Histomorphology

组织形态学
  • 文章类型: Journal Article
    肌强直性营养不良1型(DM1)是一种由肌强直性营养不良蛋白激酶(DMPK)基因上的CTG重复异常引起的缓慢进行性疾病。来自CTG重复的长mRNA在核病灶中稳定并隔离肌肉盲样剪接调节因子1(MBNL1)。DM1的主要体征包括肌肉萎缩和虚弱。DM1进展对骨骼肌的影响研究不足。
    确定与DM1中随时间的最大强度损失相关的生理病理标记。
    22名患有DM1的人参加了他们的膝盖伸肌和两个股外侧肌活检的两个最大等距肌力(MIMS)评估,相隔3年。肌纤维分型,大小(包括最小费雷特直径[MFD]和萎缩/肥大因子[AF/HF]),并评估了核病灶和MBNL1共定位(病灶/MBNL1)。免疫印迹用于测量糖原合成酶激酶-3β(GSK3β),P62,LC3BI,LC3BII,和氧化磷酸化蛋白质。
    MIMS与1型光纤MFD(ρ=0.483)和AF(ρ=-0.514)的倍数变化之间存在显着相关性。回归分析表明,病灶/MBNL1+核的基线百分比和力量训练解释了病灶/MBNL1+核百分比随时间变化的44.1%。MIMS和GSK3β的倍数变化之间存在相当到极好的相关性(ρ=0.327),p62(ρ=0.473),LC3BI(ρ=0.518),LC3BII(ρ=-0.391)和LC3BII/LC3BI(ρ=-0.773)。
    类型1的MFD减少和AF增加与MIMS损失相关。病灶/MBNL1核积累似乎有平台效应,力量训练有助于减少这种积累。自噬标志物LC3BII/LC3BI比值具有很好的生物标志物潜力MIMS丧失,但是需要更多的调查。
    UNASSIGNED: Myotonic dystrophy type 1 (DM1) is a slowly progressive disease caused by abnormal CTG repetitions on the dystrophia myotonica protein kinase (DMPK) gene. Long mRNA from CTG repetitions stabilizes in nuclear foci and sequester muscleblind-like splicing regulator 1 (MBNL1). Cardinal signs of DM1 include muscle wasting and weakness. The impacts of DM1 progression on skeletal muscle are under-researched.
    UNASSIGNED: Identifying physiopathological markers related to maximal strength loss over time in DM1.
    UNASSIGNED: Twenty-two individuals with DM1 participated in two maximal isometric muscle strength (MIMS) evaluations of their knee extensors and two vastus lateralis muscle biopsies, 3 years apart. Muscle fiber typing, size (including minimal Feret\'s diameter [MFD] and atrophy/hypertrophy factors [AF/HF]), and nuclear foci and MBNL1 colocalization (foci/MBNL1+) were evaluated. Immunoblotting was used to measure glycogen synthase kinase-3 beta (GSK3β), p62, LC3BI, LC3BII, and oxidative phosphorylation proteins.
    UNASSIGNED: There are significant correlations between the fold changes of MIMS with type 1 fiber MFD (ρ= 0.483) and AF (ρ= -0.514). Regression analysis shows that baseline percentage of foci/MBNL1+ nuclei and strength training explain 44.1% of foci/MBNL1+ nuclei percentage variation over time. There are fair to excellent correlations between the fold changes of MIMS and GSK3β (ρ= 0.327), p62 (ρ= 0.473), LC3BI (ρ= 0.518), LC3BII (ρ= -0.391) and LC3BII/LC3BI (ρ= -0.773).
