Abstract
Background
The mammary epithelium undergoes proliferation and regression accompanied by remodeling of the fibrocellular and vascular stroma. Mast cells are abundant in these compartments and have been implicated in remodeling during wound healing and cancer progression. The purpose of this study was to test the hypothesis that mast cell abundance correlates with physiologic mammary tissue remodeling during estrous cycling, lactogenesis (pregnancy and lactation) and involution.
Results
Mast cell and capillary frequency were quantified in the stroma surrounding ducts and lobules from mammary glands of rats. During estrous cycling, periductal mast cell numbers were unchanged, but lobule-associated mast cells significantly increased in the regressive phase of diestrus II. During lactogenesis, lobular stroma mast cells peaked early in pregnancy, at D2, followed by a significant decrease throughout lactation. Involution was associated with a rapid return in mast cell numbers, similar to diestrus II. Lobular vascularization peaked during the state of metestrus, when limited secretory differentiation occurs. Lobular angiogenesis peaked at D7 of pregnancy, regressed, and then returned to high levels during lactation and early involution, when secretory differentiation is high.
Conclusions
These results suggest mast cells are predominantly associated with regressive lobular remodeling during cycling and involution, whereas angiogenesis is predominantly associated with secretory differentiation.
Keywords: mast cells, mammary gland, breast, estrous cycle, lactogenesis, angiogenesis
INTRODUCTION
The mammary gland is composed of epithelium embedded in a stromal matrix containing fibroblasts, adipocytes, blood vessels, and lymphatics, as well as a variety of infiltrating leukocytes (reviewed in Howard and Gusterson, 2000; Richert et al., 2000; Masso-Welch et al., 2000). The importance of the local stromal environment on mammary epithelial proliferation, morphogenesis, hormone responsiveness, and functional differentiation has been well documented both in vivo (Kratochwil, 1969; Saka-kura et al., 1976, 1979; Haslam and Counterman, 1991; Cunha et al., 1992), and in co-culture experiments with fibroblasts (Lasfargues, 1957; Taylor-Papadimitriou et al., 1977; Visser et al., 1981; McGrath, 1983; Enami et al., 1983; Levine and Stockdale, 1985; Haslam, 1986; Reichmann et al., 1989; Taga et al., 1989; Strange et al., 1991; Kanazawa and Hosick, 1992; Sasaki et al., 1994; Soriano et al., 1995; Andersen, 1996) and adipocytes (Bartley et al., 1981; Levine and Stockdale, 1984; Beck and Hosick, 1988; Hovey et al., 1998; Zangani et al., 1999). Stromal cell populations undergo well-characterized changes in abundance and phenotype during the extensive postnatal development that occurs in the rat mammary gland during pregnancy and lactation (Traurig, 1967; Knight and Peaker, 1982). Infiltrating leukocytes such as mast cells, eosinophils, and macrophages have been shown to contribute to the hormone-dependent remodeling of the mammary gland that occurs during pubertal development, lactogenesis, and involution, and are suggested to be involved in estrous cycle remodeling (Cole, 1933; Gouon-Evans et al., 2000; Lilla and Werb, 2010). Estrous cycle remodeling involves not only changes in the mammary epithelium, but alterations in the supporting vasculature, resulting in the development and subsequent regression of the extensive capillary plexus associated with each developing lobule (Soemarwoto and Bern, 1958; Yasugi et al., 1989; Matsumoto et al., 1992b; Abdul Awal et al., 1996; Masso-Welch et al., 2000; Djonov et al., 2001). The importance of mesenchymal/parenchymal interactions for hormone-dependent angiogenesis is supported by the observation that the development of mammary capillary plexuses in response to estrogen and progesterone stimulation does not occur in epithelium-cleared glands (Soemarwoto and Bern, 1958).
