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Nasal Diagrams: A Tool for Recording the Distribution of Nasal Lesions in Rats
and Mice
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Nasal Diagrams: A Tool for Recording the Distribution of Nasal Lesions in Rats and Mice
Stéphane Mery, Elizabeth A. Gross, Donald R. Joyner, Matthew Godo and Kevin T. Morgan
Toxicol Pathol 1994 22: 353
DOI: 10.1177/019262339402200402
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immunoassay after oral administration of C~.4 ~ TCP studies are needed to elucidate the mechanismis) of
kg and 1.7 g BTP kg for 9 wk revealed that inhi.- testicular degeneration caused by the tricresyl phos-
bition of steroidogenesis was not the mechanism of phates.
toxicity (24).
Adrenocortical and 01 cells utilize an intracellular A~~.~o~~-t_E~~~~
storage pathway to conserve excess cholesterol as This research was supported by the Naval Medical
cholesteryl ester stored in cytoplasmic lipid droplets Research and Development Command. Department
(14. ?8). As physiologic demands change in response of the Navy. Task No. 63706N-M0096.004.0006.
to trophic hormones. cytosolic neutral cholesterol The opinions and assertions contained herein are
esterase is activated via cyclic adenosine mono- those of the authors and are not to be construed as
phosphate-dependent phosphorylation to cleave ofhcial or reflecting the views of the Nax-x, Depart-
cholesterol from cholesterol esters forming free cho- ment or the Naval Servile at large. The experiments
lesterol for steroid hormone biosynthesis (14. 15. conducted herein were performed according to the
28). principles set forth in the current edition of the Guide
Some triaryl phosphates have been reported to be for the Care and L’se of Laboratory Animals. Insti-
esterase inhibitors (8. 19). Another possible mech- tute of Laboratory Animal Resources. National Re-
anism for the lipidosis observed in the adrenal cor- search Council.
tex and 01 cells in rats administered TCP and BTP The authors thank HM3 William Milbrandt, HM3
would be a defect in the storage pathway caused by ~3yan Baer. Ms. Lana Martin, and other Navy per-
inhibition of neutral cholesterv ester hydrolase. An sonnel of the Toxicology Detachment and also Owen
inhibition of this enzyme would result in the ac- Kindig and Evelyn A. Handley of the Department
cumulation of cholesteryl esters in the adrenocor- of Veterinary Pathobiology for their technical as-
tical and 01 cells. The progressive cholesteryl lipi- sistance during this study.
dosis associated with increased duration of
xenobiotic exposure as seen in this study would be REFERENCES
consistent with this potential mechanism. Signifi-
cant decreases in neutral cholesteryl ester hydrolase
1. Abou-Donia MB (1981). Organophosphorus ester-
ABSTRACT
Knowledge of patterns of lesion distribution can provide insight into the relative roles played by regional
tissue dose and local tissue susceptibility in toxic responses to xenobiotics in the nose and assist assessment
of potential human risk. A consistent approach is needed for recording lesion distribution patterns in the
complex nasal airways of rats and mice. The present work provides a series of diagrams of the nasal passages
of the Fischer-344 rat and B6C3F1 mouse, designed for mapping nasal lesions. The diagrams present each
of the major cross-sectional airway profiles, provide adequate space for nasal mucosal lesion recording, and
are suitable for duplication in a commercial photocopier. Sagittal diagrams are also provided to permit
transfer oflesion location data observed in transverse sections onto the long axis of the nose. The distribution
of lesions induced by a selected range of xenobiotics is presented. Approaches to application of the diagrams
and interpretation of results obtained are discussed in relation to factors responsible for lesion distribution
in the nose and their relevance to interspecies extrapolation. A modified approach to anatomical classification
of the ethmoturbinates of the rodent is also presented.
