A rapid method for staining inclusions of Chlamydia psittaci and Chlamydia trachomatis.

A new staining method was developed for the detection of inclusions of Chlamydia psittaci and Chlamydia trachomatis inclusions in cell cultures. Using a combination of methyl green and neutral red stains and washing at pH 5.0, inclusions were stained red while cell cytoplasm was pale pink and cell nuclei were pale green. The method was significantly better than Giemsa staining and comparable to immunofluorescence for detecting C psittaci inclusions. Its sensitivity for detection C trachomatis inclusions by dark field microscopy was similar to that of Giemsa staining.     

Cytoplasmic inclusions in lymphocytes of chronic lymphocytic leukaemia

Summary Peripheral blood from 90 CLL patients was examined by light- and electron-microscopy for the occurrence of crystalline inclusions in lymphocytes. Inclusions were demonstrated in 10 patients (11%). In these patients the inclusions were present in 5–45% of peripheral blood lymphocytes.In the light microscope the inclusions appeared as rectangular, unstained structures in May-Grünewald Giemsa and PAS stains. In the electron microscope the inclusions appeared as intracytoplasmic, completely partially membrane-bound bodies, which were often associated with dilated profiles of rough endoplasmic reticulum. The ultrastructure of the inclusions was granular.In immunofluorescence staining the inclusions were found to contain immunoglobulin of the same type and class as the surface membrane-bound immunoglobulin of the neoplastic lymphocytes, most frequently IgMlambda. The lymphocytes of one case with kappa light chains at the cell surface membrane contained inclusions of the same ultrastructural morphology as those of the other cases with lambda light chains.The presence of inclusions was not associated with any specific clinical or prognostic features. The inclusions persisted during antileukaemic therapy. Their formation may be related to a dysfunction in the synthesis of surface membrane-bound immunoglobulins.     

Human granulocytic ehrlichiosis agent and Ehrlichia chaffeensis reside in different cytoplasmic compartments in HL-60 cells

The human granulocytic ehrlichiosis (HGE) agent resides and multiplies exclusively in cytoplasmic vacuoles of granulocytes. Double immunofluorescence labeling was used to characterize the nature of the HGE agent replicative inclusions and to compare them with inclusions containing the human monocytic ehrlichia, Ehrlichia chaffeensis, in HL-60 cells. Although both Ehrlichia spp. can coinfect HL-60 cells, they resided in separate inclusions. Inclusions of both Ehrlichia spp. were not labeled with either anti-lysosome-associated membrane protein 1 or anti-CD63. Accumulation of myeloperoxidase-positive granules were seen around HGE agent inclusions but not around E. chaffeensis inclusions. 3-(2, 4-Dinitroanilino)-3'-amino-N-methyldipropylamine and acridine orange were not localized to either inclusion type. Vacuolar-type H+-ATPase was not colocalized with HGE agent inclusions but was weakly colocalized with E. chaffeensis inclusions. E. chaffeensis inclusions were labeled with the transferrin receptor, early endosomal antigen 1, and rab5, but HGE agent inclusions were not. Some HGE agent and E. chaffeensis inclusions colocalized with major histocompatibility complex class I and II antigens. These two inclusions were not labeled for annexins I, II, IV, and VI; alpha-adaptin; clathrin heavy chain; or beta-coatomer protein. Vesicle-associated membrane protein 2 colocalized to both inclusions. The cation-independent mannose 6-phosphate receptor was not colocalized with either inclusion type. Endogenously synthesized sphingomyelin, from C6-NBD-ceramide, was not incorporated into either inclusion type. Brefeldin A did not affect the growth of either Ehrlichia sp. in HL-60 cells. These results suggest that the HGE agent resides in inclusions which are neither early nor late endosomes and does not fuse with lysosomes or Golgi-derived vesicles, while E. chaffeensis resides in an early endosomal compartment which accumulates the transferrin receptor.     

Subacute sclerosing panencephalitis with special reference to the ultrastructure of inclusions in the brain and lung.

