Manche E E, Korte G E
Department of Ophthalmology, Montefiore Medical Center/Albert Einstein College of Medicine, New York, NY.
Acta Anat (Basel). 1990;138(2):89-96. doi: 10.1159/000146924.
Several investigators have recently presented ultrastructural evidence for remodelling in the mammalian, including human, choriocapillaris. This evidence consists of cytoplasmic processes off endothelium and pericytes that penetrate the basal lamina of the capillary and enter the pericapillary space and redundant layers of basal lamina interpreted as the result of secretory activity subsequent to cellular movement within the wall of the capillary. This report extends these observations to the remaining microvasculature of the choroid--its arterioles and venules--and to another part of the ocular microvasculature--the pars plana of the ciliary body--of the rabbit and human eye. Cytoplasmic processes and redundant basal laminae were observed in the microvasculature at both sites, most frequently associated with venules and capillaries. Cytoplasmic processes and redundant basal laminae are generally associated with cellular movement and vessel growth during ocular neovascularization. However, their presence in histologically normal eyes suggests that these phenomena occur in the absence of neovascularization, i.e. that the microvasculature is remodelled in the normal eye.
最近,几位研究人员提出了超微结构证据,证明包括人类在内的哺乳动物脉络膜毛细血管存在重塑现象。这些证据包括内皮细胞和周细胞的细胞质突起,它们穿透毛细血管的基膜,进入毛细血管周间隙,以及多余的基膜层,这些被解释为毛细血管壁内细胞运动后分泌活动的结果。本报告将这些观察结果扩展到脉络膜的其余微血管——其小动脉和小静脉——以及兔和人眼眼微血管的另一部分——睫状体的扁平部。在这两个部位的微血管中均观察到细胞质突起和多余的基膜,最常见于小静脉和毛细血管。细胞质突起和多余的基膜通常与眼部新生血管形成过程中的细胞运动和血管生长有关。然而,它们在组织学正常的眼睛中的存在表明,这些现象在没有新生血管形成的情况下也会发生,即正常眼睛中的微血管会发生重塑。