Ariga H, Edwards J, Sullivan D A
Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts.
Clin Immunol Immunopathol. 1989 Dec;53(3):499-508. doi: 10.1016/0090-1229(89)90011-1.
The purpose of the present study was to determine, by utilizing an animal model of Sjögren's syndrome, whether androgen therapy might ameliorate autoimmune sequelae in the lacrimal gland. Age-matched female MRL/Mp-lpr/lpr mice were administered subcutaneous implants of placebo- or testosterone-containing pellets after the onset of disease. Lacrimal glands and, for comparison, submandibular glands were collected from sacrificed mice immediately prior to androgen administration and following 17 and 34 days of maintained hormone exposure. Tissues were processed for light microscopy and examined with a computer-assisted image analysis system. Results demonstrated that testosterone exposure dramatically reduced lymphocyte infiltration in lacrimal tissue: following 34 days of treatment, the percentage infiltrate had undergone a 12-fold decrease. This hormone action, which was time dependent, involved significant abrogations in both infiltrate size and number. Testosterone administration also induced a significant 2- to 3-fold rise in lacrimal gland weight and acinar area and a 2-fold reduction in acinar density/field, compared to values in placebo-treated controls. In addition, androgen administration significantly decreased the magnitude of lymphocyte infiltration in submandibular glands. Overall, our findings demonstrate that androgen therapy may reverse autoimmune sequelae in lacrimal, as well as submandibular, glands in a mouse model of Sjögren's syndrome.
本研究的目的是利用干燥综合征动物模型,确定雄激素治疗是否可改善泪腺中的自身免疫后遗症。在疾病发作后,给年龄匹配的雌性MRL/Mp-lpr/lpr小鼠皮下植入含安慰剂或睾酮的药丸。在给予雄激素之前以及维持激素暴露17天和34天后,立即从处死的小鼠中收集泪腺以及作为对照的下颌下腺。对组织进行处理以进行光学显微镜检查,并使用计算机辅助图像分析系统进行检测。结果表明,睾酮暴露显著减少了泪腺组织中的淋巴细胞浸润:治疗34天后,浸润百分比下降了12倍。这种激素作用具有时间依赖性,涉及浸润大小和数量的显著减少。与安慰剂治疗的对照组相比,给予睾酮还导致泪腺重量和腺泡面积显著增加2至3倍,腺泡密度/视野降低2倍。此外,给予雄激素显著降低了下颌下腺中淋巴细胞浸润的程度。总体而言,我们的研究结果表明,在干燥综合征小鼠模型中,雄激素治疗可能会逆转泪腺以及下颌下腺中的自身免疫后遗症。