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Decreased cell‐mediated cytotoxicity against virus‐infected cells in systemic lupus erythematosus
Author(s) -
Pons Vincent G.,
Reinertsen James L.,
Steinberg Alfred D.,
Dolin Raphael
Publication year - 1979
Publication title -
journal of medical virology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.782
H-Index - 121
eISSN - 1096-9071
pISSN - 0146-6615
DOI - 10.1002/jmv.1890040103
Subject(s) - cytotoxicity , immunology , antibody , virus , peripheral blood mononuclear cell , virology , herpes simplex virus , medicine , hemagglutination , biology , in vitro , biochemistry
Cell‐mediated cytotoxicity, directed against virus‐infected tissue culture cells, was studied with peripheral blood mononuclear cells from 11 patients with systemic lupus erythematosus (SLE) and 12 matched, normal subjects in a 51 Cr release assay. Baseline (preimmunization) levels of cytotoxicity against target cells infected with influenza A/Victoria, influenza B/Hong Kong, Newcastle disease virus, and herpes simplex virus were significantly decreased in patients with SLE compared to normal subjects (P < 0.001), although serum antibody levels to the respective viruses were similar in both groups. After intramuscular administration of inactivated influenza A/Victoria vaccine, SLE patients failed to generate elevated levels of cytotoxicity against A/Victoria infected cells, in contrast to normal subjects. SLE patients responded with levels of serum hemagglutination‐inhibition antibody which were similar to those of normal subjects. Thus, SLE patients manifest decreased cell‐mediated cytotoxicity against virus‐infected target cells, although humoral antibody responses appeared to be intact. Studies of SLE patients with influenza may help to define the role of cell‐mediated immunity in the pathogenesis of certain viral infections.