Macrophages are associated with most chronic inflammatory lesions, and these cells contain enzymes that are able to destroy connective tissue constituents. Normal lymphoid cells responding to a mitogen, phytohemagglutinin-P, release factor(s) that cause a marked increase in the size and enzyme content of mononuclear phagocytes maintained in culture. The stimulated macrophages, which by several criteria remain otherwise viable and healthy, selectively release large quantities of hydrolytic enzymes to the culture medium.The stimulation of cultured lymphocytes by mitogen or previously sensitized lymphocytes by antigen results in the release of lymphokines, some of which affect the activity of mononuclear phagocytes (1-5). The phagocytes enlarge and they exhibit decreased mobility (6), a greater tendency to adhere to culture vessels (7), increased levels of oxidative activity and protein synthesis (8, 9), and enhanced capacity to phagocytose and kill microorganisms (10-12). The effect of lymphokines on the levels and distribution of various cellular and lysosomal enzymes of mononuclear phagocytes has not been determined. This is an important question because mononuclear phagocytes contain numerous hydrolytic enzymes that are able to alter connective tissue constituents (13-17), and these cells play an important role in delayed hypersensitivity reactions and other chronic inflammatory lesions (18). We have found that stimulated human peripheral blood lymphocytes release products that not only induce in cultured macrophages the effects described above, but also cause the cells, which are otherwise viable and healthy, to produce and selectively release large quantities of lysosomal enzymes into the extracellular culture environment.
EXPERIMENTAL METHODSHuman peripheral blood leukocytes were prepared and cultured at a concentration of 1.5 X 106 cells per ml of Waymouth's medium with 15% autologous plasma in Falcon 3033 culture tubes as described by Cooperband and Green (19). The cells were stimulated by the addition to the experimental cultures of 5 Ag of phytohemagglutinin-P (Difco Laboratories, Detroit, Mich.) per ml at the beginning of a 72-hr incubation period. Control cultures were treated in an identical manner, except that phytohemagglutinin was added at the termination of the incubation period.Abbreviations: CLS, control lymphocyte supernatant: material obtained by dialysis and freeze-drying of the medium from leukocyte cultures to which mitogen was added at the termination of the incubation period; SLS, stimulated lymphocyte supernatant: material obtained by dialysis and freeze-drying of the medium from leukocyte cultures to which mitogen was added at the beginning of the incubation period.
2091The culture medium was harvested after centrifugation, dialyzed against distilled water, and freeze-dried. In order to measure the extent of blast transformation, 1 ACi of [3H]thymidine per ml was added to some of the cultures at 72 hr, the incubation continued for 4 additional hours, and the uptake of label into...