Abstract
The present study was undertaken to determine the prevalence and nature of lymphocytotoxic antibodies in patients receiving phenytoin. Of forty-six sera examined, lymphocytotoxins and antinuclear antibodies were detected in fourteen and eleven samples respectively. Antibodies to double-stranded RNA (poly-A-poly-U) were found in six out of thirty-eight sera studied. A highly significant correlation was found between the presence of lymphocytotoxins and antinuclear antibodies (chi2 = 9.72; P less than 0.01). Lymphocytotoxins were found to be of the IgM class, to have activity against T and B cells, and to be dependent on the presence of Ca and Mg ions for activity. These findings may have pathogenetic importance in the genesis of the altered immune state of patients reveiving phenytoin.
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Selected References
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- Alarcón-Segovia D., Fishbein E., Reyes P. A., Díes H., Shwadsky S. Antinuclear antibodies in patients on anticonvulsant therapy. Clin Exp Immunol. 1972 Sep;12(1):39–47. [PMC free article] [PubMed] [Google Scholar]
- Bluestein H. G., Zvaifler N. J. Brain-reactive lymphocytotoxic antibodies in the serum of patients with systemic lupus erythematosus. J Clin Invest. 1976 Feb;57(2):509–516. doi: 10.1172/JCI108303. [DOI] [PMC free article] [PubMed] [Google Scholar]
- DeHoratius R. J., Pillarisetty R., Messner R. P., Talal N. Anti-nucleic acid antibodies in systemic lupus erythematosus patients and their families. Incidence and correlation with lymphocytotoxic antibodies. J Clin Invest. 1975 Nov;56(5):1149–1154. doi: 10.1172/JCI108190. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gams R. A., Neal J. A., Conrad F. G. Hydantoin-induced pseudo-pseudolymphoma. Ann Intern Med. 1968 Sep;69(3):557–568. doi: 10.7326/0003-4819-69-3-557. [DOI] [PubMed] [Google Scholar]
- Goldberg L. S., Cunningham J. E., Terasaki P. I. Lymphocytotoxins and pernicious anemia. Blood. 1972 Jun;39(6):862–865. [PubMed] [Google Scholar]
- Goldblum R., Pillarisetty R., Talal N. Independent appearance of anti-thymocyte and anti-RNA antibodies in NZB/NZW F1 mice. Immunology. 1975 Apr;28(4):621–628. [PMC free article] [PubMed] [Google Scholar]
- Grob P. J., Herold G. E. Immunological abnormalities and hydantoins. Br Med J. 1972 Jun 3;2(5813):561–563. doi: 10.1136/bmj.2.5813.561. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hyman G. A., Sommers S. C. The development of Hodgkin's disease and lymphoma during anticonvulsant therapy. Blood. 1966 Sep;28(3):416–427. [PubMed] [Google Scholar]
- JACOBS J. C. SYSTEMIC LUPUS ERYTHEMATOSUS IN CHILDHOOD. REPORT OF THIRTY-FIVE CASES, WITH DISCUSSION OF SEVEN APPARENTLY INDUCED BY ANTICONVULSANT MEDICATION, AND OF PROGNOSIS AND TREATMENT. Pediatrics. 1963 Aug;32:257–264. [PubMed] [Google Scholar]
- Knapp W., Pateisky K. Lymphocytotoxins in myasthenia gravis. Z Immunitatsforsch Exp Klin Immunol. 1972 Dec;144(4):329–334. [PubMed] [Google Scholar]
- Koffler D., Carr R., Agnello V., Thoburn R., Kunkel H. G. Antibodies to polynucleotides in human sera: antigenic specificity and relation to disease. J Exp Med. 1971 Jul 1;134(1):294–312. doi: 10.1084/jem.134.1.294. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Korsmeyer S., Strickland R. G., Wilson I. D., Williams R. C., Jr Serum lymphocytotoxic and lymphocytophilic antibody activity in inflammatory bowel disease. Gastroenterology. 1974 Oct;67(4):578–583. [PubMed] [Google Scholar]
