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PubMed1994

Pathology of the elastic tissue of the skin in Costello syndrome. An image analysis study using mathematical morphology.

Only nine cases of Costello syndrome have been described so far. No definitive pathologic abnormalities have been found on skin biopsies. We undertook a quantitative study of the elastic tissue of the skin in one case of Costello syndrome in order to obtain objective scores of area, fragmentation, branching and texture of the elastic tissue, comparing it to cutis laxa syndrome, Ehlers-Danlos syndrome and normal skin. The results showed an increasing fragmentation score and loss of anastomosing points in elastic tissue in Costello syndrome and cutis laxa syndrome in relation to normal skin. Thus, we conclude that image analysis revealed, in Costello syndrome, a state of disorder akin to that of cutis laxa syndrome. Therefore, both syndromes might have a common pathogenesis as far as elastic tissue is concerned. However, other cases should be analyzed to validate our conclusions on statistical grounds.

Child↗
PubMed1979

The histomorphology of the elastic tissue system in the skin of the human hand.

This study compares the effectiveness of the Verhoeff and Puchtler-Sweat resorcin fuschin methods of staining the elastic tissue of palmar and dorsal skin specimens of the human hand. The resorcin stain demonstrates the "oxytalan" fibres of the elastic tissue system in the dermal papillary layer of the palmar skin. Oxytalan fibres are not generally demonstrated by the Verhoeff method and are not demonstrated in the dorsal skin specimens. These studies substantiate the existence of a system of elastic tissue fibres in the skin of the hand. The inter-relationship of the elastic and collagenous fibres appears to complement each of their functions; namely, in anchoring the dermo-epidermal junction, absorbing the stresses of stretch and compressive forces and return the tissues to their original state of tension, and providing protection to the dermal appendages in addition to lending a gradient mobility transmitted through the dermis to the subcutaneous layer to give suppleness and mobility to the skin.

Adult↗
PubMed1991

A study of elastic tissue and actinic radiation in "aging," temporal arteritis, polymyalgia rheumatica, and atherosclerosis. The actinic storm in the modern world.

Solar radiation provokes a lifelong series of destructive changes in the supporting elastic tissues of "exposed" skin. Called actinic elastosis/lysis (or actinic "aging"), the sequence begins in early life as simple elastic hyperplasia, converts in middle life to progressive actinic elastotic degeneration, and, in late life, typically ends with a stage of resorption (elastolysis) and atrophy ("aged" skin). Superficial "exposed" arteries such as the temporal artery participate in the same sequence of degenerative elastotic changes, which, as in the skin, may provoke granulomatous responses in a few of the many subjects affected. In the case of the temporal artery, a contingent outcome may be giant cell (temporal) arteritis and its recognized systemic vascular expression, polymyalgia rheumatica. Actinic commotion at the surface of the body is often massive in degree and extent and may be expected to exert a deleterious autoimmune impact on the essential elastic tissues of the arterial system. For this reason, solar radiation should be recognized as a risk factor for other elastic-related vascular diseases, including atherosclerosis and aneurysms. Man-made radiations may be exacerbating the effects of predominant solar radiation. Of the many radiant bands that make up the actinic (electromagnetic) spectrum, little is known for certain about the identity of those that cause these prevalent disorders of elastic tissue. Until this void is filled, more care should be taken with solar and the other "safe" radiations.

Arteriosclerosis↗
PubMed1977

Elastic tissue in the limiting membrane of the human seminiferous tubule.

The structure and distribution of elastic tissue were studied in the limiting membrane of the seminiferous tubule from normal human testis. The elastic and elastic-related fibers (oxytalan and elaunin) were recognized by their tinctorial and ultrastructural characteristics. The connective structures of the limiting membrane, including the fibrotubules and the amorphous material of the elastic system, were studied after tannic acid-glutaraldehyde fixation. Fibrotubules (oxytalan fibers) were observed in almost all intercellular spaces of the limiting membrane, closely related to the contractile cells; the elaunin fibers (patches of amorphous material surrounded by bundles of fibrotubules) were evident in the outermost layers. The function of this system of elastic tissue and myoid cells is discussed, considering the permeability membrane and the role of the myoid cells in the elastogenesis and contractility of the seminiferous tubule.

