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Topic:B cells

B cells are a type of white blood cell found in horses that are integral to the adaptive immune system. They originate from the bone marrow and are responsible for producing antibodies, which are proteins that bind to specific antigens to neutralize pathogens such as bacteria and viruses. B cells also play a role in antigen presentation and the activation of other immune cells. In equine health, the study of B cells includes understanding their development, function, and response to infections and vaccinations. This page compiles peer-reviewed research studies and scholarly articles that explore the biology, regulation, and clinical implications of B cells in horses, contributing to a deeper understanding of equine immunology.
Cutaneous T-cell-rich B-cell lymphoma in a horse.
Berliner und Munchener tierarztliche Wochenschrift    November 3, 2010   Volume 123, Issue 9-10 422-424 
Hermeyer K, Seehusen F, Gehlen H, Peters M, Wohlsein P.Cutaneous malignant lymphomas are rare in horses and comprise predominantly T-cell-rich B-cell lymphomas. They are characterized by multiple tumour nodules affecting predominantly female horses with a survival rate of months to years. At the final stage, metastases to regional lymph nodes occur, whereas widespread organ involvement is rarely reported. In this case report, a cutaneous T-cell-rich B-cell lymphoma in a 7-year-old standardbred gelding with metastases is described. Clinically, multiple cutaneous and subcutaneous nodules, enlarged superficial lymph nodes, rapid weight loss, and vent...
Equine herpesvirus-1 infected peripheral blood mononuclear cell subpopulations during viremia.
Veterinary microbiology    October 28, 2010   Volume 149, Issue 1-2 40-47 doi: 10.1016/j.vetmic.2010.10.004
Wilsterman S, Soboll-Hussey G, Lunn DP, Ashton LV, Callan RJ, Hussey SB, Rao S, Goehring LS.Infection with equine herpesvirus-1 (EHV-1) causes respiratory disease, late term abortions and equine herpesvirus myeloencephalitis (EHM) and remains an important problem in horses worldwide. Despite increasing outbreaks of EHM in recent years, our understanding of EHM pathogenesis is still limited except for the knowledge that a cell-associated viremia in peripheral blood mononuclear cells (PBMCs) is a critical link between primary respiratory EHV-1 infection and secondary complications such as late-term abortion or EHM. To address this question our objective was to identify which PBMC subpo...
Equine neonates have attenuated humoral and cell-mediated immune responses to a killed adjuvanted vaccine compared to adult horses.
Clinical and vaccine immunology : CVI    October 13, 2010   Volume 17, Issue 12 1896-1902 doi: 10.1128/CVI.00328-10
Ryan C, Giguère S.The objectives of this study were to compare relative vaccine-specific serum immunoglobulin concentrations, vaccine-specific lymphoproliferative responses, and cytokine profiles of proliferating lymphocytes between 3-day-old foals, 3-month-old foals, and adult horses after vaccination with a killed adjuvanted vaccine. Horses were vaccinated intramuscularly twice at 3-week intervals with a vaccine containing antigens from bovine viral respiratory pathogens to avoid interference from maternal antibody. Both groups of foals and adult horses responded to the vaccine with a significant increase in ...
Radiation therapy communication: nasal passage and paranasal sinus lymphoma in a pony. Gerard M, Pruitt A, Thrall DE.An aged pony with extensive paranasal sinus and nasal passage B-cell lymphoma was treated with palliative radiation therapy. Sixteen gray were administered in two fractions, 7 days apart. A lateral field was used for the first fraction and a dorsal field for the second. Because of tumor being present in the left frontal sinus, gross tumor was knowingly excluded from the treated volume in the lateral field. The tumor regressed within 2 months and the pony remained free of clinical disease for 2.5 years. Acute, temporary blindness developed shortly after the second radiation fraction, but a dire...
IgE in horses: occurrence in health and disease.
Veterinary immunology and immunopathology    September 23, 2009   Volume 132, Issue 1 21-30 doi: 10.1016/j.vetimm.2009.09.011
Wagner B.Since the initial characterization of IgE by Ishizaka et al. (1966), IgE was described in several mammalian species. In horses, a single gene encoding the IgE heavy chain constant region (IGHE gene) exists per haploid genome and several allelic variants of the equine IGHE gene were found. IgE occurs in its soluble form in equine serum and physiological concentrations of total IgE are around 1000-fold higher in normal horse than in normal human serum. Maternal IgE is enriched in the colostrum and transferred to the neonatal foal after birth. Foals do not produce detectable concentrations of end...
