Background. In this study, we describe the development of a novel expe
rimental system in which rejection of porcine skin grafts by human per
ipheral blood cells can be studied directly in vivo in immunodeficient
mice. Methods. To construct a small animal model of discordant xenogr
aft rejection, recombinase-activating gene-deficient mice (R-) lacking
both mature B and T cells were grafted with porcine skin grafts and a
dministered, by adoptive cell transfer, human cells stimulated in vitr
o with irradiated porcine peripheral blood cells to create Hu-R- mice.
Results. R- mice accepted porcine skin grafts indefinitely without th
e need for immunosuppression. In contrast, Hu-R- mice were able to rej
ect porcine skin grafts. Immunohistochemical analysis of rejecting ski
n grafts revealed the accumulation of human T cells around dermal porc
ine vessels and focally in the epidermis. Graft rejection was manifest
ed by vascular endothelial cell proliferation, edema at the dermal-epi
dermal border, and perivascular hemorrhage. The tissue damage observed
in the rejecting grafts was similar to that observed in delayed prima
te anti-porcine cell-mediated rejection of vascularized organ xenograf
ts. Conclusions. The development and characterization of a small anima
l model, to study cellular immune responses of human cells to discorda
nt xenografts in vivo, should provide a convenient means for asking me
chanistic questions related to discordant xenotransplantation, and may
also provide a practical system for testing new approaches designed t
o prevent xenograft rejection.