Comparison of leukocyte response of ACTH and bacterial pyrogen

Comparison of agents producing a neutrophilic leukocytosis in man. Hydrocortisone, prednisone, endotoxin, and etiocholanolone

To study the potential application of glucocorticosteroid administration for the measurement of the bone marrow neutrophil reserve response, blood neutrophil count changes were measured in normal subjects after the administration of intravenous hydrocortisone (25, 50, 100, 200, and 400 mg) and oral prednisone (5, 10, 20, 40, and 80 mg). The upper three doses of both steroids increased the blood neutrophil count by approximately 4,000 cells/mm3. The neutrophilia occurring after hydrocortisone (200 mg) and/or prednisone (40 mg) was compared with that observed after endotoxin (0.8 ng/kg) and etiocholanolone (0.1 mg/kg) in 14 normal subjects, 7 patients with Wegener's granulomatosis on cyclophosphamide therapy and 10 patients with chronic idiopathic neutropenia. The normal responses (mean increase of blood neutrophils/mm3 above base line +/- 1 SEM) were: hydrocortisone 4,220 +/- 320, prednisone 4,610 +/- 360, endotoxin 6,060 +/- 880, and etiocholanolone 3,780 +/- 440. In the patient studies, etiocholanolone gave the smallest mean responses, but, in general, the results were similar for all agents. These data indicate that these glucocorticosteroids can be used as equivalent agents to endotoxin and etiocholanolone for measuring the neutrophil reserve response.

The leucocyte response in the rabbit to pyrogen from Proteus vulgaris. I. Mononuclear and temperature responses

Rabbit leucocyte response to a freeze-dried pyrogen from Proteus vulgaris was investigated and differential counts were carried out. The relative percentage of small lymphocytes fell, the maximum fall occurring about three hours after injection. The fall was expressed as a percentage of the initial level. At the high dose level injected, the small lymphocyte percentage fall had a coefficient of variation of 20 per cent, and the temperature rise a coefficient of 39 per cent. At the two lower dose levels the responses were of equal variability. The small lymphocyte response remained quantitative over the three doses studied but the temperature response failed to distinguish between the middle and high doses chosen.