STUDIES OF THE MECHANISM OF TOLERANCE INDUCED BY SHORT‐TERM IMMUNOSUPPRESSION WITH CYCLOSPORINE IN HIGH‐RISK CORNEAL ALLOGRAFT RECIPIENTSI. ANALYSIS OF CTL PRECURSOR FREQUENCIES
作者:
EVELINE IRSCHICK,
KLAUS MILLER,
MANUELA BERGER,
DIETER SCHÖNITZER,
JOSEF ROLLER,
HERMAN WAGNER,
WOLFGANG GÖTTINGER,
CHRISTOPH HUBER,
期刊:
Transplantation
(OVID Available online 1989)
卷期:
Volume 48,
issue 6
页码: 986-990
ISSN:0041-1337
年代: 1989
出版商: OVID
数据来源: OVID
摘要:
Transplantation of unmatched allogeneic corneas into highly vascularized recipient eyes under the cover of short-term immunosuppression with cyclosporine enables permanent engraftment (2). The aim of this study was to further elucidate the mechanism(s) underlying this tolerant state. In eight “high-risk” cornea recipients the clone sizes of donor-specific and third-party reactive cytotoxic T cell precursors were assessed by limiting dilution analyses before and at three and six months after transplantation. Acquired allograft tolerance in these patients was not accompanied byclonal reduction of donor-specific CTL-p, whereas in the case of an irreversible rejection the donor-specific CTL pool size was significantly enlarged. This donor-specific CTL-p in crease could already be seen two months before clinical manifestation. These patterns differed from that of tolerant renal transplant patients, in whom marked and donor-specific reduction of CTL-p was observed (2).During rejection identical patterns with increasing do nor-specific CTL-p frequencies were seen in both groups of patients.We conclude that induction of tolerance by short-term CsA to unmatched cornea grafts is not caused by clonal reduction of the effector precursor cell pool.
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