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Endometrial implantation failure in cycles of in vitro fertilization in patients with chronic endometritis 慢性子宫内膜炎患者体外受精周期子宫内膜着床失败
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.31088/cem2023.12.1.24-33
T. Tral, G. Tolibova, I. Kogan
Introduction. Chronic endometritis is one of the most frequent gynecological diseases which negatively impacts the main pathogenetic links in the morphogenesis of secretory and gestational endometrial transformation. These links determine implantation failure. The study aimed to verify the expression of estrogen receptors (ER) and progesterone receptors (PR), progesterone-induced blocking factor (PIBF) and stromal cell-derived factor-1 (SDF-1) in the endometrium of patients having chronic endometritis with ineffective IVF cycles or undeveloped pregnancies occurred after assisted reproductive technologies in their histories. Materials and methods. We formed 3 study groups: group I included samples of the endometrium of patients with ineffective IVF cycles (n=50); group II contained samples received from patients with a history of undeveloped pregnancy after IVF (n=50); and group III (the control group) included endometrial tissue from healthy patients (n=25). We carried out routine histological evaluation followed by an immunohistochemical assay with ER, PR, PIBF, and SDF-1 in the endometrial glands and stroma in the middle secretion phase. esults. The middle stage of the secretion phase of the menstrual cycle in endometrial samples of groups I and II was detected in only 46% and 42% of cases, respectively. We showed a decrease in the ER and PR expression in more than 92% of cases. Statistically significant decrease was detected in PIBF and SDF-1 expression in the endometrial glands and stroma within the implantation window in patients with a history of reproductive loss. Conclusion. Violation of implantation viability with an imbalance of chemokines, cytokines, cellular factors, and structural and functional characteristics of the endometrium was found in patients with revealed chronic endometritis and history of ineffective IVF cycles and miscarriage after ART. Keywords: endometrium,IVF, missed abortion after IVF, estrogen receptor, progesterone receptor, progesterone-induced blocking factor, stromal cell-derived factor-1
介绍。慢性子宫内膜炎是最常见的妇科疾病之一,对分泌形态发生和妊娠期子宫内膜转化的主要发病环节产生负面影响。这些环节决定了植入失败。本研究旨在验证IVF周期无效或辅助生殖技术后未成功妊娠的慢性子宫内膜炎患者子宫内膜中雌激素受体(ER)和孕激素受体(PR)、孕激素诱导阻断因子(PIBF)和基质细胞衍生因子-1 (SDF-1)的表达。材料和方法。我们组成了3个研究组:第一组包括IVF周期无效患者的子宫内膜样本(n=50);II组包含来自IVF后未发育妊娠史的患者的样本(n=50);第三组(对照组)包括健康患者的子宫内膜组织(n=25)。我们进行了常规组织学评估,随后进行了免疫组织化学检测,检测了中期分泌期子宫内膜腺和间质中的ER、PR、PIBF和SDF-1。试验结果。在I组和II组子宫内膜样本中,分别只有46%和42%的病例检测到月经周期的中期分泌期。我们发现在超过92%的病例中ER和PR表达降低。有生殖丧失史的患者在着床窗内子宫内膜腺和间质PIBF和SDF-1表达有统计学意义的降低。结论。慢性子宫内膜炎、IVF周期无效和ART后流产的患者存在着床活力的破坏,其趋化因子、细胞因子、细胞因子以及子宫内膜结构和功能特征失衡。关键词:子宫内膜,体外受精,体外受精后漏流产,雌激素受体,孕激素受体,孕激素诱导阻断因子,基质细胞源性因子-1
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引用次数: 0
Clinical and morphological diagnosis of eosinophilic esophagitis 嗜酸性粒细胞性食管炎的临床与形态学诊断
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.31088/cem2023.12.3.5-18
K.S. Maslenkina, L.M. Mikhaleva, E.N. Motylev, M.U. Gushchin, V.O. Kaibysheva Kaibysheva, D.A. Atyakshin, Y.Y. Kudryavtseva, G.Y. Kudryavtsev
