Tonsil

扁桃体
  • 文章类型: Journal Article
    非洲猪瘟(ASF)是一种致命的疾病,威胁着猪群的健康状况,因此可以影响全球养猪业的经济结果。监测ASF病毒(ASFV)是预防和控制其分布的最重要问题。本研究旨在确定在田间条件下对活猪和死猪进行ASFV检测的合适采样策略。一系列的样本,包括从死亡猪身上获得的组织,以及活猪的血清和扁桃体拭子样本,收集并使用qPCR方法进行检测。研究结果表明,下颌淋巴结在浅表组织中表现出最高的病毒载量,从而表明它们在死亡猪中检测ASFV的潜在适用性。此外,各种组织中病毒载量之间的相关性表明,扁桃体拭子样本是监测活猪的可行样本,考虑到与其他组织的强烈关联。这些发现表明了两种可靠的ASFV检测样本类型:死亡猪的下颌淋巴结和活猪的扁桃体拭子,为制定有效的ASFV预防措施提供参考。
    African swine fever (ASF) is a fatal disease that threatens the health status of the swine population and thus can impact the economic outcome of the global pig industry. Monitoring the ASF virus (ASFV) is of utmost concern to prevent and control its distribution. This study aims to identify a suitable sampling strategy for ASFV detection in living and deceased pigs under field conditions. A range of samples, comprising tissues obtained from deceased pigs, as well as serum and tonsil swab samples from live pigs, were gathered and subjected to detection using the qPCR method. The findings revealed that the mandibular lymph nodes demonstrated the highest viral loads among superficial tissues, thereby indicating their potential suitability for detecting ASFV in deceased pigs. Additionally, the correlations between virus loads in various tissues have demonstrated that tonsil swab samples are a viable specimen for monitoring live pigs, given the strong associations observed with other tissues. These findings indicated two dependable sample types for the detection of ASFV: mandibular lymph nodes for deceased pigs and tonsil swabs for live pigs, which supply some references for the development of efficacious preventive measures against ASFV.
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  • 文章类型: Journal Article
    人乳头瘤病毒(HPV)相关的头颈部鳞状细胞癌(HNSCC)是一种不断发展的疾病,尤其是在发展中国家。然而,HPV相关HNSCC在HPV感染率方面的临床特征,患者特征,亚洲人群的预后报道不足。
    在这项研究中,我们采用p16免疫化学方法回顾性纳入了400例HNSCC队列,并进行了长期随访分析.我们调查了HNSCC的当前HPV患病率,独特的HPV相关患者临床特征,和中国南方人群的患者预后。
    HPV感染在所有HNSCC病例中的患病率为15%,口咽病例明显更高(30.7%),其次是口腔(11.8%),喉部(10.1%),下咽(2.5%)。HPV状态,性别,老年,肿瘤的位置与患者的生存率显著相关。与HPV阴性病例相比,HPV阳性口咽HNSCC的扁桃体侵袭更频繁。HPV相关的HNSCC患者倾向于拥有更强的烟草和酒精习惯,这与低生存率有关。HPV状态与性别的相关性,年龄,解剖位置与患者生存密切相关。在HPV阴性组中发现继发性原发肿瘤率较高,与HPV阳性组相比(9.12%对1.67%)。
    我们的研究提供了中国南方人群中与HPV相关的HNSCC的最新情况,并阐述了对与HNSCC预后相关的关键因素的理解。我们的发现表明,扁桃体中HPV相关口咽HNSCC的易感性很强,并且与HPV状态相关的继发性原发性肿瘤发生率存在差异。
    头颈部肿瘤中的HPV在本研究中,我们采用p16免疫化学方法回顾性纳入了400例HNSCC队列,并进行了长期随访分析.我们调查了HNSCC的当前HPV患病率,独特的HPV相关患者特征,以及中国南方人群的患者预后。我们的发现表明,扁桃体中HPV相关口咽HNSCC的易感性很强,并且与HPV状态相关的继发性原发性肿瘤存在差异。我们的研究提供了中国南方人群中HPV相关HNSCC的最新情况,并阐述了与HNSCC预后相关的关键因素的理解。
    UNASSIGNED: Human papillomavirus (HPV)-associated head and neck squamous cell carcinoma (HNSCC) is an evolving and growing disease, especially in developing countries. However, the clinical characteristics of HPV-associated HNSCC in regard to HPV infection rates, patient features, and prognosis are under-reported in the Asian population.
