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NEUROLOGY 1976;26:693
© 1976 American Academy of Neurology

Immunologic characterization of cerebrospinal fluid lymphocytes

Preliminary report

ARNOLD I. LEVINSON, M.D., ROBERT P. LISAK, M.D. and BURTON ZWEIMAN, M.D.

From the Department of Medicine, Allergy and Immunology Section, and Department of Neurology, School of Medicine, University of Pennsylvania, University of Pennsylvania-Wistar Institute Multiple Sclerosis Research Center, Philadelphia.

Cellular immunocompetence of cerebrospinal fluid lymphocytes was investigated in several neurologic diseases. Microtechniques were developed to enable determination of E-rosetting capacity and phytohemagglutinin responsiveness of scant numbers of cells present in the cerebrospinal fluid specimens studied. Although most individuals had phytohemagglutinin-responsive cells in their CSF, reactivity was somewhat less than that found simultaneously in their blood. Three of eight patients had comparable percentages of E rosettes in their blood and CSF. In the remainder, the values differed significantly. Although preliminary, these results illustrate a new approach to immunologic characterization of CSF lymphocytes in diseases.

This study was supported by USPHS grants Nos. 5 P01 NS11037-02, 5 K07-NS11061-03, and 5 T01A1-00319 and National Multiple Sclerosis Society 894-A-2.

Received for publication September 9, 1975.

Dr. Lisak's address is Department of Neurology, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104.




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