A 7-year-old boy, who was diagnosed as typical SSPE by clinical data and laboratory findings, was autopsied and observed by immunofluorescent techniques, light and electron microscope. The morphological characteristics in the brain were perivascular cuffings with plasma cells, lymphocytes and mononuclear cells, gliosis and a large number of intranuclear and intracytoplasmic inclusions in the neuroglias and nerve cells. Various kinds of intranuclear inclusions were elucidated by electron microscopy and the fin structures of these inclusions were described in detail. At least five types of intranuclear inclusions were regarded as specific in SSPE. The presence of intranuclear inclusions of mononuclear cells in the lungs resembling the inclusions in the neuroglias suggested that the disease was not localized in the brain but could be disseminated throughout the body.     

Ultrastructural Cytochemistry of Eosinophilic Inclusions in the Cells of Hyperplastic Nodules and Hepatomas in Mouse Liver

Intracisternal inclusions in the cells of 48 hyperplastic nodules and hepatomas in mouse liver were examined by electron microscopy to determine the precise compositions of the inclusions in relation to their ultrastructure, and some preliminary attempts at isolation and chemical analysis of the inclusions were performed. We classified the inclusions into two types. One was mainly of larger size, consisting of a single electron-lucent core and a granular cortical zone of high electron density. The other type was smaller, with a number of tiny, electron-lucent areas crowded into the central area instead of a single core. The cortical material of the inclusions was digested by pepsin treatment of thin sections, whereas the core and the electron lucent areas within the cortical zone were not extracted. On the other hand, in materials treated with ethanol before post osmication, only the core and electron-lucent areas within the cortical zone were partially extracted. The ultrastructure of the isolated inclusions was very similar to that of inclusions in situ . The chemical composition of the isolated fractions was estimated to be 60% protein and 35% lipid. Electrophoretically, the protein of this fraction showed a single band. We conclude that the cortical substance is proteinaceous in nature, probably consisting of a single protein or a group of proteins with identical electrophoretic mobility, whereas the core is composed of lipid. The possibility that the inclusions are due to an impairment in the mechanism of intracellular lipoprotein transport is discussed.     

Ultrastructural cytochemistry of eosinophilic inclusions in the cells of hyperplastic nodules and hepatomas in mouse liver.

Intracisternal inclusions in the cells of 48 hyperplastic nodules and hepatomas in mouse liver were examined by electron microscopy to determine the precise compositions of the inclusions in relation to their ultrastructure, and some preliminary attempts at isolation and chemical analysis of the inclusions were performed. We classified the inclusions into two types. One was mainly of larger size, consisting of a single electron-lucent core and a granular cortical zone of high electron density. The other type was smaller, with a number of tiny, electron-lucent areas crowded into the central area instead of a single core. The cortical material of the inclusions was digested by pepsin treatment of thin sections, whereas the core and the electron-lucent areas within the cortical zone were not extracted. On the other hand, in materials treated with ethanol before post-osmication, only the core and electron-lucent areas within the cortical zone were partially extracted. The ultrastructure of the isolated inclusions was very similar to that of inclusions in situ. The chemical composition of the isolated fractions was estimated to be 60% protein and 35% lipid. Electrophoretically, the protein of this fraction showed a single band. We conclude that the cortical substance is proteinaceous in nature, probably consisting of a single protein or a group of proteins with identical electrophoretic mobility, whereas the core is composed of lipid. The possibility that the inclusions are due to an impairment in the mechanism of intracellular lipoprotein transport is discussed.     

Case Report: Meningioma with Granulofilamentous Inclusions

The authors report a case of intracranial meningioma with granulofilamentous inclusions. A 50-year-old man had right trigeminal neuralgia due to trigeminal nerve compression by a petroclival tumor and received tumor resection. Microscopically, tumor cells containing eccentric nuclei and intracytoplasmic hyaline inclusions were arranged in sheets and whorls. The inclusions were negative for periodic acid-Schiff reaction. No histological anaplasia was seen. Immunohistochemistry showed epithelial membrane antigen reactivity on the cytoplasmic membrane. Immunoreactivity for vimentin was recognized in cytoplasm adjacent to inclusions. However, confocal laser microscopic study revealed immunoreactivity for vimentin even inside some inclusions. Ultrastructurally, interdigitation of cytoplasmic processes and desmosomes connecting adjacent cells were noted. Inclusions were composed of numerous fine osmiophilic granules attached by intermediates filaments. These findings were consistent with a meningioma with the granulofilamentous inclusions described earlier. The findings demonstrated by confocal laser microscopy and electron microscopy suggest that these granular materials may be the metabolic products of vimentin filaments.     

