The biosynthesis in vitro of immunoglobulins was studied in 13 patients with primary immunological deficiencies. Bone marrow, tonsils, lymhocytes, intestinal mucosa of congenital agammaglobulinaemic, and acquired hypogammaglobulinaemicpatients showed a very marked reduction of H- and L-immunoglobulin chains. In 3 patients with dysgammaglobulinaemia, there was a selective deficiency of the H-chain restricted to classes lacking in the serum, whereas in 1 patient with absence of IgA serum, the tissue culture of lymphocytes was positive for this immunoglobulin. These results are discussed with respect to the pathogenesis of immunological defects.