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The possible protective role of vitamin C versus melatonin on potassium dichromate induced changes in rat thyroid gland: light and electron microscopic study. 维生素 C 和褪黑激素对重铬酸钾诱导的大鼠甲状腺变化的可能保护作用:光镜和电子显微镜研究。
IF 1 4区 医学 Q4 MICROSCOPY Pub Date : 2023-02-25 DOI: 10.1080/01913123.2023.2178568
Eman Saeed, Ahmed A El-Mansy, Shireen A Mazroa, Amal M Moustafa

Potassium dichromate is widely used in various laboratory and industrial applications. Vitamin C and melatonin are well-known antioxidants. Study the microscopic and morphometric alterations in the thyroid gland in adult male albino rats after the administration of potassium dichromate for successive 2 months and also to assess the possible protective effect of vitamin C versus melatonin on these changes. Sixty adult male albino rats were randomly divided into four main groups. Group I (The control group). Group II received potassium dichromate (25 mg/kg/day) dissolved in distilled water by intraperitoneal (i.p) injection for 2 months. Group III received the same dose of potassium dichromate with vitamin C (120 mg/kg/day) orally through an intragastric intubation. Group IV received the same dose of potassium dichromate and melatonin (10 mg/kg/day) as an i.p injection. Thyroid gland samples were prepared for light and electron microscopic studies. Potassium dichromate group demonstrated congested blood vessels, follicular hyperplasia, follicular enlargement with degenerated lining cells that were exfoliated in the lumen. The parafollicular cells appeared with darkly stained nuclei. PAS reaction showed weak reaction in the colloid with an abnormal pattern of vacuolization. A highly significant increase in the percentage area of fibrosis was detected in Mallory trichrome sections. Ultrastructurally, follicular cells and parafollicular cells appeared irregular in shape with dark, small heterochromatic nuclei. Small, electron-dense granules in the parafollicular cells were found. Potassium dichromate and vitamin C-treated group III showed partial improvement of the thyroid gland. The PAS reaction showed that nearly all the follicles were more or less similar to those of the control group. A significant decrease in the percentage area of fibrosis in group III was found as compared to those in group II. Potassium dichromate and melatonin-treated group showed that the thyroid gland was nearly similar to that of the control group. Vitamin C and melatonin could partially protect against potassium dichromate induced changes in the thyroid gland and the protective effect of melatonin was better than that of vitamin C.

重铬酸钾广泛应用于各种实验室和工业领域。维生素 C 和褪黑激素是著名的抗氧化剂。研究成年雄性白化大鼠连续两个月服用重铬酸钾后甲状腺的显微和形态变化,并评估维生素 C 和褪黑素对这些变化可能产生的保护作用。将 60 只成年雄性白化大鼠随机分为四大组。第一组(对照组)。第二组腹腔注射溶于蒸馏水的重铬酸钾(25 毫克/千克/天),为期 2 个月。第三组通过胃内插管口服相同剂量的重铬酸钾和维生素 C(120 毫克/千克/天)。第四组接受相同剂量的重铬酸钾和褪黑素(10 毫克/千克/天)静脉注射。制备甲状腺样本用于光镜和电子显微镜研究。重铬酸钾组表现为血管充血、滤泡增生、滤泡增大,内膜细胞变性并在管腔中脱落。卵泡旁细胞核呈深色染色。PAS 反应显示胶体反应微弱,空泡化形态异常。在马洛里三色染色切片中,发现纤维化的百分比面积明显增加。从超微结构上看,卵泡细胞和卵泡旁细胞的形状不规则,核色深且小,呈异色。在卵泡旁细胞中发现了电子致密的小颗粒。重铬酸钾和维生素 C 处理的 III 组甲状腺得到部分改善。PAS反应显示,几乎所有的滤泡都与对照组的滤泡大致相似。与第二组相比,第三组的纤维化面积百分比明显减少。重铬酸钾和褪黑激素治疗组的甲状腺几乎与对照组相似。维生素C和褪黑素对重铬酸钾引起的甲状腺变化有部分保护作用,且褪黑素的保护作用优于维生素C。
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引用次数: 0
Comparative survey of mitochondrial ultrastructure in IDH1-mutant astrocytoma and IDH1-wildtype glioblastoma (GBM). IDH1突变星形细胞瘤和IDH1野生型胶质母细胞瘤(GBM)线粒体超微结构的比较研究。
IF 1.1 4区 医学 Q4 MICROSCOPY Pub Date : 2023-02-25 DOI: 10.1080/01913123.2023.2175942
Haitham H Maraqah, Mones S Abu-Asab, Han Sung Lee, Orwa Aboud

