Immunohistological analysis of lung tissue from patients with cryptogenic fibrosing alveolitis suggesting local expression of immune hypersensitivity

Thorax. 1985 Jun;40(6):405-11. doi: 10.1136/thx.40.6.405.

Abstract

Immunohistological analysis using monoclonal antibodies in conjunction with histochemical techniques has been applied to lung biopsy material from patients with cryptogenic fibrosing alveolitis. Subsets of lymphoid and non-lymphoid cells have been identified in situ. This analysis showed that the inflammatory cells present were predominantly mononuclear. Most of the lymphoid cells were B lymphocytes, organised into follicles with occasional germinal centre formation. IgM was the major class of immunoglobulin expressed. Both T4+ and T8+ lymphocytes were seen diffusely distributed in the interstitium. The T4+ positive cells were also seen within the B lymphoid follicles. Almost all non-lymphoid cells expressed the phenotype of inflammatory macrophages, but a few also expressed a phenotype characteristic of interdigitating cells. These results suggest that a local B lymphoid immune response is occurring in cryptogenic fibrosing alveolitis. The possibility that a cell mediated immune response is also emerging is discussed.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Antibodies, Monoclonal / immunology
  • Antibody Formation
  • B-Lymphocytes / immunology
  • Female
  • Humans
  • Immunoglobulin M / analysis
  • Immunoglobulins / analysis
  • Lung / immunology*
  • Lung / pathology
  • Male
  • Middle Aged
  • Pulmonary Fibrosis / immunology*
  • Pulmonary Fibrosis / pathology
  • T-Lymphocytes / immunology

Substances

  • Antibodies, Monoclonal
  • Immunoglobulin M
  • Immunoglobulins