RESUMO
Assessment of the clinical severity, pathogenesis, and prognosis of canine chronic liver disease poses significant challenges to clinicians and pathologists, relating in part to a lack of standardized terminology and assessment methods and also to a lack of understanding of the pathogenesis of chronic liver disease in the dog. This study graded the severity of necroinflammatory activity in chronic liver disease in dogs using a modification of Ishak's grading scheme for human chronic liver disease and examined the association of grade score with hepatocellular apoptosis, regeneration, nitric oxide synthase isoform expression, copper and iron accumulation, and indicators of oxidative stress. Formalin-fixed, paraffin-embedded hematoxylin and eosin (HE)-stained liver biopsies from 45 dogs with chronic liver disease and 55 healthy control dogs were graded for various morphologic components of liver injury and response. The cumulative score for grade of necroinflammatory activity was strongly and significantly correlated with immunoreactive labels for hepatocellular proliferation (Ki-67); apoptosis (cleaved caspase-3); inducible nitric oxide synthase (iNOS) in lobular, portal, and septal stromal cells; endothelial nitric oxide synthase (eNOS) in hepatocytes and lobular, portal, and septal stromal cells; and total stainable hepatic iron. A weaker significant correlation was found between grade and accumulation of hepatocellular copper. No significant correlation was found between grade and immunoreactivity for malondialdehyde-protein adducts. These results document a method for grading of the severity of necroinflammatory disease in canine liver biopsies and show an association with increased iNOS and eNOS expression.
Assuntos
Doenças do Cão/patologia , Regulação Enzimológica da Expressão Gênica , Hepatopatias/veterinária , Óxido Nítrico Sintase Tipo III/metabolismo , Óxido Nítrico Sintase Tipo II/metabolismo , Animais , Apoptose , Biópsia/veterinária , Proliferação de Células , Cães , Feminino , Hepatite Crônica/patologia , Hepatite Crônica/veterinária , Hepatócitos , Imuno-Histoquímica/veterinária , Inflamação/patologia , Fígado/patologia , Hepatopatias/patologia , Regeneração Hepática , Masculino , Índice Mitótico/veterinária , Necrose , Óxido Nítrico/metabolismo , Estresse OxidativoRESUMO
This report details the diagnosis and immunohistochemical characterisation of a disseminated B-cell lymphoma with a predominant Mott cell phenotype in a 5-year-old, neutered male Australian shepherd dog. The dog presented with progressive neurological signs as a result of cerebrocortical involvement.