Abstract
The peripheral blood lymphocyte responses to phytohaemagglutinin, pokeweed mitogen and tuberculin were investigated in 21 patients undergoing major surgical operations. Responsiveness to all three stimulants fell post-operatively, and the extent of the fall was related to the degree of operative trauma (arbitrarily assessed) but not to the length of the operation. These findings suggested that reduced responsiveness was due to trauma, or a reaction to it (possibly the increased levels of plasma cortisol found post-operatively, or release of an inhibitory substance from damaged tissue) rather than to the anaesthetic or to a redistribution of lymphocyte sub-populations. The hypothesis that reduced lymphocyte responsiveness was due to raised plasma cortisol levels was tested by exposing peripheral blood leucocytes to cortisol and phytohaemagglutinin in vitro; the findings did not support this hypothesis.
Full text
PDF










Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Alexander J. W., Moncrief J. A. Alterations of the immune response following severe thermal injury. Arch Surg. 1966 Jul;93(1):75–83. doi: 10.1001/archsurg.1966.01330010077011. [DOI] [PubMed] [Google Scholar]
- Bergman S., Borgström S., Tärnvik A. Lymphocyte response to phytohaemagglutinin following cholecystectomy. Acta Pathol Microbiol Scand. 1969;75(3):363–366. [PubMed] [Google Scholar]
- Bruce D. L. Effect of halothane anesthesia on experimental Salmonella peritonitis in mice. J Surg Res. 1967 Apr;7(4):180–185. doi: 10.1016/0022-4804(67)90048-0. [DOI] [PubMed] [Google Scholar]
- Bruce D. L., Koepke J. A. Changes in granulopoiesis in the rat associated with prolonged halothane anesthesia. Anesthesiology. 1966 Nov-Dec;27(6):811–816. doi: 10.1097/00000542-196611000-00014. [DOI] [PubMed] [Google Scholar]
- Carter M. E., James V. H. Pituitary-adrenal response to surgical stress in patients receiving corticotrophin treatment. Lancet. 1970 Feb 14;1(7642):328–330. doi: 10.1016/s0140-6736(70)90704-x. [DOI] [PubMed] [Google Scholar]
- Casson P., Solowey A. C., Converse J. M., Rapaport F. T. Delayed hypersensitivity status of burned patients. Surg Forum. 1966;17:268–270. [PubMed] [Google Scholar]
- Cochran A. J., Spilg W. G., Mackie R. M., Thomas C. E. Postoperative depression of tumour-directed cell-mediated immunity in patients with malignant disease. Br Med J. 1972 Oct 14;4(5832):67–70. [PMC free article] [PubMed] [Google Scholar]
- Cohen J. J. Thymus-derived lymphocytes sequestered in the bone marrow of hydrocortisone-treated mice. J Immunol. 1972 Mar;108(3):841–844. [PubMed] [Google Scholar]
- Gisler R. H., Bussard A. E., Mazié J. C., Hess R. Hormonal regulation of the immune response. I. Induction of an immune response in vitro with lymphoid cells from mice exposed to acute systemic stress. Cell Immunol. 1971 Dec;2(6):634–645. doi: 10.1016/0008-8749(71)90011-6. [DOI] [PubMed] [Google Scholar]
- Gisler R. H., Schenkel-Hulliger L. Hormonal regulation of the immune response. II. Influence of pituitary and adrenal activity on immune responsiveness in vitro. Cell Immunol. 1971 Dec;2(6):646–657. doi: 10.1016/0008-8749(71)90012-8. [DOI] [PubMed] [Google Scholar]
- Hamanaka Y., Manabe H., Tanaka H., Monden Y., Uozumi T., Matsumoto K. Effects of surgery on plasma levels of cortisol, corticosterone and non-protein-bound-cortisol. Acta Endocrinol (Copenh) 1970 Jul;64(3):439–451. doi: 10.1530/acta.0.0640439. [DOI] [PubMed] [Google Scholar]
- Humphrey L. J., Wingard D. W., Lang R. The effects of surgery and anesthesia on the immunologic responsiveness of the rat. Surgery. 1969 Jun;65(6):946–951. [PubMed] [Google Scholar]
