Eosinophils Flashcards
In which “normal” non-inflamed tissues are eosinophils normally found?
GI tract (lamina propria), lungs, adipose tissue, thymus, uterus, mammary glands
What is the most common non-neoplastic nodular skin disease in horses
Equine Eosinophilic Granuloma
Eosinophils are associated with what type of Hypersensitivity (e.g. I-IV)?
Type I Hypersensitivity
Name 3 stains with an affinity for eosinophil granules.
Eosin, Giemsa, Luna
Which eosinophil granule protein is responsible for the creation of free radicals (reactive oxygen and nitrogen species)?
Eosinophil Peroxidase (EPO)
Which two interleukins, associated with a Th2 response, enhance integrin formation on eosinophils?
IL-4 and IL-13
Which 3 leukotrienes are responsible for vasoconstriction, bronchospasm, and increased vascular permeability?
LTC4, LTD4, LTE4
You see a kitty with a red, swollen, crusty alopecic nose. You do cytology looking for cryptococcus, but instead of fungal organisms you see a bunch of eosinophils. Diagnosis?
Feline mosquito bite hypersensitivity
One mechanism by which glucocorticoids lower eosinophil counts is death by __________.
apoptosis
Name the 4 pathways of eosinophil degranulation
Classical exocytosis, compound exocytosis, piecemeal degranulation, cytolysis
Which is more important for eosinophil activation in allergic disease, IgA or IgE?
IgA
Which two cell types make up the “allergic-effector unit”?
Eosinophils and Mast Cells
What animals get Chediak-Higashi aside from Persian cats?
Aleutian mink, Hereford cattle, rats, mices, orcas, white tigers
Name a common location on the body to find eosinophilic plaques.
Ventral abdomen, thighs
Which IgA receptor is the most potent stimulant of eosinophil degranulation?
FCaR (CD89)
What breed is over-represented in Wells-like Syndrome?
Labrador Retrievers
Is wound healing accelerated or delayed by the presence of eosinophils and eosinophil granule proteins?
Delayed
Which are the three most prevalent cytokine receptors on the surface of eosinophils?
IL-3, IL-5, GM-CSF
What does NAACP stand for (with regards to feline hypereosinophilic syndrome)?
Neoplasia, Allergy, Asthma, Churg-Strauss/Connective tissue dz, Parasitism
Which growth factor, produced and secreted by eosinophils, promotes mast cell activation and survival?
Nerve Growth Factor (NGF)
Name the 3 presentations of eosinophilic granuloma complex
eosinophilic/rodent ulcer, eosinophilic plaques, eosinophilic/linear granuloma
Which granulocyte-monocyte precursor is most important for eosinophil lineage specification?
GATA-1
What is a hallmark histopath finding for equine eosinophilic granuloma?
Collagen flame figures
Which breeds of dogs lack visible granules in their eosinophils (and have vacuoles)?
Greyhounds, sight hounds, +/- golden retrievers
Name the 3 “matrix” (electron lucent) eosinophil granule proteins
Eosinophilic Cationic Protein (ECP), Eosinophil Peroxidase (EPO), Eosinophil-derived neurotoxin (EDN)
What is a prominent histopath finding for Wells-like syndrome aside from the presence of eosinophils?
Marked dermal edema and vascular dilation (perivascular pattern not a very specific finding)
Which chemokine on eosinophils binds to eotaxin (also known as CCL11)?
CCL3
What is a common suspected cause of Sterile Pustular Erythroderma of Miniature Schnauzers?
Shampoo reaction, often insecticidal shampoo
What is the number of “hypodense” eosinophils predictive of?
Severity of allergic disease
Which pathway of eosinophil degranulation makes use of eosinophil sombrero vesicles?
piecemeal degranulation
What is the most common cause of canine eosinophilic furunculosis?
Insect/arthropod bite/sting
What does Equine MEED stand for?
Multi-systemic eosinophilic epitheliotropic disease
Which eosinophil granule protein is responsible for the intense acidophilia of eosinophil granules?
Major Basic Protein (MBP)
What class of drugs, which cause apoptosis of eosinophils, is almost universally helpful in treating eosinophilic diseases?
glucocorticoids
What breed is predisposed to canine eosinophilic granuloma? Name a common location for granulomas to develop
Husky, CKCS; mouth (skin gets you less points)
Which species’ eosinophils have the largest granules?
Equine
During rolling, eosinophils bind to ______, and then during firm adhesion, they additionally bind to ______. (classes of adhesion molecules)
selectins; integrins
Which eosinophil granule protein has an affinity for lipopolysaccharide (LPS)?
Eosinophilic Cationic Protein (ECP)
Why can eosinophils release cytokines more rapidly than B cells or T cells?
They store cytokines preformed within the cell
Which pathway of eosinophil degranulation makes use of SNARE complexes?
Classical (regulated) exocytosis
Which immunoglobulin (IgG) receptor is most highly expressed on eosinophils?
FCyRII (CD32)
What is the target of the monoclonal antibody mepolizumab? (human drug)
IL-5
Which interleukin is responsible for development and activation of eosinophils, specifically?
IL-5 *IL-3 and GM-CSF not specific to eosinophils
Which eosinophil granule protein has the strongest antiviral properties?
Eosinophil-derived neurotoxin (EDN)
In what species do eosinophils predominate in the cytology of an atopic animal?
Horses
Which of the following diseases is NOT associated with eosinophils? CAFR, EGC, F&F, Sweets Syndrome, Wells Syndrome?
Sweets Syndrome
Which immunoglobulin receptors are important for adhesion of leukocytes to one another and to vessel walls?
ICAM-1 (CD54) and ICAM-3 (CD50)
Feline eosinophilic folliculitis and furunculosis is often a feature of what kind of hypersensitivity?
food (CAFR)
Persian cats with blue smoke hair and yellow eyes are poster children for what disease?
Chediak-Higashi Syndrome
What is the only leukotriene produced intracellularly by eosinophils?
LTC4
What breed of horses is predisposed to unilateral papular dermatosis? Are papules pruritic?
Quarter horses; no
Name at least two disease processes with eosinophilic involvement that aren’t allergic or parasitic in nature
pemphigus, mastocytic tumors, Wells syndrome, furunculosis (often secondary to allergies or parasites)
Which chemokine is also known as RANTES?
CCL5
In addition to skin biopsy, where else would you biopsy a horse to try to diagnose MEED?
Rectum, lymph nodes, liver
Which species’ eosinophils have rod-shaped granules?
Feline
Eosinophilic granules are ______, which makes them bind well to eosin, which is _______. (hint: pH)
basic; acidic
Which Interleukin, important for eosinophil activation, is blocked by calcineurin inhibitors?
IL-5 (also GM-CSF)
Eosinophils make up what percent of leukocytes in circulation?
6%
During which phase of the estrus cycle are eosinophils found in the uterus in greatest numbers?
Estrus
Name the 3 kinds of granulocytes.
Neutrophils, eosinophils, basophils