The importance of understanding the roles of mast cells in promoting angiogenesis within the normal and cancerous breast is critical, because microvessel density has the highest correlation of any other variable with the presence of metastatic invasion (Weidner et al., 1991). Compared with other epithelial tissues, the mammary gland contains an unusually high number of mast cells, preferentially associated with stroma surrounding ducts and lobules, rather than in the adipose tissue regardless of whether the mammary gland is “resting” (i.e., estrous cycling) or in an active (i.e. lactogenic) condition (Michels, 1963). Although mast cells and mast cell factors are strongly associated with angiogenesis during wound healing and cancer (Kessler et al., 1976; Eady et al., 1979; Azizkhan et al., 1980; Folkman, 1985; Wilson, 1985; Starkey et al., 1988; Takeda et al., 1989; Meininger and Zetter, 1992; Gordon and Galli, 1994a,b; Jakobsson, 1994; Qu et al., 1995; Norrby, 1997; Blair et al., 1997; Yamada et al., 1998; Soucek et al., 2007), the role of these cells in physiological angiogenesis of the mammary gland during the estrous cycle, lactogenesis, and involution has not been described. The purpose of this study was to compare the changes in mast cell abundance with the development and regression of the lobular capillary plexus that occurs during the expansive growth of lactogenesis, the regressive remodeling of postlactational involution, and less extensive expansive and regressive remodeling that take place within the estrous cycle.
RESULTS
Mast Cell Abundance Changes During Pregnancy, Lactation, and Postweaning Involution
The frequency of lobule-associated mast cells was significantly higher during early pregnancy (day 2), then progressively decreased throughout pregnancy (pregnancy days 18–19; Fig. 1A). No significant changes were seen during lactation. During involution, mast cell numbers rapidly returned, by D2 involution, to levels similar to that found in mammary gland of 50-day-old rats (Fig. 1A). Figure 1A, inset, shows the appearance of toluidine blue-stained mast cells (arrowheads) associated with lobular stroma in nulliparous rats. Arrows delineate a single lobular ductule, visible by phase contrast illumination of the same field (inset, right).
Throughout postnatal development, mast cells were consistently more abundant in the thicker stroma surrounding duct and ductules (defined as a single epithelial structures surrounded by a well-defined fibrocellular sheath; Fig. 1B) than the terminal ductules of the lobular unit (defined as three or more closely apposed ductules encased within a continuous, thin, loose fibrocellular sheath). Mast cells also showed less variation in abundance in ducts (Fig. 1B) compared with the terminal ductal lobular unit (Fig. 1A), regardless of developmental stage. Figure 1B, inset, shows an example of toluidine blue-stained mast cells associated with the stroma of a single duct. The left side of the inset shows the toluidine blue-stained mast cells (arrowheads) under brightfield illumination, while the right side shows the same field under phase contrast to demonstrate surrounding tissue structure. Mast cell number associated with ducts (Fig. 1B) was greatest in the mammary glands of 28- and 50-day-old virgin rats, than that seen at all pregnancy and lactation time points.
Representative images of sections of lobules throughout development are shown in Figure 2, with mast cells stained by toluidine blue. The D28 and D50 mammary glands (Fig. 2A,B) are show a higher abundance but similar location of mast cells compared with the D90 post-involuting mammary glands (Fig. 2C). During the expansive lobular growth of pregnancy, mast cells (arrows) progressively decrease in number from peak levels observed early, at D2 (Fig. 2D–F). In lactation, the increase in the differentiated lobule size is largely due to increased intraluminal secretions, and the sparse fibrocellular stroma between lobular ductules has low mast cell infiltration (arrows; Fig. 2G–I). Mast cells reappear rapidly during involution (Fig. 2J–L), and are maintained as the adipose and fibrocellular stroma become re-established.
Alterations in Capillary Abundance During Lobular Remodeling in Pregnancy, Lactation, and Involution
To determine if mast cell abundance correlates with physiologic angiogenesis during postnatal mammary gland differentiation, we quantified the number of capillaries per lobule, and compared this with the lobular complexity (estimated by the number of terminal ductules per lobule) present during the pregnancy-induced expansion and weaning-induced regression of the mammary epithelium. Figure 3 shows the quantitation for vascular density (per lobule or field; Fig. 3A), lobular development (ductules per lobule or field, see below; Fig. 3B), and capillaries per terminal lobular ductule (Fig. 3C), for all postnatal developmental time points. During lactation and early involution, when the lobule size often exceeded an individual microscopic field (total area 0.275 mm2), capillaries and ductules are given on a per field basis (Fig. 3A,B, bars are indicated with asterisks). Observations were normalized per individual ductule by comparing the number of capillaries per individual lobular ductule (Fig. 3C). Figure 3A, inset, shows the appearance of red blood cells (arrow-heads) in a capillary associated with lobular ductules (arrows), when viewed under bright field (left panel) versus epifluorescent (right panel) illumination. As expected, capillaries per lobule increased during pregnancy, and were maximal during lactation and involution (Fig. 3A). When normalized to lobular epithelium (Fig. 3B), the peak in vascularization per lobular ductule (Fig. 3C) occurred at day 7 for pregnancy time points. During lactation, capillary growth outpaced the lobular growth, resulting in a significant increase in capillary frequency per individual ductule seen at day 1 post-partum (Fig. 3C). The lobule size was substantially decreased between day 4 and day 12 of involution (data not shown). However, high capillary frequency, per lobule or per lobular ductule, was retained throughout involution to day 12, indicating epithelial regression preceded vascular regression. At day 90, capillary abundance in the regressed terminal ductal lobular units was significantly decreased and indistinguishable from levels seen in the nulliparous rat at day 50 of age.
