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Biomedical subjects

T Tervo

Publications and source records attributed to T Tervo.

At least 109 records · Page 6Linked to original sources

Histochemical demonstration of adrenergic nerves in the stroma of human cornea.

Both fetal and adult human corneas were subjected to a variety of histochemical techniques for the demonstration of catecholamines. The techniques included both sodium-potassium-glyoxylic acid-induced fluorescence (SPG) and formaldehyde-induced fluorescence after freeze-drying (FIF) procedure. In fetal corneas the presence of adrenergic nerve fibers could be demonstrated by both SPG and FIF techniques. In contrast, in adult human corneas the adrenergic nerves could be identified only with the SPG technique, whereas with FIF the identification of specific catecholamine fluoresence was not possible due to extensive collagen autofluorescence.

Adrenergic Fibers↗

Distribution of fibronectin in human and rabbit corneas.

In order to study the possible role of fibronectin (FN) in corneal wound healing and the relationship between FN and sensory innervation, FN was demonstrated immunohistochemically in both normal and sensorily denervated rabbit corneas and in normal or tissue-cultured human corneas. The distribution of FN was the same in the groups examined: a thin subepithelial band of FN-like immunoreactivity was seen at the level of epithelial basement membrane and at the stromal side of Descemet's membrane. Epithelial abrasions were also performed in both normal and denervated rabbit corneas. The results were compared with those obtained from organ-cultured human corneas. Following abrasion of the corneal epithelium, FN was detected in the anterior margin of the denuded stroma 18 hr after the operation in the areas where the epithelium had not healed, but not 49 hr after. Sensory denervation did not affect the distribution of FN in normal, denervated or healing rabbit cornea. It is concluded that FN is probably not controlled by sensory innervation.

Animals↗

Vasoactive intestinal polypeptide-like immunoreactive nerves to the human eye.

Using immunohistochemical techniques, vasoactive intestinal polypeptide (VIP) is visualized in nerves distributed to the human eye. Immunoreactive nerve fibers occur about limbal blood vessels and within the trabecular meshwork. In the iris, free-running stromal nerves are the most common, but nerves to both dilator and sphincter muscles are present as well. Immunoreactive nerves are seen within the ciliary muscle and occasionally within a ciliary process. Innervation to choroidal blood vessels constitutes a prominent feature; innervation to more anterior uveal blood vessels is seen only irregularly. Immunoreactive to more anterior uveal blood vessels is seen only irregularly. Immunoreactive nerves are apposed to melanocytes throughout the uvea. The present findings extend prior reports in the human eye, indicating a potential role for VIP in ocular physiology. Additional neuroanatomical, biochemical and physiological studies are necessary to define fully the ocular function of VIP and to determine ultimely whether VIP has clinical and pharmacological implications.

Aqueous Humor↗

Chondromalacia patellae. Results of operative treatment.

The series consisted of 26 patients operated on in 1972-1978 for chondromalacia patellae. The patients were followed up an average of 4.6 years after the operation. The operation involved one knee in 21 patients, both knees in 5. The primary operation was carried out for lesions of the articular cartilage of the patella alone in 18 cases (in 6 of these a second operation was necessary) and for a biomechanical disturbance of the patellofemoral joint in 13 cases. Degenerative changes of the patellar cartilage were observed at anatomo-pathological examination in 29 of 31 knees. On average, the patients' symptoms were alleviated after the operation, but comparison of different types of operation showed a statistically significant improvement only after operations that modified the biomechanics. The results confirm the view that symptoms originating in the patellofemoral joint often are due to biomechanical disturbances of this joint and the extensor system of the knee, and that the removal of injured cartilage alone is not sufficient.

Absenteeism↗

Histochemical evidence of limited reinnervation of human corneal grafts.

Acetylcholinesterase (AChE) positive nerve fibers were demonstrated histochemically in the normal human cornea and in 3 corneal grafts obtained after retransplantation. In the normal cornea AChE positive nerves form stromal nerve bundles, which divide into smaller branches contributing to the basal epithelial nerve plexus. Intraepithelial terminals are branches of this plexus. In a grafted cornea obtained 29 years after surgery the epithelium was innervated by a basal epithelial plexus, but only a few stromal nerve trunks had regenerated despite the long post-operative time. Corneal sensitivity had not returned to normal in this case. The remaining grafts, obtained less than 3 years after surgery, contained very few nerves. It seems that neither the architecture nor the density of corneal nerves fully regenerate in the graft cornea, and this probably explains why sensitivity does not return to normal.

Acetylcholinesterase↗

Evidence for sympathetic neural influence on human corneal epithelial function.

Patients with unilateral Horner's syndrome were studied to determine the influence of sympathetic innervation on the structure and function of the human cornea. There was no difference in total corneal thickness, corneal oxygen uptake rate or corneal touch threshold between the normal and Horner's eyes of these patients. Epithelial thickness, however, was slightly but significantly greater in the Horner's eye than in the normal fellow eye (P less than 0.025). When subjected to a hypoxic "Stress Test", patients with post-ganglionic lesions showed significantly more epithelial greying and microcystic oedema (P less than 0.025 and P less than 0.01, respectively) and reported seeing smaller and brighter haloes in the Horner's eye. The cornea of the affected eye of these patients also showed a significantly shower rate of deswelling in the first hour following the "Stress Test" (P less than 0.05). These findings suggest that both in the resting state and when the cornea is physiologically challenged, the sympathetic nervous system and in particular, the terminal sympathetic neuron, has a small but significant influence on the human corneal epithelium.

Adult↗

Immunohistochemical evidence for preproenkephalin A synthesis in human retinoblastoma.

