scholarly journals The Liver in COVID-19-Related Death: Protagonist or Innocent Bystander?

Pathobiology ◽  
2020 ◽  
pp. 1-7
Author(s):  
Grégory Schmit ◽  
Julie Lelotte ◽  
Jessica Vanhaebost ◽  
Yves Horsmans ◽  
Mieke Van Bockstal ◽  
...  

<b><i>Introduction:</i></b> The coronavirus disease 2019 (COVID-19) infection, caused by severe acute respiratory syndrome corona virus 2 (SARS-CoV-2), involves several organs through participation of angiotensin-conversion enzyme 2 (ACE2) receptors. The presence of ACE2 receptors in the liver renders this organ a potential target for the novel coronavirus. <b><i>Methods:</i></b> We performed 14 complete autopsies of patients infected with SARS-CoV-2. In each case we stained liver tissue sections with haematoxylin/eosin, Masson blue trichrome stain, periodic acid-Schiff (PAS), Perls, and performed cytokeratin-7 (CK7) immunochemistry. <b><i>Results:</i></b> Macroscopically, livers were pale and yellowish in 8 of 14 (57%) patients, and had a nutmeg appearance in the other 6 cases (42%). Histologically, centrolobular necrosis was observed in 12 cases (86%), and was associated with discreet to moderate lobular or portal inflammation. Steatosis was seen in 8 cases (57%), but fibrosis was rare. Cholestasis and discrete bile duct proliferation was observed in 5 cases (36%). <b><i>Discussion/Conclusion:</i></b> The main histological changes can be explained by the hypoxic status as a result of severe hypoxemic pneumonia leading to death. Drug toxicity may also play a role in certain cases. Other histological changes may be explained by previous hepatic conditions or underlying hepatic diseases. We concluded that COVID-19 infection was not associated with a specific histopathological pattern of the liver.

2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Kevin de Haan ◽  
Yijie Zhang ◽  
Jonathan E. Zuckerman ◽  
Tairan Liu ◽  
Anthony E. Sisk ◽  
...  

AbstractPathology is practiced by visual inspection of histochemically stained tissue slides. While the hematoxylin and eosin (H&E) stain is most commonly used, special stains can provide additional contrast to different tissue components. Here, we demonstrate the utility of supervised learning-based computational stain transformation from H&E to special stains (Masson’s Trichrome, periodic acid-Schiff and Jones silver stain) using kidney needle core biopsy tissue sections. Based on the evaluation by three renal pathologists, followed by adjudication by a fourth pathologist, we show that the generation of virtual special stains from existing H&E images improves the diagnosis of several non-neoplastic kidney diseases, sampled from 58 unique subjects (P = 0.0095). A second study found that the quality of the computationally generated special stains was statistically equivalent to those which were histochemically stained. This stain-to-stain transformation framework can improve preliminary diagnoses when additional special stains are needed, also providing significant savings in time and cost.


2012 ◽  
Vol 57 (No. 8) ◽  
pp. 404-409 ◽  
Author(s):  
B. Mobini

&nbsp; The objective of this investigation was to study the histological and histochemical structure of the Harderian gland in native chickens. Samples were obtained from 10 male and 10 female adult healthy native chickens. Tissue sections were stained with haematoxylin eosin, Verhoeff&rsquo;s, Masson&rsquo;s trichrome, alcian blue (pH&nbsp;2.5), periodic acid-Schiff and Gomori&rsquo;s method for reticulum. The multilobular Harderian gland of native chickens was covered by a thin connective tissue which consisted of adipose tissue, parasympathetic ganglia, nerve bundles, collagen, elastic and reticular fibres. Plasma cells were present in interlobular areas. The Harderian gland was compound tubulo-alveolar type. The Harderian duct was lined by columnar epithelial cells of varying height. Goblet cells were not found in Harderian duct. Histochemical staining revealed that the all epithelial cells of both corpus glandulae and ducts contained both neutral and acidic mucins. No significant sex-based differences were found. It is concluded that the general histological and histochemical structure of the Harderian gland in native chickens is similar to that of domestic geese, but that there are also some differences. &nbsp;