Gliomas are the most common malignant brain tumors with poor prognosis. The WHO's classification recognizes isocitrate dehydrogenase 1 (IDH1) mutant astrocytoma and IDH1-wildtype glioblastoma (GBM). The IDH1 mutation confers a survival advantage over the wildtype. There are several explanations for the metabolic advantage of the IDH1 mutation, some involve mitochondrial implications. Since an ultrastructural comparison of both tumor genotypes is still lacking, we surveyed the ultrastructural effects of the IDH1 mutation on the mitochondria of the IDH1-mutant astrocytoma (n = 15) and IDH1-wildtype glioblastoma (n = 15) tumors. Our results show that both IDH1 genotypes have degenerate and uncoupled mitochondria; this has not been reported before. The presence of ample lipid inclusions and lipid droplets in the cytoplasm of both genotypes support our conclusion of dysfunctional uncoupled mitochondria. Thus, the IDH1 mutation may have no ultrastructural consequences on the mitochondria, and the aberrant mitochondria in both genotypes may be the result of other unknown mutations. The status of the mitochondria in these genotypes portends a clinical challenge since tumor cells with uncoupled mitochondria are more primitive, aggressive, and considerably treatment resistant.

胶质瘤是最常见的恶性脑肿瘤,预后较差。世卫组织的分类方法承认异柠檬酸脱氢酶 1(IDH1)突变型星形细胞瘤和 IDH1 野生型胶质母细胞瘤(GBM)。与野生型相比,IDH1 突变具有生存优势。IDH1 突变的代谢优势有多种解释,其中一些涉及线粒体的影响。由于目前还缺乏两种肿瘤基因型的超微结构比较,我们调查了 IDH1 突变对 IDH1 突变星形细胞瘤(n = 15)和 IDH1 野生型胶质母细胞瘤(n = 15)线粒体的超微结构影响。我们的研究结果表明,这两种 IDH1 基因型的线粒体都发生了退化和解偶联;这在以前从未报道过。两种基因型的细胞质中都存在大量的脂质内含物和脂滴,这支持了我们关于未耦合线粒体功能失调的结论。因此,IDH1 突变可能不会对线粒体造成超微结构上的影响,两种基因型的线粒体异常可能是其他未知突变的结果。这些基因型中线粒体的状况预示着临床挑战,因为线粒体未耦合的肿瘤细胞更原始、更具侵袭性,而且对治疗有相当大的耐药性。
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引用次数: 0
The possible protective role of melatonin versus garlic on monosodium Glutamate-induced changes in rat cerebellar cortex: histological, immunohistochemical and electron microscope study. 褪黑素和大蒜对谷氨酸钠诱导的大鼠小脑皮层变化可能起到的保护作用:组织学、免疫组织化学和电子显微镜研究。
IF 1 4区 医学 Q4 MICROSCOPY Pub Date : 2023-02-19 DOI: 10.1080/01913123.2023.2175943
Reem Ibrahim Abd El-Hay, Shireen A Mazroa, E El-Mohandes, Moustafa Am

Monosodium glutamate (MSG) is widely used as a flavor enhancer. Melatonin and garlic are well known as antioxidant. The present study was performed to evaluate the microscopic changes in the cerebellar cortex of rats after the administration of MSG and the possible protective effect of melatonin versus garlic on those changes. The rats were divided into four main groups. Group I (control group). Group II received MSG (4 mg/ g/day). Group III received MSG+ melatonin (10 mg/kg bw/day). Group IV received MSG+garlic (300 mg/kg bw/day). Immunohistochemical staining for glial fibrillary acidic protein (GFAP) was done as a marker for astrocyte demonstration. Morphometric study was done to assess the mean number and diameter of Purkinje cells, the number of astrocytes and the percentage area of positive GFAP immune stain. MSG group demonstrated congested blood vessels, vacuolations in the molecular layer, and Purkinje cells appeared irregular with nuclear degeneration. Granule cells appeared shrunken with darkly stained nuclei. The immunohistochemical stain for GFAP was less than expected in the three layers of the cerebellar cortex. Purkinje cells and granule cells appeared irregular in shape with dark small heterochromatic nuclei. The myelinated nerve fibers showed splitting and loss of the lamellar structure of their myelin sheath. Melatonin group showed that the cerebellar cortex was nearly similar to that of control group. Garlic treated group showed partial improvement. In conclusion, melatonin and garlic could partially protect against MSG induced changes and the protective effect of melatonin was better than garlic.

