Gland Discharge Research Articles

Meibography in meibomian gland dysfunction with digital biomicroscopy

Dry eye disease (DED) is one of the most common conditions encountered by ophthalmologists in their practice. Currently, experts consider meibomian gland dysfunction to be the leading cause of dry eye syndrome. This condition is characterized by obstruction of meibomian gland discharge ducts and/or changes in their glandular secretion, which leads to disturbance of tear film stability and provokes inflammatory process of ocular surface.The purpose of this publication is to acquaint ophthalmologists and optometrists with the procedure of meibography, a diagnostic method that allows a qualitative and quantitative assessment of the meibomian glands and to determine the degree of their dysfunction.The first part of the workshop presents the anatomical aspects of the normal structure of the meibomian glands and their dysfunction. The second part describes the technique for diagnosing meibomian gland dysfunction. The third part presents the meibography algorithm and its interpretation.

Independent suboesophageal neuronal innervation of the defense gland and longitudinal muscles in the stick insect (Peruphasma schultei) prothorax

This study investigates the neuroanatomy of the defense gland and a related muscle in the stick insect Peruphasma schultei with axonal tracing and histological sections. The gland is innervated by three neurons through the Nervus anterior of the suboesophageal ganglion (SOG), the ipsilateral neuron (ILN), the contralateral neuron (CLN) and the prothoracic intersegmental neuron (PIN). The ILN has a large soma which is typical for motoneurons that cause fast contraction of large muscles and its dendrites are located in motor-sensory and sensory neuropile areas of the SOG. The CLN might be involved in the coordination of bilateral or unilateral discharge as its neurites are closely associated to the ILN of the contralateral gland. Close to the ejaculatory duct of the gland lies a dorsal longitudinal neck muscle, musculus pronoto-occipitalis (Idlm2), which is likely indirectly involved in gland discharge by controlling neck movements and, therefore, the direction of discharge. This muscle is innervated by three ventral median neurons (VMN). Thus, three neuron types (ILN, CLN, and PIN) innervate the gland muscle directly, and the VMNs could aid secretion indirectly. The cytoanatomy of motorneurons innervating the defense gland and neck muscle are discussed regarding the structure and functions of the neuropile in the SOG. As a basis for the neuroanatomical study on the defense gland we assembled a map of the SOG in Phasmatodea.

Treatment of axillary bromhidrosis through a mini-incision with subdermal vascular preservation: a retrospective study in 396 patients.

Axillary bromhidrosis is a condition presenting as malodor caused by an interaction between the discharge of apocrine glands and bacteria. Topical agents, liposuction, and elective surgery are currently the main therapeutic modalities. However, the efficiency of these treatments and incidences of side effects are various and frequent, and depend on patient characteristics, surgical technique, and other unknown factors. We report a retrospective study of outcomes in 396 patients treated by mini-incision with subdermal vascular preservation. At 2 years postoperatively, 87.1% of patients had achieved very satisfactory results. Short-term side effects included hematomas, epidermal erosions, infections, necrosis, incision dehiscence, and skin ripples. Long-term side effects comprised comedones, epidermoid cysts, relapsing cyst infections, skin gauffers, scars, keloids, and persistent malodor. Some patients reported unsatisfactory cosmetic results, including skin gauffers, scars, or epidermoid cyst formations. Two discrete aspects of the procedure that must be considered are the extent of apocrine gland clearance, which must be thorough in order to achieve the resolution of malodor, and the maintenance of an intact subdermal vascular plexus to support the regrowth of skin flaps after surgery and to avoid the occurrence of severe side effects.

Subdermal Coagulation Treatment of Axillary Bromhidrosis by 1,444 nm Nd:YAG Laser: A Comparison with Surgical Treatment

Bromhidrosis is a disease presenting as malodor caused by interaction between the discharge of apocrine glands and bacteria. The main therapeutic modalities are applying topical agents, liposuction surgery, and elective surgery. Among these, elective surgery is reported to be most effective. However, the efficiency largely depends on surgical technique. Additionally, other side effects, such as hematoma and scarring, are occasionally reported. Currently, CO2 laser and 1,064 nm Nd:YAG laser therapy are used, but as the wavelength is not specific to apocrine glands, these laser therapies have certain limitations. Recently, a 1,444 nm wavelength Accusculpt™ laser (LutronicCorp., Seoul, Korea) has been developed which is now commonly used for facial fat plasty and laser liposuction therapy. The use of this laser for bromhidrosis therapy targeting apocrine sweat glands is currently being discussed. Still, no studies on practical clinical use and side effects of this 1,444 nm wavelength laser have been published. In this report, we treated one bromhidrosis patient with 1,444 nm wavelength Accusculpt™ laser therapy on one side while conventional surgery was performed on the other side using a modified Inaba's method. We compared the efficacy of this laser therapy to the surgical modality by measuring malodor severity and overall satisfaction by questionnaire. We also checked for other complications and recurrence for 12 months after the treatment. This patient was largely satisfied as it has a much shorter down time with the same therapeutic outcome. As subdermal coagulation treatment by 1,444 nm Nd:YAG laser may be less invasive but effective therapy, we would like to recommend this modality as a possible treatment option.

