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HISTOPATHOLOGY	STUDY	OF	SEASONAL
INFLUEN	ZA	VIRUS	SUBTYPE	(H1	N1,	H3N2)
AND	TYPE	B	ISOLATED	FROM	NASAL	SWAB	OF
HUMAN	S	IN	ALNAJAF	PROVINCE	(IRAQ)
AFTER	THE	PREPARATION	OF	A	LOCAL	I...
Article	·	January	2014
CITATIONS
0
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60
1	author:
Fadyia	Mahdi	Alameedy
University	Of	Kufa
7	PUBLICATIONS			0	CITATIONS			
SEE	PROFILE
Available	from:	Fadyia	Mahdi	Alameedy
Retrieved	on:	02	October	2016
|| Bioinfo Publications || 33
NotforDistribution
Journal of Pathology Research
ISSN: 0976-8068 & E-ISSN: 0976-8076, Volume 3, Issue 1, 2014, pp.-033-036.
Available online at http://www.bioinfopublication.org/jouarchive.php?opt=&jouid=BPJ0000276
ALAMEEDY F.M.M.1*, ALKHAFAJI Y.A.2 AND ALSAADI A.A.1
1Department of Biology, Faculty of Sciences, Kufa University, Najaf, Iraq.
2Faculty of Dentistry, University of Babylon, Al-Hillah, Iraq.
*Corresponding Author: Email- fadyiamahdi@yahoo.com
Received: December 23, 2013; Accepted: January 25, 2014
Introduction
Since 1918, influenza virus has been one of the major causes of
morbidity and mortality, especially among young children. Though
the commonly circulating strain of the virus is not virulent enough to
cause mortality, the ability of the virus genome to mutate at a very
high rate may lead to the emergence of a highly virulent strain that
may become the cause of the next pandemic. Apart from the influ-
enza virus strain circulating in humans (H1N1 and H3N2), the avian
influenza H5N1 H7 and H9 virus strains have also been reported to
have caused human infections, H5N1 H7and H9 have proven their
ability to cross the species barrier for birds to humans and further
replicate in humans [1,2].
Histopathological changes in various organs are similar, irrespec-
tive of the animal species and dose of indomethacin, and include
widespread congestion and haemorrhage, thrombi in arterioles and
capillaries of the kidney, heart, lungs and splenic fat, With wide-
spread glandular degeneration and necrosis [3,4].
The pathologic findings in these contrasting cases of novel influen-
za A (H1N1) infection are similar to those previously described for
seasonal influenza. The main pathologic abnormality in fatal cases
is diffuse alveolar damage, but it may be overshadowed by an
acute bacterial bronchopneumonia [5].
The main histopathological findings in all the examined lungs in the
four herds were moderate to intense infiltration of leukocytes in the
lamina propria and epithelium of small bronchi and bronchioles and
mild to prominent peribronchiolar, peribronchial, and perivascular
lymphocyte infiltrates. The lesions were multifocal and showed a
lobular distribution and were observed in the majority of the exam-
ined sections, but they were most prominent in the cranial and cen-
tral parts of the lungs. Moderate to severe bronchiolar and bronchial
lesions were also observed in areas with no gross lesions as well
as in one lung from herd 3 with no gross pathological registrations
[6,7].
Necrotic bronchial and bronchiolar epithelium and attenuation of the
epithelial lining with flattening of the epithelial cells were seen. Vary-
ing amounts of granulocytes, sloughed epithelial cells, cell debris,
and mucus were present in the lumina of many bronchioles and
small bronchi [8].
Other findings included hepatic central lobular necrosis, edema and
degeneration of myocytes in the heart and extensive acute tubular
necrosis in the kidney have been observed [9,10]. Although the
gastrointestinal, hepatic, renal, and hematologic manifestations
could suggest wider tissue tropism, there was no evidence of viral
replication in organs outside the respiratory tract [11].