谷氨酸钠(味精)被广泛用作增味剂。褪黑素和大蒜是众所周知的抗氧化剂。本研究旨在评估大鼠摄入味精后小脑皮层的显微变化,以及褪黑素和大蒜对这些变化可能产生的保护作用。大鼠主要分为四组。第一组(对照组)。第二组接受味精(4 毫克/克/天)。第三组:味精+褪黑素(10 毫克/千克体重/天)。第四组:味精+大蒜(300 毫克/千克体重/天)。对神经胶质纤维酸性蛋白(GFAP)进行免疫组化染色,作为显示星形胶质细胞的标记物。形态计量学研究评估了浦肯野细胞的平均数量和直径、星形胶质细胞的数量以及 GFAP 免疫染色阳性面积的百分比。味精组显示血管充血,分子层出现空泡,浦肯野细胞出现不规则的核变性。颗粒细胞萎缩,细胞核深染。小脑皮质三层的 GFAP 免疫组化染色结果低于预期。浦肯野细胞和颗粒细胞的形状不规则,细胞核呈深色小异色性。有髓鞘的神经纤维出现分裂,髓鞘的片状结构消失。褪黑素组显示小脑皮质与对照组几乎相似。大蒜治疗组则有部分改善。总之,褪黑素和大蒜能部分防止味精引起的变化,而且褪黑素的保护效果优于大蒜。
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引用次数: 0
Flaxseed lignans alleviates isoproterenol-induced cardiac hypertrophy by regulating myocardial remodeling and oxidative stress. 亚麻籽木酚素通过调节心肌重塑和氧化应激减轻异丙肾上腺素诱导的心肌肥厚
IF 1 4区 医学 Q4 MICROSCOPY Pub Date : 2023-02-15 DOI: 10.1080/01913123.2023.2175944
Sanaa H Elsayed, Nagui H Fares, Samar H Elsharkawy, Yomna I Mahmoud

Cardiovascular diseases, the leading global cause of death, are usually associated with cardiac hypertrophy (CH). CH is an adaptive response of the heart against cardiac overloading, but continuous CH accelerates cardiac remodeling and results in heart failure. Available CH therapies delay the progress of heart failure, but they often fail to control symptoms or restore quality of life. Although flaxseed lignans have been shown to have significant anti-oxidant, anti-hypertensive, anti-inflammatory, and anti-fibrotic effects in various cardiovascular diseases, little is known about their effect on CH. Thus, this study evaluated the therapeutic effect of flaxseed lignans on CH, which was induced by subcutaneous injections with isoproterenol (5 mg/kg b.w) for 14 consecutive days. Flaxseed lignans (200 mg/kg) was given orally for 4 weeks. Cardiac pathological remodeling was evaluated by echocardiography, after which morphometric, biochemical, histological, and ultrastructural analyses were performed. Flaxseed lignans significantly ameliorated CH structural and functional alterations as shown by echocardiography. Lignans also reduced the relative heart weight, significantly decreased the elevated CK-MB and the lipid peroxidation marker malondialdehyde, augmented the myocardial total antioxidant capacity, and ameliorated the histopathological and ultrastructural changes in cardiac tissues and prevented interstitial collagen deposition. The results demonstrate promising anti-hypertrophic effect of flaxseed lignans against isoproterenol-induced cardiac hypertrophy, via regulating myocardial remodeling and oxidative stress. Therefore, lignans could be used as potential pharmacological intervention in the management of CH.

心血管疾病是导致全球死亡的主要原因,通常与心脏肥大(CH)有关。心脏肥大是心脏对心脏超负荷的一种适应性反应,但持续的心脏肥大会加速心脏重塑,导致心力衰竭。现有的心肌肥厚疗法可延缓心力衰竭的进展,但往往无法控制症状或恢复生活质量。虽然亚麻籽木酚素已被证明在各种心血管疾病中具有显著的抗氧化、抗高血压、抗炎和抗纤维化作用,但人们对其对 CH 的影响知之甚少。因此,本研究评估了亚麻籽木酚素对连续 14 天皮下注射异丙肾上腺素(5 毫克/千克体重)诱导的 CH 的治疗效果。连续4周口服亚麻籽木酚素(200毫克/千克)。通过超声心动图评估心脏病理重塑,然后进行形态计量学、生物化学、组织学和超微结构分析。超声心动图显示,亚麻籽木酚素能明显改善 CH 结构和功能的改变。木酚素还能减轻心脏相对重量,显著降低升高的 CK-MB 和脂质过氧化标志物丙二醛,提高心肌总抗氧化能力,改善心脏组织的组织病理学和超微结构变化,防止间质胶原沉积。研究结果表明,亚麻籽木酚素通过调节心肌重塑和氧化应激,对异丙肾上腺素诱导的心肌肥厚具有良好的抗肥厚作用。因此,木酚素可作为潜在的药物干预措施用于治疗慢性心肌梗死。
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引用次数: 0
Ultrastructural changes in resistance arterioles of normotensive and hypertensive premenopausal women with uterine fibroids. 患有子宫肌瘤的正常血压和高血压绝经前妇女阻力动脉血管的超微结构变化。
IF 1 4区 医学 Q4 MICROSCOPY Pub Date : 2023-02-13 DOI: 10.1080/01913123.2023.2171168
L M Brewster, I D Perrotta, Z Jagernath, Z Taherzadeh, G A van Montfrans

