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Aims—To determine the relation of urokinaseexpressed by intestinal epithelial cells to their position in thecrypt-villus/surface axis and of mucosal urokinase activity toepithelial proliferative kinetics in the distal colon.
Methods—Urokinase expression was examinedimmunohistochemically in human intestinal mucosa. Urokinase activitywas measured colorimetrically in epithelial cells isolated sequentiallyfrom the crypt-villus axis of the rat small intestine. In separate experiments, urokinase activity and epithelial kinetics (measured stathmokinetically) were measured in homogenates of distal colonic mucosa of 14 groups of eight rats fed diets known to alter epithelial turnover.
Results—From the crypt base, an ascendinggradient of expression and activity of urokinase was associated withthe epithelial cells. Median mucosal urokinase activities in each ofthe dietary groups of rats correlated positively with autologous mediannumber of metaphase arrests per crypt (r=0.68; p<0.005)and per 100 crypt cells (r=0.75; p<0.001), but not withcrypt column height.
Conclusions—Localisation of an enzyme capable ofleading to digestion of cell substratum in the region where cells areloosely attached to their basement membrane, and the association of its activity with indexes of cell turnover, suggest a role for urokinase infacilitating epithelial cell loss in the intestine.
Keywords:urokinase; intestinal epithelium; colon; epithelialproliferation
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Aims—To examine the inhibitoryeffect of oestradiol on stellate cell activation.
Methods—In vivo, hepatic fibrosiswas induced in rats by dimethylnitrosamine or pig serum. In vitro, ratstellate cells were activated by contact with plastic dishes resultingin their transformation into myofibroblast-like cells.
Results—In the dimethylnitrosamineand pig serum models, treatment with oestradiol at gestation relateddoses resulted in a dose dependent suppression of hepatic fibrosis withrestored content of hepatic retinyl palmitate, reduced collagencontent, lower areas of stellate cells which express α smooth muscleactin (α-SMA) and desmin, and lower procollagen type I and III mRNA levels in the liver. In cultured stellate cells, oestradiol inhibited type I collagen production, α-SMA expression, and cell proliferation. These findings suggest that oestradiol is a potent inhibitor of stellate cell transformation.
Conclusion—The antifibrogenic roleof oestradiol in the liver may contribute to the sex associateddifferences in the progression from hepatic fibrosis to cirrhosis.
Keywords:hepatic stellate cells; hepatic fibrosis; oestradiol; α smooth muscle actin; retinyl palmitate
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Aims—To investigate responses by primary adulthuman colonic epithelial cells to purified B fragilistoxin (BFT).
Methods—BFT was purified from culture supernatantof a highly toxigenic strain of ETBF. Morphological changes to primarycolonic epithelial cells, in response to purified BFT, were studied in organ culture of colonic biopsy specimens from 15adults.
Results—BFT induced epithelial cell cytotoxicityin colonic biopsy specimens from 12/15 subjects. The BFT inducedmorphological changes were characterised by epithelial cell rounding,separation from adjacent cells, and detachment from the basementmembrane. In severely affected specimens, almost all the epithelialcells were affected. There was heterogeneity between subjects in the rate at which BFT induced epithelial cell cytotoxicity occurred. Furthermore, in colonic biopsy specimens from three subjects, exposureto BFT did not induce any significant morphological changes toepithelial cells.
Conclusion—BFT is capable of inducingcytotoxicity in primary adult human colonic epithelial cells. Such aneffect of ETBF derived BFT on epithelial cells in the colon in vivowould be expected to lead to mucosal inflammation and diarrhoea.Heterogeneity in responses by primary colonocytes probably reflects theoutcome of host-BFT interactions. Such interactions in vivo coulddetermine the occurrence of colonic disease in some individuals but not others.
Keywords:Bacteroides fragilis; enterotoxin; epithelial cells; apoptosis
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METHODS—Synovial cells from RA patients and normal skin fibroblasts were cultured with cell permeable ceramide (C2-ceramide). Apoptosis was assessed by microscopic observation of morphological changes, nuclear staining, and DNA electrophoresis. DNA synthesis was examined by thymidine incorporation.
