cryoinjury

冷冻损伤
  • 文章类型: Journal Article
    本研究旨在利用静磁场改善人类精子的冻融过程。该研究包括25个正常精子的人类样本。在对精子参数进行初步评估后,样品是通过直接游泳方法制备的。在冻结之前,精子运动性,生存能力,形态学,评估了顶体反应和DNA断裂率。将样品分为4组:0,1,5和10mT,各组采用快速冷冻法冷冻。解冻后,对这些参数进行了重新评估,并在组间进行了比较.所有组的精子活力在冷冻保存期间均显着降低。静态磁场不能防止冷冻后进行性运动性下降,但与其他组相比,10mT组的总精子活力明显更高。10mT组的精子活力高于其他组。冷冻后精子形态正常率无显著差异。冻融后,顶体完整的精子率下降,静磁场不能防止顶体反应。10mT组的DNA完整性率明显高于其他组。与其他组相比,强度为10mT的静磁场改善了精子活力和DNA完整性。然而,它对精子活力下降或顶体反应没有显著的保护作用。
    This study aims to improve the freezing-thawing process of human sperm using a static magnetic field. The study included 25 normozoospermic human samples. After an initial evaluation of sperm parameters, samples were prepared by the direct swim-up method. Before freezing, sperm motility, viability, morphology, acrosome reaction and DNA fragmentation rate were assessed. The samples were divided into 4 groups: 0, 1, 5 and 10 mT, and each group was frozen by the rapid freezing method. After thawing, the parameters were re-evaluated and compared between groups. Sperm motility decreased significantly during cryopreservation in all groups. The static magnetic field did not protect against decreased progressive motility after freezing, but the total sperm motility was significantly higher in the 10 mT group compared to the other groups. Sperm viability was higher in the 10 mT group than in the other groups. There was no significant difference in the rate of normal sperm morphology after freezing. The rate of spermatozoa with intact acrosome decreased after freeze-thawing, and the static magnetic field did not protect against the acrosome reaction. The rate of DNA integrity was significantly higher in the 10 mT group compared to the other groups. A static magnetic field with an intensity of 10 mT improved sperm viability and DNA integrity compared to other groups. However, it did not provide significant protection against decreased sperm motility or acrosome reaction.
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  • 文章类型: Journal Article
    人们早就知道,对冷诱导损伤的敏感性在不同细胞类型之间会有很大差异,据报道,犬骨细胞的致死温度范围为-2°C,乳腺腺癌的温度为-70°C。这表明,对于某些应用,可能存在“治疗窗口”,其中可以控制冷冻手术温度以专门针对更冷敏感的细胞类型,同时保留不太敏感的细胞。然而,这种潜在的选择性尚未发展成为实际的临床治疗方法,部分原因是缺乏可以提供一致的调查工具,在所需的温度范围内可重复冷却。在这里,我们描述了一种实验性的冷冻手术工具,它允许用户控制三个关键的冷冻手术参数-温度,压力,和持续时间。该工具由廉价的组件组成,通常在大多数实验室环境中都可以使用,并且可以成为开发和优化新型局部冷冻手术方法的实用研究工具。
    It has long been known that sensitivity to cold-induced damage can vary greatly between different cell types, with lethal temperatures reportedly ranging from -2°C for canine osteocytes, to -70°C for mammary adenocarcinomas. This suggests that, for certain applications, \"therapeutic windows\" may exist wherein the cryosurgery temperature could be controlled to specifically target more cold-sensitive cell types, while sparing less sensitive cells. However, this potential selectivity has not been developed into practical clinical treatments, in part because of a lack of available investigative tools that can provide consistent, reproducible cooling within the desired temperature range. Here we describe an experimental cryosurgery tool that allows user control over the three key cryosurgery parameters - temperature, pressure, and duration. The tool is composed of inexpensive components that are generally accessible in most laboratory settings, and could be a practical investigative tool for developing and optimizing novel topical cryosurgery approaches.
