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Post-transplantation lymphoproliferative disorder is a potentially mortal complication after heart transplantation in children. As the immune system plays a crucial role in the development of lymphoma, we explored the influence of thymus function in relation to immunosuppressive treatment in organ-transplanted children and healthy control subjects. A prospective case–control study was performed at a single centre, in which 36 children who had undergone heart transplantation were compared to two control groups: 34 kidney-transplanted children and 33 healthy age- and sex-matched children. T- and B-lymphocyte subtypes and monocytes were analysed by flow cytometry, and T-cell receptor excision circles were assessed using quantitative polymerase chain reaction. Heart-transplanted children had a lymphocyte profile characterised by reduced or absent thymic function with low numbers of T-cell receptor excision circles and total and naïve T cells, together with immune activation against the allograft. Despite similar immunosuppressive treatment, the kidney-transplanted group showed an activated T-lymphocyte compartment.
Early malnutrition, the first environmental cause of intra-uterine growth restriction, impairs development of the thymus. Alterations of the thymic structure and function are reported at young ages in murine and ovine models. However, descriptions of thymic consequences of fetal malnutrition at adulthood are scarce. The present study investigates thymic structure, protein expression and cell selection process observed at postnatal day 180 (PND180) in male offspring of rats exposed to maternal low-protein diet (mLPD) compared with control diet during gestation. The thymic index was lower in adult offspring exposed to mLPD (P < 0·05). The thymic cortico-medullar ratio was lower in adult offspring exposed to mLPD (P < 0·05). At PND180, the protein expression of the lymphotoxin β receptor (P < 0·05), the autoimmune regulator (P < 0·05) and Forkhead Box P3 (FoxP3; P < 0·05) was all significantly lower in the mLPD group. The CD4+:CD8+ single-positive thymocyte subpopulation ratio and CD4+:CD8+ lymphocyte subpopulation ratio were increased in the mLPD group (P < 0·05). Among CD3+ lymphocytes, the proportions of CD4+CD8+ double-positive lymphocytes, CD31+ recent thymic emigrants and CD4+FoxP3+ lymphocytes were not significantly different between mLPD and control groups. These findings suggest mLPD during gestation induced long-lasting alterations in the development of thymic structure and thymic cell maturation and selection process in adult male rat offspring.
The thymus undergoes a critical period of growth and development early in gestation and, by mid-gestation, immature thymocytes are subject to positive and negative selection. Exposure to undernutrition during these periods may permanently affect phenotype. We measured thymulin concentrations, as a proxy for thymic size and function, in children (n = 290; aged 9–13 years) born to participants in a cluster-randomized trial of maternal vitamin A or β-carotene supplementation in rural Nepal (1994–1997). The geometric mean (95% confidence interval) thymulin concentration was 1.37 ng/ml (1.27, 1.47). A multivariate model of early-life exposures revealed a positive association with gestational age at delivery (β = 0.02; P = 0.05) and higher concentrations among children born to β-carotene-supplemented mothers (β = 0.19; P < 0.05). At ∼9–12 years of age, thymulin was positively associated with all anthropometric measures, with height retained in our multivariate model (β = 0.02; P < 0.001). There was significant seasonal variation: concentrations tended to be lower pre-monsoon (β = −0.13; P = 0.15), during the monsoon (β = −0.22; P = 0.04), and pre-harvest (β = −0.34; P = 0.01), relative to the post-harvest season. All early-life associations, except supplementation, were mediated in part by nutritional status at follow-up. Our findings underscore the known sensitivity of the thymus to nutrition, including potentially lasting effects of early nutritional exposures. The relevance of these findings to later disease risk remains to be explored, particularly given the role of thymulin in the neuroendocrine regulation of inflammation.
