When conducting histopathological evaluation of lymphoid tissues, it is necessary to know the variability and strain differences in histological features of different sites of lymphoid tissues. To investigate in detail the variability of lymphoid tissues and strain differences of control rats as well as those of immune reactivity and sensitivity to immunosuppression, we performed a histopathological analysis of various lymphoid tissues in conjunction with the evaluation of immune function in a T cell-dependent antibody response (TDAR) assay with cyclophosphamide (CP) in Sprague Dawley (SD) and F344 rats. Six-week-old male SD and F344 rats were orally treated with CP at 0 (control) or 4 mg/kg/day for 28 days; keyhole limpet hemocyanin (KLH) was introduced intravenously on Days 14 and 23, and the serum concentrations of anti-KLH antibodies were measured. HE staining and immunohistochemistry for T-cell (CD3) and B-cell (CD45RA) markers were performed using tissues from the spleen, thymus, and various lymph nodes. In CP-treated rats of both strains, decreased concentrations of anti-KLH antibodies were observed. Histopathological analysis revealed decreased lymphocytes mainly in the B-cell area, and these changes induced by CP treatment were more prominent in the F344 rats than in the SD rats. The present study also demonstrated that some of the lymphoid tissues of the control F344 rats were less developed than those of the control SD rats, suggesting that F344 rats might be easily affected by CP-induced immunosuppression. This information concerning rat strain differences in lymphoid tissues will be useful in histopathological evaluation for drug-induced immunotoxicity.
When conducting histopathological evaluation of lymphoid tissues, it is necessary to know the variability and strain differences in histological features of different sites of lymphoid tissues. To investigate in detail the variability of lymphoid tissues and strain differences of control rats as well as those of immune reactivity and sensitivity to immunosuppression, we performed a histopathological analysis of various lymphoid tissues in conjunction with the evaluation of immune function in a T cell-dependent antibody response (TDAR) assay with cyclophosphamide (CP) in Sprague Dawley (SD) and F344 rats. Six-week-old male SD and F344 rats were orally treated with CP at 0 (control) or 4 mg/kg/day for 28 days; keyhole limpet hemocyanin (KLH) was introduced intravenously on Days 14 and 23, and the serum concentrations of anti-KLH antibodies were measured. HE staining and immunohistochemistry for T-cell (CD3) and B-cell (CD45RA) markers were performed using tissues from the spleen, thymus, and various lymph nodes. In CP-treated rats of both strains, decreased concentrations of anti-KLH antibodies were observed. Histopathological analysis revealed decreased lymphocytes mainly in the B-cell area, and these changes induced by CP treatment were more prominent in the F344 rats than in the SD rats. The present study also demonstrated that some of the lymphoid tissues of the control F344 rats were less developed than those of the control SD rats, suggesting that F344 rats might be easily affected by CP-induced immunosuppression. This information concerning rat strain differences in lymphoid tissues will be useful in histopathological evaluation for drug-induced immunotoxicity.
Evaluation of potential adverse effects on the immune system is very important in drug
development. The International Council for Harmonisation of Technical Requirements for
Pharmaceuticals for Human Use (ICH) S8 guidelines[1] recommend a “weight of evidence” approach regarding the evaluation of
immunotoxicity, and immune function evaluations are recommended if a test article is
suspected to have immunotoxic potential based on standard toxicology parameters (e.g.,
immune organ weights, hematology, and histopathology). Histopathological examination in
nonclinical toxicity studies plays an important role, especially in the initial screening
for potential immunotoxicity. The guidelines also recommend that the spleen, thymus,
draining lymph node (LN) and at least one additional LN, and bone marrow should be evaluated
in histopathological examination in standard toxicity studies. For orally administered
drugs, Peyer’s patches that are exposed to a high concentration of a drug should also be
evaluated histopathologically. As for the detailed method of histopathological examination,
“semiquantitative” descriptions of changes in each compartment are recommended[1], [2]. Since the histological features of normal lymphoid tissues can be
highly variable by species, strain, age, sex, and their location, matched controls and
background information are important in toxicity studies[3], [4]. However,
there are only a few reports that have investigated the histological features of various
lymphoid tissues, and more information, including strain differences, is needed[5].The T cell-dependent antibody response (TDAR) assay is an immunotoxicity study for
evaluating immune function, and a TDAR assay is recommended when a test article is suspected
to have immunotoxic potential but a specific target has not been identified[1]. As a T cell-dependent antigen, keyhole limpet
hemocyanin (KLH) is now used more often than sheep red blood cells (SRBC) in the
pharmaceutical industry because KLH is easier to handle and obtain and is more stable than
SRBC[6], [7]. Measurement of the primary antibody response to
KLH in rats using an ELISA is a standardized method for evaluating the immunotoxicity of a
compound in the pharmaceutical industry[6].
