Dey A, Yokota K, Kobayashi K, Oguma K, Hirai Y, Akagi T
Second Department of Pathology, Okayama University Medical School, Japan.
Acta Med Okayama. 1998 Feb;52(1):41-8. doi: 10.18926/AMO/31337.
Helicobacter pylori (H. pylori) infection in the stomach is etiologically closely associated with chronic active gastritis, peptic ulcer, gastric cancer and gastric mucosa-associated lymphoid tissue lymphoma. In this study, we examined the antibody responses and cytokine profiles of three strains of mice (BALB/c, C3H/He, and C57BL/6) infected with H. pylori. Following this, correlations between host-immune reactions and intensity of inflammation were analyzed. H. pylori (ATCC43504) was intragastrically administered once a week to the mice from 4 weeks of age, and they were sacrificed at the ages of 4 and 7 months. In these mice, we examined the histology of the stomach, antibody titers against H. pylori, and serum levels of cytokines (IL-4, IL-10, TNF-alpha, IL-2 and Interferon-gamma). In BALB/c mice, inflammation of the stomach was minimal. Inflammation was observed in 63.6% of C57BL/6 mice and 33.3% of C3h/He mice. In C57BL/6 and C3H/He mice, all the cytokines tended to increase. In contrast, BALB/c mice were inactive in cytokine production except for IL-2. Two C3H/He mice developed severe inflammation with lymph follicles; one showed a response largely typical of Th-1, and the other showed a response largely typical of Th-2. Although a definite correlation was not shown between Th-1/Th-2 response evaluated by cytokine production and intensity of inflammation, it appears that in H. pylori-induced inflammation both cell-mediated (Th-1) and humoral (Th-2) immunity play a role in pathogenesis.
胃内幽门螺杆菌(H. pylori)感染在病因学上与慢性活动性胃炎、消化性溃疡、胃癌及胃黏膜相关淋巴组织淋巴瘤密切相关。在本研究中,我们检测了感染幽门螺杆菌的三种品系小鼠(BALB/c、C3H/He和C57BL/6)的抗体反应和细胞因子谱。在此之后,分析了宿主免疫反应与炎症强度之间的相关性。从4周龄开始,每周给小鼠胃内接种一次幽门螺杆菌(ATCC43504),并在4个月和7个月龄时将它们处死。在这些小鼠中,我们检查了胃的组织学、抗幽门螺杆菌抗体滴度以及细胞因子(IL-4、IL-10、TNF-α、IL-2和干扰素-γ)的血清水平。在BALB/c小鼠中,胃部炎症很轻微。在63.6%的C57BL/6小鼠和33.3%的C3h/He小鼠中观察到了炎症。在C57BL/6和C3H/He小鼠中,所有细胞因子都有升高的趋势。相比之下,除IL-2外,BALB/c小鼠的细胞因子产生不活跃。两只C3H/He小鼠出现了伴有淋巴滤泡的严重炎症;一只表现出主要典型的Th-1反应,另一只表现出主要典型的Th-2反应。尽管通过细胞因子产生评估的Th-1/Th-2反应与炎症强度之间未显示出明确的相关性,但似乎在幽门螺杆菌诱导的炎症中,细胞介导(Th-1)免疫和体液(Th-2)免疫在发病机制中都起作用。