Origin, morphology, histochemistry and function of the mucosal mast

This review describes the most important facts about the mucosal mast cell and the ... in the connective tissue called connective tissue mast cells ...

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O r i g i n , morphology, histochemistry and function of the mucosal mast cell and the globule leukocyte. A review. Sven Nikander C o l l e g e of V e t e r i n a r y M e d i c i n e , L a b o r a t o r y of Parasitology a n d D e p a r t m e n t of P a t h o l o g y , P o s t b o x 6, SF00581 H e l s i n g f o r s , F i n l a n d . Summary:

Parasites i n v a d i n g mucous membranes elicit an i n f l a m m a t o r y response f r o m the host. W i t h appro-

priate f i x a t i o n and staining methods, cells w i t h i n t r a c y t o p l a s m i c granules m a y be observed. C l o s e r examinat i o n m a y reveal several types of granular cells, the e o s i n o p h i l i c granulocytes being the most c o m m o n l y i d e n t i fied i n parasitic infections, but also observable are peculiar mast cells a n d globule leukocytes whose f u n c t i o n s are not yet understood. T h i s r e v i e w describes the most i m p o r t a n t facts about the mucosal mast cell a n d the globule leukocyte relevant to their significance i n parasitic infections.

Key words: i n f l a m m a t o r y cells, histogenesis, parasitic infection, granular cells, anatomy.

Rangifer, 11 (1): 3—11 Introduction Mast cells (= M C ) belong to a heterogeneous group of granular cells (Michels, 1938). T h e i r phenotypes m a y be regulated b y factors i n the m i c r o e n v i r o n m e n t . L o c a l g r o w t h factors m a y influence their differentation, maturation, and development, and thus the f u n c t i o n of the cells, (Selye, 1965, D v o r a k & G a l l i , 1985, Befus & al., 1986, Enerback & N o r r b y , 1989). A c c o r d i n g l y , w h e n the m i c r o e n v i r o n m e n t changes, the phen o t y p i c expression of M C also m a y change. F o r example, M C i n the subserosal tissue of y o u n g rats became after 8-12 weeks positive for berbe¬ rine sulfate and safranin, indicative of maturat i o n of heparin ( A r i z o n o & N a k a o , 1988). There are at least t w o specific M C - t y p e s ; those i n the connective tissue called connective tissue mast cells (= C T M C ) and those at mucosal and serosal surfaces called mucosal mast cells ( = M M C ) (Enerback & a l . , 1986). G l o b u l e leukocytes (= G L ) are granular cells i n the epithelium that resemble mast cells. A l -

Rangifer, 11 (1), 1991

though c o m p a r i s o n of the properties of M M C and G L has led to the assumption that G L are derived f r o m M M C ( M i l l e r & a l . , 1968), there are several indications that G L are an independent cell type (Ruitenberg & Elgersma, 1976, 1979, R u i t e n b e r g & al., 1979, 1982). T h i s questi o n is reviewed i n the light of facts o n the m o r p h o l o g y , histogenesis, histochemistry, and f u n c t i o n of M M C and G L .

Occurrence of M M C and G L M M C and G L are p r o b a b l y f o u n d i n most vertebrates, but they are not equally distributed i n different tissues. M M C are m a i n l y located i n lamina p r o p r i a and also i n the epithelium of the alimentary and respiratory tracts. G L occur o n l y i n the epithelium of those systems and also intraepithelially i n the u r i n a r y and reproductive tracts. M M C are more frequent than G L i n n o r m a l tissues. Parasitic infections influence the n u m b e r of both cell types, but the 3

