THE GENETICS OF TISSUE TRANSPLANTATION I N MAMMALS C. C. LITTLE University of Maim This paper has its justification in the fact that the subject of the genetics of tissue transplantation is likely to become in the not distant future of far greater general importance than it is at present and also in the fact that much of the published work in this, and in allied fields, has been done by medical men or institutions, and has appeared in medical journals. The result has been that there has not been brought to the attention of experimental biologists any considerable amount of evidence as regards the type of inheritance found in the case of tissue transplantation. It is true that there have been some efforts to describe family and individual differences in susceptibility or non-susceptibility to tumor implants but the application of the principles there discovered, to the cases of so-called “normal” tissue’has not been made with sufficient clarity and critical thoroughness. Leo Loeb and his co-workers have done a considerable amount of investigation of the behavior of various types of normal implants in different hosts. If, in its course, the present paper takes or appears to take the form of a criticism directed against their work it should be understood at the outset that none of the details of this criticism are in any way intended to belittle or to cast doubt upon the accuracy of the data which they have reported. When the interpretation of these data is considered, however, there is provided an open field for conjecture and for the advancing of any theory or theories which fit the observed facts more completely, more accurately, or more consistently than do those explanations which Loeb has offered. Loeb has used as a term to define the difference found to exist between most individuals the phrase, I ‘ individuality differen75 76 C. C. LITTLE tial.” In this paper for economy of space, this will be abbreviated as (‘ind.” We may perhaps profitably use Loeb’s own words to define exactly what an ind is. i‘ . . . all the tissues of an individual have in common a chemical characteristic through which they differ from other individuals of the same species. This characteristic may be designated as the individuality differential” (1). We know then from definition that any one animal has a characteristic makeup by which it is supposed to differ from all others of the same species as itself. This make-up is moreover described as being chemical in nature. There is, however, presented at the outset a very interesting biological dilemma as to the permanency, extent, and origin of the chemical characteristics by which any one individual differs from all others of its species. If the difference characterizes ‘(all the tissues” its distribution is as general as the protoplasm itself and because of its nature as uniform as the number and form of the chromosomes. It must, moreover, be a substance communicable to all cells in the body. It is, therefore, either reduced to a difference which rests upon the substances inherited at the inception of the individual, or else it must be able to circulate through the tissues with great ease. The latter fact follows naturally, for if the difference has arisen from elements acquired since the development of the individual began, i.e., during ontogeny, the environment would be continually exerting an effect upon the underlying elements, and to obtain a consistent and uniform characteristic for all the tissues at any one time would, it seems, be almost impossible and would be quite so were not ready penetration of all tissues by it entirely possible. If however the origin of the substance or substances which form the basis for the ind is ontogenetic, we are faced with another real difficulty. This consists of the fact that either we must suppose that these substances make their way into the germ plasm, and thus provide examples of the inheritance of an acquired character; or else we must suppose that any study of the inheritance of tbe ind will have as a source of error the purely somatic effects which are not inherited and GENETICS O F TISSUE TRANSPLANTATION IN MAMMALS 77 which serve to confuse the experimental conditions to a very great extent. In other words we must at the outset define exactly what class or group of characteristics we are to deal with in our investigations of the ind and of its behavior. Inasmuch as there is absolutely no evidence for the inheritance of any acquired character in the types of laboratory mammals on which the experiments on transplantation have been performed, we can say that for our purpose the substances which serve to diferentiate between one individual and the others of its species are those which are represented in the germ-plasm and which therefore are subject to the methods of analysis and of investigation which characterize all genetic studies. Any attempt to bring into the case substances of other nature must be at once recognized as being of secondary importance to the main issue. Undoubtedly age, sex, and general physical condition will play rbles in the success or failure of implants of tissue. In general, however, these factors themselves will be found to trace back to genetic agents which determine to a large degree the rate and time of maturity, susceptibility to disease, and the rate of approach of the physiological changes which we have come to lump under the general term senility. There is then nothing mystical or unique about the case which we have under consideration. There will be many times when we shall need to keep this in mind during the analysis of Loeb’s investigations. For convenience we may divide the questions to be taken up into two sub-headings, as follows: A , Critical; and B, Con. structive. Under the first heading we may group almost all, if not all the trouble under a very significant and broad blanket, namely ‘‘ The distinction between pedigree and genetic relationship.” Under the second heading we shall examine three main topics and try to show how progress can be made by bearing in mind certairl. fundamental principles of modern genetics. These three topics are (1) The use of tumor tissue in implantation work, (2) The use of multiple mendelizing factors as a n explanation of genetic results, (3) The meaning of a peculiar form of behavior shown by F, hybrids during certain transplantation experiments. 