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Biomedical subjects

Y Mustafa

Publications and source records attributed to Y Mustafa.

9 recordsLinked to original sources

Vimentin, cytokeratin 8 and cytokeratin 18 are not specific markers for M-cells in human palatine tonsils.

Standard immunohistochemical methods were used to detect the presence of vimentin, cytokeratin 8, cytokeratin 18, macrophages and Langerhans cells in the human tonsillar epithelium in formalin-fixed and frozen tissue specimens. Vimentin detection was restricted to infiltrating cells of the lymphoid series, dendritic and vascular endothelial cells. All epithelial cells were negative. Cytokeratin 8 and 18 were readily detected in a large proportion of epithelial cells lining the crypt, but these cells bore no resemblance to the intestinal M-cells. Langerhans cells and macrophages were seen in both the oropharyngeal and crypt epithelium and were more common in the latter. This study confirms the presence of antigen-presenting cells, macrophages and Langerhans cells in the tonsillar epithelium and shows that intermediate filament proteins, vimentin, cytokeratin 8 and 18 are unreliable markers for human tonsillar M-cells, if indeed such cells exist in human tonsils.

Antibodies, Monoclonal↗

Differential atrial stunning after electrical cardioversion: an echo tissue Doppler case study.

Left atrial stunning after cardioversion is a well-known phenomenon. It has been associated with higher risk of postcardioversion thromboemboli and increased risk of recurrence of atrial fibrillation. We present a case of differential atrial stunning after electrical cardioversion for atrial fibrillation. Diagnosis was made by pulsed wave Doppler of mitral, tricuspid, and pulmonary vein inflow and mitral and tricuspid annuli. Differential mechanical atrial stunning may be a common phenomenon after cardioversion and may suggest difference in right and left atrial transport function. Its prevalence needs to be determined by a large study. Doppler tissue imaging might be routinely used in patients after cardioversion for atrial fibrillation to detect atrial stunning.

Aged↗

The comparative anatomy of the pig middle ear cavity: a model for middle ear inflammation in the human?

This study was undertaken to develop a functional model of otitis media with effusion (OME) in the pig (Sus scrofa), with the purpose of investigating the origin of lymphocytes populating the middle ear during the course of an inflammatory process. The relevance of the model to the human condition of OME is to a large extent dependent on the anatomical and physiological similarities between the middle ear cavity and the pharyngeal lymphoid tissue of the pig and man. Anatomical specimens were collected from 7 young Large White pigs to determine the gross anatomy of the middle ear cavity and the histological characteristics of the middle ear mucosa. It was found that the anatomy of the 3 parts of the middle ear cavity in man and in the pig is broadly similar, although some minor differences were observed. The porcine eustachian tube was seen to be cartilaginous throughout its length in contrast to the part osseous, part cartilaginous structure found in man; the porcine ossicles were slightly different in shape to those of man and the air cell system was situated inferior to the tympanic cavity in the pig as opposed to posteriorly in man. This paper describes the structure and morphology of the pig middle ear cavity and compares and contrasts it with that of man. The minor differences observed are of anatomical importance but do not diminish the usefulness of the pig middle ear cleft as a potential model for human middle ear disorders.

Animals↗

Binucleated and multinucleated forms of plasma cells in synovia from patients with rheumatoid arthritis.

A morphological examination of synovial tissue from 25 patients with rheumatoid arthritis revealed that binucleated or multinucleated plasma cells were present in all samples and absent in synovia obtained from 16 control patients. Plasma cells containing two, three of four nuclei constitute a mean 3% of the total plasma cell population. They were always found amongst plasma cell infiltrates and in close association with small blood vessels. Ultrastructural analysis found no evidence of cellular membranes separating the individual nuclei in binucleated or multinucleated plasma cells, suggesting that the cells did not arise from fusion. Some of these plasma cells had a diameter approaching 100 microns, and many were in intimate contact with macrophages. The demonstration of a few cells with mitotic figures within the infiltrates suggests that the maintenance of plasma cell numbers in rheumatoid synovium may depend, in part, upon their local proliferation.

Aged↗

Immunohistochemical and ultrastructural analysis of an extracellular matrix bound antigen preferentially associated with mucosal postcapillary venules.