    UNASSIGNED: Type 1 MFD decrease and AF increase are correlated with MIMS loss. There seems to be a plateau effect in foci/MBNL1+ nuclei accumulation and strength training helps decrease this accumulation. Autophagy marker LC3BII/LC3BI ratio has a good biomarker potential of MIMS loss, but more investigations are needed.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    背景:确定具有高营养价值的替代可持续饲料来源对于对环境和社会负责的水产养殖的未来至关重要。在这方面,微藻已被证明对鱼类健康有积极影响,这压倒了我们对这项研究的兴趣。
    方法:Pediastrumboryanum(P.boryanum)以0、0.75和1.5mg/kg的浓度掺入尼罗罗非鱼饲料中,作为控制,PbExt0.75和PbExt1.5组以评估其对生长和生化指标的影响,氧化剂/抗氧化剂活性,免疫和应激相关基因表达,和肠道形态。
    结果:8周后,饲喂P.boryanum补充饲料的鱼表现出最终重量的显着增加,长度,条件因子,体重增加,和特定的增长率,而脾体指数(SSI)和肝细胞指数(HSI)与对照组相比没有显着差异。膳食P.boryanum补充也提高了IgM水平和溶菌酶活性,对肝功能酶(丙氨酸转氨酶/ALT和天冬氨酸转氨酶/AST)或蛋白质状态(总蛋白和白蛋白)的标志物没有显着影响。此外,P.boryanum的添加增加了超氧化物歧化酶(SOD)的活性,过氧化氢酶(CAT),和还原型谷胱甘肽(GSH)酶,突出了它的抗氧化潜力,而丙二醛(MDA)浓度在各组之间没有显着差异。基因表达分析显示肿瘤坏死因子-α(TNF-α),白细胞介素-10(IL-10),和转化生长因子-β1(TGF-β1)表达显着增加,在饲喂含P.boryanum饲料组,肝热休克蛋白70(HSP70)mRNA表达无明显差异。组织病理学检查显示,补充P.boryanum对肝脏没有不良影响,脾,脾或肠组织。绒毛高度和绒毛表面积显着增加。提示改善肠道完整性和营养吸收。
    结论:膳食中补充P.boryanum可能会提高生长性能,免疫反应,抗氧化状态,尼罗罗非鱼的肠道健康,使其成为可持续水产养殖的有希望的候选者。
    BACKGROUND: Identifying alternative sustainable feed sources with high nutritional values is crucial for the future of environmentally and socially responsible aquaculture. In this regard, microalgae have been proven to have positive effects on fish health, which overwhelmed our interest in this study.
    METHODS: Pediastrum boryanum (P. boryanum) was incorporated into Nile tilapia feed at concentrations of 0, 0.75, and 1.5 mg/kg, as control, PbExt0.75, and PbExt1.5 groups to assess its effects on growth and biochemical indices, oxidant/antioxidant activities, immune and stress-related gene expression, and intestinal morphology.
    RESULTS: After 8 weeks, fish fed P. boryanum supplemented feed exhibited significant increases in final weight, length, condition factor, body weight gain, and specific growth rate, while the spleen-somatic index (SSI) and hepatosomatic index (HSI) showed no significant differences compared to the control group. Dietary P. boryanum supplementation also enhanced IgM levels and lysozyme activity, along with no marked effect on markers of liver function enzymes (alanine aminotransferase/ALT and aspartate aminotransferase/AST) or protein status (total protein and albumin). Furthermore, P. boryanum addition increased the activity of superoxide dismutase (SOD), catalase (CAT), and reduced glutathione (GSH) enzymes, highlighting its antioxidant potential, whereas malondialdehyde (MDA) concentrations showed no significant differences among the groups. Gene expression analysis revealed that tumor necrosis factor-α (TNF-α), interleukin-10 (IL-10), and transforming growth factor-β1 (TGF-β1) expression notably increased in groups fed P. boryanum containing feed, while no significant difference was observed in hepatic Heat Shock Protein 70 (HSP70) mRNA expression. Histopathological examination revealed no adverse effects of P. boryanum supplementation on the liver, spleen, or intestinal tissues. Villous height and villous surface area were notably increased in the high P. boryanum supplementation group, suggesting improved intestinal integrity and nutrient absorption.