78 c. c. LITTLE) CRITICAL (1) The Distinction between ‘Pedigree and Genetic Relationship. If we had before us several hundred pea seedlings obtained from a long series of self-fertiliaed pea plants, in a direct line of descent, we should admit without any question that they formed what is known as a pure line. Roughly speaking, that would mean that the differences in form, or size, or vigor, which were apparent between individual seedlings were purely somatic and could be ignored when the question of the breeding quality of the various seedlings was considered.’ If now we sent to various breeders of peas one or two of the seedlings so obtained, we might after severaI years or generations of breeding receive back from the breeders a number of the descendants of the original plants. Although these would be to the plants originally sent, in the relationship of grandchildren with several “greats” attached, we should find that, unless mutations had occurred, the plants which we received back would have exactly the same breeding qualities as did those which we sent away years before. They would then biologically be essentially the same individuals as were the original plants and between their inds and those of the original plants no diference would exist. Exactly the same conditions would be found in the case of animals reproducing by sexual reproduction, provided a long program of extremely close (own brother to sister matings) inbreeding had been followed, and provided the line of descent was kept narrow by the selection of single pair matings. If, after a long period of this sort, the descendants of a single pair were, by intensive breeding, multiplied to a point where several hundreds of animals were obtained, we should have cousins, parents, aunts, uncles, and mother-in-law all biologically the same. All would be parts of the same germ-plasm which had been made uniform under the deliberate and selective process of breeding which had been employed. In such a population the ’This of course does not consider the occurrence of mutations in pmticular individuals. The mutation factor is a necessary vrtriable, for in the present state of our knowledge we cannot predict the time, number, or nature of mutations. GENETICS O F TISSUE TRANSPLANTATION IN MAMMALS 79 results of transplantation of tissue from one animal to another would not be different from those obtained when transplants were made from one portion of an individual to another part of the same’animal. Loeb has used, on the basis of pedigree relationship, the terms autotransplantation, syngenesiotransplantation and homoiotransplantation, to debignate identical, closely related, and widely related or unrelated individuals respectively. A moment’s consideration of the matter will, however, show that the terms are almost entirely deceptive, if the pedigree relationship is alone considered or even if it is made the chief criterion in judging what the result of any particular implantation of tissue is to be. It will be of interest to quote briefly from certain of Loeb’s papers on the relation of au to-, syngenesio- and homoiodifferentials and on the way in which the ind is inherited. He says : The interaction of cells and substances which possess the same “ind” leads to the production of autosubstances which are responsible for various conditions of tissues? After transplanting a piece of an organ into a near relative of the donor of the tissue (syngenesiotransplant), or into an unrelated individual of the same specie8 (homoiotransplant), or into an individual belonging to a different species (heterotransplant), the ind is no longer adapted to its environment and acts as a syngenesio, homoio, or heterodifferential respectively, In these quotations we find Loeb using the terms of distinction between different types of transplants on the basis of pedigree relationship alone. There are many errors to which a viewpoint of this sort can very easily lead. For example, the very occurrence, in the same species, of animals which are entirely unrelated to the individual in question, is, in itself, highly doubtful from a genetic point of view although quite readily observed from a pedigree viewpoint. From the genetic aspect the degree to which any two individuals of the same species are related will depend upon the number of inheritable units or genes which the two individuals possess in common. It will be rarely if ever that we should find two animals of the same * In this case, aa in others to follow, the term ind has been used in quotation, although of course Loeb used the full form “individuality differential.’’ Am. Nat., 1920, liv, 5&60. 