The use of TDAR in various experimental animals (e.g., mice, rats, dogs, nonhuman primates)
has been reported[3], [7], [8], and the immune response to a T cell-dependent antigen differs among not
only species but also among strains[3],
[9], [10], [11]. In rats, outbred rats have more obvious individual
differences in antibody production than inbred ones[1], [9],
[12]. Though the difference in
reactivity to a T cell-dependent antigen seems to be related to genetic diversity, the
detailed mechanism is not clear. At present, a detailed histopathological analysis performed
in conjunction with the TDAR assay has not been reported, and only a few reports have
interpreted limited histopathological examinations in TDAR studies[8].In the present study, to investigate in detail the variability of lymphoid tissues and
strain differences of control rats as well as those of immune reactivity and sensitivity to
immunosuppression, we conducted a histopathological analysis of various lymphoid tissues in
conjunction with evaluation of immune function in a TDAR study of cyclophosphamide (CP) in
Sprague Dawley (SD) rats and F344 rats.
Materials and Methods
Chemicals and animals
As a T cell-dependent antigen, KLH was selected and purchased from FUJIFILM Wako Pure
Chemical Corporation (Osaka, Japan). CP, which is an alkylating anticancer drug and has an
immunosuppressive effect, was purchased from Sigma-Aldrich Co. LLC (St. Louis, MO,
USA).Sixteen 5-week-old male SD (Crl:CD [SD]) and F344 (F344/DuCrlCrlj) rats, as
representative strains of outbred and inbred rats, respectively, were obtained from
Charles River Laboratories Japan Inc. (Yokohama, Japan) and housed individually in
polycarbonate cages with wood chip bedding in an air-conditioned animal room (temperature
23 ± 3°C, relative humidity 50 ± 20%) with a 12-h light/dark cycle. They were given a
pellet basal diet (MF, Oriental Yeast Co., Ltd., Tokyo, Japan) and well water ad
libitum.
Experimental design
Animals in each strain were divided into control and CP groups (n=8) and were orally
treated with CP at a dose of 0 (control) or 4 mg/kg/day from the age of 6-weeks for 28
consecutive days (Day 1: day of first administration) (Fig. 1). Based on
previous reports, a CP dose capable of producing minimal adverse effects, such as a
decrease in body weight, was selected[13], [14],
[15]. Physical examinations were
conducted twice a day before and after dosing throughout the dosing period, and body
weight was measured on Days 1, 3, 8, 15, 22, and 29. KLH dissolved in saline was
administered intravenously at 300 μg per animal on Days 14 and 23, and blood samples for
measuring the concentrations of KLH-specific immunoglobulins were collected on Days 20 and
29, based on the protocol described by Kawai et al.[16]. On Day 29, after collecting the blood
samples for measuring the hematologic parameters and the flow cytometry analysis, animals
were sacrificed by exsanguination from the abdominal aorta under deep isoflurane
anesthesia and then necropsied. The following organs were weighed using an electric scale:
spleen, thymus, mesenteric LN, mandibular LN, axillary LN, popliteal LN, and adrenal.
Relative organ weight was calculated by dividing the organ weight by the final body
weight. According to ICH S8 guidelines[1],
the spleen, thymus, mesenteric LN as a draining LN, Peyer’s patch in the ileum, mandibular
LN, and bone marrow in the femur and sternum were collected. In addition to these routine
lymphoid organs, some LNs, the axillary LN, popliteal LN, inguinal LN, pulmonary LN, and
iliac LN, were also selected for detailed evaluation of immunotoxicity. The adrenal gland
was also evaluated to confirm stress condition.
Fig. 1.
Experimental design. Male SD and F344
rats were divided into control and cyclophosphamide (CP) groups (n=8 each) and were
orally treated with CP at a dose of 0 (control) or 4 mg/kg/day beginning at the age
of 6 weeks and continuing for 28 consecutive days. Keyhole limpet hemocyanin (KLH)
was administered intravenously on Days 14 and 23, and blood samples were collected
on Days 20 and 29. After blood collection on Day 29, the animals were sacrificed for
necropsy.
