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The encysted oncosphere develops a delicate monocellular inner germinal layer which secretes a PAS-positive polysaccharide protein complex, the acellular laminated layer that forms around the germinal layer (Fig. 3.9).. This endocyst grows up to 2 mm in thickness. Even though the laminated layer is delicate, it protects the inner more fragile germinal layer. The endocyst is the true wall of the cyst. The germinal layer produces clear fluid which attains a pressure of up to 300 mm of water, keeping the endocyst in intimate contact with the pericyst. The endocyst receives its sustenance from the pericyst. Although hydatid fluid has been studied extensively, the mechanisms by which fluid and other substances are transferred into the avascular cyst are not well understood. It is certain, however, that transfer does take place since host proteins and some lipids that are not synthesized by Echinococcus are found in the cyst fluid. Diffusion, endocytosis, specific filter or transport mechanisms, and fissures in cyst membranes have been suggested to explain transport, although evidence for fissures is not convincing. Fig. 3.9 (A) Microscopic pathology of a segment of an intact E. granulosus cyst from inside to outside: (1) single germinal cell layer with protoscolex; (2) laminated membrane supporting the germinal layer; both 1 and 2 = the parasitic cyst (endocyst); (3) pericyst (adventitial layer) produced by the host to confine the parasite, consisting of collagen and fibroblast tissue containing blood vessels through which the parasite receives nutrients by diffusion. (Courtesy of Dr. von Sinner.) (B) Microscopic section of endocyst showing laminated membrane (right) lined on its inner surface by the nucleated germinal layer (arrows) which produces brood capsules and scolices. One scolex is intact but the others have been sectioned. Linear fragments of a disintegrated brood capsule from which scolices were released are seen inferiorly (Hematoxylin & eosin, X 250). (Courtesy of Dr. Lewall.) (C) Multilaminated wall of an E. granulosus liver cyst. X170. AFIP 55-10224. |
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Copyright: Palmer and Reeder