Light microscopic cytochemistry and ultrastructure of red clover vein mosaic virus-induced inclusions.

Characteristic crystalline inclusions were observed in the cytoplasm of epidermal strips from stems, petioles, and leaves of Pisum sativum, Trifolium pratense, and Vicia faba infected with red clover vein mosaic virus (RCVMV). These inclusions vary in their shapes and sizes, from regular hexagonal prisms (up to 30 × 16 μm) to globular structures with irregular borders. The chemical nature of these inclusions was determined by cytochemical tests. The inclusions were ninhydrin positive, stained red with pyronin Y-methyl green, stained blue to purple with azure B, and fluoresced flame red with dilute acridine orange. Inclusions treated with RNase or hydrolyzed with perchloric acid did not fluoresce red with acridine orange or stain with pyronin, whereas treatment with DNase had no effect on the staining properties of these inclusions. These results are consistent with the presence of protein and a single-stranded ribonucleic acid in the inclusions. Electron microscopy of thin sections, obtained from sectioning an inclusion at different angles, showed that these inclusions were composed of polyhedral particles (approximately 10 nm in diameter) arranged in a hexagonal pattern. The polyhedral nature of these particles and their arrangement in a cubic symmetry was confirmed by viewing thick sections of the inclusions with a high voltage electron microscope equipped with an axis center tilting stage. The inclusions were not aggregates of RCVMV rods.     

Atypical cytomegalovirus inclusions in gastrointestinal biopsy specimens from patients with the acquired immunodeficiency syndrome: diagnostic role of in situ nucleic acid hybridization.

Cytomegalovirus (CMV) infection of the gastrointestinal tract is a common cause of morbidity and mortality in the acquired immunodeficiency syndrome. The proper recognition of CMV-infected cells in gastrointestinal mucosal biopsies is critical so that effective therapy is not delayed, preventing further viral dissemination. Although the pathology criteria for classic CMV inclusions have been well described, the occurrence of morphologically atypical inclusions has been reported but the inclusions are not well characterized. This study prospectively examined the relative frequency of classic and atypical CMV inclusions in gastrointestinal mucosal biopsy specimens from 13 human immunodeficiency virus-positive symptomatic patients. The results demonstrated that classic inclusions were rarely found, including four esophageal, one gastric, and one colonic biopsy specimens in which none were seen. However, atypical CMV inclusions were identified from all biopsy specimens examined; these inclusions were much more numerous than classic inclusions and could be categorized into three morphologic types. The atypical inclusions were difficult to precisely identify as CMV-infected cells, but in situ DNA hybridization for CMV was valuable in establishing their viral origin, thus permitting the correct etiologic diagnosis.     

Viral Behavior of Paracrystalline Inclusions in Osteoclasts of Paget's Disease of Bone

Fresh tissues from six patients with Paget's disease of bone were examined ultrastructurally to investigate whether the characteristic paracrystalline inclusions in pagetic osteoclasts revealed viral behavior. These inclusions appeared as microfil-amentous aggregates in both nuclei and cytoplasm of the osteoclasts in all six cases. The filamentous elements of the inclusions with a diameter of 11-15 nm showed tubular structures with a central electron-lucent zone measuring 5-7 nm in diameter. Viral budding-like structures containing these inclusions were found at the peripheral cytoplasm or cell processes in the ruffled border of some pagetic osteoclasts in two cases. The inclusions in the budding-like structures were often arrayed in a parallel fashion on the cytoplasmic side of the cell membranes of extruded cytoplasm or cell processes. Virion-like particles were also found in the extracellular spaces of the ruffled border. Marked nuclear degeneration was often seen in pagetic osteoclasts of three cases, although other nuclei in the same osteoclasts appeared normal. The degenerated nuclei showed nuclear ring formation where destroyed nuclear membranes were seen and disappearance of nuclear matrices was noted. Since the modifications were always associated with the accumulation of abundant inclusions, they were probably caused by the inclusions. These findings suggested that the inclusions showed viral behavior in pagetic osteoclasts, and that the nuclear modifications were caused by virus infection.     

