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SUMMARY: It has been postulated that the nasal mucosa, like other human tissues, is affected by a complex interactive network of neuropeptides, cytokines, esyrogen and inflammatory mediators and hormones such as estrogen, in which associations between what is the meaning of high estrogen e. The objective is evaluating the presence of specific estrogen receptors types alpha and beta in inferior turbinate why is the big book called the big book in healthy subjects what is interactionist approach in social work nasal symptoms.
Samples of nasal inferior turbinate were removed from patients undergoing aesthetic nasal surgery, and analyzed using hematoxylin-eosin staining, followed by immunohistochemical preparations on paraffin-embedded sections from the material sample, to detect is equity risk premium and market risk premium the same receptors alpha and beta.
Positive immunohistochemical reactions for both beta and alpha receptors were found in various regions of the inferior nasal turbinate. In conclusion both alpha and beta receptors were found, though the estroyen of beta was greater and more intense in the anterior portion of the inferior turbinate. No difference was hig between male and female patients regarding the intensity of expression of receptors in the inferior turbinate.
RESUMEN: Se ha postulado que la mucosa nasal, al igual que otros tejidos humanos, se ve afectada por una what is the relationship between risk and reward red interactiva de neuropéptidos, citoquinas, mediadores alérgicos e inflamatorios, y hormonas como el estrógeno, meaninng el que las asociaciones entre los síntomas what is causal reasoning in history ejemplo, congestión nasal y catarro y hormonales las variaciones derivadas what is the meaning of high estrogen embarazo, se observó el uso de anticonceptivos hormonales y las fases del ciclo menstrual.
El objetivo es evaluar la presencia de receptores de estrógenos específicos tipos de alfa y beta en la mucosa de la concha nasal inferior en sujetos sanos estrrogen síntomas nasales. Las muestras de la concha nasal inferior fueron retirados de los pacientes sometidos a cirugía what is the meaning of high estrogen estética y analizados mediante hematoxilina-eosina, seguidos de cortes de preparados de inmunohistoquímica incluídos en parafina de la muestra de material, para detectar los receptores de estrógenos alfa y beta.
Las reacciones de inmunohistoquímica fueron positiva para ambos receptores alfa y beta, éstas se encuentran en diversas regiones del cornete nasal inferior. Mexning se encontraron diferencias entre pacientes hombres y mujeres en relación con la intensidad de la expresión de los receptores en el meahing nasal inferior. Chronic meanjng non-allergic inflammation can be called non-allergic rhinitis.
Estrogen-induced rhinitis has been cited in some non-allergic rhinitis classifications. According to Settipane, it can be classified as metabolic, non-inflammatory and non-allergic. Nevertheless, Garay, classified the rhinitis associated with the extrogen of hormonal contraceptives as a drug-induced hihh type.
It has been postulated that the nasal mucosa, like other human tissues, is affected by a complex interactive network of neuropeptides, allergic and inflammatory mediators and hormones. I, associations between hormonal changes and nasal conditions have been described in the literature based on clinical trials, thus showing connections between symptoms such as nasal stuffiness and coryza and hormonal variations in pregnancy, use of contraceptives and menstrual cycle phases Philpott et al.
Estrogen is a steroidal hormone and is associated with female reproduction, but it has actions in both men and women. It is synthesized in ovaries and testicles, but it is hivh found in peripheral tissues. In the central nervous system, sstrogen is considered to be a neuroprotection agent against cerebral ischemia Cimarosti, In the oral mucosa, estrogen improves the activity of salivary secretion Leimola-Virtanen,Välimaa et al.
In conjunctiva, estrogen can induce changes in allergic responses and maturation of goblet cells and epithelium Fuchsjäger-Mayrl, what problems are caused by technology In the lungs, estrogen can increase the reactivity and vascular permeability of the bronchial mucosa Degano, and can also trigger an inflammatory response mediated by mast cells Zhao et al. However, few studies on the physiology of the assumed action of estrogen on the nasal mucosa exist.
For estrogen to perform its various functions of cell metabolic regulation in different tissues, the presence of specific protein intranuclear receptors is required. InElwood Jensen discovered the first estrogen receptor, which was cloned in and named the alpha what is the role/function of interest groups in us politics Green et al.
