石蜡块,另一半加工得到半薄切片。进行形态计量学研究和统计学分析。结果:HFD组肝组织出现脂肪变性、水肿和炎症,除炎症随治疗加重外,其余指标均有中度改善。奥利司他联合褪黑素治疗组各项指标均有显著改善,肝纤维化程度也有明显改善。与奥利司他和褪黑素单一治疗相比,奥利司他/褪黑素联合治疗既安全又有效。
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引用次数: 0
Heterozygous missense mutation of the fibrinogen gene associated with cryptogenic liver disease in a 15-months-old Canadian caucasian child. 一名15个月大的加拿大白种人儿童与隐源性肝病相关的纤维蛋白原基因杂合错义突变
IF 1.1 4区 医学 Q4 MICROSCOPY Pub Date : 2024-12-31 DOI: 10.1080/01913123.2024.2447853
Mohit Kehar, Robert J Klaassen, Consolato M Sergi

Hepatic fibrinogen storage disease is an uncommon autosomal dominant hereditary illness marked by hypofibrinogenemia and the accumulation of variant fibrinogen in the hepatic endoplasmic reticulum. We present an asymptomatic 15-month-old male with elevated liver enzymes. Test results indicate hypofibrinogenemia. The liver biopsy revealed circular eosinophilic inclusion bodies within the hepatocyte cytoplasm. After diastase pretreatment, the inclusion bodies did not stain using the periodic acid - Schiff procedure. Ultrastructural examination revealed the characteristic fibrinogen storage curvilinear inclusions. Sequence analysis using the Blueprint Genetics (BpG) FLEX Bleeding Disorder/Coagulopathy Panel identified a heterozygous missense variant FGG c.1075 G>C, p. (Gly359Arg). Thus, the patient was diagnosed with hepatic fibrinogen storage disease. Our findings suggest that in patients with asymptomatic elevated liver enzymes presenting with unanticipated hypofibrinogenemia, hepatic fibrinogen storage disorder must be included in the differential diagnosis. Furthermore, our results underscore the significance of molecular diagnosis in patients diagnosed with cryptogenic liver disease.

肝纤维蛋白原储存病是一种罕见的常染色体显性遗传性疾病,其特征是低纤维蛋白原血症和变异型纤维蛋白原在肝内质网的积累。我们提出一个无症状的15个月大的男性肝酶升高。试验结果提示低纤维蛋白原血症。肝活检显示肝细胞质内有环状嗜酸性包涵体。经淀粉酶预处理后,包涵体不能用周期性酸-希夫染色法染色。超微结构检查显示特征性纤维蛋白原储存曲线包涵体。使用Blueprint Genetics (BpG) FLEX出血性疾病/凝血病小组进行序列分析,鉴定出杂合错义变体FGG C .1075 G>C, p. (Gly359Arg)。因此,患者被诊断为肝纤维蛋白原储存病。我们的研究结果表明,在无症状的肝酶升高患者出现意外的低纤维蛋白原血症时,肝纤维蛋白原储存障碍必须包括在鉴别诊断中。此外,我们的结果强调了分子诊断在诊断为隐源性肝病患者中的意义。
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引用次数: 0
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Ultrastructural Pathology
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