80 C. C . LITTLE species which do not possess a considerable number of their genes in common. It is not desirable or accurate therefore to focus our attention on the pedigree relationship between two animals and to declare them to be unrelated if their ancestors do not run together within a certain limited period of observation. As a general thing transplants between two individuals of an ordinary laboratory strain of animals will not be successful. This is because a very close approximation to biological identity is essential for the successful fulfillment of the relations oE host and donor in any transplantation experiment. In other words, either by chance or by a deliberate process of selective inbreeding and choice of animals, the individuals picked for host and for donor must be either approximately or absolutely equal in the genetic factors which underly the physiological make-up of their tissues. Let us see how Loeb considers the matter of the relationship between the auto-, syngenesio-, and homoiotransplants. He says: After syngenesioplastic transplantation of thyroid in guinea-pigs, the results are intermediate between those obtained after auto- and homoiotransplantation. These findings agree with our previous results obtained in the rat and with different organs (2). A blending or combination result is here hinted at. The violence of the reactions involved in the elimination of the transplant are the measures by which the results spoken of as characterizing auto- or homoiotransplants are judged. The histology of the reactions has been carefully worked out by Loeb, and the fact has been clearly brought out that the elimination of the implant is a function of the degree of similarity or difference between the donor and host. This fact cannot however be thought of as involving anything except a clear idea which all who have been carrying on transplantation work of any kind have long known and utilized in their work. It will, moreover, be apparent that to focus our attention upon the degree of reaction to be observed in deciding the fate of various implants is to run the danger of confusion between the GENETICB OF TISSUE TRANSPLANTATION IN MAMMALS 81 outward manifestation of a number of hereditary units working as a complex and the nature of those units themselves. The study of the genetics of tissue transplantation will not progress if we spend our time studying, in material whose genetic nature is little or not at all known, the varying degrees of violence of lymphocytic or other protective reactions set up by the organism against implants of foreign tissue. That ’some degree of trouble has already resulted from this method is to be judged from the following: To a certain extent syngenesiotoxins still take the place of autosubstances characteristic of the interaction between the own tissues and body fluids. Some syngenesiotoxins, however, can do so only to a very slight extent; homoiotoxins are still less able t o take the place of auto-substances and least of all heterotoxins (3). There is a slight amount of unconscious irony in this statement, for while the degree to which syngenesiotoxins replace auto-substances is spoken of as “certain” there cannot well be anything much more uncertain, if the explanation here used is followed. Some of this uncertainty is to be found in another quotation which should be taken in connection with the statement already quoted to the effect that the results of syngenesiotransplantation are intermediate between those of auto- and homoio-transplants. All degrees of variation between the two extremes of results resembling those in autotransplantation . , . and of homoiotransplantation . . . are obtained after transplantation . . . into near relatives. We do not find a half-way condition. The different members of a family may behave very differently (4). Although this statement appears t o contradict that made by the same worker on another occasion, it is probably much more nearly correct. In fact it agrees with the results which have been frequently described by other authors, for example, in ovarian transplantation in guinea-pigs by Castle and Phillips ( 5 ) and in mouse tumors by the writer and Tyzzer (6) some years before Loeb’s paper was published. It may be pointed out, in passing, that the results described by Loeb are certainly to be expected if the animals used were not descended from a particularly inbred race. I n other words 82 c, c. LITTL? the animals which go to make up an ordinary laboratory race of mammals are by no means alike genetically, They vary, in different cases, from those which are apparently practically identical, to those which bear so little genetic resemblance to one another that if their pedigree did not provide the mechanical road by which they might, in some way, be related one would never guess their common origin either by physiological or by genetic behavior. One more quotation may be given along these same lines: Occasionally pieces behave after homoiotransplantation in a way which is characteristic of syngenesiotransplantation. At present we must admit the possibility that in such cases the donor and host had after all been related to each other; 80 that in reality we had to deal, not with a homoiotransplantation, but with a more distant syngenesiotransplantation (7). Here we have an excellent example of the degree t o which the pedigree relationship idea has grasped the imagination of Loeb. These exceptional cases showingsome degree of similarity without any directly traceable line of pedigree descent from a common ancestor are disturbing. They are considered ‘ I for the present, ” and although it is genetically entirely possible to get results from this sort of case that are identical with autotranspIantation, yet because of pedigree they are treated as being “more distant syngenesio,” nearer than that they cannot go. There is another group of facts which the hypothesis of pedigree “relationship” meets with little success and from which it retires somewhat discomfited; these are the experiments involving transplantation from parents to children, from child to parent, and between sibs. That these are considered by Loeb as belonging to the group of syngenesiotransplantations, regardless of the degree of similarity or difference possessed by the a’ncestors,is shown by the following quotation: Tissues transplanted from parents to children, or from sisters and brothers to sisters and brothers, or from children to parents, behave in a manner intermediate between tissues after homoio- and autotransplantation (8). Following this statement we may consider the results of the various types of transfers as described by Loeb: