Skip to main content
Annals of Surgery logoLink to Annals of Surgery
. 1993 Oct;218(4):525–533. doi: 10.1097/00000658-199310000-00012

Examination of the mechanisms responsible for tolerance induction after intrathymic inoculation of allogeneic bone marrow.

J S Odorico 1, T O'Connor 1, L Campos 1, C F Barker 1, A M Posselt 1, A Naji 1
PMCID: PMC1243011  PMID: 8215643

Abstract

OBJECTIVE: 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. SUMMARY BACKGROUND DATA: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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.

Full text

PDF
525

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BILLINGHAM R. E., BRENT L., MEDAWAR P. B. Actively acquired tolerance of foreign cells. Nature. 1953 Oct 3;172(4379):603–606. doi: 10.1038/172603a0. [DOI] [PubMed] [Google Scholar]
  2. Campos L., Alfrey E. J., Posselt A. M., Odorico J. S., Naji A., Barker C. F. Intrathymic inoculation of donor cells promotes survival of rat orthotopic liver allografts. Transplant Proc. 1993 Feb;25(1 Pt 1):488–489. [PubMed] [Google Scholar]
  3. Goss J. A., Nakafusa Y., Flye M. W. Intrathymic injection of donor alloantigens induces donor-specific vascularized allograft tolerance without immunosuppression. Ann Surg. 1992 Oct;216(4):409–416. doi: 10.1097/00000658-199210000-00003. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Monaco A. P. Studies in rodents on the use of polyclonal antilymphocyte serum and donor-specific bone marrow to induce specific unresponsiveness to skin allografts. Transplant Proc. 1991 Aug;23(4):2061–2067. [PubMed] [Google Scholar]
  5. Odorico J. S., Barker C. F., Posselt A. M., Naji A. Induction of donor-specific tolerance to rat cardiac allografts by intrathymic inoculation of bone marrow. Surgery. 1992 Aug;112(2):370–377. [PubMed] [Google Scholar]
  6. Ohzato H., Monaco A. P. Induction of specific unresponsiveness (tolerance) to skin allografts by intrathymic donor-specific splenocyte injection in antilymphocyte serum-treated mice. Transplantation. 1992 Dec;54(6):1090–1095. doi: 10.1097/00007890-199212000-00026. [DOI] [PubMed] [Google Scholar]
  7. Ono K., Lindsey E. S. Improved technique of heart transplantation in rats. J Thorac Cardiovasc Surg. 1969 Feb;57(2):225–229. [PubMed] [Google Scholar]
  8. Posselt A. M., Barker C. F., Tomaszewski J. E., Markmann J. F., Choti M. A., Naji A. Induction of donor-specific unresponsiveness by intrathymic islet transplantation. Science. 1990 Sep 14;249(4974):1293–1295. doi: 10.1126/science.2119056. [DOI] [PubMed] [Google Scholar]
  9. Posselt A. M., Odorico J. S., Barker C. F., Naji A. Promotion of pancreatic islet allograft survival by intrathymic transplantation of bone marrow. Diabetes. 1992 Jun;41(6):771–775. doi: 10.2337/diab.41.6.771. [DOI] [PubMed] [Google Scholar]
  10. Qin S., Cobbold S. P., Pope H., Elliott J., Kioussis D., Davies J., Waldmann H. "Infectious" transplantation tolerance. Science. 1993 Feb 12;259(5097):974–977. doi: 10.1126/science.8094901. [DOI] [PubMed] [Google Scholar]
  11. Remuzzi G., Rossini M., Imberti O., Perico N. Kidney graft survival in rats without immunosuppressants after intrathymic glomerular transplantation. Lancet. 1991 Mar 30;337(8744):750–752. doi: 10.1016/0140-6736(91)91368-5. [DOI] [PubMed] [Google Scholar]

Articles from Annals of Surgery are provided here courtesy of Lippincott, Williams, and Wilkins

RESOURCES