Organ physiopathology and histopathology

A.A. 2019/2020
Insegnamento per
10
Crediti massimi
96
Ore totali
SSD
BIO/09 MED/04 VET/03
Lingua
Inglese
Obiettivi formativi
The goal of the course is to provide the students an overview of the integrated physiological systems involved in homeostasis and in complex behaviours and of the processes which may be altered by xenobiotics. First, the course will provide the concepts of organ physiology necessary to understand the impact of xenobiotics on body homeostasis. This will include principles of physiological regulation of whole organ functions. Then, the course will provide information regarding comparative pathology of laboratory animals (mice, in particular) as models of human diseases. More specifically, the discussed topics will include: how to perform a mouse necropsy, including sampling procedures, classification of lesions, histological and immunohistochemical techniques in experimental pathology, digital image analysis in pathology and experimental animals as models of human diseases. The course will also describe the pathogenetic mechanisms leading to organ dysfunction and disease after acute or chronic exposure to xenobiotics. Both systemic and local perturbations of homeostasis will be described, and related symptoms and alterations of physiological parameters will be studied together with the available diagnostic tools. Finally, the course will provide information regarding comparative histopathology (integrative study of human and animal pathology to gain knowledge by comparing disease mechanisms across species and to use this for the benefit of both human and animal health) of laboratory animals (mice in particular) as models of human diseases. More specifically: classification of lesions, how to perform a necropsy of a mouse and sampling procedures, histological and immunohistochemical techniques in experimental pathology, digital image analysis in pathology and main animals models of human diseases.
At the end of the course, the students are expected to possess a knowledge and understanding in basic histopathology. The acquired skills and competencies will allow the students to recognize the main types of lesions (especially those of toxicological relevance) in both humans and laboratory animals and to know their causes and the way of their development. Moreover, the students are expected to understand and interpret a toxicological pathology report.

Struttura insegnamento e programma

Edizione attiva
Responsabile
Moduli o unità didattiche
Lab of Comparative Histopathology
VET/03 - PATOLOGIA GENERALE E ANATOMIA PATOLOGICA VETERINARIA - CFU: 3
Laboratory individual activity: 16 ore
Lectures: 16 ore

Organ Physiology and Pathology
BIO/09 - FISIOLOGIA - CFU: 0
MED/04 - PATOLOGIA GENERALE - CFU: 0
: 16 ore
Lectures: 48 ore

STUDENTI FREQUENTANTI
Propedeuticità
Teachers suggest to take first the module of Lab of Comparative Histopathology; second the module of Organ Physiology then the module of Pathology
Prerequisiti e modalità di esame
Each course module is followed by a specific exam aimed to verify that the objectives of each module have been achieved. Exams will cover all the topics presented in each specific module.
The exam of the module "Organ Physiology" consists in an oral examination. For students participating in itinere to the lab tests, their personal outcome will concur to the final evaluation.
The exam of the module "Organ Physiopathology " consists in a written part (3 open questions and short answers (15-30 lines) for each question. Time allotted: 60 minutes) and a subsequent oral part (including a brief discussion of the student's written answers and 2 questions on different topics).
The exam of the module "Histopathology" is composed of 2 parts:
1. written part: 3 questions (example > Thrombosis: give a definition, describe the gross and histological findings and list the main causes). Short answer (5-10 lines) for each question. Time allotted: 30 minutes total.
2. oral part: after passing the written part, the oral part consists in a discussion mainly based on the written part of the candidate. Slides of lectures represent the study material that is enough to pepare for the exam. They are provided to the students on the Ariel platform as pdf files.

Final mark will be the weighted average of module grades.
Metodi didattici
This course is composed of frontal lessons, seminars, web-based laboratories and practical lab training
Organ Physiology and Pathology
Programma
This module will face the basic mechanisms and processes regulating the function of most important organs in humans, such as liver, kidney, lung, skin, gut and nervous system.

