Nussenblatt R B, Shichi H, Kuwabara T, Cevario S, Gery I
Br J Ophthalmol. 1981 Nov;65(11):778-82. doi: 10.1136/bjo.65.11.778.
The retinal S-antigen (S-Ag) has been shown to induce uveitis effectively in subhuman primates, and lymphocytes from patients with certain uveitic conditions show cell-mediated responses to this antigen. Rhodopsin kinase (RK), an enzyme probably unique to the mammalian eye, is reported here to resemble the retinal S-Ag in its capacity to induce uveitis in experimental animals. A histological comparison of rat eyes taken 2 and 3 weeks after immunisation with either RK or S-Ag reveals essentially identical pathological alterations. Ocular inflammation is seen in both the anterior and posterior portion of the globe. Areas of focal degeneration of the photo-receptor layer, from which both the S-Ag and RK are extracted, could be seen in both RK and S-Ag immunised animals. Cells from draining lymph nodes of both groups responded by increased thymidine incorporation when cultured in the presence of either RK or S-Ag. In addition antibodies directed against the S-Ag were detected in both groups. These findings, in addition to the biochemical similarities of these preparations, reported elsewhere, would strongly suggest that RK and S-Ag are one and the same. The identification of potentially uveitogenic ocular antigens could help to reclassify uveitic entities that at present have clinically similar courses.
视网膜S抗原(S-Ag)已被证实在非人灵长类动物中能有效诱发葡萄膜炎,并且患有某些葡萄膜炎病症的患者的淋巴细胞对该抗原有细胞介导反应。视紫红质激酶(RK)是一种可能为哺乳动物眼睛所特有的酶,本文报道它在实验动物中诱发葡萄膜炎的能力与视网膜S抗原相似。对用RK或S-Ag免疫2周和3周后的大鼠眼睛进行组织学比较,发现病理改变基本相同。在眼球的前部和后部均可见眼部炎症。在RK和S-Ag免疫的动物中均可看到提取S-Ag和RK的光感受器层的局灶性变性区域。两组引流淋巴结的细胞在RK或S-Ag存在下培养时,通过增加胸腺嘧啶核苷掺入而做出反应。此外,在两组中均检测到针对S-Ag的抗体。除了其他地方报道的这些制剂的生化相似性外,这些发现强烈表明RK和S-Ag是同一物质。鉴定潜在的致葡萄膜炎眼部抗原有助于对目前临床病程相似的葡萄膜炎实体进行重新分类。