This work was supported by SNF grants PPOOA-_119204 and PPOOP3_144918 to S.W.R. We thank E. Palmer and B.T.H. Hausmann for mice and technical expertise.

In this video publication and protocol, all animal procedures were conducted in accordance to the animal protocol approved by the Cantonal Authority Basel-Stadt, Switzerland. Perform all procedures in sterile conditions where possible.
1. Preparation of Surgery
<ol>
	<li>Autoclave all surgical instruments and gauze before use.</li>
	<li>Heat the warm pad and organize surgical instruments on the table (Table of Materials/Methods).</li>
	<li>Open the finger strip bandages. Apply petroleum jelly on the wound pad with a cotton swab (make sure the gauze is completely covered).</li>
	<li>Weigh the mice and administer analgesia Buprenorphine 0.05 mg/kg body weight. Note: this will provide analgesia immediately after transplantation.</li>
</ol>
2. Preparation of the Tail-skin for Transplantation
<ol>
	<li>Euthanize donor mice (e.g., I-Abm12) per CO2 asphyxiation and disinfect the tails with disinfection solution before excision.</li>
	<li>Position the tail with the black stripe down on a clean plastic board and cut it longitudinally throughout the middle line, making a superficial incision involving only the skin layer.</li>
	<li>Pull off the skin from the tail using gripping forceps.</li>
	<li>Put the tail-skin in a 10 cm cell culture dish filled with 10 ml HBSS.</li>
</ol>
3. Surgical Procedure
<ol>
	<li>Anesthetize recipient mice (e.g., C57BL/6) by inhalation of a 3% isofluorane solution in a transparent induction box. Note: It takes 3-5 min for the mouse to reach surgical plane anesthesia. Use vet ointment on eyes to prevent dryness while under anesthesia.</li>
	<li>Place mouse on the warm pad and apply 1.5% isofluorane via a mouth mask and asses each animal reflex by toe pinching.</li>
	<li>Shave the dorsal site of the recipient mice (e.g., C57BL/6) and remove contaminating hairs using a dry gauze swab.</li>
	<li>Disinfect shaved transplantation site with aseptic solution.</li>
	<li>Pinch the skin with forceps in the middle/right site of the dorsum and use curved scissors to make a round incision of about 1 x 0.6 cm.</li>
	<li>If bleeding occurs, then clean the wound with a sterile cotton swab.</li>
	<li>Evaluate the size of the incision and cut a transplant of the estimated size from the tail-skin using the scalpel.</li>
	<li>Trim corners to round the transplant.</li>
	<li>Load the transplant on the scalpel, dry excess of HBSS on a sterile cotton swab and place it in the graft bed of the recipient mouse.</li>
	<li>Avoid overlapping of donor and host skin and apply tissue adhesive on the contact zone exclusively.</li>
	<li>Apply a plaster without creases around the mouse waist.</li>
	<li>Apply adhesive non-elastic bandage to fix the plaster to the mouse (3 mm shifted).</li>
	<li>Incise with the scissors about 3 mm in the upper ventral site of the bandage. Note: This is to avoid trapping of the mouse&#8217;s teeth during the recovery phase.</li>
	<li>Remove the anesthetic-mouth-mask and keep the transplanted mice on the heating pad until awake.</li>
	<li>Return transplanted mice to their cages only when fully recovered and assess their mobility to ensure that the bandage is not too tight.</li>
	<li>Sterilize all surgical instruments with 70% ethanol before proceeding with next surgery.</li>
</ol>
4. Post-operative Care
<ol>
	<li>Add paracetamol-containing syrup to the drinking water (4 mg/ml) and administer it for 7 days.</li>
	<li>Return mouse to the animal room once it has recovered.</li>
	<li>Closely monitor mice for clinical signs including depression or other behavioral changes (eating or immobility), abnormal appearance (lack of grooming) or posture (pilo-erection or hunched posture) for the time the bandage is in place (1 week).</li>
</ol>
5. Bandage Removal (6-7 Days Post-transplantation)
<ol>
	<li>Anesthetize mice by inhalation of a 3% Isofluorane solution in a transparent induction box (see above).</li>
	<li>Cut bandage and plaster with artery scissors and carefully remove them. Note: avoid stretching of the transplant site.</li>
	<li>Monitor the transplanted mice for clinical signs (see 4.3) and score for rejection of skin grafts (Table 1). Note: The graft score system takes advantage of the different hair textures on the tail-skin compared to the dorsal-skin. The appearance of the transplant and its rejection is categorized in 3 grades. Allogeneic skin (MHC II mismatched, e.g., I-Abm12) grafts of C57BL/6 immunocompetent mice are usually rejected within 12-15 days post transplantation (own data and 15-20).</li>
</ol>

