RESUMEN
Scientific literature, although limited in this area, supports the hypothesis that asthma, by means of selective leukocyte trafficking between the various mucosal and glandular sites of the body, can have the same pathophysiological effects on the stomach as the airways. This study aimed to determine if asthma, in the absence and presence of various asthma therapies (Hydrocortisone and Modul8TM), imparted any morphological alteration on the stomach parietal and chief cells. The BALB/c murine asthmatic mouse model was the model of choice in this study. The asthma induction protocol as well as the asthma therapies were proved to be effective with the aid of bronchial lavage fluid leukocyte quantification. Fundic and pyloric biopsies were extracted at termination and assessed by means of transmission electron, scanning electron and light microscopy. The extracted fundic and pyloric biopsies revealed asthma alone induced parietal cell hypertrophy (increase in parietal cell size P < 0.000100 in both stomach regions) and chief cell hyper functioning. The use of Hydrocortisone and Modul8TM, as a therapy to correct the perceived gastric alterations were dismal; only in the case of fundic parietal cells were both treatments able to compensate for the hypertrophic effect caused by asthma, while in the pylorus parietal cell asthma- induced hypertrophy was only compensated for by Modul8TM.
La literatura científica, aunque limitada en esta área, apoya la hipótesis de que el asma, por medio del tráfico selectivo de leucocitos entre los diferentes sitios y la mucosa glandular del cuerpo, puede tener los mismos efectos fisiopatológicos en el estómago y las vías respiratorias. Este estudio tuvo como objetivo determinar si el asma, en ausencia y presencia de diversos tratamientos para el asma (hidrocortisona y Modul8 TM), generó alguna alteración morfológica en las céluals parietales y principales del estómago. El modelo murino BALB/c del ratón asmático fue el modelo de elección en este estudio. El protocolo de inducción de asma, así como el tratamiento del asma demostró ser eficaz con la ayuda de lavado bronquial y cuantificación leucocitaria del fluido. Biopsias de las regiones fúndica y pilórica fueron extraídas y evaluadas por medio de microscopía electrónica de transmisión, de barrido y de luz. Las biopsias extraídas de la región fúndica y pilórica revelaron que el asma solamente induce hipertrofia de las células parietales (aumento del tamaño de las células parietales P <0,00001 en ambas regiones del estómago) e hiperfuncionamiento de las células principales. El uso de hidrocortisona y Modul8 TM, como una terapia para corregir las alteraciones gástricas fue disimil, sólo en el caso de las células parietales fúndicas ambos tratamientos fueron capaces de compensar el efecto hipertrófico causado por el asma, mientras que en la célula parietal pílorica la hipertrofia inducida por el asma solamente se vio compensada por Modul8TM.
Asunto(s)
Animales , Femenino , Ratas , Asma/patología , Estómago/patología , Estómago/ultraestructura , Antiasmáticos , Modelos Animales de Enfermedad , Fundus Gástrico/patología , Fundus Gástrico/ultraestructura , Hipertrofia , Leucocitos , Ratones Endogámicos BALB C , Microscopía Electrónica , Nebulizadores y Vaporizadores , Células Parietales Gástricas , Píloro/patología , Píloro/ultraestructuraRESUMEN
The arrangement of the ruminant stomach in four gastric compartments with specialized mucosal papillae along the gastric groove (GG) has been previously described. However, a debate remains about functional implications of these morphological pecularities. This study was aimed to elucidate the relation between the papillar morphology and its putative functions. The GG was obtained from adult bovine stomachs (n=10) and subdivided into (1) proximal, (2) middle, (3) distal portion of the reticular groove (RG) and (4) the area of the reticulo-omasal sphincter (ROS). The specimens were processed for scanning electron microscopy and stereomicroscopy to analyze the density, shape and location of the papillae. Whereas the proximal portion of the RG was characterized by small (1.5mm), conically shaped, smooth papillae, the middle portion exhibited larger papillae (4mm) with sharp borders covered by keratin. Towards the ROS the papillae further increased in size (3-11mm) and showed compound or single processes resembling the shape of arrows, twisted hooks or thorns (unguiculliform papillae). At the ROS the unguiculliform papillae were distributed in clusters groups and along the border of the sphincter. Due to their peculiar morphological features it is suggested that unguiculliform papillae functions as a filter barrier preventing the passage of large-sized food particles into the omasum and avoiding subsequent obstruction of both the RG and the ROS. The data give further evidence that unguiculliform papillae are actively involved in the complex mechanisms of food processing taking place within the ruminant pluricavity stomach.