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  • 文章类型: Journal Article
    体细胞生物带库是发展生殖技术的有前途的策略。虽然冷冻保存,一种用于创建生物库的技术,已经在Galeaspixii上表演了,对其细胞的结构和生理损伤突出了优化使用的冷冻保护溶液的需要。因此,5mML-脯氨酸的渗透保护活性被评估为一种替代的冷冻保护剂对螺旋藻成纤维细胞的保护作用。基于先前对哺乳动物细胞进行的研究来定义浓度。培养来自六个个体的皮肤的细胞,直到第五次传代,在以下处理下冷冻保存:(i)对照(非冷冻保存);(ii)含10%二甲基亚砜(Me2SO)的溶液,10%胎牛血清(FBS),和0.2M蔗糖;(iii)含10%Me2SO的溶液,10%FBS,和5mML-脯氨酸;和(iv)含10%Me2SO的溶液,10%FBS,0.2M蔗糖,和5mML-脯氨酸。进行测试以分析细胞形态,生存能力,新陈代谢,扩散,和细胞凋亡;活性氧(ROS)水平;和线粒体膜活性(ΔkWm)。与对照组(86.7%±2.0%)和L-脯氨酸(88.4%±1.8%和87.8%±2.1%)组相比,在含蔗糖组中观察到活细胞数量的减少(72.3%±1.2%)。凋亡分析后,与对照组(88.2%±1.1%)相比,仅使用蔗糖的组观察到活细胞数量减少(74.6%±4.1%)。在L-脯氨酸组中观察到的ROS水平(分别为1.03±0.5和1.07±0.5)和ΔkW值(分别为0.99±0.42和1.22±0.73)与对照组相似(分别为1.00±0.5和1.00±0.4)。此外,在细胞形态学方面,各组之间没有观察到差异,新陈代谢,或扩散。因此,L-脯氨酸是一种冷冻保护剂,可用于螺旋体成纤维细胞冷冻保存,单独或与蔗糖。此外,我们开发了一个足够的生物样本库,储存的细胞可用于生殖技术。
    Somatic cell biobanking is a promising strategy for developing reproductive techniques. Although cryopreservation, a technique used for creating biobanks, has been performed on Galea spixii, structural and physiological damage to its cells highlight the need to optimize the cryoprotective solution being used. Therefore, the osmoprotective activity of 5 mM L-proline was evaluated as an alternative cryoprotectant for G. spixii fibroblast conservation. The concentration was defined based on previous studies conducted on mammalian cells. Cells derived from the skin of six individuals were cultured until the fifth passage were cryopreserved under the following treatments: (i) control (non-cryopreserved); (ii) a solution with 10% dimethyl sulfoxide (Me2SO), 10% fetal bovine serum (FBS), and 0.2 M sucrose; (iii) a solution with 10% Me2SO, 10% FBS, and 5 mM L-proline; and (iv) a solution with 10% Me2SO, 10% FBS, 0.2 M sucrose, and 5 mM L-proline. Tests were conducted to analyze cell morphology, viability, metabolism, proliferation, and apoptosis; reactive oxygen species (ROS) levels; and mitochondrial membrane activity (ΔΨm). A reduction in the number of viable cells (72.3% ± 1.2%) was observed in the sucrose-containing group compared to the control (86.7% ± 2.0%) and L-proline (88.4% ± 1.8% and 87.8% ± 2.1%) groups. After apoptotic analysis, a reduction in the number of viable cells was observed in the group with sucrose alone (74.6% ± 4.1%) compared to the control group (88.2% ± 1.1%). The ROS levels (1.03 ± 0.5 and 1.07 ± 0.5, respectively) and ΔΨm values (0.99 ± 0.42 and 1.22 ± 0.73, respectively) observed in the groups with L-proline were similar to that observed in the control group (1.00 ± 0.5 and 1.00 ± 0.4, respectively). Moreover, no difference was observed between groups for cell morphology, metabolism, or proliferation. Thus, L-proline is a cryoprotectant agent that can be used during G. spixii fibroblast cryopreservation, alone or with sucrose. In addition, we developed an adequate biobank for G. spixii, whereby stored cells could be used for reproductive techniques.
