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Biomedical subjects

H Rask-Andersen

Publications and source records attributed to H Rask-Andersen.

At least 73 records · Page 4Linked to original sources

Variations in surgical anatomy of the endolymphatic sac.

Twenty-nine specimens of the extraosseous portion of the human endolymphatic sac (ES) were serially sectioned longitudinally. The length and width of the extraosseous ES were measured and the surface area was calculated. As the specimens included the sigmoid sinus (SS), the relationship between the ES and the SS was analyzed. The extraosseous ES varied considerably in size. The lumen either consisted of a single tube or was subdivided into several tubules. The distal part of the ES overlapped the SS in one third of the specimens. The results indicate that a minute extraosseous ES could explain the sometimes difficult task of localizing this structure at ES surgery. The great variability in size might perhaps also explain the varying results of this surgery.

Adult↗

Immunohistochemical localization of Na+, K+-ATPase in the human endolymphatic sac.

The presence and distribution of the transport protein complex Na+,K+-ATPase in the human endolymphatic sac (ES) was demonstrated immunohistochemically using a monoclonal antibody directed toward the denatured catalytic subunit of Na+,K+-ATPase from lamb kidney medulla. Our findings support an active transcellular ion exchange by the ES epithelium with subsequent passive transcellular and paracellular outflow of water. The possible role of the lateral intercellular spaces in the outflow of endolymph at the level of the ES is discussed.

Antibodies, Monoclonal↗

The basement membrane and associated structures in the murine endolymphatic sac.

The ultrastructure of the basement membrane of the murine endolymphatic sac was studied under various experimental conditions in labyrinthectomized and ethacrynic acid-treated animals and was compared with normal anatomy. The basement membrane was clearly visualized after staining with ruthenium red or dialyzed iron. The basement membrane of the murine sac consists of two different layers: the lamina rara and the lamina densa. It demarcates the border between the epithelial cells and the subepithelial connective tissue. Our findings suggest that the basement membrane acts as a physical support to the epithelium in the endolymphatic sac. The basement membrane also shows a dynamic capacity to form a new basement membrane, with the result that the lateral intercellular space between contiguous epithelial cells may be integrated with the subepithelial space. This system is believed to act as a macromolecular and bulk water transport system. In the subepithelial space, collagen, reticular and elastic fibrils are found having a close relationship to the basement membrane. The elastic fibres are presumed to play a role in the pressure-regulating mechanism in the endolymphatic sac.

Animals↗

The surface morphology of the endolymphatic sac of the Mongolian gerbil (Meriones unguiculatus) (a scanning electron microscopic study).

A scanning electron microscopic study of the endolymphatic sac of the mongolian gerbil is presented. As described in other animal species and in man, three rather distinct regions on the epithelial surface can also be recognized in this rodent. Light and dark cells are seen to line the sac epithelium throughout. At the level of the intermediate portion, however, a different cell type--the granular cell--is present, with its luminal surface covered by large amounts of solid material. On the basis of light and transmission electron microscopic studies presented elsewhere, a higher degree of functional specialization in this portion of the gerbilline sac is proposed.

Animals↗

Ruthenium red staining of the endolymphatic sac in the guinea pig.

The ultrastructure of the guinea pig endolymphatic sac was studied, using the ruthenium red staining technique. The dye stained the apical cell surface coat and the homogeneous substance in the luminal space of the endolymphatic sac, when introduced from the luminal side of the epithelium. It is suggested that the surface coat and homogeneous substance may play an important part in the endolymph regulatory mechanism in the endolymphatic sac. When ruthenium red was introduced from the subepithelial side, the basolateral surface of the epithelial cells usually became brightly stained in the absence of staining of the apical cell surface, due to the presence of the tight junctions. In some instances, however, the dye penetrated beyond the level of the tight junctions. Pinocytotic vesicles and larger vacuoles in the epithelial cells were also sometimes stained, both apically and near the lateral cell surface. These findings suggest that endolymph efflux mechanisms in the endolymphatic sac may involve the combined actions of a paracellular and transepithelial flow as well as a transcellular, vacuolar bulk flow.