Material and Methods
Tissue Processing
Tissue processing was concerned with the diffusion of various sub-
stances into and out of stabilizes porous tissues. The diffusion pro-
cess results from the thermodynamic tendency of processing rea-
gents to equalize concentrations inside and outside blocks of tissue.
Preparation of Tissue Sections
Procedure was conducted in this study [12], which included the
following steps:
Dehydration: The section passed in the concentrations of progres-
sive forms of ethanol (70, 80, 90, and 95,100%). For the period (1.5
- 2 hours) in each concentration in order to remove water.
Clearing: Samples were cleared with xylene, twice for a period of
(1.5-2 hours) for each time in order to remove the clearing solution
from the tissue.
Infiltration: The samples were infiltrated with melted paraffin wax
(56-58ºC) by placing the samples twice (1.5-2) hours each time.
Embedding: Buried samples in a container with specific templates
to molten paraffin wax and left to harden.
Sectioning: Tissues were sectioned into (2-4μm) thickness using a
rotary microtom and fixed models on the slides using the adhesive
(Meyers albumin) and then put the slide in the oven at a tempera-
ture of (56- 58ºC) for (20) minutes to remove excess wax.
Staining: Histological Staining- Haematoxylin & Eosin (H&E) The
Journal of Pathology Research
ISSN: 0976-8068 & E-ISSN: 0976-8076, Volume 3, Issue 1, 2014
Abstract- The present study included the section histopathology for rats (male) organs including (lung, trachea, kidney, spleen, heart) of a
local inactivated subunit and whole vaccine appeared of all of both locally vaccine after seven months of vaccination and control histopathology
unchanged compared with infected group after first month.
Keywords- Haematoxylin, Eosin
HISTOPATHOLOGY STUDY OF SEASONAL INFLUENZA VIRUS SUBTYPE (H1N1, H3N2) AND
TYPE B ISOLATED FROM NASAL SWAB OF HUMANS IN ALNAJAF PROVINCE (IRAQ) AFTER
THE PREPARATION OF A LOCAL INACTIVATED SUBUNITE AND WHOLE VACCINE
|| Bioinfo Publications || 34
NotforDistribution
routine stain is that of hematoxylin and eosion and the technique
are proven in [Table-1].
Table 1- The steps used to stain slides with H&E
Microscopic Examinations: The stained section on the slide was
examined by using light microscope (Olympus, Japan). Histopatho-
logical changes were also reported by experienced histopathology.
Result
Histopathological Changes
The microscopic studies proven varying degrees of cellular changes
from mild to marked of infected group compared with vaccinated
group.
Histological changes were observed in the lung showing necrotizing
bronchiolitis. There is necrosis of the bronchiolar wall, with submu-
cosal edema and vascular congestion. A mixed inflammatory cell
infiltrate is present throughout the epithelial lining of the proliferation
of the remaining epithelium. The lumen contain sloughed epithelial
cells and mixed leukocytes. A large number of lymphocytes are
seen infiltrating sub epithelial and peribronchiolar connective tissue.
The alveolar air spaces contain edema fluid, thickening of the alve-
olar septa compared with the control lung, hemorrhage and hyper-
plasia smooth muscle in wall of pulmonary blood vessels, there is
interstitial capillary congestion, and a peribronchiolar vessel strands
of fibrin. There is fragmentation of surrounding bronchial muscle
large togather with partial shedding of the mucosal lining and the
appearance of cellular debris in destructed bronchiole.
Trachea showed epithelial disorganization including (mononuclear
cell infiltration and intense nuclear hyperchromasis). Disruption of
beam structure and dystrophy of hepatocytes in liver,, regions of
necrobiosis, appearance of nacked nuclei and empty cytoplasm.