Thymus is a widely distributed genus in the Mediterranean region with several species endemic to the Iberian Peninsula. The genetic relationships among the 12 major Thymus taxa, T. albicans, T. caespititius, T. camphoratus, T. capitellatus, T. carnosus, T.lotocephalus, T. mastichina L. ssp. mastichina, T. pulegioides, T. villosus ssp. lusitanicus, T. villosus ssp. villosus, T. zygis ssp. sylvestris and T. zygis ssp. zygis, which occur in Portugal were assessed by AFLP (Amplified Fragment Length Polymorphisms) markers. A general agreement was found between the genetic relationships estimated by the AFLP markers and the accepted Thymus taxonomy based on morphological traits and essential oil content. The AFLP markers also supported suggestions for refinement of the taxonomy of this genus.
Vitamin C (VC) is an essential nutrient for humans and certain other animals. It has antioxidant properties and has been reported to ameliorate oxidative damage to lipids, DNA and proteins. However, the effects of VC on immune function are poorly understood, especially the influence of long-term high-dose VC intake on the number and function of immune cells. In the present study, to evaluate the immune effects of VC, VC-deficient senescence marker protein-30 knockout (SMP30KO) mice were fed a diet containing the recommended level of VC (20 mg/kg per d; 0·02 % VC) or a high level of VC (200 mg/kg per d; 0·2 % VC) for 1 year. The plasma VC concentration of the 0·02 % group was the same as that of age-matched C57BL/6 mice after 1 year of feeding; however, plasma VC concentration and thymus weight were significantly higher in the 0·2 % VC group than in the 0·02 % VC group. The total counts of leucocytes, lymphocytes, granulocytes and monocytes in the peripheral blood, as well as the number of splenocytes and thymocytes, were all significantly higher in the 0·2 % VC group than in the 0·02 % VC group. In addition, the number of naive T cells in peripheral blood lymphocytes, the number of memory T-cell populations in splenocytes, and the number of cluster of differentiation (CD)4+CD8+ or CD4+CD8− or CD4−CD8+ T cells in thymocytes were all markedly higher in the 0·2 % VC group than in the 0·02 % VC group after 1 year of dietary treatment. These results suggest that a long-term high-dose intake of VC is effective in the maintenance of immune cells, partly through the suppression of age-related thymic involution in VC-deficient SMP30KO mice.
Protein–energy malnutrition (PEM) causes a significant impairment of the immune system, the thymus being one of the most affected organs. It has been demonstrated that the administration of probiotic fermented milk (PFM) recovered the intestinal barrier, histological alterations and mucosal and systemic immune functions in a non-severe malnutrition model using BALB/c mice. The aim of the present study was to evaluate, in the same model of malnutrition, the effect of a PFM added to a re-nutrition diet on the recovery of the thymus, analysing histological and functional alterations caused by malnutrition. Mice were undernourished and divided into three groups according to the dietary supplement received during re-nutrition: milk, PFM or its bacterial-free supernatant (BFS). They were compared with well-nourished and malnourished mice. PFM was the most effective re-nutrition supplement to improve the histology of the thymus, decreasing cellular apoptosis in this organ and recovering the percentage of CD4+/CD8− single-positive thymocytes. Immature double-positive thymocytes were increased in the malnourished control (MC). The production of different cytokines in the thymus was increased in mice given PFM, compared with the mice that received other dietary supplements and MC. Mice given the BFS presented an improvement in the thymus similar to those that received milk. We demonstrated the importance of the whole PFM supplementation on the histological and functional recovery of the thymus in a non-severe PEM model.
Due to the potentially undesirable effects of antibiotics as growth promoters in poultry production, researchers are looking for viable alternative to limit or replace their use. One such class of comparable alternative is natural source of herbs and medicinal plants. In the last decade, these alternatives have been increasingly used in broiler, layer and Japanese quail diets. Reports have variously claimed that medicinal plants, used as either the whole plant, their leaves or flowers, can enhance poultry performance. From the available literature, it can be concluded that thyme (Thymus vulgaris) belongs to such class of medicinal plant and may be an effective alternative to antibiotics in poultry production. In this review, its effects on different parameters of production performance in poultry are briefly discussed.