Immunophenotypical characterization in Andalusian horse: variations with age and gender.
Veterinary immunology and immunopathology    August 22, 2009   Volume 133, Issue 2-4 219-227 doi: 10.1016/j.vetimm.2009.08.013
Satué K, Hernández A, Lorente C, O'Connor JE.Assessment of lymphocyte subsets is an effective method for characterizing disorders such as leukemia, lymphomas, autoimmune and infectious diseases. In order to clinically interpret these parameters, normal reference values should be set, estimating age- and gender-related variations. This research aimed to: (1) characterize lymphocyte subpopulations in Andalusian horse, and (2) evaluate age and gender-related variations of lymphocyte subsets. Jugular blood samples were obtained from 159 animals, 77 males and 82 females, belonging to four age groups-1: 1-2 years (N=39; 21 males and 18 females...
Expression of essential B cell genes and immunoglobulin isotypes suggests active development and gene recombination during equine gestation.
Developmental and comparative immunology    May 22, 2009   Volume 33, Issue 9 1027-1038 doi: 10.1016/j.dci.2009.05.002
Tallmadge RL, McLaughlin K, Secor E, Ruano D, Matychak MB, Flaminio MJ.Many features of the equine immune system develop during fetal life, yet the naïve or immature immune state of the neonate renders the foal uniquely susceptible to particular pathogens. RT-PCR and immunohistochemical experiments investigated the progressive expression of developmental B cell markers and immunoglobulins in lymphoid tissues from equine fetus, pre-suckle neonate, foal, and adult horses. Serum IgM, IgG isotype, and IgA concentrations were also quantified in pre-suckle foals and adult horses. The expression of essential B cell genes suggests active development and gene recombinati...
Linear B-cell epitope mapping using enzyme-linked immunosorbent assay for libraries of overlapping synthetic peptides.
Methods in molecular biology (Clifton, N.J.)    April 21, 2009   Volume 524 137-144 doi: 10.1007/978-1-59745-450-6_10
Heuzenroeder MW, Barton MD, Vanniasinkam T, Phumoonna T.The aim of this chapter is to provide a strategy for mapping linear antibody epitopes of protein antigens in order to discover candidates for vaccines or diagnostic tests. A set of overlapping peptides was designed and synthesised based upon a known amino acid sequence of the target protein, virulence-associated protein A (VapA) of the bacterium Rhodococcus equi, an important pulmonary pathogen in foals.The peptides were biotinylated and used in an ELISA to screen immune sera from foals. These biotinylated peptides were coated directly onto micro titre plates that had been pre-coated with Neut...
Horses experimentally infected with Sarcocystis neurona develop altered immune responses in vitro.
The Journal of parasitology    November 1, 2008   Volume 94, Issue 5 1047-1054 doi: 10.1645/GE-1441.1
Witonsky SG, Ellison S, Yang J, Gogal RM, Lawler H, Suzuki Y, Sriranganathan N, Andrews F, Ward D, Lindsay DS.Equine protozoal myeloencephalitis (EPM) due to Sarcocystis neurona infection is 1 of the most common neurologic diseases in horses in the United States. The mechanisms by which most horses resist disease, as well as the possible mechanisms by which the immune system may be suppressed in horses that develop EPM, are not known. Therefore, the objectives of this study were to determine whether horses experimentally infected with S. neurona developed suppressed immune responses. Thirteen horses that were negative for S. neurona antibodies in serum and cerebrospinal fluid (CSF) were randomly assig...
Maternal transfer of IgE and subsequent development of IgE responses in the horse (Equus callabus).
Veterinary immunology and immunopathology    October 19, 2008   Volume 127, Issue 3-4 203-211 doi: 10.1016/j.vetimm.2008.10.316
Marti E, Ehrensperger F, Burger D, Ousey J, Day MJ, Wilson AD.Immunoglobulin E (IgE) mediates the immune response to parasites, but can also cause allergies. In humans maternal IgE is not transferred to cord blood and high levels of cord blood IgE are associated with subsequent allergy. In horses, both maternal IgG and IgE are transferred via colostrum; the IgE levels in the mare's serum, the colostrum and the foal's serum are correlated but the consequences of IgE transfer to foals are not known. By about 6 weeks of age the levels of IgE in foal serum have dropped to a nadir, at 6 months of age the level of IgE has risen only very slightly and is no lon...