Haemorrhages in glomerules and hyalinosis in renal tubules dystro-
phy of functional renal cell elements, tubular necrosis, glomerular
destruction and formation of large lumens between the tubules,
sever congestion. Devastation of cells in marginal zone of spleen,
erythrocyte destruction in red pulpa with appearance of moderate
haemorrhages. Heart indicated necrosis, hyalinization of muscle
fibers with focal cellular infiltrations, damage and irregular arrange-
ment and morphological change of myofibrils associated with in-
creased interfibrillar distance infected experiential animal indicated
cardiac muscle separation, myofiber loss, extensive subendocardial
necrosis and inflammatory infiltrate into the myocardium and focal
edema [Fig-1].
Journal of Pathology Research
ISSN: 0976-8068 & E-ISSN: 0976-8076, Volume 3, Issue 1, 2014
Alameedy F.M.M., Alkhafaji Y.A. and Alsaadi A.A. (2014) Histopathology Study of Seasonal Influenza Virus Subtype (H1N1, H3N2) and Type B Isolated....
Journal of Pathology Research, ISSN: 0976-8068 & E-ISSN: 0976-8076, Volume 3, Issue 1, pp.-033-036.
Step Reagent Time Step Reagent Time
1 Xylene 5min 8 Running tap water 10 min
2 Xylene 5min 9 0.1% Acid Alcohol 1 min
3 Absolute Alcohol 2 min 10 Running tap water 3 min
4 Ethanol (90%) 2 min 11 2% Eosin 1 min
5 Ethanol (70%) 2 min 12 Ethanol (70%) 2 min
6 DW 2 min 13 Ethanol (90%) 2 min
7 Haematoxylin 3 min 14 Absolute Alcohol 2 min
15 Dry, Xylene and mounted in DPX
Control Infected Vaccinated
LungTrachea
|| Bioinfo Publications || 35
NotforDistribution
Alameedy F.M.M., Alkhafaji Y.A. and Alsaadi A.A. (2014) Histopathology Study of Seasonal Influenza Virus Subtype (H1N1, H3N2) and Type B Isolated....
Journal of Pathology Research, ISSN: 0976-8068 & E-ISSN: 0976-8076, Volume 3, Issue 1, pp.-033-036.
Control Infected Vaccinated
Fig. 1- Section from (Lung, Trachea, Liver, Kidney, Spleen, Heart) of vaccinated, infected and control groups indicated Histopathological of rat,
Hematoxyline-Eosin stain, 40X.
LiverKidneySpleenHeart
Journal of Pathology Research
ISSN: 0976-8068 & E-ISSN: 0976-8076, Volume 3, Issue 1, 2014
|| Bioinfo Publications || 36
NotforDistribution
Discussion
Histopathological Changes
There were obvious differences among histological sections of in-
fected group of rats after infection compared with control and vac-
cinated group. After challenge test of vaccinated group with virulent
virus there were no changes up to 4 months for animals given local-
ly prepared inactivated vaccine (whole) and animals vaccinated with
subunit vaccine. This observation is consistent with other studies
[13,14].
Conflicts of Interest: None Declared.
References
[1] Perez-Padilla R., De La Rosa-zamboni D., Ponce de Leon S.,
Hernandez M., Quiñones-Falconi F., Bautista E. and Cordova-
Villalobos J.A. (2009) New England Journal of Medicine, 361(7),
680-689.
[2] Bristow N.K. (2012) American Pandemic: The Lost Worlds of
the 1918 Influenza Epidemic, Oxford University, 15, 234-245.
[3] Nin N., Sánchez-Rodríguez C., Ver LS., Cardinal P., Ferruelo
A., Soto L., Deicas A., Campos N., Rocha O., Ceraso DH., El-
Assar M., Ortín J., Fernández-Segoviano P., Esteban A. and
Lorente J.A. (2012) Medicina Intensiva, 36(1), 24-31.
[4] Daoust P.Y., Van de Bildt M., van Riel D., van Amerongen G.,
Bestebroer T., Vanderstichel R., Fouchier R.A.M. and Kuiken T.
(2013) Veterinary Pathology Online, 50(3), 548-559.
