Antigen-stimulated lung CD4+ cells produce IL-5, while lymph node CD4(+) cells produce Th2 cytokines concomitant with airway eosinophilia and hyperresponsiveness

Objective and Design: We investigated whether airway inflammation in a mous e model of allergic asthma is related to antigen-specific T cell responses in the effector organ, the lung, and in the lung draining lymph nodes (LN). Materials and Subjects: In BALB/c mice pathophysiological parameters were m easured in vivo, and lung draining LN and lung cells were restimulated in v itro. Treatment: Mice were sensitized with ovalbumin and repeatedly challenged wi th ovalbumin or saline inhalation. Methods: Airway reactivity, inflammation in the airways, serum levels of Ig E were measured, and cytokine levels and proliferative responses were deter mined in antigen-stimulated lymphocyte cultures. Results and Conclusions: Sensitization results in antigen-specific Th0-like LN cells, despite the presence of antigen-specific IgE. Repeated antigen i nhalation induced airway hyperresponsiveness and eosinophil infiltration co ncomitant with a shift towards Th2 cytokine production exclusively by lung draining LN T cells. Furthermore, these airway symptoms are associated with antigen-specific CD4(+) effector T cells in the airway tissue producing on ly IL-5, but not IL-4, which are unable to proliferate.