Schantz B
Acta Chir Scand. 1975;141(4):251-5.
In previous papers it has been shown that simultaneous transplantation of conjunctiva to the corneal-scleral region, and skin to the inside of the pinna will afford good opportunities to follow both the onset and the terminal phase of the allograft reaction. It has also been stated that conjunctiva grafted alone will have a longer survival time (12.1 days), than when grafted simultaneously with skin (7.5 days). In order to find out whether the localization to the corneal-scleral region per se had anything to do with this prolongation of the survival time, conjunctiva was grafted in 8 dogs to the palpebral surface of the nictitating membrane, i.e. more peripherally in the type used as grafts in previous experiments were weighed and examined histologically to compare the "tissue doses" --quantitatively and quanlitatively--transferred to the recipient when transplanting conjunctiva plus skin, or conjunctiva alone. Conjunctiva alone grafted to the nictitating membrane had a mean survival time of 10.5 days which does not significantly differ from the mean survival time of conjunctiva grafted to the cornealscleral region. Various possible reasons for the significantly prolonged survival time of conjunctiva alone, compared with that of conjunctiva when grafted with skin, are discussed in some detail. The author suggests that the most likely explanation of the prolonged survival time of the conjunctival grafts applied alone is that this operation means transfer of an antigen dose so low that the mobilization of the immune defence system is delayed.
在之前的论文中已经表明,将结膜同时移植到角膜巩膜区域,并将皮肤移植到耳廓内部,将为观察同种异体移植反应的起始阶段和终末期提供良好的机会。还指出,单独移植的结膜存活时间(12.1天)比与皮肤同时移植时(7.5天)更长。为了弄清楚移植到角膜巩膜区域本身是否与这种存活时间的延长有关,在8只狗的瞬膜睑面移植结膜,即比之前实验中用作移植的部位更靠外周。对移植结膜加皮肤或单独移植结膜时移植到受体的“组织剂量”进行定量和定性的称重及组织学检查,以作比较。单独移植到瞬膜的结膜平均存活时间为10.5天,与移植到角膜巩膜区域的结膜平均存活时间无显著差异。本文详细讨论了单独移植结膜时存活时间显著延长的各种可能原因,与结膜和皮肤同时移植时相比。作者认为,单独应用的结膜移植物存活时间延长的最可能解释是,该手术意味着转移的抗原剂量很低,以至于免疫防御系统的动员被延迟。