RESUMO
Foram estudados fragmentos da mucosa duodenal obtidos de nove pacientes apresentando sintomas leves de estrogiloidiase, nove com sintomas moderados, sete com sintomas graves e sete indivíduos aparentemente normais. A muramidase(lisozima) foi imunocitoquimicamente demonstrada em cortes contracorados pela técnica do PAS. Havia aparente aumento progressivo na secreçao de muramidase pela célula de Paneth aaacompanhado o agravamento dos sintomas, näo obstante o fato de que a sua populaçao permanecesse constante. Decréscimo progressivo no número de células caliciformes foi observado enquanto, concomitantemente, haavia aumento na populaçao de células intermediarias. Esses resultados foram interpretados como a indicaçao da participaçao do sistema imune inato intestinal no estabelecimento da interaçao Strongyloides stercoralis/hospedeiro, através do aumento da secreçao da enzima mucolítica muramidase
Assuntos
Humanos , Masculino , Feminino , Adulto , Contagem de Células , Estrongiloidíase/fisiopatologia , Células Caliciformes , Sistema Imunitário , Celulas de Paneth , StrongyloidesRESUMO
AIM: To determine immunocytochemically whether preterm and newborn infants with necrotising enterocolitis (NEC) show differences in numbers of lysozyme positive Paneth cells compared with normal controls, and to relate the findings to the possibility that lysozyme deficiency may facilitate the bacterial infections thought to be associated with this condition. METHODS: Tissues from 10 infants with NEC and from 11 matched controls were sectioned and stained immunocytochemically for lysozyme. Differences in the numbers of Paneth cells and degree of lysozyme positivity in the tissues were assessed. RESULTS: Tissues from NEC patients showed no, or very few, lysozyme positive Paneth cells, whereas controls showed strong positive staining. CONCLUSIONS: A deficiency or developmental defect in Paneth cells, resulting in an absence of lysozyme, may render the intestine more susceptible to bacterial infection, allowing organisms to adhere and translocate across the mucosa. Such enhancement of infection may contribute to the pathogenesis of NEC.
Assuntos
Enterocolite Necrosante/enzimologia , Muramidase/análise , Celulas de Paneth/enzimologia , Infecções Bacterianas/complicações , Biomarcadores/análise , Enterocolite Necrosante/etiologia , Humanos , Imuno-Histoquímica , Recém-Nascido , Intestino Delgado/enzimologiaRESUMO
A group of youngsters (4-18 years old) in northeast Brazil was studied to establish the prevalence of anaemia and intestinal parasitism, as well as to analyze the correlation between them. Two criteria were used to determine the state of anaemia, the level of haemoglobin and the mean of corpuscular volume. The first was considered a single criterion and the second an associated criteria, used in an attempt to correlate anaemia with iron deficiency. The prevalence of intestinal parasitism was 93%, while the prevalence of anaemia was 43.1% and 16.1% according to the criteria employed (single or associated respectively). Anaemia was significantly associated with both sex and age. No significant statistical difference was observed when the association was made between each parasite and anaemia even with those more related to anaemia.
Assuntos
Anemia/complicações , Anemia/epidemiologia , Helmintíase/complicações , Helmintíase/epidemiologia , Enteropatias Parasitárias/complicações , Enteropatias Parasitárias/epidemiologia , Adolescente , Ancylostoma/isolamento & purificação , Ancilostomíase/complicações , Ancilostomíase/epidemiologia , Animais , Ascaríase/complicações , Ascaríase/diagnóstico , Ascaríase/epidemiologia , Ascaris lumbricoides/isolamento & purificação , Brasil/epidemiologia , Embrião de Galinha , Criança , Pré-Escolar , Feminino , Hemoglobinas/análise , Humanos , Masculino , Prevalência , Fatores de Risco , Tricuríase/complicações , Tricuríase/epidemiologia , Trichuris/isolamento & purificaçãoRESUMO
AIM: To investigate immunocytochemical changes in intestinal tissues from patients with intra-abdominal sepsis, and to relate the changes to the possibility of enhanced bacterial adhesion and translocation. METHODS: Tissues from 17 patients suffering from intra-abdominal sepsis and from controls were sectioned and stained immunocytochemically for IgA, IgM, secretory component, J chain, and HLA-DR. Differences in the distribution and characteristics of positively staining cells between the patient groups were assessed. RESULTS: Patients with intra-abdominal sepsis had noticeable reductions in numbers of IgA and IgM plasma cells, reduced J chain staining, and had little immunoglobulin on the surfaces of enterocytes. In contrast, HLA-DR positive cells were increased in the sepsis compared with the control group. The plasma cells present showed cytological changes suggestive of apoptosis. CONCLUSIONS: Stress associated with sepsis and its immediate causes might result in increased plasma glucocorticoid levels that bring about apoptosis of mucosal plasma cells (or their precursors). The consequent reduction in expression of IgA and IgM may favour bacterial adhesion to the enterocytes and facilitate bacterial translocation into the tissues.
