Ohtsuka Y, Yamashiro Y, Maeda M, Oguchi S, Shimizu T, Nagata S, Yagita H, Yabuta K, Okumura K
Department of Pediatrics, Juntendo University School of Medicine, Tokyo, Japan.
Pediatr Res. 1996 May;39(5):862-6. doi: 10.1203/00006450-199605000-00020.
Morphologic and immunologic changes in the gut mucosa of food-hypersensitive mice, from a study model generated by feeding ovalbumin (OVA) to female BALB/c mice after intraperitoneal injection of cyclophosphamide (CY), were investigated in an effort to clarify the mechanisms of food-sensitive enteropathy. Villous atrophy, crypt hyperplasia, and increased numbers of intraepithelial lymphocytes (IEL) were confirmed in the antigen-challenged OVA-sensitive mice as seen in food-sensitive enteropathy in humans, whereas no significant morphologic changes were observed in the nontreated control group or groups treated with OVA or CY alone. IEL and lamina propria lymphocytes (LPL) were isolated from the intestinal mucosa before and after the antigen challenge, and surface markers were analyzed by FACScan. After the antigen challenge, the numbers of CD8+ cells increased among the IEL, and the occurrence of both CD4+ and CD8+ cells increased among the LPL. The numbers of Thy-1+ cells and TCR- alpha/beta + cells increased among both the IEL and LPL, and LFA-1 expression was enhanced in both of these lymphocyte populations. The proliferative response of IEL and LPL to OVA increased in a dose-dependent manner after the antigen challenge in the OVA-sensitive mouse model. These results indicate that IEL and LPL, possibly those that have migrated from peripheral blood, are activated by orally administered antigens and cause mucosal damage in the food-sensitive enteropathy.
通过向腹腔注射环磷酰胺(CY)后的雌性BALB/c小鼠喂食卵清蛋白(OVA)建立研究模型,对食物过敏小鼠肠道黏膜的形态学和免疫学变化进行了研究,以阐明食物敏感型肠病的发病机制。在抗原激发的OVA敏感小鼠中,证实出现了绒毛萎缩、隐窝增生和上皮内淋巴细胞(IEL)数量增加,这与人类食物敏感型肠病的表现一致,而在未处理的对照组或仅用OVA或CY处理的组中未观察到明显的形态学变化。在抗原激发前后从肠黏膜中分离出IEL和固有层淋巴细胞(LPL),并通过流式细胞仪分析表面标志物。抗原激发后,IEL中CD8+细胞数量增加,LPL中CD4+和CD8+细胞的出现均增加。IEL和LPL中Thy-1+细胞和TCR-α/β +细胞数量均增加,并且这两个淋巴细胞群体中LFA-1表达均增强。在OVA敏感小鼠模型中,抗原激发后IEL和LPL对OVA的增殖反应呈剂量依赖性增加。这些结果表明,IEL和LPL,可能是那些从外周血迁移而来的细胞,被口服抗原激活,并在食物敏感型肠病中导致黏膜损伤。