Schällibaum M, Hess M W, Nicolet J, König H
Clin Exp Immunol. 1977 Jun;28(3):535-41.
Rabbits were exposed intratracheally to enzyme 1, a highly immunogenic esterase isolated from Micropolyspora faeni. A single exposure to active enzyme 1 induced no histologically or immunohistochemically detectable changes in the lungs of experimental animals, while signs of focal interstitial and perivascular inflammatory reactions were evident following a course of three exposures to the enzyme. Interstitial pneumonia with characteristic generalized vasculitis and perivasculitis was produced following seven or nine inoculations. An enzymatically inactive preparation of enzyme 1, even by repeated administration, proved ineffective in eliciting pneumonia. Intracellular antigen within macrophages/histiocytes was demonstrated in the lungs of all experimental animals, including those which had been exposed to inhibited enzyme. Repeated exposure to the enzymatically active preparation resulted in the deposition of immunoglobulin and complement in association with vascular endothelia and in the walls of small- and medium-sized blood vessels; both immunoglobulin and complement could also be demonstrated within macrophages/histiocytes. On the basis of these findings it is concluded that (1) Farmer's lung-like interstitial pneumonia may be produced in rabbits by exposure to a purified, enzymatically active derivative of M. faeni, (2) an important pathogenic principle of the disease may consist in the rapid vascular deposition of immune complexes (type III reaction), and (3) damage by direct enzyme action may prove to contribute significantly in eliciting tissue damage by (an) ancillary mechanism(s) not yet understood.
将兔经气管内暴露于酶1,这是一种从嗜热放线菌中分离出的高度免疫原性酯酶。单次暴露于活性酶1在实验动物肺中未引起组织学或免疫组织化学可检测到的变化,而在三次暴露于该酶后,局灶性间质和血管周围炎症反应的迹象明显。在接种七次或九次后产生了具有特征性全身性血管炎和血管周围炎的间质性肺炎。酶1的无酶活性制剂,即使反复给药,也被证明在引发肺炎方面无效。在所有实验动物的肺中,包括那些暴露于抑制酶的动物,均在巨噬细胞/组织细胞内发现了细胞内抗原。反复暴露于酶活性制剂导致免疫球蛋白和补体与血管内皮以及中小血管壁结合沉积;免疫球蛋白和补体也可在巨噬细胞/组织细胞内检测到。基于这些发现得出以下结论:(1)通过暴露于嗜热放线菌的纯化的、酶活性衍生物,可在兔中产生农民肺样间质性肺炎;(2)该疾病的一个重要致病机制可能在于免疫复合物的快速血管沉积(III型反应);(3)直接酶作用造成的损伤可能通过尚未明了的辅助机制在引发组织损伤方面起显著作用。