RESUMO
Subgemmal neurogenous plaque (SNP) is a biphasic neural structure associated with the taste buds. Clinically, SNP usually presents as an asymptomatic, normally colored, papule located in the posterior lateral border of the tongue. Accurate diagnosis is based only on histopathological examination, which shows a superficial neurofibroma-like pattern and a neuroma-like in the deep zone. Appropriate recognition of clinical and morphological aspects of SNPs can avoid their misdiagnosis as neural neoplasms. We report three cases of SNP with detailed clinical, histopathological, and immunohistochemical features.
Assuntos
Rede Nervosa/patologia , Papilas Gustativas/patologia , Língua/inervação , Adulto , Idoso , Biópsia , Diagnóstico Diferencial , Células Epiteliais/patologia , Feminino , Humanos , Queratinas/análise , Tecido Linfoide/patologia , Masculino , Mucosa Bucal/patologia , Proteínas S100/análiseRESUMO
The Kölliker-Fuse (KF) region, located in the dorsolateral pons, projects to several brainstem areas involved in respiratory regulation, including the chemoreceptor neurons within the retrotrapezoid nucleus (RTN). Several lines of evidence indicate that the pontine KF region plays an important role in the control of the upper airways for the maintenance of appropriate airflow to and from the lungs. Specifically, we hypothesized that the KF region is involved in mediating the response of the hypoglossal motor activity to central respiratory chemoreflex activation and to stimulation of the chemoreceptor neurons within the RTN region. To test this hypothesis, we combined immunohistochemistry and physiological experiments. We found that in the KF, the majority of biotinylated dextran amine (BDA)-labeled axonal varicosities contained detectable levels of vesicular glutamate transporter-2 (VGLUT2), but few contained glutamic acid decarboxylase-67 (GAD67). The majority of the RTN neurons that were FluorGold (FG)-immunoreactive (i.e., projected to the KF) contained hypercapnia-induced Fos, but did not express tyrosine hydroxylase. In urethane-anesthetized sino-aortic denervated and vagotomized male Wistar rats, hypercapnia (10% CO2) or N-methyl-d-aspartate (NMDA) injection (0.1mM) in the RTN increased diaphragm (DiaEMG) and genioglossus muscle (GGEMG) activities and elicited abdominal (AbdEMG) activity. Bilateral injection of muscimol (GABA-A agonist; 2mM) into the KF region reduced the increase in DiaEMG and GGEMG produced by hypercapnia or NMDA into the RTN. Our data suggest that activation of chemoreceptor neurons in the RTN produces a significant increase in the genioglossus muscle activity and the excitatory pathway is dependent on the neurons located in the dorsolateral pontine KF region.
Assuntos
Células Quimiorreceptoras/fisiologia , Bulbo/fisiologia , Ponte/fisiologia , Respiração , Língua/fisiologia , Animais , Células Quimiorreceptoras/citologia , Diafragma/inervação , Diafragma/fisiologia , Glutamato Descarboxilase/metabolismo , Ácido Glutâmico/metabolismo , Hipercapnia/patologia , Hipercapnia/fisiopatologia , Masculino , Bulbo/citologia , Muscimol/farmacologia , N-Metilaspartato/farmacologia , Neurotransmissores/farmacologia , Ponte/citologia , Ponte/efeitos dos fármacos , Ratos Wistar , Receptores de GABA-A/metabolismo , Receptores de N-Metil-D-Aspartato/metabolismo , Respiração/efeitos dos fármacos , Língua/inervação , Proteína Vesicular 2 de Transporte de Glutamato/metabolismoRESUMO
Herpes simplex virus type 1 is one of the most frequent causes of oral infection in humans, especially during early childhood. Several experimental models have been developed to study the pathogenesis of this virus but all of them employed adult animals. In this work, we developed an experimental model that uses mice younger than 4 days old, to more closely resemble human infection. Mice were infected subcutaneously with the prototype strain McIntyre of Herpes simplex-1, and the progression of infection was studied by immunoperoxidase. All animals died within 24-72 h post-infection, while viral antigens were found in the oral epithelium, nerves and brain. The most striking result was the finding of viral antigens in the nucleus and cytoplasm of cells belonging to striated muscles. Organotypic cultures of striated muscles were performed, and viral replication was observed in them by immunocytochemistry, electron microscopy and viral isolation. We conclude that the infection of striated muscles is present from the onset of oral infection and, eventually, could explain some clinical observations in humans.