A proteomic approach for studying the pathogenesis of spontaneous equine recurrent uveitis (ERU).
Veterinary immunology and immunopathology    October 17, 2008   Volume 128, Issue 1-3 132-136 doi: 10.1016/j.vetimm.2008.10.302
Deeg CA.Equine recurrent uveitis (ERU) is a wide spread disease of the eye, which is the main cause for blindness in horses worldwide. Meanwhile, ERU is also accepted as the only reliable spontaneous model for human autoimmune uveitis. We identified and characterized novel autoantigens by analyzing the autoantibody-binding pattern from ERU cases to the retinal proteome. Cellular retinaldehyde-binding protein (CRALBP) and malate dehydrogenase (MDH) were detected as novel ERU autoantigens by this approach. B- and T-cell autoreactivity was detected to both autoantigens in ERU cases. The evaluation of the...
Lymphoproliferative disease with features of lymphoma in the central nervous system of a horse.
Journal of comparative pathology    September 27, 2008   Volume 139, Issue 4 256-261 doi: 10.1016/j.jcpa.2008.07.008
Morrison LR, Freel K, Henderson I, Hahn C, Smith SH.Lymphoma (malignant lymphoma, lymphosarcoma) is uncommon in horses in the United Kingdom. This report describes an unusual form of lymphoproliferative disease with features of lymphoma restricted to the central nervous system (CNS) and with no evidence of a primary lesion elsewhere. Immunohistochemical examination defined an overwhelming predominance of T lymphocytes with admixed B lymphocytes and activated macrophages. This case exemplifies the challenges associated with definitive diagnosis of lymphoproliferative disease of the equine CNS.
Common variable immunodeficiency in horses is characterized by B cell depletion in primary and secondary lymphoid tissues.
Journal of clinical immunology    August 2, 2008   Volume 29, Issue 1 107-116 doi: 10.1007/s10875-008-9221-4
Flaminio MJ, Tallmadge RL, Salles-Gomes CO, Matychak MB.Common variable immunodeficiency (CVID) in horse patients is characterized by late-onset B cell lymphopenia or depletion, hypo- or agammaglobulinemia, impaired humoral response to tetanus toxoid vaccination, and recurrent fevers and bacterial infections. Conclusions: This study describes the clinical and immunologic findings of 14 affected horses (average age 10.7 +/- 4.4 years) of both genders (six females, eight males) and different breeds (eight Thoroughbreds, four Quarter Horses, one Warmblood, one Pony). Serial immunological testing in peripheral blood revealed persistent, severe B cell l...
Immunohistochemical characterization of mononuclear cells and MHC II expression in the brain of horses with experimental chronic Trypanosoma evansi infection. Lemos KR, Marques LC, Deaquino LP, Alessi AC, Machado RZ.An histochemical and immunohistochemical study was carried out to evaluate the mechanisms of immune response of horses experimentally infected by Trypanosoma evansi. For this purpose the HE histochemical stain and the avidin biotin peroxidase method were used. To determine the presence and immunoreactivity of immune cells we used anti-major histocompatibility complex II antibodies. Cellular infiltration phenotype was characterized with the aid of anti-CD3 antibody for T lymphocytes and by anti-BLA 36 antibodies for B lymphocytes. Macrophages were marked with an antibody against myeloid/histyoc...
A West Nile virus (WNV) recombinant canarypox virus vaccine elicits WNV-specific neutralizing antibodies and cell-mediated immune responses in the horse.
Veterinary immunology and immunopathology    February 16, 2008   Volume 123, Issue 3-4 230-239 doi: 10.1016/j.vetimm.2008.02.002
El Garch H, Minke JM, Rehder J, Richard S, Edlund Toulemonde C, Dinic S, Andreoni C, Audonnet JC, Nordgren R, Juillard V.Successful vaccination against West Nile virus (WNV) requires induction of both neutralizing antibodies and cell-mediated immune responses. In this study, we have assessed the ability of a recombinant ALVAC-WNV vaccine (RECOMBITEK WNV) to elicit neutralizing antibodies and virus-specific cell-mediated immune responses in horses. In addition, we examined whether prior exposure to ALVAC-WNV vaccine would inhibit B and cell-mediated immune responses against the transgene product upon subsequent booster immunizations with the same vaccine. The results demonstrated that the recombinant ALVAC-WNV va...