n u m b e r of G L is especially increased d u r i n g parasitic infections (Table I). M C are particularly abundant beneath the epithelial surfaces, i n the v i c i n i t y of peripheral nerves and b l o o d and l y m p h a t i c vessles; i n certain animal species, they are c o m m o n w i t h i n peritoneal and pleural cavities (Selye, 1965, Gal¬ l i & al., 1984, 1987, Enerback & N o r r b y , 1989). M a x i m o w (1905) p r o b a b l y was the first to observe that lamina p r o p r i a of the intestine of the rat contained M C w h i c h differed f r o m the classical C T M C . A n aberrant granular celle type first observed b y H e i d e n h e i n (1888) was described b y W e i l l as a «Schollenleukozyt» i n 1919. T h e name «Schollenleukozyt» was translated into «globule leukocyte» b y Keasbey (1923). W e i l l (1919) described G L i n the epithelia of the alimentary tract of the dog, cat, p i g , mouse, rabbit, guinea-pig, and man. There are several reports G L i n the alimentary tract minants (Keasbey, 1923, H i l l , 1951, K e n t , 1952,

o n the presence of and bile ducts of r u Duran-Jorda, 1945, Sommerville, 1956,

D o b s o n , 1966, Jarrett & al., 1967, 1968, M i l l e r & al., 1968, M u r r a y & a l , 1968, R a h k o , 1970, 1971, 1972, 1973, Blazek, 1971, M i l l e r & Jarrett, 1971, Lawrence, 1977, G r e g o r y , 1979, A k p a v i e , 1985, A k p a v i e & P i r i e , 1985, H u n t l e y & al., 1987b). G L has also been identified intraepithelially i n the respiratory, u r i n a r y , and reproductive epithelium of ruminants, (Taliaferro & Sarles, 1939, K e n t , 1952, Kellas, 1961, Blazek, 1971, Breeze & al., 1975, Lawrence, 1977, M a h m o u d & P i r i e , 1982, A k p a v i e , 1985). G L have been documented also i n 11 species of birds (Clara 1926, T o n e r , 1965, A s d r u b a l i & M u g h e t t i , 1969, H o l m a n , 1970, 1972, K i t a g a w a & al., 1979, 1988), i n the gut mucosa of a fish, Acipenser sp. (Rogosina, 1928), and i n several species of amphibians and reptiles (Toro, 1931). N o r m a l l y G L f o r m a very small p r o p o r t i o n of the cells of the epithelium: 0.001 % i n the u r i n a r y tract of the rat. In rats fed a M g - d e f i c i ent diet, however, G L increased to 5 % of the epithelial cell p o p u l a t i o n i n the renal pelvis, uterus, and u r i n a r y bladder ( C a n t i n & V e i l l e u x , 1972).

Table I. Comparision of different characteristics of M M C and G L MMC

GL

Occurrence

lamina propria and epithelium of different mucous membranes

within mucosal epithelium

N u m b e r of cells

variable, no absolute counts made

normally 1-2 GL/1000 epithelial cells, experimentally max. 32/1000 epithelial cells

Function of cells

release biological active unknown mediators, take part in the expulsion of parasites and facilitate transport o f antibodies into the lumen o f intestine spherical

associate with MC-proliferation in parasitic infections and take part in the «self cure» by local immediate hypersensitivity reaction

Structure o f chromatin

lymphocytic-type distribution

cartwheel-type distribution

Cytomembrane

with pseudopodia, no desmosoms

with pseudopodia, no desmosoms

Size and ultrastructure of granules and globules

small, 1-2 fx, electron-dense, usually unevenly

large, usually 2 - 5 usually diffusely

Nuclear form

4

ovoid, spherical, often indented

electron-dense,

Rangifer, 11 (1), 1991

Structure of M M C and G L

K e n t , 1952, Kellas, 1961, A k p a v i e , 1985). T h e largest globules are seen i n cells w i t h f e w globules. G L w i t h o n l y t w o large irregularly f o r m e d globules were observed i n the m a i n bile duct of a goat infected w i t h liver flukes ( R a h k o , 1972).

