Vous êtes sur la page 1sur 4

rom time to time, I am sent col- edition of Maximov and Bloom’s Textbook

ourcd wall charts that illustrate of Histology, were endowed with haem-
current knowledge about lym- atopoietic, phagocytic and fibrocytic poten-
phocyte subsets, their origin, de- cies. This was the prevailing view at the
velopment and interactions together with time 1 entered the field. The other view was
the battery of lymphokincs that control the that lymphocytes were ‘end’ cells, dying a
cellular changes underlying immune re- few hours after having performed their I.IG~~
sponses. Whether or not tltey rire accurate, known functions. Various graveyards were
they paint a large and complex picture, and suggested, notably the gut and skin.
one that must be difficult for instructors to Thus, at the beginning of 1954, these
explain and for students to grasp. I have an small cells became my obsession, and
additional difficulty. This is to conjure up Florey said if 1 could find out where they
the time, 40 years ago, when virtually the went, we might know what they did. He
only property of lymphocytes about which drew my attention to a technique for col-
there was general agreement was that they were motile. lecting lymph and lymphocytes from the thoracic duct of un-
It was Howard Florey, the Professor of Pathology at Oxford anaesthetized rats, which Bollman ef nl.? had described in 1948. With
University at that time, who suggested that I should work on lym- a little practice, this became a routine procedure. However, in 1950,
phocytes. I had returned to Oxford at the end of 1953 after a year at Mann and Higgins3 found that, although very large numbers of
the Pasteur Institute with littlc idea what to do next. The laboratory lymphocytes could indeed be collected initially from a thoracic duct
in Oxford already had a record of work on lymphocytes that, JC- fistula, continuous drainage for several days resulted in a precipi-
cording to Florey, had blunted the wits of a number of his col- tous fall in the output of cells. By 1957 we had shown that, if all the
leagues and he could see no reason why I should be spared a simi- cells from the fistula were reinfused continuously into the blood,
lar fate. As is well known, Florcy led the team that transformed the output remained constant: the lymphocytes that normally dis-
penicillin from a laboratory curiosity into the most powerful agent appeared from the blood were somehow responsible for maintaining
yet available for treating human infections. Florey drew my atten- the output of cells from the thoracic duct’.
tion to the current state of the lymphocyte field and liked to quote The simplest explanation for this finding was a recirculation of
Arnold Rich: ‘The complctc ignorance of the function of this cell is lymphocytes from blood to lymph. This was not a new idea but one
one of the most humiliating and disgraceful gaps in all medical that had not previously been taken seriously; however, it gained
knowledge”. Rich was talking about ‘small lymphocytes’ and the plausibility from an experiment I still remember with some satis-
‘small round cells’ of the histopathologists. ‘Literally nothing of im- faction. Thoracic duct lymphocytes were labelled irl z,ifrowith in-
portance’, he concluded, ‘is known regarding the potentialities of organic “?I’,thoroughly washed and then reinfused into the blood of
these cells’. This was tltc situation in 1953, the same rat; a substantial wave of cell-associated ‘?I’ appeared in
the lymph of these animals, overlapping the rise and fall of a wave
of increased cell output. Tritiated thymidine ([‘H]TdR) had recently
The recirculation of lymphocytes become available commercially and this enabled us to show that the
Florey suggested that I should work on the problem known at that increased output was no: due to the Troduction of new cells: over
time as ‘the mystery of the disappearing lymphocytes’. The prob- 95% of the lymphocytes in the wave of lymph-borne cells were un-
lem could be stated very simply: sufficient lymphocytes cnier the labelled when tritiated d~ymidine was given along with the cellular
blood each day from the major lymphatic ducts to replace ,-ll those infusion; the remaining 5%, consisting of large lymphocytes, were
in the blood many times over. For example, in the rat, all the lyil, heavily labelled. The larger lymphocytes were new cells and provided
phocptes in the blood are replaced about ten times daily by those an intental control for the effectiveness of the procedure.
entering from the thoracic duct. The fate of these disappearing lym- The paper describing these results was published in 1959 (Ref. 5)
phocytes was accounted for by two rival theories. The first regarded but not before one referee had recommended its rejection on the
lymphocytes as primitive stem cells which, according to the 1949 grounds that all the experiments could be explained by an exchange
IMMUNOLOGY TODAY

