Gideon Goldstein

Response to azathioprine in ulcerative colitis: Report of 7 cases

SummaryUlcerative colitis is considered to be the result of an immunopathological reaction in the wall of the colon. Hence 7 patients with ulcerative colitis, including 2 with extracolonic features, were treated with the immunosuppressive drugs 6-mercaptopurine and azathioprine, mostly on a long-term basis. Six of the 7 patients showed varying degrees of clinical improvement. The most noteworthy effect was a striking decrease in lymphoid infiltration in the rectal mucosa.

Surface antigen changes occurring in short-term cultures of activated human T lymphocytes: Analysis by flow cytometry

Abstract Surface antigens of activated and cultured human T cells were studied using peripheral blood lymphocytes activated with conditioned medium from phytohemagglutinin-activated leukocytes and maintained in liquid culture for 2 weeks with conditioned medium containing Interleukin 2. The ensuing cell population was tested for kinetic changes in cell size and for the expression of surface antigens by immunofluorescence staining with a panel of monoclonal antibodies and analysis by flow cytometry. Upon activation, the cell population progressively increased in size to large blasts, with the rapid appearance on all of the large dividing cells of the antigen recognized by OKT9, the transferrin receptor. Cells within the population continued to express the common peripheral T-cell antigens bound by OKT3 and UCHT1, and also the antigen bound by 3A1, but never the antigen bound by OKT6, a thymic cell marker. From the time of activation an increasing proportion of the T cells, up to 80%, expressed the antigen detected with OKIa and FMC4, which recognise nonpolymorphic Ia determinants. This sequence of events was followed by a general decrease in size of the cell population, a process accompanied by further phenotypic changes. The percentage of cells expressing Ia antigens decreased, but most striking was the rapid change in the OKT4:OKT8 ratio of cells within the population, from 60:40 to 40:60. Thereafter the proportions of OKT4 + to OKT8 + cells within the cultures remained relatively stable and it is suggested that these data provide evidence for a possible change in phenotype of cultured human T lymphoblasts, from OKT4 to OKT8.