Neutrophil function defects occur in individuals with Down syndrome (DS), W
e examined apoptosis of granulocytes (neutrophils and eosinophils) in DS in
dividuals and control healthy subjects. Granulocyte survival was shortened
in DS individuals, and the percentage of apoptotic granulocytes from DS dur
ing incubation was significantly higher than that from healthy subjects. Th
e difference was time-dependent, and that between DS and healthy subjects w
as nearly 30% after longer periods of incubation. In control granulocytes,
both granulocyte-macrophage colony-stimulating factor (10 ng/ml) and interl
eukin-5 (5 ng/ml) counteracted the programmed cell death and delayed the ap
optosis caused by anti-Fas antibodies, whereas those inflammatory cytokines
were not able to completely prevent cellular apoptosis in DS patients. Apo
ptosis and functional impairment of granulocytes may contribute to the risk
of infections underlying pathological conditions of DS, and accelerated ap
optosis of granulocytes may be a factor to prevent chronic airway inflammat
ion and bronchial asthma in DS individuals. Am. J. Med. Genet. 84:406-412,
1999. (C) 1999 Wiley-Liss, Inc.