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  • 文章类型: Journal Article
    肝脏是一个非凡的器官,可以响应损伤而再生。根据受伤的程度,肝脏可以发生代偿性增生或纤维化。尽管经过几十年的研究,这些过程背后的分子机制知之甚少。这里,我们开发了一种基于冷冻损伤的肝再生研究新模型。以细胞分辨率可视化肝脏再生,我们采用了CUBIC组织清除方法。肝冷冻损伤引起局部坏死和凋亡性病变,其特征是炎症和先天性免疫细胞浸润。在这个初始阶段之后,我们观察到纤维化,它在30天内恢复为再生重建的体内平衡。重要的是,这种方法可以将健康和受伤的薄壁组织与单个动物进行比较,为以前的型号提供独特的优势。总之,肝冷冻损伤模型为研究支持纤维化和肝再生的细胞和分子途径提供了一种快速且可重复的方法。
    The liver is a remarkable organ that can regenerate in response to injury. Depending on the extent of injury, the liver can undergo compensatory hyperplasia or fibrosis. Despite decades of research, the molecular mechanisms underlying these processes are poorly understood. Here, we developed a new model to study liver regeneration based on cryoinjury. To visualise liver regeneration at cellular resolution, we adapted the CUBIC tissue-clearing approach. Hepatic cryoinjury induced a localised necrotic and apoptotic lesion characterised by inflammation and infiltration of innate immune cells. After this initial phase, we observed fibrosis, which resolved as regeneration re-established homeostasis in 30 days. Importantly, this approach enables the comparison of healthy and injured parenchyma within an individual animal, providing unique advantages to previous models. In summary, the hepatic cryoinjury model provides a fast and reproducible method for studying the cellular and molecular pathways underpinning fibrosis and liver regeneration.
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  • 文章类型: Journal Article
    肝脏是一个非凡的器官,可以响应损伤而再生。根据受伤的程度,肝脏可以发生代偿性增生或纤维化。尽管经过几十年的研究,这些过程背后的分子机制知之甚少。这里,我们开发了一种基于冷冻损伤的肝再生研究新模型。以细胞分辨率可视化肝脏再生,我们采用了CUBIC组织清除方法。肝冷冻损伤引起局部坏死和凋亡性病变,其特征是炎症和先天性免疫细胞浸润。在这个初始阶段之后,我们观察到纤维化,它在30天内恢复为再生重建的体内平衡。重要的是,这种方法可以将健康和受伤的薄壁组织与单个动物进行比较,为以前的型号提供独特的优势。总之,肝冷冻损伤模型为研究支持纤维化和肝再生的细胞和分子途径提供了一种快速且可重复的方法。
    The liver is a remarkable organ that can regenerate in response to injury. Depending on the extent of injury, the liver can undergo compensatory hyperplasia or fibrosis. Despite decades of research, the molecular mechanisms underlying these processes are poorly understood. Here, we developed a new model to study liver regeneration based on cryoinjury. To visualise liver regeneration at cellular resolution, we adapted the CUBIC tissue-clearing approach. Hepatic cryoinjury induced a localised necrotic and apoptotic lesion characterised by inflammation and infiltration of innate immune cells. Following this initial phase, we observed fibrosis, which resolved as regeneration re-established homeostasis in 30 days. Importantly, this approach enables the comparison of healthy and injured parenchyma with an individual animal, providing unique advantages to previous models. In summary, the hepatic cryoinjury model provides a fast and reproducible method for studying the cellular and molecular pathways underpinning fibrosis and liver regeneration.
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  • 文章类型: Journal Article
    本研究旨在评估经皮冷冻消融(PCA)治疗肾细胞癌(RCC)接触关键器官而不干预脂肪组织的结果。
    23例患者,24例RCC(平均大小,包括28.8mm)在术前图像上接触关键器官。器官置换技术,技术上的成功,功效,根据Clavien-Dindo分类,对不良事件进行了回顾性分析.
