Holland D, Bretscher P, Russell A S
J Clin Lab Immunol. 1984 Aug;14(4):177-9.
Rheumatoid arthritis commonly improves markedly during pregnancy, and it has been suggested that this reflects a decrease in immunological or inflammatory effector mechanisms. We elicited a delayed type hypersensitivity (DTH) response to Burro RBC, by injection of primed lymphocytes and antigen into murine footpads. The swelling induced in footpads of pregnant mice was not significantly different from that seen in controls, nor was the response to a non-immunologic inflammatory stimulus, carrageenan, decreased in pregnant mice. On the other hand, a defect in the priming or induction phase of a primary DTH response was impaired in pregnancy, but whether this is relevant to the pregnancy induced remission of rheumatoid arthritis remains to be demonstrated.
类风湿性关节炎在孕期通常会显著改善,有人认为这反映了免疫或炎症效应机制的减弱。我们通过将致敏淋巴细胞和抗原注射到小鼠脚垫中,引发了对驴红细胞的迟发型超敏反应(DTH)。怀孕小鼠脚垫诱导的肿胀与对照组所见肿胀无显著差异,对非免疫性炎症刺激物角叉菜胶的反应在怀孕小鼠中也未降低。另一方面,原发性DTH反应的致敏或诱导阶段在孕期存在缺陷,但这是否与孕期诱导的类风湿性关节炎缓解相关仍有待证实。