Eosinophils are major effector cells in helminthic parasite immunity as well as in allergic inflammation. These highly granulated cells are generally found at extremely low densities within mucosal tissues, and are recruited from the bloodstream to inflammatory foci during a range of immune and allergic responses. The recruitment and accumulation of eosinophils within mucosal tissues is thought to be the result of regulation by a complex series of events involving antigen presenting cells, mast cells, T-cells, B-cells and their released cytokines and chemokines.More recently, it has been discovered that eosinophils themselves are a source of cytokines, chemokines and growth factors, which may have profound influences on the progression of the allergic inflammatory response ( fig. 1). The purpose of this review is to examine the role that eosinophil-derived cytokines, chemokines and growth factors may have in the propagation or exacerbation of the allergic response. For simplicity, the word 'cytokine' will be used to describe the collective group of cytokines, growth factors and chemokines in this review.
Cytokines in Allergic Inflammation and AsthmaAllergic inflammation and asthma are characterized by acute or chronic inflammatory cell infiltration into sites of allergen exposure in atopic subjects. In asthma, activated inflammatory cells, including eosinophils, are thought to be directly involved in initiating and/or maintaining bronchoconstriction, mucus secretion, edema and tissue injury within the airways. The inflammatory processes underlying allergic inflammation are governed by an elaborate cyto-