Ptak W, Hanczakowska M, Rózycka R, Rózycka D
Clin Exp Immunol. 1977 Jul;29(1):140-6.
Alloxan diabetic BALB/C mice with high hyperglycaemia levels (larger than or equal to 600 mg/100 ml) when immunized either with T-dependent (SRCB) or T-independent (TNP-LPS) antigens show a significant decrease in the number of specific PFC when compared with normo-glycaemic controls. Moderate diabetes (greater than 350 mg/100 ml) does not affect the immune response and in some experiments a slight increase of anti-SRBC plaques was seen. In transfer experiments primed spleen cells of either diabetic or normal doners gave much better responses when transferred to normal rather than diabetic X-irradiated recipients. In Mishell-Dutton (MD) cultures anti-SRBC response of CBA spleen cells was moderately reduced only when the blood glucose level of cell donors exceeded 500 mg/100 ml. Glucose added to MD cultures of normal spleen cells diminished significantly the number of SFC when in concentrations exceeding 600 mg/100 ml. The data indicate that in diabetic animals B-lymphocyte function may be affected but give no clear-cut answer to whether this is also true for T-helper cells. Disabled lymphocytes, whatever population they represent, may partially recover when transferred into normo-insulinic milieu. It may be inferred that under conditions tested neither hyperglycaemia nor excess of corticosteroid accounted significantly for the impaired humoral responses in diabetic animals. These experiments imply, however, that in hypoinsulinaemia the lack of saturation of insulin receptors on the lymphocyte, and possibly also macrophage, membranes renders these cells functionally inactive presumably due to accumulation of cyclic AMP in the cell membrane.
当用依赖T细胞的(SRBC)或非依赖T细胞的(TNP-LPS)抗原免疫时,血糖水平高(大于或等于600mg/100ml)的四氧嘧啶糖尿病BALB/C小鼠与血糖正常的对照相比,特异性PFC数量显著减少。中度糖尿病(大于350mg/100ml)不影响免疫反应,并且在一些实验中观察到抗SRBC斑块略有增加。在转移实验中,无论是糖尿病供体还是正常供体的致敏脾细胞转移到正常而非糖尿病X射线照射的受体时,反应要好得多。在米舍尔-达顿(MD)培养中,只有当细胞供体的血糖水平超过500mg/100ml时,CBA脾细胞的抗SRBC反应才会适度降低。向正常脾细胞的MD培养物中添加葡萄糖,当浓度超过600mg/100ml时,SFC数量会显著减少。数据表明,在糖尿病动物中B淋巴细胞功能可能受到影响,但对于T辅助细胞是否也是如此没有给出明确答案。失活的淋巴细胞,无论它们代表何种群体,转移到正常胰岛素环境中时可能会部分恢复。可以推断,在所测试的条件下,高血糖和皮质类固醇过量都不能显著解释糖尿病动物体液反应受损的原因。然而,这些实验表明,在胰岛素缺乏的情况下,淋巴细胞以及可能还有巨噬细胞膜上胰岛素受体缺乏饱和,可能导致这些细胞功能失活,大概是由于细胞膜中环磷酸腺苷的积累。