Cohen S B, Dijkstra C D, Weetman A P
Department of Medicine, Royal Postgraduate Medical School, Hammersmith Hospital, London, United Kingdom.
Cell Immunol. 1988 Jun;114(1):126-36. doi: 10.1016/0008-8749(88)90260-2.
We have studied the evolution of thyroiditis induced by neonatal thymectomy in Buffalo strain rats, with particular emphasis on the thyroid lymphocytic infiltrate. The earliest change was increased endothelial Ia expression, and infiltration of the thyroid at 5 weeks by ED1- and ED2-positive macrophages and B and T cells. The T cells comprised equal numbers of Ox 8 (T cytotoxic/suppressor)- and W3/25 (T helper)-positive cells. Ia-positive thyroid follicular cells were seen only in the presence of a T-cell infiltrate. Thyroglobulin antibody levels, thyroid weight, thyroid follicular cell Ia expression, and lymphocytic infiltration of the thyroid were maximal between Weeks 12 and 24, and impairment of macrophage function by injection of silica at this time produced amelioration of disease. The thyroid weight returned to control levels by Week 34 and Ia expression by thyroid cells disappeared. Circulating Ox 8-positive T cells were reduced between Weeks 12 and 24 and by Week 34 had returned to control levels. Our results indicate that the mononuclear infiltrate precedes thyroid follicular cell Ia expression and macrophages play an important role in perpetuating thyroiditis. Recovery from disease is accompanied by a return to normal in circulating suppressor/cytotoxic T cells.
我们研究了新生期胸腺切除诱导的布法罗品系大鼠甲状腺炎的演变过程,特别关注甲状腺淋巴细胞浸润情况。最早的变化是内皮Ia表达增加,以及在5周时甲状腺出现ED1和ED2阳性巨噬细胞以及B细胞和T细胞浸润。T细胞中,Ox 8(细胞毒性/抑制性T细胞)阳性细胞和W3/25(辅助性T细胞)阳性细胞数量相等。仅在存在T细胞浸润的情况下才可见Ia阳性甲状腺滤泡细胞。甲状腺球蛋白抗体水平、甲状腺重量、甲状腺滤泡细胞Ia表达以及甲状腺淋巴细胞浸润在第12周至24周之间达到最大值,此时注射二氧化硅损害巨噬细胞功能可使病情改善。到第34周时甲状腺重量恢复至对照水平,甲状腺细胞的Ia表达消失。循环中的Ox 8阳性T细胞在第12周至24周之间减少,到第34周时已恢复至对照水平。我们的结果表明,单核细胞浸润先于甲状腺滤泡细胞Ia表达,且巨噬细胞在维持甲状腺炎过程中起重要作用。疾病恢复伴随着循环抑制性/细胞毒性T细胞恢复正常。