The number of DNA‐synthesizing cells in the blood of patients with various disorders was studied autoradiographically after incubation of blood in vitro with [3H]thymidine. The DNA‐synthesizing cells were cytologically assigned to the following categories: erythroid, myeloid, lymphoplasmacytoid and unidentifiable (monocytoid or blast‐like) cells.
The following patient categories were studied: mitral valvular disease (samples obtained from peripheral vein, pulmonary artery and left auricle), ‘autoimmune diseases’(systemic lupus erythematosus, schleroderma, Hashimoto's thyroiditis, immunohaemolytic anaemia), patients with depressed haemopoiesis (aplastic anaemia, nitrogen‐mustard induced bone‐marrow hypoplasia) and with increased haemopoiesis (haemolytic anaemia, pernicious anaemia before and during initial vitamin‐B12 therapy, red‐cell mass regeneration after haemorrhage or iron deficiency) and patients with bacterial infection.
In all conditions studied, the number of labelled monocytoid and blast‐like cells varied between 0 and 4/μl. Similarly, the number of labelled lympho‐plasmo‐cytoid cells was consistently low (0–8/μl) in all cases studied except two, where values of 37 and 63/μl were found. Both these patients had severe bacterial infections.
The function(s) and potential(s) of these cells are discussed. The fate of the blast‐like and monocytoid cells remains obscure. The lympho‐plasmocytoid cells probably serve an immunological function, perhaps by disseminating immune responses. Whether or not some DNA‐synthesizing cells in the blood are haemopoietic stem cells cannot be decided from the available evidence.