A. Nakajima et al., SPECIFIC CLONAL T-CELL ACCUMULATION IN INTESTINAL LESIONS OF CROHNS-DISEASE, The Journal of immunology, 157(12), 1996, pp. 5683-5688
The initial cellular events that take place at the outset of autoimmun
e diseases and that may be the most important in terms of understandin
g their pathogenesis are poorly understood, especially in humans. This
is mainly due to the difficulties in the identification of primary le
sions and the accessibility to such material. In this respect, it is n
oteworthy that the appearance of small reddish erosions, known as apht
hoid lesions, is known to be an early event in Crohn's disease. In the
present study, accumulation of lesion-specific clonal TCR bands in th
e intestinal lesions of Crohn's disease patients was demonstrated by m
eans of a highly sensitive method based on single strand conformationa
l polymorphism. Such clonal accumulation was demonstrated in both apht
hoid and discrete ulcer lesions. There were several TCR BV bands that
were present in both aphthoid lesions and discrete ulcer lesions, but
some were specific to the aphthoid lesions. In addition, the same apht
hoid lesion-specific/dominant T cell clones were found to be expanded
in separate aphthoid lesions of a single patient, and were absent from
intervening, non-inflamed mucosa. Some of these bands may represent T
cell clones activated primarily at the onset of disease.