H. Hoshi et al., IL-5, IL-8 AND GM-CSF IMMUNOSTAINING OF SPUTUM CELLS IN BRONCHIAL-ASTHMA AND CHRONIC-BRONCHITIS, Clinical and experimental allergy, 25(8), 1995, pp. 720-728
Background Granulocyte-macrophage colony stimulating factor (GM-CSF) a
nd interleukin (IL)-5 or IL-8 have been suggested to play an important
role in the pathogenesis of eosinophilic airway inflammation in bronc
hial asthma or neutrophilic airway inflammation in chronic bronchitis,
respectively, However, GM-CSF and IL-8 have biological activities to
either eosinophils or neutrophils. Objective To investigate the contri
bution of these cytokines to airway inflammation, we compared the cell
ular differential and immunolocalization of GM-CSF, IL-5 and IL-8 in s
putum cells from patients with bronchial asthma and chronic bronchitis
. Methods Cytospins of sputum cells from 12 patients with bronchial as
thma and 12 with chronic bronchitis were subjected to cellular differe
ntial counting and immuno-cytochemistry with anti-human GM-CSF, IL-5 a
nd IL-8 antibody. Results The predominant cells in bronchial asthma we
re eosinophils and lymphocytes, while those in chronic bronchitis were
neutrophils. All cytokines examined were detected in either bronchial
asthma or chronic bronchitis, although the percentage of GM-CSF and I
L-5 positive cells in bronchial asthma (53.4 +/- 6.0 [mean +/- SEM]% a
nd 9.7 +/- 2.8%, respectively) was significantly higher than that in c
hronic bronchitis (11.4 +/- 2.5%; P < 0.001 and 1.7 +/- 0.3%; P < 0.00
7, respectively). In contrast, the percentage of IL-8 positive cells i
n chronic bronchitis (23.8 +/- 7.0%) was significantly higher than tha
t in bronchial asthma (7.7 +/- 1.9%; P < 0.04). The cells positive for
IL-5 were lymphocytes in bronchial asthma and chronic bronchitis. The
cells positive for GM-CSF in bronchial asthma and were predominantly
eosinophils, while those in chronic bronchitis were monocytes/macropha
ges and neutrophils. In contrast, neutrophils are mainly positive for
IL-8 in chronic bronchitis, while monocytes/macrophages and bronchial
epithelial cells are positive for IL-8 in bronchial asthma. Conclusion
The immunochemical comparison of GM-CSF and IL-8 localization in sput
um cells between bronchial asthma/chronic bronchitis suggests the diff
erential regulation and roles of these cytokines in eosinophilic vs ne
utrophilic airway inflammation, resulting in the development of differ
ent types of airway inflammation.