Authier François-Jérôme, Sauvat Stéphane, Christov Christo, Chariot Patrick, Raisbeck Grant, Poron Marie-Françoise, Yiou Françoise, Gherardi Romain
Centre de Référence Pour Maladies Neuromusculaires, CHU Henri Mondor, AP-HP, Créteil, France.
Neuromuscul Disord. 2006 May;16(5):347-52. doi: 10.1016/j.nmd.2006.02.004. Epub 2006 Apr 17.
Macrophagic myofasciitis (MMF) is a specific histopathologic lesion involved in the persistence for years of aluminum hydroxide [Al(OH)(3)] at the site of previous intramuscular (i.m.) injection. In order to study mechanisms involved persistence of MMF lesions, we set up an experimental model of MMF-lesion in Sprague-Dawley and Lewis rat, by i.m. injections of 10 microL of an Al(OH)(3)-adjuvanted vaccine. An evaluation carried out over a 12-month period disclosed significant shrinkage of MMF lesions with time. A radioisotopic study did not show significant aluminium uptake by Al(OH)(3)-loaded macrophages. A morphometric approach showed that Lewis rats with Th1-biased immunity had significantly smaller lesions than Sprague-Dawley rats with balanced Th1/Th2 immunity. Concluding, our results indicate that genetic determinatives of cytotoxic T-cell responses could interfere with the clearance process and condition the persistence of vaccine-induced MMF-lesions.
巨噬细胞性肌炎(MMF)是一种特定的组织病理学病变,与氢氧化铝[Al(OH)₃]在既往肌肉注射部位持续数年有关。为了研究MMF病变持续存在的机制,我们通过肌肉注射10微升含Al(OH)₃佐剂的疫苗,在斯普拉格-道利大鼠和刘易斯大鼠中建立了MMF病变的实验模型。在12个月期间进行的评估显示,MMF病变随时间显著缩小。一项放射性同位素研究未显示负载Al(OH)₃的巨噬细胞有明显的铝摄取。形态计量学方法显示,具有Th1偏向性免疫的刘易斯大鼠的病变明显小于具有平衡的Th1/Th2免疫的斯普拉格-道利大鼠。总之,我们的结果表明,细胞毒性T细胞反应的遗传决定因素可能会干扰清除过程,并影响疫苗诱导的MMF病变的持续存在。