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[Ultrastructural aspects of the epidermis from a sun exposed and from a covered area in two cases of xeroderma pigmentosum (x. p.) and in two controls (author's transl)].

Xeroderma pigmentosum is rare among Caucasoids and seems to be rarer among Negroes. Advantage was taken of the observation of two cases in the latters to study the ultrastructure of the epidermis and to verify whether the findings were similar to those observed in the formers. The skin exposed to sunlight (forearm) and that from an covered area (buttock) were studied in the two cases and also in two controls, obviously from the same race. The tissue material was coded after each biopsy and identified only when the ultrastructural study was completed. The authors have noted vacuolization and rarely necrosis of melanocytes, great increase and polymorphism of melanosomes, abnormal melanization sometimes large masses of melanosomes and pre-melanosomes, some other aspects already described in x.p. They have also observed melanosomes disposed as cluster or grapes, and large and strange shaped keratohyaline granules in the squamous cell layer. Even in the unexposed skin there were polymorphism and increased amount of melanosomes. The macroscopic and ultrastructural changes of x. p. in the two Negroes were apparently similar to those observed in Caucasoids.

Adolescent↗

Ultrastructure of developing human ductus arteriosus.

Histological and ultrastructural studies were made of 25 specimens of human ductus arteriosus obtained from abortion of autopsy, and ranging in age from 15 weeks of gestation to 7 years. Samples of ductus with normal muscular type structure exhibited active intimal thickening as early as 15 weeks' gestational age when the internal elastic lamina was found to be focally discontinuous. At the same time, intimal smooth muscle cells were closely arranged, and often intimately connected to cells of the tunica media. Ultrastructurally, both smooth muscle cells and endothelial cells at 15 weeks' gestational age contained abundant glycogen deposits. From 18-32 weeks' gestational age, glycogen deposits gradually disappeared, collagen fibres began to appear in the extracellular space and the first signs of smooth collagen fibres began to appear in the extracellular space and the first signs of smooth muscle cell degeneration became apparent. After birth, intimal thickening and degeneration of smooth muscle cells was much more pronounced. The ultrastructure of intimal smooth muscle cells indicated that intimal thickening was caused by smooth muscle cell migration as opposed to rapid proliferation; and both intracellular and extracellular membrane-bound lipid-filled vacuoles were commonly seen in the more advanced stages of degeneration. Of the ductus specimens examined, three were rich in elastic fibres. Two of these three specimens were from a group of 10 abortion cases, and the third was from a 2 weeks old full term infant who had been exposed to maternal rubella. The 2 weeks old infant had a widely patent ductus arteriosus; whether the two fetal specimens with ductus elastosis would have eventually developed into clinical patent ductus arteriosus was not clear.

Ductus Arteriosus↗

A histological and ultrastructural comparison of the sulfur granule of the actinomycosis and actinobacillosis.

The sulfur granules of actinomycosis and actinobacillosis were studied histologically and ultrastructurally. The sulfur granule of actinomycosis was large, and oval or horsehoe-shaped. In it, there were a number of gram-positive, filamentous or short rod-like hyphae beneath clubs. Ultrastructurally, the center of the sulfur granule was composed of a cluster of hyphae, and the periphery was surrounded by clubs arranged radially. The clubs were made of electron-dense fine granules and had a degenerated hypha at the center. These granules varied in amount from small to large. As for the host reaction, neutrophil infiltration appeared first around the sulfur granule. Then epithelioid cells proliferated and phagocytized hyphae. Finally, proliferating fibroblasts enclosed them and formed tiny granulomas. The sulfur granule of actinobacillosis was small and lobulated. In it, a number of gram-negative, short rod-like bacteria were present beneath clubs. Ultrastructurally, the center of the sulfur granule contained intact or degenerated bacteria, and the periphery was composed of radially projecting clubs. These clubs were made of electron-dense amorphous material, in which several layers of tubular structures surrounded the bacterium conentrically. The host reaction was almost the same as that of actinomycosis. The proliferation of fibroblasts was prominent. There was a strong tendency for these cells to form many tiny granulomas.

Actinobacillosis↗

[Effect of low temperature on the ultrastructure of hepatocyte nuclei in 11-day-old chick embryos].