The thymus gland, where T lymphocyte development occurs, is targeted in malnutrition secondary to protein energy deficiency. There is a severe thymic atrophy, resulting from massive thymocyte apoptosis (particularly affecting the immature CD4+CD8+ cell subset) and decrease in cell proliferation. The thymic microenvironment (the non-lymphoid compartment that drives intrathymic T-cell development) is also affected in malnutrition: morphological changes in thymic epithelial cells were found, together with a decrease of thymic hormone production, as well as an increase of intrathymic contents of extracellular proteins. Profound changes in the thymus can also be seen in deficiencies of vitamins and trace elements. Taking Zn deficiency as an example, there is a substantial thymic atrophy. Importantly, marginal Zn deficiency in AIDS subjects, children with diarrhoea and elderly persons, significantly impairs the host's immunity, resulting in an increased risk of opportunistic infections and mortality; effects that are reversed by Zn supplementation. Thymic changes also occur in acute infectious diseases, including a severe thymic atrophy, mainly due to the depletion of CD4+CD8+ thymocytes, decrease in thymocyte proliferation, in parallel to densification of the epithelial network and increase in the extracellular matrix contents, with consequent disturbances in thymocyte migration and export. In conclusion, the thymus is targeted in several conditions of malnutrition as well as in acute infections. These changes are related to the impaired peripheral immune response seen in malnourished and infected individuals. Thus, strategies inducing thymus replenishment should be considered as adjuvant therapeutics to improve immunity in malnutrition and/or acute infectious diseases.
To consolidate the key features of carcinoma showing thymus-like element, including its management.
Method:
We present our experience of the difficult diagnosis and management of this rare tumour. We also present the results of an extensive literature search, documenting those aspects of the clinical picture, natural history and management of carcinoma showing thymus-like element which are relevant to head and neck surgeons.
Result:
Intrathyroidal, epithelial carcinoma showing thymus-like element is a rare, malignant tumour of the thyroid gland, with histopathological features similar to squamous cell carcinoma but a more favourable prognosis. It is usually treated surgically using a combination of total thyroidectomy and selective neck dissection, with radiotherapy and chemotherapy in selected cases.
Conclusion:
Carcinoma showing thymus-like element of the thyroid gland is a rare condition. Head and neck surgeons with a thyroid interest should be aware of this tumour, because of its close histological resemblance to other, commoner malignancies of the thyroid gland.
The objective of the present study was to examine the effects of dietary Zn deficiency on the ex vivo cytokine production (IL-2, interferon-γ (IFN-γ), IL-6 and IL-10) of isolated thymocytes and splenocytes after mitogenic stimulation with concavalin A and to explore the role of corticosterone in this regulation. Weanling rats were assigned to one of four dietary treatments for 3 weeks: Zn-deficient ( < 1 mg Zn/kg diet, ad libitum), pair-fed (30 mg Zn/kg diet, limited to amount of feed as consumed by the Zn-deficient group), marginally Zn-deficient (10 mg Zn/kg diet, ad libitum) and control (30 mg Zn/kg diet, ad libitum). Thymocytes and splenocytes were isolated for cytokine stimulation and determination of T-cell phenotypes. Serum corticosterone concentrations were determined by ELISA. The Zn-deficient and pair-fed groups had 14-fold higher serum corticosterone concentrations compared with the marginally Zn-deficient and control groups (P < 0·0001). The proportions of thymocyte subsets were not altered in the Zn-deficient, pair-fed or marginally Zn-deficient groups; however, thymocyte IL-2 and IL-6 production in these groups was 33–54 % lower compared with the control group (P < 0·05). The Zn-deficient group had an 18–28 % lower proportion of new T-cells (TCRαβ+CD90+), but no difference in the proportion of new T-cells that were cytotoxic or helper. The Zn-deficient group had a 49–62 % lower production of Th1 cytokines (IL-2), but no difference in the production of Th2 cytokines (IL-6, IL-10) by stimulated splenocytes compared with the pair-fed, marginally Zn-deficient and control groups (P < 0·01). These results indicate that Zn status is associated with altered cytokine production, while in vivo corticosterone concentrations are not associated with ex vivo cytokine production.
