Abbas B, Hume S P, McCullough J S, Wilson D J, Stewart P C, Carr K E
M.R.C. Cyclotron Unit, Hammersmith Hospital, London, U.K.
J Submicrosc Cytol Pathol. 1990 Oct;22(4):609-14.
The mouse has been used extensively as a model for radiobiological studies. In particular, the cellular compartments of the intestinal villi have been examined, in an effort to gain an understanding of the gastrointestinal disturbances which follow radiotherapy of the abdomen. The response of the blood vessels has been, however, largely neglected. This paper examines the early response of the duodenal capillaries to an X-ray dose of 10 Gy using conventional light and transmission electron microscopy. The villous capillaries were examined at 6 h, 1 day and 3 days after treatment. The results showed that the capillaries responded to X-irradiation within 6 h. exhibiting marked vasodilation similar to that observed in acute inflammation. Significantly there was no ultrastructural evidence of endothelial cell disruption or loss of junctional attachment between the cells, but the characteristic fenestrae of these vessels were less apparent than in the controls. One day after treatment the capillaries had become constricted, with many vessels totally non-patent. The cytoplasm and nuclei of the endothelial cells showed changes consistent with vascular damage, such as nuclear shape alterations and luminal cytoplasmic projections. Three days after treatment there was variation in the capillary patency, as some vessels showed signs of incipient necrosis whilst others were relatively normal in appearance. The results suggest that the early vascular response typically involves a phase of vasodilation followed by constriction within the first 24 h after treatment, a finding consistent with the radiation response of skin capillaries in what has been described as 'transient erythema'. The ultrastructural changes associated with the phasic changes in patency did not suggest large scale endothelial death, but rather alteration of the functional capacity of the vessels which may in turn affect the other cell populations in the villi.
小鼠已被广泛用作放射生物学研究的模型。特别是,人们对肠绒毛的细胞区室进行了检查,以期了解腹部放疗后出现的胃肠道紊乱情况。然而,血管的反应在很大程度上被忽视了。本文使用传统光学显微镜和透射电子显微镜,研究十二指肠毛细血管对10 Gy X射线剂量的早期反应。在治疗后6小时、1天和3天对绒毛毛细血管进行检查。结果显示,毛细血管在6小时内对X射线照射产生反应,表现出与急性炎症中观察到的明显血管扩张。值得注意的是,没有超微结构证据表明内皮细胞破坏或细胞间连接附着丧失,但这些血管的特征性窗孔比对照组不太明显。治疗1天后,毛细血管收缩,许多血管完全不通畅。内皮细胞的细胞质和细胞核显示出与血管损伤一致的变化,如核形状改变和腔内细胞质突起。治疗3天后,毛细血管通畅情况存在差异,一些血管显示出早期坏死迹象,而另一些血管外观相对正常。结果表明,早期血管反应通常包括治疗后24小时内先出现血管扩张阶段,随后是收缩阶段,这一发现与在所谓“短暂性红斑”中皮肤毛细血管的辐射反应一致。与通畅性阶段性变化相关的超微结构变化并不表明内皮细胞大规模死亡,而是血管功能能力的改变,这反过来可能会影响绒毛中的其他细胞群体。