The metathoracic scent gland of the leaf-footed bug, Leptoglossus zonatus.

The metathoracic scent gland of 25-day-old adults of both sexes of the leaf-footed bug, Leptoglossus zonatus (Dallas) (Heteroptera: Coreidae), are described based on optical microscopy analysis. No sexual dimorphism was observed in the glandular composition of this species. The gland is located in the anteroventral corner of the metathoracic pleura between the middle and posterior coxal pits. The opening to the outside of the gland is very wide and permanently open as it lacks a protective membrane. In the internal part, there is a pair of metathoracic glands that consist of piles of intertwined and occasionally bifurcated cellular tubes or columns. These glands discharge their pheromonal contents into the reservoir through a narrow cuticular tube. The reservoir connects with the vestibule via two opposite and assembled cuticular folds that can separate muscularly in order to allow the flow of liquid away from the insect. The external part consists of an ostiole from which the pheromone is emitted. The ostiole is surrounded by a peritreme, a structure that aids optimum pheromone dispersion. The described gland is of the omphalien type.

Clinical efficacy of the microwave therapy for infectious and inflammatorydiseases of the urogenital system

The article describes complex treatment of 56 patients suffering from with chronic prostatitis and vesiculitis with the use of microwave irradiation (of the cm range). This complex therapy made it possible to achieve better results in the main group of patients vs. the comparison group (71 people), who received only drug treatment. Treatment resulted in the normalization of the leukocyte count in the prostate gland discharge and venous circulation rate in the prostatic plexus. A reduction in the diameter of the venous lumen was observed in more cases in the group of patients undergoing a microwave therapy than in the comparison group.

Serous cutaneous glands of the Pacific tree-frog Hyla regilla (Anura, Hylidae): Patterns of secretory release induced by nor-epinephrine

The serous (poison) cutaneous glands of the Pacific tree-frog Hyla regilla were induced to release their product by 10 −3 M nor-epinephrine stimulation. After discharge structural and ultrastructural features of the cutaneous glands involved in release were observed. Furthermore, the discharged product, consisting of discrete, secretory granules, was collected and processed for transmission electron microscope analysis. As indicated by patterns found in the myoepithelium encircling the syncytial secretory unit, gland discharge is caused by contraction of the peripheral myocytes. Muscle cell compression dramatically affects the syncytium and results in degenerative changes, including expulsion of the secretory unit nuclei. Therefore, the structural collapse in depleted glands has been ascribed to the mechanical activity performed by the myoepithelium during discharge, rather than cytoplasm involution described in conventional, holocrine glands. TEM investigation revealed that the secretory granules collected after discharge maintain their peculiar traits: they consist of recurrent patterns of thin subunits, acquired during serous maturation and provided with remarkable structural stability.

Nutrition of the Human Fetus during the First Trimester—A Review

In all mammalian species nutrition of the conceptus is initially histiotrophic, with the trophectoderm phagocytosing first oviductal and then uterine secretions. Following implantation and establishment of the chorioallantoic placenta there is a transition to haemotrophic nutrition, with exchange between the maternal and fetal circulations. It has long been assumed that the transition occurs soon after implantation in the human, due to the invasive nature of this process. However, the recent realization that the maternal circulation to the placenta is not fully established until the end of the first trimester casts doubt on the validity of this assumption. There is new evidence that the uterine glands discharge secretions into the intervillous space until at least 8 weeks of pregnancy, and that these are taken up by the syncytiotrophoblast. Also, during early pregnancy selected maternal proteins accumulate within the fluid of the coelomic cavity, from which they may be transported to the fetus by the secondary yolk sac. Histiotrophic nutrition may be advantageous to the fetus during the first trimester as it provides nutrients under a low oxygen concentration, so reducing the risk of free radical mediated damage during the sensitive period of organogenesis. Once this is complete, and fetal oxygen requirements rise, there is a transition to haemotrophic nutrition at the start of the second trimester, when the maternal placental circulation is fully established.

