Liu Jing, Gao Yi, Sun Er-wei, Zhang Zhi, Wang Shuang, Zhong Shi-zhen
Department of Organ Transplantation, Zhujiang Hospital, First Military Medical University, Guangzhou 510282, China.
Di Yi Jun Yi Da Xue Xue Bao. 2003 Dec;23(12):1249-52.
To study the immunological effects of simultaneous injection of apoptotic donor spleen cells induced by dexamethasone in rats with liver allotransplantation.
Four groups of rats were used in this study, each consisting of 10 SD rats and 10 Wistar rats with the former as the recipients and the latter as the donors for liver transplantation. In one of the groups, the recipient rats also received infusion of apoptotic spleen cells (5x10(7)) of the donors induced by an intraperitoneal injection of dexamethasone (at a daily dose of 3 mg/kg) for 3 days before liver transplantation, while in another, the recipient received untreated donor spleen cells. In the third group, the donor was treated with dexamethasone leaving the last group serving as the control group. The blood alanine transaminase (ALT), total bilirubin (TBil), pathological changes of the graft and survival time of the recipients were observed.
The recipients with apoptotic donor spleen cell infusion had much higher ALT and TBil levels than those of the other 3 groups (P<0.05), exhibiting significantly shortened survival time and severer acute allograft rejection, as compared with the mild acute rejection in the control group (P<0.01).
Simultaneous injection of apoptotic donor spleen cells induced by dexamethasone in rats with liver transplantation aggravates acute allograft rejection, one of the possible mechanisms of which may lie in the failure of timely removal of the apoptotic cells that release inflammatory factors.
研究地塞米松诱导凋亡的供体脾细胞同时注射对大鼠肝同种异体移植的免疫效应。
本研究使用四组大鼠,每组由10只SD大鼠和10只Wistar大鼠组成,前者作为受体,后者作为肝移植的供体。其中一组,受体大鼠在肝移植前3天还接受了腹腔注射地塞米松(每日剂量3mg/kg)诱导的供体凋亡脾细胞(5×10⁷)输注,而另一组受体接受未处理的供体脾细胞。第三组,供体接受地塞米松处理,最后一组作为对照组。观察受体的血丙氨酸转氨酶(ALT)、总胆红素(TBil)、移植物病理变化及存活时间。
输注凋亡供体脾细胞的受体ALT和TBil水平明显高于其他3组(P<0.05),与对照组的轻度急性排斥反应相比(P<0.01),其存活时间显著缩短,急性同种异体排斥反应更严重。
地塞米松诱导凋亡的供体脾细胞同时注射于大鼠肝移植中会加重急性同种异体排斥反应,其可能机制之一可能在于凋亡细胞未能及时清除而释放炎症因子。