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Have we underestimated the importance of the thymus in man?

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Recent immunological research has concentrated on the complex and subtle interactions between T cells, B cells and accessory cells. In these studies, little attention has been given to the adult thymus gland. Modern textbooks of disease and anatomy all stress that the gland undergoes fatty involution with age in man but omit reference to the statements here and there in the literature that the gland is active and produces lymphocytes throughout life. To suggest that the bone marrow, which also builds up fat throughout life, is atrophic and not important to adult man would deny all modern hematological concepts. Yet few people today take a parallel view of the thymus except perhaps those investigating aging and thymic hormones. In both of these areas of research it is obvious that the thymus must be active throughout life for continued good health. This brief review urges that a thorough understanding of the vital importance of the thymus in adult life is now needed. From it could emerge a new philosophy on the treatment of immune diseases in both the young (SCID and AIDS patients) and in the aged (autoimmune conditions and cancers) and it would aid our treatment of patients recovering from illnesses and from many drug treatments.

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References

  1. Alexander, J. W., and Good, R. A., Fundamentals of clinical immunology, Saunders, Philadelphia 1977.

    Google Scholar 

  2. Alexopoulos, C., and Babitis, P., Age dependance of T lymphocytes. Lancet1 (1976) 426.

    Article  CAS  PubMed  Google Scholar 

  3. Andreasen, E., Studies on the thymolymphatic system. Quantitative investigations on the thymolymphatic system in normal rats at different ages, under normal conditions and during inanition and restitution after starvation. Acta path. microbiol. scand. suppl.49 (1943) 1–171.

    Google Scholar 

  4. Aschkenasy, A., Role played by thymus atrophy in disorders of immunological reactions to sheep red blood cells and rosette cells in protein-deficient rats. Ann. Immun., Paris124 (1973) 345–362.

    CAS  Google Scholar 

  5. Bach, J. F., Dardenne, M., and Davies, A. J. S., Early effect of adult thymectomy. Nature New Biol.231 (1971) 110–111.

    Article  CAS  PubMed  Google Scholar 

  6. Bloodworth, J. M. B., Endocrine pathology. Williams & Wilkins, Baltimore and London 1982.

    Google Scholar 

  7. Boyd, E., The weight of the thymus gland in health and disease. Am. J. Dis. Child.43 (1932) 1162–1214.

    Google Scholar 

  8. Bratton, A. B., The normal weight of the human thymus. J. Path. Bact.28 (1925) 609–620.

    Article  Google Scholar 

  9. Bryant, B. J., Renewal and fate in the mammalian thymus: mechanisms and inferences of thymocytokinetics. Eur. J. Immun.2 (1972) 38–48.

    Article  CAS  Google Scholar 

  10. Burnett, F. M., New horizons in the role of zinc in cellular proliferation, in: Clinical applications of recent advances in zinc metabolism, pp. 181–192. Eds A. S. Prasad, I. E. Dreosti and B. S. Hetzel. Alan R. Liss, New York 1982.

    Google Scholar 

  11. Cantor, H., and Weissman, I., Development and function of subpopulations of thymocytes and T lymphocytes. Prog. Allergy20 (1976) 1–64.

    CAS  PubMed  Google Scholar 

  12. Chatamra, K., Daniel, P. M., Kendall, M. D., and Lam, D. K. C., A preliminary report on the histological changes in the thymus found in rats rendered diabetic with streptozotocin. J. Anat.137 (1983) 413.

    Google Scholar 

  13. Cowan, W. K., and Sorenson, G. D., Electron microscopic observations of acute thymic involution produced by hydrocortisone. Lab. Invest.13 (1964) 353–370.

    CAS  PubMed  Google Scholar 

  14. Cronkite, E. P., Effects of extracorporeal irradiation of blood and lymph upon the lymphoreticular system, in: La circulation lymphocytaire chez l'homme, p. 26, Société Française d'Hématologie, Paris 1968.

    Google Scholar 

  15. Dardenne, M., and Bach, J-F., Thymic hormones, in: The Thymus, pp. 113–131. Ed. M. D. Kendall. Academic Press, London 1981.

