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Unveiling renal pathology's potential: exploring a rare subtype of amyloid - apolipoprotein CII amyloidosis in the youngest patient: a case report and literature review. 揭示肾脏病理学的潜力:探索一种罕见的淀粉样蛋白亚型--最年轻患者的载脂蛋白CII淀粉样变性:病例报告和文献综述。
IF 1.1 4区 医学 Q4 MICROSCOPY Pub Date : 2024-07-03 Epub Date: 2024-05-20 DOI: 10.1080/01913123.2024.2353397
Yiqin Zuo, Fiona Hanly, Duo Li, Efren Chavez, Omar Aljuboori, Gabriel Contreras, Guillermo A Herrera

In this clinical case report, we present a rare subtype of amyloidosis, apolipoprotein CII (apo CII), which was diagnosed through a renal biopsy and subsequently confirmed by identifying the p.K41T mutation via germline DNA sequencing. Upon reviewing the literature, five patients exhibiting identical mutation were identified via renal biopsy, while an additional patient was diagnosed through biopsies of the fat pad and bone marrow. Notably, our patient is the youngest recorded case. We pioneered the application of immunofluorescence and immunogold electron microscopy techniques for apo CII evaluation. Our report provides a detailed description of this case, supplemented by an extensive review encompassing apo CII, documented instances of apo CII amyloidosis with renal or systemic involvement, and potential underlying mechanisms.

在这份临床病例报告中,我们介绍了一种罕见的亚型淀粉样变性病--载脂蛋白 CII(载脂蛋白 CII),该病是通过肾活检确诊的,随后通过种系 DNA 测序确定了 p.K41T 突变。查阅文献后发现,有五名患者通过肾活检发现了相同的突变,另有一名患者是通过脂肪垫和骨髓活检确诊的。值得注意的是,我们的患者是有记录以来最年轻的病例。我们率先将免疫荧光和免疫金电子显微镜技术应用于载脂蛋白 CII 的评估。我们的报告对该病例进行了详细描述,并对载脂蛋白 CII、载脂蛋白 CII 淀粉样变性累及肾脏或全身的记录病例以及潜在的潜在机制进行了广泛综述。
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引用次数: 0
Effect of peripheral blood mononuclear cells on ischemia-reperfusion injury of sciatic nerve of adult male albino rat: histological, immunohistochemical, and ultrastructural study. 外周血单核细胞对成年雄性白化大鼠坐骨神经缺血再灌注损伤的影响:组织学、免疫组织化学和超微结构研究。
IF 1 4区 医学 Q4 MICROSCOPY Pub Date : 2024-05-03 Epub Date: 2024-02-29 DOI: 10.1080/01913123.2024.2321144
Shaimaa Mostafa Kashef, Suzan Elsayed Abo Elnasr

Ischemia/reperfusion (I/R) injury of sciatic nerve is a serious condition that results in nerve fiber degeneration, and reperfusion causes oxidative injury. Peripheral blood mononuclear cells (PBMNCs) have neuroregenerative power. This study was carried out to evaluate the potential ameliorative effect of PBMNCs on changes induced by I/R injury of the sciatic nerve. Fifty adult male albino rats were divided into donor and experimental groups that were subdivided into four groups: group I (control group), group II received 50 µL PBNMCs once intravenously via the tail vein, group III rubber tourniquet was placed around their Rt hind limb root for 2 hours to cause ischemia, group IV was subjected to limb ischemia as group III, then they were injected with 50 ul PBMNCs as group II before reperfusion. I/R injury showed disorganization of nerve fascicles with wide spaces in between nerve fibers. The mean area of collagen fibers, iNOS immunoexpression, and number of GFAP-positive Schwann cells of myelinated fibers showed a highly significant increase, while a highly significant reduction in the G-ratio and neurofilament immunoexpression was observed. Myelin splitting, invagination, evagination, and myelin figures were detected. PBMNC-treated group showed a marked improvement that was confirmed by histological, immunohistochemical, and ultrastructural findings.