The association between uterine smooth muscle fibroids and systemic arterial hypertension is poorly understood. Therefore, we explored possible concomitant myocyte pathology of systemic resistance-sized arterioles (200 to 400 μm), isolated from omental samples donated by 19 women (mean age 42 y; SE 1) undergoing fibroid surgery. Vessels of 17 women (8 hypertensives) were available for transmission electron microscopy. We found ultrastructural vessel wall abnormalities in all patients, albeit with greater severity in hypertensives. In the endothelium, this ranged from moderate mitochondrial and endoplasmic reticulum stress in normotensives, to necrosis and sloughing in hypertensives. Myocyte-like cells were observed to migrate across the internal elastic lamina, with isolated subendothelial myocytes in normotensives, and focal subendothelial multicellular aggregates or myo-intimal "cushions" in hypertensives. Medial myocytes of all patients showed abnormalities similar to fibroids, with dilated sarco-endoplasmic reticulum, elongated mitochondria, and myofilament loss involving focal areas or entire cells. To our knowledge, the first study on the ultrastructure of systemic resistance arterioles of women with fibroids indicates that severe abnormalities are present that likely affect blood pressure regulation. Whether these perturbations are induced by fibroids, or represent systemic pathology that affects myocytes of both uterine and vascular tissue warrants further exploration.

人们对子宫平滑肌肌瘤与全身动脉高血压之间的关系知之甚少。因此,我们从 19 名接受子宫肌瘤手术的妇女(平均年龄 42 岁;SE 1)捐献的网膜样本中分离出了全身阻力大小的动脉血管(200 至 400 μm),探讨了可能同时存在的肌细胞病理学。我们对 17 名妇女(8 名高血压患者)的血管进行了透射电子显微镜检查。我们发现所有患者的血管壁都存在超微结构异常,但高血压患者的异常更为严重。在内皮细胞中,从正常血压者的中度线粒体和内质网应激,到高血压者的坏死和脱落不等。观察到肌细胞样细胞移过内弹力层,正常血压者有孤立的内皮下肌细胞,高血压者有局灶性内皮下多细胞聚集或肌内膜 "垫"。所有患者的内膜肌细胞都表现出与肌瘤类似的异常,肉芽内质网扩张、线粒体拉长、肌丝缺失,涉及病灶区域或整个细胞。据我们所知,对患有子宫肌瘤的妇女的全身阻力动脉超微结构的首次研究表明,这些动脉存在严重的异常,很可能会影响血压调节。这些扰动是由子宫肌瘤引起的,还是代表影响子宫和血管组织肌细胞的全身性病变,还有待进一步探讨。
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引用次数: 0
Growth hormone enhances the CD34+ stem cells repopulation of the male albino rat thymus gland in cyclophosphamide induced injury: immunohistochemical and electron microscopic study. 生长激素增强环磷酰胺诱导损伤的雄性白化大鼠胸腺的 CD34+ 干细胞再增殖:免疫组化和电子显微镜研究。
IF 1 4区 医学 Q4 MICROSCOPY Pub Date : 2023-01-29 DOI: 10.1080/01913123.2023.2170510
Amira I Shrief, Walaa H E Hamed, Shireen A Mazroa, Amal M Moustafa

Cyclophosphamide (CP) is a chemotherapeutic drug that has a harmful effect on the immune system. Growth hormone (GH) is a peptide hormone that can enhance thymic functions in cases of immunosuppression. Therefore, the present study was performed to study the possible protective effect of growth hormone on cyclophosphamide-induced changes in the rat thymus gland. Sixty-four adult male albino rats were used and divided into three main groups. Group I (Control group). Group II (CP group) received 200 mg/kg body weight CP by a single intra-peritoneal injection. Group III (CP& GH group) received GH in a dose of 2 mg/kg body weight/day by subcutaneous injection starting 5 days before cyclophosphamide injection till the end of the experiment. Administration of CP (Group II) resulted in marked histopathological changes in thymus. Thymic cortex showed depletion of thymoblasts. There was a decrease in CD34 immune positively stained stem cells and an increase in CD68 immune positively stained macrophages. Ultrastructurally, thymoblasts were markedly degenerated and the most of epithelial reticular cells were vacuolated. Administration of GH (group III) showed preservation of the histological structure of the thymus. In conclusion, growth hormone could protect against cyclophosphamide induced thymic damage.

