Lymphocytes and monocytes express various levels of membrane-bound CD2
3, the low affinity receptor for IgE (Fc epsilon RII), and in some cas
es release it as a soluble form. Soluble CD23 (sCD23) has been implica
ted in the regulation of many immunological functions of T and B lymph
ocytes, macrophages and myeloid cells in humans. To study serum sCD23
levels in inflammatory conditions, we selected a systemic disease sens
itive to corticotherapy, the giant cell arteritis, which is characteri
zed by an inflammation of the temporal artery. Serum sCD23 levels, as
measured by a radioimmunoassay, were increased in these patients, and
returned to normal values within the 24 h following initiation of cort
icotherapy. The data suggest that the increase in sCD23 levels in gian
t cell arteritis results from an overproduction.