Fig. 6: Detailed histopathological analysis of the lung. | npj Vaccines

Fig. 6: Detailed histopathological analysis of the lung.

From: H7N9 influenza split vaccine with SWE oil-in-water adjuvant greatly enhances cross-reactive humoral immunity and protection against severe pneumonia in ferrets

Fig. 6

ac Representative hematoxylin and eosin (HE)-stained lung sections to illustrate the scoring system of pathology parameters. Scores of the pathology parameters that go along with the images (a.1-c3) are indicated in the table. All individual scores are presented in supplementary Fig. 1. Bronchioli and blood vessels are marked in blue and green, respectively. Enlargements: ×10 objective, bar represents 100 µm. a images a.1–3 are representative sections for the placebo groups and illustrate necrotizing denudation of bronchioli with luminal plugs of inflammatory exudate (a.1,*), accompanied by a large peribronchiolar rim of lymphocytes and some polymorphonuclear (PMN) cells (a.1,+). Inflammation is spread into the interstitium (a.1, ) and alveolar space (a.3, ). Hyperemia is strongly present and alveolar space is filled with edema, fibrin, and debris and PMN are regularly present (a.2 and A.3, ). Inflamed small arteries with perivascular inflammation are also observed (a.2, +). b images b.1–3 are typical for a few placebo- and split-vaccinated animals that were either less or more affected than the general trend, respectively. Bronchioli with moderate peribronchial inflammation (b1, +) and hyperplasia of epithelium (b.1, ). Alveolar septa with mild or slight (b2, ) inflammation and hyperemia and alveoli filled with erythrocytes (b3, ). c images c.1–3 are representative for the split-vaccinated ferrets. Observable are a bronchiolus with minimal peribronchiolar inflammation and hyperplasia of epithelium (c.1, +), alveolar septa with minimal inflammation and hyperemia (c.1, c2 ) and minimal inflammation of the alveoli (c.2). The small vene minimally inflamed (c.2, +). c3 shows a normal histology of the lung parenchyma. Presence of normal bronchiolar epithelia and a blood vessel, regular alveoli with thin septa and absence of enhanced cellularity.

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