Increase in placental apolipoprotein D as an adaptation to human gestational diabetes.

The expression of apolipoprotein D (apo D), a lipocalin involved in defense mechanisms against oxidative stress, in placental tissue samples of pregnancies with gestational diabetes mellitus (GDM) was compared to non-diabetic controls. We have investigated the relationship of apo D with 4-HNE, a major propagation product of lipid peroxidation, in stressed tissues. We included 20 pregnant women with GDM and 30 women with normal ongoing pregnancies as the control group. Placentas were collected and frozen for Western blot or included in paraffin for immunohistochemistry. The intensity of immunostaining was higher for apo D and 4-HNE in GDM samples; however, the differences in expression between the groups was more intense for apo D. Positive signals for both antibodies was detected in the villous trophoblast and adventitia tunica around the large blood vessels for all groups. Specific immunostaining for apo D was noted in some mesenchymal and macrophagic-like cells and this signal increased in diabetic placentas. Densitometry analysis of Western blots showed no significant difference for 4-HNE, but was significantly more intense for apo D in diabetic women. The contradictory results for 4-HNE could be due to changes which are too small and are masked in tissue homogenates. The results for apo D showed a strong relationship with GDM in the placenta that may reflect its suggested function in defense mechanisms against oxidative stress.

Aging in the vestibular nuclear complex of the male golden hamster (Mesocricetus auratus): anatomic and morphometric study.

To study the effects of senescence on the vestibular nuclear complex twenty brainstems from male golden hamsters between 3 and 27 months-old were used and the possible variations in the number of neurons, neuronal morphology and nuclear volume were studied. The neuron profiles were drawn with a camera lucida and Abercrombie's method was used to estimate the total number of neurons. The test of Kolmogorov-Smirnov with the correction of Lilliefors was used to evaluate the fit of our data to a normal distribution and a regression analysis was done to decide if the variation of our data with age was statistically significant. The results of the present study are relevant only for male animals and the effect of senescence could be different in female vestibular nuclear complex. Aging affects the volume of the superior and lateral vestibular nuclei, as well as the nuclear neuronal diameter of the medial vestibular nucleus, but no significant neuronal loss has been appreciated in vestibular nuclear complex related with age. During the aging process we have observed that the distribution of neurons within the vestibular nuclei of the golden hamster does not show important changes and most of their morphometric parameters do not vary significantly.

[Neuroanatomy of the nuclear vestibular complex in the syrian hamster. Comparison with other mammals]. / Neuroanatomía del complejo vestibular nuclear en el hámster sirio. Comparación con otros mamíferos.

The vestibular complex has been studied since the fifties. The general conclusion of research on many mammals is that the vestibular complex has four main vestibular nuclei and some less constantly associated neuronal groups. The general distribution of the four main vestibular nuclei in the hamster does not differ substantially from that of other mammals: humans, many primates, cat, opossom, rabbit, chinchilla, guinea pig, etc. Of the many associated groups that have been described, we clearly identified groups <>, <>, <>, <>, and the interstitial nucleus of the vestibular nucleus of Cajal. However, the latter seems to be less developed than in other mammals. We present results and a map of serial sections of the vestibular area showing the most characteristic anatomic relations with brainstem structures, and the most relevant cytomorphometric results compared with other mammals.

Aging and the human vestibular nuclei: morphometric analysis.

The data concerning the effects of age on the brainstem are scarce and few works are devoted to the human vestibular nuclear complex. The study of the effects of aging in the vestibular nuclei could have clinical interest due to the high prevalence of balance control and gait problems in the elderly. We have used in this work eight human brainstems of different ages sectioned and stained by the formaldehyde-thionin technique. The neuron's profiles were drawn with a camera lucida and Abercrombie's method was used to estimate the total number of neurons. The test of Kolmogorov-Smirnov with the correction of Lilliefors was used to evaluate the fit of our data to a normal distribution and a regression analysis was done to determine if the variation of our data with age was statistically significant. Aging does not affect the volume or length of the vestibular nuclear complex. Our results clearly show that neuronal loss occurs with aging in the descending (DVN), medial (MVN), and lateral (LVN) vestibular nuclei, but not in the superior (SVN). There are changes in the proportions of neurons of different sizes but they are not statistically significant. The neuronal loss could be related with the problems that elderly people have to compensate unilateral vestibular lesions and the alterations of the vestibulospinal reflexes. The preservation of SVN neurons can explain why vestibulo-ocular reflexes are compensated after unilateral vestibular injuries.

