Hayashi Yuuki, Yamazaki Shintaro, Kanamoto Akira, Takayama Tadatoshi
Department of Digestive Surgery, Nihon University School of Medicine, Tokyo, Japan.
Transplantation. 2007 Nov 15;84(9):1168-73. doi: 10.1097/01.tp.0000287335.25361.a2.
The induction of donor-specific tolerance (DST) has recently attracted widespread attention as a new approach to facilitate engraftment without using immunosuppressants. One way in which to induce DST is to establish a chimeric state that allows donor-derived cells to exist within a recipient. This study aims to investigate whether splenocytes can be used to maintain chimerism and to prolong graft survival.
Mixed bone marrow (BM) was established in this chimeric model by lethally irradiating C3H mice on day 0, and transplanting BM from C3H and B6D2F1 mice into them. Skin grafts from C57BL/6 mice were transplanted on day 30. On day 60, splenocytes from C3H (group A), B6D2F1 (group B) and B6C3F1 (group C) mice were administered to the chimeric mice. The class I major histocompatibility complex (MHC) type, the percentage of chimeric cells in the peripheral blood, and the survival of skin grafts were assessed.
After splenocyte infusion, BM-derived chimeric cells were eliminated from the periphery in group A (86.2+/-5.9% to 0.04+/-0.03%, P=0.0008), B6D2F1-derived cells increased in quantity and established an allochimera in group B (83.7+/-7.2% to 99.6+/-0.2%, P=0.021), and in group C the B6C3F1-derived cells significantly increased to a level of 77.8% at 180 days after infusion (P=0.014), thereby maintaining the new chimerism. Skin grafts in groups B and C survived for at least 200 days (P=0.0003 and P=0.0001, respectively).
Chimerism arising from cells with a partial MHC match to the graft allows the maintenance of specific immunotolerance and graft survival.
诱导供体特异性耐受(DST)作为一种无需使用免疫抑制剂即可促进移植的新方法,最近受到了广泛关注。诱导DST的一种方法是建立一种嵌合状态,使供体来源的细胞存在于受体体内。本研究旨在探讨脾细胞是否可用于维持嵌合状态并延长移植物存活时间。
在该嵌合模型中,于第0天对C3H小鼠进行致死性照射,然后将C3H和B6D2F1小鼠的骨髓移植到它们体内,从而建立混合骨髓(BM)。在第30天移植C57BL/6小鼠的皮肤移植物。在第60天,将来自C3H小鼠(A组)、B6D2F1小鼠(B组)和B6C3F1小鼠(C组)的脾细胞给予嵌合小鼠。评估I类主要组织相容性复合体(MHC)类型、外周血中嵌合细胞的百分比以及皮肤移植物的存活情况。
脾细胞输注后,A组骨髓来源的嵌合细胞从外周被清除(从86.2±5.9%降至0.04±0.03%,P = 0.0008),B组中B6D2F1来源的细胞数量增加并建立了异基因嵌合体(从83.7±7.2%增至99.6±0.2%,P = 0.021),C组中B6C3F1来源的细胞在输注后180天显著增加至77.8%的水平(P = 0.014),从而维持了新的嵌合状态。B组和C组的皮肤移植物存活至少200天(分别为P = 0.0003和P = 0.0001)。
由与移植物部分MHC匹配的细胞产生的嵌合状态可维持特异性免疫耐受和移植物存活。