scholarly journals Histopathological features of liver tissue in non-alcoholic and alcoholic steatohepatitis depending on the presence of concomitant anemia

2021 ◽  
Vol 25 (1(97)) ◽  
pp. 3-10
Author(s):  
T. Antofiichuk ◽  
I. Davydenko ◽  
O. Khukhlina ◽  
M. Antofiichuk

The aim: to study some histopathological changes in the liver affected by steatohepatitis of various etiologies with the presence of anemia. Material and methods. Liver biopsies were analyzed in 30 patients with non-alcoholic steatohepatitis (NASH) and 20 patients with alcoholic steatohepatitis (ASH). The morphological examination of the liver was carried out according to the standard methods. The histopathological features of the liver were established on the basis of hematoxylin and eosin staining method, with confirmation, if necessary, by the histochemical methods - staining for fat (method with Sudan-III) and collagen fibers (method with chromotropic-water blue by NZ Slinchenko). Microspectrophotometric studies were performed using a cytological analyzer with software "VideoTest - Size 5.0" (2000). Results. A number of parameters revealed the statistical differences in the average trends with the use of the nonparametric Mann-Whitney method (p<0.05). The highest rate of hepatocyte necrosis was observed in the patients with ASH with anemia, in particular, more than a third of hepatocytes in these patients had signs of colic necrosis, which was more pronounced in ASH than in NASH. NASH with anemia was accompanied by more pronounced necrosis of hepatocytes than NASH without anemia. In ASH without anemia, the percentage of affected hepatocytes was on average approximately the same as in NASH without anemia. Fatty dystrophy of hepatocytes was observed in all the patients with NASH and ASH, but the severity of the general pathological process was not the same. Conclusions. Due to the comorbidity of fatty liver disease with anemia in both NASH and ASH, a much higher percentage of hepatocytes affected by reversible swelling are formed, which coincides with the tendency for hepatocyte oncosis. Anemia affects the nature of connective tissue growth in NASH and ASH (in ASH, the specific volume of connective tissue was higher than in NASH). At the same time, the intensity of regenerative processes in the liver (ductal reactions of the liver) is most pronounced in patients with anemia, and most - in ASH.

2021 ◽  
Vol 19 (4) ◽  
Author(s):  
T.M. Antofiichuk ◽  
I.S. Davydenko ◽  
O.S. Khukhlina ◽  
N.P. Antofiichuk ◽  
V.S. Haidychuk

The aim – to study some histopathological features of the iron overload syndromeformation in patients suffering from steatohepatitis depending on its etiology.Material and methods. Liver biopsies were analyzed in 30 patients with nonalcoholicsteatohepatitis (NASH) and 20 patients with alcoholic steatohepatitis (ASH). Themorphological examination of the liver was carried out according to the standardmethods. The histopathological features of the liver were established on the basis ofthe method of staining with hematoxylin and eosin, with the confirmation, in case ofnecessity, by the histochemical methods - staining for fat (the method with Sudan-III) andcollagen fibers (the method with chromotropic-water blue according to N.Z Slinchenko).Microspectrophotometric studies were conducted using a cytological analyzer withsoftware "VideoTest - Size 5.0" (2000).Results. The same regularities for both trivalent iron and twovalent iron were revealed asa whole in the liver cells at histological investigations, that is in ASH the optical densityis at the average 1.3 (p<0.05) times higher than in NASH. The staining on trivalent ironis less intensive, than on the twovalent iron. There is probable iron overload syndrome inthe alcoholic steatohepatitis patients with increased uptake of it both 2+- and 3+- valentforms in the liver cells – reticuloendotheliocytes and hepatocytesConclusions. Iron overload syndrome with increased uptake of it for both 2+- and3+-valent takes place in the liver cells – endotheliocytes and hepatocytes – in patientswith alcoholic steatohepatitis. At alcoholic steatohepatitis the optical density withhistochemical staining on iron 2+ in reticuloendotheliocytes of the liver is 1.2 times andin hepatocytes – 1.3 times higher than at non-alcoholic steatohepatitis irrespective ofthe presence or absence of anemia. At alcoholic steatohepatitis the optical density ofhistochemical iron staining 3+ in reticuloendotheliocytes of the liver and hepatocytesis 1.3 times higher than in non-alcoholic steatohepatitis, and is irrespective of anemiapresence as well.


2008 ◽  
Vol 78 (6) ◽  
pp. 1015-1022 ◽  
Author(s):  
Yuji Ishida ◽  
Zuisei Kanno ◽  
Kunimichi Soma

Abstract Objective: To clarify the influence of occlusal hypofunction on the integrity of gingival tissue and gingival extracellular matrix biosynthesis. Materials and Methods: Thirteen-week-old male Wistar rats were divided into two groups. To eliminate occlusal forces, all the right maxillary molars were extracted in the hypofunctional group. The control group was anesthetized but not subjected to surgery. The rats were killed at 2 and 4 weeks after the procedure, and the lower right second molars were prepared for histological analysis. To investigate the effect of occlusal hypofunction on collagen biosynthesis, the expression of connective tissue growth factor (CTGF) and lysyl oxidase (LOX) was determined by immunohistochemistry as well as histological examination by hematoxylin and eosin staining. Results: Disorientation of the collagen fibers, proliferation of the connective tissue fibroblasts, and enlargement of epithelial intercellular gaps were observed in gingival tissue of rat molars with experimental occlusal hypofunction. Immunohistochemically, the expression of CTGF and LOX was increased significantly (P &lt; .05) in the hypofunctional group. Conclusion: These results suggest that occlusal hypofunction can affect the structural integrity and the expression of CTGF and LOX in gingival tissue.


