Ultrastructural localization of salivary mucins MUC5B and MUC7 in human labial glands

As a result of their presence throughout the mouth in the submucosa or between muscle fibers, minor salivary glands secrete directly and continuously into the oral cavity, providing mucosal surfaces with highly glycosylated proteins that are active in bacterial aggregation and in oral tissue lubrication. In this study, we investigated the ultrastructural localization of the MUC5B and MUC7 mucins in human labial glands by means of a postembedding immunogold technique. Thin sections of normal human labial glands, obtained during surgery, were incubated with polyclonal antibodies to human salivary mucins MUC5B and MUC7, and then with gold-labeled secondary antibodies. Specific MUC5B reactivity was found in the secretory granules of mucous cells of all glands examined, and was associated with the luminal membrane of duct cells. MUC7 labeling was observed in the granules of both mucous and seromucous secretory cells of the glandular parenchyma. Quantitative analyses demonstrated that seromucous granules have higher immunogold labeling densities for MUC7 than mucous granules. Our immunohistochemical data extend the results of previous light microscopic studies of MUC5B and MUC7 localizations, pointing out the significant contribution of human labial glands in the secretion process of these two mucins.

Immunohistochemical Study of Differences Between the Muscle Fiber Types in the Pars Peripheralis and Marginalis

The aim of this study was to evaluate the immunohistochemical differences between the muscular fiber types in the pars peripheralis and pars marginalis of human orbicularis oris muscle. Five upper lips of fresh human adult cadavers were used. Full thickness of the upper lip, 5 mm in width, was harvested vertically at a peak point of cupid's bow. Troponin I-SS and Troponin I-FS antibodies were used to determinate the slow and fast skeletal muscle fibers. The pars peripheralis is composed of slow fibers (22%) and fast fibers (73%). The pars marginalis is composed of slow fibers (30%) and fast fibers (66%). We assume that the pars peripheralis and pars marginalis should be repaired sortably because the muscle reaction and endurance are not the same.

Development of the upper lip: morphogenetic and molecular mechanisms

The vertebrate upper lip forms from initially freely projecting maxillary, medial nasal, and lateral nasal prominences at the rostral and lateral boundaries of the primitive oral cavity. These facial prominences arise during early embryogenesis from ventrally migrating neural crest cells in combination with the head ectoderm and mesoderm and undergo directed growth and expansion around the nasal pits to actively fuse with each other. Initial fusion is between lateral and medial nasal processes and is followed by fusion between maxillary and medial nasal processes. Fusion between these prominences involves active epithelial filopodial and adhering interactions as well as programmed cell death. Slight defects in growth and patterning of the facial mesenchyme or epithelial fusion result in cleft lip with or without cleft palate, the most common and disfiguring craniofacial birth defect. Recent studies of craniofacial development in animal models have identified components of several major signaling pathways, including Bmp, Fgf, Shh, and Wnt signaling, that are critical for proper midfacial morphogenesis and/or lip fusion. There is also accumulating evidence that these signaling pathways cross-regulate genetically as well as crosstalk intracellularly to control cell proliferation and tissue patterning. This review will summarize the current understanding of the basic morphogenetic processes and molecular mechanisms underlying upper lip development and discuss the complex interactions of the various signaling pathways and challenges for understanding cleft lip pathogenesis.

Taste bud form and distribution on lips and in the oropharyngeal cavity of cardinal fish species (Apogonidae, Teleostei), with remarks on their dentition

The oral dentition and type and number of taste buds (TB) on the lips and in the oropharyngeal cavity were compared by means of SEM in 11 species of cardinal fishes (Apogonidae) belonging to five genera. The occurrence of a dense cover of skin papillae on the lips of some species (e.g., Apogon frenatus), as well as differences in structure of vomer, tongue, and palatinum, expose additional morphological characters important for clarification of the taxonomy of this group of fishes. Differences are also revealed in the type of dentition, such as on the vomer and epi-hypopharyngeal bones. Strong and dense dentition of the anterior part of the oral cavity and a high number of TB on this site in species feeding on larger prey (e.g., Cheilodipterus spp) is compared to the relatively feeble jaw armor and richness of TB on the more pharyngeal site in species feeding on smaller prey (e.g., Apogon angustatus, A. frenatus). In addition to the three types of TB (Types I-III) previously described from various teleost fish, a fourth type (Type IV), comprising very small buds, was found in some cardinal fish (Apogon angustatus, A. frenatus). The various TB are distributed from the lips to the pharyngeal bones, on the breathing valves, tongue, palatinum, and pharyngeal bones; their number and type on the various sites differ in the different species. In all species studied the Types I and II TB, elevated above the surrounding epithelium, dominated the lips and anterior part of mouth, while Types III and IV, which end apically at the level with the epithelium, dominated the more posterior pharyngeal region. The highest number of TB, around 24,600, were found in Fowleria variegata, a typical nocturnal species, and the lowest in the diurnal and crepuscular Apogon cyanosoma (1,660) and Cheilodipterus quinquestriatus (2,400). Differences are also revealed in the type of dentition, such as on the vomer and epi-hypopharyngeal bones. The number of TB increased with growth of the fishes. The differences in the total number of TB and their distribution in the oropharyngeal cavity in the various species indicates possible different mechanisms of foraging and food-recognition.