Assuntos
Herpesvirus Humano 1/fisiologia , Músculo Estriado/virologia , Estomatite Herpética/virologia , Língua/virologia , Animais , Animais Recém-Nascidos , Antígenos Virais/análise , Encéfalo/virologia , Causas de Morte , Núcleo Celular/virologia , Chlorocebus aethiops , Citoplasma/virologia , Modelos Animais de Doenças , Progressão da Doença , Camundongos , Camundongos Endogâmicos BALB C , Mucosa Bucal/virologia , Células Musculares/virologia , Músculo Estriado/inervação , Fibras Nervosas/virologia , Neurônios/virologia , Organismos Livres de Patógenos Específicos , Estomatite Herpética/imunologia , Técnicas de Cultura de Tecidos , Língua/inervação , Células Vero , Replicação Viral/fisiologiaRESUMO
The sensory nerve endings of the rat tongue, cheek and palate were studied using immunohistochemical staining and transmission electron microscopy analysis. The specimens were fixed in modified Karnovsky solution and embedded in Spurr resin. Substance P, calcitonin gene-related peptide (CGRP)- and protein gene product 9.5 (PGP b9.5)-containing nerve fibers in the rat tongue, cheek and palate were examined by electronic microscopical analysis and immunohistochemical localization. These fibers run very close to the basal lamina of the epithelium and extend into the filliform and fungiform papillae. Numerous plexiform fibers immunoreactive for substance P, CGRP and PGP 9.5 were found in the connective tissue of mucosa. Electron microscopic observations showed clearly immunostained nerve fibers, which are located very close to the basal lamina of epithelial cells. Some electron-dense granules may be observed in the axoplasms of both substance P and CGRP immunoreactive fibers. Several lamellar corpuscles into the subepithelial connective tissue papillae, Merkel corpuscles and numerous thin unmyelinated and myelinated axons were observed. The terminal axons revealed numerous mitochondria, neurofilaments, microtubules and clear vesicles in the base of axoplasmic protrusions. The lamellar cells showed caveolae and interlamelar spaces filled by amorphous substance. Between the lamellar cells and axoplasmic membrane, and in the adjacent lamellae region, desmosome-type junctions were observed. The quantitative and morphometric analysis showed nerve endings with an average area of 4.83 ± 3.4 µm(2) and 19.4 internal mitochondria in this site and the organized corpuscles with an average area of 79.24 ± 27.24 µm(2) and 24.23 internal mitochondria in this place. All the structures observed are involved in the transmission of pain and mechanoreceptors stimulus of these oral mucosae.
Assuntos
Mucosa Bucal/inervação , Terminações Nervosas/ultraestrutura , Células Receptoras Sensoriais/ultraestrutura , Animais , Axônios , Peptídeo Relacionado com Gene de Calcitonina/análise , Bochecha/inervação , Técnicas Imunoenzimáticas , Células de Merkel , Microscopia Eletrônica de Transmissão , Mitocôndrias/ultraestrutura , Mucosa Bucal/ultraestrutura , Palato/inervação , Ratos , Ratos Wistar , Substância P/análise , Língua/inervação , Ubiquitina Tiolesterase/análiseRESUMO
One of the most exciting questions about the human voice is how the vocal fold produces and modulates different sounds. One hypothesis to explain the wide range of movements found in the vocal fold is based on the variety of muscle fiber orientations in the thyroarytenoid (TA) muscle. The tongue (TO) muscle is considered the most complex structure in the body in terms of muscle fiber orientation and movements. Thus, possible similarities between these two muscles and their innervations, the recurrent laryngeal nerve (RLN) and hypoglossal nerve (XII), could explain the complex movements executed by the focal fold. Moreover, such studies help us to understand some microanatomical aspects of vocal fold reinnervation, based on XII-to-RLN anastomosis. Therefore, this study investigates the histological organization of TA and TO muscles and their innervations (n=12 subjects). The muscle fibers were classified into three categories according to their orientation (transverse, undefined, and longitudinal). To quantify the percentage of fibers in each category in the TA and TO, the shape coefficient (shape Z) was estimated. Qualitative analysis and estimation of fiber area and shape Z show that the histological organization of TA and TO muscle is similar. Both muscles present the same percentage of transversal (~72%), undefined (~15%), and longitudinal fibers (~10%). By contrast, the authors' analysis of the morphometric parameters of the RLN and XII shows that there is no correlation between these nerves. In conclusion, in humans, TA and TO muscles present similar histological organization and this finding could help to explain interesting questions about human phonation.