To present a case of benign mediastinal thymic cyst, and to review the published information on these cysts, including their incidence, presentation, diagnosis and management.
Methods:
We report the case of a 55-year-old man who presented with a unilateral vocal fold palsy subsequently found to be due to the presence of a benign mediastinal thymic cyst. A literature search was undertaken to identify the incidence, key features and management of this rare condition.
Results:
Benign mediastinal thymic cysts are a rare cause of mediastinal masses. Usually diagnosed incidentally, their management is usually surgical. Vocal fold palsy in isolation has not previously been reported in association with mediastinal thymic cysts.
Conclusion:
This report describes what we believe to be the first published case of a completely reversible vocal fold palsy presenting in association with a rare benign mediastinal thymic cyst.
In rural Gambia the risk of mainly infection-related mortality is 10-fold higher for adults born in the nutritionally-debilitating ‘hungry’ season, suggesting that immune function may be compromised by events early in life. The current programme of research focuses on the biological mechanisms underlying this hypothesis, exploring early-life environmental influences on immune development and the long-term functional consequences these influences may have. Results obtained to date show that thymus development during infancy is critically sensitive to environmental exposures, with smaller thymuses observed in the hungry season. Measurement of the frequency of T-cell receptor excision circles indicate that thymus function is also sensitive to seasonal influences, with further studies implicating variations in breast-milk IL-7 as a possible mediator of these effects. Studies in adults have shown that size at birth is positively correlated with antibody responses to vaccination with polysaccharide antigens, thus providing evidence for long-term functional deficits. The present paper will review progress made to date within this field of research.
T-cell activation is of central importance to the generation of an immune response and is also required as part of the host's ability to recognise self proteins. T cells are activated to differing extents by different ligands. Agonist ligands cause the full range of T-cell activation phenotypes – from activation of signalling cascades, to cytokine secretion or target cell killing, to T-cell proliferation. Partial agonists, which can differ from the agonist by as little as a single amino acid residue, can induce some of these responses but not all. Antagonist ligands can disable the signalling of an agonist ligand. These different types of interaction between ligand and T-cell receptor (TCR) also determine the developmental fate of maturing T cells. Much recent work has focused on how the T cell distinguishes between ligands. At least part of the answer lies in the kinetics of its binding to ligand.
Cluster of differentiation molecule (CD)3 and CD28 receptors play crucial roles in T-lymphocyte proliferation. Fe deficiency in man and animals impairs T-lymphocyte proliferation by unknown mechanisms. To test the hypothesis that reduced CD3 and CD28 expression is one of them, thymocytes and splenocytes from control (C; n 24), Fe-deficient (ID; n 24), pair-fed (PF; n 24), and ID mice that were Fe-repleted for 3 (R3; n 24) or 14d (R14; n 12) were labelled with anti-CD3-fluorescein isothiocyanate and anti-CD28-phycoerythrin antibodies. Positive cells were analysed by flow cytometry. Significant differences were observed among groups in the mean levels of haemoglobin and liver Fe stores (C=PF=R14>R3>ID; P<0·005). While Fe deficiency slightly increased the percentage of CD3+ splenocytes, it reduced that of CD28+ thymocytes in mice with thymus atrophy and splenomegaly (P<0·05). These changes were corrected by Fe repletion. CD28 mean fluorescence intensity (FI) was lower and CD3 FI was higher in lymphocytes from R3 and ID, especially those with splenomegaly, than in those from R14 and PF mice (P<0·05). In vitro Fe chelation by deferoxamine (60min) significantly decreased CD28 expression (P<0·05), and slightly increased that of CD3 (P>0·05). Spleen cell proliferative responses to concanavalin A and anti-CD3±anti-CD28 were reduced by Fe deficiency (ID≤R3<C=PF<R14; P<0·05); and they correlated with FI and percentages of CD3+ and CD28+ cells (r≤0·69; P<0·05). Indicators of Fe status negatively correlated with CD3 FI (r−0·23), but positively correlated with CD28 FI (r≤0·44; P<0·05). Data suggest that altered CD28 expression may contribute to reduced T-cell proliferation during Fe deficiency.
