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10.1136/jclinpath-2014-202441

http://scihub22266oqcxt.onion/10.1136/jclinpath-2014-202441
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25378539!ä!25378539

suck abstract from ncbi


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pmid25378539      J+Clin+Pathol 2015 ; 68 (1): 57-63
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  • Molecular pathology analyses of two fatal human infections of avian influenza A(H7N9) virus #MMPMID25378539
  • Feng Y; Hu L; Lu S; Chen Q; Zheng Y; Zeng D; Zhang J; Zhang A; Chen L; Hu Y; Zhang Z
  • J Clin Pathol 2015[Jan]; 68 (1): 57-63 PMID25378539show ga
  • AIMS: To investigate the histopathological manifestations of two fatal cases of H7N9 influenza A virus infection. METHODS: Pulmonary and hepatic specimens from two fatal cases of H7N9 influenza virus infection were examined using H&E staining. Additionally, in situ hybridisation was performed with probes (ViewRNA) targeting H7N9 RNA and IP-10, interleukin (IL)-6 mRNA. The distribution of surfactant protein A (SP-A), surfactant protein B (SP-B), CD3, CD4, CD8, CD68 and C4d were determined with immunohistochemistry. RESULTS: Apart from the typical diffuse alveolar damage and hyaline membrane observed in severe influenza infection, we detected H7N9 RNA and massive intrapulmonary production of IP-10 and IL-6 mRNA using in situ hybridisation. Hyperplasia of type II pneumocytes was observed by H&E staining and immunohistochemistry. Proliferating macrophages and clustered neutrophils in the infected lungs were observed, whereas T lymphocytes, especially CD4T helper cells, were markedly depleted. No obvious complement deposition was found in lung tissues. CONCLUSIONS: Our findings suggest that H7N9 influenza virus induced an immunological response towards overt pulmonary inflammation and systemic lymphopenia which led to intense alveolar damage and respiratory failure.
  • |*Influenza A Virus, H7N9 Subtype[MESH]
  • |Aged, 80 and over[MESH]
  • |Animals[MESH]
  • |Antigens, CD/analysis/biosynthesis[MESH]
  • |Fatal Outcome[MESH]
  • |Humans[MESH]
  • |Immunohistochemistry[MESH]
  • |In Situ Hybridization[MESH]
  • |Influenza, Human/*immunology/*pathology[MESH]
  • |Male[MESH]
  • |Mice[MESH]
  • |Mice, Inbred C57BL[MESH]
  • |Pathology, Molecular[MESH]


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