    CONCLUSIONS: Dietary P. boryanum supplementation can potentially improve growth performance, immune response, antioxidant status, and intestinal health of Nile tilapia, making it a promising candidate for sustainable aquaculture.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    背景:孢子菌。reilianum(SSR)是一种从药用植物中分离出的真菌。记录在《国家中草药汇编》和《本草纲目》中,“它被用于预防和治疗肠道疾病,增强免疫功能,等。在这项研究中,我们研究了SSR的化学组成和生物活性。网络药理学用于抗炎肠病(IBD)机制的预测分析和靶向途径研究。使用斑马鱼(Daniorerio)作为模型动物评价抗肠炎的药理学活性。
    目的:揭示SSR作为传统药物和食品治疗IBD的方法,首先基于SSR的分子生物学鉴定,以及药物成分及其毒性,探讨了SSR的生物学活性及作用机制。
    方法:采用色谱法和葡聚糖硫酸钠(DSS)诱导的斑马鱼IBD模型,9种化合物首先通过核磁共振(NMR)鉴定。通过评估斑马鱼胚胎和幼虫的表型特征,评估了乙醇粗提物和SSR单体的毒性,以网络药理学为指导,对斑马鱼模型进行组织形态学和病理学研究。
    结果:斑马鱼胚胎发育未显示毒性。分子对接和富集途径结果预测代谢物3&4(N-反式-阿魏酸-3-甲氧基酪胺&N-顺式-阿魏酸-3-甲氧基酪胺)和7&8(4-N-反式-对-香豆酰基酪胺&4-N-Ci-对-香豆酰基酪胺)具有抗肠炎活性。本文为开发新药和功能性食品奠定了实验基础。
    BACKGROUND: Sporisorium reilianum f. sp. reilianum (SSR) is a fungus isolated from a medicinal plant. Recorded in the \"Compilation of National Chinese Herbal Medicine\" and \"Compendium of Materia Medica,\" it was used for preventing and treating intestinal diseases, enhancing immune function, etc. In this study, we investigated the chemical composition and bioactivity of SSR. Network pharmacology is utilized for predictive analysis and targeting pathway studies of anti-inflammatory bowel disease (IBD) mechanisms. Pharmacological activity against enteritis is evaluated using zebrafish (Danio rerio) as model animals.
    OBJECTIVE: To reveal the treatment of IBD by SSR used as traditional medicine and food, based on molecular biology identification of SSR firstly, and the pharmaceutical components & its toxicities, biological activity & mechanism of SSR were explored.
    METHODS: Using chromatography and zebrafish IBD model induced by dextran sulfate sodium (DSS), nine compounds were first identified by nuclear magnetic resonance (NMR). The toxicity of ethanol crude extract and monomers from SSR were evaluated by evaluating the phenotypic characteristics of zebrafish embryos and larvae, histomorphology and pathology of the zebrafish model guided by network pharmacology were conducted.
    RESULTS: The zebrafish embryo development did not show toxicity. The molecular docking and enrichment pathway results predicted that metabolites 3 & 4 (N-trans- feruloyl-3-methoxytyramine & N-cis-feruloyl-3-methoxytyramine) and 7 & 8 (4-N- trans-p-coumaroyltyramine & 4-N-cis--p-coumaroyltyramine) have anti-enteritis activities. This paper lays an experimental foundation for developing new drugs and functional foods.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    细长的软腭是大多数短头犬的特征,并导致短头阻塞性气道综合征(BOAS)。骨成形术通常在短头犬中进行;存在几种手术技术。使用手术器械,如单极电凝术,CO2或二极管激光器,双极容器密封装置和谐波剪已成为减少操作时间的常规,术中出血和术后水肿的风险。这项前瞻性研究旨在比较CO2激光和LigaSure装置在接受pal成形术的狗的腭中的组织形态学效果。包括二十只拥有的短头犬,使用CO2激光进行10次修复术,使用LigaSureTM装置进行10次修复术。狗处于胸骨卧位。进行了经口入路:用Allis镊子抓住细长的软腭,并将其带离,使用扁桃体隐窝作为解剖标志进行了pal成形术。手术标本常规固定在10%福尔马林中。从每个样本中修剪两个垂直于手术边缘的切片,石蜡包埋并用苏木精和伊红(H&E)染色。将由两种类型的手术装置引起的组织损伤分级(1-4,从最小到严重),并且在捕获的图像上以μm测量热损伤的深度(使用图像分析程序-ImageJ)。基于每个样品的六次测量计算平均值和标准偏差(SD)。LigaSureTM组的组织损伤分级为3.7±0.48,激光组为2.8±1。LigaSureTM组的平均热损伤深度为874.94±184.92μm,激光组为451,76±137,86μm。两组之间的比较显示,用CO2激光获得的腭样本中热损伤的等级和扩展程度显着降低(p<0.05)。此外,缺乏将组织学变化与短头犬不同腭成形术方法的临床结果相关联的文献。通过比较组织学变化和临床结果,我们的目标是提供有价值的见解,以优化短头犬pal骨成形术的手术方法,最终改善这些患者的术后结局。
