J Asthma Allergy Clin Immunol.
1999 Oct;19(5):685-695.
Effect of theophylline on Bc 1 - 2 expression of Il - 5 stimulated eosinophil
Abstract
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BACKGROUND AND OBJECTIVE: Eosinophil is a major inflammatory cell in allergic diseases
and parasitic infestations. Various cytokines such as GM-CSF, IL-3 and IL-5 are known
to activate eosinophils and prolong their survival. Among them, IL-5 is the most potent
stimulator of eosinophil survival. Recently, it was reported that increased expression
of Bcl-2 is related to prolonged survival of IL-5 stimulated eosinophil. Theophylline
is a useful drug in bronchial asthma, due not only to bronchial dilation but also to
its anti-inflammatory effects. It has been suggested that anti inflammatory action of
theophylline derives from the reduction of inflammatory cells in the airways which is
mechated by stimulat on of apoptosis of inflammatory cells. In this study, we investigated,
by measuring Bcl-2 expression of IL-5 stimulated eosinophil, the effect of theophylline on
apoptosis as one of the anti-inflammatory action.
MATERIAL AND METHOD: Peripheral eosinophils were isolated from atopic patients by using
Perco- 11 discontinuous gradient and purified by negative selection technique using MACS.
Eosinophil viability and apoptosis were measured by FACscan. Expression of Bcl-2 protein
in eosinophils was detected by Western blot and ELISA.
RESULTS
IL-5 increased the percentage of viable eosinophils and reduced the apoptosis
of eosinophils in a dose dependent manner. The increased survival of IL-5 stimulated
eosinophils was reduced by theophylline via activation of apoptosis. Bcl-2 was increased
when eosinophils were cultured with IL-5 only, but when theophylline was cocultured,
reduced Bcl-2 was seen with Western blot and ELISA.
CONCLUSION
IL-5 increases the survival of eosinophil through the enhanced expression
of Bcl- 2. Theophylline has counter action against IL-5 via inhibition of Bcl-2 induced
by IL-5. Inhibiting the prolongation of eosinophil survival caused by IL-5 might be
one possible mechanism of antiinflammatory effects of theophylline.