Williams D M, Grubbs B G, Pack E, Kelly K, Rank R G
Audie L. Murphy Memorial Veterans Hospital, and Department of Medicine, University of Texas Health Sciences Center at San Antonio, 78284, USA.
Infect Immun. 1997 Jul;65(7):2876-82. doi: 10.1128/iai.65.7.2876-2882.1997.
A murine model of pneumonia due to the mouse pneumonitis agent (MoPn [murine Chlamydia trachomatis]) in mice deficient in CD4+ T-cell function (major histocompatibility complex [MHC] class II function [class II-/-], CD8+ T-cell function (beta2-microglobulin deficient, MHC class I deficient [Beta2m-/-]), B-cell function (C57BL/10J-Igh(tm1Cgn) [Igh-/-]), and gamma interferon (IFN-gamma) (C57BL/6-Ifg(tm1) [Ifg-/-]) or interleukin-4 (C57BL/6J(tm1Cgn29) [IL4-/-]) production was employed to determine if each of these mechanisms was critical to resistance against reinfection by C. trachomatis or if alternate compensatory mechanisms existed in their absence which could potentially be exploited in vaccine development. Resistance to reinfection with MoPn was heavily dependent on CD4+ T cells. CD4 T-cell-deficient MHC class II-/- mice were very susceptible to reinfection with MoPn, showing the critical importance of this cell to resistance. These mice lacked antibody production but did produce IFN-gamma, apparently by mechanisms involving NK and CD8+ T cells. Neutralization of IFN-gamma in these mice led to a borderline increase in susceptibility, showing a possible role (albeit small) of this cytokine in this setting. Tumor necrosis factor alpha (TNF-alpha) was also present at increased levels in these mice. Igh-/- B-cell-deficient mice which produce no antibody to MoPn were only modestly more susceptible to reinfection than immunized B-cell-intact controls, showing that antibody, including lung immunoglobulin A, is not an absolute requirement for relatively successful host defense in this setting. Levels of lung IFN-gamma and TNF-alpha were elevated in Igh-/- mice compared to those in controls. IL-4-/- mice (deficient in Th2 function) could develop normal resistance to reinfection with MoPn. Conversely, normal mice rendered partially IFN-gamma deficient by antibody depletion were somewhat impaired in their ability to develop acquired immunity to MoPn, again indicating a role for this cytokine in host defense against rechallenge. Of most importance, however, congenitally IFN-gamma-deficient Ifg-/- mice (which have elevated levels of other cytokines, including TNF-alpha and granulocyte-macrophage colony-stimulating factor) are paradoxically more resistant to MoPn rechallenge than controls, showing that IFN-gamma is not an absolute requirement for acquired resistance and implying the presence of very effective compensatory host defense mechanism(s). In vivo depletion of TNF-alpha significantly increased MoPn levels in the lungs in these mice. Thus, resistance to reinfection in this model is flexible and multifactorial and is heavily dependent on CD4+ T cells, with a probable role for IFN-gamma and TNF-alpha and a possible modest role for Th1-dependent antibody. Since IFN-gamma was dispensable in host defense, the highly effective mechanism or mechanisms which can compensate for its absence (which include TNF-alpha) deserve further study.
在缺乏CD4⁺ T细胞功能(主要组织相容性复合体[MHC] II类功能[II⁻/⁻])、CD8⁺ T细胞功能(β2-微球蛋白缺陷、MHC I类缺陷[β2m⁻/⁻])、B细胞功能(C57BL/10J-Igh(tm1Cgn)[Igh⁻/⁻])以及γ干扰素(IFN-γ)(C57BL/6-Ifg(tm1)[Ifg⁻/⁻])或白细胞介素-4(C57BL/6J(tm1Cgn29)[IL4⁻/⁻])产生的小鼠中,构建了由小鼠肺炎病原体(MoPn [鼠沙眼衣原体])引起的肺炎小鼠模型,以确定这些机制中的每一种对抵抗沙眼衣原体再次感染是否至关重要,或者在其缺失时是否存在可在疫苗开发中加以利用的替代补偿机制。对MoPn再次感染的抵抗力严重依赖于CD4⁺ T细胞。缺乏CD4 T细胞的MHC II⁻/⁻小鼠对MoPn再次感染非常敏感,表明该细胞对抵抗力至关重要。这些小鼠缺乏抗体产生,但显然通过涉及自然杀伤细胞(NK)和CD8⁺ T细胞的机制产生IFN-γ。在这些小鼠中中和IFN-γ导致易感性出现临界增加,表明该细胞因子在这种情况下可能发挥作用(尽管作用较小)。这些小鼠中肿瘤坏死因子α(TNF-α)水平也升高。不产生针对MoPn抗体的Igh⁻/⁻ B细胞缺陷小鼠比免疫健全的B细胞对照小鼠对再次感染仅略微更敏感,表明在这种情况下,包括肺免疫球蛋白A在内的抗体并非相对成功的宿主防御的绝对必需条件。与对照相比,Igh⁻/⁻小鼠肺中IFN-γ和TNF-α水平升高。IL-4⁻/⁻小鼠(Th2功能缺陷)对MoPn再次感染可产生正常抵抗力。相反,通过抗体耗竭使部分IFN-γ缺陷的正常小鼠在对MoPn产生获得性免疫的能力方面有所受损,再次表明该细胞因子在宿主抵御再次攻击中的作用。然而,最重要的是,先天性IFN-γ缺陷的Ifg⁻/⁻小鼠(其包括TNF-α和粒细胞-巨噬细胞集落刺激因子在内的其他细胞因子水平升高)与对照相比,对MoPn再次攻击具有更强的抵抗力,表明IFN-γ并非获得性抵抗力的绝对必需条件,并暗示存在非常有效的补偿性宿主防御机制。在这些小鼠体内耗竭TNF-α会显著增加肺中MoPn水平。因此,该模型中对再次感染的抵抗力具有灵活性和多因素性,严重依赖于CD4⁺ T细胞,IFN-γ和TNF-α可能发挥作用,Th1依赖性抗体可能发挥适度作用。由于IFN-γ在宿主防御中并非必需,能够补偿其缺失的高效机制(包括TNF-α)值得进一步研究。