Unique parameters in the healing of linear partial thickness penetrating corneal incisions in rabbit: immunohistochemical evaluation.

The healing of penetrating nonperforating linear corneal incisions in rabbit was analysed immunohistochemically. Regeneration of the basement membrane (BM) zone was evaluated by analysing the following components using monoclonal antibodies (MAbs): 1) an antigen designated AgHEBM1 (a 66k Mr polypeptide), 2) type VII collagen which is associated with anchoring fibrils and 3) an antigen designated Ag63/D7 which is associated with the lamina densa and anchoring plaques. Concomitant activity in the regenerating stroma was evaluated by analysing the distribution of 1) fibronectin, 2) keratan sulfate and 3) a fetal antigen, designated AgM12, (an intermediate filament associated protein with a Mr of 130k). Synthesis of the BM zone components was not evident at day 2 postwounding but was seen at day 7, only at the deepest aspects of the wounds. Re-establishment of a continuous BM zone was evident by day 60. The stromal regeneration had started by day 7, at the deepest aspect of the wounds, as judged from the distribution of stromal antigens including the fetal antigen AgM12. The number of activated cells (cells expressing AgM12) had decreased significantly by day 30 and diminished by day 60. Between day 30 and day 180 the thickness of the regenerated tissues had not increased significantly although the stroma had not yet reached its normal thickness. Even after six months, the epithelial plug persisted and the concentration of the sulfated epitopes of keratan sulfates in the regenerated stromal matrix were less than in the surrounding nonwounded regions. The cessation of expression of AgM12, by the cells in regenerating stroma, coincided with the relative decrease in extracellular matrix syntheses. The return of the stromal cells to the quiescent state also coincided with re-establishment of a continuous BM zone between the epithelium and the stroma in the regenerated tissue. These observations suggested that the synthesis, assembly and remodeling of stromal and epithelial extracellular matrices during the healing of penetrating corneal wounds may be influenced by the interactions between activated stromal cells and epithelial cells.

Innervation of extraocular muscles in the rabbit.

The innervation of extraocular muscles in the rabbit was studied by using the methods of horseradish peroxidase (HRP) histochemistry, gross dissection, and quantitative morphology. Subdivisions of the oculomotor complex that innervate the superior rectus, inferior rectus, medial rectus, and inferior oblique and levator palpebrae are described, and our results are in agreement with previous accounts of the projections of this nucleus. Our analysis of the innervation of the lateral rectus and retractor bulbi muscles, however, differs from previous descriptions. The axons of approximately 80% of neurons in the abducens nucleus are in the VIth nerve and innervate the lateral rectus muscle, and approximately 15-20% are internuclear neurons both surrounding and intermingling with the motor neurons of the abducens nucleus. The interneurons project to the medial rectus subdivision of the contralateral oculomotor complex via the medial longitudinal fasciculus (MLF). Neurons in both the abducens and the accessory abducens nucleus innervate the retractor bulbi muscles via the VIth nerve. All neurons in the accessory abducens nucleus innervate the retractor bulbi muscles, but gross dissection revealed that the retractor bulbi is also innervated by the IIIrd nerve. The bases for differences between our data and previously published descriptions are discussed. The trochlear nucleus of the rabbit has not been previously studied by methods of axonal transport. The body of the nucleus, its caudal tail, the trajectories of axons entering the trochlear nerve, and soma size distributions are described. The trochlear nucleus contains approximately 900 neurons; most are motoneurons the axons of which travel in the trochlear nerve and decussate in the anterior medullary velum. Approximately 3% of trochlear motor neurons innervate the ipsilateral superior oblique muscle. Their soma size is significantly smaller than that of contralaterally projecting neurons. For comparative purposes, the innervation of extraocular muscles by the trochlear nerve was also investigated in several rodents and carnivores. In all animals studied, the percentage of trochlear neurons innervating the ipsilateral superior oblique muscle was strikingly uniform (2-4%). Gross dissection of the extraocular muscles revealed in the rabbit a muscle, innervated by the trochlear nerve, for which we propose the name "tensor trochleae." In the rabbit, this muscle is innervated by approximately one-third of the trochlear motor neurons.(ABSTRACT TRUNCATED AT 400 WORDS)

Cryptosporidiosis of the stomach.

A patient with acquired immune deficiency syndrome who developed symptoms of partial gastric outlet obstruction during the course of a severe diarrheal illness due to cryptosporidiosis is presented. Endoscopic evaluation of the stomach revealed an inflamed pyloric ring and channel with clinical evidence suggestive of partial outlet obstruction. The finding of cryptosporidial organisms on biopsy of the pylorus highlights the potential for diffuse gastrointestinal involvement by this parasite and offers an alternative explanation for the symptoms of nausea and vomiting associated with the diarrheal illness.