Grosse Hülsewiesche A, Grosse G, Kevenoglu M, Niedobitek F, Volkheimer G
Institut für Pathologie im Auguste-Viktoria-Krankenhaus, Berlin-Schöneberg.
Z Gastroenterol. 1989 Dec;27(12):714-21.
A total of 238 randomly selected gastric biopsies were examined with polyclonal antibodies from rabbits (antihuman-lysozyme and antihuman-lactoferrin) using the Peroxidase-Antiperoxidase-method according to Sternberger. The preparations were evaluated by comparing the intensity of the staining as well as the quantity and distribution of positive cells within the mucosa. The results show that lysozyme can be demonstrated constantly in the glandular neck zone and in the mucoid glandular body within the normal non-inflamed mucosa of the antrum, whereas in the normal corpus mucosa only a small amount of lysozyme appears focally and inconsistently in the neck area of the glands. A substantial increase in the intensity of lysozyme presentation due to inflammatory changes as related to the chronic superficial gastritis of the antrum cannot be discovered. On the contrary, the presentable amount of lysozyme decreases in line with the progressing inflammation and, in case of chronic-atrophic gastritis with intestinal metaplasia is restricted to the Paneth cells. A distinct and constant presentation of lysozyme can be achieved in the glandular neck zone, in the lower gastric pits and partially in the upper glandular body of the corpus mucosa in cases of chronic inflammatory processes. Obviously lysozyme is formed in the epithelial cells and not taken up from other cells. Furthermore it can be concluded from the findings that to a large extent lysozyme formation is linked to the proliferation activity of the epithelial cells. Lactoferrin cannot be found in normal non-inflammatory mucosa neither of the antrum nor of the corpus. But it can be found among most of the biopsy specimens with inflammatory changes.(ABSTRACT TRUNCATED AT 250 WORDS)
共随机选取238份胃活检标本,按照施特恩贝格尔的过氧化物酶 - 抗过氧化物酶法,用兔多克隆抗体(抗人溶菌酶和抗人乳铁蛋白)进行检测。通过比较染色强度以及黏膜内阳性细胞的数量和分布对标本进行评估。结果显示,在胃窦正常非炎症黏膜的腺颈部区域和黏液性腺体内可经常检测到溶菌酶,而在正常胃体黏膜中,仅在腺体颈部区域有少量溶菌酶呈局灶性且不连续出现。未发现因胃窦慢性浅表性胃炎相关的炎症变化导致溶菌酶表达强度大幅增加。相反,随着炎症进展,溶菌酶的可检测量减少,在伴有肠化生的慢性萎缩性胃炎病例中,溶菌酶仅限于潘氏细胞。在慢性炎症过程中,胃体黏膜的腺颈部区域、胃小凹下部及部分腺体上部可实现溶菌酶的明显且持续表达。显然,溶菌酶是由上皮细胞形成而非从其他细胞摄取。此外,从这些发现可以得出结论,溶菌酶的形成在很大程度上与上皮细胞的增殖活性相关。在胃窦和胃体的正常非炎症黏膜中均未发现乳铁蛋白。但在大多数有炎症变化的活检标本中可检测到乳铁蛋白。(摘要截取自250词)