Am. J. Respir. Crit. Care Med., Vol 152, No. 2, 08 1995, 629-633.
Increased degranulation of eosinophil and neutrophil granulocytes in cystic fibrosis
DY Koller, R Urbanek and M Gotz
Division of Allergy, University Children's Hospital, Vienna, Austria.
Increased serum and sputum concentrations of eosinophil cationic protein
(ECP) and of neutrophil myeloperoxidase (MPO) have been described in
patients with cystic fibrosis. Because numbers of eosinophils are normal in
both peripheral blood and in the lung of patients with cystic fibrosis, we
investigated whether eosinophils presented with an increased propensity to
release their granule proteins. We investigated 20 patients with cystic
fibrosis, 19 individuals with bronchial asthma, and 21 healthy nonatopic
subjects. Isolated granulocytes were stimulated with serum-opsonized
Sephadex G15 particles and the released amounts of ECP and MPO were
measured by using radioimmunoassays. Eosinophils of patients with cystic
fibrosis released significantly higher amounts of ECP than control subjects
(p < 0.0001) and individuals with bronchial asthma (p < 0.0001). The
release of MPO from neutrophils was also higher (p < 0.0001 and p <
0.005, respectively). Furthermore, a significant relationship between
clinical variables and secretory activity of eosinophils was found in
cystic fibrosis. We conclude that eosinophils as well as neutrophils
obtained from patients with cystic fibrosis have an increased propensity to
release their granule proteins which may be due to priming mechanisms.
These findings would support anti-inflammatory treatment modalities in
cystic fibrosis.
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Copyright © 1995 American Thoracic Society
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