Saitoh T, Fujiwara M, Asakura H
Department of Immunology, Niigata University School of Medicine, Japan.
Clin Immunol Immunopathol. 1991 Jun;59(3):449-61. doi: 10.1016/0090-1229(91)90040-h.
We had shown that the appearance of hepatic lesions such as epithelioid granulomas and chronic nonsuppurative destructive cholangitis (CNSDC)-like bile duct changes characteristic of primary biliary cirrhosis (PBC) in mice undergoing MHC class II-disparate graft-versus-host reactions (GVHR). To further examine the pathogenesis of the disease, we examined in the present study which T cell subset, i.e., L3T4+ or Lyt-2+ T lymphocytes, had an ability to induce such hepatic lesions. (B6 x bm12)F1 recipients were injected with unseparated T cells, L3T4+, or Lyt2+ T cells of B6 mice and on various days postinjection liver specimens were obtained. At Day 14 postinjection, livers of mice injected with whole T cells or L3T4+ T cells showed PBC-like histological changes, but none of the lesions were induced by Lyt-2+ T cells. Immunohistochemical studies revealed that Lyt-2+ as well as L3T4+ T cells were detected around bile ducts and some of them were infiltrating among bile duct epithelial cells. Kinetic studies showed that shortly after injection of L3T4+ T cells, L3T4+ T cells appeared around bile ducts and then Mac-1+ cells emerged. Lyt-2+ T cells and surface IgM+ B cells were detected on Day 5 and increased thereafter. Hepatic granulomas consisted of both L3T4+ and Lyt-2+ T cells with a few B cells. The aberrant expression of MHC class II (Ia) antigen was detected mainly at the lateral surface of bile duct epithelial cells by Day 14 postinjection. Based on these findings, the developmental mechanism of PBC-like hepatic lesions induced in mice with GVHR was discussed.
我们已经表明,在经历MHC II类不相合移植物抗宿主反应(GVHR)的小鼠中,会出现肝脏病变,如上皮样肉芽肿和原发性胆汁性肝硬化(PBC)特征性的慢性非化脓性破坏性胆管炎(CNSDC)样胆管改变。为了进一步研究该疾病的发病机制,我们在本研究中检测了哪个T细胞亚群,即L3T4 +或Lyt - 2 + T淋巴细胞,具有诱导此类肝脏病变的能力。给(B6×bm12)F1受体注射未分离的B6小鼠T细胞、L3T4 +或Lyt2 + T细胞,并在注射后的不同天数获取肝脏标本。注射后第14天,注射全T细胞或L3T4 + T细胞的小鼠肝脏出现PBC样组织学变化,但Lyt - 2 + T细胞未诱导出任何病变。免疫组织化学研究显示,在胆管周围检测到Lyt - 2 +以及L3T4 + T细胞,其中一些细胞浸润在胆管上皮细胞之间。动力学研究表明,注射L3T4 + T细胞后不久,L3T4 + T细胞出现在胆管周围,随后Mac - 1 +细胞出现。在第5天检测到Lyt - 2 + T细胞和表面IgM + B细胞,此后数量增加。肝脏肉芽肿由L3T4 +和Lyt - 2 + T细胞以及少数B细胞组成。注射后第14天,主要在胆管上皮细胞的侧面检测到MHC II类(Ia)抗原的异常表达。基于这些发现,讨论了GVHR小鼠中诱导的PBC样肝脏病变的发生机制。