Pentastomids and the tetrapod lung

Pentastomids comprise a highly specialized taxon of arthropod-like parasites that probably became adapted to the lungs of amphibians and reptiles early in their long evolutionary history. Few other macroparasites exploit this particular niche. Pentastomids are often large, long-lived and yet they cause little observable pathology in lungs, despite being haematophagous. The lungs of all tetrapods are lined with pulmonary surfactant, a remarkable biological material consisting of a complex mixture of phospholipids, neutral lipids and proteins that has the unique ability to disperse over the air-liquid lining of the lung. In the lower tetrapods it acts as an anti-glue preventing adhesion of respiratory surfaces when lungs collapse during swallowing prey or upon expiration. In mammals, pulmonary surfactant also plays a critical role regulating the activity of alveolar macrophages, the predominant phagocytes of the lower airways and alveoli. This review outlines the evidence suggesting that lung-dwelling pentastomids, and also nymphs encysted in the tissues of mammalian intermediate hosts, evade immune surveillance and reduce inflammation by coating the chitinous cuticle with a their own stage-specific surfactant. The lipid composition of surfactant derived from lung instars of the pentastomid Porocephalus crotali cultured in vitro is very similar to that recovered from the lung of its snake host. Pentastomid surfactant, visualised as lamellate droplets within sub-parietal cells, is delivered to the cuticle via chitin-lined efferent ducts that erupt at a surface density of < 400 mm(-2). The fidelity of the system, which ensures that every part of the cuticle surface is membrane-coated, testifies to its strategic importance. Two other extensive glands discharge membrane-associated (hydrophobic?) proteins onto the hooks and head; some have been purified and partly characterized but their role in minimising inflammatory responses is, as yet, undetermined.

Theoretic Effects of Mucus Gland Discharge on Airway Resistance in Asthma

The degree to which mucus contributes to airway narrowing and increased airway resistance in fatal asthma was examined in this study. Lungs obtained at coroner’s autopsy were fixed at 25 cm H2O. Cases were classified as control (no history of asthma), nonfatal (previous history of asthma with sudden death not due to asthma attack), or fatal (died of asthma attack). On transverse sections of cartilaginous airways the inner wall area (WAi) from lumen to smooth muscle layer, internal perimeter (Pi), and area of mucus glands (Agland) were measured.

Studies on the salivary glands of an aquatic bug,Lethocerus indicus(Belostomatidae): Morphological, histological and preliminary electron microscopic investigations

AbstractA study was conducted to determine the morphology, histology and ultrastructure of the salivary apparatus ofLethocerus indicus. The apparatus was found to consist of a principal and accessory salivary gland. The former is bilobed, having a small superior lobe and a larger inferior lobe, made up of many lobules/acini. Each lobule is made up of a simple glandular layer of syncytial epithelium encompassing the lumen, which is filled with secretory granules that are elaborated from the epithelium predominantly by the apocrine mode of secretion. The accessory salivary gland is vesicular cum tubular. The vesicular part is made up of a thin layer of flat, polygonal cells, having no signs of secretory activity, while the tubular part consists of a single layer of columnar epithelial cells that show signs of secretory activity. Both the principal and accessory glands discharge their secretions through a common salivary duct which opens at the base of the hypopharynx. The ultrastructure of the lobules of the principal salivary gland reveals a thick amorphous, basement membrane (800–1000Å) which supports the glandular epithelium. The basal and apical plasma membranes of the epithelium show basal infoldings and microvilli respectively. The nucleus is highly branched and remains surrounded by a double layered nuclear envelope. The ergastoplasmic membranes show abundance of ribosomes. Many mitochondria are also visible in the cytoplasm. It is concluded that the salivary gland ofL. indicusis an organ of high synthetic activity.

Grooming expresses harderian gland materials in the blind mole rat

The blind mole rat (Spalax ehrenbergi) is a highly aggressive and solitary rodent that shows the most striking physiological and behavioral adaptations to underground life. The eyes are not detectable externally; they are atrophied and covered by a thick layer of skin. A considerable part of the orbit is occupied by a very large Harderian gland. The current study demonstrates that during autogrooming the mole rat expresses Harderian gland materials from the conjunctival sac to the external nares and spreads them onto the fur. In contrast to other rodents, the mole rat's grooming behavior is usually confined to the front part of the body and does not progress after the head wipes to ventrolateral torso licking. Moreover, in highly aggressive encounters grooming sometimes ceases after the second phase-the nose wipe bouts. The unique first phase of the mole rat's grooming consists of highly rapid strokes over the skinny border of the head, which we assume help to squeeze Harderian materials from the gland. Unlike other rodents, in which grooming occupies a considerable part of their waking time, mole rats, cage individually, rarely perform autogrooming behavior. Grooming in mole rats has been found to be highly correlated with aggressive encounters, and submissive animals exhibit significantly more grooming than their dominant opponents. It is speculated that the Harderian gland discharge may serve as an appeasing substance when mole rats meet to reduce the extreme aggressiveness typical of these subterranean rodents. © 1995 Wiley-Liss, Inc.

