The status of bronchial cartilage degeneration in chronic bronchitis is unclear, and little is known about the chondrolytic mechanisms involved. The potential contributions of various inflammatory cells, chondrocytes and cartilage-degrading enzymes to cartilage atrophy have been examined. Bronchial cartilage specimens were obtained at autopsy from lobar secondary bronchi from chronic bronchitics and age-matched controls; each was examined by light microscopy and immunohistology for the distributions of mast cells, macrophages, eosinophils, collagenase 1, collagenase 3, and degradation products of cartilage collagen. Most bronchitic specimens showed hypertrophic chondrocytes, some of which were immunostained for collagenase 3, and occasionally for collagenase 1. Evidence for collagen degradation products was demonstrated around the lacunae of a proportion of chondrocytes, and both collagenases were also observed in the soft inflammatory tissues in close association with the cartilage surface, together with variable distributions of mast cells and macrophages. Such observations were generally absent or very much reduced in the control, non-bronchitic specimens. Degenerative changes, atrophy and loss of bronchial cartilage were common features of most chronic bronchitic specimens, this usually being related to intrinsic changes in the chondrocyte phenotype, including proliferative and matrix-degrading properties. Mast cells and macrophages were often observed in close association with the bronchial cartilage, suggesting that inflammatory cells may also contribute to the mechanisms of bronchial cartilage degradation and loss. These observations of bronchial cartilage degeneration were generally lacking in age-matched non-bronchitic control specimens.

译文

:慢性支气管炎中支气管软骨退变的状态尚不清楚,所涉及的软骨分解机制知之甚少。检查了各种炎症细胞,软骨细胞和软骨降解酶对软骨萎缩的潜在作用。尸体解剖是从慢性支气管炎和年龄匹配的对照的大叶继发支气管中进行的。通过光学显微镜和免疫组织学检查每种细胞的肥大细胞,巨噬细胞,嗜酸性粒细胞,胶原酶1,胶原酶3和软骨胶原降解产物的分布。大多数支气管标本显示肥大的软骨细胞,其中一些对胶原酶3进行了免疫染色,偶而对胶原酶1进行了染色。在一定比例的软骨细胞的腔周围发现了胶原降解产物的证据,并且在软性炎症组织中也观察到了两种胶原酶。与软骨表面密切相关,以及肥大细胞和巨噬细胞的可变分布。在对照的非支气管标本中,通常没有这种观察或观察结果大大减少。退行性改变,萎缩和支气管软骨丧失是大多数慢性支气管标本的共同特征,这通常与软骨细胞表型的内在变化有关,包括增殖和基质降解特性。通常观察到肥大细胞和巨噬细胞与支气管软骨紧密相关,这表明炎症细胞也可能有助于支气管软骨的降解和丧失。在年龄匹配的非支气管对照标本中,通常缺乏这些支气管软骨变性的观察结果。

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