Odorico J S, O'Connor T, Campos L, Barker C F, Posselt A M, Naji A
Department of Surgery, University of Pennsylvania Medical Center, Philadelphia.
Ann Surg. 1993 Oct;218(4):525-31; discussion 531-3. doi: 10.1097/00000658-199310000-00012.
This study examined the immunologic mechanism(s) responsible for the induction of transplantation tolerance in rats pretreated with intrathymic inoculation of donor strain bone marrow.
Induction of unresponsiveness may involve deletion and/or inactivation of donor-reactive T-cell precursors maturing in a thymus harboring donor alloantigen or generation of regulatory/suppressor cells. It was reasoned that, if unresponsiveness is caused by deletion of alloreactive clones, the presence of additional thymic tissue devoid of donor alloantigen permits normal maturation of T-cells and, thus, prevents induction of tolerance. However, if unresponsiveness were primarily mediated by regulatory/suppressor cells, the presence of noninoculated thymic tissue should not affect the induction of tolerance.
Three strategies were used to define the cellular basis of cardiac and islet allograft survival in WF recipients of intrathymic LEW donor bone marrow as follows: (1) inoculation of bone marrow either into the native thymus and/or into an ectopic thymus, (2) limiting dilution analyses of the frequency of precursor cytotoxic T-lymphocytes (CTLp), and (3) adoptive transfer to syngeneic secondary hosts.
Inoculation of bone marrow into only one lobe of the native thymus and/or into an ectopic thymus did not promote consistent survival of subsequent LEW cardiac allografts. Tolerant hosts displayed significant reductions in CTLp frequencies against donor alloantigens. Adoptive transfer of spleen cells from tolerant WF hosts harboring long-standing cardiac allografts led to permanent survival of LEW cardiac allografts in all secondary recipients. However, transfer of spleen cells from WF animals that received intrathymic LEW bone marrow (but no cardiac allograft) did not promote survival of LEW cardiac allografts in naive secondary hosts.
These results indicate that the unresponsive state after intrathymic inoculation of bone marrow cells is primarily mediated by deletion and/or inactivation of donor-specific T-cell precursors maturing in a chimeric thymus. The demonstration by adoptive transfer studies of putative regulatory/suppressor cells suggested an important role for the persistence of donor alloantigen (supplied by a vascularized allograft) in the maintenance of the unresponsive state.
本研究探讨经胸腺内接种供体品系骨髓预处理的大鼠诱导移植耐受的免疫机制。
诱导无反应性可能涉及在含有供体同种异体抗原的胸腺中成熟的供体反应性T细胞前体的缺失和/或失活,或调节/抑制细胞的产生。据推测,如果无反应性是由同种异体反应性克隆的缺失引起的,那么存在不含供体同种异体抗原的额外胸腺组织可使T细胞正常成熟,从而防止耐受的诱导。然而,如果无反应性主要由调节/抑制细胞介导,未接种的胸腺组织的存在不应影响耐受的诱导。
采用三种策略来确定胸腺内接种LEW供体骨髓的WF受体中心脏和胰岛同种异体移植存活的细胞基础,具体如下:(1)将骨髓接种到天然胸腺和/或异位胸腺中;(2)对前体细胞毒性T淋巴细胞(CTLp)频率进行有限稀释分析;(3)过继转移至同基因二级宿主。
仅将骨髓接种到天然胸腺的一个叶和/或异位胸腺中,并不能促进随后LEW心脏同种异体移植的持续存活。耐受宿主针对供体同种异体抗原的CTLp频率显著降低。将长期存活心脏同种异体移植的耐受WF宿主的脾细胞过继转移,可使所有二级受体中的LEW心脏同种异体移植永久存活。然而,将接受胸腺内LEW骨髓(但未进行心脏同种异体移植)的WF动物的脾细胞转移,并不会促进未接触过的二级宿主中LEW心脏同种异体移植的存活。
这些结果表明,胸腺内接种骨髓细胞后的无反应状态主要由在嵌合胸腺中成熟的供体特异性T细胞前体的缺失和/或失活介导。过继转移研究对假定的调节/抑制细胞的证实表明,供体同种异体抗原(由血管化同种异体移植提供)的持续存在在维持无反应状态中起重要作用。