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实验性脑室内神经囊尾蚴病中的脱髓鞘

Demyelination in experimental intraventricular neurocysticercosis.

作者信息

Moura Vania Beatriz Lopes, Milhomem Analia Cirqueira, Lima Sarah Buzaim, Matos-Silva Hidelberto, Sugita Denis Masashi, Vinaud Mariana Clare, Lino-Júnior Ruy de Souza

机构信息

Universidade Federal de Goiás, Instituto de Patologia Tropical e Saúde Pública, Goiânia GO, Brazil.

Universidade Federal de Goiás, Programa de Pós-Graduação em Medicina Tropical e Saúde Pública, Instituto de Patologia Tropical e Saúde Pública, Goiânia GO, Brazil.

出版信息

Arq Neuropsiquiatr. 2020 Feb;78(2):103-111. doi: 10.1590/0004-282X20190155.

Abstract

Neurocysticercosis (NCC) is classified as a neglected tropical disease, which affects mainly Latin America and Africa in spite of some reports in North America and Europe. NCC represents the cause of up to 30% of the reported cases of epilepsy in endemic countries. The NCC injuries present direct relation to the development stage, location, and number of parasites as well as to the host immune response. This study aimed the characterization of the inflammatory response and tissue injuries by means of the analyses of the periventricular and parenchymatous demyelination through the experimental intraventricular NCC infection. Therefore, BALB/c mice were submitted to experimental NCC inoculation with Taenia crassiceps cysticerci. Their brains were removed at 7, 30, 60, and 90 days after the inoculation (DAI), and analyzed after staining with hematoxylin and eosin (HE), Luxol Fast Blue, and Nissl. It was possible to observe ventriculomegaly, inflammatory infiltration composed by polymorphonuclear and mononuclear cells, and foamy macrophages. The presence of inflammatory cells was associated with neurodegeneration detected by the areas with demyelination observed initially in the periventricular area and lately in the parenchyma. In conclusion, the presence of cysticerci and the consequent inflammation were able to promote initial periventricular demyelination followed by parenchymatous demyelination as the infection progressed.

摘要

神经囊尾蚴病(NCC)被归类为一种被忽视的热带病,尽管在北美和欧洲有一些病例报告,但该病主要影响拉丁美洲和非洲。在流行国家,NCC是报告的癫痫病例中高达30%的病因。NCC损伤与寄生虫的发育阶段、位置、数量以及宿主免疫反应直接相关。本研究旨在通过实验性脑室内NCC感染,分析脑室周围和实质脱髓鞘,以表征炎症反应和组织损伤。因此,将BALB/c小鼠接种克氏假裸头绦虫囊尾蚴进行实验性NCC接种。在接种后7、30、60和90天(DAI)取出它们的大脑,并用苏木精和伊红(HE)、卢氏固蓝和尼氏染色后进行分析。观察到脑室扩大、由多形核细胞和单核细胞组成的炎症浸润以及泡沫状巨噬细胞。炎症细胞的存在与神经退行性变相关,神经退行性变通过最初在脑室周围区域、后来在实质中观察到的脱髓鞘区域检测到。总之,随着感染的进展,囊尾蚴的存在以及随之而来的炎症能够促进最初的脑室周围脱髓鞘,随后是实质脱髓鞘。

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