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. 1976 Jul;184(1):51–59. doi: 10.1097/00000658-197607000-00009

Kinetics of humoral responsiveness in severe thermal injury.

F T Rapaport, R J Bachvaroff
PMCID: PMC1344307  PMID: 945719

Abstract

Severe thermal injury has the capacity to increase the rate of generation of antibody-forming cells in mice. The intensity of stimulation appears to be proportional to the extent of injury. The effect has been observed in animals burned within 1 hr before or after sensitization with test antigen(s), and persists up to 14 days after injury. Thereafter, the stimulatory effect wanes, and disappears by the 21st day after burning. Responses to T-cell (thymus derived lymphocytes) dependent antigens (sheep erythrocytes; sheep erythrocytes coupled to TNP) and to antigens not requiring T and B-cell (bone marrow derived lymphocytes) cooperation (DNP-Ficoll) appear to be equally affected by thermal injury. The mechanisms underlying this form of enhanced antibody response are not clear. The data, however, support the possibility that the burn wound may release factor(s) capable of enhancing humoral responsiveness in the injured animal. Such factor(s) do not appear to be endotoxins.

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Selected References

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  1. ARTZ C. P. BURN INFECTIONS. South Med J. 1963 Oct;56:1071–1074. doi: 10.1097/00007611-196310000-00003. [DOI] [PubMed] [Google Scholar]
  2. Alexander J. W., Fisher M. W., MacMillan B. G., Altemeier W. A. Prevention of invasive pseudomonas infection in burns with a new vaccine. Arch Surg. 1969 Aug;99(2):249–256. doi: 10.1001/archsurg.1969.01340140121018. [DOI] [PubMed] [Google Scholar]
  3. Alexander J. W., Moncrief J. A. Alterations of the immune response following severe thermal injury. Arch Surg. 1966 Jul;93(1):75–83. doi: 10.1001/archsurg.1966.01330010077011. [DOI] [PubMed] [Google Scholar]
  4. Alexander J. W., Moncrief J. A. Immunologic phenomena in burn injuries. JAMA. 1967 Jan 23;199(4):257–260. [PubMed] [Google Scholar]
  5. Alexander J. W., Moncrief J. A. The control of infection in severely burned patients. Surg Clin North Am. 1967 Oct;47(5):1039–1048. doi: 10.1016/s0039-6109(16)38327-x. [DOI] [PubMed] [Google Scholar]
  6. Arturson G., Högman C. F., Johansson S. G., Killander J. Changes in immunoglobulin levels in severely burned patients. Lancet. 1969 Mar 15;1(7594):546–548. doi: 10.1016/s0140-6736(69)91957-6. [DOI] [PubMed] [Google Scholar]
  7. BALCH H. H. Nutrition and resistance to infection. Ann Surg. 1958 Mar;147(3):423–424. doi: 10.1097/00000658-195803000-00021. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. BAZAN A., CHAVEZ P. M., GURMENDI G., MARKLEY K. Fatal Pseudomonas septicemias in burned patients. Ann Surg. 1957 Feb;145(2):175–181. doi: 10.1097/00000658-195702000-00005. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Bachvaroff R., Browne L. R., Rapaport F. T. Erythrocyte changes in severe thermal injury. Surg Forum. 1972;23(0):501–503. [PubMed] [Google Scholar]
  10. Bachvaroff R., Rapaport F. T. Mechanisms of antibody formation. I. Early in vivo proliferation of mouse spleen T cells as an initial step in antibody formation. Cell Immunol. 1975 Feb;15(2):336–346. doi: 10.1016/0008-8749(75)90012-x. [DOI] [PubMed] [Google Scholar]
  11. Benedict F. G. The Surface-Area Constant in Comparative Physiology. Yale J Biol Med. 1932 Mar;4(4):385–398. [PMC free article] [PubMed] [Google Scholar]