Estrous Cycle-Dependent Fluctuations in Mast Cell Abundance Occur in Association With Both the Mammary Ductal and Lobular Stroma
Despite being complete in approximately 2.5 to 5 days, the rodent estrous cycle is a time during which the mammary gland undergoes a cycle of ductal and lobular growth, limited secretory differentiation, and cell death (Sutter, 1921; Cole, 1933; Purnell and Kopen, 1976; Purnell and Stowers, 1977; Dulbecco et al., 1982; Ratko et al., 1988; Vassaux et al., 1994; Andres et al., 1995; Kordon et al., 1995; Andres and Strange, 1999; Schedin et al., 2000). Despite a longer cycle length, the human breast undergoes similar cyclical changes (Fanger and Ree, 1974; Masters et al., 1977; Meyer, 1977; Vogel et al., 1981; Anderson et al., 1982, 1997; Ferguson and Anderson, 1981; Sabourin et al., 1994; Robinson et al., 1995; Soderqvist et al., 1997). As the majority of breast cancer occurs in the mammary glands of nonpregnant, nonlactating women, changes such as angiogenesis and stromal remodeling that occur in the mammary stroma during cycling may be highly relevant to cancer susceptibility.
We examined mast cell abundance in mammary glands from rats at different stages throughout the estrous cycle. No significant changes in duct-associated mast cells were seen during the estrous cycle (Fig. 4A). Independent of estrous cycle stage, more mast cells were associated with ducts rather than lobular ductules. In striking contrast, lobule-associated mast cell numbers were significantly increased during diestrus II, compared with metestrus and diestrus I stages (Fig. 4B). The number of terminal ductules per lobule at each estrous stage is shown in Figure 4C, with diestrus II possessing significantly fewer lobular ductules than all other estrous stages. To compensate for variations in lobular complexity (number of terminal ductules per lobule) throughout the estrous cycle (Schedin et al., 2000), mast cell number was normalized by dividing by number of lobular ductules within the same field, to obtain capillaries per lobular ductule (Fig. 4D). This resulted in the same overall pattern of fluctuation as analyzing the whole lobule (Fig. 4B), with mast cell number per lobular ductule significantly greater during diestrus II, compared with proestrus, estrus, metestrus, and diestrus I.
Estrous Cycle-Dependent Emergence of the Lobular Capillary Plexus
The development of the lobular epithelium during pregnancy is closely associated with the development of its supporting capillary plexus (Yasugi et al., 1989; Matsumoto et al., 1992b; Abdul Awal et al., 1996; Masso-Welch et al., 2000; Djonov et al., 2001). Because some lobular development occurs with each estrous cycle in the mammary gland of the nonpregnant rat (Schedin et al., 2000; Masso-Welch et al., 2000), we examined the frequency of capillaries associated with the immature terminal ductal lobular unit. Figure 5A shows that the greatest number of capillaries per lobule occurred during metestrus. To normalize this variation to the changing lobule size that occurs during cycling (Schedin et al., 2000), we quantified the number of ductules per lobule, and normalized the capillary abundance per lobular ductule (Fig. 5B). After normalization, the number of capillaries per lobular ductule remained significantly greatest during metestrus, compared with estrus, diestrus I, and diestrus II; due to considerable variability in vascular density during proestrus, this stage was not significantly different.
