Abstract
Two colour flow cytometry techniques were used to assess the activation stages of peripheral and intraocular T lymphocytes in uveitis. Increased numbers of T lymphocytes bearing the interleukin-2 (IL-2) receptors were found in intraocular fluids or peripheral blood or both of 35/51 patients with uveitis. This increased expression of IL-2 receptors on lymphocytes correlated with increased expression of other early T lymphocyte activation markers, HLA-DR and L-35. Both T helper cells (Leu-3A+) and suppressor cells (Leu 2A+) were activated in vivo. A positive correlation was seen between lymphocyte activation and clinical uveitis activity. In idiopathic uveitis activation of Leu-3A lymphocytes (helper/inducer) was significantly increased, and intraocular activation of the Leu-2A lymphocytes (cytotoxic/suppressor) was significantly decreased. These data show that some patients with idiopathic uveitis have a perturbation of T helper cells. Twenty-two of 31 patients with idiopathic uveitis, not associated with systemic disease, had increased peripheral T lymphocyte activation. This finding indicates that in some inflammations believed to be restricted to the eye an abnormal systemic immune activation exists.
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- Burmester G. R., Jahn B., Gramatzki M., Zacher J., Kalden J. R. Activated T cells in vivo and in vitro: divergence in expression of Tac and Ia antigens in the nonblastoid small T cells of inflammation and normal T cells activated in vitro. J Immunol. 1984 Sep;133(3):1230–1234. [PubMed] [Google Scholar]
- Caspi R. R., Roberge F. G., McAllister C. G., el-Saied M., Kuwabara T., Gery I., Hanna E., Nussenblatt R. B. T cell lines mediating experimental autoimmune uveoretinitis (EAU) in the rat. J Immunol. 1986 Feb 1;136(3):928–933. [PubMed] [Google Scholar]
- Char D. H., Stein P., Masi R., Christensen M. Immune complexes in uveitis. Am J Ophthalmol. 1979 May;87(5):678–681. doi: 10.1016/0002-9394(79)90303-9. [DOI] [PubMed] [Google Scholar]
- Deschênes J., Freeman W. R., Char D. H., Garovoy M. R. Lymphocyte subpopulations in uveitis. Arch Ophthalmol. 1986 Feb;104(2):233–236. doi: 10.1001/archopht.1986.01050140087026. [DOI] [PubMed] [Google Scholar]
- Freeman W. R., Char D. H., Garavoy M. R., Lyon H. Microtechniques for flow cytometric analysis of aqueous humor lymphocytes. J Immunol Methods. 1984 Oct 26;73(2):447–455. doi: 10.1016/0022-1759(84)90420-4. [DOI] [PubMed] [Google Scholar]
- HOGAN M. J., KIMURA S. J., THYGESON P. Signs and symptoms of uveitis. I. Anterior uveitis. Am J Ophthalmol. 1959 May;47(5 Pt 2):155–170. doi: 10.1016/s0002-9394(14)78239-x. [DOI] [PubMed] [Google Scholar]
- Hafler D. A., Fox D. A., Manning M. E., Schlossman S. F., Reinherz E. L., Weiner H. L. In vivo activated T lymphocytes in the peripheral blood and cerebrospinal fluid of patients with multiple sclerosis. N Engl J Med. 1985 May 30;312(22):1405–1411. doi: 10.1056/NEJM198505303122201. [DOI] [PubMed] [Google Scholar]
- KIMURA S. J., THYGESON P., HOGAN M. J. Signs and symptoms of uveitis. II. Classification of the posterior manifestations of uveitis. Am J Ophthalmol. 1959 May;47(5 Pt 2):171–176. doi: 10.1016/s0002-9394(14)78240-6. [DOI] [PubMed] [Google Scholar]
- Kahn L. S., Schlaegel T. F., Jr, Weber J. C., Biegel A. Serum immunoglobulins and uveitis. Arch Ophthalmol. 1983 Mar;101(3):458–459. doi: 10.1001/archopht.1983.01040010458025. [DOI] [PubMed] [Google Scholar]
- Kaplan H. J., Waldrep J. C., Nicholson J. K., Gordon D. Immunologic analysis of intraocular mononuclear cell infiltrates in uveitis. Arch Ophthalmol. 1984 Apr;102(4):572–575. doi: 10.1001/archopht.1984.01040030450024. [DOI] [PubMed] [Google Scholar]
- Leonard W. J., Depper J. M., Uchiyama T., Smith K. A., Waldmann T. A., Greene W. C. A monoclonal antibody that appears to recognize the receptor for human T-cell growth factor; partial characterization of the receptor. Nature. 1982 Nov 18;300(5889):267–269. doi: 10.1038/300267a0. [DOI] [PubMed] [Google Scholar]
- Miyawaki T., Yachie A., Uwadana N., Ohzeki S., Nagaoki T., Taniguchi N. Functional significance of Tac antigen expressed on activated human T lymphocytes: Tac antigen interacts with T cell growth factor in cellular proliferation. J Immunol. 1982 Dec;129(6):2474–2478. [PubMed] [Google Scholar]
- Murray P. I., Rahi A. H. New concepts in the control of ocular inflammation. Trans Ophthalmol Soc U K. 1985;104(Pt 2):152–158. [PubMed] [Google Scholar]
- Nussenblatt R. B., Salinas-Carmona M., Leake W., Scher I. T lymphocyte subsets in uveitis. Am J Ophthalmol. 1983 May;95(5):614–621. doi: 10.1016/0002-9394(83)90379-3. [DOI] [PubMed] [Google Scholar]
- Uchiyama T., Broder S., Waldmann T. A. A monoclonal antibody (anti-Tac) reactive with activated and functionally mature human T cells. I. Production of anti-Tac monoclonal antibody and distribution of Tac (+) cells. J Immunol. 1981 Apr;126(4):1393–1397. [PubMed] [Google Scholar]