[5] Sanjay-Mukhopadhyay M.D., Abraham T., Philip M.D. and Rob-
ert-Stoppacher M.D. (2010) American journal of clinical patholo-
gy, 133(3), 380-387.
[6] Abraham T., Fong G. and Scott A. (2011) Musculoskel. Disord.,
17, 1471-2474.
[7] Brooks W.A., Alamgir A.S.M., Sultana R., Islam M.S., Rahman
M., Fry A.M. and Rahman M. (2009) Emerging Infectious Dis-
eases, 15(8), 1311-1313.
[8] Mauad T., Hajjar L.A., Callegari G.D., da Silva L.F., Schout D.,
Galas F.R. and Saldiva P.H. (2010) American journal of respira-
tory and critical care medicine, 181(1), 72-79.
[9] Ng W.F., To K.F., Lam W.W.L., Ng T.K. and Lee K.C. (2006)
Human Pathology, 37(4), 381-390.
[10]Gu J., Xie Z., Gao Z., Liu J., Korteweg C., Ye J. and Lipkin W.I.
(2007) The Lancet, 370(9593), 1137-1145.
[11]To K.F., Chan P.K., Chan K.F., Lee W.K., Lam W.Y., Wong
K.F., Tang N.L., Tsang D.N., Sung R.Y., Buckley T.A., Tam J.S.
and Cheng A.F. (2001) Journal of Medical Virology, 63(3), 242-
246 .
[12]Bancroft J.D. and Stevens A. (1999) Theory and Practice of
Histological Techniques. Fourth edition. New York: Churchill
Livingstone.
[13]Glazebrook M.A., Wright J.R., Langman M., Stanish W.D. and
Lee J.M. (2008) Journal of Orthopaedic Research, 26(6), 840-
846.
[14]Heinemeier K.M., Skovgaard D., Bayer M.L., Qvortrup K., Kjaer
A., Kjaer M., Magnusson S.P. and Kongsgaard M. (2012) Jour-
nal of Applied Physiology, 113(5), 827-836.
Journal of Pathology Research
ISSN: 0976-8068 & E-ISSN: 0976-8076, Volume 3, Issue 1, 2014
Alameedy F.M.M., Alkhafaji Y.A. and Alsaadi A.A. (2014) Histopathology Study of Seasonal Influenza Virus Subtype (H1N1, H3N2) and Type B Isolated....
Journal of Pathology Research, ISSN: 0976-8068 & E-ISSN: 0976-8076, Volume 3, Issue 1, pp.-033-036.

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  • 2. || Bioinfo Publications || 33 NotforDistribution Journal of Pathology Research ISSN: 0976-8068 & E-ISSN: 0976-8076, Volume 3, Issue 1, 2014, pp.-033-036. Available online at http://www.bioinfopublication.org/jouarchive.php?opt=&jouid=BPJ0000276 ALAMEEDY F.M.M.1*, ALKHAFAJI Y.A.2 AND ALSAADI A.A.1 1Department of Biology, Faculty of Sciences, Kufa University, Najaf, Iraq. 2Faculty of Dentistry, University of Babylon, Al-Hillah, Iraq. *Corresponding Author: Email- fadyiamahdi@yahoo.com Received: December 23, 2013; Accepted: January 25, 2014 Introduction Since 1918, influenza virus has been one of the major causes of morbidity and mortality, especially among young children. Though the commonly circulating strain of the virus is not virulent enough to cause mortality, the ability of the virus genome to mutate at a very high rate may lead to the emergence of a highly virulent strain that may become the cause of the next pandemic. Apart from the influ- enza virus strain circulating in humans (H1N1 and H3N2), the avian influenza H5N1 H7 and H9 virus strains have also been reported to have caused human infections, H5N1 H7and H9 have proven their ability to cross the species barrier for birds to humans and further replicate in humans [1,2]. Histopathological changes in various organs are similar, irrespec- tive of the animal species and dose of indomethacin, and include widespread congestion and haemorrhage, thrombi in arterioles and capillaries of the kidney, heart, lungs and splenic fat, With wide- spread glandular degeneration and necrosis [3,4]. The pathologic findings in these contrasting cases of novel influen- za A (H1N1) infection are similar to those previously