In vitro immunoglobulin production by lymphocytes of patients with juvenile rheumatoid arthritis: effects of Staphylococcus aureus Cowan I stimulation and monocyte depletion

J Rheumatol. 1988 Oct;15(10):1539-46.

Abstract

Pokeweed mitogen (PWM) and Staphylococcus aureus Cowan I (SAC) were used to stimulate in vitro IgG and IgM production by lymphocytes of 27 patients with juvenile rheumatoid arthritis (JRA). Twelve had reduced stimulation indices for PWM stimulated cultures of T and non-T cells. Stimulation with SAC resulted in increased IgM production in half (5/10); and partial removal of monocytes resulted in improved PWM induced IgM production in 5/7. IgG production was less easily improved. The results of our study suggest that while PWM induced Ig production may be reduced, B cells responding to SAC may function normally in some patients with JRA. In others, monocyte mediated suppression may account for reduced responses to PWM.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Arthritis, Juvenile / immunology*
  • B-Lymphocytes / immunology*
  • Cells, Cultured
  • Child
  • Humans
  • Immunoglobulin G / biosynthesis
  • Immunoglobulin M / biosynthesis
  • Immunoglobulins / biosynthesis*
  • Monocytes / metabolism*
  • Pokeweed Mitogens / administration & dosage
  • Staphylococcus aureus
  • T-Lymphocytes / immunology*

Substances

  • Immunoglobulin G
  • Immunoglobulin M
  • Immunoglobulins
  • Pokeweed Mitogens