Experimental design. Male SD and F344
rats were divided into control and cyclophosphamide (CP) groups (n=8 each) and were
orally treated with CP at a dose of 0 (control) or 4 mg/kg/day beginning at the age
of 6 weeks and continuing for 28 consecutive days. Keyhole limpet hemocyanin (KLH)
was administered intravenously on Days 14 and 23, and blood samples were collected
on Days 20 and 29. After blood collection on Day 29, the animals were sacrificed for
necropsy.This study was conducted in accordance with the Guidelines for Animal Experimentation
specified by the Research Center of Taisho Pharmaceutical Co., Ltd.
Concentrations of serum anti-KLH IgM and IgG and hematology
The blood samples collected on Days 20 and 29 were centrifuged to obtain serum, and the
concentrations of serum KLH-specific IgM (Days 20 and 29) and IgG (Day 29) were measured
using an ELISA method with an Anti-KLH (TDAR) Rat ELISA KIT (AKRKM-010 for IgM, AKRKG-010
for IgG, Shibayagi, Gunma, Japan).Hematological parameters including the white blood cell (WBC) count, differential WBC
absolute counts (neutrophils, lymphocytes, monocytes, eosinophils, basophils, and large
unstained cells), red blood cell count, hemoglobin level, hematocrit level, reticulocyte
count, mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH) level, mean
corpuscular hemoglobin concentration (MCHC), and platelet count were measured using a
hematology system (ADVIA 120, Siemens Healthcare Diagnostics K.K., Tokyo, Japan).
Immunophenotyping analysis using flow cytometry
To assess the cell subtypes, an immunophenotyping analysis was conducted using flow
cytometry. The blood samples collected at necropsy were placed into EDTA-2K-treated tubes,
centrifuged to isolate live cells, and treated with a mixture of labeled antibodies:
FITC-labeled anti-CD3 (clone G4.18, BD Biosciences, Franklin Lakes, NJ, USA) with
PE-labeled anti-CD45RA (clone OX-33, BD Biosciences), PE-labeled anti-CD8 (clone OX-8, BD
Biosciences), or PE-labeled anti-CD4 (clone OX-35, BD Biosciences). A flow cytometry
analysis was performed using a flow cytometer (EPICS-XL, Beckman Coulter, Inc., Brea, CA,
USA). The percentages of CD3−/CD45RA+ (B cells), CD3+/CD45RA− (T cells), CD3+/CD4+ (helper
T cells, Th) and CD3+/CD8+ (cytotoxic T cells, Tc) were determined, and the T-cell ratio
(Th/Tc) was calculated.
HE staining
The organs collected at necropsy were fixed in 10% neutral buffered formalin. The bone
marrow with femur and sternum were fixed in 10% neutral buffered formalin and were
decalcified using a rapid decalcification method (Plank-Rychlo’s method). After fixation,
the tissues were embedded in paraffin, stained with hematoxylin and eosin (HE), and
examined microscopically.
Immunohistochemistry and morphometry of immunopositive cells
The following lymphoid organs were trimmed before formalin fixation, frozen immediately,
embedded in OCT compound (Sakura Finetek Japan Co., Ltd., Tokyo, Japan), and stored in a
deep freezer for immunohistochemistry: spleen, mesenteric LN, mandibular LN, axillary LN,
and popliteal LN. Immunohistochemistry was performed on frozen sections with antibodies
against CD3 (IR503, rabbit, 1:2, Dako, Glostrup, Denmark) and CD45RA (clone OX-33, mouse
IgG1, 1:500, AbD Serotec, Bio-Rad Laboratories, Hercules, CA, USA). These primary
antibodies were selected with reference to a previous report[17]. Immunodetection was performed using a
VECTASTAIN® Elite ABC kit (Vector Laboratories Inc., Burlingame, CA, USA)
with 3,3’-diaminobenzidine/H2O2 as the chromogen. Sections were then
counterstained with hematoxylin and cover-slipped for microscopic examination. One
immunohistochemistry section per organ per animal was prepared.The immunohistochemistry sections were scanned using a Leica Aperio Scanscope XT (Leica
Microsystems, Wetzlar, Germany), and the number of immunopositive cells (Np) in the whole
tissue area of each staining section was measured by counting the number of immunopositive
pixels with the Leica Aperio Positive Pixel Count Algorithm, version 9.1. The tissue area
of each organ was measured using the Leica Aperio ImageScope digital slide viewing
software, and the Np per tissue area (Np per area) was also calculated.
