Mikami H
Department of Orthopedic Surgery, School of Medicine, Tokushima University, Japan.
Nihon Seikeigeka Gakkai Zasshi. 1992 May;66(5):539-47.
In three inbred rat strains with a distinct major histocompatibility complex (MHC), MHC-matched allografts (Fisher, RT1l to Lewis, RT1l, n = 39) or MHC-mismatched allografts (Brown Norway, RT1n to Lewis, RT1l, n = 38) of fresh intact cartilage obtained from the tibial epiphyseal growth-plate were grafted into the defects in the femoral articular surface of immature rats. In the controls (n = 72), similar defect on the joint cartilage were made with no epiphyseal plate grafts. The present histological observation was continued throughout one year after transplantation. Total success rate of the repair was significantly better in MHC-matched allografts (92%) than in MHC-mismatched allografts (61%, p less than 0.001) or controls (19%, p less than 0.001). The MHC-matched allografts showed no signs of tissue rejection. However, the MHC-mismatched allografts showed evidence of lymphocyte infiltration and 13 (81%) of 16 grafts were rejected from 12 to 48 weeks after operation. These findings indicate that MHC-matched allografts of intact growth-plate have a potential to repair defects in immature articular cartilage over a long period of time, but MHC-mismatched allografts will eventually be rejected.
在三种具有不同主要组织相容性复合体(MHC)的近交系大鼠中,将从胫骨骨骺生长板获取的新鲜完整软骨的MHC匹配同种异体移植物(Fisher大鼠,RT1l,至Lewis大鼠,RT1l,n = 39)或MHC不匹配同种异体移植物(棕色挪威大鼠,RT1n,至Lewis大鼠,RT1l,n = 38)移植到未成熟大鼠股骨关节面的缺损处。在对照组(n = 72)中,在关节软骨上制造类似缺损但不进行骨骺板移植。在移植后持续进行一年的组织学观察。MHC匹配同种异体移植物的修复总成功率(92%)显著高于MHC不匹配同种异体移植物(61%,p < 0.001)或对照组(19%,p < 0.001)。MHC匹配同种异体移植物未显示组织排斥迹象。然而,MHC不匹配同种异体移植物显示有淋巴细胞浸润的证据,并且16个移植物中有13个(81%)在术后12至48周被排斥。这些发现表明,完整生长板的MHC匹配同种异体移植物有潜力在较长时间内修复未成熟关节软骨的缺损,但MHC不匹配同种异体移植物最终会被排斥。