Endobronchitis by Scedosporium apiospermum in a child with cystic fibrosis

Presentamos un caso de endobronquitis por Scedosporium apiospermum en una niña con fibrosis quística. El diagnótico se confirmó mediante laboratorio. La citología del aspirado bronquial mostró la presencia de grandes cantidades de micelio dicotomizado septado. El cultivo del aspirado bronquial en tres muestras consecutivas, mostró la presencia de Scedosporium apiospermum en cultivo puro. El estudio de la superficie de la mucosa, mediante microscopia electrónica de barrido, reveló la presencia de micelio escaso, contrastando con la presencia de una gran cantidad de conidias. La microscopia electrónica de transmisión realizada en los cortes de la mucosa bronquial, reveló la presencia de infiltrado inflamatorio constituido por macrófagos, leucocitos polimorfonucleares y una gran cantidad de micelio dicotomizado y macrófagos con micelio y conidis en el interior de fagosomas. La paciente fue tratada con anfotericina B e itraconazol(AU)

A case of endobronchitis by Scedosporium apiospermum in a child with cystic fibrosis is presented. The bronchial aspirate's cytology showed the presence of a large amount of septated-dichotomized hyphae. The bronchial aspirate's culture showed the presence of Scedosporium apiospermum in a pure culture of three consecutive samples. The scanning electron microscopy study of the mucosal surface revealed scarce mycelia with the presence of abundant conidiae. The transmission electron microscopy of the mucosa revealed inflammatory infiltrates constituted by macrophages, polymorphonuclear leukocytes, a lot of dichotomized mycelia and macrophages with hyphae and conidiae within the phagosomes. The patient was treated with amphotericin B and itraconazole(AU)

Non-specific esterase-positive dendritic cells in epithelia of the frog Rana pipiens.

Langerhans cells are antigen-presenting cells located in epithelia and have a dendritic outline, a convoluted nucleus surrounded by an electron lucent cytoplasm with sparse organelles and occasionally containing the characteristic Birbeck granule; their membrane contains class II molecules of the major histocompatibility complex and a strong membrane reactivity for both ATPase and non-specific esterase. Despite increasing knowledge about mammalian Langerhans cells, only a few studies have examined the possible occurrence of Langerhans-like cells in lower vertebrates. Our group has previously demonstrated the presence of dendritic cells in different epithelial membranes co-expressing a strong membrane ATPase reactivity and class II molecules of the major histocompatibility complex in the frog Rana pipiens. Adding another criterion in the characterization of Langerhans-like cells in amphibians, we now report evidence for the expression of membrane non-specific esterase reactivity in dendritic cells located in the epidermis, nictitant membrane and cornea with topographical and light and electron microscopical characteristics identical to those previously described for dendritic cells positive for ATPase and major histocompatibility complex class II in Rana pipiens. We postulate that, taking all this data together, these dendritic intraepithelial cells constitute the amphibian counterpart of mammalian Langerhans cells.

ATPase and MHC class II molecules co-expression in Rana pipiens dendritic cells.

Mammalian Langerhans cells are antigen-presenting cells located in different epithelia. These cells have a characteristic ultrastructural pattern, present a plasmatic membrane ATPase activity and constitutively express class II molecules of the major histocompatibility complex. ATPase-positive dendritic cells that are morphologically similar to Langerhans cells have also been found in amphibian epidermis. In order to demonstrate that ATPase-positive dendritic cells of amphibian epidermis express class II molecules and are present in other stratified epithelia, histochemical and immunohistochemical as well as ultrastructural analysis were performed. ATPase-positive dendritic cells and class II-positive dendritic cells were observed in epidermis, nictitant membrane and cornea. In epidermis the number of ATPase-positive dendritic cells was 656+/-186/mm2 while class II-positive dendritic cells was 119+/-45/mm2. Some ATPase-positive dendritic cells showed co-expression of class II molecules. These results suggest the existence of dendritic cell subsets in amphibians as is clearly demonstrated in mammals.

Entamoeba histolytica: localization of a 30-kDa cysteine proteinase using a monoclonal antibody.