Human retinoblastoma contains clusters of cells immunoreactive for methionine-enkephalin and methionine-enkephalin-arginine-phenylalanine. Some tumour cells also exhibited methionine-enkephalin-arginine-glycine-leucine-like immunoreactivity. The results are in agreement with those obtained with similar testing of neuroblastoma cell cultures. It is concluded that some human retinoblastoma cells are capable of synthesizing preproenkephalin A or parts of this molecule.

Cells, Cultured↗

Bubbles and hematologic alterations in intracranial veins during experimental decompression sickness.

Rats were exposed to 6.1 bar (abs.) air for 90 min and subsequently decompressed to the ambient pressure. After a decompression rate of 6.8 bar/min pial veins and superior sagittal sinuses were found to contain gas bubbles; no intravascular bubbles were observed subsequent to a decompression rate of 1.5 bar/min. Under the electron microscope platelet aggregates were observed at both the electron-dense layer of the blood-bubble interface and in pial veins with no bubbles. It is concluded that during decompression sickness bubbles and both activation and aggregation of platelets occur in intracranial veins. Subsequent venous congestion may contribute to the neuronal lesions and symptoms of acute decompression sickness.

Animals↗

Proximal osteotomy of the tibia in the treatment of osteoarthritis of the knee.

A total of 50 patients with osteoarthritis of the knee joint treated by proximal osteotomy of the tibia were followed up 1-5 years after operation. Fusion occurred within an average of 24 weeks. The subjective result of the treatment was good or fair in 44/50 patients. The results were the same 1-2 years and 4-5 years postoperatively. Half the patients showed some significant general disease, most usually hypertension or cardiac disease. Although the patients' subjective condition was significantly better after than before operation, the treatment did not improve or maintain their working capacity. Preoperatively 29 patients worked, while this number was reduced to 12 at the time of follow-up, and two of the latter patients had been trained for new occupation.

Adult↗

Substance P fibres in the anterior segment of the rabbit eye.

Some laboratories have obtained diverging results regarding the presence of substance P fibres in the cornea possibly because different antibodies were used. This has been further investigated by comparing results with several antibodies on identically treated sections from the anterior segment of rabbit eyes. In the uvea all antisera gave identical results showing substance P fibres in the iris and ciliary processes. In the cornea, on the other hand, polyclonal rabbit or guinea-pig antibodies gave high background fluorescence and no immunofluorescence fibres were detected. In contrast, the background staining was low with the monoclonal antibody so that substance p immunoreactive fibres could be demonstrated subepithelially, intraepithelially and in the corneal stroma.

Animals↗

Immunohistochemical demonstration of substance P in the lower respiratory tract of the rabbit and not of man.

Substance P (SP)-immunoreactive nerve fibres were searched for at all levels of both fetal and adult human lower respiratory tract. Because the demonstrability of substance P immunoreactivity varies between different animal species, rabbit pulmonary tissue was also subjected to SP immunohistochemistry. Human irises and corneas served as positive human controls. The specimens were taken from 10 human lungs during pulmonary operations. Tracheal tissue was obtained from three patients during bronchoscopy. Five fetal human lungs were examined. Human specimens examined included the trachea, main bronchi, segmental bronchi, and peripheral pulmonary tissue. In addition, the tracheobronchial tissues of four rabbits were studied. SP immunoreaction was demonstrated in formaldehyde-fixed cryostat sections by either the indirect immunofluorescence technique or the peroxidase-antiperoxidase procedure. Both monoclonal and conventional antibodies to SP were tested. In the rabbit SP-immunoreactive nerves were found in both the submucosa and the smooth muscle layer of the main bronchi and trachea. Specimens from human trachea, bronchi, and bronchioli were all negative. Since the SP immunoreaction was easily demonstrated in both human cornea and human iris, it was concluded that there are no SP-immunoreactive nerves in the human pulmonary tissues or that their SP content is very low and below the sensitivity of all the techniques used.

Animals↗

Substance P immunoreaction and acetylcholinesterase activity in the cornea and Gasserian ganglion.

Nerves showing acetylcholinesterase (AChE) activity or immunoreactivity for substance P (SP) were demonstrated in the human cornea. AChE-positive fibres were found in stromal nerve trunks from where they penetrated Bowman's membrane and formed a basal epithelial plexus. Intraepithelial terminals arose from this network. SP immunoreactive nerve fibres showed similar architecture but were fewer. Both SP immunoreaction and histochemical AChE reaction were demonstrated consecutively in the same tissue section cut from both human and rabbit cornea. Stromal nerve trunks were found to contain SP immunoreactive and AChE-positive nerve fibres. However, the AChE-positive fibres were much more frequent than those immunoreactive for SP. In the rabbit Gasserian ganglion all neurons showed AChE activity but only some 20% were SP positive. It is concluded that all the sensory trigeminal nerve fibres of the cornea show AChE activity but only a proportion of them contain SP-like material.

Acetylcholinesterase↗

Substance P immunoreactivity in normal human retina and in retinoblastoma.

Substance P (SP) immunoreactivity was demonstrated using the indirect immunofluorescence technique in one normal and one retinoblastomatous human retina. In the normal retina SP immunoreaction was located in nerve fibres but not in the neurons in the inner plexiform layer. A similar location was observed in the histologically normal areas of the retinoblastoma sample. SP immunoreactive neurons, probably amacrine cells, were, however, observed in the transitional area between the normal retina and the tumour. The tumour mass, although mainly SP negative, contained clusters of pleomorphic cells with an intense SP immunoreaction. The general distribution of SP immunoreaction in human retina resembles that of other mammals. The positive SP immunoreaction in retinoblastoma cells suggests that the tumour either may have its origin in the amacrine cells or that the retinoblasts are capable of redifferentiating in the direction of the amacrine cell population. The general problems concerning the origin and pathogenesis of retinoblastoma are discussed.

Child, Preschool↗