HLA-B27 positive juvenile rheumatoid arthritis: altered lymphocyte responses to mitogens and low cytotoxic activity

Autor: Claude Paré, Marek Rola-Pleszczynski, Monique Camerlain
Rok vydání: 1982
Předmět:
Zdroj: Clinical immunology and immunopathology. 24(1)
ISSN: 0090-1229
Popis: Cellular immune responses were studied in a group of 50 patients with juvenile rheumatoid arthritis (JRA). Proliferative responses to mitogens were assessed using concanavalin A (ConA), phytohemagglutinin (PHA), pokeweed mitogen (PWM), and Staphylococcus aureus phage lysate (SL): patients positive for HLA-B27 showed generally depressed responses to ConA and PWM and higher responses to PHA compared to B27-negative patients or controls. Both patient groups had higher responses to SL than controls. Spontaneous (SC) and lectin-induced cytotoxicity (LIC) were used to evaluate lymphocyte-mediated cytotoxic activity: again B27-positive patients showed decreased cytotoxic activity. In an attempt to assess whether this hyporesponsiveness was linked to HLA-B27 or to the disease process, family members of B27-positive patients and B27-positive controls were tested and found to respond normally in SC. In contrast, LIC revealed lower activity in B27-positive patients and B27-positive controls. It is suggested that, in B27-positive JRA, lymphocyte hyporesponsiveness to ConA and PWM or in SC is linked to the disease process, whereas lower activity in LIC may be linked to the B27 locus.
Databáze: OpenAIRE