Human lymphoma derived monoclonal antibody (anti "mucosal vessel associated antigen' [MVAA]) binds to high endothelial venules (HEV) in gut-associated lymphoid tissue, but shows only weak reactivity with HEV in peripheral lymphoid tissues. We have used immunohistochemistry and immunoelectron microscopy to define the precise ultrastructural distribution of the molecule, and to determine whether there is any association between this molecule and cellular traffic. We have observed that MVAA is a component of basement membrane which is only expressed by a subset of blood vessels. Although it is restricted to vessels which support lymphocyte traffic within lymphoid tissue, we did not observe any association between the distribution of MVAA and extravasating lymphocytes. MVAA is expressed in the fetal intestine in association with a subset of larger vessels. It is therefore not necessarily induced as a consequence of antigenic challenge. It is likely that MVAA has a structural role related to its restricted microanatomical distribution; possibly the maintenance of integrity of vessel walls which are continuously disrupted by the extravasation of lymphocytes.

Adenoids↗

The ontogeny of adhesion molecules expressed on the vascular endothelium of the developing human skin.

One of the important functions of adhesion molecules is to regulate the trafficking of lymphocytes and other leucocytes between the different organs and tissues of the body. These molecules are expressed on both the endothelial cells and the leucocytes, enabling them to adhere to one another and ultimately lead to extravasation of the leucocytes from the circulation into the surrounding tissue. P and E-selectin promote 'rolling' of leucocytes along the blood vessel walls, whereas ICAM-1 and VCAM-1 mediate subsequent firm adhesion, thus committing the leucocytes to extravasation. We have investigated the expression of the above endothelial adhesion molecules in relation to the developing dermal vasculature of fetal skin using histology and immunocytochemistry. This study showed that already at 11 wk of gestation some dermal vessels expressed P-selectin and ICAM-1. However, by 18 wk these molecules were identified on a significant number of vessels, including small capillaries supplying the forming dermal pegs. In contrast, E-selectin and VCAM-1 molecules were rarely seen in all specimens examined. Our results show that even at 11 wk of gestation, the fetal skin has a mechanism in place for circulating leucocytes to extravasate and provide primitive immunosurveillance. Furthermore, the similarities between the distribution of P-selectin and ICAM-1 in the 18 wk fetal skin and in the normal adult skin were striking. These findings may shed light on our understanding of how the fetus detects and reacts to infections and may, in the future, lead to advances in the management of some intrauterine infections.

Adult↗

The distribution and abnormal morphology of plasma cells in rheumatoid synovium.

This study assessed the distribution and structural features of plasma cells in rheumatoid synovial tissue. Plasma cells were found to be the predominant infiltrating mononuclear cells (mean 40%) in relation to lymphocytes and monocytes, and there was a direct relationship between their number in the infiltrates and the total number of mononuclear leucocytes (P = 0.007). Plasma cells were also seen in intimate contact with macrophages intermixed with synovial lining cells, and closely associated with small blood vessels. They often surrounded these blood vessels and sometimes were seen lying within the vessel walls themselves. Ultrastructural analysis revealed that many synovial plasma cells were considerably larger than plasma cells of a normal size and possessed a marked distension of the cisternae of rough endoplasmic reticulum. Furthermore, plasma cells in close proximity to blood vessels often appeared to be undergoing migration. These observations imply that in rheumatoid synovium, plasma cells are metabolically very active and occupy a pivotal position for the secretion of antibodies into both the vascular and the extravascular compartments.

Aged↗

Structure of the crypt epithelium in human palatine tonsils.

Material from human palatine tonsils from a group of 18 tonsillectomised patients aged 22 months to 8 years was studied by LM, TEM and SEM. Special attention was focused on the structure of the epithelium lining the tonsillar crypts. This is of a dynamic nature in the living organism. In contrast to the stratified squamous epithelium covering the oropharyngeal surface of the tonsil it was often reticulated and invaded by non-epithelial cells. However, it was not uniform throughout. When studied by LM and TEM, adjacent patches of epithelium varied in degree of reticularity. The reticulated epithelium was either covered by a thin layer of squamous cells, or this was disrupted in places where non-epithelial cells passed through. Hence the intact surface, as seen on the SEM, is not a reliable indication of the nature of the underlying structure of the epithelium. Small blood vessels were frequently observed in association with the reticulated epithelium. They formed numerous finger-like projections surrounded by a sleeve of subepithelial connective tissue, and also a fine capillary network within the epithelial thickness. It is proposed that such an organisation of the crypt epithelium offers favourable means for the capturing and processing of antigens by the palatine tonsils.

Blood Vessels↗