J Korean Surg Soc.
2000 Jan;58(1):1-8.
The Implication of Monocyte/Macrophage into the Graft Following Heart Transplantation in Rat
- Affiliations
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- 1Department of Surgery, University of Ulsan College of Medicine & Asan Medical Center.
- 2Department of Pathology, University of Ulsan College of Medicine & Asan Medical Center.
- 3Department of Pathology, Hallym University Medical College, Seoul, Korea.
Abstract
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BACKGROUND: In organ transplantation, the cellular immune reaction, namely T-cell immunity, plays
a major role in rejecting the graft. While T & B cell activities in organ transplantation have been
studied extensively, monocytes/macrophages have not because of their a minor role in innate
immunity. Monocytes act as immunologically active cells in several aspects in organ transplantation,
such as antigen-presenting cells, cells releasing many substance, such as IL-1, IL-2, TNF-alpha, and many
growth factors, and cells phagocytosing foreign antigens and tissues in the effector phase of immune
reaction.
METHODS
We attempted to study the role of monocytes/ macrophages in graft rejection following
allogenic organ transplantation in rodents.
RESULTS
While graft survivals following a cardiac allograft were more then 100 days in all the singenic
Wistar to Wistar transplants, the graft survival for Lewis to Wistar allografts were 7 to 12 days with
a mean of 9.2 days. In the histology of the transplanted hearts, cellular infiltration developed from
posttransplantation day 1, and all the histologic findings, such as myocardial ischemia, interstitial
bleeding, and endocardial changes, were more progressive around the days of graft rejection. Macrophage
infiltration analyzed by immunohistochemstry using the spectific antibody ED1, was noticed
from postoperative day 1, and the macrophages were distributed all through the layer of the
heart. In the study on the intragraft monokine gene by using RT-PCR, mRNA of IL-1
expressed on day 1 and reappearedon day 7. mRNA of TNF-alphaexpressed on day 3 and MCP-1
on day 1. All the monokine gene expressions progressed up to the days of rejection.
CONCLUSION
From these results showing the concurrent pattern of cell infiltration and intragraft
cytokine gene expression of monocytes/macrophages with the lymphocyte, we suggest that intervention
of monocytes in organ transplantation may prolong graft survival with or without the anti T cell
strategy.