Skip to main content

Composite Osseomusculocutaneous Thymus Allotransplantation Model

  • Chapter
  • First Online:
Book cover Plastic and Reconstructive Surgery
  • 2095 Accesses

Abstract

Providing donor specific tolerance and avowing the adverse effects of systemic immunosuppression is the ultimate aim of vascularized composite allotransplantation. Various methods have been used to promote immunotolerance and most accepted methods are based on cellular therapies such as bone marrow transplantation. As an immunologic organ, thymus transplantation is also described to enable recipient T cells to develop and mature within the donor thymus and to provide donor-specific transplantation tolerance. However, there is no model of both vascularized bone marrow transplantation and thymus transplantation. This chapter describes a composite osseomusculocutaneous sternum, ribs, thymus, pectoralis muscles and skin allotransplanatation model of bone marrow transplantation model.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Agaoglu G, Carnevale KA, Zins JE, Siemionow M. Bilateral vascularized femoral bone transplant: a new model of vascularized bone marrow transplantation in rats, part I. Ann Plast Surg. 2006;56(6):658–64.

    Article  CAS  PubMed  Google Scholar 

  2. Klimczak A, Agaoglu G, Carnevale KA, Siemionow M. Applications of bilateral vascularized femoral bone marrow transplantation for chimerism induction across the major histocompatibility (MHC) barrier: part II. Ann Plast Surg. 2006;57(4):422–30.

    Article  CAS  PubMed  Google Scholar 

  3. Agaoglu G, Unal S, Siemionow M. Transplantation of the vascularized bone allograft into the inguinal region. Plast Reconstr Surg. 2005;115(6):1794–5.

    Article  CAS  PubMed  Google Scholar 

  4. Terakura M, Murase N, Demetris AJ, Ye Q, Thomson AW, Starzl TE. Lymphoid/nonlymphoid compartmentalization of donor leukocyte chimerism in rat recipients of heart allografts, with or without adjunct bone marrow. Transplantation. 1998;66:350–7.

    Article  CAS  PubMed  Google Scholar 

  5. Ciancio G, Miller J, Garcia-Morales RO, Carreno M, Burke 3rd GW, Roth D, Kupin W, Tzakis AG, Ricordi C, Rosen A, Fuller L, Esquenazi V. Six-year clinical effect of donor bone marrow infusions in renal transplant patients. Transplantation. 2001;71:827–35.

    Article  CAS  PubMed  Google Scholar 

  6. Lukomska B, Durlik M, Cybulska E, et al. Comparative analysis of immunological reconstitution induced by vascularized bone marrow versus bone marrow cell transplantation. Transpl Int. 1996;9(suppl1):492–6.

    Article  Google Scholar 

  7. Lipson RA, Kawano H, Halloran PF, et al. Vascularized limb transplantation in the rat. Transplantation. 1983;35:300–4.

    Article  CAS  PubMed  Google Scholar 

  8. Tai CY, France MA, Strande LF, et al. An extraperitoneal isolated vascularized bone marrow transplant model in the rat. Transplantation. 2003;75:1591–3.

    Article  PubMed  Google Scholar 

  9. Zhao D, Qiu J, Wang C, Liu L, Li J, Chen L. Vascularized whole thymus transplantation in Rowett nude rats: effect of thymus allograft volume on tolerance induction. Transpl Immunol. 2010;23(1–2):40–4.

    Article  PubMed  Google Scholar 

  10. Zhao D, Wang L, Na N, Huang Z, Miao B, Hong L. A model of isolated, vascular whole thymus transplantation in nude rats. Transplant Proc. 2012;44(5):1394–8.

    Article  CAS  PubMed  Google Scholar 

  11. Bozkurt M, Klimczak A, Nasir S, Zor F, Krokowicz L, Siemionow M. Composite osseomusculocutaneous sternum, ribs, thymus, pectoralis muscles, and skin allotransplantation model of bone marrow transplantation. Microsurgery. 2013;33(1):43–50.

    Article  PubMed  Google Scholar 

  12. Kawai T, Cosimi AB, Spitzer TR, Tolkoff-Rubin N, Suthanthiran M, Saidman SL, Shaffer J, Preffer FI, Ding R, Sharma V, Fishman JA, Dey B, Ko DS, Hertl M, Goes NB, Wong W, Williams Jr WW, Colvin RB, Sykes M, Sachs DH. HLA-mismatched renal transplantation without maintenance immunosuppression. N Engl J Med. 2008;358:353–61.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  13. Wekerle T, Kurtz J, Ito H, Ronquillo JV, Dong V, Zhao G, Shaffer J, Sayegh MH, Sykes M. Allogeneic bone marrow transplantation with co-stimulatory blockade induces macrochimerism and tolerance without cytoreductive host treatment. Nat Med. 2000;6:464–9.

    Article  CAS  PubMed  Google Scholar 

  14. Siemionow M, Klimczak A, Unal S, Agaoglu G, Carnevale K. Hematopoietic stem cell engraftment and seeding permits multi-lymphoid chimerism in vascularized bone marrow transplants. Am J Transplant. 2008;8:1163–76.

    Article  CAS  PubMed  Google Scholar 

  15. Nasir S, Klimczak A, Sonmez E, Bozkurt M, Gibson S, Siemionow M. New composite tissue allograft model of vascularized bone marrow transplant: the iliac osteomyocutaneous flap. Transpl Int. 2010;23:90–100.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mehmet Bozkurt MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer-Verlag London

About this chapter

Cite this chapter

Bozkurt, M., Zor, F. (2015). Composite Osseomusculocutaneous Thymus Allotransplantation Model. In: Siemionow, M. (eds) Plastic and Reconstructive Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-6335-0_30

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-6335-0_30

  • Published:

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-6334-3

  • Online ISBN: 978-1-4471-6335-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics