Kimura M
Department of Medicine, Kawasaki Medical School.
Kansenshogaku Zasshi. 1994 Jan;68(1):50-8. doi: 10.11150/kansenshogakuzasshi1970.68.50.
To compare the differences in the severities, host defense responses and clinical courses C. pneumoniae respiratory tract infections between the initial and second challenge of chlamydia, an experimental C. pneumoniae respiratory infection model using mice was established and the following studies were carried out. For the initial infection mice were challenged with C. pneumoniae, strain TW-183, by nasal instillation. No animals died from this initial infection. The second exposure to C. pneumoniae, in the same manner, was done 35 days after the first challenge. Serial observation in the two groups of mice were done on the anti-C. pneumoniae IgG and IgM antibody titers of their sera, histopathological evaluations of their lungs and the formation of inclusion bodies in the lung sections. Focal inflammatory changes consisting of neutrophil and macrophage infiltration in the alveolar spaces of mice lungs three days after the initial challenge were observed, but there were no remarkable inflammatory changes in the lung sections of mice with the second challenge, with the exception of marked formation of bronchus-associated lymphoid tissues and perivascular accumulation of lymphoid cells. The numbers of inclusion bodies were very small in the lungs of mice with reinfection with chlamydia. These histopathological findings all disappeared within ten and five days after the initial and the second challenge, respectively. Anti-C. pneumoniae IgG antibodies showed a remarkable increase from seven days after the initial challenge and peak value was 1:512-1024 at 28-35 days.(ABSTRACT TRUNCATED AT 250 WORDS)
为了比较衣原体初次感染和再次感染时肺炎衣原体呼吸道感染在严重程度、宿主防御反应及临床病程方面的差异,建立了一种使用小鼠的实验性肺炎衣原体呼吸道感染模型,并开展了以下研究。对于初次感染,通过滴鼻法用肺炎衣原体TW-183株对小鼠进行攻击。初次感染没有动物死亡。初次攻击35天后,以相同方式对小鼠进行第二次肺炎衣原体暴露。对两组小鼠进行连续观察,检测其血清中抗肺炎衣原体IgG和IgM抗体滴度、对其肺部进行组织病理学评估以及观察肺切片中包涵体的形成。初次攻击三天后,在小鼠肺脏的肺泡腔中观察到由中性粒细胞和巨噬细胞浸润组成的局灶性炎症变化,但第二次攻击的小鼠肺切片中除支气管相关淋巴组织明显形成和血管周围淋巴细胞聚集外,没有明显的炎症变化。衣原体再次感染的小鼠肺中包涵体数量非常少。这些组织病理学发现分别在初次和第二次攻击后的10天和5天内全部消失。抗肺炎衣原体IgG抗体在初次攻击7天后显著升高,在28 - 35天达到峰值1:512 - 1024。(摘要截断于250字)