Skip to main content
Clinical and Experimental Immunology logoLink to Clinical and Experimental Immunology
. 1989 Sep;77(3):367–372.

Immunopathology of ocular onchocerciasis. I. Inflammatory cells infiltrating the anterior segment.

C C Chan 1, E A Ottesen 1, K Awadzi 1, R Badu 1, R B Nussenblatt 1
PMCID: PMC1542064  PMID: 2805408

Abstract

Ocular tissue (conjunctiva and iris) was obtained from 12 adult African men with active ocular onchocerciasis and from nine age-matched persons from the same endemic region but without onchocercal infection. These tissues were examined immunohistologically and two major findings were noted. First, mild-to-moderate chronic inflammatory cellular infiltration was present in the conjunctiva of the onchocerciasis patients. T lymphocytes (CD3+) were the major inflammatory cells, and the T suppressor/cytotoxic (CD8+) subset was significantly increased in the ocular onchocerciasis patients (P less than 0.03). Second, in the onchocerciasis patients, non-lymphoid cells of the conjunctiva and iris, such as vascular endothelium, pericytes and fibroblasts were in an activated state, as shown by increased expression of Class II MHC antigens (P less than 0.02, conjunctiva; P less than 0.05, iris). These concomitant findings of lymphocyte infiltration and resident cell activation indicate a dynamic state of localized host responsiveness presumably to the microfilarial parasites and their products in the anterior segments of the eyes of patients with ocular onchocerciasis.

