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[CANCER RESEARCH 34, 3089—3094,November 1974] The Role of a Cytophilic Factor from Challenged Immune Peritoneal Lymphocytes in Specific Macrophage 1 Elisabeth Pels and Willem Den Otter Department ofPathology, State University, Pasteurstraat 2, Utrecht, The Netherlands SUMMARY A specific-macrophage-arming factor is released into a growth medium (Fischer's medium plus 10% heatinactivated fetal bovine serum) when sensitized peritoneal lymphocytes from C57BL mice immunized with the DBA/2 SL2 lymphoma are cultured in vitro with these lymphoma cells. This factor renders a monolayer of normal peritoneal C57BL macrophages specifically cytotoxic to the lymphoma cells. Trypsin treatment of macrophages coated with this specific-macrophage-arming factor terminates cytotoxic activity. The factor also binds to lymphoma cells and is present in the peritoneal cavity of immunized mice. The demonstration of the presence of this cytophiic factor in the peritoneal cavity provides more insight into the mechanism of the inhibition of tumor growth by immune macrophages. INTRODUCTION There are many reports that show that peritoneal macrophages from mice immunized i.p. against a tumor are specifically cytotoxic to the target cells (6, 7, I 1—14,18, 21). However, how these macrophages acquire cytotoxicity to the target cells is far from being clear. The release of SMAF's2 from immune spleen lymphocytes incubated with specific target cells have been reported (1 , 8, 9). SMAF renders macrophages specifically cytotoxic. In this paper we will show that SMAF is also released from immune peritoneal lymphocytes that are incubated with specific target cells and that this factor binds to peritoneal macrophages, rendering them cytotoxic. The relationship between armed and immune macrophages will be discussed. MATERIALS AND METHODS Animals and Immunization Pure-bred C57BL and DBA/2 mice, 8 to 10 weeks old, were used. The DBA/2 lymphoma, SL2, which arose spontaneously as an ascitic tumor, and the C57BL lymphoma, TLX9, which arose as a thymoma following X-irradiation, were maintained by weekly i.p. passage. Both lymphomas were obtained from Dr. P. Alexander, Sutton, England. A single dose of i0@ SL2 cells was injected i.p. into allogeneic C57BL mice. Unless stated otherwise, peritoneal exudate cells from the immunized mice were harvested from C57BL mice 21 days after immunization. Cell Cultures Lymphocyte Cultures. Peritoneal exudate cells were harvested from the cavity and seeded into 3.0-cm culture dishes (Nunclon) in Fischer's medium supplemented with 10% heat-inactivated fetal bovine serum (growth medium). Macrophages were allowed to adhere for 20 mm at 37°. Lymphocytes and nonadhering macrophages were removed by gentle washing with a Pasteur pipet and seeded again into a culture dish for 20 min at 37°.After 3 seedings and washings, the nonadhering cells were spun down, resuspended in growth medium, and counted in an improved Neubauer hemocytometer. These lymphocytes had less than 2% macrophage contamination. Macrophage Cultures. Pentoneal exudate cells containing 2 x 106 macrophages wereseededinto culturedishesas described by Evans and Alexander (7). Macrophages were allowed to adhere for 30 mm. Cultures were washed thoroughly with jets of medium from a Pasteur pipet before use in experiments to remove lymphocytes and other cell types. The adhering cells were spread out forming confluent monolayers as observed by a phase-contrast microscope. Lymphoma Cell Cultures. The SL2 or TLX9 cells were harvested from the peritoneal cavity of mice 7 to 10 days after transplantation, washed 3 times in Fischer's medium, and finally suspended at a concentration of 1.5 X l0@ cells/ml of growth medium. Both types grow in suspension with a doubling time of 13 to 16 hr during the 1st days of cultivation. Cytotoxicity 1 This study was financed by grants from the Stichting Koningin Wilhelmina Fonds of the National Cancer League and by the Utrecht University. This paper has appeared in preliminary form (20). 