Rayfield L S, Brent L
Transplantation. 1983 Aug;36(2):183-9. doi: 10.1097/00007890-198308000-00015.
The aim of this study was to ascertain the extent to which secondary disease and mortality in fully allogeneic chimeras (C57BL leads to CBA) is caused (if at all) by a delayed graft-versus-host reaction. Adult CBA males were thymectomized, irradiated, and reconstituted with T-lymphocyte-depleted C57BL or CBA bone marrow cells (BMC), followed three weeks after irradiation by implantation under the kidney capsule of thymic lobes from C57BL or CBA fetal or adult donors. These mice were observed for the development of secondary disease for periods in excess of 250 days, and they were examined at 5 weeks or 4 months for T lymphocyte reactivity and tolerance to alloantigens, using the cell-mediated lympholysis assay (CML). The following results were obtained. First, removal of T lymphocytes with anti-Thy 1 antibody and complement from allogeneic bone marrow did not prevent wasting and eventual death, although it prolonged the lifespan of mice substantially. Second, T lymphocytes generated from bone marrow-derived precursor cells became tolerant of the histocompatibility antigens of the thymus donor strain but remained normally reactive to third-party antigens. Third, allogeneic radiation chimeras did not survive as well as animals reconstituted with syngeneic cells, even when they were demonstrably tolerant in CML. Fourth, C57BL BMC maturing in a CBA host equipped with a C57BL thymus graft did not become tolerant of host antigens, indicating that extra-thymic tolerance does not occur in fully allogeneic--as opposed to semiallogeneic--chimeras. It is argued that the function of B lymphocytes and/or accessory cells is impaired in fully allogeneic radiation chimeras, and that the mortality observed was directly related to the resulting immunodeficiency. The relevance of the results described in this paper to clinical bone marrow transplantation is discussed.
本研究的目的是确定完全同种异体嵌合体(C57BL→CBA)中的继发性疾病和死亡率在多大程度上(如果有的话)是由延迟的移植物抗宿主反应引起的。成年CBA雄性小鼠接受胸腺切除、照射,并用去除T淋巴细胞的C57BL或CBA骨髓细胞(BMC)进行重建,照射三周后,将来自C57BL或CBA胎儿或成年供体的胸腺叶植入肾包膜下。观察这些小鼠超过250天的继发性疾病发展情况,并在5周或4个月时使用细胞介导的淋巴细胞溶解试验(CML)检测T淋巴细胞对同种异体抗原的反应性和耐受性。得到了以下结果。第一,用抗Thy 1抗体和补体从同种异体骨髓中去除T淋巴细胞并不能防止消瘦和最终死亡,尽管这大大延长了小鼠的寿命。第二,由骨髓衍生的前体细胞产生的T淋巴细胞对胸腺供体菌株的组织相容性抗原产生耐受,但对第三方抗原仍保持正常反应。第三,同种异体辐射嵌合体的存活情况不如用同基因细胞重建的动物,即使它们在CML中明显耐受。第四,在配备C57BL胸腺移植物的CBA宿主中成熟的C57BL BMC对宿主抗原没有产生耐受,这表明在完全同种异体(与半同种异体相对)嵌合体中不会发生胸腺外耐受。有人认为,在完全同种异体辐射嵌合体中,B淋巴细胞和/或辅助细胞的功能受损,观察到的死亡率与由此产生的免疫缺陷直接相关。本文讨论了这些结果与临床骨髓移植的相关性。