Peltier Morgan R, Richey Lauren J, Brown Mary B
Department of Pathobiology, University of Florida, Gainesville, FL, USA.
Am J Reprod Immunol. 2003 Sep;50(3):254-62. doi: 10.1034/j.1600-0897.2003.00075.x.
Sprague-Dawley (SD) rats infected during pregnancy with Mycoplasma pulmonis display adverse pregnancy outcomes that are similar to those observed in women with chorioamnionitis and may provide a good model system for this disease. The placental lesions caused by this microorganism, however, have not been thoroughly characterized.
Rats were infected with 10(7) colony-forming units (CFU) M. pulmonis or vehicle control on gestation day (gd) 14 and were euthanized on gd 16-18. Tissues were fixed in 10% neutral buffered formalin, embedded in paraffin, sectioned at 4 microm, and stained with hematoxylin and eosin (H & E). The slides were coded and examined by a blinded pathologist using light microscopy.
Infection with M. pulmonis was associated with necrosis of trophoblast giant cells at gd 18. Significantly more neutrophils were observed in the decidual region of the apex of the placenta in M. pulmonis infected animals. The vast majority of neutrophils, however, were observed in the decidua in the lateral regions of the placenta and in the adjacent endometrium.
Infection of SD rats with M. pulmonis resulted in histological placentitis similar to that described in deciduitis of humans and represents a good model system for investigations into the pathophysiology of intrauterine infection. The influx of neutrophils seems to migrate from the endometrium towards the lateral regions of the placenta near Reichert's membrane and the divergence of the parietal yolk sac.
孕期感染肺炎支原体的斯普拉格-道利(SD)大鼠会出现不良妊娠结局,这与绒毛膜羊膜炎女性所观察到的结局相似,可能为该疾病提供一个良好的模型系统。然而,这种微生物引起的胎盘病变尚未得到充分表征。
在妊娠第14天,给大鼠感染10⁷集落形成单位(CFU)的肺炎支原体或赋形剂对照,并在妊娠第16 - 18天实施安乐死。将组织固定于10%中性缓冲福尔马林中,石蜡包埋,切成4微米厚的切片,并用苏木精和伊红(H&E)染色。玻片编码后由一位不知情的病理学家使用光学显微镜进行检查。
在妊娠第18天,感染肺炎支原体与滋养层巨细胞坏死有关。在感染肺炎支原体的动物中,在胎盘顶端蜕膜区域观察到的中性粒细胞明显更多。然而,绝大多数中性粒细胞出现在胎盘外侧区域的蜕膜以及相邻的子宫内膜中。
SD大鼠感染肺炎支原体导致了类似于人类蜕膜炎症中所描述的组织学胎盘炎,是研究宫内感染病理生理学的一个良好模型系统。中性粒细胞的流入似乎是从子宫内膜向靠近赖歇特膜和壁层卵黄囊的胎盘外侧区域迁移。