Sand Elin, Themner-Persson Anna, Ekblad Eva
Neurogastroenterology Unit, Department of Experimental Medical Science, Lund University, BMC B:11, S-22184, Lund, Sweden.
Dig Dis Sci. 2008 Dec;53(12):3158-69. doi: 10.1007/s10620-008-0279-x. Epub 2008 May 8.
Intestinal ischemia as well as mastocytosis occur in patients with inflammatory bowel disease and irritable bowel syndrome. Our aim was to clarify how ischemia with reperfusion (I/R) affects the structure, enteric neurons, and immune cells in the colon. Rats were subjected to colon ischemia for 1 h and reperfused for 1 day up to 20 weeks; sham-operated rats were used as controls. No structural remodeling of the intestinal segment was detected after I/R. The number and distribution of eosinophils were not affected by I/R. Local areas containing numerous mast cells were detected in the muscle layers, the serosa, and in and around the myenteric ganglia 4-20 weeks post ischemia. It was notable that myenteric ganglionic formations within mast-cell-rich areas virtually lacked neurons. Mast cells were rarely found in controls. In conclusion, I/R of the colon attracts mast cells, and death of myenteric neurons occurs in such locations.
炎症性肠病和肠易激综合征患者会出现肠道缺血以及肥大细胞增多症。我们的目的是阐明缺血再灌注(I/R)如何影响结肠的结构、肠神经元和免疫细胞。对大鼠进行结肠缺血1小时,再灌注1天至20周;假手术大鼠用作对照。I/R后未检测到肠段的结构重塑。嗜酸性粒细胞的数量和分布不受I/R影响。在缺血后4至20周,在肌层、浆膜以及肌间神经节内和周围检测到含有大量肥大细胞的局部区域。值得注意的是,富含肥大细胞区域内的肌间神经节结构几乎没有神经元。在对照组中很少发现肥大细胞。总之,结肠I/R会吸引肥大细胞,并且在这些部位会发生肌间神经元死亡。