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Three-headed duplicated omohyoid muscle in a human cadaver. 人类尸体上的三头复制肩胛舌骨肌。
IF 1.2 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-12-31 Epub Date: 2025-07-03 DOI: 10.5115/acb.25.118
Judney Cley Cavalcante, Bento João da Graça Azevedo Abreu, Wigínio Gabriel de Lira-Bandeira, Mauro Bezerra Montello, Nicol Zielinska, Łukasz Olewnik

The omohyoid is a digastric muscle that crosses the neck from the superior border of the scapula to the body of the hyoid bone. Variations in the omohyoid muscle are common, but a double omohyoid is considered rare and may have important clinical implications. The anatomical dissection of the neck of a middle-aged male cadaver revealed an abnormal three-headed duplicated omohyoid muscle. Behind the clavicle, the intermediate head bifurcated and fused with the medial and lateral heads, forming a small plexus that gave rise to two separate bellies, one lateral, and one medial. The bellies ascended in a superomedial direction before inserting into the hyoid bone next to each other. The intermediate tendon was rudimentary in the lateral belly and absent in the medial one. The anatomical variation described here has not been previously reported and may have clinical significance.

肩胛舌骨肌是横跨颈部的二腹肌从肩胛骨上缘到舌骨体。肩胛舌骨肌的变异是常见的,但双肩胛舌骨肌被认为是罕见的,可能具有重要的临床意义。对一名中年男性尸体的颈部解剖发现异常的三头复制肩胛舌骨肌。在锁骨后面,中间头分叉并与内侧头和外侧头融合,形成一个小神经丛,产生两个独立的腹部,一个外侧,一个内侧。在插入舌骨之前,腹部在一个上内侧方向上升。外侧腹部的中间腱发育不全,内侧腹部的中间腱缺失。这里描述的解剖变异以前没有报道过,可能具有临床意义。
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引用次数: 0
Thermal touch and anatomical insight: Roman terracotta vessels as proto-clinical maps of the human body. 热接触和解剖洞察力:罗马兵马俑血管作为人体的原始临床地图。
IF 1.2 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-12-31 Epub Date: 2025-12-02 DOI: 10.5115/acb.25.205
Kun Hwang

In the Archaeological Museum of Nicosia, Cyprus, a collection of Roman terracotta vessels-dated to the 1st century BCE to 1st century CE-offers a compelling view into the convergence of empirical healing and early anatomical reasoning. These vessels, likely used for localized heat therapy, are distinctly shaped to contour specific body parts: ears, hands, feet, knees, abdomen, and thorax. With spouts for pouring warm liquids and cavities for radiating retained heat, they appear to have functioned as reusable "hot bags" for therapeutic application. Their deliberate anatomical shapes hint at a proto-clinical understanding of the body region, anticipating modern anatomical concepts such as aesthetic units, vascular territories, and lymphatic drainage zones. These vessels fall into distinct morphologies: craniofacial and auricular vessels, shaped for the side of the head or ear-reminiscent of the posterior auricular and superficial temporal angiosomes, and suggestive of treating headaches, neuralgia, or infections. Thoracoabdominal vessels, whose curved contours match rib cage and abdominal surfaces-suggesting therapeutic warmth for visceral discomfort or muscular tension. Upper and lower limb units, including knees, thighs, and elbows-likely used in joint pain or injuries. Distal extremity molds, notably for the hands and feet-organs that modern clinicians recognize as prone to cold exposure, vasospasm, and microvascular pathology. This paper repositions these clay forms not only as implements of care, but as anatomical "drawings in relief"-early, handmade representations of functional human zones. In doing so, they reconnect anatomy with the sensory and therapeutic traditions that first shaped it.