A study was made of the ultrastructure of nuclei of 11-day old chick embryos exposed to low temperature (-15 degrees C) for various periods of time and returned to the normal conditions of incubations (+37 degrees). The exposure to the low temperature induced some drastic ultrastructural alterations in the nuclear pore complex that involved the loss of lateral components of annulus (annular granules) and of the central granule. Some pores displayed a diaphragm or its structures (peripheral granules), whereas in other pores the pore complex material was seen totally disorganized. The degree of chromatin condensation in such nuclei increased. After the normal condition of chick embryo incubation was resumed, the ultrastructural organization of the chromatin and the pore complex appeared to be normalized. The pore complex reorganization occurred one hour after heating. It is suggested that the abnormal pore structure may correspond to an inactive state of the pore.

Animals↗

[Ultrastructure of rat Sertoli and Leydig cells normally and under prolonged internal irradiation].

The ultrastructure of the Sertoli and Leydig cells of rats under conditions of a long-term inner radiation has been studied. The inner radiation (intravenous injection of 75Se-selenomethionine) induced considerable alterations in the ultrastructure of these cells that, in their turn, led to functional changes in the cells. The ultrastructure of the Sertoli and Leydig cells was seen restored in 18 months after an injection of 75Se-selenomethionine. The importance of these alterations in the course of spermatogenesis is discussed.

Animals↗

Ultrastructural findings in lung biopsy material from children with congenital heart defects.

The ultrastructural features of pulmonary arteries are described in lung biopsy material from 6 children with congenital heart defects. Right ventricular hypertrophy was found in all 6 children and increased pulmonary artery pressure in all but one. The presence of muscle in smaller and more peripheral arteries than expected for the age of the child was detected in all cases. Ultrastructural examination of the peripheral arteries revealed, for the first time, in the nonmuscular regions of human arterial walls, pericytes and intermediate cells (previously shown to be precursor smooth-muscle cells); in addition, new arterial muscle was found in the normally nonmuscular region. In the 4 cases where medial thickness of the normally muscular arteries was increased, the smooth-muscle cells were hypertrophied and the extracellular connective tissue increased. In all cases, junctions between endothelial cells and smooth-muscle cells, intermediate cells, or pericytes were found. These changes are similar to those described in the rat with hypoxia-induced pulmonary hypertension. In addition, in 2 of the 6 cases, bundles of nerve axons in Schwann cell sheaths were found in adventitial layer of small, intraacinar muscular arteries (not previously demonstrated ultrastructurally at this site in the human lung); varicosities with agranular and granular vesicles, probably adrenergic, were also identified.

Axons↗

[Dermatofibrosarcoma protuberans developing for 25 years with 27 recurrences. Histological and ultrastructural study].

The authors report the results of a histological and ultrastructure study of a case of a protuberant dermatofibrosarcoma evolving for the last 25 years with 27 relapses. Histologically the tumour is dermic, non-encapsulated, invading the hypodermis right from the beginning and mainly made up of fusiform cells which often have a storiform appearance and proliferate in a varying degree of collagenous stroma which includes an oedematous or myxoid component. During the course of the evolution of this tumour, there were zones of cystic degeneration, but in the last 10 relapses in 1978 and 1979, we noted the predominance of cellular and compact zones with an increase in the number of mitoses. The ultrastructure study showed tumour cells containing a fairly well developed endoplasmic reticulum in the cytoplasm, a prominent Golgi apparatus and some pinocytic vesicles. Some of the cells also contained lysosomes and phagolysosomes, whereas others contained cytoplasmic filaments and contractile elements. The nuclei were in general elongated and irregular. Sometimes the cytoplasmic membrane was covered by an amorphous substance with a membranoid appearance. Between the cells sometimes there were junctions of the tight kind. In conclusion, the authors consider that this tumour has the histological characteristics of a protuberant dermatofibrosarcoma and at the ultrastructure level, it is made up of cells which put it in the group of myofibroblastic and histiocytic proliferating lesions.

Fibroma↗

Mixed small cell/large cell carcinoma of the lung. Report of a case with cytologic features and ultrastructural correlation.

