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. 1982 Jun;23(6):485–489. doi: 10.1136/gut.23.6.485

Mucin secretion in inflammatory bowel disease: correlation with disease activity and dysplasia.

M Ehsanullah, M I Filipe, B Gazzard
PMCID: PMC1419694  PMID: 7076023

Abstract

When rectal biopsies from 65 patients with ulcerative colitis and 20 patients with Crohn's disease was stained for mucins, an abnormal pattern (excess of sialomucins) was seen in about half of them. This is in contrast with 65 cases of non-specific proctitis where the mucin pattern of rectal biopsies was normal in all except one case. The abnormal mucin secretion in patients with ulcerative colitis was apparently related to the activity, duration, and extent of the disease. All biopsies with dysplasia showed predominant sialomucin staining except one. All biopsies showing sialomucins during remission also had dysplasia, while during active disease a number of biopsies had increased sialomucins without the evidence of dysplasia. It is not known if such cases will subsequently develop morphological atypia.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Chambers T. J., Morson B. C. Large bowel biopsy in the differential diagnosis of inflammatory bowel disease. Invest Cell Pathol. 1980 Apr-Jun;3(2):159–173. [PubMed] [Google Scholar]
  2. Culling C. F., Reid P. E., Worth A. J., Dunn W. L. A new histochemical technique of use in the interpretation and diagnosis of adenocarcinoma and villous lesions in the large intestine. J Clin Pathol. 1977 Nov;30(11):1056–1062. doi: 10.1136/jcp.30.11.1056. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Eastwood G. L., Trier J. S. Epithelial cell renewal in cultured rectal biopsies in ulcerative colitis. Gastroenterology. 1973 Mar;64(3):383–390. [PubMed] [Google Scholar]
  4. Ehsanullah M., Filipe M. I., Gazzard B. Morphological and mucus secretion criteria for differential diagnosis of solitary ulcer syndrome and non-specific proctitis. J Clin Pathol. 1982 Jan;35(1):26–30. doi: 10.1136/jcp.35.1.26. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Filipe M. I., Branfoot A. C. Abnormal patterns of mucus secretion in apparently normal mucosa of large intestine with carcinoma. Cancer. 1974 Aug;34(2):282–290. doi: 10.1002/1097-0142(197408)34:2<282::aid-cncr2820340211>3.0.co;2-w. [DOI] [PubMed] [Google Scholar]
  6. Filipe M. I. Mucins in the human gastrointestinal epithelium: a review. Invest Cell Pathol. 1979 Jul-Sep;2(3):195–216. [PubMed] [Google Scholar]
  7. Goldman H., Ming S. C. Mucins in normal and neoplastic gastrointestinal epithelium. Histochemical distribution. Arch Pathol. 1968 Jun;85(6):580–586. [PubMed] [Google Scholar]
  8. Goodman M. J., Skinner J. M., Truelove S. C. Abnormalities in the apparently normal bowel mucosa in Crohn's disease. Lancet. 1976 Feb 7;1(7954):275–278. doi: 10.1016/s0140-6736(76)91404-5. [DOI] [PubMed] [Google Scholar]
  9. Isselbacher K. J. The intestinal cell surface: some properties of normal, undifferentiated, and malignant cells. Ann Intern Med. 1974 Nov;81(5):681–686. doi: 10.7326/0003-4819-81-5-681. [DOI] [PubMed] [Google Scholar]
  10. Jass J. R., Filipe M. I. A variant of intestinal metaplasia associated with gastric carcinoma: a histochemical study. Histopathology. 1979 May;3(3):191–199. doi: 10.1111/j.1365-2559.1979.tb02996.x. [DOI] [PubMed] [Google Scholar]
  11. LaMont J. T., Ventola A. Galactosyltransferase in fetal, neonatal, and adult colon: relationship to differentiation. Am J Physiol. 1978 Aug;235(2):E213–E217. doi: 10.1152/ajpendo.1978.235.2.E213. [DOI] [PubMed] [Google Scholar]
  12. Lennard-Jones J. E., Morson B. C., Ritchie J. K., Shove D. C., Williams C. B. Cancer in colitis: assessment of the individual risk by clinical and histological criteria. Gastroenterology. 1977 Dec;73(6):1280–1289. [PubMed] [Google Scholar]
  13. Montero C., Segura D. I. Retrospective histochemical study of mucosubstances in adenocarcinomas of the gastrointestinal tract. Histopathology. 1980 May;4(3):281–291. doi: 10.1111/j.1365-2559.1980.tb02922.x. [DOI] [PubMed] [Google Scholar]
  14. Price A. B., Morson B. C. Inflammatory bowel disease: the surgical pathology of Crohn's disease and ulcerative colitis. Hum Pathol. 1975 Jan;6(1):7–29. doi: 10.1016/s0046-8177(75)80107-9. [DOI] [PubMed] [Google Scholar]
  15. Riddell R. H. Dysplasia in inflammatory bowel disease. Clin Gastroenterol. 1980 May;9(2):439–458. [PubMed] [Google Scholar]
  16. SPICER S. S. DIAMINE METHODS FOR DIFFERENTIALING MUCOSUBSTANCES HISTOCHEMICALLY. J Histochem Cytochem. 1965 Mar;13:211–234. doi: 10.1177/13.3.211. [DOI] [PubMed] [Google Scholar]
  17. Teague R. H., Fraser D., Clamp J. R. Changes in monosaccharide content of mucous glycoproteins in ulcerative colitis. Br Med J. 1973 Jun 16;2(5867):645–646. doi: 10.1136/bmj.2.5867.645. [DOI] [PMC free article] [PubMed] [Google Scholar]

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