    Google Scholar 

  16. Dougherty, T. F., The effect of hormones on lymphatic tissue. Phys. Rev.32 (1952) 379–401.

    CAS  Google Scholar 

  17. Edwards, A. J., Summer, M. R., Rowland, G. F., and Hurd, C. M., Changes in lymphoreticular tissues during growth of a murine adenocarcinoma. I. Histology and weight of lymph nodes, spleen and thymus. J. natl Cancer Inst.47 (1971) 301–311.

    CAS  PubMed  Google Scholar 

  18. El Hassan, A. M., and Stuart, A. E., Changes in lymphoreticular tissue of mice bearing the Landschütz tumour. Br. J. Cancer19 (1965) 343–352.

    Article  PubMed Central  Google Scholar 

  19. Fabrikant, J. I., and Foster, B. R., Cell population kinetics in lymphocytes in mouse and rat thymus. Johns Hopkins med. J.130 (1972) 208–215.

    CAS  PubMed  Google Scholar 

  20. Foege, W. H., Famine, infections and epidemics, in: Famine — a symposium dealing with malnutrition and relief operations in times of disaster. Eds G. Blix, Y. Hofvander and B. Vahlqvist. Symp. Swedish Nutrit. Foundation9 (1971) 64–73.

  21. Gad, P., and Clark, S. L. Jr, Involution and regeneration of the thymus in mice, induced by bacterial endotoxin and studied by quantitative histology and electron microscopy. Am. J. Anat.122 (1968) 573–606.

    Article  CAS  PubMed  Google Scholar 

  22. Goldstein, G., Abbot, A., and MacKay, I. R., An electron microscope study of the human thymus: normal appearances and findings in myasthenia gravis and systemic lupus erythematosus. J. Path. Bact.95 (1968) 211–215.

    Article  CAS  PubMed  Google Scholar 

  23. Goldstein, G., and MacKay, I. R. The human thymus. Heinemann Medical, London 1969.

    Book  Google Scholar 

  24. Good, R. A., and Gabrielson, A. E., The thymus in immunobiology. Structure, function and role in disease. Hoeber Medical Division, Harper & Row, New York and London 1964.

    Google Scholar 

  25. Hammar, J. A., Zur Histogenese und Involution der Thymusdrüse. Anat. Anz.27 (1905) 23–30 and 41–89.

    Google Scholar 

  26. Hammar, J. A., Über Gewicht, Involution und Persistenz der Thymus in Postfoetalleben des Menschen. Arch. Anat. Phys. Anat., Leipzig (1906) 91–92.

  27. Hammar, J. A., The new views as to the morphology of the thymus gland and their bearing on the problem of the function of the thymus. Endocrinology5 (1921) 545–573 and 731–760.

    Article  Google Scholar 

  28. Harris, P. F., Changes in thymus and lymph node activity, and alterations in bone marrow lymphocyte levels during recovery of the guinea-pig from whole body gamma irradiation. Br. J. exp. Path.34 (1958) 557–573.

    Google Scholar 

  29. Höhn, E. O., Seasonal cyclical changes in the thymus of the mallard. J. exp. Biol.24 (1947) 184–191.

    Article  PubMed  Google Scholar 

  30. Huldt, G., Gard, S. and Olovson, S. G., Effect ofToxoplasma gondii on the thymus. Nature244 (1973) 301–303.

    Article  CAS  PubMed  Google Scholar 

  31. Hünig, T., T-cell function and specificity in athymic mice, in T-lymphocytes today, p. 42–45. Ed. J. R. Inglis, Elsevier/North Holland, Amsterdam 1983.

    Google Scholar 

  32. Inamura, M., Matsuyama, T., Toh, K., and Okuyama, T., Electron microscopic study on acute thymic involution induced by polyoma virus infection. J. natl Cancer Inst.47 (1971) 289–300.

    Google Scholar 

  33. Ito, T., and Hoshino, T., Histological changes of the mouse thymus during involution and regeneration following administration of hydrocortisone. Z. Zellforsch.56 (1962) 445–464.