BACKGROUND: Mixed small cell/large cell carcinoma of the lung, a chemotherapy- and radiation-resistant subtype of small cell lung cancer, constitutes 4-6% of small cell lung cancer but has been described rarely in the cytopathology literature. CASE: A 64-year-old man presented with a left hilar mass. A concurrent transbronchial biopsy and postbiopsy bronchial washing were performed. The latter presented as loosely cohesive cells, scattered singly, in small clusters, in monolayer sheets and in a perivascular arrangement. The tumor exhibited a wide spectrum of cytomorphology: small cells with pyknotic nuclei and scanty cytoplasm were admixed with larger cells with vesicular nuclei, prominent nucleoli and abundant cytoplasm. Nuclear shape included oval, spindle and peg. Nuclear size was also highly variable. The tumor was retrieved from the transbronchial biopsy and processed for ultrastructural study. CONCLUSION: Based on cytologic-ultrastructural correlations. the seemingly "mixed" morphology may have resulted from the rapid degeneration of a single clone of tumor cells: the viable tumor cells were the "large" cells, and the dying cells were the "small" cells. A novel ultrastructural observation is that the perivascular tumor cells developed peculiar, fingerlike cytoplasmic processes abutting an undulating basement membrane along the thin-walled blood vessel.

Carcinoma, Large Cell↗

A quantitative ultrastructural and chemical investigation of the accumulation of iodophilic polysaccharide in two cariogenic strains of Streptococcus mutans.

The amount of intracellular, iodophilic, glycogen-like polysaccharide (IPS) present in cells of two strains of Streptococcus mutans at various stages of growth in a chemically defined medium was determined by quantitative electron microscopy. The results obtained were then compared with the chemically determined, iodophilic polysaccharide content of cultures. The ultrastructural method used determined the fraction of area of central longitudinal sections of individual cells occupied by stained granules, and was therefore capable of determining amounts of polysaccharide in cells starved of glucose. Although the results of the two methods showed very good quantitative correlation, the ultrastructural method allowed study of glycogen synthesis on a cellular basis, and detected some heterogeneity in amounts of IPS stored by individual cells. The ultrastructural method also permits the detection of much smaller amounts of stored IPS than does the chemical method.

Cytoplasmic Granules↗

Littoral cell angioma of the spleen. A case report with ultrastructural and immunohistochemical observations.

We describe histological, immunohistochemical and ultrastructural findings in a case of littoral cell angioma of the spleen in a 44 year old man. Beside phagocytosis and heavy haemosiderin deposits in the cytoplasm, a very characteristic and hitherto undescribed feature of the littoral cells was focal accumulations of eosinophilic globules 0.5-2 microns in size, which often entirely filled the cytoplasm of the tumour cells. Ultrastructurally the globules were composed of abundant cytoplasmic deposits of lysosomes and residual bodies. The globules most probably originate from the phagocytized red blood cells, lymphocytes and plasma cells. Immunohistochemically the tumour cells reacted positively with antibodies against factor VIII-related antigen, KiM1P, KP1 and lysozyme and negatively with antibodies against cytokeratins AE1-AE3, EMA and S-100 protein. Ultrastructurally the tumour cells often formed long cytoplasmic processes without external lamina and pinocytic vesicles. Scarce and poorly formed junctions between the tumour cells were seen. Very rarely cytoplasmic rod-shaped microtubulated bodies, often difficult to distinguish from heavy accumulations of lysosomes were observed.

Adult↗

Histochemical and ultrastructural changes induced by zidovudine in mitochondria of rat cardiac muscle.

Zidovudine (azidothymidine, AZT), a drug used in acquired immune deficiency syndrome (AIDS), blocks reverse transcriptase and therefore inhibits human immunodeficiency virus (HIV) replication. We carried out an ultrastructural and histoenzymatic study in rat cardiac muscle. Groups of animals (3 rats per group) were given drinking water with or without AZT (1 or 2 mg AZT/ml). After 30, 60 and 120 days, the hearts were studied by light and electron microscopy. Histochemical analysis of isocitrate, succinic, malic, NADH and NADPH dehydrogenase activities revealed no changes in AZT-treated rats compared with control rats. The ultrastructural study showed a disruption of cristae and an increased size of mitochondria in rats treated with AZT for 30- and 60-days. No alterations were observed in rats that received the 120-day treatment. A statistical analysis based on electron micrographs demonstrated a time-dependent ratio between intact and disrupted mitochondria. Rats that received AZT for 30 days showed a higher number of abnormal mitochondria than rats that received the 60 day treatment. No differences with respect to rat controls were observed in the rats that received AZT for 120 days. We conclude that AZT-induced ultrastructural alterations in cardiac muscle did not modify the histochemical activity of several mitochondrial enzymes.