GENETICS OF TISSUE TRANSPLANTATION IN MAMMALS 83 We found transplantation from brother to brother to give the beat results but even here the mixing of the inds called forth the develop ment of syngenesiotoxins which usually were relatively mild, but in certain cases would be more severe, and again, Transplantation from mother to child on the whole, resembled that of transplantation from brother to brother, but it seemed to be somewhat less favorable . . . . Transplantation from child to mother led to the production of toxic effects which were almost as marked as those produced by the homoiotoxins (9). These results are entirely in line with the experience of those who have worked with mixed stocks in the implantation of tumor tissue as well as of normal tissues. They are not in the least in agreement with results described by the writer and Johnson in 1922 (10). Here we used mice of known genetic make-up and after consideration of the genetic constitution devised a series of transplantations of spleen which were calculated to test the validity of any system of classification of relationship which was based on pedigree alone. In certain strains where we expected it, transplants from child to parent, from parent to child and between sibs were equally successful and all were indistinguishable from autotransplants. The relationship and results described by Loeb broke down entirely and, as we expected, failed to materialize. The experiments referred to will be taken up again later in more detail. That Loeb himself is in doubt as to the meaning of his results will be apparent from the two following quotations. The difference between results obtained after transplantation from parents to children and . . . from an animal to his sisters and brothers, is so small that it may be entirely accidental. Tissues transplanted from children to mother . . . show an intermediate behavior. . . . This result may also be accidental and due to the relatively small number of mother rats used in this series (ll), and further Sex does not influence the four variables in the case of thyroid transplantation in the guinea-pig. Whether the inferiority in results obtained after transplantation from child to mother which we found previously, is due to the action of a constitutional or of an extraneous factor remains still to be determined (12). 84 C. C. LITTLE The indefiniteness of the above statements will without doubt be apparent. It is largely the product of the use of stocks of unknown genetic make-up. It really seems that with the exception of the histological findings already referred to, Loeb’s work has merely extended to a number of new organs and tissues the methods and type of work done by many experimenters with the implantation of tumor tissue. It is also clear that no adequate genetic analysis of his material can be made, because its genetic constitution is unknown and ignored. No controls are therefore available and no experiments to test genetic similarity or differences can be planned. The sole method at his disposal is to contrast brother with brother, sister with uncle, aunt with cousin until a family party at Thanksgiving bears to a member of the family newly acquired by marriage, a simpler relationship than does the biology and genetics of Loeb’s various experiments to the would-be analyzer. It is especially unfortunate that the genetics of the transplantation of tissues will be the first acquaintance which many well-meaning medical men will have with that field of biology. Even if their contact with genetics is first made through the work of over-ardent eugenic field workers it may, through irritation, survive the shock more readily than if it becomes completely submerged in a maze of experiments and facts collected on the basis of pedigree relationship. CONSTRUCTIVE BUGQEBTIONB As has already been intimated these suggestions will be grouped under three main topics. The first of these is the relation of experimental work done in the field of tumor transplantation to that done with the so-called normal tissues. Many histologists have shown that in spite of its unique physiological behavior, tumor tissue retains to a considerable degree the characteristics of the tissues which gave rise to the neoplasm. Thus, for example, sarcomas show in their histological structure the unmistakable marks of connective tissue. By contrast tumors of the liver show the characteristics of liver tissue and so on for the various sites in which neoplasms can be formed. Further than this the implantation of bits of tumor GENETICS OF TISSUE TRANSPLANTATION IN MAMMALS 85 into new localities on the individual that gave rise to it are in their relation to its tissues in the nature of an autoplastic implant just as the implants of any other of its tissues would be. It is quite true that tumor tissue has an amazing power of growth, but that fact in itself presupposes no incompatibility between the results obtained after implantation of tumor tissue and those following implantation of normal tissue. The power of growth which tumors possess may possibly make them, on the whole, more apt to grow than are normal tismes, but there is every reason to think that this increased power of growth is in the nature of a constant and would be felt as such in the various types of implantation ranging from auto- to heterotransplants. If such is the case, and if tumors possess, as they apparently do, the same genetic constitution as the animal which gives rise to them, their ind should be equal to that possessed by the normal tissues of the animal on which they originated. Tumor tissue, however, has in its power of rapid growth a factor of great value in the genetic study of tissue transplantation. This factor is found in the ability on the part of a tumor to increase to such a mass that it may conveniently be used for the inoculation of hundreds of individuals. The advantage of