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子宫内膜和子宫颈中的免疫球蛋白与分泌成分。炎症和癌的影响。

Immunoglobulins and secretory component in endometrium and cervix. Influence of inflammation and carcinoma.

作者信息

Hurlimann J, Dayal R, Gloor E

出版信息

Virchows Arch A Pathol Anat Histol. 1978 Mar 10;377(3):211-23. doi: 10.1007/BF00426931.

Abstract

The synthesis of immunoglobulins and secretory component in the cervix and the endometrium was studied by tissue culture and immunofluorescence. Out of the 75 cervical biopsies studied, 17 were epidermoid carcinomas, 8 were carcinomas in situ and 23 tissues had inflammatory or metaplastic lesions. A total of 49 samples from endometrium were studied, out of which 22 were in the proliferative phase, 17 were in the secretory phase and 4 were carcinomas. In the cervical tissues without lesions, there were very few plasmacytes, the synthesis of immunoglobulins was low and in 66% of the tissues the synthesis of IgG was equal to or higher than that of IgA. With local modifications, the IgG synthesis was even more preponderant and was very important in epidermoid carcinomas which were infiltrated with numerous IgG plasmacytes. Secretory component was synthesized by almost all the tissues except the epidermoid carcinomas. The endometrium did not synthesize immunoglobulins; secretory component was synthesized only by endometrial tissue in the secretory phase and by 2 of the 4 carcinomas studied. It seems that in the cervix and the endometrium there is no relationship between the production of secretory component and the presence of IgA plasmacytes which probably localise as a result of other influences. The conditions in which the local secretory immunological system would react preferentially remain to be determined.

摘要

通过组织培养和免疫荧光法研究了子宫颈和子宫内膜中免疫球蛋白及分泌成分的合成。在所研究的75例子宫颈活检标本中,17例为鳞状细胞癌,8例为原位癌,23例组织有炎症或化生病变。共研究了49例子宫内膜样本,其中22例处于增殖期,17例处于分泌期,4例为癌组织。在无病变的子宫颈组织中,浆细胞极少,免疫球蛋白合成水平低,66%的组织中IgG的合成等于或高于IgA。经局部改变后,IgG合成更为占优势,在有大量IgG浆细胞浸润的鳞状细胞癌中非常重要。除鳞状细胞癌外,几乎所有组织都能合成分泌成分。子宫内膜不合成免疫球蛋白;仅分泌期的子宫内膜组织及所研究的4例癌组织中的2例能合成分泌成分。子宫颈和子宫内膜中,分泌成分的产生与IgA浆细胞的存在之间似乎没有关系,IgA浆细胞可能是受其他影响而定位的。局部分泌免疫系统优先发生反应的条件尚待确定。

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