    The elongated soft palate is an abnormality that characterizes most brachycephalic dogs and contributes to the brachycephalic obstructive airway syndrome (BOAS). Palatoplasty is routinely performed in brachycephalic dogs; several surgical techniques exist. The use of surgical instruments such as monopolar electrocoagulation, CO2 or diode laser, bipolar vessel sealing device and harmonic shears has become routine to reduce the operating time, the intraoperative risk of bleeding and the postoperative oedema. This prospective study aimed to compare the histomorphological effect of a CO2 laser and LigaSure device in palates of dogs undergoing palatoplasty. Twenty owned brachycephalic dogs were included, 10 palatoplasties were performed using CO2 laser and 10 using LigaSure™ device. The dogs were positioned in sternal recumbency. A transoral approach was performed: the elongated soft palate was grasped with Allis forceps and brought rostrally, the palatoplasty was performed using the tonsillar crypts as anatomical landmarks. Surgical specimens were routinely fixed in 10 % formalin. Two sections perpendicular to the surgical margins were trimmed from each sample, paraffin-embedded and stained with hematoxylin and eosin (H&E). Tissue damage induced by the two types of surgical devices was graded (1-4, from minimal to severe) and the depth of thermal injury measured in μm on captured images (using an image analysis program - ImageJ). Mean values and standard deviations (SD) were calculated based on six measurements for each sample. The tissue damage was graded 3.7±0.48 in group LigaSure™ and 2.8±1 in group Laser. The mean depth of thermal injury was 874.94±184.92 μm in the LigaSure™ group and 451,76±137,86 μm in the Laser group. The comparison between the two groups showed significant lower grade and extension of thermal injury in the palate samples obtained with CO2 laser (p<0.05). Additionally, there is a lack of literature that correlates the histological changes with the clinical outcomes of the different palatoplasty methods in brachycephalic dogs. By comparing histological changes and clinical outcomes, we aim to provide valuable insights for optimizing the surgical approach for palatoplasty in brachycephalic dogs, ultimately improving postoperative outcomes for these patients.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    目的:涎腺导管癌(SDC)是一种侵袭性涎腺恶性肿瘤,具有多种形态亚型。原发性唾液腺鳞状细胞癌(SCC)需要排除高级唾液恶性肿瘤和转移性疾病,被认为非常罕见。由于变量,我们报告了6例与SCC相似的SDC,但往往是广泛的,鳞状分化。
    结果:在SDC的两个机构进行的回顾性审查(2009-2023年),具有鳞状分化的组织学和免疫表型证据,确定了6例。回顾了医学图表和可用的载玻片。有五名男性和一名女性,平均年龄为63岁,肿瘤累及腮腺(六个中的五个)和颌下腺(六个中的一个)。所有六个肿瘤均显示包含<5-90%的活肿瘤的常规SDC组分。鳞状分化占总存活肿瘤的10-95%(6例中有3例>75%),并证明CK5/6,p63和/或p40在所有情况下的免疫表达。肉瘤样成分,包含10-60%的活肿瘤,在六例中的三例(50%)中存在。所有肿瘤均为雄激素受体(AR)阳性,但是六个中只有两个(33.3%)保留了鳞状成分的AR免疫反应性。在6例病例中,有2例(33.3%)转移到区域淋巴结的SDC表现出专有的鳞状分化。
    结论:鳞状分化,组织学和免疫表型,可以在SDC中广泛使用。AR表达可能在鳞状成分中丢失,转移可能仅显示鳞状分化。这些发现进一步怀疑原发性唾液SCC的存在。每当遇到在主要唾液腺或在唾液肿块的颈部淋巴结内鳞状分化的癌时,应考虑SDC。
    OBJECTIVE: Salivary duct carcinoma (SDC) is an aggressive salivary malignancy with multiple morphological subtypes. Primary salivary squamous cell carcinoma (SCC) requires exclusion of high-grade salivary malignancies and metastatic disease and is considered exceptionally rare. We report six cases of SDC with resemblance to SCC on account of variable, but often extensive, squamous differentiation.