Eosinophilic esophagitis (EoE) is an immune-mediated disease that presents with dysphagia and esophageal bolus obstruction and is characterized by predominant intraepithelial eosinophilic infiltration at histology. The aim of our literature review was to delineate clinical and morphological EoE features in terms of differential diagnosis with other esophageal diseases, i.e., gastroesophageal reflux disease (GERD), inflammatory bowel diseases (IBDs), autoimmune diseases, and rare esophageal disorders. Clinical features of dysphagia and esophageal bolus obstruction and endoscopic criteria (according to EREFS) are typical of EoE. Nevertheless, eosinophilia of the esophageal mucosa is not a specific marker of mucosal injury and is not sufficient for EoE diagnosis. Therefore, eosinophilic esophagitis histological scoring system (EoEHSS) was developed. It involves assessment of intraepithelial eosinophilic infiltration, basal zone hyperplasia, eosinophilic abscesses, eosinophil surface layering, dilated intercellular spaces, surface epithelial alteration, dyskeratotic epithelial cells, and lamina propria fibrosis. Complex clinical, endoscopic, and histological evaluation allows accurate diagnosis of EoE and other causal factors of esophageal eosinophilia. Keywords: eosinophilic esophagitis, esophageal eosinophilia, gastroesophageal reflux disease, celiac disease, inflammatory bowel diseases, achalasia, atopy
嗜酸性粒细胞性食管炎(EoE)是一种免疫介导的疾病,表现为吞咽困难和食管小块梗阻,组织学上以上皮内嗜酸性粒细胞浸润为主。我们回顾文献的目的是描述EoE的临床和形态学特征,以鉴别诊断其他食道疾病,如胃食管反流病(GERD)、炎症性肠病(IBDs)、自身免疫性疾病和罕见食道疾病。吞咽困难和食管小丸梗阻的临床特征和内镜标准(根据EREFS)是典型的EoE。然而,食管粘膜嗜酸性粒细胞增多并不是粘膜损伤的特异性标志,也不足以用于EoE诊断。因此,我们建立了嗜酸性粒细胞性食管炎组织学评分系统(EoEHSS)。它包括评估上皮内嗜酸性粒细胞浸润、基底带增生、嗜酸性粒细胞脓肿、嗜酸性粒细胞表面分层、细胞间隙扩张、表面上皮改变、角化异常上皮细胞和固有层纤维化。复杂的临床、内镜和组织学评估可以准确诊断食管嗜酸性粒细胞增多症的EoE和其他病因。关键词:嗜酸性粒细胞性食管炎、食管嗜酸性粒细胞增多、胃食管反流病、乳糜泻、炎症性肠病、失弛缓症、特应性
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引用次数: 1
Clinical and morphological assessment of uterine scars after cesarean section in patients with gynecological and extragenital diseases 妇科及生殖道外疾病患者剖宫产术后子宫瘢痕的临床及形态学评价
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.31088/cem2023.12.1.34-45
N.M. Markaryan, R. Vandysheva, N. Nizyaeva, Z. Gioeva, S. A. Mikhalev, M. Khamoshina, L. Mikhaleva
Introduction. The article studies excised scars on the uterus after Gusakov’s and Stark’s cesarean sections, with an assessment of the impact of gynecological and extragenital diseases on the viability of the scar. Cesarean scar pregnancy is known to be a frequent indication for surgical delivery. However, if the uterine scar is stable, it is advisable to deliver the baby through the natural birth canal. At present, natural delivery of pregnant women with a scar on the uterus through natural childbirth is an important task in modern obstetrics. Thus, the aim of our study was to perform a multifaceted clinical and morphological evaluation of uterine scars after cesarean section in patients with gynecological and extragenital diseases. Materials and methods. We analyzed samples of scar tissue on the uterus after cesarean section performed in 68 patients. A pathomorphological study was carried out with Mallory staining with hematoxylin and eosin. Immunohistochemical study was performed with antibodies to collagen IV, vimentin, desmin, and von Willebrand factor. Results. In 56 out of 68 puerperas (82.3%), the scars on the uterus were stable with complete replacement of the defect with muscle (63.2%) or connective tissue (19.1%), regardless of the operation duration and the suturing technique. This was confirmed by additional diagnostic methods (Mallory stain and IHC with an antibody panel). We found that connective tissue dysplasia, which is indirectly indicated by the presence of myopia in 5 patients with wealthy fibrous scars, can affect excessive connective tissue in the scar. Twelve out of 68 puerperas (17.6%) had the scars (according to pathomorphological criteria) with severe edema, hemorrhages, tissue with different fibers, and uneven thinning. These patients had extragenital diseases, such as type 2 diabetes mellitus (36.4%) and anemia (18.2%). We did not reveal any influence of existing gynecological diseases on the scar