title: Skin granuloma formation in mice immunosuppressed by cyclosporine.
abstract: Granulomatous tissue reactions appear in athymic mouse skin, indicating that initiation of granuloma formation may be T-cell independent. To further evaluate the relationships between granuloma formation and T-cell function, we treated euthymic BALB/c mice with cyclosporine (Cs), a potent immunosuppressive drug, injected intramuscularly (150 mg/kg/day) 5 times a week. Hepatic granulomas were isolated from mice with schistosomiasis and transplanted into the skin of mice treated with Cs for 2 weeks. Cyclosporine injection was continued for 3 additional weeks. Blood levels of the drug increased during treatment (489 ng/ml at 2 weeks and 822 ng/ml at 5 weeks). Morphologically identical granulomas developed in both treated and untreated mice. Examination for T-cell functions showed that by the end of 2 weeks treatment, concanavalin A, phytohemagglutinin responses, and IL-2 activity were markedly depressed, and IL-2 receptor expression was not detected in either lymph nodes or spleen of the Cs-treated mice; however, after hepatic granuloma graft, T-cell functions in regional lymph nodes, but not in spleen, as well as peripheral blood eosinophilia were stimulated in Cs-treated mice. These data strongly suggest that intact T-cell activity is not essential for the initiation of granuloma formation. In addition, granuloma grafts appear to stimulate Cs-resistant T-cell activation locally, which amplifies and organizes the granulomatous response.
authors.affiliation: Department of Dermatology, University of California, San Francisco 94143-0536.
authors.forename: H
authors.initials: H
authors.lastname: Suya
authors.forename: A
authors.initials: A
authors.lastname: Fujioka
authors.forename: C
authors.initials: C
authors.lastname: Pincelli
authors.forename: K
authors.initials: K
authors.lastname: Fukuyama
authors.forename: W L
authors.initials: WL
authors.lastname: Epstein
mesh_terms: D000818:Animals; D003524:Cyclosporins / Q000494:pharmacology*; D006099:Granuloma / Q000209:etiology*; D008214:Lymphocytes / Q000187:drug effects / Q000502:physiology; D051379:Mice; D008807:Mice, Inbred BALB C; D008819:Mice, Nude; D012871:Skin Diseases / Q000209:etiology*
chemical_list: D003524:Cyclosporins