T h e size and n u m b e r of M M C - g r a n u l e s v a r y according to the size of the cell. T h e globules of G L are usually bigger and fewer i n n u m b e r than i n M M C , causing indentations o n the nucT h e ultrastructure of i n d i v i d u a l globules varileus. M i t o t i c figures and cytoplasmic projec- es (Toner, 1965, K e n t , 1966, W h u r & J o h n s t o n , tions have been observed i n b o t h M M C and 1967, C a r r , 1967, T a k e u c h i & a l . , 1969, H o l ¬ G L (Table I). man, 1972, Baert, 1989). O c c a s i o n a l l y bridgeT h e f i x a t i o n m e t h o d is of extreme i m p o r t a n - like connections have been seen between the ce for the preservation of the structures of globules (Baert, 1989). F o u r types of globules M M C and G L (Enerback, 1966, 1974, 1981, have been distinguished; (1) globules w i t h elec1987, Enerback & L u n d i n , 1974, R u i t e n b e r g & t r o n density o n l y i n the core; (2) usually larger al., 1982, Enerback & al, 1986). It influences globules w i t h a homogeneous electron-dense the preservation and visualization of all types of matrix; (3) those c o n t a i n i n g paracrystalline M C . In tissue sections fixed i n a l c o h o l , n o M C structures; and (4) globules w i t h an intermedic o u l d be f o u n d b y M a x i m o w (1905). O n the ate structure (Vandenberghe & Baert, 1981). other hand, i n biopsies of h u m a n d u o d e n u m The membrane s u r r o u n d i n g the globules is alfixed i n b o t h standard f o r m a l i n and a f o r m a l i n - ways s m o o t h . R h o m b o i d crystals have also acetic acid ( F A ) fixative, M C were equally w e l l been observed freely i n the cytoplasm of G L preserved, but an additional p o p u l a t i o n of M C ( C a n t i n & V e i l l e u x , 1972), w i t h striation paralw i t h M M C staining characteristics c o u l d be v i - lel to its l o n g axis ( C a r r , 1967). sualized w h e n the F A - f i x a t i v e was used ( G u y G r a n d & a l . , 1984, Enerback & N o r r b y , 1989). Histochemistry of M M C and G L M M C differ i n size, the bigger being present i n b o t h mucosae and connective tissues, the smaller o n l y subepithelialy ( M i l l e r , 1980, G u y G r a n d & a l . , 1984). T h e nucleus is of the l y m p hocytic type (Ruitenberg & a l . , 1979, 1982). C y t o p l a s m i c projections are often seen as an i n dication of m o t i l i t y (Enerback & L u n d i n , 1974). N u m e r o u s M M C w i t h o u t m i c r o v i l l i are seen between the epithelial cells d u r i n g the «self cure» expulsion of intestinal nematodes (Enerback, 1974). G L occur as solitary cells i n the e p i t h e l i u m . Junctions between G L and epithelial cells have occasionally been observed. G L are able to m i grate w i t h the use of pseudopods t h r o u g h the epithelium (Toner, 1965). A c c o r d i n g l y , G L have been f o u n d freely i n the tracheal l u m e n (Vandenberghe & Baert, 1981). T h e nucleus of G L is usually eccentric, o v o i d or spherical, and c o m m o n l y indented b y the cytoplasmatic globules ( G r e g o r y , 1979). T h e nuclear membrane is distinct and the cartwheel distribution of the c h r o m a t i n is c o m m o n ( A k pavie & P i r i e , 1985). Binucleated cells have also been observed (Keasbey, 1923, A k p a v i e , 1985). T h e cytoplasm of G L is filled w i t h refractile, acidophilic and spherical globules (Keasbey, 1923, K e n t , 1952). T h e n u m b e r of globules i n a cell section ranges f r o m 5 to 40 (Keasbey, 1923,

