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[豚鼠(GP)至大鼠肝异种移植中的排斥机制:GP肝移植物再灌注的改善及全氟化合物(FC43)在GP至大鼠肝异种移植中的作用]

[Mechanisms of rejection in guinea pig (GP)-to-rat liver xenotransplantation: improvement of recoloration of GP liver graft and effects of perfluorochemical (FC43) in GP-to-rat liver xenotransplantation].

作者信息

Tanaka M

机构信息

First Department of Pathology, Hokkaido University School of Medicine, Sapporo, Japan.

出版信息

Hokkaido Igaku Zasshi. 1999 Nov;74(6):441-55.

Abstract

The impaired reperfusion after revascularization has not allowed guinea pig (GP)-to-rat liver xenograft model to be widely used for xenotransplant research. This study was designed to clarify mechanisms responsible for the impaired recoloration, and to examine effects of FC43 emulsion, an anti-complement agent. 1) Mechanisms responsible for the impaired recoloration: GP allogeneic and xenogeneic liver grafts flushed with 4 degrees C lactated Ringer's (LR) solution were poorly perfused around the porta hepatis, whereas those flushed with 15 degrees C LR solution were immediately recolored, this being confirmed by portal venography. The recoloration was also ameliorated by reduction of ischemic time. Even recolored GP xenografts, turned uneven dark gray however, and enlarged around 5 min after revascularization. Histological and immunohistological findings of GP livers 1 h after xenografting were characteristic of sinusoidal congestion and hepatocytes necrosis, and the livers had remarkable C3 deposits on sinusoids and central veins, IgM deposits faintly stained on some small vessels but no detectable deposits of IgG. 2) Effects of FC43. Administration with of either a single dose of 10 microliters/g or repeated doses of 5 microliters/g of FC43 resulted in significant prolongation of xenograft survivals compared with controls (8.06 +/- 1.45, 9.45 +/- 3.64 vs. 4.23 +/- 0.89 h; p < 0.02), thereby sustaining almost normal gross appearances until abdominal closures. Thus, the onset of hyperacute rejection (HAR) was postponed by FC43 administration; however, all rats died within 14 h. No deposit of C3 was detected in GP xenografts of FC43 groups, while deposits of granulocytes and macrophages (M phi) were observed from 1 and 3 h after revascularization, respectively. In conclusion, the impaired recoloration in this model may be due to physiological defects during the initial stage of revascularization, which is followed by the immunological responses that probably involved M phi and granulocytes. The present study indicates that discordant GP liver xenotransplantation is feasible as a useful rodent model for either exploration of mechanisms of immunological responses or examination of the immunosuppressive effects of pharmacological agents.

摘要

血管重建后再灌注受损使得豚鼠到大鼠的肝异种移植模型无法广泛应用于异种移植研究。本研究旨在阐明再灌注受损的机制,并研究抗补体剂FC43乳剂的作用。1)再灌注受损的机制:用4℃乳酸林格氏(LR)溶液冲洗的豚鼠同种异体和异种肝移植物在肝门周围灌注不良,而用15℃LR溶液冲洗的移植物立即再灌注,门静脉造影证实了这一点。缺血时间的缩短也改善了再灌注情况。即使再灌注的豚鼠异种移植物,在血管重建后约5分钟也会变成不均匀的深灰色并肿大。异种移植后1小时豚鼠肝脏的组织学和免疫组织学结果显示为窦状充血和肝细胞坏死,肝脏在窦状隙和中央静脉有明显的C3沉积,IgM沉积在一些小血管上呈淡染色,但未检测到IgG沉积。2)FC43的作用。与对照组相比,单次给予10微升/克或重复给予5微升/克的FC43可显著延长异种移植物的存活时间(8.06±1.45、9.45±3.64对4.23±0.89小时;p<0.02),从而在腹部缝合前几乎保持正常的大体外观。因此,FC43给药可推迟超急性排斥反应(HAR)的发生;然而,所有大鼠在14小时内死亡。FC43组的豚鼠异种移植物未检测到C3沉积,而在血管重建后1小时和3小时分别观察到粒细胞和巨噬细胞(M phi)的沉积。总之,该模型中再灌注受损可能是由于血管重建初始阶段的生理缺陷,随后是可能涉及M phi和粒细胞的免疫反应。本研究表明,不匹配的豚鼠肝脏异种移植作为一种有用的啮齿动物模型,对于探索免疫反应机制或检测药物的免疫抑制作用是可行的。

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