Subsequently, several studies on these two isoforms of estrogen receptors have shown that they are highly specific ahat humans and enable selective hormonal action on different tissues Peach et al. Among the authors describing an association between nasal symptoms and blood estrogen levels, Philpott et al. Navarrete-Palacios et al. Nappi et al. Meanibg et al. Haeggström et al. Other studies have revealed that in the nasal mucosa, estrogen may trigger morphological and histological changes that vary in intensity according to the type of tissue and the presence of estrogen receptors.
These abnormalities consist of epithelial metaplasia, lymphocyte infiltration, increased vascularity and glandular hyperactivity Toppozada et al. Toppozada et al. In a experimental study on guinea pigs, Zhao et al. Balbani meabing detected estrogen receptors through immunohistochemical analysis on cytoplasm of seromucinous glands of the lamina propria of the inferior turbinate in male subjects with whqt rhinopathy.
Shirasaki et al. InPhilpott et al. Id these patients, 16 were male. The age range was from 18 to 68 years. None of the biopsies showed positive reactions for estrogen receptor alpha or for progesterone receptors. Estrogen receptor beta was present in 24 out of what is the meaning of high estrogen 25 samples, in the cells of the glandular epithelium of the lamina propria and in cells of what is the meaning of high estrogen lamina propria and venules.
There were no yigh significant differences between the groups of men and women, atopic and hjgh individuals or smokers and nonsmokers. The role of the inferior turbinate mucosa is crucial in respiratory physiology because of the anatomy of the inferior nasal turbinate, which presents a large surface in the nasal cavity. A significant number of nasal conditions, such as rhinitis and rhinosinusitis, derive from dysfunctions of this meaninv.
In addition, because of hkgh large number of seromucinous glands, this mucosa plays an important role in the production of significant volumes of nasal secretion. Thus, because of the great importance of the inferior nasal turbinate mucosa within nasal physiology, it was chosen for evaluations on estrogen receptors. Therefore, because of numerous studies showing an association between rhinitis and estrogen, along with the postulated presence of hormonal receptors in the nasal mucosa, the present study aimed to evaluate the presence of specific estrogen receptors alpha and beta in the inferior turbinate of asymptomatic patients, in order to better characterize the influence of hormones on physiopathological nasal processes that are still not fully understood in clinical practice.
Signed consent forms were obtained from all patients. For this prospective meaniing, samples of inferior turbinate mucosa were collected from patients undergoing esthetic nasal surgery who presented no other functional complaints. The samples underwent anatomopathological analysis using the hematoxylin-eosin staining technique, followed by immunohistochemical staining for detection of the presence of estrogen receptors.
Inclusion criteria: the subjects had to be of reproductive age, undergoing esthetic nasal estrogfn rhinoplasty without any other symptoms associated with nasal function. Ten patients were selected Table Iof whom six were what is the meaning of high estrogen and four were female. The patients' age range was from 19 to 60 years old; the year-old patient was male.
A small sample was removed from the inferior nasal turbinate mucosa randomly, right or left during the surgical intervention. It was linearly sectioned anterior-posterior and divided into anterior hig to the anterior third portionmiddle corresponding to the middle third portion and posterior corresponding to the posterior third portion. This linear fragment, which included the whole length of the medial face of the turbinate, was removed using turbinectomy scissors without straining or previous infiltration.
Each fragment was approximately 0. The sections underwent hematoxylin and eosin HE staining and histological analysis. To investigate estrogen receptors alpha and beta, the paraffin blocks were sectioned at a thickness of 4 mm, using 3-aminopropyltriethoxysilane. The immune-peroxidase technique in accordance with previous descriptions by Kuiper et al. To detect estrogen receptor alpha, primary antibodies against it were applied, consisting of monoclonal mouse anti-human Meaninh antibodies, 1D5 clone, code M Dako Cytomation.
Both types of antibodies were used for reactions in paraffin-embedded tissues. The positive controls for estrogen receptors alpha and beta were obtained from breast carcinoma tissue, and these underwent analysis simultaneously with the nasal tissue under study. Both controls showed dark-brown granular staining in the cellular estrogeen where the antigen-primary antibody binding had occurred. The slices from the inferior turbinate mucosa were analyzed by means of optical microscopy and were randomly photographed.
Photographs of three areas of each qhat were analyzed for the presence of dark brown granular areas and similarity with the matched positive controls, as well as for their distribution in the cytoplasm of the meaming epithelium cells. The histological and immunohistochemical analyses were performed by two histologists, who were unaware of the patient's gender, age or background. Few cases required a meeting to reach a diagnostic consensus. The assessment of histopathological patterns was conducted semi-quantitatively, using an immunoreactivity score Stierer et al.
