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[猪慢性丹毒性多关节炎的免疫病理学与发病机制]

[Immunopathology and pathogenesis of chronic erysipelas polyarthritis of swine].

作者信息

Trautwein G, Seidler D, Schulz L C, Drommer W, Weiss R, Böhm K H

出版信息

Z Rheumatol. 1976 May-Jun;35(5-6):217-39.

PMID:952090
Abstract

Several immuno-pathological aspects of polyarthritis following experimental infection with erysipelas in pigs were studied for two years. Aseptic and specifically pathogenfree animals were infected subcutaneously and intravenously-intraarticularly with living erysipeals bacteria (erysipelothrix rhusiopathiae) of serotype B. After an initial febrile phase a progressive polyarthritis and disco-spondylitis developed. Some animals also developed thrombo-endocarditis. Hypergammaglobulinemia and high titers of specific antibodies were observed during the whole experimental period. Antiglobulin factors, however, were not detected in the serum or the synovium. In some animals collagen antibodies were demonstrated in synovial tissue. Bacterial examination of the synovium showed that erysipelas bacteria were present in arthritic joints for months. Living erysipelas bacteria were isolated 24 months after the experimental infection from synovial tissue of two pigs. The polyarthritis was characterised by exudates rich in fibrin, villous proliferation, pannus formation, cartilage erosions, and peri-articular fibrosis. IgG and specific erysipelas antibodies were demonstrated in plasma cells from synovial tissue by immuno-histological methods. The findings emphasize the morphological resemblance of the erysipelas induced chronic polyarthritis in pigs to human rheumatoid arthritis.

摘要

对猪丹毒实验感染后多关节炎的几个免疫病理方面进行了为期两年的研究。将无菌和无特定病原体的动物经皮下、静脉内-关节内接种B型猪丹毒活菌(红斑丹毒丝菌)。在最初的发热期后,逐渐发展为多关节炎和椎间盘炎。一些动物还出现了血栓性心内膜炎。在整个实验期间观察到高球蛋白血症和高滴度的特异性抗体。然而,在血清或滑膜中未检测到抗球蛋白因子。在一些动物的滑膜组织中证实存在胶原抗体。对滑膜进行细菌检查表明,猪丹毒细菌在关节炎关节中存在数月。实验感染24个月后,从两头猪的滑膜组织中分离出活的猪丹毒细菌。多关节炎的特征是富含纤维蛋白的渗出物、绒毛增生、血管翳形成、软骨侵蚀和关节周围纤维化。通过免疫组织学方法在滑膜组织的浆细胞中证实了IgG和特异性猪丹毒抗体。这些发现强调了猪丹毒诱发的慢性多关节炎与人类类风湿性关节炎在形态学上的相似性。

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