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Biomedical subjects

E M Mickelson

Publications and source records attributed to E M Mickelson.

9 recordsLinked to original sources

Association of interstitial pneumonia and diminished in vitro lymphocyte blastogenesis in human marrow graft recipients.

The lymphocyte responses of 51 human marrow graft recipients were tested in vitro 18 to 45 days after marrow grafting by stimulation with lymphocytes from unrelated individuals or phytohemagglutinin (PHA). Fourteen of the 51 patients subsequently developed interstitial pneumonia (IP). The relative responses of the lymphocytes of patients who developed IP were significantly lower than those of individuals not developing IP (P less than 0.01 for allogeneic cells, P = 0.02 for PHA). These nonspecific in vitro tests of cell-mediated immunity are of value in identifying patients at risk of developing IP.

Anemia, Aplastic

Correlation of the relative response index with marrow graft rejection in patients with aplastic anemia.

Thirty-four patients with severe aplastic anemia were treated with cyclophosphamide or total body irradiation and an infusion of marrow from a genotypically HLA-identical sibling donor. Engraftment occurred in all patients but rejection was noted in 12. Mixed leukocyte culture (MLC) tests undertaken before grafting to determine donor-recipient histocompatibility were analyzed retrospectively. The response of patient cells to sibling cells in mixed culture was compared to the response of patient cells to cells of an unrelated individual and expressed as a relative response index (RRI). Of the 12 patients who showed positive RRI to donor leukocytes in pregraft MLCs, 9 rejected their grafts, wheras of 23 patients with negative RRI only three rejected their grafts (P LESS THAN 0.005). The results suggest that the MLC test can detect individuals who are most likely to reject their HLA identical sibling graft.

Adolescent

Aplastic anemia: failure of patient leukocytes to stimulate allogeneic cells in mixed leukocyte culture.

One-way mixed leukocyte cultures were used to study the ability of cells from 53 patients with aplastic anemia and 65 of their HLA-identical siblings to stimulate and to respond to cells from unrelated individuals. The capacity of leukocytes from 28 of 53 patients to stimulate was diminished or absent, wheras their ability to respond remained comparable to that of cells from their HLA-identical siblings. Leukocytes from the group of patients with the lowest peripheral lymphocyte count were least stimulatory. The results indicate that in acquired aplastic anemia there exists a dissociation between stimulation and response in mixed culture.

Anemia, Aplastic

An estimate of the recombination frequency between the B locus and the D locus within the major histocompatibility complex.

Mixed leukocyte culture studies on 120 families, including 120 HLA haplo-identical siblings and 210 HLA-identical siblings, were analyzed for unusual patterns of reactivity. Three discrepant reactions were noted in which cells from HLA-identical siblings showed strong mutual stimulation. These data provide an estimate of 0.0065 as the recombination frequency between the HLA-B and HLA-D regions of the major histocompatibility chromosome in man. When combined with the data of Keuning et al. (1975), the value is 0.0068 with a 95% confidence interval of 0.0022 to 0.0158.

Crossing Over, Genetic