Narayan O, Cork L C
Rev Infect Dis. 1985 Jan-Feb;7(1):89-98. doi: 10.1093/clinids/7.1.89.
This review describes the pathogenesis of a slowly progressive disease complex caused by naturally occurring nononcogenic retroviruses in sheep and goats. In nature, infections are usually clinically silent, but disease may manifest itself after prolonged incubation periods. Clinically, this is seen as dyspnea, progressive paralysis, and/or progressive arthritis. In all organs the basic lesion is inflammatory with infiltration and proliferation of lymphocytes, plasma cells, and macrophages. Other organ-specific pathologic changes such as primary demyelination in the central nervous system and degeneration of cartilaginous structures in joints accompany inflammation. The viruses infect tissue-specific macrophage populations in vivo. Viral replication in these cells is restricted to minimal levels but continues indefinitely in the animal as a result of either failure to induce specific neutralizing antibodies or antigenic drift when neutralizing antibodies develop. Consistent low-grade viral replication sets the pace for disease by providing continuous antigenic stimulation for the inflammatory cellular immune response or antibodies that localize in the target tissues. These cells and immune complexes may have adverse effects on indigenous cell populations.
这篇综述描述了由绵羊和山羊中自然存在的非致癌性逆转录病毒引起的一种缓慢进展性疾病复合体的发病机制。在自然界中,感染通常在临床上无症状,但疾病可能在长时间潜伏期后显现出来。临床上,表现为呼吸困难、进行性麻痹和/或进行性关节炎。在所有器官中,基本病变为炎症,伴有淋巴细胞、浆细胞和巨噬细胞的浸润和增殖。其他器官特异性病理变化,如中枢神经系统的原发性脱髓鞘和关节软骨结构的退变,伴随炎症出现。这些病毒在体内感染组织特异性巨噬细胞群体。这些细胞中的病毒复制被限制在最低水平,但由于未能诱导特异性中和抗体或中和抗体产生时出现抗原漂移,病毒在动物体内会无限期持续存在。持续的低水平病毒复制通过为炎症性细胞免疫反应或定位于靶组织的抗体提供持续的抗原刺激,为疾病发展设定了节奏。这些细胞和免疫复合物可能对本地细胞群体产生不利影响。