SUBACUTE SCLEROSING PANENCEPHALITIS WITH SPECIAL REFERENCE TO THE ULTRASTRUCTURE OF INCLUSIONS IN THE BRAIN AND LUNG

A 7-year-old boy, who was diagnosed as typical SSPE by clinical data and laboratory findings, was autopsied and observed by immunofluorescent techniques, light and electron microscope. The morphological characteristics in the brain were perivascular cuffings with plasma cells, lymphocytes and mononuclear cells, gliosis and a large number of intranuclear and intracytoplasmk inclusions in the neuroglias and nerve cells. Various kinds of intranuclear inclusions were elucidated by electron microscopy and the fine structures of these inclusions were described in detail. At least five types of intranuclear inclusions were regarded as specific in SSPE. The presence of intranuclear inclusions of mononuclear cells in the lungs resembling the inclusions in the neuroglias suggested that the disease was not localized in the brain but could be disseminated throughout the body.     

Meningioma with granulofilamentous inclusions

The authors report a case of intracranial meningioma with granulofilamentous inclusions. A 50-year-old man had right trigeminal neuralgia due to trigeminal nerve compression by a petroclival tumor and received tumor resection. Microscopically, tumor cells containing eccentric nuclei and intracytoplasmic hyaline inclusions were arranged in sheets and whorls. The inclusions were negative for periodic acid-Schiff reaction. No histological anaplasia was seen. Immunohistochemistry showed epithelial membrane antigen reactivity on the cytoplasmic membrane. Immunoreactivity for vimentin was recognized in cytoplasm adjacent to inclusions. However, confocal laser microscopic study revealed immunoreactivity for vimentin even inside some inclusions. Ultrastructurally, interdigitation of cytoplasmic processes and desmosomes connecting adjacent cells were noted. Inclusions were composed of numerous fine osmiophilic granules attached by intermediates filaments. These findings were consistent with a meningioma with the granulofilamentous inclusions described earlier. The findings demonstrated by confocal laser microscopy and electron microscopy suggest that these granular materials may be the metabolic products of vimentin filaments.     

Electron microscopy of inclusion development in rye leaf cells infected with soil-borne wheat mosaic virus

Rye leaves infected with soil-borne wheat mosaic virus isolate US-A at six consecutive developmental stages were examined with the electron microscope. Virus was not detected in leaves shorter than 5 mm, and viral inclusions were first observed in leaves 10–30 mm in length. The inclusions consisted of tangled tubules or smooth-surfaced endoplasmic reticulum and contained virus rods scattered in interstices between the tubules. The inclusions enlarged with the growth of leaves and changed to a looser conformation. In leaves longer than 100 mm, inclusions were mostly disintegrated and aggregates of virus rods appeared in the cytoplasm and vacuole. In such leaves, inclusions consisted of concentrically arrayed membranes with virus rods sandwiched in between. Both types of inclusions were also found in wheat and barley leaves infected with the US-A isolate.     

Lipid storage disease: Part III. Ultrastructural evaluation of cultured fibroblasts in sphingolipidoses

