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Gut 1999;44:812-818 ( June )

Article

T cell specificity and cross reactivity towards enterobacteria, Bacteroides, Bifidobacterium, and antigens from resident intestinal flora in humans R Duchmann, E May, M Heike, P Knolle, M Neurath, K-H Meyer zum Büschenfelde

I Medizinische Klinik und Poliklinik, Johannes Gutenberg-Universität Mainz, Langenbeckstrasse 1, D-55101 Mainz, Germany

Correspondence to: Professor Meyer zum   Büschenfelde.

Accepted for publication 13 January 1999

BACKGROUND---T cell responses to normal intestinal bacteria or their products may be important in the immunopathogenesis of chronic enterocolitis.
AIMS---To investigate the T cell specificity and cross reactivity towards intestinal bacteria.
PATIENTS/METHODS---T cell clones were isolated with phytohaemagglutinin from peripheral blood and biopsy specimens of inflamed and non-inflamed colon from five patients with inflammatory bowel disease (IBD) and two controls. T cell clones were restimulated with anaerobic Bacteroides and Bifidobacteria species, enterobacteria, and direct isolates of aerobic intestinal flora. T cell phenotype was analysed by single-cell immunocyte assay.
RESULTS---Analysis of 96 T cell clones isolated from peripheral blood and biopsy specimens from two patients with IBD showed that both Bifidobacterium and Bacteroides species specifically stimulate proliferation of CD4+TCRalpha beta + T cell clones from both sites and that cross reactivity exists between these anaerobic bacteria and different enterobacteria. Analysis of 210 T cell clones isolated from three patients with IBD and two controls showed that indigenous aerobic flora specifically stimulate T cell clones from peripheral blood and biopsy specimens from a foreign subject. Some of these flora specific T cell clones were cross reactive with defined enterobacteria. In addition, T cell clones stimulated by their own indigenous aerobic flora were identified in patients with IBD.
CONCLUSION---Immune responses to antigens from the intestinal microflora involve a complex network of T cell specificities.


Keywords: inflammatory bowel disease; T cells; intestinal flora; mucosal immunity


© 1999 by Gut

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