Full text

PDF
369

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bartlett A., Turk J., Ngu J., Mackenzie C. D., Fuglsang H. Variation in delayed hypersensitivity in onchocerciasis. Trans R Soc Trop Med Hyg. 1978;72(4):372–377. doi: 10.1016/0035-9203(78)90130-x. [DOI] [PubMed] [Google Scholar]
  2. Bell D. Onchocerciasis now. Br Med J (Clin Res Ed) 1985 May 18;290(6480):1450–1451. doi: 10.1136/bmj.290.6480.1450. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Bhan A. K., Fujikawa L. S., Foster C. S. T-cell subsets and Langerhans cells in normal and diseased conjunctiva. Am J Ophthalmol. 1982 Aug;94(2):205–212. doi: 10.1016/0002-9394(82)90076-9. [DOI] [PubMed] [Google Scholar]
  4. Chan C. C., Detrick B., Nussenblatt R. B., Palestine A. G., Fujikawa L. S., Hooks J. J. HLA-DR antigens on retinal pigment epithelial cells from patients with uveitis. Arch Ophthalmol. 1986 May;104(5):725–729. doi: 10.1001/archopht.1986.01050170115034. [DOI] [PubMed] [Google Scholar]
  5. Chan C. C., Nussenblatt R. B., Fujikawa L. S., Palestine A. G., Stevens G., Jr, Parver L. M., Luckenbach M. W., Kuwabara T. Sympathetic ophthalmia. Immunopathological findings. Ophthalmology. 1986 May;93(5):690–695. doi: 10.1016/s0161-6420(86)33694-7. [DOI] [PubMed] [Google Scholar]
  6. Chan C. C., Nussenblatt R. B., Ni M., Li S., Mao W. Immunohistochemical markers in the normal human epibulbar conjunctiva from fetus to adult. Arch Ophthalmol. 1988 Feb;106(2):215–217. doi: 10.1001/archopht.1988.01060130225032. [DOI] [PubMed] [Google Scholar]
  7. Donnelly J. J., Rockey J. H., Bianco A. E., Soulsby E. J. Ocular immunopathologic findings of experimental onchocerciasis. Arch Ophthalmol. 1984 Apr;102(4):628–634. doi: 10.1001/archopht.1984.01040030500036. [DOI] [PubMed] [Google Scholar]
  8. Francis H., Awadzi K., Ottesen E. A. The Mazzotti reaction following treatment of onchocerciasis with diethylcarbamazine: clinical severity as a function of infection intensity. Am J Trop Med Hyg. 1985 May;34(3):529–536. doi: 10.4269/ajtmh.1985.34.529. [DOI] [PubMed] [Google Scholar]
  9. Freedman D. O., Ottesen E. A. Eggs of Schistosoma mansoni stimulate endothelial cell proliferation in vitro. J Infect Dis. 1988 Sep;158(3):556–562. doi: 10.1093/infdis/158.3.556. [DOI] [PubMed] [Google Scholar]
  10. Fujikawa L. S., Chan C. C., McAllister C., Gery I., Hooks J. J., Detrick B., Nussenblatt R. B. Retinal vascular endothelium expresses fibronectin and class II histocompatibility complex antigens in experimental autoimmune uveitis. Cell Immunol. 1987 Apr 15;106(1):139–150. doi: 10.1016/0008-8749(87)90157-2. [DOI] [PubMed] [Google Scholar]
  11. Garner A. Pathology of ocular onchocerciasis: human and experimental. Trans R Soc Trop Med Hyg. 1976;70(5-6):374–377. doi: 10.1016/0035-9203(76)90113-9. [DOI] [PubMed] [Google Scholar]
  12. Hsu S. M., Raine L., Fanger H. Use of avidin-biotin-peroxidase complex (ABC) in immunoperoxidase techniques: a comparison between ABC and unlabeled antibody (PAP) procedures. J Histochem Cytochem. 1981 Apr;29(4):577–580. doi: 10.1177/29.4.6166661. [DOI] [PubMed] [Google Scholar]
  13. Leiferman K. M., Ackerman S. J., Sampson H. A., Haugen H. S., Venencie P. Y., Gleich G. J. Dermal deposition of eosinophil-granule major basic protein in atopic dermatitis. Comparison with onchocerciasis. N Engl J Med. 1985 Aug 1;313(5):282–285. doi: 10.1056/NEJM198508013130502. [DOI] [PubMed] [Google Scholar]
  14. Ni M., Chan C. C., Nussenblatt R. B., Li S. Z., Mao W. Iris inflammatory cells, fibronectin, fibrinogen, and immunoglobulin in various ocular diseases. Arch Ophthalmol. 1988 Mar;106(3):392–395. doi: 10.1001/archopht.1988.01060130418033. [DOI] [PubMed] [Google Scholar]
  15. Nussenzweig R. S. Parasitic disease as a cause of immunosuppression. N Engl J Med. 1982 Feb 18;306(7):423–424. doi: 10.1056/NEJM198202183060711. [DOI] [PubMed] [Google Scholar]
  16. Paul E. V., Zimmerman L. E. Some observations on the ocular pathology of onchocerciasis. Hum Pathol. 1970 Dec;1(4):581–594. doi: 10.1016/s0046-8177(70)80058-2. [DOI] [PubMed] [Google Scholar]
  17. Semenzato G., Agostini C., Zambello R., Trentin L., Chilosi M., Angi M. R., Ossi E., Cipriani A., Pizzolo G. Activated T cells with immunoregulatory functions at different sites of involvement in sarcoidosis. Phenotypic and functional evaluations. Ann N Y Acad Sci. 1986;465:56–73. doi: 10.1111/j.1749-6632.1986.tb18481.x. [DOI] [PubMed] [Google Scholar]
  18. Stevens G., Jr, Chan C. C., Wetzig R. P., Nussenblatt R. B., Palestine A. G. Iris lymphocytic infiltration in patients with clinically quiescent uveitis. Am J Ophthalmol. 1987 Nov 15;104(5):508–515. doi: 10.1016/s0002-9394(14)74109-1. [DOI] [PubMed] [Google Scholar]
  19. Thylefors B. Ocular onchocerciasis. Bull World Health Organ. 1978;56(1):63–73. [PMC free article] [PubMed] [Google Scholar]
  20. Whittum-Hudson J. A., Prendergast R. A., Taylor H. R. Changes in conjunctival lymphocyte populations induced by oral immunization with Chlamydia trachomatis. Curr Eye Res. 1986 Dec;5(12):973–979. doi: 10.3109/02713688608995179. [DOI] [PubMed] [Google Scholar]
  21. Young E., Stark W. J., Prendergast R. A. Immunology of corneal allograft rejection: HLA-DR antigens on human corneal cells. Invest Ophthalmol Vis Sci. 1985 Apr;26(4):571–574. [PubMed] [Google Scholar]

Articles from Clinical and Experimental Immunology are provided here courtesy of British Society for Immunology

RESOURCES