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V D'Andrea

Publications and source records attributed to V D'Andrea.

14 recordsLinked to original sources

Neurotensin localization in adenomatoid cystic malformation versus normal lung: preliminary report of six consecutive cases.

Neuropeptides are considered a new class of neurotransmitters, several of which interact with the immune system as well as the macrophagic activity. Among these, neurotensin (NT) enhances the phagocitic response of macrophages and is the only neuropeptide that can enhance the cytolytic effects of activated macrophages. In this way, it may play a role as an inflammatory mediator. In order to investigate the possible relationship between NT and the defence mechanisms of the lung, we started to localize the presence of NT in pulmonary adenomatoid cystic malformation (CCAM). This series consists of 6 children affected by CCAM. In every case, at operation, we obtained specimens of both normal and pathological lung. Tissue sections from the pathological lung showed a significant increase of NT-like immunoreactivity in respect to sections of normal lung. NT influences and activates the macrophages, thus suggesting that it could represent a defence mechanism in children's lung activated in some malformative conditions. Finally, the increasing evidence of NT immunoreactivity in CCAM could explicate an in utero infectious pathogenesis of this malformation.

Child

Venous wall ultrastructure in generalized venomegaly.

The ultrastructure of the v. colica sinistra in a case of generalized vasomegaly in man was examined. Elastic material was found in three forms: as a lightly osmiophil amorphous material bordering on myocytes, as a highly osmiophil elastic membrane, and as highly osmiophil slim elastic fibres of different orientation in the tunica media and adventitia. The slightly osmiophil elastic material is assumed to be newly formed by pinocytotic activity of the myocytes. The highly osmiophil elastic material indicates its impairment. No typical atherosclerotic changes were found in the examined vein. Based on a comparison with previous findings in the case of vasomegaly of the a. mesenterica inferior, the authors conclude that the venomegaly phenomenon is connected with degenerative changes in the elastic material of the vessel wall.

Aged

A contribution to the morphology of tortuosity of arteries, aneurysms and arteriomegaly.

Using the electron microscope, the authors examined the structure of the wall in a case of arteriomegaly of the inferior mesenteric artery in man. Structural changes concerned the elastic material showing signs of degeneration. Based on a comparison with literary findings, the authors conclude that tortuosity of the arteries, aneurysms and arteriomegaly are caused by congenital, age-dependent and pathological changes in the elastic material in the vessel wall. There exist basic structural differences in the arterial wall in arteriomegaly and in atherosclerosis.

Aged

Variability of the v. cava caudalis and its tributaries in some laboratory animals. II. The laboratory rat (Rattus norvegicus v. alba).

Duplication of the v. renalis was found in 11 of the regions examined (18.3%), when it was more frequent on the right side. A v. capsularis was found in 35 regions (58.3%), usually as a single vein. There were 1-3 vv. suprarenales (but mostly two; on the right they usually joined the v. cava caudalis and on the left the v. renalis sinistra). A v. spermatica was present on the right side in every case, but on the left side in 11 cases only; in one case it was duplicated. In the rat, the v. spermatica was rather thin; if absent, it was replaced by the v. deferentialis. In nine cases (60.0%) the v. uterina cranialis dextra opened into the v. cava caudalis, while in 12 cases (80.0%) the left vein opened into the v. renalis sinistra. A v. uterina media, draining blood from the caudal third of the cornu uteri, was found in only five cases (16.7%). The v. uterina caudalis drained blood from the corpus and cervix uteri. The v. ovarica was a constant finding; it was mostly joined by the v. lumbalis--and on the left side by the v. phrenica sinistra. In males, the vv. lumbales occurred mostly as a pair of veins lying just below the vv. renales. In females, they were present on both sides. As a rule, the v. iliolumbalis occurred as a single vein on both sides. The v. cava caudalis originated at the level of the transition between the lumbar and the sacral spine, usually at the confluence of the two vv. iliacae communes, which in 14 cases (46.7%) were joined by the v. sacralis mediana. Duplication of the v. cava caudalis was found in only one case (a female). Comparison of the morphology of the v. cava caudalis and its tributaries in the rat and the guinea pig showed more slight differences between the two species.