    Article  Google Scholar 

  34. Jackson, C. M., The effects of inanition and malnutrition upon growth and structure. Blakiston, Philadelphia 1925.

    Google Scholar 

  35. Jordan, R. K., and Robinson, J. H., T lymphocyte differentiation, in: The Thymus, pp. 151–177. Ed. M. D. Kendall. Academic Press, London 1981.

    Google Scholar 

  36. Kendall, M. D., The cells of the thymus, in: The Thymus, pp. 63–83. Ed. M. D. Kendall, Academic Press, London 1981.

    Google Scholar 

  37. Kendall, M. D., and Blackett, N. M., Ultrastructural studies on the thymus gland after the administration of phenylhydrazine to bank voles (Clethrionomys glareolus). Cell Tissue Res.232 (1983) 201–219.

    Article  CAS  PubMed  Google Scholar 

  38. Kendall, M. D., Johnson, H. R. M., and Singh, J., The weight of the human thymus gland at necropsy. J. Anat.131 (1980) 485–499.

    Google Scholar 

  39. Kendall, M. D., and Ward, P., Erythopoiesis in an avian thymus. Nature249 (1974) 366–367.

    Article  CAS  PubMed  Google Scholar 

  40. Keynes, G., The physiology of the thymus gland. Br. med. J.1 (1954) 659–663.

    Article  Google Scholar 

  41. Koller, L. D., Immunosuppression produced by lead, cadmium and mercury. Am. J. vet. Res.34 (1973) 1457–1458.

    CAS  PubMed  Google Scholar 

  42. Kotani, M., Seiki, K., Yamashita, A., and Horii, I., Lymphatic drainage of thymocytes to the circulation in the guinea pig. Blood27 (1966) 511–520.

    Article  CAS  PubMed  Google Scholar 

  43. Labreque, P. G., Souadjian, J. V., and Titus, J. L., Quantitative morphological study of the human thymus in a series of autopsies. Union Med. Can.101 (1972) 695–697.

    Google Scholar 

  44. Le Douarin, N. M., and Jotereau, F. V., The ontogeny of the thymus; in: The Thymus, pp. 37–62. Ed. M. D. Kendall. Academic Press, London 1981.

    Google Scholar 

  45. Linna, T. J., Cell migration from the thymus to other lymphoid organs in hamsters of different ages. Blood31 (1968) 727–746.

    Article  CAS  PubMed  Google Scholar 

  46. Loor, F., and Kindred, B., Differentiation of T-cell precursors in nude mice demonstrated by immunofluorescence of T-cell membrane markers. J. exp. Med.138 (1973) 1044–1055.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  47. Lundin, M., and Schelin, U., The effect of steroids on the histology and ultrastructure of lymphoid tissue. Path. eur.1 (1966) 15–28.

    CAS  Google Scholar 

  48. MacKay, I. R., Histopathology of the human thymus, in: The thymus: experimental and clinical studies. A CIBA Foundation Volume. Eds G. E. N. Woolstenholme and R. J. A. Porter. Churchill, London 1966.

    Google Scholar 

  49. Manning, M. J., A comparative view of the thymus in vertebrates, in: The Thymus, pp. 7–20. Ed. M. D. Kendal. Academic Press, London 1981.

    Google Scholar 

  50. Marine, D., Mandey, O. T., and Baumann, E. J., The influence of thyroidectomy, gonadectomy, supra renalectomy and splenectomy on the thymus gland of rabbits. J. exp. Med.40 (1924) 429–441.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  51. Matsuyama, M., Wiadrowski, M. N., and Metcalfe, D., Autoradiographic analysis of lymphopoiesis and lymphocyte migration in mice bearing multiple thymus grafts. J. exp. Med.123 (1966) 559–576.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  52. McAnulty, P. A., and Dickerson, J. W., The cellular response of the weanling rat thymus gland to undernutrition and rehabilitation. Ped. Res.7 (9) (1973) 778–785.

