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Cell Membranes and Disease Genes, Viruses, Hormones and the Immune Response—An Introduction L E O N D M O C H O W S K I , M.B, C H . B . , M.D., P H . D . , AND J A M E S M. B O W E N , P H . D . The University of Texas System Cancer Center, M.D. Anderson Hospital and Tumor Institute, Texas Medical Center, Houston, Texas 77025 of cell membranes are intimately connected with cell replication and cell organization. Both replication and organization are outstanding features of living systems and both are determined by the cell membranes. 6 They play an essential part in the life, health and disease of cells and in turn of the host that harbors the cells. They are the very basis of coordination of structure and function of the cells and in turn of their host. Cell membranes have different functions in different parts of the cells depending on their location—that is, surface or interior of the cells. Interest in structure, function and replication of cells has led to studies of the problems associated with cell organization in health and disease in its multifaceted aspects, including neoplasia. The cell membrane, now known as the "plasma membrane," existed in the old approach to a study of cells as a barrier between the interior of the cell and its surroundings. T h e cell membrane was considered a barrier controlling exchange of material between the cytoplasm of a cell and its surroundings. The knowledge that cellular substructures and the great variety of activities S T R U C T U R E AND F U N C T I O N Received October 29, 1974; accepted for publication December 9, 1974. Supported in part by Grants CA-05831 and RR05511 from the National Cancer Institute, NIH, USPHS. Key words: Cell membranes and disease; Genes; Viruses; Hormones; Immune response. Reprints of this entire Research Symposium are available from the ASCP Meeting Services Department, 2100 West Harrison Street, Chicago, Illinois 60612, for $3.00 per copy. and interactions they undergo are enclosed in a membrane has existed since the middle of the last century. During many of the intervening years, however, this limiting cellular membrane was viewed as a kind of semipermeable bag that contained cellular activities with only little participation in them. Within the past two decades, morphologic studies have revealed that not only the entire cell but also many subcellular organelles are enclosed by and/or associated with structurally and functionally highly complex membrane structures with many common and some quite distinctive features. The initial studies led to the compilation of morphologic and chemical data to produce a model of the cell membrane as a semipermeable and osmotically sensitive, but rather rigid and static, structure composed of lipid, protein, and carbohydrate in a matrix or laminar arrangement. During the past few years, however, rapidly developing knowledge in a number of different disciplines has brought the cell membrane as a functional organelle into sharp focus and has made necessary an extensive reappraisal of earlier models of membrane structure and organization. These new findings have necessitated a formulation of a cell membrane model compatible with dynamic behavior and active participation in multiple intra- and intercellular functions. Thus, the complex dynamics of cell contact-induced inhibition of cell growth, division, and movement, intercellular communication, regulatory actions of hormones and small molecular 619 620 DMOCHOWSKI AND BOWEN mediators, and the great variety of antigenic specificities of intact cells must be taken into consideration in any view of cell membrane structure. Electron microscopy, with its refinements of cell fixation, embedding, and thin sectioning of cells, provided information not only revealing but most important in its implications pertaining to cell structure and function in health and disease of the host. Electron microscopy demonstrated the internal structure of cell boundaries, that is, plasma membranes and the structures of membranes of submicroscopic elements of cells such as mitochondria, endoplasmic reticulum, and the Golgi zone. Electron microscopy has also demonstrated that all these submicroscopic structures are associated with membranes, all of which form an integrated system with each other and with the plasma membrane of cells of both animals and humans. New approaches and new technics have led to the acquisition of new knowledge of the structure of cell membranes and of the organization and interaction of their components. Application of many technics, some old but improved and some entirely new, has led to our present understanding of the structure of cell membranes, of their interaction, of the part played by them in immune response to various factors, including viruses, and of their behavior, both structural and functional, in abnormal growth processes, including neoplasia. Many technics, such as x-ray diffraction, spectroscopy, electron microscopy, immunoelectron microscopy, biological methods including the widest possible range comprising tissue culture, physiology, biochemistry and many others, have led to our present understanding of the structure and function of cell membranes. While this knowledge is far from complete, it has led to our better understanding of the behavior and interaction of cells forming the basis of the beginning of our A.J.C.P.