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Soluble suppressor supernatants elaborated by concanavalin A-activated human mononuclear cells. I. Characterization of a soluble suppressor T cell proliferation.

When activated with the mitogenic lectin, concanavalin A, a subset of human peripheral blood mononuclear cells differentiate into potent suppressor cells that negatively modulate both cellular and humoral immune reactions. In addition to inhibitory cell-cell interactions, these regulatory cells elaborate a soluble immune suppressor supernatant (SISS) containing at lest 2 distinct suppressor factors. One of these factors, SISS-T, inhibits mitogen- and antigen-stimulated T cell proliferation, whereas the other, SISS-B, inhibits B cell immunoglobulin production. Characteristics of the latter inhibitor are reported in the companion paper. Properties of the soluble suppressor of T cell proliferation (SISS-T) include: 1) a m.w. of 30 to 45,000, 2) inhibition by a noncytotoxic mechanism, 3) instability at 56 degrees C, 4) loss of activity in the presence of the monosaccharide N-acetyl-D-glucosamine and retention on N-acetyl-D-glucosamine affinity columns, 5) binding to the same surface glycoprotein receptors recognized by the lectins wheat germ agglutinin and Agaricus bisporus lectin, which produce similar inhibition of mitogen- or antigen-induced lymphocyte proliferation, 6) elaboration by cells irradiated with 500 and 2000 R but not 6000 R, 7) a minimum requirement for 24 hr of lectin stimulation for production, and 8) elaboration by adherent cells or alternatively cellular collaboration requiring the participation of adherent cells. These data indicate that human suppressor cells are capable of modulating T cell function via the production of a soluble saccharide-specific factor(s) that interacts with defined surface glycoprotein or glycolipid receptors. These same receptors recognized by the suppressive endogenous lectin are also activated by selected exogenous nonmitogenic lectins that produce similar inhibition of T cell metabolism.

Acetylgalactosamine↗

Diminished suppressor cell function in patients with asbestosis.

Epidemiological and immunological studies of asbestos workers documented abnormalities in humoral and cell-mediated immunity which could result from defective immunoregulation. This study tests this hypothesis with comparison of lymphocyte function in age-, sex- and smoking-matched subjects with asbestosis. In vivo measure of delayed hypersensitivity (i.e. skin test response) was significantly depressed to two recall antigens, SKSD and Candida, in asbestosis patients. Skin reaction to dinitrochlorobenzene (DNCB) was not depressed, although lymphocytes of patients giving positive skin test reactions demonstrated a significantly lower (P less than 0.001) proliferative response to dinitrobenzene sulphonic acid (DNBSO3) in vitro. T cell counts (E-rosettes) were normal in patients with asbestosis, although a subset of T cells, those forming sheep erythrocyte rosettes after prolonged incubation (Elate), were significantly depressed (P less than 0.003). This population has been equated with 'suppressor' cells (Grossi et al., 1978). Numbers of B cells were increased nearly two-fold over controls. Mitogen response of lymphocytes was normal except at suboptimal doses of mitogens where the response is known to be influenced by suppressor cell activity, which was significantly elevated. Suppressor cell function, as determined by stimulation of peripheral blood lymphocytes preincubated with concanavalin A, was also significantly decreased in asbestosis patients (P less than 0.01).

Aged↗

Prediction of sepsis in the multitraumatic patient by assays of lymphocyte responsiveness.

In vitro lymphocyte response to antigens, mitogens and in mixed lymphocyte culture were studied at intervals after injury in 31 patients with extensive trauma. Mean responses were significantly depressed up to 15 to 20 days. Responses were lower and the duration of suppression longer in those patients who become infected, and the suppression of response preceded the onset of infection. Extremely low responses were found in three patients who later died. This in vitro system is suitable for the serial monitoring of patients, as it reflects the extent of injury, infectious sequelae and prognosis. Its results are quantifiable and avoid the problems associated with repeated skin testing.

Accidents, Traffic↗

Non-specific suppression of antigen-induced lymphocyte blastogenesis in Onchocerca volvulus infection in man.

Lymphocyte blastogenic responses to O. volvulus antigen (Oncho Ag), SKSD, and the mitogen PHA were tested in three groups of persons: light to moderately infected persons (INF); previously exposed but uninfected persons (EXP) and normal controls (NC). The exposed group showed significant responsiveness to Oncho Ag (delta ct/min = 6,002 +/- 1,375), while the infected (delta ct/min = 943 +/- 418) and normal control (delta ct/min = 428 +/- 418) groups did not. The mean blastogenic response to SKSD were EXP, 8,644 +/- 5,249; NC 6,039 +/- 2,880; INF, 2,619 +/- 1,012. The reduced reactivity in the INF group to Oncho Ag showed a significant correlation with reactivity to SKSD (P less than 0.05). To elucidate the mechanism of hyporesponsiveness in the infected group rigorous adherent cell depletion, by adherence to plastic followed by a nylon wool column, was utilized. When 20% plastic adherent cells were added back to the T cells prepared in this fashion, the mean blastogenic response to SKSD was significantly augmented (P less than 0.01). In contrast, the responsiveness to Oncho Ag was not significantly altered. The addition of indomethacin (1 microgram/ml) or autologous plasma had no significant effect on reactivity to either SKSD or Oncho Ag. There were no significant differences in the mean reactivity of the three groups to PHA-M (delta ct/min EXP 78,514 +/- 12,564; INF 62,393 +/- 14,447; NC 61,423 +/- 4,465). These results suggest that O. volvulus infection is associated with decreased lymphocyte reactivity to both parasite related and unrelated antigens, and imply that the mechanism for the two types of hyporesponsiveness may be distinct. While a weakly adherent suppressor cell may account for non-specific hyporesponsiveness, the mechanism of parasite specific decreased reactivity remains unknown.