Statistical analysis
For each group, the mean and standard deviation were calculated for numerical data (body
weights, concentrations of serum immunoglobulin, hematological parameters,
immunophenotyping analysis, organ weights, and morphometric assessments of immunopositive
cells). Statistical significance between the control and CP-treated rats was examined as
follows. For each strain of rats, the homogeneity of variance was analyzed using an
F-test; Student’s t-test was then performed when the variance was proven
to be homogenous. If a significant difference in variance was observed, Welch’s
t-test was performed.
Results
Clinical signs and body weights
No treatment-related changes in clinical signs were observed in any of the SD or F344
rats during the experimental period. In CP-treated rats of both strains, minimal body
weight gain prevention was observed during the last week of the dosing period.
Statistically significant decreases in mean body weight were observed on Day 22 (−6% vs.
control) and Day 29 (−7% vs. control) in the CP-treated SD rats and on Day 29 (−4% vs.
control) in the CP-treated F344 rats.The mean concentrations of serum anti-KLH IgM and IgG are shown in Fig. 2. In CP-treated SD rats, a decrease in the concentration of serum anti-KLH IgM
(−45% vs. control) was observed on Day 20, but the difference was not statistically
significant. On Day 29, statistically significant decreases in the concentrations of serum
anti-KLH IgM and IgG (−86% and −67% vs. control, respectively) were observed. On the other
hand, in CP-treated F344 rats, a statistically significant decrease in the concentration
of serum anti-KLH IgM (−97% vs. control) was observed from Day 20, and significant
decreases in the concentrations of serum anti-KLH IgM and IgG (−98% and −100% vs. control,
respectively) were observed on Day 29. Regarding inter-individual variability, the control
SD rats exhibited a larger variation (standard deviation) than the control F344 rats. The
mean values of hematologic parameters are shown in Table 1.
Some changes in hematologic parameters related to the decrease in serum anti-KLH
immunoglobulin were observed on Day 29. Concretely, in CP-treated SD and F344 rats,
statistically significant decreases in mean white blood cells (−69% and −80% vs. control,
respectively), especially in lymphocytes (−75% and −87% vs. control, respectively), were
observed, and slight but statistically significant decreases in the numbers or percentages
of other white blood cell parameters (monocytes, eosinophils, basophils, and large
unstained cells) were also seen. In relation to the severe decrease in lymphocytes, the
percentages of neutrophils in F344 rats and of monocytes in SD and F344 rats were
relatively increased. In addition, some of the red blood cell parameters were also
changed. In CP-treated F344 rats, the number of red blood cells was slightly but
significantly decreased, and other parameters related to red blood cells (hemoglobin,
hematocrit, MCV, MCH, and platelets) were also changed. In CP-treated SD rats, a slight
but statistically significant decrease in reticulocytes was observed.
Fig. 2.
Serum concentrations of
anti-keyhole limpet hemocyanin (KLH) IgM and IgG. The concentrations of serum
KLH-specific IgM (Days 20 and 29) and IgG (Day 29) are presented as the mean ± SD.
*P<0.05, **P<0.01, and
***P<0.001 versus the control group of each strain (Welch’s
t-test).
Table 1.
Hematologic Parameters of SD and F344 Rats Treated with Cyclophosphamide (CP) at 0
or 4 mg/kg/day for 28 Days
Serum concentrations of
anti-keyhole limpet hemocyanin (KLH) IgM and IgG. The concentrations of serum
KLH-specific IgM (Days 20 and 29) and IgG (Day 29) are presented as the mean ± SD.
*P<0.05, **P<0.01, and
***P<0.001 versus the control group of each strain (Welch’s
t-test).The mean percentages of immunopositive cells are shown in Table 2. In CP-treated SD rats, a severe decrease in
CD3−/CD45RA+ cells (−78% vs. control) and a slight increase in CD3+/CD45RA- cells (+22%
vs. control) were observed. In CP-treated F344 rats, a decrease in CD3−/CD45RA+ cells
(−98% vs. control) was observed, and the change was much severer than that in CP-treated
SD rats. In CP-treated F344 rats, decreases in CD3+/CD4+ cells and CD3+/CD8+ cells (−44%
vs. control each) were also observed. In both strains, no remarkable changes in the T-cell
ratio were seen.
Table
2.