    UNASSIGNED: In this study, we retrospectively enrolled a 400-case cohort of HNSCC with p16 immunochemistry and analyzed with long-term follow-up. We investigate the current HPV prevalence of HNSCC, unique HPV-associated patient clinical characteristics, and patient prognosis in the southern China population.
    UNASSIGNED: HPV infection exhibited a 15% prevalence in all HNSCC cases, notably higher in oropharyngeal cases (30.7%), followed by oral cavity (11.8%), laryngeal (10.1%), and hypopharyngeal (2.5%). HPV status, gender, old age, and location of tumor were significantly associated with the patient\'s survival. Tonsil invasion was found more frequent in HPV-positive oropharyngeal HNSCC than in HPV-negative cases. HPV-associated HNSCC patients tend to possess stronger tobacco and alcohol habits, which were correlated to poor survival. HPV status\'s correlation with gender, age, and anatomical location is associated intricately with patient survival. The secondary primary tumor rate was found higher within the HPV-negative group, compared to the HPV-positive group (9.12% versus 1.67%).
    UNASSIGNED: Our study provided a current picture of HPV-associated HNSCC in the southern China population and elaborated the understanding of key factors that correlate to HNSCC prognosis. Our findings indicated a strong susceptibility of HPV-associated oropharyngeal HNSCC in the tonsil and the difference in secondary primary tumor rates associated with HPV status.
    HPV in head and neck cancer In this study, we retrospectively enrolled a 400-case cohort of HNSCC with p16 immunochemistry and analyzed with long-term follow-up. We investigate the current HPV prevalence of HNSCC, unique HPV-associated patient characteristics, along with patient prognosis in southern China population. Our findings indicated a strong susceptibility of HPV-associated oropharyngeal HNSCC in tonsil and difference of secondary primary tumor associated with HPV status. Our study provided a current picture of HPV-associated HNSCC in southern China population and elaborated the understanding of key factors that correlate to HNSCC prognosis.
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  • 文章类型: Case Reports
    这项研究调查了与精神分裂症并存的扁桃体滤泡树突状细胞肉瘤(FDCS)的罕见发生,提供全面的临床检查,病态,和文学方面。进行了系统的文献综述,关注与“精神分裂症”和“肉瘤”相关的文章,“对纳入的病例报告进行深入分析。临床数据,病理结果,收集和合成患者随访信息。该研究详述了扁桃体中并发精神分裂症的罕见FDCS病例,提供对诊断的见解,治疗,和后续行动。扁桃体和精神分裂症患者合并FDCS的文献综述强调了其临床和病理特征。包括8例病例报告,包括11例诊断为肉瘤和精神分裂症的患者。手术切除是首选的主要治疗方法,而化疗建议复发。同时发生的FDCS和精神分裂症的例子非常有限,扁桃体FDCS特别罕见。扁桃体FDCS和精神分裂症共存是一种非常罕见的疾病,构成诊断和治疗挑战。这项研究通过系统评价为临床和病理实践提供了有价值的见解,强调早期诊断和综合管理的重要性。
    This study investigated the infrequent occurrence of tonsillar follicular dendritic cell sarcoma (FDCS) co-existing with schizophrenia, presenting a comprehensive examination of clinical, pathological, and literature aspects. A systematic literature review was conducted, focusing on articles related to \"schizophrenia\" and \"sarcoma,\" with in-depth analysis of included case reports. Clinical data, pathological findings, and patient follow-up information were collected and synthesized. The study detailed a rare case of FDCS in the tonsil concurrent with schizophrenia, providing insights into diagnosis, treatment, and follow-up. A literature review of combined FDCS in the tonsil and schizophrenia cases highlighted their clinical and pathological characteristics. Eight case reports encompassing 11 patients diagnosed with sarcoma and schizophrenia were included. Surgical resection was the preferred primary treatment, while chemotherapy was suggested for recurrences. Instances of co-occurring FDCS and schizophrenia were exceptionally limited, with tonsillar FDCS being particularly uncommon. The coexistence of tonsillar FDCS and schizophrenia was an exceptionally rare condition, posing diagnostic and therapeutic challenges. This study contributed valuable insights into clinical and pathological practice through a systematic review, underscoring the significance of early diagnosis and comprehensive management.
