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VetBooks.ir  Lymphoid Tumors





               Adaptive immunity requires that antigen-sensitive cells stimulated
               by exposure to antigen respond by division and differentiation.

               Much of the complexity of the immune system is due to the need to
               control this response. A failure may result in uncontrolled
               lymphoid cell proliferation and the development of lymphoid
               tumors. The surveillance theory was originally proposed when it
               was observed that immunosuppressed animals and humans had an

               increased prevalence of cancers. However, an unusually high
               proportion of these are of lymphoid origin. Therefore it is likely that
               some of the lymphoid neoplasia that develop in

               immunosuppressed individuals result from a failure of
               immunological regulation rather than from a failure of surveillance.
                  Normal immune responses, whether antibody or cell mediated,
               involve a burst of rapid proliferation in lymphocytes. This burst of
               proliferation must be carefully controlled (Chapter 18). Although

               uncontrolled lymphocyte function may induce autoimmunity,
               uncontrolled lymphocyte proliferation may result in the
               development of a lymphoma or lymphosarcoma. It is no accident

               that animals with autoimmune disease are more likely than normal
               animals to develop lymphoid cell tumors (Table 35.1).


               TABLE 35.1

               Immunosuppressive Effects of Lymphoid Tumors



                                   Cell
                Tumor                      Evidence for Immunosuppression            Mechanisms
                                   Type
                Feline leukemia     T cell  Lymphopenia                              Suppressive viral protein,
                                           Prolonged skin grafts                     pI5E
                                           Increased susceptibility to infection     Suppressor cells
                                           Lack of response to mitogens
                Marek's disease     T cell  Lack of response to mitogens             Suppressor macrophages
                                           Depressed cell-mediated cytotoxicity
                                           Depressed IgG production
                Avian lymphoid leucosis B cell  Increased susceptibility to infection  Suppressor lymphocytes
                Bovine leucosis     B cell  Depressed serum IgM                      Soluble suppressor factor
                Myeloma             B cell  Increased susceptibility to infection    Soluble tumor-cell factor
                                                                                     Negative feedback
                Canine malignant    B cell  Predisposition to infection associated with autoimmune  Unknown
                lymphoma                   disorders
                Equine lymphosarcoma  T cell  Increased susceptibility to infection  Tumor of suppressor cells
                  Several important viruses stimulate nonspecific lymphocyte





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