The autoradiographic study also located


ihe precise route taken by thesmall lympho-
cytes in their journey from the blood illto
the lymph nodes. At short intervals after in-
travenous infusion, labelled cells were seen
to be migrating across the end&helium of
an unusual set of small blood vessels in the
cortex of the lymph nodes and the Peyer’s
patches. These ‘postcapillary venules’ had
the property of mediating a selective migra-
tion of lymphocytes (and, under normal
conditions, no other class of leukocyte) from
the blood. Vincent Marchisi had been work-
ing with Florcy on the migration of cells
of ??I’between the transfused cells and those from blood vessels during acute inflamma-
that were recovered from the thoracic duct. tion and had produced a series of e~,z~.tron
The referee was not alone in their criticisms. micrograph pictures of poly~~iorphonucle~~r
At a haematology meeting in the USA In leukocytes passing between the enduthelial
Hozonrd Florq (1953).
1959 (Ref. 6), there was a discussion about cells of venules in inflamed tissues. Marchisi
the uptake and persistence of radioactivity in did a similar study on serial sections
small lymphocytes after giving [“H]TdR iiz CZU. The labelling data through normal rat ly.nph nodes and identified lymphocytes at all
indicated a surprisingly long lifespan for blood lymphocytes which, stages in their passage across the endothrlium of the venules. This
of course, supported the idea of recirculation -no other rxplanation included an accumulation under the endothelium, a location first
could accommodate the disappearance each day of very large num- occupied by the labelled cells soon after their intravenous infusion.
:>ers of long-lived cells. However, another interpretation was con- Ci com’se, the electron micmgraphs did not reveal the direction of
sidered: the DNA from old lymphocytes might be re-utilized in lymphocyte migration, but we knew this from the infusion experi-
lymphoid tissue during the formation of new lymphocytes. For a ments. A detailed examination of the serial sections led to an unex-
short while, this idea of DNA re-utilization was taken sufficiently pected conclusion: that lymphocytes passed through the endo-
seriously to urge caution in accepting the interpretation of my own thelial cells of the postcapillary venules and not behveen them. The
experiments in which the cells comprising the \vdve of increased appearance was quite different from that of polymorphouucledr
output from the thoracic duct had failed to label with [7H]TdR. 1 re- leukocytes passing between the endothelial cells of venules in in-
turned from the USA with only a small concession: if recirculation tlamed lymph nodes. Such an intracellular mlgr,ltion is certainly
occurred at all, it only happened on a small scale. unorthodox and this point has still to be satisfactorily resolved. The
Recirculation still seemed to me to be the simplest explanation of selectivity of postcapillary venules, now known as ‘high endothelial
all our experiments, but it was necessary to: (I) show that it occurred venules’, presumably means that the normal traffic through them is
on a large enough scale to account for the turnover of the blood mediated by a repertoire of ligands on lymphocytes different from
lymphocytes; and (2) trace the pathway of individual cells along that on polymorphonuclear leukocytes.
their proposed route from blood to lymph. This was accomplished Two papers in 1964 (Refs 7, 8) appear to have convinced mosl
by labelling the RNA of thoracic duct cells irk &o with a tritiated people that small lymphocytes recirculate from blood to lymph by
precursor and then determining their location by autoradiography way of the lymph nodes and that recirculation explained the turn-
at various times after intravenous infusion. The labelled cells be- over of the blood lymphocytes. The mystery of the disappearing
haved as we had predicted. They migrated from the blood into the lymphocytes was solved: they did not disappear at all but, rather,
cortex of the lymph nodes, passed into the lymph sinuses and then continually reappeared in the lymph. However, Florey turned out
reappeared in large numbers in the thoracic duct lymph. High con- to be wrong about one aspect-that discovering the fate of the blood
centrations of labelled cells were also found in the Peyer’s patches lymphocytes would uncover their function. Unfortunately the dem-
but none in the thymus and few in nonlymphoid tissues. Large onstration that lymphocytes recirculated from blood to lymph gave
numbers migrated into the white pulp of the spleen from which no clues to their function.
they were known to re-enter the blood directly. The cells that recir-
culated into the lymph were the small lymphocytes; the minority of
larger, dividing lymphocytes in which the DNA could be labelled, immunology
did not reappolr in the lymph but migrated into the lamina propria At t]letimetherecirculation story was developing, there was little
of the small intestine, where they had assumed the morphology of in the literature to convince anyone that small lymphocytes had im-
plasma ceils. This last observation, worked on by Julie Knight, was munoIogical functions. In 1959, Burnet wrote that: ‘An obj~cti~c
the basis of subsequent studies on local immunity in the gut. survey of the facts could well lead to the concIusion that there was