For the purpose of evaluating electron microscopy of tissue culture in making the diagnosis of sphingolipidoses, an ultrastructural study was made on the cultured fibroblasts from 23 patients with the disorders. The characteristic cytoplasmic inclusions were observed in the cultured cells of Fabry disease, Tay-Sachs disease, Sandhoff disease, generalized gangliosidosis, Niemann-Pick disease, metachromatic leukodystrophy, and multiple sulfatase deficiency, and differ in fine structure with these diseases. All these cytoplasmic inclusions were surrounded by a single limiting membrane and enzyme cytochemically showed acid phosphatase activity, indicating their lysosomal origin. Ultrastructurally, the cytoplasmic inclusions showed pleomorphic osmiophilic inclusions in Fabry disease, membranous cytoplasmic bodies (MCB) in Tay-Sachs disease and Sandhoff disease, MCB and vacuolar inclusions containing finely reticulogranular materials in generalized gangliosidosis, myelin-like inclusions in Niemann-Pick disease, concentric lamellar inclusions in metachromatic leukodystrophy, and polymorphic cytoplasmic inclusions in multiple sulfatase deficiency. In the heterozygous carriers of Fabry disease, pleomorphic osmiophilic inclusions were also detected. However, any specific inclusions were not detectable in the cultured fibroblasts of Gaucher disease and Krabbe disease. Availability of electron microscopy in the cultured fibroblasts of sphingolipidoses is discussed.     

Histopathological study on dual infections of adenovirus and papovavirus in budgerigars (Melopsittacus undulatus)

Of a total of 293 budgerigars (Melopsittacus undulatus) examined histologically, 45 birds (15.4%) had dual infections with adenovirus and papovavirus. Both viruses induced intranuclear inclusion bodies in the kidney and rarely in other organs. The renal tubular epithelium was the target site for the both viruses. These inclusion bodies were different in size and stainability. The adenoviral inclusions were very large and deeply basophilic or eosinophilic, whereas the papovaviral inclusions were large and clear or slightly basophilic. Ultrastructural, examination of very large basophilic inclusions in the kidneys revealed viral particles typical of adenovirus. The very large eosinophilic inclusions consisted of only fine granular and filamentous material. Papovavirus particles were frequently found in the slightly basophilic intranuclear inclusions, but none was demonstrated in the clear inclusions. The dual infections in this study were regarded as latent infections because there was little or no tissue damage in the affected tissues.     

An appraisal of the banded and paracrystalline cytoplasmic inclusions induced in cymbidium mosaic potexvirus- and odontoglossum ringspot tobamovirus infected orchid cells using confocal laser scanning microscopy

Summary The cymbidium mosaic potexvirus (CyMV) banded inclusions and the odontoglossum ringspot tobamovirus (ORSV) paracrystalline inclusions were studied in flowers and leaves of nine orchid cultivars using the confocal laser scanning microscope. The inclusions varied in length and width and were mostly located adjacent to the cell walls. Some ORSV inclusions fully extended across entire infected cells. We propose that the CyMV banded inclusion was formed from virus aggregates which aligned as periodical stacked layers, appearing as cross bands. The virus aggregates were folded into flexible inclusions, giving rise to various shapes and forms. The ORSV paracrystalline inclusions were observed as needle-like crystals. The confocal laser scanning microscope is an effective tool for the study of the three-dimensional structures of plant virus induced inclusions.     

Nuclear Inclusions in Alveolar Epithelium of Patients With Fibrotic Lung Disorders

Ultrastructural study of pulmonary biopsy specimens from patients with fibrotic lung disease disclosed the presence of nuclear inclusions in 1% or less of cuboidal alveolar epithelial cells in 9 of 19 patients, including 6 of 12 patients with idiopathic pulmonary fibrosis, 2 of 3 patients with collagen-vascular disease, and 1 of 3 patients with sarcoidosis. Nuclear inclusions were not observed by ultrastructural study in 5 control patients. The inclusions consisted of masses or aggregates of tubules which probably were derived from the inner nuclear membranes. These tubules were smooth-walled, showed branchings and bifurcations, were composed of single trilaminar membranes, usually had a clear content, and ranged from 500 to 1000 Å in diameter. They resembled nuclear tubules which occur in other cell types under conditions of rapid growth or specific hormonal stimulation. Statistically significant differences between the groups of patients with and without nuclear inclusions in cuboidal alveolar epithelial cells were not found with respect to smoking history, degree of fibrosis in the lung biopsy specimen, or the degree of pulmonary physiologic impairment. However, the average age of the patients having nuclear inclusions was significantly greater than that of patients not having nuclear inclusions. In addition, the frequency of indentations in the nuclei of cuboidal alveolar epithelial cells was greater in patients with nuclear inclusions than in patients without nuclear inclusions. Highly significant correlations were observed between the presence of nuclear inclusions and the presence of a) anchoring fibrils and hemidesmosomes along the basal surfaces of alveolar epithelial cells and b) multilayering of the alveolar epithelium.     

