Kishimoto C, Kuribayashi K, Fukuma K, Masuda T, Tomioka N, Abelmann W H, Kawai C
Department of Internal Medicine, Faculty of Medicine, Kyoto University, Japan.
Circ Res. 1987 Nov;61(5):715-25. doi: 10.1161/01.res.61.5.715.
To clarify the immune mechanism in myocarditis, immunofluorescence techniques with laser flow cytometry were used to examine serial changes in lymphocyte subsets in the heart, spleen, and peripheral blood of DBA/2 and BALB/c mice inoculated with encephalomyocarditis virus (Experiment I). B cells were identified by staining with fluorescein isothiocyanate-labelled rabbit anti-mouse immunoglobulin. T-cell subsets were identified with rat anti-Thy 1.2, and nonpolymorphic Lyt 1 and Lyt 2 monoclonal antibodies plus fluorescein isothiocyanate-labelled anti-mouse immunoglobulin. On days 7 and 14 postinfection, the percentage of Thy 1.2+ (pan T) cells in both strains had decreased in the peripheral blood; B cells showed no significant changes throughout the entire period. On the other hand, Thy 1.2+ (pan T) and Lyt 1+, 23+ (precursor and immature) T cells appeared to occupy the major portion of the myocardium on days 7 and 14 when congestive heart failure developed. To confirm this, serial immunohistologic studies (immunoperoxidase staining) of the hearts of DBA/2 and BALB/c mice with encephalomyocarditis virus-induced myocarditis were performed (Experiment II). In Experiment II, most of the stained cells in the hearts of both strains were Thy 1.2 positive and Lyt 1 and Lyt 2 positive on days 7 and 14. Thus, Experiments I and II demonstrated that lymphocytes at the site of inflammation in acute viral myocarditis carried antigenic markers that differed from those of peripheral lymphocytes and suggested that Thy 1.2+ (pan T) cells, especially the Lyt 1+, 23+ subset (immature T cells and T-cell subset precursors) were involved in the development of myocarditis in these animals.
为阐明心肌炎的免疫机制,采用激光流式细胞术免疫荧光技术检测接种脑心肌炎病毒的DBA/2和BALB/c小鼠心脏、脾脏及外周血中淋巴细胞亚群的系列变化(实验I)。用异硫氰酸荧光素标记的兔抗小鼠免疫球蛋白染色鉴定B细胞。用大鼠抗Thy 1.2、非多态性Lyt 1和Lyt 2单克隆抗体以及异硫氰酸荧光素标记的抗小鼠免疫球蛋白鉴定T细胞亚群。感染后第7天和第14天,两品系外周血中Thy 1.2 +(全T)细胞百分比均下降;B细胞在整个时期无显著变化。另一方面,在出现充血性心力衰竭的第7天和第14天,Thy 1.2 +(全T)细胞和Lyt 1 +、23 +(前体和未成熟)T细胞似乎占据心肌的主要部分。为证实这一点,对DBA/2和BALB/c小鼠脑心肌炎病毒诱导的心肌炎心脏进行了系列免疫组织学研究(免疫过氧化物酶染色)(实验II)。在实验II中,两品系心脏中大多数染色细胞在第7天和第14天Thy 1.2呈阳性,Lyt 1和Lyt 2呈阳性。因此,实验I和II表明,急性病毒性心肌炎炎症部位的淋巴细胞携带的抗原标志物与外周淋巴细胞不同,并提示Thy 1.2 +(全T)细胞,尤其是Lyt 1 +、23 +亚群(未成熟T细胞和T细胞亚群前体)参与了这些动物心肌炎的发生发展。