title: Acute rejection of experimental lung allografts: characterization of intravascular mononuclear leukocytes.
abstract: Leukocytes interacting with endothelia of lung allografts probably play a seminal role in acute rejection, but have not been characterized before. Transplantation was performed in the Lewis to Lewis and in the Dark Agouti to Lewis rat strain combinations. DNA replication was detected in T-cells on day 2 after pulse-labelling in vivo with 5-bromo-2'-deoxyuridine (BrdU). On day 5, leukocytes were isolated by intensive perfusion the graft, subject to flow cytometry and to quantitative RT-PCR. About 34 million leukocytes accumulated in allograft vessels, but only 10 and 6 million cells in isografts and control lungs, respectively. During rejection, IFN-gamma, IL-1beta and IL-10 mRNA expression increased, IL-12 mRNA decreased, whereas IL-2, IL-6, TNF-alpha, and TGF-beta mRNA did not change. The phenotype of graft monocytes was partially activated and intravascular T-cells proliferated. In conclusion, during rejection, monocytes with unusual properties accumulate and T-lymphocytes are activated in lung allograft blood vessels.
authors.affiliation: Laboratory of Experimental Surgery, Department of General and Thoracic Surgery, Justus-Liebig-University Giessen, University of Giessen Lung Center, Giessen, Germany.
authors.forename: Sonja
authors.initials: S
authors.lastname: Blöcher
authors.forename: Sigrid
authors.initials: S
authors.lastname: Wilker
authors.forename: Jochen
authors.initials: J
authors.lastname: Sucke
authors.forename: Uwe
authors.initials: U
authors.lastname: Pfeil
authors.forename: Hartmut
authors.initials: H
authors.lastname: Dietrich
authors.forename: Rolf
authors.initials: R
authors.lastname: Weimer
authors.forename: Klaus
authors.initials: K
authors.lastname: Steger
authors.forename: Andreas
authors.initials: A
authors.lastname: Kaufmann
authors.forename: Markus
authors.initials: M
authors.lastname: Hirschburger
authors.forename: Christian
authors.initials: C
authors.lastname: Plötz
authors.forename: Winfried
authors.initials: W
authors.lastname: Padberg
authors.forename: Veronika
authors.initials: V
authors.lastname: Grau
mesh_terms: D000208:Acute Disease; D000818:Animals; D005434:Flow Cytometry; D006084:Graft Rejection / Q000276:immunology*; D007108:Immune Tolerance / Q000276:immunology; D007371:Interferon-gamma / Q000235:genetics; D016753:Interleukin-10 / Q000235:genetics; D053583:Interleukin-1beta / Q000235:genetics; D007376:Interleukin-2 / Q000378:metabolism; D007963:Leukocytes, Mononuclear / Q000378:metabolism* / Q000473:pathology*; D016040:Lung Transplantation / Q000276:immunology*; D016676:Macrophages, Alveolar / Q000166:cytology / Q000378:metabolism; D009000:Monocytes / Q000166:cytology / Q000378:metabolism; D012333:RNA, Messenger / Q000032:analysis; D051381:Rats; D011917:Rats, Inbred Lew; D013601:T-Lymphocytes / Q000166:cytology / Q000378:metabolism; D014184:Transplantation, Homologous / Q000276:immunology*; D014185:Transplantation, Isogeneic / Q000276:immunology
chemical_list: D053583:Interleukin-1beta; D007376:Interleukin-2; D012333:RNA, Messenger; D016753:Interleukin-10; D007371:Interferon-gamma