stability. Conclusion. The healing of the postoperative uterine wound was mostly influenced by extragenital diseases (type 2 diabetes mellitus, anemia, connective tissue dysplasia) associated with metabolic disorders and having systemic effects on the body. The Gusakov’s or Stark’s incision closure techniques did not affect the quality of the scar. However, the scars after cesarean section using the Stark incision technique had significantly more connective than muscular tissue. Keywords: cesarean section, incompetent uterine scar, type 2 diabetes mellitus, anemia, connective tissue dysplasia, pathological examination, immunohistochemical study
介绍。本文研究了Gusakov和Stark剖宫产术后切除的子宫疤痕,并评估了妇科和生殖外疾病对疤痕生存能力的影响。剖宫产疤痕妊娠是手术分娩的常见指征。但是,如果子宫疤痕稳定,则建议通过自然产道分娩。目前,通过自然分娩使子宫有疤痕的孕妇自然分娩是现代产科的一项重要任务。因此,我们的研究目的是对妇科和外阴疾病患者剖宫产术后子宫瘢痕进行多方面的临床和形态学评估。材料和方法。我们分析了68例剖宫产术后子宫瘢痕组织样本。采用苏木精和伊红Mallory染色进行病理形态学研究。免疫组化研究采用IV型胶原蛋白、vimentin、desmin和血管性血友病因子抗体。结果。68例产妇中56例(82.3%),不论手术时间和缝合技术如何,子宫瘢痕均稳定,缺损完全被肌肉(63.2%)或结缔组织(19.1%)替代。通过其他诊断方法(Mallory染色和免疫组化抗体)证实了这一点。我们发现结缔组织发育不良可以影响疤痕中过多的结缔组织,结缔组织发育不良间接表明在5例纤维瘢痕丰富的患者中存在近视。68例产妇中有12例(17.6%)有严重水肿、出血、组织纤维不同、不均匀变薄的疤痕(根据病理形态学标准)。这些患者患有外阴疾病,如2型糖尿病(36.4%)和贫血(18.2%)。我们没有发现任何现有妇科疾病对疤痕稳定性的影响。结论。术后子宫伤口的愈合主要受生殖外疾病(2型糖尿病、贫血、结缔组织发育不良)的影响,这些疾病与代谢紊乱有关,对身体有全身影响。Gusakov或Stark的切口闭合技术不影响疤痕的质量。然而,采用斯塔克切口技术剖宫产术后瘢痕结缔组织明显多于肌肉组织。关键词:剖宫产,不功能子宫瘢痕,2型糖尿病,贫血,结缔组织发育不良,病理检查,免疫组化研究
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引用次数: 0
Changes in the content of ATP synthase in brain neurons during experimental cerebral ischemia 实验性脑缺血时脑神经元ATP合酶含量的变化
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.31088/cem2023.12.1.68-76
E. V. Uzlova, S. Zimatkin, E. Bon
Introduction. ATP synthase is a key component of ATP synthesis. The study of its content in brain neurons in experimental cerebral ischemia may reflect changes in the functional state of different neurons and their sensitivity to the pathological effect. The study aimed to reveal patterns in ATP synthase immunoreactivity in neurons of various parts of the rat brain during subtotal ischemia of various durations. Materials and methods. Modeling of subtotal cerebral ischemia (SCI) was carried out by ligation of both common carotid arteries (n=12: control group – n=4, 30-minute SCI – n=4, 3-hour SCI – n=4); the control animals underwent a sham surgery. Frontal paraffin sections were stained according to the Nissl method to identify brain structures and immunohistochemically for ATP synthase. ATP synthase immunoreactivity was expressed in units of optical density ×103. Results. Changes in the immunoreactivity of ATP synthase in brain structures occur to varying degrees and not in all studied structures. The most pronounced and rapid decrease in the content of ATP synthase was observed in telencephalon, namely in the temporal and retrosplenial agranular cortex. The least pronounced changes in the cortex were in the structures of the hippocampus, in the neurons of layer II of the CA2 field. In the structures of the thalamus, hypothalamus, and midbrain the dynamic varied. In the structures of the medulla oblongata, the decrease in immunoreactivity occurs more slowly and less pronounced. Conclusion. During experimental cerebral ischemia the degree and rate of change in the content of ATP synthase in rat brain structures vary greatly and depend both on the brain region and the neurotransmitter nature of neurons. Keywords: ATP synthase, ischemia, immunohistochemistry, brain, rat
介绍。ATP合酶是ATP合成的关键成分。对实验性脑缺血时脑神经元中其含量的研究可能反映了不同神经元功能状态的变化及其对病理效应的敏感性。本研究旨在揭示大鼠脑各部位神经元在不同时间次全缺血时ATP合酶免疫反应的变化规律。材料和方法。通过结扎双颈总动脉建立脑次全缺血模型(n=12:对照组- n=4, 30分钟脊髓损伤- n=4, 3小时脊髓损伤- n=4);对照动物接受了假手术。采用尼氏法对大鼠正面石蜡切片进行脑结构鉴定和ATP合酶免疫组化染色。ATP合酶免疫反应性以光密度为单位表示×103。结果。脑结构中ATP合酶的免疫反应性发生不同程度的变化,但并非所有研究的结构都发生变化。ATP合酶含量下降最明显和最迅速的是在远脑,即在颞叶和脾后颗粒皮层。大脑皮层中最不明显的变化是在海马结构中,在CA2区第二层的神经元中。在丘脑、下丘脑和中脑的结构中,动态变化。在延髓的结构中,免疫反应性的下降发生得更慢,也不太明显。结论。在实验性脑缺血期间,大鼠脑结构中ATP合酶含量变化的程度和速率变化很大,这取决于脑区域和神经元的神经递质性质。关键词:ATP合酶,缺血,免疫组织化学,脑,大鼠