described for seasonal influenza. The main pathologic abnormality in fatal cases is diffuse alveolar damage, but it may be overshadowed by an acute bacterial bronchopneumonia [5]. The main histopathological findings in all the examined lungs in the four herds were moderate to intense infiltration of leukocytes in the lamina propria and epithelium of small bronchi and bronchioles and mild to prominent peribronchiolar, peribronchial, and perivascular lymphocyte infiltrates. The lesions were multifocal and showed a lobular distribution and were observed in the majority of the exam- ined sections, but they were most prominent in the cranial and cen- tral parts of the lungs. Moderate to severe bronchiolar and bronchial lesions were also observed in areas with no gross lesions as well as in one lung from herd 3 with no gross pathological registrations [6,7]. Necrotic bronchial and bronchiolar epithelium and attenuation of the epithelial lining with flattening of the epithelial cells were seen. Vary- ing amounts of granulocytes, sloughed epithelial cells, cell debris, and mucus were present in the lumina of many bronchioles and small bronchi [8]. Other findings included hepatic central lobular necrosis, edema and degeneration of myocytes in the heart and extensive acute tubular necrosis in the kidney have been observed [9,10]. Although the gastrointestinal, hepatic, renal, and hematologic manifestations could suggest wider tissue tropism, there was no evidence of viral replication in organs outside the respiratory tract [11]. Material and Methods Tissue Processing Tissue processing was concerned with the diffusion of various sub- stances into and out of stabilizes porous tissues. The diffusion pro- cess results from the thermodynamic tendency of processing rea- gents to equalize concentrations inside and outside blocks of tissue. Preparation of Tissue Sections Procedure was conducted in this study [12], which included the following steps: Dehydration: The section passed in the concentrations of progres- sive forms of ethanol (70, 80, 90, and 95,100%). For the period (1.5 - 2 hours) in each concentration in order to remove water. Clearing: Samples were cleared with xylene, twice for a period of (1.5-2 hours) for each time in order to remove the clearing solution from the tissue. Infiltration: The samples were infiltrated with melted paraffin wax (56-58ºC) by placing the samples twice (1.5-2) hours each time. Embedding: Buried samples in a container with specific templates to molten paraffin wax and left to harden. Sectioning: Tissues were sectioned into (2-4μm) thickness using a rotary microtom and fixed models on the slides using the adhesive (Meyers albumin) and then put the slide in the oven at a tempera- ture of (56- 58ºC) for (20) minutes to remove excess wax. Staining: Histological Staining- Haematoxylin & Eosin (H&E) The Journal of Pathology Research ISSN: 0976-8068 & E-ISSN: 0976-8076, Volume 3, Issue 1, 2014 Abstract- The present study included the section histopathology for rats (male) organs including (lung, trachea, kidney, spleen, heart) of a local inactivated subunit and whole vaccine appeared of all of both locally vaccine after seven months of vaccination and control histopathology unchanged compared with infected group after first month. Keywords- Haematoxylin, Eosin HISTOPATHOLOGY STUDY OF SEASONAL INFLUENZA VIRUS SUBTYPE (H1N1, H3N2) AND TYPE B ISOLATED FROM NASAL SWAB OF HUMANS IN ALNAJAF PROVINCE (IRAQ) AFTER THE PREPARATION OF A LOCAL INACTIVATED SUBUNITE AND WHOLE VACCINE
