Discussion and Summary The data (Tables I and II) are remarkably similar to our previous findings in EAE (5, 6) in that injections of CY for 2 weeks after sensitization to thyroid in adjuvant inhibited development of EAT and the production of thyroid antibody. These findings also confirm those of Salvin and Liauw (4) concerning EAT in the guinea pig. The therapeutic effects of CY when the drug was given after the EAT lesions had developed also Table IIInhibition of production of hemagglutinating (HA) anti-thyroid antibody in rats sensitized and injected with cyclophosphamide (CY)Rat StrainCY TreatmentaProportion of Rats with HA Antibody at:b15 days21 daysLewis5 mg/k0/5c0/5None5/54/5CFN (Wistar)5 mg/k0/50/5None5/54/4aDaily intraperitoneal injections of CY in doses of 5 mg/kg beginning on day of sensitization and continued through the 15th day after sensitization.bNumerator, number of rats with HA antibody titers of 1:20 or greater; denominator, number of rats sensitized and tsted for HA antibody.cDays after sensitization. agree with the results we obtained with EAE in Lewis rats (7). It is noteworthy that the lesions of EAT did not recur after CY was stopped, in contrast to the relatively prompt recrudescence of EAE under similar therapeutic conditions (manuscript in preparation). The inhibitory effect of CY on the production of anti-thyroid antibody (Table II) provides evidence that this alkylating drug has an immunosuppressive effect on the immune response to thyroid antigens and that CY-induced inhibition of the disease has an immunologic rather than an anti-inflammatory basis. We do not consider that the inhibitory effect of CY on HA antibodies is related causally to its inhibitory effect on EAT. There is no evidence that circulating antibodies against thyroid antigens play a role in EAT in rats. Actually, the available data favor a cell-mediated pathogenesis in this species and in guinea pigs (10–12). Reported serum transfers of EAT in guinea pigs (13) and rabbits (14, 15), however, suggest that thyroid antibodies may well be important in other animal species. Whatever the nature of the primary immune factor responsible for EAT may be in rats, CY has a profound capacity to suppress or inhibit the immunologic response to thyroid antigen. As discussed in our previous work (5–7) and by Many and Schwartz (16), the inhibitory effect of CY probably is due to elimination of rapidly proliferating antigen-reactive cells. The basis for the therapeutic effect of CY is less clear, but is likely to be due to action of the drug on inflammatory cells entering the thyroid glands, which have been shown by Kosunen and Flax (17) to be of hematogenous origin.
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