Collagen production by human mesothelial cells in vitro.

Serous effusions from a variety of malignant and non-malignant conditions were found to contain cells which had the morphological, histochemical and ultrastructural characteristics of mesothelial cells. In culture they were the predominant cell type and synthesised large quantities of the interstitial collagens type I and III, with the proportion of type III frequently approaching or exceeding 50 per cent. There was no evidence that they synthesised basement membrane collagen chains of type IV or type V. Since mesothelial cells are assumed to secrete the mesothelial basement membrane, the synthesis of interstitial collagens by desquamated mesothelial cells appears to reflect a change in the phenotype of collagen synthesis. We suggest that this change may be an important factor in the fibrosis of the serosal wall which frequently accompanies diseases with chronic serious effusion.