Xu M
First Hospital of Beijing Medical University.
Zhonghua Er Bi Yan Hou Ke Za Zhi. 1992;27(1):7-10, 60.
This paper presents the autoimmune lesions of the inner ear by using isologous inner ear antigen (IEAg) on the guinea pigs. The purposes of this study were to determine whether the inner ear is an immune response organ and what is the sequelae of the immune processes both on physiological and morphological changes in the inner ear. Animals were systemically sensitized with IEAg in complete Freund's adjuvant and boothed with IEAg in incomplete Freund's adjuvant three times in every 3-4 weeks and then allowed to survive 4-6 weeks. For the ABR measurement, 8 of 28 ears (28.6%) in the experimental group showed threshold enhancement greater than or equal to 10dB before the animal sacrifice and the mean threshold shift of the ABR 8 weeks post immunization and before sacrifice revealed significant difference. Histological specimens were processed for both light and electron microscopic study. In the LM study, it showed endolymphatic hydrops, local thickening of the Reissener's membrane, and spiral ganglion cells lost. In the SEM, disturbance and loss of the cilia of the outer hair cells of the cochlea and the type I and II sensory cells in the crista ampularis can be seen. Also, some otoconia showed numerous malformation.
本文通过对豚鼠使用同种内耳抗原(IEAg)来呈现内耳的自身免疫性病变。本研究的目的是确定内耳是否为免疫反应器官,以及免疫过程对内耳生理和形态变化的后遗症是什么。动物用完全弗氏佐剂中的IEAg进行全身致敏,并每3 - 4周用不完全弗氏佐剂中的IEAg滴鼻三次,然后存活4 - 6周。对于听性脑干反应(ABR)测量,实验组28只耳朵中有8只(28.6%)在动物处死前显示阈值升高大于或等于10dB,免疫后8周和处死前ABR的平均阈值变化显示出显著差异。组织学标本进行了光镜和电镜研究。在光镜研究中,显示有内淋巴积水、Reissner膜局部增厚以及螺旋神经节细胞丢失。在扫描电镜下,可以看到耳蜗外毛细胞以及壶腹嵴中的I型和II型感觉细胞的纤毛紊乱和丢失。此外,一些耳石显示出许多畸形。