角膜移植排斥反应的铺片免疫组化研究

目的 探讨角膜移植排斥反应的发生机制及其参与细胞的表型。方法 制备正常大鼠和穿透性角膜移植鼠的角膜和虹膜睫状体铺片,用８种单克隆抗体,于铺片上进行免疫组化染色。结果 正常周边角膜及角膜缘可见少量的Ｔ细胞（ＣＤ３）、辅助／诱导性Ｔ细胞（ＣＤ４）、抑制／细胞毒Ｔ细胞（ＣＤ８）、巨噬细胞、树突细胞、主要组织相容性复合体Ⅱ类抗原阳性细胞及β转化生长因子阳性细胞;同种角膜移植术后７及１２天角膜和虹膜睫状体中

Immunohistochemical studies on wholemounts of the cornea and iris-ciliary body after corneal transplantation

OBJECTIVE: To study the phenotype of the cells involved in the pathogenesis of allograft rejection after corneal transplantation. METHODS: Wholemounts of the cornea and iris-ciliary body were isolated and prepared from normal rats and those after penetrating corneal transplantation. Immunohistochemical stainings were carried out on these wholemounts using monoclonal antibodies to CD3 (T cell), CD4 [T-helper (Th) cell], CD8 [T-suppressor (Ts) cell], macrophages, dendritic cells, B lymphocytes, major histocompatibility complex (MHC) class II antigen and transforming growth factor-beta (TGF-beta). RESULTS: All the cells mentioned above except B lymphocytes were positive and present in a small number in the peripheral cornea and limbus of normal rats. A massive influx of CD3, CD4, CD8 positive cells, macrophages, dendritic cells, MHC class II and TGF-beta positive cells not only into cornea but also into the iris was observed 7 days after allograft corneal transplantation. Whereas no B cell was found in the allograft. Such a cellular response was not found in the rats in which corneal transplantation with autologous cornea was performed. CONCLUSION: T cells, Th cells, Ts cells, macrophages, dendritic cells, MHC class II positive cells and TGF-beta positive cells are involved in the pathogenesis of corneal allograft transplantation. The involvement of the iris and ciliary body may promote or aggravate the allograft rejection.