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1.
Egyptian Journal of Hospital Medicine [The]. 2017; 69 (7): 2754-2770
in English | IMEMR | ID: emr-190634

ABSTRACT

Background: aluminum is the third most common element in the earth's crust and is about 8% of its total mineral components. It is widely used in antacid drugs, food additives and tooth pastes. Moreover, it is added to the drinking water for purification purposes. It is also the metal of choice in making several household cookware and storage utensils despite its toxic effects


Aim of the work: this study aimed to describe the histological changes which occurred in liver of rats exposed to aluminum and also to clarify whether those changes were related to the age of the experimental animals or not


Material and methods: 32 male albino rats were used in this study, 16 adults and they were weighing 150-180 gm and 16 senile and they were weighing 400-450 gm. Group I: was consisted of 16 adult male rats. This group was categorized into two equal subgroups; subgroup IA and subgroup IB. Group II: was consisted of 16 senile male rats. This group was categorized into two equal subgroups; subgroup IIA and sub group IIB. Subgroups IA and IIA were served as control and received distilled water. Subgroups IB and IIB received aluminum chloride in a dose of 475 mg/kg body weight by gastric gavage once daily for three weeks. At the end of the experiment, liver specimens were collected, processed for paraffin blocks and semithin sections and examined by light microscope


Results: liver sections obtained from adult rats received aluminum chloride showed disrupted and discontinuous liver capsule, disorganized hepatic architecture, affection of the hepatocytes especially those under the liver capsule which had small darkly stained nuclei and dilated, distorted and slightly congested central veins. Most of the blood sinusoids appeared either narrow and obliterated or congested. The portal triads showed vascular congestion and dilatation, proliferation of the bile ducts with slight increase in the collagen deposition around the portal triads. Sporadic positive PAS reaction within the cytoplasm of the hepatocytes was also noticed in liver sections stained with PAS stain. Semithin sections stained with toluidine blue showed well circumscribed vacuoles of different sizes inside and outside the hepatocytes. On the other hand, liver sections obtained from senile rats received aluminum chloride showed the same previous changes that occurred in the adult group, but they were exaggerated and there were additional changes such as the presence of irregular homogenous materials and tiny vacuoles in the cytoplasm of most of the hepatocytes


Conclusion: oral administration of aluminum chloride in rats resulted in degenerations in the liver and that was conclusive of toxic hepatitis. These changes were exaggerated among the senile rats which proved that senile rats are more susceptible to the hepatoxicity induced by aluminum. Therefore, it is advised to create awareness among people especially the senile ones about the hazards of extensive use of aluminum

2.
Egyptian Journal of Medical Microbiology. 2007; 16 (2): 377-386
in English | IMEMR | ID: emr-197661

ABSTRACT

Asthma is the most common chronic childhood disease in developed nations and is a complex has high social and economic costs. Asthma and its associated intermediate phenotypes are under a substantial degree of genetic control. Identifying the genes underlying asthma offers a means of better understanding its pathogenesis.IL-13 is a critical mediator of asthma and allergy. Recent attention has focused on the mechanisms that it uses to induce tissue alterations. IL-13 is a potent stimulator of eosinophilic inflammation, airway fibrosis, mucus metaplasia and airway hyperresponsiveness, Common single-nucleotide polymorphisms in IL-13 are associated with allergic phenotypes in several ethnically diverse populations. In particular, IL13+2044G-A is expected to result in the nonconservative replacement of arginine 130 [R130] with glutamine [Q]. IL-13 variant was able to engage T cells, which depends on enhanced IL-13 mediated Th2 differentiation. Data indicate that natural variation in the coding region of IL-13 may be an important genetic determinant of susceptibility to allergy. Increased serum IgE levels have been found in carriers of IL13+2044A in several populations, raising the possibility that expression of IL-13 R130Q and increased IgE class switching might be mechanistically linked]


Objective: To outline the association of the IL-13 genetic variant R130Q with childhood bronchial asthma and its relation to various clinical and laboratory phenotypes of the disease


Methods: The study was carried out from July 2005 to June 2006. Patients asthmatics enrolled from Allergy and Immunology Unit of Ain Shams University Children's Hospital. All the studied children were subjected to: history taking, careful clinical examination, CBC, serum total IgE by the ELISA technique and detection of IL-13 gene polymorphism [R130Q] by PCR amplification followed by sequencing


Results: The results of the present study showed a significant difference between asthmatic children and controls regarding the frequency of distribution of R130Q genotype which was present in 50% of patients and 15% of controls. No significant differences were observed between patients with IL-13 polymorphism R130Q and those without as regards family history, URTI, food allergy or asthma grading. The serum total IgE as percent of normal was significantly higher in asthmatic patients as compared to controls. While no significant difference was observed between both groups as regard the absolute eisinophilic count[AEC]. Serum total IgE was significantly higher in asthmatics with GA genotype as compared to those with GG genotype. A similar finding was also observed among control group. Finally a significantly higher AEC was observed in controls with GA as compared to GG genotype


Conclusion: the common variant IL-13 gene polymorphism R130Q is associated with the risk of development of pediatric asthma as reflected by the higher laboratory parameters of asthma namely serum total IgE and AEC. Further studies should focus also on other loci on 5q 31-33 such as within the IL-4 and IL-5 genes in the production of the allergic phenotypes and it becomes a necessity to establish the exact genetic profile of our Egyptian asthmatic children. This will help to direct future research in the field of gene therapy of asthma to suit asthmatic children in our country

3.
Egyptian Journal of Pediatric Allergy and Immunology [The]. 2005; 3 (1): 32-37
in English | IMEMR | ID: emr-200705
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