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  • 文章类型: Journal Article
    先天淋巴细胞(ILC)是先天免疫系统中T辅助细胞的对应物,与T辅助细胞共享多种表型。诱导型T细胞共刺激因子(ICOS)在T细胞上被识别,并参与T细胞活化以及淋巴组织中的T和B细胞参与。然而,ICOS在ILC3s和ILC3与免疫微环境相互作用中的作用尚不清楚.这里,我们发现ICOS在人ILC3s上的表达与ILC3s的活化状态相关。ICOS共刺激增强了存活率,扩散,和ILC3产生细胞因子的能力(IL-22,IL-17A,IFN-γ,TNF,和GM-CSF)。通过ICOS和CD40信号的协同作用,B细胞促进ILC3功能,和ILC3诱导的T细胞非依赖性B细胞IgA和IgM分泌主要需要CD40信号传导。因此,ICOS对于ILC3的非冗余作用及其与相邻B细胞的相互作用至关重要。
    Innate lymphoid cells (ILCs) are the counterpart of T helper cells in the innate immune system and share multiple phenotypes with T helper cells. Inducible T-cell costimulator (ICOS) is recognized on T cells and participates in T-cell activation and T and B-cell engagement in lymphoid tissues. However, the role of ICOS in ILC3s and ILC3-involved interactions with the immune microenvironment remains unclear. Here, we found that ICOS expression on human ILC3s was correlated with the activated state of ILC3s. ICOS costimulation enhanced the survival, proliferation, and capacity of ILC3s to produce cytokines (IL-22, IL-17A, IFN-γ, TNF, and GM-CSF). Via synergistic effects of ICOS and CD40 signaling, B cells promoted ILC3 functions, and ILC3-induced T-cell-independent B-cell IgA and IgM secretion primarily required CD40 signaling. Hence, ICOS is essential for the nonredundant role of ILC3s and their interaction with adjacent B cells.
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  • 文章类型: Journal Article
    背景:在分析腺样体扁桃体肥大与颅面形态之间的关系时,研究人员通常将肥大的腺样体和扁桃体视为一个整体。尚不清楚咽淋巴组织的不同扩大部位是否与多种颅面亚型相关。我们假设颅面亚型与肥大的腺样体和扁桃体的不同位置相关。
    方法:从466名儿童(171名男孩和295名女孩,年龄12.27±2.69岁)。根据咽部淋巴组织肿大部位不同分为4组:腺样体肥大组(AG,n=126),扁桃体肥大组(TG,n=59),腺样体扁桃体肥大组(ATG,n=69)和对照组(CG,n=212)。研究了五个常用的头颅测量角度:SNA(Sella-Nasion-PointA),SNB(Sella-Nasion-PointB),ANB(A点-B点),下颌平面角(MP/SN)和Y轴角(SGn/FH)。
    结果:与对照组相比,孤立性扁桃体肥大的儿童与SNA(非标准化回归系数B=1.38,p=0.009)和SNB(B=1.99,p=0.001)增加相关。然而,孤立性腺样体肥大的儿童与SNB降低相关(B=-0.94,p=0.036),增加ANB(B=0.74,p=0.014)和增加MP/SN(B=2.22,p<0.001)。同样,腺样体扁桃体肥大与SNB降低相关(B=-1.36,p=0.015),增加ANB(B=1.35,p<0.001),增加MP/SN(B=2.64,p=0.001)。
    结论:孤立的腺样体肥大与下颌骨后移相关,增加的上颌下颌矢状差异,和增加的下颌平面角。孤立的扁桃体肥大与上颌和下颌前突有关。腺样体扁桃体肥大未显示上述两者的重叠颅面模式,但显示与孤立的腺样体肥大相同的颅面模式。
    When analyzing the relationship between adenotonsillar hypertrophy and craniofacial morphology, researchers generally regarded hypertrophied adenoids and tonsils as a whole. It remains unclear whether different enlarged sites of pharyngeal lymphoid tissue would correlate with multiple craniofacial subtypes. We hypothesized there would be craniofacial subtypes correlated with different locations of hypertrophied adenoid and tonsil.
