Folb P I, Jaffe R, Altmann G
Infect Immun. 1976 May;13(5):1490-6. doi: 10.1128/iai.13.5.1490-1496.1976.
A model for Nocardia asteroides and Nocardia brasiliensis infections in Swiss white mice has been established without the addition to the inocula of any form of adjuvant. Serial histopathological studies revealed that these two actinomycetes cause lesions that are quite different in their features. An acute suppurative abscess characterizes the lesions of N. asteroides. In the case of N. brasiliensis infections a granuloma is produced in which a striking feature is the presence of large numbers of foam-laden macrophages, although occasional exceptions to this pattern were noted. Electron microscopic studies demonstrated that these macrophages contain within their cytoplasm organisms in varying stages of degeneration. Repeated mortality studies in mice failed to demonstrate differences in mortality rates produced by N. asteroides and N. brasiliensis. Thus, despite relatively trivial biochemical and antigenic differences between these two species of Nocardia, the local pathogenic response is quite different. The presence in the "brasiliensis lesion" of foamy macrophages with intracellular organisms is reminiscent of the histopathological features of lepromatous leprosy and of disseminated Myocobacterium bovis infection when this occurs in the immune suppressed situation. It is possible that N. brasiliensis infection produces a depression of cellular immunity that modifies the local host response to the organism.
在未向接种物中添加任何形式佐剂的情况下,建立了瑞士小白鼠星形诺卡菌和巴西诺卡菌感染模型。系列组织病理学研究显示,这两种放线菌引起的病变在特征上有很大差异。急性化脓性脓肿是星形诺卡菌病变的特征。在巴西诺卡菌感染的情况下,会形成肉芽肿,其中一个显著特征是存在大量充满泡沫的巨噬细胞,不过也注意到偶尔有不符合这种模式的情况。电子显微镜研究表明,这些巨噬细胞的细胞质内含有处于不同退化阶段的菌体。对小鼠进行的反复死亡率研究未能证明星形诺卡菌和巴西诺卡菌导致的死亡率存在差异。因此,尽管这两种诺卡菌在生化和抗原方面的差异相对较小,但局部致病反应却大不相同。“巴西诺卡菌病变”中存在带有细胞内菌体的泡沫状巨噬细胞,这让人联想到瘤型麻风以及免疫抑制情况下播散性牛分枝杆菌感染的组织病理学特征。巴西诺卡菌感染有可能导致细胞免疫抑制,从而改变宿主对该菌体的局部反应。