Gut inflammation and expression of ICC in a fetal lamb model of fetoscopic intervention for gastroschisis
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Gut inflammation and expression of ICC in a fetal lamb model of fetoscopic intervention for gastroschisis. / Krebs, Thomas; Boettcher, Michael; Schäfer, Hansjoerg; Eschenburg, Georg; Wenke, Katharina; Appl, Birgit; Roth, Beate; Andreas, Thomas; Schmitz, Carla; Fahje, Rebecca; Jacobsen, Birte; Tiemann, Bastian; Reinshagen, Konrad; Hecher, Kurt; Bergholz, Robert.
In: SURG ENDOSC, Vol. 28, No. 8, 20.03.2014, p. 2437-2442.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Gut inflammation and expression of ICC in a fetal lamb model of fetoscopic intervention for gastroschisis
AU - Krebs, Thomas
AU - Boettcher, Michael
AU - Schäfer, Hansjoerg
AU - Eschenburg, Georg
AU - Wenke, Katharina
AU - Appl, Birgit
AU - Roth, Beate
AU - Andreas, Thomas
AU - Schmitz, Carla
AU - Fahje, Rebecca
AU - Jacobsen, Birte
AU - Tiemann, Bastian
AU - Reinshagen, Konrad
AU - Hecher, Kurt
AU - Bergholz, Robert
PY - 2014/3/20
Y1 - 2014/3/20
N2 - BACKGROUND: The pathogenesis of intestinal dysmotility in gastroschisis is not completely understood. Peel formation and disorganization of interstitial Cajal cells (ICC) have been proposed in humans. The aim of this study was to evaluate the impact of prenatal coverage of gastroschisis on gut inflammation and expression of ICC in a fetal lamb model.METHODS: Twenty-one German blackhead sheep with an abdominal wall defect that was created fetoscopically on day 77 of 145 days gestation were used in this study. Intrauterine surgery with the aim to cover the defect was performed 3 weeks later; two fetuses were covered completely, 5 partially and 11 remained uncovered. Three fetuses without gastroschisis were used as controls. All fetuses were retrieved by cesarean section at day 135. Samples of the small intestine were stained with hematoxylin and eosin for histologic analysis of peel formation and serosal and muscular thickness. For ICC detection, immunohistochemistry using anti-CD117 (c-Kit) antibody was used.RESULTS: In all samples with exposure to amniotic fluid, peel formation and significantly decreased ICC were found. Complete coverage reduced peel formation and disorganization of ICC compared to uncovered animals almost to the level of controls.CONCLUSIONS: Peel formation and ICC derangement were significantly reduced by prenatal coverage of gastroschisis. Moreover, this animal model mimics the histopathological bowel changes as seen in human gastroschisis and may, therefore, be used for further research on the pathophysiology and fetal therapy of this malformation.
AB - BACKGROUND: The pathogenesis of intestinal dysmotility in gastroschisis is not completely understood. Peel formation and disorganization of interstitial Cajal cells (ICC) have been proposed in humans. The aim of this study was to evaluate the impact of prenatal coverage of gastroschisis on gut inflammation and expression of ICC in a fetal lamb model.METHODS: Twenty-one German blackhead sheep with an abdominal wall defect that was created fetoscopically on day 77 of 145 days gestation were used in this study. Intrauterine surgery with the aim to cover the defect was performed 3 weeks later; two fetuses were covered completely, 5 partially and 11 remained uncovered. Three fetuses without gastroschisis were used as controls. All fetuses were retrieved by cesarean section at day 135. Samples of the small intestine were stained with hematoxylin and eosin for histologic analysis of peel formation and serosal and muscular thickness. For ICC detection, immunohistochemistry using anti-CD117 (c-Kit) antibody was used.RESULTS: In all samples with exposure to amniotic fluid, peel formation and significantly decreased ICC were found. Complete coverage reduced peel formation and disorganization of ICC compared to uncovered animals almost to the level of controls.CONCLUSIONS: Peel formation and ICC derangement were significantly reduced by prenatal coverage of gastroschisis. Moreover, this animal model mimics the histopathological bowel changes as seen in human gastroschisis and may, therefore, be used for further research on the pathophysiology and fetal therapy of this malformation.
U2 - 10.1007/s00464-014-3494-x
DO - 10.1007/s00464-014-3494-x
M3 - SCORING: Journal article
C2 - 24648107
VL - 28
SP - 2437
EP - 2442
JO - SURG ENDOSC
JF - SURG ENDOSC
SN - 0930-2794
IS - 8
ER -