Abstract
Rats infected with the intestinal nematode Nippostrongylus brasiliensis have crypt hyperplasia with villous atrophy in affected areas of the small intestine. In thymus-deprived (B) rats the course of infection is prolonged but, despite the presence of many worms in the intestinal lumen, villi and crypts appear largely normal. This suggests that the tissue damaged associated with N. brasilliensis infection is caused, not by the worms, but by a local thymus-dependent immune reaction. There is some evidence to implicate lymphocytes rather than antibodies in this reaction. It is already know that T-cell-associated damage to the small intestine, such as occurs in allograft rejection, produces subtotal villous atrophy. The present findings suggest that when T cell react locally with helminth antigens a similar type of damage occurs. The presence of a local cell-mediated immune reaction may be the common factor which causes villous atrophy and crypt hyperplasia in many small intestinal diseases, eg, viral enteritis, giardiasis, cow's milk allergy, and coeliac disease.
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- Barnes G. L., Townley R. R. Duodenal mucosal damage in 31 infants with gastroenteritis. Arch Dis Child. 1973 May;48(5):343–349. doi: 10.1136/adc.48.5.343. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ferguson A., Parrott D. M. Histopathology and time course of rejection of allografts of mouse small intestine. Transplantation. 1973 Jun;15(6):546–554. doi: 10.1097/00007890-197306000-00005. [DOI] [PubMed] [Google Scholar]
- Holmes J. T., Klein M. S., Winawer S. J., Fortner J. G. Morphological studies of rejection in canine jejunal allographs. Gastroenterology. 1971 Nov;61(5):693–706. [PubMed] [Google Scholar]
- JENNINGS F. W., MULLIGAN W., URQUHART G. M. Variables in X-ray "inactivation" of Nippostrongylus brasiliensis larvae. Exp Parasitol. 1963 Jun;13:367–373. doi: 10.1016/0014-4894(63)90087-0. [DOI] [PubMed] [Google Scholar]
- Jarrett E. E., Jarrett W. F., Urquhart G. M. Quantitative studies on the kinetics of establishment and expulsion of intestinal nematode populations in susceptible and immune hosts. Nippostrongylus brasiliensis in the rat. Parasitology. 1968 Aug;58(3):625–639. doi: 10.1017/s0031182000028924. [DOI] [PubMed] [Google Scholar]
- Jarrett E., Ferguson A. Effect of T cell depletion on the potentiated reagin response. Nature. 1974 Aug 2;250(465):420–422. doi: 10.1038/250420a0. [DOI] [PubMed] [Google Scholar]
- Loehry C. A., Creamer B. Three-demensional structure of the rat small intestinal mucosa related to mucosal dynamics. I. Mucosal structure and dynamics in the rat after the administration of methotrexate. Gut. 1969 Feb;10(2):112–116. doi: 10.1136/gut.10.2.112. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Loehry C. A., Croft D. N., Singh A. K., Creamer B. Cell turnover in the rat small intestinal mucosa: an appraisal of cell loss. II. Cell loss in rats with an abnormal mucosa. Gut. 1969 Jan;10(1):16–18. doi: 10.1136/gut.10.1.16. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Michael J. G., Bernstein I. L. Thymus dependence of reaginic antibody formation in mice. J Immunol. 1973 Nov;111(5):1600–1601. [PubMed] [Google Scholar]
- Ogilvie B. M., Jones V. E. Reaginic antibodies and immunity to Nippostrongylus brasiliensis in the rat. I. The effect of thymectomy, neonatal infections and splenectomy. Parasitology. 1967 May;57(2):335–349. doi: 10.1017/s0031182000072139. [DOI] [PubMed] [Google Scholar]
- Parrott D. M., Ferguson A. Selective migration of lymphocytes within the mouse small intestine. Immunology. 1974 Mar;26(3):571–588. [PMC free article] [PubMed] [Google Scholar]
- REILLY R. W., KIRSNER J. B. RUNT INTESTINAL DISEASE. Lab Invest. 1965 Jan;14:102–107. [PubMed] [Google Scholar]
- SHINER M., DONIACH I. Histopathologic studies in steatorrhea. Gastroenterology. 1960 Mar;38:419–440. [PubMed] [Google Scholar]
- SYMONS L. E. KINETICS OF THE EPITHELIAL CELLS, AND MORPHOLOGY OF VILLI AND CRYPTS IN THE JEJUNUM OF THE RAT INFECTED BY THE NEMATODE NIPPOSTRONGYLUS BRASILIENSIS. Gastroenterology. 1965 Aug;49:158–168. [PubMed] [Google Scholar]
- Savilahti E. Immunochemical study of the malabsorption syndrome with cow's milk intolerance. Gut. 1973 Jun;14(6):491–501. doi: 10.1136/gut.14.6.491. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Schreiber D. S., Blacklow N. R., Trier J. S. The mucosal lesion of the proximal small intestine in acute infectious nonbacterial gastroenteritis. N Engl J Med. 1973 Jun 21;288(25):1318–1323. doi: 10.1056/NEJM197306212882503. [DOI] [PubMed] [Google Scholar]
- Wilson R. J., Jones V. E., Leskowitz S. Thymectomy and anaphylactic antibody in rats infected with Nippostrongylus brasiliensis. Nature. 1967 Jan 28;213(5074):398–399. doi: 10.1038/213398a0. [DOI] [PubMed] [Google Scholar]