正常、糖尿病及杂种犬排泄管结扎状态下腮腺实质细胞角蛋白免疫染色的比较研究
Comparative Study of Cytokeratin Immunostaining of Parotid Gland Parenchyma in Normal, Diabetic, and Excretory Duct Ligation of Mongrel Dogs.
作者信息
Hassan Sherif Sayed, Alqahtani Mashael Saeed
机构信息
Oral Biology Division, Department of Basic and Clinical Oral Sciences, Faculty of Dentistry, Umm Al-Qura University, Makkah, The Kingdom of Saudi Arabia.
Department of Oral Biology and Dental Anatomy, Faculty of Dentistry, Al-Azhar University, Assiut, Egypt.
出版信息
Eur J Dent. 2023 Jul;17(3):678-686. doi: 10.1055/s-0042-1744372. Epub 2022 Jun 21.
OBJECTIVES
The present study aimed to give a glimpse of the normal distribution of intermediate filaments within the parotid gland parenchyma of mongrel dogs and to reveal the pathological changes that may occur as a result of the effects of diabetes mellitus or atrophy of the gland caused by the ligation of the excretory duct to discover whether there is a similarity in these pathological behaviors.
MATERIALS AND METHODS
Twelve healthy mongrel dogs were used in the experiment and were divided into three groups: group I (the control group), group II (dogs with alloxan-induced diabetes), and group III (dogs with the right-side duct-ligated parotid gland). The dogs were sacrificed 45 days after the parotid excretory duct were tied. The right parotid gland of all groups was dissected and prepared for histological and immunohistochemical expression of cytokeratin 17 assay.
RESULTS
Histological findings confirmed that the parotid gland parenchyma of the diabetic group had glandular atrophy characterized by the loss of gland structure, degenerated acini, and dilatation of the duct system. Moreover, there is a predominance of the fibrous component with the presence of fat cells within the gland compartments. On the contrary, the excretory duct-ligated group undergoes severe glandular atrophy of the previous character with the presence of duct-like structure as well as extravasation and vasodilatation. Immunohistochemical expression of cytokeratin 17 in control parotid using an immunoperoxidase technique showed that cytokeratin expression varies from negative to mild in all ducts and some serous acinar cells. The gland parenchyma of the diabetic group showed mild to strong cytokeratin expression of duct cells more concentrated in the apical part with moderate to strong expression of diffuse type in some serous acini. The intensity of cytokeratin 17 in gland compartments of the excretory duct-ligated group revealed a variation in expression that ranged from negative to strong diffuse staining throughout the gland.
CONCLUSION
The severity and prevalence of cytokeratin 17 in our results are predictive of the pathological influence of both diabetes mellitus and duct ligation on the cytokeratin intracellular filaments of the salivary gland parenchyma in a different way that interferes with saliva production and/or secretion leading to xerostomia.
目的
本研究旨在初步了解杂种犬腮腺实质内中间丝的正常分布情况,并揭示糖尿病或排泄管结扎导致腺体萎缩所引发的病理变化,以探究这些病理行为是否存在相似性。
材料与方法
实验选用12只健康杂种犬,分为三组:第一组(对照组)、第二组(用四氧嘧啶诱导糖尿病的犬)和第三组(右侧腮腺排泄管结扎的犬)。在腮腺排泄管结扎45天后处死犬。解剖所有组别的右侧腮腺,准备进行细胞角蛋白17的组织学和免疫组化表达检测。
结果
组织学结果证实,糖尿病组的腮腺实质出现腺体萎缩,表现为腺体结构丧失、腺泡退化和导管系统扩张。此外,腺体区域内纤维成分占主导,并有脂肪细胞存在。相反,排泄管结扎组出现先前特征的严重腺体萎缩,伴有导管样结构以及外渗和血管扩张。使用免疫过氧化物酶技术对对照腮腺进行细胞角蛋白17的免疫组化表达显示,所有导管和一些浆液性腺泡细胞中的细胞角蛋白表达从阴性到轻度不等。糖尿病组的腺体实质显示导管细胞的细胞角蛋白表达从轻度到强阳性,更多集中在顶端部分,一些浆液性腺泡中有中度到强阳性的弥漫性表达。排泄管结扎组腺体区域内细胞角蛋白17的强度显示,整个腺体的表达变化范围从阴性到强弥漫性染色。
结论
我们结果中细胞角蛋白17的严重程度和普遍性以不同方式预示了糖尿病和导管结扎对唾液腺实质细胞角蛋白细胞内丝的病理影响,干扰唾液产生和/或分泌,导致口干症。