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引用次数: 0
Response of neuroendocrine cells and splenic macrophages to tumor development in the colon 神经内分泌细胞和脾巨噬细胞对结肠肿瘤发展的反应
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.31088/cem2023.12.3.72-81
M.N. Mikhailova, O.M. Arlashkina, G.Yu. Struchko, L.M. Merkulova, I.S. Stomenskaya, O.Yu. Kostrova
Introduction. High cancer incidence requires finding new ways for comprehensive studying car-cinogenesis. Therefore, it is crucial to understand immune organ cell response and cell interaction in tumor development. The aim of the research was to study Synaptophysin+-, CD68+-cells, and biogenic amines in rat spleens during tumor development in the colon during dysplasia stages and adenocarcinoma formation. Materials and methods. Spleen histological slides of 110 mature male rats were studied 1 and 4 months after 1,2-dimethylhydrazine carcinogen administration using immunohistochemical, morphometric, and luminescent histochemical methods. Results. We found imbalanced production of biogenic amines (serotonin, histamine, and catecholamines) in the spleen and, therefore, a decrease in the cellular activity of the germinal centers of the lymphoid nodules. We also observed activation of periarteriolar lymphoid sheath (PALS) and red pulp in rats with precancerous colon lesions (1 month after carcinogen administration). At the same time, there was an increase in the number of CD68+ macrophages and Synaptophysin+ cells in the red pulp. In animals with adenocarcinoma (4 months after carcinogen introduction), the level of catecholamines in the luminescent granular cells of the PALS and the functional activity of these cells increased significantly. Simultaneously, the number of macrophages decreased in all the studied spleen compartments. Amid the decreased level of all biogenic amines in the red pulp, the quantity of Synaptophysin+ cells grew even more. Conclusion. The cells of all spleen compartments react to colon carcinogenesis, with reactivity of PALS cells and the red pulp being the most pronounced. The population of spleen macrophages undergoes rapid changes: their number increases in the red pulp in animals with precancerous lesions, while it decreases in all the splenic structures of rats with adenocarcinoma. Synaptophysin+ neuroendocrine cells of the red pulp play an important role in the reaction of the spleen to tumor development, and the number of these cells rises over time. Biogenic amines participate in the interaction of spleen cells with each other and with tumor-associated cells. Keywords: spleen, biogenic amines, neuroendocrine cells, synaptophysin, carcinogenesis
介绍。癌症的高发病率要求寻找新的途径来全面研究癌症的发生。因此,了解免疫器官细胞反应和细胞相互作用在肿瘤发展中的作用至关重要。本研究的目的是研究大鼠脾脏中突触素+-、CD68+-细胞和生物源性胺在结肠肿瘤发展、不典型增生期和腺癌形成过程中的作用。材料和方法。采用免疫组织化学、形态计量学和发光组织化学方法研究了110只成年雄性大鼠在1,2-二甲基肼致癌物给药后1个月和4个月的脾脏组织切片。结果。我们发现脾脏中生物胺(血清素、组胺和儿茶酚胺)的产生不平衡,因此,淋巴结节生发中心的细胞活性降低。我们还观察到在癌变前结肠病变大鼠中(致癌物给药1个月后)小动脉周围淋巴鞘(PALS)和红髓的活化。同时,红髓内CD68+巨噬细胞和Synaptophysin+细胞数量增加。在腺癌动物中(致癌物引入后4个月),PALS发光颗粒细胞中的儿茶酚胺水平和这些细胞的功能活性显著增加。同时,脾脏各室内巨噬细胞数量减少。在红髓中各生物胺含量降低的情况下,Synaptophysin+细胞的数量增加更多。结论。脾各隔室的细胞对结肠癌的发生均有反应,以PALS细胞的反应性和红髓最明显。脾脏巨噬细胞的数量变化迅速:癌前病变动物的红髓中巨噬细胞数量增加,而腺癌大鼠的所有脾脏结构中巨噬细胞数量减少。红髓突触素+神经内分泌细胞在脾脏对肿瘤发展的反应中起重要作用,并且随着时间的推移,这些细胞的数量会增加。生物胺参与脾脏细胞之间以及与肿瘤相关细胞的相互作用。关键词:脾脏,生物胺,神经内分泌细胞,突触素,癌变
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引用次数: 0
Morphological features of the internal organs in mice after prolonged microplastics consumption 长期食用微塑料后小鼠内脏的形态学特征
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.31088/cem2023.12.3.82-92
