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  • Title: Greatly increased autoantibody production in myasthenia gravis by thymocyte suspensions prepared with proteolytic enzymes.
    Author: Willcox HN, Newsom-Davis J, Calder LR.
    Journal: Clin Exp Immunol; 1983 Nov; 54(2):378-86. PubMed ID: 6317238.
    Abstract:
    We have previously reported that cell suspensions prepared by mechanical dispersion of thymic tissue from myasthenia gravis (MG) patients spontaneously synthesise anti-acetyl-choline receptor autoantibodies (anti-AChR) in culture in many cases. We now find a 2-200-fold greater anti-AChR production if the cell suspensions are prepared with the proteolytic enzymes collagenase and dispase (THYC + D). This difference has been seen in seven of the first 10 cases tested. Using these enzymes, we now also find comparable anti-AChR synthesis by MG lymph node cells, confirming the presumed extra-thymic production of much of this autoantibody. The increased anti-AChR synthesis by THYC + D is not simply a mitogenic effect of the enzymes, but apparently depends on several distinct factors: (1) plasma cells are often isolated much more efficiently--particularly by dispase--than by mechanical dispersion of these tissues (or of 'normal' tonsil), and the same may also be true of specific B cells. (2) The greatly increased numbers of fibroblasts, macrophages and other adherent cell types exert 'feeder' effects which enhance anti-AChR and total IgG production non-specifically. (3) Specific antigen presenting cells (APC) may also be recovered more efficiently and selectively stimulate anti-AChR production by B memory cells. These results imply that APC, plasma cells, and perhaps also B memory cells are recovered from germinal centres much more efficiently by enzymic than by conventional dispersion, a conclusion that may be relevant to workers studying antibody forming and memory B cells in other systems or species.
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