this should be obvious. It gives us the opportunity of testing a very large number of animals in their reaction to a constant or nearly constant piece of tissue. It removes in so far as it is possible to do so the variable introduced by the use of tissue derived from a large number of individuals. It thus simplifies the experimental conditions to a very great degree and makes possible methods of analysis which are entirely impossible in ordinary laboratory races of animals if many animals are used as the host and as the donors of tissue. It may be of interest to state that Loeb recognizes, not only the similarity in reactions following autotransplants of tumor and normal tissue, but also in the cases of homoio- and of heterotransplants in the two types of tissue. Certain specific quotations will aid in bringing out his viewpoint in this matter. This . . . comparison between phenomena observed in tumor and c. c. LITTLE 86 tissue growth may suggest that a study of tissue growth may not only assist in the interpretation of tumor growth, but that conversely, the analysis of tumor growth may help to lay the foundation for a physiology of tissue growth. . . . This comparison leads to the conclusion that . . . perhaps all of the phenomena observed in tumor growth find a parallel in the growth of normal tissues under special conditions. . . . How far these differentials act alone or in combination with constituents of the body fluids of the host . . . etc. . . . is as yet not fully determined. But it is certain that in all these reactions no essential difference exists between tumors and normal tissues (13). As an experiment providing an example of the similarity of reaction in the two case8 it may be of interest to give the results of transplants of spleen, of carcinoma and of sarcoma all derived from supposedly uniform animals. The donors in this case are animals belonging to a race of Japanese waltzing mice. These animals had been subjected to a process of rigorous inbreeding of the type calculated to produce genetic uniformity. The results obtained cover a period of several years during which time pedigree relationships had passed well beyond a point where they could in any way serve either as a basis for prediction or as an aid to analysis. A tabulation of the three groups of experimental work has been made below. Pedigree Relationehip 1 Raoe or Generation Between sibs. . . . . . . . . . . . . . . . . . . Jap. Waltzing Parents to children. . . . . . . . . . . . . . Jap. Waltzing No recent relationship. .......... Jap. Waltzing Parents to children. . . . . . . . . . . . . .FI Jap. "on waltz. *1Children to parents. . . . . . . . . . . .Fl Jap. Non waltz. No recent relationship. ..........F1Jap. Non walts. I c$gasaroorna All+ All All All All + + + All + + + + + All All All All None made All + Spleen + + +- All All All -IAll All All + From the above table it will be clear that the pedigree relationship has no effect upon the results when animals of the closely inbred Japanese waltzing race are used. 1 The type of mating marked with an asterisk, is one in which the tissue used was in one case spleen and in the other carcinoma derived from FI generation hybrid animals. It is included merely because it shows how definite the result ia when animals of known genetic constitution are used as the donors and hosts, and how on the basis of such results it is possible to show the complete correspondence between the behavior of tumor tissue and normal tissue in the testa made. GENETICS OF TISBUE TRANSPLANTATION IN MAMMALS 87 We may, therefore, conclude that, for the purpose of analyzing the phenomena of the inheritance of the factors which underly susceptibility and non-susceptibility to transplants of tissue, experiments with tumor and with normal tissue are of equal value, and further that in the absence of evidence to the contrary, they may be said to be essentially similar in their behavior under the experimental conditions of transplantation. The Multiple Factor Hypothesis The second matter of interest, under the head of constructive suggestions, is the use of the multiple factor hypothesis in the genetic analysis of the results of the study of tissue transplantation. Loeb has suggested that multiple factors might be involved in the case of certain transplantable tumors with which he and Fleisher (14) worked some years ago. I n commenting on the use of the multiple factor in this connection the writer and Tyzzer in 1916 pointed out that the hypothesis of multiple factors which we then advanced was markedly different from that used by Loeb and Fleisher. What they apparently had in mind was that the race was the unit of genetic analysis. When a number of animals picked from a race which had been carried on as distinct for some time in the laboratory were inoculated with a given tumor, a certain proportion of them grew the tumor, while the others failed to do so. The proportion which grew the tumor was reduced to a per cent basis and the value so obtained was considered as the characteristic of that race. Other races would of course have other per cents, and the difference between the two percents shown by any two races was supposed, by them, to be relatively constant, and to depend upon multiple factors. Something of the same use of the multiple factor hypothesis is being made by Loeb in the case of his studies.on the inheritance of the inds. A considerable series of experiments reported by Tyzzer, by Strong (15), and by the writer (l6), (17), (18), running over several years, and involving several races of mice of known genetic constitution, show clearly that, while multiple mendelizing factors are undoubtedly involved, their behavior is quite distinct from that suggested by Loeb and his co-workers. 