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Introducción: El agrandamiento gingival inducido por tratamiento de ortodoncia es un aumento progresivo, localizado o generalizado del tejido gingival. Objetivo: Determinar aspectos morfológicos en la membrana basal del tejido gingival de pacientes con agrandamiento gingival inducido por tratamiento de ortodoncia. Métodos: Estudio descriptivo de corte transversal, donde se analizaron tejidos gingivales de pacientes con agrandamiento gingival inducido por tratamiento de ortodoncia (grupo test: n=5) e individuos sanos (grupo control: n=5) mediante análisis histológicos e inmunohistoquímico con anticuerpo policlonal anti-citoqueratina 14. Las interrupciones de la membrana basal grado 1 y grado 2 fueron identificadas. Fue utilizado el programa estadístico R versión 4.0.2 para Windows. Se declaró significancia si p <0,05. Resultados: Se constató la presencia de rupturas de la membrana basal en todos los pacientes del grupo test. Estos individuos presentaron una mayor cantidad de cambios morfológicos en el tejido gingival. Exponiendo así, valores estadísticamente significativos de rupturas de la membrana basal (Grado I) y rupturas rodeadas de células epiteliales y/o fibroblastos gingivales (Grado II) en comparación con el grupo control (p <0,001). Conclusión: El tejido epitelial de pacientes con agrandamiento gingival inducido por tratamiento de ortodoncia presenta una evidente pérdida en la integridad de la membrana basal. Estas discontinuidades sugieren un aumento considerable de la plasticidad del epitelio en pacientes con agrandamiento gingival inducido por tratamiento de ortodoncia.

Introduction: Orthodontic treatment-induced gingival enlargement is a progressive, localized or generalized increase in gingival tissue. Objective: To determine morphologic aspects in the basal membrane of the gingival tissue in patients with orthodontic treatment-induced gingival enlargement. Methods: A descriptive and cross-sectional study was carried out, in which gingival tissues of patients with orthodontic treatment-induced gingival enlargement (test group: n=5) and healthy individuals (control group: n=5) were analyzed by histological and immunohistochemical analysis with the polyclonal antibody anticytokeratin 14. Grade 1 and grade 2 disrupted basal membrane were identified. The statistical program R (version 4.0.2) for Windows was used. Significance was declared if p was greater than 0.05. Results: The presence of disrupted basal membranes was observed in all the patients from the test group. These individuals presented a greater number of morphological changes in the gingival tissue. Compared to the control group (p < 0.001), statistically significant values were observed for cases of disrupted basal membrane (grade I) and disruptions surrounded by epithelial cells or gingival fibroblasts (grade II). Conclusion: The epithelial tissue of patients with orthodontic treatment-induced gingival enlargement shows an evident loss of the basal membrane integrity. These discontinuities are suggestive of a considerable increase in epithelial plasticity in patients with orthodontic treatment-induced gingival enlargement.

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Alzheimer's disease (AD) is the most common neurodegenerative disorder worldwide. Histopathologically, AD presents two pathognomonic hallmarks: (1) neurofibrillary tangles, characterized by intracellular deposits of hyperphosphorylated tau protein, and (2) extracellular amyloid deposits (amyloid plaques) in the brain vasculature (cerebral amyloid angiopathy; CAA). It has been proposed that vascular amyloid deposits could trigger neurovascular unit (NVU) dysfunction in AD. The NVU is composed primarily of astrocytic feet, endothelial cells, pericytes, and basement membrane. Although physical exercise is hypothesized to have beneficial effects against AD, it is unknown whether its positive effects extend to ameliorating CAA and improving the physiology of the NVU. We used the triple transgenic animal model for AD (3xTg-AD) at 13 months old and analyzed through behavioral and histological assays, the effect of voluntary physical exercise on cognitive functions, amyloid angiopathy, and the NVU. Our results show that 3xTg-AD mice develop vascular amyloid deposits which correlate with cognitive deficits and NVU alteration. Interestingly, the physical exercise regimen decreases amyloid angiopathy and correlates with an improvement in cognitive function as well as in the underlying integrity of the NVU components. Physical exercise could represent a key therapeutic approach in cerebral amyloid angiopathy and NVU stability in AD patients.