Animals↗

Effects of ototoxic diuretics (loop diuretics) on the endolymphatic sac.

The acute and chronic effects of treatment with ethacrynic acid (EA) and furosemide (FU) on the structure of the murine endolymphatic sac were studied by means of light and transmission electron microscopy. The animals were treated with loop diuretics in doses which are known to cause morphological alterations of the stria vascularis and a significant reduction of the endocochlear potential. A single intravenous injection of either EA or FU resulted in immediate morphological changes such as an increase in cytoplasmic contents of endoplasmic reticulum and more prominent Golgi structures of the light cells. These cells developed membrane-bound granules and a smooth tubular network in the apical cytoplasm. These findings together with the appearance of a precipitate on the luminal aspect of the cell membrane suggested secretory activity. Ten days after daily intraperitoneal injections with loop diuretics in subtoxic doses, the epithelial cytoarchitecture of the endolymphatic sac was altered, with pronounced veiling of the light cells by the dark cells. It is concluded that the changes in the endolymphatic sac epithelium after treatment with ototoxic diuretics may not be a result of a primary toxic effect on the sac per se, but rather be secondary to alterations in fluid and ion homeostasis in the rest of the inner ear.

Animals↗

Ultrastructural localization of carbonic anhydrase and its possible role in the endolymphatic sac.

Carbonic anhydrase was detected histochemically in the guinea pig endolymphatic sac. The enzyme reaction was positive in both light and dark epithelial cells. In the former, the reaction product was found in the cytoplasm, especially around the intracytoplasmic vesicles and vacuoles. Reaction product was found in the basolateral infoldings as well. The dark epithelial cells also displayed carbonic anhydrase activity in the cytoplasm as well as in the lysosome-like bodies. It is suggested that this enzyme may be involved in (1) ionic or fluid regulation of the endolymph, (2) otoconia metabolism, and (3) phagocytotic activities.

Animals↗

Three-dimensional ultrastructure of the endolymphatic sac.

The subcellular structures of the epithelial cells of the guinea pig endolymphatic sac were studied. By using a newly developed scanning electron microscopy technique, the intracellular organelles could be studied three-dimensionally and the topographic relationships analyzed. The light epithelial cell has an extensive network of endoplasmic reticulum which is characteristically arranged in a baso-apical direction. The connections between the inner surface of the plasmalemma and the endoplasmic reticulum were observed, as were connections between the Golgi complex and the endoplasmic reticulum. Our findings support the hypothesis that the endoplasmic reticulum might form transcellular channels through which the cell can transport water and ions from the lumen of the endolymphatic sac out into the subepithelial tissue. The dark epithelial cells seen in particular contained the smooth type of endoplasmic reticulum. Lysosomes were also observed in the dark cells, indicating that these cells probably have more of a secretory function.

Animals↗

Ultrastructure of the endolymphatic sac in the mongolian gerbil.

We describe our findings in an ultrastructural study of the endolymphatic sac of the mongolian gerbil. In conjunction with its specific renal physiology, enabling this animal to withstand long-term water deprivation, we have used our findings to hypothesize the existence of a local monitoring system within the endolymphatic space. The presence of elastic tissue in the subepithelial space of the endolymphatic sac could explain the mechanism through which this structure equilibrates endolymphatic pressure changes. Finally, we propose that a secretion of water-retaining macromolecules may act through osmotic forces to modulate inner ear fluid.

Animals↗

The endolymphatic sac in a mouse mutant with cochleo-saccular degeneration. Electrophysiological and ultrastructural correlations.

The response of the endolymphatic sac to a disturbance in endolymph homeostasis was investigated by examining the sac in a mouse mutant, viable dominant spotting, which is known to exhibit primary strial dysfunction and cochleo-saccular degeneration. The function of the vascular stria was assessed by measuring the endocochlear potential and the sacs were then studied by light and transmission electron microscopy. The endolymphatic sac was found to be morphologically abnormal in these mutants, the main abnormality being the presence of granular epithelial cells, which showed clear histological signs of secretory activity. A stainable precipitate, believed to be secreted by the granular cells, was observed in the lumen of the endolymphatic sac in the mutants. The findings strengthen the view that the sac is involved in the regulation of endolymph volume and pressure.

