“…CD4 ϩ T lymphocytes, B lymphocytes, and plasma cells infiltrate the lung (65,318), manifested radiologically as pulmonary infiltrates. Further amplification of the immune response in association with lymphocyte proliferation, production of immunoglobulins, and release of tumor necrosis factor alpha (TNF-␣), gamma interferon (IFN-␥), and various interleukins (including interleukin-1 [IL-1], IL-2, IL-4, IL-5, IL-6, IL-8, IL-10, and IL-18) occurs, based on evidence from clinical and in vitro studies and from animal models (193,195,263,308,309,406,420,447,448). Many of these reactive substances will have elevated levels in both alveolar fluid and serum (233,263,406,448).…”