坐骨神经缺血再灌注(I/R)损伤是一种导致神经纤维变性的严重疾病,再灌注会造成氧化损伤。外周血单核细胞(PBMNCs)具有神经再生能力。本研究旨在评估 PBMNCs 对坐骨神经 I/R 损伤引起的变化的潜在改善作用。将 50 只成年雄性白化大鼠分为供体组和实验组,实验组又分为四组:I 组(对照组)、II 组经尾静脉注射一次 50 µL PBNMCs、III 组在其右后肢根部缠绕橡胶止血带 2 小时以造成缺血、IV 组与 III 组一样进行肢体缺血,然后与 II 组一样在再灌注前注射 50 ul PBMNCs。I/R损伤表现为神经纤维束紊乱,神经纤维之间的空隙变大。有髓鞘纤维的胶原纤维平均面积、iNOS 免疫表达和 GFAP 阳性许旺细胞的数量均有非常显著的增加,而 G 比率和神经丝蛋白免疫表达则有非常显著的减少。检测到髓鞘分裂、内陷、剥离和髓鞘图形。PBMNC 治疗组的病情明显好转,组织学、免疫组化和超微结构研究结果均证实了这一点。
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引用次数: 0
Ultrastructural differences between synovial sarcoma and solitary fibrous tumor: comparative study in adult patients from the National Cancer Institute of Mexico. 滑膜肉瘤与单发纤维瘤的超微结构差异:墨西哥国家癌症研究所成年患者的比较研究。
IF 1 4区 医学 Q4 MICROSCOPY Pub Date : 2024-05-03 Epub Date: 2024-02-13 DOI: 10.1080/01913123.2024.2313742
Guillermo Ernesto Corredor-Alonso, Leonardo Saúl Lino-Silva, Erika Yazmin López-Flores, Tatiana Velásquez-Tovar, Hugo Ricardo Domínguez-Malagón

Synovial sarcoma (SS) and solitary fibrous tumor (SFT) are entities with considerable morphological and immunohistochemical similarities that sometimes show a non-confirmatory profile (TLE1 negative, CD34 and focal or negative STAT6 and lack of specific fusion IHC markers), in which the utility ultrastructure is unknown. A cross-sectional, retrospective, analytical, nonexperimental study was carried out by the Department of Pathology of the National Cancer Institute of Mexico (INCan) e from January 1, 2009 to December 31, 2018. With 17 SFT cases with diffuse or focal CD34 and STAT6 positivity and 18 cases of SS with positive FISH molecular test t(X:18) breakapart were studied by electron microscopy of fresh glutaraldehyde fixed or paraffin-embedded tissue. The ultrastructural findings with a significant difference present in the SS were tandem tight junctions, desmosomes and abundance of dilated rough endoplasmic reticulum (RER) cisternae (p < 0.001, 0.003, and 0.001, respectively); while in the (SFT) the presence of abundant glycogen, basal lamina, long and slender cytoplasmic processes, pinocytic vesicles, hemidesmosomes, and/or dense plaques, collagen skein, and microvilli-like buds (p = 0.028, 0.005, and <0.001 for the last five). We then infer that the five distinctive markers of the SFT are the collagen skeins intermingled with cellular processes in a shape of "squid can," and the pinocytic vesicles as they were not observed in any case of SS. Conversely, tandem junctions were not found in any SFT case. Although the presence of multivesicular buds in the SFT was not significant, it had not been previously described.

