Stein-Streilein J, Salter-Cid L, Roberts B, Altman N H
Department of Medicine, University of Miami School of Medicine, FL 33101.
Reg Immunol. 1992 Nov-Dec;4(6):391-400.
Pulmonary interstitial fibrosis is characterized by a progressive increase in connective tissue in the lung parenchyma. Fibrosis is associated with conditions that result as a consequence of cell mediated responses including graft versus host disease, delayed type hypersensitivity reactions, and granulomas. The hapten-immune animal model for pulmonary interstitial fibrosis correlates the nonresolving fibrosis observed in the lung parenchyma directly with the animal's prior immunization to the hapten. Because the model is patterned after the well studied contact hypersensitivity assay in the skin, the immune response can be directly correlated with a cell-mediated (T-lymphocyte) immune mechanism. Previously, we reported that hapten-immune animals showed increased collagen deposition as identified on routine paraffin fixed slides that were stained with Masson's trichome. In this report, morphometric procedures were used to quantitate the fibrotic lesion. Fibroblasts were harvested from lungs of all treatment groups, cultured, and assayed for collagen production. Once it was determined that collagen production by fibroblasts was similar to that recorded in assays using fresh lung tissue, the fibroblasts were used as a homogeneous cell source for RNA. Total RNA from various treatment groups was used to assess the ratio of mRNA for procollagen I:III using slot and northern blot hybridization procedures. An increased ratio in the procollagen type I:III mRNA was observed in total RNA isolated from fibroblasts from immune and challenged hamsters, and not in samples from all other groups. These results support the hypothesis that the activated T lymphocytes involved in "contact" hypersensitivity-like reactions in the lung regulate not only the quantity, but also the quality of collagen produced by the fibroblasts in the lungs of the hamsters that develop nonresolving fibrosis. The model may be important for the study of skin and pulmonary disease induced by exposure to environmental haptens.
肺间质纤维化的特征是肺实质中结缔组织进行性增加。纤维化与细胞介导反应导致的病症相关,这些反应包括移植物抗宿主病、迟发型超敏反应和肉芽肿。肺间质纤维化的半抗原免疫动物模型将在肺实质中观察到的持续性纤维化直接与动物先前对半抗原的免疫接种联系起来。由于该模型是仿照皮肤中经过充分研究的接触性超敏反应试验建立的,免疫反应可直接与细胞介导(T淋巴细胞)免疫机制相关联。此前,我们报道过,半抗原免疫动物在经马松三色染色的常规石蜡固定切片上显示出胶原沉积增加。在本报告中,采用形态测量程序对纤维化病变进行定量。从所有治疗组的肺中收集成纤维细胞,进行培养,并检测其胶原生成情况。一旦确定成纤维细胞产生的胶原与使用新鲜肺组织进行的检测中记录的情况相似,这些成纤维细胞就被用作RNA的同质细胞来源。使用狭缝杂交和Northern印迹杂交程序,用来自不同治疗组的总RNA评估前胶原I:III的mRNA比例。在从免疫和激发后的仓鼠的成纤维细胞中分离出的总RNA中,观察到前胶原I:III mRNA的比例增加,而在所有其他组的样本中未观察到这种情况。这些结果支持这样一种假说,即在发生持续性纤维化的仓鼠肺中,参与“接触”超敏样反应的活化T淋巴细胞不仅调节成纤维细胞产生的胶原的数量,还调节其质量。该模型对于研究因接触环境半抗原而诱发的皮肤和肺部疾病可能具有重要意义。