The effect of long-term systemic immunosuppressive drug use on druse formation: a new perspective to age-related macular degeneration

Background/aim: To evaluate the effect of the long-term use of systemic immunosuppressive drugs on druse formation in patients aged over 50 years. Materials and methods: The current retrospective cohort study includes 420 eyes of 420 patients. 210 eyes of 210 patients who used immunosuppressive drugs (Group 1) at least for the last 5 years and 210 eyes of 210 control patients (Group 2) who did not use any drugs were compared. All patients were older than 50 years and selected among patients who were followed by rheumatology and ophthalmology clinic at a tertiary university hospital. All patients had complete ophthalmic examination, fundus photography and optical coherence tomography (OCT). The primary outcome of this study is the difference in macular and paramacular druse formation rates between two groups. Results: Small, intermediate, large, soft, and paramacular druse formation rates were significantly lower in Group 1 than those in Group 2 (P = 0.028, P = 0.001, P = 0.001, P = 0.001, and P = 0.001, respectively). Conclusion: Patients who used long-term systemic immunosuppressive drugs had significantly lower hard and soft druse formation rate than age and sex matched control subjects.

Water Shortage Strongly Alters Formation of Calcium Oxalate Druse Crystals and Leaf Traits in Fagopyrum esculentum.

Common buckwheat (Fagopyrum esculentum Moench) is a robust plant with high resistance to different environmental constraints. It contains high levels of calcium oxalate (CaOx) druse crystals, although their role remains obscure. The objective was to examine the effects of water shortage on plant biomass partition and leaf traits and formation of CaOx druse crystals in common buckwheat. Buckwheat plants were exposed to favorable and reduced water availability for 28 days. The element composition and morphological, biochemical, physiological and optical traits of the leaves, and the plant biomass were investigated under these conditions. Measurements of photochemical efficiency of photosystem II showed undisturbed functioning for buckwheat exposed to water shortage, apparently due to partially closed stomata and more efficient water regulation. Strong relationships were seen between water-related parameters and Ca, Mn and S content, and size and density of CaOx druse crystals. Redundancy analysis revealed the importance of the size of CaOx druse crystals to explain reflection in the UV range. Water shortage resulted in shorter plants with the same leaf mass (i.e., increased mass:height ratio), which, together with denser leaf tissue and higher content of photosynthetic pigments and protective substances, provides an advantage under extreme weather conditions.

Occurrence, types and distribution of calcium oxalate crystals in leaves and stems of some species of poisonous plants.

BACKGROUND: Calcium oxalate crystals, which are found in many organs of plants, have different morphological forms: as druses, prism, styloids, raphides and crystal sand. In this study, the distribution, type and specific location of calcium oxalate crystals in the leaves and stems of the eight species of poisonous plants and one species of nonpoisonous plant were investigated with light microscopy. During study special attention was given to the possible correlation between the presence and types of calcium oxalate crystals and toxic plant organs. The plants examined in this study were Hedera helix L. (Araliaceae), Aristolochia clematitis L. (Aristolochiaceae), Humulus lupulus L. (Cannabaceae), Saponaria officinalis L. (Caryophyllaceae), Chelidonium majus L. (Papaveraceae), Hypericum perforatum L. (Hypericaceae), Tribulus terrestris L. (Zygophyllaceae), Cynanchum acutum L. (Asclepiadaceae), and Nerium oleander L. (Apocynaceae). RESULTS: Three types of crystals: druses, prismatic crystals and crystal sands were observed. Druses were identified in the leaves and stems of six species of studied plants. In contrast to druses, crystal sands and prismatic crystals were rare. Prismatic crystals were observed in the leaf mesophlly cells of both Nerium oleander and Cynanchum acutum. However, crystal sands were observed only in the pith tissue of Humulus lupulus. On the other hand, leaves and stems of Chelidonium majus, Aristolochia clematitis and Hypericum perforatum were devoid of crystals. CONCLUSION: There is no absolute correlation between the presence and type of calcium oxalate crystals and toxic plant organs. However druse crystals may function as main irritant in toxic organs of the plants.

Anatomia dos órgãos vegetativos de Dieffenbachia picta Schott (Araceae) com ênfase na distribuição de cristais, laticíferos e grãos de amido / Anatomy of the vegetative organs from Dieffenbachia picta Schott (Araceae) with an emphasis on crystals, laticifers and starch grains

A distribuição dos cristais, laticíferos e grãos de amido foi estudada nos órgãos vegetativos de Dieffenbachia picta Schott (Araceae), conhecida por comigo-ninguém-pode, por tais estruturas serem citadas como responsáveis pela irritação mecânica e química provocada pela planta. A anatomia da folha, do caule aéreo, do rizoma e da raiz foi descrita por meio de seções histológicas coradas com azul de toluidina. A natureza química dos cristais e a presença de lipídios, alcalóides, grãos de amido e proteínas foram verificadas por reagentes diversos. Drusas e ráfides de oxalato de cálcio, associadas a lipídios, alcalóides e proteínas, ocorreram no interior de células presentes no parênquima de todos os órgãos, no colênquima caulinar e nos meristemas da raiz. O tempo de dissolução dos cristais das folhas jovem e adulta foi semelhante, o do caule foi maior que o da folha e o do rizoma maior que o da raiz. Grãos de amido, associados a proteínas, ocorreram no clorênquima do caule aéreo (forma de bastonetes) e rizoma (formas esférica e bastonete). Laticíferos ocorreram entremeando o colênquima e o parênquima; o látex continha ráfides, alcalóides e lipídios. Maior número de idioblastos cristalíferos e laticíferos foi observado no caule aéreo, sendo este, portanto, o órgão que mais representa perigo.

We studied the distribution of crystals, laticifers and starch grains of the vegetative organs from dumb cane, Dieffenbachia picta Schott (Araceae), known in Brazil as "comigo-ninguém-pode" for such structures are meant to be responsible for mechanical and chemical irritation events carried out by the plant. We described the anatomy of leaves, aerial stems, rhizomes and roots with histological sections dyed in toluidine blue. We checked the chemical nature of crystals and the presence of lipids, alkaloids, starch grains and proteins with various reagents. Druses and calcium oxalate raphides - associated with lipids, alkaloids and proteins - were found in idioblasts spread in the parenchyma of all organs, in the collenchyma of the shoot and in the root meristems. Regarding the dissolution time, it was analogous for crystals in both young and old leaves; it was higher in stems than in leaves and higher in rhizomes than in roots. Starch grains associated with proteins were found in the chlorenchyma of the aerial stem (rod-shaped) and in rhizomes (spherical and rod-shaped). Laticifers were found interspersing parenchyma and collenchyma; raphides, alkaloids and lipids were found in latex. We found a higher number of crystals and laticifers in the aerial stem, and therefore such structure is the most dangerous organ if eaten or swallowed.