- LEVINE S., STREBEL R., WENK E. J., HARMAN P. J. Suppression of experimental allergic encephalomyelitis by stress. Proc Soc Exp Biol Med. 1962 Feb;109:294–298. doi: 10.3181/00379727-109-27183. [DOI] [PubMed] [Google Scholar]
- Mackie R. M., Spilg W. G., Thomas C. E., Cochran A. J. Cell-mediated immunity in patients with malignant melanoma. Br J Dermatol. 1972 Dec;87(6):523–528. doi: 10.1111/j.1365-2133.1972.tb07440.x. [DOI] [PubMed] [Google Scholar]
- May C. D., Lyman M., Alberto R. Effects of compounds which inhibit lymphocyte stimulation on the utilization of glucose by leukocytes. J Allergy. 1970 Jul;46(1):21–28. doi: 10.1016/0021-8707(70)90057-2. [DOI] [PubMed] [Google Scholar]
- Munster A. M., Eurenius K., Katz R. M., Canales L., Foley F. D., Mortensen R. F. Cell-mediated immunity after thermal injury. Ann Surg. 1973 Feb;177(2):139–143. doi: 10.1097/00000658-197302000-00002. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Oyama T. Endocrine responses to anaesthetic agents. Br J Anaesth. 1973 Mar;45(3):276–281. doi: 10.1093/bja/45.3.276. [DOI] [PubMed] [Google Scholar]
- Oyama T., Saito T., Isomatsu T., Samejima N., Uemura T., Arimura A. Plasma levels of ACTH and cortisol in man during diethyl ether anesthesia and surgery. Anesthesiology. 1968 May-Jun;29(3):559–564. doi: 10.1097/00000542-196805000-00036. [DOI] [PubMed] [Google Scholar]
- Park S. K., Brody J. I., Wallace H. A., Blakemore W. S. Immunosuppressive effect of surgery. Lancet. 1971 Jan 9;1(7689):53–55. doi: 10.1016/s0140-6736(71)90777-x. [DOI] [PubMed] [Google Scholar]
- Petrányi G., Jr, Benczúr M., Alföldy P. The effect of single large dose hydrocortisone treatment on IgM and IgG antibody production, morphological distribution of antibody producing cells and immunological memory. Immunology. 1971 Jul;21(1):151–158. [PMC free article] [PubMed] [Google Scholar]
- Plumpton F. S., Besser G. M., Cole P. V. Corticosteroid treatment and surgery. 1. An investigation of the indications for steroid cover. Anaesthesia. 1969 Jan;24(1):3–11. doi: 10.1111/j.1365-2044.1969.tb02798.x. [DOI] [PubMed] [Google Scholar]
- Powell J. N., Radford S. G. Immunosuppressive effect of surgery. Lancet. 1971 Nov 13;2(7733):1091–1091. doi: 10.1016/s0140-6736(71)90406-5. [DOI] [PubMed] [Google Scholar]
- RAPAPORT F. T., CONVERSE J. M., HORN L., BALLANTYNE D. L., Jr, MULHOLLAND J. H. ALTERED REACTIVITY OF SKIN HOMOGRAFTS IN SEVERE THERMAL INJURY. Ann Surg. 1964 Mar;159:390–395. doi: 10.1097/00000658-196403000-00010. [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]
- Riddle P. R. Disturbed immune reactions following surgery. Br J Surg. 1967 Oct;54(10):882–886. doi: 10.1002/bjs.1800541022. [DOI] [PubMed] [Google Scholar]
- SANDBERG A. A., EIK-NES K., SAMUELS L. T., TYLER F. H. The effects of surgery on the blood levels and metabolism of 17-hydroxycorticosteroids in man. J Clin Invest. 1954 Nov;33(11):1509–1516. doi: 10.1172/JCI103029. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Solomon G. F. Stress and antibody response in rats. Int Arch Allergy Appl Immunol. 1969;35(1):97–104. doi: 10.1159/000230163. [DOI] [PubMed] [Google Scholar]
- WISTAR R., Jr, HILDEMANN W. H. Effect of stress on skin transplantation immunity in mice. Science. 1960 Jan 15;131(3394):159–160. doi: 10.1126/science.131.3394.159. [DOI] [PubMed] [Google Scholar]
- Wingard D. W., Lang R., Humphrey L. J. Effect of anesthesia on immunity. J Surg Res. 1967 Sep;7(9):430–432. doi: 10.1016/0022-4804(67)90089-3. [DOI] [PubMed] [Google Scholar]