digestive/alimentary system
• the immediate adjacent to the recto-anal transition zone junctional distal colon shows severe lesions
• the distal colon and ano-rectal transition from mice with rectal prolapse have increases in inflammation, hyperplasia, epithelial defects, and edema
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• mice with rectal prolapse show severe lesions in the rectum including recto-anal transitional zone with some extent into the immediate adjacent junctional distal colon
• in most mice with rectal prolapse, the prolapsed rectum shows moderate to severe mixed inflammation consisting of neutrophils, macrophages, lymphocytes and eosinophils, as well as epithelial erosions/ulcerations, prominent glandular hyper-proliferation and severe dysplasia/neoplasia
• mice with rectal prolapse frequently show thickened and proliferative rectum/rectal-colonic junction, forming moderate well differentiated micro-adenomatous to sessile proliferations with architectural and/or cytological atypia, visible mitosis, glandular herniation and invasion
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• 26% of mice develop progressively worsening rectal prolapse
• mice with rectal prolapse range in age from 4 months to 13 months, and 17/19 are males
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• the distal colon and ano-rectal transition from mice with rectal prolapse exhibit edema
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• the distal colon and ano-rectal transition from mice with rectal prolapse have increases in inflammation
• however, no florid typhlocolitis or colitis are seen
• some clinically normal mice infected with Helicobacter species show low-grade background inflammation throughout the lower bowel, most prominent in the cecum
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hematopoietic system
• increase in circulating and splenic CD45+CD11b+Gr1+ myeloid-derived suppressor cells in mice with rectal prolapse and strong infiltration in the rectal prolapse tissue of these myeloid cells
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homeostasis/metabolism
• the distal colon and ano-rectal transition from mice with rectal prolapse exhibit edema
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• mRNA expression of inflammatory factors including IFN-gamma, TNF-alpha, iNOS, IL-1beta, and IL-17 are elevated in rectal tissues and proximal colons of mice with rectal prolapse
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immune system
• mRNA expression of inflammatory factors including IFN-gamma, TNF-alpha, iNOS, IL-1beta, and IL-17 are elevated in rectal tissues and proximal colons of mice with rectal prolapse
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• in most mice with rectal prolapse, the prolapsed rectum shows moderate to severe mixed inflammation consisting of neutrophils, macrophages, lymphocytes and eosinophils, as well as epithelial erosions/ulcerations, prominent glandular hyper-proliferation and severe dysplasia/neoplasia
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• the distal colon and ano-rectal transition from mice with rectal prolapse have increases in inflammation
• however, no florid typhlocolitis or colitis are seen
• some clinically normal mice infected with Helicobacter species show low-grade background inflammation throughout the lower bowel, most prominent in the cecum
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• all mice with rectal prolapse and most mice without rectal prolapse are infected with Helicobacter species
• all mice with rectal prolapse are colonized by H. typhlonius and 53% are colonized by H. hepaticus
• 95% of 3 month or older clinically normal mice are co-infected with both H. typhlonius and H. hepaticus
• three clinically normal mice were infected with H. mastomyrinus and one with an unnamed isolate MIT01-6451
• ceca are more heavily colonized than colons and rectums have the lowest colonization of bacteria
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neoplasm
• dysplastic/neoplastic rectal lesions range from moderate to high grade dysplasia, intra-epithelial neoplasia, and well-differentiated invasive rectal carcinoma
• mice with rectal prolapse frequently show thickened and proliferative rectum/rectal-colonic junction, forming moderate well differentiated micro-adenomatous to sessile proliferations with architectural and/or cytological atypia, visible mitosis, glandular herniation and invasion
• invasive glands are frequently cystic with indistinct basement membrane and often partially lined by epithelium filled with mucous and denuded ghost cells
• hepatomas and hepatocellular carcinomas are not seen
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