Animals↗

An ultrastructural study of the sympathetic preganglionic neurons that innervate the superior cervical ganglion in spontaneously hypertensive rats and Wistar-Kyoto rats.

Comparative ultrastructural study of the sympathetic preganglionic neurons that innervated the superior cervical ganglion (SPN-scg) was made between spontaneously hypertensive rats (SHR) and age-matched normotensive Wistar-Kyoto rats. After injection of choleragen subunit-B horseradish peroxidase (CB-HRP) into the superior cervical ganglion, three types of the sympathetic preganglionic neurons were identified according to their ultrastructural features. In both SHR and WKY rats, the neurons in the autonomic region of T1-T3 segments of the spinal cord showed a characteristic distribution pattern in which the Type I neurons were located more laterally in n. intermediolateralis pars funicularistic (ILf), and n. intermediolateralis pars principalis (ILp), Type III neurons more medially in n. intercalatus spinalis (IC), n. intercalatus pars paraependymalis (ICpe) and Type II neurons in n. intermediolateralis pars principalis (Ilp) as well as in n. intercalatus spinalis (IC). Of the three types of neurons, there was not noticeable ultrastructural difference in Type II and Type III neurons between the SHR and WKY rats. Some differences, however, were observed in Type I neurons between the two animals stains. In SHR, the nucleus of Type I neurons displayed many deep indentations and a greater number of profiles of Golgi apparatus. Three types of the axon terminal were found to make synaptic contacts with the labelled Type I neurons. Some proportional changes of the different axon terminals were observed between those of SHR and WKY rats. The results of this study suggest that the suppressive effect on the activity of the sympathetic preganglionic neurons in SHR may be attenuated which would result in an unbalanced activities of some of neurotransmitters on the sympathetic preganglionic neurons thereby leading to the onset of hypertension. The increase in the number of nuclear indentations and an increased activity in the Golgi complex may reflect an increase in the synthesis of some of the neurotransmitters or neuromodulators in the sympathetic preganglionic neurons or their axon terminals. The characteristic distribution patterns of the three types of neurons suggest that, of the three types of SPN-scg, only the Type I neurons may be implicated in the regulation of the cardiovascular system.

Animals↗

Cholinergic, somatostatin-immunoreactive interneurons in the guinea pig intestine: morphology, ultrastructure, connections and projections.

The shape, projection, ultrastructure and chemistry of interneurons that were initially identified by their immunoreactivity for somatostatin in the small intestine of the guinea pig were examined. Somatostatin immunoreactive nerve cell bodies and nerve fibres were located in the myenteric plexus. Simultaneous labelling for 2 antigens revealed that the somatostatin immunoreactive interneurons were also immunoreactive for choline acetyltransferase, but not for calbindin or neuropeptide Y. Cell shapes were determined by immunohistochemistry, ultrastructural analysis and intracellular dye filling. The neurons had large cell bodies (38 x 14 microns) which gave rise to long branched filamentous dendrites and a single axon. The projections of the somatostatin immunoreactive interneurons were determined by analysis of patterns of fibre loss and survival following degenerative section of myenteric nerve pathways and by analysis of individual neurons that were injected intracellularly with dye. The axons projected anally, sometimes after a short oral excursion, and were confined to the myenteric plexus. They gave rise to multiple varicose branches within myenteric ganglia: in the majority of cases the first branch was within 100 microns of the cell body. Synaptic inputs to the cells were examined by light and electron microscopy. All somatostatin immunoreactive neurons received numerous somatostatin immunoreactive inputs on the cell body and all filamentous processes. Ultrastructural investigation indicated that these constituted the majority of all inputs. It is concluded that cholinergic, somatostatin immunoreactive, interneurons have a unique soma morphology and form synaptically connected chains that run anally in the myenteric plexus.

Animals↗

Survival rate and ultrastructure of vitrified bovine in vitro and in vivo developed embryos.

