We have developed a new technique that allows us to quantify antigen-specif
ic T cells, and to determine their functional phenotype and origin from nai
ve versus memory populations. Using this methodology, we have characterized
a total of 286 T-cell lines specific for myelin basic protein (MBP) and in
fluenza hemagglutinin from 16 multiple sclerosis (MS) patients and nine hea
lthy donors. Our data support the notion that MBP-specific T cells undergo
in vivo activation in MS patients and indicate a presence of immune dysregu
lation that renders MS patients prone to develop autoimmunity. Our methodol
ogy offers a way to study antigen-specific T-cell characteristics as a surr
ogate marker in immunotherapy trials. (C) 1999 Elsevier Science B.V. All ri
ghts reserved.