人类结肠中小泡细胞数量和粘蛋白含量的下降与年龄有关:对老年人肠道功能下降的影响

IF 2.8 4区 医学 Q2 PATHOLOGY
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引用次数: 0

摘要

背景& 目的老年人患下腹部肠道疾病(包括便秘)的几率更高。其原因可能包括与年龄增长有关的因素,如使用药物或疾病,但肠壁的退行性变化也会加重病情。有研究认为,肠壁对管腔内容物失去有效的粘膜屏障会加剧肠壁退行性变化。方法在宏观上正常的人类升结肠(AC;n = 13)和降结肠(DC;n = 14)中,研究了老年人(≥ 67 岁)和年轻人(60 岁及以下)的鹅口疮细胞数量和粘蛋白含量密度的变化。对样本进行连续切片,并用血红素和伊红染色以评估组织形态,用藻蓝周期性酸希夫(ABPAS)和 MUC-2 抗体染色以鉴定产生粘蛋白的鹅口疮细胞。结果与年轻人相比,老年人AC(72 ± 1.2 vs 51 ± 0.5)和DC(75 ± 2.6 vs. 54 ± 1.9)每个隐窝的鹅口疮细胞数量明显减少,但在按粘膜面积评估时,这种减少未达到统计学意义(AC:P = 0.068;DC:P = 0.096)。在老年人的两个区域都观察到大量空泡(通常含有粘蛋白),一些上皮区域没有鹅口疮细胞。因此,随着年龄的增长,单位粘膜面积的粘蛋白含量密度明显降低。这些都对老年人结肠的粘液屏障功能产生了影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Age-related decline in goblet cell numbers and mucin content of the human colon: Implications for lower bowel functions in the elderly

Age-related decline in goblet cell numbers and mucin content of the human colon: Implications for lower bowel functions in the elderly

Background & aims

Older people experience a greater incidence of lower bowel disorders, including constipation. Causes can include factors associated with growing older, such as use of medications or disease, but compounded by degenerative changes within the bowel wall. It has been suggested that the latter is exacerbated by loss of an effective mucosal barrier to luminal contents. In human colon, little is known about the impact of ageing on key components of this barrier, namely the goblet cells and mucin content.

Methods

Changes in the number of goblet cells and density of mucin content were investigated in macroscopically normal human ascending (AC; n = 13) and descending (DC; n = 14) colon from elderly (≥ 67 years) and younger adults (60 years and below). Samples were serially sectioned and stained for haematoxylin and eosin to assess tissue morphology, and alcian blue periodic acid Schiff (ABPAS) and MUC-2 antibody to identify goblet cells producing mucins. New procedures in visualization and identification of goblet cells and mucin contents were employed to ensure unbiased counting and densitometric analysis.

Results

Compared with the younger adults, the numbers of goblet cells per crypt were significantly lower in the elderly AC (72 ± 1.2 vs 51 ± 0.5) and DC (75 ± 2.6 vs. 54 ± 1.9), although this reduction did not reach statistical significance when assessed per mucosal area (AC: P = 0.068; DC: P = 0.096). In both regions from the elderly, numerous empty vesicles (normally containing mucins) were observed, and some areas of epithelium were devoid of goblet cells. Thus, the density of mucin content per unit mucosal area were significantly reduced with age.

Conclusions

Ageing could result in a reduced number of goblet cells and development of degenerative changes in mucin production. Together, these have implications for the mucus barrier function in the colon of elderly individuals.

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来源期刊
CiteScore
8.90
自引率
0.00%
发文量
78
审稿时长
11.5 weeks
期刊介绍: Under new editorial leadership, Experimental and Molecular Pathology presents original articles on disease processes in relation to structural and biochemical alterations in mammalian tissues and fluids and on the application of newer techniques of molecular biology to problems of pathology in humans and other animals. The journal also publishes selected interpretive synthesis reviews by bench level investigators working at the "cutting edge" of contemporary research in pathology. In addition, special thematic issues present original research reports that unravel some of Nature''s most jealously guarded secrets on the pathologic basis of disease. Research Areas include: Stem cells; Neoangiogenesis; Molecular diagnostics; Polymerase chain reaction; In situ hybridization; DNA sequencing; Cell receptors; Carcinogenesis; Pathobiology of neoplasia; Complex infectious diseases; Transplantation; Cytokines; Flow cytomeric analysis; Inflammation; Cellular injury; Immunology and hypersensitivity; Athersclerosis.
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