摘要:

SUMMARYPassive enhancement provides only partial suppression of rejection in the (DA × Lewis)F1to Lewis renal allograft model. Suboptimal (8 mg/kg/day) and supraoptimal (30 mg/ kg/day) doses of azathioprine administered with enhancing serum failed to suppress the rejection reaction in enhanced animals. Similarly, suboptimal (4 mg/kg/day) and optimal (16 mg/kg/day) doses of methylprednisolone were ineffective. However, the onset of rejection in enhanced animals was delayed by the use of both azathioprine (30 mg/kg/day) and methylprednisolone (16 mg/kg/day). The survival times of enhanced animals treated with azathioprine were significantly shorter than those of animals treated with enhancing serum alone, suggesting that this agent may prevent the development of autoenhancement. Although suboptimal doses of antilymphocyte serum suppress rejection in this enhancement model, the dose requirements of conventional immuno-suppressive agents appear to be maximal rather than minimal.

ISSN:0041-1337    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

SUMMARYThe isolated perfused rat kidney has been used to study the effects of cold ischaemia during ice storage. Tissue adenine nucleotide levels in freeze-clamped kidneys were closely correlated with their function after circulation had been reestablished in the perfusion circuit. The ATP content was depleted to a greater extent than total adenine nucleotide after 8 hr of cold ischaemia but both were considerably diminished after 24 hr.The model was also used to compare four solutions which are available clinically for preliminary flushing of organs in the ice storage preservation technique. The results indicated that for periods of 8 and 24 hr of cold ischaemia, renal function and adenine nucleotide content were significantly better maintained with a solution based on hyperosmolar citrate than with Collins, Sacks, or Perfudex solutions.This study confirmed recent observations of the clinical efficacy of citrate solution, while demonstrating how the isolated perfused rat kidney could be used for rapid screening of modifications in preservation techniques.

ISSN:0041-1337    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

SUMMARYUnilateral, intraorganal injection of parental lymph node cells into thyroid lobes of F1hybrid rats elicited an intense, local graft-versus-host reaction within the injected lobes containing massive numbers of lymphocytes. Surprisingly, significant mononuclear cell infiltration was also seen within the contralateral (noninjected) thyroid lobes, even when the isthmus had been divided. The local graft-versus-host reaction spread from the injected gland to involve the regional lymph nodes and spleen. Migration of51Cr-labeled donor lymph node cells was documented in these same tissue sites; lesser numbers of labeled cells were found in distant lymph nodes, including the contralateral cervical nodes. However, no significant label was found in the contralateral thyroid lobes. Microscopic evaluation of noninjected glands revealed intense infiltration of mononuclear cells around and within follicles, reminiscent of lesions induced by immunization with thyroid extract in Freund's complete adjuvant. The absence of donor cells in the inflammatory reactions within noninjected thyroid lobes raises the possibility of an autoimmune rather than graft-versus-host pathogenesis.

ISSN:0041-1337    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

SUMMARYFrom July 1972 to September 1976, 708 kidneys received through the Interhospital Organ Bank, New England were divided into two groups. Both groups were preserved by continuous pulsatile perfusion. Group 1 (308 kidneys) was maintained at a systolic pressure of 60 mm Hg throughout the preservation period. Group 2 (399 kidneys) was perfused at an initial pressure of 60 mm Hg. The pressure was adjusted to 55 mm Hg at 1 hr, then no further adjustments were made. Comparison reveals that group 2 donors were younger and that the kidneys in group 2 were preserved for longer periods than those in group 1. Both groups had an equivalent number of kidneys that were discarded and kidneys that did not function. The incidence of immediate function was higher in group 2 but this difference is not statistically significant. Compared with conventional preservation, kidneys can be preserved at lower systolic and mean pressures without loss of quality, and in fact, may suffer less damage from perfusion.

