Howell C D, De Victor D, Li J, Stephens J, Giorno R C
University of Colorado School of Medicine, Department of Medicine, Denver, USA.
Bone Marrow Transplant. 1995 Jul;16(1):139-45.
Murine GVHD across multiple minor histocompatibility barriers (B10.D2 into irradiated BALB/c) results in cell-mediated destruction of bile ducts inside the liver. Similar changes are characteristic of hepatic GVHD in humans following BMT. We have defined the phenotypes of inflammatory cells and the accessory/adhesion molecules expressed in the liver between day 7-14 of murine GVHD. T cells (CD3+) comprised 65% of hepatic inflammatory cells. alpha-beta and gamma-delta cells accounted for 92 and 8%, respectively of hepatic T cells. The percentage of CD4+ cells (29%) was 3 times that of CD8+ cells (11%). Lymphocyte function-associated antigen-1 (LFA-1) was expressed by the majority of inflammatory cells. Thirty per cent of the cells were positive for Mac-1, a differentiation marker of macrophages, large granular lymphocytes, and natural killer cells. Expression of intercellular adhesion molecule-1 and major histocompatibility complex class II (IAd) molecules on bile duct epithelial and portal vein endothelial cells was induced during GVHD. These results suggest that hepatic GVHD is induced by donor alpha-beta T cells through mechanisms that may involve CD4:1Ad and LFA-1:ICAM-1 interactions.
跨越多个次要组织相容性屏障(将B10.D2小鼠的细胞移植到受辐照的BALB/c小鼠体内)的小鼠移植物抗宿主病(GVHD)会导致肝脏内胆管的细胞介导性破坏。骨髓移植(BMT)后人类肝脏GVHD也有类似变化。我们已经明确了小鼠GVHD第7至14天肝脏中炎症细胞的表型以及所表达的辅助/黏附分子。T细胞(CD3+)占肝脏炎症细胞的65%。α-β和γ-δ细胞分别占肝脏T细胞的92%和8%。CD4+细胞的百分比(29%)是CD8+细胞(11%)的3倍。大多数炎症细胞表达淋巴细胞功能相关抗原-1(LFA-1)。30%的细胞Mac-1呈阳性,Mac-1是巨噬细胞、大颗粒淋巴细胞和自然杀伤细胞的分化标志物。移植物抗宿主病期间,胆管上皮细胞和门静脉内皮细胞上的细胞间黏附分子-1和主要组织相容性复合体II类(IAd)分子的表达被诱导。这些结果表明,肝脏GVHD是由供体α-β T细胞通过可能涉及CD4:IAd和LFA-1:ICAM-1相互作用的机制诱导产生的。