The utility of IL-2 secreting helper T lymphocyte precursors (HTLp) fr
equency testing has been evaluated for detecting alloreactivity. The f
requency of HTLp was approached by limiting dilution assay. High HTLp
frequency was detected in 20 out of 30 HLA matched unrelated pairs (67
%). The comparison of HTLp and CTLp (cytotoxic T lymphocyte precursors
) frequencies in. HLA matched unrelated pairs showed that the two exam
inations are not fully alternative in detecting alloreactivity. This c
ould suggest the utility of combined testing of both HTLp and CTLp fre
quencies for alloreactivity assessment. In contrast, five positive HTL
p values were only found among 28 HLA genotypic identical siblings (18
%). Previous CTLp limiting dilution studies showed very low or undetec
table CTLp frequency results in that group. For that, HTLp assay remai
ns to be the only cellular in vitro technique detecting alloreactivity
in these combinations.