Mycobacterium avium subsp. paratuberculosis infection of cattle results in
a chronic granulomatous enteritis. Clinical disease (i.e., cachexia, diarrh
ea, and high fecal bacterial counts) is preceded by a lengthy subclinical s
tage of disease. The immunologic mechanisms associated with the progression
of infected cattle from subclinical to clinical disease are unclear. In th
is study, a cell proliferation assay was used in combination with flow cyto
metry to compare peripheral blood lymphocyte responses of cattle,vith subcl
inical paratuberculosis to responses of cattle with clinical paratuberculos
is. B cells from cattle with subclinical disease proliferated vigorously up
on stimulation with M. avium subsp. paratuberculosis antigen, with up to 12
.4% of the total B cells responding. However, B cells from cattle with clin
ical disease did not proliferate upon antigen stimulation despite good prol
iferation in response to concanavalin A stimulation. In addition, these ani
mals had high percentages of peripheral blood B cells. B cells from noninfe
cted animals did not proliferate upon M. avium subsp. paratuberculosis anti
gen stimulation. Thus, it appears that B-cell proliferation is a sensitive
indicator of subclinical Johne's disease. Furthermore, the immunologic mech
anisms responsible for the antigen-specific unresponsiveness of peripheral
blood B cells may be significant in the eventual progression from subclinic
al to clinical Johne's disease in cattle.