Sex Differences in Histomorphology of the Human Carotid Body by Johnstone M Muthoka* in Open Access Research in Anatomy_ Journal of Anatomy
Abstract
Knowledge
of sex differences in the histomorphology of the carotid body is important in
understanding observed differences in respiratory function and disorders. There
are few studies on sex differences in the carotid body. This study therefore
aimed at describing these differences in the histomorphology features of the
human carotid body. Thirty six random carotid bodies from
cardiovascular disease free individuals (20 male, 16 female) obtained during
autopsy at the Department of Human Anatomy, University of Nairobi were studied.
Specimens obtained within 48 hours of death were fixed in 10% formaldehyde
solution and processed routinely for paraffin embedding. Seven micron thick
serial sections were stained with H&E, Mason’s trichrome and examined with
light microscope. Stereology was done to determine area occupied by parenchyma,
stroma and vasculature. Data were analyzed using SPSS version 13.0. The
student’s t test was used to compare sex differences. The data are represented
using tables and macrographs.
The
human carotid body is highly cellular with two varieties of cells namely; chief
and sustentacular. It is heavily vascularised and densely innervated. Females showed higher
concentration of chief cells, more profuse vascularization and denser
innervation when compared with their aged matched male counterparts. The aging
changes characterized by fibrosis, cellular degeneration vascular and neural
attenuation are less severe in females. Sex histomorphological differences in
the human carotid body characterized by higher population of chief cells,
density of vascularity, innervation and blunted age related morphological
attenuation underpin differences in its function and disease
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