DISCUSSION
The studies presented here describe changes in mast cell and capillary density during the lactogenic cycle and involution, and throughout the estrous cycle of rats. These data define the time course for lobular and angiogenic remodeling throughout development, and show a surprising degree of remodeling throughout the estrous cycle in the rat. The cycling rat is a useful animal model for mammary cancer chemoprevention, due to its similarity in its fibrocellular-rich mammary stroma to the human breast, and the histopathology and hormone receptor status of resulting mammary tumors (reviewed in Medina and Thompson, 2000). Although genetically engineered mice are of great utility in dissecting the contributions of specific gene products to mammary morphogenesis and carcinogenesis, the comparative lack of fibrocellular stroma, and presence of distinct stromal populations (e.g., brown adipose tissue) not present in human and scarce in the rat mammary glands (reviewed in Richert et al., 2000; Masso-Welch et al., 2000; Howard and Gusterson, 2000), can result in disparate results between species in dietary studies such as reported for conjugated linoleic acid (e.g., see mouse studies Ip et al., 2002, 2007; Meng et al., 2008). Such disparate results are anticipated if the chemopreventive agent of interest targets stromal cell populations such as brown fat (reviewed in Ip et al., 2003).
In addition to its association with angiogenesis, mast cell abundance is generally associated with the amount of stroma present (Michels, 1963). Mast cells have been shown to stimulate stromal remodeling, including extracellular matrix turnover, increased deposition of new extracellular matrix and increased numbers of intralobular fibroblasts (Schedin et al., 1996; Masso-Welch et al., 2000), by increasing fibroblast proliferation (Ruoss et al., 1991; Rubinchik and Levi-Schaffer, 1994; Levi-Schaffer and Rubinchik, 1995; Trautman et al., 1998), and collagen synthesis (Hartveit, 1993; Rubinchik and Levi-Schaffer, 1994; Gordon and Galli, 1994a; Levi-Schaffer and Rubinchik, 1995; Cairns and Walls, 1997; Yamada et al., 1998). Mast cell-derived proteases may also play a role in remodeling proteins of the basement membrane of lobular ductules (Ferguson et al., 1990; Ferguson et al., 1992; Andres et al., 1995; Anderson et al., 1997), through mast cell proteases such as tryptase, kallikrein, and MMPs (Birkedal-Hansen et al., 1976; Dabbous et al., 1986; Cairns and Walls, 1997; Andres and Strange, 1999; Lilla et al., 2009).
Based on the association of mast cells and their derived products with angiogenesis (Norrby, 1997; Yamada et al., 1998), we hypothesized that a surge in mast cell activity may contribute to the angiogenesis-dependent growth of the lobule during pregnancy, when a well-developed capillary plexus is formed de novo (Yasugi et al., 1989; Matsumoto et al., 1992b; Abdul Awal et al., 1996; Masso-Welch et al., 2000; Djonov et al., 2001). This vascularization occurs in response to estrogen plus progesterone (Matsumoto et al., 1992a), and, therefore, can occur to a smaller degree during the smaller scale lobular differentiation that occurs during metestrus of the estrus cycle, (Schedin et al., 2000). If mast cells are involved with angiogenesis of the lobular mammary epithelium, we would expect their numbers to increase specifically in association during the hormone-dependent expansive growth of lobules, rather than in the mast-cell rich, dense stroma surrounding ducts. Although we observed a burst in mast cell frequency that preceded the vascularization of pregnancy (at day 2), we found mast cells increase more generally associated with epithelial-regressive time points, such as diestrus II and involution.
As expected, we found that lobular development (ductules per lobule) was paralleled by the expansion of the lobule-associated vasculature during lactogenesis. Mast cell number peaked early in pregnancy (D2), before the peak in lobular vascularization (D7). Mast cell numbers then decreased throughout the expansive growth of pregnancy and differentiation of lactation. Thus, in contrast to our hypothesis, mast cell numbers peaked early in pregnancy and were diminished thereafter, while vascularization continued to expand. Although it is possible that the initial mast cell burst may contribute to the burst of lobular angiogenesis at day 7, the diminishing parenchymal stroma of pregnancy and lactation retained very low levels of mast cells until involution.
