Abstract
The immune response to a protein antigen, keyhole limpet haemocyanin, was studied in fourteen normal subjects and twenty-one patients with solid tumours. Immunological responsiveness was assessed by intracutaneous skin testing, by haemagglutinin titres and by in vitro blast transformation. No significant difference was found in the kinetics or magnitude of the immune response among subjects immunized with 0·01, 0·10, or 5·0 mg. Delayed hypersensitivity to keyhole limpet haemocyanin developed in thirty-two of thirty-four skin tested; a positive antibody titre occurred in all; and thirty-one of thirty-five had positive in vitro responses. Patients in good general condition (Group 1) had significantly greater delayed hypersensitivity and antibody responses than the normals but similar in vitro responses. All immunological parameters were depressed in the patients with advanced neoplastic disease (Group 2).
Although only skin test positive subjects had positive in vitro responses, no direct correlation was found between the degree of delayed hypersensitivity and the degree of in vitro blast transformation. Excellent correlation was demonstrated, however, between the in vitro response and the haemagglutinin titre (correlation coefficient +0·52, standard error ±0·09).
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- BARTEL A. H., CAMPBELL D. H. Some immunochemical differences between associated and dissociated hemocyanin. Arch Biochem Biophys. 1959 May;82(1):232–234. doi: 10.1016/0003-9861(59)90109-2. [DOI] [PubMed] [Google Scholar]
- BENACERRAF B., GELL P. G. Studies on hypersensitivity. III. The relation between delayed reactivity to the picryl group of conjugates and contact sensitivity. Immunology. 1959 Jul;2:219–229. [PMC free article] [PubMed] [Google Scholar]
- Cooperband S. R., Rosen F. S., Kibrick S. Studies on the in vitro behavior of agammaglobulinemic lymphocytes. J Clin Invest. 1968 Apr;47(4):836–847. doi: 10.1172/JCI105777. [DOI] [PMC free article] [PubMed] [Google Scholar]
- DEUTSCH H. F., MORTON J. I. Dissociation of human serum macroglobulins. Science. 1957 Mar 29;125(3248):600–601. doi: 10.1126/science.125.3248.600. [DOI] [PubMed] [Google Scholar]
- Dixon F. J., Jacot-Guillarmod H., McConahey P. J. The antibody responses of rabbits and rats to hemocyanin. J Immunol. 1966 Sep;97(3):350–355. [PubMed] [Google Scholar]
- Dixon F. J., Jacot-Guillarmod H., McConahey P. J. The effect of passively administered antibody on antibody synthesis. J Exp Med. 1967 Jun 1;125(6):1119–1135. doi: 10.1084/jem.125.6.1119. [DOI] [PMC free article] [PubMed] [Google Scholar]
- EPSTEIN W. L., KLIGMAN A. M. Transfer of allergic contact-type delayed sensitivity in man. J Invest Dermatol. 1957 Apr;28(4):291–304. doi: 10.1038/jid.1957.36. [DOI] [PubMed] [Google Scholar]
- FORBES I. J. SPECIFIC AND NON-SPECIFIC STIMULATION OF ANTIBODY SYNTHESIS BY HUMAN LEUCOCYTES IN VITRO. Lancet. 1965 Jan 23;1(7378):198–199. doi: 10.1016/s0140-6736(65)90979-7. [DOI] [PubMed] [Google Scholar]
- GELL P. G., BENACERRAF B. Studies on hypersensitivity. IV. The relationship between contact and delayed sensitivity: a study of the specificity of cellular immune reactions. J Exp Med. 1961 Mar 1;113:571–585. doi: 10.1084/jem.113.3.571. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gowans J. L., Uhr J. W. The carriage of immunological memory by small lymphocytes in the rat. J Exp Med. 1966 Nov 1;124(5):1017–1030. doi: 10.1084/jem.124.5.1017. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Greaves M. F., Roitt I. M. The effect of phytohaemagglutinin and other lymphocyte mitogens on immunoglobulin synthesis by human peripheral blood lymphocytes in vitro. Clin Exp Immunol. 1968 Jun;3(5):393–412. [PMC free article] [PubMed] [Google Scholar]
- HIRSCHHORN K., SCHREIBMAN R. R., BACH F. H., SILTZBACH L. E. IN-VITRO STUDIES OF LYMPHOCYTES FROM PATIENTS WITH SARCOIDOSIS AND LYMPHOPROLIFERATIVE DISEASES. Lancet. 1964 Oct 17;2(7364):842–843. doi: 10.1016/s0140-6736(64)90691-9. [DOI] [PubMed] [Google Scholar]
- Hersh E. M., Oppenheim J. J. Impaired in vitro lymphocyte transformation in Hodgkin's disease. N Engl J Med. 1965 Nov 4;273(19):1006–1012. doi: 10.1056/NEJM196511042731903. [DOI] [PubMed] [Google Scholar]
- Kerby G. R. Correlation of tuberculin skin reaction with in vitro lymphocyte transformation. Am Rev Respir Dis. 1968 May;97(5):904–908. doi: 10.1164/arrd.1968.97.5.904. [DOI] [PubMed] [Google Scholar]