    RESULTS: A retrospective review (2009-2023) at two institutions of SDC with histological and immunophenotypical evidence of squamous differentiation identified six cases. Medical charts and available glass slides were reviewed. There were five males and one female with a median age of 63 years, with tumours involving the parotid (five of six) and submandibular (one of six) glands. All six tumours showed a conventional SDC component comprising < 5-90% of viable tumour. Squamous differentiation comprised 10-95%+ (> 75% in three of six cases) of total viable tumour, and demonstrated CK5/6, p63 and/or p40 immunoexpression in all cases. A sarcomatoid component, comprising 10-60% of viable tumour, was present in three of six (50%) cases. All tumours were androgen receptor (AR)-positive, but only two of six (33.3%) retained AR immunoreactivity in the squamous component. Metastatic SDC to regional lymph nodes exhibited exclusive squamous differentiation in two of six (33.3%) cases.
    CONCLUSIONS: Squamous differentiation, histologically and immunophenotypically, can be extensive in SDC. AR expression may be lost in the squamous component and metastases may demonstrate only squamous differentiation. These findings cast further doubt on the existence of primary salivary SCC. SDC should be considered whenever encountering a carcinoma with squamous differentiation in major salivary glands or within cervical lymph nodes in the setting of a salivary mass.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    蜜蜂容易中毒,也被称为枣花病,从枣花中收集花蜜后,导致觅食者的混乱死亡。枣花病的流行已成为影响我国北方枣树养蜂业发展的主要因素之一。然而,蜜蜂枣花病的致病机制知之甚少。在这里,我们首先使用HE染色对中肠进行了形态学观察,发现受枣花疾病影响的蜜蜂表现出中肠损伤,并伴有营养膜脱离。发现枣花病会增加几丁质酶和羧酸酯酶(CarE)的活性,并降低超氧化物歧化酶(SOD)的活性,过氧化氢酶(CAT),谷胱甘肽S-转移酶(GST),和蜜蜂中肠中CYP450的含量。转录组数据确定了患病和健康蜜蜂中肠中的119个差异表达基因,包括CYP6a13、CYP6a17、CYP304a1、CYP6a14、AADC、和AGXT2,它们与氧化还原酶活性和维生素结合有关。总之,采集红枣花蜜可以降低蜜蜂中肠的抗氧化和解毒能力,在更严重的情况下,破坏肠道结构,表明肠道损伤可能是大枣花蜜导致蜜蜂死亡的主要原因。本研究为蜜蜂枣花病的发病机制提供了新的见解。
    Honeybees are prone to poisoning, also known as jujube flower disease, after collecting nectar from jujube flowers, resulting in the tumultuous demise of foragers. The prevalence of jujube flower disease has become one of the main factors affecting the development of the jujube and beekeeping industries in Northern China. However, the pathogenic mechanisms underlying jujube flower disease in honeybees are poorly understood. Herein, we first conducted morphological observations of the midgut using HE-staining and found that jujube flower disease-affected honeybees displayed midgut damage with peritrophic membrane detachment. Jujube flower disease was found to increase the activity of chitinase and carboxylesterase (CarE) and decrease the activity of superoxide dismutase (SOD), catalase (CAT), glutathione S-transferase (GST), and the content of CYP450 in the honeybee midgut. Transcriptomic data identified 119 differentially expressed genes in the midgut of diseased and healthy honeybees, including CYP6a13, CYP6a17, CYP304a1, CYP6a14, AADC, and AGXT2, which are associated with oxidoreductase activity and vitamin binding. In summary, collecting jujube flower nectar could reduce antioxidant and detoxification capacities of the honeybee midgut and, in more severe cases, damage the intestinal structure, suggesting that intestinal damage might be the main cause of honeybee death due to jujube nectar. This study provides new insights into the pathogenesis of jujube flower disease in honeybees.