N.A. Zolotova, D.Sh. Dzhalilova, I.S. Tsvetkov, A.V. Sentyabreva, O.V. Makarova
Introduction.Microplastics (MP) pollute the environment and can pose a danger to living organisms including humans. Experimental studies on mice and rats demonstrated that microplastics can enter the internal environment, causing structural damage to and dysfunction of various organs. However, data on this issue are scarce and contradictory. The aim of this paper was to characterize morphological changes in the internal organs in mice after prolonged MP consumption in different doses. Materials and methods. We formed four groups (n=5 each): three experimental and one control group. Mice of the experimental groups were given a 5-μm polystyrene particle suspension in distilled water at a concentration of 0.1, 1, and 10 mg/l for 4 weeks. The daily consumption doses averaged 0.023, 0.23, and 2.3 mg of microparticles per kg of animal body weight, respectively. The control group received distilled water throughout the experiment. We conducted a morphological examination of the colon, spleen, liver, kidneys, lungs, thymus, mesenteric lymph nodes, brain, heart, testicles, and thigh muscles. In the colon, morphometric methods were used to evaluate inflammatory infiltration, the number of endocrine and goblet cells, and the content of neutral and highly sulfated mucins in the latter. Results. On morphological examination under the influence of 5-μm polystyrene particle consumption in different doses, we revealed pathological changes only in the spleen and colon. However, a decrease in the goblet cell volume fraction in the colon mucosa was found in the group with low dose of microplastics (0.023 mg/kg/day). The group that consumed 2.3 mg/kg/day of microplastics showed the activation of both spleen compartments, an increased endocrine cells count, and a decreased proportion of highly sulfated mucins in goblet cells. Conclusion. Polystyrene microparticles with a 5-μm diameter consumed for 4 weeks at doses of 0.023–2.3 mg/kg/day cause adaptive morphological and functional changes in the colon and spleen. Keywords: microplastics, polystyrene, spleen, colon, internal organs
介绍。微塑料污染环境,对包括人类在内的生物构成危险。对小鼠和大鼠的实验研究表明,微塑料可以进入内环境,造成各种器官的结构损伤和功能障碍。然而,关于这个问题的数据很少,而且相互矛盾。本文的目的是表征小鼠长期不同剂量MP摄入后内脏器官的形态学变化。材料和方法。我们分成四组,每组5人,实验组3人,对照组1人。实验组小鼠给予5 μm聚苯乙烯颗粒悬浮液,浓度分别为0.1、1、10 mg/l,连续4周。每公斤动物体重的每日消耗剂量分别为0.023、0.23和2.3毫克。对照组在整个实验过程中都饮用蒸馏水。我们对结肠、脾脏、肝脏、肾脏、肺、胸腺、肠系膜淋巴结、大脑、心脏、睾丸和大腿肌肉进行了形态学检查。在结肠中,采用形态计量学方法评估炎症浸润、内分泌细胞和杯状细胞的数量以及后者中中性和高硫酸黏蛋白的含量。结果。在不同剂量5 μm聚苯乙烯颗粒消耗影响下的形态学检查中,我们仅在脾脏和结肠中发现病理改变。然而,低剂量微塑料组(0.023 mg/kg/d)结肠粘膜杯状细胞体积分数下降。每天摄入2.3 mg/kg微塑料的那一组小鼠的两个脾室都被激活,内分泌细胞数量增加,杯状细胞中高硫酸黏蛋白的比例下降。结论。以0.023 ~ 2.3 mg/kg/天的剂量连续4周摄入直径为5 μm的聚苯乙烯微颗粒,可引起结肠和脾脏的适应性形态和功能变化。关键词:微塑料,聚苯乙烯,脾脏,结肠,内脏
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引用次数: 0
Astrocyte lineage differentiation profiles of the fetal human telencephalon 胎儿人端脑星形细胞分化谱
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.31088/cem2023.12.3.50-63
A.S. Kharlamova, E.G. Otlyga, O.S. Godovalova, O.A. Junemann, S.V. Saveliev
Introduction. Brain functioning is kept by both neuronal cell activity and macroglia, i.e., astrocytes and oligodendrocytes. The current data on the prenatal development of the human brain are scarce, and gliogenesis is less studied than cortical neurogenesis. Normal limits and variations and spatiotemporal patterns of glial differentiation in human brain development remain poorly studied. Materials and methods. We used human fetal autopsy samples from the Collection of the Laboratory of Nervous System Development of Avtsyn Research Institute of Human Morphology. For immune and morphological analysis, samples of 38 fetal cerebral hemispheres at stages