During pregnancy, although the number of capillaries per lobule increased, the development of this lobular vasculature paralleled the lobular development (quantified as ductules per lobule), resulting in no significant difference in the number of blood vessels when normalized per lobular ductule throughout the different time points in pregnancy. The angiogenic outbudding and development of the rat mammary gland lobular capillary plexus during pregnancy and lactation is shown beautifully in three dimensions using corrosion casts, by Yasugi et al. (1989). It would be of great interest to know the relationship of mast cell location to these angiogenic buds.
The increase in mast cell number we describe here in early pregnancy has also been described in mouse mammary glands, and was likewise followed by a progressive decrease throughout pregnancy, as the gland becomes increasingly epithelial (Peryt et al., 1983). A point of interest from our studies is that this mast cell increase was noted specifically in association with lobular ductules (Fig. 1B), rather than the vasculature of the large ducts (Fig. 1A), and was similar to the peak seen in mammary glands from rats at 28 days of age, a time of active invasion and ductal morphogenesis within the mammary fat pad. This suggests a potential role for mast cells at early pregnancy in stromal remodeling, either contributing to invasion of the fat pad by the expansive growth of the epithelial compartment, and/or modification of the lobular stroma as the capillary plexus develops concurrently with lobular expansion.
During lactation, lobular vascularization outpaced lobular epithelial development, with a surge in the number of capillaries per individual lobular ductule. This increase in capillary number normalized to lobular ductule reflects the metabolic demand of the lactating mammary gland, which is greater than that in pregnancy. Distinct from previous studies of mouse mammary gland mast cells (Peryt et al., 1983), we observed no increase in mast cell number during the first 24 hr of lactation, and indeed, mast cell number was its lowest point during lactation, consistent with the thinning of the lobular stroma (Michels, 1963). This suggests that cytokines released by cells other than mast cells may be involved in angiogenic stimulation or maintenance at this time, and/or that mast cells are involved only in the initial vasculogenic differentiation of stromal cells in early pregnancy, rather than the subsequent angiogenic expansion or the pre-existing lobular plexus.
Lobular Vascularity During Involution or Estrous Cycle-Dependent Lobular Regression
The number of lobular capillaries remained surprisingly high throughout most of involution. The high number of lobule-associated capillaries may reflect a need for blood supply during the metabolic demands of epithelial resorption, and the acute phase response that has been well described in mouse mammary gland (Stein et al., 2004; Clarkson et al., 2004). During estrus cycling, peak lobular vascularity occurred during peak lobular development (metestrus), while mast cell number peaked during the quiescent stage of diestrus II, just before peak hormone levels associated with proestrus (Schedin et al., 2000). Mast cell increase during involution and during estrous cycling may function in the stromal remodeling and leukocyte influx that occurs during lobular regression of postlactational involution or, to a lesser degree, during late diestrus (diestrus II), which correlates to the period of sex steroid withdrawal and menstruation in humans (Longacre and Bartow, 1986). Mast cells are likely to be initiators of eosinophil influx, through release of eotaxin (Hogaboam et al., 1998). Alternately, the increase in mast cell number during diestrus II (Fig. 3) may set the stage for the angiogenesis associated with lobular development of the mammary gland epithelium that occurs during metestrus, approximately 2 days later (Fig. 4).
A causative role for mast cells in angiogenesis-dependent tissue remodeling recovery from ischemic events has been demonstrated using inhibitors of mast cell degranulation such as dosium cromoglycate, or the Ws/Ws mast cell deficient rat model (Zareie et al., 2006; Tsuruda et al., 2008; Yamaki et al., 2009; Tajima et al., 2009). The mast cell stabilizer sodium cromolyn has also been used to induce mammary tumor hypoxia (Samoszuk and Corwin, 2003). An increase in mast cell number during involution, described here for mammary gland, has been associated with involution-dependent remodeling of other tissues, including rat paradidymis and thymus (reviewed in Michels, 1963). It has been suggested that this increase in numerical proportions of mast cells may be associated with the smaller overall size of the involuting gland in the case of the thymus (Michels, 1963). However, in the involuting mammary gland, the overall stromal compartment containing both adipocytes and fibroblasts is rapidly and dramatically increasing in size coincident with the loss of the lobular epithelium (reviewed in Masso-Welch et al., 2000). In this regard, involution can be regarded as a regressive phase for the lobular epithelium, but an expansive growth phase for the adipose and fibrocellular stroma.