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    小脑长,从胚胎到出生后的长期发育期;结果,它对子宫内和产后的侮辱如营养缺乏更敏感。叶酸对胎儿和出生后早期大脑发育至关重要;然而,其对小脑生长发育的影响尚不清楚。这项研究的目的是研究母体叶酸摄入对发育中小脑的组织形态学和细胞密度的影响。将12只成年雌性大鼠(Rattusnorvegicus)随机分配到四个预混合饮食组之一:标准(2mg/kg),叶酸缺乏(0mg/kg),补充叶酸(8mg/kg)或补充叶酸(40mg/kg)。老鼠在交配前14天开始饮食,并在整个怀孕和哺乳期间食用它们。在出生后第1、7、21和35天,每组5只幼崽被处死,对他们的大脑进行光学显微镜分析。外部颗粒的组织形态学和细胞密度,分子,获得Purkinje和内部颗粒层。缺乏叶酸的饮食组有较小的,畸形细胞和显著较低的外部颗粒密度,分子,浦肯野和内部颗粒细胞。尽管富含叶酸的组的细胞密度高于对照组,补充叶酸的组的细胞密度明显高于补充叶酸的组。补充叶酸的组内部颗粒细胞层中有异位的Purkinje细胞。这些发现暗示缺乏叶酸的饮食会损害细胞生长并降低小脑皮层的细胞密度。另一方面,补充叶酸会增加细胞密度,但似乎有一个最佳剂量的补充,因为过量的叶酸水平可能是有害的。
    The cerebellum has a long, protracted developmental period that spans from the embryonic to postnatal periods; as a result, it is more sensitive to intrauterine and postnatal insults like nutritional deficiencies. Folate is crucial for foetal and early postnatal brain development; however, its effects on cerebellar growth and development are unknown. The aim of this study was to examine the effects of maternal folate intake on the histomorphology and cell density of the developing cerebellum. Twelve adult female rats (rattus norvegicus) were randomly assigned to one of four premixed diet groups: standard (2 mg/kg), folate-deficient (0 mg/kg), folate-supplemented (8 mg/kg) or folate supra-supplemented (40 mg/kg). The rats started their diets 14 days before mating and consumed them throughout pregnancy and lactation. On postnatal days 1, 7, 21 and 35, five pups from each group were sacrificed, and their brains were processed for light microscopic analysis. Histomorphology and cell density of the external granule, molecular, Purkinje and internal granule layers were obtained. The folate-deficient diet group had smaller, dysmorphic cells and significantly lower densities of external granule, molecular, Purkinje and internal granule cells. Although the folate-enriched groups had greater cell densities than the controls, the folate-supplemented group had considerably higher cell densities than the supra-supplemented group. The folate supra-supplemented group had ectopic Purkinje cells in the internal granule cell layer. These findings imply that a folate-deficient diet impairs cellular growth and reduces cell density in the cerebellar cortex. On the other hand, folate supplementation increases cell densities, but there appears to be an optimal dose of supplementation since excessive folate levels may be detrimental.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    目的:本研究的目的是评估胃肝样腺癌(HAS)的临床病理特征,并对其进行鉴别诊断。
    方法:调查涉及使用组织形态学评估分析31例HAS病例,免疫组织化学分析,和相关的基因检测方法。
    结果:在31例HAS病例中,胃小梁型肝样腺癌9例(29.0%),7例(22.6%)为胃腺状肝样腺癌,4例(12.9%)为胃的筑巢肝样腺癌,3例(9.7%)为胃透明细胞肝样腺癌,8例(25.8%)是胃的各种肝样腺癌。在这31个案例中,24是男性,占病例的77.4%。血清甲胎蛋白(AFP)水平显著升高,放射免疫测定结果达到1240ng/ml;31例中有28例AFP水平低于25µg/l,占90.3%。相关基因:35.5%(11/31)的病例中HER2蛋白在细胞膜上呈阳性表达;FISH技术检测HER2基因扩增率为12.9%(4/31)。肿瘤基质淋巴细胞PD-1阳性表达率为58.1%(18/31)。在胃癌组织中,PD-L1阳性率为45.1%(14/31)。
    结论:HAS代表了一种独特的胃癌亚型,具有模仿其他形式肿瘤的倾向,强调辨别其独特的组织病理学属性对于准确的鉴别诊断和量身定制的治疗干预措施的重要性。
    OBJECTIVE: The objective of this study is to assess the clinical pathological attributes of Hepatoid Adenocarcinoma of the Stomach (HAS) and to delineate the differential diagnostic considerations about it.
