Batirel Hasan F, Batirel Saime, Mitchell Richard N, Swanson Scott J
Division of Thoracic Surgery, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School Boston, Massachusetts, USA.
J Heart Lung Transplant. 2005 Jun;24(6):658-64. doi: 10.1016/j.healun.2004.04.013.
Interferon-gamma, produced by T-helper cells, activates macrophages and increases expression of major histocompatibility complex (MHC) products in acute and chronic rejection. We investigated the role of interferon-gamma in murine heterotopic tracheal allografts.
Tracheas from BALB/c mice were heterotopically transplanted to BALB/c (12 isografts: 2 weeks [n = 6] and 4 weeks [n = 6], C57BL/6 (12 allografts: 2 weeks [n = 6] and 4 weeks [n = 6]) and C57BL/6 interferon-gamma knockout mice (12 interferon-gamma knockout allografts: 2 weeks [n = 4] and 4 weeks [n = 8]). BALB/c interferon-gamma knockout tracheas were transplanted to C57BL/6 mice (reverse knockout: 4 weeks [n = 6]) and BALB/c interferon-gamma knockout mice (4 weeks [n = 2]). C57BL/6 tracheas were transplanted to Bm12 mice (MHC Class II mismatch allografts: 4 weeks [n = 6]). Conventional histology and immunohistochemistry for CD4, CD8 and CD11b were performed.
Minimal (<20%) obliteration was seen at 2 weeks in the allograft groups. No obliteration was seen in the isograft groups. However, all allografts were completely obliterated at 4 weeks. Interferon-gamma knockout allograft combinations displayed severe rejection characterized by intense intra- and extraluminal infiltration by CD4-, CD8- and CD11b-labeled cells. The MHC Class II mismatch allograft group showed normal epithelium and mild sub-epithelial infiltration by CD4+ cells at 4 weeks (CD8-, CD11b-).
Absence of interferon-gamma does not protect the allograft from obliteration. Epithelial destruction by cytotoxic T cells appears to be an important mechanism in the development of obliteration in murine heterotopic tracheal allografts.
辅助性T细胞产生的γ干扰素可激活巨噬细胞,并增加急性和慢性排斥反应中主要组织相容性复合体(MHC)产物的表达。我们研究了γ干扰素在小鼠异位气管同种异体移植中的作用。
将BALB/c小鼠的气管异位移植到BALB/c小鼠(12个同基因移植:2周[n = 6]和4周[n = 6])、C57BL/6小鼠(12个同种异体移植:2周[n = 6]和4周[n = 6])以及C57BL/6γ干扰素基因敲除小鼠(12个γ干扰素基因敲除同种异体移植:2周[n = 4]和4周[n = 8])。将BALB/cγ干扰素基因敲除气管移植到C57BL/6小鼠(反向基因敲除:4周[n = 6])和BALB/cγ干扰素基因敲除小鼠(4周[n = 2])。将C57BL/6气管移植到Bm12小鼠(MHC II类错配同种异体移植:4周[n = 6])。进行常规组织学检查以及针对CD4、CD8和CD11b的免疫组织化学检查。
同种异体移植组在2周时可见轻微(<20%)的管腔闭塞。同基因移植组未见管腔闭塞。然而,所有同种异体移植在4周时均完全闭塞。γ干扰素基因敲除同种异体移植组合表现出严重排斥反应,其特征为CD4、CD8和CD11b标记的细胞在管腔内外大量浸润。MHC II类错配同种异体移植组在4周时显示上皮正常,CD4+细胞(CD8-、CD11b-)轻度上皮下浸润。
缺乏γ干扰素并不能保护同种异体移植免于闭塞。细胞毒性T细胞导致的上皮破坏似乎是小鼠异位气管同种异体移植中管腔闭塞发展的重要机制。