In addition to involution-dependent effects on mast cell number, mast cell function may be affected by involution as well. Although others have defined mast cell secretion on the basis of histological appearance in sections (in mouse; Lilla and Werb, 2010), we felt unable to distinguish intracellular granules from “free” granules, based on the nature of looking at paraffin sections of these very large cells and the distortion of the mast cell that can result from its compressed position within collagen fibers of the dense rat mammary stroma (i.e., a mast cell may be quite extended and its granules may be in a different plane of section from the nucleus). Degranulation is the readiest means whereby the mast cell can mediate its effects on the surrounding microenvironment. Alterations in the local cytokine environment, such as increases in TNF-alpha and other inflammatory cytokines in involution (Stein et al., 2004; Clarkson et al., 2004), can increase mast cell degranulation (Hogaboam et al., 1998), through stimulating the expression of the c-kit receptor on mast cells for fibroblast membrane-bound stem cell factor (Hogaboam et al., 1998). Mast cell derived proteases have been shown to be essential for efficient stromal remodeling during involution of the mouse mammary gland (Lilla et al., 2009). Increased interaction between fibroblasts and mast cells stimulates degranulation, and release of interleukin (IL) −4, platelet-derived growth factor (PDGF), and fibroblast growth factor (FGF), which stimulate fibroblast proliferation and extracellular matrix deposition, and eotaxin, an eosinophil recruitment factor (Trautman et al., 1998; Hogaboam et al., 1998). Thus, it is possible that mast cells may play a pivotal role in the response of multiple cell types in the mammary stroma to involution-inducing signals. During the estrous cycle, the increase in lobule-associated mast cells during diestrus II (Fig. 4D) may also function in remodeling the stroma, increasing the interstitial stroma between individual ductules during diestrus II, which resembles involution, but to a lesser degree.
In summary, the results presented here demonstrate that both lobular associated capillaries and mast cells vary in number in an ovarian-hormone-dependent manner, consistent with stromal remodeling that occurs in these dynamic structures. In contrast, the mast cell density surrounding ducts is stable throughout development. A surge in mast cell number was associated with lobular regression during estrous cycling and involution, and may be involved in stimulating the fibrosis that accompanies lobular regression. In contrast, capillary density was predominantly associated with secretory lobular differentiation during metestrus and lactogenesis.
EXPERIMENTAL PROCEDURES
Animal Care
For the estrous cycle studies, female Sprague-Dawley rats (SD, Taconic Farms, Germantown, NY) were obtained as adult virgins at 70 ± 3 days of age. These rats were fed an AIN-76A diet (Harlan Teklad, Madison, WI), and had unlimited access to distilled water. Rats were housed three per cage in air conditioned (22 °C), humidity-controlled rooms with a 12-hr on, 12-hr off, light cycle. Animals were serially tracked for estrous cycling by daily vaginal lavage for at least two consecutive cycles, as described (Schedin et al., 2000). Only rats with regular 4-day cycles were used for these studies.
For developmental studies (prepubertal, puberty, lactogenesis, and involution), SD rats were obtained from Taconic Farms (Germantown, NY) and Charles River (Wilmington, MA). Rats were fed Teklad (Madison, WI) standard or breeder chow, as appropriate, and had unlimited access to water. Rats were housed in air-conditioned, humidity-controlled rooms with a 12-hr on, 12-hr off, light cycle. The standards used for care were in accordance with the NIH and the Roswell Park Cancer Institute and/or AMC Animal Care and Use Committees.
Mast Cell Analysis
To determine estrous cycle and developmental changes in mast cell numbers, paraffin sections of mammary glands were stained with toluidine blue as described (Fong et al., 1995). Toluidine blue stains mast cell granules a deep blue in formalin-fixed rat tissues (Michels, 1963). Mammary gland sections from at least three rats per developmental time point were analyzed by light microscopy for changes in mast cell number, by examining fifteen 20× fields, each with an area of 0.275 mm2, quantified per slide. Time points examined included virgin rats at day 28 (“prepubertal”) and day 50 (“peripubertal”) of age, pregnancy time points (day 2, day 7, days 14–16 grouped, and days 18–19 grouped), days 2 and 7 of lactation, and multiple time points throughout involution (12 h, day 2, day 4, day 7, day 12, and day 90 postweaning after 21 days of lactation). Because of the variably increased lobular diameter during lactation and early involution due to intraluminal secretions, mast cells and ductules per field are evaluated, rather than per entire lobule.