环磷酰胺(CP)是一种对免疫系统有害的化疗药物。生长激素(GH)是一种肽类激素,可在免疫抑制情况下增强胸腺功能。因此,本研究旨在探讨生长激素对环磷酰胺诱导的大鼠胸腺变化可能产生的保护作用。研究使用了 64 只成年雄性白化大鼠,并将其分为三大组。第一组(对照组)第二组(CP 组)一次性腹腔注射 200 毫克/千克体重的 CP。第三组(CP& GH 组)在注射环磷酰胺前 5 天开始皮下注射 GH,剂量为 2 毫克/千克体重/天,直至实验结束。CP组(II组)的胸腺组织病理变化明显。胸腺皮质显示胸腺母细胞减少。CD34 免疫阳性染色干细胞减少,CD68 免疫阳性染色巨噬细胞增加。在超微结构上,胸腺母细胞明显退化,大部分上皮网状细胞呈空泡状。给予生长激素(第 III 组)后,胸腺的组织学结构得以保留。总之,生长激素可以防止环磷酰胺引起的胸腺损伤。
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引用次数: 0
Effects of metformin and simvastatin treatment on ultrastructural features of liver macrophages in HFD mice. 二甲双胍和辛伐他汀对HFD小鼠肝巨噬细胞超微结构的影响。
IF 1 4区 医学 Q4 MICROSCOPY Pub Date : 2023-01-02 DOI: 10.1080/01913123.2022.2156639
Darko Ciric, Tamara Kravic-Stevovic, Vladimir Bumbasirevic, Sasa Petricevic, Sofija Jovanovic, Vladimir Trajkovic, Tamara Martinovic

Type 2 diabetes is a major health burden to the society. Macrophages and liver inflammation emerged as important factors in its development. We investigated ultrastructural changes in the liver, with a special emphasis on macrophages in high fat diet (HFD) fed C57BL/6 J mice treated with metformin or simvastatin, two drugs that are used frequently in diabetes. Both metformin and simvastatin reduced the liver damage in HFD fed animals, manifested as the prevention of nonalcoholic steatohepatitis development and reduced activation and number of macrophages in the liver, as well as the percentage of these cells with lipid droplets in the cytoplasm compared to untreated HFD animals. In contrast with untreated HFD-fed animals, lipid droplets were not observed in lysosomes of macrophages in HFD animals treated with metformin and simvastatin. These findings provide new insight into the effects of metformin and simvastatin on the liver in this experimental model of type 2 diabetes and provide further rationale for implementation of statins in the therapeutic regimens in this disease.

2型糖尿病是社会的主要健康负担。巨噬细胞和肝脏炎症是其发展的重要因素。我们研究了肝脏超微结构的变化,特别强调了高脂肪饮食(HFD)喂养的C57BL/6 J小鼠用二甲双胍或辛伐他汀(两种经常用于糖尿病的药物)治疗后的巨噬细胞。二甲双胍和辛伐他汀都减轻了HFD喂养动物的肝损伤,表现为预防非酒精性脂肪性肝炎的发展,减少肝脏中巨噬细胞的激活和数量,以及与未治疗的HFD动物相比,这些细胞在细胞质中具有脂滴的百分比。与未喂食HFD的动物相比,二甲双胍和辛伐他汀治疗的HFD动物巨噬细胞溶酶体中未观察到脂滴。这些发现为二甲双胍和辛伐他汀对2型糖尿病实验模型肝脏的影响提供了新的见解,并为在该疾病的治疗方案中实施他汀类药物提供了进一步的理论依据。
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引用次数: 0
Calanus oil attenuates isoproterenol-induced cardiac hypertrophy by regulating myocardial remodeling and oxidative stress. 菖蒲油通过调节心肌重构和氧化应激,减轻异丙肾上腺素诱导的心肌肥厚。
IF 1 4区 医学 Q4 MICROSCOPY Pub Date : 2023-01-02 DOI: 10.1080/01913123.2022.2163016
Shrook Y Abdellatif, Nagui H Fares, Samar H Elsharkawy, Yomna I Mahmoud

