Abstract:
:Using quantitative morphometric analysis of immunohistochemically stained tissue sections we compared hypertrophic obstructive adenoids (HOA, n = 10) from children without middle ear disease with chronically infected adenoids (CIA, n = 10) from children with middle ear disease. gamma delta T cell receptor (TCR)+ cells constituted the dominating T cell population in the surface epithelium of HOA, while alpha beta TCR+ cells were the dominating intraepithelial T cell population in CIA. Intraepithelially CD8+ cells dominated over CD4+ cells in both diseases. Intraepithelially B cells were not detected. The cellular composition of follicles, with B cells dominating followed by activated CD4+ alpha beta TCR+ cells, was the same in both groups. However, the number of follicles in CIA was twice as many as in HOA. In the deeper interfollicular areas granulocytes were more abundant in CIA than in HOA. The latter two findings suggest a more pronounced inflammatory response in the adenoids of patients with middle ear disease. There was no significant difference with regard to pathogenic bacterial strains colonizing the adenoid surface when comparing the two patient groups. These results suggest that in patients with HOA gamma delta TCR+ T cells help to maintain the integrity of the surface epithelium, thereby preserving its protective function. On the basis of our results we speculate that CIA have a malfunctioning defence, thereby facilitating long-standing infections deep in the adenoid. This may be the main reason for development of middle ear disease and an indication for adenoidectomy in patients with CIA.
journal_name
Clin Exp Immunoljournal_title
Clinical and experimental immunologyauthors
Olofsson K,Hellström S,Hammarström MLdoi
10.1046/j.1365-2249.1996.d01-825.xsubject
Has Abstractpub_date
1996-11-01 00:00:00pages
396-403issue
2eissn
0009-9104issn
1365-2249journal_volume
106pub_type
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更新日期:1987-12-01 00:00:00
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更新日期:2020-09-01 00:00:00
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更新日期:1977-05-01 00:00:00
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journal_title:Clinical and experimental immunology
pub_type: 杂志文章
doi:
更新日期:1975-03-01 00:00:00
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journal_title:Clinical and experimental immunology
pub_type: 杂志文章
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更新日期:1999-05-01 00:00:00
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pub_type: 杂志文章
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更新日期:1998-01-01 00:00:00
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pub_type: 杂志文章
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journal_title:Clinical and experimental immunology
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doi:
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journal_title:Clinical and experimental immunology
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更新日期:1980-07-01 00:00:00
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journal_title:Clinical and experimental immunology
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doi:
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更新日期:1982-04-01 00:00:00
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pub_type: 评论,杂志文章,评审
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journal_title:Clinical and experimental immunology
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更新日期:1988-06-01 00:00:00
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