Effect of Inhaled Interleukin-5 on Number and Activity of Eosinophils in Circulation from Asthmatics

The aim of the present study was to examine the effects of interleukin-5 (IL-5) inhalation on changes in the activity and number of circulating eosinophils, as well as concentrations of serum total IgE, in allergic asthmatics. A randomized double-blind, placebo-controlled study design was employed i...

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Veröffentlicht in:Clinical immunology (Orlando, Fla.) Fla.), 1999-05, Vol.91 (2), p.163-169
Hauptverfasser: Shi, Huan-Zhong, Li, Chao-Qian, Qin, Shou-Ming, Xie, Zheng-Fu, Liu, Yi
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container_end_page 169
container_issue 2
container_start_page 163
container_title Clinical immunology (Orlando, Fla.)
container_volume 91
creator Shi, Huan-Zhong
Li, Chao-Qian
Qin, Shou-Ming
Xie, Zheng-Fu
Liu, Yi
description The aim of the present study was to examine the effects of interleukin-5 (IL-5) inhalation on changes in the activity and number of circulating eosinophils, as well as concentrations of serum total IgE, in allergic asthmatics. A randomized double-blind, placebo-controlled study design was employed in which each subject acted as his or her own control. Eight nonsmoking patients with allergic asthma were administered recombinant human IL-5 by nebulization. Total white blood cell counts and differentials, as well as concentrations of ECP and total IgE in serum, were determined before and at 2, 24, and 48 h after inhalation. Our results demonstrated that eosinophil numbers increased from baseline (3.6 ± 1.1 × 105/ml) to 6.3 ± 1.2 × 105/ml (P< 0.01) at 24 h and to 5.7 ± 0.9 × 105/ml (P< 0.01) at 48 h after IL-5 inhalation in asthmatics. Accompanying this significantly increased blood eosinophilia were significantly elevated serum ECP levels. Compared with baseline (6.3 ± 1.1 ng/ml), ECP levels increased with time following IL-5 inhalation, reaching 17.6 ± 2.8 ng/ml (P< 0.01) at 24 h and remaining elevated at 48 h (18.1 ± 2.9 ng/ml,P< 0.01). IL-5 inhalation had no significant effect on levels of serum total IgE, however. These findings provide direct evidence that nebulized IL-5 not only induces a significant blood eosinophilia but also results in the activation of circulating eosinophils. Our data further support the importance of IL-5 in the pathogenesis of bronchial asthma in humans.
doi_str_mv 10.1006/clim.1999.4699
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A randomized double-blind, placebo-controlled study design was employed in which each subject acted as his or her own control. Eight nonsmoking patients with allergic asthma were administered recombinant human IL-5 by nebulization. Total white blood cell counts and differentials, as well as concentrations of ECP and total IgE in serum, were determined before and at 2, 24, and 48 h after inhalation. Our results demonstrated that eosinophil numbers increased from baseline (3.6 ± 1.1 × 105/ml) to 6.3 ± 1.2 × 105/ml (P&lt; 0.01) at 24 h and to 5.7 ± 0.9 × 105/ml (P&lt; 0.01) at 48 h after IL-5 inhalation in asthmatics. Accompanying this significantly increased blood eosinophilia were significantly elevated serum ECP levels. Compared with baseline (6.3 ± 1.1 ng/ml), ECP levels increased with time following IL-5 inhalation, reaching 17.6 ± 2.8 ng/ml (P&lt; 0.01) at 24 h and remaining elevated at 48 h (18.1 ± 2.9 ng/ml,P&lt; 0.01). IL-5 inhalation had no significant effect on levels of serum total IgE, however. These findings provide direct evidence that nebulized IL-5 not only induces a significant blood eosinophilia but also results in the activation of circulating eosinophils. Our data further support the importance of IL-5 in the pathogenesis of bronchial asthma in humans.</abstract><cop>San Diego, CA</cop><pub>Elsevier Inc</pub><pmid>10227808</pmid><doi>10.1006/clim.1999.4699</doi><tpages>7</tpages></addata></record>
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subjects Administration, Inhalation
Adult
Allergic diseases
asthma
Asthma - immunology
Biological and medical sciences
Blood Proteins - metabolism
Double-Blind Method
eosinophil
eosinophil cationic protein
Eosinophil Granule Proteins
Eosinophils - cytology
Female
Humans
Immunoglobulin E - blood
Immunopathology
interleukin-5
Interleukin-5 - immunology
Interleukin-5 - pharmacology
Male
Medical sciences
Middle Aged
Recombinant Proteins - immunology
Recombinant Proteins - pharmacology
Respiratory and ent allergic diseases
Ribonucleases
title Effect of Inhaled Interleukin-5 on Number and Activity of Eosinophils in Circulation from Asthmatics
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