1958 ◽  
Vol 6 (3) ◽  
pp. 181-184 ◽  
Author(s):  
BØRGE LARSEN

I): The degree of inhibitory effect of serum proteins and a periodic acid Schiff-positive amyloid fraction on metachromasia resulting from a metachromatic amyloid fraction was studied and compared to the metachromatic potency of chondroitin sulfate exposed to the same type of inhibition. The metachromatic properties of chondroitin sulfate were close to those of the metachromatic amyloid fraction. II): In comparing the metachromasia obtained with toluidine blue and methyl violet, it was noted that on incubation with the periodic acid Schiff-positive amyloid fraction, amyloid metachromosia after methyl violet staining was inhibited less than after toluidine blue staining. III): It is emphasized that a competition between dye and proteins occurs in metachromatic staining reactions. IV): Inhibition of amyloid metachromasia in histological tissue sections could not be demonstrated with the techniques used.


2014 ◽  
Vol 37 (1) ◽  
pp. 83-88 ◽  
Author(s):  
Pamela Bejdić ◽  
Rizah Avdić ◽  
Ljiljana Amidžić ◽  
Velida Ćutahija ◽  
Faruk Tandir ◽  
...  

Abstract The Harderian gland of 110 laying hens was histologically investigated from the time of hatching to the period of 10 months of age. Tissue sections were stained with haematoxylin and eosin, periodic acid-schiff (PAS) and methyl green-pyronin technique. The research shows that lymphoid tissue is colonised by three types of cells: heterophils, lymphocytes and plasma cells. The number of these cells is directly dependent on the bird’s age. During the lifetime of the hens there gradually comes a shift in the dominance of these three cell types. Lymphoid nodules are detected only in 40-day-old chickens, while later in adult birds the Harderian gland is the organ which contains the largest number of mature plasma cells. Some plasma cells contain Russell bodies with different size and shape.


Blood ◽  
1960 ◽  
Vol 16 (1) ◽  
pp. 1039-1044 ◽  
Author(s):  
P. C. SEN GUPTA ◽  
J. B. CHATTERJEA ◽  
A. M. MUKHERJEE ◽  
ANJALI CHATTERJI

Abstract Histologic and histochemical study of the foam cell in the spleen in thalassemia has shown that the foamy appearance is due to the accumulation of an acidic mucopolysaccharide of the chondroitin sulfuric acid type in the cytoplasm of this histiocytic cell. This polysaccharide shows intense red coloration with the periodic acid Schiff reaction, which is thus of great value in demonstrating the foam cell in tissue sections. The possible sources of this mucopolysaccharide have been discussed.


2015 ◽  
Vol 35 (7) ◽  
pp. 713-723 ◽  
Author(s):  
SMEO Elmubarak ◽  
N Özsoy

This study investigated the protective effect of vitamin D against carbon tetrachloride (CCl4)-induced nephrotoxicity in rats. Adult male Wistar albino rats were divided into four groups ((A) control; (B) 10-week exposure to CCl4; (C) 10-week exposure to CCl4 + vitamin D treatment; and (D) 10-week exposure to CCl4 + 12 weeks of vitamin D treatment). The CCl4 dose (1.5 ml kg−1) was injected subcutaneously twice a week, while the 0.5 mg kg−1 dose of vitamin D was administered intraperitoneally every day, as appropriate for each group. Whole animal and kidney weights as well as serum urea, creatinine, and glucose levels were measured. Kidney tissue sections were stained with hematoxylin–eosin, Masson’s trichrome, and periodic acid–Schiff. Tubular and glomerular degeneration were detected in the kidney tissues of CCl4-treated rats, together with dilatation and vacuolization within the tubules and hemorrhage in the intertubular region. In the kidney glomeruli; congestion, atrophy, and adhesion to parietal layer were observed. Tissue disorganization and aggregation of Bowman’s capsules were noted. Mononuclear cell infiltration was observed between the glomeruli and the tubules. In contrast, the kidney sections and functional parameters of vitamin D-treated rats were similar to the controls, suggesting that vitamin D treatment is able to reduce renal damage.


