免疫功能正常和免疫缺陷小鼠模型隐球菌病的组织变化

E. G. Silva, J. N. Cavalcanti, F. C. Viani, S. M. D. S. Silva, A. L. T. Dias
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摘要

隐球菌病是一种亚急性或慢性疾病,通过吸入机会性酵母菌新生隐球菌的感染性颗粒引起。本研究的目的是通过肺和脑组织的组织病理学分析来评估隐球菌病在小鼠免疫功能(BALB/c)模型和联合免疫缺陷(SCID)模型中的作用。每天静脉接种3.0 × 105个活菌细胞后,处死动物进行评价。研究周期为15天。免疫活性小鼠模型(BALB/c)肺组织无明显变化。而在脑组织中,观察到:血管充血,当在脑膜区可见新生梭状菌时,血管逐渐发展,大面积缺血,在整个研究期间不断发展,最终在接种后的第15天,在脑膜和实质中可见酵母。在SCID模型中,接种24 h后观察到肺组织出血区和离散性中性粒细胞炎症浸润,接种11 d后观察到肺组织离散性充血,弥漫性出血,毛细血管壁上出现水肿和大量酵母。在脑组织离散区观察到坏死液化,局灶性和新生C.的存在,点缀着坏死细胞碎片。接种后第11天,与薄壁组织形成空腔相关的大面积液化坏死和大量酵母菌。组织病理学检查是隐球菌病明确诊断常用的技术之一。
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Tissue Changes in Experimental Cryptococcosis in Immunocompetent and Immunodeficient Murine Model
Cryptococcosis is a subacute or chronic disease caused through the inhalation of infectious particles from the opportunistic yeast Cryptococcus neoformans spp. The objective of the present study was to evaluate cryptococcosis in a murine model Immunocompetent (BALB/c), as well as in a model with combined immunodeficiency (SCID) through histopathological analyzes of pulmonary and cerebral tissues. After intravenous inoculation with 3.0 × 105 viable yeast cells the animals were euthanized daily for evaluation. The study period was 15 days. There were no significant changes in lung tissue in immunocompetent murine model (BALB/c). While in brain tissue, it was observed: congested vessel, evolving when C. neoformans was visualized in the meningeal area, and a large area of ischemia, which evolved throughout the studied period culminating on the 15th day of inoculation with visualization of the yeast in the meningeal and parenchyma. In SCID model, twenty-four hours after inoculation were observed in the lung tissue, hemorrhagic areas and a discrete neutrophilic inflammatory infiltrate, presence of discrete congestion in the lung, diffuse hemorrhage, edema and intense quantity of yeast were observed on the wall of the capillary at 11 days after inoculation. In brain tissue discrete area necrosis liquefaction was observed, focal well as the presence of C. neoformans, interspersed with fragments of necrotic cells was observed. On day 11 after inoculation were large areas of liquefaction necrosis associated with the formation of cavities in the parenchyma and an intense quantify of the yeast. Histopathological examination is one of the techniques usually used in the definitive diagnosis of cryptococcosis.
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