Iwamoto M, Makiyama K, Koji T, Kohno S, Nakane P K
Department of Medicine II, Nagasaki University School of Medicine.
Nihon Rinsho. 1996 Jul;54(7):1970-4.
Ulcerative colitis (UC) is characterized by the loss of epithelium and inflammation of lamina propria. In normal colon, epithelial cells are eliminated by apoptosis at the luminal surface. The apoptotic cells recognized by their typical morphology and the presence of DNA breaks are also accompanied by Fas and Fas-ligand. It is thought when Fas-ligand bound the Fas, the cells bearing Fas will enter a path of apoptosis. On the other hand, in inflamed areas of UC and adjacent un-inflamed areas, the apoptosis of epithelial cells are recognized anywhere along crypts. These findings suggest that unscheduled apoptosis in the UC crypts takes place and the apoptosis is mediated by a auto- or paracrine Fas/Fas-ligand interaction.
溃疡性结肠炎(UC)的特征是上皮细胞丧失和固有层炎症。在正常结肠中,上皮细胞在管腔表面通过凋亡被清除。具有典型形态和DNA断裂的凋亡细胞也伴有Fas和Fas配体。据认为,当Fas配体与Fas结合时,携带Fas的细胞将进入凋亡途径。另一方面,在UC的炎症区域和相邻的未炎症区域,上皮细胞的凋亡在隐窝的任何部位都可被识别。这些发现表明,UC隐窝中发生了非程序性凋亡,且该凋亡是由自分泌或旁分泌的Fas/Fas配体相互作用介导的。