Babaï F, Nanci A, Affoyon F
Ann Pathol. 1986;6(4-5):305-12.
In order to elucidate ultrastructure of tumoral rejection, we have studied the sequential morphological modifications of Novikoff hepatoma transplanted in striated muscle of normal and immunized rats. Specific immunity was induced by the repeated injection of small doses of tumor cells. One month after immunization, a tumorigenous dose was then injected in striated muscle. The animals were sacrificed at 1, 4, 6 or 7 and 14 or 21 days, and tissue samples of the zone of implantation were taken for morphological study. The transplanted tumor regressed in all immunized rats and the sequential ultrastructural examination of these tumors indicated three major phases in their regression: an initial phase (day 1) during which there was an inflammatory infiltrate rich in neutrophils, a reduction of the mitotic activity of tumoral cells and the necrosis of some of them; an intermediary phase (days 4-7) during which the intratumoral infiltrate was composed mainly of lymphocytes and macrophages. These cells surrounded the tumoral cells and eventually formed microgranulomas. Tumoral cells showed cytostasis and/or cytolysis; a final phase (days 14-21) where the tumor had completely disappeared and had been replaced by fibrous tissue and vacuolated macrophages. The morphologic aspect of the intermediary phase is characteristic of a regressive tumor. Our sequential observations clearly showed the sequestration of tumor cells by macrophages and suggest the contact cytolysis of tumor cells. The sequestration of target cells by macrophages might facilitate the concentration of the cytolytic substances in the area of intercellular contacts, and likewise protect these substances from neutralization by serum or tissue inhibitory factors.
为了阐明肿瘤排斥的超微结构,我们研究了移植到正常和免疫大鼠横纹肌中的诺维科夫肝癌的连续形态学变化。通过重复注射小剂量肿瘤细胞诱导特异性免疫。免疫一个月后,将致瘤剂量的肿瘤细胞注射到横纹肌中。在第1、4、6或7天以及14或21天处死动物,并取植入区的组织样本进行形态学研究。所有免疫大鼠体内移植的肿瘤均发生消退,对这些肿瘤的连续超微结构检查表明其消退过程分为三个主要阶段:初始阶段(第1天),此时有富含中性粒细胞的炎性浸润,肿瘤细胞的有丝分裂活性降低且部分肿瘤细胞坏死;中间阶段(第4 - 7天),此时肿瘤内浸润主要由淋巴细胞和巨噬细胞组成。这些细胞围绕肿瘤细胞并最终形成微肉芽肿。肿瘤细胞表现出细胞生长停滞和/或细胞溶解;最后阶段(第14 - 21天),肿瘤完全消失,被纤维组织和空泡化巨噬细胞取代。中间阶段的形态学特征是肿瘤消退的表现。我们的连续观察清楚地显示了巨噬细胞对肿瘤细胞的隔离,并提示了肿瘤细胞的接触性细胞溶解。巨噬细胞对靶细胞的隔离可能有助于细胞溶解物质在细胞间接触区域的聚集,同样也能保护这些物质不被血清或组织抑制因子中和。