  • 3. || Bioinfo Publications || 34 NotforDistribution routine stain is that of hematoxylin and eosion and the technique are proven in [Table-1]. Table 1- The steps used to stain slides with H&E Microscopic Examinations: The stained section on the slide was examined by using light microscope (Olympus, Japan). Histopatho- logical changes were also reported by experienced histopathology. Result Histopathological Changes The microscopic studies proven varying degrees of cellular changes from mild to marked of infected group compared with vaccinated group. Histological changes were observed in the lung showing necrotizing bronchiolitis. There is necrosis of the bronchiolar wall, with submu- cosal edema and vascular congestion. A mixed inflammatory cell infiltrate is present throughout the epithelial lining of the proliferation of the remaining epithelium. The lumen contain sloughed epithelial cells and mixed leukocytes. A large number of lymphocytes are seen infiltrating sub epithelial and peribronchiolar connective tissue. The alveolar air spaces contain edema fluid, thickening of the alve- olar septa compared with the control lung, hemorrhage and hyper- plasia smooth muscle in wall of pulmonary blood vessels, there is interstitial capillary congestion, and a peribronchiolar vessel strands of fibrin. There is fragmentation of surrounding bronchial muscle large togather with partial shedding of the mucosal lining and the appearance of cellular debris in destructed bronchiole. Trachea showed epithelial disorganization including (mononuclear cell infiltration and intense nuclear hyperchromasis). Disruption of beam structure and dystrophy of hepatocytes in liver,, regions of necrobiosis, appearance of nacked nuclei and empty cytoplasm. Haemorrhages in glomerules and hyalinosis in renal tubules dystro- phy of functional renal cell elements, tubular necrosis, glomerular destruction and formation of large lumens between the tubules, sever congestion. Devastation of cells in marginal zone of spleen, erythrocyte destruction in red pulpa with appearance of moderate haemorrhages. Heart indicated necrosis, hyalinization of muscle fibers with focal cellular infiltrations, damage and irregular arrange- ment and morphological change of myofibrils associated with in- creased interfibrillar distance infected experiential animal indicated cardiac muscle separation, myofiber loss, extensive subendocardial necrosis and inflammatory infiltrate into the myocardium and focal edema [Fig-1]. Journal of Pathology Research ISSN: 0976-8068 & E-ISSN: 0976-8076, Volume 3, Issue 1, 2014 Alameedy F.M.M., Alkhafaji Y.A. and Alsaadi A.A. (2014) Histopathology Study of Seasonal Influenza Virus Subtype (H1N1, H3N2) and Type B Isolated.... Journal of Pathology Research, ISSN: 0976-8068 & E-ISSN: 0976-8076, Volume 3, Issue 1, pp.-033-036. Step Reagent Time Step Reagent Time 1 Xylene 5min 8 Running tap water 10 min 2 Xylene 5min 9 0.1% Acid Alcohol 1 min 3 Absolute Alcohol 2 min 10 Running tap water 3 min 4 Ethanol (90%) 2 min 11 2% Eosin 1 min 5 Ethanol (70%) 2 min 12 Ethanol (70%) 2 min 6 DW 2 min 13 Ethanol (90%) 2 min 7 Haematoxylin 3 min 14 Absolute Alcohol 2 min 15 Dry, Xylene and mounted in DPX Control Infected Vaccinated LungTrachea