在塞浦路斯的尼科西亚考古博物馆里,有一批公元前1世纪到公元1世纪的罗马兵马俑,为经验治疗和早期解剖推理的融合提供了令人信服的观点。这些血管很可能用于局部热疗,它们的形状明显符合特定的身体部位:耳朵、手、脚、膝盖、腹部和胸部。它们有喷口,可以倒出热液体,有空腔,可以散发余热,它们似乎是可重复使用的“热袋”,用于治疗应用。他们精心设计的解剖形状暗示了对身体区域的原始临床理解,预测了现代解剖学概念,如美学单位、血管区域和淋巴引流区。这些血管有不同的形态:颅面血管和耳部血管,形成于头部或耳朵的侧面——使人联想到耳后血管和颞浅血管体,并提示治疗头痛、神经痛或感染。胸腹血管,其弯曲的轮廓与胸腔和腹部表面相匹配,表明对内脏不适或肌肉紧张的治疗性温暖。上肢和下肢,包括膝盖、大腿和肘部——可能用于关节疼痛或损伤。远端肢体的霉菌,尤其是手和脚的器官,现代临床医生认为这些器官容易发生冷暴露、血管痉挛和微血管病变。本文不仅将这些粘土形式重新定位为护理工具,而且将其作为解剖学上的“浮雕图”——早期的、手工制作的人类功能区域的代表。在此过程中,他们将解剖学与最初塑造解剖学的感官和治疗传统重新联系起来。
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引用次数: 0
Rhubarb water extract as a promising gastroprotective agent in Tamoxifen induced parietal cell damage in female rats: a histological study. 大黄水提取物对他莫昔芬诱导的雌性大鼠壁细胞损伤的组织学研究。
IF 1.2 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-12-31 Epub Date: 2025-10-17 DOI: 10.5115/acb.25.087
Rahma Kamal-Al-Din Abou El-Nour, Rana Maged Yakout, Ehab Refaat Ibrahim, Mostafa Hassan Baky, Samaa Samir Kamar

Tamoxifen (TAM) is one of the most used drugs in the prevention and treatment of breast cancer. A set of common side effects was recorded associating its prolonged clinical use that ranges 3-10 years. This study aimed to investigate TAM-induced parietal cells (PCs) injury in rats and the possible protective effect of rhubarb (Rh) water extract (WE). Twenty-four adult female rats were distributed as: control group, TAM-group (3 mg/kg/day TAM for 4-weeks) and TAM+Rh-group (combined 3 mg/kg/day TAM and 20 mg/kg Rh-WE for 4-weeks). Blood sample before euthanizing rats was tested for vitamin-B12. PCs in stomach fundus were examined using histological and transmission electron microscopic studies, besides immunohistochemistry for Caspase-3, proliferating cell nuclear antigen (PCNA) and hydrogen potassium (H+/K+)-ATPase. Gastric homogenates were inspected for malondialdehyde (MDA) by ELISA. TAM intake induced structural and ultrastructural alteration in rat PCs including ballooning degeneration, apoptosis, decreased canaliculi, increased tubulovesicular system and irregular-shaped mitochondria. A significant increase of Caspase-3 immunostaining and MDA expression in gastric tissue was associated with a significant decrease of PCNA and H+/K+-ATPase-immunostaining and in serum vitamin-B12 as compared to the control group. Combined oral intake of TAM and Rh-WE revealed a significant reversal of the previous findings. Conclusion: Prolonged use of oral TAM substantially affected the structure and function of gastric PCs which can be ameliorated by Rh-WE.

他莫昔芬(TAM)是预防和治疗乳腺癌最常用的药物之一。一组常见的副作用被记录在其长期临床使用范围为3-10年。本研究旨在探讨tam诱导的大鼠顶骨细胞(PCs)损伤及大黄(Rh)水提物(WE)可能的保护作用。将24只成年雌性大鼠分为:对照组、TAM组(TAM 3 mg/kg/d,持续4周)和TAM+ rh组(TAM 3 mg/kg/d和Rh-WE 20 mg/kg,持续4周)。在对大鼠实施安乐死之前,对其血液样本进行了维生素b12测试。采用组织病理学、透射电镜、Caspase-3、增殖细胞核抗原(PCNA)、氢钾(H+/K+)- atp酶免疫组化检测胃底PCs。ELISA法检测胃匀浆丙二醛(MDA)含量。TAM摄入引起大鼠pc的结构和超微结构改变,包括球囊变性、细胞凋亡、小管减少、管泡系统增加和不规则线粒体。与对照组相比,胃组织Caspase-3免疫染色和MDA表达显著增加,PCNA和H+/K+- atpase免疫染色以及血清维生素b12水平显著降低。联合口服TAM和Rh-WE显示了先前研究结果的显著逆转。结论:长期口服TAM对胃粘膜组织的结构和功能有明显影响,而胃粘膜组织的结构和功能可通过胃粘膜组织改善。
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引用次数: 0
Does ChatGPT know basic human anatomy? ChatGPT了解基本的人体解剖学吗?
IF 1.2 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-12-31 Epub Date: 2025-10-29 DOI: 10.5115/acb.25.181
Mike Yoshio Hamasaki, Alessandra Oliveira Maia, Adroaldo Lunardelli
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引用次数: 0
Elevated osteopontin reflects systemic inflammation in experimental autoimmune encephalomyelitis. 实验性自身免疫性脑脊髓炎患者骨桥蛋白升高反映全身性炎症。
IF 1.2 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-12-31 Epub Date: 2025-08-27 DOI: 10.5115/acb.25.132
Sungmoo Hong, Kyungsook Jung, Taeyoung Kang, Meejung Ahn, Changjong Moon, Jeongtae Kim, Taekyun Shin

