Lymphocytes from normal adult donors exposed in vitro to inactivated measles virus were found to exert significant suppression (33.9%) of the concanavalin A responses of cryopreserved, autochthonous responder cells. In marked contrast, lymphocytes from multiple sclerosis patients exhibited significantly reduced suppression (1.5%), and in 80% of cases failed to suppress at all. The degree of suppression increased slightly with age of the patient but did not vary with the clinical stage of disease. There was no apparent genetic restriction of suppressor activity. Although specificity of this phenomenon for measles virus has not been established, no differences in the responses of lymphocytes from normal or multiple sclerosis patient donors were found with subacute sclerosing panencephalitis, Sendai, canine distemper, mumps, or influenza viruses.Supernates of measles-treated lymphocytes from normal donors possessed both suppressive and antiviral activities. Both activities were resistant to pH 2 treatment and were neutralized by an anti-human leukocyte interferon antiserum, strongly suggesting that interferon (probably type I) was the mediator of suppression. Consistent with their inability to suppress concanavalin A responses, lymphocytes from multiple sclerosis patients failed to produce significant amounts of interferon in response to measles challenge in vitro. These results extend previous observations that multiple sclerosis patients are unable to respond appropriately to measles virus antigen in vitro. The etiology and pathogenesis of multiple sclerosis (MS), a slow neurological disease of man, remain unknown. Epidemiological and serological studies have suggested that an infectious agent might be responsible for this disease (reviewed in ref. 1). Measles virus has received perhaps the most attention as a consequence of the observation of increased measles antibodies in the sera and cerebrospinal fluids of MS patients (2) and the isolation of a measles-like virus from the brain and lymph nodes of patients with another slow neurological disease, subacute sclerosing panencephalitis (SSPE) (3,4 In the present study, we have investigated the in vitro antigen-specific induction of suppressor activity in lymphocytes from normal adult and MS patient donors, using measles virus.Our results show that, in response to measles challenge, lymphocytes from MS patients exhibit an almost total absence of suppressor activity. In addition, they fail to produce significant amounts of a soluble immunosuppressive and antiviral factor which appears to be interferon.
MATERIALS AND METHODSLymphocyte Donors. Lymphocytes were separated, by Ficoll-Paque (Pharmacia) density gradient centrifugation, from 50 ml of heparinized blood drawn from the following groups of donors: normal adults (mean age, 35 yr; laboratory personnel); MS patients (mean age, 40 yr) who were diagnosed by a board-certified neurologist as having "clinically definite" MS according to the criteria of Schumacher et al. (12); patients with cerebrovascular dise...