Antilymphocyte antibody (ALA) was studied from several aspects in children with mycoplasma pneumonia (MP), measles, rubella, chickenpox and mumps, for the purpose of finding out something to do with the autoimmune phenomena in these diseases. In addition lymphocytotoxic activity (LCA) to lymphocyte subpopulations and subsets was measured by microcytotoxicity test. What kind of immunoglobulin ALA belonged to was also studied by means of indirect immunofluorescence technique and by treatment of 2-Mercpto-Ethanol. The following results were obtained.
1. It was demonstrated that in these diseases ALA was dependent on complement with cold activity and the highest LCA was obtained at 1/2 diluted serum.
2. In mycoplasma pneumonia, measles, rubella and chickenpox LCA was always higher than the during the convalescent phase, but in mumps LCA was higher during the convales cent phase than during the acute phase.
3. The cases of measles, rubella and chickenpox were divided into two groups: mild and serious based on clinical observations. in the acute phase. but there was no significant dif ference of LCA between the mild and serious in the acute phase.
4. In mycoplasma pneumonia LCA was compared with cold hemagglutin (CHA) by using both cord and adult erythrocytes, and was found to be in more direct correlation with cord C HA than with adult CHA. Moreover after sera of mycoplasma pneumonia patients were abso rbed by these two erythrocytes, LCA decreased more markedly in cord erythrocytes than in adult erythrocytes. Therefore, it was clear that a high level of LCA in mycoplasma pneum onia was due to not only anti-I, but also anti-i antibody.
5. In mycoplasma pneumonia and measles LCA was studied in regard to T-lymphocyte subsets, T
Gand T non-
Gcells. LCA to T non-
Gcells was higher than to T
Gcells. It was further observed that LCA to T
Gcells decreased significantly earlier of recovery, comparing to LCA to Tnon-
Gcells.
6. In mycoplasma pneumonia, measles, chickenpox, rubella and mumps LCA disappeared with treatment of 2-Mercapto-Ethanol. Therefore, it has been now proven that these ALA bel ong to IgM.
7. In mycoplasma pneumonia and measles immunoglobulin classes of ALA were detected by means of indirect immunofluorescence technique with FITC-labelled antihuman-IgG and -IgM, and they were shown to belong mainly to IgM, partially to IgG.
8. In mycoplasma pneumonia anti-Leu 1, anti-Leu 2a and anti-Leu 3a antibodies were examined by means of double staining indirect immunofluorescence technique, and it was n oted that in the acute phase anti-Leu 2a antibody showed a higher level than anti-Leu 3a antibo dy, but in the convalescehnt phase anti-Leu 3a antibody showed a higher level than a nti-Leu 2a antibody.
9. This kind of study is useful for understanding the immune mechanism in various infectious diseases. Several issues concerning to the relation of infections and collagen disease s were discussed.
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