Biomedical subjects

U Friberg

Publications and source records attributed to U Friberg.

95 records · Page 6Linked to original sources

PubMedDate not supplied

Human endolymphatic duct: possible mechanisms of endolymph outflow.

The ultrastructure of the normal human endolymphatic duct (ED) was observed by transmission electron microscopy. The role of the epithelium, the various regions of the subepithelial space, and vasculature in the resorption of endolymph was morphologically studied in order to generate testable hypotheses of human ED function. These hypothetical mechanisms of endolymph outflow at the level of the ED are a passive transcellular movement of water across the epithelium, driven by an osmotic gradient created by a subepithelial organic matrix; an active transcellular ion exchange with a passive transepithelial outflow of water, which stresses the importance of the dilated lateral intercellular spaces; and an active transcellular vacuolar endolymph outflow, whereby high molecular weight substances are removed by the ED. These mechanisms may be useful in designing experimental studies of the ED and in interpretation of retrospective light microscopic and transmission electron microscopic studies of patients with Meniere's disease.

Adult↗

PubMedDate not supplied

Human endolymphatic sac: morphologic evidence of immunologic function.

The ultrastructure of ten normal human endolymphatic sacs (ES), fixed immediately after death and obtained at autopsy, was observed by transmission electron microscopy. The roles of the epithelium, subepithelial space, vasculature, and ES leukocytes were morphologically studied to evaluate possible immunologic functions of the human ES. In addition, five intraosseous ES biopsies from patients undergoing translabyrinthine acoustic neuroma resection were studied using the immunoperoxidase technique to identify specific leukocyte subpopulations. Evidence of phagocytic activity included the presence of phagocytic epithelial cells, monocytes, macrophages, and polymorphonuclear leukocytes. Immune surveillance was suggested by intraepithelial and subepithelial T-lymphocytes, numerous fenestrated blood vessels, and the presence of a homogeneously staining substance within the lumina of ES epithelial tubules. No B-lymphocytes were found. The findings support the existence of a local immune system of the normal human inner ear.

Adult↗

PubMedDate not supplied

Effect of labyrinthectomy on the endolymphatic sac. A histological, ultrastructural and computer-aided morphometric investigation in the mouse.

A time sequence study of the effect of hemilabyrinthectomy on the endolymphatic sac was performed in mice. Light and transmission electron microscopy of the sac showed significant morphological changes of the epithelial lining and adjacent structures. Initially (2 and 4 days post-labyrinthectomy) the sac lumen was collapsed, but later (7 days post-labyrinthectomy) it was dilated or 'ballooned' and filled with a darkly staining homogeneous substance. This substance, which has been identified histochemically as a proteoglycan, appeared to be secreted from the epithelium of the endolymphatic sac. This finding suggests that the endolymphatic sac may be capable both of absorbing and of secreting endolymph.

Animals↗

PubMedDate not supplied

Degradation of the homogeneous substance in the endolymphatic sac.

The accumulation and degradation of a homogeneous precipitate in the lumen of the endolymphatic sac (ES) was studied in mice. Filling of the endolymphatic sac was induced by surgical labyrinthectomy and the sacs were studied 1-8 weeks postoperatively. The initial phase (1-2 weeks postlabyrinthectomy) was characterized by filling of the ES with the homogeneous precipitate. The number of freely floating cells in the lumen was increased after two weeks. Three weeks postoperatively the ES lumen was generally clear, with apparently no stainable material. Ultrastructural analysis of the ES showed that this clearance of the endolymphatic space resulted from degradational activity in the epithelial cells initiated in the proximal portion of the sac. Breakdown of the homogeneous substance seemed to result from cellular ingestion with concomitant lysosomal digestion. Four weeks postoperatively cell clusters were observed subepithelially and were filled with densely staining precipitate, indicating that these cells or macrophages were involved in the turnover of the homogeneous substance in the ES. The functional significance of a degradational system of this substance in the ES is discussed.

Animals↗

PubMedDate not supplied

Hyaluronan content in human inner ear fluids.

Histochemical analyses of the luminal contents of the endolymphatic sac in numerous mammalian species have indicated a presence of acid mucopolysaccharides or proteoglycans. In the present study, one of these substances, hyaluronan (hyaluronic acid; HA), in endolymphatic sac endolymph and vestibular perilymph in humans, was biochemically determined with a highly specific radioassay. A considerable variation in HA concentration was noted between the individual ES endolymph samples, with a mean value of 2.50 micrograms/g (range 0.00-10.86). In perilymph the HA concentrations were less variable and the mean concentration was 0.91 micrograms/g (range 0.56-1.51). The difference between endolymph and perilymph HA concentration was not statistically significant (p greater than 0.05). The ability of HA to interact with proteoglycans, thereby forming giant hydrophilic molecules, could be important for ES function. These molecules may create a swelling pressure which is resistant to compressive forces that under conditions of increased intracranial hydrostatic pressure otherwise could cause ES collapse and impaired function.

Adult↗