Keywords. Pathology; dosimetry; anatomy; histology; toxicology; mapping lesions; olfaction
and a 3-mo-old male B6C3F1 mouse used for pre- special reference to the cross-sectional profile of the
vious studies of nasal morphometry (12). A consid- airway. A separate diagram was prepared for each
erable amount of detailed anatomical information level at which a characteristic, and essentially unique,
was also derived from nasal casts and other data airway profile occurred. When examining the trans-
sets generated for previous investigations of nasal verse diagrams, it is important to note that our goal
airflow in the F-344 rat (22, 32). was to design a working tool and not a precise copy
Preparation of Nasal Diagrams. Longitudinal di- of the nasal airway cross-sections. For instance, cer-
agrams were based on data derived from previous tain meatuses were enlarged slightly to provide space
studies of the nose of F-344 rats ( 12, 22, 29, 30, 32) for recording lesion location in these sites. The ma-
and B6C3F1 mice (12, 19). A diagram of a sagittal jor epithelial types lining the nose, squamous, tran-
section of the nose of a 3-mo-old male F-344 rat sitional, respiratory, and olfactory, were identified
(29) was optically scanned into Macintosh comput- by light microscopy and their locations recorded on
ers (LCIII, Powerbook 230) and modified using the diagrams.
MacDraw software (Claris Corporation) to include Mapping Selected Chemically Induced Nasal Le-
cross-section levels (see below). These cross-sec- sions. A range of previously reported nasal lesions
tional levels were correlated with buccal landmarks (Table I) was recorded on both transverse and lon-
using information derived from rat nasal dissections gitudinal diagrams of the nose. These lesions were
(Morgan and Gross, unpublished studies) and dia- selected because they occur in diverse regions of the
grams published by other researchers (41, 43). nose, have characteristic patterns of distribution,
Transverse nasal section levels were selected on and exhibit clear concentration-response relation-
the basis of critical features of nasal anatomy with ships.
FIG. lea) Midsaggital section of the nasal passages of a F-344 rat with the septum removed to reveal the turbinates.
Major landmarks on dorsal buccal cavity used for section level identification are shown for comparison with Fig. 1B.
Straight verticle lines indicate section levels selected for transverse diagrams. Curving solid lines indicate the junction
of the squamous-transitional, respiratory epithelia (anterior line) and respiratory-olfactory epithelia (posterior line).
Arrows indicate direction in which all major airway shapes are maintained in cross-sections. All cross-sections are
numbered in sequence, and missing numbers reflect the lack of landmarks for their identification in this figure. For
labeling of major structures. see Fig. 5. Modified from Morgan et al (29). B) Dorsal buccal cavity to show major landmarks
used for section level identification. The short arrows indicate section levels recommended by Morgan (28). Modified
from Young (4~).
I
Upper incisor tooth First palatal ridge Firs, upper molar tooth
Incisive papilla Second palatal ridge
FIG. 2.-Key to Figs. 3-6- Appropriate orientation of markers permits identification of distribution epithelial types.
All refer to isolated structures or regions covered by a single epithelial type. The nasolachrymal duct, teeth, and olfactory
bulbs are included in a simplified form as anatomical locators.
FIG. 3a-e. - Cross- sectional diagrams of the nasal passages of the F-344 rat- Numbers in right-hand lower region of
each diagram indicate section level on Fig. 1. The key for these diagrams is presented in Fig- 2.
F344 RAT
F344 RAT
F344 RAT
F344 RAT
FiG. 4a-~.-~ross-sectional diagrams of the nasal passages of the ~~C3F1 mouse. Numbers in right-hand lower region
of each diagram indicate section level on Fig. 1. The key for these diagrams is presented in Fig. 2.
B6C3F1 MOUSE
B6C3F1 MOUSE
B6C3F1 MOUSE
B6C3F1 MOUSE
fore. recorded on the maps using specific icons for TABLE n.―Anatomical classification of ethmoturbi-
each of the interepithelial junctions (Fig. 2). Dis- natesintherat.
tinction of the atrioturbinates (Fig. 5). which are
supported by cartilage. from other nasal turbinates.
which are generally supported by bore, is also of
value when interpreting responses in the most an-
terior regions of the nose. Other selected anatomical
features incorporated into the diagrams as &dquo;loca-
tors&dquo; included the incisor and molar teeth. naso-
lachrymal ducts. nasopalatine ducts, and olfactory
bulbs.