Calanus oil, an oil extracted from the marine crustacean Calanus finmarchicus, is one of the richest sources of omega-3 and poly-unsaturated fatty acids. Although calanus oil has been shown to have a significant anti-hypertensive, anti-inflammatory, anti-fibrotic and anti-obesity effects in various cardiovascular diseases, but little is known about its effect on pathological cardiac hypertrophy. Thus, the present study was carried out to evaluate the therapeutic effect of calanus oil on cardiac hypertrophy. Cardiac hypertrophy was induced by subcutaneous injections with isoproterenol (5 mg/kg b.w) for 14 consecutive days. Calanus oil (400 mg/kg) was given orally for 4 weeks. Cardiac pathological remodeling was evaluated by echocardiography, after which morphometric, biochemical, histological and ultrastructural analyses were performed. Calanus oil treatment significantly ameliorated isoproterenol-induced structural and functional alterations in echocardiography. Calanus oil also reduced the relative heart weight, significantly decreased the elevated cardiac enzymes (LDH and CK-MB) and the lipid peroxidation marker (MDA), augmented the myocardial antioxidant status (TAC), and ameliorated the histopathological and ultrastructural changes in cardiac tissues and prevented interstitial collagen deposition. The present study, for the first time, provided morphometric, biochemical, histological and ultrastructural evidences supporting the promising anti-hypertrophic effect of calanus oil against ISO-induced cardiac hypertrophy. This anti-hypertrophic effect of calanus oil is via regulating myocardial remodeling and oxidative stress. Therefore, it could be used as potential pharmacological intervention in the management of cardiac hypertrophy.

Calanus油是一种从海洋甲壳类动物Calanus finmarchicus中提取的油,是omega-3和多不饱和脂肪酸最丰富的来源之一。虽然番石榴油已被证明在各种心血管疾病中具有显著的降压、抗炎、抗纤维化和抗肥胖作用,但其对病理性心脏肥大的作用却知之甚少。因此,本研究旨在探讨菖蒲油对心肌肥厚的治疗作用。异丙肾上腺素(5 mg/kg b.w)连续皮下注射14 d诱导心肌肥厚。天葵油(400 mg/kg)口服4周。超声心动图评价心脏病理重构,并进行形态学、生化、组织学和超微结构分析。Calanus油治疗显著改善异丙肾上腺素诱导的超声心动图结构和功能改变。天竺葵油还能降低心脏相对重量,显著降低升高的心肌酶(LDH、CK-MB)和脂质过氧化标志物(MDA),增强心肌抗氧化状态(TAC),改善心肌组织病理和超微结构改变,阻止间质胶原沉积。本研究首次从形态学、生化、组织学和超微结构等方面证实了天麻油对iso诱导的心肌肥厚具有良好的抗肥厚作用。这种抗肥厚作用是通过调节心肌重塑和氧化应激来实现的。因此,它可以作为治疗心肌肥厚的潜在药物干预手段。
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引用次数: 3
Renal biopsy in systemic infections: expect the unexpected. 全身性感染的肾活检:预料意料之外。
IF 1 4区 医学 Q4 MICROSCOPY Pub Date : 2023-01-02 DOI: 10.1080/01913123.2022.2164099
Bangchen Wang, Alexandra Grand, Micah Schub, Harpreet Singh, David I Ortiz Melo, David N Howell

Infection-related glomerulonephritis is well recognized in patients with ongoing infections. It can be missed, however, if the infection is unusual or undetected. We present three cases where the renal biopsy findings prompted the identification or treatment of systemic infections.Case 1: A 84-year-old male presented with acute kidney injury (AKI) and IgA vasculitis on skin biopsy. A renal biopsy showed active glomerulonephritis with abundant neutrophils and predominantly mesangial immune complex deposits containing IgA. The findings prompted an infectious workup which was positive for COVID-19, suggesting exacerbation of IgA nephropathy by recent COVID-19 infection. Case 2: A 31-year-old female status post kidney transplant for granulomatosis with polyangiitis (GPA) had recent pregnancy with preterm delivery, disseminated herpes simplex virus (HSV) infection with HSV hepatitis, E. coli on urine culture, and AKI. A renal biopsy showed proliferative glomerulonephritis with subendothelial and mesangial immune complex deposits containing IgG and C3. The findings were most consistent with infection-related immune complex glomerulonephritis, most likely HSV-related. Case 3: A 78-year-old female presented with AKI, proteinuria, hematuria, and positive p-ANCA. Clinically, ANCA vasculitis was suspected, and renal biopsy did show focal, segmental, necrotizing glomerulonephritis. However, immunofluorescence and electron microscopy showed IgM-rich deposits in the mesangium. The unusual presentation prompted an infectious workup including a Bartonella antibody panel which showed very high titers, suggesting Bartonella endocarditis.Infection-related glomerulonephritis has a wide variety of presentations histologically and clinically. The three cases we present here emphasize the importance of recognizing these entities to help guide treatment and improve patient care.

