目的探讨内皮祖细胞(EPC)输注对异基因造血干细胞移植(allo—HSCT)小鼠造血重建的影响。方法白消安(BU)/环磷酰胺(CY)预处理后建立C57BL/6供BABL/c小鼠allo—HSCT模型。受鼠随机分为4组:未处理组、BU/CY预处理组、单纯移植组和EPC联合移植组。移植后动态观察受鼠骨髓病理变化,MECA32抗体免疫组化染色观察骨髓窦内皮和微血管的变化;流式细胞术分析骨髓内干、祖细胞比例及血清细胞因子;并行外周血血细胞计数。结果①联合EPC输注组小鼠骨髓中造血组织、骨髓窦内皮及微血管的损伤较单纯移植组轻。②予EPC输注后,受鼠骨髓中造血干细胞比例在移植后21天(+21d)内明显增高,联合移植组小鼠HSC于+14d达高峰,明显高于单纯移植组(0.1743对0.0787)(P〈0.05),骨髓造血祖细胞移植后持续增高,+21d时联合EPC组显著高于单纯移植组(0.4550对0.3905)(P〈0.05)。③联合移植组外周血白细胞计数早期始终高于单纯移植组,+14d达到高值,(0.74×10^9/L对0.47×10^9/L)(P〈0.05),外周血血小板计数于+14d升至最高,联合EPC移植组显著高于单纯移植组(1228.9×10^9/L对977.12×10^9/L)(P〈0.05)。结论allo—HSCT联合EPC输注可促进小鼠移植后的造血重建。
Objective To examine the effects of endothelial progenitor cell (EPC) on hematopoietic reconsititution in allogeneic hematopoietic stem cell transplantation (allo-HSCT) mouse model. Methods Allo-HSCT mouse model was established with condition of BU/CY, in which C57BL/6 (H-2b) and BABL/c (H-2d) mice were used as donors and recipients respectively. Recipients were randomly divided into 4 groups: untreated group, BU/CY condition group, bone marrow transplantation (BMT) group and transplan- tation of BM cells combined with EPCs ( combined transplantation) group. The pathological changes of BM cells following transplantation were dynamically observed. Changes of BM sinusoidal endothelium and anglo- genesis were observed by MECA-32 antibody immunohistochemical staining. The proportion of intramedullary stem and progenitor cells and serum cytokines were analyzed by flow cytometry. The numbers of peripheral blood cells were also counted. Results①Injuries of BM hematopoietic tissue, sinusoidal endothelium and vascular were less severe in combined transplantation group than of BMT group. ②EPC infusion significantly increased BM hematopoietic stem ceils 21 days after transplantation. The percentage of BM hematopoietic stem cells in combined transplantation group peaked on day + 14, which was higher than of BMT group (0. 1743 vs 0. 0787 ) (P 〈 0.05 ). The continuously increased percentage of BM hematopoietic progenitor cells in combined transplantation group was significantly higher than in BMT group on day +21 (0.4550 vs 0. 3905 ) ( P 〈 0.05 ).③The number of peripheral white blood cells in combined transplantation group was always higher than of BMT group, which reached the peak on day + 14 (0.74±10^9/L to 0.47×10^9/L) (P 〈 0.05). The peak number of peripheral blood platelets on day + 14 in combined transplantation group was significantly higher than of group BMT ( 1228.9 × 10^9/L to 977.12×10^9/L) (P 〈 0.05 ). Conclusion Allo-HSCT combined