Redline R W, Shea C M, Papaioannou V E, Lu C Y
Department of Medicine, Brigham and Women's Hospital, Boston, MA 02115.
Am J Pathol. 1988 Dec;133(3):485-97.
Two different hormonal regimens to induce pseudopregnancy resulted in a pronounced increase in the susceptibility of the murine uterus to intraluminal injections of Listeria monocytogenes. Preimmunization, which profoundly augments systemic listeria resistance, had no effect on this increased uterine susceptibility. Anti-listerial responses in other organs were unaffected by pseudopregnancy. Animals manifesting increased susceptibility formed distinct uterine swellings in response to the combination of hormones and uterine listeria. These swellings correspond to previously described deciduoma and closely mimic the decidualized endometrium of pregnancy. The nature of the defective response to listeria was investigated by immunocytochemistry. Increased bacterial titers were correlated with an inability of macrophages and T lymphocytes to reach tissue listeria in discrete regions of deciduoma-bearing uteri. Control uteri showed a normal granulomatous pattern of inflammation. These findings closely parallel previous findings in the murine decidua basalis and suggest that properties of decidualized endometrial stromal cells regulate local immune responsiveness.
两种不同的诱导假孕的激素方案导致小鼠子宫对腔内注射单核细胞增生李斯特菌的易感性显著增加。预先免疫可显著增强全身对李斯特菌的抵抗力,但对子宫易感性增加没有影响。假孕对其他器官的抗李斯特菌反应没有影响。表现出易感性增加的动物在激素和子宫李斯特菌联合作用下形成明显的子宫肿胀。这些肿胀对应于先前描述的蜕膜瘤,并且与妊娠时蜕膜化的子宫内膜非常相似。通过免疫细胞化学研究了对李斯特菌反应缺陷的性质。细菌滴度增加与巨噬细胞和T淋巴细胞无法到达含蜕膜瘤子宫的离散区域中的组织李斯特菌有关。对照子宫显示出正常的肉芽肿性炎症模式。这些发现与先前在小鼠基蜕膜中的发现非常相似,表明蜕膜化的子宫内膜基质细胞的特性调节局部免疫反应性。