<ol>
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D. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Immunologic+unresponsiveness+to+alloantigen+in+vivo.+a+role+for+regulatory+T+cells.">Immunologic unresponsiveness to alloantigen in vivo. a role for regulatory T cells.</a> Immunological reviews. 241 (1), 119-132 (2011).</li><li>Sykes, M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Immune+tolerance:+mechanisms+and+application+in+clinical+transplantation.">Immune tolerance: mechanisms and application in clinical transplantation.</a> Journal of Internal Medicine. 262 (3), 288-310 (2007).</li><li>McFarland, H. I., Rosenberg, A. S. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Skin+allograft+rejection..">Skin allograft rejection..</a> Current protocols in immunology. , (2009).</li><li>McKenzie, I. F., Morgan, G. M., Sandrin, M. S., Michaelides, M. M., Melvold, R. W., Kohn, H. I. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=B6.C-H-2bm12.+A+new+H-2+mutation+in+the+I+region+in+the+mouse.">B6.C-H-2bm12. A new H-2 mutation in the I region in the mouse.</a> The Journal of experimental medicine. 150 (6), 1323-1338 (1979).</li><li>McIntyre, K. R., Seidman, J. G. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Nucleotide+sequence+of+mutant+I-A+beta+bm12+gene+is+evidence+for+genetic+exchange+between+mouse+immune+response+genes.">Nucleotide sequence of mutant I-A beta bm12 gene is evidence for genetic exchange between mouse immune response genes.</a> Nature. 308 (5959), 551-553 (1984).</li><li>Stuart, P. M., Beck-Maier, B., Melvold, R. 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S., Singer, A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Cellular+basis+of+skin+allograft+rejection:+an+in+vivo+model+of+immune-mediated+tissue+destruction.">Cellular basis of skin allograft rejection: an in vivo model of immune-mediated tissue destruction.</a> Annual Review of Immunology. 10, 333-358 (1992).</li><li>Kingsley, C. I., Nadig, S. N., Wood, K. J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Transplantation+tolerance:+lessons+from+experimental+rodent+models.">Transplantation tolerance: lessons from experimental rodent models.</a> Transplant international : official journal of the European Society for Organ Transplantation. 20 (10), 828-841 (2007).</li><li>Larsen, C. P., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Long-term+acceptance+of+skin+and+cardiac+allografts+after+blocking+CD40+and+CD28+pathways.">Long-term acceptance of skin and cardiac allografts after blocking CD40 and CD28 pathways.</a> Nature. 381 (6581), 434-438 (1996).</li><li>Tomura, M., Nakatani, I., Murachi, M., Tai, X. G., Toyo-oka, K., Fujiwara, H. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Suppression+of+allograft+responses+induced+by+interleukin-6,+which+selectively+modulates+interferon-gamma+but+not+interleukin-2+production.">Suppression of allograft responses induced by interleukin-6, which selectively modulates interferon-gamma but not interleukin-2 production.</a> Transplantation. 64 (5), 757-763 (1997).</li><li>Ring, G. H., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Interferon-gamma+is+necessary+for+initiating+the+acute+rejection+of+major+histocompatibility+complex+class+II-disparate+skin+allografts.">Interferon-gamma is necessary for initiating the acute rejection of major histocompatibility complex class II-disparate skin allografts.</a> Transplantation. 67 (10), 1362-1365 (1999).</li><li>Rosenberg, A. S., Finbloom, D. S., Maniero, T. G., Vander Meide, P. 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Evidence for three states of MHC expression with distinct roles for IFN-gamma.</a> Journal of immunology. 155 (10), 4559-4566 (1995).</li><li>Surquin, M., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=IL-4+deficiency+prevents+eosinophilic+rejection+and+uncovers+a+role+for+neutrophils+in+the+rejection+of+MHC+class+II+disparate+skin+grafts.">IL-4 deficiency prevents eosinophilic rejection and uncovers a role for neutrophils in the rejection of MHC class II disparate skin grafts.</a> Transplantation. 80 (10), 1485-1492 (2005).</li><li>Gaylo, A. E., Laux, K. S., Batzel, E. J., Berg, M. E., Field, K. 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The authors declare that they have no competing financial interests.

