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[某些先天性免疫防御成分在幽门螺杆菌感染相关的儿童慢性胃炎中肥大细胞超微结构和功能方面的参与情况]

[The participation of some innate immunological defense components in children with chronic gastritis associated H. pylori infection in ultrastructure and function of the mast cells aspects].

作者信息

Czkwianianc Elzbieta, Janas Bogdan, Bartel Hieronim, Ryszard Makosiej, Durko Alina, Małecka-Panas Ewa

机构信息

Klinik Gastroenterologii, Instytutu Centrum Zdrowia Matki Polki w Łodzi, Uniwersytet Medyczny w Łodzi.

出版信息

Pol Merkur Lekarski. 2007 May;22(131):346-9.


DOI:
PMID:17679364
Abstract

UNLABELLED: It has been clearly established that Helicobacter pyloni (H. pylori) play an important role in the pathogenesis of some chronic diseases of upper gastrointestinal tract. A lot of attention to the complicated immunological processes induced by the infection was paid. The clinical outcome of the damage of gastric mucosa by H. pylori depends on the type and the intensification of these processes. During many years the acquired (specific) immunological response on the infection was analyzed by scientists, but much more researches on innate defense was done lately The mast cells constitute some important parts of the immunological innate defense. H. pylori colonization of gastric mucosal surface elicits a conspicuous infiltration comprising of lymphocytes, and plasma cells as well as neutrophils, eosinophils, macrophages and the granule cells of connective fissue. Some difficulties with the mastocytes visualization in conventional histological slides in light microscope caused so far the little attention of their participation in chronic gastritis. The aim of the study was the assessment of the mastocytes participation in the infiltration of immunological cells induced by H. pylonri in chronic gastritis. MATERIAL AND METHODS: The subjects were twenty dyspeptic children aged 9-17 years underwent upper GI endoscopy procedure. Twelve children were H. pylori positive. Remaining eight children H. pylori negative composed a control group. Gastric antrum and corpus tissue specimens in the conventional (light) and electron microscopy were examined. The specimens intended for electron microscope assessment were fixed in the solution of 1% glutaraldehyde and 2.5% paraformaldehyde at 40 C (pH 7.4) for 24 hours, and postfixed in 2% osmium tetroxide at the same conditions. Ultrathin sections were contrasted with uranyl acetate and lead citrate. Results. Ultrastructural analysis revealed two distinct, morphological forms of mast cells in gastric mucosa. All mast cells contained multiple granules with fine-grained material but their appearance was distinct in both types of these cells. Statistical analysis revealed that the count of mast cells in gastric mucosa was increased in H. pylori positive when compared with H. pylori negative children. It was also affirmed that in specimens from H. pylori infected children mast cells more frequently were seen in the gastric epithelium.

摘要

未标注:已明确证实幽门螺杆菌(H. pylori)在上消化道某些慢性疾病的发病机制中起重要作用。人们对该感染引发的复杂免疫过程给予了大量关注。幽门螺杆菌对胃黏膜造成损害的临床结果取决于这些过程的类型和强度。多年来,科学家们分析了针对该感染的获得性(特异性)免疫反应,但最近对先天性防御的研究更多。肥大细胞是免疫先天性防御的重要组成部分。胃黏膜表面的幽门螺杆菌定植引发了明显的浸润,包括淋巴细胞、浆细胞以及中性粒细胞、嗜酸性粒细胞、巨噬细胞和结缔组织的颗粒细胞。到目前为止,在传统组织学切片的光学显微镜下难以观察到肥大细胞,这导致它们在慢性胃炎中的参与情况很少受到关注。本研究的目的是评估肥大细胞在幽门螺杆菌诱导的慢性胃炎免疫细胞浸润中的参与情况。 材料与方法:研究对象为20名9至17岁的消化不良儿童,他们接受了上消化道内镜检查。12名儿童幽门螺杆菌呈阳性。其余8名幽门螺杆菌阴性的儿童组成对照组。对胃窦和胃体组织标本进行了传统(光学)和电子显微镜检查。用于电子显微镜评估的标本在4℃(pH 7.4)的1%戊二醛和2.5%多聚甲醛溶液中固定24小时,并在相同条件下用2%四氧化锇进行后固定。超薄切片用醋酸铀和柠檬酸铅进行对比。结果。超微结构分析揭示了胃黏膜中肥大细胞的两种不同形态。所有肥大细胞都含有多个含有细颗粒物质的颗粒,但这两种类型细胞的外观不同。统计分析显示,与幽门螺杆菌阴性儿童相比,幽门螺杆菌阳性儿童胃黏膜中的肥大细胞数量增加。还证实,在幽门螺杆菌感染儿童的标本中,胃上皮中更频繁地观察到肥大细胞。

相似文献

[1]
[The participation of some innate immunological defense components in children with chronic gastritis associated H. pylori infection in ultrastructure and function of the mast cells aspects].

Pol Merkur Lekarski. 2007-5

[2]
[Mast cells in chronic gastritis of children].

Pol Merkur Lekarski. 2001-3

[3]
Helicobacter pylori infection is associated with increased expression of macrophage migratory inhibitory factor--by epithelial cells, T cells, and macrophages--in gastric mucosa.

J Infect Dis. 2004-7-15

[4]
Gastric phenotype in children with Helicobacter pylori infection undergoing upper endoscopy.

Scand J Gastroenterol. 2011-3

[5]
Intraepithelial infiltration by mast cells in human Helicobacter pylori active gastritis.

Ultrastruct Pathol. 2011-12

[6]
Histological aspects and role of mast cells in Helicobacter pylori-infected gastritis.

Aliment Pharmacol Ther. 2004-7

[7]
[Mast cell of upper gastrointestinal tract mucosa and Helicobacter pylori infection in children].

Pol Merkur Lekarski. 2000-6

[8]
Mast cells in Helicobacter pylori associated antral gastritis.

Indian J Pathol Microbiol. 2003-10

[9]
An increased number of gamma/delta T-cells and gastric epithelial cell expression of the groEL stress-protein homologue in Helicobacter pylori-associated chronic gastritis of the antrum.

Am J Gastroenterol. 1991-8

[10]
The EGFR expression in gastric mucosa of children infected with Helicobacter pylori.

Adv Med Sci. 2009

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