Komori T
First Department of Surgery, Dokkyo School of Medicine, Tochigi, Japan.
Nihon Geka Gakkai Zasshi. 1995 Jan;96(1):19-25.
I analyzed the relationship of the change of lymphocyte subsets in the blood and acute allograft rejection of heterotopic small bowel transplantation in the rats. The effect of immunosuppressive agent, FK506 was monitored by lymphocyte subsets and effective dose in small bowel transplantation was assessed. Four different combinations were investigated: (A) syngenic graft; (B) allogenic graft without FK506; (C) allogenic graft with FK 0.135mg/kg/day; and (C-2) allogenic graft with FK 0.270mg/kg/day. Lymphocytes obtained from the caudal artery blood at 1, 3, 5 and 7 days after transplantation, were stained by monoclonal antibodies (W3/13, W3/25, OX-8, 68-IB3) and then enumerated by flow cytometry. In group A, lymphocyte subsets showed no significant change after transplantation. Group B showed remarkable decrease of W3/13 and OX-8 positive cells at 3 and 5 days after transplantation. In group C-1, the change of lymphocyte subsets was similar to group B. In group C-2, the lymphocyte subsets revealed almost same change as group A. The change of lymphocyte subsets, especially W3/13 and OX-8 positive cells, may be useful marker for early diagnosis of acute rejection and for determination of the effective dose of FK506 in the small bowel transplantation.
我分析了大鼠异位小肠移植中血液淋巴细胞亚群变化与急性移植排斥反应的关系。通过淋巴细胞亚群监测免疫抑制剂FK506的作用,并评估其在小肠移植中的有效剂量。研究了四种不同组合:(A) 同基因移植;(B) 未使用FK506的异基因移植;(C) 使用0.135mg/kg/天FK的异基因移植;以及(C-2) 使用0.270mg/kg/天FK的异基因移植。在移植后1、3、5和7天从尾动脉采血获得的淋巴细胞,用单克隆抗体(W3/13、W3/25、OX-8、68-IB3)染色,然后通过流式细胞术计数。A组移植后淋巴细胞亚群无显著变化。B组在移植后3天和5天W3/13和OX-8阳性细胞显著减少。C-1组淋巴细胞亚群变化与B组相似。C-2组淋巴细胞亚群变化与A组几乎相同。淋巴细胞亚群的变化,尤其是W3/13和OX-8阳性细胞的变化,可能是小肠移植急性排斥反应早期诊断和确定FK506有效剂量的有用标志物。