Kobayashi H, Maeda S, Tamura M, Sakamoto S
III rd Dept. Internal Medicine, School of Medicine, Iwate Medical University.
Nihon Rinsho. 1993 Mar;51(3):626-30.
EG2 is a monoclonal antibody which recognize activated eosinophils, and the increased number of eosinophils stained by EG2 suggest activation of the disease. In bronchial epithelium of patient with asthma, not only EG2-positive eosinophils but CD25-positive T lymphocytes are increased, and support the theory that asthma is a nonsuppurative inflammatory disease of bronchial tree. Bronchial hyperresponsiveness of patient with asthma, which was assessed by a methacoline provocation test, was correlated significantly with the number of EG2 positive-eosinophils in bronchial epithelium. Moreover, most of eosinophils infiltrated to bronchial epithelium in patient with fatal asthma were EG2 positive. The severity of acute asthma attack however did not correlate with EG2-positive rate of eosinophils, but significantly correlated with releasability of granules from eosinophils in sputum of patients with asthma indicated by BMK-13 staining. There are many reports that EG2-positive eosinophils participate in the pathogenesis of other allergic diseases, several types of collagen disease and cancer therapy.
EG2是一种识别活化嗜酸性粒细胞的单克隆抗体,被EG2染色的嗜酸性粒细胞数量增加提示疾病的活化。在哮喘患者的支气管上皮中,不仅EG2阳性嗜酸性粒细胞增加,CD25阳性T淋巴细胞也增加,这支持了哮喘是支气管树的非化脓性炎症性疾病的理论。通过乙酰甲胆碱激发试验评估的哮喘患者的支气管高反应性与支气管上皮中EG2阳性嗜酸性粒细胞的数量显著相关。此外,在致命性哮喘患者中,浸润到支气管上皮的大多数嗜酸性粒细胞是EG2阳性的。然而,急性哮喘发作的严重程度与嗜酸性粒细胞的EG2阳性率无关,但与哮喘患者痰液中嗜酸性粒细胞颗粒的释放能力显著相关,这通过BMK-13染色得以体现。有许多报道称,EG2阳性嗜酸性粒细胞参与了其他过敏性疾病、几种类型的胶原病和癌症治疗的发病机制。