Miao W Y, Xu J L, Zhang K L, Wang H B, Jiang M
Hematologic Disease Center, the First Affiliated Hospital of Xinjiang Medical University, Xinjiang Uygur Autonomous Region Research Institute of Hematology, Urumqi 830054, China.
Zhonghua Yi Xue Za Zhi. 2024 Feb 20;104(7):540-546. doi: 10.3760/cma.j.cn112137-20230817-00245.
To establish an acute graft-versus-host disease (aGVHD) model in aged mice after non-myeloablative haploidentical peripheral blood stem cell transplantation (haplo-PSCT). C57BL/6 (H-2) male mice aged 6-8 weeks were used as donor mice, and CB6F1 (H-2) female mice aged 14-16 months were used as recipient mice. The donor mice were injected subcutaneously with rehuman granulocyte-colony stimulating factor (rhG-CSF) 5 days before transplantation for hematopoietic stem cell mobilization.The recipient mice were divided into control group (CG), spleen cell low-dose group (SL), spleen cell medium-dose group (SM) and spleen cell high-dose group (SH) according to random number table method, with 16 rats in each group, all of which received total linear accelerator X-ray irradiation (TBI) with a total dose of 6 Gy. Peripheral blood mononuclear cells (PBMC) and spleen cells of different doses (0.5×10/each, 1.0×10/each and 2.0×10/each in SL group, SM group and SH group, respectively) were transfused through the tail vein within 4 hours after TBI, and only the same amount of normal saline was transfused in CG group. After transplantation, the survival and weight changes of mice in each group were observed for 30 days, and the changes of blood routine were monitored regularly. Mice peripheral blood was collected 21 days after transplantation to detect the chimerism rate of the donor. Hematoxylin-eosin staining was performed on the skin, liver and colon of mice 21 days after transplantation to analyze the histopathological changes of aGVHD target organs. All the mice in each group were successfully transplanted. After TBI, the weight and activity of mice in all groups decreased, and the phenomenon of bone marrow suppression appeared. During the observation period, all mice in CG group and SL group survived, 3 mice in SM group died with survival time of (26.0±5.8) days, and 6 mice in SH group died with survival time of (20.9±7.3) days. The body weight of mice in SH group was lower than that in CG group, SL group and SM group 21days after transplantation [(25.0±0.7), (25.5±0.4), (25.0±1.4) vs (20.8±0.8) g, all <0.05]. Compared with CG group, SL group and SM group, the levels of leukocyte, erythrocyte, hemoglobin and platelet in SH group decreased 21 days after transplantation (all <0.05). There was no significant difference in donor chimerism rate among SL group, SM group and SH group [(95.8%±0.8%), (95.5%±1.4%) and (95.1%±1.3%), respectively, all >0.05]. Compared with CG group, SL group and SM group, the tissue structure of aGVHD target organs in SH group was severely damaged, with a large number of inflammatory cells infiltratedand higher histopathological scores than SL group and SM group (all <0.05). For aging CB6F1 mice, after 6 Gy TBI pretreatment with linear accelerator X-ray, PBMC (1×10/each) and spleen cells (2.0×10/each) were injected to successfully induce aGVHD model after non-myelablative haplo-PSCT.
建立非清髓性单倍体相合外周血干细胞移植(haplo-PSCT)后老年小鼠急性移植物抗宿主病(aGVHD)模型。将6 - 8周龄的C57BL/6(H-2)雄性小鼠作为供体小鼠,14 - 16月龄的CB6F1(H-2)雌性小鼠作为受体小鼠。移植前5天,给供体小鼠皮下注射重组人粒细胞集落刺激因子(rhG-CSF)以动员造血干细胞。根据随机数字表法将受体小鼠分为对照组(CG)、脾细胞低剂量组(SL)、脾细胞中剂量组(SM)和脾细胞高剂量组(SH),每组16只,所有小鼠均接受总剂量为6 Gy的直线加速器X射线全身照射(TBI)。TBI后4小时内通过尾静脉输注不同剂量的外周血单个核细胞(PBMC)和脾细胞(SL组、SM组和SH组分别为0.5×10⁶/只、1.0×10⁶/只和2.0×10⁶/只),CG组仅输注等量的生理盐水。移植后观察各组小鼠30天的生存及体重变化,并定期监测血常规。移植后21天采集小鼠外周血检测供体嵌合率。移植后21天对小鼠皮肤、肝脏和结肠进行苏木精-伊红染色,分析aGVHD靶器官的组织病理学变化。各组小鼠均成功移植。TBI后,各组小鼠体重和活动能力下降,出现骨髓抑制现象。观察期内,CG组和SL组所有小鼠存活,SM组3只小鼠死亡,生存时间为(26.0±5.8)天,SH组6只小鼠死亡,生存时间为(20.9±7.3)天。移植后21天,SH组小鼠体重低于CG组、SL组和SM组[(25.0±0.7)、(25.5±0.4)、(25.0±1.4)与(20.8±0.8)g,均P<0.05]。与CG组、SL组和SM组相比,移植后21天SH组白细胞、红细胞、血红蛋白和血小板水平下降(均P<0.05)。SL组、SM组和SH组供体嵌合率差异无统计学意义[分别为(95.8%±0.8%)、(95.5%±1.4%)和(95.1%±1.3%),均P>0.05]。与CG组、SL组和SM组相比,SH组aGVHD靶器官组织结构严重受损,有大量炎性细胞浸润,组织病理学评分高于SL组和SM组(均P<0.05)。对于老年CB6F1小鼠,经直线加速器X射线6 Gy TBI预处理后,注射PBMC(1×10⁶/只)和脾细胞(2.0×10⁶/只),成功诱导非清髓性haplo-PSCT后aGVHD模型。