Interstitial Cajal-Like Cells and Bile Lithogenicity in the Pathogenesis of Gall-Stone Disease

• Authors: Artur Pasternak , Andrzej Matyja , Krzysztof Gil , Mariusz Gajda , Krzysztof A. Tomaszewski , Maciej Matyja , Jerzy A. Walocha , Jan Kulig
• Languages of publication: EN

Abstracts

EN

Gall-stone disease constitutes a serious clinical problem and is the most frequent cause of elective cholecystectomies. There are many etiopatogenic factors however; lithogenic bile and its stasis due to gall-bladder hypomotility seem to be the most important. In recent years discovery of pacemaker function of Interstitial Cells of Cajal changed our understanding of smooth muscle physiology and helped to disclose many gastrointestinal motility disorders.The aim of the study was identification and quantification of interstitial Cajal-like cells (ICLCs) in gall-bladder muscle wall from patients with cholelithiasis and in gall-stone-free controls, as well as determination of the relationship between the number of ICLCs and Cholesterol Saturation Index (CSI) of bile in both analyzed groups.Material and methods. 20 patients operated for symptomatic cholelithiasis were enrolled into the study group. The control group consisted of 20 patients operated for pancreatic head tumors, with no pre- and intraoperative signs of gall-stones. Identification of ICLCs in the gall-bladder was performed by means of double immunofluorescence technique with anti c-Kit and anti-mast cell tryptase antibodies. Quantitative analysis was carried out under fluorescence microscopy conjoined with image analysis software. Bile samples were used for calculation of CSI.Results. ICLCs were detected within gall-bladder muscle wall. Number of ICLCs was statistically significantly lower in patients from the study group as compared to control. The study also revealed statistically significantly higher CSI in the study group.Conclusions. The quantity of ICLCs is diminished in the gall-bladder from patients with cholelithiasis and there is negative correlation between the number of ICLCs and CSI of bile. Regarding the role of ICCs in regulation of GI tract motility, it appears that reduction in their number may be important etiopatogenic factor of cholelithiasis.

Keywords

EN

bile lithogenecity; interstitial Cajal-like cells; gall-stone disease; c-Kit; mast cells

• Publisher: De Gruyter Open
• Journal: Polish Journal of Surgery
• Year: 2013
• Volume: 85
• Issue: 6
• Pages: 311-316

Dates

published

1 - 06 - 2013

online

05 - 07 - 2013

Contributors

author

Artur Pasternak

• Jagiellonian University Medical College in Cracow, Department of General, Oncological and Gastroenterological Surgery, 31-034 Kraków, ul. Kopernika 12, Kierownik: prof. dr hab. J. Kulig
• Jagiellonian University Medical College in Cracow, Department of Anatomy, Kierownik: prof. dr hab. J. A. Walocha

author

Andrzej Matyja

• Jagiellonian University Medical College in Cracow, Department of General, Oncological and Gastroenterological Surgery, 31-034 Kraków, ul. Kopernika 12, Kierownik: prof. dr hab. J. Kulig

author

Krzysztof Gil

• Jagiellonian University Medical College in Cracow, Department of Pathophysiology, Kierownik: prof. dr hab. P. Thor

author

Mariusz Gajda

• Jagiellonian University Medical College in Cracow, Department of Histology, Kierownik: prof. dr hab. J. Litwin

author

Krzysztof A. Tomaszewski

• Jagiellonian University Medical College in Cracow, Department of Anatomy, Kierownik: prof. dr hab. J. A. Walocha

author

Maciej Matyja

• Jagiellonian University Medical College in Cracow, Department of Anatomy, Kierownik: prof. dr hab. J. A. Walocha

author

Jerzy A. Walocha

• Jagiellonian University Medical College in Cracow, Department of Anatomy, Kierownik: prof. dr hab. J. A. Walocha

author

Jan Kulig

• Jagiellonian University Medical College in Cracow, Department of General, Oncological and Gastroenterological Surgery, 31-034 Kraków, ul. Kopernika 12, Kierownik: prof. dr hab. J. Kulig

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Identifiers

DOI

10.2478/pjs-2013-0046