2The abbreviation used is: SMAF, specific macrophage-arming factor. Received March 26, 1974; accepted NOVEMBER July 16, 1974. Cytotoxicity was assessed by comparing growth of lym phoma cells in cultures of normal, armed, and immune macrophages, which were challenged with 2 X l0@ SL2 cells in 3 ml growth medium. The cells were counted in a hemocytom 1974 3089 Downloaded from cancerres.aacrjournals.org on June 14, 2017. © 1974 American Association for Cancer Research. E. Pels and W. Den Otter eter. Cytotoxicity expressed as was assessed 24 hr after challenge and %GI= (N - T) XJOO N where % GI is the percentage of growth inhibition, N is the number of lymphoma Table1 Demonstration of the production of the macrophage-arming factor by challenged immune lymphocytes cells in controls, and Tis the number SL2cells/cultureGrowth No. of inhibition24 hr afterat 24 hrCulturesachallenge(%)Normal5.4x in test system. Twenty % growth inhibition is generally regarded as the level of significance, since repeated cell counts on the same cell population varied up to 10% (8). The results were expressed as the mean values of at least 3 experiments performed in duplicate. l0@0Normal supernatantfrom:Normal exposed to 10'0Unchallenged lymphocytesb5.4 x immune4.5 2dlymphocytes―Challenged x i0@17 ± normal5.1 2lymphocytesChallenged x l0@5 ± X 10°58 ± immune2.2 6lymphocytesNomacrophages5.Ox Demonstration of the Factor 10°0 Two X 106 immune lymphocytes were challenged with 2 X l0@ SL2 cells in 3 ml ofgrowth medium and incubated at 37° a Monolayers of 2 x 106 normal peritoneal macrophages (C57BL) for 24 hr. The cell-free supernatant was added to normal challenged with 2 x l0@ DBA/2 SL2 lymphoma cells in 3 ml of growth macrophage monolayers for 24 hr. After several washes the medium. b Two x 106 peritoneal C57BL lymphocytes. macrophage cultures were incubated with 2 X i0@ SL2 cells in C Peritoneal C57BL lymphocytes harvested 21 days after i.p. 3 ml of growth medium for 24 hr at 37°.Cell cultures were immunization with 10@ SL2 cells. always incubated in an atmosphere of 5% CO2 in air. d Mean ±S.E. Cytotoxicity was assessed 24 hr after challenge of cultures. in 3 ml of growth medium at 37°for various time intervals. The cell-free supernatants were collected and added undiluted Complement to normal macrophage monolayers for 24 hr. Table 2 shows that the factor is produced within 1 hr. Guinea pig complement was obtained from Rijks Instituut Titer of the Factor. Serial dilutions of the factor containing voor de Volksgezondheid, Utrecht, The Netherlands. It was supernatant were prepared, and the different dilutions were absorbed with SL2 cells as well as with C57BL liver cells ( 1/ 1, added to monolayers of normal macrophages for 24 hr. The v/v) for 30 mm at 4°, centrifuged, and stored at —20°. cultures were washed and challenged with 2 X I 0@SL2 cells in Complement was used to detect whether SMAF is a 3 ml of growth medium. Growth inhibition was assessed 24 hr complement-dependent cytotoxic antibody. The activity of after challenge of the cultures. The factor-containing super complement was shown by lysis of sheep RBC exposed to natant was collected 6, 24, and 48 hr after challenge of the specific rabbit anti-sheep RBC antibody in the presence of this immune lymphocytes and the arming capacity of serial complement. The antibody also was obtained from Rijks dilutions of these supernatants was tested. There was no Instituut Voor de Volksgezondheid. difference between supernatant collected after 6 and 24 hr. The 48-hr supernatant, however, had lost most of its arming Trypsin capacity (Table 3). Trypsin, twice crystallized (Sigma Chemical Co., St. Louis, Mo.), was dissolved in Fischer's medium and used as described Specificity of the Armed Macrophage. Table 1 shows the normal growth of SL2 cells in growth medium only and when placed on normal macrophage monolayers, compared with the decrease in numbers when placed on monolayers exposed to the supernatant from challenged immune lymphocytes (armed macrophages). No growth inhibition was obtained when normal macrophage monolayers were exposed to supernatant from unchallenged normal lymphocytes, unchallenged immune lymphocytes, challenged