88 C. C. LITTLE That Loeb’s use of the multiple factor hypothesis in his studies of the inheritance of the ind is very indefinite, can, I think, be shown by a few quotations. Thus he says: The rapidity with which the transplants attract lymphocytes in various kinds of transplantations is graded, and these gradations corrtispond to the gradations in the relationships between cell proteids and constituents of the body fluids in donor and host (10). In the case of the tissues we have to assume the existence of inds which are composed of multiple chemical groups; therefore Mendelian heredity would be that of multiple factors. It is not improbable that even in the case of tissues, the number of these groups is limited and that all the individuals of the same species have a choice only between a relatively small number of groups. Other chemical groups would be characteristic of species and in this case also the number of groups which constitute a species differential may be limited (20). He further adds that . . . the ind is not inherited according to the rules of alternating Mendelian heredity of simple monohybrid characters, but that all degrees of blending are observed. We may conceive of all gradations [in inds] . . . as corresponding to gradually increasihg quantitative differences in the same substance present in the majority of the tissues of the same individual. The inheritance of these inds is distinct from the inheritance of other characters of organs and tissues. Both sets of characters may follow different rules of heredity (21). There seems to be little reason for the statement that the type of inheritance involved in the case of the ind is, in any way, fundamentally different from the type found in the case of any morphological character that involves more than one unit. As the writer and Bagg have pointed out in a paper now in press, the rule among morphological characters of mammals seems to be complexity of Mendelian units rather than the simple one factor case which first made itself obvious to investigators of color inheritance. The behavior of the genetic factors in the case of tumor implants is orderly, and to 8 high degree predictable. A series of cases increasing in simplicity have been investigated. Thus the writer and Tyzzer (1916) reported a case involving apparently, from 12-14 mendelian units; Tyzzer and the writer in 1916 also gave a case of from 4-6 units in a sarcoma of the Japanese waltzing mouse. The writer and Strong, in a paper now in press, mentioned in the Harvey Lectures of 1921, GENETICS OF TISBUE TRANSPLAfiTATION IN MAMMALS 89 show cases of two and three factors respectively, and Miss B. W. Johnson in the writer’s laboratory is at present investigating what seems to be a second three-factor case of entirely different origin. It is clear that the principle of multiple mendelizing factors as the underlying type of the inheritance of tissue implants is proved by these experiments. From the ratios in which the susceptible and non-susceptible young appear in the Fz generation, it is not only possible to show the number of factors involved, but also to show that the factors are functional when present in ti single representation, i.e., heterozygous, and that they must be present simultaneously and act as a complex. We may summarize and describe the way in which multiple factors influence the successful or unsuccessful treatment of tissue implants somewhat as follows. The tissues of any individual are the product of a complex of genetic factors interacting with the cell substance of the egg and of its descendant cells. In a very closely inbred race, the different individuals have the same, or nearly the same complex of genes, and there is therefore na way in which any difference can be detected. In an ordinary laboratory race, the various individuals are probably characterized by different complexes many of which, however, approach each other closely, and some of which either coincide, or come so near it that implants between the individuals with such complexes are as successful as are autotransplants. The best place to study the inheritance of the factors which underlie tissues, whether normal or tumor, is in crosses between two closely inbred races, within each of which there is sufficient homogeneity to allow successful transplantation of the tissue in question between different individuals in approximately 100 per cent of the cases attempted. I n such crosses, the Fz and back-cross generations give a chance to measure in terms of Mendelian units, the degree of difference between the two complexes which characterize the two parent races. By inoculating different tissues into the same or genetically similar animals, it is possible to discover whether differences in genetic factors are to be found in various organs, or whether all organs of a single 7 90 C. C. LITTLE individual have the same genetic make-up. Eventually, after more extensive experiments have been made, it should be possible to identify by physiological means or by linkage, some of the genetic factors which are particularly involved in the formation of tissues. Genetic Characteristic of F, Hybrids The third general matter to be considered is the way in which relationship of the two genetic complexes which characterize two such inbred races, is shown by the first generation hybrids between them. Loeb has found that the chief characteristic of the first generation hybrid between two individuals is that it tends to show an ind which is intermediate between the two parents. This is undoubtedly because he is dealing with animals so mixed in genetic constitution that the complex resulting from a cross between any two of them will have some of the genes which were active in the parents and some which they may have possessed but did nbt show because they were recessive in action, or for some other reason were inhibited from expressing themselves. If, however, one works with genetically homogeneous (homozygous) material, the gametes formed by the parent type will each