Immunophenotyping Analysis of Peripheral Blood of SD and
F344 Rats Treated with Cyclophosphamide (CP) at 0 or 4 mg/kg/day for 28
Days
Organ weights
The mean organ weights are shown in Table
3. In CP-treated rats of both strains, the absolute
and relative weights of the spleen, mesenteric LN, and mandibular LN were significantly
lower than those in each of the respective control groups. In addition, statistically
significant decreases in the absolute and relative weights of the thymus, axillary LN, and
popliteal LN were observed in CP-treated F344 rats. A slight but statistically significant
increase in the adrenal weight was also observed in CP-treated F344 rats.
Table 3.
Organ Weights
of SD and F344 Rats Treated with Cyclophosphamide (CP) at 0 or 4 mg/kg/day for 28
Days
Histopathology (HE staining and immunohistochemistry)
The main histopathological findings that were obtained using HE staining and
immunohistochemistry are summarized in Table
4.
Various changes indicating immunosuppression were observed in the lymphoid tissues in
CP-treated rats of both strains. In the spleen, decreases in lymphocytes in the white pulp
(follicles, germinal centers, and periarteriolar lymphoid sheath [PALS]) and marginal zone
(MZ) were observed (Fig. 3).
In the mesenteric, mandibular, axillary, popliteal, inguinal, pulmonary, and iliac LN,
decreases in lymphocytes in the cortex (follicles and germinal centers) were observed. In
addition to the regions in the cortex, decreases in lymphocytes in the paracortex were
observed in the axillary, popliteal, inguinal, pulmonary, or iliac LN (Fig. 4). Decreases
in lymphocytes of follicles and germinal centers were also observed in Peyer’s patch. In
addition, a decrease in lymphocytes in the interfollicular region (IFR) was observed in
CP-treated F344 rats (Fig. 4). In many of these
lymphoid organs, the decreases in lymphocytes were more prominent in the F344 rats than in
the SD rats. Regarding the thymus, decreases in lymphocytes in the cortex were observed in
CP-treated F344 rats, but remarkable changes were not observed in the thymus of the
CP-treated SD rats. Though differences in the sensitivity to CP immunosuppression were not
observed clearly among these lymphoid organs, the changes in the mesenteric LN and Peyer’s
patch were milder than those in the other LNs or spleen. In other findings, some
spontaneous changes were observed in the control and CP-treated groups in each strain.
Increases in plasma cells in the sinus were observed in the mandibular LN, and this
finding was more frequently observed in SD rats than in F344 rats. In the pulmonary LN,
hemorrhage with brown pigmented macrophages was observed in both strains, and this finding
was observed to be more severe and more frequent in F344 rats than in SD rats. In the
control groups for both strains, decreases in germinal centers were sometimes observed,
and the incidence or degree of this change was higher in the axillary, popliteal,
inguinal, pulmonary, or iliac LNs than in the mesenteric or mandibular LNs. In the control
F344 rats, the incidences or degrees of decreased germinal centers in the spleen,
mesenteric LN, axillary LN, popliteal LN, inguinal LN, and pulmonary LN were higher than
those in the control SD rats. In addition, in F344 rats, decreases in lymphocytes in the
cortex of the iliac LN were also observed in the control group (Fig. 4), and hypocellularity in the bone marrow was observed not
only in the CP-treated rats but also in the control rats. There were no differences in the
degree of hypocellularity in the bone marrow between the femur and sternum. No remarkable
changes in the adrenal gland were observed in either strain.
Table 4.
Histopathological Findings in SD and F344 Rats Treated with Cyclophosphamide (CP) at
0 or 4 mg/kg/day for 28 Days
Fig.
3.
Immunohistochemistry for CD45RA (A–D) and CD3 (E–H) in the
spleen. (A, E) Control SD rats. (B, F) Cyclophosphamide (CP)-treated SD rats. (C, G)
Control F344 rats. (D, H) CP-treated F344 rats. Compared with the control SD rats
(A) and the control F344 rats (C), the numbers of CD45RA-positive cells in the
CP-treated SD rats (B) and the CP-treated F344 rats (D) were lower, and the change
was more noticeable in the F344 rats than in the SD rats. The numbers of
CD3-positive cells in the CP-treated SD rats (F) and CP-treated F344 rats (H) were
also lower, but the changes were smaller than those for the CD45RA-positive cells.
Scale bar = 400 μm.
Fig. 4.