感染相关性肾小球肾炎在持续感染的患者中是公认的。然而,如果感染不寻常或未被发现,它可能会被遗漏。我们提出三个病例,其中肾活检结果提示识别或治疗全身性感染。病例1:84岁男性,皮肤活检表现为急性肾损伤(AKI)和IgA血管炎。肾活检显示活动性肾小球肾炎伴大量中性粒细胞,主要是含有IgA的系膜免疫复合物沉积。这些发现促使进行了COVID-19阳性的感染性检查,表明最近的COVID-19感染加剧了IgA肾病。病例2:31岁女性,因肉芽肿合并多血管炎(GPA)肾移植术后,近期妊娠伴早产,播散性单纯疱疹病毒(HSV)感染伴HSV肝炎,尿培养大肠杆菌,AKI。肾活检显示增生性肾小球肾炎伴内皮下和系膜免疫复合物沉积,含有IgG和C3。这些发现与感染相关的免疫复合物肾小球肾炎最一致,最可能与单纯疱疹病毒相关。病例3:一名78岁女性,表现为AKI、蛋白尿、血尿和p-ANCA阳性。临床上,怀疑ANCA血管炎,肾活检确实显示局灶性,节段性,坏死性肾小球肾炎。然而,免疫荧光和电镜显示在系膜中有富含igm的沉积物。这种不寻常的表现促使感染性检查,包括巴尔通体抗体小组,显示非常高的滴度,提示巴尔通体心内膜炎。感染相关性肾小球肾炎具有多种组织学和临床表现。我们在这里提出的三个案例强调了认识这些实体的重要性,以帮助指导治疗和改善患者护理。
{"title":"Renal biopsy in systemic infections: expect the unexpected.","authors":"Bangchen Wang,&nbsp;Alexandra Grand,&nbsp;Micah Schub,&nbsp;Harpreet Singh,&nbsp;David I Ortiz Melo,&nbsp;David N Howell","doi":"10.1080/01913123.2022.2164099","DOIUrl":"https://doi.org/10.1080/01913123.2022.2164099","url":null,"abstract":"<p><p>Infection-related glomerulonephritis is well recognized in patients with ongoing infections. It can be missed, however, if the infection is unusual or undetected. We present three cases where the renal biopsy findings prompted the identification or treatment of systemic infections.Case 1: A 84-year-old male presented with acute kidney injury (AKI) and IgA vasculitis on skin biopsy. A renal biopsy showed active glomerulonephritis with abundant neutrophils and predominantly mesangial immune complex deposits containing IgA. The findings prompted an infectious workup which was positive for COVID-19, suggesting exacerbation of IgA nephropathy by recent COVID-19 infection. Case 2: A 31-year-old female status post kidney transplant for granulomatosis with polyangiitis (GPA) had recent pregnancy with preterm delivery, disseminated herpes simplex virus (HSV) infection with HSV hepatitis, <i>E. coli</i> on urine culture, and AKI. A renal biopsy showed proliferative glomerulonephritis with subendothelial and mesangial immune complex deposits containing IgG and C3. The findings were most consistent with infection-related immune complex glomerulonephritis, most likely HSV-related. Case 3: A 78-year-old female presented with AKI, proteinuria, hematuria, and positive p-ANCA. Clinically, ANCA vasculitis was suspected, and renal biopsy did show focal, segmental, necrotizing glomerulonephritis. However, immunofluorescence and electron microscopy showed IgM-rich deposits in the mesangium. The unusual presentation prompted an infectious workup including a Bartonella antibody panel which showed very high titers, suggesting Bartonella endocarditis.Infection-related glomerulonephritis has a wide variety of presentations histologically and clinically. The three cases we present here emphasize the importance of recognizing these entities to help guide treatment and improve patient care.</p>","PeriodicalId":23430,"journal":{"name":"Ultrastructural Pathology","volume":"47 1","pages":"22-29"},"PeriodicalIF":1.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10524644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Electron microscopic investigation of benzo(a)pyrene-induced alterations in the rat kidney tissue and the protective effects of curcumin. 苯并(a)芘致大鼠肾组织改变的电镜观察及姜黄素的保护作用。
IF 1 4区 医学 Q4 MICROSCOPY Pub Date : 2022-11-02 DOI: 10.1080/01913123.2022.2152144
Dila Şener Akçora, Deniz Erdoğan, Gülnur Take Kaplanoğlu, Gül Eser Göktaş, Uğur Şeker, Çiğdem Elmas