We examined the expression and localization of osteopontin (OPN) in various organs in mice with experimental autoimmune encephalomyelitis (EAE). To evaluate the level of OPN in blood and various tissues, enzyme-linked immunosorbent assay and western blot analysis of OPN were performed. The serum level of OPN was significantly increased in mice with EAE, and OPN was upregulated in all tissues examined, including the liver, kidneys, intestines, and spinal cord. OPN immunoreactivity was noted in inflammatory cells (mainly macrophages) and was enhanced in constitutively expressed cell types in the examined organs. In sum, OPN, a pro-inflammatory and immunomodulatory mediator, was elevated in all tissues following EAE induction, resulting in increased blood concentrations. These findings suggest that OPN may function as a key extracellular matrix component contributing to systemic disorders in autoimmune disease models.

我们检测了实验性自身免疫性脑脊髓炎(EAE)小鼠各器官中骨桥蛋白(OPN)的表达和定位。采用酶联免疫吸附法和western blot法测定血清及各组织中OPN的含量。EAE小鼠血清中OPN水平显著升高,且OPN在肝、肾、肠、脊髓等所有组织中均上调。OPN免疫反应性在炎症细胞(主要是巨噬细胞)中被观察到,并且在被检查器官的组成表达细胞类型中被增强。综上所述,EAE诱导后,所有组织中促炎和免疫调节介质OPN升高,导致血药浓度升高。这些发现表明,在自身免疫性疾病模型中,OPN可能作为一种关键的细胞外基质成分,导致全身性疾病。
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引用次数: 0
Cadaveric revelation of medial cutaneous nerve of the arm traversing the axillary vein. 横过腋窝静脉的手臂内侧皮神经尸露。
IF 1.2 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-12-31 Epub Date: 2025-07-23 DOI: 10.5115/acb.25.142
Punnapa Raviteja, Mrudula Chandrupatla, Rohini Motwani

A rare unilateral anatomical variation was observed in the left arm of a 62-year-old female cadaver. The medial cutaneous nerve of the arm pierced the axillary vein, arising from the medial cord of the brachial plexus and coursing posterior to the axillary artery. The nerve traversed the vein over a short segment, entering at approximately 6.5 cm and exiting at approximately 7.5 cm from the coracoid process. This unusual relationship has significant clinical implications in medical procedures, particularly in axillary venous access. Failure to recognize these alterations during axillary lymph node dissections or brachial plexus procedures increases the probability of iatrogenic nerve damage or venous trauma. This case highlights the importance of preoperative imaging and vigilant dissection techniques to accommodate anatomical variability, ultimately enhancing procedural safety and patient outcomes. Recognizing such variations is crucial to prevent sensory deficits, chronic neuropathic pain, and other complications.

在一名62岁女性尸体的左臂上观察到罕见的单侧解剖变异。臂内侧皮神经刺穿腋窝静脉,起源于臂丛内侧束并向腋窝动脉后方走行。神经在短段上穿过静脉,从喙突约6.5厘米处进入,约7.5厘米处离开。这种不寻常的关系在医疗程序中具有重要的临床意义,特别是在腋窝静脉通路中。在腋窝淋巴结清扫或臂丛手术中不能识别这些改变会增加医源性神经损伤或静脉创伤的可能性。这个病例强调了术前成像和警惕的解剖技术的重要性,以适应解剖的可变性,最终提高手术安全性和患者预后。认识到这些变异对于预防感觉缺陷、慢性神经性疼痛和其他并发症至关重要。
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引用次数: 0
Silencing serine/arginine-rich splicing factor 1 to induce apoptosis and autophagy-dependent cell death in cholangiocarcinoma through the correction of oncogenic splicing errors. 沉默富含丝氨酸/精氨酸剪接因子1,通过纠正致癌剪接错误诱导胆管癌细胞凋亡和自噬依赖性细胞死亡。
IF 1.2 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-12-31 Epub Date: 2025-07-31 DOI: 10.5115/acb.25.052
Chaturong Inpad, Phichamon Phetchahwang, Phattarin Pothipan, Pawee Tangwiriyarotkul, Nuttanan Hongsrichan, Sukanya Horpaopan, Worasak Kaewkong

