Piguet P F, Rosen H, Vesin C, Grau G E
Department of Pathology, University of Geneva, Switzerland.
Am Rev Respir Dis. 1993 Feb;147(2):435-41. doi: 10.1164/ajrccm/147.2.435.
We treated two types of experimental pulmonary fibrosis elicited in mice by the intratracheal instillation of bleomycin or silica with monoclonal antibodies (mAbs) specific for the leukocytic integrins CD-11a or CD-11b. This treatment completely prevented collagen deposition, as measured by lung hydroxyproline content on Day 15 after instillation. Furthermore, anti CD-11a mAb was also effective when given on Days 20 and 25 and the lung hydroxyproline content determined on Day 30 after instillation, i.e., in the treatment of an established pulmonary fibrosis. Histologic studies indicated that anti CD-11 mAbs attenuated the fibrosing alveolitis induced by silica or bleomycin and in addition markedly decreased the lymphoid infiltration and platelet microthrombi associated with both types of alveolitis. In contrast, these mAbs had little or no effect on the cellularity of the bronchoalveolar lavage, mainly composed of macrophages. In normal mice, anti CD-11 mAbs also decreased the number of interstitial lymphocytes and the lung collagen content. These observations may lead new to therapies for pulmonary fibrosis.
我们用针对白细胞整合素CD - 11a或CD - 11b的单克隆抗体(mAb)治疗了通过气管内滴注博来霉素或二氧化硅在小鼠中引发的两种实验性肺纤维化。通过滴注后第15天肺组织羟脯氨酸含量测定,这种治疗完全阻止了胶原蛋白沉积。此外,抗CD - 11a mAb在第20天和第25天给药时也有效,并且在滴注后第30天测定肺组织羟脯氨酸含量,即在治疗已形成的肺纤维化时也有效。组织学研究表明,抗CD - 11 mAb减轻了由二氧化硅或博来霉素诱导的纤维化肺泡炎,此外还显著减少了与两种肺泡炎相关的淋巴样浸润和血小板微血栓。相比之下,这些mAb对主要由巨噬细胞组成的支气管肺泡灌洗的细胞数量几乎没有影响或没有影响。在正常小鼠中,抗CD - 11 mAb也减少了间质淋巴细胞数量和肺胶原蛋白含量。这些观察结果可能会为肺纤维化带来新的治疗方法。