Bolton W K, Tucker F L, Sturgill B C
J Clin Invest. 1984 May;73(5):1263-76. doi: 10.1172/JCI111328.
The present study examined the role of cell-mediated immunity (CMI) in the production of experimental autoimmune glomerulonephritis (EAG) in chickens deficient in humorally mediated immunity (HMI). Cyclophosphamide bursectomized (Bsx) and normal control chickens were used. Bsx chickens were used only if they had severe depression of HMI, which was evidenced by marked reduction in bursal weights (0.89 +/- 0.23 vs. 2.92 +/- 0.9 g), decreased serum IgG to less than or equal to 10% of normal, and total lack of HMI to immunization with sheep red blood cells. EAG was produced by immunizing chickens with bovine glomerular basement membrane (GBM) in complete Freund's adjuvant. CMI manifested by wattle thickness increments to PPD was not different, 3.89 +/- 0.45 mm for Bsx compared with 3.73 +/- 0.75 mm for controls. No circulating antibodies to GBM developed in 68% of Bsx chickens, and the anti-GBM titers were less than 1:312 in those Bsx chickens positive for antibody compared with greater than 2,000 for controls. GBM deposits of IgG by fluorescence were much decreased, 0.53 +/- 0.16 compared with 2.19 +/- 0.32 for controls, and were absent in 64% of Bsx chickens. Nonetheless, proliferative nephritis with crescents was present and was even more severe in Bsx chickens than in controls, with glomerular sizes of 20.8 +/- 0.6 U for Bsx-GBM, 19.8 +/- 1.2 for control-GBM, 14.9 +/- 1.5 for Bsx, and 13.6 +/- 0.8 for normal chickens. Nephritic eluates did not produce disease in normal chickens, while administration of sensitized cells with [H3]thymidine to naive birds was associated with increased mesangial grain counts by autoradiography. These findings suggest that CMI plays a major role in the pathogenesis of EAG in chickens in the absence of HMI. By implication, CMI may be crucial in the development of other types of glomerulonephritis as well.
本研究检测了细胞介导免疫(CMI)在体液介导免疫(HMI)缺陷的鸡实验性自身免疫性肾小球肾炎(EAG)发生过程中的作用。使用了环磷酰胺去法氏囊(Bsx)鸡和正常对照鸡。仅当Bsx鸡的HMI严重抑制时才使用,这表现为法氏囊重量显著降低(0.89±0.23克对2.92±0.9克)、血清IgG降至正常的10%或更低,以及对绵羊红细胞免疫完全缺乏HMI。通过在完全弗氏佐剂中用牛肾小球基底膜(GBM)免疫鸡来诱发EAG。用PPD刺激肉髯增厚所表现的CMI没有差异,Bsx鸡为3.89±0.45毫米,对照鸡为3.73±0.75毫米。68%的Bsx鸡未产生循环抗GBM抗体,抗体阳性的Bsx鸡的抗GBM滴度小于1:312,而对照鸡大于2000。通过荧光检测的IgG在GBM上的沉积显著减少,Bsx鸡为0.53±0.16,对照鸡为2.19±0.32,64%的Bsx鸡没有这种沉积。尽管如此,Bsx鸡仍出现了伴有新月体的增殖性肾炎,且比对照鸡更严重,Bsx-GBM组肾小球大小为20.8±0.6 U,对照-GBM组为19.8±1.2,Bsx组为14.9±1.5,正常鸡为13.6±0.8。肾炎洗脱液在正常鸡中不引起疾病,而给未致敏的鸡注射用[H3]胸腺嘧啶核苷标记的致敏细胞,通过放射自显影显示系膜颗粒计数增加。这些发现表明,在缺乏HMI的情况下,CMI在鸡EAG的发病机制中起主要作用。由此推断,CMI在其他类型肾小球肾炎的发生中可能也至关重要。