Rangifer, 11 (1), 1991

The electron-dense metachromatic granules of M M C and globules of G L are made up of p r o teoglycans w h i c h can be distinguished histochemically. L o w sulphated mucins i n M M C differentiate them f r o m C T M C w i t h h i g h l y sulphated c o m p o u n d s of heparin. In G L the sulphation degree is histochemically even l o w e r than i n M M C . E h r l i c h i n 1878 p o i n t e d out that the specific feature of M C was the metachromatic granules in the cytoplasm (cited b y M i c h e l s , 1938). A proteoglycan of M M C , a c h o n d r o i t i n sulphate, does not show fluorescent berberine b i n d i n g . It stains preferentially w i t h alcian blue i n a staining sequence w i t h safranin (Enerback & a l . , 1986). T h e cells possess IgE receptors (Ishizaka & Ishizaka, 1984) w h i c h respond w e r y r a p i d l y (Enerback, 1987). Conjugated avidin reacts w i t h the granules of rodent and h u m a n M C (Tharp & al., 1985). Differences i n staining characteristics of the G L globules also have been attributed either to the fixatives or staining methods (Enerback, 1966, R a h k o , 1971, 1972). C a r n o y s fixative has been the best for the demonstration of m u c o p o lysaccharides of M C (Enerback, 1966). In cattle the G L globules were more adequately fixed w i t h corrosive f o r m o l ( M i l l e r & a l . , 1967) o r B o u i n ' s s o l u t i o n ( R a h k o , 1971, 1972). 5

A f t e r f i x a t i o n i n Z e n k e r s - f o r m o l o r 2 5 % formaline, G L are positive f o r P A S and alcian blue ( C a n t i n & V e i l l e u x , 1972). T h e globules stain metachromatically w i t h t h i o n i n , t o l u i d i n e blue, and brilliant cresyl blue ( K i r k m a n , 1950, K e n t , 1952). T h e presence of a sulphated acid mucopolysaccharide is documented also b y the positive reaction w i t h astra blue stain (Jarrett & al., 1968, M i l l e r & al., 1968, M u r r a y & al., 1968). T h e metachromatic reaction of the globules seems to v a r y ; i n the respiratory tract of o l d cows, G L do not show metachromatic staining w i t h t o l u i d i n e blue ( A k p a v i e , 1985). It has been supposed that the globules contain i r o n because of the resemblance to erythrocytes (Keasbey, 1923). Earlier investigations f o u n d no evidence for either i r o n ( D a w s o n , 1943) but subsequently K i r k m a n (1947, 1950) f o u n d indications of hem o g l o b i n and K e n t (1952) f o u n d evidence for i r o n . G l y c o s a m i n o g l y c a n s , as w e l l as serine esterase, are present i n the granules of M M C and G L . G L does not contain 5 - h y d r o x y - t r y p t a m i n e ( W h u r & Gracie, 1967, Jarrett & al., 1968) although the globules contain strongly basic p r o teins ( R a h k o , 1971, 1972). T h e negative reaction w i t h toluidine blue at p H 4.2 also confirms that heparin is absent f r o m the globules of G L ( W h u r & Gracie, 1967).

p u l s i o n of parasites, the «self-cure» p h e n o m e n o n . G L is thus possibly associated w i t h the i m mune response to parasitic infections (Table I). N u m e r o u s s t i m u l i cause M C to release biologically active mediators (Selye, 1965). M o r p h o logical studies have documented structural changes i n M C d u r i n g different i n f l a m m a t o r y , i m m u n o l o g i c a l , reparative, metabolic, and neoplastic responses but the role of M M C has remained unclarified. H y p e r p l a s i a of instestinal M M C occurs i n the rat after an infection w i t h Nippostrongylus brasiliensis. T h e reaction i n N. brasiliensis «seif cure» expulsion is considered to be of an anaphylactic type. ( M i l l e r , 1971). H o w e v e r , there was no documentable change i n the permeability during the expulsion of N. brasiliensis i n the mast-celldeficient mice ( C r o w l e & Reed, 1981). Nevertheless it is suggested that biogenic substances released f r o m M M C are responsible for mucosa lysis and that this causes the increase i n mucosal permeability w h i c h is k n o w n to occur during w o r m expulsion ( M i l l e r & al., 1968).

Function of M M C and G L

T h e f u n c t i o n of G L was o r i g i n a l l y connected w i t h the assimilation of f o o d substances ( W e i l l , 1919). T h e observation that G L contained hem o g l o b i n led to the theory that they had the same f u n c t i o n as the erythrocytes (Keasbey, 1923). Later it was supposed that G L had a nutritive f u n c t i o n for the s u r r o u n d i n g tissue (Heine & Schaeg, 1977).