An unusual lymph node exists in the centre of the human thymus. This lymph node, which we call an intrathymic lymph node (ITLN), possesses some interesting morphological characteristics. In ontogeny, this node seems to appear at the latter half of fetal period. The function of the ITLN is still unknown, but it is assumed that it may play a different role in the immune system than other peripheral lymph nodes by its characteristics.
The anatomy and histology of the thymus in monotremes and marsupials were revisited and several new observations made. Tissues of the mediastinum and/or ventral neck of 134 animals altogether (12 Australian marsupial and monotreme species) were examined and the locations of thymic tissues documented. Descriptions not previously recorded include the gross anatomy of the thymus in monotremes, the bandicoot (Isoodon macrourus, Isoodon obesulus), the wombat (Lasiorhinus latifrons), and koala (Phascolarctos cinereus), as well as light and electron microscopic features in all species examined. In monotremes, thymic tissue was diffusely spread in the mediastinum and extended over the ventral surface of the pericardium. In the bandicoot, a small, deep cervical thymus was persistently present as well as the expected thoracic thymus and contrary to previous observations, a thoracic thymus was found in the wombat but not the koala. Both species also have a cervical thymus. In the marsupial species examined, additional thymic tissue was often present in the vicinity of the carotid bifurcations, in the deep ventral regions of the neck. In many animals, thymic tissue of deep cervical origin as well as thoracic thymus was mingled with parathyroid tissue. In several specimens, the two tissue types lacked intervening connective tissue barriers and at the electron microscopic level, attenuated processes of epithelial reticular cells were the only tissue components separating parathyroid and thymic tissues. The role of the cervical thymus in diprotodont marsupials remains to be elucidated. The presence of aberrant thymic tissue in marsupials is important in the interpretation of experiments involving thymectomy and immunological development because complete removal of thymic tissue may not occur. One aspect that has received little attention is the function of the thymic epithelial reticular cells in marsupial development and a suggestion is made that perhaps the extra thymic tissue found in marsupials provides extra epithelial reticular cells necessary for the production of cytokines and other secretions to sustain the development of immunological competence.
The gross and histological appearance and the distribution of T and B lymphocytes and plasma cells are
described for lymphoid tissues obtained from 15 platypuses. The spleen was bilobed and surrounded by a
thick capsule of collagen, elastic fibres and little smooth muscle. White pulp was prominent and included
germinal centres and periarterial lymphoid sheaths. Red pulp contained haematopoietic tissue. A thin
lobulated thymus was located within the mediastinum overlying the heart. The cortex of lobules consisted of
dense aggregates of small and medium lymphocytes, scattered macrophages and few reticular epithelial cells.
In the medulla, Hassall's corpuscles were numerous, lymphocytes were small and less abundant, and
reticular cells were more abundant than in the cortex. Lymphoid nodules scattered throughout loose
connective tissue in cervical, pharyngeal, thoracic, mesenteric and pelvic sites measured 790±370 μm
(mean±S.D., n = 39) in diameter, the larger of which could be observed macroscopically. These consisted of
single primary or secondary follicles supported by a framework of reticular fibres. Macrophages were
common in the germinal centres. The platypus had a full range of gut-associated lymphoid tissue. No tonsils
were observed macroscopically but histologically they consisted of submucosal follicles and intraepithelial
lymphocytes. Peyer's patches were not observed macroscopically but histologically they consisted of several
prominent submucosal secondary follicles in the antimesenteric wall of the intestine. Caecal lymphoid tissue
consisted of numerous secondary follicles in the submucosa and densely packed lymphocytes in the lamina
propria. Bronchus-associated lymphoid tissue was not observed macroscopically but was identified in 7 of 11
platypus lungs assessed histologically. Lymphoid cells were present as primary follicles associated with
bronchi, as aggregates adjacent to blood vessels and as intraepithelial lymphocytes. The distribution of T
lymphocytes, identified with antihuman CD3 and CD5, and B lymphocytes and plasma cells, identified with
antihuman CD79a and CD79b and antiplatypus immunoglobulin, within lymphoid tissues in the platypus
was similar to that described in therian mammals except for an apparent relative paucity of B lymphocytes.
