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[眼光学环境透明度障碍的发病机制。IV. 铜屑沉着症玻璃体的电子显微镜研究]

[Pathogenesis of transparency disorders of the optical environment of the eye. IV. Electron microscopy study of the vitreous body in chalcosis].

作者信息

Synek S, Moster M F, Pác L

出版信息

Cesk Oftalmol. 1989 Jul;45(4):299-307.

PMID:2791045
Abstract

The authors proved, based on electron microscopic analysis that the vitreous body of the rabbit creates under physiological conditions a regular network of collagenous fibrils with a different cell population. The cells can be divided into three basic types: 1. Large cells with a lobular nucleus and well differentiated cytoplasm and multiple organelles which ensure a high metabolic activity. 2. The second type are cells of an elongated shape with an oval nucleus surrounded by a thin layer of cytoplasm with a small amount of organelles. 3. The third type are large globular cells with a homogeneous structureless mass. The basic cytoplasm with the nucleus and a negligible amount of organelles is pushed to the cell surface and thus forms a thin layer beneath the plasmalemma. Contrary to the pathologically altered vitreous body, the authors did not detect on the sound vitreous body any phagocytosing cells. On the other hand, the long-term effect of copper in experimental chalcosis markedly alters the cytological character of the structure of the vitreous body. Cell types typical for a sound vitreous body were not found in the affected eye in chalcosis. In addition to rare destroyed cells containing autophagosomes of varying size with incomplete plasmalemma at some sites there is the important finding of two different forms of phagocytes in the pathological vitreous body: 1. Neutrophil granulocytes and 2. Macrophages containing large phagosomes in the cytoplasm. Their function is to eliminate destroyed tissues and engulfing of copper particles.

摘要

作者基于电子显微镜分析证明,兔的玻璃体在生理条件下形成了一个由不同细胞群体构成的规则胶原纤维网络。这些细胞可分为三种基本类型:1. 具有叶状核、分化良好的细胞质和多个细胞器的大细胞,这些细胞器确保了高代谢活性。2. 第二种类型是细长形细胞,其椭圆形核被一层薄细胞质包围,细胞质中细胞器较少。3. 第三种类型是具有均匀无结构物质的大球状细胞。带有细胞核和少量细胞器的基本细胞质被推到细胞表面,从而在质膜下方形成一层薄层。与病理改变的玻璃体不同,作者在健康的玻璃体上未检测到任何吞噬细胞。另一方面,铜在实验性铜质沉着症中的长期作用显著改变了玻璃体结构的细胞学特征。在铜质沉着症患眼中未发现健康玻璃体特有的细胞类型。除了在某些部位有罕见的含有大小不一自噬体且质膜不完整的受损细胞外,在病理性玻璃体中还有一个重要发现,即两种不同形式的吞噬细胞:1. 中性粒细胞和2. 细胞质中含有大吞噬体的巨噬细胞。它们的功能是清除受损组织并吞噬铜颗粒。

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