J. Vet. Med. A 46, 75–85 (1999)
© 1999 Blackwell Wissenschafts-Verlag, Berlin
ISSN 0931–184X
Institute of Animal Neurology, Faculty of Veterinary Medicine, University of Bern, La ¨nggass-strasse 122,
CH-3012 Bern, Switzerland
Lymphocyte Subset Distribution in Steroid Responsive
Meningitis-Arteriitis in Comparison to Different Canine
Encephalitides
A. TIPOLD
1,2,4
, P. MOORE
3
, A. ZURBRIGGEN
1
and M. VANDEVELDE
1
Institute of Animal Neurology
1
and Veterinary Virology
2
, University of Bern, Switzerland;
3
VM Pathology,
Microbiology and Immunology, School of Veterinary Medicine, University of California, Davis, CA, USA;
4
Corresponding author: Andrea Tipold, Institute of Animal Neurology and Veterinary Virology, University
of Bern, La ¨nggass-strasse 122, CH-3012 Bern, Switzerland
With 5 figures and 1 table
Received for publication October 15, 1998
Summary
Steroid responsive meningitis-arteriitis (SRMA) is a well-known disease in dogs, but the aetiology
and pathogenesis are not yet understood. In the peripheral blood an overrepresentation of B cells was
found. In the present study we therefore evaluated the distribution of lymphocyte subsets in SRMA in
paraffin-embedded tissue sections directly at the lesion sites and compared the results to different canine
encephalitides. An intriguing finding was that the B cell/T cell distribution varied depending on the
aetiology of the disease: in viral encephalitides, T cells were the predominant cell population in perivascular
cuffs, whereas in protozoal and bacterial diseases B cells prevailed. In SRMA an overrepresentation of B
cells occurred in meningeal lesions, as already found in the peripheral blood. The distribution of lymphocyte
subsets was similar to bacterial and protozoal diseases and was not a unique phenomenon for this specific
inflammatory lesion in the canine central nervous system (CNS). Multiple mechanisms seem to be
responsible for recruitment and activation of different leukocyte subsets after alteration of the CNS tissue
by an environmental factor. A specific finding in SRMA was that the distribution of T and B cells depended
also on the lesion site. In contrast to meningeal lesions, in inflamed arteries T cells were the only lymphocyte
population found. In these vessels, diffuse infiltration with immunoglobulins was revealed. Inactivated or
resting lymphocytes and large granular lymphocytes occurred in each of the diseases examined. These
similarities between SRMA and infectious CNS diseases of the dog support earlier suggestions that the
disease is somehow triggered by a hitherto unknown environmental factor which leads to the dysregulation
of the immune system.
Introduction
Steroid responsive meningitis-arteriitis (SRMA) in the dog is a very painful disease, which
occurs worldwide in companion dogs and has become a well-known disease in small animal
practices (MERIC et al., 1985, 1986; PRESTHUS, 1991; TIPOLD and JAGGY, 1994). In addition,
SRMA is a recognized animal model for human diseases, since the lesions are reminiscent of a
variety of immune-mediated vasculitides in humans (BURNS et al., 1991; FELSBURG et al.,
1992). The disease is similar to a condition known in laboratory dog colonies as the ‘Beagle
pain syndrome’ (HARCOURT, 1978; STEJSKAL et al., 1982; BROOKS, 1984; HAYES et al., 1989;
SCOTT MONCRIEFF et al., 1992). The most important clinical signs of SRMA include fever,
cervical rigidity and pain in the acute form of the disease. Additional neurological deficits
consistent with a spinal cord or multifocal lesion as an expression of secondary damage to the
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