实验性异种穿透性角膜移植的免疫学研究

本文以鸡给兔的穿透性角膜移植为实验模型,运用微量全血~3H-TdR掺入法和ELISA,对术后动物机体的细胞和体液免疫功能状态变化进行了10周动态观察.发现:(1)术后同种和异种组外周血中淋巴细胞转化程度均增高,以3～4周最明显.(2)异种组术后2～8周血清中明显出现特异性抗角膜抗体,第3周达峰值,结合形态学观察证明:(1)术后免疫排斥反应主要是细胞介导的免疫应答,也有体液免疫的参与,异种移植体液免疫参与更明显,(2)运用微量全血~3H-TdR掺入法可有效监测术后机体免疫功能状态的变化.(3)使用免疫抑制剂应该重视术后3～4周.

The immunologic studies on experimental heterogeneous penetrating keratoplasty]

Using the experimental model of chicken-rabbit penetrating corneal grafting, micro-whole-blood 3H-TdR incorporation and ELISA the authors dynamically observed the functional state of cellular and humoral immunities for 10 weeks after operation. The results showed, (1) In both the homogroup and the hetero-group, the transformational degree of lymphocytes in peripheral blood increased, most obviously in the 3rd or 4th week postoperatively. (2) In the hetero-group, specific anti-corneal antibody appeared obviously in the serum during 2-8 weeks postoperatively. Combined with morphologic observation, it has proved that: (1) The immune rejection is mainly cellular mediated immunoresponse, meanwhile, the humoral immunoresponse also participates in it, and the humoral immunoresponse participates in the heterokeratoplasty more obviously. (2) Applying the micro-whole-blood 3H-TdR incorporation is capable of determining the immunologic state of the body after corneal transplantation. (3) Attention should be focused on the 3-4 week period postoperatively when immunosuppressive-agent is administered.