RESUMO
OBJECTIVES: Fibrin glue (FG) is a reaction product of fibrinogen and thrombin that forms a fibrin clot responsible for tissue adhesion. However, FG and its components may interfere with wound healing by interacting with cytokines such as transforming growth factor-beta (TGF-beta). The objective of this study was to investigate the effect of FG on collagen deposition after fascia grafting in the vocal folds of rabbits. METHODS: Eighteen rabbits underwent autologous fascia grafting in both vocal folds, and the left side was fixed with FG. Each animal was painlessly sacrificed after 7, 30, or 90 days. The larynx was removed, and the vocal folds were prepared for histomorphometric analysis by picrosirius red staining to evaluate collagen deposition around the graft. RESULTS: There was a significant increase in collagen density around the grafts at 90 days in the vocal folds that were fixed with FG (p=0.0102) compared with the control vocal folds. CONCLUSIONS: Application of FG altered collagen deposition around the fascia grafts, leading to significantly increased collagen density after 90 days. Differences found in the composition of the extracellular matrix in later stages of the healing process are a result of changes that occur in the beginning of this process. Therapeutic interventions, such as the use of FG and/or its components, performed in the early stages of wound healing may interfere with the complex interactions of fibroblasts, inflammatory cells, and cytokines (especially TGF-beta), thereby modulating the healing process.
Assuntos
Colágeno/análise , Fáscia/transplante , Adesivo Tecidual de Fibrina/farmacologia , Prega Vocal/cirurgia , Animais , Masculino , Coelhos , Transplante Autólogo , Prega Vocal/citologia , Prega Vocal/metabolismo , Cicatrização/efeitos dos fármacosRESUMO
UNLABELLED: Hyaluronic acid receptor is a glycoprotein of the plasmatic membrane, and the CD44 is its representative, expressed in many cell types where it has the task of cell adhesion. AIM: the goal of the present experimental study is to investigate the possibility of using immunohistochemistry to identify the distribution of hyaluronic acid along the vocal fold. MATERIALS AND METHODS: We resected the normal vocal folds from a normal 23 year-old male black individual. The slides were analyzed by means of a histomorphometric study, comparing the color intensity in the superficial, middle and deep layers of the lamina propria. In the silanized slides we used immunohistochemistry, and evaluated the slides under light microscopy with 40x magnification, and the color changed to brown when there was a reaction with the receptor for hyaluronic acid. RESULTS: Immunohistochemical findings showed the presence of hyaluronic acid receptors in the epithelium covering the vocal fold, being more concentrated in the central region of the vocal fold. CONCLUSION: immunohistochemistry, used to assess the distribution of hyaluronic acid receptors in the central portion of the vocal fold, proved it to be present in the vocal fold epithelium and it prevailed in its middle third.
Assuntos
Receptores de Hialuronatos/análise , Ácido Hialurônico/metabolismo , Prega Vocal/química , Adulto , Azul Alciano , População Negra , Cadáver , Corantes , Humanos , Imuno-Histoquímica , Masculino , Prega Vocal/anatomia & histologia , Prega Vocal/citologia , População BrancaRESUMO
O receptor do ácido Hialurônico é uma glicoproteína da membrana plasmática, sendo o principal o CD44, e está expresso em vários tipos de células onde possui a função de adesão celular. OBJETIVO: Estudar a possibilidade de empregar o método imunohistoquímico para identificar a distribuição dos receptores de ácido hialurônico ao longo da prega vocal humana. MATERIAL E MÉTODOS: Foram ressecadas as pregas vocais normais de um indivíduo de 23 anos, sexo masculino, cor negra. As lâminas foram analisadas por meio de estudo histomorfométrico, comparando-se a intensidade das cores nas camadas superficial, média e profunda da lâmina própria. Nas lâminas silanizadas foi utilizado método imunohistoquímico, sendo avaliadas através de microscopia óptica com aumento 40 vezes, obtendo coloração marrom onde houve a reação com receptor para ácido hialurônico. RESULTADOS: Os achados imunohistoquímicos mostraram presença de receptores para ácido hialurônico no epitélio de cobertura da prega vocal tendo maior concentração na região central da prega vocal. CONCLUSÃO: A técnica de imunohistoquímica, utilizada para avaliar a distribuição dos receptores para ácido hialurônico na pregas vocais humanas, mostrou sua disposição em epitélio da prega vocal e predomínio no terço médio, em relação às demais regiões na prega vocal estudada.