Animals

[The role of calcium in the effect of stress hormones].

During administration of stressogenic substances an increased shift of calcium ions into smooth muscles of the aorta and heart muscle takes place. Administration of a high-fat diet supplemented by cholesterol enhances this process. The calcium blood level does not change significantly during this procedure. The amount of calcium in bones declined after administration of stresso-genic hormones although the values were not statistically significant. It may be assumed that calcium ions shifted into the cardiovascular system originate from osseous tissue. Calcium accumulation during repeated or prolonged stress contributes towards the interpretation of the mechanism of action of stressogenic substances on the cardiovascular system. The increased supply of calcium ions into the heart muscle and coronary arteries may influence also the development of ischaemic heart disease and cardiomyopathies. The increased amount of calcium ions in smooth muscles of the aorta after prolonged administration of stressogenic substances indicates a higher content of calcium ions also in smooth muscle cells of arterioles which leads to a higher peripheral vascular tension. Stress alone does not lead to the development of atherosclerosis but creates favourable conditions for its development.

Animals

Origin of the v. portae and variability of its tributaries in laboratory animals. V. The golden (Syrian) hamster (Mesocricetus auratus).

The authors studied the origin and variability of the v. portae in 30 adult golden hamsters (Mesocricetus auratus) of both sexes after injecting blue-dyed latex into their portal bed. In 16 cases (53.3%) the v. portae was formed from three tributaries and in 11 cases (36.7%) from four. The v. mesenterica cranialis was the only constant tributary, the v. lienalis was a tributary in 28 cases (93.3%) and the other most frequent tributaries were the v. gastroduodenalis and the v. pancreaticoduodenalis cranialis. In one case there was an anastomosis between the v. portae and the v. cava caudalis. In 25 cases (83.3%) the v. gastrica sinistra joined the v. lienalis, in four (13.3%) it was an independent tributary of the v. portae and in one case (3.3%) it was duplicated. A v. cardiaca was found in 25 cases (83.3%), when it was most frequently a tributary of the v. gastroepiploica sinistra and v. gastrica sinistra. In one case only it was an independent tributary of the v. portae. A v. pylorica was observed in 29 cases (96.7%), usually (in 17 cases--56.7%) as a tributary of the v. gastroepiploica dextra; in three cases it was an independent tributary of the v. portae (10.0%). A v. pancreaticoduodenalis cranialis was formed in 28 cases (93.3%). In 12 cases (40.0%), together with the v. gastroepiploica dextra, it was a tributary of the v. gastroduodenalis and in eight cases (26.7%) it was an independent tributary of the v. portae. In two cases (6.7%) the two vv. pancreaticoduodenales united to form v. pancreaticoduodenalis communis. In three cases (10.0%) this vein was duplicated and in one case it was triplicated. A v. gastroepiploica dextra was found in 26 cases (86.7%) and a v. gastroepiploica sinistra in 22 (73.3%). Both veins occurred simultaneously in 19 cases (63.3%). In no case, however, was there a continuous venous arc along the curvatura major ventriculi. A v. lienalis was present in 28 cases (93.3%). It was absent in two cases (6.7%), in which it was replaced by inter-organ anastomoses with the stomach and pancreas. In 19 cases (63.3%), the v. gastroepiploica sinistra and v. gastrica sinistra were both its main tributaries and in five cases (16.7%) its main tributary was the v. gastrica sinistra. In one case the v. lienalis was duplicated. Inter-organ anastomoses were formed in all 30 cases (100%). They occurred between the spleen and the stomach in 27 cases (90%) and between the spleen and the pancreas in 28 cases (93.3%).(ABSTRACT TRUNCATED AT 400 WORDS)

Animals

Ramification of the a. mesenterica cranialis and its variability in the guinea pig (Cavia aperea f. porcellus).

