Eur Urol:人类阴茎移植和排斥反应的间接体内疗法新模型:对勃起组织生理机能的影响

2017-03-20 AlexYang MedSci原创

阴茎移植是一种治疗阴茎组织受到严重损失的潜在治疗选择方法。但是人类阴茎移植排斥模型还缺乏。研究人员利用一种新的间接体内疗法混合淋巴细胞反应模型来评估排斥反应和免疫抑制反应对海绵组织的影响。研究材料为10位经历过阴茎假体手术的病人的海绵组织和外周血单个核细胞以及1位健康志愿者的外周血单个核细胞。研究人员为该模型准备了三种培养基质,即单纯的基质、加有同源外周血单个核细胞的基质和加有异源外周血单个核细胞

阴茎移植是一种治疗阴茎组织受到严重损失的潜在治疗选择方法。但是人类阴茎移植排斥模型还缺乏。研究人员利用一种新的间接体内疗法混合淋巴细胞反应模型来评估排斥反应和免疫抑制反应对海绵组织的影响。

研究材料为10位经历过阴茎假体手术的病人的海绵组织和外周血单个核细胞以及1位健康志愿者的外周血单个核细胞。研究人员为该模型准备了三种培养基质,即单纯的基质、加有同源外周血单个核细胞的基质和加有异源外周血单个核细胞基质,分别模仿对照,自体移植和同种异体移植,并用这三种不同的培养基来培养海绵组织48小时。另外,在这三种培养基中分别用1 μM cyclosporine A (CsA) 或者 20 nM tacrolimus (FK506)处理或者不处理。

研究人员通过对外周单个核细胞的流式细胞仪检测和移植基因表达实验来进行鉴定排斥反应。海绵组织通过组织形态学和肌动描记法来对收缩和松弛进行评估。数据用方差双向法分析和未配对t 检验分析。

流式细胞仪和组织学实验结果表明,同种异体外周单个核细胞激活与排斥反应吻合。排斥反应损伤了海绵组织的生理机能并且与细胞渗透和凋亡有关。CsA阻止了排斥反应但是并未改善组织松弛机能。CsA在无外周单个核细胞的培养中损伤了组织松弛机能,单纯的基质和FK506则没有此作用。

不过,该研究还存在局限性,因为未考虑阴茎组织勃起功能紊乱,且缺乏交叉实验数据。

研究指出该模型可以用于阴茎排斥反应和免疫抑制反应的研究。另外,还需要进行更多的研究,来最优化免疫抑制作用、阻止排斥反应,从而最大化身体组织的生理功能。研究还表明了CsA可能妨碍了身体生理功能和其他免疫抑制剂的作用,如FK506,因此CsA可能更合适用于阴茎的移植应用。

原始出处:

Nikolai A. Sopko, Hotaka Matsui, Denver M. Lough,et al. Ex Vivo Model of Human Penile Transplantation and Rejection: Implications for Erectile Tissue Physiology. European Urology. April 2017

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    2017-10-13 habb
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    2017-03-22 dingxiaobo
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