Tipold A, Moore P, Zurbriggen A, Burgener I, Barben G, Vandevelde M
Institute of Animal Neurology, University of Berne, Switzerland.
Acta Neuropathol. 1999 Jan;97(1):45-56. doi: 10.1007/s004010050954.
The initial demyelinating lesions in canine distemper virus (CDV) infection develop during a period of severe immunosuppression in the absence of inflammation. In vitro and in vivo studies suggest that early demyelination is due to directly virus-induced oligodendroglial changes. In the present spatiotemporal study in experimentally CDV-infected dogs we observed diffuse up-regulation of T cells throughout the central nervous system (CNS) and T cell invasion in early demyelinating lesions. Invasion of T cells in the CNS occurred despite severe immunosuppression and without any perivascular cuffing. However, the major fraction of invading T cells correlated with sites of viral replication and coincided with the demonstration of an early immune response against the nucleocapsid protein of CDV. Activation of microglial cells was thought to have elicited the migration of T cells to the CNS by secretion of chemokines: marked IL-8 activity was found in the CSF of dogs with acute lesions. In areas of early demyelination, large numbers of CD3+ cells accumulated in the tissue in the absence of any morphological sign of inflammation. Whether the T cells at lesion sites contribute to the development of acute demyelination remains uncertain at this stage. Antiviral cytotoxicity was not apparent since viral clearance in demyelinating lesions is only effective when B cells and concurring antiviral antibody production appeared in the subacute and chronic inflammatory stage of the disease. CD3+ cells appear to persist for several weeks after infection since they were also found in recovered dogs that did not develop demyelination. Accumulation of immune cells, including a significant proportion of resting T cells (CD45RA+) in the CNS in the early stages of the disease may facilitate the later development of the intrathecal immune response and associated immunopathological complications.
犬瘟热病毒(CDV)感染初期的脱髓鞘病变发生在严重免疫抑制且无炎症的时期。体外和体内研究表明,早期脱髓鞘是由病毒直接诱导的少突胶质细胞变化所致。在本次对实验性感染CDV的犬类进行的时空研究中,我们观察到整个中枢神经系统(CNS)中T细胞弥漫性上调,且在早期脱髓鞘病变中有T细胞浸润。尽管存在严重免疫抑制且无任何血管周围套袖现象,但CNS中仍发生了T细胞浸润。然而,大部分浸润的T细胞与病毒复制位点相关,且与针对CDV核衣壳蛋白的早期免疫反应的表现相吻合。小胶质细胞的激活被认为是通过趋化因子的分泌引发了T细胞向CNS的迁移:在患有急性病变的犬类脑脊液中发现了显著的IL-8活性。在早期脱髓鞘区域,大量CD3⁺细胞在无任何炎症形态学迹象的情况下在组织中积聚。在现阶段,病变部位的T细胞是否促成急性脱髓鞘的发展仍不确定。抗病毒细胞毒性并不明显,因为脱髓鞘病变中的病毒清除仅在疾病的亚急性和慢性炎症阶段出现B细胞及同时产生抗病毒抗体时才有效。感染后CD3⁺细胞似乎会持续存在数周,因为在未发生脱髓鞘的康复犬中也发现了它们。在疾病早期,包括大量静息T细胞(CD45RA⁺)在内的免疫细胞在CNS中的积聚可能会促进后期鞘内免疫反应及相关免疫病理并发症的发展。