  12. Bray J. P., Estess F., Bass J. A. Anticollagen antibodies following thermal trauma. Proc Soc Exp Biol Med. 1969 Feb;130(2):394–398. doi: 10.3181/00379727-130-33563. [DOI] [PubMed] [Google Scholar]
  13. Casson P. R., Gesner B. M., Converse J. M., Rapaport F. T. Immunosuppressive sequelae of thermal injury. Surg Forum. 1968;19:509–511. [PubMed] [Google Scholar]
  14. Claman H. N., Chaperon E. A., Triplett R. F. Immunocompetence of transferred thymus-marrow cell combinations. J Immunol. 1966 Dec;97(6):828–832. [PubMed] [Google Scholar]
  15. Converse J. M., Rapaport F. T., Ball S. K., Nemirovsky M., Bachvaroff R. Reticuloendothelial system function in severe thermal injury. Surg Forum. 1971;22:493–495. [PubMed] [Google Scholar]
  16. DEMPSTER W. J., LENNOX B. An experimental approach to the homotransplant problem in plastic surgery: the use of multiple donors. Br J Plast Surg. 1951 Jul;4(2):81–87. doi: 10.1016/s0007-1226(51)80013-4. [DOI] [PubMed] [Google Scholar]
  17. Dimick A. R., Sullivan M. B., Jr Bacteremia due to tracheotomy or topical lytic enzymes in burn patients. Surgery. 1966 Dec;60(6):1154–1159. [PubMed] [Google Scholar]
  18. Engelhardt G. H., Struck H. Antikörperbildung bei Verbrennungen. Res Exp Med (Berl) 1972;157(3):186–188. doi: 10.1007/BF01851131. [DOI] [PubMed] [Google Scholar]
  19. FEDOROV N. A., SKURKOVICH S. V., FREIMAN V. T., MUZYCHENKO A. P. [Experimental studies on burn autoantigen]. Patol Fiziol Eksp Ter. 1959 Nov-Dec;3:53–58. [PubMed] [Google Scholar]
  20. FELLER I., KAMEI I. PSEUDOMONAS VACCINE AND HYPERIMMUNE PLASMA IN THE TREATMENT OF BURNED PATIENTS. Surg Forum. 1964;15:46–47. [PubMed] [Google Scholar]
  21. FOX J. E., LOWBURY E. J. Immunity to Pseudomonas pyocyanea in man. J Pathol Bacteriol. 1953 Apr;65(2):519–531. doi: 10.1002/path.1700650224. [DOI] [PubMed] [Google Scholar]
  22. Feller I., Pierson C. Pseudomonas vaccine and hyperimmune plasma for burned patients. Arch Surg. 1968 Aug;97(2):225–229. doi: 10.1001/archsurg.1968.01340020089010. [DOI] [PubMed] [Google Scholar]
  23. Fernández Collazo E., Thierer E., Mancini R. E. Immunologic and testicular response in guinea pigs after unilateral thermal orchitis. J Allergy Clin Immunol. 1972 Mar;49(3):167–173. doi: 10.1016/0091-6749(72)90110-8. [DOI] [PubMed] [Google Scholar]
  24. Franzl R. E. The primary immune response in mice. 3. Retention of sheep red blood cell immunogens by the spleen and liver. Infect Immun. 1972 Oct;6(4):469–482. doi: 10.1128/iai.6.4.469-482.1972. [DOI] [PMC free article] [PubMed] [Google Scholar]
  25. Goldberg C. B., Whitehouse F., Jr F(ab')2-like fragments from severely burned patients provide a new serum immunoglobin component. Nature. 1970 Oct 10;228(5267):160–162. doi: 10.1038/228160a0. [DOI] [PubMed] [Google Scholar]
  26. Hanback L. D., Rittenbury M. S. Response of the reticuloendothelial system in thermal injury. Surg Forum. 1965;16:47–50. [PubMed] [Google Scholar]
  27. Haynes B. W., Jr, Hench M. E. Hospital isolation system for preventing cross-contamination by staphylococcal and pseudomonas organisms in burn wounds. Ann Surg. 1965 Oct;162(4):641–649. doi: 10.1097/00000658-196510000-00009. [DOI] [PMC free article] [PubMed] [Google Scholar]
  28. Holder I. A., Jogan M. Antigenic components of normal and burned mouse skin. Experientia. 1970 Dec 15;26(12):1363–1365. doi: 10.1007/BF02113034. [DOI] [PubMed] [Google Scholar]
  29. JACKSON D. M., LOWBURY E. J. L., TOPLEY E. Chemotherapy of Streptococcus pyogenes infection of burns. Lancet. 1951 Oct 20;2(6686):705–711. doi: 10.1016/s0140-6736(51)91478-x. [DOI] [PubMed] [Google Scholar]
  30. JONES R. J., LOWBURY E. J. STAPHYLOCOCCAL ANTIBODIES IN BURNED PATIENTS. Br J Exp Pathol. 1963 Dec;44:576–585. [PMC free article] [PubMed] [Google Scholar]
  31. Jeanjean M., Simonart A. Toxicité de l'oedème stérile de brulure. Pathol Biol. 1965 Oct;13(19):920–925. [PubMed] [Google Scholar]
  32. Jones R. J., Jackson D. M., Lowbury E. J. Antiserum and antibiotic in the prophylaxis of burns against Pseudomonas aeruginosa. Br J Plast Surg. 1966 Jan;19(1):43–57. doi: 10.1016/s0007-1226(66)80007-3. [DOI] [PubMed] [Google Scholar]
  33. KEFALIDES N. A., ARANA J. A., BAZAN A., BOCANEGRA M., STASTNY P., VELARDE N., ROSENTHAL S. M. Role of infection in mortality from severe burns. Evaluation of plasma, gamma-globulin, albumin and saline-solution therapy in a group of Peruvian children. N Engl J Med. 1962 Aug 16;267:317–323. doi: 10.1056/NEJM196208162670701. [DOI] [PubMed] [Google Scholar]
  34. Kano K., Milgrom F., Witebsky E., Rapaport F. T. Immunologic studies in thermal injury: hemagglutinating factor in the lymph of burned rats. Proc Soc Exp Biol Med. 1966 Dec;123(3):930–935. doi: 10.3181/00379727-123-31641. [DOI] [PubMed] [Google Scholar]
  35. Katz D. H., Paul W. E., Goidl E. A., Benacerraf B. Radioresistance of cooperative function of carrier-specific lymphocytes in antihapten antibody responses. Science. 1970 Oct 23;170(3956):462–464. doi: 10.1126/science.170.3956.462. [DOI] [PubMed] [Google Scholar]
  36. Kettman J., Dutton R. W. An in vitro primary immune response to 2,4,6-trinitrophenyl substituted erythrocytes: response against carrier and hapten. J Immunol. 1970 Jun;104(6):1558–1561. [PubMed] [Google Scholar]
  37. Kohn J. Abnormal immune response in burns. Postgrad Med J. 1972 Jun;48(560):335–337. [PMC free article] [PubMed] [Google Scholar]
  38. Kohn J., Cort D. F. Immunoglobulins in burned patients. Lancet. 1969 Apr 19;1(7599):836–837. doi: 10.1016/s0140-6736(69)92092-3. [DOI] [PubMed] [Google Scholar]
  39. LIEDBERG N. C. F., KUHN L. R., BARNES B. A., REISS E., AMSPACHER W. H. Infection in burns. I. The problem of evaluation of therapy. Surg Gynecol Obstet. 1954 May;98(5):535–540. [PubMed] [Google Scholar]
  40. LIEDBERG N. C. F., KUHN L. R., BARNES B. A., REISS E., AMSPACHER W. H. Infection in burns. II. The pathogenicity of streptococci. Surg Gynecol Obstet. 1954 Jun;98(6):693–699. [PubMed] [Google Scholar]
  41. Langohr J. L., Owen C. R., Cope O. Bacteriologic Study of Burn Wounds : A Comparison of the Bacterial Flora of Burn Wounds of Patients Treated with Sulfonamides or Penicillin. Ann Surg. 1947 Apr;125(4):452–504. [PMC free article] [PubMed] [Google Scholar]
  42. Lindberg R. B., Moncrief J. A., Mason A. D., Jr Control of experimental and clinical burn wounds sepsis by topical application of sulfamylon compounds. Ann N Y Acad Sci. 1968 Aug 14;150(3):950–960. doi: 10.1111/j.1749-6632.1968.tb14747.x. [DOI] [PubMed] [Google Scholar]
  43. MARKLEY K., SMALLMAN E., EVANS G., MCDANIEL E. MORTALITY OF GERMFREE AND CONVENTIONAL MICE AFTER THERMAL TRAUMA. Am J Physiol. 1965 Aug;209:365–370. doi: 10.1152/ajplegacy.1965.209.2.365. [DOI] [PubMed] [Google Scholar]
  44. MCRIPLEY R. J., GARRISON D. W. EFFECT OF BURNS IN RATS ON DEFENSE MECHANISMS AGAINST PSEUDOMONAS AERUGINOSA. J Infect Dis. 1965 Apr;115:159–170. doi: 10.1093/infdis/115.2.159. [DOI] [PubMed] [Google Scholar]