    接触RCC的器官包括结肠(n=16),胰腺(n=3),十二指肠(n=3),小肠(n=1),胃(n=1)。在所有程序中,进行了水解剖,并在其中一个中额外利用探针牵引来移位器官。由于反复接近结肠或肾门血管的热沉效应,两个手术因冰球边缘不足(<6mm)而终止。技术成功率为91.6%(22/24)。未发现严重不良事件。在34.4个月的中位随访期间,所有患者均存活,无任何转移。肿瘤的原发和继发技术有效率分别为91.6%(22/24)和95.8%(23/24),分别。
    PCA可以是接触关键器官的RCC的有效选择,具有良好的安全性和足够的技术功效。
    UNASSIGNED: This study aimed to assess the outcomes of percutaneous cryoablation (PCA) for renal cell carcinomas (RCCs) contacting critical organs without intervening fat tissue.
    UNASSIGNED: Twenty-three patients with 24 RCCs (mean size, 28.8 mm) contacting critical organs on preprocedural images were included. The organ displacement techniques, technical success, efficacy, and adverse events per Clavien-Dindo classification were retrospectively reviewed.
    UNASSIGNED: The organs contacting the RCCs included the colon (n = 16), pancreas (n = 3), duodenum (n = 3), small intestine (n = 1), and stomach (n = 1). In all procedures, hydrodissection was conducted, and probe traction was additionally utilized in one to displace organs. Two procedures were terminated with an insufficient ice-ball margin (<6 mm) due to recurring proximity of the colon or thermal sink effect by renal hilar vessels, yielding a technical success rate of 91.6% (22/24). No severe adverse events were noted. All patients were alive without any metastases during a median follow-up of 34.4 months. The primary and secondary technical efficacy rates were 91.6% (22/24) and 95.8% (23/24) of tumors, respectively.
    UNASSIGNED: PCA can be a valid option for RCCs contacting critical organs with a good safety profile and sufficient technical efficacy.
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  • 文章类型: Journal Article
    κ-角叉菜胶是来自红海藻的硫酸化多糖,具有显著的抗氧化活性。本研究旨在探讨κ-角叉菜胶处理对冻融猪精液品质的影响。因此,将精子稀释并冷冻保存在补充有0(对照)的冷冻补充剂中,0.2、0.4、0.6和0.8mg/mLκ-角叉菜胶。在解冻(AT)和孵育后120分钟后立即评估精子运动学。生存能力,顶体完整性,脂质过氧化,线粒体膜电位(MMP),测定细胞内半胱天冬酶活性。结果表明0.2mg/mLκ-角叉菜胶增加了总的和渐进的运动AT和孵育后120分钟(p<0.05)。此外,0.2mg/mL处理后的活精子百分比和MMP高于对照和其他κ-角叉菜胶浓度处理后。0.2和0.4mg/mLκ-角叉菜胶处理后,顶体完整精子的比例明显高于对照和其他κ-角叉菜胶浓度处理后的比例。实验组之间的细胞内半胱天冬酶活性没有显着差异。然而,0.2mg/mLκ-角叉菜胶处理后MDA浓度低于对照组(p<0.05)。一起来看,在猪精液冷冻补充剂中添加κ-角叉菜胶主要通过影响膜稳定性和抗氧化应激来改善FT精子质量。
    κ-Carrageenan is a sulfated polysaccharide from red seaweed with substantial antioxidant activities. This study aimed to investigate the effect of κ-Carrageenan treatment on frozen-thawed (FT) porcine semen quality. Therefore, the spermatozoa were diluted and cryopreserved in a freezing extender supplemented with 0 (control), 0.2, 0.4, 0.6, and 0.8 mg/mL κ-Carrageenan. Sperm kinematics were assessed immediately after thawing (AT) and post-incubation for 120 min. The viability, acrosome integrity, lipid peroxidation, mitochondrial membrane potential (MMP), and intracellular caspase activity were measured AT. The results indicated that 0.2 mg/mL κ-Carrageenan increased total and progressive motility AT and post-incubation for 120 min (p < 0.05). Moreover, the viable sperm percentage and MMP after 0.2 mg/mL treatment were higher than those after control and other κ-Carrageenan concentration treatments. The proportion of acrosome-intact spermatozoa was significantly higher after 0.2 and 0.4 mg/mL κ-Carrageenan treatment than that after control and other κ-Carrageenan concentration treatments. The intracellular caspase activity was not significantly different among the experimental groups. However, the MDA concentration after 0.2 mg/mL κ-Carrageenan treatment was lower (p < 0.05) than that after the control treatment. Taken together, adding κ-Carrageenan to the porcine semen freezing extender improved the FT sperm quality mainly by influencing membrane stability and protecting against oxidative stress.