Elastic Tissue↗
PubMed2005

The effect on IMRT conformality of elastic tissue movement and a practical suggestion for movement compensation via the modified dynamic multileaf collimator (dMLC) technique.

A major remaining problem in delivering radiotherapy, specifically intensity-modulated radiation therapy (IMRT), is the need to accommodate and correct for intrafraction movement. The developing availability of 4D computed tomographic images can potentially form the basis of the new field of image-guided IMRT. It is important to understand the effects on delivered dose of the patient breathing during IMRT and this paper models the effect which applies whether there is or is not a time component to the IMRT delivery method. It then goes on to suggest a practical correction strategy. The 'stretch-and-shift-the-planned-modulations' strategy is proposed and a practical method to deliver this is explained. This practical strategy is based on a modification of the dynamic multileaf collimator IMRT method whereby the leaves are arranged to 'breath' in tandem with the breathing of the patient. Some examples are also given from a study of mismatching the patient and leaf-correction motions.

Algorithms↗
PubMed1985

Three-dimensional architecture of elastic tissue in early atherosclerotic lesions of the rat aorta.

The overall three-dimensional architecture of elastic tissue in early atherosclerotic lesions of the rat aorta was studied using scanning electron microscopy (SEM) after hot-formic acid extraction followed by a freeze-drying method. These lesions were induced by feeding the rats a diet containing 2% cholesterol, 0.5% cholic acid and 0.2% methylthiouracil. SEM revealed two types of alterations in the elastic tissue; one was an increase in the dome-like elastic lamina with few fenestrations that might be due to the reduplication of the internal elastic lamina (IEL), and the other was an increase in fibrous elastin, generally oriented longitudinally in the intima. The former was discussed with respect to its barrier function to such macromolecules as fibrinogen and low density lipoprotein (LDL), and was assumed to be a structure related to prevention of early atherosclerotic lesions.

Animals↗
PubMed1991

Immunoelectron microscopic localization of elastic tissue components in archival tissue samples.

Tissue samples that have been stored for many years, in different media and under a variety of conditions, have been examined by modern techniques of immunoelectron microscopy, using antibodies against elastic tissue components. A range of postembedding restorative procedures has been identified, which will allow reliable immunolocalization of antibodies against the elastic tissue component of such specimens. These methods have been applied successfully to autopsy-derived material, fixed in buffered formaldehyde, to archival material stored frozen at -70 or -20 degrees C, to specimens fixed for electron microscopy and stored for many years in buffer, and even to archival material from formaldehyde-fixed, paraffin-embedded blocks, reprocessed for electron microscopic examination. The successful restorative methods included pre-treatment of the sections with 6 M guanidine hydrochloride, or 1 M Tris/saline, each containing 100 mM dithiothreitol (a reducing agent) followed by alkylation with 220 mM iodoacetamide. The application of these techniques allowed reliable study of elastic tissue antibody distributions in archival tissues that could not be obtained again, as well as comparative studies with tissues processed many years previously.

Animals↗
PubMed2003

Features of elastic tissue staining and its arrangement in the wall of human basilar artery.

