lobule

小叶
  • 文章类型: Journal Article
    皮质动脉的呈现具有挑战性,因为他们的大部分课程是隐藏在深沟。尽管如此,展示皮质表面的动脉是它们呈现的标准方式。为了保持表面呈现的优势,同时减少其局限性,我们提出了一种新的上下文相关的方法,通过皮质开口来呈现脑血管系统,包括从皮质套中去除选定的区域并暴露底层结构。我们还引入了从回/小叶到提供回血管的标准血管到上下文映射的反向映射。该方法具有以下步骤:定义皮质开口,开发一个工具来执行它们,为回旋和小叶创建皮质开口,并带有潜在的白质和颅内动脉,为创建的开口生成标记和分割的图像,并将皮质开口图像与NOWinBRAIN公共存储库的8600个3D神经图像集成在一起。为左右大脑半球的64个回旋和六个小叶创建皮质开口,从而产生210个图像,这些图像在空间上对应于非分割和未标记的三元组排列,按颜色和无标签划分,以及分割和标记的图像。皮质开放方法,一般来说,增加血管暴露在更多数量的描绘分支,露出深藏在沟中的动脉,更完整的船只航线,和较少数量的所需意见。回回/小叶到动脉的测绘有助于探索研究区域,封装所有局部动脉,并通过将整个血管系统分解为涉及研究区域的较小集合来降低血管复杂性。
    The presentation of cortical arteries is challenging, as most of their course is hidden in the depth of the sulci. Despite that, demonstrating the arteries on the cortical surface is a standard way of their presentation. To keep advantages of surface presentation while lessening its limitation, we propose a novel context-related method of cerebrovasculature presentation by cortical openings consisting in the removal of a selected region from the cortical mantle and exposing underlying structures. We also introduce a reverse than standard vessel-to-context mapping from a gyrus/lobule to vessels supplying it.The method has the following steps: define a cortical opening, develop a tool to perform them, create cortical openings for gyri and lobules with underlying white matter and intracranial arteries, generate labeled and parcellated images for the created openings, and integrate the cortical opening images with the NOWinBRAIN public repository of 8600 3D neuroimages.The cortical openings are created for 64 gyri and six lobules for the left and right cerebral hemispheres resulting in 210 images arranged in triples as spatially corresponding non-parcellated and unlabeled, parcellated by color and unlabeled, and parcellated and labeled images.The cortical opening approach, generally, increases vessel exposure in a higher number of depicted branches, revealing arteries otherwise hidden deep in sulci, a more complete vessel course, and a lower number of required views.The gyrus/lobule-to-arteries mapping facilitates exploration of a studied region, encapsulates all local arteries, and reduces vascular complexity by decomposing the entire vascular system into smaller sets involved in the studied region.
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  • 文章类型: Journal Article
    背景:自闭症谱系障碍(ASD)是一种神经发育障碍,其特征是社交和沟通能力受损,狭隘的利益,和重复的行为。众所周知,小脑在控制运动和步态姿势中起着至关重要的作用。然而,最近,研究人员报告说,小脑也可能负责其他功能,比如社会认知,奖励,焦虑,语言,和执行功能。
    方法:在本研究中,我们从ASD儿童的小脑小叶分析中确定了体积差异,ASD兄弟姐妹,通常发展健康的控制。在这项横断面研究中,总共招募了30名儿童,包括ASD儿童(N=15;平均年龄=27.67±5.1个月),ASD兄弟姐妹(N=6;平均年龄=17.5±3.79个月),并且通常发育中的儿童(N=9;平均年龄=17.67±3.21个月)。所有MRI数据都是在自然睡眠下获得的,没有使用任何镇静药物。我们对从这些儿童获得的体积数据以及发育和行为测量进行了相关分析。采用双因素方差分析和Pearson相关性进行统计学数据分析。
    结果:我们从这项研究中观察到有趣的发现,包括多个小脑区域的灰质小叶体积显着增加,包括;疣,左右小叶I-V,右克鲁斯,右VIIb和VIIIb,分别,在患有ASD的儿童中,与通常发育中的健康对照和ASD兄弟姐妹相比。多个小脑小叶体积也与社会商数显着相关,认知,语言,ASD儿童的运动成绩,ASD兄弟姐妹,和健康的控制,分别。
    结论:这项研究发现有助于我们了解ASD和ASD兄弟姐妹的神经生物学,并批判性地推进当前关于ASD小脑作用的知识。然而,在未来的纵向研究中,需要为更大的队列复制结果。
    Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder characterized by impaired social and communication skills, narrow interests, and repetitive behavior. It is known that the cerebellum plays a vital role in controlling movement and gait posture. However, recently, researchers have reported that the cerebellum may also be responsible for other functions, such as social cognition, reward, anxiety, language, and executive functions.
