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A. Teredesai LSRO Meeting, Dec., 13, 2001 INBIFO/CRC Slide 1 Review of Histopathological Changes in the Respiratory Tract of Rat Induced by Inhalation of the Mainstream Smoke of Standard Reference Cigarette 1R4F

Review of Histopathological Changes in the Respiratory ...LSRO Meeting Dec., 13, 2001 Slide 9 INBIFO/CRC 12_2001.ppt Trachea • Anatomy – connects the larynx with the lungs –

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A. TeredesaiLSRO Meeting, Dec., 13, 2001

INBIFO/CRCSlide 1

Review of Histopathological Changes inthe Respiratory Tract of Rat Induced byInhalation of the Mainstream Smoke ofStandard Reference Cigarette 1R4F

LSRO Meeting Dec., 13, 2001 Slide 2 INBIFO/CRC12_2001.ppt

Outline

• Goal

• Anatomy and Histology

• Histotechnical Work

• Results– INBIFO

– Literature

LSRO Meeting Dec., 13, 2001 Slide 3 INBIFO/CRC12_2001.ppt

Goal

• Overview of the methods and procedures regardingthe histotechnical work and histopathologicalevaluation as well as an overview of thehistopathological changes following subchronicexposure to cigarette smoke

LSRO Meeting Dec., 13, 2001 Slide 4 INBIFO/CRC12_2001.ppt

Rationales

• Inhalation studies, special emphasis on thehistopathology of the target organs, i.e., respiratorytract organs

• Regulatory guidelines (OECD, EPA)

• Human relevance - association of tobacco smokeinhalation with laryngeal and bronchial cancers inhumans

LSRO Meeting Dec., 13, 2001 Slide 5 INBIFO/CRC12_2001.ppt

Rat Respiratory Tract

LSRO Meeting Dec., 13, 2001 Slide 6 INBIFO/CRC12_2001.ppt

Nose

• Anatomy– vestibule

– cartilagenous septum that divides the nasal cavity into2 halves

– dorsal, middle, and ventral meatuses

– turbinates or conchae

• Histology– 3 basic epithelial types

– squamous epithelium

– respiratory epithelium

– olfactory epithelium

LSRO Meeting Dec., 13, 2001 Slide 7 INBIFO/CRC12_2001.ppt

Anatomy

• Larynx consists of 5 cartilages– epiglottis

– thyroid

– cricoid

– arytenoid

– u-shaped

LSRO Meeting Dec., 13, 2001 Slide 8 INBIFO/CRC12_2001.ppt

Histology

• 4 types of epithelium– squamous

– respiratory

– pseudostratified cuboidal

– squamoid

LSRO Meeting Dec., 13, 2001 Slide 9 INBIFO/CRC12_2001.ppt

Trachea

• Anatomy– connects the larynx with the lungs

– 15 incomplete cartilaginous rings dorsally interconnected byligaments

– tracheal bifurcation at the level of 6th rib into a smaller leftand larger right extrapulmonary main bronchus

• Histology– pseudostratified respiratory epithelium

– ciliated cells

– serous cells

– mucous (goblet) cells

– basal cells

LSRO Meeting Dec., 13, 2001 Slide 10 INBIFO/CRC12_2001.ppt

Lung

• Left lung

• Right lung

2 lobes10 segmental bronchi

1 lobe12 to 13 segmental bronchi

3 lobes10 segmental bronchi

4 lobes14 to 15 segmental bronchifew subsegmental bronchi

Man Rat

LSRO Meeting Dec., 13, 2001 Slide 11 INBIFO/CRC12_2001.ppt

Cells of the Pulmonary Parenchyma

• Alveolar type I epithelial cells

• Alveolar type II epithelial cells

• Pulmonary endothelial cells

• Interstitial cells

• Macrophages

LSRO Meeting Dec., 13, 2001 Slide 12 INBIFO/CRC12_2001.ppt

Tissue Sectioning Method

• Sections at pre-established levels– nose: Young (1981)

– larynx: Lewis (1980)

– trachea: INBIFO

– lung: Lamb and Reid (1969)

• Purpose– adequate morphological evaluation

– uniform histological examination

– ensure correct comparison within and among studies

LSRO Meeting Dec., 13, 2001 Slide 13 INBIFO/CRC12_2001.ppt

Histopathological Evaluation

• Recording of findings in a consistent manner

• Use of standardized dictionary of criteria

• Consistent scoring system

• Evaluation in a blinded fashion, i.e., without theknowledge of treatment groups

LSRO Meeting Dec., 13, 2001 Slide 14 INBIFO/CRC12_2001.ppt

Results INBIFO

• Study reference– subchronic cigarette smoke inhalation studies

• Experimental condition– “nose only” mode

– TPM concentration range 40 to 200 µg TPM/l

– exposure duration: 6 h/d, 7 d/week for 21 or 90 days

LSRO Meeting Dec., 13, 2001 Slide 15 INBIFO/CRC12_2001.ppt

Histopathology

• Nose– respiratory epithelium (levels 1 and 2)

– reserve cell hyperplasia

– squamous metaplasia

– goblet cell hypertrophy/hyperplasia

– olfactory epithelium (levels 2, 3, and 4)– ulceration

– atrophy

– squamous metaplasia

LSRO Meeting Dec., 13, 2001 Slide 16 INBIFO/CRC12_2001.ppt

Nasal Septum, Level 1, Normal

LSRO Meeting Dec., 13, 2001 Slide 17 INBIFO/CRC12_2001.ppt

Nasal Septum, Level 1, Goblet CellHypertrophy/Hyperplasia

LSRO Meeting Dec., 13, 2001 Slide 18 INBIFO/CRC12_2001.ppt

Nasal Septum, Level 1, Goblet CellHypertrophy/Hyperplasia, AB-PAS Stain

LSRO Meeting Dec., 13, 2001 Slide 19 INBIFO/CRC12_2001.ppt

Dorsolateral Wall, Nose Level 1, Normal

LSRO Meeting Dec., 13, 2001 Slide 20 INBIFO/CRC12_2001.ppt

Dorsolateral Wall, Nose Level 1,Squamous Metaplasia

LSRO Meeting Dec., 13, 2001 Slide 21 INBIFO/CRC12_2001.ppt

Maxilloturbinate Tip, Nose Level 1,Normal

LSRO Meeting Dec., 13, 2001 Slide 22 INBIFO/CRC12_2001.ppt

Maxilloturbinate Tip, Nose Level 1,Hyperplasia

INBIFO/CRC CONFIDENTIAL

LSRO Meeting Dec., 13, 2001 Slide 23 INBIFO/CRC12_2001.ppt

Dorsomedial Region, Nose Level 2,Normal Olfactory Epithelium (low power)

LSRO Meeting Dec., 13, 2001 Slide 24 INBIFO/CRC12_2001.ppt

Dorsomedial Region, Nose Level 2,Normal Olfactory Epithelium (high power)

INBIFO/CRC CONFIDENTIAL

LSRO Meeting Dec., 13, 2001 Slide 25 INBIFO/CRC12_2001.ppt

Dorsomedial Region, Nose Level 2,Olfactory Epithelium, Atrophy