of them contribute to the formation of the F1 hybrid aZ2 of the genes that characterize its complex (in, however, a single representation instead of a double one found in the zygote). The first hybrid generation would then be formed of animals which were made up of the complexes of both parent races. It is of prime importance to know whether or not the two complexes lose their respective identity or whether they remain together, each retaining for use under particular circumstances their own genetic characteristics. That the latter is the condition which actually obtains is indicated by the behavior of first generation hybrids between animals of two distinct races of mice, each of which has been inbred to a point of genetic uniformity. When tests of this sort are made the results are very striking and consistent. In, for example, a cross between Japanese waltzing mice and non-waltzers of a closely inbred race the hybrids which result in the first generation will grow the tissue of GENETICS O F TISSUE TRANSPLANTATION I N MAMMALS 91 either parent race. In other words the genetic factors which make up the Jap-waltzing complex are present in only a single representation but they function nevertheless, and are determining agents in allowing the Japanese mouse tissue to grow. In the very same hybrid animals there is, however, a single representation of the factors which characterize the nonwaltzing complex. When a bit of tissue from an animal of this non-waltzing race is inoculated into such a hybrid the animal reacts favorably to it on the basis of the non-waltzing complex which it possesses. The first generation hybrids are, in these cases, therefore really dual in nature. When one set of circumstances require, they can produce the reaction necessary to support growth of one type of tissue, and when different conditions obtain they can reverse their behavior and grow tissue of very different genetic properties. There is a further development of this line of reasoning which gives us some interesting insight into the reason why implants from child to parent are not as successful as are those from parent to child. One possible reason for this phenomenon has been hinted at by Loeb as follows: In the case of transplantation from child to mother . . . the graft would lack one half the chromosomes and therefore the corresponding chemical groups present in the cells of the graft. The result should approach that of homoiotransplantation, which we indeed find to be the case (22). The idea which seems to underlie Loeb’s explanation is probably correct as far as it concerns an inherited chemical difference which determines the fate of the graft, and so far as it mentions the chromosomes as the basis for genetic difference. On the other hand, in the description of the graft in its relation to the host, in the transplants from child to parent there is either a typographical error or else a badly mixed conception of what the basis of genetic difference really is. It is not so much that the graft lacks any chromosomes or anything else, as it is that the graft consists of tissue derived from a dual origin, bearing the genetic factors which the parent other than that used as the host, has introduced. Since, now, these factors will, unless the two parents have an almost identical genetic constitution, 92 C. C. LITTLE be of very different nature from those possessed by the other parent, it is clear that the hybrid resulting from a cross between two genetically unlike parents will have in its combination of genes, at least several that the parent used as a host will lack. If now the genes underlying tissue formation are operative in determining the biological and physiological properties of the tissues derived from their interaction, it will follow that the tissue of the offspring of two such parents will differ from either parent and therefore is recognized by them as foreign and is eliminated after transplantation just as is any tissue which differs in its genetic constitution from the animal used as the host. The dual capacity in which the hybrid between any two genetic complexes acts, is very interesting. As above stated, it shows that the two genetic complexes which went in to the make-up of the hybrid can be separated when it comes to recognizing the elements which the hybrid has in common with either of the parent types. On the other hand, the hybrid itself builds up its tissues out of the interaction of the two complexes so that the resulting tissue is a combination of the two as well as the sum of their genetic compositions. These facts bring out the point that the host is the agent which discriminates in favor of, or against the implanted tissue. If the host recognizes in a physiological way the implanted bit of tissue as foreign to itself, it will eliminate the implant. If on the other hand the implant has no foreign or antagonistic elements the host does not eliminate it but leaves the decision as to its future to the local blood supply, and to the inherent power of metabolism and growth which the implanted tissue possesses. That the implant does not need to be identical genetically with the host provided it has no factors recognized by the host as foreign, is shown by two main lines of experimental evidence. The first of these is given by the work of Murphy and others in growing rat and mouse tumors in early chick embryos. Here the embryo is unable to recognize any tissue as foreign until such a time as it has developed enough of its own physiological characteristics to enable it to express its individuality. When GENETICS O F TISSUE TRANSPLANTATION IN MAMMALS 93 this point is reached, however, it proceeds to eliminate the implant of tumor tissue promptly and effectively. The second line of evidence is found in the growth of the embryo of mammals as an implant in the uterus. To be sure, the mother has a well developed system of