S100 protein in the vertebrate peripheral nervous system consists of homo- or heterodimers of S100alpha and S100beta proteins, the first predominating in neurons and the second in glial cells. Recently, however, occurrence of S100beta protein in neurons has been reported. The expression of S100 protein by Schwann cells, as well as their derivatives in sensory corpuscles, depends on the sensory axon (i.e., the Schwann cell-axon contact). The present study analyzed the distribution of S100alpha and S100beta proteins in human cutaneous sensory corpuscles and the effects of peripheral or central sensory axon severance in the expression of these proteins. Simple or double immunohistochemistry was carried out using a panel of antibodies against S100alpha, S100beta or S100alpha+beta proteins, and the sections were examined by light or laser confocal scanning microscopy. Skin samples were obtained from normal subjects and patients with spinal cord injury, nerve entrapment, and nerve sections plus graft. The lamellar cells of Meissner corpuscles as well as the inner-core lamellae of the Pacinian corpuscles displayed strong immunoreactivity (IR) for all antigens examined, the most intense labeling being obtained for S100beta protein. The pattern of immunostaining was unchanged after spinal cord injury, whereas the number of stained corpuscles as well as the intensity of IR for each antigen decreased in cutaneous sensory corpuscles after nerve injury, both entrapment and section plus graft. No evidence was found of axonal labeling. The present results provide evidence that Schwann-related cells in human cutaneous sensory corpuscles contain both S100alpha and S100beta and that the expression of these proteins is dependent on the functional and structural integrity of sensory fibers.
Six cases of retroaortic left renal vein have been studied, two in corpses and four by means of Computed Tomography. Any previous pathology has been rejected. The total number of dissected specimens was 116, whereas the patients with non-pathological retroperitoneum studied by CT numbered 170. In our six cases, the left renal vein formed a single trunk of considerable size, retroaortic position and directed obliquely towards the inferior vena cava.
Objective: To emphasize the incidence and clinical, diagnostic and surgical implications of left renal vein developmental anomalies. Design: Retrospective analysis of case notes. Setting: Clinical Anatomy Department and Surgery Department, Faculty of Medicine, University of Valencia, Spain. Patients, participants: Standard radiological examinations (CT scan) performed on 745 patients; surgical findings at operation in 128 patients with aorto-iliac atherosclerotic disease, and 72 donor cadavers for transplantation. Main outcome measures: Incidence of left renal vein anomalies (retro-aortic left renal vein and peri-aortic renal venous collar), based on radiological (CT scan) and surgical observations. Analysis of implications to surgical management. Results: The radiological series disclosed a 2.68% incidence of left renal vein anomalies: 1.33% retroaortic left renal vein, and 1.33% peri-aortic renal venous collar. The surgical series showed a 1.5% incidence of both anomalies. Conclusions: The importance is stressed of these relatively uncommon but hazardous conditions, which should be familiar to anatomists, radiologists and surgeons.
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