[Clinico-pathological considerations about a case of hepatic myelolipoma]. / Considerazioni clinico-patologiche su di un caso di mielolipoma del fegato.

Hepatic myelolipoma (ML) is a very uncommon finding. In a recent review of literature, only six cases of ML are reported. It is composed of adipose tissue associated to bone marrow elements. The CT, the echography and the aspecific symptomatology, if present, do not allow a sure diagnosis, which must be confirmed by histological examination of multiple tumor tissue samples. We report here a case of IM observed in a 53-year-old woman. The neoplasia was incidentally discovered after an echography performed after the onset of an aspecific painful symptomatology. Histologically, we have observed in this very rare tumor some features differing from those previously reported in literature, as the presence of an incomplete capsule and some "adenomatous" aspects of the surrounding hepatic tissue. The resulting differential diagnoses are reported and discussed. In particular, the presence of lipoblasts in the adipose tissue component requires great attention in order to avoid an erroneous diagnosis of sarcoma.

Low incidence of neutralizing antibody formation to interferon-alpha 2b in human recipients.

Patients receiving large amounts of interferon (IFN), particularly cloned IFN-alpha, have been reported to develop antibodies to IFN-alpha. We used a neutralization technique bioassay to monitor 175 patients undergoing recombinant (r) IFN-alpha 2b therapy in an attempt to correlate antibody production to disease progression. Only 1 patient being treated for chronic myelogenic leukemia produced antibodies. Our findings indicate that rIFN-alpha 2b has minimal antigenicity, even when administered for prolonged periods of time.

[Acid-labile alpha interferon produced by peripheral blood mononuclear cells stimulated by cells infected by HIV]. / Produzione di ifn alfa acido-labile da PBMC stimolati con cellule infette da HIV.

Acquired immunodeficiency syndrome (AIDS) is caused by infection with T-cell tropic retrovirus HIV. The disease is characterized by a profound defect in cell-mediated immunity and a number of serologic abnormalities. Among the serologic abnormalities, the presence of an unusual acid-labile interferon (IFN) has been repeatedly found, and it is considered to be a marker of infection HIV evolving toward illness. Because little is known about the relationships existing between the etiologic agent of AIDS (i.e. HIV) and acid-labile IFN alpha, we approached this problem by testing whether acid-labile IFN alpha is induced in vitro by this virus. In this paper we compared the IFN-inducing activity of free, infectious HIV to that of HIV-infected cells. A number of other enveloped viruses and virus-infected cells were used as controls. Interferon inducing activity by virions as compared to virus-infected cells was determined by incubating human PBMC either with VSV, HSV, and HIV or with cells infected with the same viruses. In this case cells were fixed with glutaraldehyde to prevent virus shedding. While VSV and HSV induced production of acid-stable IFN both as free virions and as virus-infected cells, HIV induced acid-stable IFN when applied as a viral suspension, but it did produce acid-labile IFN when virus-infected cells were used as the inducer. In fact the IFN produced under these circumstances lost more than 80% of its activity when treated to pH2, no matter whether H9/HIV or HIV infected PBMC were used as the inducer. Because acid-lability is a peculiar property of IFN gamma, whereas both native and cloned IFN alpha are completely stable under acid conditions, we compared the IFNs induced by either HIV and HIV-infected cells to standard IFN alpha and gamma preparations with respect to (i) acid stability (ii) neutralization with specific antisera (iii) apparent molecular weight estimated by gel filtration. Results indicate that HIV-induced IFN behaves exactly as standard IFN alpha, as it was completely stable at pH2, totally inactivated by anti-IFN alpha and not by anti-IFN gamma serum, and had apparent molecular weight of 20,000; conversely IFN induced by HIV-infected cells, both H9/HIV and PBMC/HIV, although sharing with IFN alpha both molecular weight and antigenic properties, was inactivated by acid treatment by more than 80%.(ABSTRACT TRUNCATED AT 400 WORDS)

Mechanism of human interferon-gamma production: involvement of beta-2-microglobulin.

