Zhuraleva T B, Antipova L M
Arkh Patol. 1975;37(3):3-12.
The article presents a review of literature data and the authors' own investigations dealing with the dynamics of accumulation and distribution of free cells of the connective tissue in various forms of pathological proliferation of the epithelium (inflammatory overgrowth, disharmonal hyperplasia, tumours). Despite the availability of numerous data on morphological characteristics and functional significance of free cells, there are no reliable data on regularities of accumulation and distribution of individual cellular forms depending upon the character of a pathological process, its localization and extent of changes in the parenchymatous elements of the organ. But implementation of a local immunological control and maintenance of structural homeostasis should be linked first of all with reactions of free cells of the stroma. Elucidation of the role of cellular reactions in the stroma of tumour formations is of importance for prognostic evaluation of a possible progression. The authors showed that in experimental reproduction of disharmonal hyperplasia and tumours of the uterus and mammary gland there was a correlation between accumulation and distribution of eosinophilic leucocytes and plasmatic cells and the extent of changes in the epithelium. The presence of the cells of the immunocompetent series may be considered as an evidence of immunological reactions occurring as a responce to changes in antigenic properties of the epithelium in the course of malignization. The authors believe that knowledge of conjugated reactions of the stroma and epithelium in inflammatory, hormonal, and tumour growth may contribute to better understanding of the mechanisms of correlation of tissues in the course of a proliferative process and to ascertaining the causes of impairment of this correlation.
本文综述了文献数据以及作者自己的研究,这些研究涉及结缔组织游离细胞在各种上皮病理增生形式(炎性增生、失调性增生、肿瘤)中的积聚和分布动态。尽管有大量关于游离细胞形态特征和功能意义的数据,但对于取决于病理过程的特征、其定位以及器官实质成分变化程度的单个细胞形式的积聚和分布规律,尚无可靠数据。但是,局部免疫控制的实施和结构稳态的维持首先应与基质游离细胞的反应相关。阐明细胞反应在肿瘤形成基质中的作用对于可能进展的预后评估具有重要意义。作者表明,在子宫和乳腺失调性增生及肿瘤的实验性再现中,嗜酸性白细胞和浆细胞的积聚和分布与上皮变化程度之间存在相关性。免疫活性系列细胞的存在可被视为在恶性化过程中作为对上皮抗原特性变化的反应而发生的免疫反应的证据。作者认为,了解炎症、激素和肿瘤生长过程中基质与上皮的共轭反应可能有助于更好地理解增殖过程中组织相关性的机制,并确定这种相关性受损的原因。