Neuroanatomía del complejo vestibular nuclear en el hamster sirio. Comparación con otros mamíferos / Neuroanatomy of the nuclear vestibular complex in the Syrian hamster. Comparison with other mammals

El complejo vestibular ha sido estudiado desde la década de los cincuenta. Las investigaciones llevadas a cabo en numerosos mamíferos han mostrado como conclusión general que el Complejo Vestibular está constituido por cuatro núcleos vestibulares principales y algunos grupos neuronales asociados más o menos constantes. La distribución general de los cuatro núcleos vestibulares principales en el hámster no muestra diferencias sustanciales respecto a otros mamiferos estudiados: hombre, numerosos primates, gato, opossum, conejo, chinchilla, cobaya, etc. De los numerosos grupos asociados descritos nosotros hemos identificado con claridad los grupos «y», «1», «X», «f» y el núcleo intersticial del núcleo vestibular de Cajal. Sin embargo, este último parece estar menos desarrollado que en otros mamiferos. Presentamos los resultados obtenidos incluyendo un mapa a lo largo del área vestibular en cortes transversales seriados, señalando las relaciones anatómicas más características con las estructuras troncoencefálicas, así como los resultados citomorfométricos obtenidos más relevantes, comparándolos con los descritos en otros mamiferos (AU)

The vestibular complex has been studied since the fifties. The general conclusion of research on many mammals is that the vestibular complex has four main vestibular nuclei and some less constantly associated neuronal groups. The general distribution of the four main vestibular nuclei in the hamster does not differ substantially from that of other mammals: humans, many primates, cat, opossom, rabbit, chinchilla, guinea pig, etc. Of the many associated groups that have been described, we clearly identified groups «y», «l», «x», «f», and the interstitial nucleus of the vestibular nucleus of Cajal. However, the latter seems to be less developed than in other mammals. We present results and a map of serial sections of the vestibular area showing the most characteristic anatomic relations with brainstem structures, and the most relevant cytomorphometric results compared with other mammals (AU)

[Encrusted alkaline cystitis and malacoplakia]. / Cistitis alcalina incrustante y malacoplaquia.

Urinary infection due to urea splitting bacteria leads to a rise in urinary pH, favouring the precipitation of calcium salts and struvita crystals. If deposited on the surface of a bladder with chronic inflammation or some other previous lesion, may produce an alkaline encrusted cystitis, now a rare condition. In the case here presented, occurred in a 69-year-old male. Corynebacterium urealyticum grown in the urine, and some foci of malakoplakia were found in the area of encrustation endoscopically excised. This case seems to be the third example of alkaline encrusted cystitis associated with malakoplakia reported in the bibliography. These two conditions share similar clinical signs and may probably have a common aetiopathogenesis.

Neuronal loss in human medial vestibular nucleus.

The data concerning the effects of age on the brainstem are inconsistent, and few works are devoted to the human vestibular nuclear complex. The medial vestibular nucleus (MVN) is the largest nucleus of the vestibular nuclear complex, and it seems to be related mainly to vestibular compensation and vestibulo-ocular reflexes. Eight human brainstems have been used in this work. The specimens were embedded in paraffin, sectioned, and stained by the formaldehyde-thionin technique. Neuron profiles were drawn with a camera lucida at x330. Abercrombie's method was used to estimate the total number of neurons. We used the test of Kolmogorov-Smirnov with the correction of Lilliefors to evaluate the fit of our data to a normal distribution, and a regression analysis was performed to determine if the variation of our data with age was statistically significant. The present study clearly shows that neuronal loss occurs with aging. The total number of neurons decreases with age, from 122,241 +/- 651 cells in a 35-year-old individual to 75,915 +/- 453 cells in an 89-year-old individual. Neuron loss was significant in the caudal and intermediate thirds of the nucleus, whereas the changes in the rostral third were not significant. The nuclear diameter of surviving neurons decreased significantly with age. There is a neuron loss in the MVN that seems to be age-related. It could help explain why elderly people find it hard to compensate for unilateral vestibular deficits. The preservation of neurons in the rostral third could be related to the fact that this area primarily innervates the oculolmotor nuclei; these latter neurons do not decrease in number in other species studied.