ISSN:0041-1337    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

SUMMARYDNA labeling, bone marrow fractionation, and radioautography were used to follow the fate of transfused, newly formed marrow lymphocytes in irradiated hosts. After infusing donor Hartley guinea pigs with3H-thymidine for 3 to 5 days, high concentrations of labeled small lymphocytes and large lymphoid cells were separated from marrow by sedimentation in sucrose-serum gradients and injected into lethally X-irradiated syngeneic recipients. Most labeled small lymphocytes and large lymphoid cells rapidly left the circulation. They appeared to be mainly in the marrow and spleen, increasing in incidence from 1 to 3 days, but declining in mean grain count. Labeled cells were scattered throughout the recipient marrow; in the spleen they localized initially in the red pulp, and subsequently in peripheral areas of white pulp, often in clusters. Labeled small lymphocytes showed a delayed migration into the mesenteric lymph node, mainly in the superficial cortex and medulla; they also appeared in small numbers in Peyer's patches, but rarely in the thymus or thoracic duct lymph. It is concluded that a rapid selective homing of newly formed marrow lymphoid cells occurs in both the marrow and certain areas of the spleen of irradiated hosts, followed by a continuing proliferation of large lymphoid cells and production of small lymphocytes. The results are discussed with respect to the life history of marrow lymphocytes and the use of adoptive immune assays of marrow cells to characterize B lymphocyte maturation.

ISSN:0041-1337    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

SUMMARYH-1-incompatible rat renal allograft survival rates are strongly influenced by the non-major histocompatibility system (MHS) genes. The same H-1 (MHS) incompatibility tested on four different non-MHS backgrounds gave widely differing results ranging from 11 to 60% fractional survival between the best and the poorest (P< 0.01) at 105 days.These results can best be explained if non-H-1 and intra-MHS amplifiers and/or suppressors are invoked.

ISSN:0041-1337    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

Serial serum samples from 47 renal allotransplant recipients were screened for antiperipheral blood lymphocyte, anti-B cell, and anti-Daudi cell line antibodies. Various associations of these antibodies were observed in 28 patients. Anti-Daudi did not correlate with graft survival, whereas anti-B, although they were often associated with anti-peripheral blood lymphocyte antibodies, showed the strongest correlation with chronic rejection (P= 0.00002). However anti-B cytotoxicity preceded or was concurrent with the onset of chronic rejection in only 53% of the cases. Antibodies were absent in six of nine patients with irreversible acute rejection, but they usually appeared after transplant nephrectomy. These findings suggest that anti-B cell antibodies may play a role in the rejection process. In 15 of 17 recipients (88%), anti-B cell antibodies occurred during the first trimester after transplantation. These patients showed 20% 1-year graft survival compared with 68% in those without antibodies at that time (P< 0.005).

ISSN:0041-1337    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

SUMMARYWe have made preliminary investigations into the effect of 33 different drugs on the survival of rat cardiac allografts, the drugs being administered to the allograft donor. All drugs were administered at LD50i.v. to the graft donor 6 hr prior to removal of the organ. Especially effective were alkylating agents and antimetabolites. Pretreatment with cyclophosphamide, busulfan, methotrexate, azauridine, or bromodeoxyuridine prolonged the survival from 7 to more than 20 days. Pretreatment with chlorambusil, mannomustine, mannosulfan, 1-(2-chloroethyl)-3-cyclohexyl-1-nitrosourea, DTIC, fluoruracil, or hydroxyurea prolonged the survival to more than 14 days. Several other alkylating agents and antimetabolites prolonged the survival moderately, i.e., to approximately 10 days or more. Purine antagonists, mercaptopurine and azathioprine, were totally ineffective as were also anticancer antibiotics and vinca alkaloids. Pretreatment with procarbazine or methylprednisolone alone increased the survival only moderately, whereas pretreatment with both of these drugs together increased the survival up to 27 days.

ISSN:0041-1337    

出版商:OVID    

年代:1978

数据来源: OVID

摘要:

SUMMARYThe rate of improvement in HLA matching quality with increasing pool size is predicted. The expected frequency of HLA-A,B-compatible matches increases rapidly up to approximately 47% for pool size 1,000 and from then on the increase is moderate, whereas for HLA-A,B-identical matches the increase in frequency is more constant, the expected frequencies being approximately 34 and 52% for pool sizes 1,000 and 2,500, respectively. The expected frequency of HLA-A,B full-house-identical matches is 33% at a pool size of 2,500. The waiting time for the first available HLA-identical kidney is estimated. For a random recipient there is a 25% chance of obtaining an HLA-identical match among the first 500 kidney donors. For two cooperating pools, it is calculated at which relative transplantation activity the kidney import to export is balanced and also the decrease in waiting time for an identical match when cooperating is estimated. The results of a kidney exchange simulation are presented and they agree well with the theoretical considerations.

ISSN:0041-1337    

出版商:OVID    

年代:1978

数据来源: OVID

ISSN:0041-1337    

出版商:OVID    

年代:1978

数据来源: OVID