Human Basophil/Mast Cell Releasability: V. Functional Comparisons of Cells Obtained from Peripheral Blood, Lung Parenchyma, and Bronchoalveolar Lavage in Asthmatics

Abstract
Releasability of human basophils and mast cells is an important parameter in allergic disorders. We compared IgE- and non-IgE-mediated releasability of human peripheral blood basophils with that of mast cells obtained from lung parenchyma (isolated by mechanical or enzymatic dissociation) and from bronchoalveolar lavage of normal and asthmatic donors. In a first study, the response to anti-IgE, Staph A, Con A, f-met peptide, and Ca2+ ionophore A23187 of basophils obtained from 52 donors was compared with that of mast cells isolated enzymatically (PMCE) or mechnically (PMCM) form lung parenchyma obtained during surgery. The histamine content of basophils (1.1 .+-. 0.1 pg/cell) was significantly lower than that of PMCE (4.1 .+-. 0.3 pg/cell; p < 0.001) and PMCM (3.7 .+-. 0.3; p < 0.001). The maximal percent anti-IgE-induced histamine secretion in basophils (41.3 .+-. 3.6) was higher than in PMCE (17.5 .+-. 1.8) and in PMCM (13.8 .+-. 1.5). Similarly, the response to Staph A and Con A was higher in basophils (29 .+-. 3.9 and 31.6 .+-. 4.9, respectively) than in PMCE (3.5 .+-. 0.6 and 3.3 .+-. 0.8, respectively) and PMCM (5.1 .+-. 1.3 and 8.8 .+-. 2.2, respectively). A positive correlation between the maximal percent of histamine release induced by anti-IgE and Staph A was found in basophils (rs = 0.61; p < 0.001), whereas there was a negative correlation between the reactivity of PMCE (rs = -0.67; p < 0.001) and PMCM (rs = -0.40; p < 0.001) to anti-IgE and their reactivity to Staph A. The maximal percent f-met-peptide-induced histamine release in basophils (34.9 .+-. 3.1) was higher than in PMCE (3.4 .+-. 0.7) and in PMCM (5.4 .+-. 1.4). The reactivity of PMCM to compound A23187 (43.9 .+-. 3.5) was lower than that of basophils (72.1 .+-. 2.7) and PMCE (71.4 .+-. 2). There was no correlation between the maximal percent histamine release induced by all the stimuli in basophils, PMCE, and PMCM and the serum concentration of IgE. In a second study, the response to anti-IgE, f-met peptide, and compound A23187 of human basophils obtained from 17 normal donors and 19 asthmatics undergoing bronchoalveolar lavage was compared with that of mast-basophiloid cells (BMC) in the BAL. The histamine level in BAL of asthmatics (1,628 .+-. 632 pg/ml) was higher than that in control subjects (371 .+-. 65 pg/ml). The histamine content of BMC (2.5 .+-. 0.3 pg/cell) was higher than that of peripheral blood basophils (1.3 .+-. 0.1 pg/cell). The maximal percent anti-IgE-induced histamine release in BMC from asthmatics (21.9 .+-. 4.8) was higher than that in normal donors (7.1 .+-. 3.8). The maximal percent anti-IgE-, f-met-peptide-, and A23187-induced histamine release in basophils was significantly higher than in BMC of both control subjects and asthmatics.