DESENSITIZATION OF NEUTROPHIL RESPONSES BY SYSTEMIC INTERLEUKIN-8 IN CYSTIC-FIBROSIS

Background - Inflammation associated with neutrophil infiltration is a commonly observed feature of children with cystic fibrosis. Productio n of the major neutrophil chemotactic cytokine interleukin 8 (IL-8) is potentially of great importance in the pathology of cystic fibrosis. Concentrations of IL-8 in both sputum and bronchoalveolar lavage fluid have been found to be higher in children with cystic fibrosis than in controls. The IL-8 induced chemotactic response and numbers of IL-8 r eceptors on peripheral neutrophils obtained from children with cystic fibrosis have been compared with a control group of children. Methods - Cells were isolated from 18 patients with cystic fibrosis (aged 4-20 years) and 13 controls (aged 5-12 years) by dextran centrifugation fo llowed by separation on Lymphoprep. Chemotaxis was assayed using multi well microchemotaxis chambers and 5 mu m polycarbonate filters. Filter s were fixed and stained with Haema-Gurr for counting. Results were ex pressed as numbers of neutrophils per high power field (HPF). Results - At the optimum concentration (1 x 10(-8) mol/l) the number of cells migrating were similar for controls (150 (12)/HPF) and for the cystic fibrosis group (140 (14)/HPF)). At lower concentrations the numbers of neutrophils migrating were lower for the cystic fibrosis group. Scatc hard analysis of I-125-labelled IL-8 binding revealed lower numbers of receptors on neutrophils from patients with cystic fibrosis (22 000 p er cell) than from controls (75 000 per cell). Conclusions - Reduced r esponsiveness to IL-8 of neutrophils from patients with cystic fibrosi s is associated with receptor desensitisation as a result of exposure to high systemic levels of IL-8.