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  • 文章类型: Journal Article
    光生物调节疗法(PBM)在局部应用以调节炎症过程并促进肌肉修复时显示出积极作用。然而,关于血管光生物调节(VPBM)作用机制的现有文献,一种非侵入性的血管照射方法,特别是在局部肌肉修复的背景下,是有限的。因此,这项研究旨在评估使用低水平激光(LLL)进行血管光生物调节(VPBM)对胫骨前肌(TA)冷冻损伤诱导的急性肌肉损伤之前或之后炎症反应和骨骼肌修复过程的影响.将Wistar大鼠(n=85)分为以下实验组:(1)对照(n=5);(2)非损伤+VPBM(n=20);(3)损伤(n=20);(4)VPBM前+损伤(n=20);(5)损伤+VPBM后(n=20)。在动物尾部的静脉/动脉上施用VPBM(波长:780nm;功率:40mW;施用面积:0.04cm2;能量密度:80J/cm2)。在诱导损伤后1、2、5和7天进行动物的安乐死。收集胫骨前(TA)肌肉进行定性和定量组织学分析,使用H&E染色和评估TNF-α的蛋白表达,MCP-1,IL-1β,和IL-6通过ELISA。收集血液样品并使用自动血液分析仪和白细胞分类计数器进行分析。对数据进行统计分析(ANOVA/Tukey)。结果表明,在损伤前应用VPBM导致1天后循环中性粒细胞(粒细胞)增加,2天和5天后单核细胞随后增加,与非损伤+VPBM和损伤组相比。值得注意的是,与损伤组相比,非损伤+VPBM组在第1天和第2天观察到红细胞和血红蛋白浓度增加.在组织学方面,只有先前的VPBM+损伤组在1、5和7天后显示炎症细胞数量减少,随着5天血管的增加。先前的VPBM+损伤组和损伤后的VPBM在第1、2和7天显示出心肌坏死的减少,5天和7天后,新形成的和未成熟的纤维增加,以及1、2和7天后的新生血管形成。关于蛋白质表达,1天和5天后MCP-1增加,TNF-α,当与其他实验组比较时,损伤+VPBM后1、2和5天后的IL-6和IL-1β。先前的VPBM+损伤组显示2天后MCP-1产生增加,与非损伤+VPBM和对照组相比。值得注意的是,在第7天,当与VPBM组相比时,损伤组继续显示升高的MCP-1蛋白表达。总之,VPBM有效调节血液学参数,循环白细胞,趋化因子MCP-1、促炎细胞因子TNF-α和IL-1β的蛋白表达,最终影响炎症过程。这种调节导致了心肌坏死的减少,组织结构的恢复,新的和未成熟的肌肉纤维的形成增加,增强了新生血管形成,当在肌肉损伤之前应用VPBM时,效果更明显。
    Photobiomodulation therapy (PBM) has shown positive effects when applied locally to modulate the inflammatory process and facilitate muscle repair. However, the available literature on the mechanisms of action of vascular photobiomodulation (VPBM), a non-invasive method of vascular irradiation, specifically in the context of local muscle repair, is limited. Thus, this study aimed to assess the impact of vascular photobiomodulation (VPBM) using a low-level laser (LLL) on the inflammatory response and the process of skeletal muscle repair whether administered prior to or following cryoinjury-induced acute muscle damage in the tibialis anterior (TA) muscles. Wistar rats (n = 85) were organized into the following experimental groups: (1) Control (n = 5); (2) Non-Injury + VPBM (n = 20); (3) Injured (n = 20); (4) Pre-VPBM + Injury (n = 20); (5) Injury + Post-VPBM (n = 20). VPBM was administered over the vein/artery at the base of the animals\' tails (wavelength: 780 nm; power: 40 mW; application area: 0.04 cm2; energy density: 80 J/cm2). Euthanasia of the animals was carried out at 1, 2, 5, and 7 days after inducing the injuries. Tibialis anterior (TA) muscles were collected for both qualitative and quantitative histological analysis using H&E staining and for assessing protein expression of TNF-α, MCP-1, IL-1β, and IL-6 via ELISA. Blood samples were collected and analyzed using an automatic hematological analyzer and a leukocyte differential counter. Data were subjected to statistical analysis (ANOVA/Tukey). The results revealed that applying VPBM prior to injury led to an increase in circulating neutrophils (granulocytes) after 1 day and a subsequent increase in monocytes after 2 and 5 days, compared to the Non-Injury + VPBM and Injured groups. Notably, an increase in erythrocytes and hemoglobin concentration was observed in the Non-Injury + VPBM group on days 1 and 2 in comparison to the Injured group. In terms of histological aspects, only the Prior VPBM + Injured group exhibited a reduction in the number of inflammatory