Patselas T, Thomas F, Araneda D, Marchman W
East Carolina University School of Medicine/University Medical Center, Greenville, NC 27858.
Transplant Proc. 1995 Feb;27(1):262-3.
This study was designed to test the alternative hypothesis to the T-cell cytotoxicity as a primary element in concordant xenograft rejection. Two sets of studies were done with one involving the known NK- and K-cell deficient Be mouse and another in which a normal mouse was induced with high levels (3 to 5 times normal) of LAK cell killing by a constant Osmolar Mini-Pump infusion of rIL-2. In the Be animals the CXR of skin and cardiac CXR grafts was slightly prolonged and the graft survived for a longer time than normal grafts, indicating the NK- and K-cell mechanisms are operative in CXR. These studies suggest that the NK and K cells act as ancillary mechanisms in cytotoxicity in CXR. In the second portion of these studies, the increasing of LAK cell activity by infusions of rIL-2 failed to delay rejection beyond that in the Be mouse but did delay rejection beyond controls. These results suggest that the NK- and K-cell killing acts as an ancillary mechanism in CXR. Because these animals had only a slight rise in ADCC shortly after transplantation with maximum titers of 1:256 in this model, it would be presumptive to assume that cell killing was not important in CXR because many xenograft models show extraordinarily high levels of ADCC after transplantation, especially in a late transplant period. As in human allografting, the vasculitis seen with ADCC antibody could be expected to represent a significant pathology long after transplantation and this mechanism of cytotoxicity involving NK and K cells may be important in a later phase after xenografting when chronic vasculitis develops in the long surviving xenografts. Techniques for immunomodulation of the NK and K activity are now being actively pursued in our laboratory.
本研究旨在验证T细胞细胞毒性并非协同异种移植排斥反应主要因素这一替代假说。我们开展了两组研究,一组涉及已知缺乏NK细胞和K细胞的Be小鼠,另一组是通过恒渗微型泵持续输注重组白细胞介素-2(rIL-2),诱导正常小鼠产生高水平(正常水平的3至5倍)的淋巴因子激活的杀伤细胞(LAK细胞)杀伤活性。在Be小鼠中,皮肤和心脏协同异种移植排斥反应(CXR)有所延长,移植器官存活时间比正常移植器官更长,这表明NK细胞和K细胞机制在CXR中发挥作用。这些研究表明,NK细胞和K细胞在CXR的细胞毒性中起辅助作用。在这些研究的第二部分中,通过输注rIL-2增加LAK细胞活性,未能使排斥反应延迟超过Be小鼠,但确实比对照组延迟了排斥反应。这些结果表明,NK细胞和K细胞杀伤在CXR中起辅助作用。由于在该模型中,这些动物在移植后不久ADCC(抗体依赖的细胞介导的细胞毒性作用)仅略有升高,最高效价为1:256,因此推测细胞杀伤在CXR中并不重要,因为许多异种移植模型在移植后,尤其是在移植后期,显示出极高水平的ADCC。如同人类同种异体移植一样,预计ADCC抗体引起的血管炎在移植后很长时间内都可能是一种重要的病理表现,这种涉及NK细胞和K细胞的细胞毒性机制在异种移植后期慢性血管炎在长期存活的异种移植器官中发展时可能很重要。目前我们实验室正在积极探索调节NK细胞和K细胞活性的免疫调节技术。