Takeda M, Itagaki S, Doi K
Department of Biomedical Science, Faculty of Agriculture, University of Tokyo, Japan.
Int J Exp Pathol. 1993 Oct;74(5):493-9.
DBA/2 mice infected with the D variant of encephalomyocarditis virus (EMC-D) (10(1) PFU/head) developed biphasic hind limb paralysis. At 12 days post inoculation (12 DPI), 60% of the infected mice developed hind limb paralysis and two-thirds of them showed recovery by 33 DPI. Thereafter, about 30% of the mice which once showed paralysis developed hind limb paralysis again by 56 DPI. Histopathologically, the spinal cord lesion of paralysed mice was characterized by demyelination associated with infiltration of macrophages in the funiculus lateralis and by degeneration of neurons in the cornu ventrale. Virus antigens were detected in the cytoplasm of degenerated neurons and oligodendrocytes in the demyelinated lesions from 3 to 14 DPI. At 28 DPI, demyelinated lesions reduced in size due to prominent remyelination. At 56 DPI, infiltration of mononuclear cells mainly composed of anti-L3T4-positive (CD4+) T cells were observed in the cornu ventrale of the mice showing recurrence of hind limb paralysis. These results suggested that the early paralysis was mainly due to demyelination in funiculus lateralis caused by EMC-D and macrophages and that the late paralysis was due to degeneration of motor neurons, probably brought about by CD4+ T cells.
感染脑心肌炎病毒D变种(EMC-D)(10(1) 空斑形成单位/只)的DBA/2小鼠出现双相性后肢麻痹。接种后12天(12 DPI),60%的感染小鼠出现后肢麻痹,其中三分之二在33 DPI时恢复。此后,约30%曾出现麻痹的小鼠在56 DPI时再次出现后肢麻痹。组织病理学上,麻痹小鼠的脊髓病变特征为外侧索脱髓鞘伴巨噬细胞浸润,以及腹角神经元变性。在3至14 DPI期间,在脱髓鞘病变的变性神经元和少突胶质细胞的细胞质中检测到病毒抗原。在28 DPI时,由于明显的髓鞘再生,脱髓鞘病变大小减小。在56 DPI时,在出现后肢麻痹复发的小鼠腹角观察到主要由抗L3T4阳性(CD4+)T细胞组成的单核细胞浸润。这些结果表明,早期麻痹主要是由于EMC-D和巨噬细胞引起的外侧索脱髓鞘,而晚期麻痹是由于运动神经元变性,可能是由CD4+ T细胞导致的。