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Published on: May 20, 2014
Diverse properties of the mesothelial cells in health and disease
Abstract:
Mesothelial cells (MCs) form the superficial anatomic layer of serosal membranes, including pleura, pericardium, peritoneum, and the tunica of the reproductive organs. MCs produce a protective, non-adhesive barrier against physical and biochemical damages. MCs express a wide range of phenotypic markers, including vimentin and cytokeratins. MCs play key roles in fluid transport and inflammation, as reflected by the modulation of biochemical markers such as transporters, adhesion molecules, cytokines, growth factors, reactive oxygen species and their scavengers. MCs synthesize extracellular matrix related molecules, and the surface of MC microvilli secretes a highly hydrophilic protective barrier, "glycocalyx", consisting mainly of glycosaminoglycans. MCs maintain a balance between procoagulant and fibrinolytic activation by producing a whole range of regulators, can synthetize fibrin and therefore form adhesions. Synthesis and recognition of hyaluronan and sialic acids might be a new insight to explain immunoactive and immunoregulatory properties of MCs. Epithelial to mesenchymal transition of MCs may involve serosal repair and remodeling. MCs might also play a role in the development and remodeling of visceral adipose tissue. Taken together, MCs play important roles in health and disease in serosal cavities of the body. The mesothelium is not just a membrane and should be considered as an organ.
Insights
Mesothelial cells (MCs) form a protective barrier in body cavities, playing vital roles in fluid balance, inflammation, and tissue repair. These cells function as a dynamic organ, crucial for maintaining health and responding to disease.
Area of Science:
- Cell Biology
- Histology
- Immunology
Background:
- Mesothelial cells (MCs) form the superficial layer of serosal membranes (pleura, pericardium, peritoneum).
- MCs provide a protective barrier against physical and biochemical damage.
- MCs express key phenotypic markers like vimentin and cytokeratins.
Purpose of the Study:
- To elucidate the multifaceted roles of mesothelial cells in physiological and pathological processes.
- To highlight the significance of mesothelial cells beyond their barrier function.
Main Methods:
- Review of literature on mesothelial cell biology and function.
- Analysis of phenotypic markers, biochemical modulations, and extracellular matrix synthesis.
- Examination of roles in fluid transport, inflammation, coagulation, and tissue remodeling.
Main Results:
- MCs regulate fluid transport, inflammation, and maintain hemostasis.
- They synthesize extracellular matrix, form a protective glycocalyx, and can undergo epithelial to mesenchymal transition.
- MCs are involved in serosal repair, adipose tissue remodeling, and possess immunoactive properties.
Conclusions:
- Mesothelial cells are integral to the function and health of serosal cavities.
- The mesothelium should be recognized as a distinct organ due to its complex functions.
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