[Ultrastructure of Manganotti cheilitis]

Electron-microscopic examination of 5 cases with histological diagnosis of Manganotti's cheilitis was made. As distinct from other types of heilitis, disintegration of the basement membrane (up to its disappearance in some areas) and pronounced changes in the basement layer of the epithelium are characteristic for this type. Shedding of plasmalemms, a decrease of desmosomal complexes, appearance of microvilli were seen in the basal cells of the epithelium. A pronounced reaction of blood and connective tissue cells which invade basal and spinous layer of the epithelium was observed.

Fiber-optic confocal reflectance microscope with miniature objective for in vivo imaging of human tissues

We have built a fiber-optic confocal reflectance microscope capable of imaging human tissues in near real time. Miniaturization of the objective lens and the mechanical components for positioning and axially scanning the objective enables the device to be used in inner organs of the human body. The lateral resolution is 2 micrometers and axial resolution is 10 micrometers. Confocal images of fixed tissue biopsies and the human lip in vivo have been obtained at 15 frames/s without any fluorescent stains. Both cell morphology and tissue architecture can be appreciated from images obtained with this microscope.

Histologic, histochemical, and ultrastructural analysis of soft tissues from cleft and normal lips

The cause of cleft lip remains speculative. The nature and extent of pathophysiologic changes in cleft lip muscle are controversial. This study was undertaken to better understand the developmental processes at work. There were two groups of patients. In group 1, 40 fresh tissue specimens were taken from 22 patients who were 2 to 5 months old-their age at the time of their primary cleft lip repair. In group 2, eight control specimens were collected from six children who were seen in the emergency department with lip lacerations. Fresh specimens fixed in neutral buffered formalin were evaluated by the use of hematoxylin and eosin with Luxol fast blue, Bielschowsky, and Masson trichrome stains. Fresh frozen tissue was histochemically assessed by the use of hematoxylin and eosin, modified Gomori trichrome, and adenosine triphosphatase. Ultrastructural analysis was performed on fine sections of glutaraldehyde-fixed tissue. Histologic examination revealed increased endomysial and perimysial collagen in cleft specimens with evidence of muscle-bundle size variation and nonneurogenic atrophy. Insignificant differences were observed between cleft-side and noncleft-side specimens when the means of 200 counts of neural-tissue bundles in the subdermis were compared (p = 0.093). Histochemical examination revealed no typical checkerboard pattern, but a preponderance of type 2 fiber was seen. By means of electron microscopy, increased numbers of subsarcolemmal mitochondria were found in cleft, noncleft, and control specimens. Increased absolute numbers of mitochondria and variations in size, shape, and crystal arrangement were identified. In conclusion, there is no evidence of deficient neural supply in the cleft lip. There is also no evidence of neurogenic muscle atrophy or a metabolic abnormality. There are characteristic myopathic changes. These, in concert with the observed interstitial fibrosis, may have far-reaching implications for growth and function.

Degeneration and regeneration of the lip mucosal epithelium after cryo treatment in mice

The process of degeneration and regeneration of the lip mucosal epithelium after cryo treatment was observed by transmission electron microscopy. The epithelial cells were degenerated by the formation of ice crystals and subsequently detached from the basement membrane, forming a blister cavity. The separation occurred between the epithelial cells and the lamina densa, leaving a small amount of cell debris on the lamina densa. The surviving cells at the periphery of the blister cavity, especially the cells in the basal half of the epithelium, provided the regeneration cells. They migrated over the cell debris, attached to the lamina densa and gradually phagocytozed it. Finally, they formed hemidesmosomes with the old lamina densa. The connections between the epithelial cells by desmosomes were so tight that desmosomes were preserved even between dead cells and between dead and living cells. Regenerating cells were moving in a multilayered form, remaining connected to each other by the dosmosomes. They were seen to divide by mitosis and thereby increase the number of the cell layer, whilst maintaining their connections with the neighbouring cells.