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BACKGROUND: Alport syndrome (AS) is a disease caused by mutations in COL4A3, COL4A4 or COL4A5, the genes that encode distinct chains of type IV collagen. The vast majority of cases present as an inherited disorder, although de novo mutations are present in around 10% of the cases. METHODS: This non-systematic review summarizes recent evidence on AS. We discuss the genetic and pathophysiology of AS, clinical manifestations, histopathology, diagnostic protocols, conventional treatment and prognostic markers of the disease. In addition, we summarize experimental findings with novel therapeutic perspectives for AS. RESULTS: The deficient synthesis of collagen heterotrimers throughout the organism leads to impaired basement membranes (BM) in several organs. As a result, the disease manifests in a wide range of conditions, particularly renal, ocular and auricular alterations. Moreover, leiomyomatosis and vascular abnormalities may also be present as atypical presentations. In this framework, diagnosis can be performed based on clinical evaluation, skin or renal biopsy and genetic screening, the latter being the gold standard. There are no formally approved treatments for AS, even though therapeutic options have been described to delay disease progression and increase life expectancy. Novel therapeutic targets under pre-clinical investigation included paricalcitol, sodium-glucose co-transporter- 2 inhibitors, bardoxolone methyl, anti-microRNA-21 oligonucleotides, recombinant human pentraxin-2, lysyl oxidase-like-2 blockers, hydroxypropyl-b-cyclodextrin, sodium 4-phenylbutyrate and stem cell therapy. CONCLUSION: AS is still a greatly under and misdiagnosed disorder. The pathophysiology is still not fully understood and genetics of the disease also have some gaps. Up to know, there is no specific and effective treatment for AS. Further studies are necessary to establish novel and effective therapeutic protocols.

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Snake venom metalloproteinases (SVMPs) play an important role in local tissue damage of snakebite patients, mostly by hydrolysis of basement membrane (BM) components. We evaluated the proinflammatory activity of SVMPs Atroxlysin-Ia (ATXL) and Batroxrhagin (BATXH) from Bothrops atrox venom and their hydrolysis products of Matrigel. BALB/c mice were injected with SVMPs (2 µg), for assessment of paw edema and peritoneal leukocyte accumulation. Both SVMPs induced edema, representing an increase of ~70% of the paw size. Leukocyte infiltrates reached levels of 6 × 106 with ATXL and 5 × 106 with BATXH. TNF-α was identified in the supernatant of BATXH-or venom-stimulated MPAC cells. Incubation of Matrigel with the SVMPs generated fragments, including peptides from Laminin, identified by LC-MS/MS. The Matrigel hydrolysis peptides caused edema that increased 30% the paw size and promoted leukocyte accumulation (4-5 × 106) to the peritoneal cavity, significantly higher than Matrigel control peptides 1 and 4 h after injection. Our findings suggest that ATXL and BATXH are involved in the inflammatory reaction observed in B. atrox envenomings by direct action on inflammatory cells or by releasing proinflammatory peptides from BM proteins that may amplify the direct action of SVMPs through activation of endogenous signaling pathways.

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Snake venom metalloproteases (SVMPs) are key toxins in local and systemic effects observed in victims of snakebites. The mechanisms involved in SVMPs action are related to the hydrolysis of blood vessels basement membrane components (BM), well as their direct action on platelets, endothelial and inflammatory cell receptors, and coagulation factors. Some evidence suggests that endogenous factors derived from BM hydrolysis increase the local effects induced by SVMPs and, consequently, the severity of snakebites. In this study we evaluated the role of two SVMPs of class P-I and P-III named Atroxlysin-Ia (ATXL) and Batroxrhagin (BATXH), respectively, isolated from the Bothrops atrox venom, and its hydrolysis products on Matrigel in experimental models of inflammation. Both toxins induced inflammatory reactions in mice models. The edema formed in the mice paws after the injection of different doses of SVMPs did not indicate a statistical difference between the tested doses or between the toxins. The lesions were similar despite the ATXL having a lower molecular mass than BATXH. In the kinetics tests of edema and accumulation of peritoneal leukocytes, a dose of 2 µg / animal was used. Both toxins induced the formation of an edema peak between 30 min and 1 h, with a 70% increase in the size of the paws. ATXL and BATXH induced an increase in leukocyte influx 4 h after intraperitoneal injection. For the evaluation of possible inflammatory mediators involved in these reactions, we stimulated Murine Peritoneal Adherent Cells (MPACs) with 40 µg / mL of the SVMPs or B. atrox venom in different time´s period. The cytokine TNF-α was identified in the supernatant of cells stimulated with BATXH or with B. atrox. The venom peaked between 2 h and 6 h with levels of 800 pg/mL, and BATXH induces secretion of 200 pg/mL in 4 h. The same was not observed with ATXL. To test the hypothesis that peptides resulting from MB hydrolysis by SVMPs could participate in the inflammatory process, Matrigel was incubated with the toxins for 1 h at 37 ° C, and the hydrolysis products were identified by LC-MS/MS. In parallel, peptides resulting from this incubation were isolated on centrifugal filters with a 10 kDa cut off. The reaction generated different fragments, mainly Laminin peptides. Isolated peptides in the filters induced the formation of edema with a 30% increase in the size of the paws and promoted leukocyte accumulation in the peritoneal cavity (4-5 x 106 cells/mL). Thus, the results suggest that ATXL and BATXH, together with peptides resulting from Matrigel´s hydrolysis, play an important role in inflammatory reaction observed in envenoming by B. atrox. Generally, envenoming causes irreversible local injuries, even after the administration of antivenom. In this context, we present tests with two inhibitors derived from the Jararhagin pro-domain that were able to neutralize the catalytic, fibrinolytic and hemorrhagic activity induced by SVMP, indicating a possible complementary treatment with antibotropic serum.

