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[乳糜泻患儿空肠活检中前列腺素含量及内分泌细胞群体的变化]

[Changes in the prostanoid content and the population of endocrine cells in jejunal biopsies from celiac children].

作者信息

Mariani P, Pietroletti R, D'Alessandro M D, Castro M, Lucidi V, Ceccamea A, Lomanto D, Carlei F, Lezoche E

机构信息

Istituto II Clinica Chirurgica, Università La Sapienza, Roma.

出版信息

Minerva Pediatr. 1990 Apr;42(4):131-4.

PMID:1974029
Abstract

Prostanoid content prostaglandin E2 (PGE2) and thromboxane B2 (TxB2) and endocrine cells population were evaluated in jejunal biopsies from celiac children; findings were compared to active celiac patients on a challenge diet. Patients were divided as follows: Group A: 14 children with active untreated celiac disease; Group B: 7 celiac children on gluten challenge who had received diet therapy for the past 2 years; Group C: 8 normal control children. Jejunal biopsies were used for endocrine cell population measurement by immunocytochemistry, using a specific marker (chromogranin), and for prostanoid radioimmunological evaluation. The quantitative assessment of the endocrine cell population in Groups A and B revealed a significantly higher number of endocrine cells (20 +/- 11.5; 18.4 +/- 9.8 n. cell/visual field respectively) compared to Group C (8.44 +/- 2.3 n. cell/visual field) (p less than 0.05). In the jejunal extract the PGE2 content (341.8 +/- 82.3) ng/g) for Group A biopsies was significantly higher than that of Group C biopsies (93 +/- 23 ng/g) (p less than 0.05. The PGE2 content (69.4 +/- +13.2 ng/g) for Group B did not show any statistically significant change. In contrast, TxB2 content in jejunal biopsies from all three groups was not significantly different.

摘要

对乳糜泻患儿空肠活检组织中的前列腺素含量(前列腺素E2(PGE2)和血栓素B2(TxB2))以及内分泌细胞数量进行了评估;将结果与接受激发饮食的活动期乳糜泻患者进行了比较。患者分为以下几组:A组:14名未经治疗的活动期乳糜泻患儿;B组:7名接受麸质激发试验的乳糜泻患儿,他们在过去2年中接受了饮食治疗;C组:8名正常对照儿童。空肠活检组织用于通过免疫细胞化学(使用特异性标志物嗜铬粒蛋白)测量内分泌细胞数量,并用于前列腺素放射免疫评估。A组和B组内分泌细胞数量的定量评估显示,与C组(8.44±2.3个细胞/视野)相比,内分泌细胞数量显著更多(分别为20±11.5;18.4±9.8个细胞/视野)(p<0.05)。在空肠提取物中,A组活检组织的PGE2含量(341.8±82.3)ng/g显著高于C组活检组织(93±23 ng/g)(p<0.05)。B组的PGE2含量(69.4±13.2 ng/g)未显示任何统计学上的显著变化。相比之下,三组空肠活检组织中的TxB2含量无显著差异。

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