Bhagat S, Das K M
Department of Medicine, University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School, New Brunswick.
Gastroenterology. 1994 Jul;107(1):103-8. doi: 10.1016/0016-5085(94)90066-3.
BACKGROUND/AIMS: Extraintestinal manifestations of inflammatory bowel disease include involvement of the eye and joint. However, the pathogenesis of ocular and joint complications is unknown. The aim of the current study is to examine the presence of cross-reactive peptide in the colon and ocular and joint tissue.
Using a murine monoclonal antibody (7E12H12; immunoglobulin M isotype) developed against a colon epithelial protein, various parts of the eyes (n = 10) and joints (n = 8) were examined. A sensitive immunoperoxidase assay was used.
In the ocular and joint tissues, the reactivity of 7E12H12 monoclonal antibody was exclusively present in the nonpigmented epithelial cells of the ciliary processes and chondrocytes, respectively. Other structures of the eyeball, such as the sclera, cornea, iris, and retina, and the synovium of the joints did not react with 7E12H12 monoclonal antibody. Colonic epithelial cells examined in parallel also reacted with the monoclonal antibody.
The colon epithelial cells share a unique peptide with the nonpigmented ciliary epithelial cells and chondrocytes. Future studies of the peptide(s) expressing this common epitope shared by the colon and extracolonic organs known to be involved in colitis may provide further understanding of the pathogenesis of extraintestinal complications in patients with ulcerative colitis.
背景/目的:炎症性肠病的肠外表现包括眼部和关节受累。然而,眼部和关节并发症的发病机制尚不清楚。本研究的目的是检测结肠、眼部和关节组织中交叉反应性肽的存在。
使用针对结肠上皮蛋白制备的鼠单克隆抗体(7E12H12;免疫球蛋白M亚型),对眼部的各个部位(n = 10)和关节(n = 8)进行检测。采用灵敏的免疫过氧化物酶测定法。
在眼部和关节组织中,7E12H12单克隆抗体的反应性分别仅存在于睫状体的无色素上皮细胞和软骨细胞中。眼球的其他结构,如巩膜、角膜、虹膜和视网膜,以及关节的滑膜,均不与7E12H12单克隆抗体发生反应。同时检测的结肠上皮细胞也与该单克隆抗体发生反应。
结肠上皮细胞与无色素睫状上皮细胞和软骨细胞共享一种独特的肽。对表达结肠和已知参与结肠炎的结肠外器官所共有的这种共同表位的肽进行进一步研究,可能有助于深入了解溃疡性结肠炎患者肠外并发症的发病机制。