—Vol. 63 knowledge of the reaction of the host as directed by genetic, hormonal, and various external environmental factors to various disease processes, including neoplasia. Cell membranes are known to be composed of structural protein with attached lipids, associated enzymes, and a polysaccharide coat.22 Changes in properties of any of the membranes due to any of the multiplicity of factors may lead to a change of the properties and function of other membranes and result in many abnormalities of the host. Alteration in the metabolism of any one of the components of cell membranes, for example lipids, may be due to heredity or genes, hormones or viruses. Abnormalities in cell membranes due to hereditary defects in lipid metabolism, indicated in abnormalities of renal function, are known to be associated with a number of clinical states such as Franconi syndrome, cystic fibrosis of the pancreas, renal glycosuria, and others. 22 Membrane abnormalities in which enzymes of lipid metabolism are involved include such disorders as Gaucher's disease, Nieman-Pick disease, and Tay-Sachs disease. Conditions proved to be related to changes in membrane components are due to hereditary defects in lipid metabolism.22 Phospholipids and glycolipids are components of at least some cell membranes that have different lipid class compositions. This may indicate the complexity of the bases of various disease syndromes. Lipids are one of the constituents of cell membranes present in high concentration, but their roles in some specific but not yet specified functions remain to be investigated. 17 The results of x-ray diffraction studies have indicated that there exists a large variety of structures of the lipid-water systems. Structures involving lipids are known to be very labile. Therefore, only with special care being May 1975 INTRODUCTION: CELL MEMBRANES AND DISEASE taken, electron microscopy has been able to reveal some phases of their structure, in spite of their widespread occurrence. There appears to exist at least some correlation between structure and function of biological membranes, as revealed by x-ray diffraction studies of lipid-water systems. 17 However, even the x-ray diffraction technic is limited in its application to study of the complex structure and function of cell membranes. There is no doubt that in order to solve at least some of the present-day problems of cell membranes, the use of a number of physical, chemical and biochemical technics is needed, as well as an interdisciplinary approach. Such an approach is needed because of the lack of knowledge of what indeed a cell membrane is, the incomplete knowledge of the various components of cell membranes, and last, but not least, the realization of the existence of dynamic rather than static conditions of the structure of cell membranes. 8 Progress has been made, however, in our knowledge of cell membranes, through the applications of physics and physical chemistry and the use of physical technics (spectroscopy, optical rotary dispersion, x-rays). T h e interaction of drugs, vitamins, hormones, viruses can be studied by using physical methods already described and by the use of various biological technics. Many of the activities of cells occur within and through membranes, resulting in cellular organization being a function of cell membranes. 8 Interest in the structure and function of membranes is even greater today than ever before. It appears, however, that we are only at the beginning of our understanding of cell membranes, their structure, function, and interrelationship, which are of basic importance in the life of cells and their relationship within a host. Recent years have seen an impressive growth of interest in cellular membranes shared by physiologists, physicists, bio- 621 chemists, biologists, chemists, and physicians. 7 There are ever-increasing signs of attempts to bridge the gap between the physical and biomedical aspects of studies of cellular membranes which have already led to better understanding of the dynamics of cell membranes, their behavior under hormonal influence, their activity in viral infections, and their participation in the development of membranes of virus particles. T h e roles of plasma membrane in immunologic reactions of the host and in transformation to malignant processes are other aspects not only of interest but of far-reaching importance in an understanding of the reaction of the host to an injury, to an infection, and to the neoplastic process. Viruses have only recently been recognized as important tools in cell membrane research. 16 T h e internal component of many viruses, composed of nucleic acid and protein, is surrounded by an envelope which resembles cellular membranes and in the electron microscope appears as the so-called "unit membrane." T h e envelope of viruses resembles cellular membranes, is comprised morphologically of a unit membrane structure and chemically of proteins, lipids, and carbohydrates. This envelope contains virus-specific proteins, and the nature of host antigens in the viral envelope has not yet been resolved. 