“…There is some evidence that a cell-mediated immune reaction tends to inhibit local humoral immune mechanisms (Feldmann, 1973); there is histological and other evidence to suggest that a cell-mediated immune reaction occurs in the bowel of patients with Crohn's disease (Dykes, 1970;Richens, Williams, Gough, and Ancill, 1974a), albeit possibly a disordered and ineffective one (Aluwihare, 1972;Richens et al, 1974b), and it could therefore be argued that this locally inhibits synthesis of IgA. On the other hand, it is at least equally possible that the reduction in IgA-containing cells is due to a deflection of circulating primed lymphocytes away from the affected areas; the localization of these cells to the gut in germ-free animals is thought to be mediated by a surface receptor recognition system (Griscelli, Vassalli, and McCluskey, 1969;Hall and Smith, 1970), a process termed 'ecotaxis' by de Sousa (1971).…”