Metaloproteases do veneno de serpentes (SVMPs) são toxinas chave nos efeitos locais e sistêmicos observados em vítimas de acidentes ofídicos. Os mecanismos envolvidos na ação das SVMPs estão relacionados à hidrólise dos componentes da membrana basal (MB) dos vasos sanguíneos, bem como à sua ação direta sobre plaquetas, receptores de células endoteliais e inflamatórias, e fatores de coagulação. Algumas evidências sugerem que fatores endógenos derivados da hidrólise de MB aumentam os efeitos locais induzidos pelas SVMPs e, consequentemente, a gravidade dos acidentes ofídicos. Neste trabalho avaliamos o papel de duas SVMPs de classe P-I e P-III nomeadas Atroxlisina-Ia (ATXL) e Batroxragina (BATXH), respectivamente, isoladas do veneno de Bothrops atrox, e seus produtos de hidrólise sobre o Matrigel em modelos experimentais de inflamação. As duas toxinas induziram reação inflamatória em modelos murinos. O edema formado nas patas de camundongos após a injeção de diferentes doses das SVMPs não indicou diferença estatística entre as doses testadas nem entre as toxinas. As lesões foram semelhantes apesar da ATXL possuir massa molecular menor que BATXH. Nos testes de cinética do edema e acúmulo de leucócitos peritoneais foi utilizada a dose de 2 µg/animal. Ambas as toxinas induziram a formação de um pico de edema entre 30 min e 1 h, com aumento de 70% no tamanho das patas. ATXL e BATXH induziram aumento do influxo leucocitário a partir de 4 h após injeção intraperitoneal. Para a avaliação de possíveis mediadores inflamatórios envolvidos nestas reações, estimulamos Células Aderentes Peritoneais Murinas (MPACs) com 40 µg/mL das SVMPs ou veneno de B. atrox em diferentes períodos de tempo. A citocina TNF-α foi identificada no sobrenadante de células estimuladas com BATXH ou com veneno de B. atrox. O veneno atingiu um pico entre 2 h e 6 h com níveis de 800 pg/mL, e BATXH induziu secreção de 200 pg/mL em 4 h. O mesmo não foi observado com ATXL. Para testar a hipótese de que os peptídeos resultantes da hidrólise de MB pelas SVMPs poderiam participar do processo inflamatório, Matrigel foi incubado com as toxinas durante 1 h a 37 °C, e os produtos de hidrólise foram identificados por LC-MS/MS. Paralelamente, peptídeos resultantes desta incubação foram isolados em filtros centrífugos com corte de 10 kDa. A reação gerou diferentes fragmentos, principalmente peptídeos da Laminina. Peptídeos isolados por filtração induziram a formação de edema com aumento no tamanho das patas de 30%, e promoveram o acúmulo leucocitário na cavidade peritoneal (4-5 x 106 células/mL). Assim, os resultados sugerem que ATXL e BATXH, juntamente com peptídeos resultantes da hidrólise do Matrigel por essas proteases desempenham um papel importante na reação inflamatória observada no envenenamento por B. atrox. Geralmente, o envenenamento causa lesões locais irreversíveis, mesmo após a administração do antiveneneno. Neste contexto, apresentamos testes com dois inibidores derivados do pró-domínio da Jararagina que foram capazes de neutralizar a atividade catalítica, fibrinolítica e hemorrágica induzidas pela SVMP, indicando um possível tratamento complementar com soro antibotrópico.