M C play an important role i n m a n y biological processes. T h e y p r o b a b l y interact w i t h the cells of m a n y tissues, organs, and b o d y cavities. The cells can elaborate and release a variety of biologically active compounds. O b v i o u s l y , this h o l d true specifically for C T M C . M M C and G L are, o n the other hand, i n v o l v e d i n the ex-

T h e first to suggest that G L c o u l d be i n v o l ved i n parasitic infections was H o l e i n 1937. h r 1939 Taliaferro & Sarles showed that G L were associated w i t h parasitic infections and mast cell proliferation. Others also have observed a correlation between parasites and G L ( K i r k m a n , 1947, S o m m e r v i l l e , 1956, A h l q v i s t & K o h o n e n ,

Table II. Theories and arguments on the origin and histogenesis of M M C Supposed precursors for M M C

Evidences o f relationship

1. Hemopoietic tissue

M M C are thymus-independent cells o f bone marrow?

2. Lymphocytes

Lymphocytes are k n o w n to be migrating cells with capability to transform.

3. Basophilic granulocytes

Analogous composition o f the granules in both basophilis and M M C .

6

Rangifer, 11 (1), 1991

Table III. Theories and arguments on the origin and histogenesis of G L Supposed precursors for G L

Evidences for relationship

1. Hemopoietic tissue

Thymus-dependent cell o f bone marrow with intracytoplasmic granules and short life span (2-3 months)?

2. Lymphocytes

A complete morphological series f r o m l y m p hocyte to G L is demonstrable.

3. Mast cell

Analogous ultrastructure and composition o f granules of M M C and globules o f G L .

4. Large granular lymphocyte

Intraepithelial granular cell with similar nuclear structure to G L .

5. Russel body cell

Globules of G L resemble the Russel bodyinclusions with the same fluorescence, being surrounded by pyroninophilic cytoplasm like in plasma cells.

6. Eosinophilic granulocyte

Analogous acidophilic granules in G L and eosinophils, both associated with parasitic i n fections.

7. Mesenchymal cell

G L is an independent mesenchymal cell which undergoes mitosis and forms local tumors.

1959, D o b s o n , 1966, Jarrett & al., 1967, 1968, W h u r , 1967, Fernex, 1968, M i l l e r & al, 1968). A Trichinella-'mduced p r o l i f e r a t i o n of M M C occurred i n the intestine of thymus-bearing and not i n athymic mice. T h e enhanced behaviour was both antigen- and t h y m u s dependent but o n l y observed for the stromal intestinal M M C and not for the intraepithelially located G L . In congenitally mast cell-deficient mice infected w i t h Trichinella, no proliferation of G L was observed. In contrast, an increasing n u m b e r of G L was observed intraepithelially i n the intestine of n o r m a l mice. A positive correlation between the i n f i l t r a t i o n of G L and the r a p i d i t y of T. spiralis expulsion f r o m the intestine was suggested, ( K a m i y a & al., 1985).

and H u n t l e y & al. (1984b) have associated the presence of G L w i t h the i m m u n e response to parasitic infections.

Differential counts indicated that an increasing p r o p o r t i o n of the M C p o p u l a t i o n migrated intraepithelially, possibly to be transformed to G L ( M i l l e r & Jarrett, 1971). A l s o D o b s o n (1966), C a r r (1967), W h u r (1967), M i l l e r & al. (1968), M u r r a y & al. (1968), Lawrence (1977)

Rangifer, 11 (1), 1991

Origin of M M C and GL There is evidences that M M C are derived f r o m the hemopoietic tissue, possibly having the same precursors as other types of M C . T h e differentation of M C precursors may be locally regulated. T h e histogenesis of G L , o n the contrar y , is d o u b t f u l . E r y t h r o c y t e s , plasma cells, Russel b o d y cells, and other types of leukocytes and mast cells have been proposed as precursors for G L . H o w e v e r , G L seem to be an independent migrating cell type of nonepithelial o r i g i n and the histogenesis of G L - l i k e cells may be different i n different vertebrate classes. F u r t h e r m o re, cytochemical dissimilarities between tracheal and intestinal G L might indicate that they represent different phenotypes or even different types of G L (Tables II and III). 7

