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*
Department of Veterinary Pathobiology, Purdue University, West Lafayette, IN 47907; and
The Jackson Laboratory, Bar Harbor, ME 04609
| Abstract |
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| Introduction |
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Chronic proliferative dermatitis (gene symbol:
cpdm) was discovered as a spontaneous
mutation in a closed colony of C57BL/KaLawRij mice (1). Mutant mice
develop a chronic persistent dermatitis characterized clinically by
pruritus and scaling and light microscopically by epidermal hyperplasia
and infiltration of the skin by eosinophils and macrophages
(M
)2 (1, 2). Similar lesions are present in the
esophagus and forestomach. In addition, inflammation is present in the
lung, the liver, and, in some mice, the perisynovial tissues of the
knee and intervertebral joints (1). Affected skin from mutant mice
transplanted onto normal littermates or nude mice remained abnormal,
and skin transplanted from normal mice onto cpdm/cpdm mice
remained free of lesions (3). This observation suggested that local
factors play a critical role in the pathogenesis of the skin lesions.
Although the presence of eosinophils in the inflammatory lesions is
suggestive of an allergic reaction, the serum IgE concentration in
three cpdm/cpdm mice was not increased and, in fact, was
markedly lower than in normal littermates (4). The serum concentration
of other Ig isotypes was not determined, and other immune functions
were not evaluated.
We report here that, in addition to IgE, serum concentrations of IgG and IgA are also reduced in cpdm/cpdm mice compared with normal littermates. A further detailed investigation of the immune system of cpdm/cpdm mice revealed significant abnormalities in the humoral immune response and in the architecture of lymphoid tissues. Several spontaneous and induced mutations in mice with various defects in the humoral immune response and in the architecture of the lymphoid tissues have recently been reported (see Discussion). However, the particular combination of immune defects and inflammatory lesions in cpdm/cpdm mice appears to be unique, suggesting that this mutation affects a not yet identified pleiotropic gene that plays a role in both lymphoid and nonlymphoid tissues.
| Materials and Methods |
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Colonies of cpdm/cpdm mice on a C57BL/KaLawRij background were maintained at The Jackson Laboratory and at Purdue University under conventional conditions. As reported previously (4), female cpdm/cpdm mice are infertile. Breeding was done by mating heterozygotes or by mating cpdm/cpdm males with heterozygote females (4). Normal littermate controls were either +/+ or +/cpdm. Because these control animals were phenotypically indistinguishable, they were designated +/?. Mutant cpdm/cpdm mice and +/? littermates of both sexes were used at 612 wk of age. No differences were observed between male and female mice.
Histopathology and immunohistochemistry
Necropsy was performed on all animals, and tissues were fixed in 10% neutral buffered formalin and paraffin embedded. The entire small intestine was fixed and embedded as a "Swiss roll" (5) to permit a complete microscopic examination. Paraffin sections (5 µm) were stained with hematoxylin and eosin (H&E).
Spleen fragments were embedded in optimal cutting temperature
compound (Tissue-Tek, Miles, Elkhart, IN) and snap-frozen in liquid
nitrogen. Sections (67 µm) were cut, collected on glass slides
(Superfrost Plus, Fisher Scientific, Pittsburgh, PA), and air-dried for
1 h. Next, the sections were fixed for 10 min in cold acetone and
stored at -20°C for
4 wk. Staining was performed at room
temperature. The slides were incubated for 15 min in PBS/1% BSA,
incubated with mAbs against Thy-1 (30H-12, American Type Culture
Collection (ATCC), Manassas, VA), B220 (RA3-6B2, ATCC), follicular
dendritic cells (FDCs) (FDC-M2 (6), kindly provided by Dr.
Kosco-Vilbois, Serono Pharmaceutical Research Institute,
Plan-les-Ouates, Switzerland), marginal zone M
(ER-TR9, Bachem
Biosciences, King of Prussia, PA), and marginal metallophilic M
(MOMA-1, Serotec, Oxford, U.K.) for 2 h, washed three times in
PBS, and incubated with FITC-labeled donkey anti-rat IgG (Jackson
ImmunoResearch Laboratories, West Grove, PA). Other slides were
incubated with FITC-labeled peanut agglutinin (PNA) (Sigma, St.