    Article  CAS  Google Scholar 

  53. McFarlane, H. and Hamid, J., Cell-mediated immune response in malnutrition. Clin. exp. Immun.13 (1973) 153–164.

    CAS  PubMed  PubMed Central  Google Scholar 

  54. McLean, J. M., Mosley, J. G., and Gibbs, A. C. C., Changes in the thymus, spleen and lymph nodes during pregnancy and lactation in the rat. J. Anat.118 (1974) 223–229.

    CAS  PubMed  PubMed Central  Google Scholar 

  55. McPhee, D., Pye, J., and Shortman, K., The differentiation of T-lymphocytes. V: Evidence for intrathymic death of most thymocytes. Thymus1 (1979) 151–162.

    CAS  PubMed  Google Scholar 

  56. Metcalf, D., Delayed effect of thymectomy in adult life on immunological competence. Nature208 (1965) 1356.

    Article  Google Scholar 

  57. Metcalf, D., and Wiadrowski, M., Autoradiographic analysis of lymphocyte proliferation in the thymus and thymic lymphoma tissue. Cancer Res.26 (1966) 483.

    CAS  PubMed  Google Scholar 

  58. Michalke, W. D., Hess, M. W., Reidwyl, H., Stoner, R. D., and Cottier, H., Thymic lymphopoiesis and cell loss in new born mice. Blood33 (1969) 541–554.

    Article  CAS  PubMed  Google Scholar 

  59. Miller, J. F. A. P., The thymus: experimental and clinical studies. Eds G. E. W. Woolstenholme and R. Porter. Ciba Foundation Symposium. Churchill, London 1966.

    Google Scholar 

  60. Moynahan, E. J., Acrodermatitis enteropathica and the immunological role of zinc, in: Immunodermatology, pp. 437–447. Ed. B. Safai and R. A. Good Plenum Press, New York 1981.

    Chapter  Google Scholar 

  61. Mugerwa, J. W., The lymphoreticular system in kwashiorkor. J. Path.105 (1971) 105–109.

    Article  CAS  PubMed  Google Scholar 

  62. Nelson, J. H. Jr, Hall, J. E., Manuel-Limson, G., Freiberg, H., and O'Brien, Fr. J., Effect of pregnancy on the thymolymphatic system. Am. J. Obstet. Gynec.98 (1967) 895–899.

    Article  PubMed  Google Scholar 

  63. Oksanen, A., Thymus in acute starvation and re-feeding, an experimental histoquantitative and statistical study in mice. Ann. Acad. Sci. Penn. (Biol.)181 (1971) 1–37.

    CAS  Google Scholar 

  64. Poste, M. E., and Olson, I. A., An investigation of the sites of mitotic activity in the guinea pig thymus using autoradiographic and colchemid-induced mitotic arrest. Immunology24 (1973) 691–697.

    CAS  PubMed  PubMed Central  Google Scholar 

  65. Pyke, K. W., and Gelfand, E. W., Morphological and functional malnutrition of human thymic epithelium in culture. Nature251 (1974) 421–423.

    Article  CAS  PubMed  Google Scholar 

  66. Sainte-Marie, G., and Peng, F. S., Emigration of thymocytes from the thymus — a review and study of the problem. Revue can. Biol.30 (1971) 51–78.

    CAS  Google Scholar 

  67. Santisteran, G. A., Riley, V., and Fitzmaurice, M. A., Thymolytic and adrenal cortical responses to the LDH-elevating virus. Proc. Soc. exp. Biol. Med.139 (1972) 202–206.

    Article  CAS  PubMed  Google Scholar 

  68. Scollay, R., Intrathymic events in the differentiation of T-lymphocytes: a continuing saga, in: T lymphocytes today, pp. 52–56. Ed. J. R. Inglis. Elsevier Science Publishers. Amsterdam 1983.

    Google Scholar 

  69. Scollay, R., Butcher, E., and Weissman, I. L., Thymus cell migration. Quantitative aspects of cellular traffic from the thymus to the periphery in mice. Eur. J. Immun.10 (1982) 210–218.