We produced a monoclonal antibody against a major cysteine proteinase of 30kDa from trophozoites of Entamoeba histolytica strain HM1:IMSS. The specificity of the monoclonal antibody was confirmed by specific inhibition of azocasein digestion and by electrophoretic analysis, in the presence of sodium dodecyl sulfate or on a substrate gel, of the antigen precipitated by the antibody. Immunofluorescent staining of trophozoites with the monoclonal antibody revealed heterogeneity in the intensity of whole cell fluorescence and subcellular localization of the stain. The latter was also observed in trophozoites, which were stained by conventional immunohistochemical methods, from experimental liver abscesses in hamsters. Ultrastructural analysis showed antigen distributed mainly in clear amorphous zones in the cytoplasm, which were not limited by a visible membrane. Proteinases are translocated from these compartments to phagocytic vacuoles after trophozoites ingest erythrocytes, suggesting that these regions might be a lysosomal equivalent of this primitive eukaryotic cell.

Histological and subcellular distribution of 65 and 70 kD heat shock proteins in experimental nephrotoxic injury.

The cellular distribution of 65 and 70 kD heat shock proteins (HSPs) was studied in the normal rat kidney and after acute tubular necrosis (ATN) induced by inorganic mercury (HgCl2). In the normal kidney the 65 kD HSP was found in the cytoplasm of podocytes and proximal convoluted tubules, whereas the 70 kD HSP was located in nuclei and cytoplasm of podocytes, cortical convoluted, and collecting tubules. The distribution of both HSPs along ATN changed as a function of time. In the early phase, before evidence of histological damage, both HSPs were found in the pielocaly ceal epithelium and medullary collecting tubules. During the necrotic phase, HSPs coexisted with sites of severe damage (i.e. cortical tubules). With immunoelectron microscopy damaged cells showed an abundance of 65 kD HSP-I in mitochondria, as well as in chromatin and nucleoli, while 70 kD HSP-I was overexpressed in the cytoplasm, mito chondria, lysosomes, cytoskeleton, chromatin, and nucleoli, and coincided with urinary excretion of HSPs. In the postregenerative phase, the distribution of HSPs was similar to that found in the normal kidney. HSPs of 65 and 70 kD were encountered constitutionally and their immunolabeling is correlated with the magnitude of cell injury.

Sexually dimorphic contribution from the fornix to the ventromedial hypothalamic nucleus: a quantitative electron microscopic study.

Quantitative electron microscopy confirmed that the neuropil of the ventrolateral part of the ventromedial hypothalamic nucleus (VL-VMHN) of the rat is sexually dimorphic with respect to the density of shaft and axo-spinous synapses, both of which are more numerous in the male. In addition, adult rats with complete interruption of the fornix displayed a sexually dimorphic input in the density of fornical synapses in the neuropil of the VL-VMHN, in which degenerating terminals were more numerous in the male. Perinatal exposure of the female to exogenous testosterone or castration of the newborn male 'inverted' these sex differences, demonstrating their hormonal dependence. It is concluded that (1) the fornix provides synaptic input to the VL-VMHN as proven by orthograde degeneration; (2) the number of fornical endings synapsing in the VL-VMHN is greater in the male than in the female; (3) this dimorphism depends of the organizational effect of gonadal sex steroids.

Epidermal Langerhans cells in the terrestrial turtle, Kinosternum integrum.

In mammalian epidermis, Langerhans cells (LC) are the only antigen-presenting dendritic cells that possess the ectoenzyme adenosine triphosphase (ATPase) and constitutively express class II molecules encoded by the major histocompatibility complex. Recently, we demonstrated the presence of LC in chicken epidermis. The aim of the present study is to demonstrate the presence of LC-like cells in turtle Kinosternum integrum, epidermis by light and ultrastructural ATPase histochemistry. ATPase-positive dendritic cells were observed in epidermal sheets whose maximum mean number was 192 cells/mm2. Electron microscopy for ATPase stained sections showed an electrondense precipitate in the plasma membrane of dendritic clear cells located among basal and suprabasal keratinocytes, ultrastructurally similar to LC. In serial sections, some dendritic cells showed LC (Birbeck) granules. The present study demonstrates for the first time ATPase-positive dendritic cells, morphologically similar to LC, in reptilian epidermis.