Kubota H, Taguchi O, Suzuki Y, Matsuyama M, Nishizuka Y
Gastroenterol Jpn. 1986 Apr;21(2):122-8. doi: 10.1007/BF02774829.
Hypertrophic gastritis, histologically characterized by a depletion of parietal and chief cells and by varying degrees of lymphocyte infiltration along the thickened muscularis mucosa, could be induced by neonatal thymectomy (Tx) without any additional treatment in about 50% of mice (C3H/HeMs X 129/J)F1 (C3.129). The thickness of the mucosa in gastritic mice increased with age, forming giant folds. In Tx mice with an early stage of abnormal mucosal folds at 6 months of age, numbers of parietal cells per mucosal tissue unit area (parietal cell densities) and ratios of parietal cells to mucous cells became lower than in control mice, and serum gastrin levels became contrastingly higher with the increasing severity of gastritis. Circulating antibodies against parietal cells (APA) were detected by indirect immunofluorescence (IFL) in the mice. A good correlation was observed between APA and gastritis: APA with high titers (more than 1,000-fold dilutions) appeared when severe lesions were found. In mice with giant mucosal folds at 18 months of age, serum protein levels were within normal limits, but fecal clearance rates of 125I-labelled polyvinylpyrrolidone (125I-PVP) were significantly increased. These results suggest that the hypertrophic gastritis induced by neonatal Tx is characterized by hypergastrinemia due to parietal cell depletion caused by the presence of circulating APA and the protein loss from the hypertrophic mucosa. Both histological and physiopathological similarities were found between the gastritis in the mice and Menetrier's disease in man.
肥厚性胃炎的组织学特征是壁细胞和主细胞减少,以及沿增厚的黏膜肌层有不同程度的淋巴细胞浸润。在大约50%的(C3H/HeMs×129/J)F1(C3.129)小鼠中,新生期胸腺切除(Tx)后无需任何额外治疗即可诱发肥厚性胃炎。胃炎小鼠的黏膜厚度随年龄增加,形成巨大皱襞。在6月龄黏膜皱襞异常处于早期阶段的Tx小鼠中,每个黏膜组织单位面积的壁细胞数量(壁细胞密度)以及壁细胞与黏液细胞的比例低于对照小鼠,且血清胃泌素水平随胃炎严重程度增加而呈相反升高。通过间接免疫荧光(IFL)在小鼠中检测到了抗壁细胞循环抗体(APA)。观察到APA与胃炎之间有良好的相关性:发现严重病变时出现高滴度(超过1000倍稀释)的APA。在18月龄有巨大黏膜皱襞的小鼠中,血清蛋白水平在正常范围内,但125I标记的聚乙烯吡咯烷酮(125I-PVP)的粪便清除率显著增加。这些结果表明,新生期Tx诱发的肥厚性胃炎的特征是由于循环APA的存在导致壁细胞减少以及肥厚黏膜的蛋白丢失而引起的高胃泌素血症。在小鼠胃炎与人的梅内特里耶病之间发现了组织学和生理病理学上的相似之处。