the pineal gland_3rd - eye

Upload: sssddd

Post on 30-May-2018

220 views

Category:

Documents


0 download

TRANSCRIPT

  • 8/14/2019 The Pineal Gland_3rd - Eye

    1/5

    17

    J. Anat. Soc. India 50(1) 17-18 (2001)

    Dixit, D.P. et al

    J Anat. Soc. India 50(1) 17-18 (2001)

    Varying Appearances of Calcification in Human Pineal Gland: ALight Microscopic StudyKoshy, S. and Vettivel S.K.

    Department of Anatomy, Christian Medical College, Vellore, INDIA

    For Reprints, request the first author.

    Abstract.Pineal glands were collected from accident deads during autopsy. The subjects were South Indians. There were nohistological postmortum changes. The glands were processed for light microscopy. Eight micron sections were cut and stained. Capsule,septa, lobules, and corpora aranacea were observed. The pineal parenchyma had light and dark pinealocytes. Intrapineal and extrapinealcalcified concretions were present. Intrapineal concretions were in the parenchyma, where in younger age groups and among the

    pinealocytes, the concretions were of globular pattern but in older age groups and among glial fibres, these were of concentric lamellarpattern. Extrapineal concretions were adjacent to the capsule and were concentric lamellar only.

    Key words : Calcification, concretions, corpora aranacea, glial fibres, parenchyma, pineal gland, pinealocytes.

    Introduction :

    The pineal gland (epiphysis cerebri) containscords and follicles of pinealocytes and neuroglia.Septa extend into it from the surrounding piamater.

    Pinealocytes form the pineal parenchyma.Neuroglial cells, partially separating thepinealocytes, are like astrocytes (Williams et al.1989). Brain sands, corpora aranacea, or acervuliare calcified concretions in the pineal gland,presence of which is known since the discovery ofthe pineal gland and have been investigated over400 years in animals and in human. They are visiblein imaging techniques and help as a midlinelandmark. There are intrapineal calcifications as wellas extrapineal calcifications. Calcified deposits seenin the choroid plexus of lateral ventricles, meninges,and elsewhere in the habenular commissure are

    extrapineal calcification; and those within the pinealparenchyma are intrapineal calcification.Occasionally these are absent in some specimens.Only a few studies on the concretions, suggested afresh study. Therefore, the morphology of the pinealcalcified concretions were studied.

    Materials and Methods :

    Forty pineal glands were collected fromaccident deads within five to six hours after deathduring autopsy. There were no histologicalpostmortum changes. Age of the subjects rangedfrom one to eighty years. The subjects were SouthIndians in decade wise age groups.

    Pineal glands were removed from the brainalong with the superior colliculus, so that the pinealrecess of the third ventricle was also included.Pineal glands were put in Bouins fluid. Afterfixation, the specimens were processed for lightmicroscopy. Eight micron serial sections were cutand stained. Staining methods used were(1) Haematoxylin and eosin, (2) Massons fontannamethod for melanin, (3) Heidenhains iron

    haemotoxylin for secretory materials, and (4)Mallorys phosphotungstic acid haematoxylin forneuroglial cells and nerve fibres.

    Observations :

    Pineal gland had a well defined capsule(piamater) and from the capsule septa extended intothe parenchyma dividing it into lobules (Fig. 1). Thelobular pattern was not well defined in older agegroups. Parenchyma consisted of mainly two typesof pinealocytes, light pinealocytes and darkpinealocytes (Fig 2). Besides these cells, there wereglial cells (Fig. 2). Corpora aranacea were aconstant feature as age advanced.

    Corpora aranacea were in two locations,intrapineal in the pineal parenchyma and extrapineal

    in the pineal capsule (Fig. 3). These calcifieddeposits were of two patterns, one was a globularpattern and the other was a concentric lamellatedpattern. The extrapineal were of concentriclamellated pattern only. The intrapineal were of twotypes, the globular type seen, where pinealocyteswere present and in younger age groups, and theconcentric lamellated type seen around glial fibresand in older age groups. Corpora aranaceaappeared in a gland of 12 year. Globular pattern ofcalcification was chiefly in younger age groups andamong large amount of pinealocytes (Fig. 4). As age

    advanced, there were areas of more glial fibres, andof glial cyst with central coagulum and surroundingglial fibres (Fig. 5). Peripheral to the glial fibre tissue

    were areas of pinealocytes. In the areas of moreglial fibres, large amount of concentric lamellatedcrystals of corpora aranacea were present in areas

    of less pinealocytes and more glial fibres (Fig. 6).

    Discussion :

    Corpora aranacea are composed of calcium

    and magnesium salts, Polypeptide hormones,

  • 8/14/2019 The Pineal Gland_3rd - Eye

    2/5

    produced by pineal neuroglia and neurons,

    combined with specific protein carriers. They are

    released by exocytosis, together with fragments of

    vasicular membranes, the latter forming exocytotic

    debris. When released, the complex is believed to

    dissociate, hormones being exchanged for calcium

    ions. The calcium carrier complex so formed is, in

    the pineal, deposited concentrically aroundexocytotic debris as corpora aranacea (Lukaszyk

    and Rieter, 1975). Presence of calcified concretions

    need not reflect a pathological state as these pineal

    glands were collected from accident deads, whose

    health status was unknown and who probably were

    of normal health.

    The degree of calcification invariably increases

    from younger to older age groups and occasionally,

    corpora aranacea are absent in some adult

    specimens as according to Krabbe (1955). The

    morphology of corpora aranacea shows variations in

    the present study. Calcification occurs not only inthe pineal gland but also in the capsule. Vigh et al.

