A new method for performing massive skin grafts involving 30–40% of the total body skin was developed. Massive skin grafts were made across H-2 differences in inbred mice. In four different situations of antigenic disparity, the survival time of massive skin grafts was between 2.0 and 2.6 times greater than that of small (1.3 X 1.3 cm) grafts. In contrast, minute (0.3 X 0.3 cm) grafts showed a shorter survival time. To investigate the mechanism underlying the prolonged survival of massive grafts, experiments were done with placement of massive grafts followed by small grafts, and with simultaneous placement of massive and small grafts. The mechanism proved to be complex, with three factors contributing: a nonspecific depression of immune reactivity, possibly due to the stress reaction caused by the initial operation and postoperative trauma; a depression in immunological reactivity specific for the type of skin transplanted, possibly due to transient immune tolerance; and a nonspecific reaction dependent upon the relation between the size of the graft and the cellular dynamics of the rejection process.
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