normal lymphocytes. Kinetics of the Production of the Factor. tosupernatants Macrophage cultures exposed from immune lymphocyteGrowth atculturesa challenged with24 hr2 for(%)15mm48@8blhr65±43hr77±66hr70±424hr66±6Normal x l0@ SL2 cells a0supernatant control (not exposed inhibition to and Two X 106 immunelymphocyteswere incubatedwith 2 X l0@SL2 cells 3090 was tested Table 2 Kinetics of the production in the text. RESULTS Specificity a Two X 106 immune C57BL lymphocytes. b Mean±S.E. CANCER RESEARCH VOL. 34 Downloaded from cancerres.aacrjournals.org on June 14, 2017. © 1974 American Association for Cancer Research. A Cytophiic Table 3 Titer of the factor in cultures ofchallenged immune lymphocytes inhibitionAt Macrophage cultures exposed hrcollected to supernatantaGrowth afterDilution(%)— 24 6hr1 1/5 50±2 1/25 54±3 224hr1 1/125 1/62570@2b 35 ±8 33 ± 248hr1/5 1/5 1/25 1/125 1/62566±6 55±4 40±3 35±4 34 ± 30±2 21 ±8 9±2Normal 1/25 1/125 1/62514±5 control0 a Supernatant from 2 X 10' immune C57BL lymphocytes chal lenged with 2 X 10@DBA/2 SL2 cells. 0 Mean ± S.E. by exposing armed macrophages to either SL2 cells or the CS7BL lymphoma TLX9. Inhibition of SL2 cell growth was found in the armed cultures, while TLX9 grew normally. Nonimmune C57BL cultures supported growth of SL2 (Table 4). Coating by the Factor. To show that the arming factor coats macrophages as well as lymphoma cells, either normal macrophage cultures (2 X 106 macrophages) or lymphoma cells (2 X 106) were incubated with 2 ml of the undiluted factor containing supernatant for 15 min, 1 hr, and 4 hr at 37°.After washing of the cells the armed macrophages were incubated with 2 X i0@ 5L2 cells, while 2 X iO@ of the supernatant-treated lymphoma cells were added to 2 X 106 normal macrophage cultures. Growth was inhibited to the same extent in both experiments, but no growth inhibition was obtained when macrophages as well as lymphoma cells were exposed to the factor for 4 hr (Table 5). If we are dealing with a cytophilic factor on the alloimmune Table 4 Specificity of the factor Macrophage culturesChallenge lymphomaGrowth inhibition at 24 hr (%)NormalSL2 0Armed― ±(versus C57BL macrophagesSL266 SL2)TLX919 TLX90 ±3 a Normal C57BL macrophages exposed for 24 hr to the factor containing supernatant; the factor arose in C57BL mice immunized with DBA/2 SL2 lymphoma cells. b Mean ±S.E. NOVEMBER Factor from Immune Peritoneal Lymphocytes macrophage cell membrane, trypsin should be able to suppress the cytotoxic activity. Thus, monolayers of macrophages exposed to the factor for 24 hr were washed and incubated with 0.1% tiypsin in Fischer's medium for I hr. The monolayers were washed and challenged with 2 X 10@cells in 3 ml of growth medium. The armed macrophages had apparently lost cytotoxicity after incubation with trypsin. These macrophages could, however, be rearmed by incubation with the factor for 1 hr at 37 (Table 6). Complement. To test whether the factor was a complement dependent antibody, complement was added to SL2 cells suspended in the factor containing supernatant and to SL2 cells coated by the factor. The results indicated that the factor was not a complement-dependent cytotoxic antibody. Cytotoxicity of Peritoneal Macrophages and the Arming Potential of the Factor. At various times following im munizationwe tested cytotoxicity of peritonealmacrophages as well as the arming factor-producing capacity of immune peritoneal lymphocytes. Chart I shows the decreasing cy totoxicity of the macrophages from 21 to 173 days following immunization.The supernatantwas collectedfromchallenged immune and from challengednormal lymphocyte cultures. Normal macrophages were incubated with the cell-free supernatants for 24 hr and cytotoxicity of these armed macrophages was tested. The production of the factor, as measured by the arming capacity, decreases before the cytotoxicity of the peritoneal macrophages. The Factor in the Peritoneal Cavity. The factor is produced in a challenged but not in an unchallenged immune lympho cyte culture, as is already mentioned. As shown in other experiments, SL2 cells are rejected from the peritoneal cavity about I 0 days after immunization (6); therefore, the arming factor can be expected in the peritoneal cavity of immunized mice at the time of collection of the peritoneal cells. Five ml of medium were injected into the peritoneal cavity of immune C57BL mice and the cavity was syringed out after gentle massaging of the abdomen. The fluid withdrawn from the cavity was spun down, and the supernatant was designated as “1 00% peritoneal exudate.