Basal lamina fenestrations in the human colon: Transmission and scanning electron microscope study

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Abstract
Basal lamina at the interface between colonic epithelial cells and the lamina propria was exposed by incubating colonic specimens in 1% boric acid solutions. Examination of this epithelial‐stromal interface by scanning electron microscopy (SEM) showed a smooth, slightly undulating basal lamina covering crypts and luminal surfaces. The basal lamina on the luminal surfaces had numerous round or ovoid fenestrations, most measuring 2.5–4.0 μm. These were continuous with channels in the collagen fiber network of the lamina propria. Except very near the surface, no fenestrations were found in the basal lamina lining the crypts. Transmission electron microscopy (TEM) of serial thin sections of colonic mucosa without the epithelial cells removed showed only a few actual basal lamina fenestrations. Rarely, epithelial cell processes extended into the lamina propria through the basal lamina. Most of the fenestrations seen by SEM appeared to correspond spatially by TEM to foci of close contact between the basal lamina and underlying fibroblastic cell processes. At these sites the basal lamina and fibroblastic cell process might be removed along with the overlying epithelial cells during processing with boric acid. These data support functional differences in epithelial‐stromal interaction between cell populations lining the luminal surface and those making up the crypt lining and pericryptal fibroblast sheath. The TEM findings demonstrate that the human colonic basal lamina is not absolutely continuous and that the development of basal lamina fenestrations and epithelial cell processes extending into the lamina propria is not pathognomonic of neoplastic transformation and stromal invasion.