Goddard P J, Kao Y C, Lichtenberger L M
Department of Physiology and Cell Biology, University of Texas Medical School, Houston.
Gastroenterology. 1990 Feb;98(2):361-70. doi: 10.1016/0016-5085(90)90826-m.
The contribution of the surface mucous gel to the stomach's hydrophobic luminal properties and how these properties are affected by both damaging and cytoprotective agents were studied. Canine gastric mucosa, determined to be hydrophobic in nature by contact angle analysis, had an adherent periodic acid-Schiff-reactive mucous gel layer over 85% of its luminal surface, as observed under light microscopy. Extracellular structures reactive with the phospholipid-selective stain, iodoplatinate, were observed ultrastructurally in these tissues, within and at the luminal interface of the surface mucous gel. Incubating the luminal surface of gastric mucosa mounted in Ussing chambers in acidified aspirin promoted the exfoliation of surface epithelium and markedly reduced surface hydrophobicity, surface periodic acid-Schiff reactivity, and transmucosal potential difference. Addition of 16,16-dimethyl prostaglandin E2 to the nutrient compartment of these chambers maintained surface hydrophobicity at control levels but did not prevent aspirin-induced reductions in potential difference or cellular damage to the surface epithelium. However, prostaglandin did attenuate exfoliation of aspirin-damaged surface mucous cells and preserved the surface mucous gel. These results indicate that the stomach's hydrophobic lining is closely associated with the presence of a surface mucous gel layer, is not an effective barrier to the penetration of lipid-soluble damaging agents such as acidified aspirin, and is maintained by exogenous prostaglandin as is the mucous gel layer, even in the presence of luminal aspirin. The ability of prostaglandin to maintain a hydrophobic mucous gel layer over compromised tissue may, in part, explain its ability to limit aspirin-induced injury and promote the recovery and restitution of the surface epithelium.
研究了表面黏液凝胶对胃腔疏水性的贡献以及这些特性如何受到损伤性和细胞保护剂的影响。通过接触角分析确定犬胃黏膜本质上是疏水的,在光学显微镜下观察到,其腔表面超过85%覆盖着一层附着的过碘酸希夫反应性黏液凝胶层。在这些组织中,在表面黏液凝胶的腔内界面及其内部,超微结构观察到与磷脂选择性染色剂碘铂酸盐反应的细胞外结构。将置于Ussing室中的胃黏膜腔表面在酸化阿司匹林中孵育,可促进表面上皮细胞脱落,并显著降低表面疏水性、表面过碘酸希夫反应性和跨黏膜电位差。向这些室的营养隔室中添加16,16-二甲基前列腺素E2可将表面疏水性维持在对照水平,但不能防止阿司匹林引起的电位差降低或对表面上皮细胞的损伤。然而,前列腺素确实减弱了阿司匹林损伤的表面黏液细胞的脱落,并保留了表面黏液凝胶。这些结果表明,胃的疏水内衬与表面黏液凝胶层的存在密切相关,不是脂溶性损伤剂(如酸化阿司匹林)渗透的有效屏障,并且即使在存在腔内阿司匹林的情况下,也由外源性前列腺素维持,黏液凝胶层也是如此。前列腺素在受损组织上维持疏水黏液凝胶层的能力,可能部分解释了其限制阿司匹林诱导损伤以及促进表面上皮细胞恢复和修复的能力。