― This 100% peritoneal exudate and serial dilutions were added to monolayers of normal peritoneal macrophages for 24 hr. The monolayers were washed and challenged with 2 X 10@ SL2 cells in 3 ml of growth medium. The factor was present in the peritoneal exudate and the dilution end point was 1/25 (Table 7). The Number of Lymphoma Cells Coated by the Factor. To investigate the number of lymphoma cells that can be coated, ios , 106 i0@, and 108 SL2 cells were suspended in 1 ml of the undiluted arming factor containing supernatant at 4°for 4 hr. These SL2 cells were washed 3 times and added to normal macrophage monolayers at a concentration of 2 X 10@ SL2 cells in 3 ml of growth medium. Coating of the cells is incomplete or borderline at concentrations of iO' and 108 SL2 cells/ml, respectively (Table 8). Following the coating of lymphoma cells with the factor containing medium , the supernatant of this medium was tested for its macrophage-arming capacity. Table 9 shows that only undiluted supernatant from medium in which S X l0@ SL2 cells/ml were coated retained a part of the growth-inhibiting capacity. 1974 Downloaded from cancerres.aacrjournals.org on June 14, 2017. © 1974 American Association for Cancer Research. 3091 E. Pels and W. Den Otter Table S The factor coats macrophages as well as lymphoma cells inhibition at 24 hr lymphomaGrowth Macrophage culturesChallenge (%)NormalSL20NormalSL2 exposed to the factor for 15mm lhr 4hr32±Sa 53±4Normal 40±8 for15mmSL218±3lhrSL240±84hrSL257±3Normal exposed to the factor the04hrfor4hrNomacrophagesSL20No exposed to the factor forSL2 macrophagesSL2 exposed to exposed to the factor for 4 hr0 a Mean ± S.E. Table 6 Reversible loss ofgrowth inhibition of coated @nacrophagesby trypsina treatment inhibition at 24 hr (%)Normal Macrophage culturesGrowth 58 ± 15 ±8 Normal armed with the factorb Normal armed with the factor and trypsinized Normal armed macrophages, trypsinized and rearmed'@ with the factor0 @ a 1% trypsin in Fischer's medium 59 ±2 for 1 hr. b Exposed to the factor for 24 hr. C Mean ±S.E. d Incubated with the factor for 1 hr. DISCUSSION SMAF is producible in the growth medium when immune peritoneal lymphocytes are incubated with the specific target cells, inasmuch as normal macrophages are armed by this supernatant and this reaction is specific. The factor is cytophiic in that it binds not only to the specific target cells but also to peritoneal macrophages, and the activity of armed macrophages is terminated by trypsin treatment. The factor coats target and lymphoma cells within 4 hr and disappears from the supernatant by the end of 4 hr incubation with iO@ lymphoma cells/ml at 4°.These findings show that SMAF is easily absorbed from the medium. Armed macrophages did not show cytotoxicity when SMAF-coated lymphoma cells were added to them. This absence of cytotoxicity can be explained by the lack of available receptor sites for SMAF on the armed macrophages since these sites were already occupied. Added complement is 3092 not required for cytotoxicity. This still leaves open the possibility that macrophages or other cells may make complement components that play a role in killing. As SMAF is present in the peritoneal cavity of immunized mice, one might speculate that one of the functions of immune peritoneal lymphocytes is the production of SMAF. This factor behaves like a cytophilic antibody, coating normal peritoneal macrophages and rendering them specifically cy totoxic. This is of interest, since the immune macrophage membrane also possesses a cytophilic factor that recognizes the specific antigen (6). The difference between immune macrophages and armed macrophages in this allogenic