    Article  Google Scholar 

  70. Sharp, J. G., and Watkins, E. B., Cellular and immunological consequences of thymus irradiation, in: Immunopharmacological effects of radiotherapy. Ed. J. B. Dubois. Raven Press. New York 1980.

    Google Scholar 

  71. Simpson, J. G., Gray, E. S., and Beck, J. S., Age in ivolution in the normal human adult thymus. Clin. exp. Immun.19 (1975) 261–265.

    CAS  PubMed  PubMed Central  Google Scholar 

  72. Singh, J., Studies on the human thymus with particular reference to age changes. PhD Thesis, University of London 1980.

  73. Sloan, H. E., Jr, The thymus in myasthenia gravis. With observations on the normal anatomy and histology of the thymus. Surgery13 (1943) 154–174.

    Google Scholar 

  74. Smythe, P. M., Schonland, M., Brereton-Stiles, G. G., Coovadia, H. M., Grace, H. J., Loenig, W. E. K., Mafoyane, A., Parent, M. A., and Vos, G. H., Thymolymphatic deficiency and depression of cellmediated immunity in protein calorie malnutrition. Lancet2 (1971) 939–944.

    Article  CAS  PubMed  Google Scholar 

  75. Stutman, O., Intrathymic and extrathymic T cell maturation. Immun. Rev.42 (1978) 138–184.

    Article  CAS  PubMed  Google Scholar 

  76. Taylor, R. B., Decay of immunological responsiveness after thymectomy in adult life. Nature208 (1965) 1334–1335.

    Article  CAS  PubMed  Google Scholar 

  77. Thompson, E. A., The effects of estradiol upon the thymus of the sexually immature female mouse. J. Steroid Biochem.14 (1981) 167–174.

    Article  CAS  PubMed  Google Scholar 

  78. Tosi, P., Kraft, R., Luzi, P., Cintorino, M., Fankhauser, G., Hess, M. W., and Cottier, H., Involution patterns of the human thymus. I. Size of the cortical area as a function of age. Clin. exp. Immun.47 (1982) 497–504.

    CAS  PubMed  PubMed Central  Google Scholar 

  79. Trainin, N., Pecht, M., and Handzel, Z-T., Thymic hormones: inducers and regulators of the T cell system. Immun. Today4 (1983) 16–21.

    Article  CAS  PubMed  Google Scholar 

  80. von Gaudecker, B., Ultrastructure of the age-involuted adult human thymus. Cell Tissue Res.186 (1978) 507–525.

    Article  Google Scholar 

  81. Walford, R. L., Immunology and aging. Am. J. clin. Path.74 (1980) 247–253.

    Article  CAS  PubMed  Google Scholar 

  82. Ward, P., and Kendall, M. D., Morphological changes in the thymus of young and adult red-billed queleas (Quelea quelea) (Aves). Phil. Trans. R. Soc. B273 (1975) 55–64.

    CAS  PubMed  Google Scholar 

  83. Watts, Th., Thymus wieghts in malnourished children. J. trop. Pediat.15 (1969) 155–158.

    Article  CAS  Google Scholar 

  84. Webb, M., Metabolic targets of metal toxicity, in: Clinical chemistry and chemical toxicology of metals, pp. 51–64. Ed. S. S. Brown. Elsevier/North Holland Biomedical Press, Amsterdam 1977.

    Google Scholar 

  85. Weissman, I. L., Thymus cell migration. J. exp. Med.126 (1967) 291–304.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  86. Young, M., and Turnbull, H., An analysis of the data collected by the Status Lymphaticus Investigation Committee. J. Path. Bact.34 (1931) 213–258.

    Article  Google Scholar 

  87. Zaitoun, A. M., Lauder, I., and Aherne, W. A., Cell population kinetic profile of the mouse thymus, and the changes induced by prednisolone. Cell Tissue Kinet.12 (1979) 191–201.

    CAS  PubMed  Google Scholar 

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Kendall, M.D. Have we underestimated the importance of the thymus in man?. Experientia 40, 1181–1185 (1984). https://doi.org/10.1007/BF01946644

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