Distribution of type VII collagen in the epithelial basement membranes of mouse palate, tongue and lip mucosa

Dithiothreitol effectively separated the laminae densae and the laminae fibroreticulares of the basement membranes of oral mucosal epithelia as it does the epidermis and dermis. Dithiothreitol-separated epithelial basement membranes of palate, tongue, and lip were immunoreacted with colloidal gold-conjugated anti-type VII collagen antibody. By transmission electron microscopy, gold particles were observed only on the anchoring fibrils. For three-dimensional observation of the distribution of type VII collagen by scanning electron microscopy, secondary and backscattered electron images were compared. The secondary image showed the fine structure of the laminae densae and anchoring fibrils, and the backscattered images showed the gold particles conjugated with the antibody. By using an osmium conductive metal coating under optimal conditions, secondary and backscattered electron images of sufficient quality could be obtained. With the osmium coating, the backscattered electron image could show not only the gold particles but also the general morphological outline, making possible a comparison of the two images, which revealed the three-dimensional distribution of type VII collagen. Type VII collagen was also seen only on the anchoring fibrils, as in the epidermal basement membrane.

The Twirler mouse, a model for the study of cleft lip and palate

Twirler (Tw) is a semidominant mutation in the mouse affecting the embryonic development of the midfacial region. Most heterozygous Tw mice, +/-, become obese at adulthood with a concomitant decrease in fertility. Homozygous mice have clefts of the midfacial region and a disrupted nasal cavity. Midfacial clefts included clefts of the palate combined with either unilateral or bilateral clefts of the lip. The clefts of the lip were either complete or incomplete. The palatal shelves in Tw/Tw were very much reduced. Apart from these defects, homozygous Tw looked normal, and were born alive, although they reportedly die within 24 h after birth. It is proposed that the Twirler model can be used to improve understanding of the genetic mechanisms involved in the normal development of the midfacial region.

Cleft lip: a histochemical and ultrastructural analysis of lip muscles

AIMS

In order to evaluate the pathogenesis of cleft-lip in relation to both the anatomical and structural anomalies of the mesenchymal tissues, the authors concluded that the presence of structural anomalies in the examined tissues could not explain the malformation, but might be a consequence of it. Delayed muscular development, asymmetrical distribution of the muscular fibres and their anomalous insertion suggest that the anatomical/functional loss clinically detectable in the orbicular muscle could be the result of a perinatal dysmorphological process rather than of a simple mesenchymal hypoplasia.

METHODS

Schendel et al. suggested that a metabolic defect in the mitochondrial function could cause a deficiency in cell migration and proliferation responsible for the malformation in question. To establish whether the pathogenesis of the cleft-lip is associated with an alteration in mitochondrial functionality, eight patients affected by unilateral cleft-lip were subjected to a biopsy of the orbicular muscle during the course of reparative surgery.

RESULTS

The results obtained showed: 1) a great variation in the size of muscle fibres; 2) the absence of ragged red fibres; 3) a normal oxidative function in the muscle fibres examined; 4) the absence of typologically significant groupings positive for myofibral ATPases. Furthermore, the morphology of the mitochondria was preserved in all cases and neither inclusions nor morphological or volumetric changes were detected.

CONCLUSIONS

This preliminary data did not confirm the constant presence of mitochondrial pathology responsible for the malformation in question. In our opinion, the growth deficiency of the maxillary segment could be ascribed to the cicatrization of the surgical repair of the cleft-lip.

A scanning and transmission electron microscope study of the human minor salivary glands

All human minor salivary glands, apart from the posterior deep lingual (von Ebner's) glands which were serous, contained a minor population of seromucous cells that increased from palatine and posterior superficial lingual (Weber's) to labial, anterior lingual (Blandin and Nuhn's) and buccal glands, in that order. Unlike the predominant mucous cells, whose structure was uniform, serous and seromucous cells exhibited, in each gland, peculiar cytological and cytoarchitectural characters.