    Lateral cephalometric radiographs were obtained from 466 children (171 boys and 295 girls, aged 12.27 ± 2.69 years). They were divided into four groups according to different sites of enlarged pharyngeal lymphoid tissue: adenoid hypertrophy group (AG, n = 126), tonsillar hypertrophy group (TG, n = 59), adenotonsillar hypertrophy group (ATG, n = 69) and control group (CG, n = 212). Five commonly used angles for cephalometric measurements were investigated: SNA (Sella-Nasion-Point A), SNB (Sella-Nasion-Point B), ANB (Point A-Nasion-Point B), mandibular plane angle (MP/SN) and Y-axis angle (SGn/FH).
    Children with isolated tonsillar hypertrophy correlated with increased SNA (unstandardized regression coefficient B = 1.38, p = 0.009) and SNB (B = 1.99, p = 0.001) compared with controls. However, children with isolated adenoid hypertrophy correlated with decreased SNB (B=-0.94, p = 0.036), increased ANB (B = 0.74, p = 0.014) and increased MP/SN (B = 2.22, p < 0.001). Similarly, children with adenotonsillar hypertrophy correlated with decreased SNB (B=-1.36, p = 0.015), increased ANB (B = 1.35, p < 0.001) and increased MP/SN (B = 2.64, p = 0.001).
    Isolated adenoid hypertrophy correlated with a retrognathic mandible, an increased maxillo-mandibular sagittal discrepancy, and an increased mandibular plane angle. Isolated tonsillar hypertrophy correlated with maxillary and mandibular protrusion. Adenotonsillar hypertrophy did not show a superimposed craniofacial pattern of the above two but showed the same craniofacial pattern as isolated adenoid hypertrophy.
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  • 文章类型: Journal Article
    猪是日本脑炎病毒(JEV)的扩增宿主。目前,由不表达NS1的JEV株SA14-14-2制成的安全有效的减毒活疫苗,广泛用于人类和家畜,以防止JEV感染。在这项研究中,我们在JEV株SA14-14-2的NS2A中通过单核苷酸突变构建了NS1'表达重组病毒(rA66G)。动物实验表明,NS1'显着增强了猪中枢神经系统(CNS)和扁桃体组织中的JEV感染。在JEVrA66G病毒接种组中,猪在口鼻分泌物中脱落病毒,表示NS1\'可以促进JEV的水平传输。此外,树突状细胞(DC)和巨噬细胞是猪扁桃体JEV感染的主要靶细胞,这是持续性JEV感染的重要部位。由病毒感染引起的猪扁桃体中主要组织相容性复合物II类(MHCII)的减少和诱导型一氧化氮合酶(iNOS)的激活可能为持续性JEV感染创造有益的环境。这些结果对猪JEV感染具有重要意义,为今后猪扁桃体JEV持续感染的研究奠定了基础。重要性猪是日本脑炎病毒(JEV)的扩增宿主。尽管存在中和抗体,JEV仍可在扁桃体中持续数月。本研究表明,NS1增加了猪扁桃体中的JEV感染。此外,扁桃体中的DC和巨噬细胞是JEV感染的靶细胞,和JEVNS1促进DC和巨噬细胞中的病毒感染。本研究揭示了JEVNS1蛋白的新功能,为今后猪扁桃体中JEV持续感染的研究奠定了基础。
    Pigs are the amplifying hosts of Japanese encephalitis virus (JEV). Currently, the safe and effective live attenuated vaccine made of JEV strain SA14-14-2, which does not express NS1\', is widely used in humans and domestic animals to prevent JEV infection. In this study, we constructed the NS1\' expression recombinant virus (rA66G) through a single nucleotide mutation in NS2A of JEV strain SA14-14-2. Animal experiments showed that NS1\' significantly enhanced JEV infection in pig central nervous system (CNS) and tonsil tissues. Pigs shed virus in oronasal secretions in the JEV rA66G virus inoculation group, indicating that NS1\' may facilitate the horizontal transmission of JEV. Additionally, dendritic cells (DCs) and macrophages are the main