16 Envelope polypeptides of at least some viruses are encoded in the viral genome. Although viruses may use the cell plasma membrane during their formation, no host protein appears to be incorporated in the virus particles or virions. However, in some other viruses such as the oncogenic viruses, herpes and poxviruses, their complex polypeptide composition does not allow, at present, any conclusion regarding whether the host proteins are an integral part of the virus particles or are contaminants. Glycoproteins are constituents of the membrane of the so-called "enveloped viruses" and thus have a similarity to cell membranes. 622 DMOCHOWSKI AND BOWEN During the past few years, studies have been carried out on the arrangement of proteins, lipids, and carbohydrates in viral envelopes or membranes. Physical and chemical technics and electron microscopy have greatly contributed to our knowledge of the structure of viral envelopes, composed of surface projections, a central layer with the trilaminar appearance of a unit membrane and an additional inner leaflet not present in all viruses. 16 The differences of interaction of concanavalin A and of phytoagglutinin depending on the presence or absence of spikes in the envelope of virions have provided evidence of the presence of glycoproteins in the spikes and the presence of the glycolipids in a separate lipid layer.16 A considerable amount of study has been carried out on the viral envelope structure and the biogenesis of viral envelopes. 16 T h e results indicate that viral envelopes and cellular membranes have many common features in morphologic appearance and chemical composition. The envelope of at least some viruses consists of a central lipid bilayer with the inner surface composed of a protein layer and an outer layer covered by glycoprotein spikes. T h e viral envelope, with its simple protein pattern, is of great help in studies of the assembly of the envelope and the interactions of proteins and lipids. Thus, it represents an additional basis for study of membrane structure, biogenesis, and reaction of cells to internal and external factors that may lead to diseases of various types, including neoplasia. 16 Many hormonal effects can be ascribed to changes in cellular function induced by the hormone. 2 During the past few years, considerable progress has been achieved in our understanding of the molecular basis of cellular responses to some hormones. Demonstration by E. W. Sutherland and T. W. Roll26 that the adenylate cyclase system in mammalian liver cells functions as the effector system A.J.C.P.—Vol. 63 for glucogen and epinephrine has been of far-reaching importance. Both hormones stimulate the activity of adenylate cyclase, and increased intracellular concentration of cyclic 3',5'-adenosine monophosphate (cyclic AMP), a product of this enzyme, leads to most of the known actions of these hormones in the liver.20 A second major insight into the molecular basis of cellular responses resulted from the demonstration that the plasma membrane of the target cells contains both the recognition system and effector system for the peptide hormones. 2 As a result, however, of rapid progress in the study of hormonal action from the cellular to the subcellular and even the molecular level, alterations in cellular function produced by polypeptide hormones have been studied in terms of a three-component system.2 T h e system is composed of the receptor, which recognizes the hormone; the effector, which in turn mediates alterations in cellular function; and the transducer, which couples the receptor to the effector. These three components are referred to as the initiator system for peptide hormone activity.2 They are the plasma membrane constituents involved from the initial contact of the cell with a peptide hormone through activation of the processes that mediate the effects of the hormone. Thus the primary site of peptide hormone action is the plasma membrane of the target cell. Isolation, structural characterization of these components, and understanding of their interaction will be of great importance to all interested in biological membranes, their functions, and the relationship of these functions to membrane structure. The part played by plasma membrane in the process of malignancy, invasiveness, and metastasis was recognized long ago. 30 There is a great deal of evidence that neoplasia comprises changes in which the plasma membrane has been critically altered. According to the hypothesis of May 1975 INTRODUCTION: CELL MEMBRANES AND DISEASE Wallach, 30 oncogenic agents alter the cooperative properties of cellular membranes, modifying numerous membrane functions, and lead to pleomorphic changes present in neoplasia. The presence of an abnormal structural component in plasma membrane may lead to morphologic changes, appearance of new antigenicity, change in permeability, and alteration in the function of membraneassociated enzymes. T h e interaction of malignant cells is defective, and lack of contact inhibition is much less prominent in neoplastic than in normal cells. It appears to represent an important regulatory mechanism. Cell fusion produced by myxoviruses and by some oncogenic viruses represents an extreme form of cell contact, and may parallel malignancy. 