Guillain一Barre syndrome(GBS)15 an acute infla"unatoryautoilnrnune disease affeoting myelin and axons ofthe PeriPheral nervoussystem(PNS).GBS has features of segmental demyelination with the;nfiitrationt of mox飞omielot一e)沈es The!,:一thol(,gy eha,:ges inelt:de earlylyxnphocytie infiltrates in sPinal ruots and Periplieral nerves,and5 tzbsequent maeroPhage一mediated,egmenLal,triPPing of myel一n.FxPerimentol出,toinlroune neuritis(EAN),a Paralytie illness in rodeniss]:,wsv七ry striking elinieal,neuroPhysi)logiealå³d histological51而larities to GBS.Therefore,EAN serves as an useful model forexPloring thePå·äº”ogenesis andir田刀unotheraPy of GBS.å…«dOPtiveeXPerimental aut oimmuneneè€tis(户n飞EAN)can be adoPtively仃ansferred of Po or PZ一speeifie en4+T eells from别'mal with EAN. There 15 an evidence that abnormai oenular inunune reactions maybe involved in the Pa1Lhogenesis of EAN and Al'- EAN .RelatedPro垃nfiarnmatory cytokines,which secreted from Thl--t yPe cells,contribute to the tissued别åage in EAN by changing the baiance be七刀eenthe eells of Thl and ThZ PhenotyPes in favor of Thl.ManyPro一idanlã€11atory cytoklnes act as triggering events that are believedtoiultiate nerve damage.IL一12 and IL一18 both are the imPort呱pro一infl侧比unato万cytokines from Which eD4+Thz cells release.Theyhave syneå ªetic effeet in enhancing the transeriPtion of IFN令.In thisstudy,we emPloyed a Passive EAN system to eval切ate the roles ofå‰æž—人å¦åšåå¦ä½è®ºæ–‡è‹±æ–‡æ‘˜è¦IL一12 and IIJ一18 in the immunoPathogenesis of Al'- EAN and thesynergetie effect of tl,ese two eytokine,.Afteå…¨suecessfully indueingEAN with pox:0.199 PePtides in lewis rats,we eultured lymPh node eell,and sPleen eells with PO一50一199,Promoting these T eells to Proliferate anddifferentiate.The eultured T cells have the ability in diserinlinating,memorizing and activating in inunune resPonse to the sPeeifie antigens ofPO一50一99.Then we eoeulture the aetivated PO一50一99 sPecifie T eells in thePresence of IL一1 2 and/or IL一1 8 before the transferation to the normalLewis rat.T eells stimulated飞vith anti一CD3 and anti一CD28 in the Presenceof IL一12 or IL一1 8 alone transferred mild exPerimental autoilnLmllnene一:riti,åˆEAN),vith ea:·lier。,nset,higher incidenee,later recovery,biggerarea 0.'demyelination and mofe lymPhoeytie infiltrates.These resultsindieate that 11,一12å·é£žd 11)一18 alonet欣ez〕art in the immunopathogene,15ofz\T- EAN.Ilowover, T cells coeultured with both eytokilles transferredmore severe elinical and histological EAN 51娜ficantly.w匕aiso detectIFN一Y,TNF一a and IL一4 seeretion in cell eultt犷e suPemçš„ants ofthePoxso.199 T cell and in blood sera ofthe户L1'- EAN ofall the grouPs.Both incell cultore suPemå·åˆ«ats and in blood sera of all the grouPs comParing thenegative eontrOI,Thl cells seereting more IFN一and TNF一a and ThZ eellssecå¨ing less IL·4.CoeultL甘e of T eells with IL·12 enhaneed the seeretionof IFN一下,but not TNF一a,场七ereas eoeul奴甘e with IL一1 8 enhancedtheseeretion of INF一a.认七measure sPlenic eells of the quantities andpereentage of CD4+and cDSåT cells of eachè„šå³using FACS andfind that IL·12è„šå³have a little more quantities of both CD4+andensåT cells,while IL一15è„šå³ã€‚å·y have little increasing of en4+。IL一12/IL一15è„šå³nave 51如五eantly inereasing of both eD4+andeDsåT eells.only the IL一12/IL·15è„šå³shows a 51酗五eantly inereaseå‰æž—大å¦åšå£«å¦ä½è®ºæ–‡è‹±æ–‡æ‘˜è¦äº›of the pereentage of CD4+/C DS+co哪如ng to the non一st如ulatedPO一50.199 groå³Â· Our stUdy sllggest that IL一1 Zts改esPæ–Œin the inunun0Pal五ogenesisof AT-EAN byeå·laneing the seeretion of IFN一丫while IL一18 takes Partin the im一nunoPathogenesis of AT-EAN by enhancing the seeretion ofä¸NF一a.IL一12 and IL一18 have signifieant synergetic effeet in Al'- EAN,mostly by the means of seereting large amount of IFN·丫.
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