Abstract
Despite widespread doubts about the quantitative validity or clinical usefulness of lymphocyte response to phytohaemagglutinin (PHA), a satisfactory quantitative test of such responsiveness suitable for the clinical recognition of immunological defects has been developed here. This was achieved by exploring and controlling technical and other variables in the culture of lymphocytes and the quantitation of their response to phytohaemagglutinin. The aspects evaluated included intraperson as well as person-to-person variations, non-lymphocytic cell content, lymphocyte number, PHA batch, atmospheric conditions, culture duration, and quantitation of response. As a result of the information gained from these studies, together with the normal dose-response curve previously established (Fitzgerald, 1971), a satisfactory quantitative and reproducible method suitable for routine clinical use has been realized. This has been applied to the investigation of patients with suspected immunological deficiency disorders, and significant deviations from the normal have been shown. In addition, a PHA dose-response ratio derived from the responses of normal individuals and patients gives a practical quantitative expression of such defects.
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Selected References
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- Bach F. H., Voynow N. K. One-way stimulation in mixed leukocyte cultures. Science. 1966 Jul 29;153(3735):545–547. doi: 10.1126/science.153.3735.545. [DOI] [PubMed] [Google Scholar]
- Bain B. Tritiated-thymidine uptake in mixed leucocyte cultures: effect of specific activity and exposure time. Clin Exp Immunol. 1970 Feb;6(2):255–262. [PMC free article] [PubMed] [Google Scholar]
- DUTTON R. W., EADY J. D. AN IN VITRO SYSTEM FOR THE STUDY OF THE MECHANISM OF ANTIGENIC STIMULATION IN THE SECONDARY RESPONSE. Immunology. 1964 Jan;7:40–53. [PMC free article] [PubMed] [Google Scholar]
- Fitzgerald M. G. The establishment of a normal human population dose-response curve for lymphocytes cultured with PHA (phytohaemagglutinin). Clin Exp Immunol. 1971 Mar;8(3):421–425. [PMC free article] [PubMed] [Google Scholar]
- Gotoff S. P. Lymphocytes in congenital immunological deficiency diseases. Clin Exp Immunol. 1968 Oct;3(8):843–856. [PMC free article] [PubMed] [Google Scholar]
- Hosking C. S., Fitzgerald M. G., Simons M. J. Quantified deficiency of lymphocyte response to phytohaemagglutinin in immune deficiency diseases. Clin Exp Immunol. 1971 Oct;9(4):467–476. [PMC free article] [PubMed] [Google Scholar]
- Levis W. R., Robbins J. H. Effect of glass-adherent cells on the blastogenic response of 'purified' lymphocytes to phytohemagglutinin. Exp Cell Res. 1970 Jul;61(1):153–158. doi: 10.1016/0014-4827(70)90269-7. [DOI] [PubMed] [Google Scholar]
- MARSHALL W. H., NORINS L. C. ANTIGENIC PROPERTIES OF THE EXTRACT OF PHASEOLUS VULGARIS SEEDS (PHYTOHAEMAGGLUTININ) ROUTINELY USED IN LEUCOCYTE CULTURES. Aust J Exp Biol Med Sci. 1965 Jun;43:213–228. doi: 10.1038/icb.1965.20. [DOI] [PubMed] [Google Scholar]
- McIntyre O. R., Cole A. F. Variation in the response of normal lymphocytes to PHA. Int Arch Allergy Appl Immunol. 1969;35(2):105–118. doi: 10.1159/000230164. [DOI] [PubMed] [Google Scholar]
- Oppenheim J. J., Blaese R. M., Waldmann T. A. Defective lymphocyte transformation and delayed hypersensitivity in Wiskott-Aldrich syndrome. J Immunol. 1970 Apr;104(4):835–844. [PubMed] [Google Scholar]
- Pentycross C. R. Lymphocyte transformation in young people. Clin Exp Immunol. 1969 Jul;5(1):213–216. [PMC free article] [PubMed] [Google Scholar]
- Richter M., Naspitz C. K. The variation in response of human peripheral lymphocytes to phytohemagglutinin in vitro. Int Arch Allergy Appl Immunol. 1967;32(3):288–293. doi: 10.1159/000229939. [DOI] [PubMed] [Google Scholar]
- Rubin A. D. Ribosome biosynthesis in cultured lymphocytes: II. The role of ribosomal RNA production in the initiation and maintenance of lymphocyte growth. Blood. 1970 May;35(5):708–720. [PubMed] [Google Scholar]
- Schellekens P. T., Eijsvoogel V. P. Lymphocyte transformation in vitro. I. Tissue culture conditions and quantitative measurements. Clin Exp Immunol. 1968 Jul;3(6):571–584. [PMC free article] [PubMed] [Google Scholar]
- Wilson J. D., Thomson A. E. Death and division of lymphocytes. Neglected factors in assessment of P.H.A.-induced transformation. Lancet. 1968 Nov 23;2(7578):1120–1123. doi: 10.1016/s0140-6736(68)91583-3. [DOI] [PubMed] [Google Scholar]