target cells of JEV infection in pig tonsils, which are an important site of persistent JEV infection. The reduction of major histocompatibility complex class II (MHC II) and activation of inducible nitric oxide synthase (iNOS) in pig tonsils caused by viral infection may create a beneficial environment for persistent JEV infection. These results are of significance for JEV infection in pigs and lay the foundation for future studies of JEV persistent infection in pig tonsils. IMPORTANCE Pigs are amplification hosts for Japanese encephalitis virus (JEV). JEV can persist in the tonsils for months despite the presence of neutralizing antibodies. The present study shows that NS1\' increases JEV infection in pig tonsils. In addition, DCs and macrophages in the tonsils are the target cells for JEV infection, and JEV NS1\' promotes virus infection in DCs and macrophages. This study reveals a novel function of JEV NS1\' protein and lays the foundation for future studies of JEV persistent infection in pig tonsils.
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  • 文章类型: Journal Article
    口咽部是头颈部人乳头瘤病毒(HPV)感染最高的解剖部位。近年来,已经发表了许多关于HPV患病率和p16INK4a阳性的研究。我们的目标是用最新数据更新HPV引起的口咽癌的全球负担估计,并按地区和国家估计HPV引起的扁桃体癌和舌癌的全球负担。
    我们使用联合国发布的2012年五大洲癌症发病率第XI卷(CI5XI)和特定国家人群计算了新癌症病例的数量。HPV患病率和p16INK4a阳性的估计来自文献检索和必要的汇总分析。
    2012年,全球可归因于HPV的口咽癌和扁桃体癌的数量分别为42,000和20,000,对应的AF分别为42.7%和52.7%。男性中可归因于HPV的癌症病例数比女性高约4倍。对于口咽癌和扁桃体癌,较发达国家的AFs较高。在HPV阳性的口咽癌病例中,86.7%,87.8%,92.5%可以通过二价(2v)预防,四价(4v),和非价(9v)HPV疫苗。
    值得考虑将HPV免疫纳入男性,尤其是在口咽癌高度流行的地区。
    Oropharynx is the anatomical site with the highest human papillomavirus (HPV) infection in head and neck. Many studies on HPV prevalence and p16INK4a positivity in oropharyngeal cancer have been published in recent years. We aimed to update the global burden estimates of oropharyngeal cancer attributable to HPV with the latest data and estimate global burden of tonsillar cancer and base of tongue cancer attributable to HPV by region and country.
    We calculated the number of new cancer cases using the Cancer Incidence in Five Continents Volume XI (CI5XI) and country-specific population in 2012 issued by the United Nations. Estimates of HPV prevalence and p16INK4a positivity were obtained from literature search and pooled analyses where necessary.
    Globally the number of oropharyngeal cancer and tonsillar cancer attributable to HPV were 42,000 and 20,000 in 2012, corresponding to AFs of 42.7% and 52.7%. The number of cancer cases attributable to HPV among males was about 4-fold greater than that among females. For both oropharyngeal cancer and tonsillar cancer, AFs were higher in more developed countries. Among HPV positive oropharyngeal cancer cases, 86.7%, 87.8%, and 92.5% could have been prevented by bivalent (2v), quadrivalent (4v), and nonavalent (9v) HPV vaccines.
    It is worth considering the inclusion of HPV immunization in males, especially in the regions where oropharyngeal cancer is highly prevalent.
