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分子生物学分析可改善隐睾种马性腺组织的识别——病例报告

Identification of gonadal tissue in cryptorchid stallion can be improved by molecular biological analysis - a case report.

作者信息

Stumpf G, Fietz D, Ezer J, Litzke L-F, Bergmann M

机构信息

Clinic of Equine Surgery, Justus-Liebig-University, Frankfurter Straße, 108, 35392, Giessen, Germany.

出版信息

Anat Histol Embryol. 2012 Aug;41(4):311-5. doi: 10.1111/j.1439-0264.2011.01132.x. Epub 2012 Jan 16.

Abstract

Surgically removed testicular tissue in cryptorchid stallions is sometimes difficult to identify because of morphological and histological malformation. Therefore, a sure method to characterise the removed tissue is required. A 2-year-old Haflinger stallion was castrated after diagnosis of cryptorchidism to remove the left intra-abdomnial testis. Intra-operative exploration of the abdominal cavity revealed a firm, dysmorphic structure, which could not be identified as testis based on macroscopic anatomy. The removed tissue was Bouin-fixed and paraffin-embedded for histological examination. We additionally applied immuno-histochemistry for smooth muscle actin to identify tubular structures as well as reverse transcriptase polymerase chain reaction (RT-PCR) to detect the expression of steroidogenic acute regulatory protein (StAR), indicating the presence of Leydig cells. A hCG test was conducted after surgery to screen for remaining testicular tissue. Histological examination using haematoxylin and eosin staining revealed signs of tissue calcification, amorph matrix with scattered cells and round structures. The latter could not be definitely identified as tubules. Actin staining revealed a few tubular wall structures. StAR mRNA expression indicated the presence of Leydig cells in parts of the removed tissue. The hCG test after castration showed no increase in testosterone. Histological and molecular biological examination of extirpated tissue in cryptorchid stallions can play an important role in the identification of the malformed testes like structures. The use of molecular biological techniques provides the opportunity to characterise surgically removed abdominal tissue that cannot be clearly diagnosed by routine histological examination.

摘要

由于形态学和组织学畸形,隐睾种马经手术切除的睾丸组织有时难以识别。因此,需要一种可靠的方法来鉴定切除的组织。一匹2岁的哈福林格种马在被诊断为隐睾症后进行了去势手术,以切除左侧腹腔内的睾丸。术中对腹腔进行探查时发现一个质地坚硬、形态异常的结构,根据大体解剖无法确定其为睾丸。将切除的组织用Bouin固定液固定并石蜡包埋,进行组织学检查。我们还应用平滑肌肌动蛋白免疫组织化学来识别管状结构,并应用逆转录聚合酶链反应(RT-PCR)检测类固醇生成急性调节蛋白(StAR)的表达,以表明间质细胞的存在。术后进行了人绒毛膜促性腺激素(hCG)检测,以筛查残留的睾丸组织。苏木精-伊红染色的组织学检查显示有组织钙化迹象、无定形基质伴有散在细胞和圆形结构。后者不能明确鉴定为小管。肌动蛋白染色显示有一些管状壁结构。StAR mRNA表达表明切除组织的部分区域存在间质细胞。去势后的hCG检测显示睾酮没有升高。对隐睾种马切除组织进行组织学和分子生物学检查,在识别畸形睾丸样结构方面可发挥重要作用。分子生物学技术的应用为鉴定经手术切除但常规组织学检查无法明确诊断的腹腔组织提供了机会。

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