The capacity of different vitrification media and methods was tested onto in vivo and in vitro produced bovine morula/blastocysts and their ultrastructure and survival studied post-thawing. Two vitrification solutions were finally selected, named 40 ES (40% ethylene glycol in PBS containing 0.5 M sucrose) and 35 EFS (composed of 35% (v/v) ethylene glycol in PBS containing 0.5 M/l sucrose and 30% (w/v) Ficoll 70). The straws were either precooled or not precooled in nitrogen vapour, plunged and stored in LN2 for 10-25 days, and then thawed in a 20 degrees C waterbath. The content of the straws was rediluted in 1M sucrose solution in PBS and later cocultured with BOEC for 48 h. The overall survival rates for in vitro and in vivo embryos were 36% (12 of 33) and 20% (3 of 15) after 24 h and 21% (7 of 33) and 33% (5 of 15) after 48 h. The survival rates for precooled embryos were significantly higher than for not precooled (48% vs 13% after 24 h and 44% vs 4% after 48 h) when tested across vitrification media. The in vitro-produced embryos presented an ultrastructure similar to the pre-freeze state, irrespective of the vitrification media used. The in vivo developed embryos showed a rather modified post-thaw ultrastructure, with clear signs of osmotic changes at both the trophoblastic and embryonic cells. The results indicated that in vitro and in vivo developed bovine embryos can survive vitrification using ethylene glycol as a cryoprotectant.

Animals↗

Pigmented pulmonary carcinoid tumor. An immunohistochemical and ultrastructural study.

We evaluated three cases of pigmented pulmonary carcinoid tumors that were retrieved from the files of the Armed Forces Institute of Pathology, Washington, DC. Clinical follow-up showed no indication of tumor recurrence or metastases, nor was there evidence of malignant melanoma. All three cases exhibited histologic features of typical carcinoid tumor; there were focal oncocytic changes in two cases. Finely dispersed, brown pigment, believed to be melanin, was distributed in two different patterns: in sustentacular cells (case 1) or within the tumor cells (cases 2 and 3). Fontana-Masson stain was positive in areas of this pigment in all cases. The tumor cells showed immunoreactivity for chromogranin, synaptophysin, keratin (AE1/AE3 and CAM-5.2), and S100 protein in all cases. Focal staining for vimentin and corticotropin was seen within neoplastic cells in two cases. The pigmented sustentacular cells in case 1 showed focal immunoreactivity for S100 protein and HMB-45. Ultrastructural studies of paraffin-embedded tissues were performed in two cases. They showed well-developed melanosomes in the pigmented sustentacular cells in case 1. In both cases, cytoplasmic neurosecretory-type granules were identified in neoplastic cells. These findings demonstrate that pigmented pulmonary carcinoid tumor has an immunohistochemical profile similar to that of typical pulmonary carcinoid tumor. In some instances, pigmented pulmonary carcinoid tumors may show ultrastructural evidence of melanocytic and neuroendocrine differentiation. These immunohistologic and ultrastructural findings distinguish pigmented pulmonary carcinoid tumor from malignant melanoma and support the concept of "multidirectional cellular differentiation."

Adult↗

[Preservation of cutaneous structures of egyptian mummies. An ultrastructural study].