    METHODS: The investigation involved analyzing 31 HAS cases using histomorphological assessment, immunohistochemical profiling, and relevant gene detection methodologies.
    RESULTS: Among the 31 HAS cases, 9 (29.0%) were of trabecular hepatoid adenocarcinoma of the stomach, 7 (22.6%) were of glandular hepatoid adenocarcinoma of the stomach, 4 (12.9%) were of nesting hepatoid adenocarcinoma of the stomach, 3 (9.7%) were of clear cell hepatoid adenocarcinoma of the stomach, and 8 (25.8%) were of diverse hepatoid adenocarcinoma of the stomach. Of these 31 cases, 24 were male, accounting for 77.4% of the cases. Serum alpha-fetoprotein (AFP) levels were notably elevated, with radioimmunoassay results reaching 1240 ng/ml; 28 out of 31 cases had AFP levels below 25 µg/l, accounting for 90.3%. Related genes: HER2 protein indicated positive expression on the cell membrane in 35.5% (11/31) of the cases; HER2 gene amplification detected by the FISH technique was 12.9% (4/31). Tumoral stromal lymphocytes exhibited a PD-1 positive expression rate of 58.1% (18/31). In gastric cancer tissues, the PD-L1 positive rate was 45.1% (14/31).
    CONCLUSIONS: HAS represents a distinctive subtype of gastric cancer with a propensity for mimicking other forms of tumors, underscoring the significance of discerning its unique histopathological attributes for accurate differential diagnosis and tailored therapeutic interventions.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: English Abstract
    Localized lymphedema of the genital region is a rare medical condition. It is named primary lymphedema if caused by a congenital malformation of the lymphatic system. Secondary lymphedemas might be induced by exogenous damage to lymphatic vessels as a result of surgical interventions, obesity, filariasis, radiotherapy or malignancy. We report a case of localized lymphedema of the genial region for which a previously unknown urothelial carcinoma turned out to be the underlying cause.