Human oral mucosa studies with varying blood glucose concentration by non-invasive ATR-FT-IR-spectroscopy

During the last few years infrared spectrometry has been investigated as a non-invasive clinical tool for improved understanding of in-vivo processes. Oral mucosa has been suggested as an especially suited subject for drug delivery and in vivo monitoring of endogenous body metabolites due to histological and physicochemical reasons. The attenuated total reflection (ATR) technique was used to characterize the outmost epidermal layer of human oral mucosa by means of Fourier-transform infrared spectroscopy. The penetration depth of the probing radiation in the mid-infrared fingerprint region, using a ZnSe-crystal for the horizontal ATR accessory, is in the order of a few micrometers so that microlayer information can be obtained by such a technique. Spectra of outer human lip and saliva components are presented for comparison. For several test persons, lip spectra were recorded during oral glucose tolerance tests. The individually varying blood glucose concentration was followed by means of frequent blood testing. Variability of the outmost microlayer has been studied using factor analysis of the ATR inner-lip spectra. There is no clear evidence that blood glucose concentration can be followed by ATR-spectroscopy of oral mucosa. Non-invasive spectroscopic methods exploiting trace signals require special attention paid to the variability due to person-to-person differences and changes in physiological conditions.

Type-VI collagen as a major component in the interstitial matrix of cutaneous mechanoreceptors

The presence or absence of type-VI collagen in mechanoreceptors in the lips and palate of the mouse and gerbil was assessed histochemically. When fresh palatine mucosae and the lips of mice were incubated in 20 mM ATP solution, numerous fibrous long spacing fibers with a periodicity of 100 nm appeared in the interlamellar spaces of Meissner's corpuscles, simple lamellated corpuscles, and the peripheral connective tissue of Ruffini's nerve endings, irrespective of age. In addition, when the palatine mucosae of mice and gerbils were stained immunohistochemically with anti-type-VI collagen, an intensely positive reaction was constantly observed in Meissner's corpuscles. Furthermore, a less intense immunoreaction to anti-type-VI collagen was recognized in the inner core of simple lamellated corpuscles and Ruffini-like formations in the labial mucosae. From these results, we conclude that type-VI collagen is a major constituent of the interstitial connective tissue of cutaneous mechanoreceptors.

Fine structure of the epidermal basement membrane of the lip: applications of dithiothreitol separation and ultrathin frozen sectioning

The fine structure of the epidermal basement membrane at the electron-microscopic level has already been defined. To obtain more details, two techniques, dithiothreitol separation and ultrathin frozen sectioning, were applied either alone or in combination. Negatively stained ultrathin sections showed a much thicker lamina densa than ordinary plastic-embedded sections. In the lamina lucida, bridging filaments and subbasal dense plates were observed in negative images. After the treatment with dithiothreitol, the lamina densa could be peeled off mechanically from the underlying dermis, and the anchoring fibrils were pulled off the dermis, preserving the connection with the lamina densa. With this specimen, bundles of anchoring fibrils were observed clearly and their lengths could be measured. Negatively stained ultrathin sections of dithiothreitol-separated specimens showed the fine structure of the lamina lucida. Bridging filaments in the lamina lucida were resolved by negative staining.

Lectin binding pattern in normal human labial mucosa

The pattern of lectin binding in normal human labial mucosa was examined by light and electron microscopy using eight different lectins (ConA, LCA, WGA, UEA-1, RCA-1, SBA, DBA and PNA) and compared with the patterns in normal human skin and oesophageal mucosa. As seen by light microscopy, ConA, LCA, and WGA stained cell membranes in all layers of the mucosae. RCA-1 stained the plasma membrane of cells in the basal and middle layers, whereas cells in the superficial layers showed little positive staining. UEA-1, SBA, and PNA stained the cells in the middle layers weakly in some cases. No positive staining for DBA was seen. By electron microscopy, reaction product indicating ConA-binding sites was observed in the plasma membrane, cisternae of the endoplasmic reticulum, nuclear envelope and the Golgi apparatus. Binding of LCA, WGA, and RCA-1 was observed in the plasma membrane. These results show that the binding pattern of PNA, SBA, and RCA-1 in labial mucosa is different from that in the normal skin or oesophageal mucosa, although the labial mucosal epithelium, epidermis, and oesophageal epithelium are all stratified squamous epithelia. These differences in the cell-surface sugar residues are likely to be related to the possible functional differences in these tissues.

The microvasculature of human infant oral mucosa using vascular corrosion casts and india ink injection. II. Palate and lip

The microvasculature of human hard and soft palate and lip originating from four infant males and six females, aged 6 months to 2 years was studied by scanning electron microscopy of vascular corrosion casts and light microscopy of India ink injected specimens. The capillary loops of the hard palate mucosa and vermilion border of the lips were found to be tall, numerous and consisted of primary, secondary and tertiary loops. Those of the soft palatal and labial mucosa were short, few in number and demonstrated a simple hair-pin shape originating directly from the subpapillary vascular network. It was concluded that the configuration of capillary loops is not only determined by the shape of the connective tissue papillae in the lamina propria but also influenced by the functional demands characteristic of the different areas of the oral mucosa.

