Baka Meral, Uyanikgil Yiğit, Ateş Utku, Kültürsay Nilgün
Department of Histology and Embryology, Ege University School of Medicine, Bornova, Izmir, Turkey.
Childs Nerv Syst. 2010 Nov;26(11):1575-81. doi: 10.1007/s00381-010-1147-5. Epub 2010 May 12.
Cortical dysplasia is a cortical malformation resulting from any developmental defects during different periods of development. This study aims to investigate the hippocampal histopathological alterations in the neonates with cortical dysplasia due to the prenatal exposure to carmustine (1,3-bis (2-chloroethyl)-1-nitrosourea; BCNU) and the possible effects of prophylaxis with melatonin, a neuroprotective agent.
Wistar albino female rats were randomly divided into four experimental groups; control, melatonin-treated, BCNU-exposed and BCNU-exposed+melatonin-treated. Light microscopy and immunohistochemistry were carried out on the newborn hippocampus.
Histopathology of hippocampus from the control and melatonin-treated groups showed continuity of migration and maturation as pathognomonic signs of the normal newborn hippocampus. Hippocampal cortex from the newborns exposed in utero to BCNU showed the histology of early embryonic hippocampal formation with immunohistochemical increase in the number of nestin positive cells and decreases in the immunoreactivity of glial fibrillary acidic protein (GFAP) and synaptophysin. These findings indicate a significant delay in hippocampal maturation, migration, and synaptogenesis. Intrauterine treatment of BCNU-exposed rats with melatonin resulted in histopathological features almost similar to control group.
It has been concluded that cortical dysplasia induced by intrauterine BCNU administration results in delayed hippocampal maturation, which is successfully restored by intrauterine melatonin treatment.
皮质发育异常是一种因发育不同阶段的任何发育缺陷导致的皮质畸形。本研究旨在调查产前接触卡莫司汀(1,3 - 双(2 - 氯乙基)- 1 - 亚硝基脲;BCNU)的新生儿皮质发育异常中的海马组织病理学改变,以及神经保护剂褪黑素预防性治疗的可能效果。
将Wistar白化雌性大鼠随机分为四个实验组;对照组、褪黑素治疗组、BCNU暴露组和BCNU暴露 + 褪黑素治疗组。对新生海马进行光学显微镜检查和免疫组织化学检查。
对照组和褪黑素治疗组海马的组织病理学显示迁移和成熟的连续性,这是正常新生海马的特征性表现。子宫内暴露于BCNU的新生儿海马皮质显示早期胚胎海马形成的组织学特征,巢蛋白阳性细胞数量免疫组化增加,胶质纤维酸性蛋白(GFAP)和突触素的免疫反应性降低。这些发现表明海马成熟、迁移和突触形成显著延迟。对BCNU暴露的大鼠进行子宫内褪黑素治疗导致组织病理学特征几乎与对照组相似。
已得出结论,子宫内给予BCNU诱导的皮质发育异常导致海马成熟延迟,而子宫内褪黑素治疗成功恢复了这种延迟。