RESUMO

Snake venom metalloproteases (SVMPs) are key toxins in local and systemic effects observed in victims of snakebites. The mechanisms involved in SVMPs action are related to the hydrolysis of blood vessels basement membrane components (BM), well as their direct action on platelets, endothelial and inflammatory cell receptors, and coagulation factors. Some evidence suggests that endogenous factors derived from BM hydrolysis increase the local effects induced by SVMPs and, consequently, the severity of snakebites. In this study we evaluated the role of two SVMPs of class P-I and P-III named Atroxlysin-Ia (ATXL) and Batroxrhagin (BATXH), respectively, isolated from the Bothrops atrox venom, and its hydrolysis products on Matrigel in experimental models of inflammation. Both toxins induced inflammatory reactions in mice models. The edema formed in the mice paws after the injection of different doses of SVMPs did not indicate a statistical difference between the tested doses or between the toxins. The lesions were similar despite the ATXL having a lower molecular mass than BATXH. In the kinetics tests of edema and accumulation of peritoneal leukocytes, a dose of 2 µg / animal was used. Both toxins induced the formation of an edema peak between 30 min and 1 h, with a 70% increase in the size of the paws. ATXL and BATXH induced an increase in leukocyte influx 4 h after intraperitoneal injection. For the evaluation of possible inflammatory mediators involved in these reactions, we stimulated Murine Peritoneal Adherent Cells (MPACs) with 40 µg / mL of the SVMPs or B. atrox venom in different time´s period. The cytokine TNF-α was identified in the supernatant of cells stimulated with BATXH or with B. atrox. The venom peaked between 2 h and 6 h with levels of 800 pg/mL, and BATXH induces secretion of 200 pg/mL in 4 h. The same was not observed with ATXL. To test the hypothesis that peptides resulting from MB hydrolysis by SVMPs could participate in the inflammatory process, Matrigel was incubated with the toxins for 1 h at 37 ° C, and the hydrolysis products were identified by LC-MS/MS. In parallel, peptides resulting from this incubation were isolated on centrifugal filters with a 10 kDa cut off. The reaction generated different fragments, mainly Laminin peptides. Isolated peptides in the filters induced the formation of edema with a 30% increase in the size of the paws and promoted leukocyte accumulation in the peritoneal cavity (4-5 x 106 cells/mL). Thus, the results suggest that ATXL and BATXH, together with peptides resulting from Matrigel´s hydrolysis, play an important role in inflammatory reaction observed in envenoming by B. atrox. Generally, envenoming causes irreversible local injuries, even after the administration of antivenom. In this context, we present tests with two inhibitors derived from the Jararhagin pro-domain that were able to neutralize the catalytic, fibrinolytic and hemorrhagic activity induced by SVMP, indicating a possible complementary treatment with antibotropic serum.