Assuntos
Enteropatias/imunologia , Intestino Delgado/imunologia , Sepse/imunologia , Adulto , Idoso , Apoptose , Feminino , Antígenos HLA-DR/análise , Humanos , Imunoglobulina A/análise , Cadeias J de Imunoglobulina/análise , Imunoglobulina M/análise , Imuno-Histoquímica , Enteropatias/patologia , Intestino Delgado/patologia , Masculino , Pessoa de Meia-Idade , Mucosa/imunologia , Mucosa/patologia , Componente Secretório/análise , Sepse/patologiaRESUMO
AIM: To investigate the immunopathological changes in duodenal tissues induced by strongyloidiasis and to relate these to degrees of clinical severity. METHODS: Tissues taken from 21 patients showing mild, moderate or severe symptoms of strongyloidiasis, and from non-infected controls, were sectioned and stained immunocytochemically for IgA, secretory component (SC) and HLA-DR. Immunopathology was assessed by changes in numbers, intensity and distribution of stained cells. RESULTS: Parasitised individuals showed villous atrophy and crypt hyperplasia. There was notable infiltration of the lamina propria by IgA positive plasma cells and of the epithelium by intraepithelial lymphocytes. Infection was also associated with increased expression of SC and decreased expression of HLA-DR in epithelial cells. Changes in all parameters correlated with degree of clinical severity. CONCLUSIONS: Profound mucosal changes are induced by strongyloidiasis. Some are analogous to those seen in coeliac disease, but others seem quite unusual. It is likely that these changes are functionally related to the immunopathophysiological consequences of infection seen in patients with severe disease.
Assuntos
Duodenopatias/diagnóstico , Enteropatias Parasitárias/diagnóstico , Estrongiloidíase/diagnóstico , Adulto , Células Apresentadoras de Antígenos , Duodenopatias/parasitologia , Antígenos HLA-DR/metabolismo , Humanos , Imunoglobulina A/metabolismo , Imuno-Histoquímica/métodos , Mucosa Intestinal/parasitologia , Masculino , Pessoa de Meia-Idade , Componente Secretório/análiseRESUMO
The immunocytochemical demonstration of IgA and IgM in some secretory units of human Brunner's glands, associated with the presence of secretory component in all secretory cells, indicates the possibility that these glands assist the function of the intestinal crypts in transporting immunoglobulins into the gut lumen. In addition, the presence of muramidase (lysozyme) in the cells of the secretory units suggests that Brunner's glands continuously secrete bactericidal enzyme, thus reinforcing the function of the Paneth cells as contributors to nonspecific defence (innate immunity) in the intestinal tract.
Assuntos
Glândulas Duodenais/imunologia , Imunoglobulina A/análise , Imunoglobulina M/análise , Glândulas Duodenais/enzimologia , Grânulos Citoplasmáticos/enzimologia , Grânulos Citoplasmáticos/imunologia , Humanos , Imuno-Histoquímica , Muramidase/análiseRESUMO
Marsupials have considerable merits as models for studying the developmental dynamics of the mammalian immune system, but until recently there has been a conspicuous lack of specific immune probes to facilitate such studies. To begin a precise study of the ontogeny of the marsupial Didelphis albiventris we have used cross-reactive polyclonal antibodies raised against evolutionarily highly conserved peptides which form part of the antigen specific receptor complexes of human differentiated lymphocytes. Moreover, because of antigen receptor conservation, the antibodies also recognise specifically the immunocompetent T and B lymphocytes of other species including those in the organs of the opossum. Use of the antipeptide antibodies together with other cross-reacting antibodies has allowed us to study the cellular immunology of T and B cells and antigen presenting cells (APC) during the development of thymus, skin, lymph nodes and spleen in the Brazilian white-belly opossum. The molecular nature and identity of the T cell antigens detected in opossum tissues were confirmed by immunoblotting. These findings indicate that it is now possible to exploit these antibody probes for comparative mammalian studies, and indeed to investigate interesting features of the opossum, such as reaction of the immature immune system of the pouch young to antigenic stimulation.
