Abstract
The generation of suppression by concanavalin A in peripheral blood mononuclear cells in treated and untreated coeliac subjects using an in vitro assay was found to be significantly increased when compared with controls. The response of peripheral blood mononuclear cells to the plant mitogen concanavalin A (con A) was also significantly depressed in both groups of coeliac patients. It is proposed that the depressed cell mediated immunity found in this and other studies in coeliac patients is because of increased suppression. The possible connection between these findings and the increased incidence of malignancy also found in coeliac disease is discussed.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Austad W. I., Cornes J. S., Gough K. R., McCarthy C. F., Read A. E. Steatorrhea and malignant lymphoma. The relationship of malignant tumors of lymphoid tissue and celiac disease. Am J Dig Dis. 1967 May;12(5):475–490. doi: 10.1007/BF02233180. [DOI] [PubMed] [Google Scholar]
- Baldwin R. W., Robins R. A. Induction of tumor-immune responses and their interaction with the developing tumor. Contemp Top Mol Immunol. 1977;6:177–207. doi: 10.1007/978-1-4684-2841-4_6. [DOI] [PubMed] [Google Scholar]
- Best C. N., Cook P. B. Case of Mesenteric Reticulosarcoma Associated with Gluten-sensitive Steatorrhoea. Br Med J. 1961 Aug 19;2(5250):496–480.2. doi: 10.1136/bmj.2.5250.496. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Bresnihan B., Jasin H. E. Suppressor function of peripheral blood mononuclear cells in normal individuals and in patients with systemic lupus erythematosus. J Clin Invest. 1977 Jan;59(1):106–116. doi: 10.1172/JCI108607. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Broder S., Humphrey R., Durm M., Blackman M., Meade B., Goldman C., Strober W., Waldmann T. Impaired synthesis of polyclonal (non-paraprotein) immunoglobulins by circulating lymphocytes from patients with multiple myeloma Role of suppressor cells. N Engl J Med. 1975 Oct 30;293(18):887–892. doi: 10.1056/NEJM197510302931801. [DOI] [PubMed] [Google Scholar]
- Bullen A. W., Losowsky M. S. Lymphocyte subpopulations in adult coeliac disease. Gut. 1978 Oct;19(10):892–897. doi: 10.1136/gut.19.10.892. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Burnet F. M. A modern basis for pathology. Lancet. 1968 Jun 29;1(7557):1383–1387. doi: 10.1016/s0140-6736(68)91971-5. [DOI] [PubMed] [Google Scholar]
- Daniele R. P., Dauber J. H., Rossman M. D. Immunologic abnormalities in sarcoidosis. Ann Intern Med. 1980 Mar;92(3):406–416. doi: 10.7326/0003-4819-92-3-406. [DOI] [PubMed] [Google Scholar]
- Delfraissy J. F., Segond P., Galanaud P., Wallon C., Massias P., Dormont J. Depressed primary in vitro antibody response in untreated systemic lupus erythematosus. T helper cell defect and lack of defective suppressor cell function. J Clin Invest. 1980 Jul;66(1):141–148. doi: 10.1172/JCI109827. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Dutton R. W. Suppressor T cells. Transplant Rev. 1975;26:39–55. doi: 10.1111/j.1600-065x.1975.tb00174.x. [DOI] [PubMed] [Google Scholar]
- FRIEDLANDER P. H., GORVY V. Steatorrhoea; a review of 40 patients, with particular reference to diagnosis. Br Med J. 1955 Oct 1;2(4943):809–812. doi: 10.1136/bmj.2.4943.809. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Fairley N. H., Mackie F. P. Clinical and Biochemical Syndrome in Lymphadenoma. Br Med J. 1937 Feb 20;1(3972):375–404.4. doi: 10.1136/bmj.1.3972.375. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Feighery C., Whelan C. A., Weir D. G., Greally J. F. In vitro studies of suppressor cell function in human peripheral blood mononuclear cells. Clin Exp Immunol. 1978 Jun;32(3):459–465. [PMC free article] [PubMed] [Google Scholar]
- Ferguson A., MacDonald T. T., McClure J. P., Holden R. J. Cell-mediated immunity to gliadin within the small-intestinal mucosa in coeliac disease. Lancet. 1975 Apr 19;1(7912):895–897. doi: 10.1016/s0140-6736(75)91689-x. [DOI] [PubMed] [Google Scholar]
- GOUGH K. R., READ A. E., NAISH J. M. Intestinal reticulosis as a complication of idiopathic steatorrhoea. Gut. 1962 Sep;3:232–239. doi: 10.1136/gut.3.3.232. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Geefhuysen J., Rosen E. U., Katz J., Ipp T., Metz J. Impaired cellular immunity in kwashiorkor with improvement after therapy. Br Med J. 1971 Nov 27;4(5786):527–529. doi: 10.1136/bmj.4.5786.527. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Goodacre R. L., Bienenstock J. Reduced suppressor cell activity in intestinal lymphocytes from patients with Crohn's disease. Gastroenterology. 1982 Apr;82(4):653–658. [PubMed] [Google Scholar]