30 Immunologic changes appear to be genetically best defined as plasma membrane alterations of the neoplastic state. Plasma membranes of tumor cells induced by chemical, physical, and viral carcinogens contain tumor antigens not present in the tissues of origin. 5,15 T h e new tumor antigens play an important part in the t u m o r host relationship and may result in immunologic elimination of the malignant cells. It is now well known that in chemically induced tumors the new antigens appear tumor-specific, and tumors induced by a virus have the same new transplantation antigens irrespective of the tissue or species of origin. Neoplastic transformation of cultured hamster cells by various oncogenic factors results in the appearance of Forssman antigen on the surface of altered cells.29 This glycolipid antigen present in embryonic hamster cells has been demonstrated in tumors of the human gastrointestinal tract. 12,13 A radioimmunoassay for circulating carcinoembryonic gastrointestinal antigens has been developed 27 and is now being used in diagnosis of cancer of the colon. Extensive studies of the distribution of carcinoembryonic antigens in 623 many types of neoplasia and other diseases are now being conducted. Neoplastic change often results in deletion of certain organ-specific antigens. 1 It is now known that neoplastic conversion changes proteins of the plasma membrane of the transformed cells, resulting in altered agglutinability of the cells.30 Pleiotropic membrane alterations in cancer cells appear to include changes in the transport of critical metabolites, thus giving selective advantage to the neoplastic cells.30 The immune response involves the plasma membrane of cells as carrier of specific groups of surface topography, distinguishing self from not-self, tissue from tissue, various stages of differentiation and diverse surface parts of a given same cells.30 T h e immune response involves the plasma membrane in immunocytes responsible for initiation of immune responses; plasma membrane acts as catalytic surface for the generation of complement, and as a target of immunologic cell killing.30 Cell-mediated cytotoxicity is not yet properly understood in terms of cell membrane-mediated processes. 19 In cell-mediated cytotoxicity, lymphocytes and membranes of target cells fuse and form cytoplasmic bridges. It remains to be ascertained whether such contacts are essential for cell-mediated immunity. 30 T h e roles played by the plasma membrane in health and disease cannot be left without a mention of its part in fertility. T h e penetration of the sperm through the plasma membrane of the ovum is a major world health problem. Its understanding may offer means for regulation of population growth. 30 Although cell membranes play a most important part in cellular phenomena, our knowledge of molecular structure and in turn function of the membranes is still in its beginning. Singer and Nicholson 25 have presented a fluid mosaic model for organization and structure of proteins and lipids of biological membranes and 624 DMOCHOWSKI AND BOWEN A.J.C.P.—Vol. 63 the resulting functions and phenomena and within the cell by response and conof these membranes. Rothschild and Stan- trol of its membranes. ley21 have proposed that certain membrane It appears that a great deal of informaproteins embedded in the lipid bilayer tion on the cell surface will come from are responsible for ionic transport through study of lymphocytes and their interacthe membrane, and are similar in struc- tion with mitogens. 10 The cell membrane ture and function to certain enzymes. acts as a growth control system through A great deal of research on immuno- control of molecular transport, probably genetics of cell surfaces has been centered controlled by the cyclic nucleotide levels, on the relation of cell surface antigens which are often correlated with growth 10 to the transplantability of tissues and properties of cells of certain types. Cyclic organs, differential cell surface structure nucleotides may act as internal messengers and cellular differentiation, and the rela- in growth and in other regulatory sys10 tionship of cell surface antigens to leu- tems in the cell. Cyclic AMP may act through protein phosphorylation, shown kemia virus genomes. 4 Isolation and purification of glycopro- to be modified in lymphocytes after stimteins from cell membranes of human ulation of growth. tumors such as carcinoma of the breast, Changes in the architecture of cell sursarcoma, and some others, in view of the face occur in many chemically induced demonstration of antibodies to the tumors tumors, which in turn result in the appearin sera of patients with these neoplastic ance of new cell-surface antigens, some of diseases, may lead to demonstration of anti- which are specific components of the tumor genic determinants for the tumors. If cell and others, products of re-expressed different tumors have tumor-specific anti- fetal genes. 