Lichtman S, Sherman P, Forstner G
Gastroenterology. 1986 Dec;91(6):1495-502. doi: 10.1016/0016-5085(86)90207-6.
The immunoglobulin A (IgA) response to small intestinal bacteria was studied in rats with self-filling blind loops (SFBLs), surgically constructed in continuity with the intestine or at the end of a Roux-en-Y loop (RY-SFBL) so as to avoid filling with chyme. Total bile salt in the RY-SFBL lumen was much lower (4.35 +/- 0.8 mumol) than in the SFBL lumen (116 +/- 15 mumol), but other parameters, such as the number of anaerobic bacteria and disaccharidase activities were similar. Within 1 wk of establishing the blind loops, they had accumulated at least 14 times as much IgA as found in the normal jejunum. Luminal IgA per milligram mucosal protein was almost as high in the RY-SFBL as in the SFBL, indicating that a significant proportion of the IgA must be nonbiliary and probably mucosal in origin. Oral treatment with lincomycin significantly reduced luminal IgA accumulation in the RY-SFBL. Column chromatography and enzyme-linked immunosorbent assay (ELISA), which employed antirat secretory component antibody, established that the majority of the luminal IgA was nonmonomeric and complexed with secretory component. Centrifugation of luminal contents to separate soluble and particulate bound IgA showed that the RY-SFBL contained a higher proportion of precipitable IgA than either the SFBL or lincomycin-treated RY-SFBL. Immunoglobulin A eluted from the precipitates by KSCN was bound to a greater extent by bacterial sonicates than IgA in the supernatant. For either precipitate or supernatant IgA, the greatest binding was observed when the IgA was obtained from the RY-SFBL. These observations indicate that rat intestinal mucosa rapidly responds to bacterial overgrowth by secreting secretory immunoglobulin A (sIgA) with specificity for luminal bacterial antigens. As the sIgA present within the SFBL is to a certain extent derived from bile, the lower proportion of SFBL sIgA bound by bacterial antigens than of RY-SFBL sIgA suggests that biliary sIgA is less specific for local antigens than the sIgA that is secreted by the local mucosa.
在大鼠中研究了免疫球蛋白A(IgA)对小肠细菌的反应,大鼠通过手术构建了与肠道连续或在Roux - Y袢末端(RY - SFBL)的自充盈盲袢(SFBL),以避免充满食糜。RY - SFBL管腔内的总胆汁盐(4.35±0.8μmol)比SFBL管腔内的(116±15μmol)低得多,但其他参数,如厌氧菌数量和双糖酶活性相似。在建立盲袢的1周内,它们积累的IgA至少是正常空肠中发现量的14倍。每毫克粘膜蛋白的管腔IgA在RY - SFBL中几乎与SFBL中一样高,这表明很大一部分IgA一定是非胆汁源性的,可能起源于粘膜。用林可霉素进行口服治疗显著降低了RY - SFBL中管腔IgA的积累。采用抗大鼠分泌成分抗体的柱色谱法和酶联免疫吸附测定(ELISA)表明,管腔IgA的大部分是非单体的,并与分泌成分结合。对管腔内容物进行离心以分离可溶性和颗粒结合的IgA,结果显示RY - SFBL中可沉淀IgA的比例高于SFBL或林可霉素处理的RY - SFBL。用KSCN从沉淀物中洗脱的免疫球蛋白A比上清液中的IgA与细菌超声裂解物的结合程度更大。对于沉淀物或上清液中的IgA,当IgA从RY - SFBL获得时观察到最大的结合。这些观察结果表明,大鼠肠粘膜通过分泌对管腔细菌抗原有特异性的分泌型免疫球蛋白A(sIgA)对细菌过度生长迅速作出反应。由于SFBL内存在的sIgA在一定程度上来源于胆汁,与RY - SFBL的sIgA相比,SFBL的sIgA与细菌抗原结合的比例较低,这表明胆汁源性sIgA对局部抗原的特异性低于局部粘膜分泌的sIgA。