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Published on: May 25, 2017
Pathology of the liver in Reye's syndrome
Abstract:
A study of six patients with Reye's syndrome indicated that, by light microscopy, inflammation and necrosis of liver cells are especially prominent in fatal cases. Contrary to previous reports, electron microscopic examination indicated that, aside from loss of matrix dense granules, alterations in mitochondrial structure were minimal or absent. Although an increase in the number of liver cell microbodies has been reported, no such increase was apparent in the present study. The most unusual ultrastructural change in microbodies in the present study was the appearance of noncrystalline cores in the matrix. No ultrastructural features served to distinguish patients who died from those who survived. Although derangement of mitochondrial function may be important in the pathogenesis of Reye's syndrome, such derangement is not necessary reflected in the ultrastructure of mitochondria.
Insights
Reye
Area of Science:
- Hepatology
- Pediatric Pathology
- Cell Biology
Background:
- Reye's syndrome is a severe condition affecting children and adolescents.
- Previous studies suggested significant mitochondrial alterations in Reye's syndrome.
- Liver cell damage, including inflammation and necrosis, is a key feature.
Purpose of the Study:
- To investigate the ultrastructural changes in liver cells of patients with Reye's syndrome.
- To correlate light and electron microscopy findings with patient outcomes (fatal vs. survival).
Main Methods:
- Light microscopy of liver tissue.
- Electron microscopy (ultrastructure) of liver cells.
- Comparison of findings between fatal and surviving patients.
Main Results:
- Prominent inflammation and necrosis observed in fatal cases via light microscopy.
- Minimal mitochondrial structural alterations noted on electron microscopy, contrary to prior reports.
- Microbodies showed unusual noncrystalline cores; no increase in microbody number.
- No distinct ultrastructural differences identified between fatal and surviving patients.
Conclusions:
- Mitochondrial dysfunction may occur in Reye's syndrome pathogenesis but is not always evident ultrastructurally.
- Liver cell necrosis and inflammation are more pronounced in fatal Reye's syndrome cases.
- Electron microscopy did not reveal specific ultrastructural markers to differentiate outcomes.
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