This study establishes that the platypus has a well-developed lymphoid system which is comparable in
histological structure to that in therian mammals. It also confirms the distinctiveness of its peripheral
lymphoid tissue, namely lymphoid nodules. Platypus lymphoid tissue has all the essential cell types, namely
T and B lymphocytes and plasma cells, to mount an effective immune response against foreign antigens.
The anatomy of the lymphoid organs was studied during the course of detailed dissections of 50 beach-stranded bottlenose dolphins, Tursiops truncatus. Constant lymph nodes occur in 4 groups, based on their
location and structure. These groups are somatic, including nodes of the cervical region and pelvic recess;
lung-associated, included marginal, diaphragmatic and hilar nodes; visceral, including the mesenteric,
pancreatic, pericolic and porta hepatis nodes; and aortic arch nodes. Lymphatic drainage of the lung is
primarily to the marginal and diaphragmatic nodes. The mesenteric node mass is well-endowed with
capsular and trabecular smooth muscle, and a network of muscle fascicles within the organ implies an
important contractile function in the circulation of lymph. In addition to constant nodes, occasionally nodes
are found in relation to the thoracic aorta, the kidney, and under the scapula. Gut-associated structures
include dorsal and ventral oropharyngeal tonsils, mucosal aggregates in the straight segment of the intestine
(colon) and anal tonsils; this gut-associated lymphoid tissue tends to involute with age, being greatly
reduced by puberty. Formed lymphoid organs include the thymus and the spleen, the latter being relatively
small in relation to body size. None of these structures is unique among cetaceans, but the anal tonsils are
particularly well developed in T. truncatus. The lymphoid aggregates in the colon resemble the arrangement
in the vermiform appendix, which is lacking in most cetaceans, and may have functions analogous to that
organ.
Thymic epithelial cells are an important source of cytokines and other regulatory peptides which guide
thymocyte proliferation and maturation. Parathyroid hormone-related protein (PTHrP), a cytokine-like
peptide, has been reported to affect the proliferation of lymphocytes in vitro. The studies presented here
were undertaken to test the hypotheses that PTHrP is produced locally within the thymus where it could
influence thymocyte maturation and, more specifically, that thymic epithelial cells (TEC) could be the
intrathymic source of PTHrP expression. To this end, immunohistochemical studies were performed to
localise PTHrP and the PTH/PTHrP receptor within the adult rat thymus. Antibodies directed against 2
different PTHrP epitopes, PTHrP(1–34) and PTHrP(34–53), demonstrated prominent specific PTHrP
immunoreactivity in both subcapsular and medullary TEC. In addition, faint but specific staining for PTHrP
was seen in the cortex, interdigitating between cortical lymphocytes while sparing epithelial-free subcapsular
areas, thus suggesting that cortical TEC could also be a source of PTHrP immunoreactivity. In contrast,
PTH/PTHrP receptor immunoreactivity was only seen in medullary and occasional septal TEC; no evidence
of cortical or lymphocytic PTH/PTHrP receptor immunoreactivity was detected. Immunohistochemical
studies of cultured cytokeratin-positive rat TEC confirmed the results of these in situ studies as cultured
TEC were immunoreactive both for PTHrP and the PTH/PTHrP receptor. Thus these results demonstrate
that PTHrP is produced by the epithelial cells of the mature rat thymus. This suggests that PTHrP, a
peptide with known cytokine, growth factor and neuroendocrine actions, could exert important intrathymic
effects mediated by direct interactions with TEC, or indirect effects on PTH/PTHrP receptor-negative
thymocytes.