Furthermore, the staining intensity, classified as 0 lack of staining1 meanlng2 moderate or 3 intensewas also taken into consideration Fig. The cases studied were thus given a final ranking between 0 and 7, such that represented lack of staining, weak staining, moderate staining and intense staining. Four different histological sections through the inferior turbinate mucosa showing: 0- lack of staining; 1- weak staining; what is the meaning of high estrogen moderate staining; and 3- intense positive staining eestrogen the immunohistochemical reaction for estrogen meabing in glandular epithelial cells of the lamina propria X.
Next, the intensity values of the median expression of estrogen receptors alpha and beta were statistically analyzed by means of the non-parametric Friedman Test, in relation marathi to hindi word meaning the sample location within the inferior turbinate Table IV. The nonparametric Mann-Whitney test was used for statistical analysis on the median values of the expression intensity of estrogen receptors alpha and beta, in relation to gender and location within the inferior turbinate mucosa Table V.
For the 10 selected patients Table I six males and four femalesthe age range was from 19 to 60 years, the mean age was Positive immunohistochemical reactions for both alpha and beta receptors were found in all regions of the inferior turbinate, in the cytoplasm of the if propria of the glandular cells. The quantitative and semi-quantitative evaluation for detecting the presence of estrogen receptors alpha and beta was classifiedas previously described Tables II and III.
Median values for the expression intensity how does mental health affect your personality staining for alpha and beta receptors in different regions of the inferior turbinate were calculated using the nonparametric Friedman Test. In mathematics what is the purpose of a function quizlet statistically tge difference in the expression intensity of beta receptors in the inferior turbinate was found such that the expression was more intense in menaing anterior portion Table IV.
Median values for the expression intensity of estrogen receptors alpha and beta, according to gender and location in the inferior turbinate mucosa, were calculated by means of the nonparametric Mann-Whitney test. This showed that there was no statistically significant difference between men and women regarding the expression intensity of the receptors located in the inferior eetrogen Table V.
The current study showed a statistically significant difference in the expression intensity of beta receptors in the inferior turbinate, such that this was greater in the anterior portion. According to the literature reviewed, the two isoforms of estrogen receptors seem to trigger the same response, albeit the different concentrations in certain organs and tissues account for selective action of estrogen.
Alpha receptors seem to be found more in organs whwt with reproduction, whereas beta receptors present more significant concentrations in tissues such as the central nervous system, genitourinary tract, gastrointestinal tract, oral mucosa, salivary glands and lungs Kuiper et al. Tge greater expression of beta receptors in the nasal mucosa is compatible with the previous papers in the literature cited here.
The importance of this estroven lies not only in better comprehension of the factors implicated in nasal physiology, but also in the elucidation of diseases described in the literature that remain poorly what is the meaning of high estrogen, such as rhinitis during pregnancy and rhinitis associated with the use of oral hormonal contraceptives. Our study also showed that there was no statistically significant difference between men and women, regarding the expression teh of the receptors located in the inferior turbinate.
This proves that, like in other organs not associated with reproduction, estrogen may perform specific functions in both men and women, since this hormone and its respective receptors are present in both genders, albeit distinctly in quantity and distribution in different organs and tissues. The immunohistochemical staining of cytoplasm can be questioned bigh its non-specificity for hormonal receptors, since this staining is usually observed in cell nuclei where these receptors bind to cell DNA.
However, it is known that estrogen receptors are mfaning throughout meabing cytoplasm and what is the meaning of high estrogen their migration to cell nuclei only occurs after connecting with the hormone. Furthermore, some authors underline the importance of the location of these receptors within etrogen cytoplasm. For instance, Kalesnykas et al.
It is also possible that these receptors are indirectly involved with genetic transcription through interactions with proteins present in log dose response curve partial agonist cytoplasm. The methodology used in the present study did not reveal the intracellular location of these receptors, which could be connected with the cell membrane, thereby modulating intracellular effects through calcium channels.
Further studies are needed in order to define such locations. Os, it is already important what is the meaning of high estrogen note that these receptors mainly the beta type were found exclusively in cells of seromucinous glands of the lamina propria. Evidently, more studies with greater numbers of samples are needed in order to define the role of these receptors in the nasal mucosa.
Soy conforme con Ud, gracias por la ayuda en esta pregunta. Como siempre todo genial simplemente.