Han X, Ruan Y, Zhang X, Wang H, Chu Y
Department of Pathology, Fu Wai Hospital, Chinese Academy of Medical Science, Peking Union Medical College, Beijing 100037, China.
Zhonghua Bing Li Xue Za Zhi. 2000 Feb;29(1):43-5.
To observe the changes of surfactant A and B (SP-A and SP-B) in alveolar type II cells of lungs in hamsters with elastase-induced emphysema.
After intratracheal instilling of elastase, hamsters were killed at the 30th, 60th and 90th day of the experiment respectively. Slides of lung tissue were examined under light microscope and measured by calculating the mean linear intercepts. Then the slides were stained under immunohistochemistry procedures and measured by using a morphometric analysis system. Meanwhile, slides were also checked by electron microscopy.
In comparison with the normal group, MLI of the elastase group was significantly increased (P < 0.01). Immunohistochemistry showed that the percentage of both SP-A and SP-B positive cells was significantly decreased 30 days after the intratracheal instilling of elastase (from 48.0% +/- 3.0% to 9.5% +/- 4.0% and from 28.0% +/- 4.0% to 13.3% +/- 4.1%, respectively; P < 0.01), however, a time-dependent recovery 90 days after instilling was seen. Electron microscopy showed a significantly decrease of the number of lamellae.
The decrease of SP-A and SP-B in alveolar type II cells seems to play an important role in the development of emphysema.
观察弹性蛋白酶诱导的肺气肿仓鼠肺Ⅱ型肺泡上皮细胞表面活性物质A和B(SP-A和SP-B)的变化。
气管内滴注弹性蛋白酶后,分别于实验第30、60和90天处死仓鼠。取肺组织切片,光镜下观察并计算平均线性截距进行测量。然后进行免疫组织化学染色,用形态计量分析系统测量。同时,进行电镜检查。
与正常组相比,弹性蛋白酶组的平均线性截距显著增加(P<0.01)。免疫组织化学显示,气管内滴注弹性蛋白酶30天后,SP-A和SP-B阳性细胞百分比均显著降低(分别从48.0%±3.0%降至9.5%±4.0%,从28.0%±4.0%降至13.3%±4.1%;P<0.01),然而,滴注90天后可见时间依赖性恢复。电镜显示板层数量显著减少。
Ⅱ型肺泡上皮细胞中SP-A和SP-B的减少似乎在肺气肿的发生发展中起重要作用。