Squarcia O, Fais S, Boirivant M, Di Paolo M C, Marcheggiano A, Iannoni C, Paoluzi P, Pallone F
Cattedra di Gastroenterologia I, Università La Sapienza, Roma, Italy.
Gastroenterol Clin Biol. 1991;15(3):194-8.
Lamina propria mononuclear cells can be isolated from mucosal specimens of human colon. In the present study, we have explored whether both the phenotypes and functional properties can be studied in lamina propria mononuclear cell suspensions isolated from the same set of endoscopic biopsies in patients with ulcerative colitis. The counts of CD11b+ lamina propria mononuclear cells in mild active ulcerative colitis were significantly higher than those of both quiescent ulcerative colitis and controls. Similarly, the CD16+ and the CD19+ lamina propria mononuclear cells were significantly increased in mild ulcerative colitis patients in comparison to both quiescent ulcerative colitis and control lamina propria mononuclear cells. Lamina propria mononuclear cells from all the biopsy samples appeared to produce detectable amounts of immunoglobulins of the three classes. The production of IgG in mild ulcerative colitis cultures was significantly higher than that observed in quiescent ulcerative colitis and controls. In contrast, the production of IgA in active ulcerative colitis lamina propria mononuclear cell cultures appeared to be significantly lower than that of both quiescent ulcerative colitis and controls. This study shows that morphology, phenotypes, and functional properties can be assessed in lamina propria mononuclear cell suspensions obtained from the same set of endoscopic biopsy samples. We have also shown that changes in phenotypes and functional status of lamina propria mononuclear cells occurred in mild active ulcerative colitis while no significant abnormality of these parameters was found in quiescent ulcerative colitis. This indicates that a normalization of mucosal immune functions occurs in ulcerative colitis patients when complete clinical and histological remission is achieved.
固有层单核细胞可从人类结肠的黏膜标本中分离出来。在本研究中,我们探讨了能否在从溃疡性结肠炎患者同一组内镜活检标本中分离出的固有层单核细胞悬液中研究其表型和功能特性。轻度活动期溃疡性结肠炎患者的CD11b⁺固有层单核细胞计数显著高于静止期溃疡性结肠炎患者和对照组。同样,与静止期溃疡性结肠炎患者和对照组的固有层单核细胞相比,轻度溃疡性结肠炎患者的CD16⁺和CD19⁺固有层单核细胞显著增加。所有活检样本的固有层单核细胞似乎都能产生可检测量的三类免疫球蛋白。轻度溃疡性结肠炎培养物中IgG的产生显著高于静止期溃疡性结肠炎患者和对照组。相反,活动期溃疡性结肠炎固有层单核细胞培养物中IgA的产生似乎显著低于静止期溃疡性结肠炎患者和对照组。本研究表明,从同一组内镜活检样本获得的固有层单核细胞悬液的形态、表型和功能特性可以进行评估。我们还表明,轻度活动期溃疡性结肠炎患者的固有层单核细胞表型和功能状态发生了变化,而静止期溃疡性结肠炎患者这些参数未发现明显异常。这表明溃疡性结肠炎患者在实现完全临床和组织学缓解时,黏膜免疫功能会恢复正常。