The anatomy of the anterior nose has been de-
scribed in some detail (13, 15, 32, 39): however, the
posterior nose is more complex and has been less
well defined. Examination of Figs. 3b9-3e30 and
4b9-4e30 will assist understanding of the shape of
the airways formed by the ethmoid turbinates. Rec-
ognition of these turbinates at their points of at-
tachment to the nasal wall and throughout their con-
voluted shapes within nasal sections cut at differing
levels and angles can be achieved with practice. and ventral scrolls, with the exception of the first
Copies of selected figures of the ethmoid region have ethmoturbinate, which has I medial and I lateral
been duplicated in Fig. 5 with incorporation of la- scroll anteriorly. The ethmoturbinates are seen to
beling to assist this identification process. fuse with each other or with the lateral nasal wall
Allen, in 1894 (39), was the first to subdivide these in a complex manner that can readily lead to their
turbinates into endo-/and ectoturbinates. This clas- rnisidentification.
sification was apparently based on turbinate shape: Finally, the nasoturbinate of the F-344 rat appears
ecto meaning going toward the exterior, and endo to have only a single scroll. in addition to a ridge
toward the interior. Using these definitions, we iden- lateral to this scroll [the lateral ridge reported by
tified 3 ectoturbinates and 3 endoturbinates in both Morgan et al (35)]. In certain strains of rats. how-
the rat and the mouse. This observation differs from ever, this ridge mav be extended to for a clear
the publication by Young (43), who reported the scroll. and the terms dorsal and ventral scroll may
presence of 2 ectoturbinates and 4 endoturbinates; be more appropriate for these portions of the na-
the second endoturbinate of Young has the form of soturbinate. In addition to interstrain differences,
an ectoturbinate. In our opinion, the terminology the internal structure of the rodent nose changes in
of Allen is too complex and could lead to unnec- shape with age (11). Thus. minor modifications of
essary confusion. For instance, in cross-sectional the diagrams may be needed.
views the ventral scroll of the anterior region of
Young’s third endoturbinate transforms caudallv Use of the Diagrams
into a structure resembling an ectoturbinate (cf. Fig. The objective of the mapping procedure should
3d24 and Fig. 3e28). The number ofturbinates seen be considered before starting this potentially time-
in cross-sections may also vary depending on the consuming process. For instance, if nasal airflow or
orientation of the cross-sections. local xenobiotic metabolism is of importance, cer-
A new system of classification of the ethmotur- tain lesion distribution patiems may be predicted.
binates of rats and mice is proposed. The most dor- Appropriate and adequate section levels can then
sal turbinate is identified as the first ethmoturbinate, be planned for histopathologic examination and for
and each subsequent turbinate, moving ventrally lesion mapping. Once section levels have been cho-
along the lateral wall of the nasal cavity, is numbered sen. they may be extracted from the full set of 30
sequentially. The F-344 rat and B6C3Fl mouse. diagrams provided here for photocopying onto a
using such an approach, have 6 ethmoturbinates. A single work sheet. This approach saves space and
comparison of the system recommended here for time during lesion recording. I-Io~~e~-er. if the section
the ethmoturbinates with those of other workers is levels on slides do not match the diagrams exactlv,
shown in Table II. The majority of the ethmotur- lesion recording can be difficult. In the case of the
binates exhibits 2 scrolls at some point in cross- mouse. which has a very small nose. or in the eth-
sections. while elsewhere they appear to have only moid region of the rat. where slight differences in
I scroll. These scrolls mav be referred to as dorsal section location or angle dramatically influence the
FIG. 5.~_-~. top) Sagittal section of nasal passages of the F-344 rat to identify selected structures; inset shows the
ethmoid turbinates of the BbC3F 1 mouse. ~ A = ventral atrioturbinate. DA dorsal atrioturbinate; N nasoturbinate;
= =
airwav profile observed,. this approach may be prob- many other changes. are described in the references
lematic. An alternative procedure is to photocopy listed in Table I.
all 30 diagrams. record lesion location for section Lesion distribution in the nose may be attribut-
levels in the slide set. and leave all other diagrams able to local dose. regional tissue susceptibility, or
blank. This approach also permits lesion recording (probably more commonly) a combination of these
where section angle varies, as several diagrams may factors (33). Interpretation of patterns of lesion de-
be required to incorporate all the regions seen in velopment can be assisted by addressing these issues
histologic preparations. The appropriate choice will consecutively. For instance. if airflow-driven dose
be dictated by the degree of resolution required. As is responsible for lesion location. it would be rea-
the nose changes in shape with age ( 11 ) and between sonable to expect responses in the major inspiratorv
strains of rats and mice (Morgan, unpublished ob- airways, especially in the nasal vesibule and in the
servations). minor modifications may also be need- anterior regions of the lateral and middle medial
ed prior to photocopying the diagrams to be incor- meatuses. and in the anterior dorsal medial meatus.
