Fath R B, Deschner E E, Winawer S J, Dworkin B M
Digestion. 1984;29(4):197-203. doi: 10.1159/000199033.
Delivery of 10% carrageen (degraded carrageenan, Glaxo, France) for 10 days in the drinking water to CF1 mice induced bloody diarrhea, pericryptal inflammation, and marked dilatation of the cecum and ascending colon. Histologically, the mucosa was characterized by distorted crypt architecture, inflammatory infiltration of the lamina propria, and ulceration, conditions which were more pronounced in the proximal colon but were also present in the distal colon. Treatment with hydrocortisone and levamisole reduced the severity of all phases of the reaction. Alterations in colonic epithelial cell proliferation corresponded with the clinical and histopathological findings. Labeling indices (LI) significantly increased over control values in both proximal (12.9 +/- 4.9 vs. 7.6 +/- 2.9) and distal colon (13.9 +/- 5.2 vs. 7.2 +/- 2.4), effectively doubling the number of proliferating cells per crypt column in both areas. However, DNA-synthesizing cells extended further upward along the cryptal wall of the proximal colon reflecting greater mucosal damage. Only in the proximal colon did the proliferative compartment (PC) extend to the upper third of the glands, normally not a proliferative zone. Hydrocortisone and levamisole administered concurrently with 10% carrageen were less effective in protecting the proximal colon since LI and numbers of labeled cells per crypt column were consistently lower in the distal colon. Moreover, hydrocortisone alone significantly depressed DNA synthesis only in the distal colon. All distal colonic crypts were not equally protected by administration of hydrocortisone since some continued to express large numbers of proliferating cells and an extended PC, well characterized preneoplastic defects in regulatory control of colonic epithelial cell proliferation.(ABSTRACT TRUNCATED AT 250 WORDS)
给CF1小鼠饮用含10%角叉菜聚糖(降解角叉菜胶,法国葛兰素公司生产)的水10天,可诱发血性腹泻、隐窝周围炎症以及盲肠和升结肠明显扩张。组织学上,黏膜的特征为隐窝结构扭曲、固有层炎症浸润和溃疡,这些情况在近端结肠更为明显,但远端结肠也存在。用氢化可的松和左旋咪唑治疗可减轻反应各阶段的严重程度。结肠上皮细胞增殖的改变与临床和组织病理学发现一致。标记指数(LI)在近端结肠(12.9±4.9对7.6±2.9)和远端结肠(13.9±5.2对7.2±2.4)均显著高于对照值,有效使两个区域每个隐窝柱中增殖细胞的数量增加一倍。然而,DNA合成细胞在近端结肠隐窝壁上向上延伸得更远,这反映了更大的黏膜损伤。仅在近端结肠,增殖区(PC)延伸至腺体的上三分之一,而这一区域通常不是增殖区。与10%角叉菜聚糖同时给予氢化可的松和左旋咪唑对近端结肠的保护作用较差,因为远端结肠的LI和每个隐窝柱标记细胞的数量一直较低。此外,单独使用氢化可的松仅在远端结肠显著抑制DNA合成。给予氢化可的松后,并非所有远端结肠隐窝都得到同等程度的保护,因为一些隐窝仍持续表达大量增殖细胞且增殖区扩展,这是结肠上皮细胞增殖调控中典型的癌前缺陷特征。(摘要截断于250字)