title: [The morphology and molecular bases of damage to the stem cell niche of respiratory acini in idiopathic interstitial pneumonias].
abstract: The authors present the material of their study of the morphological and molecular biological features of damage to the stem cell niches (SCN) in the respiratory acini of the lung and the significance of their occurring changes in the pathogenesis of chronic idiopathic interstitial pneumonias (IIP), including idiopathic pulmonary fibrosis (IPF), desquamative interstitial pneumonia (DIP), cryptogenic organizing pneumonia (COP) with bronchiolitis obliterans (BO), and nonspecific interstitial pneumonia (NSIP).
  
  
  METHODS
  The study was performed using open transthoracic (n=181) and transbronchial (n=71) lung biopsies from 194 patients (118 cases (61%) with IPF, 35 (18%) with NSIP, 23 (12%) with DIP, 18 (9%) with COP + BO). The serial paraffin sections were stained with hematoxylin and eosin and van Gieson's picrofuchsin and immunohistochemical reactions were carried out to detect MMP-1, MMP-2, MMP-7, Apo-Cas ("Novocastra", 1:100), vimentin (Vimentin) ("LabVision" 1:100), SMA ("LabVision", 1:100), TGF-β, TNF-α, CD34, Ost-4, and CD117 ("Dako", 1:50), CD68, and EMA ("Dako", 1:100). Biotinylated anti-mouse and anti-rabbit immunoglobulin antibodies ("Dako" LSAB + KIT, PEROXIDASE) were used as secondary antibodies. All the quantitative and semi-quantitative data obtained were processed by variation statistics.
  
  
  RESULTS
  The compared IIPs were shown to differ in the site and degree of initial and secondary respiratory acinus damages caused by the aggressiveness of an inflammatory infiltrate and the spread of a lesion to different SCN areas involved in the regeneration of lung tissue. The mesenchymal cell with myofibroblast differentiation, which is probably associated with a mesenchymal stem cell, as evidenced by Oct-4, Vimentin, SMA, CD117, and CD34 expression by these cells, may be considered to be a marker cell of deep SCN damage.
  
  
  CONCLUSIONS
  The author state that the clinical course and degree of morphological changes in IPP directly depend on the severity and depth of damage to the SCN areas of the respiratory acinus.
authors.affiliation: GBOU VPO "Pervyĭ Moskovskiĭ gosudarstvennyĭ meditsinskiĭ universitet im. I.M. Sechenova" Minzdrava Rossii.
authors.forename: S A
authors.initials: SA
authors.lastname: Demura
authors.affiliation: GBOU VPO "Pervyĭ Moskovskiĭ gosudarstvennyĭ meditsinskiĭ universitet im. I.M. Sechenova" Minzdrava Rossii; FGBU "Nauchnyĭ tsentr akusherstva, ginekologii i perinatologii im. V.I. Kulakova" Minzdrava Rossii, Moskva, Rossiĭskaia Federatsiia.
authors.forename: E A
authors.initials: EA
authors.lastname: Kogan
authors.affiliation: GBOU VPO "Pervyĭ Moskovskiĭ gosudarstvennyĭ meditsinskiĭ universitet im. I.M. Sechenova" Minzdrava Rossii.
authors.forename: V S
authors.initials: VS
authors.lastname: Paukov
mesh_terms: D000818:Animals; D017209:Apoptosis / Q000235:genetics; D001706:Biopsy; D018549:Cryptogenic Organizing Pneumonia / Q000235:genetics / Q000473:pathology*; D005786:Gene Expression Regulation; D030342:Genetic Diseases, Inborn / Q000235:genetics / Q000473:pathology*; D006801:Humans; D054990:Idiopathic Pulmonary Fibrosis / Q000235:genetics / Q000473:pathology*; D017563:Lung Diseases, Interstitial / Q000235:genetics / Q000473:pathology*; D008264:Macrophages / Q000473:pathology; D051379:Mice; D009336:Necrosis / Q000473:pathology; D014176:Protein Biosynthesis / Q000235:genetics; D011650:Pulmonary Alveoli / Q000473:pathology; D011817:Rabbits; D055153:Stem Cell Niche / Q000235:genetics