3 T h e appearance of neoantigens, it may be possible to design specific gens may be accompanied by the deleimmunologic tests for detection of these tion (or masking) of cell-surface antigens. tumors and to manage these tumors by Biochemical characterization of tumoraugmentation of the immune responses of associated antigens is now possible. This the patients. should lead to the development of imIt remains to be seen to what extent munologic assays for study of the biostudies of cell changes induced by RNA synthesis of tumor-associated antigens. Imand DNA tumor viruses linking patho- munoelectron microscopy already is able genic, immunologic, and transforming to provide accurate methods for localizamechanisms will lead to understanding of tion of antigens within certain regions of growth control in mammalian cells and the the cell surface. These developments will biochemical differences between normal make possible the analysis of changes in and neoplastic cells. This knowledge, in the cell surface during chemical as well 3 turn, could result in better treatment and as viral carcinogenesis. possible prevention of cancer. During the past few years, evidence has Literature on cell membranes, their or- accumulated about the relationship of cerganization, structure, their part in cell tain properties of the cell surface, such growth, transformation, differentiation, as contact inhibition, intercellular linkages and cell interaction is accumulating at a and antigenicity of cells, to the structure great rate. 9,10 ' 18 T h e behavior of a cell is and function of membrane-bound glycodetermined by the response of its surface lipid or glycoprotein and their related enmembranes to incoming signals and their zymes. 14 Molecular changes of cell memtransmission to the interior of the cell branes associated with malignant trans- May 1975 INTRODUCTION: CELL MEMBRANES AND DISEASE formation, physical and chemical, have been described, although none has yet been successfully correlated with characteristic biological properties of tumor cells.14 Nevertheless, some of these molecular changes are essential steps in the process of malignant transformation of cells, as some of them can be reversed when the biological properties of tumor cells transformed by a temperature-sensitive mutant of oncogenic viruses are reversed to a normal state at nonpermissive temperature. 1 4 Two types of membrane changes involving glycoprotein and glycolipids have been established as associated with malignant transformation: enhanced agglutinability of cells by some agglutinins and blocked synthesis of ganglioside, neutral glycolipids and some glycoprotein carbohydrates. 14 Enhanced agglutinability has been observed in cells transformed by DNA viruses, but evidence for RNA viruses is rather limited. 14 Glycolipid or sialosylglycopeptide synthesis is closely associated with transformation and can be reversed with reversion of malignancy. 14 Understanding of the cell membrane processes mediated via glycolipid may well be one of the keys to our understanding of the secrets of neoplasia. 27 Cyclic adenosyl monophosphate (cyclic AMP) has been implicated in the restoration of normal properties to transformed cells, which contain less cyclic AMP than nontransformed cells. Treatment with cyclic AMP affects cell morphology, growth rate, and density of transformed cells. Agglutination of cells by plant lectins, a property associated with transformed cells, is decreased by treatment with cyclic AMP. Treatment of Chinese hamster ovary cells with dibutyryl cyclic AMP has recently been shown to lead to formation of large numbers of particles that contain 70S RNA and RNA-directed DNA polymerase, properties characteristic of RNA tumor viruses. 28 Associated with par- 625 ticle production is a cell-surface change reflected by a large increase in cell agglutinability. Both these properties are reversible when the cells are grown in the absence of cyclic AMP. 28 It is now known that morphologic expression of cell transformation and the surface changes associated with increased cell agglutination are controlled by the expression of different sarcoma genes. 23 Non-virus-producing cells transformed by murine sarcoma virus are agglutinated by concanavalin A to the same level as normal corresponding cells (NIH/3T3). Infection with the murine leukemia virus greatly increases the agglutination of transformed cells, but not that of normal cells.23 A gradual increase of a specific group of glucose-containing glycopeptides of cellsurface membranes has been shown to correlate with gradual acquisition of the transformed phenotype of hamster cells showing delayed transformation by polyoma, a DNA virus. 11 T h e amount of these glycopeptides appears to be representative of an increase in monnose, galactose, and sialic acid. Thus, it appears that specific changes in surface membrane glycopeptides are associated with tumorigenesis. These findings suggest that specific surface membrane glycopeptides accompany viral transformation and tumorigenesis. 