Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/200736
Type: Artigo de periódico
Title: The Severity Of Osteogenesis Imperfecta And Type I Collagen Pattern In Human Skin As Determined By Nonlinear Microscopy: Proof Of Principle Of A Diagnostic Method.
Author: Adur, Javier
DSouza-Li, Lilia
Pedroni, Marcus Vinícius
Steiner, Carlos E
Pelegati, Vitor B
de Thomaz, Andre A
Carvalho, Hernandes F
Cesar, Carlos L
Abstract: The confirmatory diagnosis of Osteogenesis Imperfecta (OI) requires invasive, commonly bone biopsy, time consuming and destructive methods. This paper proposes an alternative method using a combination of two-photon excitation fluorescence (TPEF) and second-harmonic generation (SHG) microscopies from easily obtained human skin biopsies. We show that this method can distinguish subtypes of human OI. Different aspects of collagen microstructure of skin fresh biopsies and standard H&E-stained sections of normal and OI patients (mild and severe forms) were distinguished by TPEF and SHG images. Moreover, important differences between subtypes of OI were identified using different methods of quantification such as collagen density, ratio between collagen and elastic tissue, and gray-level co-occurrence matrix (GLCM) image-pattern analysis. Collagen density was lower in OI dermis, while the SHG/autofluorescence index of the dermis was significantly higher in OI as compared to that of the normal skin. We also showed that the energy value of GLCM texture analysis is useful to discriminate mild from severe OI and from normal skin. This work demonstrated that nonlinear microscopy techniques in combination with image-analysis approaches represent a powerful tool to investigate the collagen organization in skin dermis in patients with OI and has the potential to distinguish the different types of OI. The procedure outlined in this paper requires a skin biopsy, which is almost painless as compared to the bone biopsy commonly used in conventional methods. The data presented here complement existing clinical diagnostic techniques and can be used as a diagnostic procedure to confirm the disease, evaluate its severity and treatment efficacy.
Subject: Adult
Biopsy
Child
Collagen Type I
Humans
Microscopy, Fluorescence, Multiphoton
Osteogenesis Imperfecta
Pathology
Skin
Rights: aberto
Identifier DOI: 10.1371/journal.pone.0069186
Address: http://www.ncbi.nlm.nih.gov/pubmed/23869235
Date Issue: 2013
Appears in Collections:Artigos e Materiais de Revistas Científicas - Unicamp

Files in This Item:
File SizeFormat 
pmed_23869235.pdf7.82 MBAdobe PDFView/Open


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.