    (1998) reported the presence of calcium alongside

    the cell membranes and that meningeal corpora

    aranacea are in the form of concentric lamellae &

    intrapineal as globular. But in the present study, as

    age advances, the intrapineal concretions are of

    concentric lamellar pattern. Thus, probably the

    morphology of intrapineal conceretions changes as

    age advances, globular pattern in younger age

    groups & concentric lamellar pattern in older age

    groups. As age advances, the number of

    pinealocytes decreases and glial fibres increase.

    The pattern of intrapineal concretions also changes.Globular type of calcified deposits are seen

    where large amount of pineal parenchyma is present

    and in younger age groups; whereas concentric

    lamellated type of calcified deposits are usually

    associated with large amounts of glial fibres and in

    older age groups. Humbert and Pevet (1995)

    observed in aging rats two types of calcification by

    electron microscopic and electron diffraction

    methods, an amorphous type with concentric layers

    and crystalline type with needle shaped crystals and

    stated that the genesis takes place in dark

    pinealocytes, which contains more calcium and thatonce formed the concretions reach extracellular

    space.

    The amount of calcarous deposits do not seem

    to significantly increase as age advanced but the

    pattern of deposit differs. Kodaka et al (1994) stated

    that initial human calcification is as calcified

    pinealocytes, which grow appositionally forming

    concentric laminations and then simple

    calcospherulites aggregated with each other and

    that some of them become numerous aggregated

    concretions, others individually develop scallop-

    shaped concentric laminations and become lobated

    calcospherulites. Cytoplasmic microacervuli are

    localized ultrastructurally in pineal gland from age of

    2 days to 86 years; microacervuli are barely present

    or frequently absent in the oldest subjects; their

    involvement in the secretory activity rather than in

    gland atrophy suggests a close relationship betweencytoplasmic microacervuli and intermediate

    microfilaments and a possible role of the

    cytoskeleton in the formation of corpora aranacea

    (Gallinai et al. 1989).

    Where the concretions occur adjacent to

    pinealocytes, it is crystalline, needle shaped &

    globular (Fig. 3) while adjacent to glial fibres or

    other connective tissue, it is amorphous, concentric

    & lamellar (Fig. 6).

    To conclude, (1) Pinealocytes are abundant in

    younger age groups, where the concretions are in

    the form of crystalline globular pattern. (2) As ageadvances, pinealocytes decrease and glial fibres

    increase. Secretory products of pinealocytes are

    less so that the concretions are modified to

    amorphous concentric lamellar pattern.

    References :

    1. Galliani, I., Frank, F., Gobbi, P., Giangaspero, F. and Falcieri,

    E. (1989): Histochemical and ultrastructural study of human

    pineal gland in the course of aging. Journal of

    Submicroscopic Cytology and Pathology. 21(3): 571-8.

    2. Humbert, W. and Pevet, P. (1995): Calcium concretions in

    the pineal gland of aged rats: an ultrastructural and

    microanalytical study of their biogenesis: Cell & Tissue

    Research 279(3): 565-73.

    3. Kodaka, T., Mori, R., Debari, K. and Yamada, M. (1940):

    Scanning electron microscopy and electron probe

    microanalysis studies of human pineal concretions. Journal

    of Electron Microscopy (Tokyo)43(5): 307-17.

    4. Krabbe, K.H. (1995): Development of the pineal organ and a

    rudimentary parietal eye in some birds Journal of

    Comparative Neurology103: 139-49.

    5. Lukaszyk, A. and Rieter, R.J. (1975): Histophysiological

    evidence for the secretion of polypeptides by the pineal gland.

    American Journal of Anatomy103: 139-149.

    6. Vigh, B., Szel, A., Debreceni, K., Fejer, Z., Manzano e Silva,

    M.J. and Vigh-Teichmann, I. (1998): Comparative histology of

    pineal calcification: History and Histopathology13(3): 851-

    70.

    7. Willaims, P.L., Warwick, R., Dyson, M. and Bannister, L.H.:

    Grays Anatomy. In: The Endocrine System. 37th Edn,

    Churchill Livingstone, London, pp. 1450-475. (1989).

    18

    J. Anat. Soc. India 50(1) 17-18 (2001)

    Calcification in Pineal Gland

  • 8/14/2019 The Pineal Gland_3rd - Eye

    3/5

    Opp. 18 Calcification in Pineal Gland

    Fig. 1. Lobular appearance of pineal parenchyma (100 X).

    Capsule C

    Septa S

    Lobule L

    Fig. 2. Cells in parenchyma (1000 X).

    Dark pinealocyte Square

    Light pinealocyte Thick arrow

    Glial cell Thin arrow

  • 8/14/2019 The Pineal Gland_3rd - Eye

    4/5

    Opp. 18 Calcification in Pineal Gland

    Fig. 3. Extrapineal calcification in capsule (100 X).

    Concentric lamellar pattern Thick arrow (LC)

    Fig. 4. Intrapineal calcification in parenchyma (100 X).

    Globular pattern (arrow) surrounded by pinealocytes

  • 8/14/2019 The Pineal Gland_3rd - Eye

    5/5

    Opp. 18 Calcification in Pineal Gland

    Fig. 5. Increased glial fibres with glial cyst (100 X)

    Area of glial fibres F

    Glial cyst C

    Fig. 6. Intrapineal calcification in parenchyma (100 X)

    Concentric lamellar pattern (arrow) surrounded by glial fibres (F)