HE staining and
immunohistochemistry of the mesenteric lymph node (LN) (A–D), Peyer’s patch (E, F),
and iliac LN (G, H) in F344 rats. A, E, and G were tissues of the control rats. In
the mesenteric LN, decreases in lymphocytes of follicles (B) and CD45RA-positive
cells (C) were observed in cyclophosphamide (CP)-treated rats. Decreases in
lymphocytes of paracortex and CD3-positive cells (D) were not so prominent. In the
Peyer’s patch in CP-treated rats (F), decreases in lymphocytes of follicles with
germinal centers and in the interfollicular region (IFR) were observed. In the iliac
LN in CP-treated rats (H), decreases in lymphocytes were observed more prominently
than in the mesenteric LN. In F344 rats, decreases in germinal centers or follicles
were sometimes observed in the LNs, even in the control animals (A, G). Scale bar =
200 μm.
Immunohistochemistry for CD45RA (A–D) and CD3 (E–H) in the
spleen. (A, E) Control SD rats. (B, F) Cyclophosphamide (CP)-treated SD rats. (C, G)
Control F344 rats. (D, H) CP-treated F344 rats. Compared with the control SD rats
(A) and the control F344 rats (C), the numbers of CD45RA-positive cells in the
CP-treated SD rats (B) and the CP-treated F344 rats (D) were lower, and the change
was more noticeable in the F344 rats than in the SD rats. The numbers of
CD3-positive cells in the CP-treated SD rats (F) and CP-treated F344 rats (H) were
also lower, but the changes were smaller than those for the CD45RA-positive cells.
Scale bar = 400 μm.HE staining and
immunohistochemistry of the mesenteric lymph node (LN) (A–D), Peyer’s patch (E, F),
and iliac LN (G, H) in F344 rats. A, E, and G were tissues of the control rats. In
the mesenteric LN, decreases in lymphocytes of follicles (B) and CD45RA-positive
cells (C) were observed in cyclophosphamide (CP)-treated rats. Decreases in
lymphocytes of paracortex and CD3-positive cells (D) were not so prominent. In the
Peyer’s patch in CP-treated rats (F), decreases in lymphocytes of follicles with
germinal centers and in the interfollicular region (IFR) were observed. In the iliac
LN in CP-treated rats (H), decreases in lymphocytes were observed more prominently
than in the mesenteric LN. In F344 rats, decreases in germinal centers or follicles
were sometimes observed in the LNs, even in the control animals (A, G). Scale bar =
200 μm.The mean numbers and mean numbers per area of immunopositive cells are shown in Table 5. The immunohistochemistry analysis of the spleen
revealed an apparent decrease in the number of CD45RA-positive cells in CP-treated rats,
and this change was more noticeable in F344 rats than in SD rats. In both strains, the
number of CD3-positive cells was also decreased, but the decreases in CD3-positive cells
were mild compared with the decreases in CD45RA-positive cells. The number of CD3-positive
cells per area was not remarkably different between the control and CP groups in each
strain (Fig. 5). Various LNs showed changes similar to those observed in the spleen. In the
mesenteric LN of CP-treated rats, a statistically significant decrease in the number of
CD45RA-positive cells in the cortex was observed, and this change was more prominent in
F344 rats (−84% vs. control) than in SD rats (−61% vs. control). The number of
CD3-positive cells in the paracortex of the mesenteric LN was also reduced, but the
difference was not statistically significant (Table
5). In other LNs, a statistically significant decrease in CD45RA-positive cells
was also observed, and the changes were more noticeable in F344 rats than in SD rats
(Table 5).
Table
5.
Immunohistochemistry and Morphometry of Immunopositive
Cells of SD and F344 Rats Treated with Cyclophosphamide (CP) at 0 or 4 mg/kg/day for
28 Days
Fig. 5.
Morphometry results for immunopositive cells in the spleen. The numbers of CD45RA-
and CD3-positive cells (Np) and the Np per tissue area (Np/μm2) are
presented as the mean ± SD. *P<0.05;
***P<0.001 (Whlch’s
t-test).
Morphometry results for immunopositive cells in the spleen. The numbers of CD45RA-
and CD3-positive cells (Np) and the Np per tissue area (Np/μm2) are
presented as the mean ± SD. *P<0.05;
***P<0.001 (Whlch’s
t-test).When the control groups for both strains were compared, the Np per area of CD3-positive
cells in the spleen of F344 control rats was lower than that of SD control rats, but the
Np per area of CD45RA-positive cells in the spleen of F344 controls was almost the same as
that of the SD controls. In some LNs, the Nps per area of CD3- or CD45RA-positive cells of
F344 control rats were also lower than those of SD control rats, though the changes were
minimal and not significantly different (Table
5).
