Appleton G V, Wheeler E E, Challacombe D N, Williamson R C
University Department of Surgery, Southmead Hospital, Bristol.
Gut. 1991 Sep;32(9):1027-30. doi: 10.1136/gut.32.9.1027.
Valuable information on intestinal adaptation can be gained by using the technique of organ culture to measure the crypt cell production rate. It is not known, however, whether the production rate in organ culture accurately represent that in vivo. Colonic crypt cell production rate, determined by a standard method in vivo, was compared with that in vitro in organ culture in 56 rats. Extensive jejunoileal bypass was used to stimulate colonic hyperplasia, and colonic defunction (by transverse colostomy) led to hypoplasia. There were no differences in crypt cell production rates between in vivo and in vitro groups in normal colon (4.62 (0.39) v 4.80 (0.23) cells/crypt/hour), after 80% jejuno-ileal bypass (7.81 (0.71) v 6.75 (0.72) cells/crypt/hour), or after defunction (2.11 (0.39) v 1.81 (0.35) cells/crypt/hour). Adapting colonic mucosa does not undergo appreciable readaptation in vitro in short term organ culture (10-24 hours). Crypt cell production rate results obtained in man probably reflect in vivo values.
通过运用器官培养技术来测量隐窝细胞生成率,可获取有关肠道适应性的宝贵信息。然而,目前尚不清楚器官培养中的生成率是否能准确代表体内的生成率。在56只大鼠中,将通过体内标准方法测定的结肠隐窝细胞生成率与器官培养中的体外生成率进行了比较。采用广泛的空肠回肠旁路术来刺激结肠增生,而结肠去功能化(通过横结肠造口术)则导致发育不全。在正常结肠中(4.62(0.39)对4.80(0.23)个细胞/隐窝/小时)、80%空肠回肠旁路术后(7.81(0.71)对6.75(0.72)个细胞/隐肠隐窝/小时)或去功能化后(2.11(0.39)对1.81(0.35)个细胞/隐窝/小时),体内和体外组的隐窝细胞生成率并无差异。在短期器官培养(10 - 24小时)中,适应性结肠黏膜在体外不会发生明显的再适应。在人体中获得的隐窝细胞生成率结果可能反映了体内值。