from 8 postconceptional weeks to birth were chosen. Results. We provided the results of the pilot comparative immune and morphological study with the panel of markers (GFAP, ALDH1L1, FABP-7) of the fetal human telencephalon in prenatal ontogenesis. Specific differentiation and maturation of the astrocyte population on the telencephalon start before early fetal period (12–13 gestational weeks). GFAP+ and ALDH1L1+ astrocyte populations in early human telencephalon are still to be studied for their homology. Analysis of GFAP+ and ALDH1L1+ glioblast distribution proposes dorsal proliferative zone as a source for fibrous cortical astrocytes. Comparative immune and morphological analysis of FABP-7+ neuroblasts in the fetal telencephalon questions whether FABP-7 cells belong to astrocyte population at early prenatal human ontogenesis. Conclusion. In the telencephalon, temporal and/or spatiotemporal translational profiles of these three antigens differ, which indicates that the astrocyte population is heterogeneous in early ontogenesis. Keywords: human brain development, telencephalon, glial differentiation, astrocytes, astrocyte fate lineage, GFAP, ALDH1L1, FABP-7
介绍。脑功能由神经元细胞活性和大胶质细胞(即星形胶质细胞和少突胶质细胞)共同维持。目前关于人类大脑产前发育的数据很少,胶质瘤发生的研究比皮层神经发生少。人类大脑发育过程中神经胶质分化的正常限制和变化以及时空模式的研究仍然很少。材料和方法。我们使用了来自Avtsyn人类形态学研究所神经系统发育实验室收集的人类胎儿尸检样本。选取孕后8周至出生阶段的38个胎儿大脑半球进行免疫和形态学分析。结果。我们提供了胎儿人端脑在产前个体发育过程中标记物(GFAP、ALDH1L1、FABP-7)的初步比较免疫和形态学研究结果。在胎儿早期(12-13孕周),端脑星形胶质细胞群就开始了特异性分化和成熟。早期人类端脑中GFAP+和ALDH1L1+星形细胞群的同源性仍有待研究。对GFAP+和ALDH1L1+胶质母细胞分布的分析表明,背侧增生区是纤维皮质星形胶质细胞的来源。胎儿端脑FABP-7+神经母细胞的比较免疫和形态学分析质疑FABP-7细胞是否属于产前早期人类个体发育的星形胶质细胞群。结论。在端脑中,这三种抗原的时间和/或时空翻译谱不同,这表明星形胶质细胞群体在早期个体发生中是异质的。关键词:人脑发育,端脑,胶质分化,星形胶质细胞,星形胶质细胞命运谱系,GFAP, ALDH1L1, FABP-7
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引用次数: 0
Aberrant expression of p53 in gastric carcinoma and its association with HER2 status 胃癌中p53的异常表达及其与HER2状态的关系
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.31088/cem2023.12.1.46-58
N. Danilova, A. Chayka, V. Khomyakov, N. Oleynikova, V. Kakotkin, D. Vychuzhanin, Y. Andreeva, P. Malkov
Introduction. p53 is a tumor suppressor, whose expression is actively studied in many tumors. However, scientists argue about aberrant p53 expression criteria and whether tumoral p53 expression correlates with various clinical and morphological parameters of gastric cancer and has a prognostic role. No data were published in Russia on the incidence of tumors with p53 overexpression. It remains unclear whether aberrant p53 expression is an independent prognostic sign in gastric cancer. The study aimed to evaluate the frequency of p53 expression in gastric adenocarcinomas in the Russian population, to give the definition for aberrant p53 expression, and to clarify the relationship between p53 expression, clinical and morphological tumor characteristics, HER2 status, and the impact of p53 expression on the prognosis. Materials and methods. We studied surgical pathology samples from 310 patients with verified gastric cancer. The age of the patients ranged from 22 to 85 years (mean 63 years). Each sample was stained immunohistochemically with antibodies to p53 (clone DO-7) and the HercepTest kit (Dako/Agilent Technologies). We compared the results with the main clinical and morphological characteristics of gastric cancer and patient survival data. Results.The frequency of aberrant p53 expression was 49.4%. Aberrant expression should include both cases with overexpression and cases with a complete absence of marker expression. In contrast to the normal p53 expression group, the group with aberrant p53 expression was characterized by more frequent proximal tumor location; fewer diffuse and infiltrative carcinoma forms; a significant predominance of