Watanabe M, Hosoda Y, Okamoto S, Yamazaki M, Inoue N, Ueno Y, Iwao Y, Ishii H, Watanabe N, Hamada Y, Yamada T, Suzuki T, Hibi T
School of Medicine, Keio University, Tokyo, Japan.
Clin Immunol Immunopathol. 1998 Jul;88(1):46-55. doi: 10.1006/clin.1997.4508.
To clarify the role of CD4(+) intestinal mucosal lymphocytes in chronic intestinal inflammation, we developed a new rat colitis model by immunization with 2,4,6-trinitrobenzenesulfonic acid (TNB) in an emulsion with an adjuvant followed by transrectal administration of a low dose of TNB. Moreover, we assessed the therapeutic effect of anti-CD4 monoclonal antibody (mAb) on this model. In concert with the development ofserum anti-TNB Abs, transmural and segmental colitis that mimics some characteristics of human Crohn's disease was induced in the immunized rats. Immunohistochemical analysis showed the increase of infiltrating lamina propria CD4(+) T cells. Flow-cytometric analysis of isolated cells from inflamed mucosa revealed that CD45RChighCD4(+) T cells were significantly increased. Interestingly, intraperitoneal administration of anti-CD4 mAbs could suppress severe inflammation in the model with decrease of anti-TNB Ab titer. After the treatment with anti-CD4 mAbs, CD45RChighCD4(+) T cells in the lamina propria and interferon-gamma mRNA expression in the colonic lamina propria CD4(+) T cells were decreased. These results indicated that Th1 CD4(+) intestinal mucosal T cells have a role in the progress of inflamed lesions in chronic enteritis. They implicate that a therapy targeting mucosal T cells expressing CD4 may be feasible in the treatment of human Crohn's disease.
为阐明CD4(+)肠黏膜淋巴细胞在慢性肠道炎症中的作用,我们通过用2,4,6-三硝基苯磺酸(TNB)与佐剂制成乳剂免疫大鼠,随后经直肠给予低剂量TNB,建立了一种新的大鼠结肠炎模型。此外,我们评估了抗CD4单克隆抗体(mAb)对该模型的治疗效果。与血清抗TNB抗体的产生相一致,在免疫大鼠中诱导出了模仿人类克罗恩病某些特征的透壁性和节段性结肠炎。免疫组织化学分析显示固有层浸润的CD4(+) T细胞增加。对从炎症黏膜分离出的细胞进行流式细胞术分析发现,CD45RChighCD4(+) T细胞显著增加。有趣的是,腹腔注射抗CD4 mAb可抑制该模型中的严重炎症,同时抗TNB抗体滴度降低。用抗CD4 mAb治疗后,固有层中的CD45RChighCD4(+) T细胞以及结肠固有层CD4(+) T细胞中的干扰素-γ mRNA表达均降低。这些结果表明,Th1 CD4(+)肠黏膜T细胞在慢性肠炎炎症病变的进展中起作用。这提示针对表达CD4的黏膜T细胞的治疗方法在人类克罗恩病的治疗中可能是可行的。