Sakamoto T, Ye Q, Lu L, Demetris A J, Starzl T E, Murase N
Thomas E. Starzl Transplantation Institute, Department of Pathology, University of Pittsburgh Medical Center, Pennsylvania 15213, USA.
Transplantation. 1999 Mar 27;67(6):833-40. doi: 10.1097/00007890-199903270-00009.
Although the persistence of multilineage microchimerism in recipients of long-surviving organ transplants implies engraftment of migratory pluripotent donor stem cells, the ultimate localization in the recipient of these cells has not been determined in any species.
Progenitor cells were demonstrated in the bone marrow and nonparenchymal liver cells of naive rats and in Brown Norway (BN) recipients of Lewis (LEW) allografts by semiquantitative colony-forming unit in culture (CFU-C) assays. The LEW allografts of bone marrow cells (BMC) (2.5x10(8)), orthotopic livers, or heterotopic hearts (abdominal site) were transplanted under a 2-week course of daily tacrolimus, with additional single doses on days 20 and 27. Donor CFU-C colonies were distinguished from recipient colonies in the allografts and recipient bone marrow with a donor-specific MHC class II monoclonal antibody. The proportions of donor and recipient colonies were estimated from a standard curve created by LEW and BN bone marrow mixtures of known concentrations.
After the BMC infusions, 5-10% of the CFU-C in the bone marrow of BN recipients were of the LEW phenotype at 14, 30, and 60 days after transplantation. At 100 days, however, donor CFU-C could no longer be found at this site. The pattern of LEW CFU-C in the bone marrow of BN liver recipients up to 60 days was similar to that in recipients of 2.5x10(8) BMC, although the donor colonies were only 1/20 to 1/200 as numerous. This was expected, because the progenitor cells in the passenger leukocytes of a single liver are equivalent to those in 1-5x10(6) BMC. Using a liquid CFU-C assay, donor progenitor cells were demonstrated among the nonparenchymal cells of liver allografts up to 100 days. In contrast, after heart transplantation, donor CFU-C could not be identified in the recipient bone marrow, even at 14 days.
effective immunosuppression, allogeneic hematopoietic progenitors compete effectively with host cells for initial engraftment in the bone marrow of noncytoablated recipients, but disappear from this location between 60 and 100 days after transplantation, coincident with the shift of donor leukocyte chimerism from the lymphoid to the nonlymphoid compartment that we previously have observed in this model. It is possible that the syngeneic parenchymal environment of the liver allografts constitutes a privileged site for persistent progenitor donor cells.
尽管长期存活的器官移植受者体内多谱系微嵌合体的持续存在意味着迁移性多能供体干细胞已植入,但这些细胞在受者体内的最终定位在任何物种中都尚未确定。
通过半定量培养集落形成单位(CFU-C)测定法,在未处理大鼠的骨髓和非实质肝细胞以及Lewis(LEW)同种异体移植物的Brown Norway(BN)受体中证实了祖细胞的存在。在为期2周的每日他克莫司治疗过程中,移植2.5×10⁸个骨髓细胞(BMC)、原位肝脏或异位心脏(腹部部位)的LEW同种异体移植物,并在第20天和第27天额外给予单次剂量。使用供体特异性MHC II类单克隆抗体,将同种异体移植物和受体骨髓中的供体CFU-C集落与受体集落区分开来。根据由已知浓度的LEW和BN骨髓混合物创建的标准曲线,估算供体和受体集落的比例。
输注BMC后,在移植后14天、30天和60天,BN受体骨髓中5%-10%的CFU-C为LEW表型。然而,在100天时,该部位不再能发现供体CFU-C。BN肝移植受体骨髓中直至60天的LEW CFU-C模式与接受2.5×10⁸个BMC的受体相似,尽管供体集落数量仅为其1/20至1/200。这是预期的,因为单个肝脏过客白细胞中的祖细胞数量与1-5×10⁶个BMC中的祖细胞数量相当。使用液体CFU-C测定法,在肝同种异体移植物的非实质细胞中直至100天均证实存在供体祖细胞。相比之下,心脏移植后,即使在14天时,受体骨髓中也无法鉴定出供体CFU-C。
在有效的免疫抑制下,同种异体造血祖细胞能与宿主细胞有效竞争,在未进行细胞清除的受体骨髓中实现初始植入,但在移植后60至100天之间从该部位消失,这与我们之前在该模型中观察到的供体白细胞嵌合体从淋巴样隔室向非淋巴样隔室的转变相一致。肝同种异体移植物的同基因实质环境可能构成供体祖细胞持续存在的特权部位。