  • 4. || Bioinfo Publications || 35 NotforDistribution Alameedy F.M.M., Alkhafaji Y.A. and Alsaadi A.A. (2014) Histopathology Study of Seasonal Influenza Virus Subtype (H1N1, H3N2) and Type B Isolated.... Journal of Pathology Research, ISSN: 0976-8068 & E-ISSN: 0976-8076, Volume 3, Issue 1, pp.-033-036. Control Infected Vaccinated Fig. 1- Section from (Lung, Trachea, Liver, Kidney, Spleen, Heart) of vaccinated, infected and control groups indicated Histopathological of rat, Hematoxyline-Eosin stain, 40X. LiverKidneySpleenHeart Journal of Pathology Research ISSN: 0976-8068 & E-ISSN: 0976-8076, Volume 3, Issue 1, 2014
  • 5. || Bioinfo Publications || 36 NotforDistribution Discussion Histopathological Changes There were obvious differences among histological sections of in- fected group of rats after infection compared with control and vac- cinated group. After challenge test of vaccinated group with virulent virus there were no changes up to 4 months for animals given local- ly prepared inactivated vaccine (whole) and animals vaccinated with subunit vaccine. This observation is consistent with other studies [13,14]. Conflicts of Interest: None Declared. References [1] Perez-Padilla R., De La Rosa-zamboni D., Ponce de Leon S., Hernandez M., Quiñones-Falconi F., Bautista E. and Cordova- Villalobos J.A. (2009) New England Journal of Medicine, 361(7), 680-689. [2] Bristow N.K. (2012) American Pandemic: The Lost Worlds of the 1918 Influenza Epidemic, Oxford University, 15, 234-245. [3] Nin N., Sánchez-Rodríguez C., Ver LS., Cardinal P., Ferruelo A., Soto L., Deicas A., Campos N., Rocha O., Ceraso DH., El- Assar M., Ortín J., Fernández-Segoviano P., Esteban A. and Lorente J.A. (2012) Medicina Intensiva, 36(1), 24-31. [4] Daoust P.Y., Van de Bildt M., van Riel D., van Amerongen G., Bestebroer T., Vanderstichel R., Fouchier R.A.M. and Kuiken T. (2013) Veterinary Pathology Online, 50(3), 548-559. [5] Sanjay-Mukhopadhyay M.D., Abraham T., Philip M.D. and Rob- ert-Stoppacher M.D. (2010) American journal of clinical patholo- gy, 133(3), 380-387. [6] Abraham T., Fong G. and Scott A. (2011) Musculoskel. Disord., 17, 1471-2474. [7] Brooks W.A., Alamgir A.S.M., Sultana R., Islam M.S., Rahman M., Fry A.M. and Rahman M. (2009) Emerging Infectious Dis- eases, 15(8), 1311-1313. [8] Mauad T., Hajjar L.A., Callegari G.D., da Silva L.F., Schout D., Galas F.R. and Saldiva P.H. (2010) American journal of respira- tory and critical care medicine, 181(1), 72-79. [9] Ng W.F., To K.F., Lam W.W.L., Ng T.K. and Lee K.C. (2006) Human Pathology, 37(4), 381-390. [10]Gu J., Xie Z., Gao Z., Liu J., Korteweg C., Ye J. and Lipkin W.I. (2007) The Lancet, 370(9593), 1137-1145. [11]To K.F., Chan P.K., Chan K.F., Lee W.K., Lam W.Y., Wong K.F., Tang N.L., Tsang D.N., Sung R.Y., Buckley T.A., Tam J.S. and Cheng A.F. (2001) Journal of Medical Virology, 63(3), 242- 246 . [12]Bancroft J.D. and Stevens A. (1999) Theory and Practice of Histological Techniques. Fourth edition. New York: Churchill Livingstone. [13]Glazebrook M.A., Wright J.R., Langman M., Stanish W.D. and Lee J.M. (2008) Journal of Orthopaedic Research, 26(6), 840- 846. [14]Heinemeier K.M., Skovgaard D., Bayer M.L., Qvortrup K., Kjaer A., Kjaer M., Magnusson S.P. and Kongsgaard M. (2012) Jour- nal of Applied Physiology, 113(5), 827-836. Journal of Pathology Research ISSN: 0976-8068 & E-ISSN: 0976-8076, Volume 3, Issue 1, 2014 Alameedy F.M.M., Alkhafaji Y.A. and Alsaadi A.A. (2014) Histopathology Study of Seasonal Influenza Virus Subtype (H1N1, H3N2) and Type B Isolated.... Journal of Pathology Research, ISSN: 0976-8068 & E-ISSN: 0976-8076, Volume 3, Issue 1, pp.-033-036.