Assuntos
Células Apresentadoras de Antígenos/imunologia , Linfócitos B/imunologia , Gambás/imunologia , Linfócitos T/imunologia , Animais , Anticorpos , Complexo CD3/análise , Antígenos HLA-DR/análise , Sistema Imunitário/crescimento & desenvolvimento , Imunidade Celular , Immunoblotting , Imuno-Histoquímica , Linfonodos/crescimento & desenvolvimento , Mesentério , Gambás/crescimento & desenvolvimento , Peptídeos/imunologia , Pele/crescimento & desenvolvimento , Baço/crescimento & desenvolvimento , Timo/crescimento & desenvolvimentoRESUMO
A detailed ontogenetic immunocytochemical study is reported on gut-associated lymphoid development in the Brazilian marsupial Didelphis albiventris. This employed antibody probes raised to evolutionarily conserved peptides which have been shown to detect HLA-DR-like (class II MHC) antigens and T and B cell markers in a wide range of animal species. Cells with macrophage and dendritic morphology expressing class II MHC and a few cells expressing the T cell marker CD3 were found in the lamina propria of duodenal villi in early (approximately 24 mm crown-rump length) latent opossum. Cells with B cell markers were not detected until lactent animals reached > 60 mm. Development of Peyer's patches (PP) was seen first in the duodenum in 45-60 mm lactent animals, progressing to well developed PP in the duodenum and ileum in lactent animals > 80 mm. These PP, like those in weanling and juvenile animals, consisted of follicles with a network of class II MHC positive dendritic cells and round cells lacking T and B markers, but lacking well defined mantle zones. B cells were present mainly in the lymphatic sinuses, with CD3 T cells present between follicles in the PP and intraepithelially in the villi. The study reveals the sequential development of class II MHC positive dendritic cells, T cells and B cells in the intestinal ontogeny of the opossum PP. These features occurred initially exclusively in the duodenum and subsequently in the ileum, paralleling the physiological maturation of the gut in eutheria.
Assuntos
Gambás , Nódulos Linfáticos Agregados/crescimento & desenvolvimento , Sequência de Aminoácidos , Animais , Linfócitos B/citologia , Linfócitos B/imunologia , Complexo CD3/análise , Células Dendríticas/citologia , Células Dendríticas/imunologia , Duodeno/citologia , Antígenos de Histocompatibilidade Classe II/análise , Íleo/citologia , Imunoglobulina A/análise , Imuno-Histoquímica/métodos , Macrófagos/citologia , Macrófagos/imunologia , Dados de Sequência Molecular , Nódulos Linfáticos Agregados/citologia , Linfócitos T/citologia , Linfócitos T/imunologiaRESUMO
The lack of probes defining leukocyte subpopulations has restricted ontogenetic studies of the opossum gut. We report for the first time the organization of the gut cellular immune components using species cross-reactive antibodies. Mouse monoclonal antibodies against human HLA-DR were used together with immunocytochemistry to demonstrate MHC class II-like antigens in the opossum Peyer's patches (PP). Positive staining was obtained in the M cell and enterocytes comprising the follicular-associated epithelium (FAE). Rabbit polyclonal antibody against human CD3 stained opossum thymocytes and T-cell dependent areas of spleen, lymph node, and PP interfollicular zones, but failed to stain intraepithelial lymphocytes in the FAE. In contrast rabbit polyclonal antibody against human IgA stained B-cell immunocytes and plasma cells present in the M-cell lateral invaginations. It is surmised that B-cell activation could occur in the opossum M-cell niches by thymus independent antigens, bypassing T-helper-cell function.