tubular, papillary, and mixed histological types (p=0.000); significantly higher degrees of differentiation (p=0.011); a significantly lower number of cases with identified signet ring cells in tumors (p=0.000); a lower frequency of stage IV in patients; and a significant predominance of the intestinal and intermediate subtype according to P. Lauren classification (p=0.000). The overall five-year survival in patients with aberrant p53 expression was not significantly lower (p=0.392) than in patients with normal p53 expression (35.6%, median 36 months and 42.5%, median 51 months, respectively). According to the Cox proportional hazards regression model, the p53 expression level is not a significant prognostic sign (HR=1.281; CI: 0.818–2.008, p=0.280). In the group with aberrant p53 expression, a positive HER2 status was detected significantly more often (13.7%) than in the group with normal p53 expression (1.9%, p=0.000). Conclusion. The group with aberrant p53 expression can be considered as an immunohistochemical analog of the chromosomally unstable gastric cancer subtype (according to TCGA) and the MSS/TP53- subtype (according to ACRG). In the group with aberrant p53 expression, cases with a positive HER2 status were significantly more common. Keywords: р53, HER2/neu, ERBB2, gastric cancer, gastric adenocar
介绍。P53是一种肿瘤抑制因子,其在许多肿瘤中的表达被积极研究。然而,对于p53的异常表达标准,以及肿瘤中p53的表达是否与胃癌的各种临床和形态学参数相关并具有预后作用,科学家们一直存在争议。在俄罗斯没有关于p53过表达肿瘤发生率的数据发表。目前尚不清楚p53异常表达是否是胃癌的独立预后标志。本研究旨在评估俄罗斯人群胃腺癌中p53的表达频率,给出p53异常表达的定义,阐明p53表达与临床及形态学肿瘤特征、HER2状态的关系,以及p53表达对预后的影响。材料和方法。我们研究了310例确诊胃癌患者的手术病理样本。患者年龄22 ~ 85岁,平均63岁。每个样本用p53抗体(克隆DO-7)和HercepTest试剂盒(Dako/Agilent Technologies)进行免疫组织化学染色。我们将结果与胃癌的主要临床和形态学特征以及患者的生存资料进行比较。结果。p53异常表达率为49.4%。异常表达应包括过度表达和完全缺乏标记表达的情况。与p53正常表达组相比,p53异常表达组肿瘤近端多发;弥漫性和浸润性癌较少;管状、乳头状和混合组织学类型占明显优势(p=0.000);分化程度显著提高(p=0.011);在肿瘤中发现印戒细胞的病例显著减少(p=0.000);患者出现IV期的频率较低;根据p . Lauren分类,肠型和中间型明显占优势(p=0.000)。p53异常表达患者的5年总生存率(p=0.392)不低于p53正常表达患者(35.6%,中位36个月;42.5%,中位51个月)。根据Cox比例风险回归模型,p53表达水平不是预后的显著标志(HR=1.281;CI: 0.818-2.008, p=0.280)。在p53异常表达组中,HER2阳性的检出率(13.7%)明显高于p53正常表达组(1.9%,p=0.000)。结论。p53异常表达组可以被认为是染色体不稳定胃癌亚型(根据TCGA)和MSS/TP53-亚型(根据ACRG)的免疫组织化学类似物。在p53异常表达组中,HER2阳性的病例明显更常见。关键词:基因工程,HER2/neu, ERBB2,胃癌,胃腺癌,免疫组织化学
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引用次数: 0
The evaluation of hibernating myocardium function 冬眠心肌功能的评价
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.31088/cem2023.12.1.59-67
M. Popov, D. Shumakov, L. Gurevich, D. Fedorov, D. Zybin, V. E. Ashevskaya, P. A. Korosteleva, V. Tyurina
Introduction.Currently, there are different approaches to assessing changes that occur in ischemic myocardium in patients with chronic coronary artery disease (CAD). Researchers argue about the timing and completeness of the restoration of myocardial dysfunction areas. We aimed to assess hibernating myocardium in the zones of hypokinesia in patients with CAD. Materials and methods. We performed a morphological and immunohistochemical study of left ventricular myocardial biopsies of 25 patients who underwent surgical reconstruction of the left ventricle with surgical revascularization. Results. Morphological and immunohistochemical studies revealed violated morphological structure of cardiomyocytes. It correlates with the accumulation of MMP9 in the cytoplasm of cardiomyocytes in the areas of affected myocardium in ischemia against the background of partial or complete destruction of CM basement membranes formed by type IV collagen. It also correlates with long-term consequences of treatment. Conclusion. As a result of the destructed structure of sarcomeres and cardiac basement membrane hibernating myocardium is unable to provide a contractile function in the future. Morphological examination showed that viable cells were likely to function only as a protective mechanism in early scar formation. Keywords: left ventricular remodeling, hibernating myocardium, basement membrane, cardiomyocytes, matrix metalloproteinase 9, type IV collagen
