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[孕期感染伯氏疟原虫的CD1白化小鼠的组织病理学发现。疟疾中胎儿-胎盘单位病理学的实验模型]

[Histopathologic findings in CD1 albino mice infected with Plasmodium berghei in pregnancy. Experimental model for pathology of the feto- placental unit in malaria].

作者信息

Leopardi O, Colecchia M, Dedè A, Ghione M

机构信息

Servizio di Anatomia Patologica, Ospedale Maggiore di Lodi.

出版信息

Pathologica. 1994 Jun;86(3):284-90.

PMID:7808800
Abstract

Three study groups of pregnant CD1 albino mice were inoculated intraperitoneally with Plasmodium berghei on the 6th (Group I), 13th (Group II) and 18th (Group III) day of gestation. Two control Groups were included, one of non pregnant mice (Group IV) and the other of pregnant non inoculated mice. Group IV was inoculated in the same day of group I. All mice of these two Groups died. Of the 20 mice in Group II 8 died, 7 delivered prematurely and 5 gave birth of low birth weight offspring. The 15 mice in Group III delivered normally with only 4 low birth weight offspring and no deaths. Histological examination revealed total placental necrosis, resorption of the products of conception and widespread foci of hepatic necrosis, malarial pigment accumulation in Group I. Such changes were also present in 8 mice of Group II, but the remainder of the Group retained the product of conception, had marked morphological changes in the placenta and moderate focal hepatic necrosis and malarial pigment accumulation. Group III had mild placental changes and moderate pigment accumulation. The products of conception displayed marked hepatic hematopoiesis in Group II while it was moderate in Group III. No parasitized red cells were observed in the fetal circulation. The stage of gestation at which the malarial infection was contracted was decisive. Malarial infection does not cross the placental barrier so its pathogenetic effects are felt in the maternal circulation with variable effects on the products of conception.

摘要

将妊娠第6天(第一组)、13天(第二组)和18天(第三组)的怀孕CD1白化小鼠三个研究组经腹腔接种伯氏疟原虫。设置了两个对照组,一个是非怀孕小鼠组(第四组),另一个是未接种的怀孕小鼠组。第四组在第一组接种的同一天接种。这两组的所有小鼠均死亡。第二组的20只小鼠中,8只死亡,7只早产,5只产下低体重后代。第三组的15只小鼠正常分娩,仅4只低体重后代,无死亡。组织学检查显示,第一组有胎盘完全坏死、妊娠产物吸收和广泛的肝坏死灶、疟色素蓄积。第二组的8只小鼠也有此类变化,但该组其余小鼠保留了妊娠产物,胎盘有明显形态学改变,有中度局灶性肝坏死和疟色素蓄积。第三组有轻度胎盘改变和中度色素蓄积。第二组妊娠产物显示明显的肝造血,而第三组为中度。在胎儿循环中未观察到被寄生的红细胞。感染疟疾时的妊娠阶段起决定性作用。疟疾感染不会穿过胎盘屏障,因此其致病作用在母体循环中体现,对妊娠产物有不同影响。

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