Gfroerer S, Metzger R, Fiegel H, Ramachandran P, Rolle U. Differential changes in intrinsic innervation and interstitial cells of Cajal in small bowel atresia in newborns.
World J Gastroenterol 2010;
16:5716-21. [PMID:
21128321 PMCID:
PMC2997987 DOI:
10.3748/wjg.v16.i45.5716]
[Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/13/2010] [Revised: 04/19/2010] [Accepted: 04/26/2010] [Indexed: 02/06/2023] Open
Abstract
AIM
To investigate morphological changes of the enteric nervous system (ENS) and the interstitial cells of Cajal (ICCs) in small bowel atresia.
METHODS
Resected small bowel specimens from affected patients (n = 7) were divided into three parts (proximal, atretic, distal). Standard histology and enzyme immunohistochemistry anti-S100, anti-protein gene product (PGP) 9.5, anti-neurofilament (NF), anti-c-kit-receptor (CD117) was carried out on conventional paraffin sections of the proximal and distal part.
RESULTS
The neuronal and glial markers (PGP 9.5, NF, S-100) were expressed in hypertrophied ganglia and nerve fibres within the myenteric and submucosal plexuses. Furthermore, the submucous plexus contained typical giant ganglia. The innervation pattern of the proximal bowel resembled intestinal neuronal dysplasia. The density of myenteric ICCs was clearly reduced in the proximal bowel, whereas a moderate number of muscular ICCs were found. The anti-CD117 immunoreaction revealed additional numerous mast cells. The distal bowel demonstrated normal morphology and density of the ENS, the ICCs and the mast cells.
CONCLUSION
The proximal and distal bowel in small bowel atresia revealed clear changes in morphology and density of the ENS and ICCs.
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