Smoking, laryngopharyngeal reflux, and vocal fold abuse can promote the development of Reinke’s oedema, leading to vocal fold dysfunction and injury. The aim of the work was to investigate the appearance and distribution of proliferation marker Ki-67 (Ki-67), interleukin 10 (IL-10), interleukin 1 alpha (IL-1α), and protein gene peptide 9.5 (PGP 9.5) in Reinke’s oedema-affected larynx tissue. Methods: A routine histological and immunohistochemical Reinke’s oedema and control group patient analysis was conducted. We used the biotin–streptavidin biochemical method to detect Ki-67, IL-10, IL-1α, and PGP 9.5 The semiquantitative grading method was used to evaluate immunoreactive cells’ appearance and local distribution. A Mann–Whitney U test and Spearman’s rank coefficient were performed. Results: A low positive correlation between IL-1α epithelial and subepithelial immunoreactive cells in the patient group was found. Mann–Whitney U tests revealed significant patient and control group immunoreactive marker differences. All examined markers showed a higher number of immunoreactive structures in the patient group. Conclusions: Intensive proliferation of the surface epithelium was observed in patient tissues. The notable increase in IL-10 positive structures indicates the dominant anti-inflammatory tissue response. An increased number of IL-1α structures in the larynx epithelium and subepithelium in the patient group is linked to inflammation, proliferation, and tissue remodelling. The PGP 9.5 expression increase is involved in the morphopathogenesis of Reinke’s oedema.
Strabismus is a significant cause of a decrease in the functional capabilities of the organ of vision, additionally, it leads to the deteriorating quality of life. Orbital factors and nervous system changes may play an important role in strabismus pathogenesis. There are few reports on binocular vision disorders in radiation-exposed persons. Functions of the external eyeball muscles might be disturbed based on the changed coordination process of subcortical nerve structures and due to altered metabolism. A carefully conducted research is necessary to clarify the possible pathogenesis of binocular vision disorders in radiation-exposed persons. Objective: to assess the peculiarities of the development of strabismus and binocular vision disorders in people who were exposed to ionizing radiation in utero; to investigate the changes in distribution and appearance of myosin, dystrophin, and collagen IV between non-irradiated persons with normal binocular vision and patients with strabismus. Materials and methods. 583 persons, irradiated in utero because of the Chornobyl disaster were examined (at the time of examination average age was 11.3 ± 0.1 years). The control group – 808 people – Kyiv residents. Overall, 15 non-irradiated eyeball muscle samples were examined. 10 were from strabismus patients and 5 were controls. To evaluate morphological structure haematoxylin and eosin staining were used. For the detection of myosin, dystrophin, and collagen IV biotin-avidin (IMH) immunohistochemistry method was performed. Semi-quantitative grading method was used for the evaluation of immunoreactive structure appearance and local distribution. Results. An increased frequency of divergent strabismus (p = 0.04190) and heterophoria (p = 0.002603) was found in the group exposed to prenatal (fetal) radiation because of the Chornobyl disaster compared to the control group. The relative risk of heterophoria was 5.08 (1.42 – 18.13). A decrease in dystrophin, myosin, and collagen IV positive structures was observed in non-irradiated strabismus-affected eyeball muscles compared to the control group. Conclusions. Detected changes indicate an increased probability in the development of strabismus in persons who had been exposed to fetal radiation. Non-irradiated strabismus-affected eyeball muscles are characterized by diminished myosin, dystrophin, and collagen IV immunohistochemical structures. Additionally, determined qualitative morphological changes in skeletal striated muscle fibers lead to the changed structural organization, indicating possible muscular dystrophy. Thereby, the presence of dystrophic processes in the eyeball muscles may play a significant role in the morphopatogenesis of strabismus. Further morphological studies are necessary to clarify the development of binocular vision disorder and the methods of their correction. These studies would be especially important to populations that were exposed to radiation. Key words: irradiated in utero, ionizing radiation, strabismus, eyeball muscles, immunohistochemical studies, pathogenesis.
Background: Reinke’s oedema (benign diffuse swelling of the vocal folds) induced various morphological changes occurs in the superficial lamina propria also known as the Reinke’s space. Smoking, laryngopharyngeal reflux and vocal fold abuse can promote the development of this condition as well as lead to vocal fold dysfunction and injury. Patients with Reinke’s oedema complain of vocal problems. 3,47/1000 is estimation of the general population prevalence of Reinke’s oedema. Investigation of the distribution and appearance of Ki-67, IL-1α, IL-10 and PGP 9.5 in Reinke’s oedema-affected larynx tissue compared with control tissue was the aim of the work.Methods: Routine histological and immunohistochemical analysis were applied for specimens with Reinke’s oedema and the control group. Biotin-streptavidin biochemical method was used for detection of Ki-67, PGP 9,5, IL-10 and IL-1α. Immunoreactive cells appearance local distribution were evaluated using semiquantitative grading method. Statistical analysis of the data was performed using nonparametric statistical methods (Mann Whitney U test and Spearman’s rank coefficient).Results: A high positive correlation was found between IL-1α and PGP 9.5 epithelial immunoreactive cells and between epithelial and subepithelial IL-10 cells in the control group. Mann-Whitney U tests revealed significant differences in immunoreactive markers between the patients and the control group. With exception of PGP 9.5 positive subepithelial nerves, all other examined markers revelated higher number of immunoreactive positive structures in the patient tissue.Conclusions: Intensive proliferation of the surface epithelium was observed in Reinke’s oedema affected larynx tissue. Increased expression of IL-1 α structures is linked to tissue remodulation, inflammation and remodulation. Notable increase in IL-10 positive structures is indicating to the dominant anti-inflammatory tissue response. PGP 9.5 expression increase is involved in the morphopathogenesis of Reinke’s oedema.Trial registration: This study was approved by the Ethical Committee of Riga Stradins University, issued on 31-10-2019, No 6-2/2/25.
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