Matsumoto T, Kobayashi K
Third Department of Internal Medicine, Osaka City University Medical School.
Nihon Rinsho. 1996 Apr;54(4):1182-7.
Although the pathogenesis of Crohn's disease remains yet clarified, impaired immunologic stimuli in intestinal mucosa may play an important role in the disease. T cell receptor repertoire, which recognizes antigens in conjunction with class II MHC molecules, reflects characteristics of antigenic stimuli related to the disease. In lamina propria lymphocytes in patients with Crohn's disease, skewing in T cell receptor V beta repertoire was confirmed in T cell clones generated from early aphtous lesion. Most of them showed oligoclonal expansion in some subsets of V beta. These results suggest that lamina propria lymphocytes were selectively stimulated by the local antigens closely related to the pathogenesis of the disease.
虽然克罗恩病的发病机制尚未明确,但肠黏膜免疫刺激受损可能在该病中起重要作用。T细胞受体库与II类MHC分子共同识别抗原,反映了与该疾病相关的抗原刺激特征。在克罗恩病患者的固有层淋巴细胞中,从早期阿弗他病变产生的T细胞克隆中证实了T细胞受体Vβ库的偏移。其中大多数在Vβ的某些亚群中显示寡克隆扩增。这些结果表明,固有层淋巴细胞受到与该疾病发病机制密切相关的局部抗原的选择性刺激。