    UNASSIGNED: Lokalisierte Lymphödeme der Genitalregion sind insgesamt seltene Erkrankungen. Liegt ihnen eine angeborene Fehlentwicklung des Lymphgefäßsystems zugrunde, werden sie als primäre Lymphödeme bezeichnet. Sekundäre Lymphödeme entstehen durch exogene Schädigung von Lymphgefäßen infolge von z. B. operativen Eingriffen, Übergewicht, Filariasis, Radiotherapie oder tumorösen Prozessen. Wir präsentieren den Fall eines Patienten mit lokalisiertem Lymphödem der Genitalregion, für das sich ein bisher nicht diagnostiziertes Urothelkarzinom als ursächlich erwies.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    目的:区分胃非典型增生(AH)和异型增生,包括低度发育不良(LGD)和高度发育不良(HGD),在小型活检和具有技术伪影的标本中提出了重大挑战。本研究旨在通过联合形态学和免疫组织化学(IHC)分析为这些疾病建立客观的诊断标准。
    方法:2018年1月至2020年9月,收集安阳市肿瘤医院胃黏膜活检标本123例。根据WHO《消化系统肿瘤分类》(第5版),标本分为三组:AH(n=48),LGD(n=30),和HGD(n=45)。评估了形态学特征,和MUC5AC的IHC染色,进行MUC6、MUC2、CD10、P53和Ki67,然后进行统计分析。
    结果:组织学,AH主要以明显的炎症背景为特征(60.42%),肠上皮化生(64.58%),边界模糊(83.33%),和明显的成熟梯度(97.72%)。AH核是典型的圆形(97.92%),具有较高的细胞核与细胞质比(64.58%),突出的核仁(47.92%),保持极性(89.58%)。相比之下,LGD和HGD通常表现出明确的边界,没有成熟梯度。LGD核呈杆状(96.67%),具有低的细胞核与细胞质比(96.67%)和保留的极性(100%),而HGD显示细胞极性丧失(77.78%)。IHC发现揭示了AH中一致的成熟梯度,具有极化的MUC5AC和MUC6表达,LGD显着降低(86.67%),在HGD缺席。P53在HGD中的表达表现出明显的“突变型模式”(66.67%),与AH和LGD中的野生型表达相反(100%,93.33%)。Ki67表达模式从AH的“坑颈模式”(95.83%)到LGD的“极性模式”(76.67%)和HGD的“扩散模式”(57.78%)。MUC5AC的表达模式,MUC6、CD10、P53和Ki67在三组间有显著差异(P<0.001)。
    结论:MUC5AC的组织形态学特征和表达谱的整合,MUC6,P53和Ki67有助于诊断胃非典型增生和异型增生。
    OBJECTIVE: Differentiating gastric atypical hyperplasia (AH) from dysplasia, including low-grade dysplasia (LGD) and high-grade dysplasia (HGD), poses significant challenges in small biopsies and specimens with technical artifacts. This study aims to establish objective diagnostic criteria for these conditions through combined morphologic and immunohistochemical (IHC) analyses.
    METHODS: Between January 2018 and September 2020, a total of 123 gastric mucosa biopsy specimens were collected at Anyang Tumor Hospital. According to the WHO Classification of Digestive System Tumors (5th edition), specimens were categorized into three groups: AH (n=48), LGD (n=30), and HGD (n=45). Morphologic characteristics were assessed, and IHC staining for MUC5AC, MUC6, MUC2, CD10, P53, and Ki67 was performed, followed by statistical analysis.
    RESULTS: Histologically, AH was predominantly marked by a pronounced inflammatory background (60.42%), intestinal metaplasia (64.58%), indistinct boundaries (83.33%), and a distinct maturation gradient (97.72%). AH nuclei were typically circular (97.92%), with a high nucleus-to-cytoplasm ratio (64.58%), prominent nucleoli (47.92%), and preserved polarity (89.58%). In contrast, LGD and HGD typically exhibited well-defined boundaries with an absent maturation gradient. LGD nuclei were rod-shaped (96.67%), with a low nucleus-to-cytoplasm ratio (96.67%) and preserved polarity (100%), whereas HGD demonstrated a loss of cellular polarity (77.78%). IHC findings revealed a consistent maturation gradient in AH, with polarized MUC5AC and MUC6 expression, significantly reduced in LGD (86.67%), and absent in HGD. P53 expression in HGD showed a predominant \'mutation-type pattern\' (66.67%), contrasting with \'wild-type pattern\' expression in AH and LGD (100%, 93.33%). Ki67 expression patterns varied from a \'pit neck pattern\' in AH (95.83%) to a \'polarity pattern\' in LGD (76.67%) and a \'diffuse pattern\' in HGD (57.78%). The expression patterns of MUC5AC, MUC6, CD10, P53, and Ki67 varied significantly across the three groups (P<0.001).
    CONCLUSIONS: The integration of histomorphological features and expression profiles of MUC5AC, MUC6, P53, and Ki67 is instrumental in diagnosing gastric atypical hyperplasia and dysplasia.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

公众号