[Neurofibroma of the lower lip]

Reporting a nervous tumor diagnosed as Neurofibroma, which owing to its localisation, on the lower lip, and its possible origin, from a salivary gland, should be considered an extraordinary rarity. The AA, make a bibliographic review of the commonest sites of the growth, the histological description and consider some possible differential diagnosis with special emphasis to the schwannoma and the Recklinghausen's disease.

Labial melanotic macule: a clinical, histopathologic, and ultrastructural study

BACKGROUND

The labial melanotic macule (LMM) is a recently described pigmentary anomaly that may simulate malignant melanoma.

OBJECTIVE

Our purpose was to define the LMM clinically, histologically, and immunohistochemically in a large group of patients.

METHODS

We describe the clinical features of 36 LMMs in 29 patients (aged from 4 to 79 years, 4 male, 25 female) seen during the past 4 years. Histopathologic findings in 21 of these patients are discussed. Seventeen lesions were immunostained with HMB-45 monoclonal antibody, and electron microscopy was performed on eight lesions.

RESULTS

The majority of patients were women and had solitary lesions on the lower lip with the mean age of onset of 30 years. Histologically prominent basilar hyperpigmentation accentuated at the tips of the rete ridges was present without atypia or nevoid formation. Immunohistochemical studies showed that all intralesional melanocytes were HMB-45 negative, supporting their benign nature. Ultrastructurally, numerous stage III and IV melanosomes clustered within basal keratinocytes and papillary dermal melanophages were found.

CONCLUSION

The LMM is a clinically and histologically distinctive benign pigmentary anomaly.

The extracellular matrix of lip wounds in fetal, neonatal and adult mice

Wound healing in the fetus occurs rapidly, by a regenerative process and without an inflammatory response, resulting in complete restitution of normal tissue function. By contrast, in the adult, wounds heal with scar formation, which may impair function and inhibit further growth. The cellular mechanisms underlying these differing forms of wound healing are unknown but the extracellular matrix (ECM), through its effects on cell function, may play a key role. We have studied the ECM in upper lip wounds of adult, neonatal and fetal mice at days 14, 16 and 18 of gestation. The spatial and temporal distribution of collagen types I, III, IV, V and VI, fibronectin, tenascin, laminin, chondroitin and heparan sulphates were examined immunohistochemically. Results from the fetal groups were essentially similar whilst there were distinct differences between fetus, neonate and adult. Fibronectin was present at the surface of the wound in all groups at 1 h post-wounding. Tenascin was also present at the wound surface but the time at which it was first present differed between fetus (1 h), neonate (12 h) and adult (24 h). The time of first appearance paralleled the rate of wound healing which was most rapid in the fetus and slowest in the adult. Tenascin inhibits the cell adhesion effect of fibronectin and during development the appearance of tenascin correlates with the initiation of cell migration. During wound healing the appearance of tenascin preceded cell migration and the rapid closure of fetal wounds may be due to the early appearance of tenascin in the wound. Collagen types I, III, IV, V and VI were present in all three wound groups but the timing and pattern of collagen deposition differed, with restoration of the normal collagen pattern in the fetus and a scar pattern in the adult. This confirms that lack of scarring in fetal wounds is due to the organisation of collagen within the wound and not simply lack of collagen formation. The distribution of chondroitin sulphate differed between normal fetal and adult tissues and between fetal and adult wounds. Its presence in the fetal wound may alter collagen fibril formation. No inflammatory response was seen in the fetal wounds. The differences in the ECM of fetal and adult wounds suggests that it may be possible to alter the adult wound so that it heals by a fetal-like process without scar formation, loss of tissue function or restriction of growth.

Ultrastructure of the encapsulated corpuscles in the lower lip mucosa of the mouse

Under the light microscope, the encapsulated corpuscles of the mouse lower lip mucosa were only classified into 4 types, simple, ramifying, branched-axon, and clew-like corpuscles. The ultrastructural characteristics of the branched-axon and clew-like corpuscles, however, were not reported. Five male mice, aged 4 to 8 weeks, were used. The mouse lower lip mucosa were examined with a electron microscope. Two types of corpuscles were distinguished. The first type had numerous branched axon terminals and bilaterally symmetrical and/or asymmetrical Schwann cell cytoplasmic lamellae in a few perineural capsules. The second type did not have perineural capsules. We concluded that these two types fell into the categories of branched-axon and/or clew-like corpuscles in the light microscopical observations. We concluded also that first type fit the category of coiled simple corpuscles and second type fit the category of Meissner-like corpuscles according to the electron microscopical observations.

