2007, Number 3
<< Back Next >>
Cir Gen 2007; 29 (3)
Partial splenic autotransplantation, viability and immune response. Animal model
Golffier RCE, Quijano OF
Language: Spanish
References: 29
Page: 207-212
PDF size: 138.81 Kb.
ABSTRACT
Objective: To assess the efficacy, viability, and function of spleen autotransplantation in the vascularized region (inguinal) of the rat, corroborating its viability through hepato-splenic gammagraphy.
Design: Experimental in animals, prospective and longitudinal.
Setting: Experimental surgery unit, ABC Medical Center.
Statistical analysis: Percentages as summary measures for qualitative variables.
Material and methods: Wistar female rats, 4-month-old, 250-300 g weight. A total of 22 rats were subjected to 36 transplants. A control and an experimental group were formed, we performed laparotomies, splenectomies and bilateral inguinal implants. At the end of 14 months, a hepato-splenic gammagram was taken.
Results: The protocol was completed in all 22 animals, without these showing any infection or behavioral changes. All 36 implants revealed a good up-take of the radio-pharmaceutical agent as assessed with hepato-splenic gammagraphy, allowing for the identification of 100% of the implants.
Conclusions: The viability and function of the autologous splenic implant in rats were demonstrated as an option to preserve the lymphoid tissue in the organism.
REFERENCES
Norman J, Covelli V. Transplantation of the spleen. Ann Int Med 1968; 68: 700-4.
Pabst R. Regeneration of autotransplanted splenic fragments: basic immunological and clinical relevance. Clin Exp Immunol 1999; 117: 423-4.
Leemans R, Harms G, Rijkers GT, Timens W. Spleen autotransplantation provides restoration of functional splenic lymphoid compartments and improves the humoral immune response to pneumococcal polysaccharide vaccine. Clin Exp Immunol 1999; 117: 596-604.
King H, Shumacker HB Jr. Splenic studies: I. Susceptibility to infection after splenectomy performed in infancy. Ann Surg 1952; 136: 239-42.
Cullingford GL, Watkins DN, Watts AD, Mallon DF. Severe late postsplenectomy infection. Br J Surg 1991; 78: 716-21.
Holdsworth RJ, Irving AD, Cuschieri A. Postsplenectomy sepsis and its mortality rate: actual versus perceived risks. Br J Surg 1991; 78: 1031-8.
Kraal G, Ter Hart H, Meelhuizen C, Venneker G, Claassen E. Marginal zone macrophages and their role in the immune response against T-independent type 2 antigens: modulation of the cells with specific antibody. Eur J Immunol 1989; 19: 675-80.
Timens W, Boes A, Rozeboom-Uiterwijk T, Poppema S. Immaturity of the human splenic marginal zone in infancy. Possible contribution to the deficient infant immune response. J Immunol 1989; 143: 3200-6.
Spencer J, Perry ME, Dunn-Walters DK. Human marginal-zone B cells. Immunol Today 1998; 19: 421-6.
Steiniger B, Barth P, Herbst B, Hartnell A, Crocker PR. The species-specific structure of microanatomical compartments in the human spleen: strongly sialoadhesin-positive macrophages occur in the perifollicular zone, but not in the marginal zone. Immunology 1997; 92: 307-16.
Hazlewood M, Kumararatne DS. The spleen? Who needs it anyway? Clin Exp Immunol 1992; 89: 327-9.
Pabst R. The spleen in lymphocyte migration. Immunol Today 1988; 9: 43-45.
Harrington WJ Jr, Harrington TJ, Harrington WJ Sr. Is splenectomy an outmoded procedure? Adv Intern Med 1990; 35: 415-40.
Feliciano PD, Mullins RJ, Trunkey DD, Crass RA, Beck JR, Helfand M. A decision analysis of traumatic splenic injuries. J Trauma 1992; 33: 340-8.
Velanovich V, Tapper D. Decision analysis in children with blunt splenic trauma: the effects of observation, splenorrhaphy, or splenectomy on quality-adjusted life expectancy. J Pediatr Surg 1993; 28: 179-85.
Working Party of the British Committee for Standards in Haematology Clinical Haematology Task Force. Guidelines for the prevention and treatment of infection in patients with an absent or dysfunctional spleen. BMJ 1996; 312: 430-4.
Ambrosino DM, Lee MY, Chen D, Shamberger RC. Response to Haemophilus influenzae type b conjugate vaccine in children undergoing splenectomy. J Pediatr Surg 1992; 27: 1045-8.
Pabst R, Westermann J, Rothkotter HJ. Immunoarchitecture of regenerated splenic and lymph node transplants. Int Rev Cytol 1991; 128: 215-60.
Westermann J, Michel S, Lopez-Kostka S, Rothkotter HJ, Bette M, Weihe E, et al Regeneration of implanted splenic tissue in the rat: re-innervation is host age-dependent and necessary for tissue development. J Neuroimmunol 1998; 88: 67-76.
Leitner W, Bergmann ES, Thalhamer J. Regeneration of splenic stromal elements. Res Exp Med 1994; 194: 221-30.
Westermann J, Pabst R. Autotransplantation of the spleen in the rat: donor leukocytes of the splenic fragment survive implantation to migrate and proliferate in the host. Cell Tissue Res 1997; 287: 357-64.
Holdsworth RJ. Regeneration of the spleen and splenic autotransplantation. Br J Surg 1991; 78: 270-8.
Timens W, Leemans R. Splenic autotransplantation and the immune system. Adequate testing required for evaluation of effect. Ann Surg 1992; 215: 256-60.
Henneking K, Müller C, Franke F, Becker H, Schwemmle K. Spätergebnisse der heterotopen Autotransplantation von Milzgewebe nach traumatischer Milzruptur im Kindesalter. Chirurg 1994; 65: 457-68.
Weber T, Hanisch E, Baum RP, Seufert RM. Late results of heterotopic autotransplantation of splenic tissue into the greater omentum. World J Surg 1998; 22: 883-9.
Leemans R, Beekhuis H, Timens W, The TH, Klasen HJ. Fc-receptor function after human splenic autotransplantation. Br J Surg 1996; 83: 543-6.
Pisters PW, Pachter HL. Autologous splenic transplantation for splenic trauma. Ann Surg 1994; 219: 225-35.
Cervantes J. Conceptos modernos en manejo de trauma esplénico. Cir Gen 1986; 6: 138-40.
Cervantes J, Rojas G. Cirugía conservadora de trauma esplénico. Cir Gen 1985; 5: 251-9.