  45. MONCRIEF J. A., TEPLITZ C. CHANGING CONCEPTS IN BURN SEPSIS. J Trauma. 1964 Mar;4:233–245. doi: 10.1097/00005373-196403000-00011. [DOI] [PubMed] [Google Scholar]
  46. Mancini R. E., Mazzolli A., Thierer E. Immunological and testicular response of guinea pigs sensitized with homogenate from homologous thermal injured testis. Proc Soc Exp Biol Med. 1972 Mar;139(3):991–996. doi: 10.3181/00379727-139-36282. [DOI] [PubMed] [Google Scholar]
  47. McCARTHY M. D. Coombs' (antiglobulin) reaction in severely-burned rats. Ann Surg. 1963 Mar;157:446–452. doi: 10.1097/00000658-196303000-00017. [DOI] [PMC free article] [PubMed] [Google Scholar]
  48. McCabe W. P., Rebuck J. W., Kelly A. P., Jr, Ditmars D. M., Jr Leukocytic response as a monitor of immunodepression in burn patients. Arch Surg. 1973 Feb;106(2):155–159. doi: 10.1001/archsurg.1973.01350140021008. [DOI] [PubMed] [Google Scholar]
  49. McMaster P. R., Bachvaroff R. J., Rapaport F. T. Mechanisms of antibody formation. II. Use of DNP-Ficoll in studies of hapten-specific B-cell responses. Cell Immunol. 1975 Nov;20(1):42–53. doi: 10.1016/0008-8749(75)90082-9. [DOI] [PubMed] [Google Scholar]
  50. Messerschmidt O., Langendorff H., Bömer H. Untersuchungen über Kombinationsschäden. Störungen der Antikörperbildung bei Mäusen, die durch Verbrennungen und Ganzkörperbestrahlungen belastet wurden. Strahlentherapie. 1970 Mar;139(3):354–361. [PubMed] [Google Scholar]
  51. Millican R. C., Evans G., Markley K. Susceptibility of burned mice to Pseudomonas aeruginosa and protection by vaccination. Ann Surg. 1966 Apr;163(4):603–610. doi: 10.1097/00000658-196604000-00014. [DOI] [PMC free article] [PubMed] [Google Scholar]
  52. Mishell R. I., Dutton R. W. Immunization of dissociated spleen cell cultures from normal mice. J Exp Med. 1967 Sep 1;126(3):423–442. doi: 10.1084/jem.126.3.423. [DOI] [PMC free article] [PubMed] [Google Scholar]
  53. Mortensen R. F., Eurenius K. Enhanced hemolytic antibody response following thermal injury. Int Arch Allergy Appl Immunol. 1972;43(3):321–326. doi: 10.1159/000230847. [DOI] [PubMed] [Google Scholar]
  54. Mosier D. E., Johnson B. M., Paul W. E., McMaster P. R. Cellular requirements for the primary in vitro antibody response to DNP-ficoll. J Exp Med. 1974 May 1;139(5):1354–1360. doi: 10.1084/jem.139.5.1354. [DOI] [PMC free article] [PubMed] [Google Scholar]
  55. Munster A. M., Eurenius K., Katz R. M., Canales L., Foley F. D., Mortensen R. F. Cell-mediated immunity after thermal injury. Ann Surg. 1973 Feb;177(2):139–143. doi: 10.1097/00000658-197302000-00002. [DOI] [PMC free article] [PubMed] [Google Scholar]
  56. Munster A. M., Hoagland H. C., Pruitt B. A., Jr The effect of thermal injury on serum immunoglobulins. Ann Surg. 1970 Dec;172(6):965–969. doi: 10.1097/00000658-197012000-00006. [DOI] [PMC free article] [PubMed] [Google Scholar]
  57. Quismorio F. P., Bland S. L., Friou G. J. Autoimmunity in thermal injury: occurrence of rheumatoid factors, antinuclear antibodies and antiepithelial antibodies. Clin Exp Immunol. 1971 May;8(5):701–711. [PMC free article] [PubMed] [Google Scholar]
  58. RAPAPORT F. T., CONVERSE J. M., HORN L., BALLANTYNE D. L., Jr, MULHOLLAND J. H. ALTERED REACTIVITY OF SKIN HOMOGRAFTS IN SEVERE THERMAL INJURY. Ann Surg. 1964 Mar;159:390–395. doi: 10.1097/00000658-196403000-00010. [DOI] [PMC free article] [PubMed] [Google Scholar]
