Niimi M, Takashina M, Takami H, Ikeda Y, Shatari T, Hamano K, Esato K, Matsumoto K, Kameyama K, Kodaira S, Wood K J
First Department of Surgery, Teikyo University, Tokyo, Japan.
Surgery. 2000 Dec;128(6):910-7. doi: 10.1067/msy.2000.109968.
Endocrine allografts are an option for the treatment of endocrine failure.
One lobe of the thyroid was transplanted under the kidney capsule.
C57BL/10 (H2(b)) thyroids were rejected in naive CBA (H2(k)) mice within 14 days after transplantation. When mice were treated with anti-CD4 monoclonal antibodies (mAb), all grafts survived for more than 60 days. The first grafts still survived after second C57BL/10 or Balb/c (H2(d)) thyroid grafts that were transplanted into the same recipients were rejected acutely, which suggests that the primary grafts were modified under anti-CD4 mAb treatment. To confirm this hypothesis, C57BL/10 thyroid grafts from anti-CD4 mAb-treated mice were retransplanted. All grafts survived in naive mice; this correlated with the overexpression of heme oxygenase-1 (HO-1) in the grafts. Next, an inhibitor of HO-1 (zinc protoporphyrin) or control compound (copper protoporphyrin) was injected intraperitoneally after transplantation of C57BL/10 thyroid grafts into the primary CBA recipients that had been treated with anti-CD4 mAb. The grafts in mice that had been treated with zinc protoporphyrin, but not copper protoporphyrin, were rejected when retransplanted to naive recipients.
Overexpression of HO-1 correlated with the protection of fully allogeneic thyroid grafts from rejection when retransplanted into naive recipients.
内分泌同种异体移植是治疗内分泌功能衰竭的一种选择。
将甲状腺的一叶移植到肾包膜下。
在单纯的CBA(H2(k))小鼠中,C57BL/10(H2(b))甲状腺在移植后14天内被排斥。当用抗CD4单克隆抗体(mAb)治疗小鼠时,所有移植物存活超过60天。当将第二次移植的C57BL/10或Balb/c(H2(d))甲状腺移植物急性排斥后,首次移植的移植物仍存活,这表明在抗CD4 mAb治疗下,初次移植物发生了改变。为证实这一假设,将来自抗CD4 mAb治疗小鼠的C57BL/10甲状腺移植物再次移植。所有移植物在单纯小鼠中存活;这与移植物中血红素加氧酶-1(HO-1)的过表达相关。接下来,在将C57BL/10甲状腺移植物移植到已用抗CD4 mAb治疗的原发性CBA受体后,腹腔注射HO-1抑制剂(锌原卟啉)或对照化合物(铜原卟啉)。当将用锌原卟啉而非铜原卟啉治疗的小鼠的移植物再次移植到单纯受体时,移植物被排斥。
HO-1的过表达与完全同种异体甲状腺移植物在再次移植到单纯受体时免受排斥相关。