DNA synthesis, measured by tritiated thymidine uptake during the final I hour in vitro, has been used as a measure of blast transformation of human peripheral small lymphocytes cultured in media containing 20 per cent autologous plasma. Control cultures from two subjects of up to 12 and 15 days duration and from eight further subjects of 3 and 6 days duration have been studied and the degree of spontaneous transformation compared to the response to known stimulants of transformation, phytohaemagglutinin and specific antigens.Spontaneous transformation was consistently low for up to 6 days. Thereafter there was a relatively slight increase. Theoretical arguments why the increased proportion of labelled cells found in some of the older cultures may be an artifact of differential cell survival are presented.Review of previous reports of spontaneous lymphocyte transformation suggests that this is minimal when the cells are cultured in autologous plasma and that heterologous sera may act as an unsuspected transformation stimulant.The small lymphocyte is no longer considered to be necessarily an end cell. Convincing data has accumulated that small lymphocytes from the peripheral blood, thoracic duct and lymphoid organs can transform after appropriate stimulation in vivo and in vitro into large blast-like cells which have pyroninophilic (RNA rich) cytoplasm and are able to divide, and there is further suggestive evidence that small lymphocytes can also undergo a different morphological transformation in vitro into large phagocytic non-mitotic macrophages (Gough, Elves and Israels, 1965).Two main groups of substances are recognized as being able to induce blastoid transformation in vitro. The first group includes phytohaemagglutinin, (PHA), a protein extracted from the red kidney bean (Phaseolus vulgaris), an extract of the pokeweed plant Phytolacca americana, exotoxins of pyogenic staphylococci and beta haemolytic streptococci, antilymphocyte antisera and antiallotypic globulin antisera (Nowell, 1960;Farnes, Barker, Brownhill and Fanger, 1964;Ling and Husband, 1964; Grasbeck, Nordman and de la Chapelle, 1964;Sell and Gell, 1965). These materials are able to affect the majority of the small lymphocytes in a culture established from a normal individual. The second group of stimulants comprises immunologically specific antigens to which the lymphocyte donor is sensitive, and histocompatibility antigens (Lycette and Pearmain, 1963 ; Bain, Vas and Lowenstein, 1964).The transformation caused by antigens occurs later than that induced by PHA and other non-specific mitogens and affects a smaller proportion of the small lymphocytes in a culture.
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