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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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