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.
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References
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.
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.
Agaoglu G, Unal S, Siemionow M. Transplantation of the vascularized bone allograft into the inguinal region. Plast Reconstr Surg. 2005;115(6):1794–5.
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.
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.
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.
Lipson RA, Kawano H, Halloran PF, et al. Vascularized limb transplantation in the rat. Transplantation. 1983;35:300–4.
Tai CY, France MA, Strande LF, et al. An extraperitoneal isolated vascularized bone marrow transplant model in the rat. Transplantation. 2003;75:1591–3.
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.
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.
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.
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.
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.
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.
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.
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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
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DOI: https://doi.org/10.1007/978-1-4471-6335-0_30
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