Adolescent↗

Evaluation of two enzyme preparations--Trypure and Varidase in traumatic ulcers.

38 patients with traumatic ulcers containing pus and debris were treated for two weeks with either Trypure or Varidase in a random fashion. Efficacy and side effects were studied using a blind observer technique. The effect on pus, debris, pain, granulation and epithelialization of the ulcers was studied. Laboratory data and bacterial cultures were also evaluated. The results of treatment with the two enzyme preparations showed Varidase to be statistically significantly (p less than 0.05) better as an adjuvant in removing pus and debris from the ulcers. Varidase-treated ulcers were cleansed quicker than Trypure-treated ulcers. Thirteen patients treated with Trypure complained of side effects compared with two patients treated with Varidase. With Varidase it appears that pus and debris are more easily removed, and that at the same time the agent is well tolerated.

Adult↗

The effects of NSAID on monosodium-urate (MSU) skin test and on other in vivo skin tests (SK/SD; PHA).

The authors have pointed out a monosodium-urate (MSU) skin test in vivo, showing a practical usefulness in short-time evaluation of effects of non-steroidal antiphlogistic drugs (NSAID) in man; the isotopic curves, in the area of the skin test, reproduce those obtained in endogenous articular phlogosis. THe authors have studied, at the same time, the actions of NSAID on other skin tests (SK-SD; PHA) which reproduce, in earlier phases of cutaneous reaction, some aspects (erythema, thermographic values, isotopic curves) of 'immediators' phlogosis. The results show that the MSU skin test is more useful in studying the effects of NSAID for the feature of other skin test reactions are affected by many factors.

Anti-Inflammatory Agents↗

Current concepts of Behçet's disease.

Seven patients, who satisfied the criteria laid down by Mason and Barnes (1969) for inclusion under the heading Behçet's disease, were assessed clinically and investigated with particular reference to immune status and blood fibrinolytic activity. In one patient in whom it was possible to obtain an eye for examination, there was evidence, on microscopic examination, of an immune vasculitis as well as clot formation, particularly in the veins. All the patients were treated with fibrinolytic agents and the favourable results obtained with this treatment suggest that it should be considered as the first line of therapy in what is otherwise a very difficult condition to manage.

Adult↗

Human T lymphcytes are enriched for transfer factor.

Using a canine local skin assay, we tested transfer factor prepared from three subpopulations of human peripheral blood mononuclear cells. T lymphocytes are enriched for transfer factor whereas adherent cells and nonadherent/nonrosetting cells are not. Thus, it appears as if transfer factor is a T cell lymphokine, the immunobiology of which is still unclear.

Animals↗

[Cytochemical and immunological studies of workers exposed to organic solvents of paints and lacquer. III. Rosette formation and the tuberculin and distreptase skin tests].

Thirty nine workers, aged 24-56, occupationally exposed for 55-122 months to organic solvents, of paints and lacquers containing benzene, toluene and xylene, underwent E rosette test and skin reactions: tuberculinic and the one with distreptase. The findings were: reduction of the number of T lymphocytes in peripheral blood and proper immunological response of cellular type. The authors indicate that it has not been settled whether or not the observed phenomenon results from actual change in the number of T lymphocytes or from inhibiting, or damaging, the surface cellular receptors by organic solvents. The E rosette test may be useful for monitoring the biological effects of exposure to the mentioned substances.

Adult↗

Failure of lymphokine-producing lymphocytes from aged humans to undergo activation by recall antigens.

In order to understand better the causes of diminished delayed hypersensitivity in the elderly, we studied lymphocyte function in 10 healthy subjects over 80 years of age. Markedly decreased antigen-stimulated lymphokine production (3 of 30 assays positive versus 24 of 31 in young control subjects) was the most significant finding in the elderly subjects and appeared to be the best explanation for their reduced cutaneous responses to recall antigens. Although mitogen-stimulated lymphocyte transformation in the elderly group was more sensitive to suppression by prostaglandin E2 than that of the young group, direct prostaglandin action did not appear to explain the diminished antigen-stimulated lymphokine responses. The nonspecific mitogen concanavalin A elicited normal lymphokine responses in 9 of 10 elderly subjects, indicating that lymphocytes from the elderly have a normal capacity for lymphokine production when activated by a sufficient stimulus. Therefore, diminished delayed hypersensitivity in aged humans may be related to deficient lymphokine production, which in turn appears to involve a decreased capacity of the lymphocytes producing these mediators to undergo activation by recall antigens.

Adult↗

Detection of a truly chemotactic lymphokine for human monocytes using millipore membranes.

The detection of the lymphokine monocyte chemotactic factor by determination of the leading front of monocyte migration is described. Stimulated and control supernatants were placed on the attractant side of cellulose ester filters with normal human monocytes as responder cells. Lymphokine activity was assessed by comparing the leading front of monocyte migration in response to control and stimulated culture supernatants. More monocytes migrated to all levels within the filters towards PHA stimulated culture supernatant than to control supernatant, indicating that the lymphokine acted on the entire migrating cell population and not only the cells at the leading front. Analysis of cell migration in a range of concentration gradients demonstrated that the lymphokine induced by PHA was chemotactic for monocytes. There was a significant association (p less than 0.01) between the production of monocyte chemotactic factor in vitro and skin test reactivity in vivo to three soluble antigens, SKSD, Candida albicans extract and tetanus toxoid. It is concluded that the detection of monocyte chemotactic factor production in vitro provides good evidence of sensitisation, however due to a number of false negative reactions, failure to detect the lymphokine does not necessarily indicate lack of reactivity in vivo.

Adult↗