Fine structure of the sinus hair (pillus labialis maxillaris) and its microvascular architecture in the cat

The hairs of the upper lip are designated as the sinus hairs morphologically and as the tactile hairs functionally. The characteristics of the sinus hair include the equipment of a follicular blood sinus, composed of cavernous and ring sinuses located between the external and internal radical dermal capsules. The present paper deals with microvascular architectures examined under SEM using plastic microvascular casts. The arterioles diverging from the superior labial artery divided into two groups near the external capsule. The radical arterioles passed through an opening at the bottom of the capsule and formed the capillary network of the hair papilla, in part communicating with the network of the radical dermal capsule. The subcapsular arteriole penetrated the external capsule and passed in the cavernous sinus up to the internal capsule, where the capillary network of the radical dermal capsule was formed. Its meshes appeared polygonal of the papilla site and elongated at the epithelial site. The follicular blood sinus extended between the sebaceous gland and the papilla radix of the sinus hair. In its papillary two-thirds, the cavernous sinus was formed by connective tissue trabeculae and in the epithelial one-third the ring sinus was formed in the shape of a doughnut without trabeculae. Locational differences in the meshes of both networks of the hair papilla and the radial dermal capsule were apparent according to the extent of the nutrient supply to the internal and external root sheathes. The follicular blood sinus acted as a reducing apparatus against the external forces pressing on the sinus hair and the cavernous sinus may serve to enhance the function of the tactile apparatus.

The Laugier-Hunziker syndrome--a clinical review of six cases

The Laugier-Hunziker syndrome is an acquired, benign, macular hyperpigmentation of the lips and buccal mucosa. The nails are often involved with the development of melanonychia. Twenty-two previous cases have been recorded in the literature. We present details of six Caucasian patients with the Laugier-Hunziker syndrome who are the first recorded from Britain. They all had acquired, macular hyperpigmentation of the lips and buccal mucosa. In five of these patients longitudinal pigmented bands were found on the nails. None had other family members affected. Although this is the first report of British patients with this syndrome, we believe that the condition is probably more common than is generally recognized.

[Stereo architecture of the connective tissue papillae of lips and gingiva in newborn dogs]

The surface structure of the connective tissue papillae of lips and gingiva of newborn dogs 1 and 4 weeks after birth were observed by scanning electron microscopy. 1. Long term HCl treatment successfully removed the epithelial cell layer from the connective tissue over a large area of fixed material. 2. Connective tissue papillae of labial skin, labial mucosa and alveolar and gingival mucosa were exposed and it became clear that connective tissue papillae were highly developed at the labial margin and just beneath the gingival margin. 3. In the hair growing area of the labial skin, connective tissue papillae became smaller, and some ridge-like structures were found running vertically. 4. On the lining mucosa such as the labial and alveolar mucosa, the surface of the connective tissue papillae showed only ridge-like structures running vertically. 5. From the results of both light and electron microscopy, we concluded that there was a tendency for the area to have a thick epithelial cell layer which contained highly developed connective tissue papillae. This suggested that the blood vessels in the connective tissue papillae can carry nutrients closer to more epithelial cells penetrating deeply into the epithelium thickness.

Intraperineural localization of lamellated sensory corpuscles in the skin and oral mucosae of the adult cat and miniature pig

Lamellated sensory corpuscles in the perioral tissues of the adult cat and the adult miniature pig were studied by light and electron microscopy. In the cat lip, over half of the lamellated corpuscles existed in an aggregate form associated with other nerve elements and blood capillaries in peripheral nerve swellings, while the remainder existed in an isolated form. Conversely, almost all the lamellated corpuscles in the miniature pig existed in an aggregate form in nerve swellings. Most of the intraperineural lamellated corpuscles showed ultrastructural characteristics of simple corpuscles. However, some of the intraperineural lamellated corpuscles exhibited interlaced arrangements of tortuous axon terminals and cytoplasmic lamellae resembling the arrangement in Meissner corpuscles. Immunohistochemical staining using anti-neuron specific enolase also revealed the presence of intraperineural, Meissner-like corpuscles in the cat lip. This study indicates that intraperineural localization of lamellated corpuscles is common in carnivora and artiodactyla and that the intraperineural lamellated corpuscles are heterogeneous in their ultrastructural pattern.

