Garcia H, Salter-Cid L, Stein-Streilein J
Department of Medicine, University of Miami School of Medicine, Florida 33101.
Am J Respir Cell Mol Biol. 1992 Jan;6(1):22-8. doi: 10.1165/ajrcmb/6.1.22.
The hapten-immune model for pulmonary fibrosis shows that a specific T-cell-mediated immune response is essential for the induction of a nonresolving fibrosis. Here, we report results from studies that identify soluble factors released by activated T lymphocytes that might mediate long-lasting fibrosis. Pulmonary fibrosis was induced by priming hamsters for contact hypersensitivity responses with an epicutaneous application of 2,4,6-trinitro-1-chlorobenzene (TNCB) in carrier and challenging intratracheally (IT) 5 days later with a single dose of the soluble form of the immunizing hapten. Bronchoalveolar lavage fluid was harvested at various time points after IT challenge and assayed for tumor necrosis factor (TNF) and interleukin-2 (IL-2) bioactivity. After IT challenge with the sensitizing hapten, only the immune animals contained IL-2 activity in the bronchoalveolar lavage fluid. TNF activity was detected in lungs of both immune and nonimmune animals. Interestingly, the TNF activity was significantly higher (P less than 0.05) in nonimmune challenged than in immune challenged animals on day 5. Molecular hybridization studies showed that a similar amount of TNF-alpha mRNA was expressed in adherent cells from both groups. The nonadherent subpopulation of mononuclear cells harvested from challenged-immune animals expressed TNF-beta (lymphotoxin) mRNA. These data show, for the first time, an association of lymphotoxin with the appearance of pulmonary fibrotic disease in an animal model for pulmonary fibrosis. These observations are consistent with the postulates that lymphotoxin and IL-2 participate in the immunopathogenesis of hapten-immune induced pulmonary fibrosis and that TNF-alpha is associated with the healing of the fibrotic process initiated by toxic lung injury.
肺纤维化的半抗原免疫模型表明,特定的T细胞介导的免疫反应对于诱导无法消退的纤维化至关重要。在此,我们报告了一些研究结果,这些研究确定了活化T淋巴细胞释放的可能介导持久纤维化的可溶性因子。通过在载体中经皮应用2,4,6-三硝基-1-氯苯(TNCB)使仓鼠引发接触性超敏反应来诱导肺纤维化,并在5天后经气管内(IT)给予单剂量的免疫半抗原可溶性形式进行激发。在IT激发后的不同时间点收集支气管肺泡灌洗液,并检测肿瘤坏死因子(TNF)和白细胞介素-2(IL-2)的生物活性。用致敏半抗原进行IT激发后,只有免疫动物的支气管肺泡灌洗液中含有IL-2活性。在免疫和非免疫动物的肺中均检测到TNF活性。有趣的是,在第5天,非免疫激发动物的TNF活性显著高于(P小于0.05)免疫激发动物。分子杂交研究表明,两组贴壁细胞中表达的TNF-α mRNA量相似。从激发免疫动物中收获的单核细胞非贴壁亚群表达TNF-β(淋巴毒素)mRNA。这些数据首次表明在肺纤维化动物模型中淋巴毒素与肺纤维化疾病的出现有关。这些观察结果与以下假设一致,即淋巴毒素和IL-2参与半抗原免疫诱导的肺纤维化的免疫发病机制,且TNF-α与由毒性肺损伤引发的纤维化过程的愈合有关。