Asunto(s)
Estómago de Rumiantes/anatomía & histología , Estómago/anatomía & histología , Mataderos , Animales , Bovinos , Femenino , Mucosa Gástrica/anatomía & histología , Homeostasis , Microscopía Electrónica de Rastreo , Leche/fisiología , Omaso/anatomía & histología , Omaso/ultraestructura , Píloro/anatomía & histología , Píloro/ultraestructura , Estómago de Rumiantes/ultraestructuraRESUMEN
Estenose hipertrófica do piloro é uma condição comum em infantes com 2 - 12 semanas de idade e cuja causa permanece desconhecida. O diagnóstico clínico baseia-se na história de vômitos não-biliosos em jato, sinais de hiperperistalse gástrica e "tumor" pilórico palpável ao exame físico. Os autores ilustram os típicos achados desta alteração em seriografias do trato gastrointestinal superior e na ultra-sonografia abdominal. Critérios diagnósticos são descritos e as aplicações desses dois métodos são estabelecidos segundo a literatura vigente
Hypertrophic pyloric stenosis is a common condition in infants with 2 - 12 weeks of postnatal life. The cause of this disease remains obscure. Clinical diagnosis is based on the history of projectile, nonbilious vomiting, gastric hyperperistalsis and a palpable pyloric "tumor". The authors review the typical findings seen on upper gastrointestinal x-ray series and abdominal ultrasonography. The diagnostic criteria for hypertrophic pyloric stenosis are presented and the applications of these two methods are established on the basis of the current literature.
Asunto(s)
Humanos , Lactante , Estenosis Hipertrófica del Piloro/etiología , Estenosis Hipertrófica del Piloro/fisiopatología , Estenosis Hipertrófica del Piloro , Estenosis Hipertrófica del Piloro , Píloro/fisiopatología , Píloro/patología , Píloro/ultraestructura , Diagnóstico Clínico , Diagnóstico Diferencial , Diagnóstico por Imagen , VómitosRESUMEN
The life cycle of Leishmania panamensis in Phlebotomus papatasi was studied to characterize barriers limiting parasite colonization, differentiation, migration, and attachment in an unnatural sand fly host. The insects were fed a suspension of L. panamensis-infected macrophages and human erythrocytes, and were examined up to 16 days post-infection by light and electron microscopy. Histologic examination of 401 flies showed the peritrophic membrane to be the first important barrier to parasite establishment in the gut lumen. In most flies, parasites were unable to escape from the closed peritrophic sac, which was either excreted or retained intact in the midgut. After five days, only 31% of the flies were infected; attached parasites colonized the pylorus-ileum and/or colon regions of the hindgut. Anterior migration into the cardia region of the midgut occurred in less than 1% of infected flies; no parasites colonized the foregut. In the bloodmeal and residual bloodmeal, five morphologic forms developed from ingested amastigotes: stumpy, spatulate, elongate, short nectomonad promastigotes, and paramastigotes. Abnormal retention of amastigotes in macrophages and delayed development of promastigote stages was observed. The primary form attached in the hindgut was a pear-shaped haptomonad promastigote. Differentiation of L. panamensis in Ph. papatasi appeared to be similar to that described in natural hosts, except that metacyclic infective forms were not observed, and some forms developed in unusual locations. Phlebotomus papatasi was a partly refractory biological host for L. panamensis. The peritrophic membrane adversely affected the infection rate; rare anterior migration and a lack of metacyclic promastigotes may preclude transmission by bite.