The hypereosinophilic syndrome is characterized by persistenteosinophilia of unknown origin often associated with the dysfunctionof multiple organs as a result of tissue infiltration by eosinophilsand the toxic effects of their products1. Previous studies havesuggested that T lymphocytes may be involved in the inductionof the syndrome through the secretion of an eosinophil differentiationfactor2,3.
Helper T lymphocytes (CD4+ T cells) play a central part in normaland pathologic immune responses through the secretion of cytokines.Interleukin-2, interferon gamma, and tumor necrosis factor areinvolved in cell-mediated immunity, whereas interleukin-4 stimulatesthe production of IgE . . . [Full Text of this Article]
Case Report
Methods
Isolation of PBMC
Southern Blot Analysis of Gene Coding for the Chain of the T-Cell Receptor
Cell Cultures
Determination of Cytokine Levels in Serum and Culture Supernatants
Results
Analysis of Rearrangements of the Chain of the T-Cell-Receptor Gene
Profile of Cytokines Secreted by the CD4+CD3- T-Cell Clone
Effects of Methylprednisolone and Interferon Alfa-2b on Serum Interleukin-5 Levels
Discussion
Source Information
From the Department of Internal Medicine, Hopital Universitaire Brugmann (E.C.), the Department of Immunology, Hopital Universitaire Erasme (L.S., A.C., M.G.), and the Department of Medical Genetics, Institute of Interdisciplinary Research, Universite Libre de Bruxelles (P.C., T.V.) -- all in Brussels, Belgium.
Address reprint requests to Dr. Cogan at the Department of Internal Medicine, Hopital Universitaire Brugmann, 4, place Van Gehuchten, B 1020 Brussels, Belgium.
References
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Battineni, M.L., Galetta, S.L., Oh, J., Lango, M., Brooks, J.J., Schuster, S.J., Loevner, L.A.
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Sandberg, Y., van Gastel-Mol, E. J., Verhaaf, B., Lam, K. H., van Dongen, J. J.M., Langerak, A. W.
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Smith, K. J., Jacobson, E., Hamza, S., Skelton, H.
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140: 584-588
[Abstract][Full Text]
Gotlib, J., Cools, J., Malone, J. M. III, Schrier, S. L., Gilliland, D. G., Coutre, S. E.
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Plotz, S.-G., Simon, H.-U., Darsow, U., Simon, D., Vassina, E., Yousefi, S., Hein, R., Smith, T., Behrendt, H., Ring, J.
(2003). Use of an Anti-Interleukin-5 Antibody in the Hypereosinophilic Syndrome with Eosinophilic Dermatitis. NEJM
349: 2334-2339
[Full Text]
Pardanani, A., Reeder, T., Porrata, L. F., Li, C.-Y., Tazelaar, H. D., Baxter, E. J., Witzig, T. E., Cross, N. C. P., Tefferi, A.
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101: 3391-3397
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Schandene, L., Roufosse, F., de Lavareille, A., Stordeur, P., Efira, A., Kennes, B., Cogan, E., Goldman, M.
(2000). Interferon alpha prevents spontaneous apoptosis of clonal Th2 cells associated with chronic hypereosinophilia. Blood
96: 4285-4292
[Abstract][Full Text]
Means-Markwell, M., Burgess, T., deKeratry, D., O'Neil, K., Mascola, J., Fleisher, T., Lucey, D.
(2000). Eosinophilia with Aberrant T Cells and Elevated Serum Levels of Interleukin-2 and Interleukin-15. NEJM
342: 1568-1571
[Full Text]
Guitart, J., Roufosse, F., Schandene, L., Cogan, E., Suzuki, R., Seto, M., Nakaura, S., Simon, H.-U., Dummer, R.
(2000). Idiopathic Eosinophilia. NEJM
342: 659-661
[Full Text]
Simon, H.-U., Plotz, S. G., Dummer, R., Blaser, K.
(1999). Abnormal Clones of T Cells Producing Interleukin-5 in Idiopathic Eosinophilia. NEJM
341: 1112-1120
[Abstract][Full Text]
Bain, B. J.
(1999). Eosinophilia -- Idiopathic or Not?. NEJM
341: 1141-1143
[Full Text]
Roufosse, F., Schandene, L., Sibille, C., Kennes, B., Efira, A., Cogan, E., Goldman, M.
(1999). T-Cell Receptor-Independent Activation of Clonal Th2 Cells Associated With Chronic Hypereosinophilia. Blood
94: 994-1002
[Abstract][Full Text]
Azar, S. T., Tamim, H., Beyhum, H. N., Habbal, M. Z., Almawi, W. Y.
(1999). Type I (Insulin-Dependent) Diabetes Is a Th1- and Th2-Mediated Autoimmune Disease. CVI
6: 306-310
[Full Text]
Chang, H.-W., Leong, K.-H., Koh, D.-R., Lee, S.-H.
(1999). Clonality of Isolated Eosinophils in the Hypereosinophilic Syndrome. Blood
93: 1651-1657
[Abstract][Full Text]
Rothenberg, M. E.
(1998). Eosinophilia. NEJM
338: 1592-1600
[Full Text]
Schandene, L., Cogan, E., Crusiaux, A., Goldman, M.
(1997). Interferon-alpha Upregulates Both Interleukin-10 and Interferon-gamma Production by Human CD4+ T Cells. Blood
89: 1110-1110
[Full Text]
Kay, A.B.
(1994). Origin of Type 2 Helper T Cells. NEJM
330: 567-569
[Full Text]