Tung K S, Yule T D, Mahi-Brown C A, Listrom M B
J Immunol. 1987 Feb 1;138(3):752-9.
Histopathology in testes from mice with actively induced experimental orchitis (EAO) (active EAO) and those from recipients of testis-sensitized lymphocytes (passive EAO) had different distributions. In passive EAO, maximum orchitis existed in the straight tubules, rete testis, and ductus efferentes, obstruction of which led to extreme dilatation of seminiferous tubules. Unusual intralymphatic granulomata also resulted in dilated testicular lymphatics. In active EAO, maximum orchitis affected seminiferous tubules under the testicular capsule, away from the rete testes. Vasitis was common and occurred in both active and passive EAO. In normal testes, IA+ F4/80+ cells were sparse but formed a cuff around the straight tubules. After immunization with testis in adjuvant or with adjuvant alone, the number, size, and staining intensity of IA+ cells increased dramatically beginning on day 5, 7 days before disease onset. Simultaneously, epithelial cells confined to the ductus efferentes became Ia+. Although recipients of sensitized lymphocytes also developed epithelial Ia in the ductus efferentes, they did not show changes in testicular interstitial Ia+ cells. Our findings indicate that testicular autoantigens are not completely sequestered, but are accessible to and can react with passively transferred immune lymphocytes in well-defined regions of the germ cell compartment. These regions coincided to a large extent with maximum expression of periductal or epithelial Ia. Changes in Ia+ cells in the testis, which are inducible by adjuvants and precede orchitis, may account in part for the different distribution of histopathology of active EAO.
在主动诱导实验性睾丸炎(EAO)小鼠(活动性EAO)以及睾丸致敏淋巴细胞受体小鼠(被动性EAO)的睾丸中,组织病理学表现具有不同的分布情况。在被动性EAO中,最大程度的睾丸炎存在于直精小管、睾丸网和输出小管,这些部位的阻塞导致曲细精管极度扩张。异常的淋巴管内肉芽肿也导致睾丸淋巴管扩张。在活动性EAO中,最大程度的睾丸炎影响睾丸白膜下远离睾丸网的曲细精管。输精管炎很常见,在活动性和被动性EAO中均有发生。在正常睾丸中,IA⁺F4/80⁺细胞稀少,但在直精小管周围形成一层。在用睾丸佐剂或仅用佐剂免疫后,IA⁺细胞的数量、大小和染色强度从第5天开始显著增加,即疾病发作前7天。同时,局限于输出小管的上皮细胞变为Ia⁺。尽管致敏淋巴细胞受体的输出小管上皮也出现Ia,但睾丸间质Ia⁺细胞未显示变化。我们的研究结果表明,睾丸自身抗原并未完全被隔离,而是在生殖细胞区室的特定区域可被被动转移的免疫淋巴细胞接触并发生反应。这些区域在很大程度上与导管周围或上皮Ia的最大表达相吻合。睾丸中Ia⁺细胞的变化可由佐剂诱导且先于睾丸炎出现,这可能部分解释了活动性EAO组织病理学的不同分布。