Welsh C J, Hanglow A C, Conn P, Coombs R R
Int Arch Allergy Appl Immunol. 1986;80(2):192-9. doi: 10.1159/000234051.
The arthritogenic effect of dietary cow's milk, egg albumin and soya milk were compared in Old English rabbits. The 12-week cow's milk feeding regimen produced the highest incidence of significant joint lesions. Lesions were evident but mild at 5 weeks and the synovitis had resolved by 32 weeks. It is suggested that the transient nature of the synovitis may be due to the development of specific secretory IgA antibodies which were detectable in faecal pellet extracts. Sandy Lop rabbits were less susceptible to the arthritogenic effect than were Old English rabbits. Dietary ovalbumin was less arthritogenic than cow's milk despite high titres of serum and synovial fluid antibodies and immune complexes. The rabbits were 'tolerant' to dietary soya due probably to pre-existing levels of soya protein in their diet. Lewis and Wistar strain rats, CBA, Balb/c and C57/BL6 mice fed on cow's milk for 3 months did not develop serum antibodies or synovial lesions. It is suggested that this allergic synovitis is not a model for early rheumatoid joint disease because of the transience of the lesions and lack of stimulation of rheumatoid factor. It may well, however, be a model for the arthralgia seen in patients with certain food allergies.
在英国老龄兔中比较了膳食牛奶、蛋清蛋白和豆浆的致关节炎作用。为期12周的牛奶喂养方案导致显著关节病变的发生率最高。病变在5周时明显但较轻,滑膜炎在32周时消退。有人认为,滑膜炎的短暂性可能是由于在粪便颗粒提取物中可检测到的特异性分泌型IgA抗体的产生。沙地洛普兔比英国老龄兔对致关节炎作用的敏感性更低。尽管血清和滑液中有高滴度的抗体和免疫复合物,但膳食卵白蛋白的致关节炎作用比牛奶弱。这些兔子对膳食大豆“耐受”,这可能是由于它们饮食中预先存在的大豆蛋白水平。以牛奶喂养3个月的刘易斯和Wistar品系大鼠、CBA、Balb/c和C57/BL6小鼠未产生血清抗体或关节病变。有人认为,这种过敏性滑膜炎不是早期类风湿性关节疾病的模型,因为病变具有短暂性且缺乏类风湿因子的刺激。然而,它很可能是某些食物过敏患者出现关节痛的模型。