Hard R C, Montour J L, Fuchs B A
Department of Pathology, Medical College of Virginia/VCU, Richmond 23298-0662, USA.
Clin Exp Immunol. 1995 May;100(2):352-8. doi: 10.1111/j.1365-2249.1995.tb03676.x.
Rather than central tolerance, the perinatal inoculation of related F1 hybrid spleen cells into inbred mice may result in host-versus-graft (HVG) reactions manifested as transient autoimmunity, or as a lethal immunodeficiency syndrome. RFM/(T6xRFM)F1 chimaeras with lethal disease die in 30 days with lymphosplenomegaly, immune complexes and impaired immune responses. The present studies used in vitro proliferation assays to show that the HVG reaction caused hyperplasia sufficient to account for the lymphosplenomegaly, while also causing severe impairment of splenic and nodal cell responses to concanavalin A (Con A) and to bacterial lipopolysaccharide (LPS). By 25 days, HVG mice could not distinguish between self and non-self as judged by mixed lymphocyte reactions (MLR) to RFM, (T6xRFM)F1 and third party A/J cells. There were no indications that host cells reactive to F1 donor cells had undergone clonal deletion, anergy or expansion. Flow cytometry revealed that donor T lymphocytes achieved stable engraftment, mostly in the nodes, despite the HVG reaction. Taken together with previous observations, these studies showed that HVG reactions in young parent F1/chimaeras can result in an immunodeficiency state which is characterized by an early appearing, profound and persistent impairment of both host and donor T and B cell functions. The results suggest that HVG reactions can contribute directly to immune deficits seen after clinical allogeneic bone marrow transplantation.
将相关F1杂交脾细胞在围产期接种到近交系小鼠体内,不会导致中枢耐受,反而可能引发宿主抗移植物(HVG)反应,表现为短暂的自身免疫,或致命的免疫缺陷综合征。患有致命疾病的RFM/(T6xRFM)F1嵌合体在30天内死亡,伴有淋巴脾肿大、免疫复合物和免疫反应受损。本研究采用体外增殖试验表明,HVG反应导致的增生足以解释淋巴脾肿大,同时还会严重损害脾细胞和淋巴结细胞对刀豆蛋白A(Con A)和细菌脂多糖(LPS)的反应。到25天时,通过对RFM、(T6xRFM)F1和第三方A/J细胞的混合淋巴细胞反应(MLR)判断,HVG小鼠已无法区分自身和非自身。没有迹象表明对F1供体细胞有反应的宿主细胞经历了克隆清除、无反应性或扩增。流式细胞术显示,尽管存在HVG反应,但供体T淋巴细胞大多在淋巴结中实现了稳定植入。结合先前的观察结果,这些研究表明,年轻的亲代F1/嵌合体中的HVG反应可导致免疫缺陷状态,其特征是宿主和供体T细胞及B细胞功能早期出现、严重且持续受损。结果表明,HVG反应可直接导致临床同种异体骨髓移植后出现的免疫缺陷。