Kirk A D, Li R A, Kinch M S, Abernethy K A, Doyle C, Bollinger R R
Department of Surgery, Duke University Medical Center, Durham, North Carolina 27710.
Transplantation. 1993 Apr;55(4):924-31.
Discordant xenogeneic transplantation offers a potentially unlimited source of donor organs from easily bred, nonendangered, physiologically compatible animals, but has been limited by the inevitable occurrence of hyperacute rejection (HAR). The potential existence of cell-mediated discordant graft rejection has remained obscured by HAR, and hence is incompletely understood. To define the cellular elements capable of recognition of and subsequent response against discordant tissue in a clinically applicable species combination, we have studied the in vitro interaction of human peripheral blood lymphocytes against 3 porcine B lymphoblastoid cell lines and 6 primary porcine endothelial cell populations. PBL from all individuals tested (n = 10) proliferated in response to culture for 72 hr in xenogeneic mixed lymphocyte culture (XMLC) with cell lines expressing porcine MHC (SLA) class II antigens, while endothelial cultures lacking SLA class II generally failed to evoke a response. The proliferative response to class II-positive cells was attenuated by addition of anti-SLA class II antibody but not by anti-SLA class I antibody. Two endothelial populations expressing class II stimulated an inhibitable proliferative response. The magnitude of the short-term proliferative xenogeneic response was similar to that evoked by fully mismatched allogeneic human B lymphoblastoid stimulators. Additionally, extended XMLC was performed with PBL from 3 individuals. All populations responded with continued proliferation when repeatedly stimulated by porcine cells. This was characterized not only by T cell growth, but by prominent NK cell growth as well. Elucidation of the TCR V beta chain usage patterns by semiquantitative PCR documented selection of TCR transcripts from gene family V beta 2 in each group, complemented by a heterogeneous mixture of other transcripts including V beta 17.1, 20.1, and 6.1, suggesting that direct human TCR binding of porcine cells occurs, and that it is likely to be an individualistic response complemented by a more homogeneous NK response. A 51Cr release assay was utilized to demonstrate that unprimed PBL could also lyse porcine target cells. This cytotoxic response was maintained despite the complete removal of T cells, suggesting that porcine-directed NK cell activity is present prior to the maturation of any T cell response. Cytolysis was also demonstrated in serum-free medium and thus was not mediated solely by antibody-dependent cellular cytotoxicity. Chinese hamster ovary cells transfected with the human T cell receptor accessory molecule CD4 were used to study the ability of this molecule to stabilize the interaction between the human TCR and SLA class II.(ABSTRACT TRUNCATED AT 400 WORDS)
异种移植提供了一个潜在的无限供体器官来源,这些供体器官来自易于繁殖、非濒危且生理上相容的动物,但一直受到超急性排斥反应(HAR)不可避免发生的限制。细胞介导的异种移植排斥反应的潜在存在一直被HAR所掩盖,因此尚未得到充分理解。为了确定在临床适用的物种组合中能够识别并随后对异种组织作出反应的细胞成分,我们研究了人外周血淋巴细胞与3种猪B淋巴母细胞系和6个原代猪内皮细胞群体的体外相互作用。在与表达猪主要组织相容性复合体(SLA)II类抗原的细胞系进行异种混合淋巴细胞培养(XMLC)72小时后,所有测试个体(n = 10)的外周血淋巴细胞均发生增殖,而缺乏SLA II类的内皮细胞培养物通常未能引发反应。添加抗SLA II类抗体可减弱对II类阳性细胞的增殖反应,而抗SLA I类抗体则无此作用。两个表达II类的内皮细胞群体刺激了可抑制的增殖反应。短期增殖性异种反应的强度与完全不匹配的同种异体人B淋巴母细胞刺激物引发的反应相似。此外,对3名个体的外周血淋巴细胞进行了延长的XMLC。当被猪细胞反复刺激时,所有群体均持续增殖。这不仅以T细胞生长为特征,也以显著的NK细胞生长为特征。通过半定量PCR阐明TCR Vβ链使用模式,记录了每组中从基因家族Vβ2中选择TCR转录本,辅以包括Vβ17.1、20.1和6.1在内的其他转录本的异质混合物,这表明人TCR与猪细胞直接结合发生,并且这可能是一种个体特异性反应,辅以更均匀的NK反应。利用51Cr释放试验证明未致敏的外周血淋巴细胞也能裂解猪靶细胞。尽管完全去除了T细胞,这种细胞毒性反应仍得以维持,这表明在任何T细胞反应成熟之前就存在针对猪的NK细胞活性。在无血清培养基中也证明了细胞溶解,因此并非仅由抗体依赖性细胞毒性介导。用转染了人T细胞受体辅助分子CD4的中国仓鼠卵巢细胞来研究该分子稳定人TCR与SLA II类之间相互作用的能力。(摘要截断于400字)