Development of secondary inclusions in cells infected by Chlamydia trachomatis

The chlamydiae are obligate intracellular bacteria that occupy a non-acidified vacuole (the inclusion) during their entire developmental cycle. These bacteria produce a set of proteins (Inc proteins) that localize to the surface of the inclusion within infected cells. Chlamydia trachomatis IncA is also commonly found in long fibers that extend away from the inclusion. We used standard and confocal immunofluorescence microscopy to demonstrate that these fibers extend to newly developed inclusions, termed secondary inclusions, within infected cells. Secondary inclusions observed at early time points postinfection were devoid of chlamydial reticulate bodies. Later in the developmental cycle, secondary inclusions containing variable numbers of reticulate bodies were common. Reticulate bodies were also observed within the IncA-laden fibers connecting primary and secondary inclusions. Quantitative differences in secondary inclusion formation were found among clinical isolates, and these differences were associated with serovar. Isolates of serovar G consistently produced secondary inclusions at the highest frequency (P < 0.0001). Similar quantitative studies demonstrated that secondary inclusion formation was associated with segregation of inclusions to daughter cells following cytokinesis. We conclude that the production of secondary inclusions via IncA-laden fibers allows chlamydiae to generate an expanded intracellular niche in which they can grow and may provide a means for continuous infection within progeny cells following cell division.     

Replication of a type I avian adenovirus (CELO) mutant in the chicken embryo

Summary Replication of a CELO large plaque (LP) mutant and that of its wild type small plaque (SP) parent was studied in the chorioallantoic membrane (CAM) and in the amnion of 11-day-old embryos. Although both strains produced essentially the same amount of virus in the tissue fluids, they differed in their rates of replication. Replication of the SP parent was maximal in the CAM 24 to 48 hours before that of the LP mutant. Whereas inclusions were observed in SP inoculated CAM 48 hours PI and were present during the course of study; LP inclusions were rare at 72 hours PI and thereafter; LP inclusions were seen at 72 hours PI. Fewer SP than LP particles were required to produce inclusions. No inclusions were seen in sections of the trachea and liver removed at 96 hours PI from embryos inoculated via the amniotic sac with LP and SP virus.Contribution 1466 of the Rhode Island Agriculture Experimental Station.     

LIPID STORAGE DISEASE: PART III

For the purpose of evaluating electron microscopy of tissue culture in making the diagnosis of Sphingolipidoses, an ultrastructural study was made on the cultured fibroblasts from 23 patients with the disorders. The characteristic cytoplasmic inclusions were observed in the cultured cells of Fabry disease, Tay-Sachs disease, Sandhoff disease, generalized gangliosidosis, Niemann-Pick disease, metachromatic leukodystrophy, and multiple sulfatase deficiency, and differ in fine structure with these diseases. All these cytoplasmic inclusions were surrounded by a single limiting membrane and enzyme cytochemically showed acid phosphatase activity, indicating their lysosomal origin. Ultrastructurally, the cytoplasmic inclusions showed pleomorphic osmiophilic inclusions in Fabry disease, membranous cytoplasmic bodies (MCB) in Tay-Sachs disease and Sandhoff disease, MCB and vacuolar inclusions containing finely reticulogranular materials in generalized gangliosidosis, myelin-like inclusions in Niemann-Pick disease, concentric lamellar inclusions in metachromatic leukodystrophy, and polymorphic cytoplasmic Inclusions in multiple sulfatase deficiency. In the heterozygous carriers of Fabry disease, pleomorphic osmiophilic inclusions were also detected. However, any specific inclusions were not detectable in the cultured fibroblasts of Gaucher disease and Krabbe disease. Availability of electron microscopy in the cultured fibroblasts of Sphingolipidoses is discussed.