滑膜肉瘤(SS)和单发纤维瘤(SFT)在形态学和免疫组化方面具有相当大的相似性,有时表现为非确证性特征(TLE1阴性、CD34和STAT6灶性或阴性,缺乏特异性融合IHC标记物),其中的实用超微结构尚不清楚。墨西哥国家癌症研究所(INCan)病理学部于 2009 年 1 月 1 日至 2018 年 12 月 31 日开展了一项横断面、回顾性、分析性、非实验性研究。通过对新鲜戊二醛固定或石蜡包埋组织进行电镜观察,研究了17例CD34和STAT6弥漫或局灶阳性的SFT病例和18例FISH分子检测t(X:18)断裂阳性的SS病例。在 SS 中存在显著差异的超微结构发现是串联紧密连接、脱钙小体和大量扩张的粗面内质网(RER)贮液器(p p = 0.028、0.005 和 0.006)。
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引用次数: 0
Robert Erlandson obituary (September 4, 1937-February 4, 2024): a true giant and great champion of ultrastructural pathology. 罗伯特-厄兰森(Robert Erlandson)(1937 年 9 月 4 日-2024 年 2 月 4 日):超微结构病理学的真正巨人和伟大倡导者。
IF 1 4区 医学 Q4 MICROSCOPY Pub Date : 2024-05-03 Epub Date: 2024-03-31 DOI: 10.1080/01913123.2024.2334996
David M Parham
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引用次数: 0
Effect of platelet rich plasma versus melatonin on testicular injury induced by Busulfan in adult albino rats: a histological and immunohistochemical study. 富血小板血浆和褪黑素对成年白化大鼠布舒凡所致睾丸损伤的影响:组织学和免疫组化研究。
IF 1 4区 医学 Q4 MICROSCOPY Pub Date : 2024-05-03 Epub Date: 2024-02-29 DOI: 10.1080/01913123.2024.2322567
Eman M Askar, Amira M Abdelmegid, Laila M Elshal, Mohamed A Shaheen

This study was done to estimate the testicular histological alterations induced by Busulfan (BUS) and compare the possible protective effects of melatonin (MT) and platelet rich plasma (PRP) in a rat model. Sixty-four male rats were dispersed into: control group, BUS group, melatonin group, and PRP group. Blood samples were processed for biochemical analysis. Tissue specimens were managed for light and electron microscopic studies. Immunohistochemical expression of vimentin and proliferating cell nuclear antigen (PCNA) was performed. Busulfan induced severe testicular damage in all studied methodologies. It showed a statistically significant decrease in serum testosterone and elevation of MDA when compared to the control group. Abnormal testicular cytostructures suggesting defective spermatogenesis were observed: distorted seminiferous tubules, deformed spermatogenic cells, low germinal epithelium height, few mature spermatozoa, and also deformed barrier. Vimentin and PCNA expressions were reduced. Ultrastructurally, Sertoli cells and the blood testis barrier were deformed, spermatogenic cells were affected, and mature spermatozoa were few and showed abnormal structure. Both melatonin and PRP induced improvement in all the previous parameters and restoration of spermatogenesis as confirmed by improvement of Johnsen's score from 2.6 ± .74 to 7.6 ± .92. In conclusion, melatonin and PRP have equal potential to ameliorate the testicular toxicity of BUS. Melatonin can provide a better noninvasive way to combat BUS induced testicular injury.

