Abstract
The proliferative response of lymphocytes from patients with chronic lymphocytic leukaemia (CLL) to the polyclonal activators, phytohaemagglutinin (PHA) and pokeweed mitogen (PWM) correlates inversely with the logarithm of the circulating lymphocyte concentration in vivo (P less than 0.001). This suggests that the response is due primarily to residual normal cells in the circulation. In support of this postulate, dilution of normal cells reproduced the effect and also induced a delayed response to PHA, which is found frequently with CLL lymphocytes. A combination of autoradiography and immunofluorescence microscopy identified both B and T cells in the responding population in similar proportions from both normal and CLL donors. These data demonstrate that the 3H-thymidine assay used in most mitogenic studies is not suitable alone for investigating the functional capacity of leukaemic lymphocytes in CLL and other diseases involving a gross perturbation of lymphocyte populations.
Full text
PDF







Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Abell C. W., Kamp C. W., Johnson L. D. Effects of phytohemagglutinin and isoproterenol on DNA synthesis in lymphocytes from normal donors and patients with chronic lymphocytic leukemia. Cancer Res. 1970 Mar;30(3):717–723. [PubMed] [Google Scholar]
- Bouroncle B. A., Clausen K. P., Aschenbrand J. F. Studies of the delayed response of phytohemagglutinin (PHA) stimulated lymphocytes in 25 chronic lymphatic leukemia patients before and during therapy. Blood. 1969 Aug;34(2):166–178. [PubMed] [Google Scholar]
- Evans R. L., Faldetta T. J., Humphreys R. E., Pratt D. M., Yunis E. J., Schlossman S. F. Peripheral human T cells sensitized in mixed leukocyte culture synthesize and express Ia-like antigens. J Exp Med. 1978 Nov 1;148(5):1440–1445. doi: 10.1084/jem.148.5.1440. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Faguet G. B. Mechanisms of lymphocyte activation: the role of suppressor cells in the proliferative responses of chronic lymphatic leukemia lymphocytes. J Clin Invest. 1979 Jan;63(1):67–74. doi: 10.1172/JCI109280. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Fernandez L. A., MacSween J. M., Langley G. R. T cell function in untreated B cell chronic lymphocytic leukemia. Cancer. 1977 Mar;39(3):1168–1174. doi: 10.1002/1097-0142(197703)39:3<1168::aid-cncr2820390323>3.0.co;2-g. [DOI] [PubMed] [Google Scholar]
- Han T., Dadey B. In vitro functional studies of mononuclear cells in patients with CLL: evidence for functionally normal T lymphocytes and monocytes and abnormal B lymphocytes. Cancer. 1979 Jan;43(1):109–117. doi: 10.1002/1097-0142(197901)43:1<109::aid-cncr2820430117>3.0.co;2-g. [DOI] [PubMed] [Google Scholar]
- Han T. Studies of correlation of lymphocyte response to phytohemagglutinin with the clinical and immunologic status in chronic lymphocytic leukemia. Cancer. 1973 Feb;31(2):280–285. doi: 10.1002/1097-0142(197302)31:2<280::aid-cncr2820310202>3.0.co;2-o. [DOI] [PubMed] [Google Scholar]
- Havemann K., Rubin A. D. The delayed response of c0ronic lymphocytic leukemia lymphocytes to phytohemagglutinin in vitro. Proc Soc Exp Biol Med. 1968 Mar;127(3):668–671. doi: 10.3181/00379727-127-32769. [DOI] [PubMed] [Google Scholar]
- Johnstone A. P., DuBois J. H., Crumpton M. J. Phosphorylated lymphocyte plasma-membrane proteins. Biochem J. 1981 Jan 15;194(1):309–318. doi: 10.1042/bj1940309. [DOI] [PMC free article] [PubMed] [Google Scholar]
- MILLER D. G., KARNOFSKY D. A. Immunologic factors and resistance to infection in chronic lymphatic leukemia. Am J Med. 1961 Nov;31:748–757. doi: 10.1016/0002-9343(61)90159-0. [DOI] [PubMed] [Google Scholar]
- Maino V. C., Kurnick J. T., Kubo R. T., Grey H. M. Mitogen activation of human chronic lymphatic leukemia cells. I. Synthesis and secretion of immunoglobulin. J Immunol. 1977 Mar;118(3):742–748. [PubMed] [Google Scholar]
- Phillips B., Roitt I. M. Evidence for transformation of human B lymphocytes by PHA. Nat New Biol. 1973 Feb 21;241(112):254–256. doi: 10.1038/newbio241254a0. [DOI] [PubMed] [Google Scholar]
- Rai K. R., Sawitsky A., Cronkite E. P., Chanana A. D., Levy R. N., Pasternack B. S. Clinical staging of chronic lymphocytic leukemia. Blood. 1975 Aug;46(2):219–234. [PubMed] [Google Scholar]
- Robbins J. H., Levis W. R. 'Delayed' peaks of DNA synthesis in phytohemagglutinin-stimulated human leucocyte cultures. Int Arch Allergy Appl Immunol. 1970;39(5-6):580–586. doi: 10.1159/000230383. [DOI] [PubMed] [Google Scholar]
- Robert K. H. PHA-induced soluble factor(s) can activate B-cells from patients with chronic lymphatic leukaemia. Clin Exp Immunol. 1979 Sep;37(3):517–522. [PMC free article] [PubMed] [Google Scholar]
- Robèrt K. H., Möller E., Gahrton G., Eriksson H., Nilsson B. B-cell activation of peripheral blood lymphocytes from patients with chronic lymphatic leukaemia. Clin Exp Immunol. 1978 Aug;33(2):302–308. [PMC free article] [PubMed] [Google Scholar]
- Smith J. L., Cowling D. C., Barker C. R. Response of lymphocytes in chronic lymphocytic leukaemia to plant mitogens. Lancet. 1972 Jan 29;1(7744):229–233. doi: 10.1016/s0140-6736(72)90624-1. [DOI] [PubMed] [Google Scholar]
- Wybran J., Chantler S., Fudenberg H. H. Isolation of normal T cells in chronic lymphatic leukaemia. Lancet. 1973 Jan 20;1(7795):126–129. doi: 10.1016/s0140-6736(73)90196-7. [DOI] [PubMed] [Google Scholar]