The authors studied ramification of the a. mesenterica cranialis and its variability in 30 guinea pigs (Cavia aperea f. porcellus) after injecting red-dyed latex into their arterial bed. In every case, this artery arose from the truncus hepato-mesentericus, which in turn was a branch of a thick arterial truncus coeliaco-mesentericus. After leaving its site of origin, the a. mesenterica cranialis formed a long arc whose convexity was directed leftwards and caudally. Its first branch was most frequently (18 cases-60%) the a. colica media. In seven cases (23.3%) this artery arose together with the a. pancreaticoduodenalis caudalis from the same site. The a. pancreaticoduodenalis caudalis was the first branch of the a. mesenterica cranialis in two cases only (6.7%). In 18 cases (69%) the a. pancreaticoduodenalis caudalis was the second branch of the a. mesenterica cranialis and in seven cases (23.3%) it arose from the same site as the a. colica media. It supplied the caudal part of the pancreas and the duodenum as far as the flexura duodenojejunalis, where it formed an anastomosis with the first a. jejunalis. In every case, the ileum, caecum and colon were supplied by a thick a. ileocaecocolica, which after giving off the last a. jejunalis, formed a continuation of the trunk of the a. mesenterica cranialis. Near the ileocaecal junction it divided into a r. ileacus, rr. caecales, a r. prae--and retrocaecalis and a r. colicus. The caecum was further fed by thick r1. caecales which usually branched from the middle segment of the a. mesenterica cranialis.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals

Variability of the v. cava caudalis and its tributaries in some laboratory animals. I. The guinea pig (Cavia aperea f. porcellus).

The authors studied variability of the v. caudalis and its tributaries in 30 guinea pigs (Cavia aperea f. porcellus--15 males and 15 females) after injecting the relevant venous system with blue-dyed latex. Since the largest lobe of the guinea pig's liver (the lobus sinister) is situated on the left, the right kidney lies further cranially than the left one. In males, as a rule, the right v. renalis opens into the v. cava caudalis further cranially than the left one. The number of vv. renales showed no sex-related differences, although in 17 regions (i.e. in 29%) there was more than one. The increase most often concerned the v. renalis dextra (the ratio in relation to the left vein was 15:2). The tributaries of the vv. renales are the v. spermatica or v. uterina cranialis a v. lumbalis and a v. or vv. suprarenales. There are usually two tributaries, (the commonest of which is the v. spermatica or v. uterina cranialis) on both the right and the left side, though somewhat more frequently on the left (23:19). Blood is drained from the surface or capsule of the kidney relatively often (in 75% of the cases) by the capsularis, which is the most frequent tributary of the v. spermatica or v. uterina cranialis of the corresponding side. Vv. suprarenales (1-4) are a constant finding on both sides. In males they open more often into the v. cava caudalis and in both sexes they also open into the v. renalis and v. lumbalis. The v. spermatica dextra opened into the v. renalis dextra in 10 cases and the v. spermatica sinistra into the v. renalis sinistra in 12 cases. The v. uterina cranialis dextra was a tributary of the v. renalis dextra in eight cases and the v. uterina cranialis sinistra joined the v. renalis sinistra in 13 cases. Drainage into the v. renalis can thus be regarded as the norm in both sexes and on both sides. The v. uterina caudalis leads from the corpus and cervix uteri and joins the v. uterina cranialis. It has a regular incidence and caudally it is most often a tributary of the v. iliaca communis. The v. ovarica is a constant tributary of the v. uterina cranialis; it is usually joined by several vv. lumbales or v. v. capsulares.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals

The role of the thymus in multiple sclerosis.

The presence of numerous changes in T lymphocyte activity found in MS patients points to the involvement of the thymus in multiple sclerosis. The etiophathogenetic mechanism of MS is probably an autoimmune reaction that is triggered by a viral infection caused by one or more viruses and that perpetuates itself, causing the disease to progress. It has been proved that the thymus maintains its immunocompetence even in adulthood and that it has a role in the pathogenesis in several autoimmune diseases. In exacerbations of MS there is a decrease in T suppressor lymphocytes while histological and lymphocyte subset changes have been demonstrated in the thymus of MS patients. The lymphocyte response to mitogens is also depressed in MS. The clinical results of thymectomy in MS are not uniform and are on the whole inconclusive, probably through the lack of criteria of selection of patients for surgical treatment. We consider that the morphological and functional study of the thymus biopsy specimen should supply the appropriate criteria of suitability for surgical treatment.

Humans