Louis, MO). Slides were washed, coverslipped with Citifluor
(Polysciences, Warrington, PA), and examined with a Nikon E400
microscope (Nikon, Tokyo, Japan) equipped with
epifluorescence.
Paraffin sections of the intestine were stained for IgA-containing plasma cells as described previously (7). Briefly, paraffin sections were dewaxed, rehydrated, and treated with 1% H2O2 in methanol to block endogenous peroxidase. The sections were incubated with goat-anti-mouse IgA (Southern Biotechnology, Birmingham, AL), followed by donkey anti-goat IgG (Sigma) and goat peroxidase anti-peroxidase complex (Sigma). Peroxidase activity was visualized with the substrate 3,3-diaminobenzidine, and the sections were counterstained with 1% methylgreen.
Flow cytometry
Spleen cells were isolated by mechanical disruption followed by
lysis of RBCs with Tris-buffered ammonium chloride. Cells
(106) were washed in staining buffer (PBS with 1% BSA and
0.01% sodium azide) and stained with FITC-labeled anti-CD3,
FITC-labeled anti-CD4, phycoerythrin-labeled anti-CD8,
biotinylated anti-TCR
ß and anti-TCR
,
phycoerythrin-labeled anti-B220 (all from PharMingen, San Diego,
CA), or FITC-labeled goat anti-mouse IgM (Kirkegaard and Perry,
Gaithersburg, MD). Streptavidin-FITC or streptavidin Red670 (Life
Technologies, Gaithersburg, MD) were used as secondary reagents. Cells
were washed in staining buffer and resuspended after the final wash in
2% paraformaldehyde in PBS. Two-color flow cytometry was performed
using a Coulter XL instrument (Coulter, Hialeah, FL); 20,000
cells of each sample were analyzed.
Quantification of serum and fecal Ig concentration
Serum was collected from nonimmunized cpdm/cpdm mice and +/? littermates, and the concentration of total IgM, IgG, IgA, and IgE was determined by ELISA. ELISA plates (Costar, Cambridge, MA) were coated with 2 µg/ml goat anti-mouse IgM, IgG, or IgA or with rat anti-mouse IgE (Southern Biotechnology) overnight at 4°C. Plates were blocked for 15 min at room temperature with PBS supplemented with 1% BSA and incubated for 1 h with serial dilutions of serum or standards (Southern Biotechnology) in PBS/1% BSA at 37°C. After four washes with PBS/0.05% Tween, plates were incubated with alkaline phosphatase-labeled anti-mouse IgM, IgG, IgA, or IgE (Southern Biotechnology) for 1 h at 37°C. The substrate nitrophenyl phosphate was used, and the OD was determined at 405 nm in a microplate reader (Molecular Devices, Menlo Park, CA).
Fecal pellets were collected at necropsy, mixed with cold PBS (15 µl/mg feces), and centrifuged. Supernatant was diluted 1/10 and 1/100 in PBS/1% BSA and used to measure IgM, IgG, and IgA by ELISA as described above.
Immune response to DNP
Mice were immunized i.p. with 100 µg of DNP-keyhole limpet hemocyanin (KLH) (Calbiochem, San Diego, CA) mixed with aluminum hydroxide according to the manufacturers instructions (Pierce). After 3 wk, the mice received an i.p. injection of 100 µl of DNP-KLH in PBS. Serum was collected at 1 wk after the booster and analyzed for DNP-specific Abs by ELISA. Microtiter plates (Costar) were coated overnight with 10 µg/ml of DNP-BSA (Calbiochem) at 4°C. The plates were blocked with PBS/1% BSA for 15 min at room temperature and incubated with 10-fold dilutions of serum in PBS/1% BSA for 1 h at 37°C. After four washes with PBS/0.05% Tween, alkaline phosphatase-labeled goat anti-mouse IgM, IgG1, IgG2a, IgG2b, or IgG3 (Southern Biotechnology) was added to the wells; plates were incubated for 1 h at 37°C. Nitrophenyl phosphate was used as substrate, and the OD was determined at 405 nm in a microplate reader (Molecular Devices). The DNP-specific titer was calculated as the inverse of the serum dilution that gave an OD equal to the mean plus 2 SD of preimmunization sera.