Skin transplantation is a widely used method for studying rejection and tolerance dependent on T cells. Since the skin transplantation model was established, several adaptations and changes have been applied. In the described procedure, I-Abm12 tail-skin transplantation is performed using anesthetic gas (isofluorane). The use of gas anesthesia decreases the time of execution and mice recovery, which diminishes the stress on transplanted mice. The procedure employs tissue adhesive to fix the tail-skin, which te...

Transplantation of solid organs such as skin, heart and kidneys is now a standard procedure in medical practice worldwide1. Successfully transplanted organs can be rejected by activation of the recipient immune system, which recognizes the major histocompatibility antigens of the donor. Therefore transplanted patients need treatment with immunosuppressive drugs2. Allogeneic skin transplantation in mice was established by Medawar and colleagues in 1955 and was helpful for identifying the targeted molecules later described as major histocompatibility complex (MHC) class I and II. Since then, the skin transplantation model has been continuously modified and adapted to study the role of T cell subsets and the relevance of chemical and biological intervention in suppressing graft rejection2-4. Skin from the ear and trunk are more difficult to prepare and are more susceptible to hypoxia and necrosis than tail-skin5; however, the transplantation procedure is similar. In addition the monitoring of tail-skin transplants is easy due to the characteristic hair texture of the skin.
This article provides a detailed procedure for MHC class II mismatch tail-skin transplantation that allows for the study of different aspects of CD4+ T cell-mediated allograft rejection and tolerance in mice. The natural three-point mutation in the MHC class II molecule I-Ab (called I-Abm12)6-9 is sufficient to induce rejection of skin allografts in C57BL/6 mice8. The I-Abm12 molecule activates CD4+ T cells with various &#945;&#946;-T cell receptor (TcR) chains from C57BL/6 mice, among which V&#945;2V&#946;8-TcR-specific T cells were identified in order to generate a TcR-transgenic mouse10. The adoptive transfer of V&#945;2V&#946;8-TcR-specific T cells has been used to establish a rejection model in immunodeficient C57BL/6 Rag2-/- mice transplanted with I-Abm12 skin.
Genetic differences between donor and recipient impact the outcome of transplant acceptance and rejection. There are different types of transplants: autografts are transplants from the recipient individual itself; syngrafts and allografts are transplants from genetically identical and genetically unrelated individuals respectively. Acceptance of different allogeneic organ transplants has been demonstrated by chemical and biological intervention in patients and mouse models11,3,4. In a basic approach, anti-CD3 antibody-treated C57BL/6 mice showed prolonged survival of I-Abm12 tail-skin (unpublished data). Depletion of CD4+ and CD8+ T cells before transplantation in recipient mice resulted in acceptance of MHC class I and II mismatched grafts (rev. in 12). Interestingly, rejection of skin grafts depends on the presence of CD4+ T cells (rev. in 12). In this model, targeting specific interactions between different immune cells by blocking costimulatory molecules with antibodies or suppression with regulatory T cells might induce tolerance (unpublished data). Indeed, blocking both CD40 and CD28 led to long-term skin allograft tolerance13,14.
Tail-skin transplantation is easy to perform and easy to monitor compared to transplantation of other organs. In addition, tail-skin transplants are easy to prepare and are less susceptible to ischemia than other skin tissues. In contrast to injected anesthetics, the use of anesthetic gas (isofluorane) during transplantation shortens both the procedure and recipient recovery time. Curling of the tail-skin transplant, which may lead to incomplete wound healing and graft rejection, is prevented by application of tissue adhesive. Furthermore, the I-Abm12 tail-skin transplantation model exclusively activates CD4+ T cells in both immunocompetent and immunodeficient mice (of the same genetic background) facilitating the interpretation of the results.
This protocol describes a reliable, reproducible and easily monitored mouse model that allows for chemical and biological intervention. The model is intended for investigating rejection and tolerance induction of tail-skin transplants.

