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Published ahead of print on October 22, 2004, doi:10.1164/rccm.200310-1416OC

Am. J. Respir. Crit. Care Med., Volume 171, Number 3, February 2005, 224-230

A more recent version of this article appeared on February 1, 2005
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Submitted on October 20, 2003
Accepted on October 18, 2004

Increased Interleukin-4,-5 and Interferon-{gamma} in Airway CD4+ and CD8+ T cells in Atopic Asthma

Sang-Heon Cho1, Luminita A Stanciu2*, Stephen T Holgate3, and Sebastian L Johnston2

1 Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea, Republic of, 2 Department of Respiratory Medicine, National Heart and Lung Institute, Imperial College London, London, United Kingdom, 3 Infection, Inflammation and Repair Division, University of Southampton, Southampton, United Kingdom

* To whom correspondence should be addressed. E-mail: l.stanciu{at}imperial.ac.uk.

Increased Th2 cytokine production in asthma is widely accepted, but excess production by asthmatic human airway CD4+ T cells has not been demonstrated, nor has a relationship with disease severity. The importance of airway CD8+ T cell type 1 & type 2 cytokine production in asthma is unknown. We investigated frequencies of IFN-{gamma}, IL-4 and IL-5 producing CD4+ and CD8+ blood and sputum T cells from asthmatic and normal subjects and compared between cell subsets, subject groups and body compartments with and without in vitro stimulation and investigated relationships between cytokine production and asthma severity. Production of IL-4, IL-5 and IFN-{gamma} by unstimulated sputum CD4+ and CD8+ T cells was increased in asthmatics and related to disease severity, more for CD8+ than CD4+ T cells. Frequencies of sputum CD8+ T cells producing type 1 and type 2 cytokines were similar to those of CD4+ T cells. In vitro stimulation polarised peripheral blood cytokine production towards IFN-{gamma} production, significantly more in asthmatic than normal subjects. These data demonstrate increased type 1 and 2 cytokine production in CD4+ and CD8+ T cells in sputum and relate production to disease severity. Findings in blood did not reflect those in airways.


Key words: human; T lymphocytes; asthma; sputum; flow cytometry




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