Contact hypersensitivity (CHS) response
The abdominal skin of anesthetized mice was shaved and depilated. A 20-µl solution of 0.5% 2,4-dinitrofluorobenzene (DNFB) (Sigma) in acetone/olive oil (4:1) was applied to the skin. After 5 days, the ear thickness of the mice was measured with a spring-loaded micrometer (Mitutoyo, Tokyo, Japan) and 10 µl of 0.2% DNFB in acetone/olive oil was applied to the dorsal surface of the ear. Ear thickness was measured after 2, 24, and 48 h. An increase in ear thickness is reported following subtraction of the thickness of the ear before challenge.
Intradermal (i.d.) injection of TNF
The dorsal side of the left ear of the mice was injected with 20 µl of recombinant mouse TNF (Peprotech, Rocky Hill, NJ) diluted in to 5 µg/ml in PBS/0.1% BSA. The right ear was injected with the 20 µl of PBS/0.1% BSA. This process was repeated the following day, and ear thickness was measured after 24 h. An increase in the thickness of the left ear is reported following subtraction of the thickness of the right ear. The ears were subsequently fixed in formalin and embedded in paraffin; sections were stained with H&E.
| Results |
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Sera from cpdm/cpdm mice and +/? littermates were
assayed for total IgM, IgG, IgA, and IgE. The concentration of IgM was
not significantly different between the two groups of mice, but the
concentrations of IgG, IgA, and IgE were significantly lower in the
cpdm/cpdm mice (Fig. 1
). The concentration of
IgA in fecal samples was greatly reduced in cpdm/cpdm mice
compared with +/? mice (Fig. 2
). In contrast, there was
a significant increase of IgM in the feces of cpdm/cpdm
mice. The concentration of IgG in the fecal samples of normal mice
varied widely. Although the average concentration of IgG in normal mice
was fivefold higher than in the cpdm/cpdm mice, this
difference was not statistically significant (p
= 0.12). Immunohistochemical staining of the intestines of
cpdm/cpdm mice revealed an absence of IgA-containing plasma
cells. In contrast, numerous IgA plasma cells were present in the
intestines of +/? mice (data not shown).
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To evaluate the Ag-specific immune response, mice were immunized
i.p. with DNP-KLH absorbed on alum and 3 wk later with DNP-KLH in PBS.
Serum samples were collected at 1 wk after the second immunization and
analyzed for DNP-specific Abs. The DNP-specific serum Ab titers were
lower in cpdm/cpdm mice for all isotypes (Fig. 3
). There was a modest reduction of DNP-specific IgM
(2-fold) and IgG3 (4-fold) and a greater reduction of DNP-specific IgG1
(12-fold), IgG2a (37-fold), and IgG2b (7-fold).
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The percentage of B and T lymphocytes was slightly or moderately
reduced in the spleens of cpdm/cpdm mice, reflecting the
increased proportion of myeloid cells (Fig. 4
). In
absolute numbers, there were no statistically significant differences
in the number of lymphocytes in the spleen. The number of
CD3+ cells was 9.2 ± 1.1 x 106
(mean ± SEM) in +/? mice and 11.1 ± 3.5 x
106 in cpdm/cpdm mice. The number of
B220+ cells was 33.3 ± 8.1 x 106 in
+/? mice and 52.4 ± 8.0 x 106 cells in
cpdm/cpdm mice. The percentage of CD4+ T
cells was significantly reduced (16.8 ± 0.6 in +/? mice vs
8.5 ± 0.8 in cpdm/cpdm mice; p <
0.01), but there was no significant change in the absolute number of
CD4+ T cells (9.2 ± 0.5 x 106 vs
8.2 ± 1.7 x 106). There was no significant
difference in either the percentage (9.6 ± 0.7% vs 5.9 ±
1.6%) or absolute number (5.3 ± 0.7 x 106 vs
6.1 ± 2.3 x 106) of CD8+ T cells.