    In this study, we ascertained volumetric differences from cerebellar lobular analysis from children with ASD, ASD siblings, and typically developing healthy controls. In this cross-sectional study, a total of 30 children were recruited, including children with ASD (N = 15; mean age = 27.67 ± 5.1 months), ASD siblings (N = 6; mean age = 17.5 ± 3.79 months), and typically developing children (N = 9; mean age = 17.67 ± 3.21 months). All the MRI data was acquired under natural sleep without using any sedative medication. We performed a correlation analysis with volumetric data and developmental and behavioral measures obtained from these children. Two-way ANOVA and Pearson correlation was performed for statistical data analysis.
    We observed intriguing findings from this study, including significantly increased gray matter lobular volumes in multiple cerebellar regions including; vermis, left and right lobule I-V, right CrusII, and right VIIb and VIIIb, respectively, in children with ASD, compared to typically developing healthy controls and ASD siblings. Multiple cerebellar lobular volumes were also significantly correlated with social quotient, cognition, language, and motor scores with children with ASD, ASD siblings, and healthy controls, respectively.
    This research finding helps us understand the neurobiology of ASD and ASD-siblings, and critically advances current knowledge about the cerebellar role in ASD. However, results need to be replicated for a larger cohort from longitudinal research study in future.
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  • 文章类型: Journal Article
    未经证实:耳廓的形态测量研究在许多领域找到了它的位置,比如美学,法医学,生物学人类学,神话,arts,和针灸。
    UNASSIGNED:本研究旨在建立北印度人群耳廓尺寸的解剖学变化。这项研究的目的是测量男性和女性的耳廓高度,测量两性的耳廓宽度,测量男性和女性的小叶高度(LH),测量两种性别的小叶宽度(LW),计算男女的耳廓指数,并计算两性的小叶指数。
    UNASSIGNED:这项研究对130名受试者(78名男性和52名女性)进行,在18-25岁的年龄组中,没有遗传病史,受伤,或耳廓的任何疾病。
    UNASSIGNED:耳廓的平均长度为6.28厘米(右)和6.23厘米(左),平均宽度为3.21cm(右)和3.28cm(左)。小叶的平均高度在左右两侧分别为1.76厘米和1.77厘米,分别,而右侧的小叶宽度为1.90厘米,左侧为2.01厘米。
    未经评估:与女性相比,男性的右耳和左耳的总右耳廓高度和总耳廓宽度更高,双方差异显著。与女性相比,男性的右侧和左侧LH和LW均较高。
    UNASSIGNED: Morphometric studies of the auricle find its place in many areas, such as esthetics, forensic medicine, biology, anthropology, mythology, arts, and acupuncture.
    UNASSIGNED: This study aims at establishing the anatomical variations in the auricular dimensions in North Indian population. The objectives of this study were to measure auricle height in males and females, to measure auricle width in both sexes, to measure lobular height (LH) in both sexes, to measure lobular width (LW) in both sexes, to calculate the auricle index in both sexes, and to calculate lobular index in both sexes.
    UNASSIGNED: This study was conducted on 130 subjects (78 males and 52 females), in the age group of 18-25 years, without history of genetic disorders, injuries, or any disease of the auricle.
    UNASSIGNED: The average length of the auricle was 6.28 cm (right) and 6.23 cm (left), and the average width was 3.21 cm (right) and 3.28 cm (left). The average height of the lobule was 1.76 cm and 1.77 cm on the right and left sides, respectively, while the lobule width was 1.90 cm on the right side and 2.01 cm on the left side.
    UNASSIGNED: Total right auricle height and total auricle width of both the right and left ears are more in males as compared to females, and the difference between both the sides was significant. Both right- and left-side LH and LW were higher in males as compared to females.
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  • 文章类型: Journal Article
    This study was conducted to explore the cerebellar substructure volumetric alterations in refractory unilateral temporal lobe epilepsy (TLE) patients and the relationship with clinical factors and cognitive scores.
