“…Secondary auto crine stimulation also occurs in the cell mix tures, causing CD8 and B-cell stimulation as well. In a physiological sense, the AMLR reac tion has been considered as one that may, in an in vivo form, exert some element of im mune regulation and immune response am plification because of its action of generating increased amounts of helper, suppressor and lymphocytotoxic cell (NK) activity [32], The AMLR responses have been found to be reduced in a variety of different medical conditions, especially those that affect the im mune system through autoimmunity or lym phoma [9,12,17,25,29,33], In systemic lupus erythematosus patients showing re duced AMLR, there appears to be an impair 305 ment of the generation of suppressor cells in the reaction [ 12], a finding considered to be of some relevance to the course of lupus itself.…”