Ochi M, Ishida O, Daisaku H, Ikuta Y, Akiyama M
Department of Orthopaedic Surgery, Hiroshima University School of Medicine, Japan.
J Surg Res. 1995 May;58(5):478-84. doi: 10.1006/jsre.1995.1075.
To date, no study of allogeneic meniscal transplantation has investigated both the host cellular immune response and the humoral immune response. Using inbred mice, we examined cellular and humoral immunity to meniscal allografts through the mixed lymphocyte culture reaction and a complement-dependent cytotoxicity test. We also examined the histology of an allogeneic meniscus transplanted subcutaneously. The stimulation index of the mixed lymphocyte culture seen after placing fresh meniscal allografts subcutaneously was not significantly higher than when isograft controls were similarly placed. Following placement of the allografts, no specific antibodies were detected in serum throughout the 24-week period after grafting. Although viable fibrochondrocytes in the allogeneic meniscus decreased in number and lymphocyte infiltration around the allogeneic meniscus was noted at Week 2, no remarkable infiltration of lymphocytes into the meniscus was observed. These results indicate that in our experimental mouse model, a fresh meniscus apparently is not sufficiently immunogenic to induce a systemic reaction. Our results suggest that a fresh allogeneic meniscus can be transplanted without any special treatment to decrease its immunogenicity.
迄今为止,尚无关于同种异体半月板移植的研究同时调查宿主的细胞免疫反应和体液免疫反应。我们使用近交系小鼠,通过混合淋巴细胞培养反应和补体依赖性细胞毒性试验,研究了对半月板同种异体移植物的细胞免疫和体液免疫。我们还检查了皮下移植的同种异体半月板的组织学情况。皮下植入新鲜半月板同种异体移植物后,混合淋巴细胞培养的刺激指数并不显著高于同样植入同基因对照移植物时。植入移植物后,在移植后的24周内血清中均未检测到特异性抗体。尽管同种异体半月板中的存活纤维软骨细胞数量减少,且在第2周时观察到同种异体半月板周围有淋巴细胞浸润,但未观察到淋巴细胞显著浸润至半月板内。这些结果表明,在我们的实验小鼠模型中,新鲜半月板显然没有足够的免疫原性来引发全身反应。我们的结果提示,新鲜同种异体半月板无需进行任何特殊处理以降低其免疫原性即可进行移植。