The recent increase in basic knowledge of thymic dependent (T-cell) and bone marrow dependent (B-cell) lymphocyte cooperation in the normal immune response has provided new and challenging concepts to apply to the study of rheumatic diseases. An excellent example of this approach is the theory proposed by Allison and his colleagues (1) suggesting how T and B lymphocytes might interact to produce autoantibodies.They postulate that in the normal response to thymus dependent foreign aiiti- gens a T-cell with anticarrier specificity recognizes the carrier portion of the antigen, and then cooperates with a B-cell which recognizes the hapten portion and produces antibody to the hapten. They also suggest that all normal individuals possess B-cells capable of recognizing self constituents and producing autoantibody; but that autoantibody is not made because T-cells do not recognize, or are tolerant, to self antigens. In this scheme, tolerance could be broken in several ways.For example, a virus attached to a self component, such as a cell, might be recognized by a T-cell specific for the virus. This T-cell could cooperate with a B-cell capable of recognizing self antigens on the cell surface. With the aid of this cooperation the B-cell could then produce antibody against the cell. In the case of an antigen attached to a self component, possibly an antigen attached to an antibody, the antigen might be recognized by a T-cell. This T-cell could then act as a helper cell for a B-cell which could recognize the carrier antibody. This B-cell could then make antibody to the antibody which we would