Rate of discharge and morphology of sweat glands in the perineal, lumbodorsal and scrotal skin of cattle

The rates of evaporation of moisture from the skin in the lumbodorsal, perineal and scrotal regions of cattle were measured in thermoneutral and high environmental temperatures. The rates of evaporation from the perineal and scrotal regions of heifers and bulls were significantly (P<0–001) greater than those from the lumbodorsal areas. The lumbodorsal rate of evaporation increased significantly (P<0·001) when cows and bulls were transferred from a thermoneutral to a hot environment and the rate of evaporation from the scrotum of bulls showed a similar increase; the rate of evaporation from the perineum of cows increased to a smaller extent (P<0·05) under the same conditions. The rate of evaporation from the perineum of cows reached a maximum on the day of oestrus but the stage of the oestrous cycle had no effect on the lumbodorsal rate of evaporation.

Canine salivary secretion from the submaxillary glands before and during retching.

To investigate the changes in salivary secretion associated with emesis, salivary secretion from the submaxillary gland and centrifugal discharge from the parasympathetic postganglionic nerve fibers from the submandibular ganglion were measured after emetic stimulation in chloralose-anesthetized and paralyzed dogs. In the basal condition, saliva flow and the basal frequencies of single unit discharges from the parasympathetic nerve were very low. Esophageal and gastric distension and lingual nerve afferent stimulation generally increased salivary secretion and nerve activity. Administration of apomorphine (0.2-0.3 mg/kg im) or intragastric infusion of copper sulfate (10%, 50 ml) elicited an excitation of parasympathetic nerve activity, and salivary secretion was facilitated in parallel to this nerve activity. The excitatory responses induced by emetic stimulation were suddenly depressed in correspondence with retching activities. This depression in nerve activity appeared 200-400 ms after the beginning of retching volleys of the phrenic nerve and continued during retching. These results indicate that the salivary center receives excitatory and inhibitory inputs from two different sources before and during retching activities, respectively.

Repugnatorial glands with associated striated muscle and sensory cells inMelibe leonina (Mollusca, Nudibranchia)

The nudibranch molluscMelibe leonina is repellant to some seastars and fish, but not to crab predators. Distinctive subepidermal glands, which are particularly abundant within the cerata and dorsal wall of the oral hood, can be easily seen within the translucent body wall of this slug. The glands can be individually discharged by touching the overlying epidermis and the collected secretion is repugnant to seasters. Ultrastructural analysis reveals that each repugnatorial gland is composed of two types of secretory cell encased by cross-striated muscle. Storage of secretory product within a single, large, intracellular vacuole and cytological features of the muscle investment are consistent with a rapid, all-or-none secretion event, as observed in live tissue. The secretory cells empty into a short duct that opens by a pore. The pore is surrounded by ciliated sensory cells that probably act as mechanoreceptors triggering gland discharge. I argue that one of the two secretory cells releases defensive chemical, whereas the second may produce a protein-rich mucin.

Trauma, especially of the submandibular glands, causes release of epidermal growth factor into bloodstream in mice

Submandibular glands in mice were traumatized by handling and then removed. Immunoreactive epidermal growth factor (EGF) in serum increased after 5 min and continued to increase, reaching at 1 h a peak of 50-fold normal in males and twice normal in females. If after traumatization the glands were repositioned with their blood supply intact, maximal increase of serum EGF at 1 h was 190-fold control values in males and 2-fold in females. In male mice, incision of abdominal wall skin led to a 15-fold increase of EGF in the serum; this rise was absent 3 days after sialoadenoectomy. After traumatization, repositioned submandibular glands lost 80% of their EGF; after the abdominal wall incision, only 30%. Following removal of submandibular glands, decrease of EGF level in serum was very slow: to 60% of the initial value after 3 days and to 40% after 10 days. By the HPLC characteristics, immunoreactive EGF in control serum and at its peak were indistinguishable. Urinary excretion of EGF was significantly elevated only when its serum level was 190-fold normal. We conclude that traumatized submandibular glands discharge into circulation a large part of their stored EGF. A similar but much less pronounced process takes place after abdominal skin incision. The presence of EGF in serum after its slow decline in sialoadenoectomized mice shows that a fraction of circulating EGF may recirculate prolonging its apparent half-life.

