Pathology of the thyroid in severe acute respiratory syndrome☆
Identifieur interne : 003D84 ( Main/Exploration ); précédent : 003D83; suivant : 003D85Pathology of the thyroid in severe acute respiratory syndrome☆
Auteurs : Lan Wei [République populaire de Chine] ; Shen Sun [République populaire de Chine] ; Cai-Hong Xu [République populaire de Chine] ; Jing Zhang [République populaire de Chine] ; Yun Xu [République populaire de Chine] ; Hong Zhu [République populaire de Chine] ; Suat-Cheng Peh [République populaire de Chine] ; Christine Korteweg [République populaire de Chine] ; Michael A. Mcnutt [République populaire de Chine] ; Jiang Gu [République populaire de Chine]Source :
- Human Pathology [ 0046-8177 ] ; 2006.
Abstract
The severe acute respiratory syndrome (SARS) epidemic started in November 2002 and spread worldwide. The pathological changes in several human organs of patients with SARS have been extensively described. However, to date, little has been reported about the effects of this infection on the thyroid gland. Femoral head necrosis and low serum triiodothyronine and thyroxine levels, commonly found in patients with SARS, raise the possibility of thyroid dysfunction. We have undertaken this study to evaluate for any potential injury to the thyroid gland caused by SARS on tissue samples obtained from 5 SARS autopsies. The terminal deoxynucleotidyl transferase-mediated dUPT nick end–labeling assay was performed to identify apoptotic cells. The follicular epithelium was found to be damaged with large numbers of cells exfoliated into the follicle. The terminal deoxynucleotidyl transferase-mediated dUPT nick end–labeling assay demonstrated many cells undergoing apoptosis. Follicular architecture was altered and showed distortion, dilatation, and collapse. No distinct calcitonin-positive cells were detectable in the SARS thyroids. In conclusion, both parafollicular and follicular cells were injured. This may provide an explanation both for low serum triiodothyronine and thyroxine levels and the osteonecrosis of the femoral head associated with patients with SARS. Apoptosis may play a role in the pathogenesis of SARS associated coronavirus infection in the thyroid gland.
Url:
DOI: 10.1016/j.humpath.2006.06.011
PubMed: 16996569
PubMed Central: 7112059
Affiliations:
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type="city">Pékin</settlement></placeName></affiliation></author><author><name sortKey="Sun, Shen" sort="Sun, Shen" uniqKey="Sun S" first="Shen" last="Sun">Shen Sun</name><affiliation wicri:level="1"><nlm:aff id="aff2">Department of Histology and Embryology, Xuzhou Medical College, 221002 Jiangsu province, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Histology and Embryology, Xuzhou Medical College, 221002 Jiangsu province</wicri:regionArea><wicri:noRegion>221002 Jiangsu province</wicri:noRegion></affiliation></author><author><name sortKey="Xu, Cai Hong" sort="Xu, Cai Hong" uniqKey="Xu C" first="Cai-Hong" last="Xu">Cai-Hong Xu</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Anatomy, Histology and Embryology, School of Basic Medical Sciences, Peking (Beijing) University, 100083 Beijing, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Anatomy, 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Nanoscience and Technology, Chinese Academy of Science, 100080 Beijing, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>National Center for Nanoscience and Technology, Chinese Academy of Science, 100080 Beijing</wicri:regionArea><placeName><settlement type="city">Pékin</settlement></placeName></affiliation></author><author><name sortKey="Zhu, Hong" sort="Zhu, Hong" uniqKey="Zhu H" first="Hong" last="Zhu">Hong Zhu</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Anatomy, Histology and Embryology, School of Basic Medical Sciences, Peking (Beijing) University, 100083 Beijing, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Anatomy, Histology and Embryology, School of Basic Medical Sciences, Peking (Beijing) University, 100083 Beijing</wicri:regionArea><placeName><settlement type="city">Pékin</settlement></placeName></affiliation></author><author><name sortKey="Peh, Suat Cheng" sort="Peh, Suat Cheng" uniqKey="Peh S" first="Suat-Cheng" last="Peh">Suat-Cheng Peh</name><affiliation wicri:level="1"><nlm:aff id="aff4">Department of Pathology, School of Basic Medical Sciences, Peking (Beijing) University, 100083 Beijing, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Pathology, School of Basic Medical Sciences, Peking (Beijing) University, 100083 Beijing</wicri:regionArea><placeName><settlement type="city">Pékin</settlement></placeName></affiliation></author><author><name sortKey="Korteweg, Christine" sort="Korteweg, Christine" uniqKey="Korteweg C" first="Christine" last="Korteweg">Christine Korteweg</name><affiliation wicri:level="1"><nlm:aff id="aff4">Department of Pathology, School of Basic Medical Sciences, Peking (Beijing) University, 100083 Beijing, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Pathology, School of Basic Medical Sciences, Peking (Beijing) University, 100083 Beijing</wicri:regionArea><placeName><settlement type="city">Pékin</settlement></placeName></affiliation></author><author><name sortKey="Mcnutt, Michael A" sort="Mcnutt, Michael A" uniqKey="Mcnutt M" first="Michael A." last="Mcnutt">Michael A. Mcnutt</name><affiliation wicri:level="1"><nlm:aff id="aff4">Department of Pathology, School of Basic Medical Sciences, Peking (Beijing) University, 100083 Beijing, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Pathology, School of Basic Medical Sciences, Peking (Beijing) University, 100083 Beijing</wicri:regionArea><placeName><settlement type="city">Pékin</settlement></placeName></affiliation></author><author><name sortKey="Gu, Jiang" sort="Gu, Jiang" uniqKey="Gu J" first="Jiang" last="Gu">Jiang Gu</name><affiliation wicri:level="1"><nlm:aff id="aff4">Department of Pathology, School of Basic Medical Sciences, Peking (Beijing) University, 100083 Beijing, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Pathology, School of Basic Medical Sciences, Peking (Beijing) University, 100083 Beijing</wicri:regionArea><placeName><settlement type="city">Pékin</settlement></placeName></affiliation></author></analytic><series><title level="j">Human Pathology</title><idno type="ISSN">0046-8177</idno><idno type="eISSN">1532-8392</idno><imprint><date when="2006">2006</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Summary</title><p>The severe acute respiratory syndrome (SARS) epidemic started in November 2002 and spread worldwide. The pathological changes in several human organs of patients with SARS have been extensively described. However, to date, little has been reported about the effects of this infection on the thyroid gland. Femoral head necrosis and low serum triiodothyronine and thyroxine levels, commonly found in patients with SARS, raise the possibility of thyroid dysfunction. We have undertaken this study to evaluate for any potential injury to the thyroid gland caused by SARS on tissue samples obtained from 5 SARS autopsies. The terminal deoxynucleotidyl transferase-mediated dUPT nick end–labeling assay was performed to identify apoptotic cells. The follicular epithelium was found to be damaged with large numbers of cells exfoliated into the follicle. The terminal deoxynucleotidyl transferase-mediated dUPT nick end–labeling assay demonstrated many cells undergoing apoptosis. Follicular architecture was altered and showed distortion, dilatation, and collapse. No distinct calcitonin-positive cells were detectable in the SARS thyroids. In conclusion, both parafollicular and follicular cells were injured. This may provide an explanation both for low serum triiodothyronine and thyroxine levels and the osteonecrosis of the femoral head associated with patients with SARS. Apoptosis may play a role in the pathogenesis of SARS associated coronavirus infection in the thyroid gland.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Nicholls, J M" uniqKey="Nicholls J">J.M. Nicholls</name></author><author><name sortKey="Poon Leo, L M" uniqKey="Poon Leo L">L.M. Poon Leo</name></author><author><name sortKey="Lee, K C" uniqKey="Lee K">K.C. Lee</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lang, Z W" uniqKey="Lang Z">Z.W. Lang</name></author><author><name sortKey="Zhang, L J" uniqKey="Zhang L">L.J. 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Zhang</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>République populaire de Chine</li></country><settlement><li>Pékin</li></settlement></list><tree><country name="République populaire de Chine"><noRegion><name sortKey="Wei, Lan" sort="Wei, Lan" uniqKey="Wei L" first="Lan" last="Wei">Lan Wei</name></noRegion><name sortKey="Gu, Jiang" sort="Gu, Jiang" uniqKey="Gu J" first="Jiang" last="Gu">Jiang Gu</name><name sortKey="Korteweg, Christine" sort="Korteweg, Christine" uniqKey="Korteweg C" first="Christine" last="Korteweg">Christine Korteweg</name><name sortKey="Mcnutt, Michael A" sort="Mcnutt, Michael A" uniqKey="Mcnutt M" first="Michael A." last="Mcnutt">Michael A. Mcnutt</name><name sortKey="Peh, Suat Cheng" sort="Peh, Suat Cheng" uniqKey="Peh S" first="Suat-Cheng" last="Peh">Suat-Cheng Peh</name><name sortKey="Sun, Shen" sort="Sun, Shen" uniqKey="Sun S" first="Shen" last="Sun">Shen Sun</name><name sortKey="Xu, Cai Hong" sort="Xu, Cai Hong" uniqKey="Xu C" first="Cai-Hong" last="Xu">Cai-Hong Xu</name><name sortKey="Xu, Yun" sort="Xu, Yun" uniqKey="Xu Y" first="Yun" last="Xu">Yun Xu</name><name sortKey="Zhang, Jing" sort="Zhang, Jing" uniqKey="Zhang J" first="Jing" last="Zhang">Jing Zhang</name><name sortKey="Zhu, Hong" sort="Zhu, Hong" uniqKey="Zhu H" first="Hong" last="Zhu">Hong Zhu</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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