Komori Koji, Fuchimoto Yasushi, Morikawa Yasuhide, Obara Hideaki, Kawachi Shigeyuki, Tanabe Minoru, Hoshino Ken, Shimazu Motohide, Matsuzaki Yumi, Kitajima Masaki
Department of Surgery, Keio University, School of Medicine, Tokyo, Japan.
Transplantation. 2008 Jan 15;85(1):112-7. doi: 10.1097/01.tp.0000296030.88283.92.
We evaluated the importance and mechanism of graft and host accommodation in hamster-to-rat cardiac xenotransplantation models.
To evaluate graft accommodation, accommodated hamster grafts (Group 2) were transplanted to naïve host rats treated with FK506, and compared with naïve hamster grafts (Group 1). To evaluate host accommodation, three groups were evaluated: naive hamster hearts were transplanted to naïve hosts treated with FK506 (Group 3: 0.5 mg/kg, Group 4: 1.0 mg/kg) and splenectomy, and compared with accommodating hosts (Group 5) with FK506 0.5 mg/kg and splenectomy. We examined graft survival, histopathology, antihamster antibodies and B-1 cells in blood.
Graft survival in Group 2 (3.4+/-0.9 days) was not significantly different from that in Group 1 (2.8+/-0.4 days). Graft survival in Groups 4 and 5 (>30 days) was significantly prolonged compared with that in Group 3 (6.0+/-0.7 days). Histopathology of Groups 1-3 showed humoral rejection, whereas Groups 4 and 5 showed normal histology and expression of protective genes. In Groups 1-3, antihamster immunoglobulin (Ig) M and B-1 cells increased significantly compared to Groups 4 and 5, where IgM and B-1 cells remained low or were reduced.
Host accommodation was more important than graft accommodation. Accommodating grafts expressing protective genes were rejected with an elevation of both IgM and B-1 cells. In accommodated hosts, both IgM and B-1 cells decreased, suggesting that B-1 cells may be responsible for the production of antihamster antibodies. These results suggest that sufficient suppression of B-1 cells, resulting in decreased titers of antihamster antibodies, may play an important role in host accommodation.
我们评估了仓鼠到大鼠心脏异种移植模型中移植物与宿主适应性的重要性及机制。
为评估移植物适应性,将适应性仓鼠移植物(第2组)移植到用FK506处理的未致敏宿主大鼠体内,并与未致敏仓鼠移植物(第1组)进行比较。为评估宿主适应性,评估了三组:将未致敏仓鼠心脏移植到用FK506(第3组:0.5mg/kg,第4组:1.0mg/kg)处理并进行脾切除的未致敏宿主体内,并与用0.5mg/kg FK506并进行脾切除的适应性宿主(第5组)进行比较。我们检测了移植物存活情况、组织病理学、血液中的抗仓鼠抗体及B-1细胞。
第2组的移植物存活时间(3.4±0.9天)与第1组(2.8±0.4天)无显著差异。第4组和第5组的移植物存活时间(>30天)与第3组(6.0±0.7天)相比显著延长。第1 - 3组的组织病理学显示体液排斥,而第4组和第5组显示正常组织学及保护性基因表达。与第4组和第5组相比,第1 - 3组的抗仓鼠免疫球蛋白(Ig)M和B-1细胞显著增加,第4组和第5组的IgM和B-1细胞保持低水平或减少。
宿主适应性比移植物适应性更重要。表达保护性基因的适应性移植物在IgM和B-1细胞均升高时被排斥。在适应性宿主中,IgM和B-1细胞均减少,提示B-1细胞可能负责抗仓鼠抗体的产生。这些结果表明,充分抑制B-1细胞,导致抗仓鼠抗体滴度降低,可能在宿主适应性中起重要作用。