Promotion of incompatible allograft acceptance in rhesus monkeys given posttransplant antithymocyte globulin and donor bone marrow. I. In vivo parameters and immunohistologic evidence suggesting microchimerism

Transplantation. 1987 Mar;43(3):332-8. doi: 10.1097/00007890-198703000-00002.

Abstract

This report extends previous studies demonstrating that prolonged acceptance of incompatible kidney allografts in rhesus monkeys can be achieved by a short recipient rabbit antithymocyte globulin (RATG) treatment course followed by donor bone marrow infusion on day 12 without a requirement for chronic immunosuppression. Serial studies of antilymphocyte cyctotoxic antibody in recipients' sera following RATG injections showed pan-lymphocyte-reactive antibody present until day 10 posttransplant. On days 11 and 12, pan-lymphocyte-reactive antibody was no longer detectable, but cytotoxic antibody specific for mature T cells remained in recipients' sera. These findings might explain the critical time relationship between antithymocyte globulin treatment and donor bone marrow infusion, and further suggest that the tolerance-promoting cell in donor bone marrow is not a mature T cell, but rather a pre-T or a non-T cell. Finally, it was found that this treatment protocol resulted in development of lymphoid nodules in the transplanted kidney that express a CD8-positive, FcIgG-receptor-positive phenotype and appear to be of donor origin. The possibility of a veto cell type of mechanism is discussed as an explanation for the promotion of allograft acceptance in this model.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Antigens, Differentiation, T-Lymphocyte
  • Antigens, Surface / analysis
  • Antilymphocyte Serum / administration & dosage*
  • Bone Marrow Transplantation
  • Graft Enhancement, Immunologic*
  • Graft Survival
  • Immunosuppression Therapy
  • Isoantigens / analysis
  • Kidney / ultrastructure
  • Kidney Transplantation*
  • Macaca mulatta / immunology
  • Male
  • Postoperative Care
  • Receptors, Fc / analysis
  • T-Lymphocytes / immunology*
  • Transplantation, Homologous

Substances

  • Antigens, Differentiation, T-Lymphocyte
  • Antigens, Surface
  • Antilymphocyte Serum
  • Isoantigens
  • Receptors, Fc