RESULTS—C2-ceramide induced reversible morphological changes of synovial cells such as cell rounding within four hours. Subsequently, irreversible nuclear changes characteristic to apoptosis were observed at 48 hours. DNA synthesis was not promoted. The addition of ceramide exerted similar effects on cultured dermal fibroblasts.
CONCLUSION—Ceramide induced apoptosis in RA synovial cells. Ceramide could be a second messenger specific for apoptosis of RA synovial cells.
Keywords: ceramide; apoptosis; rheumatoid arthritis 相似文献
Aims—To develop monoclonal antibodies that recognise antigens on immature crypt base cells, on the assumption that in a neoplasm undifferentiated but not the terminally differentiated cells will be responsible for tumour progression.
Methods—Colon crypt cells which were isolated from human colonic mucosa by EDTA/EGTA incubation were studied. By stepwise harvesting, crypt base cell enriched fractions were obtained, and after incubation with antibodies against dominant antigens, used as immunogens.
Results—Of one crypt base cell specific antibody (5E9), the reactive epitope appeared to be a non-terminal carbohydrate in the mucin O-glycans of the colon. The epitope did not seem to be colon specific, but was expressed in a variety of other tissues. In colorectal carcinomas, 5E9 immunoreactivity identified a subgroup of patients with a tendency for worse prognosis.
Conclusion—A mucin associated maturation epitope was identified in colonic crypt base cells, the expression of which in Dukes'' stage B3 colorectal carcinoma may be associated with poor prognosis.
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Aims—To characterise T cell subsets, their stateof activation, and production of cytokines in inflamed and non-inflamedpouches in patients with ulcerative colitis (UC) and familialadenomatous polyposis (FAP). The influence of T cell activation onmucosal transformation was also studied.
Patients—Mucosal biopsy specimens were taken from42 patients with IAP (33 with UC and nine with FAP).
Methods—Mononuclear cells were isolated bystandard techniques and characterised by three colour flow cytometry.Interferon γ (IFN-γ) production was studied using the ELISPOT technique.
Results—In patients with UC with pouchitis therewas a significant increase in the CD4:CD8 ratio, expression ofactivation markers on CD3+ cells, and number of IFNγ producingmononuclear cells compared with patients with UC without pouchitis(CD4:CD8 ratio 1.3 (range 0.7-2.7) versus 0.6 (0.1-1.0), p=0.012). Inaddition, a positive correlation between increased crypt depth and thenumber of CD4+ cells (r=0.57) was shown.
Conclusion—The observed increase in activatedmucosal CD4+ T cells and IFN-γ production might lead to mucosaldestruction and crypt hyperplasia as seen in pouchitis.
Keywords:pouchitis; T cell activation; mucosaltransformation
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Aims—To examine theanti-colon antibody response using human colonic carcinoma cell linesas antigen.
Subjects—Patients withinflammatory bowel disease and other gastrointestinal disorders andhealthy controls were studied.
Methods—Comparativeenzyme linked immunosorbent assays (ELISAs) were performed to assessthe value of whole Caco-2, HT-29, and LS-180 cells as antigen. Theantigenic determinants of the immune response were characterised bywestern blot analysis.
Results—Serademonstrated immunoreactivity against each of the cell lines, butdifferent epitopes were recognised. Applying whole Caco-2 cells asantigen in an ELISA, the prevalence of anti-colon antibodies wassignificantly greater in patients with ulcerative colitis (36%) thanCrohn's disease (13%), other gastrointestinal disorders (13%) andhealthy controls (0) (p<0.05). The immune response was not associatedwith one predominant antigen.
Conclusions—Fixedwhole cell ELISA is a simple and feasible method for studying theanti-colon antibody response. This response is non-specific, beingdirected against multiple antigens, and is likely to be anepiphenomenon of inflammatory bowel disease, more so for ulcerativecolitis than Crohn's disease.
