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British Journal of Medicine and Medical Research, ISSN: 2231-0614,Vol.: 10, Issue.: 11

Short Research Article

Basic Fibroblast Growth Factor (bFGF), Fibroblast Growth Factor Receptor 1 (FGFR1), Transforming Growth Factor Beta (TGF-β) and Chromogranin A (CgA) Appearance in Congenital Intra-abdominal Adhesions in Children under One Year of Age


Anna Augule1*, Māra Pilmane1, Zane Ābola2 and Olafs Volrāts2

1Institute of Anatomy and Anthropology, Rīga Stradiņš University, Kronvalda bulv 9, Riga, LV-1010, Latvia.

2Department of Children Surgery, Rīga Stradiņš University, Latvia.

Article Information


(1) Ricardo Forastiero, Professor of Physiology and Internal Medicine, Haematology, Favaloro University, Argentina.


(1) Anonymous, Instituto Alergoimuno de Americana, Brazil.

(2) Anonymous, Medical University, Lublin, Poland.

(3) Anonymous, University of Padova, Italy.

Complete Peer review History: http://sciencedomain.org/review-history/11329


Aim: Of this work was to determine dispersion of TGF-b, fibrosis modulating factor (bFGF and FGR1) and granule marker chromogranin A in case of intra-abdominal adhesion which could be essential factors in disease pathogenesis. Thus than could be used as possible biomarker.

Study Design: Observational study.

Place of Study: Institute of Anatomy and Anthropology and Department of Children Surgery, Rīga Stradiņš University.

Materials and Methods: The specimens used for research were obtained from 50 patients aged 1 to 292 days. They underwent abdominal surgery due to obstructive gut malrotation and several additional pathologies. Tissues were processed for bFGF, FGFR1, TGF-β and CgA by means of biotin-streptavidin immunohistochemistry.

Results: In adhesion tissue bFGF positive connective tissue cells varied from a few to an abundant amount, but in 15 specimens no positive structure was observed. Few connective tissue fibers and moderate to numerous fibroblasts and macrophages contained FGFR1. A moderate number of TGF-β positive connective tissue fibers were observed. Some specimens also contained positive fibroblasts, macrophages and endotheliocytes. Few connective tissue cells contained CgA. A moderate correlation was observed between bFGF and FGFR1 (Spearman’s rank correlation coefficient = .500, P < .001) as well as between bFGF and CgA (Spearman’s rank correlation coefficient = .311, P = .03).

Conclusions: The connection between the less distinct bFGF and more prominent FGFR1 proves the compensatory stimulation of receptors as a response on the lack of the same factor in case of adhesion disease. Persisting appearance of TGF-β positive structures in congenital adhesions indicates the continuing growth/regeneration potential of loose connective tissue. Positive CgA structures indicate the involvement of the neuroendocrine system in case of adhesion disease.

Keywords :

Children; adhesions; growth factors; Immunohistochemistry.

Full Article - PDF    Page 1-9

DOI : 10.9734/BJMMR/2015/19676

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