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Leucocyte adherence inhibition test in arthritis
Lancet (London, England)
|July 8, 1978
Summary
Serum from patients with inflammatory polyarthritis contains IgG rheumatoid factor, which reduces leucocyte adherence to synovial tissue. This finding may explain how leucocytes contribute to joint inflammation in polyarthritis.
Area of Science:
- Immunology
- Rheumatology
- Cell Biology
Background:
- Inflammatory polyarthritis involves complex immune responses.
- The role of serum factors in leucocyte adherence to synovial tissue is not fully understood.
Purpose of the Study:
- To investigate the effect of serum from polyarthritis patients on leucocyte adherence to synovial extract.
- To identify the specific serum component responsible for altered leucocyte adherence.
Main Methods:
- Peripheral leucocytes from healthy donors were incubated with serum from polyarthritis patients or controls.
- Leucocyte adherence to glass tubes in the presence of synovial extract was measured.
- Serum components were isolated and characterized using chromatography and absorption techniques.
Main Results:
- Serum from patients with inflammatory polyarthritis significantly reduced leucocyte adherence to synovial extract.
- This effect was specific to inflammatory polyarthritis and not observed in other rheumatic conditions or controls.
- The activity was attributed to IgG rheumatoid factor, which could be absorbed by synovial extract and IgG.
Conclusions:
- IgG rheumatoid factor in polyarthritic serum may play a role in reducing leucocyte adherence to synovial tissue.
- This interaction could influence the initiation or perpetuation of articular inflammation in vivo.
- Further research is needed to elucidate the precise mechanisms of leucocyte-synovial tissue interaction in polyarthritis.