Assuntos
Nervo Hipoglosso/anatomia & histologia , Músculos Laríngeos/citologia , Músculos Laríngeos/inervação , Fibras Musculares Esqueléticas/citologia , Nervo Laríngeo Recorrente/anatomia & histologia , Língua/citologia , Língua/inervação , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Processamento de Imagem Assistida por Computador , Masculino , Pessoa de Meia-Idade , Coloração e RotulagemRESUMO
La superficie dorsal de la lengua de la rana toro, Rana catesbeiana, presenta un epitelio simple cilíndrico, constituido por células caliciformes y raras células ciliadas. El dorso de la lengua posee numerosas papilas filiformes y algunas fungiformes. Las primeras poseen un epitelio simple cilíndrico, con células secretoras, mientras que las segundas poseen en la región apical, un disco sensorial con epitelio estratificado cilíndrico, con células basales, periféricas, glandulares y receptoras. A lo largo del dorso de la lengua existen numerosas glándulas tubulares, que penetran en profundidad, entremezclándose con las fibras musculares. El epitelio glandular es simple cilíndrico, con células secretoras y de sostén. Las primeras son las únicas en la base de la glándula y las segundas solo se encuentran en número escaso en el tercio superior. La superficie ventral de la lengua posee un epitelio estratificado, con células caliciformes y, entre éstas, células ciliadas. La morfometría de las glándulas mostró que son más cortas en la región anterior de la lengua (330 um) que en la región posterior (450 um). Las células secretoras de las glándulas linguales anteriores son menores (1457,7 um3) que en las posteriores (2645,9 um3). Lo mismo ocurre con los núcleos celulares: 130,0 um3 en las glándulas anteriores y 202,3 um3 en las posteriores. Las células secretoras de las glándulas linguales sintetizan producto rico en proteínas y mucopolisacáridos neutros, pudiendo caracterizarse como seromucoso. Las células caliciformes de las superficies dorsal y ventral secretan proteínas y mucopolisacáridos neutros, clasificándose como del tipo G1, mientras que las células de sostén de las glándulas superficiales de las papilas fungiformes secretan moco rico en mucopolisacáridos neutros, sulfomucinas y sialomucinas.
The dorsal surface of the tongue of the bullfrog, Rana catesbeiana, has simple columnar epithelium with a few ciliated cells and goblet cells. The entire surface is covered with numerous filiform papillae and few fungiform. Filiform papillae have a simple columnar epithelium with secretory cells, while the fungiform have a sensory disc on their upper surface the lined by a stratified columnar epithelium with basal, peripheral, glandular and receptor cells. Over the dorsal lingual surface there are numerous winding tubular glands, which penetrate deeply into the muscle of the tongue, mingling with the fibers. The gland epithelium is cylindrical with secretory and supporting cells. The first are absolute on the basis of the gland and the latter are rare in the upper third. The ventral surface of the tongue is lined by a stratified epithelium, with the presence of goblet cells, with ciliated cells among them. Morphometrically, lingual glands varies in length, according to their location: shorter in the anterior region of the tongue (330 um) than in the posterior region (450 um). Secretory cells of the anterior lingual glands are smaller (1457.7 mm3) than the posterior ones (2645.9 um3). The same can be said of the cell nuclei, 130.0 um3 for the anterior glands and 202.3 um3 for the posterior ones. Secretory cells of the lingual glands contain substances rich in protein and neutral mucopolysaccharides, which characterize the seromucous type. Goblet cells of the dorsal and ventral surface epithelia secrete neutral mucopolysaccharides and proteins, and can be characterized as type G1 cells, and the supporting cells of the superficial glands of the fungiform papillae secrete a mucus rich in neutral mucopolysaccharides, sulfomucins and sialomucins.
