首都医科大学学报 ›› 2006, Vol. 27 ›› Issue (4): 488-491.

• 基础研究 • 上一篇    下一篇

剔除CCR5基因供者小鼠细胞加重急性移植物抗宿主疾病

王昭1, 付丽1, 黄达永1, William J Murphy2   

  1. 1. 首都医科大学附属北京友谊医院血液内科;2. 美国国立卫生研究院骨髓移植研究所
  • 收稿日期:2005-09-27 修回日期:1900-01-01 出版日期:2006-08-24 发布日期:2006-08-24

An Absence of Gene CCR5 on Donor Cells Results in Acceleration of Acute Graft-anti-host Disease

Wang Zhao1, Fu Li1, Huang Dayong1, William J Murphy2   

  1. 1. Department of Hematology, Beijing Friendship Hospital, Capital Medical University Sciences;2. National Health Institute, USA
  • Received:2005-09-27 Revised:1900-01-01 Online:2006-08-24 Published:2006-08-24

摘要: 目的 评价供者CCR5在经过强化预处理的骨髓移植动物模型受者体内的作用,为异基因造血干细胞移植的临床应用提供科学依据.方法 经过致死剂量照射的BALB/C小鼠接受异基因C57BL/6小鼠骨髓移植.根据回输的细胞不同分为4组: 1)B6 CCR5 KO组,受者接受C57BL/6 CCR5-/-小鼠骨髓和脾脏细胞;2)B6 WT组,受者接受野生型C57BL/6小鼠骨髓和脾脏细胞;3)B6 CCR5 KO BMC组,受者只接受C57BL/6 CCR5-/-小鼠骨髓细胞;4)B6 WT BMC组,受者只接受野生型C57BL/6小鼠骨髓细胞.结果 与B6 WT组比较,B6 CCR5 KO组小鼠以更快的速度死于急性移植物抗宿主疾病(GVHD);其受者体内的CD8+T细胞大量增生;T细胞恢复后产生更多的干扰素-γ(INF-γ)和肿瘤坏死因子-α(TNF-α),T细胞有丝分裂原刀豆素水平处于较高水平,进一步促进T细胞增生.组织学检测提示移植剔除CCR5基因受者细胞的小鼠肾脏出现病理损伤,肝脏存在更为严重的病理变化.结论 剔除CCR5基因的异基因骨髓移植使GVHD发病率增加,供者CD8+T细胞在受者体内增生加重肝肾损害.提示CCR5在异基因骨髓移植中起着重要作用.

关键词: CCR5, 移植物抗宿主疾病, 异基因造血干细胞移植, CD8+T细胞

Abstract: Objective To evaluate the role of gene CCR5 on donor cells in models where intensive preconditioning of the recipient occurs,thus provide the scientific evidence for clinical experience of allo-HSCT.Methods Lethally irradiated BALB/C mice received C57BL/6 mice is allogeneic bone marrow transplants.We divided mice into 4 groups according to receiving variant donor cells: B6 CCR5 KO group,receiving C57BL/6 CCR5(-/-)mice bone marrow cells and splenocytes;B6 WT BMC group,receiving C57BL/6 mice bone marrow cells and splenocytes;B6 CCR5 KO BMC group,receiving C57BL/6 CCR5(-/-) bone marrow cells alone;B6 WT BMC group,receiving C57BL/6 mice bone marrow cells alone.Results Compared to B6 WT group,B6 CCR5 KO group succumbed to acute GVHD at an accelerated rate.Donor CD8+ T cells expanded to a significantly greater extent in recipients of CCR5 KO vs WT control cells.T cells recovered from recipients of CCR5 KO cells roduced more IFN-γ and TNF-Αand proliferated to a T-cell mitogen at a significantly greater level than T cells from recipients of WT cells,indicating that CCR5 plays a role in downregualting donor alloreative CD8+ T-cells expansion.Histological assessment of the mice indicated pathological lesions in the kidney and a greater degree of liver pathological changes in mice that received CCR5 KO donor grafts.Conclusion The absence of gene CCR5 on donor cells results in increased GVHD and donor CD8+ T cells as well as hepatic and renal lesions in allo-HSCT,which indicated gene CCR5 is very important in allo-BMT.

Key words: CCR5, GVHD, allo-HSCT, CD8+ T-cell

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