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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