Cholangiocarcinoma (CCA) is a bile duct cancer often linked to liver fluke infections. In Thailand, it has a high incidence and mortality rate due to imprecise symptoms, late diagnosis, and limited treatments. Our previous research identified gene-splicing errors as a factor in CCA progression. This study focused on the role of serine/arginine-rich splicing factors (SRSFs) in CCA. SRSF1-SRSF12 expressions were analyzed using reverse transcription polymerase chain reaction (RT-PCR), confirming upregulation with RT quantitative PCR, western blotting, and dataset analysis. One SRSF was selected for silencing in CCA cell lines (KKU-055 and KKU-213A) using small interfering RNAs. Cell proliferation and survival were assessed through various assays, while apoptosis and autophagy markers were analyzed using western blotting, immunofluorescence, RT-PCR, and transmission electron microscopy (TEM). Splicing errors in death-related genes were also examined. The results showed that SRSF1 was significantly overexpressed in CCA, especially among gastrointestinal cancers. Silencing SRSF1, particularly in KKU-213A cells, reduced cell proliferation and increased cell death. Apoptosis was marked by increased caspase-3 and BAX, decreased Bcl-2, and cytochrome C release. Autophagy was indicated by a higher LC3B-II/LC3B-I ratio, lower p62, and increased Beclin-1 and ATG5. TEM further confirmed apoptotic and autophagic cell changes. Splicing errors in key death-related genes, including Δ133p53, AGR2vH, MKNK2-b, PKM2, MCL-1L, and BIN1+12a, were also detected. These findings suggest that SRSF1 plays a key role in CCA by regulating apoptosis and autophagy. Its silencing promotes cancer cell death, partly by correcting oncogenic splicing errors, making it a potential target for CCA treatment.

胆管癌(CCA)是一种胆管癌,通常与肝吸虫感染有关。在泰国,由于症状不明确、诊断较晚和治疗有限,该病的发病率和死亡率很高。我们之前的研究发现基因剪接错误是CCA进展的一个因素。本研究的重点是富丝氨酸/精氨酸剪接因子(SRSFs)在CCA中的作用。采用逆转录聚合酶链反应(RT-PCR)分析SRSF1-SRSF12的表达,RT定量PCR、western blotting和数据集分析证实SRSF1-SRSF12表达上调。选择一个SRSF,使用小干扰rna沉默CCA细胞系(KKU-055和KKU-213A)。通过各种方法评估细胞增殖和存活,同时使用western blotting、免疫荧光、RT-PCR和透射电镜(TEM)分析细胞凋亡和自噬标志物。死亡相关基因的剪接错误也被检查。结果显示SRSF1在CCA中显著过表达,尤其是在胃肠道肿瘤中。沉默SRSF1,特别是在KKU-213A细胞中,可以减少细胞增殖并增加细胞死亡。凋亡的标志是caspase-3和BAX增加,Bcl-2和细胞色素C释放减少。自噬表现为LC3B-II/ LC3B-I比值升高,p62降低,Beclin-1和ATG5升高。透射电镜进一步证实了细胞凋亡和自噬的改变。在关键死亡相关基因Δ133p53、AGR2vH、MKNK2-b、PKM2、MCL-1L和BIN1+12a中也检测到剪接错误。这些发现表明SRSF1通过调节细胞凋亡和自噬在CCA中起关键作用。它的沉默促进癌细胞死亡,部分是通过纠正致癌剪接错误,使其成为CCA治疗的潜在靶点。
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引用次数: 0
A juxta-ethmoidal course of the infraorbital canal in cases with large ethmomaxillary sinuses or giant Haller cells. 眶下管靠近筛窦的路线,适用于有大筛窦或巨大的哈勒细胞的病例。
IF 1.2 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-12-31 Epub Date: 2025-10-27 DOI: 10.5115/acb.25.144
Mugurel Constantin Rusu, Alexandra Diana Vrapciu, Răzvan Costin Tudose

Ethmomaxillary sinuses (EMSs) and infraorbital Haller's cells (HCs) are rare anatomical variations that can impact sinus surgery. Two such rare variants are presented here. Archived computed tomography angiography (CTA) scans were retrospectively analysed. Two cases with an ethmoidal origin of an intramaxillary additional pneumatisation above hypoplastic maxillary sinuses (MSs) were found and examined. In the first case, bilateral EMSs were anterior to the pterygopalatine fossa, transforming the inferior orbital fissure into an ethmomaxillary fissure. Each EMS drained into the superior nasal meatus, which is different from a middle meatal drainage of the MS. The infraorbital sulcus (IOS) was found on the roof of the right EMS but in the angle between the left EMS and MS. In the second case, a complicated air cell anatomy was found: a giant HC reached above the right MS and ethmoidal infundibulum and communicated internally through a narrow isthmus with a retrobullar air cell that, in turn, drained into the upper meatus via an orifice of the basal lamella of the middle turbinate. Posteriorly, the ipsilateral IOS was applied to the posterolateral dehiscent wall of the HC, and the infraorbital canal (IOC) was applied at the HC-MS angle. These cases highlight the anatomical variability of ethmoid air cells' migration within the maxilla and raise awareness of a supra- or juxta-ethmoidal course of the IOS and IOC. This underscores the importance of detailed imaging techniques like CTA for accurate diagnosis and surgical planning. Awareness of such variations is essential to prevent complications during endoscopic sinus surgery.