The composition of the inflammatory infiltrate in three cases of polyneuritis equi.
Equine veterinary journal    February 13, 2008   Volume 40, Issue 2 185-188 doi: 10.2746/042516408X276933
van Galen G, Cassart D, Sandersen C, Delguste C, Nollet H, Amory H, Ducatelle R.Polyneuritis equi (PNE) is a rare neurological disease in the horse. Because of the suspicion in PNE of a T-lymphocyte mediated immune response against the myelin, the objective of this study was to determine the composition of the inflammatory infiltrate in the involved nerves of 3 horses with PNE, studied retrospectively. T-lymphocytes were demonstrated in the lesions, which suggests a T-lymphocyte mediated immune response against myelin. In addition, the presence of B-lymphocytes indicated a local production of antibodies. More research, involving a prospective study, is needed to determine...
Blood lymphocyte subpopulations, neutrophil phagocytosis and proteinogram during late pregnancy and postpartum in mares.
Reproduction in domestic animals = Zuchthygiene    November 7, 2007   Volume 43, Issue 2 212-217 doi: 10.1111/j.1439-0531.2007.00879.x
Agrícola R, Carvalho H, Barbosa M, Pereira M, Medeiros JA, Ferreira-Dias G.The aim of this study was to evaluate peripheral blood lymphocyte subpopulations, neutrophil phagocytic capacity and proteinogram characteristics in mares, during the last trimester of pregnancy and in postpartum. Measurement of phagocytosis and quantification of T-lymphocyte subsets were done by flow cytometry. Quantification of T-lymphocyte subsets was performed with monoclonal antibodies specific for CD2, CD3, CD4 and CD8 cell markers. Natural killer and B-cell counts were estimated mathematically. Serum proteinogram was obtained by electrophoresis. No significant differences were observed ...
Suspected immune-mediated myositis in horses.
Journal of veterinary internal medicine    June 8, 2007   Volume 21, Issue 3 495-503 doi: 10.1892/0891-6640(2007)21[495:simih]2.0.co;2
Lewis SS, Valberg SJ, Nielsen IL.Although immune-mediated myositis (IMM) is commonly reported in other species, this condition is poorly described in horses. Objective: IMM occurs in horses. Methods: Thirty-seven horses with suspected IMM were included in the study. Methods: The database of the Neuromuscular Diagnostic Laboratory was reviewed to identify 37 horses with muscle biopsies characterized by lymphocytic infiltrates. A retrospective standardized questionnaire regarding clinical signs and response to treatment was answered by horse owners. Results: Horses with suspected IMM were predominantly of Quarter Horse bloodlin...
Clinical, laboratory, and histopathologic features of equine lymphoma.
Veterinary pathology    November 14, 2006   Volume 43, Issue 6 914-924 doi: 10.1354/vp.43-6-914
Meyer J, Delay J, Bienzle D.Clinical, laboratory and tissue findings from 37 horses with lymphoma were investigated. Horses ranged in age from 0.3 to 20.5 years (median 5.0 years) and included 18 females and 19 males. Weight loss (n = 25) and ventral edema (n = 21) were the most common historical and physical abnormalities. The most common laboratory abnormalities were hyperfibrinogenemia (n = 26), hypoalbuminemia (n = 19), anemia (n = 19), leukemia (n = 14), hyperglobulinemia (n = 13), and thrombocytopenia (n = 13). Thirty-four tumors involved multiple lymphoid tissues and abdominal or thoracic organs, and 3 tumors were...
Characterisation of lymphocyte subsets in the equine oviduct.
Equine veterinary journal    May 19, 2006   Volume 38, Issue 3 214-218 doi: 10.2746/042516406776866363
Brinsko SP, Ball BA.The equine oviduct is the site of fertilisation and location of embryonic development during the first 5 or 6 days. It therefore has an important influence on mare fertility. Although histopathological changes have been described previously, there is limited information regarding lymphocyte subtypes present in the mucosa of the normal equine oviduct. Objective: To characterise the distribution of CD3+, CD4+, CD8+ and B lymphocytes in the equine oviduct from inseminated mares during oestrus and dioestrus, and from noninseminated mares during the immediate post ovulatory period. Methods: Oviduct...
