Jamil S, Christensen T G
Mallory Institute of Pathology, Boston University School of Medicine, Massachusetts, USA.
Int J Exp Pathol. 1997 Jun;78(3):163-8. doi: 10.1046/j.1365-2613.1997.220353.x.
Chronic mucus hypersecretion (CMH), a common feature of various obstructive pulmonary diseases, is caused by a variety of airway irritants. Bronchial mucous cell metaplasia (MCM), a histological correlate of CMH, can be induced in hamster airways by a number of different irritants. Previous studies with the hamster model suggest that the secretory cell response to different agents is not stereotyped but can vary in the type of mucus glycoconjugate produced. The present ultrastructural study was conducted therefore to provide quantitative evidence of phenotypic variation in mucous cells induced independently by exposure to the metaplastic agents elastase and acid. HPA-gold lectin cytochemistry revealed an increase in N-acetyl galactosamine at the cell surface and secretory granules of mucous cells in elastase-treated vs. acid-treated animals. Although there was no quantitative difference between the acid-treated and untreated groups, a difference in the pattern of binding within granules indicated variation in the secretory product. Because mucus glycoconjugates serve as attachment sites for specific pathogens, phenotypically distinct mucous cells may promote differential microbial colonization. In humans therefore, variation in the severity and progression of CMH may be due in part to secretory cell susceptibility and response to different pathogenic stimuli.
慢性黏液高分泌(CMH)是多种阻塞性肺疾病的常见特征,由多种气道刺激物引起。支气管黏液细胞化生(MCM)是CMH的一种组织学关联,可由多种不同刺激物在仓鼠气道中诱导产生。先前对仓鼠模型的研究表明,分泌细胞对不同药物的反应并非固定不变,而是在产生的黏液糖缀合物类型上有所不同。因此,进行了本超微结构研究,以提供暴露于化生剂弹性蛋白酶和酸后独立诱导的黏液细胞表型变异的定量证据。高碘酸-金凝集素细胞化学显示,与酸处理组相比,弹性蛋白酶处理组动物黏液细胞的细胞表面和分泌颗粒中的N-乙酰半乳糖胺增加。虽然酸处理组和未处理组之间没有定量差异,但颗粒内结合模式的差异表明分泌产物存在变异。由于黏液糖缀合物是特定病原体的附着位点,表型不同的黏液细胞可能促进不同的微生物定植。因此,在人类中,CMH严重程度和进展的差异可能部分归因于分泌细胞对不同致病刺激的易感性和反应。