|
The spleens of cpdm/cpdm mice were enlarged three- to
fivefold as a result of abundant extramedullary hemopoiesis (largely
myelopoiesis). Upon microscopic examination, the white pulp was poorly
defined, and there was a lack of well-formed follicles and germinal
centers (GCs) (Fig. 5
). The peripheral lymph nodes (LNs)
that drain the skin were swollen and easily detected in
cpdm/cpdm mice. They had a thin cortex without clearly
defined follicles. The medulla often contained large numbers of
eosinophils. The mesenteric LNs were small but consistently present in
cpdm/cpdm mice (Fig. 5
). The medulla and occasionally the
entire LN were replaced by fibrous connective tissue. Whereas normal
+/? mice had five to seven easily detectable Peyers patches (PPs),
these were not found upon careful examination of cpdm/cpdm
mice. Serial sections of Swiss rolls of the small intestine did not
reveal any histologic evidence of rudimentary PPs (Fig. 5
).
Cross-sections through the noses of +/? mice revealed bilateral
lymphoid follicles (nasal-associated lymphoid tissue (NALT)) associated
with the ventral meatus of the nasal cavity (Fig. 5
). In contrast to
the complete absence of PPs from the intestine, variably sized
collections of lymphocytes, without follicular structure, were present
in the noses of mutant mice at the same sites as the follicles in the
+/? mice (Fig. 5
).
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Immunohistochemical staining of the spleens of normal littermates
with B220- and Thy-1-specific mAbs revealed a normal distribution of B
cells in the follicles and marginal zone as well as T cells in the
periarteriolar lymphocyte sheath (Fig. 6
). Staining with
PNA identified GCs, and FDCs were visualized with the mAb FDC-M2 (Fig. 6
). Furthermore, staining with the mAbs MOMA-1 and ER-TR9 identified
M
populations in the inner and outer zone of the marginal zone,
respectively (Fig. 6
).
|
CHS response
To assess the cell-mediated immune response in the mutant mice,
the CHS response to DNFB was determined. After elicitation of CHS in
sensitized mice, the ear swelling response is biphasic (8). The early
response at 2 h after elicitation is mediated by a subpopulation
of cells that is different from that seen for the later response at 24
and 48 h (8). There was no difference between the
cpdm/cpdm mice and +/? littermates at 2, 24, and 48 h
after the challenge of sensitized mice with DNFB (Fig. 7
).
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An i.d. injection of TNF induces inflammation through signaling
via TNF receptor 1 (TNFR1) (9). To determine whether TNFR1 is
functional in cpdm/cpdm mice, 100 ng of TNF was injected
into the ears of cpdm/cpdm and +/? mice. There was no
significant difference in the magnitude of ear swelling at 24 h
after two injections of TNF. The increase in ear thickness was
17.8 ± 2.1 x 10-2 mm (mean ± SEM) for
the mutant mice and 21 ± 0.9 x 10-2 mm for the
+/? mice. Light microscopic examination revealed marked edema and
infiltration by neutrophils and fewer lymphocytes and M
in the left
ears of cpdm/cpdm and +/? mice. However, there was marked
apoptosis of keratinocytes in cpdm/cpdm mice, but not in the
epidermis of +/? mice.
| Discussion |
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PPs were completely absent from cpdm/cpdm mice, whereas
peripheral LNs, mesenteric LNs, and NALTs were present. This suggests
that the organogenesis of PPs is entirely independent of the
development of other mucosal and systemic lymphoid organs. Recent
studies have revealed a role for both lymphotoxin (LT) and TNF in the
development of secondary lymphoid organs in the mouse. LT
- and
LTß-deficient mice completely lack PPs. LNs are undetectable in
LT
-deficient mice, except for mesenteric LNs in a few animals (10, 11). In contrast, LTß-deficient mice have mesenteric and cervical
LNs, but other LNs are absent (12, 13). The LT
1ß2 heterotrimer
binds to the LTß receptor (LTßR). LTßR-deficient mice lack PPs
and all LNs (14). Interestingly, mice that are heterozygous for both
lt
and ltß have normal LN development, but
completely lack PPs (15). However, these mice are different from
cpdm/cpdm mice, because the microarchitecture of the spleen
and LNs in
lt
+/-/ltß+/-
mice is relatively normal in contrast to the severe defects in the
cpdm/cpdm mice. TNF-
- and TNFR-1-deficient mice have a
reduced number of PPs, and the PPs that are present are small in size
(16, 17). LN organogenesis is normal in these mice. However, mice that
are deficient in both TNFR1 and LTß lack all LNs, including the
mesenteric and cervical LNs, suggesting redundancy in the signals for
LN development (15). Further evidence for a role of LT and TNF comes
from elegant experiments using in utero treatment of pregnant mice with
blocking receptor fusion proteins and receptor-agonist mAbs. Treating
LT
-deficient mice with an agonist anti-LTßR mAb induced all
LNs, indicating a crucial role of the LTßR in LN organogenesis (18).
