地塞米松对Wistar大鼠子代甲状腺形态发生过程中形态功能的影响

O. Fedosieieva, V. Bushman, A. Necheporenko
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摘要

背景。近年来,世界儿童中各种来源的甲状腺疾病的患病率已达到相当高的水平。妊娠期间糖皮质激素的使用在今天的产科中仍然是一个有争议的问题,因为它们可以积极和消极地影响器官形态发生过程,并成为产后病理状况的原因。目的:建立正常及宫内地塞米松作用后大鼠幼鼠甲状腺形态发生过程中形态功能转变的特点。方法:采用组织学和免疫组织化学方法对3个实验组的108只大鼠甲状腺进行显微观察,并对所得结果进行统计学处理。结果。在产前接受地塞米松治疗的动物每出生1天总卵泡甲状腺细胞水平较高的背景下,胞质表达TgAb,其与细胞核和胞质Fox-1表达指标相关。从第7天到第11天,单位面积甲状腺细胞总数减少,原因是卵泡内胶质堆积,Fox-1细胞质表达增加,核表达减少,增殖活性增加。第21天,Fox-1细胞质和细胞核表达几乎相同。甲状腺细胞胞浆中TgAb表达强度和胶体中TgAb表达强度降低,条件单位面积Ki-67阳性甲状腺细胞数较前期观察期减少。结论。研究发现,产前地塞米松暴露使子代甲状腺形态结构发育加快,但在功能上处于合成器官和激素排泄过程的应激状态,表现为fox1和TgAb免疫组化表达失衡。有合成活性紊乱迹象的甲状腺细胞脱皮进入卵泡腔,而在第11天甲状腺上皮的增殖活性代偿性增加。
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Morphofunctional transformations during the morphogenesis of the thyroid gland of the offspring of Wistar rats after intrauterine exposure to dexamethasone
Background. In recent years, the prevalence of thyroid pathologies of various origins among children in the world has reached a significantly high level. The use of glucocorticoids during pregnancy remains a debatable issue in obstetrics today, as they can both positively and negatively affect the processes of organ morphogenesis and be the cause of pathological conditions in the postnatal period. Objective: to establish the features of morphofunctional transformations during the morphogenesis of the thyroid gland of the offspring of rats at an early age in normal and after intrauterine action of dexamethasone. Methods. 108 thyroid glands of rats of 3 experimental groups were microscopically examined using histological and immunohistochemical methods, followed by statistical processing of the obtained results. Results. Against the background of high levels of total follicular thyrocytes per 1 day of life in animals that received prenatal dexamethasone, cytoplasmic expression of TgAb was expressed, which correlated with the indicators of nuclear and cytoplasmic Fox-1 expression. From the 7th to the 11th day, a decrease in the total number of thyrocytes per unit area was observed due to the accumulation of colloid in the follicles, an increase in Fox-1 cytoplasmic expression and a decrease in nuclear expression, against the background of increased proliferative activity. By day 21, Fox-1 cytoplasmic and nuclear expression were almost identical. There was a decrease in the intensity of TgAb expression in the cytoplasm of thyrocytes and its expression in the colloid, a decrease in the number of Ki-67 positive thyrocytes per conditional unit area compared with the previous observation period. Conclusion. It was found that prenatal exposure of dexamethasone causes the offspring accelerate the development of morphological structures of the thyroid gland, but functionally they are in a state of stress of both the synthesizing apparatus and the process of hormone excretion, which is expressed in the imbalance of immunohistochemical expression of Fox-1 and TgAb. Such thyrocytes with signs of disturbances in synthetic activity desquamate into the lumen of the follicles, while on the 11th day we compensatory increase in the proliferative activity of the thyroid epithelium.
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