- Kuwert E., Bertrams J. Leukocyte iso- and autoantibodies in multiple sclerosis (MS) with special regard to complement-dependent cold-reacting auto-lymphocytotoxins (CoCoCy). Eur Neurol. 1972;7(1):65–73. doi: 10.1159/000114413. [DOI] [PubMed] [Google Scholar]
- LINDQVIST T. Lupus erythematosus disseminatus after administration of mesantoin; report of two cases. Acta Med Scand. 1957 Aug 13;158(2):131–138. doi: 10.1111/j.0954-6820.1957.tb15754.x. [DOI] [PubMed] [Google Scholar]
- Lies R. B., Messner R. P., Williams R. C., Jr Relative T-cell specificity of lymphocytotoxins from patients with systemic lupus erythematosus. Arthritis Rheum. 1973 May-Jun;16(3):369–375. doi: 10.1002/art.1780160312. [DOI] [PubMed] [Google Scholar]
- Mittal K. K., Mickey M. R., Singal D. P., Terasaki P. I. Serotyping for homotransplantation. 18. Refinement of microdroplet lymphocyte cytotoxicity test. Transplantation. 1968 Nov;6(8):913–927. doi: 10.1097/00007890-196811000-00006. [DOI] [PubMed] [Google Scholar]
- Mittal K. K., Rossen R. D., Sharp J. T., Lidsky M. D., Butler W. T. Lymphocyte cytotoxic antibodies in systemic lupus erythematosus. Nature. 1970 Mar 28;225(5239):1255–1256. doi: 10.1038/2251255a0. [DOI] [PubMed] [Google Scholar]
- Ooi B. S., Orlina A. R., Masaitis L., First M. R., Pollak V. E. Lymphocytotoxins in aging. Transplantation. 1974 Aug;18(2):190–192. [PubMed] [Google Scholar]
- Ooi B. S., Orlina A. R., Masaitis L. Lymphocytotoxins in primary renal disease. Lancet. 1974 Dec 7;2(7893):1348–1350. doi: 10.1016/s0140-6736(74)92215-6. [DOI] [PubMed] [Google Scholar]
- Ooi B. S., Orlina A. R., Pesce A. J., Mendoza N., Masaitis L., Pollak V. E. Lymphocytotoxic antibodies in patients with systemic lupus erythematosus. Clin Exp Immunol. 1974 Jun;17(2):237–243. [PMC free article] [PubMed] [Google Scholar]
- POLLAK V. E. ANTINUCLEAR ANTIBODIES IN FAMILIES OF PATIENTS WITH SYSTEMIC LUPUS ERYTHEMATOSUS. N Engl J Med. 1964 Jul 23;271:165–171. doi: 10.1056/NEJM196407232710401. [DOI] [PubMed] [Google Scholar]
- Schur P. H., Stollar B. D., Steinberg A. D., Talal N. Incidence of antibodies to double-stranded RNA in systemic lupus erythematosus and related diseases. Arthritis Rheum. 1971 May-Jun;14(3):342–347. doi: 10.1002/art.1780140304. [DOI] [PubMed] [Google Scholar]
- Shirai T., Mellors R. C. Natural thymocytotoxic autoantibody and reactive antigen in New Zealand black and other mice. Proc Natl Acad Sci U S A. 1971 Jul;68(7):1412–1415. doi: 10.1073/pnas.68.7.1412. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Stastny P., Ziff M. Antibodies against cell membrane constituents in systemic lupus erythematosus and related diseases. I. Cytotoxic effect of serum from patients with systemic lupus erythematosus (SLE) for allogeneic and for autologous lymphocytes. Clin Exp Immunol. 1971 Apr;8(4):543–550. [PMC free article] [PubMed] [Google Scholar]
- Terasaki P. I., Mottironi V. D., Barnett E. V. Cytotoxins in disease. Autocytotoxins in lupus. N Engl J Med. 1970 Oct 1;283(14):724–728. doi: 10.1056/NEJM197010012831403. [DOI] [PubMed] [Google Scholar]
- Williams R. C., Jr, Lies R. B., Messner R. P. Inhibition of mixed leukocyte culture responses by serum and gamma-globulin fractions from certain patients with connective tissue disorders. Arthritis Rheum. 1973 Sep-Oct;16(5):597–605. doi: 10.1002/art.1780160504. [DOI] [PubMed] [Google Scholar]
- Winfield J. B., Winchester R. J., Wernet P., Fu S. M., Kunkel H. G. Nature of cold-reactive antibodies to lymphocyte surface determinants in systemic lupus erythematosus. Arthritis Rheum. 1975 Jan-Feb;18(1):1–8. doi: 10.1002/art.1780180101. [DOI] [PubMed] [Google Scholar]
