Pugachev K K, Belous T A, Shimbireva I B, Kazachkina N I, Frank G A
Arkh Patol. 1987;49(4):14-9.
Normal gastric mucosa and that in atrophic gastritis was studied by indirect immunoperoxidase method. Intestinal antigens CEA and beta 1MA were found in the foetal stomach and in the foci of intestinal metaplasia with and without dysplastic epithelial changes. Gastric antigens, pepsinogens of the foetal and 2-nd type, were found in foetal and adult stomach, as well as in the foci of intestinal metaplasia with dysplastic changes. The discovery of concomitant presence of gastric and colonic antigens in the dysplastic epithelium may indicate the existence of pluripotent stem cells capable of differentiation in the direction of gastric glandular epithelium, and in the direction of enterocytes. The possibility is suggested of origination of gastric carcinoma of different histologic structure from intestinal metaplasia with dysplastic changes.
采用间接免疫过氧化物酶法对正常胃黏膜及萎缩性胃炎胃黏膜进行了研究。在胎儿胃以及伴有或不伴有发育异常上皮改变的肠化生灶中发现了肠道抗原癌胚抗原(CEA)和β1微球蛋白(β1MA)。在胎儿和成人胃以及伴有发育异常改变的肠化生灶中发现了胃抗原,即胎儿型和2型胃蛋白酶原。在发育异常上皮中同时存在胃和结肠抗原这一发现可能表明存在能够向胃腺上皮方向以及肠上皮细胞方向分化的多能干细胞。提示了具有发育异常改变的肠化生可能起源不同组织学结构的胃癌。