Identification and functional validation of novel autoantigens in equine uveitis.
Molecular & cellular proteomics : MCP    May 11, 2006   Volume 5, Issue 8 1462-1470 doi: 10.1074/mcp.M500352-MCP200
Deeg CA, Pompetzki D, Raith AJ, Hauck SM, Amann B, Suppmann S, Goebel TW, Olazabal U, Gerhards H, Reese S, Stangassinger M, Kaspers B, Ueffing M.The development, progression, and recurrence of autoimmune diseases are frequently driven by a group of participatory autoantigens. We identified and characterized novel autoantigens by analyzing the autoantibody binding pattern from horses affected by spontaneous equine recurrent uveitis to the retinal proteome. Cellular retinaldehyde-binding protein (cRALBP) had not been described previously as autoantigen, but subsequent characterization in equine recurrent uveitis horses revealed B and T cell autoreactivity to this protein and established a link to epitope spreading. We further immunized h...
Clinical evaluation of a peptide-ELISA based upon N-terminal B-cell epitope of the VapA protein for diagnosis of Rhodococcus equi pneumonia in foals.
Journal of veterinary medicine. B, Infectious diseases and veterinary public health    April 25, 2006   Volume 53, Issue 3 126-132 doi: 10.1111/j.1439-0450.2006.00929.x
Phumoonna T, Muscatello G, Chicken C, Gilkerson JR, Browning GF, Barton MD, Heuzenroeder MW.A total of 227 field samples from naturally exposed foals aged between 3 weeks and 6 months were used in an evaluation of a peptide-based enzyme-linked immunosorbent assay (ELISA) for diagnosis of Rhodococcus equi infection. A biotinylated peptide derived from the virulence-associated protein A (VapA) of R. equi, a horse pathogen, was synthesized and designated as PN11-14. The peptide corresponds to the N-terminal B-cell epitope TSLNLQKDEPNGRASDTAGQ of the VapA protein. Based upon a serum immunoglobulin (Ig)G titre of 512 as a positive cut-off value for the R. equi infection, the ELISA provide...
Severe combined immunodeficiency in a Fell pony foal.
Journal of veterinary medicine. A, Physiology, pathology, clinical medicine    February 10, 2006   Volume 53, Issue 2 69-73 doi: 10.1111/j.1439-0442.2006.00779.x
Jelìnek F, Faldyna M, Jasurkova-Mikutova G.Five days after birth of a viable Fell pony filly, yellow watery diarrhoea appeared without any signs of systemic disease. Four days later the diarrhoea ceased. On 11th day, the animal showed apathy, and a few days later, the foal was very lethargic, suffered from muscular weakness and severe watery diarrhoea that reappeared. The illness did not respond to therapy. At the age of 21 days the filly spontaneously died under symptoms of intestinal colic and pneumonia. Haematological examinations revealed lower numbers of erythrocytes as well as non-selective lymphopenia. Phagocytic activity was sl...
A monoclonal antibody to equine interleukin-4.
Veterinary immunology and immunopathology    February 9, 2006   Volume 110, Issue 3-4 363-367 doi: 10.1016/j.vetimm.2006.01.001
Wagner B, Hillegas JM, Antczak DF.Interleukin-4 (IL-4) is secreted by T helper type 2 cells, mast cells, basophils and eosinophils. Detection of IL-4 can contribute the evaluation of cellular immune responses during infectious diseases, immunological disorders or vaccination. We used recombinant equine IL-4 to generate a monoclonal antibody (mAb) to equine IL-4. The mAb detected recombinant IL-4 in mammalian cells transfected with different plasmids containing IL-4 cDNA. After mitogen stimulation of equine peripheral blood mononuclear cells, an intracellular protein was recognized by the new mAb in 1-2% of lymphocytes using fl...
A conservative domain shared by HIV gp120 and EIAV gp90: implications for HIV vaccine design.
