Sosroseno Wihaskoro, Bird Philip S, Gemmell Erica, Seymour Gregory J
School of Dental Sciences, Universiti Sains Malaysia, Kelantan.
J Periodontol. 2002 Oct;73(10):1133-40. doi: 10.1902/jop.2002.73.10.1133.
It has previously been suggested that CD4+ T cells play a pivotal role in regulating the immune response to periodontal pathogens. The aim of the present study therefore was to determine delayed type hypersensitivity (DTH), spleen cell proliferation, serum and splenic anti-Porphyromonas gingivalis antibody levels, and lesion sizes following challenge with viable P. gingivalis in CD4-depleted BALB/c mice immunized with P. gingivalis outer membrane proteins (OMP).
Four groups of BALB/c mice were used. Groups 1 and 2 were injected intraperitoneally (ip) with saline for 3 consecutive days and then weekly throughout the experiment. Groups 3 and 4 were injected ip with rat immunoglobulin and a monoclonal rat anti-mouse CD4 antibody, respectively. Two days later, group 1 mice were injected ip with saline only, while all the other groups were immunized ip with P gingivalis OMP weekly for 3 weeks. One week later following the last immunization of OMP, 3 separate experiments were conducted to determine: 1) the DTH response to P gingivalis OMP by measuring footpad swelling; 2) the levels of antibodies to P gingivalis in serum samples and spleen cell cultures using an enzyme-linked immunosorbent assay, as well as spleen cell proliferation after stimulation with OMP; and 3) the lesion sizes after a subcutaneous challenge with viable P. gingivalis cells.
In CD4+ T-cell-depleted mice (group 4), the DTH response and antigen-stimulated cell proliferation were significantly suppressed when compared to groups 2 and 3. Similarly, the levels of serum and splenic IgM, IgG, and all IgG subclass antibodies to P. gingivalis OMP were depressed. Delayed healing of P gingivalis-induced lesions was also observed in the CD4+ T-cell-depleted group.
This study has shown that depletion of CD4+ T cells prior to immunization with P gingivalis OMP led to the suppression of both the humoral and cell-mediated immune response to this microorganism and that this was associated with delayed healing. These results suggest that the induction of the immune response to P. gingivalis is a CD4+ T-cell-dependent mechanism and that CD4+ T cells are important in the healing process.
此前有研究表明,CD4 + T细胞在调节对牙周病原体的免疫反应中起关键作用。因此,本研究的目的是确定在用牙龈卟啉单胞菌外膜蛋白(OMP)免疫的CD4缺失的BALB / c小鼠中,用活的牙龈卟啉单胞菌攻击后的迟发型超敏反应(DTH)、脾细胞增殖、血清和脾脏抗牙龈卟啉单胞菌抗体水平以及病变大小。
使用四组BALB / c小鼠。第1组和第2组连续3天腹腔注射生理盐水,然后在整个实验过程中每周注射一次。第3组和第4组分别腹腔注射大鼠免疫球蛋白和单克隆大鼠抗小鼠CD4抗体。两天后,第1组小鼠仅腹腔注射生理盐水,而所有其他组每周腹腔注射牙龈卟啉单胞菌OMP,共3周。在最后一次免疫OMP一周后,进行了3个独立实验以确定:1)通过测量足垫肿胀对牙龈卟啉单胞菌OMP的DTH反应;2)使用酶联免疫吸附测定法测定血清样品和脾细胞培养物中针对牙龈卟啉单胞菌的抗体水平,以及用OMP刺激后的脾细胞增殖;3)用活的牙龈卟啉单胞菌细胞皮下攻击后的病变大小。
与第2组和第3组相比,CD4 + T细胞缺失的小鼠(第4组)的DTH反应和抗原刺激的细胞增殖明显受到抑制。同样,血清和脾脏中针对牙龈卟啉单胞菌OMP的IgM、IgG和所有IgG亚类抗体水平均降低。在CD4 + T细胞缺失组中也观察到牙龈卟啉单胞菌诱导的病变愈合延迟。
本研究表明,在用牙龈卟啉单胞菌OMP免疫之前耗尽CD4 + T细胞会导致对该微生物的体液免疫和细胞介导免疫反应均受到抑制,并且这与愈合延迟有关。这些结果表明,对牙龈卟啉单胞菌的免疫反应诱导是一种CD4 + T细胞依赖性机制,并且CD4 + T细胞在愈合过程中很重要。