C57BL/SL2 system is that immune macrophages cause lysis of target cells within 9 hr [cytolytic macrophages (6)] , while macrophages armed by SMAF only inhibit growth of the target cells (cytostatic macrophages). This difference between immune and armed macrophages might be characteristic for the allogeneic system , as Evans and Alexander (8) were unable to distinguish in their syngeneic system between the cytotoxic action of macrophages (a) derived from the peritoneal cavity of immunized mice and (b) rendered cytotoxic by a factor released into the medium by mixed cultures of immune spleen cells and antigenic cells. One could attribute the specific cytotoxic action of immune and of armed macrophages to coating with the same specific cytophilic factor, but there is no direct evidence to support this hypothesis. The study of the transformation of an armed macrophage into an immune macrophage will be possible in an allogeneic system since both macrophages can be distinguished in such a system. Repeated exposure of armed macrophages and sensitized lymphocytes to the specific target cell might cause this transformation. Whether SMAF from challenged immune peritoneal lymphocytes is the same as the SMAF's released from immune spleen lymphoid cells (8, 9) remains to be determined. The assumption that a product of challenged sensitized lymphoid cells can stimulate macrophages to transform into CANCER RESEARCH VOL. 34 Downloaded from cancerres.aacrjournals.org on June 14, 2017. © 1974 American Association for Cancer Research. A Cytophilic Factor from Immune Peritoneal Lymphocytes 150—. Ui 0 I- Chart 1. In the peritonealcavity of immunizedmice ..@ @ 100j the capacity of lymphocytes to produce SMAF disappears earlier than the immunity of macrophages meas @ used as percentage @ @ were measured in vitro. •,percentage of growth inhibition of immune macrophages; o, percentage ot of growth inhibition (GI); both growth inhibition of normal macrophages; ., recipro cal of titer of supernatants from challenged immune lymphocyte cultures; 0, reciprocal of titer of superna tantsfromchallenge normallymphocyte cultures. )0 DAYS AFTER Table 9 The disappearance of the factor during coating of the lymphoma cells Table 7 The factor in the peritoneal cavity A. SL2 cells/ml inhibition at 24 hr Macrophage cultures exposed― to serial dilutions of the 100% (%)1 exudatebGrowth (undiluted exudate)68 3―1/552±91/2529± 7―10° ± (no exudate)0 5x io@1 hr mice. The cell-free fluid at 24 hr (%) after challenge of from the cavity is called 1/25 0 1/1250 7 ± 1/5 0 1/25 1/125 i 0 2±2 40±5 20±5 1/5 1/25 at 37°. b Five ml medium were injected into the peritoneal cavity of immune to supernatant from A in dilution ofGrowth ± 41 24 inhibition Macrophage exposed supernatant― during B1061/5 incubation@'B. 121/12512±51/62510 a For IMMUNIZATION “100% exudate.― 0 1/125 2±2 Normal control18±8 0 c Mean ±S.E. The number ofSL2 Table 8 cells per ml that can be coated with the factor a Supernatant from 2 X 106 immune peritoneal lymphocytes (CS7BL) lymphocytes immunized against DBA/2 lymphoma cells) challenged with 2 x 10' SL2 cells for 24 hr. b At 4°for 4 hr. Macrophage cultures challenged .vith 2 x 10°ofSL2 (%)Coated cells/mi supernatant during inhibition at 24 hr incubation―Growth ±Uncoated SL210820 SL21080Coated 3UncoatedSL210@33 SL210@0Coated ± SL2l0@59 3UncoatedSL21060Coated ± SL2l0@56 7Uncoated SL210@0 ± a At 4° for b Mean 4 hr. ± S.E. NOVEMBER the highly activated cell found in infected animals was first raised by Mackaness (16). Asherson and Zembala (3) concluded from their experiments that peritoneal lymphocytes interacting with antigen convey a factor to macrophages that enables macrophages to transfer dermal delayed reactions in a mouse. Lohmann-Mattheset a!. (14) suggestedthat macro phages are sensitized by an antibody-like factor of lymphocyte origin, which strongly adheres to their surface and enables them to exert specific cytotoxicity following addition of the antigen. Many other substances are released into the culture medium from challenged sensitized lymphocytes that cause inhibition of migration (2, 5), activation as measured by increased spreading ( 19), blastogenesis of nonsensitized 1974 Downloaded from cancerres.aacrjournals.org on June 14, 2017. © 1974 American Association for Cancer Research. 