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[人类子宫颈的所谓“储备细胞”(作者译)]

[The so-called "reserve cells" of the human cervical (author's transl)].

作者信息

Hamperl H

出版信息

Arch Gynakol. 1975 Jul 29;218(3):205-17. doi: 10.1007/BF00667381.

Abstract

I. Basal cells occurring focally beneath the columnar epithelium of the endocervix are generally regarded as "reserve cells". Single "reserve cells" cannot be identified among the columnar epithelial cells. II. Single "reserve cells" would not be needed for the regeneration of the cervical mucosa, since the normal columnar, cells themselves are capable of undergoing mitotic division. During such mitoses the mitotic spindle is located above the regular row of nuclei, the axis of the spindle running parallel to the basement membrane and surface of the cell, so that the daughter cells separate in a horizontal direction. Consequently, the term "reserve cell" with its functional implication is misleading and should be replaced by a more descriptive term such as the "subcylindrical"cell. III. It seems that for development of focal groups of subcylindrical cells according to I the columnar cells must proliferate locally. That proliferation could occur with the axis of the mitotic spindle rotated 90 degrees to be perpendicular to the basement membrane. More likely, however, the columnar cells seem to undergo mitoses with their spindles parallel to the basement membrane and accumulate locally to form two layers. On further proliferation of the basal layer, with the mitotic spindles rotated 90 degrees to be perpendicular to the basement membrane and with desquamation of the overlying columnar cells, the than multilayered epithelium may differentiate by indirect metaplasia into squamous epithelium.

摘要

一、子宫颈内膜柱状上皮下方局灶性出现的基底细胞通常被视为“储备细胞”。在柱状上皮细胞中无法识别单个“储备细胞”。二、子宫颈黏膜再生不需要单个“储备细胞”,因为正常的柱状细胞本身能够进行有丝分裂。在这种有丝分裂过程中,有丝分裂纺锤体位于细胞核的规则排列上方,纺锤体轴与基底膜和细胞表面平行,从而使子细胞在水平方向分离。因此,具有其功能含义的“储备细胞”这一术语具有误导性,应该用更具描述性的术语,如“亚柱状”细胞来代替。三、根据一所述,似乎为了亚柱状细胞局灶性群体的发育,柱状细胞必须局部增殖。这种增殖可能发生在有丝分裂纺锤体轴旋转90度以垂直于基底膜的情况下。然而,更有可能的是,柱状细胞似乎以其纺锤体平行于基底膜进行有丝分裂,并在局部积累形成两层。随着基底层的进一步增殖,有丝分裂纺锤体旋转90度以垂直于基底膜,且覆盖的柱状细胞发生脱屑,多层上皮可能通过间接化生分化为鳞状上皮。

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