Cell self-renewal in intestinal epithelium under conditions of cell reactive alterations
R.V. Deev1, T.A. Akhmedov1, B.K. Komyakov2
1. Military Medical academy, Saint Petersburg
2. State Medical academy named after I.I. Mechnikov, Saint Petersburg
Keywords:
intestinal epithelium, proliferation, apoptosis, intestinal stem cell, Ki-67, Bcl2, p53, new bladder
A histological study of biopsy specimens in=52) was carried out. The specimens
were obtained from the ileum mucous membrane which had contacted with urine in
new bladders for a long time. Immunohistochemistry included an assessment of
enterocyte expression of cell cycle markers — Ki-B7, Bcl2, p53. Epithelial
proliferation was determined to be activated as early as 4—5 months after
beginning to contact with urine. The process of alteration of proliferative
activity consists of three phases: 1) activation, the proliferation index is
70—86% [during the first year), 2) stabilization at the level of 70% during the
second year, and 3) recurrent increase up to 97% later on. There is a
hypothesis that similar alterations are due to direct influence of intestinal
epithelium on stem cells. The expression level of Bcl2, p53 remained low.
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