Li Z, Feng Z, Ye H
Department of Pathology, Guanxi Medical University, PRC.
J Trop Med Hyg. 1995 Oct;98(5):330-2.
Lingual and major salivary tissue samples from three cases of rabies were stained with the immunoperoxidase (ABC) technique. All tissue blocks had been embedded in paraffin 4-10 years before. The first antibody used was monoclonal antirabies nucleocapsin (N) mouse antibody (HAM). Four out of five pieces of tongue from two cases showed a large amount of granular staining indicating rabies antigen (RVAg) inside serous glandular cells, terminal nerves, muscle cells and covering epithelial cells including taste cells. In the tissue probes from the third case only minimal granular staining was found, probably due to complete absence of the serous gland. In contrast to the tongue, only a little weakly reacting material was found in 4 out of 9 probes of salivary gland, either in acini or in nerve fibres. The amount of RVAg is evidently much greater in the human tongue than in major salivary glands, whereas major salivary glands from infected dogs, foxes and skunks reportedly contain much RVAg. As the human tongue's serous gland appears to be a preferred location for RVAg, it may be a source of oral infection.
采用免疫过氧化物酶(ABC)技术对3例狂犬病患者的舌部和主要唾液腺组织样本进行染色。所有组织块均在4 - 10年前用石蜡包埋。所用的一抗是抗狂犬病核衣壳(N)小鼠单克隆抗体(HAM)。来自2例患者的5片舌组织中有4片显示大量颗粒状染色,表明浆液性腺细胞、终末神经、肌肉细胞以及包括味觉细胞在内的覆盖上皮细胞内存在狂犬病抗原(RVAg)。在第3例患者的组织样本中仅发现极少的颗粒状染色,可能是由于完全没有浆液性腺。与舌部不同,在9个唾液腺样本中,有4个无论是在腺泡还是神经纤维中,仅发现少量弱阳性物质。人舌部的RVAg量明显比主要唾液腺中的多,而据报道,感染狂犬病的狗、狐狸和臭鼬的主要唾液腺中含有大量RVAg。由于人舌部的浆液性腺似乎是RVAg的一个偏好定位部位,它可能是口腔感染的一个来源。