[The effects of aging on the volume of human vestibular nuclei]. / Efectos del envejecimiento en el volumen de los núcleos vestibulares humanos.

Elderly persons often have balance disorders, with dizziness that sometimes leads to falls. Changes in the peripheral vestibular system with age, with loss of the hair cells and neurons of Scarpa's nucleus, have been studied for years. However, the changes in the vestibular nuclear complex with age have not been examined. We studied paraffin-embedded brainstems from nine persons of different ages in order to analyze possible changes with age. No abnormalities were observed in the volume or length of the vestibular nuclei, except for a decrease in both dimensions in the superior vestibular nucleus (SNV). All the main vestibular nuclei showed an increase in lipofuscin content with age that seemed to be less marked in the SNV. The low lipofuscin concentration in the SNV could be related with the conservation of vestibular reflexes, the center of which seems to be the SVN, in elderly persons.

Morphometric analysis of the human vestibular nuclei.

BACKGROUND: Cytoarchitectural investigations of the vestibular nuclei have been undertaken in different species of mammals. These data provide a description of the general architecture of the nuclei but limited information about quantitative characteristics of their cell population. We have recently obtained data about the morphometric parameters of the vestibular nuclei neurons in some species. The application of quantitative image analysis techniques to the research of the cellular morphology in the vestibular area of humans might provide basic information to compare with data from animal studies, taking into account the observed correlation between physiological and morphological properties of vestibular neurons. METHODS: The characteristics of the major vestibular nuclei in humans have been studied with light microscopic techniques in serially cut sections. Camera lucida drawings of the vestibular nuclei and their neurons were made and subjected to computerized image analysis. For each vestibular nucleus, information was obtained about topography, morphological characteristics (i.e., location, volume, and length), and the number and morphometric parameters of their neurons (cross-sectional areas, maximum and minimum diameters). Morphometric data about cell parameters were statistically analyzed by comparing the populations within different parts of each nucleus and from different nuclei. RESULTS: Among the vestibular nuclei, the medial, which is the largest, has the greatest number of neurons, and the interstitial, the least. The lateral and interstitial nuclei contain the largest cells, and the descending nucleus has the smallest cells. The superior nucleus contains cells of intermediate size. The size of cells decreases in a rostrocaudal direction in the medial, lateral, and descending nuclei, the opposite trend being observed in the superior nucleus. Within the superior and medial nuclei, there are discrete areas with cells with distinctive characteristics. CONCLUSIONS: These results suggest that, just as most of the anatomical characteristics of the second-order neurons found in animals have been preserved in humans, so the physiological mechanisms observed in the vestibular system of animals should apply to humans.

Rostrocaudal and ventrodorsal change in neuronal cell size in human medial vestibular nucleus.