Keywords:anti-colon antibodies; inflammatory boweldisease
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Aims—To assess the role of cryptcell proliferation as a phenotypic biomarker in HNPCC.
Patients—Thirty five patients at50% risk of carrying the HNPCC gene (21 of whom subsequently underwentpredictive testing and hence gene carrier status was known) and 18controls.
Methods—Crypt cell proliferationwas measured at five sites in the colon using two different techniques.Labelling index was determined using the monoclonal antibody MIB1 andwhole crypt mitotic index was measured using the microdissection andcrypt squash technique. The distribution of proliferating cells within the crypts was also assessed.
Results—There were no significantdifferences in the total labelling index or mean number of mitoses percrypt, nor in the distribution of proliferating cells within the crypt,between the study and control groups at any site. When the 21 patients in whom gene carrier status was known were analysed separately therewere no significant differences in the measured indices ofproliferation between the HNPCC gene carriers and non-gene carriers.
Conclusion—Crypt cell proliferationis not a discriminative marker of gene carriage in HNPCC.
Keywords:cell proliferation; hereditary non-polyposiscolorectal cancer
相似文献DESIGN—Retrospective study.
SETTING—Tertiary referral centre.
SUBJECTS—18 distal anastomotic sites of patent grafts, obtained at necropsy from eight patients who died over differing periods (ranging from two days to nine months) after the procedure.
MAIN OUTCOME MEASURES—Immunohistochemical evaluation of smooth muscle cell phenotype modulation in relation to proliferative activity.
RESULTS—The earliest changes are characterised by loss of surface lining endothelial cells and insudation of blood corpuscular elements admixed with fibrin-platelet thrombus. At sites of injury vimentin positive and actin negative spindle shaped cells appear in the intima, while the related pre-existent media shows focal absence of actin positive smooth muscle cells. Proliferative activity colocalises at these sites. With time distinct neointimal thickening occurs, associated with disappearance of proliferative activity and a phenotypic shift of the smooth muscle cells.
CONCLUSIONS—The observation that luminal endothelial cell denudation, with insudation of the intima with blood elements, occurs in the very early stages suggests that these phenomena are responsible for the observed dedifferentiation of pre-existent smooth muscle cells, known to be a prerequisite for cell proliferation and the evolution of intimal thickening. It is likely, therefore, that platelet released growth factors play a pivotal role, which thus may provide a target for preventive pharmacological intervention.
Keywords: smooth muscle cell proliferation; vein graft stenosis; platelet derived growth factor; platelet receptor inhibitors 相似文献
Background—Murine leukemia virus, LP-BM5, inducessevere immunodeficiency with abnormal lymphoproliferation insusceptible C57BL/6 mice. In a previous study, it was shown that aSjögren's syndrome-like systemic exocrinopathy is induced in thevirus infected mice.
Aims—To examine lymphocyte functions of the virusinfected mice.
Methods—Four-week old mice were inoculated withthe virus and their spleen cells were transferred into syngeneic nu/numice. Their organs were examined by light and electron microscopy.Phenotypes of the colon infiltrating cells were examined by flow cytometry.
Results—All nu/nu recipients had died by six weeksafter cell transfer, showing runting disease like cachexia withdiarrhoea and anal bleeding. Histopathological examination revealedthat systemic exocrinopathy was adoptively transferable and that the colon became thickened due to mononuclear cell infiltration into themucosal and submucosal layer with hyperplasia of intestinal epithelialcells. No virus particles were found in the colon. Flow cytometricanalyses revealed that most of the infiltrating CD4+ T cells showedCD45RBlow. No intestinal lesions were observed in the virusinfected mice nor in nu/nu mice inoculated with normal lymphocytes.
Conclusion—Lymphocytes of the virus infected miceinduced colitis and hyperplasia of intestinal epithelial cells as wellas systemic exocrinopathy in nu/nu mice. Our experimental system maygive some insight into intestinal lesions associated with virus infection.
Keywords:murine leukemia virus; nude mice; enterocolitis; colitogenic cells
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