Abstract

Background.Stress, including surgical trauma, results in different dysfunctions of the body. In our former experiments on posttraumatic modification of immune response of gastrectomized mice we observed a significant suppression of contact sensitivity. This could be transferred by lymph nodes and spleen T lymphocytes of mice which underwent surgery.Materials and methods.We studied changes in γδ and αβ T cell numbers in peripheral blood, Peyer's patches, and mesenteric lymph nodes after partial gastrectomy (major operation) and after sham gastrectomy (laparotomy—minor operation) in mice. The number of γδ and αβ T cells was counted on the FACSTAR cell sorter before and 1, 2, 3, 7, and 14 days after surgery.Results.In our observations there was a significant increase of percentage of γδ T cells both in Peyer's patches (1.9 ± 0.5 to 10.5 ± 0.3) and in mesenteric lymph nodes (2.7 ± 0.7 to 8.8 ± 3.5) on the third day after partial gastrectomy (546 and 322% of control values, respectively). In contrast in gastrectomized mice the number of αβ T cells in Peyer's patches (38.4 ± 6.8 to 21.2 ± 6.2) and lymph nodes (56.7 ± 15 to 40.4 ± 17) was decreased on day 3 (55 and 71% of control values, respectively). There was a decline in both αβ (18.1 ± 8 to 8.2 ± 1.7) and γδ (6.7 ± 2.8 to 3.9 ± 2) T cell numbers in peripheral blood on days 1, 3, and 7 (45 and 58% of normal values, respectively). Sham operation had no significant influence on αβ and γδ T cell numbers. We observed that after leg amputation the number of γδ T cells in mesenteric lymph nodes was significantly increased on day 3 (0.8 ± 0.2 to 7.7 ± 0.3), 770% of normal. In contrast to this, leg amputation had a negligible effect on T cell counts in Peyer's patches during all periods of observation.Conclusions.We suggest that the major surgical stress (partial gastrectomy) may disturb the normal cell traffic selectively with increased γδ T cell homing in intestinal Peyer's patches and lymph nodes (GALT) and with the cell displacement from peripheral blood to lymphatic organs. The severity and localization of stress may be crucial.

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