11 In the case of another DNA virus, the vaccinia virus infection of cells (HeLa), synthesis of plasma membrane proteins and glycoproteins different from those present in the uninfected host takes place.31 The plasma membrane changes induced by vaccinia infection differ from those produced by the so-called "budding viruses" in that in the latter case both host components and newly synthesized virusinduced non-virion components coexist in the plasma membrane of cells.31 Perhaps the most pervasive and abiding property of malignant cells is their aberrant and unrestrained growth. Normal 626 DMOCHOWSKI AND BOWEN cells grown under laboratory conditions by any of a number of tissue culture technics have in common the property of "density-dependent growth inhibition". When these normal cells have grown sufficiently to make contact, or even reach a certain density of cells without actual contact, cell movement and division cease and cellular metabolic activities are curtailed to the point of maintenance of viability without cell growth. T h e complete mechanism of this contact inhibition of cell growth is far from clearly understood. Current evidence supports the idea that cell contact leads to interaction between certain regulatory macromolecules, probably glycosides, which in turn leads to activation of membrane-bound enzymes that control the synthesis of small molecular mediators. T h e change in the concentrations of these mediators results in decrease or cessation of the metabolic activities they regulate, halting cell growth. Neoplastic cells escape these regulatory mechanisms and continue to grow free of the constraints on normal cells by approaching saturation of the growing area. This continued growth leads to high saturation densities and to irregular multilayered clusters of cells. Further, cellular adhesion is reduced in such cells, increasing significantly the tendency of single cells or aggregates to break loose from the larger cell masses and settle again to resume growth at a different site. If this phenomenon is transposed from the tissue culture flask to the tumor-bearing organism, the comparison to metastasis is readily apparent. Although the full basis of this tendency of malignant cells remains to be elucidated, morphologic and cytochemical as well as biochemical studies of the cell membranes have provided some insights. Many electron microscopists have noted that the cell membrane of tumor cells A.J.C.P.—Vol. 63 is thicker in appearance than that of corresponding normal cells. Shigematsu 24 combined electron microscopy with histochemical technics in an attempt to determine the basis of the differences observed in plasma membranes of tumor and normal cells using normal cells and cells derived from tumors induced by RNA tumor viruses. In these studies, ruthenium red, a dye that reacts with acid mucopolysaccharides (AMS) to produce an electron-dense complex, was used to detect AMS on normal and tumor cell membranes. The results of these studies showed that the surfaces of both normal and virustransformed cells were coated with a layer of AMS, an observation in agreement with results of other experimental approaches. The AMS layer of transformed cells was markedly thicker and denser than that. of normal cells. T u m o r virus particles released from the plasma membranes of these cells were also coated with the AMS material, and budding virus particles were embedded in the AMS matrix. A particularly interesting observation in this study was that when ferritinlabeled antibody specific for virus was applied to these cells, the ferritin granules indicative of positive reaction were found, not directly bound to the virus particles, but in the AMS layer surrounding the virus particles. These results suggested that the antigen-antibody reactions may occur in the AMS matrix. 24 T h e accumulation of AMS and other similar substances on malignant cells probably plays a role in several aspects of the modified behavior of these cells, including reduced cellular adhesion, the tendency toward dense, piled-up masses of growing cells, the ability to grow in semisolid agar, and diminished responses to a variety of external regulatory stimuli. In recent studies of cell membrane and- May 1975 INTRODUCTION: CELL MEMBRANES AND DISEASE gens in cells producing RNA tumor-inducing viruses, a new common cell-surface antigen has been described. 32 T h e antigen is not associated with the budding and C-type RNA viral envelope and is distinct from any cell-surface antigen associated with murine and feline leukemia viruses. This cell-surface antigen is present in virus-induced leukemias of mice, in cells infected with feline leukemia virus, and in feline spontaneous lymphosarcoma cells.32 It is not present in normal virusfree mouse, rat, and cat cells. Available evidence suggests that this common cellsurface antigen is closely related—if not identical—to a subviral component (P30) related to gs3, an interspecies cross-reactive determinant—an internal structural component of C type RNA leukemia viruses.32 This common cell-surface antigen may be an antigenic expression of viral genetic information residing in the leukemic cells. Considerable progress has been made in our knowledge of the structure of cell membranes, their composition, and their function. Our present symposium will lead to further progress in this important and timely area. It has been the privilege of organizers of this symposium to obtain the participation of experts on membrane structure and its relationship to disease at the level of