Discussion
In the present study, we conducted a histopathological analysis of various lymphoid tissues
in conjunction with an evaluation of immune function in a TDAR study with CP in SD and F344
rats and investigated in detail the variability of lymphoid tissues and possible differences
of control rats as well as those of immune reactivity and sensitivity to immunosuppression
between the two strains.In both the SD and F344 rats treated with CP, various changes related to CP-induced
immunotoxicity were observed. Decreased concentrations of serum anti-KLH IgM and IgG were
observed, as reported in other studies[9], [10]. In an
immunophenotyping analysis of peripheral blood samples, severe decreases in the percentage
of CD3−/CD45RA+ cells (B cells) were observed in both rat strains. In the CP-treated F344
rats, a decrease in the percentage of CD3+/CD45RA− cells (T cells) was also observed, and
the change was much more severe than that in CP-treated SD rats. On the other hand, a slight
increase in the percentage of T cells was observed in the CP-treated SD rats, but this
change was considered a secondary effect of the severe decrease in the percentage of B cells
with minimal biological significance. Similar to the results of the immunophenotyping
analysis, decreases in the weights of the spleen, thymus, and/or some of the lymph nodes
were observed in the CP-treated rats of both strains. The histopathological examination
revealed that decreases in the lymphocytes were noted mainly in the B-cell area (follicles,
germinal centers, and MZ) in the HE staining sections of various lymphoid tissues and
organs, consistent with the reduction in CD45RA-positive cells in the immunohistochemistry.
CP is an alkylating anticancer drug that reportedly has an immunosuppressive effect
predominantly on B cells, with a relatively minor effect on T cells; our results were
consistent with these previous reports[18], [19].Regarding the immunosuppressive effect of CP on T cells, some remarkable changes indicating
a reduction in T cells were observed in the various lymphoid tissues in CP-treated F344
rats, though the effects of CP treatment on T cells were much milder than those on B cells
in all the lymphoid tissues. In the spleen, decreases in lymphocytes of PALS were observed
using HE staining and immunohistochemistry. In the thymus, decreases in the absolute weight,
relative weight, and number of cortex lymphocytes were observed. In the axillary and
popliteal LN, decreases in paracortex lymphocytes were observed using HE staining. In
CP-treated F344 rats, the effect of the drug on T cells was slightly greater than that in
CP-treated SD rats. A previous study reported that a higher dose of CP causes lymphoid
reductions not only in B cells but also in T cells[19], [20], so
the present results suggest that F344 rats are more sensitive to CP immunotoxicity than SD
rats. On the other hand, the proliferation of T cells is well known to be suppressed by
stress and following an increase in glucocorticoids, while an increase in adrenal weight
arising from cellular hypertrophy of the zona fasciculata has been observed[21], [22]. In the present study, a slight decrease in body weight was
observed in CP-treated rats of both strains, and a slight increase in adrenal weight was
also observed in CP-treated F344 rats. However, no remarkable changes in the
histopathological findings for the adrenal gland were observed, and no findings related to
stress, such as a poor condition, were observed clinically. From these results, the
immunosuppressive effects arising from stress were considered to be minimal in CP-treated
rats in this study.Regarding the differences among the lymphoid tissues in sensitivity to CP
immunosuppression, clear differences were not observed in either strain. However,
histopathological examination showed that the changes in the draining lymphoid organs
(mesenteric LN and Peyer’s patch) were milder than those in the other LNs or spleen. Since
the duration of dosing in this study was relatively long and CP has strong immunosuppressive
effects, almost all of the lymphoid organs seemed to be effected unanimously. Considering
the results of HE staining and immunohistochemistry, some peripheral LNs and other small LNs
that are resting under normal conditions might be fragile and sensitive to immunotoxicity.
However, as described in previous review articles[2], [23], the
peripheral LNs, except for the LNs that drain the site of xenobiotic application, should not
be used for routine assessment of systemic immunotoxicity because of their histological
variability and the difficulty in preparing specimens. In this study, some variability that
overlapped the CP-induced changes, especially the variability in the number of germinal
centers, was observed in these resting LNs of control rats. If needed to evaluate resting
LNs as draining LNs of xenobiotic application, it would be very important to collect as many
node from each site as possible or to utilize adequate numbers of animals.The reasons for the strain differences in sensitivity to CP-induced immunosuppression were
not clear in this study, but one of the most probable factors is considered to be the
difference in genetic background. It was reported that the percentages of T cells in white
blood cells were different between SD and F344 rats[24], and some articles reported a relationship between genetic differences
and immune response or immunotoxicity in rats[14], [24],
[25]; thus genetic difference is
an important factor to consider when examining drug-induced effects on immune systems. On
the other hand, it is also well known that the development of immune organs is affected by
environmental pathogens or antigen exposure[3], [4]. As for the
LNs, their histologic appearances are related to the level of immunologic stimulation, and
the appearance of each LN is different[5].