Animals↗

Effects of high intensity pure tone stimulation on the endolymphatic sac. Correlations between cochlear morphology and endolymphatic sac response.

A systematic study of the effects of acoustic overstimulation on the endolymphatic sac (ES) in the guinea pig was performed. The ES was studied with light and transmission electron microscopy after exposure of the animals to a 3.85 kHz pure tone of 108 dB SPL or 120 dB SPL for 22.5 min (sound energy 9.4 and 150 Pa2 X h, respectively). The damage pattern in the organ of Corti was studied after various post-exposure times with SEM and correlated with the morphological characteristics of the ES in the same ear. This was made possible by using a modified technique for histological processing. In ears with induced structural abnormalities to the organ of Corti, the ES displayed few morphological changes without obvious signs of accumulation of cell debris within the lumen. Initially an increase in the amount of freely floating cells was found which persisted for at least 24 h. The role of the ES for disposal and digestion of locally produced degeneration products within the cochlea after acoustically generated structural damage is discussed.

Acoustic Stimulation↗

Human endolymphatic sac: possible mechanisms of pressure regulation.

The ultrastructure of the normal human endolymphatic sac (ES) has been observed by transmission electron microscopy (TEM). The role of the epithelium, the various regions of the subepithelial space and the general anatomy of the ES in pressure regulation were morphologically studied to generate testable hypotheses of human ES function. Light microscopic (LM) and TEM evidence of pressure regulatory mechanisms by endolymph resorption, mechanical factors, and secretory activity are presented. These mechanisms may be useful in designing experimental studies of the ES, and in interpretation of retrospective LM and TEM studies of patients with Menière's disease.

Adult↗

Basal lamina pathology of the utricle and endolymphatic duct in Ménière's disease.

Labyrinthectomy was performed in a patient with a 4-year history of Ménière's disease. The utricle and the proximal portion of the endolymphatic duct were studied using light and electron microscopy. The epithelium varied in height from squamous to columnar. The basal lamina lining the columnar epithelial cells showed marked thickening which was visible in the light microscope. Electron microscopy revealed that the basal lamina had a fibrillar structure. The basal lamina of adjacent blood vessels also showed pathologic thickening with similar fibrillar texture. The significance of basal lamina thickening in association with Ménière's disease is discussed.

Ear, Inner↗

The lateral intercellular spaces in the endolymphatic sac. A pathway for fluid transport?

The lateral intercellular spaces (LIS) in the epithelium of the endolymphatic sac in different mammals were studied using light and transmission electron microscopy. The reason for the study was that widened LIS are known to occur in fluid transporting epithelia, where they may reflect transepithelial flux of water and solutes. Increased knowledge about LIS may lead to further insight into the mechanisms of endolymph resorption in the endolymphatic sac. The effects of various fixatives, fixation methods and osmolality, and also of surgical labyrinthectomy, on the ultrastructure of LIS were investigated. Widened LIS regularly occurred in the mammalian endolymphatic sac and seem to reflect an in vivo condition. It is thought that LIS may form a pathway for transepithelial water flow in the endolymphatic sac. A hypothetical model of the function of LIS during transepithelial fluid movement in the sac is presented.

Animals↗

The ultrastructure of the human antral mucosa as demonstrated by freeze-fracturing.

The fine structure of the normal mucous membrane in the human maxillary sinus was investigated by means of the freeze-fracture technique. Special interest was directed to membrane structures in the epithelial cells. The morphology of tight junctions could be analysed. According to morphological criteria these junctions might be classified as "very tight". So called ciliary necklaces were well distinguishable. Their morphology seemed to be in concordance with the structure reported in other mammalian respiratory epithelia. Abluminally the epithelial cells frequently displayed abundant caveolae or micropinocytotic vesicles. The present investigation was performed as a preface to later studies on pathologically altered antral mucosa.

Cilia↗