Brown E C, Kasp E, Dumonde D C
Department of Immunology, United Medical School, Guy's Hospital, St. Thomas' Campus, London, England.
Clin Exp Immunol. 1989 Sep;77(3):422-7.
Experimental autoimmune uveoretinitis (EAU) in the Lewis rat is characterized by extensive infiltration of inflammatory cells into all compartments of the eye, only some of which become irreversibly damaged. The apparent differences in the pathogenic impact of inflammatory cells within different ocular compartments may suggest that different mechanisms underlie cellular infiltration and selective tissue destruction. In order to investigate the importance of T lymphocyte infiltration, we carried out a precise topographical and temporal analysis of T cell infiltration into five compartments of the eye using an improved method for the fixation of ocular tissue. Our study showed that T cell infiltration began in the ciliary body and was most numerous and sustained in this area during EAU. The peak of T cell infiltration into the retina was comparatively delayed and was of lesser magnitude. Analysis of T cell subsets revealed a tendency for the helper phenotype to predominant during the course of disease in all ocular compartments except the retina where both helper and cytotoxic/suppressor T cells were equally represented at the height of inflammation. We suggest that the pathogenetic impact of autoreactive lymphocytes in EAU depends on the accessibility of relevant tissue antigen and on local microenvironmental features of lymphocytic traffic within different ocular compartments.
实验性自身免疫性葡萄膜视网膜炎(EAU)在Lewis大鼠中表现为炎症细胞广泛浸润至眼的所有结构,其中只有部分结构会发生不可逆损伤。不同眼内结构中炎症细胞的致病影响存在明显差异,这可能表明细胞浸润和选择性组织破坏背后存在不同机制。为了研究T淋巴细胞浸润的重要性,我们采用一种改进的眼组织固定方法,对T细胞浸润至眼的五个结构进行了精确的局部和时间分析。我们的研究表明,T细胞浸润始于睫状体,在EAU期间该区域的浸润最为密集且持续时间最长。T细胞浸润至视网膜的峰值相对延迟,且程度较轻。T细胞亚群分析显示,在疾病过程中,除视网膜外,所有眼内结构中辅助性表型均有占主导的趋势,在视网膜炎症高峰期,辅助性T细胞和细胞毒性/抑制性T细胞数量相当。我们认为,自身反应性淋巴细胞在EAU中的致病影响取决于相关组织抗原的可及性以及不同眼内结构中淋巴细胞迁移的局部微环境特征。