Fukushima K, Sasaki I, Ogawa H, Naito H, Funayama Y, Matsuno S
The First Department of Surgery, Tohoku University, School of Medicine, Sendai, Japan.
J Gastroenterol. 1999 Feb;34(1):54-60. doi: 10.1007/s005350050216.
To investigate the pathogenesis of inflammatory bowel disease, it is critical to develop a system that uses simple and reproducible models for analyzing the "normal" mucosal defense mechanism. In the present study, germ-free mice were conventionalized by the oral administration of microorganisms prepared from the feces of genetically identical mice. Histological assessment and mucin characterization of small intestine and colon were then carried out. Histological findings in the gut were site-dependent and clearly time-dependent. Acute inflammation was most evident in the cecum. The cecal mucosa exhibited hyperplastic changes in epithelial cells, infiltration of polymorphonuclear cells, crypt abscesses, and epithelial projections on the epithelial surface 7 days after conventionalization. Some of the changes were similar to those seen in human ulcerative colitis. The histological findings in the conventionalized mice were comparable to those in specific pathogen-free mice after 28 days. Mucin histochemistry revealed that bacterial colonization altered the number of rectal goblet cells and the mucin composition in a time-dependent fashion. Although this model shares only some characteristics of human inflammatory bowel disease, it is unique in demonstrating the acquisition of mucosal defense. Understanding of this process is critical for the elucidation of inflammatory bowel disease pathogenesis.
为了研究炎症性肠病的发病机制,开发一种利用简单且可重复的模型来分析“正常”黏膜防御机制的系统至关重要。在本研究中,通过口服从基因相同小鼠粪便中制备的微生物使无菌小鼠正常化。然后对小肠和结肠进行组织学评估和黏蛋白特性分析。肠道的组织学发现具有部位依赖性且明显具有时间依赖性。急性炎症在盲肠中最为明显。常规化7天后,盲肠黏膜上皮细胞呈现增生性变化,多形核细胞浸润,隐窝脓肿形成,上皮表面出现上皮突起。其中一些变化与人类溃疡性结肠炎中所见的变化相似。常规化小鼠的组织学发现在28天后与无特定病原体小鼠的相似。黏蛋白组织化学显示,细菌定植以时间依赖性方式改变直肠杯状细胞数量和黏蛋白组成。尽管该模型仅具有人类炎症性肠病的一些特征,但它在展示黏膜防御的获得方面具有独特性。对这一过程的理解对于阐明炎症性肠病的发病机制至关重要。