The pathogenesis of allergic bronchopulmonary aspergillosis (ABPA) involves
specific cytokines secreted by lymphocytes in response to Aspergillus fumi
gatus (Af) allergens. To gain information about the lymphoproliferative res
ponse and cytokine production against a major Af allergen, Asp f 2, we stud
ied Asp-f-2-specific T cell clones (TCCs) from ABPA patients. TCCs were sti
mulated with rAsp f 2, its deletion mutants, and synthetic peptides to iden
tify the T cell epitope(s) and to understand cytokine production. PBMCs fro
m four of five ABPA patients showed proliferation in response to Asp f 2. T
hree TCCs from one patient showed higher IL-5 secretion compared to IL-4 an
d IFN-gamma. Two TCCs from the second patient showed a mixed Th1/Th2 respon
se, as evidenced by production of IL-4, IL-5, and IFN-gamma. An epitope fro
m the N-terminal region of Asp f 2 induced only IL-5 secretion. High IL-5 s
ecretion might explain the marked eosinophilia observed in ABPA patients. (
C) 2001 Academic Press.