To test whether eosinophil recruitment after pulmonary allergen challe
nge is associated with interleukin (IL)-5 in patients with asthma, we
performed segmental bronchoprovocation (SBP) with saline, and with low
and high dosages of ragweed extract in six patients with allergic ast
hma. Bronchoalveolar lavage (BAL) of the challenged segments was perfo
rmed 5 min after challenge (immediate BAL fluid) and repeated 24 h lat
er (late BAL fluid). Allergen challenge resulted in recruitment of eos
inophils, and increased levels of eosinophil-active cytokines. A bioas
say showed the predominant eosinophil-active cytokine in the late BAL
fluids to be IL-5. Analysis of the late BAL fluids revealed that IL-5
levels correlated with the numbers of eosinophils and lymphocytes. Thi
s study provides evidence that IL-5 is a critical cytokine associated
with eosinophil and lymphocyte recruitment into the airways of patient
s with asthma following exposure to allergen.