Interrelationships between immediate, intermediate, and delayed cutaneous reactions and their in vitro correlates

The mutual correlations between immediate, intermediate, and delayed cutaneous reactions, IgE, IgG, or combined IgG, A, and M antibody levels, and antigen- or mitogen-induced lymphocyte transformation were evaluated in a mixed group of allergic or non-allergic individuals. As might be expected, immediate and delayed reactions correlated significantly with IgE antibody levels and lymphocyte transformation, respectively. Intermediate time-course reactions did not correlate with IgG or IgG, A, and M antibody levels, but did so with immediate reactions, thus suggesting their "late phase" nature. Of particular interest was the finding of correlations that do not conform to the classical concept of the mechanisms involved in the generation of the different cutaneous reactions. Significant correlations were found between immediate or intermediate reactions and antigen-induced lymphocyte transformation, and between immediate and delayed reactions. These results are discussed in relation to recent suggestions that factors released from sensitized T cells can mediate early time-course reactions, and that such reactions may contribute to the manifestation of delayed-type hypersensitivity.