However, mice treated in utero from gestational day 9 onward with an
LTß receptor (LTßR)-Ig fusion protein developed mesenteric,
cervical, sacral, and lumbar LNs, but not other LNs nor PPs (19).
Treating mice with a combination of LTßR-Ig fusion protein and
TNFR1-Ig fusion proteins completely inhibited LN development, again
indicating a role for both LT and TNF in LN organogenesis (18). Given
the importance of TNFR1 in the development of PPs and the similarities
in lymphoid organ development between TNFR1-deficient mice and
cpdm/cpdm mice, the function of TNFR1 in
cpdm/cpdm mice was determined by an i.d. injection of TNF.
The inflammation caused by TNF is dependent upon a functional TNFR1
(9). There was no difference in the degree of ear swelling between
cpdm/cpdm and +/? mice, indicating that TNFR1 is functional.
Previous studies showed that cpdm/cpdm mice express TNF (4),
suggesting that the defective lymphoid organ development cannot be
attributed to a defect in TNF or TNF signaling. An i.d. injection of
TNF caused apoptosis of keratinocytes in the epidermis of
cpdm/cpdm mice but not in the epidermis of +/? mice.
Apoptosis of keratinocytes is a feature of the dermatitis that is part
of the phenotype of cpdm/cpdm mice, but the ears normally do
not develop this dermatitis (1, 2). The TNF-induced apoptosis in the
ears suggests a general increased susceptibility of
cpdm/cpdm keratinocytes to apoptosis.
Mice deficient for the B cell-specific chemokine receptor BLR1 have a reduced number or a complete absence of PPs. LNs develop normally in these mice, with the exception of the inguinal LNs (20). Mice deficient for ß7 integrin also have rudimentary PPs (21), reflecting the important role of ß7 integrins in the homing of lymphocytes in gut-associated lymphoid tissues. NALT consists of paired lymphoid tissue in the ventral meatus of the nasal cavity of rodents (22). It is considered part of the mucosa-associated lymphoid tissues, and the primary inductive site for immune responses in the upper respiratory tract. As such, NALT is often considered to be the functional equivalent of PPs. Interestingly, NALT is present in cpdm/cpdm mice, suggesting that the organogenesis of PPs is controlled by mechanisms other than those that control the NALT. NALT has not been investigated in the aforementioned gene-deleted mouse mutants with defects in LN and PP development.
Another spontaneous mouse mutant, the alymphoplasia (aly/aly) mouse, with defective development of lymphoid tissues, has been described recently (23). The immunodeficiency in these mice is much more severe than that of cpdm/cpdm mice. The aly/aly mice completely lack LNs as well as PPs and have severe defects in both the humoral and cellular immune response (23).
Consistent with the importance of PPs in the production of IgA-secreting plasma cells, serum IgA was significantly reduced and fecal IgA was nearly undetectable in cpdm/cpdm mutant mice. The concentration of IgM in feces was increased in cpdm/cpdm mice. Both IgA and IgM are transported across epithelial cells via the polymeric Ig receptor to the mucosal surface (24). Deficient production of IgA in cpdm/cpdm mice may result in increased availability of the polymeric Ig receptor for IgM and increased transport of IgM into mucosal secretions.
A large number of induced mouse mutations with defective GC formation
have been described in recent years (6, 25). GCs are the main sites for
the somatic mutation and affinity maturation of B lymphocytes, for
isotype switching, and for the generation of memory B cells (25, 26).