Metaloproteases do veneno de serpentes (SVMPs) são toxinas chave nos efeitos locais e sistêmicos observados em vítimas de acidentes ofídicos. Os mecanismos envolvidos na ação das SVMPs estão relacionados à hidrólise dos componentes da membrana basal (MB) dos vasos sanguíneos, bem como à sua ação direta sobre plaquetas, receptores de células endoteliais e inflamatórias, e fatores de coagulação. Algumas evidências sugerem que fatores endógenos derivados da hidrólise de MB aumentam os efeitos locais induzidos pelas SVMPs e, consequentemente, a gravidade dos acidentes ofídicos. Neste trabalho avaliamos o papel de duas SVMPs de classe P-I e P-III nomeadas Atroxlisina-Ia (ATXL) e Batroxragina (BATXH), respectivamente, isoladas do veneno de Bothrops atrox, e seus produtos de hidrólise sobre o Matrigel em modelos experimentais de inflamação. As duas toxinas induziram reação inflamatória em modelos murinos. O edema formado nas patas de camundongos após a injeção de diferentes doses das SVMPs não indicou diferença estatística entre as doses testadas nem entre as toxinas. As lesões foram semelhantes apesar da ATXL possuir massa molecular menor que BATXH. Nos testes de cinética do edema e acúmulo de leucócitos peritoneais foi utilizada a dose de 2 µg/animal. Ambas as toxinas induziram a formação de um pico de edema entre 30 min e 1 h, com aumento de 70% no tamanho das patas. ATXL e BATXH induziram aumento do influxo leucocitário a partir de 4 h após injeção intraperitoneal. Para a avaliação de possíveis mediadores inflamatórios envolvidos nestas reações, estimulamos Células Aderentes Peritoneais Murinas (MPACs) com 40 µg/mL das SVMPs ou veneno de B. atrox em diferentes períodos de tempo. A citocina TNF-α foi identificada no sobrenadante de células estimuladas com BATXH ou com veneno de B. atrox. O veneno atingiu um pico entre 2 h e 6 h com níveis de 800 pg/mL, e BATXH induziu secreção de 200 pg/mL em 4 h. O mesmo não foi observado com ATXL. Para testar a hipótese de que os peptídeos resultantes da hidrólise de MB pelas SVMPs poderiam participar do processo inflamatório, Matrigel foi incubado com as toxinas durante 1 h a 37 °C, e os produtos de hidrólise foram identificados por LC-MS/MS. Paralelamente, peptídeos resultantes desta incubação foram isolados em filtros centrífugos com corte de 10 kDa. A reação gerou diferentes fragmentos, principalmente peptídeos da Laminina. Peptídeos isolados por filtração induziram a formação de edema com aumento no tamanho das patas de 30%, e promoveram o acúmulo leucocitário na cavidade peritoneal (4-5 x 106 células/mL). Assim, os resultados sugerem que ATXL e BATXH, juntamente com peptídeos resultantes da hidrólise do Matrigel por essas proteases desempenham um papel importante na reação inflamatória observada no envenenamento por B. atrox. Geralmente, o envenenamento causa lesões locais irreversíveis, mesmo após a administração do antiveneneno. Neste contexto, apresentamos testes com dois inibidores derivados do pró-domínio da Jararagina que foram capazes de neutralizar a atividade catalítica, fibrinolítica e hemorrágica induzidas pela SVMP, indicando um possível tratamento complementar com soro antibotrópico.

RESUMO

Snake venom metalloproteinases (SVMPs) play an important role in local tissue damage of snakebite patients, mostly by hydrolysis of basement membrane (BM) components. We evaluated the proinflammatory activity of SVMPs Atroxlysin-Ia (ATXL) and Batroxrhagin (BATXH) from Bothrops atrox venom and their hydrolysis products of Matrigel. BALB/c mice were injected with SVMPs (2 µg), for assessment of paw edema and peritoneal leukocyte accumulation. Both SVMPs induced edema, representing an increase of ~70% of the paw size. Leukocyte infiltrates reached levels of 6 × 106 with ATXL and 5 × 106 with BATXH. TNF-a was identified in the supernatant of BATXH—or venom-stimulated MPAC cells. Incubation of Matrigel with the SVMPs generated fragments, including peptides from Laminin, identified by LC–MS/MS. The Matrigel hydrolysis peptides caused edema that increased 30% the paw size and promoted leukocyte accumulation (4–5 × 106) to the peritoneal cavity, significantly higher than Matrigel control peptides 1 and 4 h after injection. Our findings suggest that ATXL and BATXH are involved in the inflammatory reaction observed in B. atrox envenomings by direct action on inflammatory cells or by releasing proinflammatory peptides from BM proteins that may amplify the direct action of SVMPs through activation of endogenous signaling pathways

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Se realizó un estudio descriptivo y transversal de 25 pacientes, adictos al tabaco, con carcinoma in situ en la mucosa bucal, atendidos en la consulta estomatológica del Policlínico de Especialidades perteneciente al Hospital Provincial Docente Clinicoquirúrgico "Saturnino Lora Torres" de Santiago de Cuba, desde abril del 2008 hasta igual periodo del 2013, a fin de evaluar los resultados del diagnóstico clínico e histopatológico de esta neoplasia. Mediante la técnica clásica de inclusión en parafina se confirmó la existencia de cambios celulares. En la casuística prevalecieron el sexo masculino y la ausencia de síntomas subjetivos en la forma leucoplásica. El sitio anatómico más susceptible correspondió al borde lateral de la lengua. Entre las alteraciones hísticas más comunes figuraron: hipercromatismo nuclear, membrana basal intacta, pérdida de la polaridad, así como pleomorfismo nuclear y celular...

