Background-The derivation and ultrastructural composition of M cells c
overing the lymphoid follicles of Peyer's patches is still unknown. Re
sults from different animal models have shown that there are species s
pecific differences in the composition of intermediate filaments betwe
en M cells and neighbouring enterocytes. Little is known, however, abo
ut intermediate filaments of human M cells. Aims-To compare components
of the cytoskeleton of human M cells with those of adjacent absorptiv
e enterocytes. Methods-The expression and localisation of different cy
tokeratins, vimentin, and desmin in M cells was determined on follicle
associated epithelia of human appendix using immunohistochemistry and
immunogold electron microscopy. Results-Cytokeratins specific for hum
an intestinal epithelial cells such as cytokeratins 8, 18, 19, and 20
were expressed in both absorptive enterocytes and M cells with no diff
erences in intensity and cellular distribution between both cell types
. Vimentin and desmin, tissue specific markers of either mesenchymal o
r myogenic cells, as well as other cytokeratins were not detectable in
enterocytes or M cells. Conclusion-This is the first study on the str
ucture of intermediate filaments in human intestinal M cells, Our resu
lts show that in contrast to several animal models, human M cells appa
rently do not differ from adjacent enterocytes in the composition of t
heir intermediate filament cytoskeleton. The presence of enterocyte li
ke cytokeratins and the absence of other cytokeratins as well as of vi
mentin and desmin supports the hypothesis of an epithelial origin of h
uman intestinal M cells and suggests that M cells may derive from diff
erentiated enterocytes.