Demetris, AJ

Murase, N

Sakamoto, T

Starzl, TE

Ye, Q

English

PubMed

T. Sakamoto

N. Murase

Q. Ye

T.E. Starzl

A.J. Demetris

Crossref

Identification of donor hematopoietic progenitor cells after allogeneic liver transplantation

Name not available

D-Scholarship@Pitt

Identification of Donor Hematopoietic Progenitor Cells After Allogeneic Liver Transplantation T. Sakamoto, N. Murase, Q. Ye, T.E. Starzl, and A.J. Demetris THE PERSISTENCE of multilineage microchimerism after solid organ transplantation suggests long-lasting engraftment of donor hematopoietic progenitor cells (HPCs) originated from the transplanted organs. This study describes a method developed to identify donor HPCs in the recipient bone marrow and reports preliminary results obtained after allogeneic liver transplantation. METHODS Inbred male Lewis (LEW) and Brown Norway (BN) rats were used for experiments. Plastic dish nonadherent bone marrow cells (BMC) were prepared and cultured with 2% PWM-SCM for 6 days in a fibrin clot culture system to detect colony-forming units in culture (CFU-C). Clusters (10 to 50 cells per aggregate) and colonies (>50 cells per aggregate) in cultures were counted as CFU-C. LEW-derived CFU-C was identified by in situ immuno· histochemical staining of cultured cells in the fibrin clot, using a standard three-step avidin-biotin complex method with monoclonal antibody L21-6. which recognizes the class II MHC antigens of LEW but not BN rats. RESULTS CFU-C generated from 5 X 104 naive LEW BMC was 54 :': 18, of which 39 :': 9% (21 :': 7) was composed of L21-6 strong positive cells, including macrophages and dendritic-like cells. CFU-C induced from 5 X 104 normal BN BMC was 43 :': 4, and none of CFU-C contained L21-6+ cells. When normal LEW and BN BMC were mixed at various © 1997 by Elsevier Science Inc. 655 Avenue of the Americas, New York, NY 10010 Transplantation Proceedings, 29, 1211 (1997) ratios (1:10, 1:100. 1:1000). L21-6+ CFU-C derived from the mixture were 0.2 :': 0.4, 2.3 :': 1.4. and 21.3 :': 5.7. respectively, and correlated to the number of LEW BMC contained in the culture. Finally, the engraftment of donor HPCs in transplant recipients was examined in a LEW to BN liver transplantation model. in which rejection was controlled with a short course of tacrolimus treatment (1 mglkg for 14 days). L21-6+ CFU-C in BN recipient BMC (5 x 105 ) obtained 14 and 30 days after LEW liver transplantation were 1.0 :': 0.6 and 0.3 :': 0.3, respectively. The frequency of donor HPCs in the bone marrow of these recipients is estimated as 0.1 % to 0.5%, according to L21-6+ CFU-C counts obtained in the previous mixed culture experiment. CONCLUSION This study provides the strong evidence that HPCs in the liver graft were able to engraft into the recipient bone marrow after transplantation. The role of donor HPCs in maintaining microchimerism and donor-specific graft ac-ceptance seen in this model is currently under investigation. From the Thomas E. Starzl Transplantation Institute, Depart-ments of Pathology and Surgery, University of Pittsburgh Med-ical Center, Pittsburgh, Pennsylvania. Address reprint requests to N. Murase, Thomas E. Starzl Transplantation Institute, Department of Pathology, University of Pittsburgh Medical Center, Pittsburgh, PA 15261. 0041-1345/97/$17.00 PI I S0041-1345(96)00554-4 1211 

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Identification of donor hematopoietic progenitor cells after allogeneic liver transplantation

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