BACKGROUND: The present paper describes the cytoarchitectonic, morphometric, and three-dimensional characteristics of the human medial vestibular nucleus (MVN). We also studied the regional distribution, in size, of the different neurons and its possible relationship with a functional polarization of the different regions of the nucleus. METHODS: Nine adult human brainstems (30-50 years of age) without neurological problems were used. Specimens were obtained from necropsy and fixed in 4% paraformaldehyde and 5% acetic acid in distilled water. After fixation, blocks were washed, dehydrated, and embedded in paraffin and serial sectioned at 20 microns. Sections were stained with formaldehydethionin, dehydrated, cleared in eucalyptol, and mounted with Eukitt. MVN neurons were drawn with the aid of a camera lucida at 200-micron intervals at 390 x magnification. Serial 50-micron frozen sections were used to determine the volume of the MVN. The three-dimensional reconstruction of MVN was accomplished with a drawing program in a Macinthosh II computer and an AVS on a Stardent workstation computer. RESULTS: In the three-dimensional reconstruction, the human MVN shows a pyramidal form. The base of this pyramid constitutes the rostral limit, and its vertex forms the caudal border of the MVN. The estimated volume is 30.44 +/- 0.85 mm3, with a neuronal population of 127,737 cells and 4,136 neurons/mm3 in density. The average neuronal cross-section changes from one minimum at caudal level (212.46 +/- 2.04 microns 2) to one maximum at rostral level (491.47 +/- 5.08 microns 2). Four cell types, small (< 200 microns 2), medium (200-500 microns 2), large (500-1000 microns 2), and giant (> 1,000 microns 2) cells, were observed. Medium cells constitute 66%, small cells 18%, and large and giant cells 15% and 1% of the neuronal population. CONCLUSIONS: The MVN shows a variation in neuronal size, and it has the highest neuronal density of all the human vestibular nuclei. Large cells predominate in rostral regions of the MVN, with significant differences in the area and diameter of the cells among rostral, central, and caudal regions. Furthermore, the largest cells are grouped in the ventrolateral part of the nucleus, close to its boundaries with the inferior and the lateral vestibular nuclei. The morphological polarization, with respect to the neuronal size of the MVN, can be related to a functional polarization of rostral and caudal regions of this nucleus.

Ultrastructural and quantitative study of atypical age-related bodies in the hamster brain.

Atypical bodies (ABs), related to aging, are described in the central nervous system of normal aged hamsters. Our study used ultrastructural microscopy and quantitative stereology analysis to study these structures in the hypothalamus and brain stem of 3, 6, 12, 18, 24 and 30 month-old hamsters. We found that these complex bodies have an oval or a round profile with a core of fibrillar or tubular structures rounded by a cytoplasmic crown. We frequently observed accumulations of organelles displaying evidence of degeneration. We found that these structures did not appear until 12 months and their frequency increased with age from 12 to 30 months. Their size can range from 3 to 10 microns, although the median size is 6.5 +/- 0.49 microns in diameter. There is a significant correlation between the quantity of these ABs and the animal's age. Their appearance in both hamster and human normal aging can provide an appropriate animal model to yield more information about the normal aging process. This knowledge of the normal aging process in hamsters may also give new insights into which processes in the human brain occur with normal aging and which ones may be exacerbated as in Alzheimer's disease.

Rostrocaudal changes in neuronal cell size in human lateral vestibular nucleus.

A cytoarchitectonic and morphometric study of the human lateral vestibular nucleus (LVN) is presented. In sagittal sections, the LVN appears as a triangular cell group rostrally located near the motor trigeminal nucleus and caudally near the vestibular root. The estimated volume is 13.49 mm3 with a neuronal population of 25,046 cells and 1855 neurons/mm3 in density. The average neuronal cross-sectional area changes from a minimum caudally (380.02 +/- 7.23 microns 2) to a maximum rostrally (825.16 +/- 25.10 microns 2). Four types of neurons can be observed: small (< 200 microns 2), medium (200-500 microns 2), large (500-100 microns 2) and giant or Deiter's cells (> 1000 microns 2). The small and medium cells constitute 62%, large cells 26% and the giant cells only 12% of the neuronal population.

Morphometric analysis of the vestibular complex in the rat.

The characteristics of the four major vestibular nuclei and accessory cell groups in the rat have been studied in serially cut horizontal sections. Camera lucida drawings of the vestibular nuclei and their neurons were made in these sections and subjected to a computerized image analysis. The dimensions (volume and length) and the number of cells of each vestibular nucleus were obtained, as well as morphometric parameters of their neurons (cross-sectional area, maximum and minimum diameter, and shape). These parameters were statistically analyzed by comparing the cell population from different nuclei and different parts of each nucleus. Of the major nuclei, the medial, which is the largest, has the greatest number of cells, its neurons being the smallest of all the nuclei, with the size of cells decreasing in a rostrocaudal direction. In contrast, the lateral nucleus contains the fewest cells but also the largest ones. Neurons of the superior and descending nuclei are of an intermediate size and number, with a rostrocaudal decrease in the size of the descending nucleus cells. In addition, minor nuclei are identified and described in their relationship to the other structures in the brain stem. The relevant aspects of the anatomical information in regard to functional roles are reviewed.