AN ELECTRON MICROSCOPE STUDY OF PERFUSION-FIXED SPLEEN .I. SPLENIC CIRCULATION AND RES CONCEPT

By preserving the intercellular or plasmatic space, perfusion fixation provides a particularly clear picture of the histological and cytological constitution of the spleen. An analysis of documents obtained with this technique has contributed new information concerning the organization of the intermediate circulation in that organ, and on the topographical relationships and ultrastructure of the various types of cell which are usually grouped under the common denomination of reticulo-endothelial system. Currently available physiological data concerning the flow of blood through the spleen, together with the observed scarcity of sinuses, and of interstices in the latters' walls, to which must be added the narrowness of these interstices, incline us to question the existence of a circulatory system involving the passage of blood from the arterioles into the pulp cords of Billroth, and thence into the sinuses. Thus we are led to conceive of a system whereby about 97% of the blood entering the spleen would flow directly into the sinuses. Phagocytosis of worn blood cells would be carried out by a quantitatively less important side-stream, running parallel to the main stream, but nevertheless sufficiently fast to ensure that every blood cell should be shunted through the spaces of Billroth at least once every 24 hours. The unitary concept of the RES, as it appears from the bulk of existing literature, is based upon the postulated, but never proven, existence of a single cell type capable of developing distinct morphological characteristics, and of carrying out distinct functions, namely phagocytosis and the laying down of reticulin, depending on its situation in the tissue. An ultrastructural study of the various cells encountered in sections of spleen, and a comparison with their counterparts in other organs, seem to rule out this unitarian view. © 1969 Springer-Verlag.