- LAMB D., PILNEY F., KELLY W. D., GOOD R. A. A comparative study of the incidence of anergy in patients with carcinoma, leukemia, hodgkin's disease and other lymphomas. J Immunol. 1962 Oct;89:555–558. [PubMed] [Google Scholar]
- LANDY M. Studies on Vi antigen. VI. Immunization of human beings with purified Vi antigen. Am J Hyg. 1954 Jul;60(1):52–62. doi: 10.1093/oxfordjournals.aje.a119703. [DOI] [PubMed] [Google Scholar]
- LEVIN R. H., LANDY M., FREI E., 3rd THE EFFECT OF 6-MERCAPTOPURINE ON IMMUNE RESPONSE IN MAN. N Engl J Med. 1964 Jul 2;271:16–22. doi: 10.1056/NEJM196407022710103. [DOI] [PubMed] [Google Scholar]
- Lamvik J. O. Antibody synthesis by transformed cells in rabbit lymphocyte cultures. Development of plaque-forming cells and liberation of agglutinating antibodies in antigen-stimulated cultures. Scand J Haematol. 1968;5(4):287–299. doi: 10.1111/j.1600-0609.1968.tb01750.x. [DOI] [PubMed] [Google Scholar]
- Lerner R. A., Glassock R. J., Dixon F. J. The role of anti-glomerular basement membrane antibody in the pathogenesis of human glomerulonephritis. J Exp Med. 1967 Dec 1;126(6):989–1004. doi: 10.1084/jem.126.6.989. [DOI] [PMC free article] [PubMed] [Google Scholar]
- MALLEY A., SAHA A., HALLIDAY W. J. IMMUNOCHEMICAL STUDIES OF HEMOCYANIN FROM THE GIANT KEYHOLE LIMPET (MEGATHURA CRENULATA) AND THE HORSESHOE CRAB (LIMULUS POLYHEMUS). J Immunol. 1965 Jul;95:141–147. [PubMed] [Google Scholar]
- MAURER P. H., GERULAT B. F., PINCHUCK P. Antigenicity of polypeptides (poly alpha amino acids). VII. Studies in humans. J Exp Med. 1962 Oct 1;116:521–534. doi: 10.1084/jem.116.4.521. [DOI] [PMC free article] [PubMed] [Google Scholar]
- MAURER P. H. Immunologic studies with ethylene oxide-treated human serum. J Exp Med. 1961 Jun 1;113:1029–1039. doi: 10.1084/jem.113.6.1029. [DOI] [PMC free article] [PubMed] [Google Scholar]
- McFarland W., Heilman D. H. Comparison of lymphocyte transformation and intradermal reactions to tuberculins. Am Rev Respir Dis. 1966 May;93(5):742–748. doi: 10.1164/arrd.1966.93.5.742. [DOI] [PubMed] [Google Scholar]
- Oppenheim J. J., Whang J., Frei E., 3rd The effect of skin homograft rejection on recipient and donor mixed leukocyte cultures. J Exp Med. 1965 Oct 1;122(4):651–664. doi: 10.1084/jem.122.4.651. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Riddle P. R., Berenbaum M. C. Postoperative depression of the lymphocyte response to phytohaemagglutinin. Lancet. 1967 Apr 8;1(7493):746–748. doi: 10.1016/s0140-6736(67)91364-5. [DOI] [PubMed] [Google Scholar]
- SALVIN S. B., SMITH R. F. The specificity of allergic reactions. I. Delayed versus Arthus hypersensitivity. J Exp Med. 1960 Apr 1;111:465–483. doi: 10.1084/jem.111.4.465. [DOI] [PMC free article] [PubMed] [Google Scholar]
- SASLAW S., BOURONCLE B. A., WALL R. L., DOAN C. A. Studies on the antibody response in splenectomized persons. N Engl J Med. 1959 Jul 16;261(3):120–125. doi: 10.1056/NEJM195907162610303. [DOI] [PubMed] [Google Scholar]
- STAVITSKY A. B. Micromethods for the study of proteins and antibodies. I. Procedure and general applications of hemagglutination and hemagglutination-inhibition reactions with tannic acid and protein-treated red blood cells. J Immunol. 1954 May;72(5):360–367. [PubMed] [Google Scholar]
- Schlossman S. F., Ben-Efraim S., Yaron A., Sober H. A. Immunochemical studies on the antigenic determinants required to elicit delayed and immediate hypersensitivity reactions. J Exp Med. 1966 Jun 1;123(6):1083–1095. doi: 10.1084/jem.123.6.1083. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Smith D. T. Diagnostic and prognostic significance of the quantitative tuberculin tests. The influence of subclinical infections with atypical mycobacteria. Ann Intern Med. 1967 Nov;67(5):919–946. doi: 10.7326/0003-4819-67-5-919. [DOI] [PubMed] [Google Scholar]
- Swanson M. A., Schwartz R. S. Immunosuppressive therapy. The relation between clinical response and immunologic competence. N Engl J Med. 1967 Jul 27;277(4):163–170. doi: 10.1056/NEJM196707272770401. [DOI] [PubMed] [Google Scholar]
- UHR J. W. THE HETEROGENEITY OF THE IMMUNE RESPONSE. Science. 1964 Jul 31;145(3631):457–464. doi: 10.1126/science.145.3631.457. [DOI] [PubMed] [Google Scholar]
- Vischer T. L., Stastny P., Ziff M. Development of immunological memory during the primary immune response. Nature. 1967 Mar 4;213(5079):923–925. doi: 10.1038/213923b0. [DOI] [PubMed] [Google Scholar]
- Waldorf D. S., Willkens R. F., Decker J. L. Impaired delayed hypersensitivity in an aging population. Association with antinuclear reactivity and rheumatoid factor. JAMA. 1968 Mar 4;203(10):831–834. [PubMed] [Google Scholar]