porated into the study. This characteristic pattern has been observed for
During lesion recording, transfer of information formaldehyde and attributed to local airflow-driven
from cross-sections onto a sagittal diagram is rec- deposition of this gas (22). Similar factors could
ommended, as this process may draw attention to account for the anterior-to-posterior severity gra-
patterns of lesion location. The location of the cross- dient observed for many gaseous irritants in the
sectional diagrams in the long axis of the nose is olfactory epithelium of the dorsal medial meatus
shown in Fig. 1 for all cross-sections having specific (5). However, lesion location in the anterior nose
anatomical landmarks visible in the midsagittal will also be influenced by relative tissue or cellular
view. Cross-sections not indicated in Fig. 1 lie be- susceptibility. For instance, this could account for
tween those indicated according to numerical se- the infrequency of lesions in the nasal vestibule.
quence. A compilation of data from cross-sections which is lined by squamous epithelium, in the pres-
is transferred to the longitudinal diagram, to include ence of severe changes in the transitional and re-
an assessment of the anterior-to-posterior extent of spiratory epithelial regions closely adjacent to the
the responses. For detailed localization of lesions in vestibule. In the anatomically more complex pos-
the long axis of the nose, more detailed maps could terior nose, determination of mechanisms respon-
be developed to include structures that are masked sible should include consideration of airflow-driven
by the turbinates in Fig. 1. For an example of such local dose in relation to local metabolic capacity and
an approach, see Morgan et al (29). regional blood now (36). Table I lists factors corn-
sidered to be the most probable underlying cause of
Selected Examples and lesion location for each of the examples cited.
Their Interpretation
The distribution of selected lesions induced by CONCLUSIONS
inhalation and noninhalation exposure to a range The present work wasundertaken as a direct con-
of chemicals, environmental cage contaminants, and sequence of previous studies of formaldehyde tox-
a rat-adapted influenza virus are shown in Fig. 6. icity in this laboratory. Mapping approaches were
These lesions occurred in a site-specific manner and used to identify the principal target sites of form-
involved a range of epithelial and subepithelial aldehyde in the nasal passages of rats. with respect
structures. Histological details of these lesions, which to nasal cancer ( 1) and inhibition of nasal muco-
included squamous epithelial hyperplasia (glutar- ciliary function (35). This localization process per-
aldehyde), secretory (ozone) and squamous (form- mitted subsequent studies of site-specific responses
aldehyde) metaplasia, intraglandular accumulations to formaldehyde. including the induction of I~!v A~
of proteinaceous material (dimeth~~lamine), olfac- protein cross-links (16) and epithelial cell replica-
tory epithelial degeneration (dibasic esters), and tion (27). Mapping of formaldehyde-induced nasal
DS=
dorsal scroll of nasoturbinate: VS = central scroll of nasoturbinate: M maxilloturbinate: ~’~ _ ventral recess
=
olfactory bulb. The labeling of the ethmoid turbinates is shown using a simplified system of nomenclature (Table II).
IE =
first ethmoturbinate: 3ED =
dorsal scroll of third ethmoturbinate: 3EV = centra! scroll of third ethmoturbinate,:
SED = dorsal scroll of f~fth ethmoturbinate: SEV ventral scroll of Iiftb ethmoturbinate. The venica) lines correspond
=
to section lemels shown in Fig. 5B. B. bottom) Cross-sections of the nose of the F-344 rat to show m:o’’’- -~n:!!Omical
features. including the meatuses. turbinates. and a proposed nomenclature for the ethmoturbinates (Ta;~ _&dquo;mpare
with Fig. 5A. ~.~eatuses: D~1 =
dorsal medial; ~1~1 medial media!: S’°Ni
=
superior entr-al medial: I> hi = mferior
=
ventral medial: DL =
dorsal lateral: ML middle lateral: B’L = central lateral.
=
Fm. 6.-Diagram to show distribution of lesions induced by selected agents (Table I) in both the cross-sectional (top)
and sagittal (bottom) planes.