关键词:
Animals
Antibodies, Antinuclear
Bone Marrow Transplantation
Chronic Disease
Esophagus/pathology
Female
Graft vs Host Reaction*
Hematocrit
Hematocrit
Immunoglobulin M
Intestines/pathology
Leukocyte Count
Leukocyte Count
Liver/immunology
Liver/pathology
Lymph Nodes/pathology
Radiation Chimera*
Rats
Rats, Inbred ACI
Rats, Inbred Lew
Salivary Glands/pathology
Skin/immunology
Skin/pathology
Spleen/pathology
Thymus Gland/pathology
Time Factors
Tongue/immunology
Tongue/pathology
摘要:
The clinical features, pathology, and immunopathology of chronic graft-versus-host disease (GVHD) developing in the long-term rat radiation chimera are described. At 6 to 12 months post-transplant, the previously stable ACI/LEW chimeras developed patchy to diffuse severe hair loss and thickened skin folds, and had microscopic features resembling scleroderma, Sjogren's syndrome, and chronic hepatitis. Skin histology showed dermal inflammation and acanthosis with atrophy of the appendages, with progression to dermal sclerosis. The liver revealed chronic hepatitis with bile duct injury and proliferation and periportal piecemeal necrosis. The tongue had considerable submucosal inflammation, muscular necrosis, and atrophy and arteritis. The serous salivary glands, lacrimal glands, and bronchi had lymphocytic inflammation and injury to duct, acinar, and mucosal columnar epithelium. The thymus had lymphocyte depletion of the medulla with prominent epithelium. The spleen and lymph nodes had poorly developed germinal centers but increased numbers of plasma cells. IgM was observed along the basement membrane and around the basal cells of the skin and tongue and along the basement membrane of the bile ducts. IgM was present also in the arteries of the tongue. Immunoglobulins eluted from the skin cross-reacted with the bile duct epithelium and usually with both ACI and Lewis skin. Increased titers of speckled antinuclear antibodies were present in the serum of rats with chronic GVHD. Chronic GVHD in the long-term rat radiation chimera is very similar to human chronic GVHD and is a potentially excellent model for autoimmune disorders including scleroderma, Sjogren's syndrome, and chronic hepatitis.(C) Williams & Wilkins 1982. All Rights Reserved.