本研究旨在评估布舒凡(BUS)诱导的睾丸组织学改变,并比较褪黑素(MT)和富血小板血浆(PRP)对大鼠模型可能产生的保护作用。64 只雄性大鼠被分为:对照组、BUS 组、褪黑素组和 PRP 组。对血液样本进行生化分析。对组织标本进行光镜和电子显微镜研究。对波形蛋白和增殖细胞核抗原(PCNA)进行免疫组化表达。在所有研究方法中,布舒凡均诱发了严重的睾丸损伤。与对照组相比,血清睾酮的下降和MDA的升高具有统计学意义。观察到的异常睾丸细胞结构表明精子发生存在缺陷:曲细精管扭曲、生精细胞变形、生精上皮高度低、成熟精子少以及屏障变形。波形蛋白和 PCNA 表达减少。超微结构上,Sertoli细胞和睾丸血屏障变形,生精细胞受到影响,成熟精子数量少且结构异常。褪黑素和睾丸生精细胞生长因子(PRP)均能改善之前的所有参数,恢复精子生成,Johnsen评分从2.6 ± .74提高到7.6 ± .92,证实了这一点。总之,褪黑素和 PRP 在改善 BUS 的睾丸毒性方面具有同等潜力。褪黑激素可以提供一种更好的非侵入性方法来对抗 BUS 引起的睾丸损伤。
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引用次数: 0
“Ultrastructural changes of platelets in COVID-19 and chronic viral hepatitis patients “ "COVID-19 和慢性病毒性肝炎患者血小板的超微结构变化"
IF 1 4区 医学 Q4 MICROSCOPY Pub Date : 2024-04-15 DOI: 10.1080/01913123.2024.2342437
Ayat SalahEldin Mohamed Hassan, Sahar Samir Abdelmaksoud Abo Gaziah, Hieba Gamal Ezzelregal Awad, Salma Mohammed Hegab Abdelhady, Nagwa Abbdelkhalek Talaat Elkhafif, Noha Bassiouny Hassan Mostafa
Platelet-viral interactions are evolving as a new concern. Coagulation disorder is a major consequence of the COVID-19 infection. In chronic hepatitis virus infections, defect in coagulation factor...
血小板与病毒的相互作用正逐渐成为一个新的关注点。凝血功能障碍是 COVID-19 感染的一个主要后果。在慢性肝炎病毒感染中,凝血因子缺陷是导致凝血功能障碍的主要原因。
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引用次数: 0
Malformation of the endoplasmic reticulum system evolving into giant inclusions and Auer bodies in acute promyelocytic leukemia: an ultrastructural study of 6 cases 急性早幼粒细胞白血病中内质网系统畸形演变为巨内含体和奥尔体:对 6 个病例的超微结构研究
IF 1 4区 医学 Q4 MICROSCOPY Pub Date : 2024-04-15 DOI: 10.1080/01913123.2024.2340965
Yong-Xin Ru, Shu-Xu Dong, Jing Liu, Jin-Hua Liu, Yuan Zhou, Brian Eyden
The endoplasmic reticulum(ER)is the largest membranous network serving as a region for protein, lipid and steroid synthesis, transport and storage. Detailed information about ER-cisternae, ER-tubul...
内质网(ER)是最大的膜网,是蛋白质、脂质和类固醇合成、运输和储存的区域。有关ER-蝶形花序、ER-管状结构、ER-...
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引用次数: 0
Correction. 更正。
IF 1 4区 医学 Q4 MICROSCOPY Pub Date : 2024-03-03 Epub Date: 2024-02-07 DOI: 10.1080/01913123.2024.2306049
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引用次数: 0
Protective effects of Urtica dioica on the cerebral cortex damage induced by Potassium bromate in adult male albino rats. 杜鹃花对溴酸钾致成年雄性白化大鼠脑皮质损伤的保护作用。
IF 1 4区 医学 Q4 MICROSCOPY Pub Date : 2024-03-03 Epub Date: 2024-02-07 DOI: 10.1080/01913123.2023.2287664
Abeer A Mahmoud, Maha Zayed Mohamed, Ebtehal Z Hassen

Potassium bromate is used in cheese production, beer making and is also used in pharmaceutical and cosmetic. It is a proven carcinogen as it is a strong oxidizing agent that generates free radicals during xenobiotic metabolism. Urtica dioica (Ud) (from the plants' family of Urticaceae) is a plant that has long been used as a medicinal plant in many parts of the world. It has been shown to have anti-inflammatory, antioxidant and immunosuppressive properties. So, this study aimed to clarify the effect of Potassium bromate on the histological structure of cerebral cortex of adult male albino rats, evaluate the possible protective role of Urtica dioica. Thirty adult healthy male albino rats were divided into three groups; group I (Control group), group II (KBrO3 treated group). Group III (KBrO3 and Urtica dioica treated group).At the end of the experiment, rats in all groups were anesthetized and specimens were processed for light and electron microscope. Morphometric and statistical analyses were also performed. Nerve cells of the treated group showed irregular contours, dark nuclei, irregular nuclear envelopes, dilated RER cisternae, and mitochondria with ruptured cristae. Vacuolated neuropil was also observed. Immunohistochemically, stained sections for GFAP showed strong positive reaction in the processes of astrocytes. Recovery group showed revealed nearly the same as the histological picture as the control group. In conclusion, potassium bromate induces degenerative effects on neurons of cerebral cortex and urtica dioica provide an important neuroprotective effects against these damaging impacts through their antioxidant properties.