cells after 1, 5, and 7 days, along with an increase in blood vessels at 5 days. Both the Prior VPBM + Injured and Injured + VPBM after groups displayed a decrease in myonecrosis at 1, 2, and 7 days, an increase in newly-formed and immature fibers after 5 and 7 days, and neovascularization after 1, 2, and 7 days. Regarding protein expression, there was an increase in MCP-1 after 1 and 5 days, TNF-α, IL-6, and IL-1β after 1, 2, and 5 days in the Injured + VPBM after group when compared to the other experimental groups. The Prior VPBM + Injured group exhibited increased MCP-1 production after 2 days, in comparison to the Non-Injury + VPBM and Control groups. Notably, on day 7, the Injured group continued to show elevated MCP-1 protein expression when compared to the VPBM groups. In conclusion, VPBM effectively modulated hematological parameters, circulating leukocytes, the protein expression of the chemokine MCP-1, and the proinflammatory cytokines TNF-α and IL-1β, ultimately influencing the inflammatory process. This modulation resulted in a reduction of myonecrosis, restoration of tissue architecture, increased formation of newly and immature muscle fibers, and enhanced neovascularization, with more pronounced effects when VPBM was applied prior to the muscle injury.
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  • 文章类型: Journal Article
    这篇全面的综述严格审查了蛋白质组学在理解家畜动物精子冷冻损伤机制中的应用。在广泛使用精液冷冻保存进行遗传保护的背景下。尽管它被全球采用,由于冷冻损伤,冷冻保存通常会对精子质量和生育能力产生不利影响。这些伤害主要来自于冰晶的形成,渗透变化,氧化应激,以及冷冻和解冻过程中膜蛋白和脂质的重组,导致过早的类似获能的变化。此外,冷冻保存过程诱导哺乳动物精子蛋白质组重塑。虽然精液冷冻保存技术有了进步,哺乳动物精子冷冻损伤的确切机制仍然难以捉摸。这篇综述提供了对蛋白质组学技术的最新进展如何对这些分子破坏进行详细研究的深入探索。它提供了解冻后蛋白质水平变化的分析及其对精子活力和功能的影响。此外,它讨论了蛋白质组学在改进冷冻保存技术以减轻冷冻损伤和提高家畜繁殖结果中的作用。这项工作综合了当前的知识,突出差距,并为动物生殖科学和生物技术的未来研究提出了方向。
    This comprehensive review critically examines the application of proteomics in understanding sperm cryoinjury mechanisms in livestock animals, in the context of the widespread use of semen cryopreservation for genetic conservation. Despite its global adoption, cryopreservation often detrimentally affects sperm quality and fertility due to cryoinjuries. These injuries primarily arise from ice crystal formation, osmotic shifts, oxidative stress, and the reorganization of membrane proteins and lipids during freezing and thawing, leading to premature capacitation-like changes. Moreover, the cryopreservation process induces proteome remodeling in mammalian sperm. Although there have been technological advances in semen cryopreservation, the precise mechanisms of mammalian sperm cryoinjury remain elusive. This review offers an in-depth exploration of how recent advancements in proteomic technologies have enabled a detailed investigation into these molecular disruptions. It presents an analysis of protein-level alterations post-thaw and their impact on sperm viability and functionality. Additionally, it discusses the role of proteomics in refining cryopreservation techniques to mitigate cryoinjury and enhance reproductive outcomes in livestock. This work synthesizes current knowledge, highlights gaps, and suggests directions for future research in animal reproductive science and biotechnology.
