title: Blood lymphocytes from ankylosing spondylitis patients fail to induce disease-specific cytotoxic T lymphocytes.
abstract: The intriguing observation made by Geczy et al. (1) showing the possibility of generating specific ankylosing spondylitis--cytotoxic T lymphocytes by presenting HLA-B27+AS+ cells as antigen-specific stimulator cells prompted us (by using Geczy's approach) to identify cytotoxic T lymphocytes specific for this apparent B27+AS+ target structure. Peripheral blood mononuclear cells (PBMC) of 21 healthy B27+ individuals were stimulated in primary and in short-term cultures with PBMC of an HLA-identical sibling suffering from definite AS (n = 12). In addition, PBMC in vitro modified by "Geczy bacterial products" from two healthy B27+ individuals were used to stimulate B27+ AS- lymphocytes (either autologous or from a healthy HLA-identical sibling). Effector cells raised in primary AS- versus AS+ and AS- versus "modified B27" mixed lymphocyte culture combinations showed no proliferative nor cytotoxic activity at all. The scarcely observed cytotoxic reactivity of restimulated mixed lymphocyte culture was not restricted to AS+B27+ cells. These results demonstrate that PBMC from ankylosing spondylitis patients fail to induce disease-specific cytotoxic T lymphocytes and suggest that an ankylosing spondylitis--related "modified B27" structure does not exist, at least in the patient material tested.
authors.affiliation: Central Laboratory of the Netherlands Red Cross Blood Transfusion Service, Amsterdam.
authors.forename: B S
authors.initials: BS
authors.lastname: Breur-Vriesendorp
authors.forename: F A
authors.initials: FA
authors.lastname: Post
authors.forename: L P
authors.initials: LP
authors.lastname: de Waal
authors.forename: E
authors.initials: E
authors.lastname: Blokland
authors.forename: J
authors.initials: J
authors.lastname: Pool
authors.forename: S
authors.initials: S
authors.lastname: van der Linden
authors.forename: B J
authors.initials: BJ
authors.lastname: Dekker-Saeys
authors.forename: E
authors.initials: E
authors.lastname: Goulmy
authors.forename: P
authors.initials: P
authors.lastname: Ivanyi
mesh_terms: D002478:Cells, Cultured; D015395:Histocompatibility Antigens Class I / Q000276:immunology; D000949:Histocompatibility Antigens Class II / Q000276:immunology; D006801:Humans; D007158:Immunologic Techniques; D013167:Spondylitis, Ankylosing / Q000276:immunology*; D013602:T-Lymphocytes, Cytotoxic / Q000276:immunology*
chemical_list: D015395:Histocompatibility Antigens Class I; D000949:Histocompatibility Antigens Class II