37

cantly in older people. Alpha and beta globulin
levels tended to show someincrease though the
correlation with age wasnot significant. Albumin
levels tended to decrease slightly in older people.
Pronounced differences in serum protein levels
were noted in theexposed population. The albumen levels were significantly higher and the globulin levels significantly lower than in the unexposed group. Alpha 1, alpha 2, and gammaglobulins showed the most pronounced depression in the
exposed group (Table 16). Serum proteins, particularly gamma globulins, showed greatest defi-

lesions, and intestinal parasites. Thereforeit is not

surprising that they have elevated gammaglobulin

levels. The A/G ratio is reduced or reversed in
most of the people. The serum protein levels are
generally elevated, which mayin part be related
to dehydration associated with a tropical environment where dependencefor water is on rainfall
which is scant at certain seasons. The specific
gravity of the urine is frequently high, and reduced red cell and blood volume have been found.
In spite of these factors the present studies should
provide valid comparisons of the exposed and un-

Theresults of the immunodiffusion studies are

exposed Marshallese populations, since both groups
are generally exposed to the same environmental

the increase in serum gammaglobulin levels, the

acteristics show them to be a relative homogenous

cits in the older exposed age groups.

shown in Table 16 and in Figure 37. Parallel to

immunoglobulins showedincreasing values in the

older age groups of the unexposed people. The in-

crease in IgG moiety was most pronounced and

showedsignificant correlation with age (r =0.78).
The increase in the other immunoglobulins did
not show a high correlation with age. The increase
in the K light chains was highly correlated with

age (7 =0.96). Higher K/L ratios were noted in

the older people though there wasnosignificant
correlation with age (r=0.41). In the exposed population all the immunoglobulins were depressed

below levels of the unexposed group, the most
pronounced depression being in the IgG and IgA

moieties and in the L light chains.
Discussion

Thoughthe role of immune mechanismsin the
aging process has never been clearly defined, it is
generally agreed that such mechanismsare impaired in senescence. Ram*® pointed out that
“... itis well established that the capacity for immune responses increases during neonatal and
juvenile life to a maximum in the young adult
animal, it remains constantfor a time and then

gradually decreases as the animal ages.” The results of the present studies in the Marshallese

people seem generally to supportthis thesis.
In connection with the results of these studies,

it should be pointed out that the Marshallese
people understudyare notstrictly comparable
with a population in the United States because
of certain environmental andracial differences.

As is generally true throughout Micronesia, even

thoughliving standards have been improving, the
people are subject to frequent infections such as
gastroenteritis, upper respiratory infections, skin

factors, and studies of genetically inherited char-

population.
These studies are believed to test the immunological status of the individuals to some degree.
althoughinterpretation of some of the results is
not readily apparent. Theresults of the various
tests for the unexposed population are discussed
below in termsof correlation with aging. Thedifferences in the results for the exposed population
are then discussed with regard to radiation-induced
effects.
In the unexposed comparison population itis
obvious from the various graphsthat, even in the
tests showing changes moreclosely correlated with

aging, the changes are maximum bythe middle

years (usually in the 40 to 50 age group) withlittle or

no increase, or in somecases even slight reduction.
after middle age. Thereasonfor this is not apparent.

The response of lymphocytes to PHA stimula-

tion in peripheral blood cultures wastested because of the active role of the lymphocyte in
maintaining immunological integrity. PHA is gen-

erally believed to evoke a nonspecific blastogenic

response in such cultures, since many more lymphocytes are transformed andproliferate with this
agent than with specific antigens (such as tuberculin, tetanus, thyroid, pertussis, etc.). It is controversial whether or not PHAinthis situation induces antibody formation. The exact mechanism
of action of the mitogen is unknown. Conard and
Demoise,*? using autoradiographic and subcellular fractionation techniques, showed thata tritiated PHAwaslocalized largely in the cytoplasm

of transformed lymphocytes, with the greatest
concentration in the mitochondrial fraction, which
suggested that such organelles may be involved in

initiation of lymphocyte transformation.

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