Aspectos clínicos e imunopatológicos da ceratoplastia com membrana amniótica xenógena fresca e conservada em glicerina: estudo experimental em coelhos / Clinical and immunopatho logical aspects of keratoplasty with fresh and preserved in glycerin xenogenous amniotic membrane: experimental study in rabbits

Avaliaram-se, por meio da análise clínica, histopatologia e imunoistoquímica, os efeitos da aplicação da membrana amniótica xenógena fresca e conservada em glicerina, sobre os mecanismos imunológicos da superfície ocular. Para tal, utilizaram-se 40 coelhos, distribuídos em dois grupos experimentais, os quais foram avaliados por 21 dias. A avaliação clínica revelou que a membrana amniótica xenógena conservada em glicerina estimulou uma resposta inflamatória aguda maior que a membrana aplicada fresca. A análise histopatológica indicou que ambas se comportaram de forma semelhante a partir da primeira semana de pós-operatório, apresentando as alterações clássicas da resposta inflamatória da córnea, com o predomínio de infiltrado do tipo polimorfonuclear. A análise imunoistoquímica indicou que, ainda aos 21 dias, a resposta imune local é inespecífica, permitindo concluir que a resposta imune específica na córnea é tardia e que a córnea é um sítio privilegiado para aplicação de enxertos com características imunológicas diferentes, visto que não houve o estímulo para o desenvolvimento de uma resposta mais específica nos grupos avaliados durante toda a execução do experimento.

The dynamics of the inflammatory response and the mechanism involved in the healing process of cornea treated by keratoplasty, applying fresh and glycerin preserved xenogenous amniotic membranes as method to cover experimental ulcers were studied using 40 rabbits. The animals were allotted into two groups and evaluated during 21 days. The eyes were evaluated by histopathological study and immunohistochemical reaction. The clinical evaluation showed that the xenogenous amniotic membrane preserved in glycerin stimulated a greater acute inflammatory response than the one caused by fresh membrane. The histopathological analysis indicated that both membranes reacted in a very similar way from the first week post-surgery, presenting the classical alterations of the inflammatory response on the cornea. The immunohistochemical technique indicated that in no moment of the observation, the local immunologic response was specific. It was concluded that the specific immunologic response on the cornea took place later and that is a privileged site to use grafts with different immunological characteristics, once there was not a stimulus to the development of a more specific response in none of the evaluated groups throughout the experiment.

Interleukin-5 and interleukin-10 are major cytokines in cerebrospinal fluid from patients with active neurocysticercosis

Neurocysticercosis (NCC) is a common neurological disorder especially in developing countries, caused by infection of the brain with encysted larvae of the tapeworm Taenia solium. Seizures are a common finding associated with this disease. The objective of the present study was to evaluate the correlation between the levels of various cytokines present in the cerebrospinal fluid (CSF) of patients with NCC and the severity of the disease. The levels of the cytokines IL-1î, TNF-alpha, IL-5, IL-10 and IFN-gamma were determined in the CSF of 22 patients with active NCC, 13 patients with inactive NCC and 15 control subjects. CSF from patients with active NCC presented significantly higher IL-5 levels compared to control subjects. IL-5 and IL-10 levels in CSF from NCC patients with inflammatory CSF were significantly higher than those detected in non-inflammatory CSF. These results show a predominant Th2 lymphocyte activation in human NCC and also indicate the possible use of cytokines in the CSF as a marker for the differential diagnosis between inactive disease and the active form of NCC

Synergistic signal of an anti-hamster T cell monoclonal antibody on antigen-induced T cell proliferation

1.The use of monoclonal antibodies (mAb) has permitted the identification of T cell surface antigens and the classification of these antigens based upon phenotype and function. Some of these monoclonal antibodies can identify antigens specifically involved in T lymphocyte activation and are also able to induce, under certain conditions, T cell proliferation. 2. We describe a new mAb raised against hamster T cells which binds to a 45-KDa cell surface antigen expressed on 45% of thymic cells and 90% of mature T lymphocytes. This mAb,d esignated X2VA, alone does not cause T cells proliferation, but increases in a synergistic manner T cell proliferation when these cells are cultured in the presence of specific antigens, or used in mixed lymphocyte reactions. 3. When the X2Va mAb is used as single signal for the T cells it induces the production of a T cell growth factor, suggesting that the synergist effect observed during antigen-induced T cell proliferation is mediated by one more cytokines. 4. Our results indicate that the X2Va mAb recognizes an antigen which is expressed during T cell ontogenesis and which is involved in hamster T cell Activation