Epstein W L, Okamoto M, Suya H, Fukuyama K
Immunol Lett. 1986 Nov 17;14(1):59-63. doi: 10.1016/0165-2478(86)90021-0.
A direct role for delayed hypersensitivity in organized granuloma formation has been emphasized in the literature, but some clinical and experimental studies have suggested a more complicated relationship. In order to further evaluate T-cell function in cutaneous granulomatous inflammation, hepatic granulomas isolated from athymic mice with schistosomiasis were grafted into the skin of athymic and euthymic mice. Granulomas developed in athymic mice, as seen previously after transplantation of euthymic hepatic granulomas, indicating that granulomas develop in the skin without T-cell function. However, the granulomas in athymic mice skin were smaller and lacked eosinophils and mast cells, whereas the athymic mouse granulomas grafted in euthymic mice skin were larger, better organized, and associated with tissue eosinophilia. These findings suggest that granuloma initiation itself is T-cell independent, but that T-cell participation enhances the granulomatous reaction.
文献中强调了迟发型超敏反应在有组织的肉芽肿形成中的直接作用,但一些临床和实验研究表明存在更复杂的关系。为了进一步评估皮肤肉芽肿性炎症中的T细胞功能,将从患有血吸虫病的无胸腺小鼠分离出的肝肉芽肿移植到无胸腺和有胸腺小鼠的皮肤中。无胸腺小鼠中出现了肉芽肿,正如之前有胸腺肝肉芽肿移植后所见,这表明在没有T细胞功能的情况下皮肤中也能形成肉芽肿。然而,无胸腺小鼠皮肤中的肉芽肿较小,缺乏嗜酸性粒细胞和肥大细胞,而移植到有胸腺小鼠皮肤中的无胸腺小鼠肉芽肿更大、组织更良好,且伴有组织嗜酸性粒细胞增多。这些发现表明肉芽肿的起始本身不依赖T细胞,但T细胞的参与会增强肉芽肿反应。