Methods: Blood/serum was obtained from ragweed sensitized humans (n=6) and CD4+ and CD8+CD60+ T cell expression of p38MAPK (MESF), CD4+IL-4+ and CD8+CD60+IL-4+ T cell numbers and IgE levels (IU/ml) were determined (flow cytometery, fluoroenzymeimmunoassay). PBMC (1x106) were cultured for 0-12 days ± varying concentrations of ragweed antigen and IgE levels in supernatants determined (ng/ml)(ELISA).
Results: CD4+ and CD8+CD60+ T cells were ~40% and ~5% of blood lymphocytes, respectively. CD4+ and CD8+ T cell expression of p38MAPK correlated with serum IgE (p=0.001, p=0.005, respectively). When CD4+ or CD8+CD60+ T cells were depleted before, or anti-IL-4 was included in culture, no specific memory IgE responses were induced; reconstitution of memory IgE responses required bothsubsets. Of the CD4+ T cells only 5% were CD4+IL-4+, whereas of the CD8+CD60+ T cells, >99% were CD8+CD60+IL-4+ (all were p38MAPK+); the individual T cell subsets (~20,000, 50,000 cells, respectively) did not produce sufficient IL-4 for induction of memory IgE responses by PBMC (1 million cells), but together they did.
Conclusions: Both CD4+ and CD8+CD60+ T cell subsets are necessary to produce sufficient IL-4 required for induction of specific memory IgE responses of ragweed sensitized humans.