B. Bodey et al., The role of the reticulo-epithelial (RE) cell network in the immuno-neuroendocrine regulation of intrathymic lymphopoiesis, ANTICANC R, 20(3A), 2000, pp. 1871-1888
The thymus provides an optimal cellular and humoral microenvironment for th
e development of immunocompetent T lymphocytes. Although yolk sac derived p
re-T, committed hematopoietic stem cells enter the thymus using a homing re
ceptor; the immigration process also requires secretion of a peptide, calle
d thymotaxin by the cells of the reticulo-epithelial (RE) network of the th
ymic cellular microenvironment. The thymic RE cells are functionally specia
lized based on their location within the thymic microenvironment. Thus, alt
hough subcapsular; cortical, and medullary RE cells are derived from a comm
on, endodermal in origin epithelial precursor cell, their unique location w
ithin the gland causes their specialization in terms of their immunophenoty
pical and in situ physiological proper ties. The subcapsular, endocrine, RE
cell layer (giant or nurse cells) is comprised of cells filled with PAS po
sitive granules which also express A(2)B(5)/TE4 cell surface antigens and M
HC Class I (HLA A,B,C) molecules. In contrast to the medullary RE cells, th
ese subcapsular nurse cells also produce thymosins beta 3 and beta 4. The t
hymic nurse cells (TNCs) display a neuroendocrine cell specific immunopheno
type (IP): Thy-1(+) A(2)B(5)(+) TT+, TE4(+), UJ13/A(+), UJ127.11(+), UJ167.
11(+) UJ181.4(+), and presence of common leukocyte antigen (CLA(+)). Medull
ar RE cells display MHC Class II (HLA-DP, HLA-De, HLA- DR) molecule restric
tion. These cells also contain transforming growth factor (TGF)-beta type I
I receptors and are involved in the positive selection of T cells. Transmis
sion electronmicroscopic (TEM) observations have defined four, functional s
ubtypes of medullary RE cells: undifferentiated, squamous, villous and cyst
ic. All subtypes were connected with desmosomes. The secreted thy nic hormo
nes, thymulin, thymosin -alpha 1 and thymopoietin (its short form, thymopen
tin or TP5) were detected immunocytochemically to be produced by RE cells.
Thymic RE cells also produce numerous cytokines including IL-1, IL-6,. G-CS
F, M-CSF, and GM-CSF molecules that likely are important in various stages
of thymocyte activation and differentiation. The co-existence of pituitary
hormone and neuropeptide secretion [growth hormone (GH) prolactin (PRL) adr
enocorticotropic hormone (ACTH), thyroid stimulating hormone (TSH), triiodo
thyronine (T-3) somatostatin, oxytocin (OT), follicle stimulating hormone (
FSH), luteinizing hormone (LH), arginine vasopressin (AVP), growth hormone
releasing hormone (GHRH), corticotropin releasing hormone (CRH), nerve grow
th factor (NGF), vasoactive intestinal peptide (VIP), pro-enkephalin (pro-e
nk), and beta-endorphin (beta-end)], as well as production of a number of i
nterleukins and growth factors and expression of receptors for all, by RE c
ells is an unique molecular biological phenomenon. The thymic RE cell netwo
rk is most probably comprised of cells organized into sub-networks - functi
onal units composed of RE cells with differing hormone production/hormone r
eceptor expression profiles, involved in the various stages of T lymphocyte
maturation. Furthermore, it is quite possible that even on the level of in
dividual RE cells, the numerous projections associated with a single cell,
which engulf developing lymphocytes, ma turing and guiding them in their ma
turation, may differ in their hormone production and/or hormone receptor ex
pression profile, thus allowing a single cell to be involved in distinct, s
eparate steps of the T cell maturation process.
Based on our systematic observations of the thymus in humans and other mamm
alian species, we suggest that the thymic RE cells represent an extremely i
mportant cellular and humoral network within the thymic microenvironment an
d are involved in the homeopathic regulation mechanisms of the multicellula
r organism, in addition to the presentation of various antigens to developi
ng lymphocytes, and providing growth regulatory signals which may range fro
m stimulatory to apoptotic signaling within the thymus. Intrathymic T lymph
ocyte selection is a complex, multistep process, influenced by sever al fun
ctionally specialized RE cells and under immuno-neuroendocrine regulation r
eflecting the dynamic changes of the organism.