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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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
Barkla DH, Gibson PR (1999) The fate of epithelial cells in the human large intestine. Pathology 31:230–238
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
Allan A, Bristol JB, Williamson RC (1985) Crypt cell production rate in ulcerative proctocolitis: differential increments in remission and relapse. Gut 26:999–100
Serafini EP, Kirk AP, Chambers TJ (1981) Rate and pattern of epithelial cell proliferation in ulcerative colitis. Gut 22:648–652
Lee FD (1993) Importance of apoptosis in the histopathology of drug related lesions in the large intestine. J Clin Pathol 46:118–122
Iwanaga T, Han H, Fuzita T (1992) Macrophage possibly involved in the mokey small and large intestine. Acta Med Biol 40:105–113
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
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
Cuello-Carrion FD, Ciocca DR (1996) Improved detection of apoptotic cells using a modified in situ TUNEL technique. J Histochem Cytochem 46:837–839
Iwamoto M, Koji T, Makiyama K, Kobayashi N, Nakane PK (1996) Apoptosis of crypt epithelial cells in ulcerative colitis. J Pathol 180:152–159
Ruemmele FM, Seidman EG (1998) Cytokine-intestinal epithelial cell interactions: implications for immune-mediated bowel disorders. Acta Paediatr Sinica 39:1–8
McCullen MA, Williams EJ, Sarsfield P (1997) Enterocyte apoptosis is significantly increased in ulcerative colitis. Gut 41:A114
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
Heatley RV, James PD (1978) Eosinophils in rectal mucosa. Gut 20:787–791
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
Martin DM, Goldman JA, Gilliam J, Nasrallah SM (1981) Gold-induced eosinophilic enterocolitis: response to oral cromolyn sodium. Gastroenterology 80:1567–1570
Cello JP (1979) Eosinophilic gastroenteritis-a complex disease entity. Am J Med 67:1097–1104
Gleich GJ, Frigas E, Loegering DA, Wassom DL, Steinmuller D (1979) Cytotoxic properties of the eosinophil major basic protein. J Immunol 123:2925–2927
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
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
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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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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