Practically pure populations of one specific M C p h e n o t y p e exist i n the mucosa and of another phenotype i n connective tissue (Enerback, 1981, 1987, K i t a m u r a & al., 1983). Peritoneal M C themselves might give rise to M C phenotyp i c a l l y similar to either C T M C or M M C ( N a k a n o & al., 1985). There is evidence that M C derived f r o m cultured hemopoietic tissues are M M C (Jarrett & H a i g h , 1984). The cells are regarded as an independent cell p o p u l a t i o n . T h e i r histogenesis is thymus-independent, but the response to Trichi¬ nella infections is m a i n l y thymus-dependent (Ruitenberg & a l , 1979, G a l l i & a l , 1984). Similarities between G L - g l o b u l e s and erythrocytes led to the o p i n i o n that the globules are derived f r o m phagocytosed erythrocytes (Gregory, 1979). Duran-Jorda (1945) considered that G L secreted erythrocytes, then b e c o m i n g epithelial l y m p h o c y t e s . T h e m o r p h o l o g y and stain i n g properties also contributed to the hypothesis that G L belong to the e r y t h r o c y t i c series. D a w s o n (1943) proposed that G L o c c u p y an i n termediate p o s i t i o n between erythrocytes and leukocytes. K e n t i n 1952 and T o n e r i n 1965 suggested a l y m p h o c y t e origin o n the basis of f i n d i n g a complete series, w i t h transitional forms, f r o m the small lymphocytes to the G L . Kitagawa & al. (1979) reported that G L i n chicken originated f r o m the t h y m u s l y m p h o c y t e s , being stainable w i t h anti T - l y m p h o c y t e serum. Baert & Frederix (1985) considered large granular l y m p h o c y t e s as a possible precursors for G L . O t h e r origins have also been suggested, i n c l u d i n g eosinophils, plasma cells, and mast cells (Kent, 1952). T h e inclusions of Russel b o d y cells and the globules fluoresced similarly, and the cytoplasm i n b o t h cells was p y r o n i n o p hilic ( D o b s o n , 1966, C a r r , 1967, W h u r & J o h n ston, 1967). But G l differ f r o m plasma and Russel b o d y cells because they lack i m m u n o g l o b u lins ( W h u r & W h i t e , 1970). In 1977 H e i n e and Schaeg stated that their results indicate that the G L may originate both f r o m M ( t and f r o m eosinophilic granulocytes. G L were considered to be M M C w h i c h have migrated to the epithelium and p a r t l y discharged their granules; the conclusion was based o n their similarities b o t h ultrastructurally and histochemically w i t h M M C (Jarrett & al., 1967, 1968, M i l l e r & al., 1968, M u r r a y , al., 1968, M i l ler & Jarrett, 1971). H u n t l e y & al. (1984) showed transitional cells 8

between M C and G L i n the intestine of sheep infected w i t h nematodes. T h e size of the globules changed f r o m small to large and proteoglycans, serine esterase, dopamine, and i m m u n o globulins were demonstrated i n all cell types. W h e n the globules incresed i n size, their amine content decreased. H i s t o c h e m i c a l analyses thus supported the v i e w that M M C and G L have a c o m m o n lineage ( H u n t l e y & al., 1984). G L has been proposed to be a specific cell type of mesenchymal origin ( K i r k m a n , 1950). There are several indications that G L p r o b a b l y are an independent cell type. T h i s fact is supp o r t e d b y the findings of a neoplastic behaviour of G L i n the intestine of the cat ( F i n n & Schwartz, 1972). F u r t h e r m o r e , G L undergo m i tosis d u r i n g Trichinella infection. R u i t e n b e r g & Elgersma (1979) d i d not totally discard the M M C o r i g i n of G L . Some other data suggest a c o m m o n source for M M C i n intestinal mucosae and support the idea that M M C and G L are t w o independent cell populations (Parmentier & al., 1982).

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