Galkowska H, Olszewski W L, Moscicka M, Cybulska E, Ziolkowska A, Wojewodzka U, Mijal J
Department of Surgical Research and Transplantology, Medical Research Center, Polish Academy of Sciences, Warsaw.
Ann Transplant. 1999;4(3-4):5-10.
Skin allografts are acutely rejected despite of intensive immunosuppressive therapy. Resistance of skin dendritic cells to immunosuppressive drugs and irradiation may be responsible for this phenomenon. Skin allograft is a site of interaction between the dendritic cells and lymphocytes of the donor and host origin and "direct" and "indirect" pathway of antigen presentation. Increasing evidence supports the significant role for the "indirect" allorecognition in graft rejection. To investigate a critical role of skin dendritic cells in the "indirect" allorecognition and graft destruction we have used a canine skin to severe-combined-immunodeficient (SCID)-mice transplantation model. At the time the skin grafts were deprived of own dendritic (Langerhans) cells, SCID mice were reconstituted with allogeneic canine whole lymph leukocytes, lymph lymphocytes, lymph veiled (dendritic) cells or peripheral blood mononuclear cells, and an early phase of skin rejection was evaluated in histopathological studies. We demonstrated that circulating canine allogeneic veiled cells facilitate recruitment of T lymphocytes into skin graft and promote an extensive graft destruction, compared to the less expressed effect of allogeneic peripheral lymph lymphocytes or blood mononuclear cells. These drug and radiation-resistant dendritic cells may be responsible for initiation of the difficult to control rejection process.
尽管进行了强化免疫抑制治疗,皮肤同种异体移植仍会被急性排斥。皮肤树突状细胞对免疫抑制药物和辐射的抗性可能是导致这种现象的原因。皮肤同种异体移植是供体和宿主来源的树突状细胞与淋巴细胞之间相互作用的场所,也是抗原呈递的“直接”和“间接”途径。越来越多的证据支持“间接”同种异体识别在移植排斥中起重要作用。为了研究皮肤树突状细胞在“间接”同种异体识别和移植物破坏中的关键作用,我们使用了犬皮肤至重度联合免疫缺陷(SCID)小鼠的移植模型。在皮肤移植物去除自身树突状(朗格汉斯)细胞时,用同种异体犬全淋巴白细胞、淋巴细胞、淋巴被膜(树突状)细胞或外周血单核细胞重建SCID小鼠,并在组织病理学研究中评估皮肤排斥的早期阶段。我们证明,与同种异体外周淋巴细胞或血液单核细胞表达较弱的作用相比,循环中的同种异体犬被膜细胞促进T淋巴细胞募集到皮肤移植物中,并促进广泛的移植物破坏。这些对药物和辐射有抗性的树突状细胞可能是引发难以控制的排斥过程的原因。