Cycles of F-actin redistribution in the dermal glands of an insect relate to secretion

ABSTRACT Cells of the dermal glands in Calpodes ethlius Stoll (Lepidoptera, Hesperiidae) survive without division but increase in size from moult to moult. The secretory cells become especially large, measuring up to 6 mm long in the fifth larval stadium. The nucleus in these giant cells has a sponge-like profile, with the nuclear envelope indented around cytoplasmic intrusions, each of which comes to contain several secretory vacuoles. The secretory vacuoles coalesce just before the glands discharge at ecdysis. Rhodaminyl phalloin labelling shows that F-actin redistributes in cycles corresponding to ecdysial secretion atlarval and pupal moults. Capsules of F-actin form around the vacuoles before ecdysis. After the vacuoles discharge, actin from the capsules survives in strands that aggregate into storage bundles during the intermoult as though the filamentous actin itself is redistributed and stored. The storage bundles disappear as the F-actin capsules re-form at the next moult

Long hyaline gland discharge and multiple spermatophore formation by the male grasshopper, Melanoplus sanguinipes

ABSTRACT. Discharge from the male accessory reproductive gland (ARG) by the male grasshopper, Melanoplus sanguinipes (Fabr.), has been studied by assay of a characterized product, a glycoprotein LHPI, and the rate of formation of spermatophores. LHPI is an exclusive long hyaline gland (a prominent ARG tubule type) product whose discharge is symmetrical from the bilaterally paired glands. LHPI forms 65% of a viscous secretion that is discharged concomitantly with the spermatophores. Though low ARG reserves in 5‐day‐old males limit both the number of spermatophores formed and LHPI discharged in copulations ≤6 h, this appears to be the result of shorter copulations. The number of spermarophores formed in 1 h was not impaired by general depletion of ARG protein (by repeated copulations) or by selective depletion of long hyaline gland protein (by unilateral and bilateral long hyaline gland removal), though these manipulations reduced LHPI discharge by 22%, 44% and 100%, respectively. However, 56% of spermatophores formed by males with the long hyaline gland bilaterally ablated failed to uncoil properly. These results indicate LHPI and/or other long hyaline gland proteins may act as lubricants. Unlike spermatophore formation and LHPI discharge, which increased steadily up to 90–120 min then levelled off, transfer of radiolabelled male ejaculate to the spermatheca was very variable. In 90 min copulations, only 1% of the total radioactivity (representing c. 5 μg protein) lost from the ARG complex was transferred to the spermatheca. The importance of male‐derived protein in vitellogenesis is discussed.

A pheromonal function for the perineal skin glands in the cow.

Two cows with synchronised oestrous cycles were housed with a Friesian bull. During the midcycle period of the cows, one cow was given an intradermal injection of adrenaline in the perineal region. This caused local sweat gland discharge. The other cow was treated with water. The number and types of bull-to-cow behaviours were recorded before, during and after the day of treatment. This was repeated at three-weekly intervals for a total of four times. On the day of treatment the bull directed a greater proportion of olfactory behaviours towards the adrenaline-treated cow than the other cow (P less than 0.05). There was no difference between the cows before or after the day of treatment. The above experiments were repeated with a Hereford bull who showed the same response as the Friesian for the first two but not the last two experiments. The increased proportion of bull olfactory behaviours elicited by an increased perineal skin gland discharge, adds support to our hypothesis that the perineal skin glands are the source of an oestrous pheromone in the cow.

Lectin studies of surface carbohydrates and induction of gland secretion in the free-living stages ofSchistosoma mansoni

Secretion from glands was observed when cercariae ofSchistosoma mansoni were exposed to certain lectins. Lectins fromMaclura pomifera, Pisum sativum, andTriticum vulgaris, were effective at 7.5 μ/ml. The effects of cercarial gland secretion caused byT. vulgaris agglutinin andArachis hypogaea agglutinin were blocked by pretreatment with the inhibiting glycan. Discharge of glands was not visualized after exposure of miracidia to lectins. The distribution of five labeled lectins was determined on live miracidia and cercariae. OnlyT. vulgaris agglutinin generally labeled the cercarial and miracidial bodies. Specific labeling occurred with the other lectins on the anterior, in glands or on their secretions, in flame cells in both stages, and on an unidentified ring of cells in miracidia. The possible mechanisms involved in changes caused by the lectins are discussed.