1996
P -11”

IMMUNOLOGY TODAY

no evidence of immunological activity in small lymphocytes’“. cytes were long-lived ‘end ’ cells. This idea was demolished when
Certainly, by 1939, we knew from the work of McMasteP that we showed, by injecting radioactively labelled lymphocytes into F,

the lymph nodes were the site of antibody formation after regional rats, that during the early stages of the resulting GVH reaction, the
antigenic stimulation, and Coons”, using his technique of im- donor small lymphocytes enlarged and began dividing. The donor
mmofluorescence, had shown that plasma cells make antibody origin of these dividing cells was confirmed by means of a chromo-
in both the primary and the secondary response. However, there some marker’~? at last, small lymphocytes did something. Also in
was still no place for small lymphocytes. Coons thought that the 1961, Jacques Miller published his work on the lymphopenia and
precursor of the plasma cell might be a large undifferentiated cell immune deficiency of neonatally thymectomized mice; this was the
he called a primitive reticular cell. The idea that lymph nodes first of his many contributions t3 knowledge about the function of
were the seat of immunological responses was further strengthened the thymus in immunity and about what subsequently became
by the fact that the production of antibody, delayed hypersensitivity known as T lymphocytes. A quite independent line of enquiry during
and the reactions against both tumour and normal tissue this period also showed that small lymphocytes could be provoked
allografts could be transferred to suitable recipients by means of into growth and mitosis.
lymph node cells from immunized donors. However, even though In 1960, Nowell had shown that incubation with phytohaemag-
small lymphocytes are a major component of lymph nodes, the cell glutinin initiated mitosis in cultures of normal human leukocytes’“,
types responsible for such adoptive immunization had not been and Marshall and Roberts established conclusively in 1963 that the
identified. dividing cells were derived from small lymphocytest7.
The view that Burnet expressed in 1959 had to be updated a few Our subsequent experiments on alloreactivity drew heavily on

years later, when an immunological role for small lymphocytes was Medawar’s analysis of the allograft reaction and of itnmunological
unequivocally demonstrated in work influenced by a long-standing tolerance. We were able to show that the state of tolerance in an ani-
friendship with Peter Medawar. Like others, Peter Medawar was mal reflected a deficiency in its lymp!locyte population. Thus, tho-
initially rather sceptical about recirculating, long-lived lbmpho- racic duct cells from tolerant animals were specifically deficient in
cytes and, at his instigation, we did an experiment together to see if their ability to induce GVH reactions]” and long-standing skin allo-
a nucleoprotein fraction would substitute for living lymphocytes in grafts on tolerant animals were destroyed following an injcsction of
maintaining the output of cells from the thoracic duct. The results small lymphocytes from normal donors“‘. Bill Ford also contributed
were negative and he later regarded recirculation as an agreeable much to the understanding of the alloreactivity of lymphocytes,
idea, likening the blood lymphocytes to a ‘chorus of soldiers in a and the phenomenon of lymphocyte migration.
provincial production of Faust - they make a brief public appear- It seemed to us unlikely that the immunological activity of small
ance and then disappear behind the scenes only to re-enter by the lymphocytes was restricted to alloreactivity so, concurrently with
same route’“. the work on GVH reactions, Douglas McGregor had begun studies
Medawar introduced me to the main players in the field of trans- on their possible role in the induction of antibody responses.
plantation biology and, particularly, to the work of Simonsen, and Support for this possibility came from studies in rats depleted
of Billingham and Brent, on graft-versus-host (GVH) reactions. It of recirculating lymphocytes by prolonged drainage of cells from
had a!,ready been shown that these reactions could be induced by a thoracic duct fistula. Such animals showed a profound depression
injecta,ng allogeneic lymph node cells or blood leukocytes into neo- of pritnary antibody responses to tetanus tnxoid and to sheep
natal recipients, so suspicion was naturally falling on some kind of erythrocytes, which could bt: restored to normal by injections
lymphocyte as the inducing cell type. In 1958, I discussed with of small lymp!locytes from the thoracic duct. Similarly, the primary
Medawar the idea of coifirming this suspicion by injecting thoracic response of X-irradiated rats to sheep ervthrocytes could be re-
duct cells. However, the demonstration in 196041 by a number of stored by small lymphocytes from normal, but not from specifically
US that thoracic duct cells could, indeed, induce GVH reactions tolerant, donors. On the other hand, immunized rats that had
i
LL.nducing
left the precise identity of ti-- cell type unknown. Some been drained of recirculating cells still responded normally to
thought that large, dividing lymphocytes might be responsible be- antigenic challenge: secondary responses, unlike the primary re-
cause donor cell proliferation in the lymphoid tissue of the host was sponses we had studied, did not seem to be sensitive to lymphocyte
a feature of the early stages of the disease. We had a simple way of depletion. These findings, published in 1963 (Ref. 20), were con-
resolving this problem by testing the ability of small lymphocytes, firmed three years later while working with Jonathan Uhr in New
purified from the thoracic duct lymph of parental-strain rats, to York, when we made the additional point that recirculating lym-
cause GVH reactions in adult F, hybrid rats. Such inocula induced phocytes carried the property of immunological memory”. Thus,
a vicious reaction in the recipients, with progressive wasting and irradiated rats given thoracic duct cells from donors immunized
death after a time that depended on the cell dose. By contrast, inoc- with a bacteriophage gave brisk secondary responses after chal-
ula containing mainly large, dividing lymphocytes failed to induce lenge; but so did the lymphocyte-depleted donors. We never ex-
the disease. plained this duel endowment of primed animals: all the cellular
At first, it was not at all clear how the small lymphocytes were ingredients for mounting a secondary response were present both
exerting their devastating effect, particuIarIy as one of the current in the recirculating pool and in lymphocyte-depleted lymphoid
views, based on infusing [jH]-TdR in zlizn, was that small lympho- tissue.
IMMUNOLOGY TODAY