筛腋窝窦(EMSs)和眶下哈勒细胞(HCs)是罕见的解剖变异,可以影响鼻窦手术。这里介绍了两种罕见的变体。回顾性分析存档的计算机断层血管造影(CTA)扫描结果。我们发现并检查了两例上颌窦发育不全(MSs)上方的腋窝内附加充气的筛状起源。在第一例病例中,双侧电磁脉冲位于翼腭窝前方,将下眶裂转变为腋窝窝裂。眶下沟(ios1)位于右侧眶下沟顶部,但位于左侧眶下沟与ms之间的夹角处。第二例患者发现复杂的气细胞解剖:一个巨大的HC到达右侧MS和筛孔上方,并通过一个狭窄的峡部与一个球后空气细胞在内部相通,而球后空气细胞又通过中鼻甲基底板的孔流入上孔。之后,将同侧IOS应用于HC的后外侧开裂壁,并在HC- ms角度应用眶下管(IOC)。这些病例强调了筛气细胞在上颌骨内迁移的解剖学变异性,并提高了对IOS和IOC的上筛或近筛路线的认识。这强调了CTA等详细成像技术对准确诊断和手术计划的重要性。意识到这些变化是必要的,以防止并发症在内镜鼻窦手术。
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引用次数: 0
Bilateral quadricipital biceps brachii: a rare anatomical variation with clinical implications. 双侧肱四头肌:一种罕见的解剖变异与临床意义。
IF 1.2 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-12-31 Epub Date: 2025-12-03 DOI: 10.5115/acb.25.137
Klea Ahmet, Daniel Otero-Pfaeffle, Olga Avilova, Mohammadali M Shoja

We report our observation of bilateral quadricipital biceps brachii muscle with usual coracoid and glenoid heads and two supernumerary heads arising from the anterior surface of the humerus above the origin of the brachialis muscle. On each side, the lateral supernumerary head merged with the fleshy part of the long head, and the medial heads inserted into the biceps tendon and partially contributed to the bicipital aponeurosis. The median nerve and brachial artery coursed medial to these supernumerary heads, which posed no perceivable risk of neurovascular compression. This variation highlights the complexity and clinical relevance of upper limb muscular anatomy. The occurrence of a four- or five-headed biceps brachii remains exceedingly rare. This paper includes a review of similar cases previously reported in the literature.

我们报告我们的观察双侧肱二头肌与通常的喙状头和肩胛头和两个多余的头从肱肌起源以上的肱骨前表面产生。在两侧,外侧多馀头与长头的肉质部分合并,内侧多馀头插入二头肌肌腱,部分形成二头腱膜。正中神经和肱动脉在这些多余的头部内侧走行,没有明显的神经血管压迫风险。这种差异突出了上肢肌肉解剖的复杂性和临床相关性。四头或五头肱二头肌的出现仍然非常罕见。本文回顾了以往文献报道的类似病例。
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引用次数: 0
Bilateral presentation of a flexor digiti minimi longus: an aberrant fifth digit flexor. 双侧表现为手指小长屈肌:异常的第五指屈肌。
IF 1.2 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-12-31 Epub Date: 2025-07-29 DOI: 10.5115/acb.25.019
Dylan Loeffler, Justin Robert Siebert

Anatomical variations in upper extremity musculature can affect motor function, contribute to neuropathies, or enhance functionality. This clinical case report describes a bilateral anomalous muscle in the forearm, a "flexor digiti minimi longus," originating in the anterior proximal forearm and extending via a distinct tendon to the distal phalanx of the fifth digit. Recognizing such variations is crucial for understanding digit function, guiding orthopedic surgery, and identifying potential neurovascular complications.

上肢肌肉组织的解剖变异可影响运动功能,导致神经病变,或增强功能。本临床病例报告描述了前臂的双侧异常肌肉,“小指长屈肌”,起源于前臂前近端,并通过明显的肌腱延伸到第五指的远端指骨。认识到这些变化对于理解手指功能、指导骨科手术和识别潜在的神经血管并发症至关重要。
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引用次数: 0
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