2020 ◽  
Vol 2020 (11) ◽  
Author(s):  
Victor Gazivoda ◽  
Lawrence P Kiss ◽  
Rebecca Rhee

Abstract Apocrine adenocarcinoma is a rare primary cutaneous malignancy that arises from areas with high apocrine gland density, most frequently described in the axilla. There have only been three previously reported cases of apocrine adenocarcinoma in the anal/perianal region. A 72-year-old female presented for evaluation of a perianal lesion with persistent drainage that she had noticed for over a year. The patient proceeded with surgical excision of the perianal nodule. Diagnosis was made based on pathology demonstrating areas of mixed solid and trabecular areas with large nuclei and many prominent mitotic figures, which stained positive for periodic acid–Schiff–diastase, cytokeratin 7 and gross cystic disease fluid protein 15. We are reporting just the fourth such case of apocrine adenocarcinoma in the anal/perianal region. It is important to consider apocrine adenocarcinoma in our differential, because though apocrine adenocarcinoma has a benign clinical presentation, it can have a high incidence of lymph invasion on presentation.


1962 ◽  
Vol 10 (1) ◽  
pp. 14-18 ◽  
Author(s):  
SIDNEY P. KENT ◽  
E. EDWARD EVANS

A method for demonstrating acidic polysaccharides in formalin fixed parafin embedded tissue sections using fluorescein labelled deacetylated chitin is described. Epithelial and connective tissue acidic polysaccharides have been studied in a number of organs. The distribution of acidic polysaccharides as seen with fluorescein-labelled deacetylated chitin is similar to results obtained with alcian blue-periodic acid Schiff and fluorescein-labelled Aspergillus polysaccharide. Previously reported fluorescent staining methods for acidic polysaccharides such as iron-hematoxylin-acridine orange and atabrine as well as fluorescein-labelled deacetylated chitin may prove to be useful adjuncts to the light microscopic methods of demonstrating mucins. Other possible uses of deacetylated chitin, a colorless macro-cation, in histochemistry and cytochemistry are noted.


2009 ◽  
Vol 78 (2) ◽  
pp. 199-204 ◽  
Author(s):  
Murat Boydak ◽  
Mehmet F. Aydin

The objective of this investigation was to study morphological aspects of the Harderian, paraorbital, gland in domestic geese. Tissues were obtained from 9 male and 9 female adult domestic geese and processed for light microscopy. Tissue sections were stained with Mallory’s trichrome, silver impregnation, methyl green-pyronin, periodic acid Schiff, alcian blue (pH 2.5), alcian blue/periodic acid Schiff (pH 2.5) and Sudan black B staining techniques. Results revealed the Harderian gland of domestic geese was covered by a capsule, which contributed trabeculae that divide the organ into lobes and lobules. The glandular epithelium was multilobular, compound tubuloalveolar. The secretion of Harderian gland was mucous and the secretion type was apocrine; the gland emptied to the inner surface of the nicticating membrane by a single duct.


Blood ◽  
1966 ◽  
Vol 28 (5) ◽  
pp. 674-682 ◽  
Author(s):  
J. BURNS ◽  
P. B. NEAME

Abstract Stoward1 conjugated acidified solutions of salicyloyl hydrazide with the dialdehydes formed from the periodic acid oxidation of vicinal glycols in guinea pig tissue sections. The method has now been utilized, with minor modification, to demonstrate glycogen in blood and marrow cells, and it has been compared with the periodic acid-Schiff reaction and with a fluorescent acriflavine Schiff-type method. It is felt that the PA-SH method will replace the existing Schiff-type fluorescent methods and that it will prove to be a useful technic to aid in the diagnosis of blood conditions, such as acute leukemia, where PAS positivity is known to occur.


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