Many cell populations are thought to be involved in the etiopathogenes
is of bronchial asthma. We examined by flow cytometry the relative and
absolute number of CD3(+), CD4(+), CD8(+), alpha beta TcR+ or gamma d
elta TcR+ T cells, CD19(+) B cells; and CD56(+) natural killer (NK) ce
lls in the peripheral brood of 26 adult patients with difficult-to-con
trol asthma (DCA) and 22 patients with minimally symptomatic asthma (M
SA). Statistically higher relative and absolute numbers of NK cells (1
8.39 +/- 10.67% and 0.38 +/- 0.17 x 10(9)/l) in comparison with health
y controls (11.77 +/- 8.06% and 0.25 +/- 0.19 x 10(9)/l) and significa
ntly decreased relative and absolute numbers of gamma delta T cells (3
.02 +/- 2.16% and 0.06 +/- 0.04 x 10(9)/l) in comparison with controls
(5.65 +/- 2.90% and 0.13 +/- 0.08 x 10(9)/l) in the DCA patient group
were found. After pooling of data from both MSA and DCA patients and
dividing the patients according to the presence of allergy, the relati
ve and absolute numbers of gamma delta T cells were found to be dimini
shed in both the allergy (3.77 +/- 2.98 and 0.07 +/- 0.05 x 10(9)/l) a
nd nonallergy (3.06 +/- 1.78% and 0.06 +/- 0.03 x 10(9)/l) groups in c
omparison with healthy controls. The reason for the low number of gamm
a delta T cells in the peripheral blood of patients suffering from bro
nchial asthma is under investigation.