OBJECTIVES: 1. To evaluate the effectiveness of the main elastic tissue staining methods in a. basilaris. 2. To study the arrangement of elastic fibers in human a. basilaris wall. MATERIALS AND METHODS: For anatomical material we used a. basilaris removed from cadavers of ten people who died from violent death, their age ranging from 21 to 30 years. We studied histological structure staining by Hematoxylin-Eosin, Orcein, Gomori and Van Gieson methods. The samples were examined under the microscope "Zeiss-Standart 25" and photographed with a MC80DX photocamera. RESULTS: The internal elastic lamina was distinctly seen while staining by Hematoxylin-Eosin, Orcein, Gomori and Van Gieson methods. The elastic fibers and muscle cells of the middle layer were hardly distinguished. We found collagen fibers and several elastic fibers in the external layer of the vascular wall. We studied the arrangement of elastic fibers in medial and cranial segments of human a. basilaris wall. CONCLUSIONS: Several staining methods have to be provided to differentiate the elastic fibers from collagen fibers and muscle cells in the best way, because only complex staining enables to differentiate one from another. Human a. basilaris has a mixed elastic-muscular structure. The elastic tissue distributes gradually in medial and cranial segments of a. basilaris medial layer. There is thin, sharp, solid and undulate internal elastic lamina in the internal layer. There are elastic fibers, smooth muscle cells and several collagen fibers in the middle layer of the vessel. The external layer of a. basilaris consists of several elastic fibers and the main part is occupied by collagen fibers.

Adult↗
PubMed1975

Pulmonary elastic tissue in generalized elastolysis (cutis laxa) and Marfan's syndrome: a light and electron microscopic study.

We have studied elastic tissue changes in the lungs from patients with Marfan's syndrome, generalized elastolysis, patients with emphysema of other cause, and those dying from unrelated causes. Degenerative changes were seen in the elastic tissue fibers in patient's with Marfan's syndrome; they varied from mild to severe. Elastic fibers in the lungs of patients with cutis laxa showed by light and electron microscopy the same morphologic changes previously reported in the skin and vessels. While the alterations in individual elastic fibers in the alveolar septa appeared similar, in cutix laxa there was severe involvement of almost all fibers, whereas in Marfan's syndrome the involvement was not so severe, nor did it affect all fibers. On examination of lung sections from patients with cutis laxa or Marfan's syndrome, both were readily separable from normal and abnormal controls.

Adult↗
PubMed1999

Arterial elastorrhexis: manifestation of a generalized elastic tissue disorder in beta-thalassaemia major.

Pseudoxanthoma elasticum-like lesions of the eye and skin are frequently observed in beta-thalassaemia, and there has been speculation about associated vascular lesions. This led to our study of histopathological material from thalassaemic patients. Histological re-examination was made of a series of 45 spleens and 45 surgical liver biopsies from 45 patients with beta-thalassaemia major, aged 6-25 yr and treated over the 20-yr period 1975-95. Correlations between clinical, laboratory and histological findings were demonstrated by statistical analysis. Arteriopathy characterized by fragmentation and multiple defects of the internal elastic lamina ('arterial elastorrhexis'), with deposits of iron and calcium salts, was found in the hilar arteries of the spleen with a frequency of 96%. Similar lesions were observed in the parenchymal arteries and the stromal elastic tissue ('stromal elastorrhexis') of the spleen, liver and lymph nodes. Arterial and elastic tissue alterations appear in the first decade of life and become generalized over the course of the disease, independent of the time of onset of transfusion and iron chelation therapy. Arterial elastorrhexis is the earliest and most frequent manifestation of a systemic elastic tissue disorder in beta-thalassaemia major. It appears to be an acquired pseudoxanthoma elasticum-like syndrome, related primarily to tissue hypoxia and disturbance of elastin metabolism.

Adolescent↗
PubMed1977

The elastic tissue of the adult dilated ureter.

Adult dilated ureters have been examined in order to calculate the amount of the elastic tissue. From the histological observations and by the chemical analyses performed on the extracted elastin a decrease of the elastic tissue, as compared to the normal adult ureters has been noted. In fact, in the adult normal ureters, the elastin accounts for 9% of the dry matter, while in the abnormal the elastin represents 6.5%.

Adult↗
PubMed2001

The Buschke-Ollendorff syndrome presenting as familial elastic tissue naevi.

