Vol. 59, 2020
(update: 2020.09.22; 11.10)
Light Microscopic and
Ultrastructural Characteristics of Heterophil Toxicity and
Left-shifting in Green Sea Turtles (Chelonia
mydas) from Taiwan
Yi-Fan
Wang1, Tsung-Hsien Li2, Yi-Fan Jiang3, Chau-Hwa
Chi1, I-Jiunn Cheng4, Chiung-Hsiang Cheng3,
Ray Sun5, and Pin-Huan Yu1,*
doi:10.6620/ZS.2020.59-52
1Institute
of Veterinary Clinical Science, School of Veterinary Medicine, National
Taiwan University, No.153, Sec. 3, Keelung Rd, Da-an district, 10672
Taipei city, Taiwan. *Correspondence: E-mail: pinhuan@ntu.edu.tw (Yu).
Tel: +886-227396828. Fax: +886-227323817.
E-mail: r04643011@ntu.edu.tw (Wang); chie@ntu.edu.tw (Chi)
2National Museum of Marine Biology and Aquarium. No. 2
Houwan Road, Checheng, Pingtung, 94450, Taiwan. E-mail:
lith@nmmba.gov.tw (Li)
3Graduate Institute of Molecular and
Comparative Pathology, School of Veterinary Medicine, National Taiwan
University, No.1, Sec. 4, Roosevelt Rd., Da-An district, Taipei city,
Taipei, Taiwan. E-mail: emcheng@ntu.edu.tw (Cheng); yfjiang@ntu.edu.tw
(Jiang)
4Institute of Marine Biology, National Taiwan Ocean
University, No.2, Beining Rd., Zhongzheng Dist., Keelung City 20224,
Taiwan. E-mail: b0107@mail.ntou.edu.tw (Cheng)
5Joint Center for Instruments and Researches, College
of Bioresources and Agriculture, National Taiwan University, No.1, Sec.
4, Roosevelt Rd., Da-An district, Taipei city, Taiwan. E-mail:
raymsun@ntu.edu.tw (Sun)
Received 10 May 2020 / Accepted 20
August 2020
Communicated by Jian-Nan Liu
Heterophil
toxic change (TC) and left-shifting (LS) are widely used as indicators
of accelerated granulopoiesis. However, the ultrastructure of
heterophil TC and LS in sea turtles remain poorly understood. This
study aimed to describe the ultrastructural characteristics of sea
turtle TC and LS heterophils, compare the staining quality of
accessible staining methods, and provide a better understanding of the
clinical applications and limitations of heterophil TC and LS
examinations. Blood samples were collected from 21 rescued sea turtles
from January 2017 to September 2018. Morphologic (n = 22) and ultrastructural (n = 15) examination of TC and LS
heterophils were performed, and the qualities of three staining methods
(Wright-Giemsa stain, Diff-Quik stain and Liu’s stain) were analyzed to
diagnose TC and LS heterophils. In addition, the diagnostic values of
TC and LS heterophils were examined. Diff-Quik stain was significantly
inferior in the assessment of heterophil TC and/or LS comparing to the
Wright-Giemsa stain and Liu’s stain (Mann-Whitney test, P < 0.001). Microscopic
examinations of heterophil TC and/or LS were comparable to transmission
electron microscopy examinations (Cohen’s kappa coefficient, κ = 1).
The correlation between the presence of heterophil TC and/or LS and
clinical inflammatory state was weak (Spearman’s rank correlation
coefficient, rs = 0.171, p = 0.445). In conclusion, this is
the first study to describe the ultrastructural characteristics of
reptile TC and LS heterophils. Wright-Giemsa stain and Liu’s stain were
suitable staining methods for the microscopic observations of TC and LS
heterophil in sea turtles. Given the poor correlation between TC and/or
LS and clinical findings, TC and LS are not a suitable diagnostic
indicator of green sea turtles’ inflammation status.
Key words: Green sea turtle,
Heterophil toxic change, Left shift, Staining methods, Ultrastructure.
Citation: Wang YF, Li TH, Jiang YF, Chi
CH, Cheng IJ, Cheng CH, Sun R, Yu PH. 2020. Light microscopic and
ultrastructural characteristics of heterophil toxicity and
left-shifting in green sea turtles (Chelonia
mydas) from Taiwan. Zool
Stud 59:52.
doi:10.6620/ZS.2020.59-52.

|