Publication: A simple method for the differential characterization of alveoli and alveolar ducts in injured lungs
Authors
Negri, E.M. ; Omar, E.D. ; Mori, S.S. ; Rodrigues, N.R.D. ; Barbas, C.S.V. ; Saldiva, P.H.N. ; Dolhnikoff, M.
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Publisher
Murcia : F. Hernández
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DOI
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info:eu-repo/semantics/article
Description
Abstract
Rationale and hypothesis: Previous studies
evaluating the histoarchitecture of distal airspaces have
been shown to be limited by the difficulty in adequately
differentiating alveoli and alveolar ducts. This limitation
has been specially noticed in studies addressing lung
recruitment and in situations of diffuse alveolar damage
(DAD), where generic nominations for distal airspaces
had to be created, such as “peripheral airspaces” (PAS)
and “large-volume gas-exchanging airspaces” (LVGEA).
Elastic stains have been largely used to describe normal
lung structures. Weigert’s resorcin-fuchsin staining
(WRF) demarcates the thickened free portions of the
ductal septum facilitating its recognition. We
hypothesized that this staining could help in
differentiating alveoli from alveolar ducts in distorted
lung parenchyma. Material and Methods: Samples of
control lungs and of DAD lungs induced by mechanical
ventilation (VILI) were stained with hematoxylin-eosin
(H&E) and with WRF. Using morphometry we assessed
the volume proportion of alveoli, alveolar ducts and
LVGEA in control and VILI lungs. Results: WRF
stained VILI lungs showed a significant decrease in the
volume proportion of LVGEA and alveoli and a significant increase in the volume proportion of alveolar
ducts when compared to H&E stained samples.
Conclusion: We conclude that WRF staining is useful to
distinguish alveolar ducts from alveoli in a DAD model,
and suggest that it should be routinely used when
morphometric studies of lung parenchyma are
performed.
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