    A total of 48 unilateral refractory TLE patients and 48 age- and gender-matched normal controls (NCs) were retrospectively studied. All subjects underwent high-resolution magnetic resonance imaging (MRI) and automatically segmented volumetric brain information was obtained using volBrain and Data Processing Assistant for Resting-State fMRI (DPARSF) separately. Clinical seizure features and cognitive scores were acquired by a structured review of medical records.
    The total volumes (TVs) of bilateral crus I, crus II, and IX were significantly smaller in the refractory unilateral TLE epilepsy patients. The gray matter volumes (GMVs) of cerebellar lobules showed lateralized reduction in ipsilateral III, IX, and contralateral crus II. Contralateral crus II GMV showed significant negative correlation with the duration of epilepsy (r = -0.31, p = 0.035) and positive association with the cognitive scores including long-term memory (LTM) (r = 0.39, p = 0.017), short-term memory (STM) (r = 0.51, p = 0.001) verbal comprehension index (VCI) (r = 0.37, p = 0.024), and perceptual organization index (POI) (r = 0.36, p = 0.030). The voxel-based morphometry (VBM) analysis proved similar results. The contralateral crus I GMV was significantly smaller in the generalized onset group (t = 2.536, p = 0.015).
    The lobules of the cerebellar in refractory TLE patients manifest different volumetric change characteristics. Crus II contralateral GMV is negatively correlated with the duration of epilepsy and positively associated with the cognitive scores.
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  • 文章类型: Journal Article
    先天性外耳异常可能会带来重建挑战,特别是当耳廓的正常软骨皮肤成分无法发育时。我们的目标是开发一种新颖的技术,通过对该技术的照相记录来重建先天性耳垂的小叶。
    获得围手术期摄影和病例细节发布的知情同意书。耳后,用同侧耳廓软骨移植的翻转皮瓣重建小叶,和一个基于上级的,耳后,旋转前移皮瓣用于闭合供体部位缺损.
    围手术期照片包括显示技术和美容结果。
    畸形很少主要累及耳部的小叶或下三分之一。关于先天性畸形的小叶重建的文献很少。我们提出了一种新颖的技术,可在单个阶段进行先天性耳垂的小叶重建,从而避免了可见的颈部疤痕并允许同时收获耳廓软骨。该技术在轮廓和整体外观方面表现出令人满意的外观,并且这些结果在1年的随访中保持稳定。
    UNASSIGNED: Congenital anomalies of the external ear may present a reconstructive challenge, particularly when normal chondrocutaneous components of the auricle fail to develop. Our goal was to develop a novel technique for lobule reconstruction of a congenitally absent earlobe with photographic documentation of the technique.
    UNASSIGNED: Informed consent for perioperative photography and publication of case details was obtained. A postauricular, turnover flap with ipsilateral conchal cartilage grafting was performed to reconstruct the lobule, and a superiorly based, postauricular, rotation advancement flap was used to close the donor site defect.
    UNASSIGNED: Perioperative photographs are included demonstrating technique and cosmetic results.
    UNASSIGNED: Malformations rarely involve the lobule or lower third of the ear primarily. Literature regarding lobule reconstruction for congenital malformations is scarce. We present a novel technique for lobule reconstruction of a congenitally absent earlobe performed in a single stage that avoids a visible neck scar and allows for simultaneous conchal cartilage harvest. The technique demonstrated satisfactory cosmesis regarding contour and overall appearance and these results remained stable at 1-year follow up.
