Freedman M S, Ruijs T C, Selin L K, Antel J P
Department of Neurology and Neurosurgery, McGill University, Montreal, Quebec, Canada.
Ann Neurol. 1991 Dec;30(6):794-800. doi: 10.1002/ana.410300608.
T cells are postulated to contribute to the injury of the oligodendrocyte-myelin complex underlying the demyelinating disease multiple sclerosis (MS). The apparent lack of class I or II major histocompatibility complex (MHC) expression in situ on human oligodendrocytes and the consistent failure to identify a universal myelin antigen in MS suggest that the immune damage might be mediated by effector T cells that are capable of reacting in an antigen-nonspecific and possibly MHC-unrestricted manner, such as T cells expressing the gamma-delta T-cell receptor. Since gamma-delta T cells are reported to be present in MS plaques and an increased number are found in the cerebrospinal fluid of patients with MS, we directly examined whether gamma-delta T cells are capable of inducing injury to human oligodendrocytes. We found, using a 6-hour 51Cr release assay, that oligodendrocytes cultured from surgically resected human brain specimens were effectively lysed in a dose-dependent manner by human gamma-delta T cells (28 +/- 5% mean specific lysis, n = 6, at an effector-target ratio of 20:1). Although heat shock protein HSP72, a putative gamma-delta T-cell recognition molecule, could be induced in vitro in our oligodendrocytes, an antibody to HSP72 did not inhibit gamma-delta T cell-mediated lysis of oligodendrocytes. These results suggest that gamma-delta T cells gaining entry into the central nervous system may be deleterious to oligodendrocytes and thus may contribute to the pathogenesis of MS.
据推测,T细胞参与了脱髓鞘疾病多发性硬化症(MS)所导致的少突胶质细胞 - 髓磷脂复合体损伤。人类少突胶质细胞原位明显缺乏I类或II类主要组织相容性复合体(MHC)表达,且在MS中始终未能鉴定出通用的髓磷脂抗原,这表明免疫损伤可能由能够以抗原非特异性且可能不受MHC限制的方式做出反应的效应T细胞介导,例如表达γ-δ T细胞受体的T细胞。由于据报道γ-δ T细胞存在于MS斑块中,并且在MS患者的脑脊液中发现数量增加,我们直接检查了γ-δ T细胞是否能够诱导对人类少突胶质细胞的损伤。我们发现,使用6小时的51Cr释放试验,从手术切除的人脑标本中培养的少突胶质细胞被人类γ-δ T细胞以剂量依赖性方式有效裂解(在效应细胞与靶细胞比例为20:1时,平均特异性裂解率为28±5%,n = 6)。尽管热休克蛋白HSP72(一种假定的γ-δ T细胞识别分子)可在我们培养的少突胶质细胞中体外诱导产生,但抗HSP72抗体并未抑制γ-δ T细胞介导的少突胶质细胞裂解。这些结果表明,进入中枢神经系统的γ-δ T细胞可能对少突胶质细胞有害,因此可能参与MS的发病机制。