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Evidence for incorporation of free-floating mesothelial cells as a mechanism of serosal healing

Adam J. Foley-Comer, Sarah E. Herrick, Talib Al-Mishlab, Cecilia M. Prêle, Geoffrey J. Laurent and Steven E. Mutsaers*

Department of Medicine, Royal Free and University College Medical School, The Rayne Institute, London, WC1E 6JJ, UK
* Present address: University Department of Surgery, University of Western Australia, Royal Perth Hospital, Perth, Western Australia, 6000, Australia



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Fig. 1. Implantation of fluorescence-labelled cultured mesothelial cells and peritoneal lavage-derived cells on representative areas of serosal injury. DiI-labelled cultured mesothelial cells, characterised by intense, punctate, red fluorescence in cell suspension (inset A), were present on imprints of regenerating mesothelium 5 days post injury (A), whereas DiI-labelled cultured fibroblasts were absent at the same time point (B). DiI-labelled peritoneal lavage cells were also present 8 days post injury (C). DiI-labelled cells (arrowed) were clearly distinguished from adjacent unlabelled cells (arrowheads). PKH26-PCL-labelled phagocytic cells were characterised by intense cytoplasmic red fluorescence in peritoneal lavage fluid obtained 2 days after peritoneal abrasion injury (inset D). Labelled macrophages (arrowed) were implanted onto the wound surface at 3 and 5 days post injury (D and E, respectively) but were absent by 8 days (F). Bars, 10 µm.

 


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Fig. 2. Proliferation of CM-DiI-labelled cultured mesothelial cells in regenerating mesothelium. Immunolocalisation of PCNA 4 days post injury shows proliferating cells in seminiferous tubules (A) and regenerating mesothelium (boxed area and B). The adjacent tissue section shows CM-DiI-labelled mesothelial cells in multiple layers at the wound site (C), some corresponding to PCNA-positive cells (arrowed). Bar, 10 µm.

 


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Fig. 3. Identification of mesothelial cells by HBME-1 immunostaining. HBME-1 expression in normal mesothelium (A). Dual localisation of DiI and HBME-1 on gelatin imprints of regenerating mesothelium, 8 days following injection of DiI-labelled peritoneal lavage cells, demonstrating membranous HBME-1 expression on the surface of implanted DiI-labelled cells (B, arrowed). Bar, 10 µm.

 


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Fig. 4. Incorporation of labelled cells into regenerating mesothelium. ZO-1 expression in normal mesothelium is localised to the plasma membrane (A). Dual localisation of DiI and ZO-1 on imprints of regenerating mesothelium, 5 days following injection of DiI-labelled cultured mesothelial cells (B, arrowed) and 8 days following injection of DiI-labelled peritoneal lavage cells (C, arrowed), demonstrating relocation of ZO-1 to the plasma membrane at points of cell-to-cell contact. Bar, 10 µm.

 





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