title: Multiple pathways in the rejection of skin grafts.
abstract: We have analyzed the ability of CD4+ and CD8+ T cells to cause rejection of skin grafts in an Ir gene high responder strain. (DA.RT1u x DA.RT1c)F1 B rats (thymectomized, lethally irradiated, reconstituted with fetal liver cells) were grafted with ear skin of the recombinant strain, DA.RT1rl. The only allogeneic difference was a single class I MHC antigen. The B rats, which do not reject these grafts due to the absence of T cells, were reconstituted at various time intervals after skin grafting with either unsorted lymph node cells (LNCs), CD4+, CD8+ or CD4+ and CD8+ T cells. Unsorted LNCs given any time after graft placement always caused rejection (MST = 15d). CD4+ cells alone never caused rejection (MST greater than 60d, n = 8). CD8+ cells alone caused rejection if given within 3 weeks of graft placement. Thereafter, CD8+ cells alone lost their ability to cause rejection (MST greater than 60d, n = 6). B rats with grafts in place more than 3 weeks, when CD8+ cells alone were ineffective, rejected their skin grafts when given both CD8+ and CD4+ cells. These data suggest that there may be two T cell pathways in skin graft rejection. The first requires only CD8+ cells and causes rejection of a recently placed graft. The second pathway requires both CD4+ and CD8+ cells to reject long-standing grafts in which donor antigen-presenting cells have been putatively depleted and, therefore, may be dependent on host antigen-presenting cells.
authors.affiliation: Department of Surgery, Case Western Reserve University School of Medicine, Cleveland, Ohio 44106.
authors.forename: R N
authors.initials: RN
authors.lastname: Smith
authors.forename: A
authors.initials: A
authors.lastname: Amsden
authors.forename: A V
authors.initials: AV
authors.lastname: Robinson
authors.forename: J T
authors.initials: JT
authors.lastname: Mayes
authors.forename: J A
authors.initials: JA
authors.lastname: Schulak
mesh_terms: D000818:Animals; D015704:CD4 Antigens / Q000276:immunology; D016827:CD8 Antigens / Q000276:immunology; D006084:Graft Rejection / Q000502:physiology*; D008198:Lymph Nodes / Q000166:cytology / Q000276:immunology; D051381:Rats; D016038:Skin Transplantation; D013997:Time Factors
chemical_list: D015704:CD4 Antigens; D016827:CD8 Antigens