3093 E. Pels and W. Den Otter lymphocytes (17), and the aggregation of macrophages (15). The relationship of SMAF to these substances is unknown. The migration inhibitory factor is reported to be a nonimmunoglobulin (2). On the other hand, macrophages bear a receptor for IgG that attaches through its Fc portion, leaving active sites free to interact with antigen (4, 10). Antibodies cytophilic for macrophages have been identified as 7S 72 -globulins capable of binding complement and lysing cells. However, our results seem to exclude the possibility SMAF is a complement-dependent cytophilic antibody causing lysis of the cells. Evans et a!. (9) described SMAF from T-cells consisting of 2 major components, the one being> 300,000 daltons, the other 50 to 60,000 daltons. These findings suggest that SMAF might consist of 2 components, an im munoglobulin and a component that is too small to be an intact immunoglobulin. Transplantation, 14: 220—226, 1972. 7. Evans, R., and Alexander, P. Cooperation of Immune Lymphoid Cells with Macrophages in Tumour Immunity. Nature, 228: 620—622, 1970. 8. Evans, R., and Alexander, P. Rendering Macrophages Specifically Cytotoxic by a Factor from Immune Lymphoid Cells. Transplantation, 12: 227 — 229, 1971. 9. Evans, R., Grant, C. K., Cox, H., Steele, K., and Alexander, P. Thymus-derived Lymphocytes Produce an Immunologically Specific Macrophage-arming Factor. J. Exptl. Med., 136: 1318—1322, 1972. 10. Gelfand, E., Abramson, N., Merler, E., and Rosen, F. The Monocyte Receptor: Inhibition of Receptivity by Low Molecular Weight Peptides of the Fe Fragment. Clin. Res., 19: 44 1, 1971. 11. Granger, G. A., and Weiser, R. S. Homograft Target Cells: Specific Destruction in vitro by Contact Interaction with Immune Macrophages.Science, 145: 1427— 1429, 1961. 12. Granger, G.@A., and Weiser, R. S. Homograft Target Cells: Contact Destruction in Vivo by Immune Macrophages. Science, 151: 97—99,1966. ACKNOWLEDGMENTS We thank support Professor 13. Hoy, W. E@,and Nelson, D. S. Studies on Cytophilic Antibodies v. G. J . V. Swaen and Professor G. Bras for and advise and Dr. R. Evans and Professor P. Alexander for their stimulating discussions. Alloantibodies Cytophilic for Mouse Macrophages. Australian J. Exptl. Biol. Med. Sci., 47: 525—539, 1969. 14. Lohmann-Matthes, M. L., Schipper, H., and Fischer, H. Macro phage-mediated Cytotoxicity against Allogeneic Target Cells in Vitro. European J. Immunol., 2: 45—49,1972. 15. Lolekha, S., Dray, S., and Gotsoff, S. P. MacrophageAggregation invitro: aCorrelate ofDelayed Hypersensitivity. J.Immunol., REFERENCES 104: 269—304,1970. 1. Alexander, P., Evans, R., and Grant, C. K. The Interplay of Lymphoid Cells and Macrophages in Tumor Immunity. Ann. Inst. Pasteur, 122: 645—658, 1972. 2. Amos, H. E., and Lachmann, P. J. The immunological Specificity of a Macrophage Inhibition Factor. Immunology, 18: 269—278, 1970. 3. Asherson, 16. Mackaness, G. B. Cellular Immunity. In: R. van Furth (ed.), Mononuclear Phagocytes, M. J. Contact Sensitivity in the England: 18. Mclvor, K. 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Nature, Macrophages in Tumour Allograft Immunity. of Macrophage Monolayers by Supernatants of Antigen-stimulated Lymphocytes. J. Immunol., 105: 1 138—1 145, 1970. 20. Pels, E., and Den Otter, W. A Cytophilic Factor from Challenged Immune Peritoneal Lymphocytes Renders Macrophages Specifi cally Cytotoxic. J. Intern. Res. Commun., 1: 28, 1973. 21. Pincus, W. B. Cell-freeCytotoxic Fluids from Tuberculin Treated Guinea Pigs. Res. J. Reticuloendothelial Soc., 4: 140—150, 1967. CANCER RESEARCH VOL. 34 Downloaded from cancerres.aacrjournals.org on June 14, 2017. © 1974 American Association for Cancer Research. The Role of a Cytophilic Factor from Challenged Immune Peritoneal Lymphocytes in Specific Macrophage Cytotoxicity Elisabeth Pels and Willem Den Otter Cancer Res 1974;34:3089-3094. 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