Issa-Chergui B, Yale J F, Vigeant C, Seemayer T A
Department of Pathology, Montreal Children's Hospital, Québec, Canada.
Am J Pathol. 1988 Jan;130(1):156-62.
Type I diabetes mellitus was induced in young, diabetes-prone BB rats by the passive transfer of concanavalin A-activated T lymphocytes from the spleens of acutely diabetic BB rats. The pancreas of the recipients was examined 1-2 days after the onset of glycosuria by immunocytochemistry by means of monoclonal antibodies for determining whether 1) Class I and/or II major histocompatibility gene complex (MHC) products were expressed on beta cells and 2) the mononuclear cell infiltrates were represented by T cells. Marked expression of Class I MHC gene products was evident on beta cells. In contrast, Class II MHC gene products were not identified on normal-appearing beta cells. Dendritic cells dispersed throughout the acinar and interstitial pancreas were markedly increased in number. The mononuclear cell infiltrate contained few cells (1-15%) recognized by a pan-T cell marker. Although it is possible that this passive transfer model might differ considerably from the spontaneously occurring diabetic state in the rat, this study suggests that 1) Class I, rather than Class II, MHC gene expression may be pivotal to beta-cell injury in diabetic rats, and 2) non-T cells may constitute an effector cell population central to beta-cell necrosis in Type I diabetes mellitus.
通过将急性糖尿病BB大鼠脾脏中伴刀豆球蛋白A激活的T淋巴细胞被动转移,在易患糖尿病的幼年BB大鼠中诱发了I型糖尿病。在出现糖尿1 - 2天后,通过免疫细胞化学方法,使用单克隆抗体检查受体的胰腺,以确定:1)I类和/或II类主要组织相容性基因复合体(MHC)产物是否在β细胞上表达;2)单核细胞浸润是否由T细胞构成。I类MHC基因产物在β细胞上有明显表达。相比之下,在外观正常的β细胞上未发现II类MHC基因产物。散布在胰腺腺泡和间质中的树突状细胞数量明显增加。单核细胞浸润中仅有少量细胞(1 - 15%)可被泛T细胞标志物识别。尽管这种被动转移模型可能与大鼠自发发生的糖尿病状态有很大差异,但本研究表明:1)I类而非II类MHC基因表达可能对糖尿病大鼠的β细胞损伤起关键作用;2)非T细胞可能构成I型糖尿病中β细胞坏死的核心效应细胞群。