Immune system evaluation

Chapter 26. Dean, J. H., et al. Immune system evaluation of injury. 

During the out-of-season periods, reproductive hormone secretion and gonadal activity are at a complete halt. Although the basic reproductive and developmental physiology appear similar to human in the rhesus monkey and many endpoint parameters are established, the distinct reproductive seasonality requires special timing and has practical implications for widespread use of this model for DART studies. With regard to immune system evaluation it can be assumed that most of the available tests for cynomolgus monkey will also be applicable to rhesus monkeys. 

Adjuvants are substances which can modify the immune response of an antigen (139,140). With better understanding of the functions of different arms of the immune system, it is possible to explore the effects of an adjuvant, such that the protective efficacy of a vaccine can be improved. At present, aluminum salt is the only adjuvant approved for use in human vaccines. New adjuvants such as QS-21, 3D-MPL, MF-59, and other liposome preparations are being evaluated. Several of these adjuvants have been in clinical trial, but none have been approved for human use. IL-12 has been proposed as an adjuvant which can specifically promote T-helper 1 ceU response, and can be a very promising adjuvant for future vaccine development. 

If symptoms do not improve, the patient should be evaluated for persistent infection. There are many reasons for poor patient outcome with intraabdominal infection improper antimicrobial selection is only one. The patient maybe immunocompromised, which decreases the likelihood of successful outcome with any regimen. It is impossible for antimicrobials to compensate for a nonfunctioning immune system. There may be surgical reasons for poor patient outcome. Failure to identify all intraabdominal foci of infection or leaks from a GI anastomosis may cause continued intraabdominal infection. Even when intraabdominal infection is controlled, accompanying organ system failure, most often renal or respiratory, may lead to patient demise. 

Hicks DJ, Johnson L, Mitchell SM, et al. Evaluation of zinc salt based fixatives for preserving antigenic determinants for immunohistochemical demonstration of murine immune system cell markers. Biotech. Histochem. 2006 81 23-30. 

Haley, P. et al., STP Immunotoxicology Working Group. STP position paper best practice guideline for the routine pathology evaluation of the immune system, Toxicol. Pathol., 33, 404, 2005... 

Although a large number of human studies have evaluated immune system endpoints in occupationally and environmentally exposed cohorts, immune function, and infectious... 

With the exception of whole-animal host resistance assays, the actual testing approach can be described as ex vivo-in vitro in that exposure of the immune system to potential immunotoxicants takes place in vivo, with subsequent immunological evaluation taking place in vitro. Although this approach obviates many uncertainties (effect of xenobiotics on primary or secondary lymphoid tissue, potential requirements for metabolism/bio-transformation, etc.), the use of whole animals presents many secondary issues, such... 

Relatively few reports have examined the benefits or perils of herb combinations. Because the activity of a particular herb in a mixture might differ from its activity as a single component, it would be prudent to test the effects of prescribed formulas. The potential for herbal formulae to affect the immune system are increasingly being found in the use of Kampo (Japanese herbal) medicinals as described in an excellent review by Borchers and colleagues. [94], For example, Shosaiko-to is a seven-herb mixture that has been shown to protect patients from viral hepatitis via modulation of several cytokines such as IFN-a/p, G-CSF, and TNF-a. Animal studies have been conducted to evaluate the immunomodulatory effects of the various herbs in Shosaiko-to. Interestingly, four of its individual constituents induced several-fold higher levels of TNF-a when... 

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