-r&e bnction of lym generation of antibody diversity, the structure of the surface mol-
The work with Dou$~ McGregor was sufficiently advanced by 1962 ecules of lymphocyte subsets, and the role of these moiecules and
for us to suggest a general immunological function for small lym- of the major histocompatibillty complex in cell cooperation and
phocytesz2. We had interpreted the experiments on GVH reactions as antigen recognition. However, 1 have to admit to one small disap-
showing that small lymphocytes had initiated the immune response pointment: to my knowledge it is still not possible to describe the
following interaction with the foreign histocompatibility antigens of evolution of any immune response in terms of the highly dynamic
the host. We extended this notion to suggest that these small, recircu- structure of lymphoid tissue ill zlizl~and of the migratory pathways
lating cells, not yet in cell division, are the population that endows an of cooperating lymphocytes within it. Maybe my next colol-red wall
animal with its immune respomiveness. Furthermore, following chart will have the answers.
their stimulation with antigen, they would be triggered into division
and differentiation to produce the various effecters of immune re-
sponses, including antibody-forming cells. The weakness of the ar- James Gowans isnf i3 CHI~IIZO~
Ijili, O.+I{, J_IK 0x2 gf+X.

gument was the absence of any firm evidence that small lymphocytes
eferences
would give rise to plasma cells, although we thought this very likely
1 Rich, A.R. (193h) .&I./I, Pnfiwl. 22, 228-254
Such a function at last gave a rflisnli fYPtrefor lymphocyte recircu-
2 Bollman, J.L., Cain, J.C. and Grindley J.H. (lY#) J Ir?h C/N. MP~. 33,
lation: it would allow specifically reactive cells to be selected from the 1349-1352
large recirculating pool into regional lymphoid tissue following lo- 3 Mann. J.D and H&gin%G.M. (1950) Blw0 5, 177-190
calized autigenic stimulation. A selection of this kind was subse 4 Gowans, j.L. (1957) Br. j. E.xp. Pni/r~)l. 38. 67-Z
quently demonstrated ill P~UOfor histocompatibility antigens2’ and 5 Gowans. J.L. (1959) I. Piysiol. IJb, 54-69
for antigens yielding conventional antibody responses2”,25.Thus, the 6 Stohlman, F., ed. (1959) T/w Kiwhrs of Cchh Pdifmfi~w, GITXW and
small Ijrmphocyte was the antigen-sensitive cell that met the require- Stratton
ments of Bumet’s clonal selection theory. 7 Gowans, J.L. and Knight, E.J. (1964) Pmt. X. Soi. Lor~dorzSu 6 159,
257-282
The dispute about the cellular origin of plasma cells still needed
8 Marchesi, V.T. and Gowans, J.L. (1964) Pwr. R. Soi. Lomtw jr,: B 159,
resolving. Our obsession with this problem continued into the pe-
283-290
riod \&en the focus of interest in the field had shifted to studies on
9 Burnet, EM. (1959) in 7%~~Ckwrl S&h~lrr Thy of Aq~md Imrnuuify.
cell colIabora+ 3n, but we were anxious to complete the picture. Our
p. 110, Cambridge University Press
predictions were confirmed by Susan Roser (nee Ellis) and Jonathan 10 McMaster, l?D. and Hudack, 5.5. (1935) 1, Erp Mcci. bl, 783 +O5
Howard in transfer experiments in which donor and recipient cells 11 Leduc, E.H., Coons, A.H. and Connolly, J.M. (1%) J, Evp !&<1. 102,
could be distinguished in suitably chosen irradiated hosts by the 61-72
use of alloantisera: cells’making a primary antibody to sheep eryth- 12 Medarvar, PB. and Medarvar, J.S. (1977) in T/:c L~fbSuwn~, p. 138.
rocytes and a secondary response to tetanus toxoid were, in both Wildwood House