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  • 文章类型: Journal Article
    组织工程,目的是修复或更换受损的组织和器官,自20世纪80年代末和90年代初起源以来,一直在以科学为基础的巨大进步。这种进步本质上总是多学科的,从基础生物学和化学到物理和数学,再到各种工程和计算机领域。这篇综述将把注意力集中在对组织工程肝脏发育至关重要的两个主题上:(a)流体流动,分区,和药物筛选,和(b)生物力学,组织硬度,和纤维化,都在3D结构的背景下。首先,为研究流体运输和组织生物力学而开发的各种生物反应器设计的一般概述。这包括提及用于优化和验证这些设计的计算流体动力学方法。此后,计算机模拟流动提供的视角,反应性传输,概述了肝小叶和肝组织尺度的生物力学反应,除了如何在这些模型中利用生物反应器测量的特性。这里,突出了曲折和升级的基本问题,以及疾病和纤维化在这些问题中的作用。提供了纤维化对小叶药物转运和力学反应影响的一些理想化模拟,以进一步说明这些概念。这篇综述总结了组织工程进展的一些实际应用概述,以及如何有效地计算升级技术,例如双连续体建模,可用于量化生物反应器结果到整个肝脏规模的转变。
    Tissue engineering, with the goal of repairing or replacing damaged tissue and organs, has continued to make dramatic science-based advances since its origins in the late 1980\'s and early 1990\'s. Such advances are always multi-disciplinary in nature, from basic biology and chemistry through physics and mathematics to various engineering and computer fields. This review will focus its attention on two topics critical for tissue engineering liver development: (a) fluid flow, zonation, and drug screening, and (b) biomechanics, tissue stiffness, and fibrosis, all within the context of 3D structures. First, a general overview of various bioreactor designs developed to investigate fluid transport and tissue biomechanics is given. This includes a mention of computational fluid dynamic methods used to optimize and validate these designs. Thereafter, the perspective provided by computer simulations of flow, reactive transport, and biomechanics responses at the scale of the liver lobule and liver tissue is outlined, in addition to how bioreactor-measured properties can be utilized in these models. Here, the fundamental issues of tortuosity and upscaling are highlighted, as well as the role of disease and fibrosis in these issues. Some idealized simulations of the effects of fibrosis on lobule drug transport and mechanics responses are provided to further illustrate these concepts. This review concludes with an outline of some practical applications of tissue engineering advances and how efficient computational upscaling techniques, such as dual continuum modeling, might be used to quantify the transition of bioreactor results to the full liver scale.
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  • 文章类型: Journal Article
    Purkinje cells play a central role in establishing the cerebellar circuit. Accordingly, disrupting Purkinje cell development impairs cerebellar morphogenesis and motor function. In the Car8wdl mouse model of hereditary ataxia, severe motor deficits arise despite the cerebellum overcoming initial defects in size and morphology.
    To resolve how this compensation occurs, we asked how the loss of carbonic anhydrase 8 (CAR8), a regulator of IP3R1 Ca2+ signaling in Purkinje cells, alters cerebellar development in Car8wdl mice. Using a combination of histological, physiological, and behavioral analyses, we determined the extent to which the loss of CAR8 affects cerebellar anatomy, neuronal firing, and motor coordination during development.
    Our results reveal that granule cell proliferation is reduced in early postnatal mutants, although by the third postnatal week there is enhanced and prolonged proliferation, plus an upregulation of Sox2 expression in the inner EGL. Modified circuit patterning of Purkinje cells and Bergmann glia accompany these granule cell adjustments. We also find that although anatomy eventually normalizes, the abnormal activity of neurons and muscles persists.
    Our data show that losing CAR8 only transiently restricts cerebellar growth, but permanently damages its function. These data support two current hypotheses about cerebellar development and disease: (1) Sox2 expression may be upregulated at sites of injury and contribute to the rescue of cerebellar structure and (2) transient delays to developmental processes may precede permanent motor dysfunction. Furthermore, we characterize waddles mutant mouse morphology and behavior during development and propose a Sox2-positive, cell-mediated role for rescue in a mouse model of human motor diseases.