<table border="0" cellpadding="0" cellspacing="0" width="831">
	<tbody>
		<tr height="21">
			<td height="21" style="height:21px;width:299px;">Name of Material/ Equipment</td>
			<td style="width:183px;">Company</td>
			<td style="width:119px;">Catalog Number</td>
			<td style="width:231px;">Comments/Description</td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Betadine Standard solution</td>
			<td>Mundipharma</td>
			<td style="width:119px;"></td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Cotton swab</td>
			<td style="width:183px;">Carl Roth GmbH</td>
			<td style="width:119px;">31025060</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;width:299px;">Dafalgan , UPSA</td>
			<td>Bristol Myers Squibb SA</td>
			<td style="width:119px;"></td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Hansaplast Finger Strips</td>
			<td>Beierdorf AG</td>
			<td style="width:119px;">REF.76861</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Histoacryl Tissue adhesive</td>
			<td style="width:183px;">Braun</td>
			<td style="width:119px;">REF.1050052</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Leukotape classic , 2cm x 10 m</td>
			<td>BSN Medical SAS</td>
			<td>REF.02204-00</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">PBS, Phosphate-Buffered Saline, pH 7.4</td>
			<td style="width:183px;">Invitrogen</td>
			<td style="width:119px;">10010015</td>
			<td>GIBCO</td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Sterile gauze, 5 x 5cm, 8ply</td>
			<td>MaiMed GmbH</td>
			<td>21010</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Surgical instruments&#160;</td>
			<td style="width:183px;">FST</td>
			<td style="width:119px;">11003-12</td>
			<td>Narrow pattern forceps,&#160;</td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;width:299px;"></td>
			<td style="width:183px;"></td>
			<td style="width:119px;">14095-11</td>
			<td>Fine iris scissor curved,</td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;width:299px;"></td>
			<td style="width:183px;"></td>
			<td style="width:119px;">14094-11</td>
			<td>Fine iris scissor&#160;</td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;width:299px;"></td>
			<td style="width:183px;"></td>
			<td style="width:119px;">14010-15</td>
			<td>Mayo scissors,</td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;width:299px;"></td>
			<td style="width:183px;"></td>
			<td style="width:119px;">14080-11</td>
			<td>Artery scissors ball tip 11.5 cm&#160;</td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;width:299px;"></td>
			<td style="width:183px;"></td>
			<td style="width:119px;">11021-14</td>
			<td>Tissue forceps</td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;width:299px;">Surgical Blade No.20</td>
			<td style="width:183px;">Swann-Morton LTD</td>
			<td style="width:119px;">3006</td>
			<td>Carbon Steel</td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;width:299px;">Surgical blade Handles</td>
			<td style="width:183px;">Swann-Morton LTD</td>
			<td style="width:119px;"></td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Syringe, 1ml</td>
			<td style="width:183px;">ARTSANA</td>
			<td style="width:119px;"></td>
			<td>disposable</td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;">Temgesic , Buprenorphine</td>
			<td style="width:183px;">ESSEX Chemie AG</td>
			<td style="width:119px;"></td>
			<td>0.3mg/ml</td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;width:299px;">Tissue Culture dishes 10 cm, 60.1 cm2</td>
			<td style="width:183px;">TPP</td>
			<td style="width:119px;"></td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;width:299px;">Vaseline</td>
			<td style="width:183px;">Vifor SA</td>
			<td style="width:119px;"></td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;width:299px;">Warm pad</td>
			<td style="width:183px;">Solis</td>
			<td style="width:119px;"></td>
			<td>Type 223</td>
		</tr>
	</tbody>
</table>

