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  • 1
    ISSN: 1432-0428
    Keywords: Diabetic vascular disease ; diabetes mellitus ; diabetic autonomie neuropathy ; vasomotor nerves ; arterioles ; morphometry
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary A quantitative ultrastructural analysis was made of the terminal innervation of epineurial arterioles in the sural nerve of 6 diabetic and 6 nondiabetic patients of comparable age (mean±SD: 68 ±9 non-diabetic, 65±16 diabetic) with end stage peripheral vascular disease. The results demonstrated specific differences, identifiable morphometrically, in the pattern of innervation of epineurial vessels of diabetics compared with non-diabetics. The differences were: 1) in the diabetic group the proportion of perivascular axons found less than 7 μm from the nearest smooth muscle cell was significantly less than in the non-diabetic group (p 〈0.001); 2), the mean distance of the axons from their effector sites, the vascular smooth muscle cells, was nearly twice as far in the diabetic group compared with the nondiabetic group (p 〈0.05); and 3) the mean absolute number of axons less than 7 μ from the arteriole in the diabetic group was significantly less than in the non-diabetic group (p 〈0.01). These results demonstrate that the neuropathy associated with diabetes mellitus also involves the autonomic terminal innervation of some blood vessels. In addition, this neuropathy selectively affects the vasomotor nerves closer than 7 μm to the media.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-0428
    Keywords: Diabetic vascular disease ; diabetes mellitus ; diabetic autonomic neuropathy ; vasomotor nerves ; arterioles ; morphometry
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary A quantitative ultrastructural analysis was made of the terminal innervation of epineurial arterioles in the sural nerve of 6 diabetic and 6 nondiabetic patients of comparable age (mean ± SD: 68 ±9 non-diabetic, 65±16 diabetic) with end stage peripheral vascular disease. The results demonstrated specific differences, identifiable morphometrically, in the pattern of innervation of epineurial vessels of diabetics compared with non-diabetics. The differences were: 1) in the diabetic group the proportion of perivascular axons found less than 7 μm from the nearest smooth muscle cell was significantly less than in the non-diabetic group (p〈0.001); 2) the mean distance of the axons from their effector sites, the vascular smooth muscle cells, was nearly twice as far in the diabetic group compared with the nondiabetic group (p〈0.05); and 3) the mean absolute number of axons less than 7 μm from the arteriole in the diabetic group was significantly less than in the non-diabetic group (p〈0.01). These results demonstrate that the neuropathy associated with diabetes mellitus also involves the autonomic terminal innervation of some blood vessels. In addition, this neuropathy selectively affects the vasomotor nerves closer than 7 μm to the media.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    New York, NY [u.a.] : Wiley-Blackwell
    The @Anatomical Record 192 (1978), S. 19-39 
    ISSN: 0003-276X
    Keywords: Life and Medical Sciences ; Cell & Developmental Biology
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: A light and transmission electron microscopic study was performed on 67 ductus arteriosus (DA) specimens from rabbits (31 days normal gestation period) ranging in age from 21 days of gestation to 4 days after birth. Some fetuses were permitted to breath before sampling, while others were not. The aorta and pulmonary trunk served as controls. The objectives of the study were to identify the earliest cellular alterations leading to closure of the DA, to study in detail the sequence of cellular changes in closure of the DA, and to correlate these observations with what is known about the physiological factors involved in closure of the DA. Changes in the architecture of the DA wall were seen as early as on the twenty-sixth day of gestation and involved the appearance of increased numbers of radially or longitudinally reoriented smooth muscle cells in the intima and fragmentation of the internal elastic lamina. The progress of these changes continued and intensified until the end of gestation. At that stage the inner one-half of the medial smooth muscle cells was reoriented, and the lumen was significantly reduced by a greatly expanded intima which often contained many intercellular “ghost bodies.” Very few mitoses were seen during DA closure, especially during 29 to 31 days of gestation. It is concluded that cellular changes involved in closure of the DA of the rabbit fetus begin far in advance of birth and breathing. These cellular changes are highly analogous to those which occur in the early pathogenesis of arterial intimal fibromuscular lesions. Closure of the DA, therefore, seems to afford an excellent, natural model for study of key cellular events involved in the production of arterial fibromuscular lesions.
    Type of Medium: Electronic Resource
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