- Harris O. D., Cooke W. T., Thompson H., Waterhouse J. A. Malignancy in adult coeliac disease and idiopathic steatorrhoea. Am J Med. 1967 Jun;42(6):899–912. doi: 10.1016/0002-9343(67)90071-x. [DOI] [PubMed] [Google Scholar]
- Howdle P. D., Bullen A. W., Losowsky M. S. Cell-mediated immunity to gluten within the small intestinal mucosa in coeliac disease. Gut. 1982 Feb;23(2):115–122. doi: 10.1136/gut.23.2.115. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hunninghake G. W., Crystal R. G. Pulmonary sarcoidosis: a disorder mediated by excess helper T-lymphocyte activity at sites of disease activity. N Engl J Med. 1981 Aug 20;305(8):429–434. doi: 10.1056/NEJM198108203050804. [DOI] [PubMed] [Google Scholar]
- Lancaster-Smith M., Joyce S., Kumar P. Immunoglobulins in the jejunal mucosa in adult coeliac disease and dermatitis herpetiformis after the reintroduction of dietary gluten. Gut. 1977 Nov;18(11):887–891. doi: 10.1136/gut.18.11.887. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Maclaurin B. P., Cooke W. T., Ling N. R. Impaired lymphocyte reactivity against tumour cells in patients with coeliac disease. Gut. 1971 Oct;12(10):794–800. doi: 10.1136/gut.12.10.794. [DOI] [PMC free article] [PubMed] [Google Scholar]
- McCarthy C. F., Fraser I. D., Evans K. T., Read A. E. Lymphoreticular dysfunction in idiopathic steatorrhoea. Gut. 1966 Apr;7(2):140–148. doi: 10.1136/gut.7.2.140. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Morganroth J., Watson D. W., French A. B. Cellular and humoral sensitivity to gluten fractions in patients with treated nontropical sprue. Am J Dig Dis. 1972 Mar;17(3):205–212. doi: 10.1007/BF02232292. [DOI] [PubMed] [Google Scholar]
- NIH conference. Pulmonary sarcoidosis: a disease characterized and perpetuated by activated lung T-lymphocytes. Ann Intern Med. 1981 Jan;94(1):73–94. doi: 10.7326/0003-4819-94-1-73. [DOI] [PubMed] [Google Scholar]
- O'Donoghue D. P., Lancaster-Smith M., Laviniere P., Kumar P. J. T cell depletion in untreated adult coeliac disease. Gut. 1976 May;17(5):328–331. doi: 10.1136/gut.17.5.328. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Robertson D. A., Bullen A., Field H., Simpson F. G., Losowsky M. S. Suppressor cell activity, splenic function and HLA B8 status in man. J Clin Lab Immunol. 1982 Nov;9(2):133–138. [PubMed] [Google Scholar]
- SLEISENGER M. H., ALMY T. P., BARR D. P. The sprue syndrome secondary to lymphoma of the small bowel. Am J Med. 1953 Nov;15(5):666–674. doi: 10.1016/0002-9343(53)90155-7. [DOI] [PubMed] [Google Scholar]
- Scott B. B., Losowsky M. S. Depressed cell-mediated immunity in coeliac disease. Gut. 1976 Nov;17(11):900–905. doi: 10.1136/gut.17.11.900. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Scott H., Ek J., Baklien K., Brandtzaeg P. Immunoglobulin-producing cells in jejunal mucosa of children with coeliac disease on a gluten-free diet and after gluten challenge. Scand J Gastroenterol. 1980;15(1):81–88. doi: 10.3109/00365528009181436. [DOI] [PubMed] [Google Scholar]
- Shou L., Schwartz S. A., Good R. A. Suppressor cell activity after concanavalin A treatment of lymphocytes from normal donors. J Exp Med. 1976 May 1;143(5):1100–1110. doi: 10.1084/jem.143.5.1100. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Smythe P. M., Brereton-Stiles G. G., Grace H. J., Mafoyane A., Schonland M., Coovadia H. M., Loening W. E., Parent M. A., Vos G. H. Thymolymphatic deficiency and depression of cell-mediated immunity in protein-calorie malnutrition. Lancet. 1971 Oct 30;2(7731):939–943. doi: 10.1016/s0140-6736(71)90267-4. [DOI] [PubMed] [Google Scholar]
- Swinson C. M., Slavin G., Coles E. C., Booth C. C. Coeliac disease and malignancy. Lancet. 1983 Jan 15;1(8316):111–115. doi: 10.1016/s0140-6736(83)91754-3. [DOI] [PubMed] [Google Scholar]
- Twomey J. J., Laughter A. H., Farrow S., Douglass C. C. Hodgkin's disease. An immunodepleting and immunosuppressive disorder. J Clin Invest. 1975 Aug;56(2):467–475. doi: 10.1172/JCI108113. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Waldmann T. A., Durm M., Broder S., Blackman M., Blaese R. M., Strober W. Role of suppressor T cells in pathogenesis of common variable hypogammaglobulinaemia. Lancet. 1974 Sep 14;2(7881):609–613. doi: 10.1016/s0140-6736(74)91940-0. [DOI] [PubMed] [Google Scholar]