首页|空肠Ⅰ型闭锁隔膜组织黏膜层杯状细胞和黏蛋白2表达的组织学观察

空肠Ⅰ型闭锁隔膜组织黏膜层杯状细胞和黏蛋白2表达的组织学观察

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目的 观察先天性空肠Ⅰ型闭锁隔膜组织黏膜层内的杯状细胞分布和黏蛋白2(mucoprotein2,MUC2)的表达情况.方法 选用距离Treitz韧带15 cm以内的空肠Ⅰ型闭锁患儿的隔膜组织(隔膜组),共收集组织标本9例.患儿手术年龄为出生后1~3 d.以同一患儿术中行肠切除肠吻合过程中钳取收集的正常肠壁组织为对照组.组织标本分别行苏木精-伊红(hematoxylin-eosin staining,HE)染色、过碘酸雪夫(periodic acid-Scheff staining,PAS)染色和免疫组织化学染色,并进行半定量比较.统计学方法采用独立样本t检验.结果 HE染色显示,隔膜组织具备正常肠道的基本结构,绒毛数量减少、排列紊乱,黏膜肌层不规则,黏膜下层胶原纤维增生.隔膜组小肠绒毛间杯状细胞数量(36.6±2.6)个较对照组(72.5±3.7)个明显减少,差异有统计学意义(t=11.235,P=0.001).PAS染色显示,杯状细胞内糖蛋白分泌增多.免疫组织化学染色显示,隔膜组黏膜层内MUC2光密度值(0.085 0±0.005 4)较对照组(0.115 6±0.0144)减少,差异有统计学意义(t=18.652,P=0.014).结论 先天性空肠Ⅰ型闭锁隔膜与正常肠壁相比,其结构紊乱、绒毛减少,发育具有不完善性;隔膜组织由杯状细胞介导的黏膜防御功能较正常肠壁降低.
Histological observation of goblet cell and mucoprotein 2 expression in mucosa of septum arisen from type Ⅰ intestinal atresia
Objective To observe the expression of goblet cell and mucoprotein 2(MUC2)in mucosa of septum arisen from type Ⅰ intestinal atresia.Method Totally 9 septa located in intestinal wall with distance less than 15 cm from Treitz ligament(septum group)were collected.The age of the patients'operation were 1-3 days after birth.The normal intestinal wall tissues were harvested and set as the control during resection and anastomosis in the same patient(control group),followed by serial tissue sectioning and following hematoxylin-eosin(HE)staining,periodic acid-Scheff(PAS)staining,as well immunohistochemistry staining for histological observation.The semi-quantitative calculation was conducted for statistical comparison.Statistical method performed by independent sample t test.Result HE staining showed mucous of septum arisen from type Ⅰ intestinal atresia presented relatively normal histological structure with less villi and malalignment.Submucosa muscular layer was irregular and proliferating collagen in subcutaneous layer.The residual goblet cells were less in septum group(36.6±2.6)compared with control group(72.5±3.7),with the difference was significant(t=11.235,P=0.001).PAS staining indicated that glycoprotein in goblet cell was denser and immunohistochemistry staining showed MUC2 was less-expressed in septum group(0.085 0±0.005 4)compared with control group(0.115 6±0.014 4),with the difference was significant(t=18.652,P=0.014).Conclusion Compared with the normal intestinal wall,the septum arisen from type Ⅰ intestinal atresia has disorganized microscopic structure and relatively less villi,and present imperfect developmental feature,suggesting weaker defensive function induced by goblet cell in contrast to the normal intestinal wall.

IntestineAtresiaSeptumMucosaGoblet cellMucoprotein 2

叶茂、何峰、宋岩彪、高鹏、崔钊、王欢、刘雪来

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首都儿科研究所附属儿童医院 普通新生儿外科,北京 100020

首都儿科研究所 生化免疫学研究室,北京 100020

河北医科大学第二医院 中心实验室,河北 石家庄 050000

首都医科大学附属北京儿童医院黑龙江医院 外科,黑龙江 哈尔滨 150010

长春市儿童医院 外科,吉林 长春 130061

首都医科大学附属北京儿童医院黑龙江医院 病理科,黑龙江 哈尔滨 150010

首都儿科研究所附属儿童医院 普通新生儿外科 首都儿科研究所生理学研究室,北京 100020

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小肠 闭锁 隔膜 黏膜层 杯状细胞 黏蛋白2

黑龙江省卫生健康委员会基金北京市自然科学基金首都儿科研究所所级课题

2020-0437222015LCYJ-2023-07

2024

发育医学电子杂志
人民卫生出版社

发育医学电子杂志

CSTPCD
影响因子:0.212
ISSN:2095-5340
年,卷(期):2024.12(3)
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