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  • 文章类型: Journal Article
    小脑参与运动的控制,情绪反应,和奖励处理。树the是灵长类动物的近亲。然而,鲜为人知的不仅是系统命名的树的小脑,但也详细的神经化学表征和传入投影。在这项研究中,Nissl染色和乙酰胆碱酯酶组织化学用于揭示树sh(Tupaiabelangerichinensis)小脑的解剖特征。小脑皮层呈现层状结构。小脑的形态特征在冠状区进行了全面的描述,矢状,和水平部分。此外,使用冠状图描绘了树the小脑Purkinje细胞层中钙结合蛋白免疫反应性(-ir)细胞的分布图,矢状,和水平示意图。此外,脑桥核中存在第5小脑小叶(5Cb)投射神经元,网状核,前庭脊髓核,腹侧脊髓小脑束,和树的大脑的下橄榄。小脑旁正中小叶(PMa)的前部主要接受来自外侧网状核的强烈神经支配,劣等橄榄,脑桥网状核,三叉神经脊髓核,脑桥核,和脑桥的网状骨核。目前的结果提供了第一个系统的命名法,整个小脑的详细图集,和全脑映射传入投射到树sh中的5Cb和PMa。我们的发现为树the提供了形态学支持,作为研究人类小脑病理学的替代模型。
    The cerebellum is involved in the control of movement, emotional responses, and reward processing. The tree shrew is the closest living relative of primates. However, little is known not only about the systematic nomenclature for the tree shrew cerebellum but also about the detailed neurochemical characterization and afferent projections. In this study, Nissl staining and acetylcholinesterase histochemistry were used to reveal anatomical features of the cerebellum of tree shrews (Tupaia belangeri chinensis). The cerebellar cortex presented a laminar structure. The morphological characteristics of the cerebellum were comprehensively described in the coronal, sagittal, and horizontal sections. Moreover, distributive maps of calbindin-immunoreactive (-ir) cells in the Purkinje cell layer of the cerebellum of tree shrews were depicted using coronal, sagittal, and horizontal schematics. In addition, 5th cerebellar lobule (5Cb)-projecting neurons were present in the pontine nuclei, reticular nucleus, spinal vestibular nucleus, ventral spinocerebellar tract, and inferior olive of the tree shrew brain. The anterior part of the paramedian lobule of the cerebellum (PMa) received mainly strong innervation from the lateral reticular nucleus, inferior olive, pontine reticular nucleus, spinal trigeminal nucleus, pontine nuclei, and reticulotegmental nucleus of the pons. The present results provide the first systematic nomenclature, detailed atlas of the whole cerebellum, and whole-brain mapping of afferent projections to the 5Cb and PMa in tree shrews. Our findings provide morphological support for tree shrews as an alternative model for studies of human cerebellar pathologies.
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  • 文章类型: Journal Article
    由于饮食成分直接输送到肝小叶的门静脉周围区,与静脉周围区域(区域3)相比,该区域(区域1)的损伤可能更大。我们调查了饮食果糖消耗与尿酸浓度以及门静脉周围和静脉周围区域差异区域损伤之间的关系。
    共有271名儿童的组织学图像在5个门静脉周围区和5个静脉周围区进行脂肪变性评分,气球,炎症和纤维化严重程度。评估膳食果糖消耗(g/d)并测量血清中的尿酸。进行Logistic回归以测试高果糖消耗和高尿酸血症之间的关联。以及门静脉周围和静脉周围区域的组织学疾病。
    研究对象包括平均年龄为12.5岁的儿童。门静脉周围和静脉周围区域的炎症(平均值±SD)增加(0.78±0.43vs0.41±0.48,P=.041)。脂肪变性没有明显的趋势,门静脉周围区的膨胀和纤维化。在完全调整的模型中,高果糖摄入与两个地区的疾病有关。门静脉周围和静脉周围区域的例子,分别,脂肪变性1.56(1.12,2.49)和1.21(1.09,2.73);炎症4.29(2.31,5.88)和3.69(2.14,4.56);和纤维化2.72(1.43,3.76)和1.96(1.24,2.37)。高尿酸血症(尿酸≥5.9mg/dL)与门静脉周区1.71(1.17,2.35)的炎症有关;并且与两个区域的脂肪变性和纤维化有关;例如,对于门静脉周围和静脉周围区域,分别,脂肪变性2.98(1.65,3.23)和1.14(1.05,1.99);和纤维化,2.65(1.35,2.99)和1.31(1.13,2.17)。
    高果糖消耗与小叶区的疾病严重程度相关,高尿酸血症可能与门静脉周围区更严重的疾病相关。
    As dietary components are delivered directly to the periportal zone of the liver lobule, there is the potential for greater injury in this zone (zone 1) compared to the perivenous zone (zone 3). We investigated the associations between dietary fructose consumption and uric acid concentrations and differential zonal injury in periportal and perivenous zones.
    A total of 271 children\'s histological images were scored in 5 periportal and 5 perivenous zones for steatosis, ballooning, inflammation and fibrosis severity. Dietary fructose consumption (g/d) was assessed and uric acid measured in serum. Logistic regression was undertaken to test associations between both high fructose consumption and hyperuricaemia, and histological disease in periportal and perivenous zones.