Hyaluronic acid receptor is a glycoprotein of the plasmatic membrane, and the CD44 is its representative, expressed in many cell types where it has the task of cell adhesion. AIM: the goal of the present experimental study is to investigate the possibility of using immunohistochemistry to identify the distribution of hyaluronic acid along the vocal fold. MATERIALS AND METHODS: We resected the normal vocal folds from a normal 23 year-old male black individual. The slides were analyzed by means of a histomorphometric study, comparing the color intensity in the superficial, middle and deep layers of the lamina propria. In the silanized slides we used immunohistochemistry, and evaluated the slides under light microscopy with 40x magnification, and the color changed to brown when there was a reaction with the receptor for hyaluronic acid. RESULTS: Immunohistochemical findings showed the presence of hyaluronic acid receptors in the epithelium covering the vocal fold, being more concentrated in the central region of the vocal fold. CONCLUSION: immunohistochemistry, used to assess the distribution of hyaluronic acid receptors in the central portion of the vocal fold, proved it to be present in the vocal fold epithelium and it prevailed in its middle third.
Assuntos
Adulto , Humanos , Masculino , /análise , Ácido Hialurônico/metabolismo , Prega Vocal/química , População Negra , Azul Alciano , Cadáver , Corantes , População Branca , Imuno-Histoquímica , Prega Vocal/anatomia & histologia , Prega Vocal/citologiaRESUMO
OBJECTIVES: To analyze the presence and distribution of collagen fibers and versican in human vocal fold lamina propria of fetal larynges. STUDY DESIGN: Cross sectional analysis of cadaveric vocal folds of human fetuses. METHODS: Seven fetal larynges obtained from 28- to 36-week-old fetuses were analyzed with the Picrosirius-polarization method, immunohistochemistry, and image analysis. RESULTS: Collagen fibers within the lamina propria exhibited a monolaminar distribution pattern and spatial arrangement in "wicker basket." Versican distribution was larger in the superficial and intermediate layers when compared to the deep layer. CONCLUSION: Our findings suggest that collagen and versican distribution and arrangement within the lamina propria in the developing fetus are important for vocalization at birth.
Assuntos
Colágeno/metabolismo , Mucosa/metabolismo , Versicanas/farmacocinética , Prega Vocal/citologia , Prega Vocal/metabolismo , Estudos Transversais , Feminino , Feto , Humanos , Mucosa/citologia , Gravidez , Terceiro Trimestre da Gravidez , NatimortoRESUMO
OBJECTIVE/HYPOTHESIS: To evaluate the concentration and distribution of hyaluronic acid (HA) in human adult vocal folds. STUDY DESIGN: Experimental study. METHODS: Histologic samples of the anterior, middle, and posterior regions of the vocal folds were studied to determine the tissue distribution of HA. The HA was traced with hyaluronan-binding proteins (HAPB) from bovine cartilage. Chemical bonds were detected through the avidin-biotin immunoperoxidase method. A control with the specific Streptomyces hyalurolyticus hyaluronidase was conducted to avoid false-positive results. The concentration levels of HA were determined through a fluorescence-based assay method with the same HAPB and europium-labeled streptavidin. RESULTS: Women presented higher HA concentrations than men in every studied region of the vocal folds and overall HA concentration levels twice as higher. In regard to the distribution of HA, the macula flavae and the vocal fold intermediate and deep layers presented marked staining, with moderate staining around the vessels, on the gland capsules, and the connective tissue surrounding the vocal fold muscular fibers. CONCLUSIONS: HA is diffusely distributed along the vocal folds; the profuse amounts of HA observed in the female vocal folds may be related to impact absorption, acting as a protective factor against the characteristic high vibration frequency.