Indeed, affinity maturation is impaired in CD19-deficient mice (27) and
bcl-6-deficient mice (28). However, similar to the cpdm/cpdm
mice, many null mutations produce some, albeit often diminished,
concentrations of Ig isotypes other than IgM, indicating that some
isotype switching occurred in the absence of GCs. Somatic mutation and
affinity maturation were observed following immunization in LT
- and
Lyn-deficient mice (29, 30). These studies indicate that GCs are not
absolutely necessary for these B cell functions and suggest that the
defective Ig switching in cpdm/cpdm mice is caused by
defects other than the absence of GCs.
Staining spleen sections with the FDC-specific mAb FDC-M2 indicated an
absence of FDCs in the spleen. FDCs are also absent in LT
- (11),
LTß- (12, 13), TNF- (31), and TNFR1- (32) deficient mice as well as
NF-
B2-deficient mice (33, 34). The origin of FDCs is controversial.
They may be derived from stromal cells or from the bone marrow.
Regardless of their origin, the precursors require signals from B and T
lymphocytes for differentiation into FDCs. The FDC-deficient mice are
instrumental in defining these signals. Recent studies suggest that
expression of LT
by B cells is a crucial signal for FDC
differentiation (35, 36). Another signal is provided by TNFR1
expression on nonhemopoietic (stromal) cells (6).
The marginal zone is the part of the spleen immediately adjacent to the
periarteriolar lymphocyte sheath and B cell follicles, in which many
branches of the arterial blood supply to the spleen open. The marginal
zone is strategically located for phagocytosis and the processing of
Ags in the blood (37). The marginal zone of the mouse is composed of an
inner layer of metallophilic M
, the marginal sinus, and an outer
reticular network with marginal zone M
and B cells (37). The
metallophilic M
react with the mAb MOMA-1, and the marginal zone
M
react with the mAb ER-TR9 (37, 38). Staining with both MOMA-1 and
ER-TR9 did not identify a marginal zone in cpdm/cpdm mice.
MOMA-1 is expressed in the spleens of TNFR1- and TNFR2-deficient mice
(39), but not in the spleens of LT
- and LTß-deficient mice (12, 13, 39) or in the spleens of mice treated with an LTßR-Ig fusion
protein that blocks the LTßR (40). The data are consistent with a
critical role of the LT
ß heterotrimer and the LTßR in the
development of the marginal zone.
The CHS response in cpdm/cpdm mice was similar to that of +/? littermates. This response depends upon the interaction of various cell types, and the normal CHS response in cpdm/cpdm mice indicates that the lymphoid tissue organization is adequate for this response to occur. The CHS response has a sensitization phase, in which DCs from the skin migrate to the LN and present the hapten, in this study DNFB, to CD4+ and CD8+ T cells. The elicitation phase is mediated by a poorly characterized, early acting cell type that causes mast cell and platelet degranulation and is responsible for the ear swelling at 2 h after application of DNFB to the ear (8, 41). This is followed by inflammation caused by the sensitized CD4+ and CD8+ T cells resulting in ear swelling at 24 and 48 h (42). Both the early and late elicitation phases were normal in the cpdm/cpdm mice. This finding suggests that the defective organization of lymphoid tissues in cpdm/cpdm mice primarily affects the humoral immune response and leaves the cell-mediated response intact.
In summary, these studies of the immune system in cpdm/cpdm mice have demonstrated a selective absence of PPs and abnormal lymphoid microarchitecture of the spleen and LNs. These abnormalities are associated with deficiencies in total and Ag-specific Ig concentrations. The cpdm/cpdm mouse mutant may be a useful model to study the development of lymphoid tissues and the signals that regulate the humoral immune response.
| Acknowledgments |
|---|
| Footnotes |
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2 Abbreviations used in this paper: M
, macrophage(s); DNFB, 2,4-dinitrofluorobenzene; KLH, keyhole limpet hemocyanin; LT, lymphotoxin; LTßR, LTß receptor; NALT, nasal-associated lymphoid tissues; TNFR1, TNF receptor 1; LN, lymph node; FDC, follicular dendritic cell; GC, germinal center; CHS, contact hypersensitivity; PP, Peyers patch; H&E, hematoxylin and eosin; i.d., intradermal; PNA, peanut agglutinin. ![]()
Received for publication September 21, 1998. Accepted for publication December 28, 1998.
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