Ultrastructural and histochemical observations on secretory phenomena in the resting human mammary gland.

I Schinko, H Trebbin, E Fuchs, U Welsch
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Abstract

Ultrastructure and histochemistry of clinically normal appearing tissue and secretions of non-lactating human mammary glands have been investigated in order to document and analyse secretory phenomena in the resting gland. The material studied originated from women of different ages (18-74 years) who underwent plastic surgery or surgery for various disorders of the breast. The epithelia of small ducts and of alveolar enlargements as well as acini contained moderate amounts of mitochondria and of cisterns of the rough endoplasmic reticulum; the transcisterns of the Golgi apparatus which were surrounded by smooth and coated vesicles, exhibited modest dilatations, the number of lysosomes increased with age; regularly glycogen particles and bundles of intracellular filaments (phi 5 nm) were to be observed. Typical casein vesicles and stages of apocrine secretion of milk fat globules were not seen. The following features indicated secretory activity: differently sized vesicles and granules with flocculent, dense, or light contents were regularly to be seen in the apical cytoplasm often immediately below the apical plasma membrane of the epithelia of the small ducts and even more frequently in the alveolar enlargements. Secretory products of fine granular or filamentous structure, probably containing proteins, were frequently found within the lumen. Different types of lipid and liposome-like particles were detected both in intracellular localization as well as in ductal lumina. As demonstrated by lectin histochemistry the secretory products also contained a considerable amount of carbohydrate components. The composition of the secretory products of the resting gland is of clinical interest since the chronical deposition of secretions, which among others possibly contain enzymes producing oxygen radicals, may lead to pathological changes of mammary gland tissue.

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人乳腺静息期分泌现象的超微结构及组织化学观察。
为了记录和分析静息腺的分泌现象,研究了临床正常的非泌乳乳腺组织和分泌物的超微结构和组织化学。所研究的材料来自不同年龄(18-74岁)的妇女,她们接受了整形手术或各种乳房疾病的手术。小管上皮、增大的肺泡上皮和腺泡上皮含有适量的线粒体和粗内质网池;高尔基体横池被光滑的囊泡包裹,呈适度扩张,溶酶体数量随年龄增长而增加;观察到有规律的糖原颗粒和细胞内细丝束(φ 5 nm)。未见典型的酪蛋白囊泡和乳脂球的大汗液分泌阶段。以下特征表明分泌活性:在小导管上皮的顶质膜正下方的顶端细胞质中经常可见大小不一的囊泡和颗粒,其内容物呈絮状、致密或轻的,在增大的肺泡中更常见。分泌产物为细颗粒状或丝状结构,可能含有蛋白质,常见于管腔内。在细胞内定位和导管腔内均检测到不同类型的脂质和脂质体样颗粒。凝集素组织化学表明,分泌产物也含有相当数量的碳水化合物成分。静息腺分泌产物的组成具有临床意义,因为分泌物的慢性沉积,其中可能含有产生氧自由基的酶,可能导致乳腺组织的病理变化。
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