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[T淋巴细胞活性的调节机制:在感染性和肿瘤性病理学中的应用。II.——卡介苗与免疫刺激(作者译)]

[Regulation mechanisms of the activity of T lymphocytes : applications to infective and tumoral pathology. II. -- BCG and immuno-stimulation (author's transl)].

作者信息

Lagrange P

出版信息

Pathol Biol (Paris). 1976 Feb;24(2):153-9.

PMID:58397
Abstract

The inhibition of activated T cells by products of the humoral immune response is almost abolished in mice previously infected by BCG. As a result, these mice develop very high levels of DTH in response to doses of SRBC which cause complete suppression in normal mice. This systemic effect of BCG is dose, strain and time dependent and lasts for about three weeks. Its main effect is to inhibition of T cells by the products of the humoral. BCG infected mice develop increased levels of DTH associated with augmented antibody production, in contrast to the T cell potentiating effects of CY, which depend on a diminished production of antibodies. Since BCG and CY act in different ways, their effects are additive. Very remarkable levels of DTH are achieved when they are used in combination, in normal mice. These two agents together can also restore cell mediated immunity completely, but a further antigenic stimulus is needed to reestablish DTH in mice blocked by an humoral immune response or by a long period of continuous exposure to antigen. Some clinical T cell depressions are discussed in view of the humoral suppression, and the possible use of BCG to restore some functions of the T cell activity.

摘要

在先前感染卡介苗的小鼠中,体液免疫反应产物对活化T细胞的抑制作用几乎完全丧失。因此,这些小鼠对一定剂量的绵羊红细胞(SRBC)产生的迟发型超敏反应(DTH)水平非常高,而相同剂量的SRBC在正常小鼠中会导致完全抑制。卡介苗的这种全身效应具有剂量、品系和时间依赖性,持续约三周。其主要作用是体液产物对T细胞的抑制。与环磷酰胺(CY)增强T细胞的作用(依赖于抗体产生减少)相反,感染卡介苗的小鼠DTH水平升高,同时抗体产生增加。由于卡介苗和CY的作用方式不同,它们的效应是相加的。在正常小鼠中,联合使用时可达到非常显著的DTH水平。这两种药物一起还能完全恢复细胞介导的免疫,但需要进一步的抗原刺激才能在被体液免疫反应或长期持续接触抗原阻断的小鼠中重新建立DTH。鉴于体液抑制作用,讨论了一些临床T细胞抑制情况,以及卡介苗恢复T细胞活性某些功能的可能用途。

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