2020 ◽  
Vol 2 ◽  
pp. 76-84
Author(s):  
Iaroslav Kisera ◽  
Yulya Martyniv ◽  
Ivan Klishch

During the course of microspores on the skin, the balance between the species of saprophytic microorganisms and hypersensitivity as an integral part of the inflammatory reaction resulting from the presence of the pathogen in the skin is disturbed. The degree of expression of inflammation varies. Clinical manifestations of microsporia are manifested by erythema, alopecia, scaly and crust formation. The aim. Histological studies were performed to determine pathomorphological changes in the skin of guinea pigs during microsporia. The studies were conducted on clinically healthy and sick guinea pigs during the acute course of the disease, during regeneration and during recovery.And also carry out a description and characterization of the identified changes in the skin.The obtained research results showed that patients with microsporia had changes in the morphological composition of the skin, which were characterized by thickening and keratinization of the epidermis, there were small-focal polymorphic cell infiltrates, there was a violation of the microvasculature and the formation of micellar formations. Materials and methods. The material for histological examination(pieces of guinea pig skin) was fixed in a 10–12 % cooled solution of neutral formalin, followed by pouring into paraffin according to the scheme proposed by G.A. Merkulov (1969). Histomic sections 5–7 μm thick were made on the MC-2 dome microtome. Hematoxylin and eosin staining were used for the morphological evaluation of cells and tissue. Microscopy was performed using an OLIMPUS CX-41 microscope. Results. Signs of superficial inflammation with hyperkeratosis and desquamation of cells of the stratified epithelium, microcracks of the epidermis were found in the skin of the patient with microsporia of the tentacle during the acute course. Signs of inflammation of the follicles and surrounding tissues are visualized. Round-cell and plasma connective tissue infiltrates of the connective tissue of the skin were detected by lymphoid, histiocytic and other cellular elements. There is moderate leukocyte infiltration in the dermis. Signs of inflammation by type of infiltration around the hair follicles, enlargement of the blood capillaries and the presence of microabscesses. In the stage of regeneration during recovery, a clear contoured layer of epithelial cells is established. There are no signs of inflammatory reaction in the dermis. Conclusion. In microspores, inflammatory processes occur in all layers of the skin. The skin of sick animals loses its barrier function due to pathomorphological changes. The long-term consequences of the pathological process during the course of microspores can provoke the development of chronic dermatitis with scleroderma. During the course of microspores on the skin, the balance between the species of saprophytic microorganisms and hypersensitivity as an integral part of the inflammatory reaction resulting from the presence of the pathogen in the skin is disturbed. The degree of expression of inflammation varies. Clinical manifestations of microsporia are manifested by erythema, alopecia, scaly and crust formation. The aim. Histological studies were performed to determine pathomorphological changes in the skin of guinea pigs during microsporia. The studies were conducted on clinically healthy and sick guinea pigs during the acute course of the disease, during regeneration and during recovery.And also carry out a description and characterization of the identified changes in the skin.The obtained research results showed that patients with microsporia had changes in the morphological composition of the skin, which were characterized by thickening and keratinization of the epidermis, there were small-focal polymorphic cell infiltrates, there was a violation of the microvasculature and the formation of micellar formations.Materials and methods. The material for histological examination(pieces of guinea pig skin) was fixed in a 10–12 % cooled solution of neutral formalin, followed by pouring into paraffin according to the scheme proposed by G.A. Merkulov (1969). Histomic sections 5–7 μm thick were made on the MC-2 dome microtome. Hematoxylin and eosin staining were used for the morphological evaluation of cells and tissue. Microscopy was performed using an OLIMPUS CX-41 microscope. Results. Signs of superficial inflammation with hyperkeratosis and desquamation of cells of the stratified epithelium, microcracks of the epidermis were found in the skin of the patient with microsporia of the tentacle during the acute course. Signs of inflammation of the follicles and surrounding tissues are visualized. Round-cell and plasma connective tissue infiltrates of the connective tissue of the skin were detected by lymphoid, histiocytic and other cellular elements. There is moderate leukocyte infiltration in the dermis. Signs of inflammation by type of infiltration around the hair follicles, enlargement of the blood capillaries and the presence of microabscesses. In the stage of regeneration during recovery, a clear contoured layer of epithelial cells is established. There are no signs of inflammatory reaction in the dermis. Conclusion. In microspores, inflammatory processes occur in all layers of the skin. The skin of sick animals loses its barrier function due to pathomorphological changes. The long-term consequences of the pathological process during the course of microspores can provoke the development of chronic dermatitis with scleroderma.


Hepatology ◽  
2009 ◽  
pp. NA-NA
Author(s):  
Ieva Peredniene ◽  
Eddy van de Leur ◽  
Birgit Lahme ◽  
Monika Siluschek ◽  
Axel M. Gressner ◽  
...  

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