Bang B G, Bang F B
J Exp Med. 1967 Mar 1;125(3):409-28. doi: 10.1084/jem.125.3.409.
Infectious laryngotracheitis can be produced in chickens as an experimental model of severe nonfatal rhinitis and sinusitis. Inoculated intranasally into unanesthetized baby chicks it remains limited to the nasal fossa, produces acute desquamation of all nasal epithelia, results in functional recovery of the respiratory epithelium, but leaves important residual abnormalities. From the earliest recognizable lesions through 4(1/2) months' convalescence, the principal changes are as follows: 1. Initial lesions, or small syncytia of intranuclear "inclusions", first identifiable in the mucociliated cells of the shallowest portion of the epithelium at about 21 hr postinoculum (the inner surface of the maxillary conchal scroll). 2. Acute sloughing, (about 3 to 7 days), marked by: (a) spread of lesions from cell to cell via multinucleated "giant cells" which progressively slough and desquamate respiratory, olfactory, and sinus epithelia, epithelial neural elements and blood vessels; (b) appearance of numbers of eosinophilic leukocytes along the basement membrane at the sites of lesions just previous to sloughing; intensive infiltration of the submucosa with small lymphocytes after sloughing begins; (c) histochemical change in the intracellular mucus of the cells which comprise the syncytia: this mucus stains with Alcian blue alone when stained with AB-PAS; and (d) all cartilages of the maxillary conchae become flaccid, and the cell nuclei and matrix lose both basophilic and Alcian blue staining properties, effects which recede by about the 8th day. 3. Repair (about 8 to 21 days), marked by rapid initial spread of a sheet of epithelial cells over the infiltrated subrmucosa, appearance of numbers of plasma cells circulating in the tissues, formation of encapsulated secondary nodules, and mucosal adhesions. 4. Convalescence (about 1 to 4(1/2) months when experiments terminated), marked by functional restoration of the mucociliary lining of the nasal fossa. However, at 4(1/2) months eight specimens all show complete metaplasia of the olfactory organ (end nerves, supporting cells, and glands of Bowman) to mucociliated epithelium, all show abnormal formation and alignment of mucous acini, and about 50% have severe persistent sinusitis.
传染性喉气管炎可在鸡身上诱发,作为严重非致死性鼻炎和鼻窦炎的实验模型。将其经鼻内接种到未麻醉的雏鸡体内,感染局限于鼻窝,导致所有鼻上皮急性剥脱,呼吸道上皮功能恢复,但仍留下重要的残余异常。从最早可识别的病变到4个半月的恢复期,主要变化如下:1. 初始病变,即核内“包涵体”的小多核巨细胞,最早在接种后约21小时在上皮最浅部分的黏液纤毛细胞中可识别(上颌鼻甲卷曲的内表面)。2. 急性脱落期(约3至7天),表现为:(a) 病变通过多核“巨细胞”在细胞间传播,这些巨细胞逐渐脱落,呼吸道、嗅觉和鼻窦上皮、上皮神经成分和血管发生剥脱;(b) 在脱落前,病变部位的基底膜处出现大量嗜酸性白细胞;脱落开始后,黏膜下层有小淋巴细胞密集浸润;(c) 构成多核巨细胞的细胞内黏液发生组织化学变化:用AB-PAS染色时,这种黏液仅用阿尔辛蓝染色;(d) 上颌鼻甲的所有软骨变软,细胞核和基质失去嗜碱性和阿尔辛蓝染色特性,这些影响在大约第8天消退。3. 修复期(约8至21天),表现为一片上皮细胞迅速在浸润的黏膜下层扩散,组织中出现大量循环浆细胞,形成包膜下二级结节,以及黏膜粘连。4. 恢复期(实验结束时约1至4个半月),表现为鼻窝黏液纤毛内衬功能恢复。然而,在4个半月时,所有8个标本均显示嗅觉器官(终末神经、支持细胞和鲍曼腺)完全化生为黏液纤毛上皮,所有标本均显示黏液腺泡形成和排列异常,约50%有严重的持续性鼻窦炎。