Principal of general and cellular physiology
Membrane transports, toxicant metabolism, excretion
Liver physiology
Hepatic functions secretion, clearance
Kidney physiology
Renal filtration, excretion, secretion, clearance
Respiratory physiology
Lung functions, gas exchange, oxygen transport
Acid/Base control, renal and lung buffer systems
Skin physiology: absorption, metabolism
Nervous system physiology, potential, conduction
Autonomic, somatic, motor nervous system
Digestive system physiology
Gastric/gut, motility, secretion, digestion


Module of physiopathology


Principles of general and organ pathology
Atrophy, hypertrophy, hyperplasia, metaplasia
Inflammation (acute, chronic, mechanisms)
Cancerogenesis
Molecular pathophysiology of cancerogenesis
Infectious agents and cancer
Chemical agents and cancer
Physical agents and cancer
Cancer staging
Liver diseases
Liver function assessment
Mechanisms of liver damage progression
Viral hepatitis
Non-alcoholic liver diseases
Toxic liver damage
Lung diseases
Infectious diseases
Obstructive diseases
Restrictive diseases
Adult respiratory distress syndrome
Respiratory failure
Kidney diseases
Kidney function assessment
Cystic renal diseases
Acute and chronic kidney failure
Kidney cancer
Kidney stones
Toxic kidney damage
Blood diseases
Biomarkers of blood diseases
Leukemias
Lymphomas (Hodgkin and non-Hodgkin)
Endocrine disruptors (ED)
Principles of hormone function
Mechanisms of action of EDs
Pathological features of specific ED action
Metodi didattici
This course is composed of frontal lessons, seminars and web-based laboratories
Materiale didattico e bibliografia
- Guyton and Hall Textbook of Medical Physiology, Author John E. Hall, Ed. Saunders, ISBN 9781455770052
- Human Physiology, L. Sherwood, ISBN-13: 978-1133104551
- Human Physiology: an integrated approach (7th ed. ), D.U. Silverthorn, ISBN-13: 978-0321981226
Lab of Comparative Histopathology
Programma
1. Introduction (1 hour)
· Introduction to the course
· Veterinary pathology: an introduction
· In vivo studies in laboratory animals: the role of pathology
2. General anatomic pathology (6 hours)
· Malformations
· Lesions due to physical agents
· Lesions due to chemical agents
· Nutritional diseases
· Modification of cellular growth
· Degeneration, distrophy, apoptosis, necrosis
· Pathological mineralization and pigmentation
· Circulatory disturbances
· Inflammation
· Tumors
3. Techniques in histology (2 h)
· Necropsy
· Sampling, fixation and processing for histopathology
· Special stainings in histopathology
· Immunohistochemistry (IHC), immunofluorescence (IF), fluorescent in situ hybridization (FISH), transmission and scanning electron microscopy (TEM and SEM)
· Scoring of lesions
· Digital image analysis (DIA)
4. Animal models (1 h)
· Models of cancer
· Models of angiogenesis
· Models of metastasis
· Models of inflammation
5. Spontaneous pathology of laboratory animals (1 h)
6. Special pathology (4 h)
· Liver
· Kidney
· Lung
· Intestine

Program of practical
1. Examination of hisytological slides at the microscope (8 hours)
2. Digital image analysis (2 hours)
3. Visit to a laboratory (6 hours)
Metodi didattici
This course is composed of frontal lessons and practical lab training
Materiale didattico e bibliografia
Students are provided with PPT presentations of all lectures: these presentation represent the study material for the preparation of the exam.
Further matherial (PPT presentations and digital images) related to the practicals are given to the students.
STUDENTI NON FREQUENTANTI
Prerequisiti e modalità di esame
as above
Organ Physiology and Pathology
Programma
as above
Materiale didattico e bibliografia
as above
Lab of Comparative Histopathology
Programma
as above
Materiale didattico e bibliografia
as above
Periodo
Primo semestre
Periodo
Primo semestre
Modalità di valutazione
Esame
Giudizio di valutazione
voto verbalizzato in trentesimi
Docente/i
Ricevimento:
dal Lunedì al Venerdì, previo appuntamento
Via Balzaretti 9, Piano 3A
Ricevimento:
su appuntamento
Dipartimento di Scienze Farmacologioche e Biomolecolari
Ricevimento:
Lunedì 10-12
Anatomia patologica, Facoltà di Medicina Veterinaria, Via Celoria 10, Milano