Matsui Shinobu, Fu Michael, Hayase Mituru, Katsuda Shogo, Yamaguchi Nobuo, Teraoka Kohei, Kurihara Takayuki, Murano Hidekazu, Takekoshi Noboru
Kanazawa Medical University, Department of Cardiology, Uchinada, Ishikawa, Japan.
Autoimmunity. 2006 Mar;39(2):121-8. doi: 10.1080/08916930500314855.
Growing evidence suggests that autoimmune mechanism plays an important role in the pathogenesis of cardiomyopathy. The purpose of this study was to investigate whether passive transfer of IgG and/or lymphocytes from rabbits with autoimmune cardiomyopathy is able to reproduce cardiomyopathic changes in severe combined immunodeficiency (SCID) mice.
SCID mice were injected intraperitoneally with IgG and/or peripheral blood lymphocytes (PBL) from either rabbits immunized with both beta1-adrenoceptor peptide and M2-muscarinic receptor peptide (beta1+M2 group) or rabbits with adjuvant (N group). Thirty five SCID mice were divided into seven groups; N-IgG, N-PBL, N-IgG & PBL, (beta1+M2)-IgG, (beta1+M2)-PBL, (beta1+M2)-IgG & PBL and control groups. Heart weight in three (beta1+M2) groups were significantly increased. All mice in three (beta1+M2) groups showed high titer of rabbit anti-beta1 adrenoceptor autoantibodies, and 4 mice in the (beta1+M2)-PBL group and 3 mice in the (beta1+M2)-IgG & PBL group showed a significant increase in titer of rabbit anti-M2-muscarinic receptor autoantibodies. Focal infiltration of inflammatory cells in the myocardium was observed in the (beta1+M2)-IgG & PBL group. In the (beta1+M2)-PBL group and (beta1+M2)-IgG & PBL group, cardiomyocyte diameters were significantly increased. Some myocytes of the (beta1+M2)-IgG & PBL group exhibited intracellular edema, clumps of Z-band and increased numbers of mitochondria by using electron microscopy.
Transfer of IgG and PBL from rabbits immunized with combined beta1 and M2 peptides was able to reproduce the early stage of cardiomyopathic changes in SCID mice.
越来越多的证据表明,自身免疫机制在心肌病的发病机制中起重要作用。本研究的目的是探讨将自身免疫性心肌病兔的IgG和/或淋巴细胞被动转移是否能够在严重联合免疫缺陷(SCID)小鼠中重现心肌病变化。
将SCID小鼠腹腔注射来自用β1-肾上腺素能受体肽和M2-毒蕈碱受体肽免疫的兔(β1+M2组)或用佐剂免疫的兔(N组)的IgG和/或外周血淋巴细胞(PBL)。35只SCID小鼠分为7组;N-IgG组、N-PBL组、N-IgG&PBL组、(β1+M2)-IgG组、(β1+M2)-PBL组、(β1+M2)-IgG&PBL组和对照组。三个(β1+M2)组的心脏重量显著增加。三个(β1+M2)组的所有小鼠均显示高滴度的兔抗β1肾上腺素能受体自身抗体,(β1+M2)-PBL组的4只小鼠和(β1+M2)-IgG&PBL组的3只小鼠显示兔抗M2-毒蕈碱受体自身抗体滴度显著增加。在(β1+M2)-IgG&PBL组中观察到心肌中有炎性细胞灶性浸润。在(β1+M2)-PBL组和(β1+M2)-IgG&PBL组中,心肌细胞直径显著增加。通过电子显微镜观察,(β1+M2)-IgG&PBL组的一些心肌细胞表现出细胞内水肿、Z带聚集和线粒体数量增加。
将用β1和M2肽联合免疫的兔的IgG和PBL转移能够在SCID小鼠中重现心肌病变化的早期阶段。