    Children with a mean age of 12.5 years were included in the study. Inflammation (mean ± SD) was increased in the periportal vs perivenous zones (0.78 ± 0.43 vs 0.41 ± 0.48, P = .041). There were non-significant trends towards greater steatosis, ballooning and fibrosis in the periportal zone. In the fully adjusted models, high fructose intake was associated with disease in both zones. Example for periportal and perivenous zones, respectively, steatosis 1.56 (1.12, 2.49) and 1.21 (1.09, 2.73); inflammation 4.29 (2.31, 5.88) and 3.69 (2.14, 4.56); and fibrosis 2.72 (1.43, 3.76) and 1.96 (1.24, 2.37). Hyperuricaemia (uric acid ≥5.9 mg/dL) was associated with inflammation in the periportal zone 1.71 (1.17, 2.35); and was associated with steatosis and fibrosis in both zones; for example, for periportal and perivenous zones, respectively, steatosis 2.98 (1.65, 3.23) and 1.14 (1.05, 1.99); and fibrosis, 2.65 (1.35, 2.99) and 1.31 (1.13, 2.17).
    High fructose consumption is associated with disease severity in both lobular zones and hyperuricaemia may be associated with more severe disease in the periportal zone.
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  • 文章类型: Journal Article
    目的:阐明猪和人经皮肝穿刺门静脉栓塞(PTPE)后与肝萎缩相关的组织学变化。
    方法:作为初步研究,我们在时间依赖性肝萎缩模型中对5只接受PTPE的猪的肝脏标本进行了病理学检查.在栓塞叶(EMB)和非栓塞叶(对照)的标本中,我们测量了门静脉到中心静脉的距离(PV-CV),每个小叶肝细胞的面积和数量,和使用末端脱氧核苷酸转移酶dUTP缺口末端标记测定法的凋亡活性。评估了轻链3(LC3)和溶酶体相关膜蛋白2(LAMP2)作为自噬标记物以及谷氨酰胺合成酶和细胞色素P4502E1(CYP2E1)作为代谢分区标记物的免疫组织化学反应性。类似地检查了PTPE后20-36天采集的十个人肝脏的样品。
    结果:在第0天,EMB和对照组之间的PV-CV和小叶面积没有差异,但在第2、4和6周,EMB低于对照组(P≤0.001)。在第0天和第2周时,EMB中的肝细胞数量没有显着减少,但在第4周和第6周时减少(P≤0.05)。在第0天和第4周,EMB的凋亡活性高于对照组。LC3和LAMP2染色在第2周时在EMB中达到峰值,在第4周和第6周EMB与对照之间没有显著差异。在第2、4和6周,EMB中的谷氨酰胺合成酶和CYP2E1分区比对照组窄。人的结果与猪标本的结果一致。
    结论:PTPE后肝萎缩的机制有两个组织学阶段:肝细胞萎缩可能是由前2周的自噬和此后的凋亡引起的。
    OBJECTIVE: To clarify the histological changes associated with liver atrophy after percutaneous transhepatic portal embolization (PTPE) in pigs and humans.
    METHODS: As a preliminary study, we performed pathological examinations of liver specimens from five pigs that had undergone PTPE in a time-dependent model of liver atrophy. In specimens from embolized lobes (EMB) and nonembolized lobes (controls), we measured the portal vein to central vein distance (PV-CV), the area and number of hepatocytes per lobule, and apoptotic activity using the terminal deoxynucleotidyl transferase dUTP nick-end labeling assay. Immunohistochemical reactivities were evaluated for light chain 3 (LC3) and lysosomal-associated membrane protein 2 (LAMP2) as autophagy markers and for glutamine synthetase and cytochrome P450 2E1 (CYP2E1) as metabolic zonation markers. Samples from ten human livers taken 20-36 d after PTPE were similarly examined.
    RESULTS: PV-CVs and lobule areas did not differ between EMB and controls at day 0, but were lower in EMB than in controls at weeks 2, 4, and 6 (P ≤ 0.001). Hepatocyte numbers were not significantly reduced in EMB at day 0 and week 2 but were reduced at weeks 4 and 6 (P ≤ 0.05). Apoptotic activity was higher in EMB than in controls at day 0 and week 4. LC3 and LAMP2 staining peaked in EMB at week 2, with no significant difference between EMB and controls at weeks 4 and 6. Glutamine synthetase and CYP2E1 zonation in EMB at weeks 2, 4, and 6 were narrower than those in controls. Human results were consistent with those of porcine specimens.
    CONCLUSIONS: The mechanism of liver atrophy after PTPE has two histological phases: Hepatocellular atrophy is likely caused by autophagy in the first 2 wk and apoptosis thereafter.
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