绝经和糖尿病对大鼠甲状腺的影响:组织病理学和体视学检查

Zeliha Yetim, D. Unal, S. A. Karamese, T. Mercantepe, J. Selli, E. Polat, B. Buyuk
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摘要

目的:更年期被描述为月经周期的停止和生殖潜能的结束。糖尿病(DM)发生于胰岛素缺乏引起的1型糖尿病和依赖于胰岛素抵抗的2型糖尿病。它是临床上最常见的内分泌失调之一,可引起严重的健康并发症。因此,本论文的目的是利用大鼠模型研究更年期和糖尿病对甲状腺的影响。材料与方法:24、12周龄雌性sd - dawley大鼠随机分为;非糖尿病健康对照组(I组,n = 6)、糖尿病组(II组,n = 6)、卵巢切除组(III组,n = 6)、卵巢切除加糖尿病组(IV组,n = 6)。结果:糖尿病组甲状腺组织病理检查可见大滤泡,宽腔周围有立方状或近鳞状上皮。有组织紊乱的卵泡区,胶体减少。去卵巢大鼠甲状腺滤泡增生,滤泡紊乱,滤泡腔完全阻塞。有丝分裂细胞可用。部分滤泡旁细胞胞质缺失。卵巢切除术后糖尿病诱导组(IV组),卵泡间有一些菌种,胶体明显减少。甲状腺滤泡、实细胞巢和有丝分裂细胞的增生在本组也越来越多。卵巢切除术组卵泡腔面积更接近于对照组。DM组的管腔面积增加最大,糖尿病+卵巢切除术组的卵泡管腔面积也增加。结论:最后;绝经后衰老和糖尿病大鼠,均可引起甲状腺变性。糖尿病和更年期都会引起氧化应激。但它们对甲状腺组织的损害是不同的。这意味着它们通过不同的方式引起氧化应激。DM + OVX组较其他组损伤最大。
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Effects of Menopause and Diabetes on the Rat Thyroid Gland: A Histopathological and Stereological Examining -
Objective: Menopause is described as the arrest of the menstruation cycle and ending of reproductive potential. Diabetes mellitus (DM) occurs with Type 1 diabetes that is originated from the absence of insulin and Type 2 diabetes depending on insulin resistance. It is one of the most common endocrine disorders encountered in clinical practice that can cause serious health complications. Therefore, the objective of the present thesis was to investigate the effects of menopause and diabetes upon the thyroid using a rat model. Materials and Methods: 24, 12 weeks old female Sprague-Dawley rats were divided randomly into; non-diabetic healthy control group (Group I, n = 6), diabetic group (Group II, n = 6), ovariectomy group (Group III, n = 6), and ovariectomy plus diabetic group (Group IV, n = 6), respectively. Results: In histopathological examinations, the thyroid gland of the diabetic group had large follicles with cuboidal or almost squamous epithelial lining surrounding wide lumen. There were areas of disorganized follicles with decreased colloid. In the ovariectomized (OVX) rats, there was hyperplasia of the thyroid follicles and disorganized follicles with complete obstruction of their lumina. Mitotic cells were available. Some parafollicular cells had lack of cytoplasm. Post ovariectomy diabetes-induced group (Group IV), there were some species between follicles and remarkable reduction of colloid. Hyperplasia of the thyroid follicles, solid cell nests, and mitotic cells were also seen increasingly in this group. Follicular lumen area of ovariectomy group is closer to the control group. The increase of the lumen area in the DM group was the largest, diabetes+ovariectomy group also had an increase in the follicular lumen area. Conclusion: Finally; postmenopausal aging and diabetes in rats, may cause thyroid degeneration. DM and menopause both cause oxidative stress. But their damages on thyroid tissue are different. It means they cause oxidative stress via different ways. DM + OVX group compared to other groups has the greatest damage.
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