Berrisford R G, Wells M, Dixon M F
Br J Exp Pathol. 1985 Feb;66(1):27-33.
In an attempt to elucidate which mechanisms of mucus barrier breakdown are important in the formation of gastric erosions, changes occurring in the epithelial mucin content of gastric mucosa exposed to a damaging agent were studied quantitatively. Male Wistar rats (n = 30) were starved for 24 h, then dosed orally with aspirin suspension (300 mg/kg body weight). Animals were killed after 3, 5 or 9 h. Paraffin sections of gastric mucosa were prepared from each and were stained with Alcian blue pH 2.5 (for acidic glycoproteins) or PAS (neutral glycoproteins). Control animals (n = 15) were treated identically, apart from the omission of aspirin from the suspension. The mean integrated optical density (IOD) of each slide was measured using a Vickers M85 Microdensitometer. The mean IOD for PAS-stained sections dropped to 50% of the control value in the 3-h group (P less than 0.001), returning to 84% of the control value in the 5-h group and normal in the 9-h group. In contrast, mean IOD for Alcian blue stained sections was only marginally reduced after 3 h, but showed considerable reduction in the 5-h (57% of control value) and 9-h (61% of control value) groups. It is suggested that this diminished epithelial mucin content is a consequence of cellular exfoliation. Such depletion of epithelial mucin content represents a diminished source of supply for the surface gel, the reduced thickness of which would compromise the 'mucus-bicarbonate' barrier.
为了阐明在胃糜烂形成过程中,黏液屏障破坏的哪些机制起重要作用,对暴露于损伤因子的胃黏膜上皮黏蛋白含量的变化进行了定量研究。雄性Wistar大鼠(n = 30)禁食24小时,然后口服阿司匹林混悬液(300 mg/kg体重)。3、5或9小时后处死动物。从每只动物制备胃黏膜石蜡切片,并用pH 2.5的阿尔辛蓝(用于酸性糖蛋白)或PAS(中性糖蛋白)染色。对照动物(n = 15)除了混悬液中不添加阿司匹林外,处理方式相同。使用维氏M85显微密度计测量每张玻片的平均积分光密度(IOD)。PAS染色切片的平均IOD在3小时组降至对照值的50%(P < 0.001),在5小时组恢复至对照值的84%,在9小时组恢复正常。相比之下,阿尔辛蓝染色切片的平均IOD在3小时后仅略有降低,但在5小时组(对照值的57%)和9小时组(对照值的61%)显著降低。提示上皮黏蛋白含量减少是细胞脱落的结果。上皮黏蛋白含量的这种减少代表表面凝胶的供应源减少,其厚度减小会损害“黏液-碳酸氢盐”屏障。