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Expression of Apoptotic Epithelial Cells in Biopsy Specimens of Patients with Colitis

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Abstract

We postulated that nuclear dust within the lamina propria beneath the basement membrane of the epithelium in colonic mucosal biopsies of patients with colitis is a form of apoptotic epithelial cells and that its expression correlates with clinical severity. Our aim was to determine the origin of nuclear dust and to explore the correlation between nuclear dust expression and clinicopathologic parameters of colitis. we examined 228 specimens with colitis and 18 normal specimens. The expression rates of nuclear dust were 11.1% (2/18) and 83.8% (191/228) in normal colonic mucosa and colitis, respectively. Cells showing double positive staining with cytokeratin and TdT-mediated uUTP-biotin nick-end labeling technique were apoptotic cells derived from epithelial cells. Nuclear dust expression correlated significantly with inflammation, eosinophil infiltration, edema, and congestion. Our results suggest that interventions directed toward the apoptotic process may be benifical in the treatment of colitis.

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References

  1. Nagashima R, Maeda K, Imai Y, Takahashi T (1996) Lamina propria macrophages in the human gastrointestinal mucosa: their distribution, immunohistological phenotype, and function. J Histochem Cytochem 44:721–731

    PubMed  CAS  Google Scholar 

  2. Barkla DH, Gibson PR (1999) The fate of epithelial cells in the human large intestine. Pathology 31:230–238

    Article  PubMed  CAS  Google Scholar 

  3. Gibson PR, Van De Pol E, Barratt PJ, Doe WF (1998) Ulcerative colitis—a disease characterised by the abnormal colonic epithelial cell? Gut 29:516–521

    Google Scholar 

  4. Allan A, Bristol JB, Williamson RC (1985) Crypt cell production rate in ulcerative proctocolitis: differential increments in remission and relapse. Gut 26:999–100

    PubMed  CAS  Google Scholar 

  5. Serafini EP, Kirk AP, Chambers TJ (1981) Rate and pattern of epithelial cell proliferation in ulcerative colitis. Gut 22:648–652

    PubMed  CAS  Google Scholar 

  6. Lee FD (1993) Importance of apoptosis in the histopathology of drug related lesions in the large intestine. J Clin Pathol 46:118–122

    Article  PubMed  CAS  Google Scholar 

  7. Iwanaga T, Han H, Fuzita T (1992) Macrophage possibly involved in the mokey small and large intestine. Acta Med Biol 40:105–113

    Google Scholar 

  8. Kerr JF, Wyllie AH, Currie AR (1972) Apoptosis: a basic biological phenomenon with wide-ranging implications in tissue kinetics. Br J Cancer 26:239–257

    PubMed  CAS  Google Scholar 

  9. Kumagai H, Masuda T, Maisawa S, Chiba S (2001) Apoptotic epithelial cells in biopsy specimens from infants with streaked rectal bleeding. J Pediatr Gastroenterol Nutr 32:428–433

    Article  PubMed  CAS  Google Scholar 

  10. Cuello-Carrion FD, Ciocca DR (1996) Improved detection of apoptotic cells using a modified in situ TUNEL technique. J Histochem Cytochem 46:837–839

    Google Scholar 

  11. Iwamoto M, Koji T, Makiyama K, Kobayashi N, Nakane PK (1996) Apoptosis of crypt epithelial cells in ulcerative colitis. J Pathol 180:152–159

    Article  PubMed  CAS  Google Scholar 

  12. Ruemmele FM, Seidman EG (1998) Cytokine-intestinal epithelial cell interactions: implications for immune-mediated bowel disorders. Acta Paediatr Sinica 39:1–8

    CAS  Google Scholar 

  13. McCullen MA, Williams EJ, Sarsfield P (1997) Enterocyte apoptosis is significantly increased in ulcerative colitis. Gut 41:A114

    Google Scholar 

  14. Goldman H, Proujansky R (1986) Allergic proctitis and gastroenteritis in children: clinical and mucosal biopsy features in 53 cases. Am J Surg Pathol 10:75–86

    Article  PubMed  CAS  Google Scholar 

  15. Heatley RV, James PD (1978) Eosinophils in rectal mucosa. Gut 20:787–791

    Google Scholar 

  16. DeSchryver-Kecskemeti K, Clouse RE (1984) A previously unrecognized subgroup of “eosinophilic gastroenteritis.” Association with connective tissue diseases. Am J Surg Pathol 8:171–180

    Article  PubMed  CAS  Google Scholar 

  17. Martin DM, Goldman JA, Gilliam J, Nasrallah SM (1981) Gold-induced eosinophilic enterocolitis: response to oral cromolyn sodium. Gastroenterology 80:1567–1570

    PubMed  CAS  Google Scholar 

  18. Cello JP (1979) Eosinophilic gastroenteritis-a complex disease entity. Am J Med 67:1097–1104

    Article  PubMed  CAS  Google Scholar 

  19. Gleich GJ, Frigas E, Loegering DA, Wassom DL, Steinmuller D (1979) Cytotoxic properties of the eosinophil major basic protein. J Immunol 123:2925–2927

    PubMed  CAS  Google Scholar 

  20. Weller PF, Lee CW, Foster DW, Corey EJ, Austen KF, Lewis RA (1983) Generation and metaborism of 5-lipoxygenase pathway leukotriens by human eosinophils: Predominant production of leukotriene C4. Proc Natl Acad Sci USA 80:7626–7630

    Article  PubMed  CAS  Google Scholar 

  21. Lopez AF, Sanderson CJ (1982) Antibody-dependent, cell-mediated cytotoxicity of nucleated mammalian cells by rat eosinophils and neutrophils. Int Arch Allergy Appl Immun 67:200–205

    CAS  Google Scholar 

Download references

Acknowledgement

This work was supported by a grant-in-aid from the Ministry of Science, Education, Sports and Culture of Japan (No. 14570193).

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Correspondence to Kazuko Shichijo.

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Shichijo, K., Shin, T., Wen, CY. et al. Expression of Apoptotic Epithelial Cells in Biopsy Specimens of Patients with Colitis. Dig Dis Sci 52, 2037–2043 (2007). https://doi.org/10.1007/s10620-006-9263-5

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  • DOI: https://doi.org/10.1007/s10620-006-9263-5

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