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结肠组织对葡聚糖硫酸钠诱导的结肠炎的代偿反应。

Compensatory response of colon tissue to dextran sulfate sodium-induced colitis.

作者信息

Nakano S, Ohara S, Kubota T, Saigenji K, Hotta K

机构信息

Department of Internal Medicine, Kitasato University School of Medicine, Sagamihara, Japan.

出版信息

J Gastroenterol. 1999 Apr;34(2):207-14. doi: 10.1007/s005350050245.

Abstract

Depletion of goblet cells (the main mucin-producing cells in the colon) is one of the most reliable histological characteristics of ulcerative colitis, whereas a major symptom of this disease is bloody diarrhea containing a large amount of mucus. The discrepancy between these phenomena was investigated in a time-course study in rats with experimental colitis induced by treatment with oral dextran sulfate sodium (DSS) for 1, 3, or 5 days. Biochemical analysis showed a reduction in mucin content in the distal side of the colon that was proportional to the duration of DSS administration. In the proximal side of the colon, however, there was a significant increase in mucin content already on the first day of treatment with DSS. This increase in colonic mucin content continued for the 5 days of treatment. In the distal side, both sulfomucin and sialomucin decreased proportionally to the duration of DSS administration. In the proximal side, there was an increase in high iron diamine-Alcian blue-positive mucins, and confirming the proliferation of goblet cells. The proliferated glands were predominantly sialylated. Goblet cell depletion and an increase in mucin production occurred in different parts of the colon. This phenomenon may be a type of compensatory function of colon tissue in response to the localized decrease of mucin production in certain portions of the colon.

摘要

杯状细胞(结肠中主要的粘蛋白产生细胞)的减少是溃疡性结肠炎最可靠的组织学特征之一,而这种疾病的一个主要症状是含有大量黏液的血性腹泻。在一项时间进程研究中,对用口服葡聚糖硫酸钠(DSS)处理1天、3天或5天诱导实验性结肠炎的大鼠进行了研究,以探究这些现象之间的差异。生化分析表明,结肠远端的粘蛋白含量降低,且与DSS给药持续时间成正比。然而,在结肠近端,在用DSS治疗的第一天粘蛋白含量就显著增加。这种结肠粘蛋白含量的增加在治疗的5天内持续存在。在远端,硫粘蛋白和涎粘蛋白均与DSS给药持续时间成比例下降。在近端,高铁二胺-阿尔辛蓝阳性粘蛋白增加,证实了杯状细胞的增殖。增殖的腺体主要是涎酸化的。杯状细胞减少和粘蛋白产生增加发生在结肠的不同部位。这种现象可能是结肠组织对结肠某些部位粘蛋白产生局部减少的一种代偿功能类型。

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