The ability of several monoclonal antibodies (MoAbs) against beta-2-microglobulin (beta 2m) to inhibit interferon-gamma (IFN) production was assayed in peripheral blood mononuclear cells (PBMC). All of them strongly reduce IFN-gamma induction by galactose oxidase (GO), a well-characterized enzyme capable of activating T lymphocytes through mediation of macrophages. In contrast, many MoAbs directed against HLA class I (heavy chain) and class II antigens do not inhibit IFN induction by GO. On the other hand, anti-beta 2m MoAbs do not effectively reduce IFN-gamma induction by A23187, a calcium ionophore that acts on T cells in the absence of accessory cells. Competition experiments demonstrate that (i) the inhibition of anti-beta 2m antibodies was specific for beta 2m protein, and (ii) beta 2m is not itself the site of action of GO. Moreover, it is demonstrated that the addition of beta 2m to oxidated PBMC strongly enhances subsequent IFN-gamma production. Oxidation of galactose residues on glycoproteins of macrophage membrane is an obligate step for IFN-gamma induction whatever the inducer, thus our results suggest that beta 2m is involved in the mechanism of induction of IFN-gamma.

A macrophage-derived factor different from interleukin 1 and able to induce interferon-gamma and lymphoproliferation in resting T lymphocytes.

A novel monokine different from interleukin 1 (IL-1) is secreted from human or murine macrophages stimulated with galactose oxidase, a well-characterized enzyme able to induce marked polyclonal activation of lymphocytes. This monokine, preliminarly termed macrophage-derived blastogenic factor (MBF), stimulates resting T lymphocytes to produce interferon (IFN)-gamma and to proliferate. The apparent MW of MBF ranges between 29,000 and 35,000, although some active fractions show smaller MW ranging from 2000 to 7000, as demonstrated by gel filtration. The biological relationship between MBF and IL-1 was examined and it was found that MBF (1) is able to induce IFN-gamma production and proliferation by T lymphocytes in the absence of other inducers, (2) is not able to activate PHA-stimulated C3H mouse thymocytes, (3) is not able to induce production of IFN-beta by fibroblast cultures, (4) is resistant to proteolytic enzymes, and (5) is not neutralized by antibodies to IL-1. MBF was released in the macrophage supernatants in two waves after the oxidation process, namely, after 15 min and 2.5 hr, and each wave was capable of inducing lymphocyte activation at dilutions up to 1:32. Because the oxidation of galactose residues on cell surface structures is considered a general feature of lymphocyte activation whatever the inducer, it seems that MBF may be a mediator involved in mitogenic activation of T cells leading to IFN-gamma production and proliferation.

Early steps in interferon-gamma production: possible involvement of Ca2+-calmodulin-dependent enzymes.

A23187 in combination with phorbol myristate acetate (PMA) strongly induces production of interferon-gamma (IFN-gamma) by human peripheral blood mononuclear cells (PBMC) and even by murine PBMC, which respond poorly to A23187 alone. Macrophage depletion of PBMC strongly reduces IFN-gamma production induced by several mitogens, but does not affect IFN-gamma production induced by A23187 and PMA. In addition the same stimuli are able in combination to induce strong amounts of IFN-gamma, even in the Jurkat T cell line. The protein kinase C inhibitor 1-(5-isoquinolinylsulfonyl)-2-methyl-piperazine (H-7) and the calmodulin antagonist N-(6-aminoehexyl)-5-chloro-1-naphthalenesulfonamide (W-7) were examined for their ability to inhibit IFN-gamma production induced by PMA and A23187. At concentrations near the Ki for protein kinase C, H-7 failed to inhibit PMA- and A23187-induced IFN-gamma production. In contrast, W-7 at low concentrations inhibited IFN-gamma production induced by the same stimuli. In addition OAG, which is known to directly activate protein kinase C, failed to act synergistically with A23187 in the induction of IFN-gamma. On the basis of these results we propose that A23187 and PMA may mimic the early steps of lymphocyte activation, without the requirement of macrophage, bypassing antigen-, or lectin-induced signal. Our results suggest that Ca2+-calmodulin-dependent reactions other than protein kinase C activation may be essential for IFN-gamma production, at least at level of the producing cells.