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Pretty histology<br />

Acidophilic Macrophage<br />

Crystalline ‘Pneumonia’<br />

47<br />

Acidophilic Macrophage or<br />

Acidophilic Crystalline ‘Pneumonia’<br />

Spectrum of clinical Phenotypes<br />

No clinical disease TO Respiratory distress, death<br />

Spectrum of Anatomic Pathology Phenotypes<br />

Scattered Acidophilic<br />

Macrophages or<br />

Crystals<br />

TO<br />

Pulmonary consolidation by<br />

acidophilic macrophages &<br />

crystals<br />

Associations with Pneumocystis etc. agents?<br />

– In immunocompromised / immunoweird mice<br />

especially? On B6 or 129 background ?<br />

Brayton - NON infectious - P 6<br />

YM1, YM2 chitinases in Hyalinosis &<br />

Acidophilic Macrophage Pneumonia<br />

Haines et al. 2001. Toxicol Pathol. 29(6):653‐61. Pathology of aging B6;129 mice.<br />

– Hyalinosis with extracellular crystals multiple sites (respiratory, gall bladder,<br />

stomach)<br />

Ward et al. 2001. Hyalinosis and Ym1/Ym2 gene expression in the stomach and respiratory<br />

tract of 129S4/SvJae and wild‐type and CYP1A2‐null B6, 129 mice. AJP<br />

– Hyalinosis (eosinophilic cytoplasmic change) in glandular stomach, respiratory tract, bile duct,<br />

and gall bladder of B6,129 CYP1A2‐null & wild‐type mice<br />

– Also in both sexes of background 129S4/SvJae strain (WT)<br />

– Ym1 in normal and abnormal NOSE olfactory + respiratory, lung, marrow, stomach<br />

– Ym2 in hyaline Stomach lesions<br />

Nio et al. 2004. Histochem Cell Biol.121(6):473‐82. Cellular expression of murine Ym1 and Ym2,<br />

chitinase family proteins, as revealed by in situ hybridization and immunohistochemistry.<br />

– chitinase family proteins, widely distributed, bind GAG’s such as heparin/heparan sulfate.<br />

– Ym1 is a macrophage protein produced in parasitic infections…<br />

• Lung ‐‐ Ym1‐expressing cells are alveolar macrophages, Ym1 localized in RER.<br />

<br />

• Spleen ‐‐Ym1‐expressing cells in the red pulp identified as immature neutrophils.<br />

• Marrow ‐‐ immature neutrophils immunoreactive lose immunoreactivity with maturation.<br />

• Marrow ‐‐ needle‐shaped crystals in macrophages showed intense Ym1 immunoreactivity.<br />

48 – Ym2 expression restricted to gastric squamous 49 epithelium in junctional region<br />

Hyalinosis in other tissues<br />

Pretty histo – nose, stomach, gall bladder<br />

Crystals in marrow spleen – macrophages, PMN<br />

Thoolen, B., R. R. Maronpot, et al. (2010). "Proliferative and Nonproliferative Lesions<br />

of the Rat and Mouse Hepatobiliary System. Tox Path. 2010;38:5S<br />

INHAND Nomenclature<br />

Fig 25. Rat liver. Pigment in hypertrophic<br />

hepatocytes consistent with bile.<br />

Cholestasis.<br />

Fig 26. Mouse liver. Hyalinosis of<br />

hyperplastic bile ducts with crystal<br />

formation and peribiliary inflammatory<br />

cell infiltrate.<br />

Fig 27. Mouse liver. Hyalinosis of<br />

hyperplastic bile ducts with crystal<br />

formation and peribiliary inflammatory<br />

cell infiltrate. Higher magnification of<br />

Figure 26.<br />

Fig 28. Mouse liver. Hyalinosis of<br />

hyperplastic bile ducts with crystal<br />

formation.<br />

Fig 29. Mouse liver. Numerous<br />

intracytoplasmic hyaline bodies in an<br />

hepatocellular adenoma.<br />

Fig 30. Mouse liver. Intranuclear inclusion<br />

51 body, cytoplasmic invagination.<br />

50 Copyright © by Society of Toxicologic Pathology<br />

X<br />

4.4 <strong>Sick</strong> Old Mouse<br />

Phenotypes<br />

1. Amyloidosis – multisystem<br />

– Rule out glomerulonephritis<br />

2. Arteritis – multisystem<br />

3. Hyalinosis & Acidophilic macrophage pneumonia<br />

4. Neoplasia – discussed Next<br />

CONCLUSIONS<br />

EXPECT THE EXPECTED –consider the UNexpected<br />

PATHOLOGY to diagnose<br />

Don’t let the expected conditions mess up your research<br />

52<br />

X<br />

Mouse Cancer Quiz<br />

1. Thymic Lymphoma<br />

2. B cell Lymphoma<br />

3. Plasma cell tumors (myeloma)<br />

(Harderian, myoepithelioma,<br />

Rhabdomyosarcoma etc )<br />

4. Lung tumors<br />

5. Mammary tumors<br />

6. Mammary Hyperplasia,<br />

EMT with pituitary tumors<br />

7. Liver tumors<br />

8. Cancer resistant<br />

a) A<br />

b) AKR, NODscid, C58<br />

c) BALB/c<br />

d) C3H<br />

e) C57BL/6<br />

f) FVB/N<br />

g) SJL/J<br />

WHAT SHOULD YOU EXPECT IN YOUR MICE ?<br />

53<br />

cbrayton@jhmi.edu 2013<br />

X<br />

54<br />

5. 5 Mouse Tumors<br />

Tumor Sex Strain predisposition<br />

Hematopoietic<br />

Lymphoma, HS<br />

Lung<br />

F>M<br />

AKR, SJL/J, NODscid<br />

(C57BL, etc)<br />

A (FVB, 129, etc)<br />

Mammary F>>M C3H (BALB etc)<br />

Liver M>>F C3H, CBA, (B6C3 …)<br />

Pituitary<br />

F > M<br />

What strains are famous for what tumor?<br />

• Good or Bad for your model ? <br />

Is your favorite strain tumor resistant? <br />

Rodent Cancer Classification<br />

MMHCC – http://emice.nci.nih.gov/<br />

– mouse models of human cancer consortium<br />

• Consensus papers hematopoietic liver mammary<br />

prostate intestine ….<br />

• GEM oriented<br />

INHAND http://www.toxpath.org/nomen/<br />

– International Harmonization of Nomenclature<br />

and Diagnostic Criteria in Toxicologic Pathology<br />

• Rat is complete, mouse is coming<br />

• Tox oriented e.g. FDA GLP studies<br />

55

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