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血管壁实验性动脉粥样硬化病变中“幽灵体”的电子显微镜研究(作者译)

[Electron microscopic study on the "ghost bodies" in experimental arteriosclerotic lesions of the vascular wall (author's transl)].

作者信息

Weidenbach H, Massmann J

出版信息

Exp Pathol (Jena). 1975;10(5-6):251-7.

PMID:1233286
Abstract

QUESTION

Details on the origin and the pathogenesis of the so-called "ghost bodies" occurring in the arteries and arterioles following experimental lesions of the vascular wall were to be studied under peculiar experimental conditions (immunological injury and cholesterol diet in combination).

MATERIAL AND METHODS

The experiments were carried out on 26 young rabbits of the same race and equal sex. They were selected from several test groups with experimentally induced arteriosclerosis. For challenge of immunological injury the animals were administered 3 intracutaneous injections of each 3 ml of horse serum at intervals of one week. Afterwards they received one or two intravenous injections of 2-3 ml of horse serum at weekly intervals. Immediately after the last injection the animals were sacrificed. A series of the animals were fed a cholesterol diet for some weeks after previous immunological injury (for details see WEIDENBACH and MASSMANN 1972). From a total of 26 animals always several sections of the aorta were investigated. 5 animals were used for controls. After decapitation of the animals the aortas were removed immediately and fixed in 2.5-3% glutaraldehyde for 2 hours. Afterwards they were postfixed in 1% osmium-Millonig solution for 1 hour. After 15 min the tissue samples were washed in Tyrode solution for 15 min, dehydrated in ascendent aceton grades and contrasted in blocks in the stage of 70% aceton. After embedding in Micropal the material was sectioned by an ultramicrotome OmU2 (Fa, Reichert, Wien) and investigated in electron microscopes of the types SEM 2-3 (100 kV) or KEM 1-2 (60 kV) (VEB Werk für Fernsehelektronik Berlin-Oberschöneweide).

RESULTS

Basing on their observations the authors classify as ghost bodies all cytoplasmic protrusions and all constricted extracellular structures which are limited by a membrane and filled with prevailingly filamentous-granular material (figs. 1, 2, 3), occasionaly also including fragments of cell organelles (fig. 4). They develop from cytoplasmic protrusions or bulgings of the processes of smooth muscle cells (figs. 1 and 2). In these protrusions the cytoplasm of the smooth muscle cells is loosened and of filamentous-granular appearance (fig. 1). The cells themselves show all characteristics of a modified or activated smooth muscle cell: they are branched, the organelles display marked secretory-metabolic activity associated with partical loss of the contractile elements whereas degenerative changes of these cells are nearly completely absent. Frequently focal disorganization of the cell membrane with release of the content to extracellular regions can be observed which is locally associated with the development of fibrillar structures.--In the environment of the "ghost bodies" the formation of collagenous fibres is visible (fig. 3). Degenerative changes which point to transition to necrosis can only occasionally be observed...

摘要

问题

在特殊实验条件下(免疫损伤与胆固醇饮食相结合),研究血管壁实验性损伤后动脉和小动脉中出现的所谓“幽灵体”的起源和发病机制的细节。

材料与方法

实验选用26只同品种、同性别的幼兔。它们选自几个实验性诱导动脉硬化的测试组。为引发免疫损伤,给动物每隔一周进行3次皮内注射,每次注射3毫升马血清。之后,每周给它们进行1 - 2次静脉注射2 - 3毫升马血清。最后一次注射后立即处死动物。在先前免疫损伤后的几周内,给一系列动物喂食胆固醇饮食(详情见魏登巴赫和马斯曼,1972年)。总共26只动物中,总是对几段主动脉进行研究。5只动物用作对照。动物断头后,立即取出主动脉,固定在2.5 - 3%的戊二醛中2小时。之后,在1%的锇 - 米隆尼克溶液中后固定1小时。15分钟后,将组织样本在台氏液中冲洗15分钟,在递增浓度的丙酮中脱水,并在70%丙酮阶段进行块对比。在嵌入Micropal后,用OmU2型超薄切片机(Reichert公司,维也纳)对材料进行切片,并在SEM 2 - 3型(100 kV)或KEM 1 - 2型(60 kV)电子显微镜(柏林 - 上舍内维德的VEB电子管工厂)下进行观察。

结果

基于观察结果,作者将所有被膜限制且充满主要为丝状颗粒物质的细胞质突起以及所有收缩的细胞外结构归类为幽灵体(图1、2、3),偶尔也包括细胞器碎片(图4)。它们由平滑肌细胞突起或膨大发育而来(图1和图2)。在这些突起中,平滑肌细胞的细胞质疏松,呈丝状颗粒状外观(图1)。细胞本身呈现出修饰或活化的平滑肌细胞的所有特征:它们有分支,细胞器显示出明显的分泌 - 代谢活性,伴有收缩元件部分丧失,而这些细胞的退行性变化几乎完全不存在。经常可以观察到细胞膜局部紊乱,内容物释放到细胞外区域,这与纤维状结构的形成局部相关。在“幽灵体”周围可见胶原纤维的形成(图3)。仅偶尔能观察到指向坏死转变的退行性变化……

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