Fojtasek M F, Sherman M R, Garringer T, Blair R, Wheat L J, Schnizlein-Bick C T
Department of Medicine, Indiana University School of Medicine, Indianapolis 46202-2879.
Infect Immun. 1993 Nov;61(11):4607-14. doi: 10.1128/iai.61.11.4607-4614.1993.
Local immunity against acute pulmonary histoplasmosis was studied in the lung-associated lymph nodes of normal nonimmune mice infected intratracheally with live Histoplasma capsulatum yeasts. The phenotypes and distribution of cells in lung-associated lymph nodes and spleens were determined by flow cytometry. In addition, the immune responsiveness of these cells was evaluated by in vitro blastogenesis. Anti-H. capsulatum antibodies in serum and H. capsulatum antigen in tissue were measured by immunoassays. Cellular immune responses were greater in the lymph nodes than in the spleens. In lymph nodes 7 days after infection, a marked increase in the number of B lymphocytes caused the percentage to rise to 43%, compared with 26% in controls, and it remained elevated throughout the course of infection. A CD3+ cell that did not express CD4 or CD8 increased in number until it constituted 21% of lymph node cells, compared with 5% in controls, by day 14. The numbers of CD4+ and CD8+ T lymphocytes were modestly increased from days 7 to 35, but their percentages dropped because of the greater numbers of B lymphocytes and CD3+4-8- cells. Macrophages consistently constituted 2 to 3% of lymph node cells during the study. In spleens 7 days after infection, the percentage of macrophages in infected mice rose to 21%, compared with 9% in controls, but the total spleen cell number did not increase until day 14, when all cell subsets were nearly double in number. The in vitro blastogenic response of lymph node cells to H. capsulatum peaked at day 7, but spleen cell response was minimal during the course of infection. Histoplasma-specific serum immunoglobulin G antibodies reached peak levels by day 21 and remained high to the end of the study. In contrast, levels of antigen-specific immunoglobulin M antibodies were very low. These data suggest that antigen-specific immune responses occur in lung-associated lymph nodes and that this draining lymph node response may be an important component in host defense against Histoplasma lung infection.
在经气管内接种活荚膜组织胞浆菌酵母的正常非免疫小鼠的肺相关淋巴结中,研究了针对急性肺组织胞浆菌病的局部免疫。通过流式细胞术确定肺相关淋巴结和脾脏中细胞的表型和分布。此外,通过体外细胞增殖试验评估这些细胞的免疫反应性。通过免疫测定法测量血清中的抗荚膜组织胞浆菌抗体和组织中的荚膜组织胞浆菌抗原。细胞免疫反应在淋巴结中比在脾脏中更强。感染后7天,淋巴结中B淋巴细胞数量显著增加,其百分比升至43%,而对照组为26%,且在整个感染过程中一直保持升高。一种不表达CD4或CD8的CD3⁺细胞数量增加,到第14天时占淋巴结细胞的21%,而对照组为5%。CD4⁺和CD8⁺T淋巴细胞数量从第7天到第35天略有增加,但由于B淋巴细胞和CD3⁺4⁻8⁻细胞数量增加,它们的百分比下降。在研究期间,巨噬细胞始终占淋巴结细胞的2%至3%。感染后7天,感染小鼠脾脏中巨噬细胞的百分比升至21%,而对照组为9%,但直到第14天脾脏细胞总数才增加,此时所有细胞亚群的数量几乎翻倍。淋巴结细胞对荚膜组织胞浆菌的体外增殖反应在第7天达到峰值,但在感染过程中脾脏细胞反应极小。组织胞浆菌特异性血清免疫球蛋白G抗体在第21天达到峰值水平,并在研究结束时一直保持高水平。相比之下,抗原特异性免疫球蛋白M抗体水平非常低。这些数据表明,抗原特异性免疫反应发生在肺相关淋巴结中,并且这种引流淋巴结反应可能是宿主防御组织胞浆菌肺部感染的重要组成部分。