cyclin-d1 and Irritable-Bowel-Syndrome

60 patients with irritable colon syndrome (ICS) were examined. They were divided into 2 groups. Group 1 included 30 patients who had ICS with dominating constipation (ICSc). Group 2 consisted of 30 patients with ICS and dominating diarrhea (ICSd). 12 practically healthy persons composed control group. The patients were being observed in dynamics (in periods of aggravation and remission), under uniform program including clinical, endoscopic, morphologic and immunohistochemical methods. It was established that ICSc development related to hyperplasia and hyperfunction serotonin producing cells together with decrease of number and functional activity of VIP-producing cells and mast cells. It was detected significant increase of colonocytes proliferative activity, shown throw number of immunopositive to cycline Dl epithelial cells, and compensatory increase of apoptosis activity. In patients with ICSd it was registered increase of number and functional activity of general population of apudocytes, serotonin-, melatonin- and VIP-produsing cells and mast cells. It was detected decrease of number of colonocytes immunopositive to cycline D1 and proliferating cell nuclear antigen, and growth of colon epithelial cells apoptosis activity. More significant changes of diffuse endocrine system in patients with ICSd set conditions for progress of changes of cell renovation with frequent colon mucous tunic atrophy, acting as a background for carcinogenesis.

Topics: Adipocytes; Adult; APUD Cells; Cyclin D1; Enterochromaffin Cells; Female; Humans; Irritable Bowel Syndrome; Male; Remission, Spontaneous

One hundred twenty eight patients with irritated bowel syndrome (IBS) were included in the study and divided into two equal groups. Group one consisted of patients with type II IBS (without atrophic changes in the colon mucosa, CM); group II consisted of patients with type II IBS (with atrophic changes in the CM); the control group consisted of 24 practically healthy individuals. All the subjects, including the healthy ones, were examined using clinical, endoscopic, immunohistochemical methods, and electron microscopy. The study found that the development of type IIBS was connected with hyperplasia and hyperfunction of serotonin-producing cells with intensification of apoptosis. The number of colonocytes with nuclei that are immunopositive to D1 cycline increases, and the number of colonocyte nuclei that are immunopositive to proliferating cell nuclear antigen decreases. The onset of type II IBS is associated with hyperplasia and hyperfunction of all apudocyte populations, including those producing melatonin and serotonin, and simultaneous reduction of the number and functional exhaustion of VIP-producing and mast cells. Colonocyte apoptosis intensifies; their proliferative potential decreases.

Topics: Adult; Apoptosis; Cell Proliferation; Colon; Cyclin D1; Enterocytes; Enteroendocrine Cells; Humans; Hyperplasia; Intestinal Mucosa; Irritable Bowel Syndrome; Mast Cells; Microscopy, Electron, Transmission; Proliferating Cell Nuclear Antigen; Serotonin