Volkman A
J Exp Med. 1972 Jul 1;136(1):21-38. doi: 10.1084/jem.136.1.21.
Radioautographs of infiltrative cells in the kidneys of (Lewis x BN)F(1) rats labeled with tritiated thymidine (TdR(3)H) before the subcapsular injection of parental (Lewis) thoracic duct lymphocytes (TDL) showed a predominantly host-proliferative response by 4 days after grafting. The immediate renal incorporation of TdR(3)H was used to measure the local graft-vs.-host (GVH) reactions. Substantial reactions could still be induced in the face of the considerable degree of leukopenia after 400 R whole body gamma-irradiation. These results suggest that radioresistant cells are capable of carrying on the appropriate host activities and that the weakness of GVH reactions induced after higher doses of irradiation may be due to impairment of the mitotic mechanism of host cells. The importance of circulating leukocytes as a source of immunogenic stimulation was nevertheless substantiated by inducing local GVH reactions with Lew TDL in chimeric parental-type rats that had been repopulated with F(1) bone marrow. This result also emphasizes the nonspecific nature of tissue destruction in the renal GVH reaction in confirmation of Elkins. In this and other situations in which B cells were the predominant F(1) type elements available for interaction with parental-type TDL the reactions were nearly equivalent or equivalent to those in the appropriate controls. Typical local GVH reactions could be induced in heavily irradiated hosts by an inoculum of combined parental and F(1)-type TDL in the apparent absence of mononuclear phagocytes. The possible relationship between the activation of host lymphocytes, the involvement of B cells, and the nonspecific nature of tissue damage in the renal GVH is discussed.
在肾被膜下注射亲代(Lewis)胸导管淋巴细胞(TDL)之前,用氚标记的胸腺嘧啶核苷(TdR³H)标记(Lewis×BN)F₁大鼠的肾脏浸润细胞的放射自显影片显示,移植后4天主要是宿主增殖反应。用TdR³H的即时肾脏掺入量来测量局部移植物抗宿主(GVH)反应。在400R全身γ射线照射后出现相当程度的白细胞减少的情况下,仍可诱导出明显的反应。这些结果表明,抗辐射细胞能够进行适当的宿主活动,并且高剂量照射后诱导的GVH反应减弱可能是由于宿主细胞有丝分裂机制受损。然而,通过在已用F₁骨髓重新填充的嵌合亲代型大鼠中用Lew TDL诱导局部GVH反应,证实了循环白细胞作为免疫原性刺激源的重要性。这一结果也强调了肾脏GVH反应中组织破坏的非特异性性质,这与埃尔金斯的观点一致。在这种以及其他B细胞是可与亲代型TDL相互作用的主要F₁型成分的情况下,反应几乎与适当对照中的反应相当或等同。在明显没有单核吞噬细胞的情况下,通过接种亲代和F₁型TDL的混合物,可在重度照射的宿主中诱导出典型的局部GVH反应。本文讨论了宿主淋巴细胞活化、B细胞参与以及肾脏GVH中组织损伤的非特异性性质之间的可能关系。