Grellner W, Madea B, Kruppenbacher J P, Dimmeler S
Institute of Forensic Medicine, University of Cologne, Germany.
Int J Legal Med. 1996;109(3):130-3. doi: 10.1007/BF01369672.
The phenomenon of artificially induced local leucocyte reactions during the supravital period could be of practical importance, but has not yet been comprehensively investigated. For a more detailed evaluation, experiments with the chemotactic agents interleukin-1 alpha (IL-1 alpha) and N-formyl-methionyl-leucyl-phenylalanine (FMLP) were performed by subcutaneous injection into various anatomical regions (back, abdomen, limbs) of NMRI-mice (National Medical Research Institute) and pigs 0-5 min after circulatory arrest. Phosphate buffered saline (PBS) without effective components was administered to equivalent areas of the animals as a control. Tissue specimens were collected at 6 h postmortem (mice) and 12-14 h postmortem (pigs), cut into serial sections, stained with H & E and examined under the microscope. A leucocyte reaction did not develop in pigs (n = 10, 30 tissue samples) following injection of FMLP, however, dermal, subcutaneous and perivascular infiltration of leucocytes (in particular mononuclear cells and a few granulocytes) was found in 3 out of 30 tissue specimens in murine experiments. In addition intravascular cell accumulations were detected in 2 out of 30 samples. The injection of IL-1 alpha to mice gave similar results, i.e., aggregations of leucocytes and intravascular cell accumulations in 4 out of 30 and 3 out of 30 tissue samples, respectively. In negative controls no leucocyte reaction was detectable. This shows that potent chemotactic factors such as IL-1 alpha and FMLP administered in the early supravital period can induce moderate local leucocyte reactions in animal models in at least some cases. A clear morphological differentiation between vital and supravital chemotaxis does not seem to be possible. The supravitally stimulated accumulations of leucocytes are interpreted as an aggregation of resident macrophages in combination with a slight migration of blood leucocytes. Presumably, these alterations are restricted to the very early supravital period as long as sufficient energy reserves are available. It must be stated that the observed changes are reactions, not spontaneous actions, so that the general validity of the phenomenon of leucocyte infiltration as a vital parameter is not affected.
在超活期间人为诱导局部白细胞反应的现象可能具有实际重要性,但尚未得到全面研究。为了进行更详细的评估,在循环停止后0 - 5分钟,通过皮下注射趋化因子白细胞介素 - 1α(IL - 1α)和N - 甲酰 - 甲硫氨酰 - 亮氨酰 - 苯丙氨酸(FMLP)到NMRI小鼠(国家医学研究所)和猪的不同解剖区域(背部、腹部、四肢)进行实验。将不含有效成分的磷酸盐缓冲盐水(PBS)注射到动物的相应区域作为对照。在小鼠死后6小时和猪死后12 - 14小时收集组织标本,切成连续切片,用苏木精和伊红染色并在显微镜下检查。注射FMLP后猪(n = 10,30个组织样本)未出现白细胞反应,然而,在小鼠实验的30个组织标本中有3个发现了真皮、皮下和血管周围白细胞浸润(特别是单核细胞和少量粒细胞)。此外,在30个样本中有2个检测到血管内细胞聚集。给小鼠注射IL - 1α也得到了类似结果,即在30个组织样本中分别有4个和3个出现白细胞聚集和血管内细胞聚集。在阴性对照中未检测到白细胞反应。这表明在超活早期给予的如IL - 1α和FMLP等强效趋化因子至少在某些情况下可在动物模型中诱导中等程度的局部白细胞反应。似乎不可能在活体趋化和超活趋化之间进行明确的形态学区分。超活刺激引起的白细胞聚集被解释为驻留巨噬细胞的聚集与血液白细胞的轻微迁移相结合。据推测,只要有足够的能量储备,这些改变仅限于超活的非常早期阶段。必须指出的是,观察到的变化是反应,而非自发行为,因此白细胞浸润现象作为一个重要参数的普遍有效性不受影响。