Abstract
Immunofluorescent technques were utilized to study the nature and distribution of cells forming the inflammatory infiltrate in Crohn's disease. Tissue from resected ileum (one patient) or colon (one patient) when compared with corresponding control tissues contained increased numbers of B and T lymphocytes. B-cells of IgG class predominated in the mucosal lamina propria, whereas T-cells were prominent in the deeper layers of inflamed bowel. Inflammatory cells bearing Fc receptors were also present in these tissues. Decreased peripheral blood T-cell numbers returned to normal after resection of the involved bowel in the two patients studied. Impaired cellular immunity in Crohn's disease may thus result from T-cell sequestration in or loss from involved segments of intestine.
Full text
PDF






Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Asquith P., Kraft S. C., Rothberg R. M. Lymphocyte responses to nonspecific mitogens in inflammatory bowel disease. Gastroenterology. 1973 Jul;65(1):1–7. [PubMed] [Google Scholar]
- Bird A. G., Britton S. No evidence for decreased lymphocyte reactivity in Crohn's disease. Gastroenterology. 1974 Nov;67(5):926–932. [PubMed] [Google Scholar]
- Bolton P. M., James S. L., Newcombe R. G., Whitehead R. H., Hughes L. E. The immune competence of patients with inflammatory bowel disease. Gut. 1974 Mar;15(3):213–219. doi: 10.1136/gut.15.3.213. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Breucha G., Riethmüller G. Letter: Intestinal lymphocytes in Crohn's disease. Lancet. 1975 Apr 26;1(7913):976–976. doi: 10.1016/s0140-6736(75)92037-1. [DOI] [PubMed] [Google Scholar]
- Cave D. R., Mitchell D. N., Kane S. P., Brooke B. N. Further animal evidence of a transmissible agent in Crohn's disease. Lancet. 1973 Nov 17;2(7838):1120–1122. doi: 10.1016/s0140-6736(73)90936-7. [DOI] [PubMed] [Google Scholar]
- Dickler H. B., Kunkel H. G. Interaction of aggregated -globulin with B lymphocytes. J Exp Med. 1972 Jul 1;136(1):191–196. doi: 10.1084/jem.136.1.191. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Fletcher J., Hinton J. M. Tuberculin sensitivity in Crohn's disease. A controlled study. Lancet. 1967 Oct 7;2(7519):753–754. doi: 10.1016/s0140-6736(67)91949-6. [DOI] [PubMed] [Google Scholar]
- Green F. H., Fox H. The distribution of mucosal antibodies in the bowel of patients with Crohn's disease. Gut. 1975 Feb;16(2):125–131. doi: 10.1136/gut.16.2.125. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Guillou P. J., Brennan T. G., Giles G. R. Lymphocyte transformation in the mesenteric lymph nodes of patients with Crohn's disease. Gut. 1973 Jan;14(1):20–24. doi: 10.1136/gut.14.1.20. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Husby G., Blomhoff J. P., Skrede S., Elgjo K., Gjone E. Detection of immunoglobulins in paraffin-embedded liver biopsies. Studies in 100 patients with special regard to immunological findings in active chronic hepatitis. Scand J Gastroenterol. 1973;8(7):621–629. [PubMed] [Google Scholar]
- Husby G., Strickland R. G., Caldwell J. L., Williams R. C., Jr Localization of T and B cells and alpha fetoprotein in hepatic biopsies from patients with liver disease. J Clin Invest. 1975 Nov;56(5):1198–1209. doi: 10.1172/JCI108197. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Jones J. V., Housley J., Ashurst P. M., Hawkins C. F. Development of delayed hypersensitivity to dinitrochlorobenzene in patients with Crohn's disease. Gut. 1969 Jan;10(1):52–56. doi: 10.1136/gut.10.1.52. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Mitchell D. N., Rees R. J. Agent transmissible from Crohn's disease tissue. Lancet. 1970 Jul 25;2(7665):168–171. doi: 10.1016/s0140-6736(70)92532-8. [DOI] [PubMed] [Google Scholar]
- Parent K., Barrett J., Wilson I. D. Investigation of the pathogenic mechanisms in regional enteritis with in vitro lymphocyte cultures. Gastroenterology. 1971 Oct;61(4):431–439. [PubMed] [Google Scholar]
- Persson S., Danielsson D. Studies on Crohn's disease. II. Immunoglobulin-containing cells in the terminal ileum. Acta Chir Scand. 1973;139(8):735–738. [PubMed] [Google Scholar]
- Richens E. R., Williams M. J., Gough K. R., Ancill R. J. Mixed-lymphocyte reaction as a measure of immunological competence of lymphocytes from patients with Crohn's disease. Gut. 1974 Jan;15(1):24–28. doi: 10.1136/gut.15.1.24. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Röpke C. Lymphocyte transformation and delayed hypersensitivity in Crohn's disease. Scand J Gastroenterol. 1972;7(7):671–677. doi: 10.3109/00365527209180975. [DOI] [PubMed] [Google Scholar]
- Sachar D. B., Taub R. N., Brown S. M., Present D. H., Korelitz B. I., Janowitz H. D. Imparied lymphocyte responsiveness in inflammatory bowel disease. Gastroenterology. 1973 Feb;64(2):203–209. [PubMed] [Google Scholar]
- Seah P. P., Fry L., Hoffbrand A. V., Holborow E. J. Tissue antibodies in dermatitis herpetiformis and adult coeliac disease. Lancet. 1971 Apr 24;1(7704):834–836. doi: 10.1016/s0140-6736(71)91499-1. [DOI] [PubMed] [Google Scholar]
- Strickland R. G., Korsmeyer S., Soltis R. D., Wilson I. D., Williams R. C., Jr Peripheral blood T and B cells in chronic inflammatory bowel disease. Gastroenterology. 1974 Oct;67(4):569–577. [PubMed] [Google Scholar]
- Strober W., Wochner R. D., Carbone P. P., Waldmann T. A. Intestinal lymphangiectasia: a protein-losing enteropathy with hypogammaglobulinemia, lymphocytopenia and impaired homograft rejection. J Clin Invest. 1967 Oct;46(10):1643–1656. doi: 10.1172/JCI105656. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Söltoft J. Immunoglobulin-containing cells in normal jejunal mucosa and in ulcerative colitis and regional enteritis. Scand J Gastroenterol. 1969;4(4):353–360. doi: 10.3109/00365526909180616. [DOI] [PubMed] [Google Scholar]
- Williams W. J. A study of Crohn's syndrome using tissue extracts and the Kveim and Mantoux tests. Gut. 1965 Oct;6(5):503–505. doi: 10.1136/gut.6.5.503. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wilson I. D., Williams R. C., Tobian L., Jr Renal tubular acidosis. Three cases with immunoglobulin abnormalities in the patients and their kindreds. Am J Med. 1967 Sep;43(3):356–370. doi: 10.1016/0002-9343(67)90192-1. [DOI] [PubMed] [Google Scholar]
- Winchester R. J., Fu S. M., Hoffman T., Kunkel H. G. IgG on lymphocyte surfaces; technical problems and the significance of a third cell population. J Immunol. 1975 Apr;114(4):1210–1212. [PubMed] [Google Scholar]