Augmenting Effect of Rheumatoid Sera in a Streptococcal Haemagglutination Test

Autor: H. J. Gibson, N. R. Ling
Rok vydání: 1957
Předmět:
Zdroj: Annals of the Rheumatic Diseases. 16:111-117
ISSN: 0003-4967
DOI: 10.1136/ard.16.1.111
Popis: Culture filtrates ofstreptococci wereshownby Rantz, Randall, andZuckerman (1956) tocontain a polysaccharide whichattached itself toerythrocytes, preparing themforagglutination byhumansera. Thispolysaccharide wasproduced byGram-positive butnotbyGram-negative organisms. Itsdistributionsuggested tousa possible relationship toan unidentified antigen responsible forthemarked agglutination ofstreptococci andcertain other Grampositive organisms byseraofpatients suffering from rheumatoid arthritis (Cecil, Nicholls, andStainsby, 1930;Dawson,Olmstead, andBoots,1932).A possible connexion wasalsosuggested byareport thatserafrompatients suffering fromsomeofthe collagen groupofdiseases showed hightitres inthe streptococcal haemagglutination test(Rantz, 1953). Thetitres increased somewhat withage(Rantz, Zuckerman, andRandall, 1952), butapparently bore no relation to previous streptococcal infection (Rantz, Zuckerman, andRandall, 1952; Harris and Harris, 1953).Theeasewithwhichthis test maybe performed madeitpossible forustoexamine sera fromalarge numberofpatients ofallclinical types. Although higher titres withserafrompatients suffering fromrheumatoid arthritis werenotinvariableorspecific, a tendency tohightitres, which could notbeaccounted foron anagebasis was noted, withoccasional unexplained exceptionally high titres accompanied byastrongly positive RoseWaalertest(Rose, Ragan,Pearce, andLipman, 1948; Waaler, 1940). Toaccount forthis phenomenonitwaspostulated that thehightitres obtained withsuchserawereduetothedualaction ofan antibody anda co-existing augmenting factor. Evidence infavour ofthis hypothesis ispresented.
Databáze: OpenAIRE