Recently, authors have addressed the ability of human basophils to pro
duce IL-4. We report here the detection of significant serum IL-4 leve
ls in a case of acute transformation of chronic myelogenous leukemia w
ith a predominant basophilic cell population. Leukemic basophils were
isolated from patients' PBMC and assayed for their IL-4-mRNA expressio
n and their ability to secrete this cytokine in vitro. Leukemic basoph
ilic cells (>90% toluidine blue positive) but not other PBMC expressed
IL-4-mRNA, contained IL-4 protein, and secreted this cytokine. These
cells had a spontaneous IL-4 secretion ability, without a need for an
exogenous activator. Meanwhile, while, IL-4 release was significantly
increased following leukemic cell activation through FcepsilonRI-ligat
ion or by Ca2+ ionophore. IL-4 and its mRNA were also detected in leuk
emic basophils from three other chronic myelogenous leukemia patients
with moderate basophilia (13, 14, and 23% basophils in PBMC). To confi
rm these data in normal human cells, we have developed a method to obt
ain large numbers of purified basophils from human bone marrow cell cu
ltures. In contrast to leukemic basophils, normal cells required in vi
tro activation through FcepsilonRI ligation or by Ca2+ ionophore to ex
press and secrete IL-4. Leukemic and normal basophils secreted histami
ne following in vitro activation, but were negative for tryptase. Thes
e data thus demonstrate the in vivo and in vitro ability of human baso
phils to produce IL-4.