  59. Rapaport F. T., Milgrom F., Kano K., Gesner B., Solowey A. C., Casson P., Silverman H. I., Converse J. M. Immunologic sequelae of thermal injury. Ann N Y Acad Sci. 1968 Aug 14;150(3):1004–1008. doi: 10.1111/j.1749-6632.1968.tb14753.x. [DOI] [PubMed] [Google Scholar]
  60. Rapaport F. T., Nemirovsky M. S., Bachvaroff R., Ball S. K. Mechanisms of pulmonary damage in severe burns. Ann Surg. 1973 Apr;177(4):472–477. doi: 10.1097/00000658-197304000-00015. [DOI] [PMC free article] [PubMed] [Google Scholar]
  61. Rapaport F. T., Sampath A., Kano K., McCluskey R. T., Milgrom F. Immunological effects of thermal injury. I. Inhibition of spermatogenesis in guinea pigs. J Exp Med. 1969 Dec 1;130(6):1411–1425. doi: 10.1084/jem.130.6.1411. [DOI] [PMC free article] [PubMed] [Google Scholar]
  62. Rittenberg M. B., Pratt K. L. Antitrinitrophenyl (TNP) plaque assay. Primary response of Balb/c mice to soluble and particulate immunogen. Proc Soc Exp Biol Med. 1969 Nov;132(2):575–581. doi: 10.3181/00379727-132-34264. [DOI] [PubMed] [Google Scholar]
  63. Rittenbury M. S., Hanback L. D. Phagocytic depression in thermal injuries. J Trauma. 1967 Jul;7(4):523–540. doi: 10.1097/00005373-196707000-00004. [DOI] [PubMed] [Google Scholar]
  64. Rosenthal S. M. Local and systemic therapy of pseudomonas septicemia in burned mice. Ann Surg. 1967 Jan;165(1):97–103. doi: 10.1097/00000658-196701000-00013. [DOI] [PMC free article] [PubMed] [Google Scholar]
  65. Rosenthal S. R., Hawley P. L., Hakim A. A. Purified burn toxic factor and its competitin. Surgery. 1972 Apr;71(4):527–536. [PubMed] [Google Scholar]
  66. Sachs A. Active immunization of burned patients with a new multivalent Staphylococcus-Pseudomonas vaccine. Prog Immunobiol Stand. 1971;5:428–432. [PubMed] [Google Scholar]
  67. Schildt B. E. Function of the RES after thermal and mechanical trauma in mice. Acta Chir Scand. 1970;136(5):359–364. [PubMed] [Google Scholar]
  68. Schoenenberger G. A., Allgöwer M., Cueni L. B., Eppenberger U., Städtler K. E. Isolation, biological and antigenic properties of a specific toxin formed in thermally altered mouse skin. Eur J Clin Invest. 1972 Mar;2(3):154–162. doi: 10.1111/j.1365-2362.1972.tb00584.x. [DOI] [PubMed] [Google Scholar]
  69. Stone H. H. Review of pseudomonas sepsis in thermal burns: verdoglobin determination and gentamicin therapy. Ann Surg. 1966 Feb;163(2):297–305. doi: 10.1097/00000658-196602000-00023. [DOI] [PMC free article] [PubMed] [Google Scholar]
  70. Thivolet J., Beyvin A. J. Recherche par immunofluoresclnce d'autoanticorps sériques vis-à-vis des constituants de l'épiderme chez les brûlés. Experientia. 1968 Sep 15;24(9):945–946. doi: 10.1007/BF02138673. [DOI] [PubMed] [Google Scholar]
  71. Trump G. N. Preparation of dinitrofluorobenzene-treated sheep erythrocytes for detection of anti-DNP plaque-forming cells. J Immunol. 1972 Oct;109(4):754–760. [PubMed] [Google Scholar]
  72. Vogel W., Haferkamp O. Tuberkulinallergie nach tierexperimentellen Verbrennungen. Virchows Arch Pathol Anat Physiol Klin Med. 1967 Jun 12;342(3):258–262. [PubMed] [Google Scholar]
  73. WARNER G. F., DOBSON E. L. Disturbances in the reticulo-endothelial system following thermal injury. Am J Physiol. 1954 Oct;179(1):93–98. doi: 10.1152/ajplegacy.1954.179.1.93. [DOI] [PubMed] [Google Scholar]
  74. Waisbren B. A., Stern M., Collentine G. E. Methods of burn treatment. Comparison by probit analysis. JAMA. 1975 Jan 20;231(3):255–258. [PubMed] [Google Scholar]

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