with 1% glutamine, 15% fetal calf serum, penicillin
(100 units/ml), and streptomycin (0.1 mg/ml).
Five-ml cultures were seeded with 106 leukocytes/ml, PHA M Difco (0.32 mg/ml culture)

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Serum Immunoglobulins.

Immunodiffusion

procedures for the determination of immunoglobulins IgA, IgD, IgG, IgM, and kappa and
lambdalight chains were carried out by Dr. John
L. Fahey and Dr. Roy Woods of the National
Cagcer Institute Immunoglobulin Center (Springfield Qirginia). The technique used for quantify-

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Figure 34. Age-related change in lymphocyte transforma-

tion in peripheral blood cultures showing the mean per-

ing the serum immunoblobulins in antibody-agar
plates has been previously described.*9
Peripheral Blood Elements.

The enumeration

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cent transformation for each decade with standard
deviation.

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of peripheral blood elements was part of the
routine medical examination of the Marshallese
(see below, under Hematological Fndings). Leukocyte counts*4 were carried out electronically
(Coulter A counter). Platelet counts*> were done
by phase microscopy. Differential counts of leukocytes (200 cells) were performed on Wrightstained
smears. Hematocrits were determined by the microcapillary method‘ and sedimentationrates by
' the method of Wintrobe.47
Statistical Analysis of Data. An analysis of
variance was used to determinedifferences among §
groupsfor age, sex, and radiation exposure. These —
data were programmed andanalyzed on a high
speed digital computor. Since sex differences were
not apparent, the results for males and females
were combined and each,criterion was analyzed

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capes:peer

37°C. At exactly 72 hr the cells were harvested,
and the number of transformed lymphocytes
(blastlike cells) was determined asfollows. The
cells were prepared for counting by the method
of Stewart and Ingram.*! A 1-mlaliquot of each
culture was treated with a proteolytic enzyme
(pronase) to remove cellular debris and a cytoplasmicstripping agent(cetrimid)to release intact
nuclei. The nuclei were counted and sized with
a Coulter electronic counter (Model A). Previous
experiments?? had shownthat the transformed
cells had nuclei larger than 47 cubic microns. The
percent transformation was obtained by comparing the numberoflarger cellswith the total number of cells present. With the above culture technique, the leukocytes removed from the buffy coat
are predominantly lymphocytes, but with varying
fractions of other leukocytes, principally neutrophils. Although the total numberof cells was constant at the beginningof culture for each individual, the number of lymphocytes varied because of
slight differences in differential counts. However, by
72 hr, when thefinal counts were done, practically
all neutrophils had disappeared from the cultures
so that the percentage transformation of lymphocytes was notsignificantly affected by this variable.
Serum Proteins. Serum was collected from
non-heparinized aliquots of blood from eachindividual. Total serum proteins (g/100 ml) were
determined with a refractometer (American
Optical-TS). Separation of serum proteins into
albumen and alpha-1, alpha-2, beta, and gamma
globulin fractions was done by microelectrophoresis with strips of cellulose acetate (Phoroslides)
and a Millipore cell (Millipore Corp.). Barbitol
buffer ( pH 8.6, ionic strength 0.075) was used with
a run separation of 17 min at 100 volts. The protein bands werestained with Ponceau-S dye and
then quantified by using a Beckman/Spinco Analytrol with a microzone scanning attachment.

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was added, and the cultures were incubated at

PERCENT TRANSFORMATION

= ee ae
——

32

for age correlation (r value). Thelevel of signifi-

cance(pf) of differences between the exposed and
unexposed groups(radiation effects) was determined; f values <0.05 are referred to as “‘signifi-

cant” in interpreting these findings.
Results

The results are summarized in Table 16, and
the values of the various criteria are plotted as 4

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