Scanning electron microscopic study of surface of human oral mucosa

The surface ultrastructure of the healthy oral mucosa of humans was studied using SEM as follows: dorsum of the tongue (10 specimens), buccal mucosa (5), floor of the mouth (3), hard palate (5), and gingiva (10). One part of each formalin-fixed sample was processed routinely using the system of critical point drying for scanning electron microscopy. The other part of the specimen was embedded in paraffin blocks and stained with hematoxylin-eosin for light microscopy. With SEM at low magnification, the surface structure of the oral mucosa at different areas of the oral cavity was smooth with some desquamating cells. Only the tongue mucosa with its papillae formed a specialized mucosa. The hairs of the filiform papillae were covered by microorganisms, whereas on the oral mucosa there usually was little or no colonization by microorganisms. At high magnification, the surface structure of the superficial epithelial cells was pitted or microplicated. On keratinized epithelium the surface structure was pitted, whereas on non-keratinized epithelium it was microplicated. On cell boundaries some variation could also be seen; in keratinized epithelium these boundaries were overlapping and in non-keratinized epithelium they were tight.

[Cutaneous-mucous hyalinosis (Urbach-Wiethe disease). Histologic and ultrastructural study of a case]

Hyalinosis cutis et mucosae is a rare genetic disorder, primarily involving skin and mucous membranes, that has been described under various titles as lipoidosis lipoproteinosis and Urbach-Wiethe disease. A 17-year-old girl presented cutaneous macular lesions, skin scars, thickened lips and enlarged firm tongue; hoarseness was known since birth. The labial biopsy specimen was investigated by light and electron microscopy. Histologically there are deposits of amorphous, extra-cellular eosinophilic hyaline material in the upper thickened connective tissue. In the lower part changes are focal with hyaline mantle around the vessels. Histochemical studies have revealed that the deposits were PAS-positive and amylase-resistant, indicating the presence of neutral mucopolysaccharides. Lipid stains were positive, especially in vessel walls. Ultrastructurally hyaline substance is composed of 1 to 2 nm protofilaments, larger ones (5 to 10 nm wide) and amorphous material. Fibroblasts contain in their dilated cisternae amorphous material. A frequent feature is marked multilamination of the capillary basal lamina which is interpenetrated by hyaline substance. Pathogenesis is still unknown but recently it is suggested hyalinosis cutis et mucosae could be a systemic disease of basal lamina.

Age-related decline of lymphoid-tissue components in the oral mucosa of the lip, cheek and soft palate of Macaca fascicularis

In three mature monkeys (Macaca fascicularis; 3.5 +/- 0.3 kg in weight), the labial, buccal and soft-palate mucosae were examined morphologically and stereologically. Using fixation by perfusion, standardized methods of tissue preparation and morphometric analysis at the light-microscopic level, the gross dimensions (i.e., epithelial thickness, width of combined lamina propria/submucosa) and the volumetric composition of the oral mucosae were estimated and compared with those of young animals examined previously. The data show (1) an age-related decline in the volume and prevalence of organized lymphoid tissue (i.e., lymphoid follicles associated with secretory ducts), (2) a stable plasma-cell density in the interglandular connective tissue, and (3) an increase of glandular tissue in mature versus young animals. It is suggested that the lymphoid follicles associated with secretory ducts, providing for plasma-cell generation, mirror the tonsillar lymphoid tissue declining after puberty.

Merkel cell differentiation in the labial mucous epithelium of the rabbit

To clarify the relation between the so-called 'transitional' cell and the Merkel cell, the frequency of these cells in the labial mucosal epithelium was compared between infant, juvenile and adult rabbits. The transitional cell was observed in serial ultrathin sections. Transitional cells were most numerous in the infant and juvenile, while the definitive Merkel cell showed a reciprocal increase in number. In the infant and juvenile, the transitional cells differed slightly from each other in their ultrastructure: some resembled immature keratinocytes, others resembled definitive Merkel cells. All transitional cells contained the Merkel cell granules and the intranuclear rodlet. It was interpreted that the Merkel cell in the labial mucous epithelium develops from the transitional cell. Neither definitive Merkel cells not transitional cells were identified in the lamina propria. The present circumstantial evidence favours the hypothesis that Merkel cells differentiate from precursors in the basal layer of the epithelium.

Phenytoin (dilantin)-induced cleft lip and palate in A/J mice: a scanning and transmission electron microscopic study

High incidences of cleft lip and palate (CLP) produced by maternal intraperitoneal administration of 75 mg/kg phenytoin on gestational day 10 to A/J mice are associated with a severe size reduction in the lateral nasal process. Scanning and transmission EM analyses of this region demonstrate a marked change in the morphology of the mesenchymal cells underlying the surface epithelium in treated versus control day 11 (7-tail somite) embryos: long, branching cellular processes, which form a dense meshwork that appears to interact with the epithelial basement lamina in control embryos are undeveloped or absent in phenytoin-treated embryos. The ultrastructural morphology of these cell processes is described and their possible importance in normal development is discussed. Scanning EM observations of incomplete clefts of the lip which frequently result from phenytoin treatment indicate that Simonart's bands form from fusion of the lateral and medial nasal processes in association with a lack of fusion of the maxillary process with the medial nasal process.

