The histochemical features of the Michaelis–Gutmann body and a consideration of the pathophysiological mechanisms of its formation

Journal of Pathology - Tập 137 Số 2 - Trang 119-127 - 1982
Selwyn Stevens1, John McClure1
1The Division of Tissue Pathology, Institute of Medical and Veterinary Science, Adelaide

Tóm tắt

AbstractThe reactions to a number of histochemical stains by Michaelis‐Gutmann (MG) bodies in 13 cases of malakoplakia are described. All MG bodies contained calcium and phosphate. Iron was present in six cases. Special stains failed to reveal the presence of micro‐organisms. In six cases the MG bodies contained either lecithin or sp'hingomyelin and in three both phospholipids were present. There was no evidence of phospholipid of bacterial cell membrane derivation. Carbohydrate staining reactions suggested the presence of a neutral polysaccharide and an acidic non‐suiphaied polysaccharide (such as a sialoglycan). No histochemical evidence could be adduced to implicate bacterial cell membranes in the structure of the organic matrix of the MG body. The implications of these findings in the light of the association between clinical bacterial infection and malakoplakia are discussed.

Từ khóa


Tài liệu tham khảo

10.1056/NEJM197712292972601

Csapo Z., 1975, Experimentally induced malakoplakia, Am. J. Path., 79, 453

Culling C. F. A.1974.Handbook of histopathological and histochemical techniques 3rd ed. London p.351.

Davis D. B. Dulbecco R. Eisen H. N. Ginsberg H. S. AndWood W. B.1970.Microbiology 1st ed. New York p.35.

Endicott K. M., 1944, Similarity of acid‐fast pigment ceroid and oxidized unsaturated fat, Arch. Path., 37, 49

10.1083/jcb.53.3.758

Garrett I. R. AndMcClure J.1981. Renal malakoplakia. Experimental production and evidence of a link with interstitial megalocytic nephritis.J. Path. In press.

Horrobin D. F.1968.Medical physiology and biochemistry 1st ed. London p.45.

10.1002/path.1711070408

Lancet (Leading Article), 1978, Malfunctioning microtubules, Lancet, 1, 697

10.1177/1.1.8

McCture J. Cameron C. H. S. AndGarrett R.1981. The ultrastructural features of malakoplakia.J. Path. In press.

Michaelis L., 1902, Ueber Einschlusse in Blasentumoren, Z. klin. Med., 47, 208

Mowry W., 1956, Alcain‐blue technics for the histochemical study of acidic carbohydrates, J. Histochem. Cytochem, 4, 407

10.1016/0040-8166(78)90012-5

10.1002/path.1700700239

Pearse A. G. E.1968.Histochemistry. Theoretical and applied 3rd ed. Boston.

Pearse A. G. E.1968b.Histochemistry. Theoretical and applied 3rd ed. Boston vol. 1 p.426.

Popper H., 1941, Histologic distribution of vitamin A in human organs under normal and under pathologic conditions, Arch Path., 131, 766

Sencer O., 1979, Malakoplakia of the skin. Ultrastructure and quantitative x‐ray microanalysis of Michaelis‐Gutmann bodies, Arch Path. Lab. Med., 103, 446

10.1093/ajcp/43.5.409

Terner J. Y., 1963, Stable sudanophilia. Contributions to the histochemistry of the sudan dyes, Lab. Invest., 12, 405

10.1093/ajcp/44.1.20

10.1007/BF01944507