Morozov I A, Rachvelishvili B Kh
Arkh Patol. 1985;47(6):46-53.
Electron microscopic studies of fundal gastrobiopsies from patients with atrophic gastritis have been performed. Fat degeneration in all epitheliocytes and release of myelin-like figures (residual bodies) in the interepithelial space of the mucosa were observed. Permanent contact of the residual bodies possessing both antigenic properties and specific structural signs of biological membranes with lymphocytes in the intracellular space of the epithelial layer and phagocytosis of myelin figures by lymphocytes were detected. Peculiarities of plasma cells in the interepithelial position are described. The results suggest a hypothesis on the autoimmune nature of the patho- and morphogenesis of chronic atrophic gastritis.
已对萎缩性胃炎患者的胃底部活检组织进行了电子显微镜研究。观察到所有上皮细胞出现脂肪变性,且在黏膜上皮间间隙有髓鞘样结构(残余小体)释放。检测到具有生物膜抗原特性和特定结构特征的残余小体与上皮层细胞内空间的淋巴细胞持续接触,以及淋巴细胞对髓鞘样结构的吞噬作用。描述了上皮间位置浆细胞的特点。结果提示了关于慢性萎缩性胃炎病理和形态发生的自身免疫性质的假说。