Prümmer O, Raghavachar A, Fliedner T M
Exp Hematol. 1985 Oct;13(9):891-8.
The restoration of immune functions was followed in dogs for 101 days after fractionated total body irradiation and autologous transfusion of peripheral blood leukocytes (PBL) or bone marrow (BM) cells. Median numbers of 0.9 X 10(5) granulocyte-macrophage progenitor cells per kilogram of body weight were transferred in either group of recipients. The following parameters recovered more rapidly in PBL recipients as opposed to BM recipients: total blood lymphocyte, T- and B-cell counts, serum levels of immunoglobulins IgM and IgA, in vitro blastogenic responses after stimulation with concanavalin A and pokeweed mitogen, and in vitro plasma cell formation after polyclonal B-cell activation with pokeweed mitogen with or without lipopolysaccharide. No major differences were noted for the restoration of serum IgG levels. Circulating lymphocyte and T-cell numbers remained subnormal for more than three months in both groups, whereas B-cell numbers and serum levels of IgA continued to be depressed in BM recipients only. Thus, autologous PBL restored immune functions more rapidly than did BM. Transplantation of PBL, alone or in addition to autologous BM, might also shorten the period of immunodeficiency after cytoreduction in a variety of malignancies in man.
在对犬进行分次全身照射并自体输注外周血白细胞(PBL)或骨髓(BM)细胞后,对其免疫功能的恢复情况进行了101天的跟踪观察。每组接受者每千克体重转移的粒细胞 - 巨噬细胞祖细胞中位数为0.9×10⁵。与BM接受者相比,PBL接受者的以下参数恢复得更快:全血淋巴细胞、T细胞和B细胞计数、免疫球蛋白IgM和IgA的血清水平、用刀豆蛋白A和商陆有丝分裂原刺激后的体外增殖反应,以及用商陆有丝分裂原(有无脂多糖)进行多克隆B细胞激活后的体外浆细胞形成。血清IgG水平的恢复未观察到明显差异。两组中循环淋巴细胞和T细胞数量在三个多月内均低于正常水平,而仅BM接受者的B细胞数量和IgA血清水平持续降低。因此,自体PBL比BM更快地恢复免疫功能。单独移植PBL或与自体BM联合移植,也可能缩短人类各种恶性肿瘤细胞减灭后免疫缺陷的持续时间。