Division of Biosciences, University College London, London, United Kingdom.
Neurourol Urodyn. 2019 Nov;38(8):2093-2103. doi: 10.1002/nau.24085. Epub 2019 Jul 23.
To describe and illustrate the structure of the propria, the bladder of adult rats was fixed in controlled conditions of distension and examined by light and electron microscopy. The lamina propria, ~50 µm thick in the distended bladder, consists of a superficial part (the cellular component), adjacent to the urothelium, rich in nerves, capillaries, fibroblasts and thin bundles of collagen, and a deep, thicker part (the fibrous component), adjacent to the detrusor, rich in large collagen fibres and with few fibroblasts. In the cellular part there is an extensive plexus of afferent nerve fibers and a dense capillary network (with numerous pericytes), lying close to the urothelium, that is unique to the bladder. The main resident cells are fibroblasts, adhering to each other at the end of laminar extensions without forming specialized junctions. The deep part of the lamina propria is made of thick collagen fibers, interwoven and crisscrossing each other, with a few fibroblasts in the interstitial spaces between them. In summary, the superficial part of the lamina propria has most of the bladder afferent nerves, contains many fibroblasts and has a network of suburothelial capillaries. The deep part as a whole forms an ovoid balloon of woven fibrous material that is acted upon by the detrusor musculature attached to its outer surface. The lamina propria is a strong fibrous barrier between urothelium and musculature. The abundance of collagen points to the main role for its fibroblasts, that is, the production of collagen fibrils, assisting the mechanical role of the lamina propria.
为了描述和说明固有层的结构,将成年大鼠的膀胱在受控的膨胀条件下固定,并通过光镜和电镜进行检查。固有层在膨胀的膀胱中厚约 50μm,由浅层(细胞成分)和深层(纤维成分)组成。浅层靠近尿路上皮,富含神经、毛细血管、成纤维细胞和细束胶原,深层靠近逼尿肌,富含大胶原纤维,成纤维细胞较少。在细胞部分有一个广泛的传入神经纤维丛和一个密集的毛细血管网络(有许多周细胞),靠近尿路上皮,这是膀胱所特有的。主要的常驻细胞是成纤维细胞,它们在没有形成特殊连接的层状延伸的末端相互附着。固有层的深层由厚的胶原纤维组成,相互交织和交叉,其间有少量成纤维细胞。总之,固有层的浅层有大部分膀胱传入神经,含有许多成纤维细胞,并具有下尿路上皮毛细血管网络。整个深层形成一个编织纤维材料的椭圆形气球,由附着在其外表面的逼尿肌肌肉作用。固有层是尿路上皮和肌肉之间的坚固纤维屏障。胶原的丰富程度表明其成纤维细胞的主要作用是产生胶原纤维原纤维,协助固有层的机械作用。