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* Second Department of Internal Medicine, National Defense Medical College, Saitama, Japan;
Department of Internal Medicine, School of Medicine, Keio University, Tokyo, Japan;
Department of Internal Medicine, National Saitama Hospital, Saitama, Japan; and
Department of Molecular and Cellular Physiology, Louisiana State University Health Sciences Center, Shreveport
Correspondence: Soichiro Miura, M.D., Professor, Second Department of Internal Medicine, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama 359-8513, Japan. E-mail: miura{at}me.ndmc.ac.jp
The objective of this study was to determine whether specific adhesion molecules modulate lymphocyte movement from Peyers patches into intestinal microlymphatics. The fluorochrome acridine orange was injected via a micropipette into Peyers patches to fill lymphatics. The flux of labeled lymphocytes into intestinal microlymphatics was monitored with intravital fluorescence microscopy. The lymphatic microvessels in the perifollicular area of Peyers patches were filled with lymphocytes, most of which remained within the lymphatics. Some lymphocytes became detached and were drained into intestinal lymph. Administration of antibodies directed against ICAM-1 significantly increased lymphocyte flux into interfollicular lymphatics. The immunohistochemical study showed intense ICAM-1 expression on the lymphocytes densely packed in the lymphatics surrounding follicles in Peyers patches. A large number of lymphocytes are normally sequestered in the lymphatic network of Peyers patches. This sequestration of lymphocytes is largely mediated by ICAM-1-dependent cell-cell interactions.
Key Words: CD18 acridine orange collecting lymphatics mesenteric lymphadenectomy
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