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. 1977 May;18(5):364–372. doi: 10.1136/gut.18.5.364

Nodular lymphoid hyperplasia of the bowel in primary hypogammaglobulinaemia: study of in vivo and in vitro lymphocyte function.

A D Webster, S Kenwright, J Ballard, M Shiner, G Slavin, A J Levi, G Loewi, G L Asherson
PMCID: PMC1411475  PMID: 873321

Abstract

In vitro and in vivo lymphocyte function was studied in six patients with primary hypogammaglobulinaemia and nodular lymphoid hyperplasia (NLH) of the bowel. Lymphocyte transformation, numbers of circulating T and B lymphocytes, and delayed hypersensitivity skin tests did not significantly differ when compared with hypogammaglobulinaemic patients without NLH. However, patients with NLH had higher jejunal juice IgM concentrations and a tendency to higher serum IgM concentrations than those without NLH. The morphological features of NLH are similar to the germinal centres of lymph nodes but more closely resemble the follicle zone of Peyer's patches. These findings suggest that NLH represents a local immune response to antigens originating in the gut lumen.

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Selected References

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  1. Ajdukiewicz A. B., Youngs G. R., Bouchier I. A. Nodular lymphoid hyperplasia with hypogammaglobulinaemia. Gut. 1972 Aug;13(8):589–595. doi: 10.1136/gut.13.8.589. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Broom B. C., de la Concha E. G., Webster A. D., Loewi G., Asherson G. L. Dichotomy between immunoglobulin synthesis by cells in gut and blood of patients with hypogammaglobulinaemia. Lancet. 1975 Aug 9;2(7928):253–256. doi: 10.1016/s0140-6736(75)90965-4. [DOI] [PubMed] [Google Scholar]
  3. Brown J. C., De Jesus D. G., Holborow E. J., Harris G. Lymphocyte-mediated transport of aggregated human gamma-globulin into germinal centre areas of normal mouse spleen. Nature. 1970 Oct 24;228(5269):367–369. doi: 10.1038/228367a0. [DOI] [PubMed] [Google Scholar]
  4. Capitanio M. A., Kirkpatrick J. A. Lymphoid hyperplasia of the colon in children. Roentgen observations. Radiology. 1970 Feb;94(2):323–327. doi: 10.1148/94.2.323. [DOI] [PubMed] [Google Scholar]
  5. Faulk W. P., McCormick J. N., Goodman J. R., Yoffey J. M., Fudenberg H. H. Peyer's patches: morphologic studies. Cell Immunol. 1970 Nov;1(5):500–520. doi: 10.1016/0008-8749(70)90038-9. [DOI] [PubMed] [Google Scholar]
  6. Fieber S. S., Schaefer H. J. Lymphoid hyperplasia of the terminal ileum--a clinical entity? Gastroenterology. 1966 Jan;50(1):83–98. [PubMed] [Google Scholar]
  7. Hobbs J. R. Immunoglobulins in clinical chemistry. Adv Clin Chem. 1971;14:219–317. doi: 10.1016/s0065-2423(08)60147-x. [DOI] [PubMed] [Google Scholar]
  8. Kahn L. B., Novis B. H. Nodular lymphoid hyperplasia of the small bowel associated with primary small bowel reticulum cell lymphoma. Cancer. 1974 Mar;33(3):837–844. doi: 10.1002/1097-0142(197403)33:3<837::aid-cncr2820330332>3.0.co;2-4. [DOI] [PubMed] [Google Scholar]
  9. Lundkvist U., Ceska M. Effect of non-ionic polymers on the formation of immuno-precipitates in single radial immunodiffusion techniques. Immunology. 1972 Sep;23(3):413–422. [PMC free article] [PubMed] [Google Scholar]
  10. McLaughlan P., Stanworth D. R., Kennedy J. F., Cho Tun H. Use of antibody-coupled cellulose as immunosorbent in the estimation of human immunoglobulin E ( E). Nat New Biol. 1971 Aug 25;232(34):245–247. doi: 10.1038/newbio232245a0. [DOI] [PubMed] [Google Scholar]
  11. Nieuwenhuis P., Keuning F. J. Germinal centres and the origin of the B-cell system. II. Germinal centres in the rabbit spleen and popliteal lymph nodes. Immunology. 1974 Mar;26(3):509–519. [PMC free article] [PubMed] [Google Scholar]
  12. Savilahti E. Immunoglobulin-containing cells in the intestinal mucosa and immunoglobulins in the intestinal juice in children. Clin Exp Immunol. 1972 Jul;11(3):415–425. [PMC free article] [PubMed] [Google Scholar]
  13. Shiner M. Ultrastructure of jejunal surface epithelium in untreated idiopathic steatorrhoea. Br Med Bull. 1967 Sep;23(3):223–225. doi: 10.1093/oxfordjournals.bmb.a070560. [DOI] [PubMed] [Google Scholar]
  14. Shiner R. J., Ballard J. Mucosal secretory IgA and secretory piece in adult coeliac disease. Gut. 1973 Oct;14(10):778–783. doi: 10.1136/gut.14.10.778. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Steel C. M., Hardy D. A., Ling N. R., Dick H. M., Mackintosh P., Crichton W. B. The interaction of normal lymphocytes nd cells from lymphoid cell lines. 3. Studies on activation in an autochthonous system. Immunology. 1973 Jan;24(1):177–189. [PMC free article] [PubMed] [Google Scholar]
  16. Webster A. D., Asherson G. L. Identification and function of T cells in the peripheral blood of patients with hypogammaglobulinaemia. Clin Exp Immunol. 1974 Dec;18(4):499–504. [PMC free article] [PubMed] [Google Scholar]
  17. Webster A. D. The gut and immunodeficiency disorders. Clin Gastroenterol. 1976 May;5(2):323–340. [PubMed] [Google Scholar]

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