A descriptive and cross-sectional study of 25 patients, with tobacco addition and carcinoma in situ of the oral mucous, assisted in the stomatological department of the Specialties Polyclinic belonging to "Saturnino Lora Torres" Teaching Provincial Clinical Surgical Hospital in Santiago de Cuba was carried out from April, 2008 to same period of the 2013, in order to evaluate the results of the clinical, histological and pathological diagnosis of this neoplasia. By means of the classic technique of inclusion in paraffin the existence of cellular changes was confirmed. The male sex and the absence of subjective symptoms prevailed in the leucoplasic form in the case material. The most susceptible anatomical site corresponded to the lateral border of the tongue. Among the most common tissue alterations there were: nuclear hyperchromatism, intact basal membrane, loss of the polarity, as well as nuclear and cellular pleomorphism...

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Esta tese inclui três artigos sobre epidermólise bolhosa (EB) em animais, uma doença hereditária, cuja principal característica é a formação de bolhas e erosões na pele e mucosas em resposta ao mínimo trauma. O primeiro capítulo é um artigo de revisão que abrange o diagnóstico, a classificação, a epidemiologia, o modo de herança, a clínica, a patologia e as alterações ultraestruturais e moleculares da EB em animais. Baseado no nível ultraestrutural de separação do tecido, a EB é dividida em três tipos: simples, juncional e distrófica. Em humanos estima-se que a EB afeta 1 em 17.000 nascidos vivos, mas em animais a frequência de EB não é estimada. Os achados clínicos e patológicos são semelhantes em todos os tipos de EB, variando apenas na intensidade. A EB é causada por mutações nos genes que expressam as proteínas do citoesqueleto dos queratinócitos ou da zona da membrana basal (ZMB). No segundo capítulo foram descritos em caprinos os achados clínicos, histopatológicos e ultraestruturais da EB distrófica transmitida por um gene autossômico recessivo. Os caprinos apresentaram exungulação, erosões, crostas e cicatrizes na pele e úlceras na cavidade oral. Histologicamente, a pele apresentava uma separação subepidérmica preenchida com fluido eosinofílico claro, restos celulares ou neutrófilos. Ultraestruturalmente, o local de separação foi abaixo da lâmina densa na ZMB. Na pele com formação de bolhas e na pele não envolvida clinicamente, a lâmina basal foi preservada, mas as fibrilas de ancoragem eram escassas e rudimentares. Sugere-se que a doença é similar a EB distrófica recessiva generalizada e severa observada em humanos. No terceiro capítulo é descrito um caso de EB em um bezerro. [...] Os hemidesmossomos apresentavam-se pequenos, pobremente definidos e sem demarcação clara. Os achados clínicos, histológicos e ultraestruturais encontrados no bezerro são característicos da EB juncional.

This thesis includes three papers on epidermolysis bullosa (EB) in animals, which is an hereditary disease, characterized by the formation of blisters and erosions on the skin and mucous in response to minor mechanical trauma. The first paper reviews the diagnosis, classification, epidemiology, mode of inheritance, clinical, pathology, and ultrastructural and molecular changes of EB reported in animals. Based on the ultrastructural level of tissue separations EB is divided into three types: simplex, junctional, and dystrophic. In humans it is estimated that EB affect 1 in 17000 live births, but in animal the frequency of EB is not estimated. The clinical and pathological findings are similar in all types of EB, varying only in intensity. EB is due to mutations in genes that express the protein constituent the cytoskeleton of the basal keratinocytes or of the basement membrane zone (BMZ). In the second paper, clinical, histopathological, and ultrastructural findings of dystrophic EB in goats transmitted by an autosomal recessive gene are reported. The goats presented with exungulation, erosions, crusts and scars on the skin and ulcers in the oral cavity. Histologically, the skin showed subepidermal separation, with clefts filled with clear eosinophilic fluid, cellular debris or neutrophils. Ultrastructurally, the site of blister formation was the sub-lamina densa in the BMZ. In skin with blister formation and in clinically uninvolved skin, the basal lamina was preserved, but the anchoring fibrils were scarce and rudimentary. It is suggested that the disease is similar to human severe generalized recessive dystrophic EB. In the third paper, a case of EB in a calf is reported. It was presented exungulation of all hooves, widespread erosions and crusts on the skin, and ulcers in the oral cavity. [...] The hemidesmosomes were poorly defined and small. The clinical, histological and ultrastructural findings are characteristic of junctional EB.

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