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SJ Knox, FD Wilson, BR Greenberg, M Shifrine, LS Rosenblatt, JD Reeves and H Misra
In vitro radiation survival of peripheral blood T lymphocytes was studied
in 15 clinically normal adults and 4 patients with Fanconi's anemia.
Tritiated thymidine incorporation in a whole blood lymphocyte stimulation
test (LST) and a newly developed whole blood T-lymphocyte colony assay were
used to measure lymphocyte blastogenesis and colony formation in response
to phytohemagglutinin (PHA) or concanavalin-A (Con-A) stimulation.
Lymphocyte colony formation was found to be consistently more sensitive
than the LST for detection of low-level radiation effects using both normal
cells and lymphocytes from Fanconi's anemia patients. Lymphocytes from
patients with Fanconi's anemia were significantly more sensitive to in
vitro x-irradiation than lymphocytes from clinically normal individuals as
measured by their ability to divide when stimulated by PHA in the LST
(patients, D37 = 198 R; normals, D37 = 309 R, p = 0.057) and colony
formation assay (patients, D37 = 53 R; normals, D37 = 109 R, p = 0.016). No
significant difference in the radiosensitivity of the Con-A response was
observed between the two groups. The PHA-responsive T-lymphocyte
subpopulation in Fanconi's anemia patients appears to be intrinsically
defective. The nature of this defect, significance in the disease process,
and relevancy of these findings to the establishment of radiation
protection standards are discussed.
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| Copyright © 1981 by American Society of Hematology Online ISSN: 1528-0020 | |||||||||