Pemsingh R S, MacPherson B R, Scott G W
Department of Anatomy, University of Alberta, Edmonton, Canada.
Hepatology. 1987 Nov-Dec;7(6):1267-71. doi: 10.1002/hep.1840070615.
This study identified mucus granules, determined mode of release and quantified their volume in the gallbladder epithelium of Richardson's ground squirrels (Spermophilus richardsonii) fed a lithogenic diet of 2% cholesterol to experimentally induce gallstone formation. Tissue was examined using light microscopy histochemistry, scanning and transmission electron microscopy, as well as autoradiography and morphometry at the electron microscopic level. Autoradiography demonstrated incorporation of a glycoprotein precursor, [3H]galactose, within the membrane-bound granules localized in the supranuclear region of the epithelial cells. Exocytosis of granule contents was by merocrine secretion. Morphometry indicated a significant increase in the amount of intracellular mucin granules as early as 18 hr on the lithogenic diet, a feature that continued throughout the experimental period of 20 weeks. Mucus synthesis/secretion rates returned to control values within 3 weeks after removal from the diet. Scanning electron microscopy observations revealed a thick sludge-like layer overlying the epithelium at a time in the chronology of the cholelithiasic model that correlated well with the initial phases of stone formation. Histochemistry showed this layer to be a mixture of acidic mucins. Neutral mucins were not observed. The hypersecretion of mucus and formation of this sludge-like layer appear to be critical nucleating factors in the formation of cholesterol gallstones.
本研究对取食含2%胆固醇的致石性饮食以实验性诱导胆结石形成的理查森地松鼠(Spermophilus richardsonii)胆囊上皮中的黏液颗粒进行了鉴定,确定了其释放方式并对其体积进行了定量分析。使用光学显微镜组织化学、扫描和透射电子显微镜以及电子显微镜水平的放射自显影和形态测量法对组织进行了检查。放射自显影显示,一种糖蛋白前体[3H]半乳糖掺入位于上皮细胞核上区的膜结合颗粒内。颗粒内容物通过局部分泌进行胞吐作用。形态测量表明,早在致石性饮食18小时后,细胞内黏蛋白颗粒的数量就显著增加,这一特征在整个20周的实验期内持续存在。从饮食中去除后3周内,黏液合成/分泌率恢复到对照值。扫描电子显微镜观察显示,在胆石症模型的某个时间点,上皮上覆盖着一层厚厚的污泥样层,这与结石形成的初始阶段密切相关。组织化学显示该层是酸性黏蛋白的混合物。未观察到中性黏蛋白。黏液的过度分泌和这种污泥样层的形成似乎是胆固醇胆结石形成的关键成核因素。