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调节性T细胞与血管化骨髓移植联合治疗可产生混合嵌合体,并在无细胞减灭预处理的情况下诱导对血管化复合异体移植物的供体特异性耐受。

Combined treatment with regulatory T cells and vascularized bone marrow transplantation creates mixed chimerism and induces donor-specific tolerance to vascularized composite allografts without cytoreductive conditioning.

作者信息

Lin Jeng-Yee, Tsai Feng-Chou, Wallace Christopher Glenn, Huang Wei-Chao, Wei Fu-Chan, Liao Shuen-Kuei

机构信息

Graduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University, Taoyuan, Taiwan.

出版信息

Chimerism. 2013 Jan-Mar;4(1):20-2. doi: 10.4161/chim.23349.

DOI:10.4161/chim.23349
PMID:23712382
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3654733/
Abstract

We demonstrate herein that combination treatment with regulatory T cells (Tregs) and vascularized bone marrow transplantation (VBMT) can achieve stable mixed chimerism and long-term transplantation tolerance to vascularized composite allografts (VCA) without requiring cytoreductive recipient conditioning in rats. An appreciable number of Tregs of recipient origin was shown at the interface between recipient and transplanted VCA tissues, implicating a significant role for Tregs in protecting VCA from rejection. This cytoreduction-free protocol using co-treatment with Tregs and VBMT warrants further investigation toward potential clinical application for VCA transplantation.

摘要

我们在此证明,在大鼠中,调节性T细胞(Tregs)与血管化骨髓移植(VBMT)联合治疗可实现稳定的混合嵌合体,并对血管化复合异体移植物(VCA)产生长期移植耐受性,而无需对受体进行细胞减灭预处理。在受体与移植的VCA组织之间的界面处显示出相当数量的受体来源的Tregs,这表明Tregs在保护VCA免受排斥方面发挥着重要作用。这种使用Tregs和VBMT联合治疗的无细胞减灭方案值得进一步研究,以探索其在VCA移植中的潜在临床应用。

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1
Combined treatment with regulatory T cells and vascularized bone marrow transplantation creates mixed chimerism and induces donor-specific tolerance to vascularized composite allografts without cytoreductive conditioning.调节性T细胞与血管化骨髓移植联合治疗可产生混合嵌合体,并在无细胞减灭预处理的情况下诱导对血管化复合异体移植物的供体特异性耐受。
Chimerism. 2013 Jan-Mar;4(1):20-2. doi: 10.4161/chim.23349.
2
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本文引用的文献

1
Combined treatment with regulatory T cells and vascularized bone marrow transplantation creates mixed chimerism and induces donor-specific tolerance to vascularized composite allografts without cytoreductive conditioning.联合调节性 T 细胞和带血管化骨髓移植可产生混合嵌合体,并在不进行细胞消减预处理的情况下诱导对带血管化复合异体移植物的供体特异性耐受。
J Surg Res. 2012 Dec;178(2):974-81. doi: 10.1016/j.jss.2012.06.061. Epub 2012 Jul 11.
2
Optimizing chimerism level through bone marrow transplantation and irradiation to induce long-term tolerance to composite tissue allotransplantation.通过骨髓移植和照射来优化嵌合体水平,以诱导对复合组织同种异体移植的长期耐受。
J Surg Res. 2012 Nov;178(1):487-93. doi: 10.1016/j.jss.2012.02.064. Epub 2012 Mar 17.
3
Evidence that FoxP3+ regulatory T cells may play a role in promoting long-term acceptance of composite tissue allotransplants.证据表明,FoxP3+ 调节性 T 细胞可能在促进复合组织同种异体移植的长期接受中发挥作用。
Transplantation. 2011 Apr 27;91(8):908-15. doi: 10.1097/TP.0b013e31820fafb4.
4
Treg-therapy allows mixed chimerism and transplantation tolerance without cytoreductive conditioning.Treg-疗法可在不进行细胞减少性调理的情况下实现混合嵌合和移植耐受。
Am J Transplant. 2010 Apr;10(4):751-762. doi: 10.1111/j.1600-6143.2010.03018.x. Epub 2010 Feb 10.
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Indoleamine 2,3-dioxygenase and foxp3 expression in skin rejection of human hand allografts.吲哚胺2,3-双加氧酶和叉头框蛋白3在人手部同种异体移植皮肤排斥反应中的表达
Transplant Proc. 2009 Mar;41(2):509-12. doi: 10.1016/j.transproceed.2009.01.008.
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HLA-mismatched renal transplantation without maintenance immunosuppression.无维持免疫抑制的HLA错配肾移植
N Engl J Med. 2008 Jan 24;358(4):353-61. doi: 10.1056/NEJMoa071074.
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Isolation of regulatory T cells in the skin of a human hand-allograft, up to six years posttransplantation.
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Actively acquired tolerance of foreign cells.对外源细胞的主动获得性耐受。
Nature. 1953 Oct 3;172(4379):603-6. doi: 10.1038/172603a0.
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Mixed allogeneic chimerism in the rat. Donor-specific transplantation tolerance without chronic rejection for primarily vascularized cardiac allografts.大鼠中的混合异基因嵌合体。主要血管化心脏同种异体移植物的供体特异性移植耐受且无慢性排斥反应。
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Mixed chimerism and permanent specific transplantation tolerance induced by a nonlethal preparative regimen.非致死性预处理方案诱导的混合嵌合状态与永久性特异性移植耐受
J Exp Med. 1989 Feb 1;169(2):493-502. doi: 10.1084/jem.169.2.493.