AIDS research and human retroviruses    December 29, 2005   Volume 21, Issue 12 1057-1059 doi: 10.1089/aid.2005.21.1057
Li H, Zhang X, Fan X, Shen T, Tong X, Shen R, Shao Y.Both HIV and EIAV belong to the retroviridae family and lentivirus genus. Two variable regions (V3 and V4) of equine infectious anemia virus (EIAV) gp90 and two variable regions (V1 and V2) of HIV gp120 possibly adopt the same topology. We have studied the N-glycosylation properties and B cell linear epitope distribution profile of these two regions. Our results indicated that V3 and V4 of EIAV gp90 are very similar to V1 and V2 of HIV gp120. The differences between EIAV virulent and vaccine strains are mainly located at these two regions. Vaccine strains lose two N-glycosylation sites at thes...
Replication of West Nile virus in equine peripheral blood mononuclear cells.
Veterinary immunology and immunopathology    November 28, 2005   Volume 110, Issue 3-4 229-244 doi: 10.1016/j.vetimm.2005.10.003
Garcia-Tapia D, Loiacono CM, Kleiboeker SB.A cell model of primary monocytes and other mononuclear cells isolated from equine blood was used to study the kinetics of West Nile virus (WNV) replication in a natural host. West Nile virus has emerged on the North American continent as a significant cause of morbidity and mortality in a wide range of avian and mammalian species. While other flaviviruses are known to infect monocytes and lymphocytes, the ability of WNV to productively replicate in specific immune cells of peripheral blood has not been assessed. In this study, enriched populations of monocytes and lymphocytes as well as purif...
The B-cell CLL lymphoma 2 (BCL2) gene maps to equine chromosome 8q22.
Animal genetics    November 19, 2005   Volume 36, Issue 6 517-519 doi: 10.1111/j.1365-2052.2005.01359.x
Klukowska-Rötzler J, Bugno M, Slota E, Robinson NE, Piumi F, Guérin G, Dolf G, Gerber V.No abstract available
Recognition of a B-cell epitope of the VapA protein of Rhodococcus equi in newborn and experimentally infected foals.
Journal of veterinary medicine. B, Infectious diseases and veterinary public health    October 13, 2005   Volume 52, Issue 6 291-295 doi: 10.1111/j.1439-0450.2005.00858.x
Phumoonna T, Barton MD, Heuzenroeder MW.The aim of this study was to evaluate the usefulness of the previously identified B-cell epitope TSLNLQKDEPNGRASDTAGQ of the VapA protein of Rhodococcus equi and its association with R. equi pneumonia. A modified peptide designated PN11-14 corresponding to the epitope was recognized by all sera from experimentally infected foals with virulent R. equi ATCC103+ containing the virulence plasmid but not by its plasmid-cured derivative ATCC103- strain. Marked levels of VapA-specific immunoglobulin (Ig)G were detected in all sera from the ATCC103+ infected foals at 2 weeks after the infection. One c...
Immunologic disorders in neonatal foals.
The Veterinary clinics of North America. Equine practice    July 30, 2005   Volume 21, Issue 2 241-v doi: 10.1016/j.cveq.2005.04.004
Giguère S, Polkes AC.Foals live in an environment heavily populated by bacteria, many of which are capable of causing disease. Development of infection,however, is the exception rather than the rule. The ability of the foal to prevent infection by most pathogens is the result of a sophisticated set of defense mechanisms. These defense mechanisms can be divided into adaptive and innate immunity. Innate immunity encompasses defense mechanisms that pre-exist or are rapidly induced within hours of exposure to a pathogen. Conversely, adaptive or acquired immunity represents host defenses mediated by T and B lymphocytes...
Common variable immunodeficiency in three horses with presumptive bacterial meningitis.
Journal of the American Veterinary Medical Association    July 15, 2005   Volume 227, Issue 1 114-87 doi: 10.2460/javma.2005.227.114
Pellegrini-Masini A, Bentz AI, Johns IC, Parsons CS, Beech J, Whitlock RH, Flaminio MJ.Three adult horses were evaluated for signs of musculoskeletal pain, dullness, ataxia, and seizures. A diagnosis of bacterial meningitis was made on the basis of results of CSF analysis. Because primary bacterial meningitis is so rare in adult horses without any history of generalized sepsis or trauma, immune function testing was pursued. Flow cytometric phenotyping of peripheral blood lymphocytes was performed, and proliferation of peripheral blood lymphocytes in response to concanavalin A, phytohemagglutinin, pokeweed mitogen, and lipopolysaccharide was determined. Serum IgA, IgM, and IgG co...