STARZL T E, KAUPP H A, BROCK D R, LINMAN J W
Surg Gynecol Obstet. 1961 Feb;112:135-44.
Dogs in which livers have been replaced with hepatic homografts usually die in 5 to 10 days. Liver metabolism is not detectably abnormal at first, but gradual deterioration of function commences on the fourth or fifth day. There was histologic evidence of rejection in all dogs dying after 4 days. This ranged from minimal mononuclear infiltration to almost complete destruction of parenchyma. In the longest survivor, 20 1/2 days, histologic changes were less profound than in many animals dying earlier. Widespread histologic changes were found in host reticuloendothelial system, involving the bone marrow, kidneys, lungs, lymph nodes, and other tissues. These consisted of fixed tissue proliferation and infiltration of mononuclear cells, principally plasma cells. These changes were thought to be due to a general host reticuloendothelial response to the antigenic stimulus of the homograft.
肝脏被同种肝移植替代的狗通常在5至10天内死亡。起初肝脏代谢没有明显异常,但在第四或第五天开始功能逐渐恶化。所有在4天后死亡的狗都有排斥反应的组织学证据。范围从最小的单核细胞浸润到实质几乎完全破坏。在最长存活20.5天的狗中,组织学变化不如许多较早死亡的动物那么严重。在宿主网状内皮系统中发现广泛的组织学变化,涉及骨髓、肾脏、肺、淋巴结和其他组织。这些变化包括固定组织增殖和单核细胞浸润,主要是浆细胞。这些变化被认为是由于宿主网状内皮系统对同种移植抗原刺激的一般反应。