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Correlation between collagen, smooth muscle tratamentul artropatiei genunchiului and elastic system fibers, in percentage, with fetal age, during the fetal period studied 13 to 36 weeks post-conception — WPC. The points plotted represent the mean values obtained for each week studied. A Collagen types in the corpus cavernosum.

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B Analysis in the corpus spongiosum. In addition, we studied the urogenital system in fetuses with congenital anomalies, as prune-belly syndrome and anencephaly, and compared these results with normal collagen types, with the view to possible use of anencephalic, for example, as potential donors of tissues and organs [19] — [21]. In the present work, we were able to include fetuses that covered almost all fetal period, 13 to 36 weeks post-conception, which corresponds from 15 to 38 menstrual weeks.

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Concerning the penis, this kind of study is inexistent in the literature and is very important, because the transformations undergone collagen types the organs during fetal development are very fast [22]. With reference collagen types penis development during the fetal period, the only studies available in the literature, apart from that of our group [5][6][17] — [21][23] were performed by ultrasound or other imaging methods in utero, and were related only to penile length [24] — [27].

In this study, we confirmed that at the 13th week post-conception WPCthe corpora cavernosa and the corpus spongiosum, as well as the septa intra-cavernous, are already present as well individualized anatomical structures. After analyzing the penile erectile tissue structures, with respect to collagen, it was observed that at the 13th WPC, in the corpus cavernosum, there is a predominance of mesenchymal tissue and collagen types of nuclei with small amount of incipient collagen Figure 1Aunlike the corpus spongiosum, where at the 13th WPC it is found an appreciable amount of collagen Figure 1B and 4.

The quantitative analysis confirms these observations and this difference is maintained during all fetal period Figure 4. As gestational age increases, the collagen, both in the corpus cavernosum and corpus spongiosum, becomes more evident and increases in quantity Figure 1.

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The quantitative analysis shows objectively and confirms these results Figure 4. By linear regression analysis, comparing the growth of collagen both in the corpus cavernosum and corpus spongiosumbetween the second and third trimester, we observed that collagen increases with a more intense rhythm in the second trimester.

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A previous study from our laboratory collagen types analyzing five normal fetuses at 28 WPC had already demonstrated that collagen is an important and well-differentiated component of the corpus cavernosum in the third trimester of gestation. Another previous study from our laboratory [23]with normal human fetuses, infants, children and adults, using biochemical methods, showed that the total concentration of collagen in the fetal penis increased progressively, and almost doubled between the 17th and collagen types WPC, suggesting that major changes in the extracellular matrix of the penis occur in this gestational period.

Also, in a previous study from our laboratory, Costa et al. From the 22nd WPC, one begins to observe in the corpus collagen types, a relationship between smooth muscle and collagen, evidencing the proportional increase of the smooth muscle, unlike what happens in the corpus spongiosum, where the muscle remains in small amount Figures 1 and 2. The linear regression analysis, comparing the proportion of collagen and smooth muscle fibers in corpus cavernosum and corpus spongiosum, objectively confirmed these observations Figure 4.

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The linear regression analysis also showed that this difference is significant and is more pronounced in the third collagen types of gestation. Still in the corpus cavernosum, as the fetus grows, it is noted that collagen increases collagen types and in parallel, there is an increase of muscle fibers and elastic system fibers Figures 1 to 3.

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The quantification and the linear regression analysis showed objectively, however, that the increase in smooth muscle fibers is proportionally greater in the corpus cavernosum considering all fetal period Figure 4.

The linear regression analysis showed that the smooth muscle growth is strongly correlated with the fetal age and is more fp artroza during the second trimester of gestation. Also, the quantitative analysis demonstrated a growth with predominance of collagen types muscle in the trabeculae and a proportional decrease of collagen Figure 2. A previous study from our laboratory [4]analyzing 7 fetuses at 24th WPC found a distribution of smooth muscle cells in corpus cavernosum ranging from These findings, concerning smooth muscle collagen types the corpus cavernosum, are unique when we compare with other mammals, such as rats, in which the corpora cavernosa is predominantly composed of collagen [28]or rabbit, where there is an abundance of elastic fibers [29]or collagen types wild boar, where smooth muscle fibers are scarce in the corpus cavernosum [30].

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Regarding the corpus spongiosum, the linear regression analysis also showed that the smooth muscle fibers grow with a more intense rhythm in the second trimester collagen types gestation.

Still in the corpus spongiosum, as the fetus grows, it is noted that collagen increases progressively, and, in parallel, there is an increase of smooth muscle fibers and elastic fibers, although fewer and less intense, when compared to corpus cavernosum Figures 1 to 4.

The quantitative analysis shows objectively, however, that collagen increase is proportionately larger, considering the area of the corpus spongiosum during the fetal period. The quantitative analysis also demonstrated that there is about 4 times more collagen than smooth muscle fibers and elastic system fibers in the corpus spongiosum throughout the fetal period.

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Also, in the corpus spongiosum, it is observed that the amount of muscle fibers and elastic fibers are equivalent Figure 4. With respect to elastic system fibers, we verified that with increasing of gestational age, the fibers become collagen types apparent and increase in quantity both in corpus cavernosum and in the corpus spongiosum Figure 3.

The linear regression analysis of the quantitative data Figure 4 confirms these findings objectively. Collagen types addition, the linear regression analysis showed that elastic fibers grow in a more intense rhythm in the corpus cavernosum during the second trimester, while in the corpus collagen types the growth rate is similar along all fetal period studied.

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Throughout the fetal period, the amount of elastic system fibers is greater in the corpus spongiosum when compared to corpus cavernosum Figure 4. This amount is very similar to the mean of Conclusions We found strong correlation between collagen, smooth muscle fibers and elastic system fibers growth with the fetal age, both in corpus cavernosum collagen types in corpus spongiosum.

The growth rate of collagen types elements analyzed was more intense during the second trimester 13 to 24 WPC of gestation when compared to the third trimester 25 to 36 WPCboth in corpus cavernosum and in corpus spongiosum. There is greater proportional amount of collagen in the corpus spongiosum than in corpus cavernosum during all fetal period. With increasing gestational age, in the corpus cavernosum occurs a growth of smooth muscle predominantly in the trabeculae with a proportional decrease of collagen.

The elastic system fibers are the constituent elements in lesser amounts in the erectile tissue of the corpus cavernosum throughout the fetal period.

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In the corpus spongiosum, there is about four times more collagen than smooth muscle fibers and elastic system fibers, during all fetal period studied. In the corpus spongiosum, along the fetal period, the percentage of smooth muscle fibers and elastic system fibers are equivalent. References 1. J Urol —

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