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  • 文章类型: Journal Article
    (1)背景:胸膜的早期间皮反应,导致纤维化,已在化学或重金属暴露后的动物中报告。然而,对早期时序间皮反应相关冷冻损伤的视觉监测尚未得到充分研究.因此,本研究旨在评估和观察兔胸膜冷冻损伤后的早期间皮反应。(2)方法:我们使用光学相干断层扫描(OCT)监测了冷冻伤后兔胸膜的早期间皮反应,实时,然后与病理图像进行比较。由于OCT的穿透极限,我们制作了一个胸窗,在体内对顶叶和内脏胸膜进行成像。我们还使用了一种创新的技术来捕获体内的微观结构,采用计算机控制的间歇性等压屏住呼吸以减少呼吸运动,提高OCT的分辨率。我们组织了三个样本组:正常组,只有一个胸窗的假小组,实验组采用胸窗和冷冻治疗。在实验组中,进行局部冷冻损伤。在前30分钟内通过OCT观察冷冻治疗损伤部位胸膜水平处的间皮细胞,然后在2天后在相同部位再次观察。(3)结果:实验组,首次损伤后,使用OCT在冷冻损伤部位观察到壁胸膜局灶性增厚,经病理证实为局灶性间皮细胞增殖。冷冻伤后两天,在同一只兔子的冷冻损伤部位周围,在顶叶胸膜中发现了弥漫性间皮细胞增殖。在假小组中,未发现胸膜反应。OCT和病理检查显示,顶叶和内脏胸膜之间的间皮细胞反应模式不同:在顶叶胸膜中发现了间皮细胞的局灶性增殖,而在内脏胸膜中仅发现了从扁平细胞到立方形细胞的形态变化和增厚的单层,而间皮细胞没有增殖。(4)结论:胸膜和内脏胸膜冷冻损伤后发生早期间皮反应。
    (1) Background: An early mesothelial reaction of the pleura, leading to fibrosis, has been reported in animals after chemical or heavy metal exposure. However, the visual monitoring of early time-sequential mesothelial reaction-associated cryoinjury has not been fully investigated. Therefore, this study aimed to evaluate and visualize the early mesothelial reactions seen following cryoinjury using rabbit pleura. (2) Methods: We monitored the early mesothelial reaction in rabbit pleurae after cryoinjury using optical coherence tomography (OCT), in real-time, which was then compared with pathological images. Due to the penetration limit of OCT, we made a thoracic window to image the parietal and visceral pleurae in vivo. We also used an innovative technique for capturing the microstructure in vivo, employing a computer-controlled intermittent iso-pressure breath hold to reduce respiratory motion, increasing the resolution of OCT. We organized three sample groups: the normal group, the sham group with just a thoracic window, and the experimental group with a thoracic window and cryotherapy. In the experimental group, localized cryoinjury was performed. The mesothelial cells at the level of pleura of the cryotherapy-injured site were visualized by OCT within the first 30 min and then again after 2 days at the same site. (3) Results: In the experimental group, focal thickening of the parietal pleura was observed at the site of cryoinjury using OCT after the first injury, and it was then confirmed pathologically as focal mesothelial cell proliferation. Two days after cryoinjury, diffuse mesothelial cell proliferation in the parietal pleura was noted on the reverse side around the cryoinjured site in the same rabbit. In the sham group, no pleural reaction was found. The OCT and pathological examinations revealed different patterns of mesothelial cell reactions between the parietal and visceral pleurae: the focal proliferation of mesothelial cells was found in the parietal pleura, while only a morphological change from flat cells to cuboidal cells and a thickened monolayer without proliferation of mesothelial cells were found in the visceral pleural. (4) Conclusions: An early mesothelial reaction occurs following cryoinjury to the parietal and visceral pleurae.
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