Browsing by Author "Choompoo N."

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    Altered Chief Cell Morphology in the Gastric Gland of Streptozotocin-Diabetic Rats
    (2023-01-01) Baimai S.; Sricharoenvej S.; Lanlua P.; Choompoo N.; Mahidol University
    Diabetes mellitus (DM) is a metabolic disorder with rising incidences worldwide. Gastric symptoms of DM have been reported, including nausea, vomiting, bloating, and epigastric pain. Moreover, acute to chronic gastritis and atrophic gastritis occur in DM can affect the chief cells of the gastric gland. Chief cells are vital because of their ability to digest and separate vitamin B12 from protein. Lack of vitamin B12 leads to impaired DNA synthesis and abnormal metabolism in red blood cells, and eventually leading to pernicious anemia. Furthermore, decreased vibratory and positional senses, numbness, ataxia with subacute combined degeneration, and dementia are present in pernicious anemic patients. Twenty-four male adult Sprague-Dawley rats were used in this study. The rats were divided into control (n = 12) and diabetic (n = 12) groups. The rats were further separated into two categories: short-term (4 weeks) and long-term (24 weeks) groups. DM model was induced by manually injecting intraperitoneally with streptozotocin in citrate buffer at a dose of 60 mg/kg body weight. The same amount of buffer was injected into the control group. After sacrifice, three regions of the stomach (the cardia, body, and pylorus) were dissected. Histopathology was performed by staining with toluidine blue. Image analysis was used to quantify the zymogen granule accumulation in chief cells. The data were compared between the control and DM rats in each period using Student's t-test. In addition, transmission electron microscopy (TEM) was also used to examine the ultrastructures. There was a significant decrease in the percentage of zymogen granules in DM rats. Under TEM, the destructions of mitochondria, rough endoplasmic reticulum, and Golgi apparatus in the DM rat were observed in the chief cells. In rats with uncontrolled diabetes, there is damage to the chief cells all over the area of the stomach, affecting digestion and malabsorption of vitamin B12. Therefore, this result helps clinicians recognize that diabetic patients with gastric symptoms may have hidden pernicious anemia.
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    Histopathology and ultrastructural alterations in gastric mucus-secreting cells in diabetic model rats
    (2024-01-01) Baimai S.; Sricharoenvej S.; Lanlua P.; Choompoo N.; Baimai S.; Mahidol University
    Diabetes mellitus (DM) can cause gastric ulcers (GU), duodenal ulcers (DU), and gastroesophageal reflux disease (GERD). Mucus-secreting cells secrete mucus, which aids in the neutralization of HCl and inhibits bacteria. DM can alter mucus-secreting cells. Due to a lack of mucosal defense, external stimuli such as bacteria or ethanol can lead to the development of GU, DU, and GERD. This research study used a STZ-induced diabetic rat model to examine the short- and long-term histopathology and ultrastructural alterations in mucus-secreting cells in the cardia, body, and pyloric regions of the stomach. Quantitative analysis was also employed in this study to examine the distribution of mucin granules across all three locations. Twenty-four male adult Sprague-Dawley rats were utilized. Rats were divided into the control (n = 12) and DM (n = 12) groups. Each was separated into short-term (4 weeks) and long-term (24 weeks) rats. For DM induction, streptozotocin (STZ) can selectively destroy the beta cells of the pancreas. The DM was injected with STZ in citrate buffer at 60 mg/kg body weight. The control group was injected with citrate buffer. Histopathology was examined by Alcian blue-Periodic Acid Schiff staining under a light microscope. Image analysis was applied to quantify mucin accumulation. The ultrastructure was explored using transmission electron microscopy. In short-term and long-term DM, there was superficial erosion of the gastric epithelium and a significant decrease in the percentage of mucin granule accumulations in both surface mucous cells (SMCs) and mucous neck cells (MNCs). In short-term DM, SMCs were degenerated with vacuolation, disrupted cristae of mitochondria, and dilated rough endoplasmic reticulum (rER). MNCs were swollen with destroyed organelles. In long-term DM, degenerative nuclei and electron-lucent regions with unidentified structures of SMCs were observed. Nuclear chromatin condensation and the disappearance of mucin granules were present in MNCs. In conclusion, under both LM and TEM, STZ-induced diabetic rats demonstrated both short- and longterm damage to the gastric mucosa and gastric gland structures.