Benzo(a)pyrene (BaP) is a polycyclic hydrocarbon with carcinogenic and DNA damaging properties. Curcumin, primary yellow pigment in turmeric, has a wide range of biological, pharmacological properties in addition to being a powerful antioxidant. The aim of this study was to investigate protective effects of curcumin against benzo(a)pyrene damage in rat kidney. Thirty-six male Wistar albino rats were divided into six groups (n = 6) as: control, corn oil, Dimethyl sulfoxide (DMSO), BaP (10 mg/kg/day), Curcumin (100 mg/kg/day), Curcumin+BaP (100 mg/kg/day+10 mg/kg/day). Agents were daily and orally administered for six weeks. Kidney tissues were removed and examined ultrastructurally. Glomerular and tubular structures in control, corn oil, and DMSO groups demonstrated normal features. Glomerular capillary dilation, thickening, and folding of basement membrane and disruption of organelle contents were distinguished in BaP group. Deletion of podocyte cell and pedicels also sponge-like appearance of glomerular surface were remarkable in this group. Tissue components were protected in curcumin treated group. Proximal tubules and glomerular basement membrane exhibited normal features in Curcumin+BaP group. The abnormalities that accompanied BaP administration clearly revealed the detrimental effects of this agent. Therefore, this study provided substantial evidence that curcumin protects against benzo(a)pyrene nephrotoxicity.

苯并(a)芘(BaP)是一种具有致癌和DNA损伤特性的多环烃。姜黄素是姜黄中主要的黄色色素,除了是一种强大的抗氧化剂外,还具有广泛的生物学和药理学特性。本研究旨在探讨姜黄素对大鼠肾脏苯并(a)芘损伤的保护作用。将36只雄性Wistar白化大鼠分为6组(n = 6),分别为:对照、玉米油、二甲亚砜(DMSO)、BaP (10 mg/kg/d)、姜黄素(100 mg/kg/d)、姜黄素+BaP (100 mg/kg/d +10 mg/kg/d)。药物每日口服,持续6周。取肾组织进行超微结构检查。对照组、玉米油组和DMSO组肾小球和肾小管结构表现正常。BaP组肾小球毛细血管扩张、增厚、基底膜折叠、细胞器内容物破坏明显。足细胞和足蒂缺失,肾小球表面呈海绵状。姜黄素处理组组织成分受到保护。姜黄素+BaP组近端小管及肾小球基底膜基本正常。伴随BaP的异常清楚地揭示了该药物的有害作用。因此,本研究为姜黄素预防苯并(a)芘肾毒性提供了大量证据。
{"title":"Electron microscopic investigation of benzo(a)pyrene-induced alterations in the rat kidney tissue and the protective effects of curcumin.","authors":"Dila Şener Akçora,&nbsp;Deniz Erdoğan,&nbsp;Gülnur Take Kaplanoğlu,&nbsp;Gül Eser Göktaş,&nbsp;Uğur Şeker,&nbsp;Çiğdem Elmas","doi":"10.1080/01913123.2022.2152144","DOIUrl":"https://doi.org/10.1080/01913123.2022.2152144","url":null,"abstract":"<p><p>Benzo(a)pyrene (BaP) is a polycyclic hydrocarbon with carcinogenic and DNA damaging properties. Curcumin, primary yellow pigment in turmeric, has a wide range of biological, pharmacological properties in addition to being a powerful antioxidant. The aim of this study was to investigate protective effects of curcumin against benzo(a)pyrene damage in rat kidney. Thirty-six male Wistar albino rats were divided into six groups (n = 6) as: control, corn oil, Dimethyl sulfoxide (DMSO), BaP (10 mg/kg/day), Curcumin (100 mg/kg/day), Curcumin+BaP (100 mg/kg/day+10 mg/kg/day). Agents were daily and orally administered for six weeks. Kidney tissues were removed and examined ultrastructurally. Glomerular and tubular structures in control, corn oil, and DMSO groups demonstrated normal features. Glomerular capillary dilation, thickening, and folding of basement membrane and disruption of organelle contents were distinguished in BaP group. Deletion of podocyte cell and pedicels also sponge-like appearance of glomerular surface were remarkable in this group. Tissue components were protected in curcumin treated group. Proximal tubules and glomerular basement membrane exhibited normal features in Curcumin+BaP group. The abnormalities that accompanied BaP administration clearly revealed the detrimental effects of this agent. Therefore, this study provided substantial evidence that curcumin protects against benzo(a)pyrene nephrotoxicity.</p>","PeriodicalId":23430,"journal":{"name":"Ultrastructural Pathology","volume":"46 6","pages":"519-530"},"PeriodicalIF":1.0,"publicationDate":"2022-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10351272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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Ultrastructural Pathology
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