Cs. Probert et al., ANALYSIS OF HUMAN COMMON BILE DUCT-ASSOCIATED T-CELLS - EVIDENCE FOR OLIGOCLONALITY, T-CELL CLONAL PERSISTENCE, AND EPITHELIAL-CELL RECOGNITION, The Journal of immunology, 158(4), 1997, pp. 1941-1948
The phenotype of T cells associated with the common bile duct (CBD) is
unknown. We investigated the hypothesis that they behave like other i
ntraepithelial lymphocytes (IEL). Thus, we sought to determine the phe
notype, TCR repertoire, and epithelial recognition of T cells obtained
during endoscopic retrograde cholangiopancreatography. Three subjects
were studied: two with primary sclerosing cholangitis and one normal
control. After establishing a short-term T cell line, cells were 1) st
ained with mAbs for flow cytometric analysis, 2) analyzed for TCRB cha
in transcript expression, and 3) used as effector cells for cytotoxici
ty and proliferation. Flow cytometry revealed that for all the subject
s 98% of the T cells were TCR-alpha beta-positive. Immunohistology of
the CBD showed that the epithelium and lamina propria contained signif
icant numbers of CD3(+)CD43(+)CD45RO(+) lymphocytes. Complementarity-d
etermining region 3 length displays suggested that the CBD-derived lin
es were oligoclonal. This was confirmed by cloning and random sequenci
ng of PCR amplification products using TCRBV region family-specific pr
imers; TCRB chain sequences were reiterated in all transcripts analyze
d. In one case, two expanded TCRB clones could be identified that were
persistent in the bile duct over a 1-yr period. The CBD-derived lines
were cytolytic in a redirected lysis assay and caused cytolysis of an
intestinal epithelial cell line (Caco-2). This recognition was likely
preferential for intestinal epithelial cells, since a CBD-derived lin
e exhibited proliferation to two intestinal epithelial cell lines (HT-
29 and Caco-2) but not three other lines (HepG2, human foreskin fibrob
last, and KD). We conclude that the CBD contains IELs that share sever
al characteristics with intestinal IELs.