Yamashita S
Third Department of Internal Medicine, Ehime University School of Medicine, Japan.
Gastroenterol Jpn. 1993 Apr;28(2):224-35. doi: 10.1007/BF02779224.
Experimental ulcerative colitis was produced in rats and the changes of PGE2 levels in the colonic mucosa and the tissue localization of PGE2 were studied immunohistochemically during the process of onset and healing of the experimental lesions. Compared with that in controls, PGE2 levels in colonic mucosa were not significantly higher in the early stage of inflammation, but rose gradually with exacerbation of inflammation, and after reaching peak values at the peak stage of development of colitis, decreased as signs of inflammation receded. Immunohistochemical study of the normal rat colon showed that PGE2 was uniformly positive in the muscularis mucosa and in the tunica propria muscularis adjacent to the submucosal layer. Furthermore, as the inflammation progressed infiltrating inflammatory cells also became positive, especially macrophages. These changes decreased along with regeneration of the epithelium and resolution of the inflammation. Glandular epithelial cells did not show positivity. These results made it clear that the PGE2 level in colonic mucosa is an useful index of the activity of colitis and that changes in PGE2 levels are associated with infiltration by inflammatory cells, principally macrophages, of the interstitium. The results also suggested the possibility that the muscularis mucosa plays a role in the colonic mucosal protective system.
在大鼠中诱发实验性溃疡性结肠炎,并在实验性病变的发生和愈合过程中,通过免疫组织化学方法研究结肠黏膜中前列腺素E2(PGE2)水平的变化以及PGE2的组织定位。与对照组相比,炎症早期结肠黏膜中的PGE2水平无显著升高,但随着炎症加剧而逐渐上升,在结肠炎发展的高峰期达到峰值后,随着炎症迹象消退而下降。对正常大鼠结肠的免疫组织化学研究表明,PGE2在黏膜肌层和与黏膜下层相邻的固有肌层中呈均匀阳性。此外,随着炎症进展,浸润的炎性细胞也呈阳性,尤其是巨噬细胞。这些变化随着上皮细胞再生和炎症消退而减少。腺上皮细胞未显示阳性。这些结果表明,结肠黏膜中的PGE2水平是结肠炎活动的一个有用指标,且PGE2水平的变化与炎症细胞(主要是巨噬细胞)向间质的浸润有关。结果还提示黏膜肌层可能在结肠黏膜保护系统中发挥作用。