We present a family with Buschke-Ollendorff syndrome presenting as elastic tissue naevi without evidence of osteopoikilosis. We discuss the variable expression of this syndrome in other families previously reported in the literature, the association of various connective tissue abnormalities and their correlation with the pathogenesis of this interesting condition.

Connective Tissue Diseases↗
PubMed1980

Follicular occlusion disease with elimination of abnormal elastic tissue.

A case of follicular occlusion disease with notably increased and abnormal elastic tissue and transepidermal elimination of elastic fibers is reported. This combination of findings has traditionally been regarded as unique to elastosis perforans serpiginosa and, to our knowledge, has not previously been described in other follicular diseases. It is hypothesized that the histopathologic changes seen in this case might be a nonspecific secondary alteration in the dermis caused by long-standing chronic inflammation and/or repeated exposure of the dermis to follicular contents.

Acne Vulgaris↗
PubMedDate not supplied

Scanning transmission electron microscopy mass analysis of fibrillin-containing microfibrils from foetal elastic tissues.

We have applied scanning transmission electron microscopy to intact native fibrillin-containing microfibrils isolated from foetal bovine elastic tissues in order to derive new insights into microfibril organisation. This technique provides quantitative data on the mass per unit length and axial mass distribution of unstained, unshadowed macromolecules. Scanning transmission electron microscopy of microfibrils from aorta, skin and nuchal ligament revealed that the beads corresponded to peaks of mass and the interbead regions to troughs of mass. These major features of axial mass distribution were characteristic of all microfibrils examined. Tissue-specific and age-dependent variations in mass were identified in microfibrils that were structurally comparable by rotary shadowing electron microscopy. Increased microfibril mass correlated with increasing gestational age. The additional mass was associated predominantly at, or close to, the bead. Some microfibril populations exhibited pronounced assymetry in their axial mass distribution. These data indicate that intact native microfibrillar assemblies from developing elastic tissues are heterogeneous in composition. Loss of mass following chondroitinase ABC or AC lyase treatment confirmed the presence of chondroitin sulphate in nuchal ligament microfibrillar assemblies.

Actin Cytoskeleton↗
PubMed1998

Acrokeratoelastoidosis of Costa: a primary disease of the elastic tissue?

A 24-year-old black woman from Uganda was seen for treatment of multiple papules on her hands and feet. The lesions corresponded microscopically to foci of hyperkeratosis and acanthosis. Acid orcein stain revealed marked elastic fiber fragmentation. Acrokeratoelastoidosis of Costa (AKE) was diagnosed. The same damage to the elastic fibers was also present in an additional specimen from grossly uninvolved skin. On electron microscopy there were pronounced changes of the elastic fibers with elastolysis in both specimens. This case with generalized damage of the dermal elastic tissue supports the view that elastorrhexis is the key feature of AKE. Accordingly, the disease could be regarded as a primary elastic tissue disorder. The marginal acral keratoderma that is seen in AKE patients could represent epidermal changes secondary to chronic trauma.

Adult↗
PubMed1989

Elastic tissue changes in generalized granuloma annulare.

The histological picture in granuloma annulare (GA) is well defined. The types of infiltrate and the changes in collagen and elastic tissue have been repeatedly described. This is a preliminary study focused on the elastic tissue changes in lesions of generalized GA. Biopsies from four patients were studied. Specimens of involved and uninvolved skin from both exposed and unexposed parts of the body were compared. Changes of actinic elastosis in the papillary dermis in each patient in different stages were observed only in the exposed skin. The typical GA infiltrate was located beneath, in the upper mid-dermis. In the zone of the infiltrate in all specimens--exposed and unexposed--with no regard to the severity of actinic elastotic changes, absence or a marked reduction of elastic material was noted with engulfment of elastic remnants in giant cells. Giant cells with phagocytosis of elastotic material were mostly located on the periphery of the granuloma in the upper as well as in the deeper portion, where elastic fibers were still present. This might support the suggestion that degenerating elastic fibers promote the granulomatous reaction that leads to the formation of granuloma annulare.

Aged↗