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  • 文章类型: Case Reports
    嗜酸细胞癌(OC)是一种非常罕见的恶性肿瘤。嗜酸细胞癌主要发生在大唾液腺,但很少发生在小唾液腺。我们报告了一例涉及同侧扁桃体的磨牙后腺体中发生的OC,这在英国文学中没有报道过。这种情况可能会扩大OC的数据库,为临床医生提供诊疗思路。
    Oncocytic carcinoma (OC) is a pretty rare malignant neoplasm. Oncocytic carcinomas mainly occur in major salivary glands but infrequently occur in minor salivary glands. We report a case of OC occurring in the retromolar glands involving the ipsilateral tonsil, which has not been reported in the English literature. This case may expand the database of OC, and provide diagnosis and treatment ideas for clinicians.
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  • 文章类型: Journal Article
    目的:多项研究表明扁桃体切除可以改善免疫球蛋白A肾病(IgAN)患者的预后。然而,扁桃体免疫与IgAN的关系尚不清楚。
    方法:纳入2015年5月至2016年4月在同济医院接受治疗的14例IgAN患者。B细胞,树突状细胞(DC),用免疫荧光和免疫组织化学方法检测人扁桃体中的IgA1阳性细胞。评估了这些细胞与临床病理特征之间的相关性。
    结果:CD19+CD5+B细胞主要位于淋巴滤泡的生发中心和套带,CD208+DC分布在卵泡间和上皮下区域,IgA1阳性细胞主要在淋巴滤泡和上皮下组织的地幔区检测到。CD19+CD5+B细胞的数量,CD208+DC,IgAN患者的扁桃体组织中IgA1阳性细胞明显高于正常对照组(分别为P<0.01)。CD19+CD5+B细胞,CD208+DC,扁桃体组织中的IgA1阳性细胞与IgAN的24小时蛋白尿水平和肾小管萎缩/间质纤维化显着相关。
    结论:CD19+CD5+B细胞,CD208+DC,扁桃体组织中的IgA1阳性细胞可能参与了IgAN的发病过程。
    OBJECTIVE: Several studies indicated that tonsillectomy can improve the prognosis of patients with immunoglobulin A nephropathy (IgAN). However, the relationship between tonsillar immunity and IgAN is still unclear.
    METHODS: A total of 14 IgAN patients were recruited in the current study from May 2015 to April 2016 in Tongji Hospital. B cells, dendritic cells (DCs), and IgA1 positive cells in human tonsils were detected using immunofluorescence and immunohistochemistry. Correlations between these cells and clinicopathologic features were evaluated.
    RESULTS: CD19+CD5+ B cells were predominantly located in germinal centers and mantle zones of lymphoid follicles, the CD208+ DCs were distributed in the interfollicular and subepithelial area, and IgA1-positive cells were predominantly detected in mantle zones of lymphoid follicles and subepithelial tissues. The numbers of CD19+CD5+ B cells, CD208+ DCs, and IgA1-positive cells in tonsillar tissues from IgAN patients were significantly higher than those in the normal controls (P<0.01, respectively). CD19+CD5+ B cells, CD208+ DCs, and IgA1-positive cells in tonsillar tissues were significantly associated with 24-h proteinuria levels and tubular atrophy/interstitial fibrosis of IgAN.
    CONCLUSIONS: CD19+CD5+ B cells, CD208+ DCs, and IgA1-positive cells in tonsillar tissues might be involved in the pathogenesis of IgAN.
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  • 文章类型: Journal Article
    腭扁桃体的脂肪瘤是临床实践中罕见的良性肿瘤。我们介绍了一名50岁的中国男性pat扁桃体纤维血管脂肪瘤的病例,该病例有背部和四肢多发性脂肪瘤的病史。根据组织学检查和综合分析诊断。扁桃体切除术后6个月内,伤口愈合良好,无复发迹象。本文还对扁桃体良性肿瘤的鉴别诊断进行了关注,并对近期相关文献进行了综述。
    Lipomas of the palatine tonsil are rare benign neoplasms in clinical practice. We present a case of palatine tonsillar fibroangiolipoma in a 50-year-old Chinese male with a history of multiple lipomas on the back and extremities. It was diagnosed based on histological examination and integrated analysis. Good wound healing and no evidence of recurrence were noted within 6 months follow-up after tonsillectomy. This article also puts a spotlight on the differential diagnosis of benign tonsillar tumors and reviewed recent relevant literature.
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