To examine estrous cycle changes in mast cell number, mammary glands from 10 rats in proestrus (representing 150 (20×) microscopic fields total), 11 rats in estrus (165 fields total), 6 rats in metestrus (90 fields), 4 rats in diestrus I (60 fields), and 4 rats in diestrus II (60 fields) were analyzed. Rats were determined to be in proestrus, estrus, metestrus, diestrus I, and diestrus II, based on the appearance of the vaginal and cervical epithelium (Turner, 1966; Schedin et al., 2000). Mammary glands were sampled from the same region to avoid variation due to proximal versus distal mammary gland development.
Mast cells counted were limited to those residing in the fibrous and not adipose stroma directly surrounding ducts and terminal ductules of the lobular unit (which form alveoli during pregnancy/lactation).
Capillary Frequency Analysis
To examine estrous cycle changes in capillary number, mammary glands from 10 rats in proestrus (representing 100 (20×) microscopic fields total), 11 rats in estrus (110 fields total), 6 rats in metestrus (60 fields), 4 rats in diestrus I (40 fields), and 4 rats in diestrus II (80 fields) were analyzed. For pre- and peripubertal, pregnant, lactation and involution, mammary glands from at least 3 rats, with 15 fields per section, were examined for each developmental time point.
Capillary abundance was analyzed by examination of hematoxylin and eosin-stained paraffin sections serially cut from the same blocks as those analyzed for mast cells. Eosin staining was examined using epifluorescent illumination with a WIY filter 61002 D/F/TR, 506 (Olympus). This system allowed the detection of eosin-rich red blood cells at the single cell level enclosed within a clearly intact eosin-bright basement membrane-lined capillary; in contrast, nucleated cells are readily distinguishable by the fluorescence-quenching caused by the strong hematoxylin staining of nuclei and less intense basophilic cytoplasm.
Using this illumination/detection system, mammary gland sections from estrous cycle stages were analyzed for the number of capillaries per lobule and the number of terminal ductules per lobule; from these, the number of capillaries per lobular ductule was calculated. During pregnancy and lactogenesis, the determination of ductules per lobule was difficult to determine accurately, due to the decreased stroma delineating individual lobules. In these cases, the number of lobular ductules per 20× field was determined and the number of capillaries per lobular ductule was calculated without attempting to assess number of ductules per individual lobule.
Statistical Analysis
Data were plotted using Sigma Plot (v.6.0) and analyzed using Sigma Stat (v.2.0), using means ± SEM, based on the number of microscopic fields. Analysis of statistical significance was performed using ANOVA with All Pairwise Multiple Comparisons Method (Dunn’s Method). Values of P < 0.05 were considered statistically significant.
Key findings.
Mast cell abundance is up to ten-fold greater in the stroma surrounding ducts, compared to lobules; however, both structures show a peak at day 28 of age.
Mast cell frequency in the lobule is significantly increased during diestrus II, the regressive phase of the estrous cycle.
After peaking at day 2 of pregnancy, mast cell abundance declines steadily throughout pregnancy, but is rapidly restored to baseline levels in early post-lactational involution.
Capillary abundance is cyclic in the resting gland terminal ductal lobular unit, with a peak during metestrus, when limited secretory differentiation occurs.
Capillary abundance per lobular alveolus progressively increases throughout lactation, is maintained until day 2 of involution, progressively decreasing thereafter.
ACKNOWLEDGMENTS
We thank Dr. Kathleen Darcy and Dr. Bonnie Hylander for their critical reading of this manuscript, and Mary M. Vaughan of the Roswell Park Research Histology Core for her excellent technical assistance.
Grant sponsor: NIH; Grant number: CA-77656; Grant sponsor: AICR; Grant number: 99B021; Grant sponsor: NIH Cancer Center Support Grant; Grant number: CA-16056.
ABBREVIATIONS
- H&E
hematoxylin and eosin
- TEB
terminal end bud
- TNF
tumor necrosis factor alpha
- VEGF
vascular endothelial growth factor
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