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Chest2014; 145(6); 1325-1332; doi: 10.1378/chest.13-1306

Chronic pleuropulmonary fibrosis and elastosis of aged donkeys: similarities to human pleuroparenchymal fibroelastosis.

Abstract: Donkey pulmonary fibrosis (DPF) is a spontaneous syndrome of aged donkeys with a high prevalence (35%). No previous detailed characterization of DPF has been performed. We sought to determine the similarities between DPF and recognized patterns of human pulmonary fibrosis. Methods: Whole lungs were collected from 32 aged donkeys at routine necropsy. Gross examination revealed pulmonary fibrosis in 19 donkeys (DPF cases), whereas 13 (control cases) had grossly normal lungs. Eighteen whole inflated ex vivo lungs (11 DPF cases, seven control cases) were imaged with high-resolution CT (HRCT) scan, whereas the remainder were sectioned and photographed. Tissue samples were collected from all lungs for histopathologic evaluation using a standardized protocol. HRCT images and histology sections underwent independent blinded review. Lung tissue was analyzed for herpes virus, fungal hyphae, mycobacteria, and dust content. Results: Ten of 19 DPF lungs were categorized as being consistent with pleuroparenchymal fibroelastosis (PPFE) according to previously defined histologic and imaging criteria. All 10 PPFE-like lungs had marked pleural and subpleural fibrosis, predominantly within the upper lung zone, with accompanying intraalveolar fibrosis and elastosis. Asinine herpesvirus was ubiquitously expressed within control and DPF lung tissue. No other etiologic agents were identified. Conclusions: Many cases of DPF share key pathologic and imaging features with human PPFE, a rare interstitial pneumonia. Consequently, further study of DPF may help to elucidate the etiopathogenesis of human PPFE.
Publication Date: 2014-06-04 PubMed ID: 24889435DOI: 10.1378/chest.13-1306Google Scholar: Lookup
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  • Comparative Study
  • Journal Article

Summary

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The research paper presents new information about donkey pulmonary fibrosis (DPF), a common disease in aged donkeys, by investigating its similarities with known types of human pulmonary fibrosis. It did this by collecting and examining the lungs of a group of donkeys after death, comparing those that had DPF with those that didn’t. It found that DPF shares key features with a rare human condition called pleuroparenchymal fibroelastosis (PPFE).

Overview of the Study

  • The study aims to provide an in-depth examination of donkey pulmonary fibrosis (DPF), an illness that affects around 35% of aged donkeys. The researchers wanted to determine if there is a similarity between DPF and the various recognized types of human pulmonary fibrosis.
  • Researchers collected complete lungs from thirty-two donkeys postmortem. An initial examination showed clear signs of pulmonary fibrosis in nineteen of the donkeys, while the remaining thirteen were classified as control cases with seemingly healthy lungs.

Research Method

  • The lungs were subject to high-resolution computed tomography (CT) scanning and then sectioned and photographed for further analysis.
  • The researchers also took tissue samples from all the lungs and evaluated them according to a standardized protocol.
  • To ensure impartiality, the high-resolution CT images and histology sections were reviewed by independent, blinded reviewers.
  • The lung tissue was tested for the potential presence of the herpes virus, fungal hyphae, mycobacteria, and dust content.

Key Results and Findings

  • Out of the 19 DPF affected lungs, 10 were found to be consistent with pleuroparenchymal fibroelastosis (PPFE), considering the previously defined histologic and imaging criteria. These 10 lungs showed significant fibrosis in the pleural and subpleural regions, predominantly in the upper lung zone, along with intra-alveolar fibrosis and elastosis.
  • The presence of the herpes virus was found in the lung tissue of both control and DPF cases. However, no other possible causative agents were identified.

Conclusions and Implications

  • The study concludes that donkey lung fibrosis shows many pathologic and imaging similarities with human pleuroparenchymal fibroelastosis, a rare form of interstitial pneumonia.
  • Further research and understanding the etiopathogenesis of Donkey Pulmonary fibrosis could provide valuable insights into the study of human pleuroparenchymal fibroelastosis.

Cite This Article

APA
Miele A, Dhaliwal K, Du Toit N, Murchison JT, Dhaliwal C, Brooks H, Smith SH, Hirani N, Schwarz T, Haslett C, Wallace WA, McGorum BC. (2014). Chronic pleuropulmonary fibrosis and elastosis of aged donkeys: similarities to human pleuroparenchymal fibroelastosis. Chest, 145(6), 1325-1332. https://doi.org/10.1378/chest.13-1306

Publication

ISSN: 1931-3543
NlmUniqueID: 0231335
Country: United States
Language: English
Volume: 145
Issue: 6
Pages: 1325-1332
PII: S0012-3692(15)34805-4

Researcher Affiliations

Miele, Amy
  • Medical Research Council Centre for Inflammation Research, Queen's Medical Research Institute, and Royal (Dick) School of Veterinary Studies and The Roslin Institute, University of Edinburgh, Edinburgh, Scotland.
Dhaliwal, Kevin
  • Medical Research Council Centre for Inflammation Research, Queen's Medical Research Institute, and Royal (Dick) School of Veterinary Studies and The Roslin Institute, University of Edinburgh, Edinburgh, Scotland.
Du Toit, Nicole
  • The Donkey Sanctuary, Sidmouth, Devon, England.
Murchison, John T
  • Department of Radiology, Department of Pathology, New Edinburgh Royal Infirmary, Edinburgh, Scotland.
Dhaliwal, Catharine
  • Department of Radiology, Department of Pathology, New Edinburgh Royal Infirmary, Edinburgh, Scotland.
Brooks, Harriet
  • Department of Radiology, Department of Pathology, New Edinburgh Royal Infirmary, Edinburgh, Scotland.
Smith, Sionagh H
  • The Donkey Sanctuary, Sidmouth, Devon, England.
Hirani, Nik
  • Medical Research Council Centre for Inflammation Research, Queen's Medical Research Institute, and Royal (Dick) School of Veterinary Studies and The Roslin Institute, University of Edinburgh, Edinburgh, Scotland.
Schwarz, Tobias
  • The Donkey Sanctuary, Sidmouth, Devon, England.
Haslett, Chris
  • Medical Research Council Centre for Inflammation Research, Queen's Medical Research Institute, and Royal (Dick) School of Veterinary Studies and The Roslin Institute, University of Edinburgh, Edinburgh, Scotland.
Wallace, William A
  • Department of Radiology, Department of Pathology, New Edinburgh Royal Infirmary, Edinburgh, Scotland.
McGorum, Bruce C
  • The Donkey Sanctuary, Sidmouth, Devon, England. Electronic address: bruce.mcgorum@ed.ac.uk.

MeSH Terms

  • Aging / pathology
  • Aging / physiology
  • Animals
  • Autopsy
  • Disease Models, Animal
  • Elasticity / physiology
  • Equidae
  • Female
  • Horse Diseases / pathology
  • Horse Diseases / physiopathology
  • Horses
  • Humans
  • Lung / diagnostic imaging
  • Lung / pathology
  • Lung / physiopathology
  • Lung Diseases / pathology
  • Male
  • Pulmonary Fibrosis / pathology
  • Pulmonary Fibrosis / physiopathology
  • Tomography, X-Ray Computed

Grant Funding

  • G0901697 / Medical Research Council
  • MR/J014702/1 / Medical Research Council

Citations

This article has been cited 10 times.
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