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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+TCR
+ 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.
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