BORING W D, ANGEVINE D M, WALKER D L
J Exp Med. 1955 Dec 1;102(6):753-66. doi: 10.1084/jem.102.6.753.
A study was made of the pathogenesis of infection due to the Conn.-5 strain of Coxsackie virus in 4 to 5 day old infant mice, untreated adult mice, and adult mice treated with cortisone. The quantitative distribution of virus and the evolution of lesions in different tissues were followed for the first 7 days of the infection. Virus dissemination was prompt and widespread via the blood in all groups. In 4 to 5 day old infant mice viral multiplication and cellular injury occurred in many organs and tissues, while in untreated adult mice these processes were largely limited to the pancreas, even though infecting virus appeared to be equally available to other tissues from the blood. Treatment of adult mice with a single injection of 2.5 mg. cortisone resulted in viral multiplication and tissue damage in several sites in addition to the pancreas, the most marked occurring in the liver and heart. In a consideration of possible mechanisms involved, it was thought unlikely that the differences in the course of the disease in the three groups could be attributed solely to differences in the specific immune response. It is suggested that developmental changes in cells and tissues, perhaps related to cellular metabolism and alterable by cortisone administration, are the major factors determining the location and extent of viral multiplication and tissue injury in this infection in mice.
对柯萨奇病毒康涅狄格 - 5株在4至5日龄幼鼠、未处理的成年小鼠以及用可的松处理的成年小鼠中引起感染的发病机制进行了研究。在感染的前7天,追踪了病毒在不同组织中的定量分布以及病变的演变情况。在所有组中,病毒通过血液迅速广泛传播。在4至5日龄幼鼠中,许多器官和组织都发生了病毒增殖和细胞损伤,而在未处理的成年小鼠中,这些过程主要局限于胰腺,尽管从血液中来看,其他组织似乎也同样接触到了感染性病毒。给成年小鼠单次注射2.5毫克可的松后,除了胰腺外,在其他几个部位也出现了病毒增殖和组织损伤,最明显的是在肝脏和心脏。在考虑可能涉及的机制时,认为三组疾病过程中的差异不太可能仅仅归因于特异性免疫反应的差异。有人提出,细胞和组织的发育变化,可能与细胞代谢有关且可因给予可的松而改变,是决定小鼠这种感染中病毒增殖部位和程度以及组织损伤的主要因素。