Increased jejunal intraepithelial lymphocytes bearing γ/δ T-cell receptor in dermatitis herpetiformis

M Vecchi, L Crosti, E Berti, D Agape, A Cerri… - Gastroenterology, 1992 - Elsevier
M Vecchi, L Crosti, E Berti, D Agape, A Cerri, R De Franchis
Gastroenterology, 1992Elsevier
Abstract T-cell receptor 1 (γ/δ) expression was studied in 19 jejunal or duodenal specimens
from patients with dermatitis herpetiformis and in 16 jejunal or duodenal specimens showing
normal histology. In normal specimens, γ/δ+ cells represented 10.8% of intraepithelial CD3+
lymphocytes. Around 50% of these cells were recognized by the A13 monoclonal antibody,
which detects products of the Vγ1/Vδ1 gene rearrangement and the non-disulfide-linked
form of T-cell receptor 1. The remaining 50% reacted with the BB3 monoclonal antibody …
Abstract
T-cell receptor 1 (γ/δ) expression was studied in 19 jejunal or duodenal specimens from patients with dermatitis herpetiformis and in 16 jejunal or duodenal specimens showing normal histology. In normal specimens, γ/δ + cells represented 10.8% of intraepithelial CD3+ lymphocytes. Around 50% of these cells were recognized by the A13 monoclonal antibody, which detects products of the Vγ1/Vδ1 gene rearrangement and the non-disulfide-linked form of T-cell receptor 1. The remaining 50% reacted with the BB3 monoclonal antibody, which recognizes products of the Vγ9/Vδ2 rearrangement and the disulfide-linked form of receptor. Very few γ/δ + cells were observed in the lamina propria. In jejunal specimens from patients with dermatitis herpetiformis, a significant increase in the prevance of γ/δ + intraepithelial lymphocytes was observed (P < 0.001). This finding was largely accounted for by an increase in those cells recognized by the A13 monoclonal antibody, thus possibly expressing the Vγ1/Vδ1 rearrangement and the nondisulfide-linked form of receptor. These data suggest that similar pathogenetic mechanisms may be active in determining the jejunal damage in celiac disease and dermatitis herpetiformis.
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