Hammerman M R
George M. O'Brien Kidney and Urological Disease Center, Renal Division, Department of Medicine, Washington University School of Medicine, St. Louis, MO 63110, USA.
Nephron. 1999 Feb;81(2):131-5. doi: 10.1159/000045267.
BACKGROUND/AIMS: The number of kidney transplantations performed per year is limited due to the availability of donor organs. One possible solution to the organ shortage is the use of renal xenografts. However, the transplantation of xenografts is complicated by rejection.
It has been postulated that the host immune response might be attenuated following the transplantation of embryonic kidneys (metanephroi) rather than developed (adult kidneys). Transplanted metanephroi become chimeric organs in that their blood supply originates from the host. It is possible to transplant a developing metanephros, without the use of immunosuppression, from one outbred rat to another.
Transplanted metanephroi grow, develop, become vascularized, and function in host rats. In contrast, developed adult kidneys transplanted from one rat to another undergo rejection within 7 days after transplantation.
These observations suggest that metanephric tissue may be less immunogenic than adult kidney. Transplantation of metanephroi represents a new development that could lead to a novel therapeutic approach to the treatment of chronic renal failure.
背景/目的:由于供体器官的可获得性,每年进行的肾移植数量有限。器官短缺的一个可能解决方案是使用肾异种移植。然而,异种移植会因排斥反应而变得复杂。
据推测,移植胚胎肾(后肾)而非发育成熟的(成年肾)后,宿主的免疫反应可能会减弱。移植的后肾会成为嵌合器官,因为它们的血液供应来自宿主。在不使用免疫抑制的情况下,将一个远交系大鼠的发育中的后肾移植到另一只大鼠体内是可行的。
移植的后肾在宿主大鼠体内生长、发育、血管化并发挥功能。相比之下,从一只大鼠移植到另一只大鼠的发育成熟的成年肾在移植后7天内会发生排斥反应。
这些观察结果表明,后肾组织的免疫原性可能低于成年肾。后肾移植代表了一个新的进展,可能会带来一种治疗慢性肾衰竭的新方法。