目的探讨供体抗原特异性CD4+CD25+调节性T细胞(Treg),对同种异体复合组织移植(CTA)受体大鼠细胞免疫耐受功能的影响。方法采用免疫磁珠法分选CD4+CD25+Treg,将数量1×10^6的CD4+CD25+Treg输注入CTA受体的大鼠,术后30d采取外周血,尼龙毛柱分离T、B细胞,检测在IgM抗体刺激下的增殖放射强度的液体闪烁测定(CPM)值及血清IgG和IgA水平,判断CD4+CD25+Treg对T、B细胞功能的影响及CTA的存活情况,并进行统计学分析。结果分选的CIM+CD25+Treg纯度为95.6%。T、B细胞CPM值:正常对照组分别为2436±358、2418±348,Treg局部干预组为2273±136、2252±127,Treg全身干预组分别为2338±228、2315±218,Treg未干预组分别为3749±245、3720±224;Treg未干预组与其三组比较差异均有统计学意义(P〈0.01)。血清IgG、IgA水平:Treg局部和全身干预组分别为(12.56±1.30)g/L、(2.38±0.21)g/L和(13.48±1.23)g/L、(2.86±0.24)g/L,与正常对照组(12.35±1.28)g/L、(2.36±0.12)g/L比较差异无统计学意义(P〉0.05),三组与Treg未干预组(16.58±1.12)g/L、(3.75±0.37)g/L比较差异有统计学意义(P〈0.01)。Treg局部和全身干预组CTA存活时间分别为(97±13)和(63±10)d,显著长于Treg未干预组的(22±8)d(P〈0.01)。结论供体抗原特异性C1M+CD25+Treg对T、B细胞功能有明显的抑制作用,能诱导CTA免疫耐受,延长其存活时间,且局部应用效果优于全身。
Objective To approach the effect of the donor antigenic specificity CD4+ CD25 + regulatory T cell (Treg)on cellular immune tolerance function in rat composite tissue allotransplantation (CTA). Methods Use the method of immunomagnetic heads to separate CD4+ CD25 + Treg, ( 1 × 10^6) CD4 +CD25+ Treg was transfused to rat CTA model. Collected peripheral blood 30 days after operation, and used nylon wool column to separate B cell and T cell. With the stimulation of lgM, detected B cell proliferation and the level of IgG and IgA in serum. Observed the effect of CD4+ CD25+ Treg on B cell and T cell function and the survial of allotransplants, and analyzed the data by statistics. Results The purity of separated CD4 + CD25 + Treg was 95.6%. The CPM of T cell of normal control group, topical intervention group, systemic intervention group and non-intervention group were (2436 ± 358), (2273 ± 136), (2338 ± 228) and (3749±245). The CPM of B cells of normal control group, topical intervention group, systemic intervention group and non-interventiom group were ( 2418 ±348 ) , ( 2252 ± 127 ) , ( 2315 ±218 ) and (3720±224), there was a significant difference in these groups (P 〈0. 01 ). The serum level of IgG and IgA of topical intervention group and systemic intervention group were ( 12. 56 ± 1.30 ) , ( 2. 38± 0. 21 ), (13.48±1.23) and (2.86±0.24) g/L, and of normal control group was (12.35±1.28), (2.36± 0. 12) g/L, had no significant difference (P 〉0. 05). But Treg of non-intervention group was (16. 58± 1. 12) , (3.75 ±0. 37) g/L, there was a significant difference in the non-intervention group and the three above groups (P 〈 0.01 ). The survival time of CTA in intervention of local and systemic groups were (97 ±13) and (63 ± 10) d, which were significant longer than the non-intervention group [ (22 ± 8) d, P 〈 0. 011. Conclusions Donor antigen specific CD4+ CD25+ Treg has signi