SummaryVarious immunological parameters were determined in 46 patients with severe hemophilia A and in 9 patients with severe hemophilia B. All patients were treated over many years with commercial factor VIII or IX concentrates. Patients with severe classic hemophilia had a significantly reduced relative and absolute number of T-helper cells and a significantly increased relative and absolute number of T-suppressor cells. About half of these patients had an inverse T-helper/suppressor cell ratio. Patients with moderate hemophilia A and severe hemophilia B did not show these abnormalities. Hemophiliacs with an inverse ratio had a significantly higher concentration of serum total protein, IgG and IgM. No relationship between the amount of factor VIII concentrate administered, the HLA-type of the patient, the presence or absence of CMV-antibodies, hepatitis markers, thrombocytopenia and abnormal liver function tests to the T-cell abnormalities could be established. Lymphadenopathy was frequently associated with an inverse ratio. Indirect evidence suggests that the alterations of the immune system began in 1979/80.

Lactation and stressor exposure both influence the activity of the immune system, but the interaction of both factors on the immune defense is poorly understood. The aim was therefore to investigate in lactating Long-Evans rats the effect of social stress on aspects of cellular immunity in the blood and mesenteric lymph nodes (MLN). Acute social stress (2h) was induced in lactating and non-lactating female intruders using a confrontation model that yielded into social defeat and increased plasma corticosterone concentrations. Stress as well as lactation had marked effects on the immune system. Acute social stress caused granulocytosis, reduced lymphocyte proliferation, and cytokine production in the blood, but had no significant effects in MLN. In the blood of lactating rats, increased numbers of granulocytes and enhanced phagocytosis, but decreased B cell numbers and reduced IL-2 production was observed. However, in MLN both lymphocyte proliferation and monocyte numbers were increased in lactating rats. The effect of stress on the immune measures was often similar in lactating and non-lactating females, but a few important differences were evident: Only non-lactating animals showed an increase in blood granulocyte numbers and a decrease in IL-2 production in response to stressor exposure. Thus, during lactation, a neuroendocrine status may exist which impedes stress-induced modulations at least of some immune parameters.