Abstract
We recognized two distinct clinical and histologic syndromes of acute and chronic graft-versus-host disease (GVHD) in irradiation chimeric dogs given hemopoietic grafts from DLA-nonidentical littermate donors. Clinically acute GVHD developed, with a median onset of 13 days after the transplant, and was characterized by skin erythema, jaundice, diarrhea, and gram-negative infections; the median survival of these dogs was 29.5 days. Chronic GVHD developed a median of 124 days after the transplant and was characterized by generalized skin ulcerations, massive ascites, and gram-positive infections; the median survival of these dogs was 150 days. Chronic GVHD could be distinguished histologically from acute GVHD by epidermal atrophy and dermal fibrosis and by bile duct proliferation, bridging, piecemeal necrosis, and portal fibrosis in the liver. Questions related to GVHD in man can be investigated in this model of acute and chronic GVHD in a large outbred species.
Full text
PDFImages in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Albert E. D., Erickson V. M., Graham T. C., Parr M., Templeton J. W., Mickey M. R., Thomas E. D., Storb R. Serology and genetics of the DL-A system. I. Establishment of specificities. Tissue Antigens. 1973;3(6):417–430. doi: 10.1111/j.1399-0039.1973.tb00512.x. [DOI] [PubMed] [Google Scholar]
- Atkinson K., Storb R., Prentice R. L., Weiden P. L., Witherspoon R. P., Sullivan K., Noel D., Thomas E. D. Analysis of late infections in 89 long-term survivors of bone marrow transplantation. Blood. 1979 Apr;53(4):720–731. [PubMed] [Google Scholar]
- Beschorner W. E., Saral R., Hutchins G. M., Tutschka P. J., Santos G. W. Lymphocytic bronchitis associated with graft-versus-host disease in recipients of bone-marrow transplants. N Engl J Med. 1978 Nov 9;299(19):1030–1036. doi: 10.1056/NEJM197811092991902. [DOI] [PubMed] [Google Scholar]
- Deeg H. J., Meyers J. D., Storb R., Graham T. C., Weiden P. L. Effect of trimethoprim-sulfamethoxazole on hematological recovery after total body irradiation and autologous marrow infusion in dogs. Transplantation. 1979 Sep;28(3):243–246. doi: 10.1097/00007890-197909000-00017. [DOI] [PubMed] [Google Scholar]
- Epstein R. J., McDonald G. B., Sale G. E., Shulman H. M., Thomas E. D. The diagnostic accuracy of the rectal biopsy in acute graft-versus-host disease: a prospective study of thirteen patients. Gastroenterology. 1980 Apr;78(4):764–771. [PubMed] [Google Scholar]
- HAGER E. B., MANNICK J. A., THOMAS E. D., FERREBEE J. W. Dogs that survive "lethal" exposures to radiation. Radiat Res. 1961 Feb;14:192–205. [PubMed] [Google Scholar]
- Kolb H., Sale G. E., Lerner K. G., Storb R., Thomas E. D. Pathology of acute graft-versus-host disease in the dog. An autopsy study of ninety-five dogs. Am J Pathol. 1979 Aug;96(2):581–594. [PMC free article] [PubMed] [Google Scholar]
- Lerner K. G., Kao G. F., Storb R., Buckner C. D., Clift R. A., Thomas E. D. Histopathology of graft-vs.-host reaction (GvHR) in human recipients of marrow from HL-A-matched sibling donors. Transplant Proc. 1974 Dec;6(4):367–371. [PubMed] [Google Scholar]
- McDonald G. B., Sullivan K. M., Schuffler M. D., Shulman H. M., Thomas E. D. Esophageal abnormalities in chronic graft-versus-host disease in humans. Gastroenterology. 1981 May;80(5 Pt 1):914–921. [PubMed] [Google Scholar]
- Rappaport H., Khalil A., Halle-Pannenko O., Pritchard L., Dantchev D., Mathé G. Histopathologic sequence of events in adult mice undergoing lethal graft-versus-host reaction developed across H-2 and/or non-H-2 histocompatibility barriers. Am J Pathol. 1979 Jul;96(1):121–142. [PMC free article] [PubMed] [Google Scholar]
- Sale G. E., Lerner K. G., Barker E. A., Shulman H. M., Thomas E. D. The skin biopsy in the diagnosis of acute graft-versus-host disease in man. Am J Pathol. 1977 Dec;89(3):621–636. [PMC free article] [PubMed] [Google Scholar]
- Sale G. E., Shulman H. M., McDonald G. B., Thomas E. D. Gastrointestinal graft-versus-host disease in man. A clinicopathologic study of the rectal biopsy. Am J Surg Pathol. 1979 Aug;3(4):291–299. doi: 10.1097/00000478-197908000-00001. [DOI] [PubMed] [Google Scholar]
- Sale G. E., Storb R., Kolb H. Histopathology of hepatic acute graft-versus-host disease in the dog. A double blind study confirms the specificity of small bile duct lesions. Transplantation. 1978 Aug;26(2):103–106. doi: 10.1097/00007890-197808000-00009. [DOI] [PubMed] [Google Scholar]
- Shulman H. M., Sale G. E., Lerner K. G., Barker E. A., Weiden P. L., Sullivan K., Gallucci B., Thomas E. D., Storb R. Chronic cutaneous graft-versus-host disease in man. Am J Pathol. 1978 Jun;91(3):545–570. [PMC free article] [PubMed] [Google Scholar]
- Shulman H. M., Sullivan K. M., Weiden P. L., McDonald G. B., Striker G. E., Sale G. E., Hackman R., Tsoi M. S., Storb R., Thomas E. D. Chronic graft-versus-host syndrome in man. A long-term clinicopathologic study of 20 Seattle patients. Am J Med. 1980 Aug;69(2):204–217. doi: 10.1016/0002-9343(80)90380-0. [DOI] [PubMed] [Google Scholar]
- Storb R., Epstein R. B., Graham T. C., Thomas E. D. Methotrexate regimens for control of graft-versus-host disease in dogs with allogeneic marrow grafts. Transplantation. 1970 Mar;9(3):240–246. doi: 10.1097/00007890-197003000-00007. [DOI] [PubMed] [Google Scholar]
- Storb R., Rudolph R. H., Kolb H. J., Graham T. C., Mickelson E., Erickson V., Lerner K. G., Kolb H., Thomas E. D. Marrow grafts between DL-A-matched canine littermates. Transplantation. 1973 Jan;15(1):92–100. doi: 10.1097/00007890-197301000-00014. [DOI] [PubMed] [Google Scholar]
- Storb R., Weiden P. L., Graham T. C., Lerner K. G., Thomas E. D. Marrow grafts between DLA-identical and homozygous unrelated dogs: evidence for an additional locus involved in graft-versus-host disease. Transplantation. 1977 Sep;24(3):165–174. doi: 10.1097/00007890-197709000-00001. [DOI] [PubMed] [Google Scholar]
- Thomas E. D., LeBlond R., Graham T., Storb R. Marrow infusions in dogs given midlethal or lethal irradiation. Radiat Res. 1970 Jan;41(1):113–124. [PubMed] [Google Scholar]
- Tutschka P. J., Hess A. D., Beschorner W. E., Santos G. W. Suppressor cells in transplantation tolerance. I. Suppressor cells in the mechanism of tolerance in radiation chimeras. Transplantation. 1981 Sep;32(3):203–209. doi: 10.1097/00007890-198109000-00005. [DOI] [PubMed] [Google Scholar]