介绍。目前,有不同的方法来评估慢性冠状动脉疾病(CAD)患者缺血性心肌发生的变化。研究者对心肌功能障碍区恢复的时间和完全性争论不休。我们的目的是评估冠心病患者运动功能减退区的冬眠心肌。材料和方法。我们对25例接受左心室重建术和外科血运重建术的患者进行了左心室心肌活检的形态学和免疫组织化学研究。结果。形态学和免疫组化研究显示心肌细胞形态结构异常。在IV型胶原形成的CM基底膜部分或完全破坏的背景下,它与缺血时受损心肌区域心肌细胞细胞质中MMP9的积累有关。它还与治疗的长期后果有关。结论。由于肌节和心脏基底膜结构的破坏,冬眠心肌在未来无法提供收缩功能。形态学检查表明,活细胞可能仅作为早期瘢痕形成的保护机制。关键词:左室重构,冬眠心肌,基底膜,心肌细胞,基质金属蛋白酶9,IV型胶原
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引用次数: 0
The content of neuroglobin in neurons of the parietal cortex and hippocampus of rats with cerebral ischemia of varying severity 不同程度脑缺血大鼠顶叶皮层和海马神经元中神经红蛋白的含量
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.31088/cem2023.12.3.64-71
E.I. Bon, N.E. Maksimovich, O.A. Karnyushko, V.F. Lazarev, S.M. Zimatkin, M.A. Nosovich, K.A. Khrapovitskaya
Introduction. The role of neuroglobin ischemia is still unclear. Some studies indicate its neuroprotective effect due to increased expression of endothelial NOS. Other evidence refutes its significance for neuronal survival under oxygen-deficient conditions, as neuroglobin deficiency appears to increase HIF-1α expression. Materials and methods. The experiments were performed on 56 male outbred white rats weighing 258±18 g. Total cerebral ischemia was simulated by decapitation of animals, whereas the subtotal one was simulated by simultaneous ligation of both carotid arteries. Stepwise subtotal cerebral ischemia was performed by ligating both carotid arteries with an interval of 7 days (subgroup 1), 3 days (subgroup 2), or 1 day (subgroup 3). Results. The study found significant differences in neuroglobin content across three subgroups. In subgroup 1, there was a notable increase in neuroglobin content compared to the control group, with a 13% increase in the parietal cortex (p<0.05) and a 14% increase in the hippocampus (p<0.05). However, subgroup 2 showed a decrease in neuroglobin content, with a 13% decrease in the parietal cortex (p<0.05) and a 7% decrease in the hippocampus (p<0.05). The most significant decrease in neuroglobin content was observed in subgroup 3, with a 31% decrease (p<0.05) in the parietal cortex and a 33% decrease (p<0.05) in the hippocampus. In subgroup 3, the parietal cortex showed a 40% decrease in neuroglobin content compared to subgroup 1 (p<0.05) and a 21% decrease compared to subgroup 2 (p<0.05). Similarly, the hippocampus exhibited a 42.6% decrease in neuroglobin content compared to subgroup 1 (p<0.05) and a 28% decrease compared to subgroup 2 (p<0.05). Conclusion. Thus, the most pronounced disorders of the prooxidant-oxidant balance decreased neuroglobin were observed during a 1-day total cerebral ischemia. Keywords: neuroglobin, ischemia, pyramidal neurons, hippocampus, parietal cortex
介绍。神经球蛋白缺血的作用尚不清楚。一些研究表明其神经保护作用是由于内皮细胞NOS的表达增加,其他证据反驳了其对缺氧条件下神经元存活的意义,因为神经球蛋白缺乏似乎增加了HIF-1α的表达。材料和方法。实验以56只体重为258±18 g的雄性远交系大鼠为实验对象。全脑缺血采用断头法模拟,次全脑缺血采用双颈动脉结扎法模拟。结扎双颈动脉,间隔7天(亚组1)、3天(亚组2)或1天(亚组3),逐步进行脑次全缺血。研究发现,三个亚组的神经球蛋白含量存在显著差异。在亚组1中,与对照组相比,神经珠蛋白含量显著增加,顶叶皮质增加13% (p<0.05),海马增加14% (p<0.05)。然而,亚组2显示神经珠蛋白含量下降,顶叶皮层下降13% (p < 0.05),海马下降7% (p < 0.05)。亚组3的神经珠蛋白含量下降最为显著,顶叶皮层下降31% (p < 0.05),海马下降33% (p < 0.05)。在亚组3中,顶叶皮层的神经球蛋白含量与亚组1相比下降了40% (p < 0.05),与亚组2相比下降了21% (p < 0.05)。同样,与亚组1相比,海马的神经球蛋白含量下降了42.6% (p<0.05),与亚组2相比下降了28% (p<0.05)。结论。因此,在1天的全脑缺血期间观察到促氧化-氧化平衡最明显的障碍,神经球蛋白下降。关键词:神经球蛋白,缺血,锥体神经元,海马,顶叶皮质
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引用次数: 0
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Clinical and Experimental Morphology
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