溴酸钾用于奶酪生产,啤酒酿造,也用于制药和化妆品。它是一种被证实的致癌物,因为它是一种强氧化剂,在异种代谢过程中产生自由基。菊科荨麻(Urtica dioica, Ud)是一种在世界许多地方长期被用作药用植物的植物。它已被证明具有抗炎、抗氧化和免疫抑制的特性。因此,本研究旨在阐明溴酸钾对成年雄性白化大鼠大脑皮层组织结构的影响,并探讨白化荨麻疹可能的保护作用。将30只健康成年雄性白化大鼠分为3组;ⅰ组(对照组)、ⅱ组(KBrO3治疗组)。第三组(KBrO3和荨麻疹治疗组)。实验结束时,各组大鼠均麻醉,并对标本进行光镜和电镜观察。形态计量学和统计学分析也进行了。治疗组神经细胞轮廓不规则,核暗,核包膜不规则,内质网池扩张,线粒体嵴破裂。还观察到空泡化的神经膜。免疫组织化学染色显示GFAP在星形胶质细胞过程中呈强烈阳性反应。恢复组所显示的组织学图与对照组几乎相同。综上所述,溴酸钾对大鼠大脑皮层神经元的退行性损伤具有重要的神经保护作用。
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引用次数: 0
The diagnosis of asbestosis in the 21st century: a clinicopathological correlation of 102 cases. 21 世纪石棉沉滞症的诊断:102 个病例的临床病理学相关性。
IF 1 4区 医学 Q4 MICROSCOPY Pub Date : 2024-03-03 Epub Date: 2024-02-07 DOI: 10.1080/01913123.2023.2299874
John M Carney, Thomas A Sporn, Victor L Roggli, Elizabeth N Pavlisko

Asbestosis, defined as diffuse pulmonary fibrosis caused by inhalation of asbestos fibers, occurs after heavy exposures to asbestos dust over several decades. Because workplace exposures have been significantly curtailed since the banning of asbestos in insulation products, we were interested in examining the clinicopathological characteristics of cases diagnosed in the 21st century. The consultation files of one of the authors (VLR) were reviewed for cases of asbestosis diagnosed since 1/1/2001. 102 cases were identified, with a median age of 75 years (range: 45-89). There were 100 men and 2 women. The women were from Turkey and Brazil (none from the United States). Malignancies were present in 78 cases, including 38 lung cancers, 29 pleural mesotheliomas, and 8 peritoneal mesotheliomas. The grade of asbestosis was available in 88 cases (median severity of 2; scale: 1-4). Pleural plaque was present in 94% of cases. The most common exposure categories were insulators (39), shipyard workers (16), asbestos manufacturing (9), boiler workers (8) and pipefitter/welders (6). The median duration of exposure was 33 years (range: 2-49 years). Lung fiber burden analysis was performed in 34 cases, with amosite being the predominant fiber type. Results were compared with similar information for 475 cases diagnosed prior to 1/1/2001.

石棉沉滞症是指因吸入石棉纤维而引起的弥漫性肺纤维化,患者在数十年间大量接触石棉粉尘后会发生石棉沉滞症。自禁止在绝缘产品中使用石棉以来,工作场所的石棉接触已大大减少,因此我们有兴趣研究 21 世纪确诊病例的临床病理学特征。我们查阅了其中一位作者(VLR)的咨询档案,以了解自 2001 年 1 月 1 日以来确诊的石棉沉滞症病例。共发现 102 个病例,中位年龄为 75 岁(范围:45-89 岁)。其中男性 100 例,女性 2 例。女性病例来自土耳其和巴西(没有来自美国的病例)。78 例患者患有恶性肿瘤,包括 38 例肺癌、29 例胸膜间皮瘤和 8 例腹膜间皮瘤。有 88 例病例的石棉沉滞症分级(中位数为 2 级,1-4 级)。94%的病例存在胸膜斑块。最常见的接触类别是绝缘工人(39 例)、船厂工人(16 例)、石棉制造工人(9 例)、锅炉工人(8 例)和管道工/焊接工(6 例)。接触石棉的时间中位数为 33 年(范围:2-49 年)。对 34 个病例进行了肺部纤维负荷分析,主要纤维类型为铁石棉。结果与 2001 年 1 月 1 日之前确诊的 475 例病例的类似信息进行了比较。
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引用次数: 0
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Ultrastructural Pathology
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