transplantation of tail skin to study allogeneic cd4 t cell responses in mice

The study of T cell responses and their consequences during allo-antigen recognition requires a model that enables one to distinguish between donor and host T cells, to easily monitor the graft, and to adapt the system in order to answer different immunological questions. Medawar and colleagues established allogeneic tail-skin transplantation in mice in 1955. Since then, the skin transplantation model has been continuously modified and adapted to answer specific questions. The use of tail-skin renders this model easy to score for graft rejection, requires neither extensive preparation nor deep anesthesia, is applicable to animals of all genetic background, discourages ischemic necrosis, and permits chemical and biological intervention. 
In general, both CD4+ and CD8+ allogeneic T cells are responsible for the rejection of allografts since they recognize mismatched major histocompatibility antigens from different mouse strains. Several models have been described for activating allogeneic T cells in skin-transplanted mice. The identification of major histocompatibility complex (MHC) class I and II molecules in different mouse strains including C57BL/6 mice was an important step toward understanding and studying T cell-mediated alloresponses. In the tail-skin transplantation model described here, a three-point mutation (I-Abm12) in the antigen-presenting groove of the MHC-class II (I-Ab) molecule is sufficient to induce strong allogeneic CD4+ T cell activation in C57BL/6 mice. Skin grafts from I-Abm12 mice on C57BL/6 mice are rejected within 12-15 days, while syngeneic grafts are accepted for up to 100 days. The absence of T cells (CD3-/- and Rag2-/- mice) allows skin graft acceptance up to 100 days, which can be overcome by transferring 2 x 104 wild type or transgenic T cells. Adoptively transferred T cells proliferate and produce IFN-&#947; in I-Abm12-transplanted Rag2-/- mice.

In a first approach C57BL/6 mice were transplanted with I-Abm12 allografts and I-Ab syngrafts. After bandage removal, grafts manifest signs of wound healing without closure of the contact zone in C57BL/6 mice (Figure 1A). After bandage removal, CD4+ T cell-mediated inflammation led to the appearance of necrotic areas (red spots) and rejection of I-Abm12 allografts in C57BL/6 mice within 13 days after transplantation (Figure 1B-C, filled symbols...

Watch this Scientific Journal Video about Transplantation of Tail Skin to Study Allogeneic CD4 T Cell Responses in Mice at JoVE.com

Transplantation of Tail Skin to Study Allogeneic CD4 T Cell Responses in Mice

Tail-skin transplantation is a powerful model for studying T cell-dependent rejection and tolerance induction during allogeneic immune responses in mice. The advantages of this protocol are minor invasive surgery, and ease of monitoring with no need to sacrifice the recipient mouse.

The study of T cell responses and their consequences during allo-antigen recognition requires a model that enables one to distinguish between donor and ...

transplantation-tail-skin-to-study-allogeneic-cd4-t-cell-responses

Research

JoVE Journal

Immunology and Infection

12.2K Views.  University of Basel and University Hospital Basel. Tail-skin transplantation is a powerful model for studying T cell-dependent rejection and tolerance induction during allogeneic immune responses in mice. The advantages of this protocol are minor invasive surgery, and ease of monitoring with no need to sacrifice the recipient mouse.