cases, derived from the donors’ small lymphocy&+?“. So these 13 Goxrans, J.L., Gesner, B.M and ILliCrqp, O.D. (1961) in Bi&qi;t~l

versatile cells not only initiated reactions against alloantigens, but Acfri$ I$ flw Lrucqfr~ (Wolstenholme, G.lz.W. and O’Connor, M., ed.,,
pp. 32-10, Churchill
they were also triggered by antigen to generate antibody-producing
14 Guwans, J.L. (1962) Anr~. Nm Ym’kAd. Sci. 99, 432-I-l5
plasma cells.
15 Miller, J.F.A.2 (1961) Lnr~cct ii, 74R719
Of course we never did complete our picture. We could not
16 Nowell, PC. (1960) Cnurer Res. 20, 462-166
explain what we had termed the ‘functional heterogeneity’ that
17 Marshall, W.H. and Robert, K.B. (1963) Q. /. Erp. @sit?!. 48, 146-155
allowed small lymphocytes to engage in all classes of immune 18 McCullagh, f?J, and Gowans, J.L. (1966) in 7%~Lp$roc!/fc ill /I?II~~I~II~~~~~/
response. We made no contribution to the solution of this problem wzd Hncruopoicsb(Yoffey, J.M., ed.), pp. 234-2-11, Edward Arnold
and it is for this reason that I have deliberately avoided any refer- 19 McGregor, D.D. and Go~van~, J.L. (1965) Prq. .411rr;~.1/
Y, l-78
ence to T and B lymphocytes in interpreting our old work. TO my 20 McGregor, D.D. and Gowans, J.L. (19b3) /. E.yp Md 117, 303-320
mind, the first persuasive evidence for the existence of two classes 21 Gowans, J.L.and Uhr, J.W. (1966) I. E-~/J.Md. 121, 1017-1030

of lymphocytes came in 1968 from the work of Mitchell and Miller”. 22 Gowans, J.L., McGregor, D.D.. Cowcn, D.M. and Ford, C.E. (1962)

In 1971, the idea that thymus-derived (T) lymphocytes ‘helped’ the Nnhrw 196, 651-655
23 Ford, W.L. and Atkim, R.C. (19711 ,X~j,lf.
?&w Blof. 23J,liR-1tiO
development of marrow lymphocytes was used by Mitchison to ex-
24 Sprent, J,, hliller, 1.F.A.J’. and Mitchell, G.F. (1971) Cc/l. Iwlfi~~~f. 2.
plain the effect of prior carrier immunization in increasing the pro-
171-181
duction of antihapten antibody following challenge with a hapten-
25 Rowley D.A., Gowans, J.L., Ford, W.L., Atkins, R.C. and Smith. ME.
carrier conjugate3”. Cooperation between B and T lymphocytes had
(1972) /. E-v!‘.II%?/. 136, 499-513
now become the topic of the day. 26 Ellis, ST., Gowans, J.L. and Howard. ].C. (1969) in A~itil;it#w 1.f
Ch~~,rtafl~~~myirl
(Vol. 15) (Sorkin, E., ed.1. pp. 50-35, Karger
27 Howard,J.C.and Gowans,J.L. (1972) Pr~i. R. SOC.
LOII~OII
5~ B 182. lYi-2OY

Concluding remarks 26 Ellis, S.T, and Gowans, J.L. (1973) PIIX. R. S0c. L(IIII/~I!SU. B 183, 123-13’)

Since these early studies, the lymphocyte has risen to become one of 29 Mitchell, G.F. and Miller, J.F.A.P. (3968) J. I?\/‘. Med. 128, H21-s37
30 Mitchjson x.,2. \.,,
11071, F*(r.,,.
L, L. . I 1., l!L27
I .I3&rl!trl!!!l.,
__
the most studied of all mammalian cells. We now know about the

Vous aimerez peut-être aussi