Summary Lymphocyte activation was examined by interIeukin-2 (IL-2) receptor expression on peripheral blood mononuciear cells from coeliac and control subjects. Purified T cells were incubated with gluten fraction 111 (a known toxic peptidc for coeliac subjects), soyabean hydrolysate (an unrelated hydrolysed food antigen), and Concanavalin-A (Con-A. a non-specific mitogen). After 1-5 days incubation, expression of IL-2 receptors was assessed using a cellular enzyme-linked immunosorbent assay (ELISA). Gluten fraction 111 induced expression of IL-2 receptors on T lymphocytes from coeliac but not ftom normal subjects (P^ 00005). whereas soyabean hydrolysate did not induce IL-2 receptor expression. Lymphocytes from both coetiac and normal subjects had similar increased IL-2 receptor expression after incubation with Con-A. Flowcytometry was also used to contirm specific expression of IL-2 receptor expression of lymphocytes from coeliac subjects. Interlcukin-2 receptor expression increased from 0 to 5-4% of cultured mononuclear cells after 7 days incubation with gluten fraction III. These cells were CD3-positiveand CD4-positivc. We conclude that peripheral blood lymphocytes from coeliac subjects are sensitized specifically to gluten fraction III.
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