protective mechanisms, but it seems likely that most of the structures developed for the care of the embryo, have, in evolution, a morphogenetic or mechanical function rather than any attempt to keep the physiological nature of the embryo apart from that of the mother. Logically there are two ways in which the mother could tolerate the growth of the mammalian embryo. The first of these is by having a physiological make-up identical with it, the second is under a condition in which the embryo has no definite physiological characteristics which are individual enough to be recognized as foreign by the mother, until well along in its ontogeny. That it is, in all probability, the latter of these two explanations that applies, is indicated by the fact that embryonic tissue has been shown to have distinctly fewer individually characteristic differences than has the tissue of the same animal when adult. Thus, adult mice quickly recognize as foreign and eliminate implants of rat tumor while newly born mice will support the growth of the same tumor for eight or ten days before they reach a point where they are able to recognize it as foreign and to start against it a protective reaction. Also, as has been clearly shown, mice which are not yet sexually mature do not discriminate against and eliminate transplants of tumor from genetically unrelated mice as rapidly as do the same animals when sexual maturity has been attained. The internal secretions of the gonads have without any question a distinct effect in giving an opportunity for the various genetic characteristics to express themselves. Before these secretions are active, the animal has not completely developed the physio'ogical characteristics which are potential to it. After they become active, however, the full individuality of the animal expresses itself. If the above description is the one which accurately explains the facts, we should expect that in a race in which some of the animals were going to grow the implants and some were not, that the sex 94 C. C. LITTLE which matures the more rapidly should, if a series of animals of different ages were inoculated, show a higher percentage of successful implantations. This would be especially true in observations taken at a time when that particular sex had matured and the other sex had not yet reached the full development of a sexual maturity. That such is the case has been shown by the writer (23) in a series of age groups of mice inoculated with a tumor (sarcoma, J. W. B.) of the Japanese waltzing mouse. SUMMARY AND CONCLUSIONS It is not easy to include in a summary the points which are developed by a communication of the present type. In general, however, we may say that the whole theory of the hereditary behavior of the individuality differential as advanced by Loeb, rests on the assumption that the pedigree relationship of animals is per se an index of their genetic relationship, and that this assumption is unsupported by a whole host of evidence which underlies the modern concepts of genetics. This fact makes the use of such terms as syngenesiotranspIantation of no real scientific value. The terms “auto” and “homoio,” long used to describe a certain type of transplant, need revision to conform with the advances that have been made in our knowledge of the genetic constitution of the individual. The essential similarity of normal and tumor tissue for purposes of transplantation work, from the viewpoint of genetics, is clear, as are certain advantages which tumor tissue possesses. The multiple factor hypothesis of mendelizing units can be successfully applied to all known cases of the genetics of tissue transplantation. When it is so applied, it is in a markedly different form from that advanced by Loeb and Fleisher and by other investigators. We must suppose that a complex of interacting factors is involved. All the factors which go to make up the necessary complex must be present simultaneoudy. This is a very different principle from that underlying the inheritance of a character which depends upon a single gene, the expression of which is modified by the presence of a number of subsidiary genes. It also differs from the conception of multiple allelo- GENETICS OF TISSUE TRANSPLANTATION I N MAMMALS 95 morphs and from the type of inheritance that depends on duplicate genes. The peculiar nature of the first generation hybrid between different races is also a matter of interest. When material of known genetic composition is used the intermediate results described by Loeb are not found. The first generation hybrids arising from a cross between two homogeneous races which differ from one another, have the ability to grow the tissue of both parent races. REFERENCES (1) (2) (3) (4) LOEB:American Naturalist, 1920, liv, 55. LOEB: J. M. Res., 1918, xxxix, 56. LOEB:American Naturalist, 1920, liv, 45. LOEB: J. M. Res., 1918, xxxviii, 418. ( 5 ) CASTLE AND PHILLIPS: Carnegie Inst. Of Wash., Publ. NO. 144, pp. 26, 1911. (6) LITTLEAND TYZZER: J. M. Res., 1916, xxxiii, 393. (7) LOEB:J. M. Res., 1918, xxxix, 211, 212. (8) LOEB: J. M. Res., 1918, xxxviii, 418. (9) LOEB: American Naturalist, 1920, liv, 55. (10) LITTLEAND JOHNSON: Proc. SOC.Exper. Biol. & Med., 1922, xix, 163. (11) LOEB:J. M. Res., 1918, xxxviii, 418. (12) LOEB:Proc. SOC.Exper. Biol. & Med., 1921, xviii, 153. (13) LOEB:J. Cancer Res., 1917, ii, 147 and 150. (14) LOEBAND FLEISHER: Centralbl. f. Bakteriol., 1912, lxvii, 135. (15) STRONG:J. Exper. Zool., 1922, xxxvi, 67. (16) LITTLE: Science, 1920, li, 467. (17) LITTLE:Abt’s Pediatrics, 1923, i, 171. (18) LITTLE: The Harvey Lectures, 1921-22, Series xvii. (19) LOEB: J. M. Res., 1918, xxxix, 39-58. (20) LOEB:American Naturalist, 1920, liv, 55-60. (21) LoEn: J. M. Res., 1918, xxxviii, 419. (22) LoEn: American Naturalist, 1920, liv, 55. (23) LITTLE: J. Exper. Zool., 1920, xxxi, 307.
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