“…After 3 days cells are washed and their DNA synthesis is blocked by mitomycin C. Irradiation should be avoided as it abrogates suppression [Siegal and Siegal, 1977], Cells are then added to freshly isolated responder cells which are stimulated with Con A and suppression is measured as a ratio between the amount of Con-A-induced DNA synthesis in the re sponder cells plus Con-A-stimulated sup pressor cells versus the amount of DNA syn thesized by responder cells + unstimulated cells. Multiple groups have consistently dem onstrated a reduction in suppression during active clinical disease Antel et al, 1978Antel et al, , 1979Antel et al, , 1986Neigh bor and Bloom, 1979;Sheramata et al, 1982;Haahr et al, 1983;Tjernlund et al, 1984;Gonzalez et al, 1979;Oger et al, 1985;O'Gorman et al, 1987]. Additionally, Con-A-induced suppression appears to fluc tuate with changes in clinical disease activity falling prior to an attack and rising to levels above those seen in normal controls during the remitting phase of the disease [Antel et al, , 1979, Difficulties have arisen in determining the exact mechanism of Con-Ainduced suppression although a recent re port suggested the functional suppressor de fect in MS patients is in the OKT8 cell subset [Antel et al, 1986].…”