For example, the axillary LN, one of the peripheral LNs, starts to develop later than the
mesenteric LN and rarely has germinal centers in 6-week-old SD rats[5]. In this study, when the control groups of both
strains were compared, the numbers of immunopositive cells in most of the lymphoid tissues
of the control F344 rats, except for the spleen, were lower than those of the control SD
rats. This is consistent with the results of the hematological analysis. In the hematologic
parameters, the numbers of white blood cells and lymphocytes in the F344 rats were lower
than those in the SD rats. In addition, in the control F344 rats, some of the
histopathological findings that might have been related to the low numbers of white blood
cells and lymphocytes were observed in the bone marrow (hypocellularity), spleen, and
several LNs (decrease in lymphocytes in the follicles or germinal centers). These strain
differences in immune organs, which might also have been derived from genetic differences,
indicate that the baseline numbers of T and/or B cells in the lymphoid tissues were lower
and that the lymphoid tissues were less developed in the control F344 rats than those of the
control SD rats, suggesting that F344 rats might be more easily affected by CP-induced
immunosuppression than SD rats. However, other factors, such as toxicokinetics or
metabolism, should also be taken into account, since genetic differences in liver enzymes
were reported and the effects of CP on cytochrome P450 expression were reportedly greater in
F344 rats than in SD rats[25],
[26]. Regarding other
immunotoxicants, SD rats were reported to be more sensitive than F344 rats, although the
basis for the differences in the sensitivities of rat immune systems was unknown[25]. Considering our study results and these
previous studies, further studies and analyses using other immunosuppressive compounds are
needed.A previous TDAR study reported a low response in SD rats[9]. A similar response was also observed in this study, and the standard
deviations for the concentrations of serum anti-KLH IgM and IgG levels were larger in the
control SD rats than in the control F344 rats. Though we confirmed the histopathological
features of the lymphoid organs in these low-response SD rats and compared them with those
in normal-response SD rats, no remarkable histopathological differences were observed, and
no clear relationship was seen between the concentrations of serum anti-KLH IgM and IgG and
the numbers of CD45RA- or CD3-immunopositive cells in the histopathology findings.A detailed histopathological analysis performed in conjunction with a TDAR assay, as done
in the present study, has not been previously reported. In this study, the results of
histopathological examinations in lymphoid organs were consistent with the results of the
serum anti-KLH IgM and IgG concentrations as determined using an ELISA, and the
histopathological analysis revealed that the immunosuppressive effects of CP were prominent
in the spleen and LNs at various sites but less prominent in the thymus and bone marrow.
Such information on the effects in specific organs might be useful when considering the
mechanisms and specifying the target cells or organs of compound-induced immunotoxicity.In conclusion, the results of our study showed that histopathological changes related to CP
immunosuppression were more prominent in F344 rats than in SD rats, corresponding with the
results for anti-KLH antibody concentrations. The histopathological changes in the
mesenteric LN and Peyer’s patch were milder than those in the spleen and other LNs. In
addition, some lymphoid tissues of the control F344 rats were less developed than those of
the age-matched control SD rats, suggesting that F344 rats might be easily affected by
CP-induced immunosuppression. This background information concerning rat strain differences
in lymphoid tissues will be useful in histopathological evaluation for drug-induced
immunotoxicity.
Disclosure of Potential Conflicts of Interest
The authors declare that they
have no conflicts of interest.
Authors: P Haley; R Perry; D Ennulat; S Frame; C Johnson; J-M Lapointe; A Nyska; P Snyder; D Walker; G Walter Journal: Toxicol Pathol Date: 2005 Impact factor: 1.902
Authors: Jin Zhong Li; Hongwei Li; Brad Dunford; David Holman; Brian Beres; Debra D Pittman; Gerald R Hankins; Gregory A Helm Journal: Mol Ther Date: 2003-11 Impact factor: 11.454
Authors: Holly W Smith; Colleen J Winstead; Kristen K Stank; Bartley W Halstead; Daniel Wierda Journal: Toxicology Date: 2003-12-15 Impact factor: 4.221