Assuntos
Animais , Feminino , Língua/anatomia & histologia , Língua/citologia , Língua/inervação , Língua , Língua/ultraestrutura , Rana catesbeiana/anatomia & histologia , Rana catesbeiana/classificação , Rana catesbeiana/embriologia , Rana catesbeiana/fisiologiaRESUMO
The presence of lingual papillae and the nerve endings in the middle region of the tongue mucosa of collared peccary (Tayassu tajacu) were studied using scanning electron microscopy and light microscopy, based upon the silver impregnation method. The middle region of tongue mucosa revealed numerous filiform and fungiform papillae. The thick epithelial layer showed epithelial cells and a dense connective tissue layer containing nerve fibre bundles and capillaries. The sensory nerve endings, intensely stained by silver impregnation, were usually non-encapsulated and extended into the connective tissue of the filiform and fungiform papillae very close to the epithelial cells. In some regions, the sensory nerves fibres formed a dense and complex network of fine fibrils. The presence of these nerve fibrils may characterize the mechanisms of transmission of sensitive impulses to the tongue mucosa.
Assuntos
Gengiva/ultraestrutura , Mamíferos/anatomia & histologia , Terminações Nervosas/ultraestrutura , Língua/ultraestrutura , Animais , Tecido Conjuntivo/irrigação sanguínea , Tecido Conjuntivo/inervação , Células Epiteliais , Feminino , Gengiva/inervação , Masculino , Microscopia Eletrônica de Varredura , Coloração pela Prata/métodos , Língua/inervaçãoRESUMO
The present study evaluated the effectiveness of electrotactile tongue biofeedback (BrainPort((R))) as a sensory substitute for the vestibular apparatus in patients with bilateral vestibular loss (BVL) who did not have a good response to conventional vestibular rehabilitation (VR). Seven patients with BVL were trained to use the device. Stimulation on the surface of the tongue was created by a dynamic pattern of electrical pulses and the patient was able to adjust the intensity of stimulation and spatially centralize the stimulus on the electrode array. Patients were directed to continuously adjust head orientation and to maintain the stimulus pattern at the center of the array. Postural tasks that present progressive difficulties were given during the use of the device. Pre- and post-treatment distribution of the sensory organization test (SOT) composite score showed an average value of 38.3+/-8.7 and 59.9+/-11.3, respectively, indicating a statistically significant improvement (p=0.01). Electrotactile tongue biofeedback significantly improved the postural control of the study group, even if they had not improved with conventional VR. The electrotactile tongue biofeedback system was able to supply additional information about head position with respect to gravitational vertical orientation in the absence of vestibular input, improving postural control. Patients with BVL can integrate electrotactile information in their postural control in order to improve stability after conventional VR. These results were obtained and verified not only by the subjective questionnaire but also by the SOT composite score. The limitations of the study are the small sample size and short duration of the follow-up. The current findings show that the sensory substitution mediated by electrotactile tongue biofeedback may contribute to the improved balance experienced by these patients compared to VR.
Assuntos
Biorretroalimentação Psicológica , Doenças Vestibulares/reabilitação , Biorretroalimentação Psicológica/instrumentação , Estimulação Elétrica , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Postura , Língua/inervação , Tato , Doenças Vestibulares/fisiopatologiaRESUMO
Subgemmal neurogenous plaques (SNPs) are biphasic neural structures found on the posterolateral border of the tongue. Fewer than 40 cases have been reported and only a few were symptomatic. The present report details the features of 7 cases of SNP retrieved from the files of a single institution. Clinical and histopathological data were reviewed and immunohistochemical analysis was performed for S100, CD56, neuron-specific enolase, epithelial membrane antigen, CK7, CK8, CK14, and CK20. All cases showed similar morphological and immunohistochemical characteristics. Neural markers highlighted the biphasic pattern and CK7, CK8, and CK20 were detected on taste buds confined to the epithelium adjacent to the SNPs. Five patients presented pain/discomfort as the main symptom. Symptomatic SNPs seems to be more common than previously reported, presenting as focal burning on the posterolateral border of the tongue.