INTRODUCTION: The recent development of studies applied to ancient materials may be explained by the application of molecular biology techniques on the extracted ancient DNA mainly the polymerase chain reaction (PCR), the ultrasensitive DNA-amplification technique that hit the headlines in the late 1980s. PCR was used to amplify human immunodeficiency virus (HIV), genetic material in stored tissue specimens and to document people who died in 1976. In addition, recent discoveries of mummified bodies in ice of the Tyrolean Alps or Greenland allowed a new approach in archeological studies. Mummies are a good material for investigations of ancient tissues. The studies concern the techniques of embalming, tissue preservation and palepathological aspects. In cutaneous paleopathology, mummies from Egypt, South or North America and Europe were considered. Various skin lesions were characterized: histiocytoma, Chagas' disease, smallpox, syphilis. Recently drugs (cocaine, hashish and nicotine) were extracted from skin and head hair of Egyptian mummies. Only a few studies were concerned with the ultrastructure of the skin of such mummies. MATERIAL AND METHODS: We had the opportunity to obtain skin samples of two Egyptian mummies. One of them was embalmed between 150 BC-90 AC. The skin was studied by transmission electron microscopy. As the mummified materials had dried out and shrunk, it was necessary to rehydrate them for ultrastructural observation. Skin samples were fragmented into small pieces before fixation with 2 p. 100 glutaraldehyde in sodium cacodylate buffer for 10 days (allowing for removal of the materials used for embalming). The samples were then washed in the same buffer for 10 days. After washing the pieces were post-fixed with 1 p. 100 osmium tetroxyde, dehydrated and embedded in Epoxy medium. RESULTS: With this process, it was possible to observe the excellent preservation of the cutaneous structures. The epidermis was well preserved. It was possible to observe the different cell layers and mainly the upper layers. The nuclei and the desmosomes of keratinocytes were recognized. Intercellular spaces were narrow. Desmosomes showed dense thickenings of the cell membrane on both sides and an intercellular band with narrow lucent spaces adjacent to the dense cell membrane. The nuclei showed dense spots of chromatin and in the cytoplasm recognizable tonofilament bundles were identified. Langerhans cells and melanocytes were not observed. In the dermis, the collagen fibrils formed thick bundles and showed the characteristic axial periodicity. Elastic fibers were also recognized showing two main components: the amorphous substance and the fibrils. Throughout the dermis, a number of round or oval structures were found. They had the typical appearance of spores of bacteria. In the centre, they had an electron dense and granular core surrounded by an inner membrane and a spore coat. DISCUSSION: Only a few investigations were performed on the ultrastructure of the skin of the Egyptian mummies. In the majority of cases, the epidermis was not preserved. The present work demonstrates the good preservation of epidermal structures and specially desmosomes and intercellular connections. The presence of spores of bacteria was previously reported. These spores enter a highly resistant resting phase in order to survive in a dormant state for a long period of starvation or other adverse environmental conditions. Similar investigations were performed on skin obtained from Eskimo mummies preserved by the extremely cold and dry polar weather. In these conditions, the authors reported the observation of melanocytes, vessels and nerves. Additionally, biochemical investigations demonstrated the very good preservation of collagen and glycosaminoglycans of the dermal extracellular matrix.

Collagen↗

[Study of histopathological and ultrastructural differences between condylomata acuminata and pseudocondyloma of vulvae].

Histopathological alterations of condylomata acuminata were characterized by hyperkeratosis, parakeratosis, acanthosis, elongation of the rete ridges, pseudoepitheliomatous hyperplasia, discrete or grouped koilocytes, proliferation and dilatation of dermal capillaries, lymphocytic and histocytic infiltration around dermal capillaries. Histopathological pattern of pseudocondyloma of vulvae were characterized by finger-shaped configuration, epithelium was similar to normal of mucous membrane without atypia. The lesion was composed of a rich vascular network surrounded by connective tissue and a mild lymphocytic infiltration. Ultrastructural alterations of condylomata acuminata were characterized by proliferation of basal cells, enlarged and swollen nuclei in all layers, 1-4 large nucleoli, 1-3 nuclear bodies, interchromatin granules and perichromatin granules in some proliferating nuclei, swollen mitochondria, dilated endoplasmic reticulum, and dissolved glycogen. Ultrastructural alterations of pseudocondyloma of vulvae were characterized by proliferation of mucomembranous epithelial cells, mild swollen nuclei, 1-2 nucleoli, no nuclear body interchromatin and perichromatin granule, the dilatation of interstitial capillaries, and abundant fibril bundles in the dermis. Thus, the histopathological and ultrastructural manifestations of condylomata acuminata and pseudocondyloma of vulvae were significantly different. It may be of help in differentiation between the two disease.

Adolescent↗

The progressive degeneration of interlobular bile ducts in biliary atresia: an ultrastructural study.

The ultrastructure of the interlobular bile ducts were observed in hepatic specimens obtained at surgery in ten patients with biliary atresia, in order to investigate the progress of their degeneration over time after the onset of the disease. As an index for the passage of time, the degree of fibrosis in the portal tracts was investigated. Then the ultrastructural features in the interlobular bile ducts were contrasted with the grading of portal fibrosis Generally, the ultrastructural changes of the interlobular bile ducts were more marked in the cases with severe portal fibrosis than that observed in the cases with mild fibrosis. This correlation suggests that the degeneration of the interlobular bile ducts progressively worsens over time after the obliteration of the extrahepatic bile duct.

Bile Ducts, Extrahepatic↗