molecular biology and pathology. Each participant is a leader in his field exploring the fundamental basis of diseases in an attempt to provide the practicing clinician with answers applicable to a practical understanding of disease, its diagnosis, management, and prevention. References 1. Abelev GI: Antigenic structure of chemicallyinduced hepatomas. Prog Exp T u m o r Res 7:104-157, 1965 2. Avruch J, Pohl SL: T h e plasma membrane initiator system for the action of insulin and 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 627 glycogen, Biological Membranes. Edited by D Chapman, DFH Wallach. New York, Academic Press, 1973, pp 185-220 Baldwin RW: Immunological aspects of chemical carcinogenesis. Adv Cancer Res 18:1-75, 1973 Boyse EA: A brief account of the use of immunogenetics in studying cell surfaces, Membranes and Viruses in Immunopathology. Edited by SB Day, RA Good. New York, Academic Press, 1972, pp 105-116 Boyse EA, Old LJ: Some aspects of normal and abnormal cell surface genetics. Aniui Rev Genet 3:269-290, 1969 Chapman D: Biological Membranes. Physical Fact and Function. Edited by D Chapman. New York, Academic Press, 1968 Chapman D: Some recent studies of lipids, lipid-cholesterol and membrane systems, Biological Membranes. Edited by D Chapman, DFH Wallach. New York, Academic Press, 1973, p p 91-144 Chapman D, Wallach DFH: Recent physical studies of phospholipids and natural membranes, Biological Membranes. Physical Fact and Function. Edited by D Chapman. New York, Academic Press, 1968, p p 125-202 Choppin PW, Comparis RW, Scheid A, et al: Structure and assembly of viral membranes, Membrane Research. Edited by CF Fox. New York, Academic Press, 1972, pp 163-186 Clarkson B, Baserga R: Control of proliferation in animal cells. Cold Spring Harbor Laboratories, 1974, pp 1-1029 Click MC, Rabinowitz Z, Sachs L: Surface membrane glycopeptides which coincide with virus transformation and tumorigenesis. J Virol 13:967-974, 1974 Gold P, Freedman SO: Demonstration of tumorspecific antigens in human colonic carcinomata by immunological tolerance and absorption techniques. J Exp Med 121:439-462. 1965 Gold P, Freedman SO: Specific carcino-embryonic antigens of the human digestive system. J Exp Med 122:467-481, 1965 Hakomori S: Glycolipids of tumor cell membrane, Adv Cancer Res 18:265-315, 1973 Klein G: T u m o r specific transplantation antigens: GHA Clowes memorial lecture. Cancer Res 28:625-635, 1968 Klenk HD: Virus membrane, Biological Membranes. Edited by D Chapman, DFH Wallach. New York, Academic Press, 1973, pp 145-183 Luzzatti V: X-ray diffraction studies of lipid — water system, Biological Membranes. Physical Fact and Function. Edited by D Chapman. New York, Academic Press, 1968, pp 71-124 Manson LA: Biomembranes. New York-London, Plenum Press, 1974 Perlmann P, Holm G: Cytotoxic effects of lymphoid cells in vitro. Adv Immunol 11:117-193, 1969 Robinson GA, Butcher RW, Sutherland EW: Adenyl cyclase as an adrenergic receptor. Ann NY Acad Sci 139:703-723, 1967 Rothschild KJ, Stanley HE: T h e molecular 628 22. 23. 24. 25. 26. DMOCHOWSKI AND BOWEN organization and function of biological membranes: A possible microscopic picture of ionic permeation, Membranes and Viruses in Immunopathology. Edited by SB Day, RA Good. New York, Academic Press, 1972, pp 4 9 - 8 0 Rouser G, Nelson GJ, Fleischer S: Lipid composition of animal cell membranes, organelles and organs, Biological Membranes. Physical Fact and Function. Edited by D Chapman. New York, Academic Press, 1968, pp 5 - 7 1 Salzberg S, Green M: Activation of the murine sarcoma virus genome after infection with the murine leukemia virus as determined by cell agglutination. J Virol 13:1001-1004, 1974 Shigematsu T , Dmochowski L: Studies on the acid mucopolysaccharide coat of viruses and transformed cells. Cancer 31:165-174, 1973 Singer SJ, Nicolson QL: Fluid mosaic model of the structure of cell membranes, Membranes and Viruses in Immunopathology. Edited by SB Day, RA Good. New York, Academic Press, 1972, pp 7 - 4 8 Sutherland EW, Rail TW: Fractionation and characterization of a cyclic adenine ribonucleotide formed by tissue particles. J Biol Chem 232:1077-1091, 1958 A.J.C.P.—Vol. 63 27. Thomson DMP, Krupey J, Freedman SO, et al: T h e radioimmune assay of circulating carcinoembryonic antigen of the human digestive system. Proc Natl Acad Sci USA 64: 161-167, 1969 28. Tihon C, Green M: Cyclic AMP-amplified replication of RNA tumor viruslike particles in Chinese hamster ovary cells. Nature [New Biol] 244:227-231, 1973 29. Vogel M, Sachs L: Studies on the antigenic composition of hamster tumors induced by polyoma virus, and of normal hamster tissue in vivo and in vitro. J Natl Cancer Inst 29:239-252, 1962 30. Wallach DFH: T h e role of plasma membrane in disease processes, Biological Membranes. Edited by D Chapman, DFH Wallach. New York, Academic Press, 1973, p p 254-294 31. Weintraub S, Dales S: Biogenesis of poxvirus: Genetically controlled modifications of structural and functional components of the plasma membrane. Virology 60:96-127, 1974 32. Yoshiki T, Mellors RC, Hardy WD: Common cell surface antigen associated with murine and feline C-type RNA leukemia viruses. Proc Natl Acad Sci USA 70:1878-1882, 1973