Architecture and density of the connective tissue papillae of the human oral mucosa

The papillary body of the human oral mucosa was studied at six different sites. Biopsy and autopsy material from 57 individuals, 11-81 years of age, was split chemically along the basal lamina and the epithelium-connective tissue interface examined by light and scanning electron microscopy. Morphometric techniques were employed in order to determine: epithelial thickness, height and density of connective tissue papillae and the percentage of basal epithelial surfaces occupied by them. In the majority of sites, connective tissue plateaux or ridges carrying a variable number of single or grouped papillae were found to be the basic structural units of the papillary body. Three regions with diferent characteristics of the epithelium-connective tissue interface could be identified: (1) floor of the mouth, (2) lip and cheek, (3) gingiva and hard palate. The floor of the mouth showed the lowest connective tissue papillae density, the smallest papillae, and connective tissue plateaux separated by narrow grooves. Lip and cheek mucosae revealed an intermediate density, the papillae were frequently bifurcated and angulated. Gingiva and hard palate were characterized by the highest papillary density and by papillae which were cylindrical, slender and erect. The alveolar mucosa exhibited intermediate features between those of the floor of the mouth and those of the cheek mucosa.

Peroxidase and fluorescein isothiocyanate as antibody markers. A quantitative comparison of two peroxidase conjugates prepared with glutaraldehyde or periodate anda fluorescein conjugate

Batches of rabbit anti-human immunoglobulin G antibodies were labeled either with horseradish peroxidase, using the two-step glutaraldehyde method or the periodate method, or with fluorescein isothiocyanate (FITC). The peroxidase conjugates were isolated by chromatography using two different gel types. The five types of conjugates thus obtained were standardized to the same amount of rabbit immunoglobulin G. The antibody activity, as estimated by means of single radial immunodiffusion and passive hemagglutination, and the enzyme activity, determined with orthodianisidine, were compared. The ultimate dilutions and absolute amounts of the five conjugates giving positive reactions were determined in direct and indirect immunohistochemical tests, using both cryostat sections of skin and the agarose bead model system. It appeared that during the peroxidase conjugation procedures there was a considerable loss of abtibody and enzyme activity, whereas in the FITC conjugation procedure the antibody activity remained intact. Neverthe less, peroxidase conjugates prepared with glutaraldehyde still gave positive staining reactions in equal or somewhat higher dilutions than the fluorescin conjugate did. The peroxidase conjugates prepared with periodate could not be diluted to the same extent. For the detection of antibodies by indirect immunohistochemical methods, the peroxidase conjugate, prepared with glutaraldehyde, was comparable to the FITC conjugate. The peroxidase conjugate, prepared with periodate, was less effective.

Scanning electron microscopy of the lip denticiles of Ascaris suum adults of known ages

Purebred Hampshire pigs, farrowed and maintained under conditions precluding extraneous helminth infection, were exposed to a single dose of 10,000 Ascaris suum infective eggs. The pigs were killed at intervals of 28, 41, 55, 86, 115, 145, 175, and 206 days after infection. At necropsy, no gross lesions were found in the lungs or livers of infected pigs. The worms were recovered from the small intestine, identified, counted, and fixed. The heads were excised, critical point dried, mounted en face, and examined by scanning electron microscopy. Worms 28 to 115 days old had unworn denticles that were triangular when viewed laterally but blunt when viewed tangentially. Wearing of the denticles was observed first with 145-day-old worms; wearing increased with age both in numbers of denticles affected and in degree of wear so that by 206 days after inoculation, almost all denticles in the center of the lip were worn. Worn denticles appear truncated when viewed from any angle. The denticles outside the central area were not affected by wear. The size of the denticles varies not only between specimens of the same age, but also on each specimen. However, average denticle size is directly related to the size and, accordingly, to the age of the worm. External to each denticle is a corresponding depression that we have called the denticular groove. One 28-day-old specimen had some extra denticles aligned irregularly along the lip; this irregularity gave the appearance of a double row. The denticles of the two subventral lips are similar to those of the dorsal and are equally affected by wear. There was no detectable difference in denticles of male and female worms. Since wear can now be specifically correlated with age, we conclude that the denticles are functional and become worn through use. Consequently, adult A. suum may be an even more injurious pathogen than heretofore supposed.